Analysis of Energy Balance in Obese Healthcare Workers

Nani Cahyani Sudarsono, Ria Lestari, Tiffany Georgine T'sidkenu Widjaja

Abstract


Obesity is a global health challenge that seriously affects developing countries, including Indonesia. Although the determining factors of obesity are complex, energy balance and lifestyle play a very important role. Unbalanced dietary patterns and sedentary behavior are still the most important factors in the occurrence of obesity. Therefore, it is important to discover the energy balance calculated from energy intake and energy expenditure in obese patients. This study aimed to analyze the balance of energy intake and expenditure, body composition, and physical activity level in obese patients at Exercise Center IMERI FKUI. A cross-sectional study was held at Exercise Center IMERI FKUI. Study participants (patients) were screened by measuring body composition and obesity status was determined based on BMI data (≥25 kg/m2). The selected subjects were then administered to data collection on body composition using the MF-BIA instrument, energy intake using the MyFitnessPal (MFP) application, as well as energy expenditure and physical activity level using the IPAQ-SF tool. From a total of 12 patients with obesity at the Exercise Center, 11 (91.67%) patients had a negative energy balance and 1 (8.33%) patient had a positive energy balance during a 7-day period of data collection. A majority of the obese patients at the Exercise Center reported a negative energy balance.

Keywords


body composition; energy balance; obesity; physical activity

Full Text:

PDF

References


Harbuwono D, Pramono L, Yunir E, Subekti I. Obesity and central obesity in Indonesia: evidence from a national health survey. Medical Journal of Indonesia. 2018;27:53. Available from: https://mji.ui.ac.id/journal/index.php/mji/article/view/1512/1235

Rachmi CN, Li M, Alison Baur L. Overweight and obesity in Indonesia: prevalence and risk factors-a literature review. Public Health. 2017;147:20-9. Available from: https://pubmed.ncbi.nlm.nih.gov/28404492/

Smith MK, Christianto E, Staynor JMD. Obesity and visceral fat in Indonesia: an unseen epidemic? a study using iDXA and surrogate anthropometric measures. Obesity Research & Clinical Practice. 2021;15(1):26-32. Available from: https://pubmed.ncbi.nlm.nih.gov/33234489/

Sudikno, Elisa Diana J, Yunita Diana S, Yurista Permana S, editors. The relationship of physical activities on obesity in adults in Indonesia. Proceedings of the 4th International Symposium on Health Research (ISHR 2019); 2020 2020/02/22: Atlantis Press. Available from: https://www.atlantis-press.com/proceedings/ishr-19/125934957

WHO. Obesity and overweight [updated 9 June 2021]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Lim JU, Lee JH, Kim JS, Hwang YI, Kim TH, Lim SY, et al. Comparison of World Health Organization and Asia-Pacific body mass index classifications in COPD patients. International Journal of Chronic Obstructive Pulmonary Disease. 2017;12:2465-75. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5571887/

Kemenkes. Laporan Provinsi DKI Jakarta Riskesdas 2018. Jakarta, Indonesia: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan (LPB); 2019. Available from: http://repository.litbang.kemkes.go.id/3881/1/CETAK%20LAPORAN%20RISKESDAS%20DKI%202018.pdf

Sudargo T, Freitag H, Kusmayanti NA, Rosiyani F. Pola Makan dan Obesitas: UGM PRESS; 2018. Available from: https://www.google.co.id/books/edition/Pola_Makan_dan_Obesitas/kNBWDwAAQBAJ?hl=en&gbpv=0

Dewi NU, Tanziha I, Solechah S, Bohari B. Obesity determinants and the policy implications for the prevention and management of obesity in Indonesia. Current Research in Nutrition and Food Science Journal. 2021;8:2347-467. Available from: https://bit.ly/2K6eCOU

Rippe JM, Foreyt JP, editors. Obesity prevention and treatment: a practical guide. CRC Press; 2021. Available from: https://www.google.co.id/books/edition/Obesity_Prevention_and_Treatment/uQ9DEAAAQBAJ?hl=en&gbpv=0

Ludwig DS, Aronne LJ, Astrup A, de Cabo R, Cantley LC, Friedman MI, et al. The carbohydrate-insulin model: a physiological perspective on the obesity pandemic. The American Journal of Clinical Nutrition. 2021;114(6):1873-85. Available from: https://academic.oup.com/ajcn/article/114/6/1873/6369073

Chourdakis M. Obesity: Assessment and prevention: Module 23.2 from Topic 23 "Nutrition in obesity". Clinical Nutrition ESPEN. 2020;39:1-14. Available from: https://pubmed.ncbi.nlm.nih.gov/32859301/

Park JH, Moon JH, Kim HJ, Kong MH, Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean Journal of Family Medicine. 2020;41(6):365-73. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700832/

WHO. Physical activity [updated 26 November 2020]. Available from: https://www.who.int/news-room/fact-sheets/detail/physical-activity

Arsyad DS, Westerink J, Cramer MJ, Ansar J, Wahiduddin, Visseren FLJ, et al. Modifiable risk factors in adults with and without prior cardiovascular disease: findings from the Indonesian National Basic Health Research. BMC Public Health. 2022;22(1):660. Available from: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13104-0

Puhl RM, Gold JA, Luedicke J, DePierre JA. The effect of physicians' body weight on patient attitudes: implications for physician selection, trust and adherence to medical advice. International Journal of Obesity. 2013;37(11):1415-21. Available from: https://pubmed.ncbi.nlm.nih.gov/23507996/

Septiyanti S, Seniwati S. Obesity and central obesity in Indonesian urban communities. Jurnal Ilmiah Kesehatan (JIKA). 2020;2(3):118-27. Available from: https://salnesia.id/jika/article/view/74

Cooper AJ, Gupta SR, Moustafa AF, Chao AM. Sex/gender differences in obesity prevalence, comorbidities, and treatment. Current Obesity Reports. 2021;10(4):458-66. Available from: https://pubmed.ncbi.nlm.nih.gov/34599745/

Kapoor N, Arora S, Kalra S. Gender disparities in people living with obesity - an unchartered territory. Journal of Mid-Life Health. 2021;12(2):103-7. Available from: https://pubmed.ncbi.nlm.nih.gov/34526743/

Nurwanti E, Uddin M, Chang J-S, Hadi H, Syed-Abdul S, Su EC-Y, et al. Roles of sedentary behaviors and unhealthy foods in increasing the obesity risk in adult men and women: a cross-sectional national study. 2018;10(6):704. Available from: https://pubmed.ncbi.nlm.nih.gov/29857537/

Pantaleão TU, Mousovich F, Rosenthal D, Padrón AS, Carvalho DP, da Costa VM. Effect of serum estradiol and leptin levels on thyroid function, food intake and body weight gain in female Wistar rats. Steroids. 2010;75(10):638-42. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0039128X10000772

Geary N, Lovejoy J. Sex differences in energy metabolism, obesity, and eating behavior. In: Becker JB, Berkley KJ, Geary N, Hampson E, Herman JP, Young E, editors. Sex Differences in the Brain: From Genes to Behavior: Oxford University Press; 2007. Available from: https://www.research-collection.ethz.ch/handle/20.500.11850/12604

Brunani A, Simone P, Davide S, Mariangela R, Antonella Z, Simona B, et al. Body composition assessment using bioelectrical impedance analysis (BIA) in a wide cohort of patients affected with mild to severe obesity. Clinical Nutrition. 2021;40. Available from: https://pubmed.ncbi.nlm.nih.gov/34139470/

Holmes CJ, Racette SB. The utility of body composition assessment in nutrition and clinical practice: an overview of current methodology. Nutrients. 2021;13(8). Available from: https://pubmed.ncbi.nlm.nih.gov/34444653/

Power ML, Schulkin J. Sex differences in fat storage, fat metabolism, and the health risks from obesity: possible evolutionary origins. British Journal of Nutrition. 2008;99(5):931-40. Available from: https://pubmed.ncbi.nlm.nih.gov/17977473/

Roh E, Choi KM. Health consequences of sarcopenic obesity: a narrative review. Frontiers in Endocrinology. 2020;11:332. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7253580/

Lutski M, Weinstein G, Tanne D, Goldbourt U. Overweight, obesity, and late-life sarcopenia among men with cardiovascular disease, Israel. Preventing Chronic Disease. 2020;17:E164. Available from: https://www.cdc.gov/pcd/issues/2020/20_0167.htm

Gregor MF, Hotamisligil GS. Inflammatory mechanisms in obesity. Annual Review of Immunology. 2011;29:415-45. Available from: https://pubmed.ncbi.nlm.nih.gov/21219177/

Cole D. Concepts and Issues in Sports Nutrition: EDTECH; 2019. Available from: https://books.google.co.id/books/about/Concepts_and_Issues_in_Sports_Nutrition.html?id=A4NJEAAAQBAJ&redir_esc=y

Elfhag K, Rössner S. Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obesity Reviews: An Official Journal of the International Association for the Study of Obesity. 2005;6(1):67-85. Available from: https://pubmed.ncbi.nlm.nih.gov/15655039/

Tosi M, Radice D, Carioni G, Vecchiati T, Fiori F, Parpinel M, et al. Accuracy of applications to monitor food intake: evaluation by comparison with 3-d food diary. 2021;84:111018. Available from: https://pubmed.ncbi.nlm.nih.gov/33046348/

McCaig D, Elliott MT, Prnjak K, Walasek L, Meyer C. Engagement with MyFitnessPal in eating disorders: qualitative insights from online forums. International Journal of Eating Disorders. 2020;53(3):404-11. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/eat.23205

Didžiokaitė G, Saukko P, Greiffenhagen C. Doing Calories: The practices of dieting using calorie counting app MyFitnessPal. In: Ajana B, editor. Metric Culture: Emerald Publishing Limited; 2018. p. 137-55. Available from: https://www.emerald.com/insight/content/doi/10.1108/978-1-78743-289-520181008/full/html

Gordon M, Althoff T, Leskovec J, editors. Goal-setting and achievement in activity tracking apps: a case study of MyFitnessPal. The World Wide Web Conference; 2019. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7197296/

Bracken ML, Waite BM. Self-efficacy and nutrition-related goal achievement of MyFitnessPal users. Health Education & Behavior. 2020;47(5):677-81. Available from: https://journals.sagepub.com/doi/abs/10.1177/1090198120936261

Chen J, Berkman W, Bardouh M, Ng CYK, Allman-Farinelli M. The use of a food logging app in the naturalistic setting fails to provide accurate measurements of nutrients and poses usability challenges. Nutrition. 2019;57:208-16. Available from: https://pubmed.ncbi.nlm.nih.gov/30184514/

Blüher M. Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology. 2019;15(5):288-98. Available from: https://pubmed.ncbi.nlm.nih.gov/30814686/

Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. The International Journal of Behavioral Nutrition and Physical Activity. 2011;8:115. Available from: https://pubmed.ncbi.nlm.nih.gov/22018588/

Wanner M, Probst-Hensch N, Kriemler S, Meier F, Autenrieth C, Martin BW. Validation of the long International Physical Activity Questionnaire: influence of age and language region. Preventive Medicine Reports. 2016;3:250-6. Available from: https://pubmed.ncbi.nlm.nih.gov/27419023/

Grimm EK, Swartz AM, Hart T, Miller NE. Comparison of the IPAQ-Short Form and accelerometry predictions of physical activity in older adults. Journal of Aging and Physical Activity. 2012;20(1). Available from: https://pubmed.ncbi.nlm.nih.gov/22190120/




DOI: http://dx.doi.org/10.7454/ijphn.v3i2.6636

Refbacks

  • There are currently no refbacks.