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HUBUNGAN AKTIVITAS FISIK DAN POLA MAKAN DENGAN KEJADIAN OBESITAS PADA REMAJA DI SMP KOTA SAMARINDA Nursela, Nursela; Asthiningsih, Ni Wayan Wiwin; Masnina, Rusni
Jurnal Kesehatan Tambusai Vol. 6 No. 1 (2025): MARET 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v6i1.42024

Abstract

Obesitas merupakan suatu kondisi di mana jumlah asupan energi melebihi kebutuhan sehingga terjadi ketidakseimbangan antara asupan energi dengan energi yang digunakan. Masa remaja merupakan masa yang rawan mengalami masalah gizi. Salah satu masalah gizi yang sering dialami remaja adalah obesitas. Obesitas terjadi karena adanya kelainan kompleks pengaturan nafsu makan dan metabolisme energi yang dikendalikan oleh beberapa faktor-faktor seperti genetik, aktivitas fisik, pola makan, lingkungan dan hormonal. Tujuan penelitian untuk mengetahui hubungan aktivitas fisik dan pola makan dengan kejadian obesitas pada remaja di SMP Kota Samarinda. Metode ini menggunakan metode kuantitatif, dengan pendekatan cross sectional. Populasi penelitian ini adalah remaja yang memiliki IMT ≥27kg/m2 di SMP Negeri 2 Samarinda, SMP Negeri 16 Samarinda, SMP Negeri 29 Samarinda berjumlah 131 responden. Hasil penelitian dapat diketahui, responden yang melakukan aktivitas fisik rendah sebanyak 45 remaja, kategori sedang sebanyak 40 remaja, dan kategori tinggi sebanyak 11 remaja. Remaja dengan pola makan kurang baik sebanyak 65 remaja dan pola makan baik sebanyak 31 remaja. Remaja dengan obesitas I sebanyak 25 remaja dan obesitas II sebanyak 71 remaja. Ada hubungan aktivitas fisik dengan kejadian obesitas pada remaja di SMP Kota Samarinda dengan nilai p-value= 0,029< α= 0,05. Ada hubungan pola makan dengan kejadian obesitas pada remaja di SMP Kota Samarinda dengan nilai p-value= 0,001< α= 0,05. Aktivitas fisik yang minim serta pola makan yang tidak baik merupakan faktor utama yang harus dihindari untuk mencegah obesitas. Gaya hidup aktif dan memilih makanan bergizi seimbang sangat penting untuk menjaga berat badan ideal.
Association Between Immunization Status and Complete Nutrition Provision with Wasting Incidence in Toddlers Liwu, Desilia Sidong; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.475

Abstract

Introduction : Wasting is a condition of acute malnutrition in toddlers, where body weight is below normal standards (z-score -3 SD to < -2 SD). This condition can occur due to lack of nutrition and incomplete immunization. Objective : This study aims to determine the relationship between immunization status and provision of complementary foods to the incidence of wasting in toddlers at the Sidomulyo Health Center, Samarinda. Research Method : This study used a quantitative correlational design with a cross-sectional approach. Result : The sample consisted of 188 toddlers aged 2-5 years who were taken stratified. Data were collected using a questionnaire and analyzed using the Chi-Square test. The results obtained There is a significant relationship between immunization status and provision of complementary foods with the incidence of wasting (p-value < 0.05). Toddlers with incomplete immunization have a higher risk of wasting (OR = 0.3 2 ). Conclusion : Toddlers who are given complementary foods <6 months also show a higher prevalence of wasting (OR = 8.94). Complete immunization status and provision of complementary foods on time are important factors in preventing wasting in toddlers.
Association Between Infection History and Complex Nutrition Intake with Wasting Incidence in Toddlers Utami, Fathia Wianida; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.476

Abstract

Background: Wasting in toddlers is a form of acute malnutrition characterized by rapid weight loss and low weight-for-height z-scores, which can severely impact physical growth and cognitive development. Factors such as a history of infection and inappropriate complementary feeding practices have been identified as potential contributors. Objective: This study aimed to analyze the relationship between infection history and the provision of complementary feeding (MPASI) with the incidence of wasting among toddlers aged 2–5 years in the working area of Sidomulyo Health Center, Samarinda. Method: A cross-sectional study with a quantitative correlational approach was conducted. A total of 168 toddlers were selected using stratified random sampling. Data were collected through structured questionnaires and anthropometric measurements, and analyzed using the Chi-Square test. Results: The results showed that 25.6% of the toddlers experienced wasting. Toddlers with a history of infection were found to be at significantly higher risk, with an odds ratio (OR) of 13.85 (p = 0.000). Additionally, toddlers who received complementary feeding before the age of 6 months were 8.9 times more likely to experience wasting (p = 0.000; OR = 8.9). Both variables showed a statistically significant association with the incidence of wasting. Conclusion: The study found a significant relationship between infection history and complementary feeding practices with the incidence of wasting among toddlers. Strengthening maternal education, timely feeding, and infection prevention is essential to reduce the risk of wasting in early childhood.
Association Between Exclusive Breastfeeding and Maternal Knowledge of Toddler Nutrition with Wasting Incidence in Toddlers Tirta, Insani Tiara; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.477

Abstract

Introduction: Wasting is an acute nutritional disorder in toddlers that can lead to impaired growth and increased morbidity. Exclusive breastfeeding and maternal knowledge about toddler nutrition are key factors influencing nutritional status. This study aims to examine the association between exclusive breastfeeding and maternal knowledge of nutrition with the incidence of wasting among toddlers in the working area of Sidomulyo Health Center, Samarinda City. Methods: This study employed a quantitative analytical method with a cross-sectional design. A total of 188 mothers and toddlers were sampled using stratified random sampling, and 168 toddlers met the inclusion criteria for analysis. Data were collected through structured questionnaires and anthropometric measurements. The Chi-Square test was used to analyze the association between variables, and odds ratios (OR) were calculated to determine risk levels. Results: Among the 168 toddlers, 43 (25.6%) were identified as experiencing wasting. A significant association was found between exclusive breastfeeding and wasting incidence (p = 0.000; OR = 0.111; 95% CI = 0.049–0.255), indicating that children who were not exclusively breastfed had a higher risk of wasting. Maternal knowledge of toddler nutrition also showed a significant relationship with wasting (p = 0.000), where poor maternal knowledge was associated with a higher incidence of wasting. Conclusion: Exclusive breastfeeding and good maternal knowledge about toddler nutrition are protective factors against wasting. Health promotion strategies at the community health center level should prioritize increasing awareness and education regarding exclusive breastfeeding and toddler nutritional needs to reduce the prevalence of wasting.
Association between Parenting Patterns and Exclusive Breastfeeding with Wasting Incidence in Toddlers Malwani, Selma Aqila; Zulaikha, Fatma; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 1 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i1.478

Abstract

Introduction: Wasting is a form of acute malnutrition that significantly affects the physical growth, brain development, and immune function of toddlers. Various factors, including parenting styles and breastfeeding practices, may influence the occurrence of wasting. Objective: This study aims to analyze the relationship between parenting styles and exclusive breastfeeding with the incidence of wasting among toddlers in the Sidomulyo Health Center area, Samarinda City. Methods: A quantitative, correlational study with a cross-sectional design was conducted involving 168 toddlers aged 2–5 years, selected through stratified cluster sampling. Data were collected using structured questionnaires and analyzed using the Chi-Square test and Fisher’s Exact Test to assess the associations between variables. Results: The findings revealed that permissive parenting was associated with the highest proportion of wasting cases (46.2%), whereas democratic parenting showed the lowest proportion (9.9%). A significant relationship was found between parenting style and the incidence of wasting (p = 0.000). Furthermore, toddlers who were not exclusively breastfed had a significantly higher risk of wasting compared to those who received exclusive breastfeeding (p = 0.000). Conclusion: Maternal characteristics, parenting styles, and breastfeeding practices play a significant role in determining the nutritional status of toddlers. Democratic parenting and exclusive breastfeeding were found to contribute positively to the prevention of wasting.
ANALISIS KOMPARATIF KLASIFIKASI MACHINE LEARNING UNTUK MEMPREDIKSI STUNTING PADA ANAK USIA DI BAWAH LIMA TAHUN Saputra, Yudhi Fajar; Al-Khasawneh, Mahmoud Ahmad; Milkhatun, Milkhatun; Asthiningsih, Ni Wayan Wiwin; Rahmah, Sitti
Syntax : Journal of Software Engineering, Computer Science and Information Technology Vol 6, No 1 (2025): Juni 2025
Publisher : Universitas Dharmawangsa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46576/syntax.v6i1.6852

Abstract

Stunting merupakan salah satu permasalahan kesehatan masyarakat yang bisa berdampak jangka panjang terhadap kualitas sumber daya manusia di Indonesia. Deteksi dini terhadap status stunting anak usia di bawah lima tahun menjadi langkah dalam mencegah gangguan pertumbuhan kronis akibat stunting, sehingga penelitian ini bertujuan untuk membangun model klasifikasi status stunting dengan memanfaatkan pendekatan data mining menggunakan algoritma Decision Tree dan Random Forest. Data yang digunakan diperoleh dari hasil survei terhadap ibu yang memiliki anak dibawah umur lima tahun dengan sejumlah 193 responden, data tersebut mencakup variabel antropometri dan sosial ekonomi, seperti tinggi badan, berat badan, usia anak, pendidikan orang tua, pendapatan keluarga, dan urutan kelahiran. data tersebut diproses melalui tahapan Knowledge Discovery in Databases (KDD) meliputi seleksi atribut, imputasi, encoding, dan klasifikasi melalui proses permodelan data mining, selanjutnya evaluasi dilakukan dengan metrik klasifikasi Classification Accuracy(CA) dan Area Under the Curve (AUC) dari kurva Receiver Operating Characteristic (ROC). Hasil penelitian menunjukkan bahwa model Random Forest memiliki performa lebih baik dibandingkan Decision Tree dengan nilai CA 71% dan AUC 0.74. dibandingkan Decision Tree dengan nilai CA 67% dan AUC 0.68. Peneliti berharap bahwa Model prdiksi ini berpotensial dapat digunakan sebagai sistem deteksi dini stunting berbasis data atau sebagai rujukan untuk penelitian berikutnyaKata Kunci—Stunting, Machine Learning, Random Forest, Decision Tree, Classification Model, ROC Curve. ABSTRACTStunting is one of the public health issues that can have long-term impacts on the quality of human resources in Indonesia. Early detection of stunting status among children under five years of age is a critical step in preventing chronic growth disorders. Therefore, this study aims to develop a classification model for stunting status using a data mining approach with Decision Tree and Random Forest algorithms. The dataset was obtained from a survey of 193 mothers with children under five, encompassing anthropometric and socioeconomic variables such as height, weight, child’s age, parental education, family income, and birth order. The data were processed through the stages of Knowledge Discovery in Databases (KDD), including attribute selection, imputation, encoding, and classification modeling. The model performance was evaluated using classification metrics: Classification Accuracy (CA) and the Area Under the Curve (AUC) from the Receiver Operating Characteristic (ROC) curve. The results show that the Random Forest model outperformed the Decision Tree, achieving a CA of 71% and an AUC of 0.74, compared to the Decision Tree with a CA of 67% and an AUC of 0.68. This predictive model is expected to be useful as a data-driven early detection system for stunting or serve as a reference for future research.Keywords—Stunting, Machine Learning, Random Forest, Decision Tree, Classification Model, ROC Curve.
Hubungan Pola Makan dan Indeks Massa Tubuh dengan Derajat Hipertensi pada Lansia Rusmawati, Rusmawati; Milkhatun, Milkhatun; Asthiningsih, Ni Wayan Wiwin
Jurnal Penelitian Perawat Profesional Vol 7 No 3 (2025): Juni 2025, Jurnal Penelitian Perawat Profesional
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jppp.v7i3.6751

Abstract

Usia lanjut ditandai dengan penurunan kemampuan fisik, kognitif, dan psikologis secara alamiah. Pada fase ini, masalah kesehatan sering muncul, salah satunya adalah hipertensi. Upaya yang dapat dilakukan untuk mencegah hipertensi yakni dengan melakukan pengaturan pola makan seperti diet rendah garam, pengaturan berat badan, faktor risiko yang terjadinya peningkatan tekanan darah, salah satunya adalah kelebihan berat badan. Penelitian ini bertujuan mengetahui adanya hubungan pola makan dan indeks massa tubuh dengan derajat hipertensi pada lansia di Kelurahan Rawa Makmur Wilayah Puskesmas Palaran Samarinda. Penelitian ini dilakukan dengan desain deskriptif korelasional melalui pendekatan cross sectional, yaitu mengkaji hubungan pola makan dan indeks massa tubuh dengan derajat hipertensi. Jumlah populasi ialah 204 orang, sampel dalam penelitian ini yaitu lansia penderita hipertensi sebanyak 135 orang, yang dilaksanakan pada bulan Maret sampai April 2025 dan data ini merupakan kunjungan pasien berulang pada tahun 2024, sebanyak 203 pasien dengan hipertensi berada di kelurahan Rawamakmur dari Juli hingga Desember 2024, terdiri dari 74 laki-laki dan 129 perempuan, penelitian ini menggunakan uji speramen Rho. Berdasarkan hasil penelitian ini terdapat hubungan antara variabel pola makan dengan nilai uji rank spearman p value = 0.006 < 0.05 dan variabel indeks massa tubuh dengan nilai uji rank spearman p value = 0,704> 0,05.
HUBUNGAN RIWAYAT PENYAKIT INFEKSI TERHADAP KEJADIAN STUNTING PADA BALITA WILAYAH KERJA PUSKESMAS MANGKUPALAS KECAMATAN SAMARINDA SEBERANG Lusmiati, Lusmiati; Asthiningsih, Ni Wayan Wiwin; Milkhatun
Health Sciences Journal Vol. 9 No. 1 (2025): Health Science Journal
Publisher : Universitas Muhammadiyah Ponorogo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24269/hsj.v9i1.3442

Abstract

Di Indonesia, stunting merupakan masalah Kesehatan yang besar. Dampak jangka Panjang yang di sebabkan stunting, antara lain, gangguan kemampuan kongniti ,terhambatnya pertumbuhan dan perkembangan, kerentanan terhadap penyakit dan produktifias yang rendah merupakan Gambaran stunting Kasus stunting di Kota samarinda 25,3 didapatkan data kasus stunting, di tahun 2023 sebanyak 25.9% anak balitastunting di Puskesmas mangkupalas Samarinda Seberang Penelitian ini bermaksud untuk megdentifikasi hubungan atau korelasi antara riwayat penyakit infeksi pada balita dan tingkat stunting di lingkungan Puskesmas Mangkupalas Kecamatan Samarinda Penelitian kuantitatif dengan survey analitik dengan desain cross sectional, menggunakan tehnik sampling purposive sampling, dengan populasi bayi yang mengalami stunting dengan jumlah sampel 115 balita. Hasil penelitian di dapatkan ada korelasi antara stunting dan penyakit infeksi sebelumnya yang signifikasi p value=0.032 dengan menggunakan Analisa Chi-Square.
Correlation between Spirituality Levels and Stress among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Chairunnisa, Aldilla Asri; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.457

Abstract

Introduction: University students, particularly those in health-related programs, are often subjected to various academic demands that must be completed within strict timeframes. These demands, coupled with a lack of preparedness to cope, can lead to psychological issues such as stress. Globally, stress affects more than 350 million people and ranks as the fourth most common health problem. Objective: This study aimed to determine the relationship between spirituality levels and stress among freshmen in the Health Sciences Program at Universitas Muhammadiyah Kalimantan Timur. Methods: This research employed a quantitative approach with a cross-sectional design. A total of 271 respondents were selected using random sampling. The instruments used were the Daily Spiritual Experience Scale (DSES) to measure spirituality and the Depression Anxiety and Stress Scale (DASS-21) to measure stress levels. Data were analyzed using the Spearman rank correlation test. Results: The majority of respondents had a high level of spirituality (160 respondents or 59%), while most respondents also reported normal levels of stress (159 respondents or 58.7%). Statistical analysis revealed a negative correlation between spirituality and stress levels, with a correlation coefficient of -0.417 and a p-value of 0.000, indicating a significant inverse relationship. Conclusion: The findings indicate that higher levels of spirituality are associated with lower levels of stress among new health students. This suggests that spirituality may serve as a protective factor and should be considered in holistic student support and stress management programs in higher education settings.
Correlation Between Spirituality Levels and Depression among First-Year Students in Health Science Programs Fitriani, Dwi Rahmah; Asrianti, Ulfa Dwi; Asthiningsih, Ni Wayan Wiwin
Genius Journal Vol. 6 No. 2 (2025): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v6i2.458

Abstract

Introduction: Depression is a common mental health issue among first-year university students, often resulting from the challenges of adapting to new academic and social environments. Spirituality is considered a protective factor that may help reduce symptoms of depression by promoting emotional resilience and a sense of meaning. Objective: This study aimed to examine the relationship between spirituality levels and depression among first-year students enrolled in health study programs at Muhammadiyah Universitas Muhammadiyah Kalimantan Timur. Additionally, the study analyzed the distribution of spirituality and depression levels and explored demographic characteristics that may influence this relationship. Methods: A descriptive correlational study with a quantitative approach was conducted using stratified random sampling. The sample consisted of 271 freshmen, determined using the Slovin formula. Data collection instruments included the Daily Spiritual Experience Scale (DSES) to assess spirituality levels and the Depression Anxiety Stress Scale (DASS-21) to measure depression. Data were analyzed using the Spearman rank correlation test. Results: The analysis revealed a significant negative correlation between spirituality and depression (p = 0.000; r = -0.406), indicating that higher levels of spirituality were associated with lower levels of depression. The strength of the correlation was moderate. Conclusion: The study found a significant negative correlation between spirituality and depression among freshmen in health-related study programs. Higher levels of spirituality were associated with lower levels of depression, highlighting the potential protective role of spiritual well-being in supporting student mental health.