Fajrinayanti Fajrinayanti
Bagian Keuangan Dinas Kesehatan Kota Padang Panjang

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Faktor Risiko Perilaku Pra-Diabetes di Kota Padang Panjang Fajrinayanti, Fajrinayanti
Kesmas Vol. 3, No. 2
Publisher : UI Scholars Hub

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Abstract

Pra-diabetes adalah kondisi berisiko Diabates Melitus tipe 2 yang dipengaruhi oleh faktor keturunan dan perilaku dengan prevalensi yang lebih tinggi daripada Diabates Melitus. Tujuan penelitian ini adalah mengetahui hubungan faktor risiko perilaku konsumsi lemak, konsumsi serat, konsumsi karbohidrat, aktivitas fisik dan merokok dengan kejadian pra-diabetes setelah dikendalikan oleh faktor keturunan. Desain studi yang digunakan adalah kros seksional dengan pengumpulan data melalui survei. Responden sebanyak 174 orang dipilih secara acak sederhana dari tiap kelurahan yang menjadi kluster. Analisis data dilakukan secara univariat, regresi logistik sederhana dan regresi logistik ganda. Hasil penelitian menunjukkan rata-rata kadar Gula Darah Sewaktu kelompok umur 40-59 tahun adalah 115,4 mg/dl, dengan prevalensi pra-diabetes adalah 57,5%.Ditemukan hubungan yang bermakna antara konsumsi lemak, konsumsi serat dan aktivitas fisik dengan kejadian pra-diabetes tanpa dipengaruhi oleh faktor keturunan. Odd Rasio masing-masing untuk konsumsi lemak (18,7 kali); aktivitas fisik /hari (13,7 kali). Pencegahan primer dengan KIE (komunikasi, informasi dan edukasi) tentang kondisi pra-diabetes serta faktor perilaku yang berisiko dan pembentukan peer group pra-diabetes diharapkan dapat meningkatkan mawas diri masyarakat terhadap kondisi pra-diabetes. Pre-diabetes is a condition leading to the risk of Diabetes Mellitus (DM) type 2, that can be caused by genetic factor and behavior risk factors, such as fat consumption, insufficient fiber consumption, low carbohydrate consumption, sedentary life, and smoking. Prevalence of pre-diabetic has been estimated as higher than prevalence of DM. This research purposed to assess association of behavior risk factors with pre-diabetes incident among population of 40-59 years old in Padang Panjang City in 2008 after controlled by genetic factor. Survey was conducted to the respondents selected using multistage random sampling (n=174). Data were analyzed with design complex by partial regression, simple logistic regression and multivariate (multiple logistic regression). The study found that the prevalence of pre-diabetes is 57.5% with Plasma Glucose Test (RPG) 115.4 mg/dl in average. There is a significant association between fat consumption, fiber consumption and physical activity with pre-diabetes incident after adjusted by genetic. Dominant factors were fat consumption (OR=18.0); fiber consumption (OR= 9.5); and physical activity (OR=13.7 times). District Health Office should develop primary prevention through communication, information and education about pre-diabetes condition and related behavior risk factors. Pre-diabetes peer group should be established to increase community awareness to pre-diabetes condition in order to prevent the DM type 2.
THE RELATIONSHIP BETWEEN LOCAL FOOD-BASED RECOVERY FEEDING AND OTHER FACTORS ON WEIGHT GAIN IN CHILDREN 12-59 MONTHS OF AGE AT PUSKESMAS CIMPAEUN, DEPOK CITY, INDONESIA, IN 2025 Sahara, Ghevira Aulia; Rahmawati, Nurul Dina; Triyanti, Triyanti; Fajrinayanti, Fajrinayanti; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 3 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/jisn.v3i3.56

Abstract

Background: Malnutrition among children aged 12-59 months remains a major challenge in Indonesia, including in Depok City. Local Food-Based Supplementary Feeding (PMT) is one of the government's intervention efforts to improve or recover children's nutritional status. This study aims to determine the relationship between the provision of Local Food-Based Recovery PMT and other factors on toddler weight gain at the Cimpaeun Health Center in Depok City in 2024. Methods: This study used a cross-sectional design with a quantitative approach. The sample consisted of 71 toddlers aged 12-59 months who were purposively selected. Data were collected through questionnaires and secondary data from the health center. Results: The results showed that 60.6% of toddlers experienced adequate weight gain after participating in the Local PMT program. There was a significant association between the appropriateness of the provision of local PMT and weight gain (p = 0.027; OR = 4.464; 95% CI: 1.155-17.252), meaning that toddlers who received inadequate local food-based recovery PMT had a 4.464 times greater risk of underweight gain compared to toddlers who received inadequate PMT. There was a significant association between infection and weight gain (p = 0.015). Infected toddlers had a higher tendency to gain weight. Meanwhile, variables such as diet, mother's education, knowledge, parenting, posyandu visits, and PHBS did not show a significant relationship with toddler weight gain. Conclusions: The provision of an appropriate local food-based recovery PMT and the health condition of the child are the factors most associated with under-five weight gain. Other factors such as infection may encourage more attention from parents, which contributes to children's nutritional recovery.