Distorsi citra tubuh, perilaku makan, dan fad diets pada remaja putri di Yogyakarta

https://doi.org/10.22146/ijcn.22644

Atika Sulistyan(1), Emy Huriyati(2), Janatin Hastuti(3*)

(1) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(2) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(3) Laboratorium Bioantropologi & Paleoantropologi, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Vast changing environment and culture including mass media which commonly shows models with a very slim body may cause teenage girls feel fatty and not confident despite their normal body weight. This misperception may influence eating behavior and encourage them to lose weight by involving in some instant diets, for example, fad diets.

Objective: To identify relationships between body image distortion, eating behavior, and fad diets among female adolescents in Yogyakarta.

Method: This study was a cross-sectional study on 123 school girls at SMAN 8 Yogyakarta who have normal body mass index (BMI) according to WHO category. Body image distortion and eating behavior were evaluated using the Body Image Assesment-Body Dimension (BIAS-BD), and the Eating Attitude Test (EAT)-26, respectively. Fad diets were assessed using a questionnaire adapted from Hana (10) and Rafiqa (11). The hypotheses were tested using chi-square test and Spearman’s correlations.

Results: As many as 105 girls (85.4%) showed body image distortion and 15 girls (12.2%) were at risks for having disordered eating behavior. Among 51 girls (42.5%) who experienced or tried to lose weight, 47 girls (92.2%) were practicing fad diets. There was no significant association between body image distortion and disordered eating behavior, nor between body image distortion and fad diets. However, disordered eating behavior was significantly associated with fad diets with OR = 7,077 (p<0.05).

Conclusion: There was a significant relationship (p<0.05) between disordered eating behavior and fad diets, however, no significant association was found between body image distortion and disordered eating behavior, and between body image distortion and fad diets among female adolescents in Yogyakarta.


Keywords


body image distortion; body mass index; eating behavior; fad diets; female high school students

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References

  1. Brown FL, Slaughter V. Normal body, beautiful body: discrepant perceptions reveal a pervasive “thin ideal” from childhood to adulthood. Body Image 2011;8:119-25.
  2. Kay S. The psychology and anthropometry of body image. In: Norton K, Olds T (Eds.). Anthropometrica, a textbook of body measurement for sports and health courses. Sydney: UNSW Press Book; 2001.
  3. Tiggemann M. Media influences on body image development. In: Cash T, Pruzinskky T (Eds.). Body image, a handbook of theory, research, and clinical practise. NY: The Guilford Press; 2002.
  4. Hargreaves DA, Tiggemann M. Idealized media images and adolescent body image: “comparing” boys and girls. Body Image 2004;1(4): 51-61.
  5. Yamamiya Y, Cash TF, Melnyk SE, Posavac HD, Posavac SS. Women’s exposure to thin-and-beautiful media images: Body image effects of media-ideal internalization and impact-reduction interventions. Body Image 2005;2:74-80.
  6. Evans EH, Tovée MJ, Boothroyd LG, Drewett RF. Body dissatisfaction and disordered eating attitudes in 7- to 11-year-old girls: Testing a sociocultural model. Body Image 2013;10:8-15.
  7. Dittmar H. Consumer culture, identity and well-being: the search for the good life and the body perfect. London: Psychology Press; 2007.
  8. Bibiloni M del M, Pich J, Pons A, Tur J. Body image and eating patterns among adolescents. BMC Public Health 2013;13:1104.
  9. Xie B, Chou C, Spruijt-metz D, Reynolds K, Clark F, Palmer PH, et al. Weight perception and weight-related sociocultural and behavioral factors in Chinese adolescents. Prev Med 2006;42:229-34.
  10. Xu X, Mellor D, Kiehne M, Ricciardelli LA, McCabe MP, Xu Y. Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. Body Image 2010; 7(2):156-64.
  11. Helfert S, Warschburger P. A prospective study on the impact of peer and parental pressure on body dissatisfaction in adolescent girls and boys. Body Image 2011;8:101-9.
  12. Dewanto VC. Hubungan antara citra tubuh dengan depresi pada remaja perempuan di SMA Stella Duce. [Skripsi]. Yogyakarta: Fakultas Kedokteran Universitas Gadjah Mada; 2013.
  13. Maitri AK. Hubungan citra tubuh dan konsumsi lemak siswi SMAN 3 Yogyakarta [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2007.
  14. Wahyuningtyas DS. Hubungan antara IMT dan citra tubuh pada siswa SMAN 1 Sleman [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2009.
  15. Liechty JM. Body image distortion and three types of weight loss behaviors among nonoverweight girls in the United States. J Adolesc Health 2010;47:176-82.
  16. Hana S. Harga diri, body image dan fad diets pada siswi SMAN 6 Yogyakarta [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2014.
  17. Rafiqa H. Depresi, media dan teman sebaya pada fad diets siswi SMAN 6 Yogyakarta [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2014.
  18. Almatsier S. Prinsip dasar ilmu gizi. Jakarta: Gramedia Pustaka Utama; 2004.
  19. Fairburn CG, Harrison PJ. Eating disorders. Lancet 2003;361:407-16.
  20. Chang F, Lee C, Chen P, Chiu C, Pan Y, Huang T. Eating behaviors association of thin-ideal media exposure, body dissatisfaction and disordered eating behaviors among adolescents in Taiwan. Eat Behav 2013;14:382-5.
  21. Chung AE, Perrin EM, Skinner AC. Accuracy of child and adolescent weight perceptions and their relationships to dieting and exercise behaviors : a NHANES Study. Acad Pediatr 2013;13:371-8.
  22. Lefan PN. Hubungan antara faktor lingkungan, citra tubuh dan diet penurunan berat badan pada remaja putri di SMA di Distrik Abepura Kota Jayapura [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2012.
  23. Neumark-sztainer D, Hannan PJ. Weight-related behaviors among adolescent girls and boys. Arch Pediatric Adolesc Med 2000;154:569-77.
  24. Rahayu A. Hubungan antara citra tubuh dengan perilaku makan remaja di sma wilayah kota banjarmasin provinsi kalimantan Selatan [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2012.
  25. Martin Ginis K, McEwan D, Josse AR, Phillips SM. Body image change in obese and overweight women enrolled in a weight-loss intervention: The importance of perceived versus actual physical changes. Body Image 2012;9:311-7.
  26. de Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization 2007;85:660-7.
  27. Lemeshow S, Lwanga SK. Sample size determination in health studies. Geneva: World Health Organization; 1991.
  28. Gardner RM, Jappe LM, Gardner L. Development and validation of a new figural drawing scale for body-image assessment: the BIAS-BD. J Clin Psych 2009;65:113-22.
  29. Stunkard A, Sorenson T, Schlusinger E. Use of the Danish Adoption Registry for the study of obesity and thinness. Res Publ Assoc Res Nerv Ment Dis 1983;60:115-20.
  30. Garner DM, Olmsted MP, Bohr Y, Garfinkel PE. The eating attitude test: Psycometric features and clinical correlates. Psychol Med 1982;12: 871-8.
  31. Helfert S, Warschburger P. A prospective study on the impact of peer and parental pressure on body dissatisfaction in adolescent girls and boys. Body Image 2011;8:101-9.
  32. Tejoyuwono AA. Persepsi mahasiswa program studi S1 Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada terhadap citra ahli gizi. Jurnal Gizi Klinik Indonesia 2011;8(1):42-9.
  33. Lai Yeung WT. Gender perspectives on adolescent eating behaviors: a study on the eating attitudes and behaviors of junior secondary students in Hong Kong. J Nutr Edu Behav 2010;42(4):250–8.
  34. Li KK, Concepcion RY, Lee H, Cardinal BJ, Ebbeck V, Woekel E, et al. An examination of sex differences in relation to the eating habits and nutrient intakes of university students. J Nutr Edu Behav 2012;44(3):246-50.
  35. Zoletić E, Duraković-Belko E. Body image distortion, perfectionism and eating disorder symptoms in risk group of female ballet dancers and models and in control group of female students. Psychiatr Danub 2009;21(3):302-9.
  36. Bruening M, Eisenberg M, MacLehose R, Nanney MS, Story M, Neumark-Sztainer D. Relationship between adolescents’ and their friends' eating behaviors: breakfast, fruit, vegetable, whole-grain, and dairy intake. J Acad Nutr Diet 2012;112(10):1608-13.
  37. Hargreaves DA, Tiggemann M. Idealized media images and adolescent body image: “comparing” boys and girls. Body Image 2004;1(4):351-61.
  38. Habibah N. Hubungan paparan Korean Wave melalui media informasi dengan body image dan risiko eating disorder pada remaja putri SMA Kota Yoygakarta [Skripsi]. Yogyakarta: Universitas Gadjah Mada; 2014.
  39. Flament MF, Hill EM, Buchholz A, Henderson K, Tasca GA, Goldfield G. Internalization of the thin and muscular body ideal and disordered eating in adolescence: the mediation effects of body esteem. Body Image 2011; 9(1):68-75.
  40. Elfhag K, Morey LC. Personality traits and eating behavior in the obese: poor self-control in emotional and external eating but personality assets in restrained eating. Eat Behav 2008;9(3):285-93.
  41. van Strien T, Peter Herman C, Verheijden MW. Eating style, overeating and weight gain. A prospective 2-year follow-up study in a representative Dutch sample. Appetite 2012;59(3):782-9.
  42. Klesse AK, Goukens C, Geyskens K, de Ruyter K. Repeated exposure to the thin ideal and implications for the self: two weight loss program studies. Int J Res Mark 2012;29(4):355-62.



DOI: https://doi.org/10.22146/ijcn.22644

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