GIZI INDONESIA
Published by DPP PERSAGI Jakarta
ISSN : 04360265     EISSN : 25285874
Gizi Indonesia (Journal of The Indonesian Nutrition Association) is an open access, peer-reviewed and inter-disciplinary journal managed by The Indonesia Nutrition Association (PERSAGI). Gizi Indonesia (Journal of The Indonesian Nutrition Association) has been accredited by Indonesian Institute of Sciences since 2004. Gizi Indonesia aims to disseminate the information about nutrition, therefore it is expected that it can improve insight and knowledge in nutrition to all communities and academics. Gizi Indonesia (Journal of The Indonesian Nutrition Association) offers a specific forum for advancing scientific and professional knowledge of the nutrition field among practitioners as well as academics in public health and researchers
Articles 385 Documents
PENGARUH MODUL TERHADAP PENINGKATAN PENGETAHUAN, SIKAP DAN PRAKTEK KADER DALAM UPAYA PEMBERIAN ASI EKSKLUSIF

Jumiyati, nFN, A, Nugrahaeni S, Margawati, Ani

GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Rendahnya cakupan ASI eksklusif dipengaruhi oleh terbatasnya tenaga konselor ASI, belum maksimalnya kegiatan edukasi, sosialisasi dan belum optimalnya membina kelompok pendukung ASI. Kelompok pendukung ASI di  masyarakat dapat melibatkan peran kader dengan cara menambah pengetahuan, sikap dan praktek kader. Penelitian bertujuan  untuk menganalisis pengaruh  modul terhadap peningkatan pengetahuan, sikap dan praktek kader dalam upaya  pemberian ASI eksklusif. Desain quasi experimen dengan rancangan non  randomized control group pre test – post test design. Sampel penelitian 60 kader (30 kelompok perlakuan dan 30 kontrol). Perilaku kader diukur 4 kali yaitu pada kondisi awal, setelah pelatihan, satu bulan, dan dua bulan setelah pelatihan. Dilakukan uji beda rata-rata. Kelompok perlakuan terjadi peningkatan skor pengetahuan  9,63 poin, post-test bulan pertama 8,94 poin dan post-test bulan kedua 1,55; sikap meningkat 6,35 poin, post tes bulan pertama 7,5 poin dan post-test bulan kedua tidak terjadi peningkatan; praktek meningkat 4,55 poin, post-test bulan pertama 11,8 poin dan post-test bulan kedua 0,39 poin. Kelompok kontrol terjadi peningkatan pengetahuan 3,25 poin, sikap meningkat 2,03 poin dan praktek meningkat 2 poin. Pelatihan dengan menggunakan modul dapat meningkatkan pengetahuan, sikap dan praktek kader dibandingkan kelompok kontrol.ABSTRACT THE IMPACT OF MODULE INCREASE KNOWLEDGE, ATTITUDE AND PRACTICE AMONG THE HEALTH SERVICE PROVIDERS  TO PROMOTE EXCLUSIVE BREASTFEEDING  The low coverage of exclusive breastfeeding is influenced by limited of breastfeeding counselor, educational activities, socialization and lack of involving breastfeeding support groups. Support groups in the community can involve health service provider participation in improving knowledge, attitude and their practice. The Objective of this study is to analyze impact of the module toward increase the knowledge, attitude and practice of health service providers to promote the breastfeeding. The desain of the study research design used a quasi experiment with the design of non-randomized control group pre test-post test design. The sample was 60 health service providers (30 as treatment group and 30 as control group). Health service providers behavior was measured 4 times on the initial conditions, after training, one month, and two months after training used different test average. The result shows that there was an increase in treatment group by 9.63 points, the first month post-test by 8.94 points and at the second post-test by 1.55, for attitude increased 6.35 points, the first month post-test by 7,5 points and at the second month test showed no improvment, the practice increased by 4.55 points, the first month post-test by 11.8 points and second month post-test by 0.39 points. In control group, there was an increase of knowledge by  3.25 points, for attitude increased by 2,03 points and practice increased by 2 point. Training using the module can improve knowledge, attitude and practice of health service providers compared to those without the control group.Keywords: training module, knowledge, attitude and practice of health service providers,  exclusive breastfeeding

THE EFFECT OF DECENTRALIZATION ON THE HEALTH STATUS AND HEALTH CARE UTILIZATION PATTERNS ININDONESIA

Tilden, Robert, Gani, Ascobat, Noor, Nur Nasry, Widjajanto, RM., Sonnemann, James

GIZI INDONESIA Vol 29, No 2 (2006): September 2006
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Berbagai indikator pelayanan dan status kesehatan berdasakan tingkat pengeluaran konsumsi rumahtangga menurut quintile sebelum dan sesudah desentralisasi dinilai dan dikaji. Dilakukan juga penilaian perubahan status kesehatan pada periode desentralisasi, dan juga perbandingan antar wilayah yang menerima dan melaksanakan berbagai program pelayanan kesehatan atau wilayah yang tidak sama sekali mendapatkan inisiasi program pelayanan kesehatan. Data Susenas 2000 dan 2004 digunakan untuk menilai perubahan berbagai indikator kesehatan: morbiditas, pelayanan rawat jalan dan rawat inap, pelayanan kehamilan dan melahirkan, dan status gizi balita sebelum dan sesudah desentralisasi dilaksanakan. Perubahan rasio kematian bayi, kematian ibu, serta kematian balita juga termasuk analisis dari kajian ini. Seluruh analisis dilakukan pembobotan populasi dan analisa statistik dilakukan menggunakan SpssPC (rev 12). Dari hasil kajian menunjukkan bahwa terjadi sedikit peningkatan yang cukup berarti dari kejadian penyakit atau morbiditas penduduk antara tahun 2000 dan 2004, akan tetapi pemanfaatan pelayanan kesehatan (rawat jalan) meningkat di fasilitas pemerintah atau swasta. Peningkatan terbesar terjadi juga pada pelayanan kesehatan rawat inap. Dilaporkan juga pada tahun 2004 hanya sedikit sekali penyakit ditemukan oleh pelayanan kesehatan. Kajian ini juga menemukan bahwa sebelum dan sesudah desentralisasi, penggunaan pelayanan kesehatan terbanyak tetap dilakukan pada kelompok penduduk kaya. Provinsi yang mendapat tambahan biaya dari pinjaman menunjukkan penggunaan fasilitas pelayanan kesehatan yang meningkat terutama untuk pasien rawat jalan. Ada kecenderungan angka kematian balita menurun walaupun status gizi pada balita tidak mengalami perubahan atau peningkatan. Angka kematian bayi menurun cukup signifikan semenjak desentralisasi demikian juga kematian ibu. Terlihat jelas bahwa investasi pelayanan kesehatan yang nampaknya tidak menjadi prioritas pemerintah maupun masyarakat Indonesia. Sebelum dan sesudah desentralisasi Indonesia merupakan negara dimana investasi untuk pelayanan kesehatan menduduki urutan terendah dibandingkan dengan negara lain di dunia ini, terutama negara di ASEAN. Status kesehatan di Indonesia dapat dikatakan membaik walaupun kesepakatan pemerintah untuk memberikan alokasi kesehatan sangat rendah. Perubahan status kesehatan yang terjadi pada masa desentralisasi sebenarnya juga merupakan hasil dari kebijakan yang telah dilakukan sebelum desentralisasi. Selain itu, determinan kesehatan tidak selalu karena pendanaan dalam sistem kesehatan saja akan tetapi bisa saja berkaitan dengan sektor lain seperti pendidikan, dan pendapatan. Desentralisasi namapaknya tidak memberikan konsekuensi negatif terhadap memburuknya status kesehatan di Indonesia. Bahkan, beberapa indikator kesehatan terlihat membaik denagn perubahan lebih cepat pada saat desentaralisasi diibanding sebelumnya. Terutama pada provinsi dimana sosialisasi inisiatif sektor kesehatan diperkenalkan dengain menggunakan dukungan multilateral, terlihat terjadi peningkatan penggunaan pelayanan kesehatan, terutama pelayanan kelahiran dan peningkatan status kesehatan. Hanya gizi kurang pada balita yang nampaknya tidak membaik pada 10 tahun terakhir, kecuali membaik hanya pada saat adanya bantuan pada masa krisis moneter.Keywords: Decentralization, Health Sector Reform, Health Impact

PERBEDAAN TINGKAT ASUPAN ENERGI DAN LEMAK SERTA AKTIVITAS FISIK BERDASARKAN STATUS OBESITAS SENTRAL PADA PASIEN RAWAT JALAN DI RSUD WANGAYA, KOTA DENPASAR

Ambartana, I Wayan, Andari, Ni WAS

GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Kejadian obesitas sentral dapat terjadi karena adanya perubahan gaya hidup seperti tingginya konsumsi minuman beralkohol, kebiasaan merokok, tingginya konsumsi makanan berlemak,rendahnya konsumsi sayuran dan buah, dan kurangnya aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui perbedaan tingkat konsumsi energi, lemak dan aktivitas fisik berdasarkan status obesitas sentral pada pasien rawat jalan di RSUD Wangaya. Penelitian ini merupakan penelitian observasional dengan rancangan kasus kontrol. Populasi adalah semua pasien yang berkunjung ke Poliklinik RSUD Wangaya dan sampel adalah pasien laki – laki dan perempuan berumur di atas 20 tahun dan tidak memiliki penyakit komplikasi berat. Data diperoleh dengan metode wawancara dan pencatatan hasil pengukuran. Berdasarkan hasil analisis uji statistik Independent t-test disimpulkan bahwa terdapat perbedaan yang signifikan antara tingkat konsumsi energi (p = 0,019) dan tingkat konsumsi lemak (p = 0,047) berdasarkan status obesitas sentral. Terdapat pula perbedaan yang signifikan antara aktivitas fisik (p = 0,006) berdasarkan status obesitas sentral. Disarankan kepada pasien dengan risiko obesitas sentral untuk menjaga pola makan, gaya hidup dan aktivitas fisik sehingga penyakit degeneratif yang timbul akibat obesitas dapat dihindari.ABSTRACT Differences in Energy and Fat INTAKES, Physical Activitybased on Central Obesity Status in OutpatientsIN Wangaya Hospital, Denpasar CITY Riskesdas 2010 stated that the national prevalence of central obesity reached 18.8 percent for those aged ≥ 15 years and Bali is one of 17 provinces which had a prevalence of central obesity above the national prevalence, it was 22 percent. The purpose of the study was to determine differences in the level of energy and fat intakes, and physical activity by central obesity status in outpatients in Wangaya hospital. This study is an observational study with case-control design. The population was all patients who visited the polyclinic in Wangaya Hospital and the sample was male patients and female aged > 20 years and did not have severe complications of disease. Data were obtained by interviewing and recording the measurement’s results. Based on the statistical tests analysis usingIndependent t-test concluded that there were significant differences between the level of energy consumption (p = 0.019) and fat (p=0.047) based on the status of central obesity. There were a significant difference between physical activity (p = 0.006) based on the status of central obesity. It is suggested to patient with the risk of central obesity to maintain good food pattern, good lifestyle and do physical avtivity regularly to avoid degenerative diseases. Keywords: energy intake, fat intake, physical activity, central obesity

FOOD AND NUTRITION MISINFORMATION IN INTERNET: A CASE OF SAFETY OF ASPARTAME INTAKE

Afriansyah, Nurfi

GIZI INDONESIA Vol 30, No 2 (2007): September 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Food and nutrition (FN) misinformation is the incomplete, incorrect, or misleading informationabout FN science, without any scientific evidence. Misinformation can easily be taken frominternet, and can come from food industries, friends, families, and influenced by its culture.Information on negative aspect of aspartame consumption is a case of food and nutritionmisinformation taken from internet. Searching information through websites on the topic ofaspartame will be easily found but most of the information claimed that using aspartamesweeteners is a frightening personal account attributing multiple health disasters, even theevidence has not been established yet. The aim of this article is to review food and nutritionmisinformation, with the emphasis on the association between aspartame intake and its effect onhealth.Key words: food and nutrition misinformation; aspartame intake

THE SITUATION OF URINARY IODINE CONCENTRATION (UIC) AMONG SCHOOL AGE CHILDREN, WOMEN AT REPRODUCTIVE AGE AND PREGNANT WOMEN IN INDONESIA: THE ANALYSIS OF RISKESDAS 2013

Kartono, Djoko, Atmarita, Atmarita, Jahari, Abas B, Soekirman, Soekirman, Izwardy, Doddy

GIZI INDONESIA Vol 39, No 1 (2016): Maret 2016
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Iodine Deficiency Disorders (IDD) are the leading cause of goiter, cretinism, developmental delays and other health problems. Iodine deficiency is an important public health issue as it is a preventable cause of intellectual disability. While elimination of iodine deficiency is imperative, it should be noted that excessive intake of iodine can also lead to adverse health effects. This paper analyzed the iodine status using median urinary iodine concentration (MUIC) of school age children (SAC), women of reproductive age (WRA), and pregnant women (PW) who live in the same household from Riskesdas 2013. The total number of households included in the analysis was 13,811 households, from which 6,149 SAC (aged 6 – 12 years), 13,218 WRA (aged 15-49 years), and 578 PW (aged 15-49 years) were enumerated. The national MUIC of SAC, WRA and PWwas  in the normal range indicated that  the iodine status was adequate using WHO epidemiological criteria. Iodine status in some sub-populations indicated deficiency, however, in terms of geographic characteristics people who live in the urban has better iodine status compared to rural areas. Similarly, populations in richer economic quintiles had better iodine status. Only pregnant women in the 1st and 2nd quintile were deficient. Almost all regions in Indonesia showed the MUIC was in the normal adequate range, except NTT-NTB, Maluku-Papua, and East Java for pregnant women who tend to have lower MUIC (<150 µg/L). The status of iodized salt at the household was detected using both Rapid Test Kit/RTK as well as Titration. The result demonstrated a strong association between salt iodine level and iodine status. The MUIC for all three groups were lower when the iodine level in salt was lower, then increased when the levels of iodine content in salt increased. The iodine status of pregnant women consuming non-iodized salt was inadequate. The detrimental effect of iodine deficiency on the mental and physical development of children as well as on the women of reproductive age has been recognized. Indonesia still needs the salt iodization program to keep the iodine status in the normal range. In particular coverage with adequately iodized salt needs to be improved in order to improve the iodine status of pregnant women. For the prevention of Iodine disorders (insufficient), monitoring should be undertaken in regular basis to assess the MUIC, especially for pregnant women.

PENGARUH SUPLEMANTASI VITAMIN C DIBANDINGKAN DENGAN MULTI VITAMIN-MINERAL TERHADAP STATUS ZAT GIZI ANTIOKSIDAN PADA WANITA PEKERJA

Ernawati, Fitrah, ., Rimbawan, Riyadi, Hadi, T.Wibawan, I.Wayan, ., Muhilal

GIZI INDONESIA Vol 32, No 1 (2009): Maret 2009
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EFFECT OF THE VITAMIN C SUPLEMENTATION TOWARD MULTI VITAMIN-MINERAL ON THE STATUS OF NUTRITIONAL ANTIOXIDANT IN WOMAN WORKERSMicronutrients, both vitamins and minerals are needed by the body in limited quantities, but their roleis essential to the body. To fulfill vitamin and mineral requirements, consumption of variant andbalanced diet is needed because most vitamins and minerals are not produced by our body. Foodsupplements can be a good alternative in providing sufficient amount of micronutrient if intake fromdietary sources are not enough. This research was intended to analyse the effect of multi vitaminmineral (MVM) supplementationcompared to a single nutrient supplementation (Vit C 1000 mg) ondietary antioxidant status. It was conducted on Februari 2008and thedesign of this research was adouble blind randomized controlled trial. There were 92 samples aged 20-45 years old, healthy(physically and clinically), did not consume alcohol, did not smoke and were willing to partipate in theresearch. Multi vitamin-mineral supplementation increased serum concentration of vitamin E andsuperoxide dismutase (SOD) significantly(p<0.05), while single supplementation of vitamin C 1000 mgimproved only vitamin C status. Suplementation of multi vitamin-mineral reduced free radicals byimproving superoxide dismutase (SOD) status. Keywords: multi vitamin-mineral supplementation, superdioxide dismutase status, vitamin Estatus, viin C status.

PENGETAHUAN KELUARGA DALAM PENGASUHAN DAN TUMBUH KEMBANG ANAK

., Iswarati

GIZI INDONESIA Vol 33, No 1 (2010): Maret 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

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FAMILIES’ KNOWLEDGE ON CHILD NURTURING, GROWTH AND DEVELOPMENTHuman capital development in Indonesia is conducted within the framework of an individual’s life cycle, starting from the womb until old age. A child grows and develops under the nurture and care of theparents, therefore parents are the foundation of a child’s personality development. The 2009 Survey on Child Growth and Development was a national survey designed to establish a provincial level estimate. This survey was conducted in Indonesia’s 33 provinces. The goal of the survey was to identify families’ knowledge on how to nurture their children in terms of physical, mental and social development. There were 35,478 people surveyed, with 65.2% living in rural areas and 34.8% were urban population. The majority of respondents were women (80.6%). The research indicates that families’ knowledge in terms of child nurturing were not as expected.The knowledge on how to nurture children from a physical aspect has the highest index score of 66.8, followed by spiritual and social nurturing with an index score of 59.2,and the mental and psychological aspect with an index score of 40.7. The national average of the composite index score was 55.5 with the highest being Central Java province (62) and the lowest being North Maluku (46.3). Better coordination among all related programs is essential in improving efficiency and effectiveness of the programs. Advocacy and socialisation are needed to build public support for the programs.Keywords: family, child nurture, growth and development, national survey

EFFECTS OF ORAL CLEAR KEFIR PROBIOTICS ON GLYCEMIC STATUS, LIPID PEROXIDATION, ANTIOXIDATIVE PROPERTIES OF STREPTOZOTOCIN INDUCED HYPERGLYCEMIA WISTAR RATS

., Judiono, ., Djokomoeljanto, S, Hadisaputro

GIZI INDONESIA Vol 34, No 1 (2011): Maret 2011
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Hyperglycemia causes excessive free radicals, may increase reactive oxygen species, lipid peroxidation, and reduced antioxidants as well as dysfuntion of the pancreatic β cells. This study was aiming to investigate the effect of oral Clear kefir probiotic on glycemic status, lipid peroxidation and antioxidantive properties of Streptozotocin induced hyperglycemia Wistar Rats. The randomized pretest - posttest control group study design was conducted in 84 malehyperglycemia Wistar rats induced by 40 mg / kg bw streptozotocin (STZ) dissolved in 0,1 M buffer citrate pH 4,5. Rats were randomized into four groups, namely: (1) STZ-induced animals group and given insulin treatment UI/200 0.76 g bw, (2) STZ-induced animals group and given treatment clear kefir 3.6 cc/200 g bw/day for 30 days, (3) STZ-induced animalsgroup as a positive control (ad libitum), (4) normal animals group as a negative control (ad libitum).Blood glucose was measured by enzymatic method. Lipid peroxidation measured of MDA-TBARs by spectrophotometry. SOD and GPX Antioxidants were measured by ELISA. Catalase was measured by spectrophotometry. Probiotics Clear kefir characterization was done by microbiology identification. Data were analyzed by One Way Anova, Kruskall Walis, Duncan, Mann Whitneytest with significance level p <0.05. The result showed that clear kefir supplementation 3.6 cc / day for 30 days administration, affected on blood glucose, MDA and increased antioxidant capacity. Statistical analysis showed that there were respectively decreased of glucose (p<0.001), MDA (p<0.001). SOD antioxidant capacity was increased (<0,05), in addition GPx and Cat were also inceased(p<0,001), except in control groups. Probiotics kefir was found as many as 10(6)-10(9) cfu / mL and declined to 10(5) as the decrease in pH during storage, four species of probiotics were detected, such as: Lactobacillus Sp, Sp Lactococcus and Acetobacter and Saccharomyces Sp.In conclusion, kefir supplementation significantlydecreased the blood glucose level, level of MDA and increased of antioxidants capacity. The number of probiotics declined during storage.It is interesting to identify a potential clear kefir probiotics in a pathogenesis of the β cells pancreatic repair and stability product during storage for future study. Keywords: probiotic, hyperglycemia, free radicals, lipid peroxidation, antioxidant

KECENDERUNGAN MASALAH GIZI BURUK DI INDONESIA

Jahari, Abas Basuni

GIZI INDONESIA Vol 34, No 2 (2011): September 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Prevalensi  gizi  kurang  dan  buruk  menurut  BB/U  belum banyak  berubah  dari  sejak  krisis  hingga  kini, sementara  dana  untuk  program  perbaikan  gizi  semakin meningkat.  Revitalisasi  Posyandu  dan  Sistem Kewaspadaan  pangan  dan  Gizi  (SKPG)  untuk  penanggulangan  masalah  rawan  pangan  dan  gizi  di sebagian  besar  kabupaten  di  Indonesia  tidak  diimplementasikan.  Telaahan  ini  bertujuan  untuk mempelajari  beberapa  fakta  dari  hasil  analisis  data tentang  gizi  kurang  dan  gizi  buruk  yang  terjadi  diIndonesia. Data yang digunakan adalah hasil Pemantauan Status Gizi (PSG) Jawa Barat tahun 2004, Hasil Survei Gizi di Provinsi Nanggroe Aceh Darussalam (NAD) pasca-Tsunami, 2005, dan survei masalah gizi mikro  di  7  provinsi  tahun  2006.  Hasil  menunjukkan  bahwa  dari  21,3  persen  anak  balita  yang  termasuk kategori rawan, 10 persen di antaranya sangat rawanuntuk menjadi status BB/U Rendah (Gizi Kurang). Kemudian, secara umum dari 32,9 persen anak balita berstatus BB/U Rendah yang ada pada posisi rawan, 13,2 persen di antaranya ada pada posisi sangat rawan untuk menjadi status BB/U Sangat Rendah (Gizi Buruk).  Berdasarkan  TB/U,  proporsi  anak  balita  dengan TB/U  Normal  yang  rawan  untuk  menjadi  status TB/U Pendek meningkat seiring dengan bertambahnya umur. Secara umum 39,9 persen anak balita yang berstatus  TB/U  pendek  ada  pada  posisi  rawan,  di  antaranya 17,8  persen  ada  pada  posisi  sangat  rawan untuk  menjadi  status  TB/U  Sangat  Pendek.  Namun,  berdasarkan  BB/TB,  hanya  9  persen  anak  balita berstatus BB/TB Normal yang ada dalam posisi rawan,3,9  persen di antaranya ada pada posisi sangat rawan untuk menjadi status BB/TB Kurus. Karena jumlah anak balita berstatus gizi baik (normal) yang ada pada posisi rawan terus meningkat mengikuti pertambahan usia, maka upaya perbaikan gizi yang bersifat preventif sudah harus dilaksanakan sejak usia dini,tidak hanya untuk anak balita kurang gizi tetapi juga bagi  anak  balita  yang  dikategorikan  berstatus  gizi  baik.  Arah  kebijakan  pemerintah  hendaknya  melalui kegiatan  yang  bersifat  PREVENTIF  dan  PROMOTIF  yang  PROAKTIF,  harus  diimplementasikan  secara benar, baik di pusat maupun di daerah. Kata kunci: SKPG, Posyandu, status gizi

HUBUNGAN STATUS ANEMIA, PRAKTIK PEMBERIAN MAKAN, PRAKTIK PERAWATAN KESEHATAN, DAN STIMULASI KOGNITIF DENGAN FUNGSI KOGNITIF ANAK SEKOLAH DASAR

Puspaningtyas, Desty Ervira, Sudargo, Toto, Syamsiatun, Nurul Huda

GIZI INDONESIA Vol 35, No 2 (2012): September 2012
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Tujuan dari penelitian ini adalah mengetahui hubungan antara status anemia, praktek pemberian makan pada anak, pemeliharaan kesehatan anak, dan stimulasi kognitif pada fungsi kognitif anak sekolah dasar umur  9-13  tahun  yang  tinggal di  Kabupaten  Imogiri  kota  Bantul,  Yogjakarta,  Sebanyak  120  anak  terplih secara  acak  sederhana,  tetapi  7  diantaranya  tidak  mengikuti  test  kognitif.  Status  anemia  ditentukan berdasarkan  konsentrasi  kadar  hemoglobin  secara  cyanmethemoglobin.  Data  tentang  kebiasaan pemberian  makan  anak,  praktik  pemeliharaan  kesehatan  dan  stimulasi  kognitif  anak  diambil  dengan pertanyaan  yang  diajukan  pada  orang  ibunya  melalui  kuesioner.  Fungsi  kognitif  diukur  dengan  metoda CFIT dan  hasil belajar  di sekolahnya, termasuk pada mata ajaran Bahasa Indonesia dan maematika. Uji Hubungan  2  variabel  menunjukkan  bahwa  terdapat  hubungan  yang  bermakna  antara  status  anemia dengan  angka  matematika  (p=0.005,  ρ  spearman  0.264),  praktek  pemberian  makan  pada  anak  dengan angka matematika (p=0.029, ρ spearman 0.206), dan stimulasi kognitif dengan angka matematika (p=0.027, ρ  spearman  0.208).  Dapat  disimpulkan  bahwa  dalam  penelitian  ini  status  anemia,  praktik  pemberian makanan  anak  dan  stimulasi  kogntif  pada  anak  mempunyai  hubungan  yang  bermakna  terhadap  fungsi kognitif anak, terutama pada angka pencapaian matematika. Kata kunci: status anemia, praktik pemberian makan pada anak, stimulasi kognitif, fungsi kognitif, anak sekolah dasar

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