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All Journal Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Jurnal Kesehatan Masyarakat Darussalam Nutrition Journal Ilmu Gizi Indonesia Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Gizi Klinik Indonesia Bakti Budaya: Jurnal Pengabdian kepada Masyarakat Journal of Community Empowerment for Health Jurnal Mitra Kesehatan Berita Kedokteran Masyarakat Jurnal Manajemen Pelayanan Kesehatan (The Indonesian Journal of Health Service Management) Jurnal Kesehatan Tropis Indonesia
Bernadette Josephine Istiti Kandarina
Departemen Biostatistik, Epidemiologi Dan Kesehatan Populasi, Program Studi Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada
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Household food security is a risk factor of type 2 diabetic mellitus Nor Eka Noviani; BJ Istiti Kandarina; Fatma Zuhrotun Nisa
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 8 ISSUE 1, 2020
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2020.8(1).22-29

Abstract

ABSTRAKLatar Belakang: Ketahanan pangan adalah kondisi terpenuhinya pangan bagi negara sampai dengan perseorangan, yang tercermin dari tersedianya pangan yang cukup, baik jumlah maupun mutunya, aman, beragam, bergizi, merata, dan terjangkau serta tidak bertentangan dengan agama, keyakinan, dan budaya masyarakat, untuk dapat hidup sehat, aktif, dan produktif secara berkelanjutan. Ketika kondisi pangan bagi negara sampai dengan perorangan tidak terpenuhi, maka kondisi yang terjadi adalah tidak tahan pangan. Tidak tahan pangan berhubungan dengan penyakit kronis diabetes melitus tipe 2. Tujuan: Tujuan penelitian ini adalah untuk mengidentifi kasi ketahanan pangan dan faktor lain yang berhubungan dengan DM2 di Kulon Progo, Yogyakarta, Indonesia. Metode: Penelitian ini adalah penelitian obeservasi dengan desain case control, dimana kasus adalah pasien diabetes melitus tipe 2 yang terdaftar di 4 kecamatan di Kabupaten Kulon Progo. Sedangkan kontrol adalah subyek bukan penyandang DM2. Penentuan sampel menggunakan metode purposive yang kemudian dilakukan penyetaraan terhadap umur dan tempat tinggal. Uji statistik chi-square, Mc. Nemar dan regresi logistik dilakukan untuk mengidentifi kasi variabel yang merupakan faktor risiko. Hasil: Uji chi square menunjukkan bahwa riwayat keluarga memiliki hubungan yang bermakna dengan DM2 (p<0,05). Status tidak tahan pangan lebih banyak terjadi pada kelompok kontrol (79,36%). Banyak responden memiliki skor kualitas diet yang kurang yakni 60,32% di kedua kelompok. Banyak responden tidak mengalami obesitas (>50%). Obesitas sentral terjadi pada 65,08% kasus dan 52,38% kontrol. Uji Mc. Nemar menunjukkan tidak ada variabel yang signifi kan (p>0,05; OR >1). Obesitas sentral berisiko terjadinya DM2 sebesar 61%. Uji regresi logistik menyimpulkan bahwa riwayat keluarga memberikan kontribusi besar berkembangnya DM2. Kesimpulan: Ketahanan pangan rumah tangga bukan faktor risiko terjadinya DM2 di Kulon Progo. Obesitas sentral berpeluang terjadinya DM2. Faktor genetik sebagai faktor dominan terjadinya DM2 di Kulon Progo.KATA KUNCI: diabetes melitus tipe 2; ketahanan pangan; kualitas diet; obesitas; obesitas sentral; faktor risikoABSTRACTBackground: Food security refl ects a situation when individual at all times has physical, social, and economic access to suffi cient, diversifi ed, safe and nutrious food that meets their dietary needs, food preference and religious believes for an active and healthy life. When the condition of individual is not adequate, it will contribute to food insecurity. Food insecurity has association with chronic diseases like type 2 diabetic mellitus (DM2). Objectives: To identify whether food security and other cofactors being the risk of DM2 in Kulon Progo Regency, Yogyakarta, Indonesia.Methods: This is an observational study with case control design. The case group was diabetic patients registered in Community Health Center in 4 subdistrics in Kulon Progo Regency whereas the control group was non diabetic patients. Respondents were selected purposively in accordance with inclusive and exclusive criterion, equivalently matching with age, gender and neighborhood. Chi square test, Mc. Nemar and logistic regression were used to identify risk factor. Results: The characteristic of two group revealed that family history had signifi cant association in development of DM2 (p<0.05). Food insecurity more commonly occured in control group (79.36%). Low quality diet was faced by the two group. Half of them had no obesity. Based on Mc. Nemar no variables statistically became risk factor of diabetic mellitus type 2 (p>0.05). But central obesity can be risk for DM. Genetic factor contributed to be DM2. Conclusion: Food security was not risk factor of developing DM2. Central obesity might be the risk of DM2. Parent history was the dominant factor of DM2.KEYWORDS: diabetic mellitus; food security; quality diet; obesity; risk factor
Antenatal care visit frequency of short stature mother as risk factor of stunting among children aged 6 - 23 months in Indonesia (IFLS 5 Study Analysis) Herwinda Kusuma Rahayu; BJ Istiti Kandarina; Abdul Wahab
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 7 ISSUE 3, 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2019.7(3).%p

Abstract

 ABSTRAKLatar Belakang: Stunting adalah gangguan pertumbuhan linear yang saat ini menjadi masalah utama kesehatan anak di negara berkembang yang berhubungan dengan morbiditas dan mortalitas. Berdasarkan hasil Riset Kesehatan Dasar, prevalensi stunting di Indonesia pada tahun 2018 masih tinggi, yaitu mencapai 30,8%.  Salah satu faktor yang mempengaruhi terjadinya stunting adalah tinggi badan ibu yang pendek, dengan prevalensi sebesar 30,5%. Ibu hamil dengan tinggi badan pendek harus memperhatikan kondisi kesehatan selama kehamilan, salah satunya melalui pemeriksaan kehamilan atau antenatal care (ANC) dengan frekuensi pemeriksaan yang sesuai dengan standar. Metode: Penelitian ini adalah penelitian observasional yang menggunakan data sekunder dari penelitian longitudinal yaitu Indonesia Family Life Survey (IFLS) periode ke-5 yang dilaksanakan pada tahun 2014. Rancangan penelitian ini adalah kohort retrospektif. Analisis bivariat dilakukan menggunakan uji chi square, sedangkan analisis multivariat menggunakan uji regresi logistic. Uji statistik dilakukan menggunakan software Stata v13.Hasil: Hasil analisis bivariat diketahui bahwa frekuensi ANC ibu dengan tinggi badan pendek memiliki hubungan signifikan dengan kejadian stunting dengan nilai p=0,04 (RR=1,29; CI 95%=1,02-1,65). Hasil analisis multivariat frekuensi ANC dengan kejadian stunting yang mengikut sertakan variabel luar didapatkan bahwa BBLR merupakan penyebab terbesar kejadian stunting (OR=1,97; CI 95%=1,06-3,64)Kesimpulan: Frekuensi ANC yang sesuai perlu dilakukan oleh ibu hamil dengan tinggi badan pendek. Hal ini adalah upaya untuk mengoptimalkan status kesehatan, sehingga kejadian BBLR yang merupakan faktor risiko kejadian stunting tidak terjadi. Diperlukan strategi pemerintah untuk meningkatkan frekuensi kunjungan ANC dengan mempertimbangkan komponen pelayanan.Kata kunci: stunting; ibu dengan tinggi badan pendek; antenatal care; IFLS 5 ABSTRACT Background: Stunting is linear growth retardation that associated with morbidity and mortality. Prevalence of stunting in Indonesia on 2018 is high, 30,8%. One of the factors that influence stunting is short stature mother. Pregnant women with short stature should concern to their health conditions during pregnancy, through antenatal care (ANC) with frequency that are in accordance with the standards.Method: This study was an observational study using the secondary data of the 5th wave Indonesian Family Life Survey (IFLS) on 2014. The design of this study was a retrospective cohort. . Bivariate analysis was performed using the chi square test, while the multivariate analysis used a logistic regression test. All analyses were performed in Stata v13.Results: Bivariate analysis showed that the ANC frequency of short stature mother had a significant relationship with stunting (p=0.04; RR= 1.29; CI 95%= 1.02-1.65). Multivariat analysis showed that low birth weight is the main cause of stunting (OR=1,97; CI 95%=1,06-3,64)Conclusion: ANC visit essential for short height mother to optimize their health status, so low birth weight which is a risk factor for stunting does not occur. Strategies are needed to improve the frequency and components of ANC services Keywords: stunting; short height mother; antenatal care; IFLS 5
Pola makan dan kebugaran jasmani atlet pencak silat selama pelatihan daerah Pekan Olahraga Nasional XVII Provinsi Bali tahun 2008 Putu Ayu Widiastuti; BM Wara Kushartanti; BJ Istiti Kandarina
Jurnal Gizi Klinik Indonesia Vol 6, No 1 (2009): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17682

Abstract

Background : The fulfillment of nutrient intake is a basic need of athletes. The result of observation to some athletes with varied branches of sport indicates that nutrition and physical exercise will simultaneously bring better output. Presently, attention to the administration of nutrition for athletes is lacking, moreover at local level. Meanwhile, providing good nutrition is as important as maintaining sports achievement.Objective : The study aimed to identify support of eating pattern to physical exercise of Bali self-defence athletes during local training of National Sports Week XVII Province of Bali.Method : This was a descriptive analytical study which used qualitative and quantitave approaches and cross sectional design. Subjects of the study were all of 26 self defence athletes participating in local training at National Sports Week Province of Bali. Data gathered were eating pattern, physical fitness (VO2 max and body fat percent), and physiological condition (hemoglobin level). Support of eating pattern to physical exercise was measured in terms of physical fitness using regression and correlation analysis. Result : Most of nutrient intakes of Bali self-defences athletes were low in carbohydrate but high in fat and protein. Statistical analysis showed that there were correlation and effect of vitamin C and Fe intake to VO2 max. There were correlation and effect of carbohydrate to body fat percent. There was protein affected hemoglobin level. Conclusion : Adequate consumption of nutrients was needed to support athletes in doing physical exercise during training period.
Faktor risiko sarapan pagi dan makanan selingan terhadap kejadian overweight pada remaja sekolah menengah atas Shelly Festilia Agusanty; Istiti Kandarina; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 10, No 3 (2014): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.18862

Abstract

Background: Overweight or obesity during childhood and adolescence are important risk factors for the presence of adult overweight or obesity. Eating habits in childhood and adolescence influence their healthy condition. Prospective studies of breakfast habits and nutritional status suggest an inverse (protective) association between the frequency of eating breakfast and the risk for overweight and obesity and relationships between no breakfast and increasing body weight.Objective: To examine risk factor of breakfast and snacking related to overweight status in adolescents.Method: This was the observational study with case control design. The first step of the study was screening to have a prevalence of overweight in adolescents. The second step was case control study participated by 100 overweight adolescents and 100 normal weight adolescents in senior high school matched in sex, age, and school. Data collected were weight and height measurements for nutritional status, respondent identity and characteristic, breakfast dan snacking habits and physical activity. Statistical analysis used Chi-Square statistics and multivariable logistic regression analysis.Results: Prevalence of overweight in adolescents were 16,8%. There was significant association between breakfast with overweight (p<0,05; OR=3.1; 95% CI=1.4-7.47). There was no association between snacking and overweight, but there was significant association between frequency of snacking (OR=1.9; 95% CI=1.05-3.50), the energy of snacking (OR=2.1; 95% CI=1.13-4.02), and carbohydrate of snacking (OR=4.5; 95% CI=1.94-11.50) with overweight. In the multivariate model, breakfast habits, carbohydrate of snacking and physical activity had a significant association with overweight.Conclusion: Skipping breakfast was a risk factor for overweight in adolescence. Adolescents who had to snack more than twice a day were having the greater risk factor for overweight.
Pengaruh pemberian makanan tambahan (PMT) pada ibu hamil terhadap berat lahir bayi Hana Shafiyyah Zulaidah; Istiti Kandarina; Mohammad Hakimi
Jurnal Gizi Klinik Indonesia Vol 11, No 2 (2014): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.18998

Abstract

Background: Anemia causes fetal growth disorders that affect birth weight. Antenatal care (ANC) coverage and provision of high Fe if not followed by a decrease in the incidence of anemia can result indirectly in the risk of low birth weight. Supplementary feeding is expected to resolve the issue.Objective: To assess the effect of supplementary feeding on the third trimester of pregnancy on birth weight.Method: This was a quantitative study with a study design of quasi-experiment and non-equivalent control group. The given intervention was fish-processed feeding for 30 days. The study population was pregnant women in the third trimester in all health centers in the City of Yogyakarta and the samples were 104 pregnant women in some health centers with convenience sampling technique. The subjects were divided into two, namely the treatment group (PMT) and the comparison group (non-PMT). Birth weight was weighed immediately after the baby was born. Statistical analysis used t-test and logistic regression. Results: The mean birth weight of infants in the treatment group and the comparison group was 3248 g and 2974 g, respectively, so that the difference in the mean birth weight of both groups was 274 g (p=0.0002; 95%C:131-416). Thus, supplementary feeding was shown significantly affect the birth weight. The extraneous variables that significantly influenced birth weight were pregnancy interval. Other extraneous variables were age, mid-upper-arm circumference (MUAC), education, occupation, economic status, parity, protein intake, compliance of Fe tablet intake, antenatal care, gestational age at delivery and anemia status were not proven statistically significant to affect birth weight. Conclusion: Supplementary feeding effect on birth weight.
Efektivitas minuman kombinasi maltodekstrin dan vitamin C terhadap hitung jenis leukosit pada atlet sepak bola Silvi Lailatul Mahfida; Istiti Kandarina; Arta Farmawati
Jurnal Gizi Klinik Indonesia Vol 11, No 3 (2015): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.19295

Abstract

Backgrounds: The immune system changing affects the fitness. Exercise induces the immune responses, oxidative stress and tissue damage that alters leukocyte counts. Maltodextrin supplies higher energy reserves, that can improve the immune system profiles. Vitamin C as an antioxidant against tissue damage.Objective: This study aims to assess the effectiveness of a maltodextrin and vitamin C combination drink on leukocyte differential count after exercise.Method: This study was quasi-experimental with the within-subject design. Subjects were 14 collegiate football players of the State University of Yogyakarta and fulfilled the inclusion and exclusion criteria. Subjects were selected with a purposive sampling. Subjects received a combination of 15% maltodextrin and 250 mg of vitamin C beverage, 300 mL. Subjects did wash out for 6 days, then received placebo beverage (300 mL plain water). Subjects drank 30 minutes before and 5 minutes after physical exercise. Exercise loads were yoyo intermittent test and run gradually until 80 HRmaks. Blood samples were taken immediately and 30 minutes after exercise.Results: In the administration of intervention beverage, immediately to 30 minutes after exercise neutrophils increased (p=0,006); lymphocytes decreased (p=0.015); monocytes decreased (p=0.000); and eosinophils decreased (p=0.613). In the administration of placebo beverage, immediately to 30 minutes after exercise, neutrophils increased (p=0.359); lymphocytes decreased (p=0.257); monocytes decreased (p=0.146); and eosinophils increased (p=0.549). Neutrophils (p=0.003) and monocyte (p=0.003) had significant difference between both administration drink at 30 minutes after exercise. Lymphocyte and monocyte significantly decrease (p<0.05) at intervention than placebo.Conclusion: Maltodextrin and vitamin C combination drink effect on the decreasing of lymphocyte and monocyte 30 minutes after exercise.
Pengaruh suplementasi zink terhadap parameter hematologi atlet sepatu roda setelah latihan endurance Mirza Hapsari Sakti Titis Penggalih; Mustika Cahya Nirmala Dewinta; Choiri Khumaidah Fikriyah; Noni Kustia; Assyifatu Rahmah Zada; Zaenal Muttaqien Sofro; BJ Istiti Kandarina
Jurnal Gizi Klinik Indonesia Vol 15, No 1 (2018): 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 (547.079 KB) | DOI: 10.22146/ijcn.27347

Abstract

Background: In sports such as roller skates, endurance can lead to increased inflammation and muscle cell damage, free radical formation, and zinc excretion from sweat and urine that affect the increased redistribution of zinc from blood to tissue. This mechanism causes a decrease in blood zinc levels, erythrocyte numbers and hemoglobin concentrations, increased leukocyte counts and the body’s oxidative stress parameters that have an impact on the athlete’s performance decline. Zinc supplementation may be given to maintain the athlete’s hematologic parameters during endurance exercise.Objectives: To examine the effect of zinc supplementation on serum zinc level, hemoglobin concentration, erythrocyte and leukocyte counts, and blood MDA level of skate athletes after endurance exercise.Method: This study was an experimental clinical trial using pre and post-test designs on 8 athletes incorporated in the pre-PON DIY Wheels Team. The study was conducted in two periods, one week of endurance exercise without zinc supplementation and one week of endurance exercise with 30 mg/d of zinc supplementation. Blood sampling was performed on the seventh day of each period, before and after endurance training.Results: There was a decrease in erythrocytes and hemoglobin concentration, and a significant increase in leukocyte count after endurance training in both periods (p<0.05), but no significant difference in serum zinc levels and malondialdehid (MDA) levels after endurance training in both periods (p>0.05). Although there were no significant differences in all athlete hematologic parameters between two treatments (p>0.05), there was an improvement in serum zinc levels, hemoglobin concentrations, erythrocyte, and leukocyte counts.Conclusion: Zinc supplementation 30 mg/day for one week did not have a significant effect on the athlete’s hematology parameters after endurance exercise.
Source of energy intake of Papuan and non-Papuan high-school students in Jayapura: their association with risk for overweight/ obesity Endah Sri Rahayu; Bernadette Josephine Istiti Kandarina; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (436.581 KB) | DOI: 10.22146/ijcn.50496

Abstract

Background: The worldwide prevalence of obesity is increasing. Obesity is associated with many factors, including the consumption pattern of energy-producing food, i.e. carbohydrate and fat, which is, most likely associated with ethnicity. In Riskesdas 2007, Jayapura held the highest prevalence of obesity in adults in Indonesia. Jayapura lived the Papuan and Non-Papuan descents population. Objective: To determine the association between energy intake, the contribution of carbohydrate and fat to energy intake in overweight/ obesity in Papuan and non-Papuan high-school students. Methods: This cross-sectional study involved 150 Papuan and 150 non-Papuan students from three high schools in the district. Body mass index (BMI) derived from the measurement of body weight and height were grouped into overweight/obesity and not-overweight/ obesity. Source of energy was estimated using 3 (three) days non-consecutive 24 hours of food recall questionnaire. Energy intake and the contribution of carbohydrate and fat to energy intake were analyzed with an independent t-test and Chi-Square test. Results: The prevalence of overweight/ obesity was similar between Papuan and non-Papuan students (22.0 vs. 23.0%). The two groups had a similar amount of energy intake, however, the contribution of carbohydrate and fat to the total energy intake was significantly different. Obese/ overweight students had a significantly higher intake of energy, however, within the same ethnic group, the contribution of carbohydrate and fat in obese/ overweight students did not significantly differ. Conclusions: High energy intake was associated with overweight/obesity in both groups. The contribution of carbohydrates to total energy intake was higher in Papuan. However, the contribution of carbohydrate and fat to energy intake was not associated with overweight/ obesity in both groups.
Pendampingan Warga Desa Sigedang, Wonosobo, Jawa Tengah tentang Dampak Negatif Perkawinan Sedarah dan Pola Konsumsi Makanan Rendah Nutrisi Atik Triratnawati; Istiti Kandarina; Laksmi Savitri; Suzie Handajani; Khidir Prawirosusanto; Yauma Ayu Arista
Bakti Budaya: Jurnal Pengabdian kepada Masyarakat Vol 2, No 1 (2019)
Publisher : Faculty of Cultural Sciences

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.652 KB) | DOI: 10.22146/bb.45027

Abstract

The Community service in Sigedang Village, Kejajar Subdistrict, Wonosobo Regency, Central Java was carried out in the form of mentoring and discussion about the problems of stunting toddlers who were found in the region. The target of the activity was Posyandu members, PKK and pengajian groups as well as the youth of the mosque. This community service is delivered through discussions about the dangers or negative impacts of management and consumption patterns of improper nutrition, blood marriages or marriages with lineages that are too close (endogamy), as well as the implications in living with stunting conditions. This activity is expected to help in reducing stunting cases in Sigedang village in the future.=================================================================== Kegiatan PkM di Desa Sigedang, Kecamatan Kejajar, Kabupaten Wonosobo, Jawa Tengah dilakukan dalam bentuk pendampingan dan diskusi tentang permasalahan balita stunting dan orang cebol yang cukup banyak ditemukan di wilayah tersebut. Sasaran kegiatan adalah ibu-ibu anggota Posyandu, PKK, dan kelompok pengajian, serta para remaja masjid. Kegiatan pengabdian ini berupa diskusi dan rembuk tentang bahaya atau dampak negatif dari pengelolaan dan pola konsumsi makan yang tidak benar, perkawinan sedarah atau perkawinan dengan garis keturunan yang terlalu dekat, serta implikasi-implikasi dalam hidup dengan kondisi stunting dan cebol. Kegiatan ini diharapkan dapat ikut membantu pengurangan kasus stunting dan cebol di Desa Sigedang pada masa yang akan datang.  
Development of school canteen and school gardens guidelines as prevention against cardiovascular disease Bernadette Josephine Istiti Kandarina; Yayuk Hartriyanti; Theodola Baning Rahayujati; Arif Rahmat Kurnia
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.52618

Abstract

Cardiovascular diseases are considered as the deadliest diseases in the world. According to WHO data, deaths caused by coronary heart disease in Indonesia reached 138,380 or 9.89% of the total deaths. The age adjusted mortality rate is 82.30 per 100,000 population with Indonesia ranked #97 in the world. Kulon Progo Regency is located in the western part of the Special Region of Yogyakarta.  The average monthly food expenditure in Kulon Progo is Rp365,012 ($27.49). While a healthy diet is known and promoted to benefit health, only a small portion is used to buy fruits and vegetables (2.24% and 1.76%). Cardiovascular disease is the main cause of morbidity in Kulon Progo. This study aimed to examine the process of developing guidelines for healthy school canteens and school gardens and promote fruit and vegetable consumption. This study used a qualitative research design. The data were collected through in-depth interviews and focus group discussions. A preliminary survey was conducted in 10 private and public schools in Kulon Progo district, Yogyakarta Province, Indonesia.  Guidelines related to healthy lifestyles through Canteen- and school garden were successfully arranged for in-school programs. Interviews and focus group discussions explored possibilities of permanently establishing the programs with local and national funding. Some disagreement was voiced concerning the loss of revenue incurred by local food vendors. Stakeholder involvement is crucially important for the preparation and development of the school canteen - and school gardens guidelines. Follow-up is recommended to carry out the dissemination of the guidebook.
Co-Authors . Wulandari Abdul Wahab Abdul Wahab Agusanty, Shelly Festilia Andi Yuniarsy Hartika Andi yuniarsy Hartika Arif Rahmat Kurnia Arta Farmawati Asmarani, Asmarani Assyifatu Rahmah Zada Atik Triratnawati Bayu Sigha Iswara Bernadeta M Wara Kushartanti Choiri Khumaidah Fikriyah Dewi, Zidna Akmala Dewinta, Mustika Cahya Nirmala Dicky Moch Rizal Dicky Moch Rizal Endah Sri Rahayu Fahmy Arif Tsani Fatma Z. Nisa Fatma Zuhrotun Nisa Fikriyah, Choiri Khumaidah Fiyanita Nesa Ramadhani Gunawan, I Made Alit Hana Shafiyyah Zulaidah Helmyati, Siti Herwinda Kusuma Rahayu I Made Alit Gunawan I Made Alit Gunawan Josefa Rosselo Kanda Sihombing Khidir Prawirosusanto Kurniati Dwi Utami Kustia, Noni Kusuma, Rio Jati Laksmi Savitri Lastdes Cristiany Friday Sihombing Leny Latifah Madarina Julia Matsna Haniifah Mirza Hapsari Sakti Titis Penggalih Mohamad Hakimi Mohammad Hakimi Mohammad Hakimi Muhammad Ali Akbar Mustika Cahya Nirmala Dewinta Nisa, Fatma Z Noni Kustia Noviani, Nor Eka Nur Hadi Ihwani Pramantara Setiabudi, I Dewa Putu Pramudji Hastuti Purba, Martalena Putri, Febriani Putu Ayu Widiastuti Rahmawati, Vista Ari Renny Evelyn Hartono Restu Amalia Hermanto Retna Siwi Padmawati Rezatiara, Ulva Sarah Maria Saragih Shelly Festilia Agusanty Silvi Lailatul Mahfida Siti Helmyati Sofro, Zaenal Muttaqien Sumarni Sumarni Suryati Kumorowulan Suwekatama, I Wayan Suzie Handajani Syah, Justiyulfah Theodola Baning Rahayujati Toto Sudargo Ulumiyah, Safira Ainun Ulva, Siti Maria Vera Ticoalu, Jansje Henny Yauma Ayu Arista Yayuk Hartriyanti Yuliati, Endri Zada, Assyifatu Rahmah Zulaidah, Hana Shafiyyah