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PENGARUH BUKU SAKU TERHADAP TINGKAT KECUKUPAN GIZI PADA REMAJA (Studi Di SMA Teuku Umar Semarang Tahun 2016) Maharani Widya Purnama sari; Sri Achadi Nugraheni; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (93.214 KB) | DOI: 10.14710/jkm.v5i1.15565

Abstract

Nutrition education through the pocketbook is one solution to convert knowledge of nutrition and nutritional adequacy levels in adolescents. The purpose of this study was to analyze the differences in nutrition knowledge and nutritional adequacy levels before and after nutrition education between the two groups. The study design quasy experiment with the design of non-randomized control group pretest-posttest design. The sample was 70 subjects (35 treatment group and 35 control group) with a purposive sampling techniques. Before being given booklets, each group was given exposure on the prevention of malnutrition and measurement of knowledge and level of initial nutritional adequacy. In the treatment group was given a pocket book and quiz whereas the control group did not. After that, each group performed measurements of knowledge and level of nutritional adequacy of the final. In this study using the paired t test, Wilcoxon signed rank test, Mann Whitney test, and independent t test. The results showed the treatment group increased nutritional knowledge level of 39.6%, while the control group decreased nutritional knowledge level of 17.1%. The treatment group decreased energy sufficiency level of 5.7%; protein sufficiency rate increased by 5.7%; sufficient levels of fat decreased by 5.7%. The control group increased energy sufficiency level of 5.7%; protein sufficiency rate increased by 5.9%; fat sufficiency level increased by 34.3%. There is a difference of knowledge between the two groups (p = 0.001). There is a difference in energy sufficiency level (p = 0.019), protein (p = 0.002), and fat (p = 0.001) between the two groups. It is concluded that there are differences in knowledge of nutrition and nutritional adequacy level (energy, protein, fat) between the two groups (p <0.05).
FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK BALITA USIA 24-59 BULAN (Studi Kasus di Wilayah Kerja Puskesmas Gabus II Kabupaten Pati Tahun 2017) Astutik Astutik; M. Zen Rahfiludin; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (95.615 KB) | DOI: 10.14710/jkm.v6i1.19900

Abstract

 Stunting is a malnutrition chronic caused by poor nutrient intake for long periods of time due to inappropriate feeding of nutritional needs. A prevalence of stunting in Indonesia was 37,2 %. Gabus II Community Health Centers is one of the areas with high prevalence of stunting in 2015 was 30.36%. The purpose of this study was conducted to dertermine the realtionship between low birth weight, economic status and intake of nutrient with stunting in children aged 24-59 months in Gabus II Community Health Centers. This research use a kind of analytic observational with case control design. Sample were selected using a technique of purposive sampling with the number of each group were 33 respondents. Analysis of data using chi square. The results showed that there was correlation between level of family prosperity (p = 0,003, OR = 5,333), protein intake (p = 0,026, OR = 3,538) and zinc (p = 0,012, OR = 4,241) with stunting incidence and all three were stunting risk factors. Low birth weight variables were not associated with stunting events but is a risk factor for stunting, (p = 0.319, OR = 1.647). Other variables such as energy intake, iron, calcium, and vitamin A had no significant association with stunting events. Community Health Centers need to do nutritional educationand monitor the nutritional status regularly and periodically, so that it can be done as early as possible prevention or prevention of stunting in toddlers. Mother should be more active following posyandu activities and pay attention to diet so that nutritional adequacy is fulfilled.
HUBUNGAN ASUPAN MAKANAN, KEANEKARAGAMAN PANGAN, DAN LAMA TIDUR DENGAN PERSEN LEMAK TUBUH PADA ANAK SEKOLAH DASAR (Studi di SD Hj. Isriati Baiturrahman 1 Semarang Tahun 2017) Yuni Atika Sari; M. Zen Rahfiludin; Martha Irene Kartasurya; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.764 KB) | DOI: 10.14710/jkm.v6i1.19972

Abstract

The incidence of obesity on elementary school students of Hj. Isriati Baiturrahaman 1 Semarang in 2010 ranged from 49.9% with increasing a tendency of increasing. Obesity in children may continue in adulthood. The purpose of this study was to analyze the correlations between food intake, sleep duration, and food diversity with body fat percentage in elementary school children. This study was an observational study with a cross sectional design. The study population was of grade 4 and 5 primary school students (182 students). A total of 58 students were selected by Purposive Sampling. Data collection was conducted with 2x24 hours food recall, food diversity table, anthropometric measurements and body fat percentage using BIA (Bioelectrical Impedance Analysis). Data were analysed by Spearman and Pearson Rank Correlation test. The results showed that 44.5% of male students were obese and 9.8% of female students were obese. Energy sufficiency level was excessive on 87,9%, 37.9% of students had excess carbohydrate intake, 62.1% students had high saturated fat intake, 24.1% of students had high intake of unsaturated fat, 43.1% of the subjects had low food diversity index. The results show that there were positive correlations between energy consumption level (p = 0,00), and food diversity (p = 0,00) with body fat percentage. It was concluded that obesity in these children is associated with high energy consumption and food diversity.
HUBUNGAN TINGKAT KECUKUPAN ENERGI DAN PROTEIN DENGAN IMT DAN HEMOGLOBIN PADA PASIEN PENGGUNA NAPZA (Studi di RSJD Sei Bangkong Pontianak Tahun 2015) Tiurma Sinaga; Siti Fatimah Pradigdo; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 3 (2016): MEI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (122.587 KB) | DOI: 10.14710/jkm.v4i3.12901

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Drug abuse over the years it's prevalence continues to rise. Results of a survey conducted by BNN (National Narcotics Agency) and Puslitkes (Medical Research Center) in 2008 acquired  prevalence rate reached 1.9% and in 2011 increased by 2.2% or approximately 4 million Indonesian people aged 10 to 60 years as abusers of narcotics. Energy and protein needed to maintain or improve the nutritional status of patients with drug rehabilitation. Optimal nutritional status is needed to accelerate the rehabilitation process. The purpose of this study was to determine the relationship of energy and protein sufficiency level with BMI and Haemoglobin. Type of research is observational with cross sectional design. Analysis of the relations between variables using Shapiro- Wilk  and Spearman Rank test statistic. Most of the age of 30-39 years (53%), high school education / high school (68.9%), less energy sufficiency level category (73.3%), good protein adequacy level category (62.2%), BMI categories normal (68.9%), consuming type of shabu (35.5%) and duration of drug use for 4 years (40%), HB normal (68.9%), and all samples manifold male - male as many as 45 people. The study states There a significant correlation with the level of energy sufficiency BMI values (p = 0.001 r = 0.521) .There was no significant association with BMI protein sufficiency level the value is p = 0.001 There is significant correlation with the level of energy sufficiency level of Hemoglobin values (p = 0.011 r = 0.377). And there is a significant relationship with levels of protein sufficiency level of Hemoglobin values (p = 0.001 r = 0.612) in patients with drug abuse in the RSJD Sei Bangkong. Suggestions for RSJD Sei Bangkong expected to do periodic Hemogoblin examinations and actionable giving Fe mainly in the category of anemia, for making a more varied menu.
HUBUNGAN STATUS GIZI (IMT/U) DENGAN INDEKS PRESTASI BELAJAR SISWA KELAS XI SMA TEUKU UMAR KOTA SEMARANG 2016 Sri Desi Juliana Silaban; Ronny Aruben; Sri Achadi Nugraheni
Jurnal Kesehatan Masyarakat (Undip) Vol 5, No 1 (2017): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.561 KB) | DOI: 10.14710/jkm.v5i1.15570

Abstract

Salah satu menilai kualitas pendidikan adalah hasil indeks prestasi belajar siswa. Rendahnya status gizi pada anak-anak sekolah akan membawa dampak negatif pada upaya peningkatan kualitas sumber daya manusia. Tujuan Penelitian ini adalah untuk menganalisis hubungan status gizi (IMT/U) dengan indeks prestasi siswa-siswi kelas XI sekolah menengah atas Teuku Umar Semarang. Jenis penelitian ini adalah penelitian kuantitatif. Populasi dalam penelitian ini adalah siswa kelas XI SMA Teuku Umar Semarang dengan jumlah sampel sebanyak 48 responden. Pengambilan sampel dilakukan dengan teknik purposive sampling. Pengumpulan status gizi diperoleh dari data antropometri IMT/U menggunakan simpangan baku Z-skore dan prestasi belajar diperoleh dengan mengambil rata-rata nilai smester I mata pelajaran Matematika, Bahasa Inggris, Pendidikan Kewarganegaraan siswa kelas XI. Uji statistik yang digunakan yaitu uji korelasi rank spearman pada taraf sigifikansi <0,05. Hasil penelitian menyatakan bahwa persentase nilai indeks prestasi Matematika  dan Bahasa Inggris rendah 58,3%, dan terdapat prestasi pendidikan Kewarganegaraan rendah 56,3% serta responden yang memiliki status gizi kurus 45,8%. Hasil analisis uji statistik menunjukkan bahwa ada hubungan status gizi (IMT/U) dengan Indeks Prestasi belajar siswa kelas XI SMA Teuku Umar Semarangpada mata pelajaran Matematika (0,001), Bahasa Inggris (0,001), dan Pendidikan Kewarganegaraan (p=0.001) pada taraf signifikansi <0,05. Disarankan perlunya perhatian yang lebih terhadap gizi remaja anak sekolah yaitu dengan asupan gizi dan pendidikan gizi.
HUBUNGAN KONSUMSI GARAM BERYODIUM DAN ZAT GOITROGENIK DENGAN KEJADIAN GANGGUAN AKIBAT KEKURANGAN YODIUM (GAKY) PADA ANAK SEKOLAH DASAR TAHUN 2017 (Studi pada Anak Sekolah Dasar Negeri Terangmas di Wilayah Pertanian Kecamatan Undaan Kabupaten Kudus) Debby Sukma Wardani; Laksmi Widajanti; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 4 (2018): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (209.343 KB) | DOI: 10.14710/jkm.v6i4.21394

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Iodine Deficiency Disorders (IDD) is a nutritional problem due to the lack of iodine sources consumption resulting in hormonal disorders.Based on Central Java Provincial Health Office data, the coverage of eligible iodized salt in 2012 was 63.90%, in 2013 was 70.52%, in 2014 was 76.07%, in 2015 was 78.97%, and in 2016 was 81.29%. According to the result of palpation of thyroid gland examination by Undaan Integrated Service Unit in 2014, on elementary schoolchildrenwas 70.50% and in 2013 in Kudus Regency one case of IDD was found.The aim of this research is to analyze the relationship between iodized salt consumption and goitrogenic substances with the incidence of iodine deficiency disorders (IDD) in agricultural area on Terangmas elementary schoolchildren of Undaan Sub-district, Kudus Regency in 2017.The type of the research usedwas analytical research (explanatory research) with cross-sectional approach.The total number of sample were 40 samples and it usedlots sampling technique.The sample size was obtained from the total number of all students in grade 3, 4 and 5 ofthe elementary school. The data of iodine sources consumption and goitrogenic substanceswas obtained through semi-quantitative Form Food Frequency Questionnaire. The iodine content of salt was measured by using iodine test. The examination on Iodine Deficiency Disorderwas measured by palpation conducted by the nutritionist of Undaan Integrated Service Unit in Kudus Regency. The data analysis used Chi-Square test.Household salt contained 57.5%of iodine, 60%was categorized as lack of iodine source consumption, 50%was categorized as above the average of goitrogenic substances consumption in food, and 60% (24 children) suffered from IDD. There was no correlation between the iodine content of household salt and the consumption of goitrogenic substances with IDD incidence in elementary schoolchildren (p=0.747, p=0.105).There was a correlation between the iodine sources consumption in foods and the incidence of IDD in elementary schoolchildren (p=0.00). Based on the results of the research, the author suggests that parents should pay more attention to their children's food consumption, and expects to increase the knowledge about nutritious and healthy food so that they can know and give the right information. 
HUBUNGAN ASUPAN GIZI DAN AKTIVITAS FISIK DENGAN INDEKS MASSA TUBUH MENURUT UMUR (IMT/U) PADA ANAK JALANAN (Studi Kasus Rumah Pintar Bang Jo PKBI Jawa Tengah di Kawasan Pasar Johar Kota Semarang Tahun 2018) Nurul Aindina Madaliana; M. Zen Rahfiludin; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 2 (2018): MARET
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (92.792 KB) | DOI: 10.14710/jkm.v6i2.20795

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Street children are children aged 5-18 years who have activities and physical work is quite tiring. Most of the street children have low nutrient intake, if left continuously will adversely affect on nutritional status.The objective of this study is to analyze the relationship between of nutrient intake and physical activity with the Body Mass Index for Age of street children. This type of research is quantitative research using cross sectional approach. The population of this study was the 73 street children in Rumah PintarBangJo and the sample in this study were 42 street children selected with purposive sampling method. Data were analyzed using Pearson Product Moment test for normal distributed data, Rank Spearman test for abnormally distributed data and Chi Square test for nominal scale data. The results of this study age of repondents at most in 5-12 year age group. The sexes of both male and female respondents were the same (50%) and the education status of most respondents with primary school (57,1%). Most of the energy intake, carbohydrate intake and protein intake of the respondents included in the category of good, but the fat intake of many respondents included in the category less.  The mean and standard deviation of energy intake of respondents were 1301 ± 802.1 kcal per day.  The mean and standard deviation of carbohydrate intake of respondents were 212.8 ± 120 g per day. The mean and standard deviation of fat intake of respondents were 39.1 ± 28.9 g per day. The mean and standard deviation of protein intake of respondents were 48.9 ± 26.2 g per day. The nutritional status of the respondents was mostly in the normal category (57,1%), followed by obesity (14.3%), Thinness (11,9%), Severe thinness (9,5%) and overweight (7,1%).Most children have a history of infections (54,8%) and have a light physical activity (63,3%). There were correlation between age (p = 0,039),  energy intake (p = 0.034), fat (p = 0.005,  protein (p = 0.047), history of infection (p = 0,049) and physical activity (p = 0,007) with Body Mass Index for Age of street children. There were no correlation between gender (p = 0,533), education (p = 0,780) and carbohydrate intake (p = 0.121) with Body Mass Index for Age of street children.
TITIK KENDALI KRITIS (TKK) DAN DETEKSI KEHALALAN NUGGET IKAN “MJ”” KABUPATEN SEMARANG TAHUN 2016 Trifany Arlita Prihandini; Laksmi Widajanti; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (85.723 KB) | DOI: 10.14710/jkm.v4i4.14288

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Food safety and halal is a requirements that should be fulfilled by each foods that will distributed and consumed. HACCP (Hazard Analisys Critical Control Point) is a system that could be applied by food industries to producing a safety food and doesn’t contaminated by physical, chemical , and microbiological contamination. This system also used to determined a halal foods. The purposes of this research are to analyze critical control points and halal detection of MJ’s Fish Nugget in Semarang District. The sample of this research is fish nuggets and Top Manager as respondents. This research used kualitative and kuantitative methode. The kuantitative methode used to identified Escherichia coli, water contents, and pH of fish nuggets that tested in Balai Laboratorium Kesehatan Provinsi Semarang. The results of kuantitative research showed that 150µ/g of Escherichia coli are contained in tilapia, and below 3µ/g in fish nugget. Test of formalin showed a negative results both fish nugget or tilapia, 49,53% of water contents and pH 4,00. The kualitative methode used to describe a Top Manager’s commitments, analyze a critical control points, describe the equipments and environments, and determine a halal status of fish nuggets. The results of kualitative research showed that MJ Fish Nugget’s production have two critical control points there are steaming and storaged proccess, and two halal critical control points there are raw material handling and storaged proccess. This research concluded that the halal status of MJ’s Fish Nuggets is unclear, because they used a halal’s critical ingredient that not certified.
HUBUNGAN PENGETAHUAN IBU, POLA KONSUMSI DAN DIET BGBC DENGAN STATUS GIZI ANAK AUTIS DI SEKOLAH LUAR BIASA (SLB) NEGERI KOTA SEMARANG TAHUN 2017 Zakiyah Islamiaty Oktaviani; Sri Achadi Nugraheni; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 6, No 1 (2018): JANUARI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.006 KB) | DOI: 10.14710/jkm.v6i1.19980

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Children with autism have disgestive disorders making it difficult do digest  protein of gluten and casein, so it is very important for mothers to pay attention to their children and control their GFCF (Gluten Free Casein Free) diet. The aim of this study was to analyze the association between mother’s knowledge, consumption pattern and GFCF diet with nutritional status of children with autism in special school Semarang. The design of this study was cross sectional study with quantitative research method. The study samples were 52 childrens with autism and their mother based on the inclusion criteria. Data was analyzed using Kolmogorov-Smirnoff Test, Rank Spearmann Test and Pearson Product Moment Test. The result showed there were 57,7% mothers had good knowledge, 100% of childrens with autism still consumed foods that contain gluten casein there are macaroni (67,3%) and butter (75%),  there are 61,5% childrens were normal, 19,2% were fat, 15,4% were obesity, 3,8% were lean based on body mass index per age, 88,5% were normal, 7,7% were short, 3,8% were very short based on height per age, 58% had good nutritional status and 42% had over nutritional status based on weight per age. Rank Spearmann Test result showed there is on correlation between mother’s knowledge (p>0,05) with nutritional status (p=0,667, 0,563, 0,491), and between mother’s knowledge with consumption pattern (p=0,296) and Pearson Product Moment Test result showed there is on correlation between consumption pattern with nutritional status (p=0,308, 0,113, 0,609). It can be concluded there is on correlation between mother’s knowledge, consumption pattern and GFCF Diet with nutritional status of children with autism in special school Semarang 2017.
HUBUNGAN ASUPAN ENERGI DAN PROTEIN DENGAN STATUS GIZI NARAPIDANA UMUM WANITA Selvina Arum Dewanti; M. Zen Rahfiludin; Ronny Aruben
Jurnal Kesehatan Masyarakat (Undip) Vol 4, No 4 (2016): JULI
Publisher : Fakultas Kesehatan Masyarakat Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (127.361 KB) | DOI: 10.14710/jkm.v4i4.14286

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The prisoners have the right to receive worth meal service. The food must meet the balanced nutrition in terms of both quality and quantity as well as being safe to consume in order to improve the quality of human resources. In fact, food services in prisons Women Class IIA Semarang 2016 do not meet the adequacy level of energy and protein prisoners. The purpose of this research to analyze the association of energy and protein intake with nutritional status of common women prisoners. The research method used is quantitative with cross sectional approach. Sampling technique used is total sampling amounted to 45 prisoners. data collectionis done by the submission of written informed consent, data collection on respondents’ identities, assessment of nutritional status, assessment on energy and protein intake with  methods of food weighing during three days which are not consecutive, and documentation. The results showed that the average intake of energy consumed by common women prisoners amounted to 1489 kcal, the average intake of protein consumed amounted to 49.5 g, average BMI of 25.8 kg/m2 and an average of MUAC is 28.0 cm. The test results of Pearson Product Moment showed that there is a association of energy intake and nutritional status (BMI) of common women prisoners (p=0.001; r=0.483), there is a association of energy intake and nutritional status (MUAC) of common women prisoners (p=0.003; r=0.428), there is a association of protein intake with nutritional status (BMI) of common women prisoners (p=0.002; r=0.453), and there is a association of protein intake with nutritional status (MUAC) of common women prisoners (p=0.006; r=0.406).