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All Journal JIMKesmas (Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat) Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Vokasional Syntax Literate: Jurnal Ilmiah Indonesia Preventif Journal Jambura Journal of Health Sciences and Research Eksakta : Berkala Ilmiah Bidang MIPA PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Prima Medika Sains Jurnal Ners Science Midwifery Jurnal Penelitian Pendidikan, Psikologi Dan Kesehatan (J-P3K) Jurnal Kesehatan Tambusai PRIMER (Prima Medical Journal) Archives of The Medicine and Case Reports Healthy Tadulako Journal (Jurnal Kesehatan Tadulako) GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh Buletin Kedokteran dan Kesehatan Prima International Journal of Health and Pharmaceutical (IJHP) Jurnal Indonesia Sosial Sains Jurnal Pendidikan Indonesia (Japendi) Gema Lingkungan Kesehatan Jurnal Ilmu Kesehatan dan Gizi Jurnal Info Kesehatan
irza Haicha Pratama
Fakultas Kedokteran, Kedokteran Gigi, Dan Ilmu Kesehatan Universitas Prima Indonesia
Agriculture, Biological Sciences & Forestry Humanities Astronomy Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Earth & Planetary Sciences Economics, Econometrics & Finance Education Energy Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Mechanical Engineering Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Maternal Age at Marriage and Risk of Childhood Stunting: Evidence from a Case-Control Study in North Sumatra, Indonesia Sidabutar, Anjas Domini; Pratama, Irza Haicha; Fadillah, Qori; Angwyn, Wilbert; Rimadeni, Yeni; Anggriani, Theresia
Gema Lingkungan Kesehatan Vol. 23 No. 4 (2025): Gema Lingkungan Kesehatan (on progress)
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v23i4.403

Abstract

Stunting remains a major public health issue in Indonesia, particularly in urban areas such as Medan. While socioeconomic and nutritional factors are well recognized, the influence of maternal age at marriage on child growth is less explored. This study examined the association between maternal age at marriage and childhood stunting in Medan, Indonesia. Methods. An analytical observational study with a case–control design was conducted from January to March 2025 across several community health centres in Medan. A total of 124 mother–child pairs (62 stunted and 62 non-stunted children) were selected using cluster random sampling. Data were collected through structured interviews and health-record reviews. Stunting was defined as height-for-age Z-score < -2 SD based on WHO standards. Logistic regression was used to assess the relationship between maternal age at marriage (<25 years vs ≥25 years) and stunting, adjusting for maternal education, maternal health during pregnancy, socioeconomic status, and birth weight. Children of mothers who married before age 25 had significantly higher odds of being stunted compared with those whose mothers married later (adjusted OR = 2.85; 95% CI: 1.71-4.76; p < 0.001). Low maternal education (adjusted OR = 2.12; p = 0.021) and low birth weight (adjusted OR = 2.43; p = 0.030) were also independent predictors of stunting. Conclusion. Maternal marriage before 25 years is a strong determinant of childhood stunting in urban Medan. Delaying maternal marriage, enhancing women’s education, and strengthening maternal health programs could substantially reduce stunting prevalence. This study contributes new evidence to Indonesia’s national efforts to prevent stunting through life-course and policy-oriented interventions.
Pengaruh Aktivitas Fisik Terhadap Kadar Estradiol Pada Wanita Menopause Sanjaya, Wan Bakrie; Amansyah, Adek; Pratama, Irza Haicha
Jurnal Pendidikan Indonesia Vol. 6 No. 11 (2025): Jurnal Pendidikan Indonesia
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/japendi.v6i11.8804

Abstract

Menopause merupakan fase alami yang ditandai berhentinya fungsi ovarium dan menurunnya kadar hormon estradiol. Penurunan estradiol dapat menyebabkan perubahan fisiologis seperti peningkatan berat badan dan gangguan metabolik. Aktivitas fisik dan indeks massa tubuh (IMT) diduga berpengaruh terhadap kadar estradiol melalui mekanisme metabolik dan aktivitas aromatase pada jaringan lemak. Mengetahui pengaruh aktivitas fisik terhadap kadar estradiol pada wanita menopause. Penelitian ini menggunakan desain cross sectional dengan 40 responden wanita menopause yang dipilih secara purposive sampling. Aktivitas fisik diukur menggunakan kuesioner Global Physical Activity Questionnaire (GPAQ), kadar estradiol diperiksa dengan metode immunoassay, dan IMT dihitung berdasarkan hasil pengukuran berat serta tinggi badan. Analisis dilakukan secara univariat, bivariat (uji ANOVA dan uji t independen), serta multivariat (regresi linear berganda) dengan tingkat signifikansi p < 0,05. Rata-rata kadar estradiol sebesar 19,8 ± 8,62 pg/mL. Sebagian besar responden memiliki aktivitas fisik berat (47,5%) dan IMT obesitas (60%). Tidak terdapat perbedaan signifikan kadar estradiol antar tingkat aktivitas fisik (p = 0,666). Uji regresi menunjukkan aktivitas fisik (p = 0,385), IMT (p = 0,782), dan lama menopause (p = 0,663) tidak berpengaruh signifikan terhadap kadar estradiol secara parsial maupun simultan (p = 0,777), dengan nilai R² = 0,026. Tidak terdapat pengaruh signifikan antara aktivitas fisik, IMT, dan lama menopause terhadap kadar estradiol pada wanita menopause. Meskipun demikian, arah hubungan menunjukkan bahwa aktivitas fisik dan IMT cenderung meningkatkan kadar estradiol, sedangkan lama menopause menurunkannya. Faktor lain seperti usia, asupan gizi, dan status hormonal kemungkinan memiliki pengaruh yang lebih besar terhadap kadar estradiol.
Hubungan Aktivitas Fisik Dengan Demensia Pada Lansia Di Uptd Lanjut Usia Binjai Dinas Sosial Provinsi Sumatera Utara Tahun 2024 Nurhayanti, Nurhayanti; Fadillah, Qori; Pratama, Irza Haicha
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i11.62493

Abstract

Dementia is one of the major health problems in the elderly, characterized by progressive cognitive decline that affects daily functioning and quality of life. Physical activity plays a protective role against dementia by increasing cerebral blood flow, improving neuronal function, and reducing cognitive degeneration. The Elderly Social Services Unit (UPTD Lanjut Usia) in Binjai accommodates elderly people with various characteristics, making it a representative setting to examine the relationship between physical activity and dementia. This study aimed to determine the association between physical activity and dementia among elderly residents of UPTD Lanjut Usia Binjai, North Sumatra Province, in 2024. This was an analytical quantitative study with a cross-sectional design. A total of 133 elderly respondents were included using total sampling. Physical activity levels were measured using the Physical Activity Scale for the Elderly (PASE), while cognitive status was assessed with the Mini-Mental State Examination (MMSE). Data analysis was performed using univariate methods for frequency distribution and bivariate analysis with the Spearman Rank test, with a significance level of p < 0.05. The findings showed that the majority of respondents had low physical activity levels (70.7%), while 21.1% had moderate activity and only 8.3% had high activity levels. Regarding cognitive status, 50.4% of respondents experienced definite dementia, 31.6% probable dementia, and only 18.0% remained cognitively normal. The Spearman Rank test revealed a significant association between physical activity and dementia (p = 0.000). There is a significant relationship between physical activity and dementia among the elderly at UPTD Lanjut Usia Binjai. Elderly individuals with lower levels of physical activity were more likely to experience dementia compared to those with moderate or high physical activity.
Co-Authors Adek Amansyah Akalili, Cory Cintia Alwin, Nicholas Andre Budi Andre Budi Andre Budi Anggriani, Theresia Angwyn, Wilbert Anugrah, Hary Try Aulia, Yuli Cahyadi, Muhamad Ridwan Chaniago, Syahdina Saufa Yardha Chiuman, Linda Cut Maqfirah Damanik, Yola Agriva Ronatio Destri Safhira Siahaan Dewi Asri Sirait Djohan Djohan Duwina Puspita Sari Duwina Puspita Sari Ermi Girsang Fadillah, Qori Ginting, Chrismis Novalinda Girsang, Ermi Grasiah, Joster Harahap, Alvin Abrar Hartono Hartono Ira Aini Dania Ivonne, Ivonne Kaban, Karina Datitha Alodia Br Karan, Jag Lina, Juliana Lubis, Adhayani Mastura, Indira Ade Meldawati Meldawati Meutia, Rena Mucmaini, Rica Mujihad, Andi Mukhtar, Zulfikri Nasution, Chairul Radjab Nasution, Mhd Raja Nauli, Samuel Neka Cahyanda Putri Noviawati Noviawati Novriani, Erida Nst, Mhd. Raja Nurhayanti, Nurhayanti Nuryani Nainggolan Ok Yurizal Purba, Arna Fransisca Millyanti Purwoko, Heri Puspawani, Yeni Putranto Manalu Rahma, Arinda Aulia Rahmah, Ratu Aulia Renta Mayang Malau Reshot Maria Rimadeni, Yeni Rotua, Margaretia Yenni Sadema, Ulta Cia San, Kon Sanjaya, Wan Bakrie Sara Rai Faomasi Duha Setia Wati setia wati br sitepu Siagian, Angelika Sio Sidabutar, Anjas Domini Silalahi, Laura Novi Simangunsong, Pahala Maringan Jubel Simanjuntak, Agnes Septrya Simanullang, Partogi Hasiholan Sipahutar, Rosita Anggita Putri Siregar, Lisdawaty Sitanggang, Anggi K T Sitanggang, Anggi Kristina Theresia Soekardi, Adi Suhaila, Alzira Suhartina Suhartina, Suhartina Suyono, Tan Tan Suyono Tandungan, Helga Kurniawati Tiswan, Jiad Hanan Todung Donald Aposan Silalahi Umara, Dini Valencia Angelina Halim Viona Masniari Wijaya, Chrestellone Surya Wijaya, Cindy Eka Wutama, Kevin Yeni Halim Yulizal, Ok Yumardika, Deza Zai, Zulvan Zai, Zulvan Jaya Putra