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Suyatno Suyatno
Public Health Nutrition Department, Faculty of Public Health, Universitas Diponegoro, Semarang

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Status Sosial Ekonomi dan Pekerjaan Ibu sebagai Faktor Kunci Obesitas Balita di Jawa Tengah: Wawasan untuk Intervensi Gizi: Socioeconomic Status and Maternal Employment as Key Factors of Toddler Obesity in Central Java: Insights for Nutritional Interventions Naintina Lisnawati; Dion Zein Nuridzin; Siti Fatimah Pradigdo; Suyatno Suyatno
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.351-357

Abstract

Background: Obesity in children under five years of age is an emerging public health concern in Indonesia, where birth history and family characteristics may play a significant role. Objectives: This study aimed to analyze factors associated with obesity among toddlers in Central Java, Indonesia, using data from the 2022 Indonesian Nutritional Status Survey (SSGI). Methods: A cross-sectional study was conducted with a weighted sample of 21,987 toddlers (aged 0–59 months) from six cities and 29 districts in Central Java. Independent variables included toddler characteristics (sex, stunting at birth), family factors (area of residence, socioeconomic status), and maternal factors (marital status, education, employment, weight monitoring). Complex samples analysis was performed using chi-square tests for bivariate associations and multiple logistic regression for multivariate analysis, with a significance level of α=0.05. Results: Obesity prevalence was low at 1.4% (n=304). Bivariate analysis identified significant associations with stunting at birth (p-value=0.024), socioeconomic status (p-value<0.001), maternal education (p-value<0.001), and maternal employment (p-value<0.001). In the multivariate model, higher socioeconomic status (aOR=1.94, 95% CI=1.34–2.83, p-value<0.001) and maternal employment (aOR=1.42, 95% CI =1.03–1.96, p-value=0.032) were significant predictors of obesity. Stunting at birth approached significance (aOR=0.44, 95% CI=0.19–1.02, p-value=0.056). Sex, area of residence, marital status, maternal education, and weight monitoring were not significant predictors of childhood obesity. Conclusions: Higher socioeconomic status and maternal employment are key risk factors for toddler obesity in Central Java.
Edukasi Daring Menurunkan Proporsi Anak Kurus Usia 6–18 Bulan Martha Irene Kartasurya; Sri Achadi Nugraheni; Suyatno Suyatno; Siti Fatimah
Amerta Nutrition Vol. 10 No. 2SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i2SP.2026.25-34

Abstract

Background: Mothers’ practices in feeding children under two years of age in Semarang City are suboptimal. To prevent nutritional problems, mothers need targeted education on complementary feeding. Online education was chosen because it suits urban conditions. Objectives: To analyze the effects of online education on complementary feeding provision on the weight for age (WAZ), weight for length (WLZ), and length for age (LAZ) Z-scores of children aged 6–18 months. Methods: A quasi-experimental study was conducted involving 107 mother-child pairs aged 6-18 months, divided into intervention and control groups. Education on complementary feeding was delivered via YouTube and WhatsApp groups. The dependent variables were WAZ, WLZ, and LAZ Z-scores. Nutrient intake was evaluated using a 2x24-hour dietary recall. Data analysis was performed using the chi-square tests, independent t-tests, Wilcoxon signed-rank tests, and ordinal regression. Results: There were no statistically significant differences in child, mother, or family characteristics between the intervention and control groups, except for the number of family members, which was higher in the intervention group than the control group (p = 0.04). There were no statistically significant differences in nutrient intake observed between the two groups. Following the intervention, the proportion of wasting children significantly decreased from 11.3% to 1.9% in the intervention group, but increased from 5.6% to 9.3% in the control group. There was no significant effect of online education on the WAZ and LAZ score categories. Conclusion: Online education on complementary feeding for mothers reduced the proportion of thin children aged 6-18 months.