The Correlation Between Obesity and the Self-Image of Teenage Girls in Denpasar
Abstract
In adolescence, the teenage girl begins to pay attention to physical appearance and wants to be close to their ideal concept of beauty, such as a slim body. The inability to appear according to the ideal concept of beauty in teenage girls with obesity causes self-image disorders. This study aims to determine the correlation between obesity and adolescent girls' self-image in Denpasar city. This study employed a correlation analysis with a cross-sectional approach. The sample in this study was 369 respondents. The sampling technique used was cluster sampling and simple random sampling. The data collection tool used was a self-image and percentile IMT questionnaire. Data analysis using chi-square test. Findings indicated that most teenage girls were not obese (72.1%), and most teenage girls had a positive self-image (96.2%). The statistical test shows p<0,001, which means a significant correlation exists between obesity and teenage girls' self-image. A study revealed a significant link between obesity and self-image among adolescent girls, with obese girls experiencing negative self-perception. The study suggests that encouraging these young women to engage in activities they excel in, like exercise and singing, could help them discover their strengths and mitigate the psychosocial effects associated with body image. Additional intervention measures are necessary to explore and reduce the broader psychosocial impact beyond body perception.
References
Amma, D. S. R., Widiani, E., & Trishinta, S. M. (2017). Hubungan citra diri dengan tingkat kepercayaan diri remaja di SMKN 11 Malang kelas XI. Nursing News, 2(3), 534–543. https://publikasi.unitri.ac.id/index.php/fikes/article/view/689
Ayuningtyas, D., Kusuma, D., Amir, V., Tjandrarini, D. H., & Andarwati, P. (2022). Disparities in Obesity Rates among Adults: Analysis of 514 Districts in Indonesia. Nutrients, 14(16), 1–18. https://doi.org/10.3390/nu14163332
Bacevičien, M., Reklaitiene, R., & Tamošiunas, A. (2019). Effect of excess body weight on quality of life and satisfaction with body image among middle-aged Lithuanian inhabitants of Kaunas city. Medicina, 45(7), 565–573. https://doi.org/10.3390/medicina45070075
Beynon, C. (2023). Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK. BMC Public Health, 23(1), 1–8. https://doi.org/10.1186/s12889-023-15293-8
Byth, S., Frijters, P., & Beatton, T. (2022). The relationship between obesity and self-esteem: longitudinal evidence from Australian adults. Oxford Open Economics, 1(October), 1–14. https://doi.org/10.1093/ooec/odac009
Cade, W. T., Bohnert, K. L., Reeds, D. N., Peterson, L. R., Bittel, A. J., Bashir, A., Byrne, B. J., & Taylor, C. L. (2018). Peak oxygen uptake (VO2peak) across childhood, adolescence and young adulthood in Barth syndrome: Data from cross-sectional and longitudinal studies. PLoS ONE, 13(5), 1–12. https://doi.org/10.1371/journal.pone.0197776
D’avila, H. F., Poll, F. A., Reuter, C. P., Burgos, M. S., & Mello, E. D. (2019). Health-related quality of life in adolescents with excess weight. Jornal de Pediatria, 95(4), 495–501. https://doi.org/10.1016/j.jped.2018.05.005
Dale, L. P., Vanderloo, L., Moore, S., & Faulkner, G. (2019). Physical activity and depression, anxiety, and self-esteem in children and youth: An umbrella systematic review. Mental Health and Physical Activity, 16, 66–79. https://doi.org/10.1016/j.mhpa.2018.12.001
Di Cesare, M., Sorić, M., Bovet, P., Miranda, J. J., Bhutta, Z., Stevens, G. A., Laxmaiah, A., Kengne, A. P., & Bentham, J. (2019). The epidemiological burden of obesity in childhood: A worldwide epidemic requiring urgent action. BMC Medicine, 17(1), 1–20. https://doi.org/10.1186/s12916-019-1449-8
Dwipayana, I. M. P. (2018). Perbedaan Prevalensi Obesitas dan Berat Badan Lebih pada Siswa Sekolah Menengah Atas (SMA) Negeri Antara Daerah Urban dan Rural di Kabupaten Gianyar. E-Jurnal Medika Udayana, 7(2), 72–76.
Escrivá, D., Moreno-Latorre, E., Caplliure-Llopis, J., Benet, I., & Barrios, C. (2021). Relationship of overweight and obesity with body self-image dissatisfaction in urban mediterranean adolescents. International Journal of Environmental Research and Public Health, 18(15). https://doi.org/10.3390/ijerph18157770
Förster, L. J., Vogel, M., Stein, R., Hilbert, A., Breinker, J. L., Böttcher, M., Kiess, W., & Poulain, T. (2023). Mental health in children and adolescents with overweight or obesity. BMC Public Health, 23(1), 1–11. https://doi.org/10.1186/s12889-023-15032-z
Gong, W. J., Fong, D. Y. T., Wang, M. P., Lam, T. H., Chung, T. W. H., & Ho, S. Y. (2022). Late-onset or chronic overweight/obesity predicts low self-esteem in early adolescence: a longitudinal cohort study. BMC Public Health, 22(1), 1–9. https://doi.org/10.1186/s12889-021-12381-5
Hidayah, N., Bari, S., & Bachtiar, A. (2015). Konsep Diri Remaja Yang Mengalami Obesitas Di Rumah Sehat Herbalife. Medica Majapahit, 7(1), 23–40.
Hurlock, E. B. (2014). Psikologi Perkembangan Suatu Pendekatan Sepanjang Rentan Kehidupan. Erlangga.
Hurlock, E. B. (2018). Perkembangan Anak. Erlangga.
Johnstone, A. M., Stewart, A. D., Benson, P. J., Kalafati, M., Rectenwald, L., & Horgan, G. (2018). Assessment of body image in obesity using a digital morphing technique. Journal of Human Nutrition and Dietetics, 21(3), 256–267. https://doi.org/10.1111/j.1365-277X.2008.00862.x
Jones, D. C., Vigfusdottir, T. H., & Lee, Y. (2014). Body Image and the Appearance Culture among Adolescent Girls and Boys: An Examination of Friend Conversations, Peer Criticism, Appearance Magazines, and the Internalization of Appearance Ideals. Journal of Adolescent Research, 19(3), 323–339. https://doi.org/10.1177/0743558403258847
Lestari, S. R., Trilianto, A. E., & Siddiq, P. (2021). Hubungan Obesitas Remaja Dengan Gambaran Citra Tubuh Di MTSN 1 Bondowoso Desa Traktakan Kecamatan Wonosari. Jurnal Keperawatan Profesional, 9(1), 36–46. https://doi.org/10.33650/jkp.v9i1.2036
Lutfian, L., Munandar, A., Adi Yunanto, R., & Rizki Nur Hakiki, A. (2021). Effectiveness of Yoga, Fast of Dawood, Green Tea and Apple Juice as Suppressors of PPAR-γ, C/EBP-α, and SREBP-c for Management of Obesity on Adolescents. Nursing and Health Sciences Journal (NHSJ), 1(3), 223–230. https://doi.org/10.53713/nhs.v1i3.79
Mackawy, A. M., & Alrasheedi, A. R. (2019). Prevalence of Obesity Among Teenagers Girls in Buraidh in Al-Qassim Region. Journal of Obesity and Nutritional Disorders, 4(01), 1–13. https://doi.org/10.29011/2577-2244.100023
Miranda, V. P. N., Conti, M. A., Carvalho, P. H. B. de, Bastos, R. R., & Ferreira, M. E. C. (2014). Body image in different periods of adolescence. Revista Paulista de Pediatria, 32(1), 63–69. https://doi.org/10.1590/s0103-05822014000100011
Mohammed, A. E., Ibrahim, M. H., Hagag, S. A., & Mohamed, H. M. (2019). Obesity and Self-Esteem among School Adolescent Students, Alexandria City, Egypt. The Egyptian Journal of Community Medicine, 37(3), 16–24. https://doi.org/10.21608/ejcm.2019.43366
Naz, R., Abid, F., Naz, T., Nayem, S., & Aleem, S. A. (2019). Self-Image and Its Impact on Academic Performance of Undergraduate Medical Students in Karachi. Annals of Jinnah Sindh Medical University, 5(1), 31–34.
Normate, E. S., Nur, M. L., & Toy, S. M. (2017). Hubungan Teman Sebaya, Citra Tubuh dan Pola Konsumsi dengan Status Gizi Remaja Putri. Unnes Journal of Public Health, 6(3), 141. https://doi.org/10.15294/ujph.v6i3.17016
Park, M. H., Falconer, C., Viner, R. M., & Kinra, S. (2012). The impact of childhood obesity on morbidity and mortality in adulthood: A systematic review. Obesity Reviews, 13(11), 985–1000. https://doi.org/10.1111/j.1467-789X.2012.01015.x
Pertiwi, V., Balgis, B., & Mashuri, Y. A. (2020). The influence of body image and gender in adolescent obesity. Health Science Journal of Indonesia, 11(1), 22–26. https://doi.org/10.22435/hsji.v11i1.3068
Prameswari, S., Aisah, S., & Mifbakhuddin, M. (2013). Hubungan Obesitas Dengan Citra Diri Dan Harga Diri Pada Remaja Putri Di Kelurahan Jomblang Kecamatan Candisari Semarang. Jurnal Keperawatan Komunitas, 1(1), 104375.
Pribadi, R. A. (2019). Hubungan Antara Citra Diri Negatif dengan Kecemasan Sosial pada Remaja Putri Perkotaan. Calyptra, 8, 1656–1671.
Puhl, R. M., & Heuer, C. A. (2019). The stigma of obesity: A review and update. Obesity, 17(5), 941–964. https://doi.org/10.1038/oby.2008.636
Quek, Y. H., Tam, W. W. S., Zhang, M. W. B., & Ho, R. C. M. (2017). Exploring the association between childhood and adolescent obesity and depression: a meta-analysis. Obesity Reviews, 18(7), 742–754. https://doi.org/10.1111/obr.12535
Rachmawati, M. (2012). Mencegah Obesitas (Problem Obesitas pada Remaja). Elektronik Pertama dan Terbesar di Indonesia.
Riskesdas. (2018). Laporan Provinsi Bali Riskesdas 2018.
Robinson, E., Haynes, A., Sutin, A., & Daly, M. (2020). Self-perception of overweight and obesity: A review of mental and physical health outcomes. Obesity Science and Practice, 6(5), 552–561. https://doi.org/10.1002/osp4.424
Ruiz, L. D., Zuelch, M. L., Dimitratos, S. M., & Scherr, R. E. (2020). Adolescent Obesity: Diet Quality, Psychosocial Health, and Cardiometabolic Risk Factors. Nutrien, 12(43), 1–22.
Sarfika, R., Andalas, U., & Oktavianto, E. (2023). Self-concept among Indonesian adolescents in coastal areas: A cross-sectional study. Belitung Nursing Journal, 1(June), 1–10. https://doi.org/10.33546/bnj.2662
Sarwer, D. B., Thompson, J. K., & Cash, T. F. (2015). Body image and obesity in adulthood. Psychiatric Clinics of North America, 28(1), 69–87. https://doi.org/10.1016/j.psc.2004.09.002
Setiawati, F. S., Mahmudiono, T., Ramadhani, N., & Hidayati, K. F. (2019). Intensitas Penggunaan Media Sosial, Kebiasaan Olahraga, dan Obesitas Pada Remaja Di SMA Negeri 6 Surabaya Tahun 2019. Amerta Nutrition, 3(3), 142. https://doi.org/10.20473/amnt.v3i3.2019.142-148
Shaluhiya, H. (2023). Pengaruh Obesitas dan Kepercayaan Diri Terhadap Konsep Diri Fisik dan Hasil Belajar Siswa SMP Se- Kabupaten Kulon Progo. Universitas Negeri Yogyakarta.
Shaluhya, H. (2022). The Influence of Obesity and Self-Confidence on Students’ Physical Self-Concept: Correlation Study. International Journal of Multidisciplinary Research and Analysis, 05(12), 3435–3441. https://doi.org/10.47191/ijmra/v5-i12-18
Skinner, A. C., Perrin, E. M., Moss, L. A., & Skelton, J. A. (2015). Cardiometabolic Risks and Severity of Obesity in Children and Young Adults. New England Journal of Medicine, 373(14), 1307–1317. https://doi.org/10.1056/nejmoa1502821
Skinner, A. C., & Skelton, J. A. (2014). Prevalence and trends in obesity and severe obesity among children in the united states, 1999-2012. JAMA Pediatrics, 168(6), 561–566. https://doi.org/10.1001/jamapediatrics.2014.21
Suiraoka, I. P., Moviana, Y., & Cintary, L. (2017). Fat Intake, Blood Pressure and Randomed Blood Glucose Levels as Risk Factor of Metabolic Syndrome in Adolescent of Junior School in Denpasar City. Health Notions, 1(1), 33–36.
Sulistiadi, W., Kusuma, D., Amir, V., Tjandrarini, D. H., & Nurjana, M. A. (2023). Growing Up Unequal: Disparities of Childhood Overweight and Obesity in Indonesia’s 514 Districts. Healthcare (Switzerland), 11(9), 1–13. https://doi.org/10.3390/healthcare11091322
Syahfitri, Y., Ernalia, Y., & Restuastuti, T. (2017). Gambaran Status Gizi Siswa-Siswi SMP Negeri 13 Pekabaru. Jurnal Online Mahasiswa Bidang Kedokteran, 4(2), 1–12.
Tus, J. (2020). Self – Concept, Self – Esteem, Self – Efficacy and Academic Performance of the Senior High School Students. International Journal Of Research Culture Society, 4(10), 45–59. https://doi.org/10.6084/m9.figshare.13174991.v1
Urbańska, A., & Dziurawiec, K. Ż. vel. (2019). Obesity and body image. Current Problems of Psychiatry, 20(4), 301–308. https://doi.org/10.2478/cpp-2019-0022
Wahyuni, S., & Fahrudin, A. (2020). Hubungan Citra Diri dengan Kepercayaan Diri Klien yang Mengalami Gangguan Skoliosis di Masyarakat Skolisosis Indonesia. Khidmat Sosial: Journal of Social Work and Social Service, 1(2), 107–126.
Weinberger, N. A., Kersting, A., Riedel-Heller, S. G., & Luck-Sikorski, C. (2017). Body Dissatisfaction in Individuals with Obesity Compared to Normal-Weight Individuals: A Systematic Review and Meta-Analysis. Obesity Facts, 9(6), 424–441. https://doi.org/10.1159/000454837
World Health Organization. (2021). Obesity and Overweight 2021. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Wrobleski, M. M., Parker, E. A., Hager, E., Hurley, K. M., Oberlander, S., Merry, B. C., & Black, M. M. (2018). Friends and Family: How African-American Adolescents’ Perceptions of Dietary Beliefs and Behaviors of Others Relate to Diet Quality. Journal of the Academy of Nutrition and Dietetics, 118(12), 2302–2310. https://doi.org/10.1016/j.jand.2018.07.021
