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KECUKUPAN ASUPAN ZAT GIZI DAN KEJADIAN PENYAKIT INFEKSI PADA BALITA WAST (WASTING– STUNTING) DI KOTA SEMARANG Purwanti, Rachma; Ginting, Ignasia Agatha Br; Aulia, Nurhanna Putri; Wijayanti, Hartanti Sandi; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah
Majalah Kesehatan Vol. 12 No. 4 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.04.7

Abstract

Asupan zat gizi dan penyakit infeksi merupakan faktor yang berhubungan secara langsung dengan stunting dan wasting pada balita. Penelitian ini bertujuan untuk menganalisis perbedaan kecukupan asupan zat gizi makro dan kejadian penyakit infeksi pada balita dengan dan tanpa WaSt (Wasting-Stunting) di Kota Semarang. Studi analitik observasional dengan menggunakan desain cross-sectional. Subjek dipilih dengan metode consecutive sampling sebanyak 72 subjek yang terbagi dalam 4 kelompok yaitu normal, stunting, wasting, dan WaSt (Wasting-Stunting). Analisis perbedaan dilakukan dengan uji Kruskal-Wallis (data tidak berdistribusi normal) dengan uji lanjutan Mann-Whitney, tingkat kepercayaan 95% dan hasil signifikan dengan nilai p < 0,05. Terdapat perbedaan kecukupan asupan zat gizi meliputi energi, protein, lemak, dan karbohidrat (p < 0,001) dan kejadian penyakit infeksi (p = 0,007) antara kelompok balita dengan dan tanpa WaSt (Wasting-Stunting). Kecukupan asupan energi kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok stunting dan normal. Kecukupan asupan protein kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok wasting. Kejadian penyakit infeksi pada kelompok WaSt lebih tinggi dibandingkan kelompok wasting, stunting dan normal (secara berturut-turut sebesar 38,9%; 16,7%; 5,6%; dan 0%). Penelitian ini menyimpulkan bahwa kelompok WaSt mempunyai riwayat kejadian penyakit infeksi dan kecukupan asupan zat gizi makro (energi, karbohidrat, protein, lemak, dan karbohidrat) yang berbeda dengan kelompok lainnya.  
Analisis Prediksi Body Roundness Index untuk Prediabetes pada Orang Dewasa di Indonesia: Assessing the Predictive Accuracy of the Body Roundness Index for Prediabetes in Indonesian Adults Pramono, Adriyan; Nursari, Elia Nawang; Dieny, Fillah Fithra; Kurniawati, Dewi Marfu'ah; Rahadiyanti, Ayu
Amerta Nutrition Vol. 9 No. 4 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i4.2025.689-697

Abstract

Background: Anthropometric measurements for identifying body fat could be used to screen individuals with prediabetic risk. Objectives: To evaluate and compare the diagnostic accuracy of body roundness index (BRI), conicity index (C-index), body mass index (BMI), waist circumference, and waist-to-height ratio (WHtR) as predictors of prediabetes in the adult population of Indonesia. Methods: This study employs a cross-sectional design and uses secondary data from the Baseline Health Research (Ind: Riskesdas) 2018. As many as 12.327 samples were subjected to descriptive analysis, and the area under the curve (AUC) was utilised to assess the diagnostic potential of anthropometric measures in predicting prediabetes. Results: The five anthropometric parameters have a very weak ability as a prediabetic predictor. The WHtR and BRI (AUCmen=0.571; AUCwomen=0.573) were significantly better than the other anthropometric parameters. In contrast, the C-index values for women (AUCwomen=0.548) were considerably lower than other anthropometric parameters. However, there was no significant difference between the C-index for men (AUCmen=0.560) and the waist circumference (AUC=0.564) and BMI (AUC=0.559) values. Conclusions: The body roundness index has the same ability to predict prediabetes with WHtR, while the C-index in women is weaker than waist circumference and BMI.
Faktor Ibu dan Praktik Pemberian Makan Balita dengan dan tanpa Malnutrisi: Maternal Factors and Feeding Practices of Children Under Five with and without Malnutrition Purwanti, Rachma; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah; Wijayanti, Hartanti Sandi
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.62-72

Abstract

Background: Feeding practices are associated with malnutrition. Objectives: To analyze differences in maternal factors and feeding practices of children under five with and without malnutrition. Methods: The research was conducted from March to October 2024 in the city of Semarang. The sample size consisted of 97 subjects (P=0.5; Zα=1.96; d=0.1). Inclusion criteria included mothers as primary caregivers, in good health and not pregnant, and toddlers with no history of recurrent or chronic infectious diseases. The variables studied were maternal factors (maternal age at childbirth, number of children, maternal education level, maternal occupation, family income, maternal nutrition knowledge, and attitudes related to feeding), feeding practices (dietary diversity, consumption of main meals and snacks, variety of cooking methods, feeding responsiveness, and feeding during illness and recovery), and nutritional status of toddlers (normal, wasting-stunting, stunting, wasting, and overweight or obesity). Data were collected through interviews using a structured questionnaire  and were analyzed descriptively and bivariately. Results: There were significant differences in child characteristics (low birth weight [LBW] status), maternal characteristics (maternal nutritional status, maternal income, and maternal nutrition knowledge), and feeding practices (frequency of healthy snack consumption, maternal cooking methods, feeding responsiveness, provision of children's preferred foods, and forcing children to finish meals) based on their nutritional status (p-value<0.05). Conclusions: Differences in LBW status, maternal nutritional status, maternal income, maternal nutrition knowledge, frequency of healthy snack consumption, cooking methods, feeding responsiveness, provision of children's preferred foods,coercion to finish meals, and maternal nutrition status were found between mothers with and without children experiencing malnutrition. Prevention of malnutrition among toddlers from at-risk families is necessary, especially through education and assistance to optimize responsive feeding patterns and improve the quality and quantity of nutritional intake.