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Hubungan Obesitas Sentral dengan Kejadian Hipertensi pada Wanita Usia Produktif : The Relationship between Central Obesity and Hypertension among Woman of Productive Age Nurohmi, Susi; Purbowati; Widyan Aisya, Rizki
JURNAL GIZI DAN KESEHATAN Vol. 16 No. 1 (2024): JURNAL GIZI DAN KESEHATAN
Publisher : UNIVERSITAS NGUDI WALUYO

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Abstract

Overweight or obesity occurs due to the imbalance between energy intake and expenditure. Several degenerative diseases such as hypertension and cardiovascular disease are associated with obesity. The development of these diseases does not only occur in the elderly but also in the productive age. This study aims to analyse the relationship between central obesity and the incidence of hypertension in women of productive age. Cross sectional design was used in this study involving 343 respondents selected through purposive sampling. The data were obtained by direct interview, anthropometric assessment, and blood pressure measurement. The data analysis used chi-square test to determine the relationship between variables. The result of the study showed that the total of 69.4% of respondents had an age range of 50-59 years. Most of respondents had an education level of elementary school (50.7%). There were 28.0% of respondents who had family history of hypertension. Most of respondents had central obesity status as assessed by waist circumference. The incidence of hypertension based on systolic and diastolic blood pressure was 33.5% and 32.7% respectively. There was a significant relationship between waist circumference and family history of hypertension with systolic and diastolic blood pressure (p-value <0.05). The conclusion of the study is that women with central obesity and family history of hypertension are at risk of having high blood pressure.   ABSTRAK Ketidakseimbangan antara asupan dan pengeluaran energi adalah penyebab utama kelebihan berat badan dan obesitas. Beberapa penyakit degeneratif seperti hipertensi dan penyakit kardiovaskular memiliki kaitan dengan adanya obesitas pada seseorang. Perkembangan penyakit ini tidak hanya terjadi pada lansia saja tetapi juga pada usia produktif. Penelitian ini bertujuan untuk menganalisis hubungan antara obesitas sentral dengan kejadian hipertensi pada wanita usia produktif. Desain Cross Sectional digunakan dalam penelitian ini dengan melibatkan sebanyak 343 responden yang dipilih melalui purposive sampling. Data didapatkan melalui wawancara secara langsung, penilaian antropometri, dan pengukuran tekanan darah. Analisis data menggunakan uji chi-square untuk mengetahui hubungan antar variabel. Sebanyak 69.4% responden memiliki rentang usia 50-59 tahun. Sebagian besar responden memiliki  Tingkat Pendidikan setara SD (50.7%). Terdapat 28.0% responden yang memiliki riwayat penyakit hipertensi dari orang tua. Sebagian besar responden mengalami obesitas sentral yang dinilai melalui lingkar pinggang. Kejadian hipertensi pada responden berdasarkan tekanan darah sistolik dan diastolik adalah 33.5% dan 32.7%. Terdapat hubungan yang signifikan antara lingkar pinggang dan riwayat hipertensi dengan tekanan darah sistolik dan diastolik (p-value < 0.05). Kesimpulan penelitian adalah wanita dengan obesitas  sentral dan riwayat hipertensi dari orang tua berisiko memiliki tekanan darah yang tinggi.
Implementasi Menu Sehat Anti Anemia untuk Remaja Panti Asuhan Aisyiyah Kudus Purbowati; Septiani; Fania Nurul Khoirunnisa; Maya Eka Mutiara; Sabila Rizqy Fauziah; Zhahira Haura Nasywa
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 6 No. 2 (2024): Indonesian Journal of Community Empowerment November 2024
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35473/ijce.v6i2.3278

Abstract

Adolescent girls are susceptible to anemia. This is because the body experiences rapid growth, high physical activity and menstruation begins so that the body requires a high intake of nutrients, especially protein and iron. If iron needs are not met it can cause anemia. The Aisyiyah Kudus Orphanage accommodates 43 teenage girls aged 10-19 years. Daily food intake is provided by the orphanage which organizes food on a self-managed basis, with a 7 day menu cycle with 3 meal times. However, the menu provided is less balanced, especially the breakfast menu which does not contain vegetables and lacks animal side dishes. Limited budget and cooking power, as well as children's appetites that don't like vegetables, are factors causing the presentation of this menu. Training on preparing healthy menus for managers and youth anemia education for children in orphanages is carried out to improve the skills of managers in preparing healthy menus, serving them practically, and in accordance with the budget, as well as increasing teenagers' understanding of anemia and how to prevent it, so that they can consume healthy food menus that orphanage provided. The methods used are lectures, discussions and demonstrations. Activities were carried out for two days in the Aisyiyah Kudus Orphanage Hall. After participating in the activity, the participants' level of knowledge about anemia increased. Apart from that, there has also been an increase in managers' skills in preparing menus and making processed animal side dishes. It is necessary to monitor and evaluate the implementation of the new menu that has been prepared and its acceptance by orphanage youth. ABSTRAK Remaja perempuan rentan mengalami anemia. Hal tersebut karena tubuh remaja mengalami pertumbuhan pesat, aktivitas fisik tinggi dan mulai terjadi mestruasi sehingga tubuh membutuhkan asupan zat gizi terutama protein dan zat besi yang tinggi. Jika kebutuhan zat besi tidak terpenuhi dapat menyebabkan anemia. Panti Asuhan Aisyiyah Kudus menampung 43 remaja putri yang berusia 10-19 tahun. Asupan makan sehari-hari disediakan oleh panti asuhan yang melakukan penyelenggaraan makanan secara swakelola, siklus menu 7 hari 3 kali waktu makan. Akan tetapi menu yang disediakan kurang seimbang terutama menu makan pagi yang tidak ada sayur dan kurang lauk hewani. Keterbatasan anggaran dan tenaga masak, serta selera makan anak tidak suka sayur menjadi faktor penyebab penyajian menu tersebut. Pelatihan penyusunan menu sehat untuk pengelola dan edukasi anemia remaja untuk anak panti asuhan dilakukan meningkatkan ketrampilan pengelola dalam menyusun menu sehat, praktis penyajiannya, dan sesuai dengan anggaran belanja, serta juga meningkatkan pemahaman remaja tentang anemia dan cara mencegahnya, sehingga dapat mengkonsumsi menu makanan sehat yang disediakan panti asuhan. Metode yang digunakan yaitu ceramah, diskusi, dan demostrasi. Kegiatan dilaksanakan selama dua hari di Aula Panti Asuhan Aisyiyah Kudus. Setelah mengikuti kegiatan, tingkat pengetahuan peserta tentang anemia meningkat. Selain itu juga terjadi peningkatan ketrampilan pengelola dalam menyusun menu dan membuat olahan lauk hewani. Perlu dilakukan monitoring dan evaluasi penerapan menu baru yang telah disusun dan daya terima oleh remaja panti.
Effect of Early Mobilization on Intestinal Peristaltic Recovery As Prevention of Paralytic Ileus in Post Cesarean Section Patients khoirunnisa, fania; Muna, Nailil; Tristanti, Ika; Rahmawati, Ashri; Purbowati
Journal of Epidemiology and Public Health Vol. 10 No. 3 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.03.07

Abstract

Background: The majority of cesarean section deliveries use spinal anesthesia which can have an effect on the deterioration of the gastrointestinal system so that intestinal peristalsis becomes slow. Slow intestinal peristaltic function leads to difficulty defecation and prolongs the day of treatment, in some cases can increase the risk of paralytic ileus. To prevent the risk of complications, intervention can be carried out in postoperative cesarean section patients with early mobilization. This study aims to determine the effect of early mobilization on intestinal peristaltic recovery in post- cesarean section patients. Subjects and Method: This was a quasy experiment conducted at Islamic Hospital in Demak, Central Java, from July to December 2024. A sample of 58 post-cesarean section mothers was selected using purposive sampling and divided into two groups. Assessment of intestinal peristaltic variables through auscultation examination with a stethoscope and early mobilization using observation sheet instruments. Intestinal peristaltic recovery between two groups were examined logistic regression. Results: There was a difference in intestinal peristaltic recovery in post- cesarean section patients between the intervention group and the control group (p=0.000) with the mean value of intestinal peristalsis in the intervention group of 25.45 (SD=6.07) and in the control group of 11.38 (SD=7.69). Patients who were given early mobilization had a 4.48 times faster chance of recovery of intestinal peristalsis. Conclusion: Early mobilization had a positive impact on the recovery of intestinal peristaltic (p<0.05). Health workers should not only provide education, but also assistance in the implement-tation of early mobilization, especially in the first 24 hours post- cesarean section.Keywords: early mobilization, intestinal peristaltics, post cesarean section.