OBESOGENIC ENVIRONMENT IN INDONESIA: A LITERATURE REVIEW OF ENVIRONMENTAL DETERMINANTS OF OBESITY
DOI:
https://doi.org/10.63953/jisn.v3i2.43Keywords:
Obesity, Obesogenic Environment, IndonesiaAbstract
Background: Obesity is a complex public health issue influenced by multiple determinants, including environmental factors that promote excessive calorie intake and physical inactivity, known as obesogenic environments. Objective: This literature review is to broaden understanding the environmental determinants of obesity in Indonesia. Method: A narrative literature review was conducted focusing on studies published between 1999 and 2024. Sources were retrieved from databases including PubMed, WHO Global Health Observatory, and national health surveys such as Riskesdas. The ecological framework by Swinburn et al. (1999) was used to analyse environmental influences on obesity. Results: Findings indicate that built and food environments play significant roles in shaping obesity patterns in many places. Studies show increasing obesity prevalence in both urban and rural Indonesia, with environment-related factors such as food availability, urbanization, and reduced physical activity opportunities contributing to this trend. Conclusion: Food environment, land use and physical infrastructure were identified as potential proxies for obesogenic environments in Indonesia. Further studies are needed to evaluate and validate these proxies to support the development of environments conducive to healthy lifestyles and to reduce obesity prevalence.
References
Mackenbach JD, Rutter H, Compernolle S, et al. Obesogenic environments: A systematic review of the association between the physical environment and adult weight status, the SPOTLIGHT project. BMC Public Health. 2014;14(1):1-15. doi:10.1186/1471-2458-14-233/TABLES/1
WHO. Obesity and overweight. Accessed May 23, 2025. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight
Di Cesare M, Sorić M, Bovet P, et al. The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Med. 2019;17(1):212. doi:10.1186/S12916-019-1449-8
Lim SS, Vos T, Flaxman AD, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet. 2012;380(9859):2224-2260. doi:10.1016/S0140-6736(12)61766-8
Riskesdas 2013. Hasil Riset Kesehatan Dasar 2013. Accessed May 23, 2025. https://repository.badankebijakan.kemkes.go.id/id/eprint/4467/1/Laporan_riskesdas_2013_final.pdf
Badan Penelitian dan Pengembangan Kesehatan. Laporan Nasional Riskesdas 2018. Lemb Penerbit Balitbangkes. Published online 2018:156. Accessed May 25, 2025. https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Lakerveld J, Brug J, Bot S, et al. Sustainable prevention of obesity through integrated strategies: The SPOTLIGHT projects conceptual framework and design. BMC Public Health. 2012;12(1). doi:10.1186/1471-2458-12-793
Swinburn B, Egger G, Raza F. Dissecting obesogenic environments: the development and application of a framework for identifying and prioritizing environmental interventions for obesity. Prev Med (Baltim). 1999;29(6 Pt 1):563-570. doi:10.1006/pmed.1999.0585
Jones A, Bentham G, Foster C, Hillsdon M, Panter J. Foresight Tackling Obesities : Future Choices – Obesogenic Environments – Evidence Review. Foresight. 2003;5(1):55-61. doi:10.1108/14636680310471299
Pomerleau J, Knai C, Foster C, et al. Measuring the food and built environments in urban centres: Reliability and validity of the EURO-PREVOB Community Questionnaire. Public Health. 2013;127(3):259-267. doi:10.1016/J.PUHE.2012.12.025
Townshend T, Lake AA. Obesogenic urban form: Theory, policy and practice. Health Place. 2009;15(4):909-916. doi:10.1016/J.HEALTHPLACE.2008.12.002
Nelson NM, Woods CB. Obesogenic environments: Are neighbourhood environments that limit physical activity obesogenic? Health Place. 2009;15(4):917-924. doi:10.1016/J.HEALTHPLACE.2009.02.001
World Health Organization. Obesity: Preventing and Managing the Global Epidemic. Report of a WHO Consultation. Vol 894.; 2000. doi:10.1016/S0140-6736(57)91352-1
Neel J V. Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? 1962. Bull World Health Organ. 1999;77(1949):353-362.
Ulijaszek SJ. Frameworks of population obesity and the use of cultural consensus modeling in the study of environments contributing to obesity. Econ Hum Biol. 2007;5(3):443-457. doi:10.1016/J.EHB.2007.08.006
Kazaks AG, Stern JS. Nutrition and Obesity: Assessment, Management and Prevention. Jones and Bartlett Learning; 2013.
Simmonds M, Llewellyn A, Owen CG, Woolacott N. Predicting adult obesity from childhood obesity: A systematic review and meta-analysis. Obes Rev. 2016;17(2):95-107. doi:10.1111/OBR.12334,
Chan RSM, Woo J. Prevention of Overweight and Obesity: How Effective is the Current Public Health Approach. Int J Environ Res Public Health. 2010;7(3):765. doi:10.3390/IJERPH7030765
Drewnowski A, D. Rehm C, Solet D. Disparities in obesity rates: Analysis by ZIP code area. Soc Sci Med. 2007;65(12):2458-2463. doi:10.1016/j.socscimed.2007.07.001
Oxford Online Dicitonary. environment: Learner’s Dictionary.
Swinburn B, Egger G, Raza F. Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity. Prev Med (Baltim). 1999;29(6):563-570. doi:10.1006/PMED.1999.0585
Powell P, Educator UE, Spears K, Specialist US. What Is Obesogenic Environment ?; 2010.
Popkin BM, Doak CM. The obesity epidemic is a worldwide phenomenon. Nutr Rev. 1998;56(4 I):106-114. doi:10.1111/J.1753-4887.1998.TB01722.X,
Hill JO. Environmental Contributions to the Obesity Epidemic. Science (80- ). 1998;280(5368):1371-1374. doi:10.1126/science.280.5368.1371
Lagerros YT, Rossner S. Obesity management: what brings success? Therap Adv Gastroenterol. Published online 2012:77-88. doi:10.1177/1756283X12459413
Xu Y, Wang F. Built environment and obesity by urbanicity in the U.S. Health Place. 2015;34:19-29. doi:10.1016/J.HEALTHPLACE.2015.03.010
Angkurawaranon C, Jiraporncharoen W, Chenthanakij B, Doyle P, Nitsch D. Urban Environments and Obesity in Southeast Asia: A Systematic Review, Meta-Analysis and Meta-Regression. PLoS One. 2014;9(11):e113547. https://doi.org/10.1371/journal.pone.0113547
Smit W, de Lannoy A, Dover RVH, Lambert E V., Levitt N, Watson V. Making unhealthy places: The built environment and non-communicable diseases in Khayelitsha, Cape Town. Health Place. 2016;39:196-203. doi:10.1016/J.HEALTHPLACE.2016.04.006
Nestle M. Food Politics: How The Food Industry Influence Nutrition and Health. 2nd ed. University of California Press; 2007.
World Health Organization. Population nutrient intake goals for preventing diet-related chronic diseases. Diet, Nutr Prev Chronic Dis …. Published online 2003:54-60.
Liu GC, Cunningham C, Downs SM, Marrero DG, Fineberg N. A spatial analysis of obesogenic environments for children. Proc AMIA Symp. Published online 2002:459-463. doi:D020002134 [pii]
Lagerros YT, Rössner S. Obesity management: What brings success? Therap Adv Gastroenterol. 2013;6(1):77-88. doi:10.1177/1756283X12459413,
Badan Penelitian dan Pengembangan Kesehatan. Laporan Riskesdas 2013.; 2013. Accessed May 29, 2025. https://repository.badankebijakan.kemkes.go.id/id/eprint/4467/1/Laporan_riskesdas_2013_final.pdf#page=265&zoom=100,110,865
Burgoine T, Alvanides S, Lake AA. Assessing the obesogenic environment of North East England. Heal Place. 2011;17(3):738-747. doi:10.1016/j.healthplace.2011.01.011
Frank LD, Saelens BE, Chapman J, et al. Objective assessment of obesogenic environments in youth: Geographic information system methods and spatial findings from the neighborhood impact on kids study. Am J Prev Med. 2012;42(5). doi:10.1016/j.amepre.2012.02.006
Sutanto L, Lukito W, Basrowi RW. Nutrition Interventions for Healthy Ageing in Indonesia. Amerta Nutr. 2021;4(1SP):1. doi:10.20473/AMNT.V4I1SP.2020.1-5
Frank LD, Saelens BE, Chapman J, et al. Objective Assessment of Obesogenic Environments in Youth. Am J Prev Med. 2012;42(5):e47-e55. doi:10.1016/j.amepre.2012.02.006
Basrowi RW, Rahayu EM, Khoe LC, Wasito E, Sundjaya T. The road to healthy ageing: What has indonesia achieved so far? Nutrients. 2021;13(10). doi:10.3390/NU13103441,
Vidiawati D, Turana Y, Sundjaya T. The Role of Primary Health Care Toward Healthy Aging. Amerta Nutr. 2021;4(1SP):10. doi:10.20473/AMNT.V4I1SP.2020.10-14
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