hubungan body image dengan healthy eating pada anak usia sekolah dipanti asuhanan aisiyah muhammadiyah surabaya

HUBUNGAN BODY IMAGE DENGAN HEALTHY EATING PADA ANAK USIA SEKOLAH DI PANTI ASUHAN AISIYAH MUHAMMADIYAH SURABAYA
Oleh : Mellany Dwi Fitrya

Program studi S1 Keperawatan
Fakultas Ilmu Kesehatan
Universitas Muhammadiyah Surabaya

Pendahuluan: Anak usia sekolah yang tinggal di panti asuhan merupakan kelompok rentan terhadap permasalahan perilaku makan. Pembentukan pola makan sehat (healthy eating) pada anak tidak hanya dipengaruhi oleh ketersediaan pangan di lingkungan panti, melainkan juga oleh faktor psikologis seperti persepsi terhadap bentuk dan ukuran tubuh (body image). Persepsi tubuh yang negatif berisiko memicu perilaku makan yang tidak seimbang. Tujuan: Menganalisis hubungan antara body image dengan healthy eating pada anak usia sekolah di Panti Asuhan Aisyiyah Muhammadiyah Surabaya. Metode: Penelitian kuantitatif analitik ini menggunakan pendekatan cross-sectional. Populasi penelitian adalah anak usia sekolah (9–12 tahun) di 6 Panti Asuhan Muhammadiyah/Aisyiyah Surabaya. Sampel berjumlah 75 anak yang diambil menggunakan teknik cluster sampling. Pengumpulan data menggunakan kuesioner Body Shape Questionnaire (BSQ-34) untuk body image dan Food Frequency Questionnaire (FFQ) untuk healthy eating. Analisis data menggunakan uji korelasi Spearman Rank nilai signifikan <0.05. hasil dan pembahasan: penelitian menunjukkan responden yang mengalami gangguan body image berat sebanyak 5 anak (6,7%), gangguan sedang 31 anak (41,3%), gangguan ringan 23 anak (30,7%), dan body image positif sebanyak 8 anak (10,7%). Perilaku healthy eating responden mayoritas berada pada kategori kurang yaitu sebanyak 39 anak (52,0%) dan kategori baik sebanyak 36 anak (48,0%). Hasil uji korelasi Spearman Rank menghasilkan nilai p-value = 0,000 (p < 0,05) dengan koefisien korelasi r = 0,501. Kesimpulan: Terdapat hubungan yang signifikan dengan tingkat kekuatan sedang antara body image dengan healthy eating pada anak usia sekolah di Panti Asuhan Aisyiyah Muhammadiyah Surabaya. Pengelola panti asuhan dan perawat komunitas diharapkan dapat mengintegrasikan edukasi gizi seimbang serta pendampingan psikologis guna membentuk body image positif dan pola makan sehat pada anak.

Kata kunci : Body Image, Healthy Eating, Anak Usia Sekolah, Panti Asuhan.
THE RELATIONSHIP BETWEEN BODY IMAGE AND HEALTHY EATING AMONG SCHOOL AGE CHILDREN AT AISYIYAH MUHAMMADIYAH ORPHANAGE SURABAYA
By: Mellany Dwi Fitrya

Bachelor of Nursing Study Program
Faculty of Health Sciences
Universitas Muhammadiyah Surabaya
Introduction: School-age children living in orphanages represent a group vulnerable to eating behavior issues. The formation of healthy eating habits in children is influenced not only by food availability within the orphanage environment, but also by psychological factors such as the perception of body shape and size (body image). A negative body image risks triggering unbalanced eating behaviors. Objective: To analyze the relationship between body image and healthy eating among school-age children at Aisyiyah Muhammadiyah Orphanage Surabaya. Methods: This analytical quantitative study utilized a cross-sectional approach. The study population consisted of school-age children (9–12 years) across Muhammadiyah/Aisyiyah Orphanages in Surabaya. A sample of 75 children was selected using a cluster sampling technique. Data were collected using the Body Shape Questionnaire (BSQ-34) for body image and the Food Frequency Questionnaire (FFQ) for healthy eating. Data analysis was performed using the Spearman Rank correlation test with a significance level of p < 0.05$. Results and Discussion: The findings showed that 5 respondents experienced severe body image dissatisfaction (6.7%), followed by moderate dissatisfaction (31 children, 41.3%), mild dissatisfaction (23 children, 30.7%), and a positive body image (8 children, 10.7%). The majority of respondents demonstrated a poor category of healthy eating behaviors (39 children, 52.0%), while 36 children (48.0%) fell into the good category. The Spearman Rank correlation test yielded a p-value = 0.000 (p < 0.05) with a moderate correlation coefficient of r = 0.501. Conclusion: There is a statistically significant relationship with a moderate correlation between body image and healthy eating among school-age children at Aisyiyah Muhammadiyah Orphanage Surabaya. Orphanage administrators and community nurses are expected to integrate balanced nutrition education along with psychological support to foster a positive body image and healthy eating habits in children.

Keywords: Body Image, Healthy Eating, School-Age Children, Orphanage.