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Iodine and Selenium Consumption and Its Relationship with Iodine Status of School Children in Endemic and Non Endemic Coastal Areas

Media Gizi dan Keluarga Vol 24, No 2 (2000): Jurnal Media Gizi dan Keluarga
Publisher : Media Gizi dan Keluarga

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Abstract

The specific objectives of this research were to study food consumption; iodine and selenium content of foodstuffs; intake of nutrients (energy, protein, vitamin A, iodine and selenium); and status of iodine among elementary school children living in coastal areas of Pasuruan District, East Java Province. The study was also purposed to observe the correlation between nutrients consumption and iodine status. Kalirejo Village was chosen purposively to represent a non endemic area of IDD in which the Total Goitre Rate (TGR) was 45%, while Tambak Lekok Village represented a non endemic area of IDD with no cases of goiter signs. Sixty elementary school children in each area were randomly selected as samples to whom 24 hours food consumption recall and early morning urine were collected. Urinary Excretion of Iodine (UEI) was analysed from each sample to measure the status of iodine. Statistical method called t-test was applied to judge any difference between the data of consumption, nutrient adequacies, UEI level (iodine status) in both areas. Correlation between variables was also examined statistically by multiple linier regression test. For all kind of food of animal origins, samples living in IDD-non endemic area consumed more in term of quantity than that in IDD-endemic area. The adequacy levels for energy, protein, vitamin A, iodine and selenium in IDD-endemic area were 89.61%, 234.24%, 269.92%, 23.33% and 78.79% respectively; while those in IDD-non endemic area were 107.59%, 208.68%, 151.99%, 103.07% and 239.18% respectively. No significant (p>0.05) difference was observed between data of nutrients consumption, energy adequacy level and protein adequacy level obtained from an IDD-endemic area and those obtained from non endemic area. In contrast, consumption and adequacy level of vitamin A, iodine and selenium of IDD-endemic area were significantly different from those observed in IDD-non endemic area. Generally, iodine and selenium content of foodstuffs obtained from IDD-endemic area were lower than those from IDD-non endemic area. UEI of samples living in IDD-endemic area were 108,50 u/l. These was significantly different from those living in with non endemic area, which were 192 u/l. Consumption of energy, protein and vitamin A showed no significant influence on iodine status. Iodine and selenium consumption were very significantly influenced by iodine status. Iodine status was very significantly influenced by iodine consumption.Keywords: iodine, selenium, chool children

COMPARISON OF SUBSTANCE CONSUMPTION NUTRITION, NUTRITION STATUS, AND HEMOGLOBIN CONTENT IN WOMEN PENGANTIN COASTAL AREAS AND AGRICULTURAL DISTRICT PROBOLINGGO

Media Gizi Indonesia Vol 9, No 1 (2013): Jurnal Ilmiah Media Gizi Indonesia
Publisher : Media Gizi Indonesia

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Abstract

ABSTRACTAnemia is still become one of public health problem and requires serious attention. Anemia caused by nutritional deficiencies due to lack of consumption or absorption disorder. One of the nutrition problems disturbed groups is brides group because they are females group who will prepare their pregnancies. The research was purposed to analyze the differences in nutrient consumption, nutritional status and hemoglobin levels of the brides in the coastal area and agricultural area. This study was a non reactive and observational-analytic research with cross sectional design. Total sample for this research was 40 brides who are divides into two equal groups representing the coastal area and agriculture area was graduated from junior high school. Most of them were not worked. The prevalence of anemia of each area was 15%. Anemic respondens are those who deficit in iron and zinc consumption. The analyzed results showed that there were no difference in all of variables (p > 0.05). Differences in area have no effect on individual nutrient consumption, nutritional status and hemoglobin levels. The suggestions could be given to follow up the results of the research are held healthy promotion to prevent anemia and under nutrition also establish multi sectoral cooperation to maintain the quality of food availability. Keywords: nutrient consumption, nutritional status, hemoglobin levels, area

Hubungan Anemia Dengan Prestasi Belajar Siswi Di SMP Unggulan Bina Insani

Amerta Nutrition Vol 1, No 4 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

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Abstract

Background: Anaemia is one of the nutritional problems that still occur in the community. Teenagers especially adolescent girls are one of the groups who are susceptible to anaemia. The causes of anaemia in adolescents include low intake of nutrients especially iron, menstrual patterns, worm infections, malaria, genetic diseases, and others. Anaemia in adolescents causes decreased levels of fitness, immune, memory, and concentration. Low concentration power causes decreased learning ability and will affect adolescent learning achievement. Objectives: The purpose of this study was to analyze the rel ationship between anaemia with student achievement in Unggulan Bina Insani Junior High School. Methods: The design used in this study was cross sectional with a sample size of 56 female students. Data collection was conducted by interview using questionnaires for the characteristics of parents, characteristics of female students and menstrual pattern. Hb levels obtained from blood collection in veins, then analyzed by cyanmethemoglobin method. Average number of grades received by the school. Statistical test used were chi square and eta correlation. Results: The results showed students who suffered anemia as much as 21.4%. Most girls had normal menstruation, regular cycles, and entering menstrual period at the age of ≥12 years. There was a relationship between menstrual pattern with anaemia (p=0.026). The results also showed anaemia relationship with student achievement (p=0.042). Conclusions: Students without anaemia will have an increased learning achievement. However, it should be noted also other factors that affect anaemia and student achievement such as nutrition intake, knowledge, environment, motivation and learning. ABSTRAK Latar Belakang: Anemia merupakan salah satu masalah gizi yang masih terjadi di masyarakat. Remaja khususnya remaja putri merupakan salah satu kelompok yang rentan menderita anemia. Penyebab anemia pada remaja diantaranya asupan zat gizi yang rendah terutama zat besi, pola menstruasi, infeksi cacing, penyakit malaria, genetik, dan lainnya. Anemia pada remaja menyebabkan penurunan tingkat kebugaran, daya imun, daya ingat, dan daya konsentrasi. Daya konsentrasi yang rendah menyebabkan kemampuan belajar menurun dan akan mempengaruhi prestasi belajar remaja.Tujuan: Tujuan penelitian ini adalah menganalisis hubungan antara anemia dengan prestasi belajar siswi di SMP Unggulan Bina Insani.Metode: Desain yang digunakan pada penelitian ini adalah cross sectional dengan sampel sebesar 56 siswi. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner untuk karakteristik orang tua, karakteristik siswi dan pola menstruasi. Kadar Hb diperoleh dari pengambilan darah pada pembuluh darah vena, kemudian dianalisis dengan metode cyanmethemoglobin. Rata-rata jumlah nilai mata pelajaran yang diperoleh dari pihak sekolah. Uji statistik yang digunakan adalah chi square dan korelasi eta.Hasil: Hasil penelitian menunjukkan siswi yang menderita anemia sebanyak 21,4%. Sebagian besar siswi memiliki lama menstruasi normal, siklus yang teratur, dan memasuki masa menstruasi pada usia ≥12 tahun. Terdapat hubungan antara lama menstruasi dengan anemia (p=0,026). Hasil penelitian juga menunjukkan adanya hubungan anemia dengan prestasi belajar siswi (p=0,042).Kesimpulan: Siswi yang tidak mengalami anemia akan memiliki prestasi belajar yang meningkat. Akan tetapi, perlu diperhatikan pula faktor lain yang mempengaruhi anemia dan prestasi belajar siswi seperti asupan zat gizi, pengetahuan, lingkungan, motivasi dan cara belajar.

Peran Ibu sebagai Edukator dan Konsumsi Sayur Buah pada Anak

Amerta Nutrition Vol 1, No 3 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

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Abstract

Background : The consumption of vegetable and fruit among school age children is inadequate and below WHO recommendation (400gr/day).There are many important factors influence the children’s consumption of vegetable and fruit such as mother’s role and fruit and vegetable stock in household. Objectives: To analyze the relationship between mother’s role and fruit and vegetable stock in household with the children’s consumption level of fruit and vegetable. Method : Research with cross sectional method was conducted in SDN Kandang Tepus 01 and SDN Kandang Tepus 02 Senduro  village, Lumajang regency with sample 41 children grade 4 and 5 with their mother. Variable that observed in this research are mother’s role as educator and inisiator  of vegetable and fruit stock in home and the children consumption of vegetable and fruit. Data was collected with interview using questionnaire instrument and semi quantitative  food frequency . Result : Children who consume vegetable and fruit based on WHO recommendation 400 gr/day was 17.1%. Chi-square test showed that there was relathionship between mother’s role as educator (p-value = 0.014) and stock of vegetable and fruit in household (p-value = 0.003) with the children’s consumption of vegetable and fruit (p-value = 0.028). But there was no relationship between mother’s role as initiator with children’s consumption of vegetable and fruit. Conclusion: Mother’s role as educator related to children’s consumption of vegetable and fruit because its depend on stock of fruit and vegetable in household.ABSTRAK Latar Belakang: Konsumsi sayur dan buah pada anak usia sekolah masih tergolong rendah dan belum memenuhi anjuran WHO sebesar 400 gr/hari. Banyak faktor yang mempengaruhi konsumsi sayur buah pada anak, terutama terkait peran ibu dan ketersediaan sayur buah di rumah.Tujuan: Menganalisis hubungan peran ibu dan ketersediaan sayur buah di rumah dengan tingkat konsumsi sayur buah pada anak usia sekolah.Metode: Penelitian dengan desain cross sectional dilakukan di SDN Kandang Tepus 01 dan SDN Kandang Tepus 02 Desa Senduro Kabupaten Lumajang dengan jumlah sampel 41 anak kelas 4 dan 5 beserta ibu. Variabel yang diamati dalam penelitian ini adalah peran ibu sebagai edukator dan inisiator untuk buah dan sayur, ketersediaan sayur dan buah di rumah dan konsumsi sayur dan buah pada anak. Pengumpulan data dilakukan dengan metode wawancara dengan instrumen kuesioner dan food frequency semi kuantitatif.Hasil: Besar presentase anak yang mengonsumsi sayur buah sesuai anjuran 400 gr/hari yaitu 17,1% dari 41 anak. Hasil uji chi-square menunjukkan ada hubungan antara peran ibu sebagai edukator (p-value = 0,014) dan ketersediaan sayur buah di rumah (p-value = 0,003) dengan konsumsi sayur buah pada anak. Ada hubungan peran ibu sebagai edukator dengan ketersediaan sayur buah di rumah (p-value = 0,028). Namun tidak ada hubungan antar peran ibu sebagai inisiator dengan konsumsi sayur buah pada anak.Kesimpulan: Peran ibu sebagai edukator berhubungan dengan konsumsi sayur buah pada anak karena terkait dengan penyediaan sayur dan buah di rumah.

ANALISIS RISIKO KEJADIAN BERAT BAYI LAHIR RENDAH (BBLR) PADA PRIMIGRAVIDA

Media Gizi Indonesia Vol 10, No 1 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

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Low birth weight (LBW) babies still become a problem in developing countries. LBW increase risk of mortality and morbidity. The prevalence of LBW in Probolinggo increased from 2011 to 2013. This study aims to analyze risk factors related to LBW in primigravidae. This study used case control design and purposive sampling technique. The variables include age of pregnant mothers, mother’s education level, family income, gestational age, frequency and quality of antenatal care, and food taboo. Data was analyzed using chi-square and multivariate regression logistic (α=0.05). Factors associated to LBW were the gestational age (p=0.000), age at pregnancy (p=0.030), and level of education (p=0.023). Regression logistic analysis showed that gestational age is a risk factor of LBW (OR= 66; CI 95% 8.197 to 531,391). Mother who gave birth at the age of preterm (<37 weeks gestation) have 66 times greater risk of having LBW baby in primigravidae compared to mothers who gave birth at the age of aterm. Mothers and brides’ woman are expected to avoid pregnancy at risk age (<20 years and >35 years) and the socialization of risk factors related to high risk of pregnancy is needed to reduce the risk of LBW.Keywords: gestational age, low birth weight, primigravidae

PERTUMBUHAN ANAK DARI IBU YANG MENDAPAT SUPLEMEN MULTI-MIKRONUTRIEN DAN ANAK DARI IBU YANG MENDAPAT SUPLEMEN BESI FOLAT SELAMA HAMIL (Studi follow up di Kabupaten Probolinggo, Jawa Timur)

The Indonesian Journal of Public Health Vol 11, No 1 (2016): The Indonesian Journal Of Public Health
Publisher : Universitas Airlangga

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Recent studies have shown that maternal multiple micronutrient (MMN) supplementation improved birth weight but there is insufficient evidence that postnatal growth of children from mothers who received MMN are better than children from mother who received iron folic acid (IFA) during pregnancy. The aim of this study was to compare the growth of children aged 16–39 months from mother who received MMN and children from mother who received IFA during pregnancy. The design of this study was nested case control study from cohort study of reconceptional multiple micronutrient supplementation to Improve Maternal Iron Status and Pregnancy Outcomes (Laduni Program). The subject were 30 children randomly selected from the children of mothers who received MMN, and 30 other children randomly selected from children of mothers who received IFA. Variables observed in this study were birth weight from the health records, height-for-age z-scores (HAZ), weight-for-age z-scores (WAZ), and body mass index-for-age z-scores (BMIAZ) through direct measurements; nutrient intake from 2 x 24 hours dietary recalls. The average of children’s age in this study (±SD) was 28 ± 5,3 months. There is no difference in HAZ, WAZ, BMIAZ, and nutrient intake between the children of mothers who received MMN and children of mothers who received IFA. Most of the nutrient intake were inadequate as the diet were unbalanced and monotonous. Conclusion: maternal MMN supplementation during pregnancy has no effect on growth of 16–39 month old children if the nutrient intake is inadequate. Children should eat a variety of diet sufficienly for an optimal growth.Keywords:growth, maternal multiple-micronutrient, iron folic acid, children

Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

Amerta Nutrition Vol 1, No 4 (2017): AMERTA NUTRITION
Publisher : Universitas Airlangga

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Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

CAKUPAN ANC DAN CAKUPAN TABLET FE HUBUNGANNYA DENGAN PREVALENSI ANEMIA DI JAWA TIMUR

Media Gizi Indonesia Vol 11, No 1 (2016): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

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Abstract

Iron supplementation is one of the anemia prevention program in Indonesia. Success Indicator of its program is ANC coverage and coverage of iron tablet distribution. This study aimed to analyze the relationship between the ANC (Antenatal Care) and iron tablet coverage with prevalence of anemia among pregnant women in East Java year 2015. This research used data report from Nutrition Division and Family Health Division of Provincial Health Office East Java. Data was analyse using Pearson correlation test. The prevalence of anemia among pregnant women in East Java was 5.8%, the result are still below the national target which is 28%. The result showed that there was no relationship between the ANC and iron tablet coverage with the prevalence of anemia (p-value > 0.05). It is concluded that coverage of iron supplementation among pregnant women through ANC does not describe the prevalence of anemia among pregnant women due to many factors that infl uence anemia such as bioavailability of iron and compliance pregnant women consume iron.Keywords: anemia, ANC coverage, iron tablet

HUBUNGAN ASUPAN MIKRONUTRIEN DENGAN KADAR HEMOGLOBIN PADA WANITA USIA SUBUR (WUS)

Media Gizi Indonesia Vol 10, No 2 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

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Women in reproductive age is a group that are more susceptible to anemia. Anemia is caused by a deficiency of various nutrients in the body which existence affects each other and it can lower the immune system then increased risk of morbidity. The aim of this study was to analyze the relationship between intake of iron, vitamin A, vitamin B2, vitamin B6, vitamin C, folic acid, and zinc with hemoglobin level among women in reproductive age. This cross sectional study was conducted in 9 subdistricts in Probolinggo and subjects were 71 people selected by simple random sampling using secondary research data in 2014. Micronutrients intake data obtained by 24 hours recall method then compared to RDA. Hemoglobin level measured by Hemocue. Data was analyzed using the Pearson correlation test. The result showed the average of hemoglobin level was 12.01 ± 1,24 g/dl and anemia prevalence was 42.25%. Statistical analysis showed that vitamin A intake is correlated to hemoglobin level (p = 0.015; r = 0.287). Further analysis is done by dividing respondents into two groups, anemic and not anemic to analyze the difference of the average of micronutrients intake. The sufficient level of vitamin A and vitamin B6 were adequate (≥ 77% RDA), but only vitamin A that significantly associate to hemoglobin level. Keywords: micronutrient intake, hemoglobin level, Women in reproductive age

PENDIDIKAN GIZI MENGGUNAKAN MEDIA BUKU SAKU MENINGKATKAN PENGETAHUAN DAN PRAKTIK KONSUMSI SAYUR DAN BUAH PADA SISWA SEKOLAH DASAR

Media Gizi Indonesia Vol 12, No 2 (2017): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

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The average consumption of vegetables and fruits in Indonesia is still low. This condition can cause the emergence of nutritional problems in children. The purpose of this study was to determine the effect of nutritional education using pocketbook to increasing knowledge and practice of vegetables and fruits consumption among elementary students. This research was quasy experiment using pre-test post-test control group design. The sample size was 60 students consisting of 20 students of SDN Kandang Tepus I as control group treated with media leaflet and 40 students of SDN Kandang Tepus II as treatment group given the pocketbook. The result of independent t-test in pre-test of booth groups shows that there was no difference in knowledge (p=0.220) and practice (p=0.091) between the two groups. Independent t-test result on post-test also shows was no difference in knowledge (p=0.421) and practice (p=0.810) between the two groups. The result of paired sample t-test of the treatment group showed the average of pre-test and post-test of knowledge score were 31.50 and 66.25 and the practice were 2.58 and 3.08. There were significant difference of knowledge (p=0.000) and practice (p=0.000) before and after being given pocketbook. Wilcoxon sign rank test in the control group showed that leaflet did not affect knowledge (p=0.052) but affect the practice (p=0.001). It can be concluded that use of pocketbook media influence the knowledge and the respondent practice.