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POLA KONSUMSI NATRIUM, KOLESTEROL, DAN KAFEIN TERHADAP KEJADIAN HIPERTENSI PADA NELAYAN DI PESISIR PUGER JEMBER Munawaroh, Nazilatul Wahyuni; Astuti, Nur Fitri Widya
Journal of Nutrition College Vol 13, No 2 (2024): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v13i2.39430

ABSTRACTBackground: Hypertension is a silent killer disease that is still more prevalent in coastal regions than in mountainous ones. The majority of people living in coastal areas work as fishermen. The risk factors contributing to high blood pressure among coastal fishermen is believed to be their eating habits of sodium, cholesterol, and caffeine.Objective: The purpose of this study was to determine the effect of consumption patterns of sodium, cholesterol, and caffeine on the incidence of hypertension in fishermen on the coast of Puger Jember.Method: This research used case control design with hypertensive fishermen as cases and non-hypertensive fishermen as controls. This research was conducted in February-March 2023. The samples in this study were obtained using lameshow formula and simple random sampling. A total of 62 samples were divided into 31 subjects in each group. The independent variables were Sodium, cholesterol, and caffeine consumption patterns that obtained using the SQ-FFQ questionnaire. and status of hypertension was the dependent variable. The data analysis used Chi Square and Fisher tests.Results: The research results showed that 90.3% (cases) and 80.6% (controls) consumed more sodium (≥2000 mg/day), 87.1% (cases) and 51.6% (controls) consumed more cholesterol (≥300 mg/day), and 51.6% (cases) and 74.2% (controls) consumed excessive caffeine (>150 mg/day). In addition, The test found that there was no relationship between sodium consumption with the incidence of hypertension (OR=2,2;CI95%=0,5-9,9). However, there was a relationship between cholesterol consumption (OR=6,3;CI95%=1,8-22,4) and caffeine consumption (OR=3;CI95%=1,1-8,9) with the incidence of hypertension in fishermen on the Puger coast of Jember.Conclusion: Risk factors that influence the incidence of hypertension in fishermen on the Puger coast of Jember are cholesterol and caffeine consumption patterns, while sodium consumption patterns have no significant effect on the incidence of hypertension on the Puger coast, Jember.Keywords: Hypertension; Sodium Consumption; Cholesterol; Caffeine; Fisherman ABSTRAKLatar belakang: Hipertensi merupakan penyakit silent killer yang masih banyak ditemukan di daerah pesisir dibandingkan pegunungan. Pada daerah pesisir mayoritas penduduknya memiliki mata pencaharian sebagai nelayan. Pola konsumsi natrium, kolesterol, dan kafein diduga menjadi faktor risiko tingginya hipertensi nelayan di pesisir Tujuan: Tujuan penelitian ini adalah untuk mengetahui pengaruh pola konsumsi natrium, kolesterol, dan kafein terhadap kejadian hipertensi pada nelayan di pesisir Puger Jember.Metode: Penelitian ini menggunakan desain Case Control dengan nelayan hipertensi sebagai kelompok kasus dan nelayan tidak hipertensi sebagai kontrol. Penelitian ini dilakukan pada bulan Februari-Maret 2023. Sampel pada penelitian ini dihitung menggunakan rumus lemeshow dan pengambilan sampel menggunakan teknik simple random sampling. Total diperoleh sampel sebanyak 62 sampel yang terbagi menjadi 31 sampel pada masing-masing kelompok. Variabel Independen pada penelitian ini adalah pola konsumsi natrium, kolesterol, dan kafein yang dilakukan dengan wawancara terstruktur menggunakan kuesioner SQ-FFQ dan status hipertensi sebagai variabel dependen. Analisis data yang digunakan adalah uji Chi Square dan uji Fisher.Hasil: Hasil penelitian didapatkan sebesar 90,3% (kasus) dan 80,6% (kontrol) yang mengkonsumsi natrium lebih (≥2000 mg/hari). Sebesar 87,1% (kasus) dan sebesar 51,6% (kontrol) yang mengkonsumsi kolesterol berlebih (≥300/hari), serta sebesar 51,6% (kasus) dan 74,2% (kontrol) yang mengkonsumsi kafein berlebih (>150 mg/hari). Pada hasil penelitian diperoleh hasil bahwa tidak terdapat hubungan konsumsi natrium (OR=2,2; CI95%=0,5-9,9) dengan kejadian hipertensi. Namun terdapat hubungan antara konsumsi kolesterol (OR=6,3;CI95%=1,8-22,4) dan konsumsi kafein (OR=3;CI95%=1,1-8,9) dengan kejadian hipertensi pada nelayan di pesisir Puger Jember.Simpulan: Faktor risiko yang berpengaruh terhadap kejadian hipertensi pada nelayan di pesisir Puger Jember adalah pola konsumsi kolesterol dan kafein, sedangkan pola konsumsi natrium tidak berpengaruh signifikan terhadap kejadian hipertensi di pesisir Puger Jember. Kata kunci: Hipertensi; Pola Konsumsi Natrium; Kolesterol; Kafein; Nelayan

Penguatan Pencegahan Kekerasan Seksual pada Remaja Putri di Pondok Pesantren melalui Peran Kader Satri Berencana (KARINA) Permatasari, Elok; Astuti, Nur Fitri Widya; Rizqia, Malika Ayu
UNEJ e-Proceeding 2023: Prosiding Kolokium Pengabdian kepada Masyarakat Fakultas Kesehatan Masyarakat
Publisher : UPT Penerbitan Universitas Jember

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Background: Cases of sexual violence against children continue to increase yearly, and East Java province has the highest number of sexual violence cases in Indonesia in 2022. In 2021, KPAI noted that 36% of victims of sexual violence were junior high school / middle school-age children. One of the causes of this condition is the lack of access to information on sexual and reproductive education for adolescents. The limited access of adolescents with parents in the boarding school environment makes adolescent girls spend more of their days in the boarding school environment with their peers, so the role of KARINA is needed to provide information related to reproductive health and sexual violence. KARINA education and strengthening activities aim to improve the skills and confidence of adolescents in their duties as peer educators and counselors. Method: This activity was carried out at MTs Unggulan Nuris Jember Regency from September 5 to 19, 2022. This activity uses the Participatory Action Research method involving KARINA and 59 female students. Result: This activity was carried out through two stages: training for KARINA and providing education by KARINA to 59 peers. Most aspects of knowledge about sexual violence of adolescent girls have increased after the intervention. The majority of young women understand that exhibitionist behavior is sexual violence behavior. However, most young women do not understand who could potentially become a perpetrator of sexual violence. Conclusion: Overall, adolescent girls have gained comprehensive knowledge about reproductive health and the risk of sexual violence. In addition, KARINA has also played a role as a peer educator in increasing adolescent girls' knowledge about sexual violence, contributing to efforts to protect adolescent girls from the risk of sexual violence.Keywords: cadres of santri, peer educator, sexual abuse prevention.

HUBUNGAN ANTARA POLA KONSUMSI FAST FOOD DAN AKTIVITAS FISIK DENGAN KEJADIAN GIZI LEBIH REMAJA DI SMA KECAMATAN SUMBERSARI Fidia, Andryana Martha; Ningtyias, Farida Wahyu; Astuti, Nur Fitri Widya
Jurnal Dunia Gizi Vol 7, No 1 (2024): Edisi Juni
Publisher : LPPM Institut Kesehatan Helvetia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33085/jdg.v7i1.6138

Background; overweight is a global epidemic that is becoming a health problem including in Indonesia due to its increasing prevalence. Adolescence is a crucial age for overweight. Overweight that happens in adolescence will continue into adults and have a high chance of developing degenerative diseases (diabetes mellitus type 2 and cardiovascular disease). The main factor in overweight because imbalance between energy intake and energy output, which is influenced by high consumption of fast food and low physical activity. Objectives; analyzing the association between fast food consumption and physical activity with overweight incidence in adolescent. Methods; this study was an observational analytic study with a cross-sectional design. The research time began in September-February 2024 at Senior High School in Sumbersari District. Sampling was done by proportionate random sampling. The research sample was 95 respondents. The independent variables of this study were fast food consumption and physical activity, while the dependent variable was overweight. This research data analysis used Chi-Square test. Results; the results of this study show that there is a association between fast food consumption based on type and frequency (processed chicken such as fried chicken, french fries, instant noodles, fried rice, and meatballs) with overweight incidence in adolescent (p0,05). However, there is no association between the total energy consumption of fast food with overweight incidence (p0,0001). There is an association between physical activity with overweight incidence in adolescents (p0,0001). Conclusion; fast food consumption (type and frequency) and physical activity were associated with overweight incidence in adolescents. However, there was no association between the total energy consumption of fast food with overweihgt incidence in adolescents.

THE ASSOCIATION OF FOOD FLAVOR AND APPEARANCE WITH FOOD WASTE IN HOSPITALIZED PATIENTS AT NGIMBANG LAMONGAN HOSPITAL A’yun, Salsabila Qurrotu; Rohmawati, Ninna; Astuti, Nur Fitri Widya
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.374-382

Food waste at Ngimbang Lamongan Regional Hospital during the first semester of 2022 exceeded 20%, with the highest food waste was in May at 29.12%. Meanwhile, the results of a preliminary study in 2024 showed food waste in May was 23.04%, June 24.34%, and July 24.46%. The purpose of this study was to analyze the relationship between flavor and appearance of food and food waste among inpatients at Ngimbang Lamongan Hospital. This study used a cross-sectional approach and was conducted at Ngimbang Lamongan Hospital in August 2024 and October 2024. A total of 96 respondents were selected through purposive sampling. Data on food flavor and appearance collected through interview, while food waste measured using a visual Comstock form. Over a 10-day menu cycle, food waste average was 29.48%, with 60.42% of respondents reporting food waste exceeding 20%. The highest food waste occurred during lunch (32.36%), while staple foods being the most waste category (37.90%). The results of Chi-square test indicated that the most components of food flavor and appearance had a significant relationship with food waste (p-value <0.05). Specifically, food flavor attributes (aroma, seasoning, cooking level of the food, temperature, and texture of food) and appearance factors (color, shape, and presentation of food) were significantly associated with food waste, while portion size showed no significant relationship.

Consumption patterns of Sugar Sweetened Beverages (SSB) and its relationship with the risk of excess sugar intake among adolescents Oktafiani, Lirista Dyah Ayu; Astuti, Nur Fitri Widya; Ningtyias, Farida Wahyu
AcTion: Aceh Nutrition Journal Vol 10, No 3 (2025): September
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i3.2287

The adolescent age group had a tendency to have an unhealthy diet, such as consuming more sugar (53,1%) than the other age groups. The increasing consumption of sugar-sweetened beverages (SSBs) is a major contributor to the increasing prevalence of obesity in adolescents in Indonesia. Increased consumption of SSB in adolescents is thought to be one of the factors contributing to the increase in obesity prevalence. Jember Regency as one of the areas with modern lifestyle trends shows a trend of consumption of these drinks that needs to be analyzed in more depth. The purpose of this study was to analyze the consumption patterns of SSB in adolescents and the relationship between the characteristics of respondents and the type, amount, and frequency of SSB consumption. This was an analytical observational study with a cross-sectional design. The study was conducted from June to September 2024. The independent variables of the study consisted of respondent characteristics, including gender, age, and education, while the dependent variable was the consumption pattern of sugar-sweetened beverages in packaging (SSB), including the type, size, amount, and frequency of SSB consumption. Data collection on SSB consumption patterns in adolescents was carried out with an instrument in the form of a semi-quantitative food frequency (SQ-FFQ) questionnaire online using the Google form. The research data were analyzed univariately and bivariately using the chi-squared test. The results showed that almost all respondents (97,75%) consumed more than one type of SSB. Tea type SSB (37,39%) was the most consumed/favored, with a frequency of consumption of 2-3x/week by (48%). In addition, the absence of significant differences in the consumption patterns of SSB in terms of the type of SSB consumed and the characteristics of respondents indicates that SSB is favored by adolescents with a fairly high frequency, regardless of differences in individual characteristics.

Pengaruh Pola Tidur terhadap Kejadian Hipertensi: Studi Kasus-Kontrol pada Nelayan di Pesisir Puger Kabupaten Jember Astuti, Nur Fitri Widya; Munawaroh, Nazilatul Wahyuni
Jurnal Biomedika dan Kesehatan Vol 7 No 1 (2024)
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/JBiomedKes.2024.v7.34-43

Background Hypertension prevalence in coastal areas is higher (53.3%) than in mountainous areas (6.8%). The high prevalence of hypertension in coastal areas is caused by lifestyle, one of which is poor sleep patterns. The research purpose was to determine the effect of sleep patterns on hypertension incidence in Puger fishermen. Methods This research used a Case-Control design. This research was conducted in February-March 2023. The research sample was calculated using a formula Lemeshow and there were 31 respondents in each group for a total of 62 respondents. The sampling technique used simple random sampling and the data taken included the variables hypertension and sleep patterns which consist of quality, duration, latency, efficiency, sleep disturbances, use of sleeping pills, and concentration problems during the day. Analysis data used frequency distribution for univariate analysis and tests Chi-Square and Fisher for bivariate analysis. Results The results showed that both groups had short sleep duration, it’s <7 or 8 hours. The results showed that 93.5% of fishermen in the case group experienced poor sleep patterns (score>5), while as many as 45.2% of fishermen in the control group experienced poor sleep patterns. Obtained (p-value <0.001; OR 17.6; CI 95%: 3.6-87.0), which means that the influence between sleep patterns and hypertension is the incidence in Puger fishermen and the OR value is 17.6 indicates that fishermen who have a poor sleep pattern have a 17.6 times risk attacked of hypertension than fishermen who have a good sleep pattern. Conclusions Sleep pattern is a risk factor for hypertension in Puger fishermen, so it’s recommended that respondents implement sleep patterns by optimizing sleeping hours as well and for The Puger Community Health Center to encourage respondents to utilize the facilities so they can monitor symptoms of hypertension.

Sosio Demografi Ketahanan Pangan Rumah Tangga Petani di Indonesia Astuti, Nur Fitri Widya
Jurnal Kesehatan Masyarakat Mulawarman (JKMM) Vol.4 No.2 Desember (2022) : Jurnal Kesehatan Masyarakat Mulawarman (JKMM)
Publisher : Mulawarman University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30872/jkmm.v4i2.9000

Upaya peningkatan kualitan Sumber Daya Manusia (SDM) oleh Pemerintah Indonesia salah satunya adalah dengan menyediakan pangan yang cukup baik dari segi produksi, daya beli, akses, dan juga asupan zat gizi yang merupakan hak dari setiap penduduk untuk mencapai ketahanan pangan rumah tangga yang merupakan salah satu faktor yang berkaitan dengan status gizi seseorang. Petani memiliki peran penting dalam penyediaan bahan pangan dan juga merupakan bagian dari masyarakat memiliki hak yang yang sama untuk memiliki kondisi ketahanan pangan rumah tangga yang baik untuk mendukung produktivitas dalam upaya peningkatan ketahanan pangan nasional. Tujuan dari literature review ini adalah untuk mengetahui karakteristik sosio demografi rumah tangga petani dan kondisi ketahanan pangan pada rumah tangga petani di Indonesia. Pencarian artikel dilakukan pada database google scholar dan artikel yang dipilih adalah artikel berbahasa Indonesia pada tahun terbitan 2017 – 2022. Setelah dilakukan seleksi, terpilih 17 artikel yang sesuai dengan kriteria inklusi. Hasil literature rivew adalah karakteristik rumah tangga petani di Indonesia yaitu sebagian besar berusia produktif akhir, tingkat pendidikan rendah, dan dan jumlah anggota rumah tangga adalah ≤4 orang. Selain itu, sebagian besar rumah tangga petani di Indonesia masuk dalam kategori tidak tahan pangan. Hal ini menunjukkan perlu adanya perhatian khusus dari pemerintah Indonesia dalam bentuk kebijakan kepada rumah tangga petani di Indonesia sehingga mereka mampu untuk mencapai ketahanan pangan rumah tangga yang optimal untuk meningkatkan SDM nasional yang berkualitas dan bersaing

Tatalaksana Proses Asuhan Gizi Terstandar pada Pasien Diabetes Melitus Tipe 2 dengan Sepsis Pasca Operasi Gangren Astuti, Nur Fitri Widya; Maharani , Alya Orsa; Wahyuni, Endang Sri
Student Journal Nutrition (SJ Nutrition) Vol. 2 No. 2 (2023): Student Journal Nutrition (SJ NUTRITION)
Publisher : Poltekkes Kemenkes Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/sjn.v2i2.21

Background : Diabetes Mellitus (DM) is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormalities in insulin secretion, insulin action, or both. One of the complications that can be caused by DM is gangrene, which is an infection of the feet due to a reduction in oxygen flow to the organs. This causes tissue death and if severe can cause amputation in people with DM. The management of managing DM is not only by administering medication, but also by diet therapy. This is aimed at maintaining the patient's nutritional status. It is necessary to carry out a Standardized Nutritional Care Process (NCP) to optimize nutritional services for DM patients Objective : To determine the effect of the Standardized Nutrition Care Process (NCP) on type 2 DM patients with sepsis after gangrene surgery Research Methods : The method used in this research was qualitative descriptive research with a case study approach. The subject in this case study was a 52 year old female patient who was treated at RSUD dr. Soebandi Jember with a medical diagnosis of type 2 DM with sepsis after gangrene surgery. Patients was given a standardized nutritional care process during hospitalization. The research time was 3-7 November 2022. Research analysis uses using descriptive analysis. Research Result : The results of NCP showed that the patient had underweight nutritional status. During monitoring, the evaluation showed that the patient's blood biochemical levels during the nutritional care process had not shown improvement because they were still below normal values. Furthermore, the patient's physical and clinical condition improved even though his appetite was still low. Then the results of the consumption survey with 24-hour food recall show that the patient's food intake is still <80%, still in the severe deficit category during the process of providing nutritional care. Conclusion : NCP provides to patients has not shown significant improvement due to post-surgery. There is a need to modify the food menu and motivate patients to increase the patient's appetite and food intake so that the patient's nutritional status can be improved.

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