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Risk factors for obesity and overweight in under-five children in a highland community, Kabanjahe Sibagariang, Eva Ellya; Ginting, Rapael; Sihombing, Rachel Raselia; Amir, Dwi Fenny; Meliala, Juli Elisabet Mayen Br; Angkasa, Celvin; Zubaidah, Siti; Sherliana, Ferra; Siregar, Hesti Despita
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7746

Abstract

Overnutrition in toddlers is a public health problem that continues to increase globally and nationally. In Indonesia, the prevalence of toddler obesity has risen from 10.5% (2007) to 21.8% (2018). In Karo Regency, the prevalence of toddler obesity reached 8.80%. Data from 2025 at Simpang Empat Community Health Center in Kabanjahe shows 12 toddlers with obesity and 49 toddlers with overnutrition. This study aims to analyze the relationship between maternal knowledge, attitudes, and practices with the occurrence of obesity and overnutrition in toddlers aged 12-60 months. The research method used an observational analytic design with a cross-sectional approach. The sample consisted of 61 toddlers with obesity or overnutrition, selected using total sampling. Data were collected through questionnaires and anthropometric measurements of BMI-for-age. Analysis used the Chi-Square test. Results show the majority of mothers had insufficient knowledge (57.4%), positive attitudes (63.9%), and suboptimal practices (65.6%). There was a significant relationship between knowledge (p=0.038), attitude (p=0.041), and practice (p=0.044) with the toddler's nutritional status. The study conclusion confirms that good nutritional care practices, supported by adequate knowledge and a positive attitude, play an important role in preventing obesity and overnutrition in toddlers.
Body image and nutritional status among female students at Universitas Prima Indonesia Silitonga, Thesa Kristina Br.; Sibagariang, Eva Ellya; Leslie, William; Fransisca, Silva; Lubis, Ika Syani Putri; Suwarno, Suwarno; Hasya, Muhammad Nawal; Putri, Eka
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7757

Abstract

Body image is an individual's subjective perception of their body shape and size, which can influence eating behaviour and nutritional status. This study aimed to analyse the relationship between body image and nutritional status among female students at Prima Indonesia University in 2025. A cross-sectional study was conducted with a sample of 69 female students from the 2023 cohort of the Public Health Study Programme, selected via total sampling. Body image data were collected using the Body Shape Questionnaire (BSQ), while nutritional status was assessed via anthropometric measurements of Body Mass Index (BMI). Data analysis employed the Chi-Square test with a significance level of 0.05. A total of 59.4% of respondents had a negative body image and 40.6% a positive body image. The distribution of nutritional status was: normal (62.3%), obese (18.8%), overweight (10.2%), and underweight (8.7%). Statistical analysis indicated a significant relationship between body image and nutritional status (p-value = 0.002). Respondents with a negative body image were more likely to have an abnormal nutritional status (overweight and obese) compared to those with a positive body image. There is a significant relationship between body image and nutritional status among female students. A negative body image is associated with a tendency towards abnormal nutritional status, particularly excess weight.
Effectiveness of dragon fruit juice for glycemic control in elderly patients with type 2 diabetes mellitus Sitanggang, Lastriana; Siagian, Masryna; Sibagariang, Eva Ellya
Buletin Kedokteran & Kesehatan Prima Vol. 4 No. 2 (2025): September
Publisher : Fakultas Kedokteran, Kedokteran Gigi, dan Ilmu Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/bkkp.v4i2.7811

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) is a global health challenge with a rising prevalence, particularly among the elderly. Its management requires a holistic approach, including medical nutrition therapy. Red dragon fruit (Hylocereus polyrhizus) is rich in fibre and antioxidants, which may help regulate glucose metabolism. This study aimed to evaluate the efficacy of red dragon fruit juice on reducing random blood glucose levels in elderly patients with T2DM. Methods: A quasi-experimental study with a pretest-posttest control group design was employed. Thirty-two elderly T2DM patients within the working area of Karo District General Hospital were selected via purposive sampling and allocated into an intervention group (n=16) and a control group (n=16). The intervention group consumed 250 ml of red dragon fruit juice once daily for seven consecutive days, while the control group received routine care only. Random blood glucose levels were measured using a glucometer before and after the intervention. Data were analysed using descriptive statistics and the Wilcoxon Signed Ranks Test. Results: At baseline, the mean random blood glucose was 231.88 ± 99.37 mg/dL in the intervention group and 250.31 ± 63.32 mg/dL in the control group. Post-intervention, the intervention group exhibited a significant decrease to 226.25 ± 96.99 mg/dL (p=0.017). Conversely, the control group showed a non-significant increase to 252.75 ± 63.66 mg/dL (p=0.027). Rank analysis indicated that 75% of subjects in the intervention group experienced a decrease in blood glucose, whereas 81.25% of subjects in the control group experienced an increase. Conclusion: The administration of 250 ml of red dragon fruit juice daily for seven days was effective as an adjuvant therapy in reducing random blood glucose levels in elderly patients with Type 2 Diabetes Mellitus. Red dragon fruit may be considered a safe and affordable complementary nutritional intervention for T2DM management in the elderly population.
Co-Authors Amir, Dwi Fenny Angkasa, Celvin Binarwan Halim DAMERIA DAMERIA Dewi Sartika Munthe Eka Putri Fransisca, Silva Fransiskus, Antonius Ginting, Anabel Tesalonika BR Ginting, Tariana Gulo, Riang Perdamaian Hartono Hartono Hasya, Muhammad Nawal Henrista, Nanda Hia, Teresia Lisnawati Hidayah, Qisty Alifyah Hutasoit, Herlina Natalina Irawan, Dheanissa Syalwa Khabija Iskandar, Dalmy Johannes Bastira Ginting Johnson Hutapea Kurniawan, Evan Kuswani, Lili Laoli, Elfani Dita Pradana Lawrence, Christopher Leslie, William Lubis, Ika Syani Putri Marlinang I. Silalahi Meliala, Juli Elisabet Mayen br Milka Rositi Sianipar Muhammad Iqbal Nardi, Leo Nasution, Syamsul Arifin Ongko, Nicolas Xavier Pane, Putri Yunita Paradhiba, Meutia Pasaribu, Nancy Desrina Pohan, Nurhayati Lindung Rapael Ginting Rasyida, T. Syifa Rimonda, Rubi Samosir, Frans Judea Sherliana, Ferra Siagian, Masryna Siahaan, Marlina Elpiani Siahaan, Perry Boy Chandra Sibagariang, Ayu Sihombing, Rachel Raselia Silaen, Mangatas Silalahi, Marlinang I. Silitonga, Thesa Kristina Br. Simajuntak, Mafe Robbi Simangunsong, Pahala Maringan Jubel Simanjuntak, Mafe Robbi Simanjuntak, Mafe Robi Simanullang, Andry Sinurat, Buenita Siregar, Hesti Despita Sitanggang, Lastriana Siti Zubaidah Soleh, Ardian Sormin, Delores Elisabeth Suwarno Suwarno Tambunan, Ester Theresia Tambunan, Sayulita Lestari Br Tarigan, Denada Br Tarigan, Gita Febiolita Br Victor Trismanjaya Hulu Waruwu, Nestapa Viatni Widya Yanti Sihotang Wilsen Wilsen, Wilsen Zega, Berkat Eliniat Zulfahmi Zulfahmi