Nutrition Education Intervention Via Instagram among Adolescents: A Scoping Review
Abstract
Adolescence is a phase of rapid and critical development, necessitating increased energy, protein, vitamin and mineral requirements. However, poor dietary patterns during adolescence pose a risk factor for malnutrition, negatively impacting health into adulthood and, requiring nutritional interventions to break the cycle intergenerational malnutrition. Social media-based nutritional interventions through instagram have the potential to provide health information for adolescents. Objective: This study aimed to evaluate the development stages of intervention media and the effectiveness of nutritional education interventions through instagram addressing adolescent nutritional issues. Method: The study follows Arksey and O'Malley framework with PRISMA-ScR systematic review method. Article searches were conducted on Google, Scopus, Science Direct, PubMed and Google Scholar databases using keywords "nutritional education" OR "nutrition-related interventions" AND "Instagram" OR “Instagram-based” AND "adolescent". Inclusion criteria required articles published between 2014 and 2024, involving adolescents aged 10-19 years, written in English or Indonesian, instagram as primary intervention media and employing quantitative and qualitative research designs. Results: Review results indicated interventions lasting an average duration of 2-12 weeks with varying content, although detailed reporting on content development was often lacking. Despite predominantly low intensity, interventions across 12 demonstrated significant improvement in knowledge, attitudes, practices, diet quality, compliance in consuming iron folic acid supplementation (IFAS), waist circumference, physical activity, nutritional intake (energy, protein, carbohydrates), and body image. Nutritional education interventions through instagram showed varying degrees of success among adolescents. Conclusions: Overall, this review highlights the need for the development stages and the importance of considering intervention intensity to enhance the effectiveness of nutritional education interventions through instagram.
References
Adeomi, A.A., Fatusi, A. and K Klipstein-Grobusch, K. (2022) ‘Food Security, Dietary Diversity, dietary patterns and the double burden of malnutrition among school-aged children and adolescents in two nigerian States’, Nutrients, 14(789), pp. 2–15. Available at: https://www.mdpi.com/2072-6643/14/4/789 (Accessed: 18 September 2023).
Agustina, R. et al. (2020) ‘Associations of meal patterning, dietary quality and diversity with anemia and overweight-obesity among Indonesian schoolgoing adolescent girls in West Java’, PLoS ONE, 15(4), pp. 1–19. Available at: https://doi.org/10.1371/journal.pone.0231519.
Al-fadhilah, A.I., Anna, C. and Afifah, N. (2023) ‘Pengaruh Edukasi Gizi Berbasis Instagram Dan Zoom Meeting Terhadap Pengetahuan Dan Sikap Tentang Usia 13-18 Tahun Di Kabupaten Lamongan’, Jurnal Gizi Universitas Negeri Surabaya, Vol. 3 No., pp. 306–312.
Awasthi, S. et al. (2022) ‘Prevalence of specific micronutrient deficiencies in urban school going children and adolescence of India: A multicenter cross-sectional study’, PLoS ONE, 17(5 May), pp. 1–15. Available at: https://doi.org/10.1371/journal.pone.0267003.
Bhargava, M. et al. (2020) ‘Nutritional status of Indian adolescents (15-19 years) from National Family Health Surveys 3 and 4: Revised estimates using WHO 2007 Growth reference’, PLoS ONE, 15(6 June), pp. 1–24. Available at: https://doi.org/10.1371/journal.pone.0234570.
Birru, G.M. et al. (2021) ‘Malnutrition in School-Going Adolescents in Dessie Town , South Wollo , Ethiopia’, journal of nutrition and me, 2021, p. 8.
Chung, A. et al. (2021) ‘Adolescent peer influence on eating behaviors via social media: Scoping review’, Journal of Medical Internet Research, 23(6), pp. 1–12. Available at: https://doi.org/10.2196/19697.
Dewi KB, T., Ipa, A. and Wirdani, A. (2020) ‘Nutritional Education Effects Through Instagram on Energy Influence and Youth Nutrition Status’, Urban Health, pp. 340–344. Available at: http://journal.poltekkes-mks.ac.id/ojs2/index.php/Prosiding/article/view/1401.
Dieny, F.F. et al. (2021) ‘Nutrition Class by Instagram: Interventions to Improve The Diet Quality, Physical Activity and Waist Circumfeence Among Female College Students with Obese’, Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(1), pp. 1–8. Available at: https://doi.org/10.30604/jika.v6i1.360.
Jacob, C.M. et al. (2021) ‘A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years’, International Journal of Behavioral Nutrition and Physical Activity, 18(1), pp. 1–22. Available at: https://doi.org/10.1186/s12966-020-01065-9.
Jannah, E.M., Desi, D. and Nopriantini, N. (2021) ‘The Effect of Nutrition Education Through Instagram The Four Pillars Of Balanced Nutrition Towards Nutritional Knowledge Of Adolescent Boys at Senior High School In Pontianak Kota District’, Journal of Noncommunicable Disease, 1(2), p. 105. Available at: https://doi.org/10.52365/jond.v1i2.363.
Januraga, P.P. et al. (2021) ‘Qualitative evaluation of a social media campaign to improve healthy food habits among urban adolescent females in Indonesia’, Public Health Nutrition, 24, pp. S98–S107. Available at: https://doi.org/10.1017/S1368980020002992.
Jefrydin, N. et al. (2020) ‘Use of Instagram® to Educate Adolescents on Nutrition Labelling: A Feasibility Study in Selangor, Malaysia’, Jurnal Gizi dan Pangan, 15(3), pp. 149–158. Available at: https://doi.org/10.25182/jgp.2020.15.3.149-158.
Kahssay, M., Mohamed, L. and Gebre, A. (2020) ‘Nutritional Status of School Going Adolescent Girls in Awash Town, Afar Region, Ethiopia’, Journal of Environmental and Public Health, 2020. Available at: https://doi.org/10.1155/2020/7367139.
Kamel Boulos, M.N., Giustini, D.M. and Wheeler, S. (2016) ‘Instagram and WhatsApp in health and healthcare: An overview’, Future Internet, 8(3), pp. 1–14. Available at: https://doi.org/10.3390/fi8030037.
Katanic, B. et al. (2023) ‘Anthropometric Characteristics and Weight Status of Early Adolescents (Aged 12–14) in Montenegro; Urban–Rural and Regional Differences’, Children, 10(1664), pp. 1–13.
Kim, S.S. et al. (2023) ‘Feasibility and impact of school-based nutrition education interventions on the diets of adolescent girls in Ethiopia: a non-masked, cluster-randomised, controlled trial.’, The Lancet. Child & adolescent health, 7(10), pp. 686–696. Available at: https://doi.org/10.1016/S2352-4642(23)00168-2.
Kulandaivelu, Y. et al. (2023) ‘Social Media Interventions for Nutrition Education Among Adolescents: Scoping Review’, JMIR Pediatrics and Parenting, 6. Available at: https://doi.org/10.2196/36132.
Marquez, O. et al. (2015) ‘Interventions to Increase Dairy Consumption in Adolescents: A Systematic Review’, Infant, Child, and Adolescent Nutrition, 7(5), pp. 242–254. Available at: https://doi.org/10.1177/1941406415600752.
Moore Heslin, A. and McNulty, B. (2023) ‘Adolescent nutrition and health - Characteristics, risk factors, and opportunities of an overlooked life stage’, Proceedings of the Nutrition Society, 82, pp. 142–156. Available at: https://doi.org/10.1017/S0029665123002689.
Mulyani, I. et al. (2020) ‘Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas’, Jurnal Gizi Klinik Indonesia, 17(2), p. 53. Available at: https://doi.org/10.22146/ijcn.53042.
Nicholaus, C. et al. (2020) ‘Dietary practices, nutrient adequacy, and nutrition status among adolescents in boarding high schools in the kilimanjaro region, Tanzania’, Journal of Nutrition and Metabolism, p. 14. Available at: https://www.hindawi.com/journals/jnme/2020/3592813/ (Accessed: 18 September 2023).
Oddo, V.M., Roshita, A. and Rah, J.H. (2019) ‘Potential interventions targeting adolescent nutrition in Indonesia: a literature review’, Public health nutrition [Preprint]. Available at: https://www.cambridge.org/core/journals/public-health-nutrition/article/potential-interventions-targeting-adolescent-nutrition-in-indonesia-a-literature-review/61224A868A6F00AE3CD7352F21B9FF93.
Pandurangi, R., Mummadi, M.K. and Challa, S. (2022) ‘Burden and Predictors of Malnutrition Among Indian Adolescents ( 10 – 19 Years ): Insights From Comprehensive National Nutrition Survey Data’, Frontiers in public health, 10(June), pp. 1–10. Available at: https://doi.org/10.3389/fpubh.2022.877073.
Plaisime, M. et al. (2020) ‘Social Media and Teens: A Needs Assessment Exploring the Potential Role of Social Media in Promoting Health’, Social Media and Society, 6(1). Available at: https://doi.org/10.1177/2056305119886025.
Querol, S.E. et al. (2021) ‘The double burden of malnutrition and associated factors among south asian adolescents: Findings from the global school-based student health survey’, Nutrients, 13(8). Available at: https://doi.org/10.3390/nu13082867.
Rahmiwati, A. et al. (2023) ‘Effect of Local Culture-based Nutrition Education on Compliance with Iron and Folic Acid Supplementation in Female Adolescents’, Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal), 18(2), pp. 112–121. Available at: https://doi.org/10.21109/kesmas.v18i2.6832.
Rusdi, F.Y., Rahmy, H.A. and Helmizar (2020) ‘Pengaruh Edukasi Gizi Menggunakan Instagram Terhadap Perubahan Perilaku Gizi Seimbang Untuk Pencegahan Anemia Pada Remaja Putri Di SMA N 2 Padang’, journal of Nutrition College, 10(November 2020), pp. 31–38.
Said, F.A. et al. (2023) ‘Influence of diet quality on nutritional status of school-aged children and adolescents in Zanzibar, Tanzania’, PLoS ONE, 18(10 October), pp. 1–12. Available at: https://doi.org/10.1371/journal.pone.0293316.
Salam, R. A., Padhani, Z. A., Das, J. K., Shaikh, A. Y., Hoodbhoy, Z., Jeelani, S. M., Lassi Z. S., & Bhutta, Z.A. (2020) ‘Effects of Lifestyle Modification Interventions to Prevent and Manage Child and Adolescent Obesity: A Systematic Review and Meta-Analysis’, Nutrients, 12, p. 2208.
Shapu, R.C. et al. (2020) ‘Systematic review: effect of health education intervention on improving knowledge, attitudes and practices of adolescents on malnutrition’, Nutrients, 12(2426), pp. 2–19. Available at: https://www.mdpi.com/2072-6643/12/8/2426.
Sinai, T. et al. (2021) ‘Dietary patterns among adolescents are associated with growth, socioeconomic features, and health-related behaviors’, Foods, 10(12), pp. 1–11. Available at: https://doi.org/10.3390/foods10123054.
Soltero, E.G. et al. (2022) ‘Technology-Based Obesity Prevention Interventions among Hispanic Adolescents in the United States: Scoping Review’, JMIR Pediatrics and Parenting, 5(4), pp. 1–12. Available at: https://doi.org/10.2196/39261.
Srbely, V. et al. (2019) ‘Interventions aimed at increasing dairy and/or calcium consumption of preschool-aged children: A systematic literature review’, Nutrients, 11(4). Available at: https://doi.org/10.3390/nu11040714.
Suryana et al. (2023) ‘Pengaruh Penyuluhan Gizi Seimbang Dengan Media Sosial Instagram Terhadap Pengetahuan, Asupan Energi Dan Protein Pada Remaja Putri Sekolah Menengah Atas’, Jurnal Gizi dan Dietetik, 2. Available at: https://doi.org/10.34011/jgd.v2i2.1802.
Triana, A.C., Anshory, J. and Saputri G., R.M. (2023) ‘The Effectiveness of Nutrition Education Using Instagram on Body Image Perception and Eating Patterns of Adolescents with Overweight Incidence at SMPN 4 Samarinda’, Journal of Applied Food and Nutrition, 4(2), pp. 48–54. Available at: https://doi.org/10.17509/jafn.v4i2.63286.
Wells, J.C.K. et al. (2021) ‘The future of human malnutrition: rebalancing agency for better nutritional health’, Globalization and Health, 17(1), pp. 1–25. Available at: https://doi.org/10.1186/s12992-021-00767-4.
Yu, H.J. et al. (2020) ‘Improving the metabolic and mental health of children with obesity: A school-based nutrition education and physical activity intervention in Wuhan, China’, Nutrients, 12(1), pp. 1–11. Available at: https://doi.org/10.3390/nu12010194.
Zaki, I. and Sari, H.P. (2019) ‘Social Media-Based Nutrition Education Improves Knowledge and Energy - Protein Intakes of Adolescent Girl with Chronic Energy Deficiency (CED), GIZI INDONESIA Journal of The Indonesian Nutrition Association, 42(2), pp. 111–122. Available at: https://doi.org/10.36457/gizindo.v42i2.469.
