Karina Rahmadia Ekawidyani
Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, Institut Pertanian Bogor, Bogor 16680, Indonesia

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The Effect of a Teacher-led Nutrition Education Program towards Nutrition and Anemia Status of Adolescent Girls in Bogor, Indonesia Rachman, Purnawati Hustina; Ekawidyani, Karina Rahmadia; Mauludyani, Anna Vipta Resti; Februhartanty, Judhiastuty
Jurnal Nutrire Diaita (Ilmu Gizi) Vol 13, No 01 (2021): NUTRIRE DIAITA
Publisher : Lembaga Penerbitan Unversitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/nut.v13i01.4050

Abstract

Nutrition education among adolescents is lacking in Indonesian schools. Whereas adolescent girls, in particular, need adequate nutrients to prepare them for their future pregnancy which may improve their nutrition status in the long term. Therefore, this study aims to assess the impact of a teacher-led nutrition education program on the nutrition and anemia status of adolescent girls. A quasi-experimental design was applied in junior high and high schools in Bogor which compared the findings between the intervention (n=112) and the control group (n=129). Teachers in the intervention group received training on health and nutrition for adolescents and were asked to deliver nutrition education for their students for 14 weeks. The control group did not receive any exposure to the topics. The weight, height, and hemoglobin level were measured before and after the program. Paired and independent t-test statistical analysis was used to assess the impact of the intervention for continuous variables and the Chi-Square test was used for categorical data. After the program, although there were no significant improvements in BMI-for-age z-score, however, significant improvements were observed for hemoglobin level among the treatment group. This was consequently shown in the anemia status, where the prevalence of anemia was significantly lower compared to the control group (p<0.001). The findings demonstrate that teacher-led nutrition education can improve the anemia status of adolescent girls.
KEBIASAAN SARAPAN, STATUS GIZI, DAN KUALITAS HIDUP REMAJA SMP BOSOWA BINA INSANI BOGOR Ilyatun Niswah; Muhammad Rizal Martua Damanik; Karina Rahmadia Ekawidyani
Jurnal Gizi dan Pangan Vol. 9 No. 2 (2014)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (262.43 KB) | DOI: 10.25182/jgp.2014.9.2.%p

Abstract

The objective of this study was to examine the association between breakfast habits, nutritional status, and health related quality of life of adolescents in Bosowa Bina Insani Junior High School Bogor. A cross sectional study was conducted and simple random sampling was used to determine the subjects. Subjects were 60 adolescent students of Bosowa Bina Insani Junior High School Bogor aged 13—15 years old. The study found there was no significant difference in nutritional status between breakfast skippers and breakfast eaters (p>0.05). However, regular breakfast eaters were more likely to have lower body weight (r=-0.160, p=0.222). There was no significant difference of health related quality of life based on nutritional status (p>0.05). Breakfast eaters tended to have better quality of life than breakfast skippers even though there was no significant difference between them (p>0.05).
KONSUMSI PANGAN DAN GIZI SERTA SKOR POLA PANGAN HARAPAN (PPH) PADA ANAK USIA SEKOLAH 7—12 TAHUN DI INDONESIA Karina Indah Pertiwi; Hardinsyah Hardinsyah; Karina Rahmadia Ekawidyani
Jurnal Gizi dan Pangan Vol. 9 No. 2 (2014)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (340.744 KB) | DOI: 10.25182/jgp.2014.9.2.%p

Abstract

This study was aimed to assess food consumption, nutrient intake, Nutritional Dietary Quality (NDQ), Desirable Dietary Pattern (DDP) score, and correlation between DDP score and NDQ in school-age children 7—12 years old. The study was conducted by analyzing food consumption data of Basic Health Research 2010 collected through a 24-hour recall method. Subject obtained was 23,981 children. The results showed that most school-age children consume cereals (99.5%) and a few consume oily seeds (1.9%). Most school-age children (more than 50.0%) were deficit of energy, fat, carbohydrate, water, vitamin A, vitamin B1, vitamin B9, vitamin C, calcium, phosphor, and zinc. The mean of DDP score was 64.8±14.7. The mean of NDQ was 55.4±15.6. Statistical test results showed medium strong correlation between DDP score and NDQ (r=0.6). 
MINUMAN CINCAU HIJAU (Premna oblongifolia Merr.) DAPAT MENURUNKAN TEKANAN DARAH PADA WANITA DEWASA PENDERITA HIPERTENSI RINGAN DAN SEDANG Fitriana Sundari; Leily Amalia; Karina Rahmadia Ekawidyani
Jurnal Gizi dan Pangan Vol. 9 No. 3 (2014)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (520.183 KB) | DOI: 10.25182/jgp.2014.9.3.%p

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This study was aimed to analyze the effect of green grass jelly drink (Premna oblongifolia Merr.) on reducing blood pressure among adult women suffered from mild and moderate hypertension in Central Bogor Region. There were two intervention formulas, namely Formula A consisted of green grass jelly and brown sugar, and Formula B consisted of green grass jelly and non calori brown sugar. Subjects were consisted of 25 adult women aged over 45 years old and divided into 5 groups, namely one control and four experimental groups. Formula A was given to 2 groups; P1, which received intervention everyday, and P2 which received intervention every two days. Formula B had the same pattern with the Formula A (P3 and P4). The result shows that the systolic blood pressure of P1 decreased significantly (p<0.05) by 20-25 mmHg. In addition, the diastolic blood pressure on groups of P1 and P3 decreased significantly by 14-15 mmHg after the two weeks intervention (p<0.05).  
CHILD FEEDING PATTERN DURING TRANSITIONAL PERIOD (6-8 MONTHS) IN JONGGAT SUB DISTRICT, CENTRAL LOMBOK, WEST NUSA TENGGARA Karina Rahmadia Ekawidyani; Lindawati Wibowo; Lina Rospita; Luh Ade Wiradnyani; Manjilala Manjilala; Sitha Dwita Putriani; Ragil Marini
Jurnal Gizi dan Pangan Vol. 10 No. 2 (2015)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (361.361 KB) | DOI: 10.25182/jgp.2015.10.2.%p

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ABSTRACTThe objective of this study was to assess child feeding knowledge and practice in transitional period (6-8 months), mother’s information exposure and the functioning of the health system in delivering complementary feeding programs. A cross sectional study was done to 175 children aged 6-8 months at 12 villages in Jonggat Sub-district, Lombok. Structured interview to the mothers, 24 hour recalls, and in-depth interview to the cadres of Integrated Health Posts were used throughout the study. Most mothers had poor knowledge and practice on child feeding (68.0% and 75.4%, respectively). Almost all children had received complementary food (98.9%), but only less than a half children were introduced to complementary food at the appropriate age i.e. 6 months (45.7%). Only few children had good dietary diversity i.e. ≥ 4 food type in the previous day (6.9%). More than half of the mothers (52%) were exposed to information related to child feeding practice. The sources of information mostly were from health officers, cadres, mother and child health book and printed media (e.g. newspaper and magazine). The local health staff and cadres had basic knowledge on child feeding programs but the practice was not adequate. Mother’s knowledge and practice on child feeding within the transitional period in Jonggat sub-district was poor. The health system was not functioning well in delivering complementary feeding programs.Keywords: cadres, child feeding pattern, complementary feeding programsABSTRAKPenelitian ini bertujuan untuk mengkaji pengetahuan dan praktek pengasuhan makan pada anak selama masa transisi (6-8 bulan), sumber informasi ibu, dan keberhasilan sistem kesehatan dalam program MP-ASI. Cross sectional study dilakukan dengan subjek 175 anak usia 6-8 bulan di 12 desa di Kecamatan Jonggat, Lombok. Pengumpulan data dilakukan dengan wawancara terstruktur kepada ibu, food recall, dan wawancara mendalam kepada kader Pos Pelayanan Terpadu (Posyandu). Sebagian besar ibu memiliki pengetahuan (68,0%) dan praktek (75,4%) pengasuhan makan anak yang rendah. Hampir seluruh anak sudah menerima MP-ASI (98,9%), tetapi kurang dari separuh anak menerima MP-ASI pada umur yang sesuai yaitu enam bulan (45,7%). Hanya sedikit anak (6,9%) yang memiliki skor keanekaragaman pangan baik, yaitu makan >4 jenis pangan pada hari kemarin. Sebesar 52% ibu sudah terpapar dengan informasi mengenai praktek pengasuhan makan anak. Sumber informasi paling banyak berasal dari petugas kesehatan, kader, buku Kesehatan Ibu dan Anak (KIA), dan media cetak. Petugas kesehatan setempat dan kader memiliki pengetahuan dasar mengenai program MP-ASI tetapi prakteknya masih kurang baik. Pengetahuan ibu dan praktek pengasuhan makan anak pada masa transisi di Kecamatan Jonggat masih kurang. Sistem kesehatan tidak berfungsi dengan baik dalam melaksanakan program MP-ASI.Kata kunci: kader, pola asuh makan anak, program MP-ASI
High Protein Milk Intervention in Malnourished Children and Its Effect on Weight Gain and Renal Function Clara Meliyanti Kusharto; Karina Rahmadia Ekawidyani; Ikeu Tanziha; Budi Setiawan; Risti Rosmiati; Andi Muh Asrul Irawan
Jurnal Gizi dan Pangan Vol. 14 No. 1 (2019)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (278.945 KB) | DOI: 10.25182/jgp.2019.14.1.31-36

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This study aimed to determine the effect of high-protein milk intervention on weight gain and renal function in malnourished children. This research is a randomized controlled trial (RCT). A total of 52 wasting children (BAZ -3<SD<-2) aged 3-12 years were selected by simple random sampling from five primary schools (6-12 years) and two Community Health Center (children below 6 years). Subjects were divided into two groups; control group (26) and intervention group (26). The intervention group was given high-protein milk (HPM) 3x25 g each day for 12 weeks. Body weight, serum creatinine, and urea were measured at week 0 (baseline), 6th (midline), and 12th (endline). The study showed that the body weight of the intervention group significantly increased by 1.54 kg after 12 weeks of high-protein milk consumption. Serum urea and creatinine levels in the intervention group also significantly increased (p<0.05). The increase in serum urea and creatinine levels in the intervention group were still within the normal range (normal serum urea level 15-43 mg/dl and normal creatinine level 0.6-1.2 mg/dl). This suggests that significant increases in urea and creatinine levels of the intervention group were normal because of increased protein intake and body muscle mass and it did not lead to renal function abnormalities.
Soy Flour-Based Snack Bar as Potential Snack Alternative for Diabetes Mellitus Naufal Muharam Nurdin; Hana Fitria Navratilova; Karina Rahmadia Ekawidyani; Dessy Pratiwi; Mohamad Yulianto Kurniawan
Jurnal Gizi dan Pangan Vol. 15 No. 3 (2020)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (296.517 KB) | DOI: 10.25182/jgp.2020.15.3.125-132

Abstract

This study aimed to determine the Glycaemic Index (GI), Glycaemic Response (GR) and Glycaemic Load (GL) of soy flour-based snack bars in healthy volunteers. An open label randomized controlled trial with crossover study design was done involving eighty adults aged 18‒50 years. The glycaemic index was calculated using Incremental Area Under the Blood Glucose Response Curve (iAUC). Friedman’s test was used to determine difference of glucose iAUC between WF and SF. Wilcoxon test was used to determine difference of blood glucose peak, time to blood glucose peak, GI and GR between snack bars. The result observed that median (Q1‒Q3) of GI were 88.4 (42.3‒115.8); WF: 36.6 (21.8‒47.9) (Product SF3, Banana); 36.3 (18.9‒49.2) (Product SF6, Crispy White Chocolate Macadamia); 29.9 (22.0‒43.3) (Product SF5, Crispy Vanilla); 25.9 (17.8‒35.4) (Product SF4; Strawberry); 20.2 (15.3‒22.2) (Product SF1, Almond Chocolate); and 7.1 (5.4‒17.0) (Product SF2, Raisin Almond). We found that GL of WF was (17.7). While, the GL of snack bars made from SF were 4.9 (Product SF3, Banana), 4.1 (Product SF4, Strawberry), 1.9 (Product SF1, Almond Chocolate); 1.8 (Product SF6, Crispy White Chocolate Macadamia), 1.6 (Product SF5, Crispy Vanilla), and 0.9 (Product SF2, Raisin Almond). Friedman statistical test showed significant differences on the blood glucose iAUC between SF and WF (p<0.001). SF snack bar showed different GR results, where the area of each products (SF1‒SF6) curve was significantly lower than WF. Based on Wilcoxon test, the GI and GR of SF were significantly lower than WF (p<0.05). In conclusion, SF snack bars can be classified as a low GI-source snack bar with a low category of glycaemic load; and had relatively high fibre, protein, and fat content which contributed to a lower GI value. Thus, it is a potential snacks alternative for people with blood glucose concerns.
Sosialisasi Program Mobil Curhat di Kota Bogor Tahun 2015–2017 Hana Fitria Navratilova; Naufal Muharam Nurdin; Karina Rahmadia Ekawidyani; Ahmad Sulaeman
Agrokreatif: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 5 No. 2 (2019): Agrokreatif Jurnal Ilmiah Pengabdian Kepada Masyarakat
Publisher : Institut Pertanian Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/agrokreatif.5.2.150-158

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Nutrition counseling is used as one of the strategies to improve nutritional status and reduce the risk of metabolic syndrome through information transfer about balanced diet. As part of the community service program, Faculty of Human Ecology, IPB University collaborated with Bogor Municipality Health Office launched a mobile health counseling services in July 2014 to increase access to health services in Bogor, Indonesia, which includes nutrition counseling, detection of non-infectious diseases, HIV detection, and family counseling. The service runs across areas in Bogor city two to three times per month, attracted approximately 50 visitors per run. The program aimed to identify the nutritional status of visitors of mobile health counseling services. Primary data collected in this program were obtained using interview and direct measurement. Counseling was initiated by obtaining age and body height data through interview, while the body weight, Body Mass Index (BMI), and total body fat was measured using a portable body composition analyzer. Based on data collected between March 2015 and November 2017 (n = 1769) showed that majority of visitors were female (61.8) with largest age group were 40 to 49 years old (23.6) followed by age group of 50 to 59 years old (20.9). Half of the clients (50.4) have a normal nutritional status (BMI 18.5–25 kg/m2), but more than half (61.3) had a percentage of total body fat above normal value. Although the results have not been able to describe the nutritional status profile of Bogor residents, it can be a reference in formulating a nutrition program suitable for healthy populations.
Hubungan antara Perilaku Gizi dan Perilaku Hidup Bersih dan Sehat (PHBS) dengan Status Gizi Baduta Di Kabupaten Cirebon Winda Puspita Yuniar; Ali Khomsan; Mira Dewi; Karina Rahmadia Ekawidyani; Anna Vipta Resti Mauludyani
Amerta Nutrition Vol. 4 No. 2 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (549.313 KB) | DOI: 10.20473/amnt.v4i2.2020.155-164

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Background: Cirebon Regency is one of the priority areas that becomes the locus in efforts to accelerate the reduction of stunting in 2018.Objective: This study aims to analyze the relationship between feeding parenting pattern with nutrient intake of under two-years infants and the relationship between nutritional behavior and clean and healthy lifestyle behavior (CHLB) with nutritional status of under two-years infants in Cirebon Regency.Methods: This study used a cross-sectional study design using secondary data from previous studies conducted at the same two locations in Cirebon Regency. The data processing was carried out in November to December 2019. The subjects involved were 70 mothers who had infants aged 0-24 months. Analysis of the relationship between variables using the Rank Spearman test.Results: The results of the correlation test showed that there was no significant relationship (p> 0.05) between feeding parenting pattern with nutritional intake. In addition, maternal nutritional behavior also did not have a significant relationship (p> 0.05) with nutritional status. This study found that there was a significant relationship between clean and healthy living behavior on the indicators of a smoke-free home environment with the nutritional status using HAZ index.Conclusion: Imbalance between knowledge and socio-economic factors of income can lead to inequality in the application of feeding parenting pattern, nutritional behavior, and CHLB to the nutritional status of under two years. Therefore, a continuous monitoring and evaluation system is needed to ensure that the stunting acceleration program runs effectively and efficiently.ABSTRAK Latar belakang: Kabupaten Cirebon merupakan salah satu daerah prioritas yang menjadi lokus dalam upaya percepatan penurunan stunting pada tahun 2018.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara pola asuh makan dengan asupan zat gizi baduta serta hubungan antara perilaku gizi dan perilaku hidup bersih dan sehat dengan status gizi baduta di Kabupaten Cirebon.Metode: Penelitian ini menggunakan desain studi cross-sectional dengan menggunakan data sekunder dari penelitian sebelumnya yang dilakukan pada dua lokasi yang sama di Kabupaten Cirebon. Proses pengolahan data dilakukan pada bulan November hingga Desember 2019. Subjek yang terlibat adalah 70 orang ibu baduta yang memiliki bayi berusia 0-24 bulan. Analisis hubungan antar variabel menggunakan uji Rank Spearman.Hasil: Hasil uji korelasi menunjukkan bahwa tidak terdapat hubungan yang signifikan (p >0,05) antara pola asuh makan dengan asupan zat gizi. Selain itu, perilaku gizi ibu juga tidak memilki hubungan yang signifikan (p>0,05) dengan status gizi. Penelitian ini menemukan bahwa terdapat hubungan yang signifikan antara perilaku hidup bersih dan sehat pada indikator lingkungan rumah bebas asap rokok terhadap status gizi baduta.Kesimpulan: Ketidakseimbangan antara pengetahuan dengan faktor sosio-ekonomi penghasilan dapat mengakibatkan terjadinya ketimpangan dalam penerapan pola asuh makan, perilaku gizi, dan PHBS terhadap status gizi baduta. Oleh karena itu, diperlukan sistem monitoring dan evaluasi secara kontinu untuk memastikan bahwa program percepatan stunting berjalan secara efektif dan efisien.
Nutrition Knowledge, Breastfeeding and Infant Feeding Practice of Mothers in Cirebon Regency Karina Rahmadia Ekawidyani; Ali Khomsan; Mira Dewi; Yughni Azizah Thariqi
Amerta Nutrition Vol. 6 No. 2 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i2.2022.173-182

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Background: Exclusive breastfeeding should be supported by early initiation of breastfeeding (EIBF), provision of colostrum and not providing pre-lacteal feeding.   Objectives: The study objective was to analyze nutritional knowledge and factors related to breastfeeding and feeding practices of lactating mothers. Methods: A cross-sectional study was conducted in March–November 2020 in Sibubut, Kedungdalem, and Bayalangu Kidul Villages, Cirebon Regency. Study respondents were 44 lactating mothers with under six months infants. Mothers’ nutritional knowledge of breastfeeding and breastfeeding/feeding practice were obtained using a validated questionnaire, while the food consumption data of mothers was obtained from two days of 24-hour food recall (weekday and weekend). Spearman’s correlation test and Chi-Square analysis were used to analyze the correlation between variables, while the Mann-Whitney test was used to analyze the difference in nutritional knowledge and breastfeeding/infant feeding practice variables based on education level. Results: Family characteristics (age, mother’s education and occupation, household income, parity, family size, and Body Mass Index (BMI) were not correlated with breastfeeding/infant feeding practice (p=0.427; 0.136; 0.481; 0.056; 0.699; 0.241; 0.547, respectively). There was no significant correlation between nutritional knowledge and breastfeeding/infant feeding practice of mothers (p=0.728). No significant difference was found in the nutritional knowledge of breastfeeding (p=0.828) and breastfeeding/feeding practice of infants (p=0.572) between mothers with education > elementary school and < elementary school. More mothers with low education provided pre-lacteal food than mothers with higher education (p =0.046). Conclusions: The breastfeeding/feeding practice of mothers are still poor regardless of education level. Nutrition education for breastfeeding mothers is required to encourage good breastfeeding/infant feeding practices.