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RELATIONSHIP INTAKE AND CONSUMPTION PATTERNS VITAMIN A, ZINC AND PROTEINS WITH ARI EVENT AND STATUS IN CHILD NUTRITION Fitriyah, Riska; Mahmudiono, Trias
Media Gizi Indonesia Vol 9, No 1 (2013): Jurnal Ilmiah Media Gizi Indonesia
Publisher : Media Gizi Indonesia

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ABSTRACTMalnutrition can be caused by the lack of food consumption and the presence of infectious disease. Acute Respiratory Infection (ARI) is one of the example. ARI can be prevented by having a healthy consumption pattern and enough consumption of nutrients that can protect the respiratory tract and enhance immunity as well, such as vitamin A, protein and zinc. The purpose of this study was to analyze the association of nutritional status, incidence of ARI during the last 6 months in children at the Arif Rahman Hakim Orphanage Surabaya with the patterns of consumption, intake of vitamin A, protein and zinc. This research was analytic observational study with cross sectional design. Total respondents in this research was 32 children selected using simple random sampling technique. Data were analyzed using chi-square, depend on data scale of each variable. The results showed about 43,8% respondent were early adolescents (10–12 years). Most of them have a normal nutritional status (90.6%). There was no association between nutritional status and the eating habits of the respondents (p = 0.186) but there was an association with the type of snack that was often consumed (p = 0.010). There was an association between nutritional status with the consumption of vitamin A (p = 0.023) and insidence of ARI with the consumption of zinc (p = 0.047) but there was no association between the incidence of ARI protein intake (p = 0.232) with vitamin A intake (p = 0.857). It can be concluded that there is an association between nutritional status and the type of snack that is often consumed and vitamin A. There is also association between insidence of ARI and the consumption of zinc. It is suggested that there should be a sort of control upon the meal time schedule and eating habits of children, so that nutrient intake can be met fullfilled macro and micronutrients to prevent respiratory diseases.Keywords:  nut ritional  status,  incidence  of  AR I, consumption patterns, intake of vitamin A, protein and zinc.  
RELATIONSHIPS DIET, PHYSICAL ACTIVITY, ATTITUDES AND KNOWLEDGE OF OBESITY WITH NUTRITIONAL STATUS OF EMPLOYEES STATE CIVIL SERVICE OFFICE IN EAST JAVA PROVINCIAL HEALTH Dewi, Ade Chintya Nirmala; Mahmudiono, Trias
Media Gizi Indonesia Vol 9, No 1 (2013): Jurnal Ilmiah Media Gizi Indonesia
Publisher : Media Gizi Indonesia

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ABSTRACTObesity has become a global problem worldwide. Obesity caused by imbalance between physical activity and intake of nutrients and energy. Civil Servant is a job that has a low physical activity during the working hours, so the Civil Servant has a high risk for having over nutritional status. The purpose of this research was to analyze the correlation between diet, physical activity, attitudes and knowledge about obesity with nutritional status. This study was an  observational-analytic  study with  cross  sectional design. Total sample were 87 people who selected by proportional simple random sampling technique. Data were analyzed by using correlation tests, different test and chi-square test adjusted for the scale of the variable data. The results showed that there was a correlation between physical activity working and  nutritional status (p = 0.024). There was no  correlation between sports activity (p = 0.768) and other physical activity (p = 0.592) with nutritional status. Knowledge (p = 0.456) and attitudes about obesity (p = 0.989) was not correlated with nutritional status. There was no correlation between energy intake (p = 0.731) and protein intake (p = 0.537) with nutritional status. Factors that could influent the nutritional status were physical activity level and diet. Based on the results, it was suggested for the Civil Servant in the Health Office of East Java Province should increase the physical activity and paid more attention to their nutrient intake, in orderto reach the Nutrient Adequacy Score. Keywords: civil servants, diet, physical activity, attitudes, knowledge, nutritional status
EATING WITH THE MORNING, nutrient consumption level, NUTRITION STATUS AND ANEMIA WITH STUDENT CONCENTRATION POWER Wardoyo, Hanum Aprilia; Mahmudiono, Trias
Media Gizi Indonesia Vol 9, No 1 (2013): Jurnal Ilmiah Media Gizi Indonesia
Publisher : Media Gizi Indonesia

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ABSTRACTSchool age is the period of fast child growth so that children need suficient and balanced nutrition. Nutrition deficiency during school age will cause children to be weak, get tired easily and ailing. Consequently, they are often absent from school and face difficulties to concentrate in their study so that this affect their academic achievement. This cross sectional study was aimed to analyze the association of breakfast habits and nutrient intake with concentration. Sample as many as 74 students of grade 4 and 5 of SDN Wonocatur and SDN Sumberejo I, Kediri District were taken by stratified random sampling. Data were collected through interview using structured questionnaire, 24 hours food recall and food frequency questionnaire. Data were processed with SPSS software, and association among variables was analyzed by using Chi-square test, Fisher’s Exact, Mann Whitney and Spearman correlation. The results showed that most of the respondents had habit of having breakfast (56.8%), low intake of calories (51.4%), carbohydrate (62.2%) protein (66.2%), vitamin C (83.3%) and iron (66.2%). Most of the students had low concentration power (68,9%). This research showed that there was association between breakfast habit and learning concentration (p < 0.01), as well as between calorie (p < 0.05), carbohydrate (p < 0.05), protein (p < 0.05), iron (0.05) and learning concentration. Keywords: breakfast, nutrient intake, concentration
Hubungan Antara Umur, Gravida, Dan Status Bekerja Terhadap Resiko Kurang Energi Kronis (KEK) Dan Anemia Pada Ibu Hamil Rizkah, Zahidatul; Mahmudiono, Trias
Amerta Nutrition Vol 1, No 2 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (736.241 KB) | DOI: 10.20473/amnt.v1i2.2017.72-79

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 Background: Chronic Energy  Deficiency, and Anemia in pregnancy have become two the indirect and major causes of maternal and infant mortality cases in Indonesia. Objectives: The purpose of this study was to determine the effect of age, gestational age, gravida on Chronic Energy Deficiency occurrence and anemia. Methods: . The purpose of this study was to determine the effect of age, gravida, and work status on Chronic Energy Deficiency occurrence and Anemia.Results: The results showed that unemployed mothers had a probability of 0.824 times for Chronic Energy Deficiency compared with working mothers, multigravidal mothers had a probability of 1.021 times for Chronic Energy Deficiency compared with primigravida mothers, and 3,200 times for Chronic Energy Deficiency compared with primigravida mothers. Pregnant women <20 years of age have an anemia risk of 2.250 times compared with age 20-35 years, and age> 35 years have anemia risk 5.885 times greater than the age of 20-35 years. Unhealthy mothers and mothers who have risk of Anemia 1.990 greater than pregnant women who work.Conclusion: The conclusion of this research is that there is influence of work status, primigravida to Chronic Energy Deficiency occurrence, and there is influence of age, working status, and gravida on occurrence Anemia in pregnant mother. Advice for pregnant women is to conduct counseling to health workers on a regular basis and meet the nutritional needs during pregnancy according to the advice of health workers to prevent the occurrence of Chronic Energy Deficiency and anemia during pregnancy.ABSTRAK Latar Belakang: Proporsi ibu hamil dengan KEK di Indonesia berdasarkan Riset Kesehatan Dasar mengalami peningkatan yaitu pada tahun 2010 sebesar 33,5% meningkat menjadi 38,5% pada tahun 2013.  Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui pengaruh umur, gravida, dan status  bekerja  terhadap kejadian KEK dan Anemia pada ibu hamil.  Metode: Penelitian cross-sectional ini melibatkan 153 ibu hamil yang periksa selama bulan Januari-Desember 2014 sebagai sampel. Sampel ini dipilih secara acak dengan menggunakan teknik simple random sampling. Pengaruh antar variabel dianalisis menggunakan uji Logistic Regression (α = 0,05).  Hasil: Hasil penelitian menunjukkan bahwa ibu yang tidak bekerja memiliki kemungkinan 0,824 kali untuk mengalami KEK dibandingkan dengan ibu yang bekerja, ibu multigravida memiliki kemungkinan 1,021 kali untuk mengalami KEK dibandingkan dengan ibu primigravida, dan 3,200 kali untuk mengalami KEK dibandingkan dengan ibu primigravida, . Ibu hamil yang berumur < 20 tahun memiliki resiko mengalami Anemia 2,250 kali dibandingkan dengan umur 20-35 tahun, dan usia > 35 tahun memiliki resiko mengalami Anemia 5,885 kali lebih besar dibandingkan dengan usia 20-35 tahun. Ibu yang tidak bekerja memiliki resiko mengalami Anemia 1,990 lebih besar dibandingkan dengan ibu hamil yang bekerja.Kesimpulan: Kesimpulan dari penelitian ini adalah terdapat pengaruh status bekerja, primigravida terhadap kejadian KEK, dan terdapat pengaruh umur, status bekerja, dan gravida  terhadap kejadian Anemia pada ibu hamil. Saran untuk ibu hamil adalah untuk melakukan konseling kepada petugas kesehatan secara teratur dan memenuhi kebutuhan nutrisinya selama hamil sesuai saran petugas kesehatan untuk mencegah terjadinya KEK dan anemia pada masa kehamilan.
Pola Konsumsi Makanan Sumber Yodium dan Goitrogenik dengan GAKY pada Anak Usia Sekolah di Ponorogo Izati, Imaniar Mahdiya; Mahmudiono, Trias
Amerta Nutrition Vol 1, No 2 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (880.254 KB) | DOI: 10.20473/amnt.v1i2.2017.88-97

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 Background: Iodine deficiency disorders (IDD) is one of nutritional problem in Indonesia. Inadequate intake of iodine and excessive goitrogenic intake is are main cause of IDD. Objectives: This study aimed to determine factors associated with IDD among schoolchildren. Methods: This study was an observational analytic with case control design in Sidoharjo Village, Jambon Sub District, Ponorogo on May 2017. The sample was 62 students from the first – sixth grade of SDN IV Krebet. They are consist of 31 students suffer IDD and 31 students with non IDD measured from goiter palpation. The data was collected by interview using questionnaire, iodine and goitrogenic consumption using FFQ. Data were analyzed by using chi square, fisher exact, spearman correlation and logistic regression. Results: Dietary iodine source that are rarely consumed is seafood (79,03%). Dietary goitrogenic source that are often consumed is tiwul (48,39%). Logistic regression analysis showed that seafood intake is the most influence factor of IDD (p= 0,011). Conclusion: There was a relation between iodine intake and goitrogenic intake with IDD among school children. Meanwhile, there is no association between characteristic of family with IDD among school children.ABSTRAK Latar Belakang: Gangguan Akibat Kekurangan Yodium (GAKY) merupakan salah satu masalah yang ada di Indonesia hingga saat ini. Rendahnya asupan yodium dan tingginya konsumsi sumber goitrogenik adalah penyebab terjadinya GAKY.Tujuan: Untuk mengetahui faktor yang berhubungan terhadap kejadian GAKY pada anak usia sekolah.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain case control dan dilakukan di Desa Sidoharjo, Kecamatan Jambon, Kabupaten Ponorogo pada bulan Mei 2017. Sampel penelitian ini yaitu siswa SDN IV Krebet dari kelas I-VI yang terdiri dari 62 siswa dimana 31 siswa menderita GAKY dan 31 siswa tidak menderita GAKY yang didapatkan dari hasil pemerikasaan palpasi. Pengumpulan data dilakukan menggunakan metode wawancara dengan kuesioner dan FFQ untuk mengetahui pola konsumsi makanan sumber yodium serta goitrogenik. Data dianalisis menggunakan chi square, fisher exact, korelasi spearman dan regresi logistik.Hasil: Makanan sumber yodium yang jarang dikonsumsi oleh responden adalah ikan laut (79,03%). Sedangkan makanan sumber goitrogenik yang sering dikonsumsi oleh responden adalah tiwul (48,39%). Hasil uji regresi logistik menunjukkan bahwa faktor yang paling berpengaruh terhadap kejadian GAKY yaitu pola konsumsi ikan laut (p= 0,011).Kesimpulan: Terdapat hubungan antara pola konsumsi ikan laut, pola konsumsi telur dan pola konsumsi tiwul dengan kejadian GAKY. Sebaliknya tidak terdapat hubungan antara karakteristik keluarga dengan kejadian GAKY.  
Hubungan ASI Eksklusif dengan Kejadian Underweight di Jawa Timur Tahun 2016 Sugito, Mahmudah Wati; Wardoyo, Agus Sri; Mahmudiono, Trias
Amerta Nutrition Vol 1, No 3 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (870.586 KB) | DOI: 10.20473/amnt.v1i3.2017.180-188

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Background: Underweight is a public health problem caused by many factors. The prevalence of underweight in East Java in 2016 was 17.3%, wich was higher than the program’s targetted (12.9%). Breast milk is the best food to support the growth and development of the baby. Coverage of Exclusive Breast Milk in East Java in 2015 decreased (68.8%), compared to 2014 (72.89%). Early supplementary feeding in infants under 6 months may affect nutritional status. Objectives: The purpose of this study was to analyze the relationship of Exclusive Breast milk with the incidence of underweight in infants aged 0-23 months in East Java Province in 2016. Method: This study is a secondary data analysis of Nutrition Status Monitoring in East Java Province. The study population was all babies in East Java. Total sample is 4738. The data were analyzed using Chi-square test and Logistic Regression, with 95% CI (α = 0.05). Results: The results showed there was a significant relationship between exclusive breastfeeding only from birth until before the last 24 hours in infants aged 0-23 months with the incidence of underweight, with (p=0.000010;OR=1.654;95%CI=1.319–2.052), there was a significant  relationship of first to provide a food other than breast milk in infants aged 0-23 months  with the occurrence of underweight, (p = 0.000;OR=0.272; 95%CI=0.217–0.341).Conclusion: In conclusion, breastfeeding only in infants from birth until before the last 24 hours and first provide food other than breast milk in infants aged 0-23 months associated with underweight. Because breast milk is sufficient nutritional needs of infants aged 0-6 months.ABSTRAK Latar Belakang: Masalah gizi kurang merupakan masalah kesehatan masyarakat yang disebabkan oleh banyak faktor. Prevalensi underweight di Jawa Timur tahun 2016 sebesar 17,3%, lebih tinggi dari target program Dinas Kesehatan Provinsi Jawa Timur sebesar 12,9%. ASI merupakan makanan terbaik untuk mendukung pertumbuhan dan perkembangan bayi. Cakupan ASI Eksklusif di Jawa Timur tahun 2015 menurun (68,8%), dibandingkan tahun 2014 (72,89%). Pemberian makanan pendamping ASI dini pada bayi di bawah 6 bulan dapat mempengaruhi status gizi. Tajuan: Tujuan penelitian untuk menganalisis hubungan ASI Ekslusif dengan kejadian underweight pada bayi usia 0-23 bulan di Provinsi Jawa Timur tahun 2016.Metode: Penelitian ini merupakan analisis data sekunder survei Pemantauan Status Gizi Provinsi Jawa Timur. Populasi penelitian adalah semua bayi berusia 0-59 bulan yang ada di Jawa Timur. Total sampel sebanyak 4738 bayi.  Analisis data dilakukan dengan menggunakan uji Chi-square dan Regresi Logistik.Hasil: Hasil penelitian menunjukkan ada hubungan antara pemberian ASI saja sejak lahir sampai sebelum 24 jam terakhir pada bayi usia 0-23 bulan dengan kejadian underweight (p=0,000010;OR=1,654;95%CI=1,319–2,052), ada hubungan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan dengan kejadian underweight,  (p = 0,000;OR=0,272; 95%CI=0,217–0,341).Kesimpulan: Simpulan yaitu pemberian ASI saja pada bayi sejak lahir sampai sebelum 24 jam terakhir dan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan berhubungan dengan kejadian underweight. Pemberian ASI saja sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan.
KURANGNYA ASUPAN ENERGI DAN LEMAK YANG BERHUBUNGAN DENGAN STATUS GIZI KURANG PADA BALITA USIA 25-60 BULAN Firman, Ardian Nurdianto; Mahmudiono, Trias
The Indonesian Journal of Public Health Vol 13, No 1 (2018): The Indonesian Journal of Public Health
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1237.525 KB) | DOI: 10.20473/ijph.v13i1.2018.50-60

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The prevalence of underweight in 2010 to 2013 has increased percentage by 17.9% to 19.6%. Household food security and food intake were factors that can affect nutritional status of children.The aim of the study was to analize the relationship between status of household food security, energy and fat intake with nutrititional status of children. This was a cross sectional study with 40 samples selected using simple random sampling technique. Subject in this study was the fisherman family whose toddlers age 25-60 months. The data were collected by interview using questionaires, and were analyzed using linier regression and spearmen test. The result showed that 55% of households were facing food insecurity and 45% households were food insecure with severe hunger. Nutritional status of children (72,5%) were normal and (27,50%) wereunderweight. Energy intake has a significant relationship with nutritional status of children (p = 0,007) and fat (p=0,03).
RASA, PENAMPILAN, DAN SISA SAYURAN PASIEN ANAK DI RUMKITAL DR. RAMELAN SURABAYA [Vegetables Taste, Appearance, and Waste in Pediatric Patients at Dr. Ramelan Naval Hospital Surabaya] Armadita, Padella Dian Julia; Primadona, Suzanna; Mahmudiono, Trias
Media Gizi Indonesia Vol 14, No 1 (2019): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (213.869 KB) | DOI: 10.20473/mgi.v14i1.66-74

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Food waste should get the attention because it will contribute to recovery time during illness as fulfilling the energy and nutrients need. Meanwhile, many hospitals are having leftover food more than 20 percent. Internal and external factor have correlation with it. This study aimed to analyze the relation between vegetables taste, appearance and waste vegetables among pediatric patients in Dr Ramelan Naval Hospital, Surabaya. This research was a cross sectional study. The samples were 32 children aged 2-12 years old whom hospitalized in class II and III patient rooms. The primary data was collected by interview and observation. Vegetables waste measured by Comstock form. Chi square test was used to analyze the relation between the taste, appearance and waste of vegetables. The result showed that there was no correlation between vegetables waste with four aspects of taste and five aspect of appearance (p value>0.05). Nonetheless, taste, consistency, platting method, and portion tend to have a big difference on vegetables waste.
HUBUNGAN FREKUENSI PENIMBANGAN, PENGGUNAAN GARAM BERYODIUM, DAN PEMBERIAN VITAMIN A DENGAN KEJADIAN UNDERWEIGHT PADA BALITA DI PROVINSI JAWA TIMUR Muliah, Nafijah; Wardoyo, Agus Sri; Mahmudiono, Trias
Media Gizi Indonesia Vol 12, No 1 (2017): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v12i1.40-46

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The are many causes of nutritional problems, including lack of food intake, illness, caring pattern and many other causes, one of the problems that often happen is the children had not weighed regularly. Iodine is one of the nutrients associated with the growth of children. On the other hand, children who are suffering from malnutrition usually also hasVitamin A defi ciency as a result of their lack of nutrient intake. The purpose of this study was to analyze the relationship between the frequency of weighting, the use of iodized salt, and Vitamin A supplementation with underweight among children under fi ve in East Java Province. This study was secondary data analysis from Monitoring of Nutritional Status (MNS) in East Java, 2016. The sample of this study were 10.440 households with children under fi ve. 18.5% children under fi ve in East Java were underweight, 2% overweight, and 79.5% were normal. Distribution of frequency were performed as univariate statistical analysis and the relationship between variables were analyzed by chi-square test. The odd ratio were analyze by logistic regression. There was signifi cant correlation between blue-colored vitamin A supplementation (p < 0.001;OR = 0.638;95%CI:0.580-0.78w2) with underweight. However, there was no correlationbetween weighing frequency (p = 0,729) and the use of iodized salt (p = 0,620) with underweight. The conclusion of this study highlight that there was correlation between Vitamin A supplementation with underweight in East Java.
Relationship Between Knowledge, Physical Activity with Body Mass Index of Woman Employass at the Nutrition Instalation Dr.Soetomo Hospital Jaminah, Jaminah; Mahmudiono, Trias
Jurnal Berkala Epidemiologi Vol 6, No 1 (2018): Jurnal Berkala Epidemiologi
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jbe.V6I12018.13-24

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ABSTRAKObesitas merupakan penyakit kronis yang ditandai dengan peningkatan simpanan lemak, serta peningkatan IMT. ≥27. Perempuan usia 40-50 tahun lebih rentan mengalami obesitas karena penurunan kadar hormon estrogen. Prevalensi obesitas di Indonesia meningkat dari tahun 2007 hingga tahun 2013. Pengetahuan gizi menjadi salah satu faktor yang mempengaruhi kejadian obesitas. Berdasarkan hasil baseline data pada bulan Mei 2016, dari 102 orang karyawan perempuan di Instalasi Gizi RSUD Dr. Soetomo menunjukkan bahwa persentase overweight/obesitas sebesar 65%. Tujuan penelitian yaitu untuk menganalisis hubungan pengetahuan gizi dan aktivitas fisik dengan IMT pada karyawan perempuan di Instalasi Gizi RSUD Dr. Soetomo Surabaya. Penelitian ini adalah penelitian deskriptif analitik dengan rancang bangun cross sectional. Besar sampel 57 responden. Pemilihan sampel menggunakan teknik simple random sampling. Pengumpulan data dengan kuesioner, pengukuran antropometri, dan food recall. Hasil penelitian diperoleh status gizi  obesitas sebesar 75,4%. Pengetahuan gizi terbanyak kategori kurang 90%, aktivitas fisik terbanyak kategori sedang 76%. Ada hubungan antara pengetahuan gizi (p = 0,027) dan aktivitas fisik (p = 0,033) dengan IMT, sedangkan asupan energi, protein, lemak, karbohidrat (p > 0,372) yang berarti tidak ada hubungan dengan IMT. Kesimpulan penelitian, ada hubungan antara pengetahuan dan aktivitas fisik pada karyawan perempuan di Instalasi Gizi RSUD Dr. Soetomo terdapat IMT. Saran penelitian, perlu adanya edukasi gizi dan penambahan intensitas aktivitas fisik.Kata Kunci: aktivitas fisik, asupan zat gizi makro, indeks massa tubuh, pengetahuan gizi ABSTRACTObesity is a chronic disease that indicated by increasing fat store and Body Mass Index is more than or equal to 30. Women in the age of 40-50 years old are more susceptible to obesity due to decreased of estrogen hormone. The prevalence of obesity in Indonesia increased from 2007 to 2013. Nutrition knowledge is one of factors that can influence the obesity incidence. Preliminary data in May 2016 showed that among 102 female employees at the instalation of Nutrition Dr.Soetomo Regional Public Hospital, 65% were overweight/obese. The purpose of this study was to analyze the correlation between nutritional knowledge and physical activity with BMI on female employees at Installation of Nutrition Dr.Soetomo Regional Public Hospital Surabaya. This research was a cross sectional design with descriptive analytical method. Fifty seven respondents involved in this research and selected using simple random sampling technique were data collected using questionnaire, anthropometric measurements and food recall. The results showed that 75,4% respondents were obese. Most nutrition knowledge catagories less is 90%, physical activity of the most moderate activity categories is 76%. In conclution, it showed that a significant correlation between nutritional knowledge (p = 0,027) and physical activity (p = 0.033) to BMI. There was no significant correlation between energy, protein, fat, and carbohydrate intake (p >0,372).  It is suggested to conduct regular nutritional education and physical exercise in the hospital.Keywords: physical activity, macro nutrient intake, body mass index, nutritional knowledge