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Micronutrients Intake and Mathematics Achievement among Primary School Children in Magelang, Central Java Arika, Romiza; Anantanyu, Sapja; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 2 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Micronutrient deficiency in school children is estimated at more than 2 million children. Deficiency of micronutrients causes damage to the physical functioning of children, impaired cognitive function, learning processes that are less than optimal, and poor academic performance. This study aimed to analyze the relationships between iodine, iron, zinc intake, and math achievement primary school children.Subjects and Method: This was an obser­vational analytic study with a cross sectional design. The study was conducted in four elemen­tary schools in Pakis, Magelang, Central Java, from March to April 2019. A sample of 177 stu­dents was selected by simple random sam­pling. The dependent variable was math achieve­ment. The independent variables were iodine, iron, and zinc intakes. The data were collected by question­naire and analyzed by a multiple linear regres­s­ion.Results: Iodine intake (b= 0.02; 95% CI= 0.01 to 0.03; p= 0.001) and zinc intake (b= 0.23; 95% CI= 0.04 to 0.41; p= 0.017), and iron intake (b= 0.08; 95% CI= -0.01 to 0.17; p= 0.052) increased math achievement in primary school children.Conclusion: Iodine intake, zinc intake, and iron intake increase math achievement in primary school children.Keywords: iodine, zinc, and iron, math achievement, primary school childrenCorrespondence: Romiza Arika. Masters Program in Nutrition, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: romiza­arika652@gmail.com.Mobile: +6289506237763. Journal of Maternal and Child Health (2020), 5(2): 182-192https://doi.org/10.26911/thejmch.2020.05.02.08
DOES THE INTEGRATED HEALTH POST HAVE CONTEXTUAL EFFECT ON EXCLUSIVE BREASTFEEDING? A MULTILEVEL EVIDENCE FROM KARANGANYAR, CENTRAL JAVA ?Arub, Lathifah; Pamungkasari, Eti Poncorini; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Breastfeeding provides amazing benefits for the health of the child and the mother. WHO and UNICEF suggest a mother should be able to practice and maintain exclusive breast­feeding during the first six months of her baby's life. This study aimed to analyze contextal effect of integrated health post on exclusive breastfeeding.Subjects and Method: This was cross sectional study conducted in 25 integrated health posts (posyandu) in Karanganyar, Central Java, from August to September 2019. A sample of 200 nursing lactating mothers who had children aged 7 to 12 months was selected by stratified random sampling. The dependent variable was exclusive breastfeeding. The independent variables were maternal age, education, occupation, type of birth delivery, knowledge, attitude, family support, and so­cial capital. The data were collected by questionnaire. The data were analysis by multilevel mul­ti­ple logistic regression with Stata 13.Results: Exclusive breastfeeding increased with maternal age 20 to 34 years (b= 2.38; 95% CI= 0.62 to 4.15; p= 0.008), maternal education ?Senior high school (b= 1.64; 95% CI= 0.01 to 3.23; p= 0.049), good knowledge (b= 2.13; 95% CI= 0.41 to 3.86; p= 0.015), positive attitude (b= 1.67; 95% CI= 0.10 to 3.23; p= 0.036), strong family support (b= 1.58; 95% CI= 0.10 to 3.07; p= 0.036), and strong social capital (b= 1.64; 95% CI= 0.01 to 3.27; p= 0.049). Exclusive breast­fee­ding decreased with mother working outside the house (b= -3.54; 95% CI= -5.50 to -1.58; p<0.001) and sectio caesarea (b= -1.88; 95% CI= -3.58 to -3.58 to -0.19; p= 0.029). Integrated health post had strong contextual effect on exclusive breastfeeding with intra-class correlation (ICC)= 29.3%.Conclusion: Exclusive breastfeeding increases with maternal age 20 to 34 years, high maternal education, good knowledge, positive attitude, strong family support, and strong social capital. Exclusive breast­fee­ding decreases with mother working outside the house and sectio caesarea. Integrated health post has strong contextual effect on exclusive breastfeeding.Keywords: exclusive breastfeeding, multilevel analysis, posyanduCorrespondence: Lathifah ?Arub, Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: lathifah.arub17@gmail.com. Mobile: 085789212539Journal of Maternal and Child Health (2020), 5(1): 100-110https://doi.org/10.26911/thejmch.2020.05.01.11 
THE CONTEXTUAL EFFECT OF SCHOOL ON SELF-CARE IN CHILDREN WITH MENTAL RETARDATION IN SURAKARTA, CENTRAL JAVA Wayanshakty, Janur Putri; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: WHO analysis estimates the number of children with disabilities reaching 7-10% of the total population of children. The limitations of retarded children are influenced by age, physical condition, nutritional status of the child, and parenting in the family have a relationship in the level of independence of the children. The purpose of this study was to analyze the factors that influence self-care in retarded children in Surakarta, Central Java.Subjects and Method: This study was a cross sectional study conducted in 15 special schools in Surakarta, Central Java, from June to July 2019. A sample of 200 mentally retarded children aged 9-17 years was selected by stratified random sampling. The dependent variable was self care. The independent variables were age, nutritional status, mental retardation classification, maternal age, maternal education, maternal occupation, maternal knowledge, parenting style, and teacher sup­port in school. The data were collected by questionnaire and analyzed by a multilevel multiple logistic regression run on Stata 13.Results: Good self-care in mentally retarded children increased with aged ?15 years (b= 4.61; 95% CI= 2.53 to 6.69; p<0.001), mild retardation (b= 2.02; 95% CI= 0.13 to 3.91; p= 0.036), maternal education ?senior high school (b= 1.23; 95% CI= 0.22 to 2.25; p= 0.017), and good maternal parenting style (b= 1.42; 95% CI= 0.21 to 2.62; p= 0.021). Good self-care decreased with undernourished children (b= -2.16; 95% CI= -3.44 to -0.87; p= 0.001), low maternal knowledge (b= -1.56; 95% CI= -2.90 to -0.22; p= 0.023), and weak teacher support (b= -3.34; 95% CI= -5.41 to -1.26; p= 0.002).Conclusion: Good self-care in mentally retarded children increases with aged ?15 years, mild retardation, maternal education ?senior high school, and good maternal parenting style. Good self-care decreases with undernourished children, low maternal knowledge, and weak teacher support.Keywords: self-care, mental retardation, childrenCorrespondence: Janur Putri Wayanshakty. Masters program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: janurputri@gmail.com. Mobile: 085258870014Journal of Maternal and Child Health (2020), 5(1): 19-27https://doi.org/10.26911/thejmch.2020.05.01.03 
THE ASSOCIATION BETWEEN EXCLUSIVE BREASTFEEDING, MATERNAL NUTRITIONAL STATUS, MATERNAL ZINC INTAKE, AND STUNTING IN INFANTS AGED 6 MONTHS Anindya, Ivanda Glanny; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol 5, No 1 (2020)
Publisher : Journal of Maternal and Child Health

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Background: Stunting is a form of malnutrition that has an impact on decreased learning achie­ve­ment, motor and mental development and intellectual. Exclusive breastfeeding is a perfect nu­tri­tion for the First 1,000 Days of Life for normal growth. Maternal nutritional status also plays an im­por­tant role for the success of breastfeeding whose indicators are measured by the duration of ex­­clu­sive breastfeeding and the nutritional status of children. Adequacy of zinc is an important mi­cro­nutrient during the child's growth period to prevent growth failure. This study aimed to analyze the association between exclusive breastfeeding, maternal nutritional status, maternal zinc in­ta­ke, and stunting in infants aged 6 months.Subjects and Method: This was cross sectional study conducted in the 3 areas of Community He­alth Center, Jember Regency. The subjects of the study were infants aged 6 month and 115 mo­thers. Infants were selected by cluster sampling and simple random sampling for each area. The zinc intake data was obtained by the 24 hours Recall. Body Mass Index was used to obtain maternal nu­­­tritional status data. The stunting data measured by microtoise. The other data were collected by ques­tionnaire. The data were analyzed by path analysis.Results: Exclusive breastfeeding (b = - 0.61; 95% CI = -1.42 to 0.21; p = 0.143) and maternal zinc in­take (b = -0.04; 95% CI = 1.35 to 0.58; p = 0.436) directly decreased the risk of stunting in in­fants. Maternal BMI indirectly affected the risk of stunting in infants through exclusive breast­feedingConclusion: Exclusive breastfeeding and maternal zinc intake directly decrease the risk of stun­ting in infants. Maternal BMI (Body Mass Index) indirectly affect to the risk of stunting in infants thro­ugh exclusive breastfeeding.Keywords:  Exclusive breastfeeding, nutritional status, zinc intake, stuntingCorrespondence: Ivanda Glanny Anindya. Masters Program in Nutrition, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ivandaaglanny@gmail.com. Mobile: +6289648856374.Journal of Maternal and Child Health (2020), 5(1): 37-49https://doi.org/10.26911/thejmch.2020.05.01.05
Path Analysis on the Fad Diets and other Factors Affecting the Risk of Chronic Energy Deficiency among Adolescent Females at the Boarding School Widhiyanti, Fitria; Dewi, Yulia Lanti Retno; Qadrijati, Isna
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Chronic Energy Deficiency (CED) is a state of lack of energy and protein in
The Integrated Health Posts Have Contextual Effect on Maternal Practice of Providing Complementary Feeding MDF, Renidya Asyura; Dewi, Yulia Lanti Retno; Qadrijati, Isna
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Do the Integrated Health Posts Have Contextual Effect on Birth Weight? A Multilevel Evidence from Situbondo, East Java Kuswandari, Eti; Salimo, Harsono; Dewi, Yulia Lanti Retno
Journal of Maternal and Child Health Vol. 5 No. 3 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Low birth weight babies (LBW) are sensitive indicators of socioeconomic condi
Dietary Pattern As a Risk Factor of Diabetes Mellitus and Obesity: Meta-Analysis Septianawati, Linda Wahyu; Dewi, Yulia Lanti Retno; Pamungkasari, Eti Poncorini
Indonesian Journal of Medicine Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Non-Communicable Disease is a disease that is considered unable to transmit or spread from one person to another but is a cause of death globally, especially diabetes mellitus and obesity. According to WHO, the number of deaths due to PTM in 2016 was 40.5 million (71%) worldwide. Diet is  one of the risk factors for Diabetes Mellitus and Obesity. This study aims to analyze the effect of diet as a risk factor for diabetes mellitus and obesity.Subjects and Method: This study was a syste­matic review and meta-analysis using a cross-sectional design. The articles used in this stu­dy were obtained from several databases, including PubMed, Google Scholar, Spring­er­link, and ScienceDirect. The articles used in this study were those published from 2011-2020. The article search was carried out by consi­dering the eligibility criteria defined using the PICO model. P: adults, I: unhealthy eating patterns, C: healthy eating patterns, and O: Diabetes Mellitus and Obesity. The keywords to search for articles were "dietary pattern", "risk", "obesity", and "diabetes mellitus," and "adjus­ted odds ratio". The articles included in this study were full-text articles with cross-sectional study design. Articles were collected using PRISMA flow diagrams. Articles were analyzed using the Review Manager 5.3 application.Results: A total of 15 articles were reviewed in this study. The meta-analysis showed that an unhealthy diet increased the risk of Diabetes (aOR= 1.65; 95% CI= 1.29 to 2.11; p <0.001). The meta-analysis of 9 articles also showed that an unhealthy diet increased the risk of obesity (aOR= 1.42; 95% CI= 1.21 to 2.66; p <0.001). This meta-analysis combines primary studies from Swaziland, China, Ethiopia, Kenya, Ame­rica, Malaysia, Ghana, Romania, Nepal, Ire­land, and Korea.Conclusion: Unhealthy diet is a risk factor for diabetes mellitus and obesity.Keywords: dietary pattern, diabetes mellitus, obesity, cross-sectionalCorrespondence: Linda Wahyu Septiananwati. Masters Program in Public Health, Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: lindatian81@gmail.com.Indonesian Journal of Medicine (2021), 06(01): 82-94https://doi.org/10.26911/theijmed.2021.06.01.09. 
Meta-Analysis: Effects of Obesity and Family History of Diabetes Mellitus on the Risk of Gestational Diabetes Mellitus Sitorukmi, Galuh; Dewi, Yulia Lanti Retno; Murti, Bhisma
Indonesian Journal of Medicine Vol. 6 No. 1 (2021)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Gestational diabetes mellitus is a serious complication of pregnancy, this is due to impaired carbohydrate tolerance which results in increased blood sugar levels and was first noticed during pregnancy. Gestational dia­betes mellitus is a global problem in terms of its incidence and impact. Studies suggest that obe­sity and a family history of diabetes mellitus are important risk factors for gestational diabetes mellitus. This study aimed to analyze the influ­ence of obesity and family history of diabetes mellitus on the incidence of gestational dia­betes mellitus by meta-analysis.Subjects and Method: This was a systematic review and meta-analysis carried out by follow­ing the PRISMA flow diagram. The electronic database for article searches is as follows: Pub­Med, Science Direct, Springer Link, Scopus, and Google Scholar. The search for articles was carried out on articles published from 2010 to 2020. The keywords used were "gestational dia­betes mellitus AND obesity", "gestational dia­betes mellitus AND family history. The inclu­sion criteria were full text articles, used Eng­lish, cross-sectional study design, and results reported in adjusted odds ratio (aOR). P= Preg­nant mother. I= Obesity and family history of diabetes mellitus. C= No obesity and no family history of diabetes mellitus. O= gestational dia­betes mellitus. Articles that meet the require­ments are analyzed using the Revman 5.3.Results: Nine articles were reviewed in this study with a total of 11,657 subjects. The results of the meta-analysis showed that obesity incre­ased the risk of gestational diabetes mellitus 1.81 times compared with non-obese (aOR= 1.81; 95% CI= 1.53 to 2.15; p <0.001). Having a family history of diabetes mellitus increased the risk of gestational diabetes mellitus 2.08 times compared with those without a family history of diabetes mellitus (aOR= 2.08; 95% CI= 1.34 to 3.22; p <0.001).Conclusion: Obesity and a family history of diabetes mellitus increase the risk of gesta­tional diabetes mellitus.Keywords: obesity, family history of diabetes mellitus, gestational diabetes mellitusCorrespondence: Galuh Sitorukmi. Masters Program in Public Health. Universitas Sebelas Maret, Jl.Ir. Sutami 36A, Surakarta 57126, Central Java. Email: galuh.sitorukmi1210@gmail.com. Mobile: 085­799333013.Indonesian Journal of Medicine (2021), 06(01): 1-13https://doi.org/10.26911/theijmed.2021.06.01.01. 
Relationship between Formula Milk and the Incidence Obesity in Children Under Five: Meta-Analysis Yopiana, Elma; Dewi, Yulia Lanti Retno; Murti, Bhisma
Indonesian Journal of Medicine Vol. 5 No. 4 (2020)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Obesity is a nutritional dis­order that most often occurs in children. Obe­sity is associated with worse health outcomes in children, including asthma and sleep apnea. This study aimed to examine the relationship between formula feeding and obesity in children under five.Subjects and Method: This was a meta-analysis study conducted by systematically reviewing articles from PubMed, Science Direct, Springer Link, and Google Scholar. The articles used in this research are articles that have been published from 2008-2016. The search for articles was carried out by considering the eligibility criteria using the PICO model, P: toddlers, I: formula feeding, C: breastfeeding, O: obesity. The key words for finding articles were as follows: "OR" Formula milk "OR" Infant Formula") AND" Breast Feeding "AND (Obesity OR" Body Mass Index"). The inclusion criteria used were full paper, used English, cohort and cross-sectional observational study design and the results reported were adjusted odds ratio. Articles were collected using PRISMA diagrams, and analyzed using the Review Manager 5.3 application.Results: A total of 9 articles were conducted meta-analysis in this study with a sample size of 26,119. The results of the meta-analysis of the cohort study showed that formula feeding increased the incidence of obesity in children under five (aOR= 1.10; 95% CI= 0.78 to 1.56; p= 0.570). The results of the meta-analysis of cross-sectional studies showed that formula feeding increased the incidence of obesity in children under five (aOR= 1.25; 95% CI= 0.59 to 2.63; p= 0.560).Conclusion: Formula feeding increases the incidence of obesity in children under five.Keywords: Obesity, formula, toddlers, meta-analysisCorrespondence: Elma Yopiana. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Jawa Tengah, Indonesia. Email:  elmayopiana@gmail.com.Indonesian Journal of Medicine (2020), 05(04): 299-307https://doi.org/10.26911/theijmed.2020.05.04.05. 
Co-Authors ?Arub, Lathifah A, Yayang Kharistik Abd. Rasyid Syamsuri Adriyani, Rita Benya Agusningtyas, Nisia Hari Alvianti, Neily Widya Ambarwati, Dyah Anggraeni, Anastasia Dwi Anik Lestari Anindya, Ivanda Glanny Annarahayu, Lutfi Annisaa, Salwa Apriyanti, Ruth Ardianti, Febrina Arika, Romiza Arini Tri Lestari Ayusari, Amelya Augusthina Aziza, Triana Ulfa Nur Azizah, Alfi Makrifatul Azzahrah, Aisyah ‘Arub, Lathifah Babys, Isna Yuswella Bhisma Murti Budiyanti Wiboworini Damalita, Annisa Fitriana Dania, Samara Rahma Dewi, Ayu Rosita Dewi, Ayu Rosita Dhewi Nurahmawati Dianika, Bani Didik Gunawan Tamtomo Didik Tamtomo, Didik Dono Indarto Dwi Rahayu Dwi Wijayanti Endang Sutisna Sulaeman Eti Kuswandari Eti Poncorini Pamungkasari Fatmawati, Zeny Fauziyyah, Rona Luthfi Firdaus, Riza Firdausia, Shalsabilla Tiara Firstiafina Tiffany Fitriyaningsih, Ayu Hadianti, Ayunita Dwi Handana, Arya Dwi Handayani, Anggun Fitri Handayani, Sutartinah Sri Harsono Salimo Harsono, Rizki Dwi Agustin Hastuti, Uki Retno Budi Huwaida, Dhea Zahra Ika Yuli Ayuningrum Ikawati, Yani Indarwati, Ika Indria, Gita Ayu Indriyani, Eny Irnawati, Prita Yuliana Khairunnisa, Lia Krisnawati, Hesthi Kudu, Stevani Rambu Kunaryanti, Kunaryanti Kunaryanti, Kunaryanti Kurnianingsih, Mayasari Kusmadewi Eka Damayanti kusnandar kusnandar Latifah, Mirzawati Lestari, Esti Lestari, Esti Lidia Aditama Putri Lolita Lolita Mariyana, Anna MDF, Renidya Asyura Muhammad Rifqi Azhary Murdikawati, Dayang Fitri Murdikawati, Dayang Fitri Muslimah, Putri Andini MY. Cendy Nindra Brilliana Nirwana, Astika Candra Nur Hafidha Hikmayani Nurjanah, Ahmitta Laila Nurlaili, Riftiani Nikmatul Nurmayanti, Rika Nurvitasari, Rahsunji Intan Nuswantari, Atika Pangestu, Utami Pangestuti, Restu Pardosi, Firman Prasetya, Hanung Priscilla Jessica Pihahey Purnasari, Ratih Hermas Purwaningsih, Yustina Purwiyanti, Risye Endri Putra, Sinar Perdana Qadrijati, Isna Rachmawati, Nur Cahya Rahardjo, Setyo Sri Rahardjo, Setyo Sri Rakhmahayu, Atika Rakhmahayu, Atika Ramadhaningtiyas, Ahshaina Ratih, Dewi Mustika Ratna, Tantri Yunita RB. Soemanto Reviana, Prita Alvina Riski Anisa, Riski Rita Adriani Benya Adriani Rosyidah, Milatur Safriana, Latifah Sajalia, Husniyati Sani, Mario Febrianus Helan Santy Irene Putri Sapja Anantanyu, Sapja Saputri, Dyah Ayu Sari, Amelya Augusthina Ayu Satriani, Hayu Andita Septianawati, Linda Wahyu Setiyaningsih, Rita Setyo Sri Raharjo Shabrina, Amalina Simatupang, Abdul Malik Sinawangwulan, Indah Permatasari Sinu Andhi Jusup, Sinu Andhi Sitorukmi, Galuh Slamet Riyadi Soemanto, RB Sugihardjo Sugihardjo Sugiyanto, Joko Sukoco, Amin Susanti, Isne Sutomo, Zahrina Fildza Luthfiana Tjung, Vivienne Tri Rejeki Andayani Tungga, Tersia Marentiva Tyas Aisyah Putri Uki Retno Budihastuti Utami, Agustina Dwi Utii, Agustina Vitri Widyaningsih Wakhidah, Martini Shoim Wardhani, Lusi Oka Wayanshakty, Janur Putri Wekadigunawan, C.S.P. Wekadigunawan, CSP Wekadigunawan, CSP. widardo, Widardo Widhiyanti, Fitria Wijayanti, Poppy Wulandari Wulandari Yopiana, Elma Yuli Astuti Yuniarti, Windy Yunita, Astri Yunita, Astri Zummatul Atika Zuraida Zulkarnain, Zuraida