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Keragaman Konsumsi Pangan dan Kejadian Anemia pada Ibu Hamil di Kabupaten Sumenep Madura Dyan Fajar Christianti; Faisal Anwar; Cesilia Meti Dwiriani
Media Kesehatan Masyarakat Indonesia Vol. 15 No. 2: JUNI 2019
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (96.652 KB) | DOI: 10.30597/mkmi.v15i2.6321

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Pregnant women in Indonesia whose anemic reach 48,9%. The purpose of this study was to analyze thecorrelation between dietary diversity and anemia in pregnant women in Sumenep District, Madura. This study wasa cross-sectional design. The population of this study was 411 pregnant women in four selected health centers inSumenep District. Subjects were all stage of pregnancy (trimester I, II, III) which numbered 200 pregnant womenwho were selected by proportional random sampling. Data were collected through interviews using a questionnaireand direct measurement. The data used consisted of socio-economic status, history of pregnancy, MUAC, hemoglobinconcentration, and Minimum Dietary Diversity-Women (MDD-W) score. Data analysis used the spearmantest to determine the correlation between MDD-W score and hemoglobin concentration in pregnant women.The result showed that 51,5% of pregnant women were anemic. The MDD-W score for anemia and non-anemiagroups was low (4,8±1,2 vs 4,8±1,6). Spearman test showed that the MDD-W score was not associated with hemoglobinconcentration (p>0,05). Factors of significantly associated with haemoglobin concentration were includinggestational age (r=-0,148; p=0,036), BMI pre-pregnancy (r=0,145; p=0,041), and mid-upper arm circumference(r=0,231; p=0,001). Factors related to anemia in pregnant women were the gestational age, nutritional status inpre-pregnancy, and MUAC, while dietary diversity was not related to the incidence of anemia in pregnant women
FAKTOR RISIKO OVERWEIGHT DAN OBESE PADA ORANG DEWASA DI INDONESIA (Analisis Data Riset Kesehatan Dasar 2013) Sudikno Sudikno; Hidayat Syarief; Cesilia Meti Dwiriani; Hadi Riyadi
GIZI INDONESIA Vol 38, No 2 (2015): September 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v38i2.183

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ABSTRACT The problem of overweight and obese in Indonesia had a trend of rising along with the increasing age of the population. This study aimed to identify risk factors associated with overweight and obese adults aged 25-65 years in Indonesia using Riskesdas 2013 data. The study design was cross-sectional. Samples were adults aged 25-65 years in Indonesia with the total of 458 591 people. Results showed that the prevalence of overweight and obese at the age of 25-65 years were found to be 26.1 percent and 7.20 per cent, respectively. The mean of Body Mass Index (BMI) was 24.02 ± 3.70 kg/m2. The results of logistic regression analysis showed that the risk factors associated with overweight and obese were age, sex, region, marital status, employment, economic status, and smoking habits. The result also showed that the habits of eating bread and biscuit were also associated with the incidence of obese. Hence, prevention efforts such as sufficient regular physical activities are needed. In addition, it is also necessary to promote food substitute for carbohydrates source to meet balanced nutrition both in number and type, as well as the quality. Keywords: risk factors, overweight, obese, Indonesian adults ABSTRAK Masalah overweight dan obese di Indonesia mengalami kecenderungan naik seiring dengan meningkatnya umur penduduk. Penelitian ini bertujuan untuk mengetahui faktor risiko yang berhubungan dengan overweight dan obese pada orang dewasa umur 25-65 tahun di Indonesia. Penelitian ini menggunakan data Riskesdas 2013. Desain penelitian adalah cross-sectional. Sampel penelitian adalah orang dewasa berumur 25-65 tahun di Indonesia. Jumlah sampel yang dianalisis 458 591 orang. Hasil analisis menunjukkan prevalensi overweight pada usia 25-65 tahun ditemukan sebesar 26,1 persen, sedangkan prevalensi obese pada usia 25-65 tahun sebesar 7,2 persen. Rata-rata Indeks Massa Tubuh (IMT) adalah 24,02±3,70 kg/m2. Dari hasil analisis regresi logistik menunjukkan bahwa faktor risiko yang berhubungan dengan overweight dan obese adalah umur, jenis kelamin, wilayah, status kawin, pekerjaan, status ekonomi, kebiasaan merokok. Selanjutnya diperoleh hasil juga bahwa kebiasaan makan roti dan kebiasaan makan biskuit juga berhubungan dengan kejadian obese. Perlu adanya upaya pencegahan seperti dengan aktivitas fisik yang cukup setiap hari secara berkesinambungan. Di samping itu diperlukan juga upaya promosi pemilihan makanan pengganti sumber karbohidrat dalam pemenuhan gizi seimbang baik dalam jumlah maupun jenis, serta kualitasnya.
Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh Aripin Ahmad; Siti Madanijah; Cesilia Meti Dwiriani; Risatianti Kolopaking
Jurnal Gizi Klinik Indonesia Vol 16, No 1 (2019): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (81.676 KB) | DOI: 10.22146/ijcn.34560

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Maternal knowledge, attitude, motivation and complementary feeding practice of children aged 6-23 months: formative study in AcehBackground: Poor knowledge, attitude, and motivation of the mother determine complementary feeding (CF) practice of the child resulting in poor nutrition fulfillment. Objective: This study aimed to analyze maternal knowledge, attitude, motivation, and relationships with the CF practice of children aged 6-23 months.Method: A cross-sectional study and cluster random sampling was applied to select 392 mothers of children aged 6-23 months in Aceh Besar District. Data on maternal knowledge, attitude, and motivation were collected using valid and reliable structured questionnaire. CF practice quality was assessed using indicators of timely introduction to CF, minimum meal frequency, minimum dietary diversity, and minimum acceptable diet according to WHO recommendation. The association of maternal knowledge, attitude, and motivation with CF practice was analyzed using binary logistic regression with a 95% confidence level (α=0.05).Results: There was a small proportion of mothers (20.2%, 8.7%, 33.9%) having good knowledge, attitude, and motivation, respectively. Overall, there was one-fourth (23%) of the children aged 6-23 months receiving CF as recommended by WHO. There were significant correlations between maternal knowledge and attitude (r=0.606, p<0.01) and motivation (r=0.103, p<0.05). Education level and motivation were the risk factors of improper CF practice (OR=4.25; 95% CI: 1.10-16.36; p=0.035and OR=1.83; 95% CI: 1.05-3.16; p=0.031, respectively). Conclusion: Maternal knowledge, attitude, and motivation of children aged 6-23 months in Aceh were still poor, shown by improper CF practice. Therefore, an effort to improve nutrition education, particularly by health personnel and stakeholder, to be specific and targeted is important. 
School Readiness in Weekly Iron Folic Acid Supplementation Program in Urban Area, West Java, Indonesia Apriningsih Apriningsih; Siti Madanijah; Cesilia Meti Dwiriani; Risatianti Kolopaking; Yessi Crosita
Amerta Nutrition Vol. 4 No. 4 (2020): 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.v4i4.2020.290-298

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Background:School based weekly iron and folic acid supplementation (WIFAS)  program was aimed to decrease anemia prevalence and improve the adherence to consume iron tablet.Limited information on the school perspective and their readiness to implement the program.Objectives:To analyze program guidelines, stakeholders’ perspective and school readiness to implement the program which will help evaluate and improve adherence to WIFAS.Methods:Using cross sectional design with mixed method approach to utilize social ecological model and community readiness model.Results: Most of schools received awareness campaign regarding the program,only 38,9% have conducted a drinking together session once a week,only 27,8%  recorded their students’ adherence.The average score for the school readiness was 3.36 (SD ±0.82), the school was in the vague awareness stage.There is  a  correlation between the score of school’s knowledge, attitude toward WIFAS program,City Health Authority and Education Regional Office ‘s support score, the total score of the school readiness, ever got socialization with implementation of WIFAS (r= 0.35, r=0.2, r=0.49, r=0.21, r= 0.66, r= 0.43, p value <0.005).The strongest correlation with implementation of WIFAS at school was the school readiness total score, ever received  socialization and score school’s knowledge on WIFAS (p value <0.005) and City health Authority and Education regional office’s support score for WIFAS program as covariant  (p >0.05).Conclusions: School readiness is important factor of community and environment which contribute to behavior change.School realize that anemia and schoolgirl adherence to consume WIFAS had to solved but did not know how and assume outside parties can help solve the problem.The City Health Authority and Education Regional Office is expected to help improve the school readiness to implement the program.
Breakfast Habits of Adolescents in Bandung Hurry Mega Insani; Lilik Kustiyah; Cesilia Meti Dwiriani
Journal of Applied Food and Nutrition Vol 1, No 1 (2020)
Publisher : Universitas Pendidikan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (473.37 KB) | DOI: 10.17509/jafn.v1i1.34321

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Faktor-Faktor yang Berhubungan dengan Kejadian Dismenore Primer pada Mahasiswi Institut Pertanian Bogor: Factors Correlated with Primary Dysmenorrhea in Female College Students of IPB University Kadija Raisa Fachruddin; Faisal Anwar; Cesilia Meti Dwiriani
Jurnal Ilmu Gizi dan Dietetik Vol 1 No 1 (2022)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (274.273 KB) | DOI: 10.25182/jigd.2022.1.1.58-64

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Dismenore primer merupakan gangguan saat menstruasi yang dialami oleh banyak wanita, termasuk mahasiswi. Penelitian ini bertujuan menganalisis faktor-faktor yang berhubungan dengan kejadian dismenore primer pada mahasiswi Institut Pertanian Bogor (IPB). Desain penelitian ini adalah cross-sectional study, melibatkan 97 subyek. Pengambilan data dilakukan secara online melalui pengisian kuesioner google form (data karakteristik dan aktivitas fisik subyek) dan wawancara melalui voice call (data riwayat asupan). Sejumlah 69.1% subyek mengalami dismenore primer terutama tingkat 1 (49,5%). Sejumlah 68% subyek memiliki ibu yang tidak mengalami dismenore. Sejumlah 61,2% subyek yang mengalami dismenore primer merasa terganggu aktivitas belajarnya saat mengalami dismenore. Sebagian besar subyek memiliki asupan energi kurang (51,5%), karbohidrat kurang (81,4%) dan lemak lebih (47,4%). Sebagian besar subyek memiliki asupan zat gizi mikro kurang kecuali vitamin A. Terdapat hubungan yang signifikan antara dismenore primer dengan riwayat dismenore ibu (p<0,05). Berdasarkan hasil uji korelasi Spearman terdapat hubungan yang signifikan antara nilai status gizi dengan jumlah asupan energi (p=0,007, r=-0,271) dan karbohidrat (p=0,005, r=-0,283). Terdapat hubungan yang signifikan antara gangguan belajar akibat dismenore primer dengan tingkat intensitas dismenore (p=0,000).
The Potential use of Anthropometric Parameters to Predict the Anemia Status of Adolescent Girls Melda Oktaviana; Cesilia Meti Dwiriani; Mira Dewi
Jurnal Gizi dan Pangan Vol. 18 No. 3 (2023)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.3.137-146

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The study assesses the potential use of anthropometric parameters and their optimal cut-off value for predicting the anemia status of adolescent girls. This cross-sectional study analyzed data from 2,184 adolescent girls aged 15‒19 years from West Bandung and Sumedang districts of Indonesia who participated in the Better Investment for Stunting Alleviation Program (BISA). Anemia is defined as a Haemoglobin (Hb) level <12 g/dl and was analyzed by HemoCue® 201+. Anthropometric parameters studied were Body Weight (BW), BMI-for-Age z-Score (BAZ), Waist Circumference (WC), Waist-to-Hip Ratio (WHR), and Waist-to-Height Ratio (WHtR) and all were measured according to WHO procedure. Receiver Operating Characteristics (ROC) was used to analyze the potential of anthropometric parameter to predict anemia status. Based on multivariate analysis, a significant correlation was found between age (OR=0.88; 95% CI:0.79‒0.97) and WHtR (OR=0.12; 95% CI:0.02‒0.63) with anemia status. The ROC analysis revealed that the WHtR parameter had the highest Area Under the Curve (AUC) for predicting anemia, although with a very low accuracy (AUC=0.529). The optimal cut-off with value of WHtR for adolescent girls was ≤0.44. This study suggests that WHtR is a potential parameter for early detection of anemia status among adolescent girls and needs to be confirmed with further studies.
Development of Semiquantitative Food Frequency Questionnaire for Identification of Indigenous Dietary Patterns in Prediabetic Adult Women Nuryani, Nuryani; Khomsan, Ali; Dwiriani, Cesilia Meti; Dewi, Mira; Lukito, Widjaja
Media Gizi Indonesia Vol. 19 No. 1 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v19i1.28-39

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Dietary patterns influence the progression of prediabetes, so it is necessary to develop representative instruments for measuring eating habits, primarily indigenous dietary consumption. The research aimed to develop a semiquantitative food frequency questionnaire to identify indigenous dietary patterns in prediabetes sufferers in Gorontalo Regency. The research was a descriptive study that tested the validity and reliability of the food frequency questionnaire semiquantitative (FFQ-SQ). The research was conducted in Limboto Barat Health Center, based on the prevalence of diabetes mellitus. Selection samples using purposive sampling with 30 adult women. The validity test used internal validity Pearson correlation, while the reliability test used internal consistency Cronbach α. Comparison of average FFQ-SQ and recall 2 x 24-hours using Wilcoxon test. The results showed that 12 food groups consisted of 207 food items and indigenous food products with validity tests 123 items valid, 67 items invalid, and 17 items never consumed by the subject study in the previous month; the reliability test showed food group category low 10, moderate 5 and high 3. Comparative analysis of the energy and nutrient intake between FFQ-SQ with recall 2 x 24 hours showed significant differences in intake of carbohydrates, fiber, vitamin E, vitamin B1, folic acid, vitamin C, potassium and zinc (p-value < 0.005), and comparison of energy and nutrient intake between FFQ-SQ1 and FFQ-SQ2 showed no significant difference (p-value> 0.005). The conclusion was FFQ-SQ with 123 items of foods and derived products is valid and reliable for measuring the eating habits of prediabetic adult women.
The Household Food Security and Stunting of Under-Five Children in Indonesia: A Systematic Review Dewi, Puspita; Khomsan, Ali; Cesilia Meti Dwiriani
Media Gizi Indonesia Vol. 19 No. 1 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v19i1.17-27

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Inadequate access to food at home contributes to growth retardation in childhood. Under-five children who suffer from stunting have problems in their growth and development owing to a lack of nutrients over an extended period of time. This study aimed to analyzed the relationship between household food security and stunting prevalence. This study uses a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Seven electronic databases are used: PubMed, ProQuest, MDPI, Science Direct, Scopus, Google Scholar, and Portal Garuda. This research was based on studies conducted in Indonesia and published between 2013 and 2023. For the final result, sixteen articles were included. Household food security has a positive correlation with the stunting of under-five children in Indonesia. Moreover, households with food insecurity had a greater risk of stunting. A household is said to be food-secure when access to food is fulfilled by all family members. From this systematic review, the government is expected to formulate policies and strategies to improve household food security and the nutritional status of children under the age of five. To accomplish these efforts, coordination between sectors is required to accelerate and strengthen the implementation of these policies and strategies.
FAMILY SOCIO-ECONOMIC FACTORS RELATED TO DIETARY DIVERSITY OF CHILDREN AGED 12-23 MONTHS: FAMILY SOCIO-ECONOMIC FACTORS RELATED TO DIETARY DIVERSITY OF CHILDREN AGED 12-23 MONTHS Khalida Dalimunthe, Nathasa; Ekayanti, Ikeu; Dwiriani, Cesilia Meti
Jurnal Mitra Kesehatan Vol. 7 No. 1 (2024): Jurnal Mitra Kesehatan
Publisher : STIKes Mitra Keluarga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47522/jmk.v7i1.336

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Background: Nutritional problems in infants and children are the focus of the scaling up nutrition movement or the acceleration of nutrition improvement. Appropriate feeding practices in Indonesia are still low because children under two have not met the minimum food diversity and also minimum frequency of eating. Dietary diversity has also been shown to be strongly related to household socioeconomic status. Objectives: The purpose of this research was to analyze the socioeconomic factors associated with the diet quality of children aged 12-23 months. Methods: The research design was cross-sectional using secondary data analysis from the 2014 SKMI. The data used were subject characteristics, family socio-economic characteristics, and diet quality as measured by the dietary diversity consumption. The relationship factor analysis used is binary logistic regression. Results: Family socio-economic factors such as family size  more than equal to 5 person (p=0,03: OR=1,4), high father's education (p=0.046; OR=1,1) low economic status (p=0.001; OR=2,2); medium economic status (p=0,005; OR=1,7) were related to the low diet quality of children aged 12-23 months, Improving family welfare in terms of education and economy needs to be done to improve the quality of food consumption for children under two years old.
Co-Authors . Damanik . Novita Adi Teruna Effendi Afia, Difa Alfira, Jihan Ali Khomsan Anita Rahmiwati Anna Febritta Intan Sari Apriningsih, Apriningsih Apriningsih Aripin Ahmad, Aripin Arnisam, Arnisam Ary Kurniati Asih Setiarini Atika Primadala Amrin Besral . Cece Sumantri Chairunita Chairunita Clara M. Kusharto Dadang Hikmah Purnama, Dadang Hikmah Dampang, Damelya Patricksia Deni Deni Diah Mulyawati Utari Dini Rizkiani Putri Djokosujono, Kusharisupeni Dodik Briawan Drajat Martianto Dwi Anggraeni Puspitasari Dyan Fajar Christianti Eddy Setyo Mudjajanto Elita Oktorina Pasaribu Ennita Fahriza Evy Damayanthi Faisal Anwar Faisal Anwar Fitrianingsih, Eva Galih Purnasari Hadi Riyadi Hardinsyah Hidayat Syarief Hidayat Syarief Hidayat Syarief Hurry Mega Insani Ikeu Ekayanti Julianti Pradono Julianti Pradono, Julianti Kadija Raisa Fachruddin Kartika Musbyarini Khusnul Khotimah Lilik Kustiyah Lilik Kustiyah M Rizal M Mega Seasty Handayani Melda Oktaviana Mira Dewi Mira Dewi Muhammad Aries Nana Mulyana Nathasa Khalida Dalimunthe Nunuk Januwati Nuradhiani, Annisa Nursilmi Nursilmi Nuryani Nuryani Puspita Dewi, Puspita Putra, Muh. Guntur Sunarjono Rachmalinda, Veny Ratna Djuwita Refdanita Refdanita Resa Ana Dina Retnaningsih Retnaningsih Rimbawan , Rina Warastuti Risatianti Kolopaking Risatianti Kolopaking Risatianti Kolopaking Risatianti Kolopaking, Risatianti Rusyda, Akifa Laila Safitri, Debby Endayani Sanya Anda Lusiana Sarah Melati Davidson Sentanu, Mutiara Ayu Silvia Wagustina, Silvia Siti Madanijah Siti Madanijah Siti Madanijah Siti Madanijah Sudikno Sudikno Sudikno Sudikno Sudikno Sudikno Taufik, Ides Haeruman Tri Krianto Vetnizah Juniantito Widjaja Lukito Wilda Haerul Fazaarah Wiwit Estuti Yayuk Farida Baliwati Yekti Widodo Yessi Crosita Octaria