Isaura, Emyr Reisha
Department Of Nutrition, Faculty Of Public Health, Airlangga University, Surabaya, Indonesia

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ASSOCIATION BETWEEN EXCLUSIVE BREASTFEEDING PRACTICE, TABURIA SUPPLEMENTATION, AND STUNTING PREVALENCE AMONG CHILDREN AGED 24–60 MONTHS IN SIDOTOPO WETAN, SURABAYA Firda Sahdani; Emyr Reisha Isaura; Sri Sumarmi
Media Gizi Indonesia Vol. 16 No. 2 (2021): JURNAL MEDIA GIZI INDONESIA (National Nutrition Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v16i2.175-181

Abstract

Stunting is a condition in which a child’s height is shorter than other children of the same age. Exclusive breastfeeding is a factor that can aff ect the stunting prevalence in Indonesia. In addition, specifi c nutritional intervention through multi-micronutrient supplementation called Taburia is given to prevent stunting. This study was aimed to determine the relationship between exclusive breastfeeding practice and taburia supplementation in children aged 24-60 months in the working area of Sidotopo Wetan Health Center, Surabaya City. This study used secondary data obtained from a child monitoring survey database from the Surabaya City Health Offi ce in the working area of Sidotopo Wetan Health Center. The samples size was 141 children aged 24–60 month, and the statistical analysis employed was the chi-square test. The results showed that the stunting proportion was 54.60%. There was a relationship between exclusive breastfeeding practice and the stunting incidence (p = 0.047). Children who did not provide exclusive breastfeeding had a higher risk 1.97 times of stunting. Taburia supplementation also had a signifi cant relationship with stunting incidence (p = 0.016). Children with non taburia had a higher risk 2.35 times of stunting. Based on these results, it can be concluded that the prevention of stunting can be overcome by maximizing exclusive breastfeeding practice and complementary foods, also the allocation of taburia
RELATIONSHIP OF FORMER HISTORY OF DIARRHEA AND SANITATION WITH THE PREVALENCE OF STUNTING AMONG CHILDREN AGED 1–5 YEARS IN SIDOTOPO WETAN, SURABAYA Naisya Azalia Samsuddin; Emyr Reisha Isaura; Sri Sumarmi
Media Gizi Indonesia Vol. 16 No. 3 (2021): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTITRION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v16i3.248-255

Abstract

Stunting defines as an abnormal linear growth of children less than -2 standard deviations (SD) of the height measurements according to age. According to WHO (2013), the quality and quantity of nutrient intake and the presence of infectious diseases are directly associated with stunting, while hygiene and sanitation are indirectly associated with stunting. This study aimed to determine whether there is a relationship between disease history and sanitation with the incidence of stunting in children aged 1-5 years in the working area of Sidotopo Wetan Health Center (Puskesmas), Surabaya City. This cross- sectional study was used secondary data from the survey of Puskesmas Sidotopo Wetan children under five - supervising program 2020 which included 166 children aged ≤ 5 years. The dependent variable was stunting, and the independent variables are the history of diarrheal disease and sanitation facilities. The results found that 77 children under five were stunting (46.40%), history of frequent diarrhea was 19.26%, history of the last one month of having diarrhea was 20.47%, permanent healthy toilet ownership 89%, and qualified trash bin were 46.97%. The results of the chi-square statistical test on the research variables further showed a positive relationship with a history of frequent diarrhea (p = 0.023) and diarrhea during the past month (p = <0.001) with the incidence  of stunting. There was also a negative relationship between the toilet (p = <0.001) and trash bin ownership with the incidence of stunting (p = 0.023). Thus, this study concludes that the history of diarrhea and environmental sanitation factors of toilet and trash bin ownership have a relationship with the incidence of stunting in children under five years old. The stunting prevention program shall more consider the awareness of the parents and their kids about nutrient intake, practice of hygiene and sanitation in the house.
Pemanfaatan internet untuk edukasi gizi bagi penyandang diabetes mellitus Emyr Reisha Isaura; Probosuseno Probosuseno; Muhammad Primiaji Rialihanto
Jurnal Gizi Klinik Indonesia Vol 10, No 2 (2013): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.549 KB) | DOI: 10.22146/ijcn.18849

Abstract

Background: The pattern of disease incidence has changed nowadays as indicated from epidemiological transition, from infection to noninfection diseases or noncommunicable diseases. The quantity of diabetes mellitus (DM) patients in Indonesia is increasing every year. Integrated management of DM requires synergy from different parties. According to Act No. 36/2009 on Health, article 17 paragraph 1 states that the government is responsible for the availability of access to information, education, and health facilities to improve and maintain highest health status.Objective: The study aimed to analyze the utilization of the internet or online media in the dissemination of recommended eating pattern and physical activities of DM patients as prevention against complication.Method: The study used cross-sectional design and was carried out in January 2013 at Surabaya Municipality. It used e-survey, with secondary data from hospitals at Surabaya Municipality. Samples were DM patients of 20-50 years old registered in hospitals and agreed with informed consent. Samples were taken purposively involving 66 respondents.Results: There was a difference in eating pattern among DM patients utilizing online and those using nononline media (OR=3.33; CI 95%=1.06-10.43; p=0.03); and in physical activities (OR=0.09; CI 95%=0.01-0.75; p=0.008).Conclusion: The utilization of online media affected eating pattern and physical activity pattern in DM patient as much as 3.33 times and 0.09 times greater than in those not using online media in looking for communication, information, and education resources in supporting prevention against DM complication. Thus online media could be one of the effective and efficient methods for the delivery of communication, information, and education for DM patients by health staff.
The contribution of the fruit and vegetables on the menu in the association between food insecurity and diabetes incidence among Indonesian adults Emyr Reisha Isaura; Yang-Ching Chen; Shwu-Huey Yang
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1311.527 KB) | DOI: 10.22146/bkm.44921

Abstract

Purpose: The link from food insecurity to chronic diseases is well-known. However, the contribution of the number of days eaten fruits and vegetables consumption in the association between food insecurity and the incidence of diabetes among Indonesian adults is rather vague. Methods: This study was obtained data from 3955 participants of the Indonesia Family Life Survey (IFLS) in 2007 and 2014. The food insecurity measurement was using a World Food Programme (WFP) concept using food frequency questionnaire on a food consumption score analysis. A generalized estimating equation (GEE) test were used to test the hypotheses model while accounting for the health behaviors and sociodemographic characteristics in this study. Results: The GEE test was confirmed the negative association between food insecurity and diabetes in the adjusted and unadjusted model (p = 0.005 – < 0.001). The number of days eaten vegetables consumption was statistically negative associated with diabetes in both model (p = 0.006 – < 0.001). The number of days eaten fruits consumption was negatively associated with diabetes but not statistically significant in both models. The contribution of number of days eaten fruit and vegetables was related to the ability and/or knowledge of individuals to choose their meals, especially for people with diabetes. Conclusion: Food insecurity is negatively associated with diabetes, with the contribution of less number of days eaten vegetables consumption. Strategies to improve the prevention of diabetes among adults may need an enrichment of fruit and a vegetable tailored-meal on the menu of the restaurant or food court or canteen together with the enrichment of nutrition education, into account.
RELATIONSHIP BETWEEN PHYSICAL ACTIVITY AND BALANCED NUTRITION DIET WITH NUTRITIONAL STATUS OF STUDENTS AT SMA NEGERI 3 BALIKPAPAN DURING ONLINE LEARNING Tiksna Setya Waratmaja; Farapti Farapti; Emyr Reisha Isaura
Media Gizi Indonesia Vol. 17 No. 3 (2022): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i3.250-257

Abstract

The students experience the impact of the COVID-19 virus transmission. One of it was school from home. Online learning conditions allow adolescents to experience shifts in physical activity and diet patterns. This study analyzed the relationship between physical activity and a balanced nutritional diet with nutritional status in students at SMA Negeri 3 Balikpapan. This type of research was quantitative research with explanatory surveys and using a cross-sectional design. In this research, all active students of SMA Negeri 3 Balikpapan were involved as a population. The number of samples obtained was 92 people using purposive sampling techniques. An instrument for measuring activity level variables was the International Physical Activity Questionnaire-Short Form (IPAQ-SF). A balanced nutrition diet was assessed using Semi Quantitative-Food Frequency (SQ-FFQ) and the Balanced Nutrition Index 3 Levels (IGS3-60). Measurement of nutritional status through self-reporting based on body mass index by age z-score (BMI/Age). The statistical test used was a chi-square to test the research hypothesis. Based on the results of the chi-square statistical test, there was a relationship between physical activity and nutritional status (p=0,014), and there was no relationship between a balanced nutritious diet and the nutritional status (p=0,212). Physical activity is closely related to the nutritional status of adolescents. Therefore, to maintain optimal nutritional status, implementing a healthy lifestyle and physical activity patterns are need to be done.
PROGRAM DAN INTERVENSI PEMBERIAN MAKAN BAYI DAN ANAK (PMBA) DALAM PERCEPATAN PENANGGULANGAN STUNTING Nur Mufida Wulan Sari; Farah Rosyihana Fadhila; Ulfatul Karomah; Emyr Reisha Isaura; Annis Catur Adi
Media Gizi Indonesia Vol. 17 No. 1SP (2022): Media Gizi Indonesia (National Nutrition Journal) Special Issue: Internation
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i1SP.22-30

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Indonesia telah melakukan berbagai upaya percepatan penanggulangan stunting melalui intervensi spesifik dan intervensi sensitif. Program Pemberian Makan Bayi dan Anak (PMBA) merupakan salah satu intervensi terintegrasi dalam percepatan penanggulangan stunting dengan penerapan standart emas pemberian makan bayi dan anak. Kajian ini bermaksud untuk menganalisa program PMBA di Indonesia serta memberikan rekomendasi dengan pendekatan model Nutrition Care Process (NCP) komunitas meliputi penilaian, analisa masalah, intervensi, dan monitoring dan evaluasi kami gunakan untuk melakukan analisis program dan kebijakan dalam kajian ini. Hasilnya program PMBA di Indonesia perlu didukung dengan beberapa aspek yang melibatkan intervensi sensitif menyangkut akses pada sumber makanan, monitoring, dan penguatan sumber daya manusia. Kami merekomendasikan adanya penguatan dalam peningkatan penjaminan akses pangan bagi kelompok umur sesuai sasaran PMBA, penguatan ketahanan pangan keluarga, penguatan monitoring data berkaitan dengan data makanan pendamping air susu ibu (jumlah, tekstur, frekuensi makan, dan kesesuaian usia, keragaman pangan, pemberian air susu ibu (ASI) sampai dengan 2 tahun, dan penambahan tenaga terlatih PMBA. Program PMBA membutuhkan dukungan dari lintas sektor untuk mencapai standart emas PMBA. Penguatan internal terkait data dan sumber daya manusia merupakan upaya yang patut dipertimbangkan untuk mendukung keberhasilan program PMBA dalam rangka percepatan penanggulangan stunting di Indonesia.
Three Body Mass Index Classification Comparison In Predicting Hypertension Among Middle-Aged Indonesians Tri Sutanti Puji Hartati; Emyr Reisha Isaura
Media Gizi Indonesia Vol. 18 No. 1 (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i1.38-48

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Cardiovascular disease is one of the severe causes of death in low-middle-income countries. Being overweight and obese relates to a higher risk of hypertension, which further increases the risk of CVD. Therefore, determining body mass index (BMI) cut-off points is essential to provide a new scale for early and accurate screening. This study aimed to compare three classifications of BMI defined by WHO, Indonesia, and Asian criteria in predicting hypertension in middle-aged Indonesians. We used the 2014 Indonesian Family Life Survey data and included a total sample of 9737 respondents aged 40-60-year-old. We compared values (specificity, sensitivity, negative and positive predictive value, false-positive rate, negative and positive likelihood ratio, Youden index, and prevalence) of three BMI criteria (WHO, Indonesian, and Asian) between groups (Group 1: normal BMI vs overweight + obese BMI; group 2: normal + overweight BMI vs obese BMI) to determine the cut-off points of BMI related to hypertension. The hypertension prevalence was significantly higher in women (48.3%) than in men (42.0%). Respondents’ BMI was positively associated with hypertension.  The Asian BMI classification showed better sensitivity, specificity, PPV, NPV, FPR, LR+, LR-, and Youden index in group 1 than in group 2. Thus, this study proposed a fitted BMI cut-off point for overweight was ≥23 kg/m2 and for obesity was ≥25 kg/m2 as the early screening of overweight and obesity related to hypertension among the middle-aged population in Indonesia.
Hubungan Healthy Eating Index dan Pola Aktivitas Fisik dengan Riwayat Gangguan Kesehatan pada Mahasiswa Strata 1 Gizi Selama Pandemi Covid-19 Alma Maurela Setyanti; Emyr Reisha Isaura; Sri Adiningsih
Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal Vol 13 No 2 (2023): Jurnal Ilmiah Permas: jurnal Ilmiah STIKES Kendal: April 2023
Publisher : Sekolah Tinggi Ilmu Kesehatan Kendal

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32583/pskm.v13i2.938

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Pandemi COVID-19 merupakan penyakit menular sehingga perlu tindakan pencegahan dengan cara menjaga jarak, melakukan aktivitas fisik, dan memperbaiki kualitas diet. Mahasiswa gizi Universitas Airlangga merupakan salah satu yang terkena dampak pandemi COVID-19. Tujuan penelitian ini adalah untuk menganalisis hubungan antara healthy eating index (HEI) dan aktivitas fisik dengan riwayat gangguan kesehatan pada mahasiswa Gizi selama pandemi COVID-19. Penelitian ini merupakan penelitian observasional analtik dengan desain cross sectional. Pengumpulan data dilakukan dengan metode online survey. Besar sampel 35 mahasiswa Program Studi S1 Gizi Fakultas Kesehatan Masyarakat Universitas Airlangga yang diambil secara purposive sampling. Responden mengisi google form kuisioner tentang riwayat gangguan kesehatan selama pandemi dan aktivitas fisik menggunakan International Physical Activity Questionnaire serta wawancara asupan makan sebanyak 3x24 jam. Analisis data menggunakan uji Pearson dan chi-square. Hasil penelitian menunjukkan sebagian besar responden memiliki skor HEI buruk (91,7%), aktivitas fisik ringan (50%), dan mengalami gangguan kesehatan yaitu sakit kepala (82,9%), pilek (74,3%), nyeri perut (65,7%), dan batuk (65,7%). Terdapat hubungan antara HEI dengan riwayat pilek (p=0,003), riwayat mudah lelah (p=0,04), dan riwayat diare (p=0,028) selama pandemi COVID-19. Aktivitas fisik berhubungan dengan riwayat kejadian nyeri otot selama pandemi (p=0,049), namun tidak terdapat hubungan antara HEI dengan aktivitas fisik (p=0,462). Kesimpulan dari penelitian ini yaitu semakin buruk skor HEI dan pola aktivitas fisik rendah memiliki risiko mengalami gangguan kesehatan. Mahasiswa gizi diharapkan untuk mengatur pola makan dan melakukan aktivitas fisik secara rutin agar mengurang risiko gangguan kesehatan.
PEMBERIAN DIET DIABETES NEFROPATI RENDAH GARAM PADA PASIEN DIABETES MELITUS, GAGAL GINJAL, DAN HIPERTENSI: SEBUAH LAPORAN KASUS Alifian Soni Romadhon; Emyr Reisha Isaura
Jurnal Kesehatan Tambusai Vol. 4 No. 3 (2023): SEPTEMBER 2023
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v4i3.18534

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Diet Diabetes Melitus Nefropati merupakan diet yang diberikan kepada pasien diabetes dan gagal ginjal yang memerlukan asuhan gizi guna menurunkan risiko komplikasi. Pemberian diet ini bertujuan untuk menurunkan gula darah hingga menuju nilai normal dan meringankan kerja ginjal dengan pemberian protein yang rendah serta menurunkan tekanan darah. Studi kasus ini bertujuan untuk mengetahui keberhasilan proses asuhan gizi klinis pada pasien dengan diabetes melitus, gagal ginjal, dan hipertensi dalam pengendalian glukosa darah dan mencegah kerusakan ginjal lebih lanjut. Studi kasus dilakukan pada bulan Oktober 2022 pada pasien rawat inap di RSPAL dr. Ramelan Surabaya. Dilakukan monitoring evaluasi selama 3 hari pada tanggal 31 Oktober - 2 November 2022 pada asupan makan, fisik klinis, biokimia. Didapatkan hasil bahwa kadar biokimia membaik, fisik klinis membaik, dan asupan meningkat namun masih belum memenuhi kebutuhan harian energi dari intervensi yang diberikan. Berdasarkan pengamatan selama tiga hari pasien kondisi pasien berangsur membaik secara asupan, kadar biokimia dan fisik klinis walaupun asupan energi belum dapat memenuhi kebutuhan harian serta tekanan darah masih fluktuatif, diet rendah protein dapat dilanjutkan guna membantu memperbaiki kondisi pasien. Perlu diberikan pengaturan makan yang seimbang mengingat terdapat diabetes yang sensitif dengan pemberian asupan karbohidrat namun apabila tidak terpenuhi berpotensi menyebabkan penurunan status gizi pasien. Begitu pula dengan pemberian protein yang rendah guna mencegah kadar biokimia yang meningkat serta penurunan filtrasi glomerulus.
Association between Physical Activity Frequency and Hypertension Incidence among Indonesian Adults based on Indonesian Family Life Survey Wave 4 and 5 Ardiani, Safirah Dina; Farapti, Farapti; Isaura, Emyr Reisha
Journal of Public Health for Tropical and Coastal Region Vol 6, No 3 (2023): Journal of Public Health for Tropical and Coastal Region
Publisher : Faculty of Public Health, Universitas Diponegoro, Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jphtcr.v6i3.20937

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Introduction: Hypertension incidence among adults in Indonesia increase every year. Many factors affect blood pressure, such as lifestyle which include diet and physical activity. This research aimed to analyse the association between physical activity frequency and hypertension incidence in Indonesia.Methods : This study used secondary data from Indonesian Family Life Survey Wave 4 and 5 held in 2007 and 2014, respectively from 257 adults. The subjects in this study had completed data on blood pressure, socioeconomic, and physical activity in both waves. The hypertension incidence was assessed using health practitioners’ diagnosis. Data analysis was conducted in logistic regressions.Results: There were differences in age, education level, systolic blood pressure (SBP), diastolic blood pressure (DBP), hypertension stage, and physical activities frequencies between IFLS4 data (2007) and IFLS5 data (2014) of the same subjects, with the p-values of <0.001. All of the physical activity frequencies (walk, moderate and vigorous) has no correlation with systolic blood pressure. The vigorous physical activity was positively correlated with diastolic blood pressure in both unadjusted (p=0.029) and adjusted analysis (p=0.017). Conclusion: The frequency of physical activity (walk, moderate, and vigorous) was not correlated to systolic blood pressures, but vigorous physical activity was positively correlated to diastolic blood pressure. For hypertension prevention, vigorous physical activity need to be reduced into moderate activities.