Peer Review

Turnitin_Association of energy intake and physical activity with overweight among Indonesian children 6–12 years of age

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Background and Objectives: Indonesia is currently facing double burden malnutrition in children. As overweight
and obesity are due to a disturbed energy balance, this study aimed to assess the association of total energy
intake and physical activity with the prevalence of overweight among Indonesian children. Methods and
Study Design: The data used for this analysis were from 1143 children, 6-12 years old, that participated in the
South East Asian Nutrition Survey (SEANUTS). Physical activity (PA) was measured using pedometers for 2
consecutive days and was categorized low, moderate and high. Child nutritional status was categorized based on
body mass index for age z-scores (BAZ) into normal weight (-2 SD ≤BAZ≤1 SD) or overweight (BAZ >1 SD).
Energy intake was calculated from a one day 24 hour recall and compared to the Indonesian recommended dietary
allowance (RDA) for energy. Results: Children with low PA had higher risk (ODDs 3.4, 95% CI: 2.0, 6.0)
of being overweight compared to children who had high PA. Children with moderate PA and energy
take >100% RDA had higher risk (ODDs 4.2, 95% CI 1.9, 9.3) of being overweight than children with high PA
and energy intakes ≤100% RDA. Conclusions: Low physical activity independently or moderate physical activity
and high energy intake are risk factors for Indonesian children to get overweight. Program intervention such as
increasing physical activity at school and home is needed to reduce overweight among children.

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: .,

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Indonesia

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NONE

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