The Impact of Daily Nut-Based Snacks and PreMeal Fruit Intake on Weight of Overweight Female Adolescents in East Java, Indonesia

Document Type : Original Article

Authors

1 Postgraduate Program of Nutrition Sciences, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia

2 Department of Nutrition Sciences, Faculty of Health, Universitas Darussalam Gontor, Ponorogo, East Java, Indonesia

3 Department of Physiology and Biomedical Laboratory, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia

4 Department of Public Health and Preventive Medicine, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Central Java, Indonesia

10.30476/ijns.2026.107636.1514

Abstract

Background: The rising prevalence of overweight and obesity among adolescents, especially in low- and middle-income countries, highlights the need for effective, culturally adaptable interventions. Fruits consumed before meals and nut-based snacks are associated with enhanced satiety, better metabolic profiles, and improved weight management. However, limited evidence exists on their combined impact in structured communal settings like Islamic boarding schools in East Java, Indonesia.
Methods: A randomized controlled trial was conducted enrolling 100 overweight female adolescents (aged 13-18 years) living in an Islamic boarding schools in Indonesia. Participants were randomly assigned to four groups of control receiving dietary education alone, and three intervention groups (T1, T2, T3) receiving education plus daily mixed
nuts (15, 20 and 25 g) and fruit (200-300 g) with low, moderate, or high glycemic index (GI), consumed prior to meals for 28 days. Body weight and dietary intake (energy, fat, carbohydrates, protein, fiber) were assessed at baseline, day 14, and day 28.
Results: All intervention groups showed significant weight reduction over 28 days (p<0.001), with the greatest decrease in T3 (high-GI fruit). Energy, fat, carbohydrate, protein, and fiber intakes increased significantly in T1- T3 groups in comparison to the control group (p<0.001). Fiber intake increased 2.5 times from baseline, indicating an improved diet quality.
Conclusion: A combined approach using pre-meal fruits of varying GI and nut-based snacks, paired with nutritional education could effectively reduce body weight and improve macronutrient intake in overweight adolescents. This culturally appropriate strategy can be feasible for addressing adolescent obesity in Islamic boarding schools.

Highlights

Ladyamayu Pinasti (Google Scholar)

Keywords

References

  1. GBD 2021 Adolescent BMI Collaborators. Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990–2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet. 2025;405:785-812. DOI: 10.1016/S0140-6736(25)00397-6. PMID: 40049185.
  2. United Nations Children’s Fund. Landscape Analysis of Overweight and Obesity in Indonesia. Unicef Indones; 2022.
  3. Heidari Seyedmahalle M, Haghpanah Jahromi F, Akbarzadeh M, et al. Effect of Chromium Supplementation on Body Weight and Body Fat: A Systematic Review of Randomized, Placebo-controlled Trials. Int J Nutr Sci. 2022;7:131-137. DOI: 10.30476/IJNS.2022.96839.1201.
  1. Khamoushi A, Mohammadi Sartang M, Mazloom Z, et al. Dietary Diversity and Abdominal Obesity among Female Students of Shiraz University of Medical Sciences, Shiraz, Iran. Int J Nutr Sci. 2020;5:79-83. DOI: 10.30476/IJNS.2020.86935.1074.
  2. Mohit M, Mousavinezhad H, Karami E, et al. The Effect of Different Types of Dietary Fatty Acids on Body Fat: A Review. Int J Nutr Sci. 2022;7:125-130. DOI: 10.30476/IJNS.2022.95602.1190.
  3. Guasch-Ferré M, Tessier AJ, Petersen KS, et al. Effects of Nut Consumption on Blood Lipids and Lipoproteins: A Comprehensive Literature Update. Nutrients. 2023;15:596. DOI: 10.3390/nu15030596. PMID: 36771303.
  4. Eslami O, Khorramrouz F, Sohouli M, et al. Effect of nuts on components of metabolic syndrome in healthy adults with overweight/obesity: A systematic review and meta-analysis. Nutr Metab Cardiovasc Dis. 2022;32:245969. DOI:10.1016/j.numecd.2022.07.015. PMID: 36058762.
  5. Tindall AM, Petersen KS, Lamendella R, et al. Tree nut consumption and adipose tissue mass: Mechanisms of action. Curr Dev Nutr. 2018;2:nzy069. DOI: 10.1093/cdn/nzy069. PMID: 30488045.
  6. Neale EP, Tapsell LC. Nuts in Healthy Dietary Patterns and Dietary Guidelines. In: Alasalvar C, Salas-Salvadó J, Ros E, Sabaté J, editors. Health Benefts of Nuts and Dried Fruits. Boca Raton: CRC Press Taylor & Francis Group; 2020.p.289-312.
  7. Ghanavati M, Alipour Parsa S, Nasrollahzadeh J. A calorie-restricted diet with nuts favourably raises plasma high-density lipoprotein-cholesterol in overweight and obese patients with stable coronary heart disease: A randomised controlled trial. Int J Clin Pract. 2021;75:e14431. DOI:10.1111/ijcp.14431. PMID: 34080258.
  8. Flores-Mateo G, Rojas-Rueda D, Basora J, et al. Nut intake and adiposity: meta-analysis of clinical trials123. Am J Clin Nutr. 2013;97:1346-55. DOI: 10.3945/ajcn.111.031484. PMID: 23595878.
  9. Tan SY, Mattes RD. Appetitive, dietary and health effects of almonds consumed with meals or as snacks: A randomized, controlled trial. Eur J Clin Nutr. 2013;67:1205-14. DOI: 10.1038/ejcn.2013.184. PMID: 24084509.
  10. Almasi F, Nemati M, Rabiee R, et al. The Correlation between Nuts Consumption and Severity and Symptoms of COVID-19. Int J Nutr Sci. 2024;9:236-244. DOI: 10.30476/ijns.2024.102820.1327.
  11. Walters SJ, Jacques RM, Dos Anjos Henriques-Cadby IB, et al. Correction to: Sample size estimation for randomised controlled trials with repeated assessment of patient-reported outcomes: What correlation between baseline and follow-up outcomes should we assume? Trials. 2019;20:566. DOI: 10.1186/s13063-019-3671-2. PMID: 31519202.
  12. Hedayati A, Homayuon M, Mobaracky A, et al. Lithium chloride, ketogenic diet and stem cell transplantation in treatment of bipolar disorder. Int J Nutr Sci. 2024;9:80-82. DOI: 10.30476/IJNS.2024.99601.1250.
  13. Mehrabani D, Vahedi M, Eftekhari MH, et al. Food avoidance in patients with ulcerative colitis: a review. Int J Nutr Sci. 2018;2:189-95.
  14. Mozaffarian D, Rosenberg I, Uauy R. History of modern nutrition science-implications for current research, dietary guidelines, and food policy. BMJ. 2018;361:k2392. DOI: 10.1136/bmj.k2392. PMID: 29899124.
  15. Jakubowicz D, Barnea M, Wainstein J, et al. High Caloric intake at breakfast vs. dinner differentially influences weight loss of overweight and obese women. Obesity. 2013;21:2504-12. DOI: 10.1002/oby.20460. PMID: 23512957.
  16. Alonso-Alonso M, Pascual-Leone A. The Right Brain Hypothesis for Obesity. JAMA. 2007;297:1819-22. DOI: 10.1001/jama.297.16.1819. PMID: 17456824.
  17. Naufalina MD, Nabawiyah H, Sari DD. Nutritional status of adolescent female students in modern Islamic boarding schools. J Gizi Klin Indones. 2023;19. DOI:1022146/ijcn60258.
  18. Rahayu PS, Suparman S, Dewi M, et al. An Overview of Energy Intake, Protein Intake, Physical Activity, and Nutritional Status in Young Women. J Kesehat Siliwangi. 2022;2:995-1003.
  19. Nafisah T, Samsul Alam BS. The Nutritional Status of Islamic Boarding School Students in Aceh Besar Regency. JIM FKep. 2023;VII.
  20. Afni N, Al Faiqoh Z. Differences in Macronutrient Energy Intake, Physical Activity and Nutritional Status in Students at Wahid Hasyim Model High School, Lamongan Who Live in Islamic Boarding Schools and Those Who Live at Home. Heal Tadulako J. 2024;10:306-15.
  21. Hutajulu LMV, Dieny FF, Probosari E, et al. Nuritional and Anemia Status Related to Body Fitness of Santriwati (Islamic Boarding School Student) at Askhabul Kahfi Islamic Boarding School Semarang City. Gizi Indones. 2022;45:23-34.
  22. Sabaté J, Wien M. A perspective on vegetarian dietary patterns and risk of metabolic syndrome. Br J Nutr. 2015;113:S136-43. DOI: 10.1017/S0007114514004139. PMID: 26148917.
  23. Kendall CWC, Josse AR, Esfahani A, et al. Nuts, metabolic syndrome and diabetes. Br J Nutr. 2010;104:465-73. DOI: 10.1017/S0007114510001546. PMID: 20441672.
  24. Clark MJ, Slavin JL. The Effect of Fiber on Satiety and Food Intake: A Systematic Review. J Am Coll Nutr. 2013;32:200-11. PMID: 23885994. DOI: 10.1080/07315724.2013.791194.
  25. Ni C, Jia Q, Ding G, et al. Low-Glycemic Index Diets as an Intervention in Metabolic Diseases: A Systematic Review and Meta-Analysis. Nutrients. 2022;14:307. DOI: 10.3390/nu14020307. PMID: 35057488.
  26. Tan SY, Dhillon J, Mattes RD. A review of the effects of nuts on appetite, food intake, metabolism, and body weight123. Am J Clin Nutr. 2014;100:412S-422S. DOI: 10.3945/ajcn.113.071456. PMID: 24920033.
  27. Wang J, Wang S, Henning SM, et al. Mixed Tree Nut Snacks Compared to Refined Carbohydrate Snacks Resulted in Weight Loss and Increased Satiety during Both Weight Loss and Weight Maintenance: A 24-Week Randomized Controlled Trial. Nutrients. 2021;13:1512. DOI: 10.3390/nu13051512. PMID: 33946212.
  28. Petersen KS, Murphy J, Whitbread J, et al. The Effect of a Peanut-Enriched Weight Loss Diet Compared to a Low-Fat Weight Loss Diet on Body Weight, Blood Pressure, and Glycemic Control: A Randomized Controlled Trial. Nutrients. 2022;14:2986. DOI: 10.3390/nu14142986. PMID: 35889947.
  29. Liu X, Li Y, Guasch-Ferré M, et al. Changes in nut consumption influence long-term weight change in US men and women. BMJ Nutr Prev Heal. 2019;2:90-99. DOI: 10.1136/bmjnph-2019-000034.PMID: 33235963.
  30. Li H, Li X, Yuan S, et al. Nut consumption and risk of metabolic syndrome and overweight/obesity: A meta-analysis of prospective cohort studies and randomized trials. Nutr Metab. 2018;15:1-10. DOI: 10.1186/s12986-018-0282-y. PMID: 29977320.
  31. Blatt AD, Roe LS, Rolls BJ. Increasing the Protein Content of Meals and Its Effect on Daily Energy Intake. J Am Diet Assoc. 2011;111:290-4. DOI:10.1016/j.jada.2010.10.047. PMID: 21272705.
  32. Baer DJ, Dalton M, Blundell J, et al. Nuts, Energy Balance and Body Weight. Nutrients. 2023;15:1162. DOI: 10.3390/nu15051162 . PMID: 36904160.
  33. Nazari AR, Kounis NG, Ahmadi Z, et al. Nuts and Nutritional Factors in Management of Male Fertility: A Review. Int J Nutr Sci. 2024;9:1-13. DOI: 10.30476/IJNS.2024.100484.1279.
  1. Moon J, Koh G. Clinical Evidence and Mechanisms of High-Protein Diet-Induced Weight Loss. J Obes Metab Syndr. 2020;29:166-73. DOI: 10.7570/jomes20028. PMID: 32699189.
  2. van der Klaauw AA, Keogh JM, Henning E, et al. High protein intake stimulates postprandial GLP1 and PYY release. Obesity. 2013;21:1602-7. DOI:10.1002/oby.20154. PMID: 23666746.
  3. Alptekin İM, Çakiroğlu FP, Örmeci N. Effects of β-glucan and inulin consumption on postprandial appetite, energy intake and food consumption in healthy females: A randomized controlled trial. Nutr Health. 2022;28:433-442. DOI: 10.1177/02601060211023256. PMID: 34128426.
  4. Hosseini B, Berthon BS, Saedisomeolia A, et al. Effects of fruit and vegetable consumption on inflammatory biomarkers and immune cell populations: A systematic literature review and meta-analysis. Am J Clin Nutr. 2018;108:136-55. DOI: 10.1093/ajcn/nqy082. PMID: 29931038.

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