DISCUSSION

1. Relationship between suitability energy intake and nutritional status

The results showed that there is a significant correlation between suitability of energy
intake against undernutrition status (p = 0.000 and 95% CI: 3.940 to 13.716 (7.351)), this means
that the students who have the appropriate number of calories likely to have a normal nutritional
status, that is equal to 7.351 times the odds compared to students who have the amount of energy
intake that does not fit. This is consistent with previous studies conducted Restiani in SMP
Muhammadiyah Jakarta 31 which states that the existence of a significant relationship between
energy intake and nutritional status (Restiani, 2012). The imbalance between energy intake with
nutritional requirements affecting the nutritional status of a person. Physical activity and
exercise, which is not balanced with energy consumption, can lead to abnormal weight (MOH,
2005). Energy shortages will cause the body to experience a negative balance, resulting in
underweight than it should be (ideal) (Almatsier, 2005) This is in contrast with a previous study
conducted by Klau in SMP Negeri 1 Kokap Kulon Progo Yogyakarta which states that there is no
relationship between energy intake and nutritional status (Klau YB, et al, 2012). This is because
when doing the interview 24-hour food recall, students forget what they have been consumed,
so the amount of intake calculation results do not show compliance with the nutritional status of
students. It also indicates that respondents who are in the normal nutritional status currently has a
decreased nutritional status, it can be undernutrition status if not cared their food consumption.
2. The relationship between physical activity and nutritional status
The results showed that there was no significant relationship between activity with
undernutrition status (p = 0.267). Where opportunities are students who have moderate activity
has a normal nutritional status of 1,362 times that of the respondents who have a chance of light
activity (95% CI: 0.789 to 2.350 (1.362)). This is consistent with previous studies conducted
Restiani in SMP Muhammadiyah Jakarta 31 stating that there were no significant relationship
between physical activity and nutritional status. In the research Restiani split 3 types of activity,
sleeping, watching television and doing sports, where students who often watching television
often have a tendency to exercise, causing no significant relationship between the duration of
watching television and overnutrition. But this is different from previous studies in SMP Frater

Don Bosco Manado which states that there is a significant correlation between the intensity of
physical activity and nutritional status (CI shove, 2012). Various adequate facilities cause motion
and activity is limited (Hudha, 2006), resulting in an unbalanced energy expenditure (by lack of
physical activity) that can lead to weight gain or overnutrition and applies also to the contrary
(Hidayati et al, 2010).
3. Relationship between suitability of energy intake and physical activity and nutritional status
Based on the results of analysis has indicate that the suitability of the energy intake
affects the status of undernutrition, while physical activity did not affect the nutritional status.
This means that if the amount of energy intake that enter the body does not correspond to the
amount of energy required intake, the nutritional status is likely to be less.
If excessive energy intake and energy expenditure is not matched by a balanced (with less
physical activity), it will lead to weight gain and applies also to the contrary, if the physical
activity is more and it did not balanced with enough energy intake, it can lead to weight loss
(Hidayati et al, 2010).
Light physical activity is done with intensity below 150 minutes per week, while moderate
physical activity is done with the intensity of 150-300 minutes per week.
The weakness of this study, among others, data collection with questionnaires and interviews are
subjective so that the correctness of data relied heavily on the honesty and the ability to
remember each respondent, in addition to the 88 respondents said there were given an allowance
of just enough to transport to commute to school, 40 respondents on a diet, 49 respondents were
not happy with the food served at houses and 33 people say that its because of economic factors.
Limitations of time collecting data from all respondents thus affecting the accuracy of the data
collected. Further research is needed on the factors that influence the incidence of malnutrition
among school children eg stress factors, the factors underlying disease, and others.

CONCLUSION

From the results and discussion that has been described can be deduced as follows:
a. There is a relationship between lack of energy intake and the incidence of malnutrition among
seventh grade students in SMPN 7 Kediri and MTs N 2 Kediri with a value of p = 0.000.
b. There was no relationship between physical activity and the incidence of malnutrition in the
seventh grade students of SMP Negeri 7 Kediri and MTs N 2 Kediri with a value of p = 0.267.

ADVICE
a. Reactivate monitoring of nutritional status of school children to monitor the growth and
development of nutritional status. This can be done through the School Health Unit Program
(UKS) that already exist.
b. Hold regular counseling about nutrition and health to school students, and also their parents.
c. Needs to be done further research on other factors affecting the nutritional status of school
children.