Analysis of Dietary Patterns and Nutritional Adequacy in Relation to Nutritional Status

https://doi.org/10.53770/medica.v8i6.1089

Authors

  • Rifana Cholidah Department of Nutrition, Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia
  • Emmy Amalia Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia
  • Ario Danianto Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia
  • Dyah Purnaning Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia
  • Zahro Ananta Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia
  • Ni Kadek Sintha Amanda Faculty of Medicine and Health Sciences, University of Mataram, Mataram City, West Nusa Tenggara, Indonesia

Keywords

Nutritional Status Dietary Patterns Medical Students

Abstract

University students are vulnerable to unhealthy eating behaviors due to academic demands, time constraints, and reliance on convenience foods, which may affect their nutritional status. This study aimed to assess nutritional status, dietary patterns, and nutritional adequacy among second-semester students at the Faculty of Medicine and Health Sciences, University of Mataram, and to examine their associations. A cross-sectional study was conducted among 215 students. Nutritional status was determined using body mass index (BMI), while dietary intake was assessed through 24-hour food records analyzed using NutriSurvey. Participants had a mean age of 18.81 ± 0.75 years and a mean BMI of 21.83 ± 4.18 kg/m², with 66.51% classified as having normal nutritional status. The study shows that most students have inappropriate dietary patterns (66.51%) and inadequate macronutrient intake, particularly carbohydrates. Although 69.77% achieved adequate total energy intake, the overall dietary pattern reflected an imbalanced macronutrient distribution. No significant association was found between dietary patterns and nutritional status (p = 0.109) or between nutritional adequacy and nutritional status (p = 0.295). These findings suggest that factors beyond dietary intake alone may influence nutritional status among university students. Therefore, targeted nutrition education and behavior-based interventions are needed to promote healthier eating habits among future health professionals.

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References

Alghamdi, S. A., Alqarni, A. A., Alghamdi, A. F., Alghamdi, T. K., Hasosah, N. M., Aga, S. S., & Khan, M. A. (2021). Knowledge, attitude, and practices regarding dietary habits among medical and non-medical university students. Journal of Family Medicine and Primary Care, 10(9), 3436–3443. https://doi.org/10.4103/jfmpc.jfmpc_2227_20

Alzahrani, S. H., Saeedi, A. A., Baamer, M. K., Shalabi, A. F., & Alzahrani, A. M. (2020). Eating habits among medical students at King Abdulaziz University, Jeddah, Saudi Arabia. International Journal of General Medicine, 13, 77–88. https://doi.org/10.2147/IJGM.S246296

Andriani, F. W., & Indrawati, V. (2021). Gaya hidup sedentari, screen time, dan pola makan terhadap status gizi remaja SMAN 1 Bojonegoro. Jurnal Gizi dan Kesehatan Nusantara, 1(1), 14-22. Retrieved from https://ejournal.unesa.ac.id/index.php/GIZIUNESA/article/view/41269

Avram, C., Nyulas, V., Onisor, D., Georgescu, I. M., Szakacs, J., & Ruta, F. (2024). Food behavior and lifestyle among students: The Influence of the University Environment. Nutrients, 17(1), 12–25. https://doi.org/10.3390/nu17010012

Bede, F., Cumber, S. N., Nkfusai, C. N., Venyuy, M. A., Ijang, Y. P., Wepngong, E. N., & Nguti Kien, A. T. (2020). Dietary habits and nutritional status of medical school students: the case of three state universities in Cameroon. Pan African Medical Journal, 35(1), 15–25. https://doi.org/10.11604/pamj.2020.35.15.18818

Borges, T. L. D., de Lima, M. F. S., Lima, S. C. V. C., & Bagni, U. V. (2023). Accuracy of dietary intake assessments using food records based on photographic images captured by visually impaired people. Plos One, 18(2), e0280725. https://doi.org/10.1371/journal.pone.0280725

Dash, I., Sampson, U., Sahu, P. K., Kumar, S., & Panda, J. (2022). Nutritional status associated with metabolic syndrome. International Journal of Health Sciences, 2364–2372. https://doi.org/10.53730/ijhs.v6nS5.9148

Delimaris, I. (2013). Adverse effects associated with protein intake above the recommended dietary allowance for adults. ISRN Nutrition, 2013, 1–6. https://doi.org/10.5402/2013/126929

Dini, B., Lubis, T. N., & Sellia, S. (2025). The relationship between dietary patterns and nutritional status among female adolescents at SMK Negeri 8 Pekanbaru. Journal Maternitas Kebidanan, 10(2), 182–190. https://doi.org/10.34012/jumkep.v10i2.7711

Elda, F., Novirsa, R., Kasra, K., Azmi, F., Delviana, A., & Surya, R. F. (2026). Eating patterns and body image in relation to nutritional status among adolescents in Padang City high schools. Amerta Nutrition, 10(1), 44–51. https://doi.org/10.20473/amnt.v10i1.2026.44-51

Ge, L., Li, R., & Yap, C. W. (2025). The interplay of nutritional status and physical function on health outcomes in older adults: a longitudinal study in Singapore. The American Journal of Clinical Nutrition, 122(3), 811–819. https://doi.org/10.1016/j.ajcnut.2025.07.014

Gherasim, A., Arhire, L. I., Niță, O., Popa, A. D., Graur, M., & Mihalache, L. (2020). The relationship between lifestyle components and dietary patterns. Proceedings of the Nutrition Society, 79(3), 311–323. https://doi.org/10.1017/S0029665120006898

Gniewosz, G., & Gniewosz, B. (2020). Psychological adjustment during multiple transitions between childhood and adolescence. The Journal of Early Adolescence, 40(4), 566–598. https://doi.org/10.1177/0272431619858422

Gurinović, M., Zeković, M., Milešević, J., Nikolić, M., & Glibetić, M. (2017). Nutritional assessment. In Reference Module in Food Science. Elsevier. https://doi.org/10.1016/B978-0-08-100596-5.21180-3

Hernández-Alonso, P., Salas-Salvadó, J., Ruiz-Canela, M., Corella, D., Estruch, R., Fitó, M., Arós, F., Gómez-Gracia, E., Fiol, M., Lapetra, J., Basora, J., Serra-Majem, L., Muñoz, M. Á., Buil-Cosiales, P., Saiz, C., & Bulló, M. (2016). High dietary protein intake is associated with an increased body weight and total death risk. Clinical Nutrition, 35(2), 496–506. https://doi.org/10.1016/j.clnu.2015.03.016

Indonesian Ministry of Health. (2018). The results of basic medical research (Riskesdas) 2018. Jakarta: Indonesian Ministry of Health.

Indonesian Ministry of Health. (2023). The Indonesian Health Survey (IHS) 2023. Jakarta: Indonesian Ministry of Health.

Jurado-Gonzalez, P., López-Toledo, S., Bach-Faig, A., & Medina, F.-X. (2025). Barriers and enablers of healthy eating among university students in Oaxaca de Juárez: a mixed-methods study. Nutrients, 17(7), 1263. https://doi.org/10.3390/nu17071263

Khajuria, A., Yadav, S. S., Somanadhapai, S., Thapa, R., Singh, M. J., Bansal, P., Vats, N., Rishi, N. N., Kumar, L., Sharma, N., Chandrabanshi, A., Arren, A., Bharti, S., Singh, S., Gupta, S. K., Sharma, S., Gupta, N., & Singh, S. S. (2025). Influence of dietary habits and lifestyle practices on the health and well-being of University Students: A Survey Investigation. Journal of Lifestyle Medicine, 15(2), 66–79. https://doi.org/10.15280/jlm.2025.15.2.66

Ko, G.-J., Rhee, C. M., Kalantar-Zadeh, K., & Joshi, S. (2020). The effects of high-protein diets on kidney health and longevity. Journal of the American Society of Nephrology, 31(8), 1667–1679. https://doi.org/10.1681/ASN.2020010028

Krispul, A., & Mahmudiono, T. (2025). Dietary pattern and nutritional intake: implications for the nutritional status of Papuan University Students in Surabaya. Media Gizi Kesmas, 14(2), 250–256. https://doi.org/10.20473/mgk.v14i2.2025.250-256

Mastorci, F., Lazzeri, M. F. L., Vassalle, C., & Pingitore, A. (2024). The transition from childhood to adolescence: between health and vulnerability. Children, 11(8), 989. https://doi.org/10.3390/children11080989

Muridzo Muonde, Tolulope O. Olorunsogo, Jane Osareme Ogugua, Chinedu Paschal Maduka, & Olufunke Omotayo. (2024). Global nutrition challenges: A public health review of dietary risks and interventions. World Journal of Advanced Research and Reviews, 21(1), 1467–1478. https://doi.org/10.30574/wjarr.2024.21.1.0177

Parajuli, J., & Prangthip, P. (2025). Adolescent nutrition and health: a critical period for nutritional intervention to prevent long term health consequences. Current Nutrition Reports, 14(1), 116-130. https://doi.org/10.1007/s13668-025-00706-4

Ramadea, M., Kurniati, A. M., Marwoto, J., Husin, S., Wardiansyah, W., & Adenina, S. (2024). Knowledge and perceptions of nutrition and weight among first-year medical students at Sriwijaya University. Biomedical Journal of Indonesia, 10(3), 98–103. https://doi.org/10.32539/bji.v10i3.202

Sogari, G., Velez-Argumedo, C., Gómez, M. I., & Mora, C. (2018). College students and eating habits: a study using an ecological model for healthy behavior. Nutrients, 10(12), 1823-1839. https://doi.org/10.3390/nu10121823

Theodorakis, N., Kreouzi, M., Pappas, A., & Nikolaou, M. (2024). Beyond calories: individual metabolic and hormonal adaptations driving variability in weight management—a state-of-the-art narrative review. International Journal of Molecular Sciences, 25(24), 13438-13465. https://doi.org/10.3390/ijms252413438

Torres, K., Cáceres-Durán, M. A., Orellana, C., Osorio, M., & Simón, L. (2025). Nutritional imbalances among university students and the urgent need for educational and nutritional interventions. Frontiers in Nutrition, 12(3), 1551130-1551138. https://doi.org/10.3389/fnut.2025.1551130

Veronika, A. P., Puspitawati, T., & Fitriani, A. (2021). Associations between Nutrition Knowledge, Protein-Energy Intake and Nutritional Status of Adolescents. Journal of Public Health Research, 10(2), 2239-2244. https://doi.org/10.4081/jphr.2021.2239

WHO. (2025, August 5). Obesity and overweight [Internet]. Geneva: WHO. Retrieved from https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Widiastuti, I. G. A. K., Sutiari, N. K., & Sutiari, L. S. A. (2023). Body image perception is associated with nutritional status of adolescent girls: A cross-sectional study in Denpasar City, Bali Province, Indonesia. Public Health and Preventive Medicine Archive, 11(2), 191–200. https://doi.org/10.53638/phpma.2023.v11.i2.p07

Winpenny, E. M., Penney, T. L., Corder, K., White, M., & van Sluijs, E. M. F. (2017). Change in diet in the period from adolescence to early adulthood: a systematic scoping review of longitudinal studies. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 60-76. https://doi.org/10.1186/s12966-017-0518-7

Yang, Y. J., Kim, M. K., Hwang, S. H., Ahn, Y., Shim, J. E., & Kim, D. H. (2010). Relative validities of 3-day food records and the food frequency questionnaire. Nutrition Research and Practice, 4(2), 142-148. https://doi.org/10.4162/nrp.2010.4.2.142

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Published

2026-06-15

How to Cite

Cholidah, R., Amalia, E., Danianto, A., Purnaning, D., Ananta, Z., & Amanda, N. K. S. (2026). Analysis of Dietary Patterns and Nutritional Adequacy in Relation to Nutritional Status. MEDICA (International Medical Scientific Journal), 8(6), 368–380. https://doi.org/10.53770/medica.v8i6.1089