Stress Management for the Prevention of Metabolic Diseases in Adolescents

Authors

  • Dhimas Anggi Septiansyah Program Studi Terapan Keperawatan, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia
  • Nisa Dewanti Program Studi Pendidikan dan Profesi Ners, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia

DOI:

https://doi.org/10.36590/jagri.v7i1.2003

Keywords:

adolescents, education, health screening, stress management

Abstract

Adolescent stress was identified as a contributing factor that could influence healthy lifestyle behaviors, thereby increasing the risk of metabolic diseases. Adaptive stress management was considered an important strategy for preventing these conditions. This community service program aimed to improve adolescents’ knowledge and skills in adaptive stress management and to screen stress levels and metabolic disease risk. The program employed health education and demonstration methods, along with stress level screening using the validated and reliable Perceived Stress Scale (PSS-10) questionnaire (CFI = 0.950; RMR = 0.085; RMSEA = 0.072; Cronbach’s alpha = 0.862). Metabolic disease risk was assessed using a questionnaire developed by the authors based on risk factor indicators, including family history, dietary patterns, physical activity, lifestyle, family environment, and physical signs and symptoms associated with obesity, insulin resistance, hypertension, and other metabolic disorders. Validity testing indicated that all items were valid (Corrected Item–Total Correlation > 0.30) with good reliability (Cronbach’s Alpha = 0.761). The program was conducted on January 9, 2026, involving 30 twelfth-grade students at SMK Informatika Tulangan, Sidoarjo Regency. The results demonstrated that adolescents showed improved knowledge and skills regarding the educational materials, as reflected in their ability to answer questions and perform demonstrations correctly. Most participants experienced moderate stress levels (23 students; 76.67%) and moderate risk of metabolic disease (22 students; 73.33%). These findings highlight the importance of regular health education and screening programs in schools to support adolescents’ physical and mental health.

Downloads

Download data is not yet available.

Author Biographies

Dhimas Anggi Septiansyah, Program Studi Terapan Keperawatan, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia

Program Studi Terapan Keperawatan, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia

Nisa Dewanti, Program Studi Pendidikan dan Profesi Ners, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia

Program Studi Pendidikan dan Profesi Ners, Politeknik Kesehatan Kerta Cendekia, Sidoarjo, Indonesia

References

Adni, A., 2025. Psikoedukasi untuk Meningkatkan Pengetahuan Mengenai Pengelolaan Stres. Jurnal Pengabdian dan Pemberdayaan Masyarakat 5(2), 439–446. https://doi.org/10.30812/adma.v5i2.4448

Aisyah, R., Jatmiko, S.W., Bestari, R.S., Kamila, A.A., Anam, I.H.M., Anggitaratri. Z.N., 2024. Peningkatan Pengetahuan tentang Diabetes Melitus, Sindrom Metabolik, dan Faktor Risikonya melalui Edukasi pada Remaja Sekolah Menengah Pertama di Surakarta. Smart Society Empowerment Journal 5(1), 10–16. https://doi.org/10.20961/ssej.v5i1.99814

Albdour, M.M., Darwiche, A., Junuwine, E.S., Khalil, D., Zilioli, S., 2026. Metabolic Syndrome among Arab American Adolescent-Parent Dyads: The Influence of Psychosocial Stress. Journal of Diabetes & Metabolic Disorders 25(68), 1-20. https://doi.org/10.1007/s40200-025-01851-x

Alowfi, A., Binladen, S., Irqsous, S., Khashoggi, A., Khan, M.A., Calacattawi, R., 2021. Metabolic Syndrome: Prevalence and Risk Factors among Adolescent Female Intermediate and Secondary Students in Saudi Arabia. International Journal of Environmental Research and Public Health 18(4), 1-13. https://doi.org/10.3390/ijerph18042142

Anggriany, N., Fajriani, L.N., Sukanty, N.M.W., Anisah, A., Isasih, W.D., Ardian, J., Saputra, I.P.B.A., 2026. Kesehatan Fisik dan Mental Remaja: Hubungan Status Gizi dan Tingkat Stres di Sekolah Menengah Kejuruan. Jurnal Pengabdian Masyarakat 6(1), 79–85. https://doi.org/10.35746/bakwan.v6i1.931

Anwari, M., Syafwani, M., Azidin, Y., Ahmad, H., Arji, A., Sabara, Y., 2024. Manajemen Stres pada Siswa SMAN 1 Banjarmasin. Jurnal Pengabdian Masyarakat 4(1), 81–84. https://journal.ahmareduc.or.id/index.php/AMJPM/article/view/349

Boddu, S.K., Giannini, C., Marcovecchio, M.L., 2025. Metabolic Disorders in Young People Around The World. Diabetologia 68(11), 2374–2385. https://doi.org/10.1007/s00125-025-06450-2

Cemalovic, S., Custo, E.B., Selmanovic, S., Bajric, S., Hasic, D., Gajic, D., 2025. Prevalence of Metabolic Syndrome in Young Adults: A Risk Factor for Future Cardiovascular Disease. Medicinski Glasnik 22(2), 225–229. https://doi.org/10.17392/1991-22-02

Cepuch, G., Krowka, A.K., Liber, P., Micek, A., 2023. Association between Suicidal Behaviors in Adolescence and Negative Emotions, the Level of Stress, Stress Coping Strategies and the Quality of Sleep. Healthcare 11(3), 1-18. https://doi.org/10.3390/healthcare11030306

Damayanti, D.S., Munawaroh, M., 2024. Kesehatan Reproduksi Remaja Terkait Status Gizi, Aktifitas Fisik, Stres dengan Siklus Menstruasi. Jurnal Ilmiah Kesehatan 16(2), 450–459.

Daud, M., Siswanti, D.N., Jalal, N.M., Khaerunnisa, A.M., Zahra, K.A., 2025. Pelatihan Manajemen Stres untuk Meningkatkan Keterlibatan Siswa dalam Pembelajaran Matematika. Jurnal Pengabdian kepada Masyarakat 3(4), 60-67. https://ojs.unm.ac.id/kebajikan/article/view/79628

Dewi, S.H., Rahmadhani, R., Mardiawati, D., Alashari, M., Yudhanto, S.B., Juliandi, J., 2025. Sosialisasi Pengelolaan Stres pada Siswa untuk Meningkatkan Kesehatan Mental di SMA Kota Padang. Jurnal Pengabdian Kepada Masyarakat 3(3), 915–923. https://gembirapkm.my.id/index.php/jurnal/article/view/981

Erlena, E., Nurjannah, I., Achadiono, D.N., Wibawa, T., Prihastari, L., 2025. Indonesian Version of The Perceived Stress Scale-10 (IPSS): A Psychometric Properties of the Indonesian PSS-10 in Adolescents with Obesity. The Preprint Server for Health Science, 1-12. https://doi.org/10.1101/2025.02.25.25322844

Gautam, P., Paudel, K., 2025. Stressors and Coping Strategies among Adolescents Studying Public Schools in Kathmandu. Nepal Journal of Multidisciplinary Research 8(1), 100–115.

Herningtyas, E.H., Ng, T.S., 2019. Prevalence and Distribution of Metabolic Syndrome and Its Components Among Provinces and Ethnic Groups in Indonesia. BMC Public Health 19(377), 1-12. https://doi.org/10.1186/s12889-019-6711-7

Husri, H., Fadli, F., Sari, E.K., Hastuty, D., 2025. Faktor yang Mempengaruhi Masalah Mental Emosional Remaja di SMP Negeri 9 Palopo Tahun 2025. Jurnal Ilmiah Kesehatan Diagnosis 20(1), 43–58. https://ojs.institutnh.ac.id/index.php/jikd/article/view/2521

Indrasti, O.D., Handayani, O.W.K., Putriningtyas, N.D., 2022. Indonesian Journal of Public Health and Nutrition. 2(2), 215–221.

Indriastuti, D., Caturini, E., Insiyah, I., 2024. Edukasi Manajemen Stres terhadap Kesehatan Mental Remaja dalam Pembelajaran Online di Masa Pandemi. Jurnal Empathy Pengabdian Kepada Masyarakat 4(1), 50–57. https://jurnalempathy.com/index.php/jurnalempathy/article/view/367

Isni, K., Nurfatonah, W.Y., Nisa, K., Rachmayanti, R.D., Qomariyah, N., Hasmalawati, N., 2025. Overview of Adolescents Mental Health Status during the COVID-19 Pandemic in Indonesia: A Cross-Sectional Study. Journal of Public Health Research and Community Health Development 9(1), 1–11. https://doi.org/10.20473/jphrecode.v9i1.52152

Kidwell, K.M., Purtill, J.R., Decker, K., Howart, T., Doland, F., Zeller, M.H., 2022. Stress and Eating Responses in Adolescent Females Predisposed to Obesity: A Pilot and Feasibility Study. Appetite 179, 106308. https://doi.org/10.1016/j.appet.2022.106308

Lam, P.H., Chen, E., Jiang, T., Moon, H., Passarelli, V., Kim, J., Miller, G.E., 2024. Responsive Parental Support Buffers the Link Between Chronic Stress and Cardiometabolic Risk Among Adolescents. Brain, Behavior, and Immunity 116, 114–123. https://doi.org/10.1016/j.bbi.2023.11.027

Lestari, S.I., Sarbini, D., 2025. Hubungan Konsumsi Fast Food dan Durasi Screen Time dengan Risiko Sindrom Metabolik pada Remaja SMA Batik 1 Surakarta. Syifa’ Medika Jurnal Kedokteran dan Kesehatan 15(2), 10–19. https://jurnal.um-palembang.ac.id/syifamedika/article/view/9477

Li, M.K., Patel, B.P., Strom, M., Hamilton, J.K., 2023, Investigating Resilience and its Association with Stress, Anthropometrics, and Metabolic Health in Adolescents with Obesity: A Pilot Study. Psychology, Health & Medicine 28(7), 1997–2006. Https://Doi.Org/10.1080/13548506.2022.2059094

Liu, L., Zhang, T., Xie, X., 2023. Negative Life Events and Procrastination Among Adolescents: The Roles of Negative Emotions and Rumination, As Well As The Potential Gender Differences. Behavioral Sciences 13(2), 1-15. Https://Doi.Org/10.3390/Bs13020176

Liyanovitasari, L., Lestari, P., Setyoningrum, U., 2024. Screening dan Manajemen Stres sebagai Upaya Peningkatan Kesehatan Mental Remaja. Indonesian Journal of Community Empowerment 6(1), 23–29. https://jurnal.unw.ac.id/index.php/IJCE/article/view/3137

Lou, H., Chen, J., Liu, P., 2023. The Impact of Adolescents’ Health Motivation on the Relationship Among Mental Stress, Physical Exercise, and Stress Symptoms During COVID-19: A Dual Moderation Model. Frontiers in Public Health 11, 1-12. https://doi.org/10.3389/fpubh.2023.1164184

Masthura, S., Satria, B., Maulina, M., 2025. Hubungan Tingkat Stres dengan Durasi Waktu Bermain Gim Online pada Remaja di Sekolah Menengah Atas Kota Banda Aceh. Indonesian Journal of Professional Nursing 5(2), 150–158. https://doi.org/10.30587/ijpn.v5i2.9088

Mastorci, F., Lazzeri, M.F.L., Vassalle, C., Pingitore, A., 2024. The Transition from Childhood to Adolescence: Between Health and Vulnerability. Children 11(8), 1-15. https://doi.org/10.3390/children11080989

Ningsih, O.S., Efendy, F., Dewi, Y.S., Murti, F.A.K., Chan, C.M., 2026. Prevalence and Factors Associated with Metabolic Syndrome Risk in Indonesian Adolescents and Young Adults: A Cross-Sectional Study. Journal of Pediatric Nursing 87, 227–235. https://doi.org/10.1016/j.pedn.2026.01.017

Noubiap, J.J., Nansseu, J.R., Yimagou, E.L., Nkeck, J.R., Nyaga, U.F., Ngouo, A.T., 2022. Global, Regional, and Country Estimates of Metabolic Syndrome Burden in Children and Adolescents in 2020: A Systematic Review and Modelling Analysis. The Lancet Child & Adolescent Health 6(3), 158-170. https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(21)00374-6/abstract

Nursadrina, C., Rahmayanti, K., Sofia, M., Herawati, H., Asyura, A., Pardi, P., 2025. Pengaruh Stres terhadap Kesehatan Mental dan Fisik: Tinjauan Psikologi Klinis. Journal of Healthcare Technology and Medicine 11(1), 701–705. https://jurnal.uui.ac.id/index.php/JHTM/article/view/5288

Ortega-Pacheco, D., Rosales-Gomez, R.C., Garcia-Cobian, T.A., Chaver, L.A., Rubio, A.A., Ramirez, J.H., 2025. Metabolic Syndrome Prevalence and Its Components in Adolescents from Western Mexico. Pediatric Reports 17(4), 1-12. Https://Doi.Org/10.3390/Pediatric17040083

Rahayu, B.A., Agustina, A., Maulana, N., Maria, D.Y., 2024. Program Manajemen Stress Berfokus pada Masalah, Emosi dan Religious Coping dalam Meningkatkan Kesehatan Mental Remaja. Jurnal Pengabdian Kepada Masyarakat 3(1), 14–23.

Ramírez-Garza, S.L., Santos, E., Moreno, J.J., Bodega, P., Gandoy, A., Miguel, M., Beneit, G.S., Alvira, J.M., 2023. Metabolic Syndrome, Adiposity, Diet, and Emotional Eating Are Associated with Oxidative Stress in Adolescents. Frontiers in Nutrition 10, 1-11. Https://Doi.Org/10.3389/Fnut.2023.1216445

Rodríguez-Rivas, M.E., Alfaro, J., Benavente, M., Varela, J.J., Melipilan, R., Reyes, F., 2023. The Negative Association of Perceived Stress with Adolescents’ Life Satisfaction During The Pandemic Period: The Moderating Role of School Community Support. Heliyon 9(4), 1-12. Https://Doi.Org/10.1016/J.Heliyon.2023.E15001

Roy, S.K., Jahan, K., Alam, N., Rois, R., Ferdaus, A., Israt, S., Karim, M.R., 2021. Perceived Stress, Eating Behavior, and Overweight and Obesity Among Urban Adolescents. Journal of Health, Population and Nutrition 40(54), 1-20. Https://Doi.Org/10.1186/S41043-021-00279-2

Sahi, R.S., Eisenberger, N.I., Silvers, J.A., 2023. Peer Facilitation of Emotion Regulation in Adolescence. Developmental Cognitive Neuroscience 62, 1-10. Https://Doi.Org/10.1016/J.Dcn.2023.101262

Salshabila, J.A., Apriliyani, I., Triana, N.Y., 2025. Implementasi Terapi Guided Imagery sebagai Upaya Mengurangi Stres Remaja Menjelang Ujian Sekolah. Jurnal Pengabdian Masyarakat 5(5), 777–783. https://journal.inspira.or.id/index.php/kolaborasi/article/view/647

Santoso, E., Adiansyah, T., 2026. Hubungan Stres Akademik dengan Kesehatan Mental Remaja. Jurnal Abdi Kesehatan dan Kedokteran 5(1), 234–254. Https://Doi.Org/10.55018/Jakk.V5i1.152

Sarjita, S., Prayitno, D., Cahyono, E., Ranto, D.W.P., 2024. Manajemen Waktu dan Stres bagi Siswa SMU/K untuk Menghadapi Ujian dan Transisi Ke Dunia Dewasa. Jurnal Pengabdian Kepada Masyarakat Abdimas 1(2), 49–52.

Septiansyah, D.A., Wuryaningsih, E.W., Deviantony, F., 2023. Relationship Between National Health Insurance Ownership and Compliance with Access to Health Services for Patients with Severe Mental Disorders (PSMD) “Pasung” in Blitar Regency, Indonesia. Journal of Community Empowerment for Health 6(3), 1-22. Https://Doi.Org/10.22146/Jcoemph.66649

Septiansyah., D.A., Windarwati., H.D., Hariyanti, T., 2025. Psikoterapi sebagai Intervensi Peningkatan Perkembangan Emosi Remaja: A Systematic Review Jurnal Keperawatan 17(2), 427–440. https://garuda.kemdiktisaintek.go.id/documents/detail/4762631

Septiansyah, D.A., Windarwati, H.D., Hariyanti, T., Lestari, R., 2025. Stress Management to Improve Academic Self-Efficacy Among Undergraduate Students: A Scoping Review. Jurnal Ners dan Kebidanan Indonesia 13(2), 179–198. Https://Doi.Org/10.21927/Jnki.2025.13(2).179-198

Shah, N.M., Aghmohammadi, N., Thangiah, N., Ng, A.K., Majid, H.A., 2023. Association Between Stress and Eating Behaviour Among Malaysian Adolescents Prior to Examination. Scientific Reports 13(1), 1-9. https://doi.org/10.1038/s41598-023-34699-3

Singh, S., Srinivas, S., Sundaram, T., Chockaligam, A., 2024. Adolescent Obesity and Mental Health: Narrative Review of Modulation Factors. International Journal of Noncommunicable Diseases 9(3), 102-108. https://doi.org/10.4103/jncd.jncd_36_24

Sisk, L.M., Gee, D.G., 2022. Stress and Adolescence: Vulnerability and Opportunity During A Sensitive Window of Development. Current Opinion in Psychology 44, 286–292.Https://Doi.Org/10.1016/J.Copsyc.2021.10.005

Tobing, D.L., Adyani, S.A.M., Wahyudi, C.T., Pebriyanti, R.C., Nurrizki, A., Nabila, F., Hijriah, F., Ansar, N.A., 2023. Peningkatan Pengetahuan dan Cara Manajemen Stres pada Remaja Karang Taruna di RW 06 Kelurahan Limo, Depok. Jurnal Pengabdian Kepada Masyarakat 4(2), 982-993. Https://Doi.Org/10.46576/Rjpkm.V4i2.2893

Villasis-Keever, M.A., Zurita-Cruz, J.N., Pichardo-Estrada, A.Z., Mazon-Aguirre, W.A., 2025. The Relationship Between Anxiety and Cardiometabolic Risk Factors in Adolescents with Obesity: Propensity Scores. Frontiers in Endocrinology 16, 1-19. Https://Doi.Org/10.3389/Fendo.2025.1477006

Wahdi, A.E., Wilopo, S.A. Erskine, H.E., 2024. The Prevalence of Adolescent Mental Disorders in Indonesia: An Analysis of Indonesia National Mental Health Survey (I-NAMHS). Journal of Adolescent Health 72(3), S70. https://doi.org/10.1016/j.jadohealth.2022.11.143

Wardana, M.A.J.I., Raya, N.A.J., Antari, G.A.A., Yanti, N.P.E.D., 2025. Gambaran Pengetahuan, Sikap, dan Perilaku tentang Pencegahan HIV-AIDS pada Siswa SMK Kesehatan. Community of Publishing in Nursing 13(5), 647–652. https://garuda.kemdiktisaintek.go.id/documents/detail/5969556

Wentzel, A., Mabhida, S.E., Ndlovu, M., Mokoena, H., Sekgala, M., 2025. Prevalence of Metabolic Syndrome in Children and Adolescents with Obesity: A Systematic Review and Meta-Analysis. Obesity 33(1), 12–32. Https://Doi.Org/10.1002/Oby.24159

Wilson, D.P., Shah, A.S., 2025. Metabolic Syndrome in Youth - A Fresh Look at an Old Problem. Journal of Clinical Lipidology 19(4), 4–14. Https://Doi.Org/10.1016/J.Jacl.2025.03.005

[WHO] World Health Organization., 2025. Mental Health of Adolescents. World Health Organization, Geneva.

Zhang, J., Zhang, W.Z., 2025. Stress-Induced Metabolic Disorders: Mechanisms, Pathologies, and Prospects. Preprints, 1-12. https://doi.org/10.20944/preprints202504.1086.v2

Downloads

Published

2026-06-30

How to Cite

Septiansyah, D. A., & Dewanti, N. (2026). Stress Management for the Prevention of Metabolic Diseases in Adolescents. Jurnal Abmas Negeri (JAGRI), 7(1), 27–39. https://doi.org/10.36590/jagri.v7i1.2003