Obesogenic lifestyles and sustainable health: The role of nursing in advancing environmentally responsible behaviors

Authors

  • Assyfa Siti Rohmah Faculty of Nursing, Universitas Indonesia, Depok, West Java 16424, Indonesia

Keywords:

eco-friendly behaviors, environmental sustainability, obesogenic behaviors

Abstract

Background: The health behaviors of Indonesians still tend to be obesogenic, which negatively affects both health and environmental sustainability. This study aims to analyze obesogenic behaviors among Indonesians within an ecological and environmentally behaviors framework, as well as to explore the role of nurses in promoting sustainable health. Methods: This study employed a quantitative descriptive analysis using secondary data from Book 3B of the Indonesian Family Survey Wave 5 (IFLS-5). Findings: Most respondents were adults (79.5%), female (52.3%), and married (71.1%). Only 22% of respondents engaged in vigorous physical activity, while walking was the most common activity (69.8%), but with a short daily duration. Dietary pattern showed a high frequency of obesogenic food consumption, such as fried foods (57.1%) and sweet foods (56.5%), whereas fruit consumption was relatively low (24.3%). Additionally, 21.8% of respondents sometimes experienced sleep disturbances, and 9.7% rated their sleep quality as poor. These findings indicate the influence of social and environmental factors that shape obesogenic behaviors and contribute to increased carbon emissions and food waste. Conclusion: The health behaviors of the Indonesian population need to be strengthened through an ecological approach and education that promotes environmentally sustainable behaviors. Nurses play a strategic role as educators and advocates in integrating health with environmental sustainability. Novelty/Originality of this Article: This article integrates Bronfenbrenner’s ecological theory into the analysis of health behaviors and connects it to issues of environmental sustainability, highlighting the role of nurses as agents of change in promoting healthy and environmentally sustainable behaviors.

References

Agyapong-Opoku, F., Agyapong-Opoku, N., & Agyapong, B. (2025). Examining the Effects of Sleep Deprivation on Decision-Making: A Scoping Review. Behavioral Sciences, 15(6), 823. https://doi.org/10.3390/bs15060823

Alexandropoulou, I., Goulis, D. G., Merou, T., Vassilakou, T., Bogdanos, D. P., & Grammatikopoulou, M. G. (2022, August). Basics of sustainable diets and tools for assessing dietary sustainability: a primer for researchers and policy actors. In Healthcare (Vol. 10, No. 9, p. 1668). MDPI. https://doi.org/10.3390/healthcare10091668

Alfian, S. D., Thurfah, J. N., Griselda, M., & Puspitasari, I. M. (2024). Sleep Disturbances and Depression Levels among General Indonesian Population: A National Survey. Clinical Practice & Epidemiology in Mental Health, 20(1). https://doi.org/10.2174/0117450179326359240903045716

Althoff, T., Ivanovic, B., King, A. C., Hicks, J. L., Delp, S. L., & Leskovec, J. (2025). Countrywide natural experiment links built environment to physical activity. Nature, 645(8080), 407–413. https://doi.org/10.1038/s41586-025-09321-3

Amelia, V. L., Jen, H.-J., Lee, T.-Y., Chang, L.-F., & Chung, M.-H. (2022). Comparison of the Associations between Self-Reported Sleep Quality and Sleep Duration Concerning the Risk of Depression: A Nationwide Population-Based Study in Indonesia. International Journal of Environmental Research and Public Health, 19(21), 14273. https://doi.org/10.3390/ijerph192114273

Appolloni, L., Corazza, M. V., & D’Alessandro, D. (2025). Improving Walkability for Sustainable Mobility and Urban Regeneration in Rome. Transportation Research Procedia, 90, 21–26. https://doi.org/10.1016/j.trpro.2025.06.028

Arrieta, E. M., & Aguiar, S. (2023). Healthy diets for sustainable food systems: a narrative review. Environmental Science: Advances, 2(5), 684-694. https://doi.org/10.1039/D2VA00214K

Arshad, A. R., Khan, M. H., Hasan, F., Khan, S., Ijaz, F., & Aftab, R. (2021). Quality of sleep and sleep disorders among medical students at a private medical college in Lahore, Pakistan. Adv Biores, 12(1), 1-8. https://doi.org/10.15515/abr.0976-4585.12.1.3642

Artime, E., Zimner-Rapuch, S., Chen, R., Ji, Q., Tatsuno, I., Newson, R. S., Shingaki, T., Si, S., Kewley, R., Riley, S., & Khare, S. (2025). Clinical and Humanistic Burden of Adult Obesity in Asia–Pacific: A Systematic Literature Review. Advances in Therapy, 42(10), 4741–4767. https://doi.org/10.1007/s12325-025-03324-2

Badan Pangan Nasional. (n.d.). Gerakan Penganekaragaman Konsumsi Pangan Beragam, Bergizi Seimbang dan AMAN (B2SA). Badan Pangan Nasional. https://badanpangan.go.id/wiki/gerakan-penganekaragaman-konsumsi-pangan-beragam-bergizi-seimbang-dan-aman-b2sa

Baobeid, A., Koç, M., & Al-Ghamdi, S. G. (2021). Walkability and Its Relationships With Health, Sustainability, and Livability: Elements of Physical Environment and Evaluation Frameworks. Frontiers in Built Environment, 7. https://doi.org/10.3389/fbuil.2021.721218

Billings, M. E., Hale, L., & Johnson, D. A. (2020). Physical and social environment relationship with sleep health and disorders. Chest, 157(5), 1304-1312. https://doi.org/10.1016/j.chest.2019.12.002

Brand, M. W., Quesnel Seipp, K., Saksa, P., Ulibarri, N., Bomblies, A., Mandle, L., ... & Gibbons, J. P. (2021). Environmental Impact Bonds: a common framework and looking ahead. Environmental Research: Infrastructure and Sustainability, 1(2), 023001. https://doi.org/10.1088/2634-4505/ac0b2c

Bronfenbrenner, U. (1979). The Ecology of Human Development : Experiments by Nature and Design. Harvard University Press.

Clark, M., Macdiarmid, J., Jones, A. D., Ranganathan, J., Herrero, M., & Fanzo, J. (2020). The Role of Healthy Diets in Environmentally Sustainable Food Systems. Food and Nutrition Bulletin, 41(2_suppl). https://doi.org/10.1177/0379572120953734

Curran, F., Davis, M. E., Murphy, K., Tersigni, N., King, A., Ngo, N., & O’Donoghue, G. (2023). Correlates of physical activity and sedentary behavior in adults living with overweight and obesity: A systematic review. In Obesity Reviews (Vol. 24, Issue 11). John Wiley and Sons Inc. https://doi.org/10.1111/obr.13615

de Souza Dias, M., & de Andrade, M. J. O. (2025). Influence of professional experience and work schedule on sleep quality. Revista Brasileira de Medicina do Trabalho, 23(2), e20251428. https://doi.org/10.47626/1679-4435-2025-1428

Dénos, C., Vandevijvere, S., Boone, L., Cooreman-Algoed, M., De Bauw, M., Achten, W. M. J., & Dewulf, J. (2024). Contribution of ultra-processed food and animal-plant protein intake ratio to the environmental impact of Belgian diets. Sustainable Production and Consumption, 51, 584–598. https://doi.org/10.1016/j.spc.2024.10.008

Ebrahim Elshall, S., Samir Darwish, S., & Mohamed Shokry, W. (2022). The Effectiveness of Educational Interventions about Sustainability Development among Nursing Students. Egyptian Journal of Health Care, 13(1), 294–310. https://doi.org/10.21608/ejhc.2022.216641

Gapińska, I., Kostrzeba, E., Ratajczak, J., Horodnicka-Józwa, A., Raducha, D., Jackowski, T., Walczak, M., & Petriczko, E. (2024). Assessing Overweight, Obesity, and Related Risk Factors in 8–9-Year-Old Children in Szczecin, Poland. Journal of Clinical Medicine, 13(23), 7478. https://doi.org/10.3390/jcm13237478

García, S., Pastor, R., Monserrat-Mesquida, M., Álvarez-Álvarez, L., Rubín-García, M., Martínez-González, M. Á., Salas-Salvadó, J., Corella, D., Fitó, M., Martínez, J. A., Tojal-Sierra, L., Wärnberg, J., Vioque, J., Romaguera, D., López-Miranda, J., Estruch, R., Tinahones, F. J., Santos-Lozano, J. M., Serra-Majem, L., … Bouzas, C. (2023). Ultra-processed foods consumption as a promoting factor of greenhouse gas emissions, water, energy, and land use: A longitudinal assessment. Science of The Total Environment, 891, 164417. https://doi.org/10.1016/j.scitotenv.2023.164417

Gaupholm, J., Papadopoulos, A., Asif, A., Dodd, W., & Little, M. (2023). The influence of food environments on dietary behaviour and nutrition in Southeast Asia: A systematic scoping review. Nutrition and Health, 29(2), 231-253. https://doi.org/10.1177/02601060221112810

Glauberman, G., Bray, M., & Freeman, K. (2023). Planetary health and nursing: a call to action. Hawai'i Journal of Health & Social Welfare, 82(5), 120. https://pmc.ncbi.nlm.nih.gov/articles/PMC10161399/

Granheim, S. I., Løvhaug, A. L., Terragni, L., Torheim, L. E., & Thurston, M. (2022). Mapping the digital food environment: a systematic scoping review. Obesity reviews, 23(1), e13356. https://doi.org/10.1111/obr.13356

Hale, L., Troxel, W., & Buysse, D. J. (2020). Sleep health: an opportunity for public health to address health equity. Annual review of public health, 41, 81-99. https://doi.org/10.1146/annurev-publhealth-040119-094412

Hecker, J., Freijer, K., Hiligsmann, M., & Evers, S. M. A. A. (2022). Burden of disease study of overweight and obesity; the societal impact in terms of cost-of-illness and health-related quality of life. BMC Public Health, 22(1), 46. https://doi.org/10.1186/s12889-021-12449-2

Howell, N. A., & Booth, G. L. (2022). The Weight of Place: Built Environment Correlates of Obesity and Diabetes. Endocrine Reviews, 43(6), 966–983. https://doi.org/10.1210/endrev/bnac005

İlaslan, N., & Şahin Orak, N. (2025). Sustainable healthcare education using cooperative simulation in developing nursing students’ knowledge, attitude and skills: A randomized controlled study. Nurse Education Today, 151, 106706. https://doi.org/10.1016/j.nedt.2025.106706

International Council of Nurses. (2021). The ICN Code of Ethics for Nurses. International Council of Nurses. https://www.icn.ch/sites/default/files/2025-10/ICN_Code-of-Ethics_EN_Web.pdf

Jalilzadeh, M., & Goharinezhad, S. (2025). Exploring the multifaceted factors influencing overweight and obesity: a scoping review. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1540756

Jayasinghe, S., Byrne, N. M., & Hills, A. P. (2025). Cultural influences on dietary choices. Progress in Cardiovascular Diseases, 90, 22–26. https://doi.org/10.1016/j.pcad.2025.02.003

Karim, K., Trower, S., & Segre, L. S. (2024). The use of a nursing implementation framework to enhance the uptake of an evidence‐based intervention. Worldviews on Evidence-Based Nursing, 21(6), 644–651. https://doi.org/10.1111/wvn.12755

Kementerian Kesehatan Republik Indonesia. (2022). Isi Piringku: Pedoman Makan Kekinian Orang Indonesia.

Kementerian Kesehatan Republik Indonesia. (2024a). Profil Kesehatan Indonesia 2023.

Kementerian Kesehatan Republik Indonesia. (2024b). Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka.

Kementerian Kesehatan Republik Indonesia. (2025). Profil Kesehatan Indonesia 2024.

Kenney, E., Rampalli, K. K., Samin, S., Frongillo, E. A., Reyes, L. I., Bhandari, S., Boncyk, M., Nordhagen, S., Walls, H., Wertheim-Heck, S., Ickowitz, A., Cunningham, S. A., Ambikapathi, R., Ekesa, B., Matita, M., & Blake, C. E. (2024). How Livelihood Change Affects Food Choice Behaviors in Low- and Middle-Income Countries: A Scoping Review. Advances in Nutrition, 15(5), 100203. https://doi.org/10.1016/j.advnut.2024.100203

Keramat, S. A., Alam, K., Basri, R., Siddika, F., Siddiqui, Z. H., Okyere, J., Seidu, A.-A., & Ahinkorah, B. O. (2023). Sleep duration, sleep quality and the risk of being obese: Evidence from the Australian panel survey. Sleep Medicine, 109, 56–64. https://doi.org/10.1016/j.sleep.2023.06.012

Koch, C. A., Sharda, P., Patel, J., Gubbi, S., Bansal, R., & Bartel, M. J. (2021). Climate Change and Obesity. Hormone and Metabolic Research, 53(09), 575–587. https://doi.org/10.1055/a-1533-2861

Koh, Y. S., Asharani, P. V., Devi, F., Roystonn, K., Wang, P., Vaingankar, J. A., Abdin, E., Sum, C. F., Lee, E. S., Müller-Riemenschneider, F., Chong, S. A., & Subramaniam, M. (2022). A cross-sectional study on the perceived barriers to physical activity and their associations with domain-specific physical activity and sedentary behaviour. BMC Public Health, 22(1). https://doi.org/10.1186/s12889-022-13431-2

Lan, X., & Sulaiman, N. (2024). Public Policies on Obesity: A Literature Review of Global Challenges and Response Strategies. Cureus. https://doi.org/10.7759/cureus.62758

Li, A., Luo, H., Zhu, Y., Zhang, Z., Liu, B., Kan, H., ... & Chen, R. (2025). Climate warming may undermine sleep duration and quality in repeated-measure study of 23 million records. Nature Communications, 16(1), 2609. https://doi.org/10.1038/s41467-025-57781-y

Liyanapathirana, N. N., Grech, A., Li, M., Malik, A., Ribeiro, R., Burykin, T., ... & Raubenheimer, D. (2023). Nutritional, environmental and economic impacts of ultra-processed food consumption in Australia. Public Health Nutrition, 26(12), 3359-3369. https://doi.org/10.1017/S136898002300232X

Lorenzo, E., Szeszulski, J., Shin, C. N., Todd, M., & Lee, R. E. (2020). Relationship between walking for active transportation and cardiometabolic health among adults: A systematic review. Journal of transport & health, 19, 100927. https://doi.org/10.1016/j.jth.2020.100927

Lotfata, A., & Georganos, S. (2024). Spatial machine learning for predicting physical inactivity prevalence from socioecological determinants in Chicago, Illinois, USA. Journal of Geographical Systems, 26(4), 461–481. https://doi.org/10.1007/s10109-023-00415-y

Lowe, C., Kelly, M., Sarma, H., Richardson, A., Kurscheid, J. M., Laksono, B., Amaral, S., Stewart, D., & Gray, D. J. (2021). The double burden of malnutrition and dietary patterns in rural Central Java, Indonesia. The Lancet Regional Health - Western Pacific, 14. https://doi.org/10.1016/j.lanwpc.2021.100205

Lubis, L., Rahmaniar, T., & Oktavia, N. (2023). Physical Activity Profile Based On Global Physical Activity Questionnaire (GPAQ) For Mining Workers. Indonesian Journal of Public Health, 18(3), 481–492. https://doi.org/10.20473/Ijph.v18i3.2023.481-492

Mambrini, S. P., Menichetti, F., Ravella, S., Pellizzari, M., De Amicis, R., Foppiani, A., Battezzati, A., Bertoli, S., & Leone, A. (2023). Ultra-Processed Food Consumption and Incidence of Obesity and Cardiometabolic Risk Factors in Adults: A Systematic Review of Prospective Studies. Nutrients, 15(11), 2583. https://doi.org/10.3390/nu15112583

Mizdrak, A., Tatah, L., Mueller, N., Shaw, C., & Woodcock, J. (2023). Assessing the health impacts of changes in active transport: an updated systematic review. Journal of transport & health, 33, 101702. https://doi.org/10.1016/j.jth.2023.101702

Mouratidis, K. (2025). Reducing car dependence: benefits, strategies, unintended consequences, and future directions of post-car urban transitions. Planning Practice & Research, 40(4), 889–910. https://doi.org/10.1080/02697459.2025.2507325

Muñoz-Urtubia, N., Vega-Muñoz, A., Salazar-Sepúlveda, G., Contreras-Barraza, N., Mendoza-Muñoz, M., Ureta-Paredes, W., & Carabantes-Silva, R. (2024). Relationship between body composition and physical literacy in Chilean children (10 to 16 years): An assessment using CAPL-2. Journal of Clinical Medicine, 13(23), 7027. https://doi.org/10.3390/jcm13237027

Niswah, I., Rah, J. H., & Roshita, A. (2021). The Association of Body Image Perception With Dietary and Physical Activity Behaviors Among Adolescents in Indonesia. Food and Nutrition Bulletin, 42(1_suppl), S109–S121. https://doi.org/10.1177/0379572120977452

Nurhasan, M., Ariesta, D. L., Utami, M. M. H., Fahim, M., Aprillyana, N., Maulana, A. M., & Ickowitz, A. (2024). Dietary transitions in Indonesia: the case of urban, rural, and forested areas. Food Security, 16(6), 1313–1331. https://doi.org/10.1007/s12571-024-01488-3

Northcott, T., Lawrence, M., Parker, C., & Baker, P. (2023). Ecological regulation for healthy and sustainable food systems: responding to the global rise of ultra-processed foods. Agriculture and Human Values, 40(3), 1333-1358. https://doi.org/10.1007/s10460-022-10412-4

Othman, A. A., Abdelall, H. A., & Ali, H. I. (2025). Enhancing nurses’ sustainability consciousness and its effect on green behavior intention and green advocacy: quasi-experimental study. BMC Nursing, 24(1), 475. https://doi.org/10.1186/s12912-025-02987-0

Papatriantafyllou, E., Efthymiou, D., Zoumbaneas, E., Popescu, C. A., & Vassilopoulou, E. (2022). Sleep Deprivation: Effects on Weight Loss and Weight Loss Maintenance. Nutrients, 14(8). https://doi.org/10.3390/nu14081549

Peng, S., Yuan, F., Othman, A. T., Zhou, X., Shen, G., & Liang, J. (2022). The Effectiveness of E-Health Interventions Promoting Physical Activity and Reducing Sedentary Behavior in College Students: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, 20(1), 318. https://doi.org/10.3390/ijerph20010318

Philippens, N., Janssen, E., Kremers, S., & Crutzen, R. (2022). Determinants of natural adult sleep: An umbrella review. PLoS One, 17(11), e0277323. https://doi.org/10.1371/journal.pone.0277323

Pineda, E., Stockton, J., Scholes, S., Lassale, C., & Mindell, J. S. (2024). Food environment and obesity: a systematic review and meta-analysis. BMJ Nutrition, Prevention & Health, 7(1), 204–211. https://doi.org/10.1136/bmjnph-2023-000663

Potter, T. (2021). Planetary health: Systems perspectives and impact of climate and environmental change on human and global health. In Handbook of global health (pp. 2293-2311). Cham: Springer International Publishing.

Qanash, S., Alwafi, H., Barasheed, S., Bashnaini, S., Andergiri, R., Yaghmour, L., ... & Alsywid, B. (2021). Impact of night shifts on sleeping patterns, psychosocial and physical well-being among healthcare professionals: a cross-sectional study in a tertiary hospital in Saudi Arabia. BMJ open, 11(9), e046036. https://doi.org/10.1136/bmjopen-2020-046036

Rey-Brandariz, J., Rial-Vázquez, J., Varela-Lema, L., Santiago-Pérez, M. I., Candal-Pedreira, C., Guerra-Tort, C., Ruano-Ravina, A., & Pérez-Ríos, M. (2023). Sedentary behavior and physical inactivity from a comprehensive perspective. Gaceta Sanitaria, 37. https://doi.org/10.1016/j.gaceta.2023.102352

Sallis, J. F., Cerin, E., Conway, T. L., Adams, M. A., Frank, L. D., Pratt, M., ... & Owen, N. (2016). Physical activity in relation to urban environments in 14 cities worldwide: a cross-sectional study. The lancet, 387(10034), 2207-2217. https://doi.org/10.1016/S0140-6736(15)01284-2

Samsury, S. F., Shafei, M. N., Ibrahim, M. I., Wan Mansor, W. N. A., & Mahmud, N. (2025). Factors influencing the success of targeted weight loss in healthcare providers with overweight and obesity after a six-month weight reduction intervention program. PLOS One, 20(8), e0330018. https://doi.org/10.1371/journal.pone.0330018

Scapin, T., Romaniuk, H., Feeley, A., Corrêa, K. P., Kupka, R., Gomez-Donoso, C., Orellana, L., Gupta, A., Sacks, G., & Cameron, A. J. (2025). Global food retail environments are increasingly dominated by large chains and linked to the rising prevalence of obesity. Nature Food, 6(3), 283–295. https://doi.org/10.1038/s43016-025-01134-x

Scheen, A. (2025). Obesity and global warming: A two-way relationship? Annales d’Endocrinologie, 86(3). https://doi.org/10.1016/j.ando.2025.101783

Shaw, D., Abad, R., Amin-Chowdhury, Z., Bautista, A., Bennett, D., Broughton, K., ... & Brueggemann, A. B. (2023). Trends in invasive bacterial diseases during the first 2 years of the COVID-19 pandemic: analyses of prospective surveillance data from 30 countries and territories in the IRIS Consortium. The Lancet Digital Health, 5(9), e582-e593. https://doi.org/10.1016/S2589-7500(23)00108-5

Shrestha, R., Adhikari, T. B., Khatri, B., Neupane, D., Paudel, S., Nielsen, R. Ø., ... & Kallestrup, P. (2025). Community-based promotion of physical activity in Nepal: study protocol for a cluster-randomized controlled trial. Trials, 26(1), 170. https://doi.org/10.1186/s13063-025-08885-9

Silveira, E. A., Mendonça, C. R., Delpino, F. M., Elias Souza, G. V., Pereira de Souza Rosa, L., de Oliveira, C., & Noll, M. (2022). Sedentary behavior, physical inactivity, abdominal obesity and obesity in adults and older adults: A systematic review and meta-analysis. Clinical Nutrition ESPEN, 50, 63–73. https://doi.org/10.1016/j.clnesp.2022.06.001

Swinburn, B., Egger, G., & Raza, F. (1999). Dissecting Obesogenic Environments: The Development and Application of a Framework for Identifying and Prioritizing Environmental Interventions for Obesity 1. In Preventive Medicine (Vol. 29). http://www.idealibrary.comon

Syauqy, A., Permatasari, Z. A., Mattarahmawati, S. A., Ernawati, F., Pramono, A., Tsani, A. F. A., Fitranti, D. Y., Candra, A., & Ardiaria, M. (2025). Urban-rural differences in food consumption and central obesity among middle-aged adults: A cross-sectional population study in Indonesia. Nutrition and Health, 31(3), 1195–1204. https://doi.org/10.1177/02601060241283615

Timkova, V., Mikula, P., & Nagyova, I. (2025). Psychosocial distress in people with overweight and obesity: the role of weight stigma and social support. Frontiers in Psychology, 15. https://doi.org/10.3389/fpsyg.2024.1474844

Tutiany, T., Azzah, G. A., & Maulana, H. (2022). Physical activity and the incidence of hypertensive heart disease in patients at Indonesia Hospital in 2022. International Journal of Medical Sciences and Pharma Research, 8(4), 16–21. https://doi.org/10.22270/ijmspr.v8i4.59

Vandenberg, L. N., Pierce, E. J., & Arsenault, R. M. (2025). Pesticides, an urgent challenge to global environmental health and planetary boundaries. Frontiers in toxicology, 7, 1656297. https://doi.org/10.3389/ftox.2025.1656297

Vellinga, R. E., van den Boomgaard, I., M.A. Boer, J., van der Schouw, Y. T., Harbers, M. C., Verschuren, W. M. M., van ’t Veer, P., H.M. Temme, E., & Biesbroek, S. (2023). Different Levels of Ultraprocessed Food and Beverage Consumption and Associations with Environmental Sustainability and All-cause Mortality in EPIC-NL. The American Journal of Clinical Nutrition, 118(1), 103–113. https://doi.org/10.1016/j.ajcnut.2023.05.021

Wang, M. L., Narcisse, M., & McElfish, P. A. (2023). Higher walkability associated with increased physical activity and reduced obesity among United States adults. Obesity, 31(2), 553–564. https://doi.org/10.1002/oby.23634

Westbury, S., Oyebode, O., van Rens, T., & Barber, T. M. (2023). Obesity Stigma: Causes, Consequences, and Potential Solutions. Current Obesity Reports, 12(1), 10–23. https://doi.org/10.1007/s13679-023-00495-3

Westenhöfer, J., Nouri, E., Reschke, M. L., Seebach, F., & Buchcik, J. (2023). Walkability and urban built environments—a systematic review of health impact assessments (HIA). BMC Public Health, 23(1), 518. https://doi.org/10.1186/s12889-023-15394-4

World Health Organization. (2025). Obesity and Overweight. https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Xia, T., Zhang, Y., Crabb, S., & Shah, P. (2013). Cobenefits of Replacing Car Trips with Alternative Transportation: A Review of Evidence and Methodological Issues. Journal of Environmental and Public Health, 2013, 1–14. https://doi.org/10.1155/2013/797312

Xiao, T., Pan, M., Xiao, X., & Liu, Y. (2024). The relationship between physical activity and sleep disorders in adolescents: a chain-mediated model of anxiety and mobile phone dependence. BMC psychology, 12(1), 751. https://doi.org/10.1186/s40359-024-02237-z

Xu, Q., Lin, Z., chen, Y., & huang, M. (2025). Association between sleep duration and patterns and obesity: a cross-sectional study of the 2007–2018 national health and nutrition examination survey. BMC Public Health, 25(1), 1460. https://doi.org/10.1186/s12889-025-22433-9

Zhou, P., Ma, J., Li, X., Zhao, Y., Yu, K., Su, R., ... & Wang, G. (2023). The long-term and short-term effects of ambient air pollutants on sleep characteristics in the Chinese population: big data analysis from real world by sleep records of consumer wearable devices. BMC medicine, 21(1), 83. https://doi.org/10.1186/s12916-023-02801-1

Zukowska, J., Gobis, A., Krajewski, P., Morawiak, A., Okraszewska, R., Woods, C. B., ... & Bengoechea, E. G. (2022). Which transport policies increase physical activity of the whole of society? A systematic review. Journal of Transport & Health, 27, 101488. https://doi.org/10.1016/j.jth.2022.101488

Downloads

Published

2026-02-28

How to Cite

Rohmah, A. S. (2026). Obesogenic lifestyles and sustainable health: The role of nursing in advancing environmentally responsible behaviors. Arung: Community Health Insight, 2(1), 34–53. Retrieved from https://journal-iasssf.com/index.php/ARCHI/article/view/3093

Issue

Section

Articles

Citation Check