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Journal : Poltekita: Jurnal Ilmu Kesehatan

The Relationship Between Lifestyle and Dietary Patterns and the Incidence of Degenerative Diseases Irwan, Zaki; Hasyim, Muh; Arief, Erdiawati; Islam, Fahrul; Akbar, Fajar; Firman, Firman
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4188

Abstract

Degenerative diseases, particularly diabetes mellitus and hypertension, contribute substantially to morbidity in Indonesia, including rural areas undergoing lifestyle transitions. Kalukku Subdistrict in Mamuju Regency is one such region, yet no comprehensive studies have examined the relationship between lifestyle, diet, and nutritional status with these diseases. This study aimed to analyze associations between lifestyle, dietary patterns, and nutritional status with the incidence of diabetes mellitus and hypertension in Kalukku Subdistrict. A cross-sectional design was applied to 150 purposively selected patients with diabetes mellitus and hypertension recorded at Tampapadang Health Center. Data were collected using lifestyle questionnaires, 24-hour dietary recalls, semi-quantitative food frequency questionnaires (SQ-FFQ), and anthropometric measurements. Associations were analyzed using chi-square tests with odds ratios (ORs) and 95% confidence intervals (CIs). Unhealthy lifestyle was strongly associated with diabetes mellitus (p<0.001, OR=12.17) and hypertension (p<0.001, OR=0.016, indicating 98.4% lower risk in individuals with healthy lifestyles). Unhealthy dietary patterns were associated with diabetes mellitus (p=0.040, OR=3.51) but not with hypertension (p=1.00). Nutritional status showed no significant relationship with either condition (p>0.05). Lifestyle is a key determinant of both diabetes mellitus and hypertension, while dietary patterns are associated only with diabetes mellitus. Nutritional status was not significantly linked to either disease. These findings highlight the importance of community-based health promotion and prevention, including daily physical activity through group exercise, dietary modification using local foods (corn, cassava, sweet potatoes) as alternatives to white rice, and salt-reduction campaigns via cooking demonstrations.
Implementation of the Balanced Scorecard in Performance Measurement of Waste Management in Mamuju Regency Ashari, Agus Erwin; Rahmah, Siti; Haidah, Nur; Akbar, Fajar
Poltekita: Jurnal Ilmu Kesehatan Vol. 19 No. 2 (2025)
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v19i2.4199

Abstract

Waste remains a major environmental health issue in urban areas, requiring comprehensive management efforts that involve government, workers, and the community. In this regard, government accountability—both financial and non-financial—is essential. To ensure effective oversight, performance evaluation through the Balanced Scorecard (BSC) framework becomes crucial. In Mamuju Regency, waste management faces challenges, as only 5.55% of total waste is transported to final disposal sites. This study applies the BSC method to assess waste management performance in Mamuju, focusing on two perspectives: customer satisfaction and learning and growth. Using a quantitative descriptive design, data were collected from 50 residents who utilize household waste collection services and 100 employees directly engaged in operational waste services. Information was obtained through structured questionnaires, operational and financial reports, and supporting documentation from the relevant agency. The analysis covered attributes under the two BSC perspectives. Findings reveal that in the customer perspective—covering service quality, relationships, and institutional image—satisfaction reached the “satisfied” category, indicating good performance. Meanwhile, in the learning and growth perspective, which included employee competence, information system support, motivation, empowerment, and fairness, results showed “highly satisfactory” quality, placing performance in the “excellent” category. The study recommends that the Environmental and Sanitation Office of Mamuju Regency adopt the BSC systematically as a planning and evaluation tool. Local authorities should also design indicators suited to regional conditions, improve infrastructure, enforce the use of protective equipment, and encourage active community participation in waste management.
Co-Authors Aan Rahman Abbas Mahmud Ade Ramdan Ade Ramdan Agus Erwin Ashari Ahmad, Haeranah Ali Mahmudi Amalia, A. Reski Amin Nur Rais Andi Taufik Andreyestha Andreyestha Ari Abdillah Arief Hanif, Hamdan Artika Surniandari Askur, Askur Aswandi, M Bagus Masruri Biktra Rudiarto Bulan, Adiba Chairani, Miftah Dadan Heryada Wigenaputra Dedi Saputra Deni Gunawan Dian Ardiansyah DN, Nurhidayah Dwiza Riana Eko Pramono Eko Pramono Erdiawati Arief Erlani Erlani, Erlani Erna Agustine Eva Meilinda Fahrul Islam Faisal Mubarak Firman Firman Fitra, Cahya Ganing, Abdul Haderiah Haidah, Nur Haliatur Rahma, Haliatur Haninggar, Rizki Dyah Haryani Hasyim, Muh Herman, Surya Pratama Imam Nawawi Irwan, Zaki Jenie Sundari Juan Fahrizal Kadar Ramadhan Khaer, Ain Lisnawanty Mahmud Safudin Mandiri, Wandi Mappau, Zrimurti Martias Martias Martias Martias Mifta, Nurul Miftah Chairani Hairuddin Miftah Chairani Hairuddin, Miftah Chairani Mochamad Wahyudi Muhammad Rusdi Muhammad Syukri Mulyadi Mulyadi Musriatun Napiah Nanang Nuryadi, Nanang Nurita Oky Kurniawan Putri, Nur Amanda Richky Faizal Amir Ridhayani Adiningsih Riswandi Ishak Robi Aziz Zuama SALMAN ALFARIZI Saputra, Elpan Sarmila, Sarmila Sentot Achmadi Setiaji Setiaji Setiaji Setiaji Setiaji Setiaji Sidauruk, Juniato Simba, Julia Elisa Siti Rahmah Sobari, Irwan Agus Sudibyo, Aji Sukmawati Sukmawati Sulasmi Sulasmi Sumanto, Sumanto Suryadi, Iwan Susafa&#039;ati Susafa&#039;ati Susafa'ati Susafa'ati Susafa’ati, Susafa’ati syah, zulfadri Veithzal Rivai Zainal Wahyu Hardianti Saputri Winarto Winarto Winarto Winarto Yunita Yunita yunita yunita