Abstract

The COVID-19 pandemic has significantly impacted adolescents' unhealthy eating habits and sedentary lifestyles, leading to an increase in blood pressure and obesity rate. High blood pressure among adolescents is an early indicator of adult hypertension, but this condition has received less attention recently. Therefore, this study aimed to determine the differences in dietary changes among high school students with normal and high blood pressure before and during the COVID-19 pandemic in West Lampung District, Indonesia. A cross-sectional design was used, and the sample population consisted of 167 students aged 14-19 years. The results showed that 43 participants had elevated blood pressure and stage 1 hypertension, accounting for 25.7% of the total population. Among these participants, 14 (32.6%) were found to be overweight and obese. Based on the results, students with high blood pressure were less likely to improve their dietary choices during the COVID-19 pandemic than those with normal blood pressure.

References

1. Soua S, Ghammam R, Maatoug J, Zammit N, Fredj SB, Martinez F, et al. The prevalence of high blood pressure and its determinants among Tunisian adolescents. J Hum Hypertens. 2022. DOI: 10.1038/s41371-022-00677-x

2. Azegami T, Uchida K, Tokumura M, Mori M. Blood Pressure Tracking from Childhood to Adulthood. Front Pediatr. 2021; 9: 785356. DOI: 10.3389/fped.2021.785356

3. Robinson CH, Chanchlani R. High Blood Pressure in Children and Adolescents: Current Perspectives and Strategies to Improve Future Kidney and Cardiovascular Health. Kidney Int Rep. 2022; 7 (5): 954- 970. DOI: 10.1016/j.ekir.2022.02.018

4. Song P, Zhang Y, Yu J, Zha Mingming, Zhu Y, Rahimi K, et al. Global Prevalence of Hypertension in Children. JAMA Pediatr. 2019; 173 (12): 1154-1163. DOI: 10.1001/jamapediatrics.2019.3310

5. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2013. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013.

6. Jané BA, Manent JIR, Gil PT, Lliteras PM, Villalonga JLC, González ÁAL. Impact of COVID-19 Lockdown on Cardiometabolic Risk Scales in Adults: A Before and After Pandemic Lockdown Longitudinal Study. Acad J Health Sci. 2022; 38 (2): 78-84.

7. Musa S, Elyamani R, Dergaa I. COVID-19 and screen-based sedentary behaviour: Systematic review of digital screen time and metabolic syndrome in adolescents. PloS One. 2022; 17 (3): e0265560. DOI: 10.1371/journal.pone.0265560

8. Dunton GF, Do B, Wang SD. Early effects of the COVID-19 pande - mic on physical activity and sedentary behavior in children living in the U.S. BMC Publich Health. 2020; 20: 1351. DOI: 10.1186/s12889-020-09429-3

9. Karatzi K, Poulia K-A, Papakonstantinou E, Zampelas A. The Impact of Nutritional and Lifestyle Changes on Body Weight, Body Composition and Cardiometabolic Risk Factors in Children and Adolescents during the Pandemic of COVID-19: A Systematic Review. Children. 2021; 8 (12): 1130. DOI: 10.3390/children8121130

10. Song K, Jung SY, Yang J, Lee HS, Kim HS, Chae HW. Change in Prevalence of Hypertension among Korean Children and Adolescents during the coronavirus disease 2019 (COVID-19) Outbreak: A Population-Based Study. Children. 2023; 10 (1): 159. DOI: 10.3390/children10010159

11. Stavridou A, Kapsali E, Panagouli E, Thirios A, Polychronis K, Bacopoulou F, et al. Obesity in Children and Adolescents during COVID-19 Pandemic. Children. 2021; 8 (2): 135. DOI: 10.3390/children8020135

12. Pujia R, Ferro Y, Maurotti S, Khoory J, Gazzaruso C, Pujia A, et al. The Effects of COVID-19 on the Eating Habits of Children and Adolescents in Italy: A Pilot Survey Study. Nutrients. 2021; 13 (8): 2641. DOI: 10.3390/nu13082641

13. Aguilar-Martínez A, Bosque-Prous M, González-Casals H, ColillasMalet E, Puigcorbé S, Esquius L, et al. Social Inequalities in Changes in Diet in Adolescents during Confinement due to COVID-19 in Spain: The Deskcohort Project. Nutrients. 2021; 13 (5): 1577. DOI: 10.3390/nu13051577

14. Androutsos O, Perperidi M, Georgiou C, Chouliaras G. Lifestyle Changes and Determinants of Children's and Adolescents' Body Weight Increase during the First COVID-19 Lockdown in Greece: The COV-EAT Study. Nutrients. 2021; 13 (3): 930. DOI: 10.3390/nu13030930

15. Cipolla C, Curatola A, Ferretti S, Giugno G, Condemi C, Delogu AB, et al. Eating habits and lifestyle in children with obesity during the COVID19 lockdown: A survey in an Italian center. Acta Biomed. 2021; 92 (2): e2021196. DOI: 10.23750/abm.v92i2.10912

16. Giannini DT, Tavares CM, Takey M, Aloise MLR, da Costa AJ, de Carvalho DS, et al. Adolescents Emotional State and Behavioral and Dietary Habit Changes during Isolation due to the COVID-19 Pandemic. J Am Nutr Assoc. 2022; 41 (4): 415–423. DOI: 10.1080/07315724.2021.1897899

17. Kim SY, Yoo DM, Min C, Choi HG. Changes in Dietary Habits and Exercise Pattern of Korean Adolescents from Prior to during the COVID-19 Pandemic. Nutrients. 2021; 13 (10): 3314. DOI: 10.3390/nu13103314

18. Munasinghe S, Sperandei S, Freebairn L, Conroy E, Jani H, Marjanovic S, et al. The Impact of Physical Distancing Policies during the COVID-19 Pandemic on Health and Well-being among Australian Adolescents. J Adolesc Health. 2020; 67 (5): 653–661. DOI: 10.1016/j.jadohealth.2020.08.008

19. Maulina YR, Margawati A, Purwanti R, Tsani AFA. Differences in eating habits and physical activity before and during distance learning. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition). 2022; 10 (2): 122-134. DOI: 10.14710/jgi.10.2.122-134

20. Ruiz-Roso MB, de Carvalho Padilha P, Mantilla-Escalante DC, Ullola N, Brun P, Acevedo-Correa D, et al. COVID-19 Confinement and Changes of Adolescent's Dietary Trends in Italy, Spain, Chile, Colombia and Brazil. Nutrients. 2020; 12 (6): 1807. DOI: 10.3390/nu12061807

21. Dieny FF, Jauharany FF, Tsani AFA, Nissa C. Perilaku Makan Sebelum dan Selama Pandemi COVID-19 pada Kelompok Remaja dan Dewasa di Indonesia. Action: Aceh Nutrition Journal. 2021; 6 (2): 128-138. DOI : 10.30867/action.v6i2.418

22. Neves SC, Rodrigues LM, Bento PASS, Minayo MCS. Risk Factors Involved in Adolescent Obesity: An Integrative Review. Ciencia Saude Coletiva. 2021; 26 (Suppl 3): 487-4884. DOI: 10.1590/1413-812320212611.3.30852019

23. Badan Penelitian dan Pengembangan Kesehatan. Hasil Utama Riskesdas 2018. Jakarta: Kementerian Kesehatan Republik Indonesia; 2018.

24. Dinas Kesehatan Provinsi Lampung. Profil Kesehatan Provinsi Lampung 2021. Bandar Lampung: Pemerintah Provinsi Lampung; 2018.

25. Kadir S. Pola makan dan kejadian hipertensi. Jambura Health and Sport Nutrition. 2019; 1 (2): 56-60. DOI: 10.37311/jhsj.v1i2.2469

26. Menteri Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 tentang Standar Antropometri Anak. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020.

27. Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, Daniels SR, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017; 140 (3): e20171904. DOI: 10.1542/peds.2017-1904

28. Magalhães P, Pereira B, Garcia F, Vilas C, Moreira T, Rosário P. Changes in Student's Breakfast and Snack Consumption during the Second COVID-19 Lockdown in Portugal: A Five Wave Study. Int J Environ Res Public Health. 2023; 20 (4): 3034. DOI: 10.3390/ijerph20043034

29. Adams EL, Caccavale LJ, Smith D, Bean MK. Food insecurity, the home food environment, and parent feeding practices in the era of COVID-19. Obesity. 2020; 28 (11): 2056-2063. DOI: 10.1002/oby.22996

30. Chenarides L, Grebitus C, Lusk JL, Printezis I. Food consumption behavior during the COVID-19 pandemic. Agribusiness. 2021; 37 (1): 44-81. DOI: 10.1002/agr.21679

31. Motiwala ZY, Khan IR, Ahmad S, Abedi AJ. Dietary Changes among the Indian Population during the COVID-19 Pandemic: A CrossSectional Study. Indian J Community Med. 2023; 48 (1): 137-141. DOI: 10.4103/ijcm.ijcm_521_22

32. Syah MNH, Wahyuningsih U, Ardiansyah S, Asrullah M. Hypertension and Related Factors Among Female Students at Vocational High School Bekasi, Indonesia. Media Gizi Indonesia. 2020; 15 (3): 219- 224. DOI: 10.20473/mgi.v15i3.219-224

33. Kelly RK, Magnussen CG, Sabin MA, Cheung M, Juonala M. Development of Hypertension in Overweight Adolescents: A Review. Adolesc Health Med Ther. 2015; 6: 171-187. DOI: 10.2147/AHMT.S55837

34. Mendoza-Herrera K, Florio AA, Moore M, Marrero A, Tamez M, Bhupathiraju SN, et al. The Leptin System and Diet: A Mini Review of The Current Evidence. Front Endocrinol. 2021; 12: 749050. DOI: 10.3389/fendo.2021.749050

35. Grace GA, Edward S, Gopalakrishnan S. Dietary Habits and Obesity among Adolescent School Children: A Case Control Study in an Urban Area of Kancheepuram District. Indian J Community Med. 2021; 46 (4): 637-640. DOI: 10.4103/ijcm.IJCM_1013_20

36. Belfort-DeAguiar R, Seo D. Food Cues and Obesity: Overpowering Hormones and Energy Balance Regulation. Curr Obes Rep. 2018; 7 (2): 122-129. DOI: 10.1007/s13679-018-0303-1

37. Vizcarra M, Palomino AM, Iglesias L, Valencia A, Espinoza PG, Schwingel A. Weight Matters—Factors Influencing Eating Behaviors of Vulnerable Women. Nutrients. 2019; 11 (8): 1809. DOI: 10.3390/nu11081809

38. Margerison C, Riddell LJ, McNaughton SA, Nowson CA. Associations between Dietary Patterns and Blood Pressure in A Sample of Australian Adults. Nutrition Journal, 2020; 19 (5). DOI: 10.1186/s12937-019-0519-2

Share

COinS