STIKBARSTIKBAR

Public Health of IndonesiaPublic Health of Indonesia

Background: Obesity is a condition of excessive body weight. Tele-nutrition counselling is a remote nutrition service as an effort to treat obesity. Physical activity can overcome obesity conditions due to the process of burning calories which causes weight loss.. Objectives: The purpose of this study was to determine the effect of tele-nutrition counselling and physical activity on knowledge, attitudes, nutrition practices (KAP) in obese adults.. Methods: This study used Quasy experimental with pre-post-test control group design. There was 56 obese adult respondents were divided into 2 groups that were given physical activity intervention, moreover the experimental group was given tele-nutrition counselling intervention. KAP scores were taken using a valid and reliable questionnaire. The intervention was conducted online. Data analysis used Wilcoxon and Independent t-test.. Results: There was an effect of the intervention on knowledge (p=0.009), attitude (p=0.021), nutrition practices (p=0.000) of the experimental group. There was no effect on knowledge (p=0.477), attitude (p=0.935), but there was an effect on nutrition practices (p=0.003) in the control group. There was a difference in knowledge (p=0.023) but no difference in attitude (p=0.116) and nutrition practices (p=0.213) between the two groups.. Conclusion: There was an effect of the intervention on nutrition practices in both groups. There was an effect of the intervention on knowledge, nutritional attitudes in the experimental group but not in the control group. There is a difference in the effect of the intervention on knowledge but there is no difference in the effect on attitudes and nutrition practices between the two groups.

There was an effect of the intervention on nutrition practices in both groups.There was an effect of the intervention on knowledge and nutritional attitudes in the experimental group but not in the control group.There is a difference in the effect of the intervention on knowledge, but no difference in the effect on attitudes and nutrition practices between the two groups.

Penelitian lebih lanjut perlu dilakukan dengan melibatkan sampel yang lebih besar dan beragam untuk memperkuat generalisasi temuan. Intervensi yang lebih panjang juga disarankan untuk mengamati dampak jangka panjang dari konseling gizi jarak jauh dan aktivitas fisik terhadap perubahan perilaku. Selain itu, penelitian di masa depan dapat menggabungkan pengukuran objektif perilaku nutrisi, seperti catatan asupan makanan atau pemantauan aktivitas fisik, untuk mengurangi potensi bias dari data yang dilaporkan sendiri. Studi lebih lanjut dapat mengeksplorasi peran faktor-faktor lain, seperti dukungan sosial dan motivasi individu, untuk memahami pengaruh yang lebih luas terhadap perubahan perilaku nutrisi. Mengembangkan model intervensi yang mempertimbangkan faktor-faktor kontekstual dan budaya juga penting untuk meningkatkan efektivitas program kesehatan masyarakat dalam mengatasi masalah obesitas. Penelitian lanjutan dapat berfokus pada pengembangan aplikasi atau platform digital yang lebih interaktif dan personal untuk memberikan konseling gizi jarak jauh yang lebih efektif dan mudah diakses oleh masyarakat luas.

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