Implementing the BBOK package via auricular acupressure and health education to reduce weight and BMI in adolescents with obesity: An evidence-based nursing report
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Abstract
Background: Adolescent obesity is a growing health concern with physical and psychological complications. This Evidence-Based Nursing Practice (EBNP) analyzed the effectiveness of the BBOK (Optimal Body Weight) package, combining auricular acupressure and health education, in reducing body weight (BW) and body mass index (BMI) among adolescents with obesity.
Methods: Using an EBNP approach, auricular acupressure and health education interventions were implemented over six weeks. Nine adolescents aged 13–19 years with obesity from RW 01, 02, and 05, Rawasari Village, Cempaka Putih District Health Center, were selected based on inclusion criteria. Interventions included health education on obesity, nutrition, physical activity, sleep, and stress management, plus auricular acupressure using vaccaria seeds at the hunger point. Evaluations measured BW, BMI, and knowledge, attitudes, and behaviors before and after intervention.
Results: Paired Sample T-Test analysis showed significant reductions in body weight (MD = 0.68; p = 0.000) and BMI (MD = 0.25; p = 0.000). Significant improvements were also observed in knowledge (MD = 4.78; p = 0.000), attitudes (MD = 2.44; p = 0.026), and healthy behaviors (MD = 10.67; p = 0.000).
Conclusion:
The BBOK package was associated with significant improvements in body weight, BMI, and healthy lifestyle behaviors among adolescents with obesity. While these findings suggest potential as a community nursing strategy, the modest magnitude of weight and BMI reduction, small sample size, and absence of a control group warrant cautious interpretation. Further controlled studies are needed to validate these findings.
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References
[1] S. U. Amrynia and G. N. Prameswari, "Hubungan pola makan, sedentary lifestyle, dan durasi tidur dengan kejadian gizi lebih pada remaja (Studi kasus di SMA Negeri 1 Demak)," Indonesian Journal of Public Health and Nutrition, vol. 2, no. 1, pp. 112–121, 2022, doi: 10.15294/ijphn.v2i1.52044.
[2] M. Darbandi et al., "Auricular or body acupuncture: Which one is more effective in reducing abdominal fat mass in Iranian men with obesity: A randomized clinical trial," Journal of Diabetes and Metabolic Disorders, vol. 13, no. 1, pp. 1–7, 2014, doi: 10.1186/s40200-014-0092-3.
[3] A. M. Hanum, "Faktor-faktor penyebab terjadinya obesitas pada remaja," Healthy Tadulako Journal (Jurnal Kesehatan Tadulako), vol. 9, no. 2, pp. 137–147, 2023, doi: 10.22487/htj.v9i2.539.
[4] C. H. Hsieh, "Auricular acupressure for weight reduction in obese Asian young adults: A randomized controlled trial," Medical Acupuncture, vol. 19, no. 4, pp. 181–184, 2007, doi: 10.1089/acu.2007.0542.
[5] World Health Organization. Obesity and overweight [Internet]. Geneva: World Health Organization; 2021 [cited 2026 Jul 20].
[6] K. Hua et al., "Effects of auricular stimulation on weight- and obesity-related parameters: A systematic review and meta-analysis of randomized controlled clinical trials," Frontiers in Neuroscience, vol. 18, Aug. 2024, doi: 10.3389/fnins.2024.1393826.
[7] C. F. Huang, S. E. Guo, and F. H. Chou, "Auricular acupressure for overweight and obese individuals: A systematic review and meta-analysis," Medicine, vol. 98, no. 26, Art. no. e16144, 2019, doi: 10.1097/MD.0000000000016144.
[8] C. M. Jacob et al., "A systematic review and meta-analysis of school-based interventions with health education to reduce body mass index in adolescents aged 10 to 19 years," International Journal of Behavioral Nutrition and Physical Activity, vol. 18, no. 1, pp. 1–22, 2021, doi: 10.1186/s12966-020-01065-9.
[9] Kementerian Kesehatan Republik Indonesia, Pedoman Umum GENTAS (Gerakan Berantas Obesitas). Jakarta, Indonesia: Kementerian Kesehatan RI, 2017.
[10] K. Kusdalinah, A. Mutia, and J. Jumiyati, "Pola makan dan aktivitas fisik terhadap kejadian obesitas remaja pada masa pandemi Covid-19," Journal of Nutrition College, vol. 11, no. 1, pp. 26–34, 2022.
[11] S. S. Mazloomy-Mahmoodabad, Z. S. Navabi, A. Ahmadi, and M. Askarishahi, "The effect of educational intervention on weight loss in adolescents with overweight and obesity: Application of the theory of planned behavior," ARYA Atherosclerosis, vol. 13, no. 4, pp. 176–183, 2017.
[12] Y. Pertiwi and S. I. Niara, "Pencegahan obesitas pada remaja melalui intervensi promosi kesehatan: Studi literatur," Jurnal Ilmiah Kesehatan Masyarakat, vol. 14, no. 2, pp. 96–104, 2022, doi: 10.52022/jikm.v14i2.278.
[13] B. A. Pratama, "Literature review: Faktor risiko obesitas pada remaja di Indonesia," Indonesian Journal on Medical Science, vol. 10, no. 2, 2023, doi: 10.55181/ijms.v10i2.443.
[14] A. Saprudin, I. S. Amalia, and A. Ropii, "Analisis faktor determinan kejadian obesitas pada remaja di Kabupaten Kuningan," Journal of Public Health Innovation, vol. 4, no. 1, pp. 51–58, 2023, doi: 10.34305/jphi.v4i01.961.
[15] S. D. Sari et al., "Peningkatan pengetahuan dan deteksi dini obesitas pada remaja di SMA Muhammadiyah 3 Jakarta," Jurnal SOLMA, vol. 12, no. 1, pp. 256–261, 2023, doi: 10.22236/solma.v12i1.9952.
[16] L. L. Hsieh, C. H. Kuo, L. H. Lee, and A. M. F. Yen, "The effect of acupressure on weight reduction in obese adolescents," Journal of Alternative and Complementary Medicine, vol. 24, no. 5, pp. 456–462, 2018.
[17] M. L. Yeh, N. F. Chu, and M. Y. Hsu, "Acupressure intervention for reducing obesity among adolescents: A randomized controlled trial," Complementary Therapies in Medicine, vol. 42, pp. 25–31, 2019.
[18] N. P. Sari and R. Wulandari, "Pengaruh edukasi gizi terhadap indeks massa tubuh remaja obesitas," Jurnal Keperawatan Indonesia, vol. 25, no. 2, pp. 115–123, 2022.
[19] E. Nurhayati and D. Rahmawati, "Efektivitas terapi akupresur terhadap penurunan berat badan pada remaja obesitas," Jurnal Keperawatan Holistik, vol. 9, no. 1, pp. 44–52, 2021.