Physical Inactivity, High Carbohydrate Intake, and Metabolic Factors Associated with Abdominal Obesity among Indonesian Adolescents

Background: Sedentary lifestyle and dietary intakelead to increased risk of abd obesity. high carbohydrate intake. Aim: To evaluate the association between physical activity, dietary intake, and metabolic factors with abdominal obesity among Indonesian adolescents. Method: A cross-sectional study in 71 obese adolescents in Semarang City, Indonesia. The subjects recruited from government high school. We measured Body Mass Index (BMI), Waist Circumference (WC), Blood pressure, Fasting Plasma Glucose (FPG), Triglyceride (TG), Uric acid (UA) and High Density Lipoprotein Cholesterol (HDL-c). Dietary intake was assessed using Food Frequency Questionnaire (FFQ) combined with 2-day food records. Pattern and duration of physical activity were assessed using International Physical Activity Questionnary (IPAQ). Results: There were association between waist circumference with physical activity (r = - 0.541, p<0.01) with carbohydrate intake (r=0.34, p<0,05) and with triglyceride level (r=0.25, p<0.05). Physical activity are low in almost subjects, not attaining the 60 minutes daily. Conclusion: Low physical activity and high carbohydrate intake with high triglyceride level may tend to increase larger waist circumference.