The Effect of Online Games Tumpeng Gizi Seimbang to Balanced Nutrition Knowledge, Fat Intake, and Carbohydrate Intake in Overweight Adolescents in High School Surakarta

Abstract

Introduction: Obesity is a chronic health problem in adolescents and can cause various non-communicable diseases in adults. Lack of nutritional knowledge and excessive intake of fats and carbohydrates can cause obesity. Nutrition education is needed through a tumpeng balanced nutrition with innovative methods and media so the information can be effective. The methods of learning by playing and using internet media are familiar to adolescents. 

Objective: To know the effectiveness of online games tumpeng balanced nutrition to balanced nutrition knowledge and fat and carbohydrate intake in overweight adolescents. 

Methods: Qquasi-experimental research with a pre-test and post-test with a control design. A total of 84 adolescents in Surakarta were sampled in this study using the multistage random sampling technique, which is a gradual sampling process. Sampling technique, namely the process of sampling in stages. The first stage is from senior high school and the equivalent in the Jebres and Laweyan sub-districts, namely SMAN, SMA Swasta, and SMK N. using a simple random sampling technique on each school to obtain SMAN 8 Surakarta, SMA Muhammadiyah. 3 Surakarta, SMAN 1 Surakarta, and SMA Batik 1 Surakarta. Then, the process The sample selection in each group was selected using the purposive sampling technique. The sampling technique is a selection process that is carried out deliberately by setting certain goals and planning. Setting certain goals and planning. The screening was conducted at the start of this study via Google Forms. Adolescents with z-score >1 SD were chosen as respondents. Nutrition knowledge was measured with a questionnaire. Fat and carbohydrate intakes were obtained with a food record. The data was analyzed with Wilcoxon and Mann-Whitney. 

Results: There were differences in nutritional knowledge between the case and the control group (p=0.001). The results showed that there were differences in carbohydrate intake (p=0.001) in the game group, and there was no effect in the lecture group (p=0.299). There was no effect before and after the intervention in the two groups in the fat intake treatment group, p=0.230 and the control group, p=0.299.

Conclusion: There was a difference in nutritional knowledge and carbohydrate intake between the two groups. Meanwhile, there is no difference in fat intake in all groups before and after the intervention.