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Media Gizi Mikro Indonesia
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Media Gizi Mikro Indonesia (Indonesian Journal of Micronutrient) is a scientific journal published periodically by the Center for Research and Development of Iodine Deficiency Disorders (BPP GAKI), regularly twice a year. A paper published in the form of text / article the results of research and development, the results of scientific analysis of secondary data, a summary of the current topics in the field of Micronutrients. Editor receives manuscripts / articles, both from researchers at BPP GAKI and outside. The journal has been accredited Indonesian Institute of Sciences (LIPI).
Articles 52 Documents
Studi Kualitatif Martiyana, Cati; Samsudin, Mohamad
Media Gizi Mikro Indonesia Vol 1, No 1 (2009)
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Abstract

Background: Pregnant women with iodine deficienct have risk of miscarriages, stillbirth to congenital in newborn in the form of neuro-developmental disorders, mental and physic. One effort that can be done to detect cases of Iodine Deficiency Disorders (IDD) at early stage is to conduct newborn screening for hypothyroidism. In Indonesia, this screening program has not become a national mandatory program. Hypothyroidism screening as one of ways of the IDD control efforts in areas where iodine deficiency happens is an important issue to be studied. This study aims to explore the problems and obstacles encountered in the implementation of early detections on infant hypothyroidism who done by village midwives in the societies after training for hypothyroidism screening conducted. Methods: Focus Group Discussion (FGD) was conducted in Wonosobo Regency health office and attended eight midwives from local government health center of Kepil, Kertek II, Kejajar, and Kalikajar who had received training in screening for hypothyroidism. The results of FGD were analyzed according to the principles of qualitative processing data in the form of descriptive-narrative. Results: Most of FGD participant’s still have problems in ensuring the symptoms or clinical signs of hypothyroidism because it has not been a thorough knowledge of IDD and hypothyroidism screening . The main problem is related to techniques on take of bloodspot sample and handling of blood samples . There are respon of some parents who refused when their infants will taken on blood sample because communities do not understand the importance of screening hypothyroidism. Participants recommended the implementation of the screening were held in a cumulative-periodic i.e the birth of infants within a certain period is collected in one place and time. Need more in-depth understanding of hypothyroidism by village midwives. IDD education needs to be done to raise awareness of the public health officials and communities about IDD through socio-cultural approach in local communities.Key words: hypothyroidism, iodine deficiency disorder, screening, midwives, infants.
PERSEPSI KELUARGA TERHADAP PENYAKIT KRETIN DI KABUPATEN MAGELANG, PURWOREJO DAN WONOSOBO Faozan, Muh; Martiyana, Cati; Khoerunnisa, Marizka
Media Gizi Mikro Indonesia Vol 1, No 4 Jun (2011)
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Abstract

Iodine Deficiency Disorders (IDD) is one of the main nutrition problems in Indonesia. Cretin is a further caused from fetal iodine deficiency. Qualitative Research in Magelang District showed that goiter was not considered as a disease and not an obstacle to perform their daily activities. To determine the family perceptions of cretin in Magelang District, Purworejo and Wonosobo. This study us ed qualitative methods with ethnographic design focused. Methods of data collection were in-depth interviews, observation and documentation. In-depth interviews conducted in 15 people of cretins family aged 23 to 62 years. Observations carried out by participatory observation for 7 days in 3 cretin s families. Documentation was done by collecting all relevant documents related with cretins and their families. Family perception about the causes, characteristics, treatment, and prevention of cretin s disease due to the less of height, disrupted activities and intelligence retardation. Thefamilies believed that cretin is a disease, but they did not understand properly the causes, characteristics, consequences, prevention and treatment of cretins. Families sincerely receive the family members who suffer cretins. There were difJerences in perceptions and family behavior towards cretins. Family of cretins in Wonosobo District considered that cretins were onlyamatter of lack of height, while families in the District of Magelang and Purworejo considered that in addition to the lack of height it also disturbed the physical activities and intelligence retardation. It is necessary to perform attention and seriousness from all parties in order to increase knowledge and understanding of the family about the cretin disease and Iodine Deficiency Disorder (IDD). Key words : perception, family, cretins, IDD.
STUDI KUALITATIF DETEKSI DINI KASUS GAKI OLEH BIDAN ESA DI KABUPATEN WONOSOBO Martiyana, Cati; Samsudin, Mohamad
Media Gizi Mikro Indonesia Vol 1, No 4 Jun (2011)
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Abstract

Pregnant women with iodine dejicienct have risk of miscarriages, stillbirth to congenital in newborn in the form of neuro-developmental dis 0 rders, mental and physic. One effort that can be done to detect cas es of Iodine Dejiciency Disorders (IDD) at early stage is to conduct newborn screening for hypothyroidism. In Indonesia, this screening program has not become anational mandatory program. Hypothyroidism screening as one of ways of the IDD control efforts in areas where iodine dejiciency happens is an important issue to be studied. This study aims to explore the problems and obstacles encountered in the implementation of early detections on infant hypothyroidism who done by village midwives in the societies after training for hypothyroidism screening conducted. Methods: Focus Group Discussion (FGD) was conducted in Wonosobo Regency health office and attended eight midwives from local government health center of Kepil, Kertek II, Kejajar, and Kalikajar who had received training in screening for hypothyroidism. The results of FGD were analyzed according to the principles of qualitative processing data in the for:n of descriptive-narrative. Most of FGD participant s still have problems in ensuring the symptoms or clinical signs of hypothyroidism because it has not been a thorough knowledge of IDD and hypothyroidism screening. The main problem is related to techniques on take of bloodspot sample and handling of blood samples . There are respon of some parents who refused when their infants will taken on blood sample because communities do not understand the importance of screening hypothyroidism. Participants recommended the implementation of the screening were held in a cumulative-periodic i. e the birth of infants within a certain period is collected in one place and time. Need more in-depth understanding of hypothyroidism by village midwives. IDD education needs to be done to raise awareness of the public health officials and communities about IDD through socio-cultural approach in local communities. Key words: hypothyroidism, iodine dejiciency disorder, screening, midwives, infants.
HUBUNGAN KONSUMSI ENERGI, PROTEIN DENGAN AKTIVITAS KERJA PADA WANITA USIA SUBUR HIPERTIROID Supadmi, Sri; Kumorowulan, Suryati; Setyani, Asih
Media Gizi Mikro Indonesia Vol 1, No 4 Jun (2011)
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Based on the results of urine iodine in the evaluation survey in 1998 and in 2003 had appeared hyperthyroidism cases this shows that some residents already on the status of iodine which can cause the symptoms of health problems in particular can cause a sense of fatigue as a result of increased energy demand will impact on the daily work activities, thus the quality of work activity to be low. These result aims to relationship of energy and protein consumption with work activity in women of childbearing age with hyperthyroidism. Design cross sectional study of two sample types of quantitative research. Research location in Magelang District. Sample in women of childbearing age who were taken by systematic sampling. Total samples were 100 people consisting of 50 persons hyperthyroidism and 50 persons eutiroid. Rank spearman analysis results for the relationship of energy consumption with work activities rho values obtained for 0,122. There is no significant difJeremce between energi consumption with work activity in women of childbearing age with hyperthyroidism. Rank Spearman analysis results for the relationship of protein consumtion with work activities rho values obtained for 0,165. There is no significant difJerence between protein consumption with work activity in women of childbearing age with hyperthyroidism. These results indicate a very weak relationship between protein consumption with work activities. There is a positive relationship between energy consumption with work activities, whicli mean that the higher the energy consumption the higher work activities. There is also a positive relationship between protein consumtion with work activities.Key words : energy, protein, work activities, hyperthyroidism
HUBUNGAN FAKTOR PERBEDAAN INDIVIDUAL DAN KETERSEDIAAN GARAM DI WARUNG DENGAN PERILAKU IBU RUMAH TANGGA DALAM PENGGUNAAN GARAM BERIODIUM DI KABUPATEN PURWOREJO Setyani, Asih; Supadmi, Sri; Nurcahyani, Yusi Dwi
Media Gizi Mikro Indonesia Vol 1, No 4 Jun (2011)
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IDD would be serious health problem. Behavior in salt iodization was influenced by individual dijJerence and environments. Th is study will examine relationship between individual dijJerence and availability ofiodized salt in the shop with salt iodization behavior in Purworejo. Regency. Observational research with cross sectional. This research in Ngombol Village, Purworejo Regency. Research was done in Mei-November 2010. Samples were 113 household. The instrument to collect data was questionnare regarding availability of iodized salt in the shop and individual dijJerence factors. Behavior in salt iodization had significant relationship with Mother s knowledge level (X2 = 9,834, p = 0,002), but had no significant relationship with Mother s attitude (X2 = 3,681, p = 0,055), no significant with habit (t = 0,459 , P = 0,498), no significant with availability of salt (X2 = 1,985, p =0,159)Key words : individual dijJerence, availability of iodized salt, behavior, salt iodization.
HUBUNGAN KANDUNGAN IODIUM DALAM AIR TANAH TERHADAP KETINGGIAN TEMPAT DI LERENG BARAT GUNUNG MERAPI Musoddaq, Muhamad Arif; Setyani, Asih
Media Gizi Mikro Indonesia Vol 1, No 4 Jun (2011)
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Iodine is important element for human growth and development. Lack or excess of this element result human health problems. Naturally, low dietary supply of iodine is primary cause of iodine deficiency, typically in lack iodine environments .. Climate, topography, and material entity of area contribute iodine in environment. Iodine contain ofwater is a reliable indicator of the iodine contain in environment. Measurement of iodine contain in groundwater and recording of conditions of it s well/spring of groundwater is important to Know correlation between iodine contain and local condition of it s spring/well. This research will describes iodine contain in groundwater in western slope of Merapi Mountain, and it s relation with altitude ofit s spring. This research designed cross-sectionall-y. Sample of groundwater was taken from it s spring/well at western slo pe of Merapi Mountain. Location coordinates, altitude, and condition of spring/well was recorded. Iodine contain in groundwater was measured by spectrophotometer method. Iodine contain in groundwater at western slope of Merapi Mountain range from 0 ug/L to 8 ug/L and correlate with altitude in negative way.Key words : iodine, iodine contain in groundwater, altitude.
KRETIN ENDEMIK DAN KRETIN SPORADIK (HIPOTIROID KONGENITAL) Kumorowulan, Suryati; Supadmi, Sri
Media Gizi Mikro Indonesia Vol 1, No 3 Des (2010)
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Cretinism is a abnormality or disorder caused by disfunction ofthyroid glands which produced the thyroid hormone. There are two kinds of cretinism, endemic cretinism and sporadic cretinism. Endemic cretinism is caused by deficiency al iodine and sporadic cretinism also known as congenital hypothyroid is caused by abnormality of thyroid glands. Manyfactors play role in this abnormality.Keywords : endemic cretinism, sporadie cretinism, congenital hyphothyroid
DAMPAK HOME PROGRAM PADA ANAK BALITA DENGAN HAMBATAN TUMBUH KEMBANG DI DAERAH ENDEMIK GAKI Yunitawati, Diah; Kusrini, Ina; Gassa, Djumiani; Astuti, Beta Dwi
Media Gizi Mikro Indonesia Vol 1, No 3 Des (2010)
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Background: Abnormalities that emerge because of lack of iodine will verv interfere and obstruct childrens growth and development. Psycho-motor dysfunction children often experienciug difficulty perform developing tasks such as sit without help, standing, and walking. The hampered of psycho-motor developing process certainly will complicate next developiug processes.Objective: This study will examine the impact of home program-training for mothers in order 10 improve stunted growth childrens motor abilities. Method: This study is using applied research by experimental quasi design. The location is in Kabupaten Magelang, precisely in Balai Penelitian dan Pengembangan CAKI Magelang throughout l O monthfrom March to December 2008. Questionnaires are used to measure identifying data, medical history, pre¬screening development and Bailey Scales of Infant Development, 2nd Edition to da ta ofmotor and men ta I development of ch i Idren.Result: Molor developing, mental developing, and nutritional status in treatment group (home program-tra in ed) and control group (un-trained) among before and after trained do es liat indicate sign ifican t difference (p>O. 05).Key words: Barriers of growth and developing, home program, iodine deficiency disorder. underfive children
HUBUNGAN ANTARA STATUS TSH IBU HAMIL DENGAN RIWAYAT KEHAMILAN DAN KELAHIRAN DI DAERAH ENDEMIK GAKI Nurcahyani, Yusi Dwi; Kumorowulan, Suryati
Media Gizi Mikro Indonesia Vol 1, No 3 Des (2010)
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Background: Excess of iodine during pregnancy can give a special problem. Diagnosis of hyperthyroidism during pregnancy can cause first-trimester spontaneous abortions, high rates ofstill births and neonatal deaths, two- to threefold increases in the frequency of low birth weight infants, preterm delivery, fetal or neonatal hyperthyroidism, and intrauterine growth retardation. Odjective: These studies examine the relationship between TSH levels in pregnant women with a history of pregnancy and birth mothers in1DD endemic areas. Method: This study is a non-intervention with cross sectional comparative design. ln previous research carried out screening for pregnant women who live in areas of endemic iodine deficiency disorder. From the results of screening found 67 pregnant women, where 32 pregnant women have a lower TSH «0.3 ulll/ml) and 35 pregnant women had normal TSH levels (0.3-3.6111U/ml). After giving birth mothers checked TSH level again and recorded the history o[his birth. Result: ln this study there was no difference for complaints during pregnancy that leads to the signs ofhyperthvroidism between group of pregnant women with low TSH and group of pregnant women with normal TSH. There was no significant difference between postpartum maternal TSH and TSH babies group ofpregnant women with low TSH and group ofpregnant women with normal TSH. There was a significant differencefor TSH mother before and after deli velJl. Conclusions: Low serum TSH value has no effect on the clinical state ofpregnant women and infants born allegedly under the influence of the increase olhCG in the .first trimester of pregnancy, is not because of the circumstances leading to hyperthyroid mothers. But in this study hCG levels pregnant women are not were measured. Key words: low TSH, pregnant women, birth mothet.
STATUS PUBERTAS DAN ANEMIA PADA REMAJA AWAL LAKI-LAKI DAN PEREMPUAN DI DAERAH ENDEMIK GAKI Latifah, Leny; Nurcahyani, Yusi Dwi; Setyani, Asih
Media Gizi Mikro Indonesia Vol 1, No 3 Des (2010)
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Backround: Nutrition problems occurred at every stage of development. Department of Child and Adolescent Health WHO stated that there stilllack of attention on nutrition problems in adolescent stage. Jn the other hands, adolescent is a vulnerable stage because lack of micro nutrition in take, while needed a lot of nutrition due to rapid growth in this stage and menstrual cyclefor girls. Objective: To determine the potential associations between puberty status and anemia among early adolescent in iodine deficient area. Methods: This was a crossectional study, included 120 randomly selectedfirst grade of two junior high schools in the endemic areas of IDD in Temanggung, Central Java. Anemia status was determined by measuring Hemoglobin level in blood sampie and puberty status was obtained through questionnaire. Result: Among the samples, 25 samples (20.8%) were anemics. Girls had 1.55 times chance to had anemia than boys, but statistically not significant (OR: 1.55; 95%CJ; 0.61-3.93). Girls had anemia 1,55 times higher than boys but statistically not significant (OR: 1,55; 95%CJ; 0,61-3,93). Among boys and girls, puberty wasnt related to anemia (OR: 1,31; 95%CJ, 0,53-3.25). Stratified analysis showed that the risk for having anemia among girls who had puberty was 1.5 times higher than girls who hadnt had puberty but statistically not significant (OR: 1,5; 95%CJ; 0,61-3,93). White reversely, boys who had puberty was had lower risk of having anemia, but statisticallynotsignificant(OR: 0.57/; 95%CJ; 0,135-2.422). Conclusion: Puberty status was not related to anemia in early adolescent, but girls who had puberty showed more predisposition to had anemia. Further research needed in later stage of adolescent, especially in girls in iodine endemic area to find out more about relationship between puberty and anemia. Keywords: Anemia, Puberty, Early Adolescent, Jodine Deficiency Disorders Area