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[Pendahuluan: Obesitas adalah suatu permasalahan pandemik yang ditemukan dinegara maju maupun berkembang, dengan peningkatan prevalensi dalam duadekade terakhir. Obesitas pada anak dapat meningkatkan risiko berbagai penyakitkronik, baik fisik maupun psikis. Gangguan psikososial yang berkaitan denganobesitas pada anak meliputi: depresi, cemas, rendah diri, gangguan hiperkinetik,serta peningkatan agresivitas. Diperkirakan obesitas berhubungan dengangangguan perilaku dan emosional akibat ekspresi genetik rentan pada individuobes. Metode: Penelitian potong lintang dilakukan pada anak usia sekolah dasardi SDN 01 Menteng Jakarta untuk mengetahui hubungan tersebut. Penelitiandilakukan dengan membandingkan status gizi anak dengan skrining gangguanperilaku dan emosional melalui kuesioner PSC-17. Hasil: Sebaran anak obes diSDN 01 Menteng Jakarta mencapai 23,18%. Hasil analisis obesitas pada anakterhadap gangguan perilaku secara signifikan bermakna untuk subskalaeksternalisasi (p = 0,036). Sedangkan obesitas pada anak tidak memiliki hubunganbermakna secara statistik untuk subskala internalisasi (p = 0,428), perhatian (p =0,233), dan skor total PSC-17 (p = 0,824). Secara umum, obesitas tidakberhubungan dengan gangguan perilaku dan emosional pada anak (p = 0,602).Diskusi: Obesitas tidak berhubungan dengan gangguan perilaku dan emosionalpada anak secara general menunjukkan bahwa ada faktor-faktor lain yangberperan dalam menimbulkan gangguan psikis pada anak. Namun, penggunaankuesioner PSC-17 yang singkat dapat menunjukkan adanya kemungkinan negatifpalsu, terutama untuk gangguan cemas. Obesitas berhubungan dengan gangguansubskala eksternalisasi (agresivitas, dissosial) yang diduga berhubungan dengansosial stigma dari peer group;Introduction: Obesity has become a pandemic problem, which is common inboth developed and developing countries. The prevalence of obesity in childrenhas increased in the last two decades. Obesity in children can increase the risk ofvarious chronic diseases, both physically and mentally. Psychosocial disordersassociated with childhood obesity include: depression, anxiety, low self-esteem,hyperkinetic disorder, as well as increased aggressiveness. It is estimated thatobesity is associated with behavioral and emotional disorders are due tovulnerable genetic expression in obese individuals. Method: A cross-sectionalstudy conducted in primary school age children in SDN 01 Menteng Jakarta todetermine the relationship. The study was conducted by comparing the nutritionalstatus of children and behavioral/emotional disorders screening through PSC-17questionnaires. Result: Distribution of obese children in SDN 01 Menteng Jakartareached 23.18%. Association between childhood obesity and behavioral disordersis significant for externalizing subscale (p = 0.036). On the other side, childhoodobesity did not have a statistically significant relationship for internalizationsubscale (p = 0.428), attention (p = 0.233), and PSC-17 total score (p = 0.824). Ingeneral, obesity is not associated with behavioral and emotional disorders inchildren (p = 0.602). Discussion: No associations between obesity andbehavioral/emotional disorders in children suggest that there are other factorsplaying a role in causing mental disorders in children. However, the use of briefPSC-17 questionnaires may indicate the possibility of false negatives, especiallyfor anxiety disorders. Association between obesity and externalizing subscaledisorders (aggresiveness, dissocial behavior) may be caused by the social stigmaof the peer group, Introduction: Obesity has become a pandemic problem, which is common inboth developed and developing countries. The prevalence of obesity in childrenhas increased in the last two decades. Obesity in children can increase the risk ofvarious chronic diseases, both physically and mentally. Psychosocial disordersassociated with childhood obesity include: depression, anxiety, low self-esteem,hyperkinetic disorder, as well as increased aggressiveness. It is estimated thatobesity is associated with behavioral and emotional disorders are due tovulnerable genetic expression in obese individuals. Method: A cross-sectionalstudy conducted in primary school age children in SDN 01 Menteng Jakarta todetermine the relationship. The study was conducted by comparing the nutritionalstatus of children and behavioral/emotional disorders screening through PSC-17questionnaires. Result: Distribution of obese children in SDN 01 Menteng Jakartareached 23.18%. Association between childhood obesity and behavioral disordersis significant for externalizing subscale (p = 0.036). On the other side, childhoodobesity did not have a statistically significant relationship for internalizationsubscale (p = 0.428), attention (p = 0.233), and PSC-17 total score (p = 0.824). Ingeneral, obesity is not associated with behavioral and emotional disorders inchildren (p = 0.602). Discussion: No associations between obesity andbehavioral/emotional disorders in children suggest that there are other factorsplaying a role in causing mental disorders in children. However, the use of briefPSC-17 questionnaires may indicate the possibility of false negatives, especiallyfor anxiety disorders. Association between obesity and externalizing subscaledisorders (aggresiveness, dissocial behavior) may be caused by the social stigmaof the peer group] |
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