FACTORS ASSOCIATED WITH TYPE 2 DIABETES PREVENTION BEHAVIORS AMONG SCHOOL-AGED CHILDREN: KNOWLEDGE, LIFESTYLE PRACTICES, AND FAMILY SUPPORT

Authors

DOI:

https://doi.org/10.60050/lkh.v10i3.141

Keywords:

Type 2 Diabetes Mellitus, Prevention Behaviors, School-Aged Children, Knowledge, Lifestyle Practices, Family Support

Abstract

Background: Type 2 diabetes mellitus (T2DM) is an important public health concern, and prevention-related behaviors can begin during childhood.

Objectives: This study examined associations between knowledge, lifestyle practices, family support, and self-reported T2DM prevention behaviors among school-aged children in Jombang, Indonesia.

Methods: A quantitative cross-sectional study was conducted among 65 school-aged children recruited through purposive sampling in the Peterongan Community Health Center area, Jombang Regency, East Java, Indonesia. Data were collected from August to September 2026 using a structured questionnaire. Descriptive statistics and chi-square tests were used to examine associations between categorized study variables.

Results: Good knowledge was observed in 36.9% of participants, healthy lifestyle practices in 40.0%, and high family support in 44.6%. Good T2DM prevention behaviors were reported by 43.1% of participants. Knowledge (p = 0.012), lifestyle practices (p < 0.001), and family support (p = 0.015) were significantly associated with prevention-behavior categories.

Conclusion: Knowledge, lifestyle practices, and family support were associated with self-reported T2DM prevention behaviors in this sample. Because of the cross-sectional design, the findings do not establish causality or demonstrate differences in T2DM incidence or clinical outcomes. Larger studies are needed to assess these associations further.

References

American Diabetes Association Professional Practice Committee. (2024). 14. Children and Adolescents: Standards of Care in Diabetes—2024. Diabetes Care, 47(Supplement_1), S258–S281. https://doi.org/10.2337/dc24-S014

Centers for Disease Control and Prevention [CDC]. (2024). Preventing Type 2 Diabetes in Kids. https://www.cdc.gov/diabetes/prevention-type-2/type-2-diabetes-in-kids.html

Fortnum, K., Thomas, G., Too, K., Tam, A., Tilley, K., Cairney, J., Healy, G. N., & Gomersall, S. (2025). The role of lifestyle factors in type 2 diabetes in children and adolescents: a systematic review. BMC Public Health, 25(1), 3675. https://doi.org/10.1186/s12889-025-23767-0

Hassan, M. A., McDonough, D. J., Ryu, S., Zhou, W., Oginni, J., & Gao, Z. (2024). Comparative effectiveness of school-based obesity prevention programs for children and adolescents: a systematic review and network meta-analysis. Frontiers in Public Health, Volume 12. https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2024.1504279

Kurtzhals, M., Bjerregaard, A.-L., Hybschmann, J., Müllertz, A. L. O., DeSilva, B., Elsborg, P., Timm, A., Petersen, T. L., Thygesen, L. C., Kurtzhals, P., Flensborg-Madsen, T., Bentsen, P., & Mygind, L. (2024). A systematic review and meta-analysis of the child-level effects of family-based interventions for the prevention of type 2 diabetes mellitus. Obesity Reviews, 25(7), e13742. https://doi.org/10.1111/obr.13742

McDarby, F., & Looney, K. (2024). The effectiveness of group-based, parent-only weight management interventions for children and the factors associated with outcomes: a systematic review. International Journal of Obesity, 48(1), 3–21. https://doi.org/10.1038/s41366-023-01390-6

Nally, S., Carlin, A., Blackburn, N. E., Baird, J. S., Salmon, J., Murphy, M. H., & Gallagher, A. M. (2021). The Effectiveness of School-Based Interventions on Obesity-Related Behaviours in Primary School Children: A Systematic Review and Meta-Analysis of Randomised Controlled Trials. In Children (Vol. 8, Number 6, p. 489). https://doi.org/10.3390/children8060489

Perng, W., Conway, R., Mayer-Davis, E., & Dabelea, D. (2023). Youth-Onset Type 2 Diabetes: The Epidemiology of an Awakening Epidemic. Diabetes Care, 46(3), 490–499. https://doi.org/10.2337/dci22-0046

Spiga, F., Davies, A. L., Tomlinson, E., Moore, T. H. M., Dawson, S., Breheny, K., Savović, J., Gao, Y., Phillips, S. M., Hillier-Brown, F., & al., et. (2024). Interventions to prevent obesity in children aged 5 to 11 years old. Cochrane Database of Systematic Reviews, (5). https://doi.org/10.1002/14651858.CD015328.pub2

Wills-Ibarra, N., Chemtob, K., Hart, H., Frati, F., Pratt, K. J., Ball, G. D. C., & Van Hulst, A. (2024). Family systems approaches in pediatric obesity management: a scoping review. BMC Pediatrics, 24(1), 235. https://doi.org/10.1186/s12887-024-04646-w

World Health Organization [WHO]. (2022). Promoting physical activity through schools: Policy brief. World Health Organization [WHO]. https://iris.who.int/server/api/core/bitstreams/228fb58c-c720-4043-8c94-57ea3f969363/content

Downloads

Published

2026-10-31

How to Cite

Kurniawan, V. E., Adam, A., Azwar, M., Setiawan, R., & Kawa, A. (2026). FACTORS ASSOCIATED WITH TYPE 2 DIABETES PREVENTION BEHAVIORS AMONG SCHOOL-AGED CHILDREN: KNOWLEDGE, LIFESTYLE PRACTICES, AND FAMILY SUPPORT. Literasi Kesehatan Husada: Jurnal Informasi Ilmu Kesehatan, 10(3), 78–94. https://doi.org/10.60050/lkh.v10i3.141