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THE INFLUENCE OF MATERNAL KNOWLEDGE, ATTITUDES AND PARENTING PRACTICES ON THE INCIDENCE OF STUNTING IN THE CAPITAL CITY OF CENTRAL LAMPUNG REGENCY, INDONESIA Zuraida, Reni; Angraini, Dian Isti; Yunianto, Andi Eka; Nurtandhee, Mutiara
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.v20i3.363-373

Abstract

The World Health Organization (WHO, 2021) classifies stunting as a major global health issue with a prevalence of 22% or around 149.2 million children in 2020. Factors such as maternal knowledge about nutrition, maternal attitudes towards meeting children's nutritional needs, and parenting practices are important in determining children's nutritional status and the risk of stunting, which can hurt adulthood. This study aims to examine the impact of maternal knowledge, attitudes, and childcare practices on the incidence of stunting in Central Lampung Regency. This study used a cross-sectional survey design involving 360 children aged 0–59 months selected by purposive sampling from six sub-districts. The data collected included child characteristics, nutritional status, maternal nutritional knowledge, attitudes, and practices using a validated questionnaire from previous studies. The LAZ/HAZ, WLZ/WHZ, and WAZ indicators measured children's nutritional status. Data analysis was done using the Partial Least Square Structural Equation Modelling (PLS-SEM) method with SmartPLS 3.0. The results showed maternal knowledge significantly affected attitudes (p = 0.001 for Attitude1; p = 0.026 for Attitude2) but not parenting practices (p = 0.986). Maternal parenting practices had a significant effect on children's meal frequency (p = 0.000) but not on the incidence of malnutrition (p = 0.259) and stunting (p = 0.174). These findings emphasize the importance of interventions that improve maternal knowledge and parenting practices to reduce the risk of stunting.
Indeks Massa Tubuh, Persen Lemak Tubuh, Rasio Lingkar Pinggang dan Panggul dengan nilai VO2max Komala, Ramadhana; Febriani, Wiwi; Wijaya, Sofyan Musyabiq; Zuraida, Reni; Angraini, Dian Isti; Yunianto, Andi Eka
Jurnal Keperawatan Profesional (KEPO) Vol. 5 No. 1 (2024): Volume 5 Nomor 1 Mei 2024
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/kepo.v5i1.805

Abstract

Kebugaran kardiorespiratori merupakan salah satu cara dalam mengatasi masalah obesitas dan terjangkit penyakit kardiometabolik remaja di masa depan. Tujuan penelitian ini adalah untuk menganalisis hubungan indeks massa tubuh (IMT), persen lemak tubuh (PLT), rasio lingkar pinggang dan panggul (RLPP) dengan nilai VO2max siswa SMA Negeri 12 bandar lampung. Penelitian ini menggunakan desain cross-sectional dengan subjek siswa kelas X SMA Negeri 12 Bandar Lampung sebanyak 94 siswa. VO2max diukur dengan menggunakan Queens College Step Test. IMT dihitung dengan menggunakan rasio berat badan dan tinggi badan. Bioelectrical Impedance Analysis untuk mengukur PLT. Pita ukur dengan ketelitian 0,01 cm untuk mengukur RLPP. Uji Rank Spearman digunakan untuk menganalisis hubungan IMT, PLT, dan RLPP dengan nilai VO2max. Terdapat hubungan indeks massa tubuh (p = 0,001, r =0,335) dan persen lemak tubuh (p = 0,000, r = -0,563) dengan nilai VO2max, namun tidak untuk rasio lingkar pinggang panggul (p = 0,284, r = 0,112). Kesimpulan dari penelitian ini terdapat hubungan indeks massa tubuh dan persen lemak tubuh dengan nilai VO2max, namun tidak untuk RLPP.
Edukasi Kesehatan AMIR Sehat (Ayo Minum Air agar Sehat) pada Lansia Saftarina, Fitria; Angraini, Dian Isti; Indria, Anggraini Dwi; Diana, Mayasari; Fauzi, Ahmad
Poltekita: Jurnal Pengabdian Masyarakat Vol. 4 No. 3 (2023): Juli-September
Publisher : Pusat Penelitian & Pengabdian Masyarakat Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/pjpm.v4i3.1896

Abstract

Indonesia will experience a very rapid increase in the elderly population until 2045. Physiologically, the elderly will experience a lack of fluids so that the body is more susceptible to dehydration so that knowledge and awareness of the elderly about the benefits of water for the body, the health risks due to dehydration and increasing the participation of the elderly in self assessment Urine Self Check (PURI) in the elderly in Tanjung Karang Pusat District, Bandar Lampung City. The purpose of service community was the changes of the behavior of drinking water and the Urine Self Check (PURI) method so that the body is healthy. The activity was carried out with a target of 52 people who joined the Elderly School in Tanjung Karang Pusat District, Bandar Lampung City. The solutions offered are health education about hydration for the elderly and the practice of self-examination of urine (PURI) using urine charts. The results obtained, before education is carried out, the knowledge of the elderly is obtained as a median of 40 with a minimum value of 20 and a maximum of 80 and after education, a median value of 90 is obtained with a minimum value of 60 and a maximum of 100. From the Wilcoxon analysis results, there is a significant difference between knowledge before and after health education (p=0.001, α= 0.005).This activity needs to be carried out in a sustainable manner as an effort to maintain health in the elderly community in Tanjung Karang Pusat District, Bandar Lampung City.
Faktor-Faktor Penyebab Terjadinya Syndrome Dyspepsia Pada Remaja Putri Habsari, Maharani Kusuma; Angraini, Dian Isti; Yuningrum, Hesti; Wardani, Dyah Wulan Sumekar Rengganis
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1266

Abstract

One of the most common non-communicable diseases is dyspepsia syndrome. A collection of symptoms in the upper gastrointestinal tract known as dyspepsia syndrome includes pain or discomfort in the upper abdominal area, a burning sensation in the chest, a feeling of fullness and early satiety, nausea, and vomiting. Indonesia ranks third after the United States as the country with the highest prevalence of dyspepsia syndrome, reaching 40–50%. Various risk factors, such as age, gender, dietary patterns, breakfast habits, consumption of spicy and sour foods, fast food, irritative beverages (soda, coffee, alcohol), exercise habits, smoking, nutritional status, and socioeconomic factors, can lead to the occurrence of dyspepsia syndrome. Adolescence is one of the risk factors that influence the occurrence of dyspepsia syndrome. Adolescents who are at higher risk of developing dyspepsia syndrome are those of the female gender. Teenage girls are more likely to pay attention to body shape and have a desire to emulate their online idols, which can lead them to adopt strict diets and irregular eating habits. Excessive physical activity contributes to the poor eating habits and breakfast habits of teenagers. The consumption of unhealthy foods, such as spicy and sharp-flavoured dishes, will increase stomach acid production. Stress in adolescents can be one of the triggers for dyspepsia syndrome. Prolonged stress can disrupt the digestive system and cause symptoms in healthy individuals. Every teenager with a busy schedule must be able to manage their time and schedule to avoid dyspepsia syndrome by bringing a packed lunch during activities.
Review Article: Potensi Farmakologi Bunga Telang (Clitoria ternatea) Athallah, Dimas Rifqi; Rudiyanto, Waluyo; Wijaya, Sofyan Musyabiq; Angraini, Dian Isti
Medula Vol 14 No 8 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i8.1267

Abstract

Clitoria ternatea, commonly known as butterfly pea flower, is a tropical plant with high historical and cultural value, particularly in traditional medicine in Indonesia and Asia. This plant is rich in bioactive compounds such as phenols, terpenoids, and alkaloids, which contribute to its various pharmacological activities, including antioxidant, antidiabetic, antihyperlipidemic, anticancer, anti-inflammatory, antimicrobial, hepatoprotective, and neuroprotective effects. The phenolic compounds in the flower function as natural antioxidants, while terpenoids and alkaloids support antidiabetic and anticancer effects. This review aims to evaluate the pharmacological potential of C. ternatea based on literature published in the last decade (2014–2024), sourced from PubMed, Google Scholar, Science Direct, and ResearchGate. Inclusion criteria were articles in English and Indonesian, while exclusion criteria included incomplete access articles, secondary reviews, and studies with weak methodologies. Based on this review, C. ternatea shows great potential as an alternative modern therapy, with consistent research demonstrating significant therapeutic activity and low side effects. Its bioactive compounds work through mechanisms such as enzyme inhibition, glucose regulation, inflammation modulation, and protection from oxidative stress, making it a promising candidate for innovative therapeutic development.
Preliminary Study on Anxiety Levels Among Palm Oil Farmers in Simpang Pematang District, Mesuji Regency-Lampung Province (2024) Bachtiar, Nabylly Aghna; Saftarina, Fitria; Larasati, Ratri Mauluti; Angraini, Dian Isti
Medula Vol 14 No 10 (2025): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i10.1425

Abstract

As the world's largest palm oil producer, Indonesia bears a significant responsibility for the well-being of its farmers, including mental health aspects, which remain a pressing issue. Farmers face various occupational pressures that have the potential to trigger psychological disorders, particularly anxiety. Poorly managed anxiety can lead to decreased concentration and productivity. This study aims to describe the anxiety levels experienced by palm oil farmers in Simpang Pematang District, Mesuji Regency, Lampung. A cross-sectional design was employed in this study, utilizing purposive sampling for sample selection. A total of 109 palm oil farmers participated as respondents, and the collected data were analyzed using frequency distribution. The results indicate that 14.7% of farmers exhibited symptoms of anxiety, with 11.9% experiencing mild anxiety and 2.8% experiencing moderate anxiety. No cases of severe anxiety were found among the respondents. Although the overall anxiety level identified in this study was lower than in previous research, it remains a matter of concern. These findings highlight the necessity of continuous efforts to enhance the mental well-being of farmers. Therefore, a more intensive mental health promotion program is required to improve farmers' understanding of stress management strategies. By doing so, farmers are expected to maintain their psychological well-being, ultimately contributing to increased productivity in Indonesia's palm oil agricultural sector.
Laboratory Examination in Tonsillitis: A Literature Review Sembiring, Dustin Delano Pranata; Imanto, Mukhlis; Sangging, Putu Ristyaning Ayu; Angraini, Dian Isti
Medula Vol 14 No 11 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i11.1434

Abstract

Laboratory tests play a crucial role in the diagnosis and etiology of tonsillitis, especially in children. Tonsillitis, an inflammation of the palatine tonsils, commonly affects children aged 5–15 years and is a significant cause of morbidity associated with upper respiratory tract infections. The disease can be classified into acute and chronic tonsillitis based on duration, with causes varying from viral to bacterial infections. Laboratory parameters such as leukocyte, neutrophil, lymphocyte, platelet counts, and C-reactive protein are used to differentiate the etiology of tonsillitis. Bacterial tonsillitis generally shows an increase in leukocytes and neutrophils, while viral infections are more commonly associated with lymphocytosis. Complete blood count, throat culture, and rapid antigen detection test (RADT) are the mainstays of diagnostic testing. Throat culture is considered the gold standard for pathogen identification, although it is more time-consuming. RADT offers a faster alternative with high sensitivity and specificity. Anti-Streptolysin O (ASO) titer is also important to detect Group A β-hemolytic Streptococcus infection, which is often associated with chronic tonsillitis. Recent studies have shown a correlation between laboratory results and the severity of tonsillitis. For example, a study in Sudan found that 64% of patients with tonsillitis had neutrophilia, 54% showed an elevated erythrocyte sedimentation rate, and 50% were ASO positive. These findings confirm the association between bacterial infection and chronic tonsillitis. However, interpretation of laboratory results must be done with caution, considering factors such as the time of sampling, examination technique, patient age, and the skill of the health care provider. Appropriate clinical decision-making requires the integration of laboratory results with the patient's clinical history. Further research is needed to explore the correlation between laboratory parameters, the severity of tonsillitis, and their impact on optimal therapy choices. A better understanding of these relationships will help improve the accuracy of diagnosis and the effectiveness of tonsillitis treatment.
Faktor-faktor yang Memengaruhi Menarche Dini pada Remaja Perempuan Hafizha, Syifa; Angraini, Dian Isti; Mayasari, Diana; Perdani, Roro Rukmi Windi
Medula Vol 14 No 12 (2024): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v14i12.1452

Abstract

Adolescence is a critical phase of rapid growth characterized by the maturation of reproductive organs, known as puberty. In females, puberty is marked by the onset of menstruation, with menarche being the first occurrence of menstruation, typically between the ages of 12 and 14 years. However, the average age of menarche in Indonesia has declined over the years, leading to an increase in early menarche cases. Early menarche occurs at an age of < 11 years (9-10 years) that is primarily driven by elevated estrogen levels in the female body. Factors influencing early menarche include genetics, nutritional status, lifestyle, dietary intake, physical activity, stress management, socioeconomic conditions, sexual behavior, and media exposure. This literature review aims to examine the correlation between these factors and the decreasing age of menarche among adolescent girls in Indonesia. Nutritional status and imbalanced dietary patterns are external factors strongly associated with early menarche. Genetic factors, particularly maternal menarche age, significantly influence the likelihood of early menarche in daughters. Low levels of physical activity contribute to increased ovarian activity and elevated estrogen levels, thereby raising the risk of early menarche. Furthermore, insufficient physical activity is directly linked to early menarche. External influences such as media exposure shape sexual behaviors, which may accelerate menarche onset. Poor stress management also disrupts estrogen regulation, further contributing to early menarche.
Pelatihan Kader Posyandu Dalam Deteksi Dini Ibu Hamil Risiko Tinggi (Risti) Di Puskesmas Karang Anyar Kabupaten Lampung Selatan Angraini, Dian Isti; Apriliana, Ety; Imantika, Efriyan; Mayasari, Diana; Wijaya, Sofyan Musyabiq
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 4 No. 1 (2019): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v4i1.2532

Abstract

Angka kematian ibu (AKI) di Indonesia masih tinggi. Salah satu penyebab tingginya angka kematian ibu adalah kehamilan berisiko tinggi yang tidak terdeteksi.Antenatal Care (ANC) sangat penting karena selain untuk memeriksakan keadaan ibu dan janin juga untuk medeteksi apabila terdapat risiko-risiko yang mungkin timbul dalam kehamilan. Tujuan dari kegiatan ini adalah untuk melatih kader posyandu dalam melakukan deteksi dini kehamilan risiko tinggi. Khalayak sasaran kegiatan pengabdian kepada masyarakat ini adalah kader posyandu di wilayah kerja Puskesmas Karang Anyar Kabupaten Lampung Selatan. Metode yang digunakan dalam kegiatan ini yaitu pemberian materi, pemutaran video, pembagian leaflet, dan simulasi penggunaan kartu skor poedji rochdjati (KSPR). Pemberian materi dilakukan dengan metode ceramah dan diskusi disertai dengan pembagian leflet dan pemutaran video pada sesi terakhir. Simulasi penggunaan KSPR dengan memberikan skenario kasus sebagai pemicu dan kemudian peserta mengisi langsung KSPR. Pengabdian kepada masyarakat ini dilaksanakan pada tanggal 5 Oktober 2017 pada pukul 08.00 sampai dengan selesai. Tempat kegiatanpengabdian ini adalah di ruang aula Puskesmas Karang Anyar kabupaten Lampung Selatan. Hasil kegiatan didapatkan bahwa terjadi peningkatan pemahaman setelah diadakan pelatihan yaitu peserta pelatihan yang memiliki tingkat pemahaman baik naik dari 0%menjadi90%. Dari keseluruhan peserta masih terdapat peserta yang cukup paham sebesar10%. Kesimpulan: peningkatan peran kader kesehatan dalam upaya deteksi dini dan rujukan kasus kesehatan ibu dan anak terutama pada kasus rujukan persalinan dalam rangka kesiapan dan kesiagaan komplikasi bagi ibu dan bayi baru lahir diharapkan dapat menurunkan angka kematian ibu dan anak.Kata Kunci: kader, kehamilan resiko tinggi
‘Metabolic Syndrome Criteria’ Berdasarkan Panel III AHA sebagai Upaya Pencegahan Penyakit Metabolik pada Wanita Menopause Imantika, Efriyan; Angraini, Dian Isti; Sari, Merry Indah
JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai Vol. 4 No. 1 (2019): JURNAL PENGABDIAN MASYARAKAT RUWA JURAI
Publisher : FK Unila

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23960/jpmrj.v4i1.2536

Abstract

Menopause merupakan masa dimana terhentinya siklus menstruai pada wanita secara permanen yang terjadi secara alami. Di Indonesia, diperkirakan terdapat 30.3 juta wanita menopause pada tahun 2020. Penelitian terkini menyatakan bahwa terhentinya aktivitas folikular ovarium menyebabkan penurunan produksi estrogen secara signifikan pada wanita menopause dan berhubungan dengan peningkatan risiko terjadinya penyakit metabolik. Estrogen memiliki reseptor hampir diseluruh organ tubuh wanita yang artinya Estrogen berperan dalam seluruh proses metabolism sel didalam tubuh meskipun mekanismenya belum jelas. Transisi ke masa menopause selalu diikuti dengan obesitas sentral berupa peningkatan lemak intra abdominal. Sel lemak inilah yang memproduksi subsatnsi yang dikenal sebagai adipokines yang menimbulkan respon inflamasi, resistensi insulin, peningkatan oxidative stress, koagulasi dan memicu terbentuknya atherosklerosis.. Tujuan dari kegiatan ini adalah memberikan pengetahuan dan edukasi mengenai risiko penyakit metabolik serta upaya penapisan (screening) melalui pemeriksaan kesehatan adanya risiko penyakit metabolik menggunakan kriteria yang dikeluarkan oleh Panel III AHA (American Heart Association) pada wanita menopause. Diharapkan risiko tersebut dapat diturunkan atau segera mendapatkan penanganan jika sudah terdiagnosis salah satu penyakit metabolic. Metode yang akan dilakukan adalah dengan memberikan penyuluhan dan pemeriksaan kesehatan sesuai dengan Kriteria Penyakit Metabolik Panel III AHA. Wanita menopause yang mengikuti kegiatan pengabdian di Desa Bandarkagungan Raya dan Desa Tanjung Iman Kabupaten Lampung Utara yang sebanyak 54 orang. Peserta yang besrisiko tinggi menderita sindrom metabolik sebanyak 25 orang (46.3 %). Setelah mendapatkan penyuluhan mengenai perubahan sistem reproduksi dan risiko terjadinya sindrom metabolik pada wanita menopause, pemahaman masyarakat Desa Bandarkagungan Raya dan Desa Tanjung Iman Kabupaten Lampung Utara mengalami peningkatan.Kata Kunci : Penyakit Metabolik, Metabolik Sindrom, Wanita menopause
Co-Authors Adelia Meutia Putri agustyas tjiptaningrum Ahdalifa, Pinkan Akhmad Rizki Farhan Akmal, Vina Amelia Al Supartinah Al Supartinah, Al Ali, Muhammad Chaidar Amourisva, Assyiva Putri Andi Rassya Daffa Islami Andriansah, M. Anggraeni, Liza Anisa Maulidia Anisa Nuraisa Jausal Anjaya, Putri Ulayya Athallah, Dimas Rifqi Aurelina, Renata Bachtiar, Nabylly Aghna Bagus Pratama Bambang Pujianto Bayu Anggileo Pramesona Carolia, Imelda Chicy Widya Morfi Daulay, Suryani Daulay, Suryani Agustina David Bryan Natanael Simanjuntak Deddy Nur Wachid Delmi Sulastri Diana, Mayasari Dita Rifzian, Malyca Rachmaniar Dwi Indria Anggraini Dwita Oktaria Dyah Wulan S.R Wardani Dyah Wulan Sumekar Rengganis Wardani Efrida Warganegara Efrida Warganegara Efriyan Imantika Eka Putri Rahmadhani Eka Putri Rahmadhani Eka Putri Rahmadhani Emantis Rosa Enriko Aprilio Ernawaty, Tutik Ety Apriliana Ety Apriliana Evandra Athallah Pramana Fathaniah, Widya Fauzi Ahmad Muda Febilla Naili Alfalah Fitri Az Zahra Fitri, Dilla Syahra Noor Fitria Saftarina Ginting, Kristian Pieri Giska Tri Putri Habsari, Maharani Kusuma Hafizha, Syifa Happy, Terza Aflika Hardisman Harmaina Harmaina, Harmaina Hesti Yuningrum Indria, Anggraini Dwi Intan Kusumaningtyas Intanri Kurniati Jausal, Anisa Nuraisa Jhons Fatriyadi Suwandi Kania, Susi Karima, Nisa Karimah Khitami Aziz Karyus, Aila Khairun Nisa Khairunnisa, Lyliani Khairunnisa, Salma Kirana, Falahdila Rebika Kristian Pieri Ginting Kurnia Eka Putri Larasati, Ratri Mauluti Leni Ervina Liana Sidharti, Liana Lidya Angelina Purba Linda Septiani Maya Ganda Ratna Mayasari, Diana Meiyanti Meiyanti, Meiyanti Merry Indah Sari Merry Indah Sari Miranda, Alyzah Nabila Muhamad Fathurrahman Zain Muhammad Abdul Ghoni Muhammad Aditya Muhammad Iz Zuddin Adha Muhammad Jundi Nasrullah Muhammad Yusran Mukhlis Imanto Mukhlis Imanto, Mukhlis Naila Fathiya Isnanto Nisa Karimah Nisa, Lutfi Khoirun Nixon Steven Novita Carolia Novita Carolia Novita Carolia Nur Indrawaty Lipoeto Nurtandhee, Mutiara Oktadoni Saputra Perdana, Azzahra Gadis Junita Putri Damayanti Putu Risyaning Ayu Rahmani, Adrina Rizka Rahmi Zuraida Ramadhan, Rifqi Ihza Ramadhana Komala Ratna, Maya Ganda Reni Zuraida Renti Kusumaningrum Samosir Risda Yana Riska Oktavioni Salsabilla Rizki Arisandi Rizki Hanriko Rodiani Rojwa Azka Syakira Roro Rukmi Windi Perdani, Roro Rukmi Rudiyanto, Waluyo Salsabila, Hasri Aghnia Salwa Alina Faza Sangging, Putu Ristyaning Ayu Sari, Merry Indah Sekar Ronna Fiskasari Sembiring, Dustin Delano Pranata Sharlene Sabrina Azzahra Sofyan Musyabiq Wijaya Soraya Rahmanisa Sri Hasnawati Suharmanto Suharmanto Suryadi Suryadi Suryani Agustina Daulay Susianti Susianti Sutarto Sutarto Taufiqy, Athaya Terza Afika Happy Tutik Ernawati Utari Gita Mutiara Wachid, Deddy Nur Winata, Afriza Wiwi Febriani Wiwi Febriani Wuryaningsih Dwi Sayekti Wuryaningsih Wuryaningsih Yaktiworo Indriani Yana, Risda Yoga, M. Agung Prasetya Adnyana Yuliana Yunianto, Andi Eka Yuningrum, Hesti Yusrawati Yusrawati Zahira Farini Hasbani Zelinda Imroatus Soleha Zenith Puspitawati