Articles

Stunting dan perkembangan anak usia 12-60 bulan di Kalasan Probosiwi, Hardiana; Huriyati, Emy; Ismail, Djauhar
Berita Kedokteran Masyarakat (BKM) Vol 33, No 11 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1925.769 KB) | DOI: 10.22146/bkm.26550

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Tujuan: Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara kejadian stunting dengan perkembangan pada anak usia 12-60 bulan.Metode: Jenis penelitian yang digunakan adalah observasional dengan desain penelitian cross sectional. Penelitian ini akan dilakukan di wilayah kerja Puskesmas Kalasan Kabupaten Sleman Yogyakarta dengan subjek anak usia 12 sampai 60 bulan sebanyak 106 orang. Analisis data dengan univariabel, bivariabel dengan uji chi-square dengan tingkat kemaknaan p<0.05 dan CI 95% dan multivariabel dengan menggunakan uji statistik regresi logistik.Hasil: Analisis bivariabel antara status stunting dengan perkembangan anak menunjukkan bahwa terdapat hubungan yang bermakna (p<0,05) dan nilai OR 3,9 (95% CI; 1,67-8,90). Hasil analisis multivariabel antara status stunting yang mempertimbangkan panjang badan lahir dan asupan energi berpengaruh sebesar 8% dengan perkembangan anak usia 12-60 bulan.Implikasi praktis: Pnelitian ini menyarankan pada petugas kesehata untuk mengingatkan ibu untuk memperhatikan asupan makan anaknya.Keaslian: Penelitian ini menyimpulkan bahwa asupan energi paling berhubungan dengan perkembangan anak ketika bersama-sama dipertimbangkan
Obesitas, body image, dan perasaan stres pada mahasiswa di Daerah Istimewa Yogyakarta Wardani, Dyah Ayu Kusuma; Huriyati, Emy; Mustikaningtyas, Mustikaningtyas; Hastuti, Janatin
Jurnal Gizi Klinik Indonesia Vol 11, No 4 (2015): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (671.896 KB) | DOI: 10.22146/ijcn.22649

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Background: Obesity can lead to various health problems including psychosocial problems. Obesity also relates to body image which may affect psychosocial health.Objective: To examine the relationship between obesity, body image, and perceived stress among college students in Yogyakarta Province.Method: This study is a cross-sectional design in 150 college students (75 boys and 75 girls) at Universitas Gadjah Mada and Universitas Technology Yogyakarta. Perceived stress was measured using 10 items of the Perceived Stress Scale (PSS-10), body image was evaluated using 16 items of the Body Shape Questionnaire (BSQ-16) and obesity was estimated using the percentage of body fat calculated from anthropometric measurements. Chi-square test, Spearman correlation analysis, and odds ratio were used to test the hypotheses.Results: There was significant correlation between obesity and body image in male (r= 0.32, p<0,01) and female students (r= 0.23, p<0,05). Obese male students were 7 times likely to have negative body image than non-obese male students. While no significant relationship was found between obesity and perceived stress,  non-obese students had almost two times likely to perceive stress. Similarly, body image was not significantly related to perceived stress in male and female students, however, it was likely that students with negative body image had about 1,5 times to feel stress than those with positive body image.Conclusion: Obesity was significantly associated with body image among male and female college students in Yogyakarta Province. However, no significant relationship was found between obesity and perceived stress as well as between body image and perceived stress among the students. 
Magnesium intake and insulin resistance in obese adolescent girls Muhammad, Harry Freitag Luglio; Huriyati, Emy; Susilowati, Rina; Julia, Madarina
Paediatrica Indonesiana Vol 49 No 4 (2009): July 2009
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (110.325 KB) | DOI: 10.14238/pi49.4.2009.200-4

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Background The worldwide increase in the prevalence ofcardiovascular diseases in adulthood is related to obesity inchildren and adolescents. Insulin resistance and hyperinsulinemia observed in obese individuals are the precursors of cardiovascular diseases and type 2 diabetes mellitus. Magnesium, through its action on insulin receptors, is proposed to be an important factor in preventing insulin resistance.Objective The aim of this study was to assess the associationbetween magnesium intake and insulin resistance in obeseadolescent girls.Methods This was a cross-sectional study on obese adolescentgirls in Yogyakarta, Indonesia. Insulin resistance was defined as a HOMA-IR index of3.16 or more. HOMA-IR was calculated usingfasting insulin and plasma glucose levels. Magnesium intake andenergy adjusted magnesium intake were measured using a 24-hour food recall method on 6 non-consecutive days.Results Of 7 8 obese adolescent girls included in our study, 56% of them were found to be insulin resistant. Magnesium intake was only 61 o/o of the recommended daily requirement for adolescent girls. There were no significant associations between magnesium intake and either HOMA-IR or hyperinsulinemia.Conclusion Our study does not find an association betweeninsulin resistance and magnesium intake in obese adolescent girls.
Studi kohort prevalensi obesitas siswa siswi sekolah lanjutan tingkat pertama (SLTP) Kota Yogyakarta Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 3, No 1 (2006): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17418

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Background: The prevalence of obesity is continuously in-creasing both in developed and developing countries. This increasing prevalence of obesity may be associated with the increasing exposure to obesogenic environment.Objective: To know the trend of obesity prevalence among Rural Junior High School in YogyakartaMethod: This cohort study was conducted in Yogyakarta at 2003 from August to October and at 2005 from June to September.Result: The prevalence of obesity in 2003 showed 7.3% and 10.3% in 2005. Thus, it increased 3% during 2 years. But prevalence of obesity was not increased among 1440 students who followed body mass index percentile based on center for chronic disease (CDC) 2000.Conclusion: During 2 years, the change of obesity status had not significantly shown because obesity occurred in a long period. While the increasing obesity prevalence occurred.
HUBUNGAN ANTARA STATUS GIZI, ANEMIA, STATUS INFEKSI, DAN ASUPAN ZAT GIZI DENGAN FUNGSI KOGNITIF PADA ANAK SEKOLAH DASAR DI DAERAH ENDEMIK GAKI Sudargo, Toto; Huriyati, Emy; Safitri, Lastiana; Irwanti, Winda; Nugraheni, Sri Ahadi
GIZI INDONESIA Vol 35, No 2 (2012): September 2012
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Anak-anak yang tinggal di daerah  GAKI  mempunyai risiko yang lebih tinggi untuk mengalami kelaparan dan rendahnya skor IQ.  Tujuan penelitian ini menjelaskan  hubungan status gizi, anemia, status infeksi, dan  asupan  zat  gizi  (energi,  protein,  karbohidrat,  lemak,  iodium,  vitamin  C,  vitamin  A,  Fe,  Zn,  dan Selenium), dengan fungsi kognitif    anak sekolah dasar (SD) yang tinggal di daerah GAKI, dan  mengetahui kandungan iodium pada tanah dan air di wilayah tersebut. Jenis studi observasional dengan desain crosssectional.  Subjek  penelitian  anak  SD  berusia  9-12  tahun  kelas  3,  4,  dan  5  dari  3  SD  di  daerah  endemik GAKI  Kecamatan  Kismantoro,  Kabupaten  Wonogiri,  Jawa  Tengah.  Status  GAKI  diukur  menggunakan metode  palpasi  dan  Urinary  Iodine  Excretion  (UIE),  status  gizi  dengan  indikator  TB/U,  status  anemia menggunakan Hemocue, status infeksi dengan wawancara pada orangtua, asupan zat gizi menggunakan multiple  food  recall  24  jam  (3  hari),  kandungan  iodium  dalam  tanah  dan  air  menggunakan  Inductive Coupled  Plasma-Mass  Spectrometry  (ICP-MS)  dan  fungsi  kognitif  menggunakan  Weschler  Intelligence Score for Children-Revised  (WISC-R).  Hasil menunjukkan  20 subjek (28,9%) mengalami  GAKI, 27 subjek (39,1%)  stunting,  17  subjek  (24,6%)  anemia,  11  subjek  (15,9%)  infeksi  (ISPA  dan  diare)  dan  57  subjek (82,6%)  mengalami  gangguan  fungsi  kognitif.  Analisis  bivariat  menunjukkan  tidak  terdapat  hubungan signifikan antara status  GAKI  dan infeksi dengan fungsi kognitif (p>0,05). Terdapat hubungan signifikan antara status gizi dan anemia dengan fungsi kognitif (p<0,05).  Analisis multivariat asupan zat gizi energi, protein,  karbohidrat,  lemak,  iodium,  vitamin  C,  vitamin  A,  besi,  dan  selenium  memberikan  kontribusi sebesar  20,9%  dari  skor  IQ  total  anak  sekolah.  Hb,  UIE,  dan  asupan  zat  gizi  memberikan  kontribusi sebesar 24,1% dari skor IQ total anak sekolah. Hasil laboratorium menunjukkan  rerata  kandungan  iodiumtanah (2,49 ppm), dan dalam air (2,7ppb) berada di bawah standar. Jadi status gizi dan anemia, asupan zat gizi  berhubungan  dengan  fungsi  kognitif  anak  sekolah.  GAKI  dan  status  infeksi  tidak  berhubungan dengan fungsi kognitif. Secara bersama Hb, UIE dan asupan zat gizi berhubungan dengan fungsi kognitif. Rerata kandungan iodium pada tanah dan air di wilayah penelitian berada di bawah standar.Kata kunci: GAKI, status gizi, anemia, infeksi, fungsi kognitif
Ekstrak air daun Ceplikan (Ruellia tuberosa L) berpengaruh terhadap kadar SGOT, SGPT dan gambaran histologis hepar tikus DM Ardiani, Fitri; Lestariana, Wiryatun; Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (410.218 KB) | DOI: 10.22146/ijcn.17775

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Background: Diabetes Mellitus (DM) is a chronic metabolic disorder as indicated by hiperglycemia caused by insulin defciency produced by pancreatic islet ß cell which triggers metabolic disorder of carbohydrate, protein and fat, and tends to cause complications. One of the complications is liver damage caused by DM which is probably due to lipid peroxydation, subsequent to free radical production. The common biochemistry signs of liver damage are increasing activities of some enzym such as transaminase pyruvat glutamate serum in the blood. Ruellia tuberosa L is a traditional plant and used by people as diabetic traditional drug. Flavonoid, saponin, zink as antioxidant can decreased of blood glucose in diabetic.Objective: The study aimed to identify the effect of Ruellia tuberosa L extract on glutamate oxaloacetate and glutamate pyruvat transaminases as well as liver histology of diabetic white mice (Rattus norvegicus).Method: The study was pure experimental that used a pre-post test control group design. The study used 30 male Rattus norvegicus. They were divided into 5 groups, each group consisting of 6 rats. Group I rats served as the normal control. Groups II to V consisted of rats with DM induced with alloxan 170 mg/kgBB subcutaneously. The experiment made was as followed. Group I served as control, group II was DM+aquades, group III was DM+Ruellia tuberosa L extract 1.6 mg/ kgBB/day, group IV was DM+Ruellia tuberosa L extract 3.2 mg/kgBB/day, and group V was DM+Ruellia tuberosa L extract 6.4 mg/kgBB/day. Glutamate oxaloacetate and glutamate pyruvat transaminases was measured before beginning and end of the treatment. The blood was taken from sinus orbitalis. At day 30 (end of the study) the rats were sacrifced for their liver. Data of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum level were analyzed using one way ANOVA. The result of liver histology was analyzed descriptively.Results: The effect of Ruellia tuberosa L extract within 30 days of study could minimize level of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum of DM rats. Maximal decreasing in extract 3,2 mg. Histologically there was no damage of the liver.Conclusion: Ruellia tuberose L extract could minimize level of transaminase oxaloacetat glutamate serum and transaminase pyruvat glutamate serum of DM and liver histology is normal.
Intensitas penggunaan gadget dan obesitas anak prasekolah di Kota Yogyakarta Tanjung, Fajar Sri; Huriyati, Emy; Ismail, Djauhar
Berita Kedokteran Masyarakat (BKM) Vol 33, No 12 (2017)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (364.664 KB) | DOI: 10.22146/bkm.26869

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Tujuan: Penelitian ini untuk mengetahui hubungan intensitas penggunaan gadget terhadap obesitas anak usia prasekolah di Yogyakarta. Metode: Penelitian cross sectional dilakukan melibatkan semua anak prasekolah yang terdaftar di Playgroup/ Taman Kanak-Kanak di Yogyakarta dengan kriteria tidak mengikuti full day school. Hasil: Anak prasekolah yang intensitas penggunaan tinggi memiliki peluang 1,3 kali lebih banyak mengalami obesitas dibandingkan anak prasekolah yang intensitas penggunaan gadget rendah (p: 0,028, RP = 1,25). Anak prasekolah dengan intensitas penggunaan gadget tinggi dan pendidikan ayah tinggi, perilaku sedentari tinggi, sosial ekonomi cukup, serta pola makan tidak baik berpeluang 2,1 kali lebih besar mengalami obesitas dibandingkan dengan anak prasekolah intensitas penggunaan gadget rendah dan pendidikan ayah rendah, perilaku sedentari rendah, sosial ekonomi rendah, serta pola makan baik. Kesimpulan: Kejadian obesitas anak prasekolah lebih banyak terjadi pada anak yang intensitas penggunaan gadget tinggi dibandingkan yang intensitas penggunaan gadget rendah
Pola makan dan obesitas sebagai faktor risiko diabetes mellitus tipe 2 di Rumah Sakit Sanglah Denpasar Wiardani, Ni Komang; Hadi, Hamam; Huriyati, Emy
Jurnal Gizi Klinik Indonesia Vol 4, No 1 (2007): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17456

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease with its increasing prevalence worldwide, including in Indonesia and in Bali province especially among adult group. The increasing prevalence of DM is followed by the increasing prevalence of obesity affected by changes in lifestyle and unhealthy dietary patterns.Objective: The study was conducted to investigate relations between dietary patterns and obesity with type 2 DM in Sanglah Hospital, Denpasar.Method: The study was observational analytic with matched case control study. Subject of the study was divided into two groups, i.e. case and control with comparison case and control 1:2 which matched to age and sex. The cases were type 2 DM patients who had recently diagnosed on first visited in Sanglah Hospital. Control 1 was outpatients of non-type 2 DM in Sanglah Hospital and control 2 were taken from the case-neighboring household. Total subject were 147, taken by consecutive method. Collected data were subject identity, dietary patterns, physical activity, weight, height, waist circumference and fasting blood sugar. Dietary patterns were collected using Food Frequency Questionnaire (FFQ), physical activity was collected using modified International Physical Activity Questionnaire (IPAQ), and fasting blood sugar were estimated using biosensor of glucose. Multiple logistic regression models were used to identify risk factors associated with type 2 DM.Result: This study showed that there were 5 variables significantly related with type 2 DM, i.e. interaction of overall obesity with the dietary fiber intake (OR:10.7; 95% CI: 3.5-33.7), family history (OR:5.5, 95% CI: 2.2-13.3), source of high fat animal protein (OR:4.9, 95% CI:1.5-16.1), source of low fat animal protein (OR:0.1, 95% CI: 0-0.5), hypertension (OR:3.7, 95% CI:1.4-9.9)Conclusion: The interaction between overall obesity with dietary fiber intake, family history, source of high fat animal protein, source of low fat animal protein and hypertension were the risk factors of type 2 DM occurrence in Sanglah Hospital, Denpasar.
Distorsi citra tubuh, perilaku makan, dan fad diets pada remaja putri di Yogyakarta Sulistyan, Atika; Huriyati, Emy; Hastuti, Janatin
Jurnal Gizi Klinik Indonesia Vol 12, No 3 (2016): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (161.149 KB) | DOI: 10.22146/ijcn.22644

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Background: Vast changing environment and culture including mass media which commonly shows models with a very slim body may cause teenage girls feel fatty and not confident despite their normal body weight. This misperception may influence eating behavior and encourage them to lose weight by involving in some instant diets, for example, fad diets.Objective: To identify relationships between body image distortion, eating behavior, and fad diets among female adolescents in Yogyakarta.Method: This study was a cross-sectional study on 123 school girls at SMAN 8 Yogyakarta who have normal body mass index (BMI) according to WHO category. Body image distortion and eating behavior were evaluated using the Body Image Assesment-Body Dimension (BIAS-BD), and the Eating Attitude Test (EAT)-26, respectively. Fad diets were assessed using a questionnaire adapted from Hana (10) and Rafiqa (11). The hypotheses were tested using chi-square test and Spearman’s correlations.Results: As many as 105 girls (85.4%) showed body image distortion and 15 girls (12.2%) were at risks for having disordered eating behavior. Among 51 girls (42.5%) who experienced or tried to lose weight, 47 girls (92.2%) were practicing fad diets. There was no significant association between body image distortion and disordered eating behavior, nor between body image distortion and fad diets. However, disordered eating behavior was significantly associated with fad diets with OR = 7,077 (p<0.05).Conclusion: There was a significant relationship (p<0.05) between disordered eating behavior and fad diets, however, no significant association was found between body image distortion and disordered eating behavior, and between body image distortion and fad diets among female adolescents in Yogyakarta.
Aktivitas fisik pada remaja SLTP Kota Yogyakarta dan Kabupaten Bantul serta hubungannya dengan kejadian obesitas Huriyati, Emy; Hadi, Hamam; Julia, Madarina
Jurnal Gizi Klinik Indonesia Vol 1, No 2 (2004): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17395

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Background: The prevalence of obesity is markedly increasing, both in developed and developing countries. Whether physical activity contributes to the obesity in Indonesian adolescents is still unknown.Objective: To assess whether physical activity is associated with obesity in junior high school adolescents in Yogyakarta. Methods: A case control study was conducted in Yogyakarta Province in 2003. Subjects were 140 obese and 140 non- obese junior high school adolescents in Yogyakarta and Bantul, randomly chosen from an obesity survey performed previously. Pattern and duration of activity were assessed using IPAQ modified questionnaire. The activities were than sorted into light (sedentary), moderate and vigorous activities.Results: There was significant difference in the distribution sedentary activity between adolescents of Yogyakarta and Bantul (p<0.0001). The mean duration of sedentary activity in Yogyakarta was 12.4 hours/day while in Bantul was 11.0 hours/day. Obese adolescents spent longer time in sedentary activity than non-obese adolescents (p=0.002). The odds of being obese in adolescent whose sedentary activity was longer than 13 hours/day were almost doubled.Conclusions: Urban adolescents spent more time for sedentary activities than rural adolescents, so were obese adolescents. The association of sedentary activities to obesity is independent from other factors such as calorie intake and parental obesity status.