The Relationship Between Parental Knowledge, Attitudes, and Preventive Efforts Toward the Risk of Diabetes Mellitus in Overweight and Obese Elementary School Children

Authors

  • Afifah Priyantika Department of Medicine, Universitas Tarumanagara, Jakarta
  • Fransiska Farah Department of Pediatric, Universitas Tarumanagara, Jakarta

DOI:

https://doi.org/10.19166/med.v13i2.10776

Keywords:

Knowledge, attitudes, preventive, DM, Children

Abstract

Background: Childhood obesity is a growing public health problem globally, strongly linked to the early onset of type 2 diabetes mellitus (T2DM). In Indonesia, the prevalence of obesity in children aged 5–12 years has reached 9.2%, with higher rates in urban areas. Parental knowledge, attitudes, and preventive efforts are considered important determinants in shaping children’s lifestyle behaviors and may influence their risk of T2DM.

Methods: This study employed a descriptive-analytic cross-sectional design at SDN Jelambar 08, including parents and students from grades 1 to 6. A purposive sampling method was used, resulting in 190 respondents. Independent variables were parental knowledge, attitudes, and preventive efforts, while dependent variables included risk of T2DM and overweight/obesity status. Data were collected using self-administered questionnaires for parents and anthropometric measurements for children. Data analysis was performed with SPSS, using descriptive statistics and chi-square tests.

Results: The study showed that 63.7% of parents were aware of diabetes risk factors, 71.1% demonstrated good attitudes, and 74.2% reported preventive efforts. Of the 190 children, 29.5% were classified as overweight or obese. Chi-square tests revealed no statistically significant association between parental knowledge (p=0.911), attitudes (p=0.140), or preventive efforts (p=0.872) and children’s diabetes risk in the context of overweight and obesity.

Conclusions: Parental knowledge, attitudes, and preventive efforts were not significantly related to the risk of diabetes mellitus in overweight and obese children. A multifactorial approach that combines parental education, school-based programs, and pediatric monitoring is needed to address childhood obesity and prevent diabetes onset.

References

1. Sapra A, Bhandari P. Diabetes. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Jun 21; cited 2024 Jan 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551501/

2. Centers for Disease Control and Prevention (US). Diabetes basics [Internet]. Atlanta (GA): CDC; 2024 May 15 [cited 2024 Jan 8]. Available from: https://www.cdc.gov/diabetes/about/index.html

3. Los E, Wilt AS. Type 1 diabetes in children. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan– [updated 2023 Jun 26; cited 2024 Jun 8]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441918/

4. Taufik IH. Diabetes melitus pada anak [Internet]. Direktorat Jenderal Pelayanan Kesehatan Kementerian Kesehatan RI; 2023 [cited 2024 Jan 8]. Available from: https://yankes.kemkes.go.id/view_artikel/2612/diabetes-melitus-pada-anak

5. Triningsih E. Waspadai diabetes mellitus pada anak [Internet]. Ikatan Dokter Anak Indonesia; 2017 [cited 2024 Jan 8]. Available from: https://www.idai.or.id/artikel/klinik/keluhan-anak/waspadai-diabetes-mellitus-pada-anak

6. Humas BKPK. Buku saku hasil Studi Status Gizi Indonesia (SSGI) tahun 2021 [Internet]. Kementerian Kesehatan RI; 2022 [cited 2024 Jan 1]. Available from: https://www.badankebijakan.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/

7. Farah F. Sekilas tentang obesitas pada buah hati [Internet]. Ikatan Dokter Anak Indonesia; 2016 [cited 2024 Jan 1]. Available from: https://www.idai.or.id/artikel/seputar-kesehatan-anak/sekilas-tentang-obesitas-pada-buah-hati

8. Pulungan AB, Annisa D, Imada S. Diabetes melitus tipe-1 pada anak: situasi di Indonesia dan tata laksana. Sari Pediatri. 2019;20(6):392–400. doi:10.14238/sp20.6.2019.392-400.

9. Patria SY. Mengenal diabetes pada anak [Internet]. Kementerian Kesehatan RI (Keslan); 2023 Dec 19 [cited 2024 Jan 1]. Available from: https://keslan.kemkes.go.id/view_artikel/3031/mengenal-diabetes-pada-anak

10. Klein S, Gastaldelli A, Yki-Järvinen H, Scherer PE. Why does obesity cause diabetes? Cell Metab. 2022;34(1):11–20. doi:10.1016/j.cmet.2021.12.012.

11. Septiyanti, Seniwati. Obesitas dan obesitas sentral pada masyarakat usia dewasa di daerah perkotaan Indonesia. J Ilm Kesehat (JIKA). 2020;2(3):118–127. doi:10.36590/jika.v2i3.74.

12. Nurayati L, Adriani M. Hubungan aktifitas fisik dengan kadar gula darah puasa penderita diabetes melitus tipe 2. Amerta Nutr. 2017;1(2):80–87. doi:10.20473/amnt.v1i2.2017.80-87.

Downloads

Published

2024-02-01

How to Cite

Priyantika, A., & Farah, F. (2024). The Relationship Between Parental Knowledge, Attitudes, and Preventive Efforts Toward the Risk of Diabetes Mellitus in Overweight and Obese Elementary School Children. Medicinus, 13(2), 165–174. https://doi.org/10.19166/med.v13i2.10776

Issue

Section

Clinical Article