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Praktik Pemberian Makan Prelakteal di Daerah Urban dan Rural Indonesia: studi data Survei Dasar Kesehatan Indonesia 2017 Purwanti, Rachma; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah; Irawan, Galuh Chandra
Health Information : Jurnal Penelitian Vol 14 No 2 (2022): Juli-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v14i2.495

Abstract

Based on WHO data, globally, the achievement of exclusive breastfeeding is still relatively low (<50%). Pre-lacteal feeding is a challenge for the success of exclusive breastfeeding. This study aims to analyze the relationship between residence in rural and urban areas with the practice of pre-lacteal feeding and the type of pre-lacteal food given. The study use secondary data from Indonesian Demographic and Health Survey (IDHS)-2017 with a cencus block sample frame from the results of the 2010 population cencus. The variables studied were the subject's residence (rural-urban), pre-lacteal feeding, and the type of pre-lacteal food given. The subjects of this study were 8841 subjects. Data analysis carried out included univariate and bivariate analysis. There was no relationship between residence in rural/urban areas and the practice of pre-lacteal feeding (p>0.05). There was a relationship between residency in rural/urban areas and the type of pre-lacteal food given, namely milk other than breast milk, plain water, sugar water, formula milk, honey, coffee, and other fluids (p<0.001; p=0.003; p<0.001 ; p<0.001; p<0.001; p=0.011; p<0.001). Water, sugar water, honey, and coffee are pre-lacteal foods frequently given in rural areas. Milk other than breast milk and formula milk is pre-lacteal food frequently given in urban areas. Residency in rural/urban areas is not related to pre-lacteal feeding practices but is related to the type of pre-lacteal food given. Suggestion: it is necessary to conduct a national study to analyze the factors related to the types of pre-lacteal food given in rural and urban areas.
Determinant factors influencing the nutrition status of adolescents with intellectual disabilities: a scoping review Suwito, Maria Rebecca; Widyastuti, Nurmasari; Rahadiyanti, Ayu; Anjani, Gemala; Nurhidayati, Lisa Rosyida
BKM Public Health and Community Medicine Vol 41 No 10 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i10.19257

Abstract

Purpose: This scoping review aims to explore the determinants influencing the nutritional status of adolescents with intellectual disabilities, including macronutrient intake, family income, and other contributing factors. Methods: A systematic search was conducted for articles published from 2012 to 2022 in PubMed, ScienceDirect, and Scopus databases, using keywords such as "nutritional status," "dietary intake," "family income," "intellectual disability," and "adolescent". Relevant studies were selected through title and abstract screening, followed by full-text review, resulting in nine articles for analysis. Results: The review found that inadequate dietary intake, particularly high consumption of unhealthy foods, significantly impacts the nutritional status of adolescents with intellectual disabilities. Family income, while affecting food security, does not independently determine dietary outcomes. Comorbid conditions like Down syndrome, autism spectrum disorder (ASD), and cerebral palsy, along with physical limitations and the use of psychotropic medications, further contribute to malnutrition risks. Conclusion: Adolescents with intellectual disabilities are at increased risk of malnutrition due to poor food intake. While family income influences food security, it is not the sole factor. The presence of comorbid conditions, physical limitations, and psychotropic medication use is also a key determinant of their nutritional status.
Praktik Responsive Feeding dan Hubungannya dengan Stunted Children and Obese/Overweight Mothers (SCOM) di Kota Semarang: Praktik Responsive Feeding dan Hubungannya dengan Stunted Children and Obese/Overweight Mothers (SCOM) di Kota Semarang Purwanti, Rachma; Margawati, Ani; Wijayanti, Hartanti Sandi; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.184-192

Abstract

Background: A double burden of malnutrition can occur at individual, household, or community levels. Objectives: This study analyzed the relationship between responsive feeding practices and Stunted Children and Obese/Overweight Mothers (SCOM) as a type of double-burden malnutrition at the household level. Methods: An observational analytical study with a case-control design was conducted in Semarang City between May and October 2022. The subjects of this study were mother-toddler pairs (children < 3 years old) with SCOM and non-SCOM conditions in Semarang. Inclusion criteria were as follows: mothers and toddlers in good health (mothers do not have diseases that require special diets, and toddlers are in good health at the time of the study) and the mother did not smoke or drink alcohol. Ratio SCOM: non-SCOM groups was 1:2. Maternal nutritional status was measured using the Body Mass Index (BMI). Stunting classification (PB/U or TB/U) used the WHO Anthro software version 1.03. Data analysis was performed using chi-square, Pearson correlation, and multiple logistic regression. Results: Poor responsive feeding practices occurred in 95.8% of the SCOM families. There was a correlation between the parents' educational level and the practice of responsive feeding. There was a correlation between responsive feeding attitudes and practices and SCOM. After controlling for sociodemographic characteristics, responsive feeding practice predicted SCOM with an Odd Ratio (OR) of 0.012 (0.001–0.191). Responsive feeding practices were correlated with the prevalence of SCOM. Conclusions: Most families with SCOM practice responsive feeding in poor categories. Responsive feeding practices were a predictor of SCOM.
KECUKUPAN ASUPAN ZAT GIZI DAN KEJADIAN PENYAKIT INFEKSI PADA BALITA WAST (WASTING– STUNTING) DI KOTA SEMARANG Purwanti, Rachma; Ginting, Ignasia Agatha Br; Aulia, Nurhanna Putri; Wijayanti, Hartanti Sandi; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah
Majalah Kesehatan Vol. 12 No. 4 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.04.7

Abstract

Asupan zat gizi dan penyakit infeksi merupakan faktor yang berhubungan secara langsung dengan stunting dan wasting pada balita. Penelitian ini bertujuan untuk menganalisis perbedaan kecukupan asupan zat gizi makro dan kejadian penyakit infeksi pada balita dengan dan tanpa WaSt (Wasting-Stunting) di Kota Semarang. Studi analitik observasional dengan menggunakan desain cross-sectional. Subjek dipilih dengan metode consecutive sampling sebanyak 72 subjek yang terbagi dalam 4 kelompok yaitu normal, stunting, wasting, dan WaSt (Wasting-Stunting). Analisis perbedaan dilakukan dengan uji Kruskal-Wallis (data tidak berdistribusi normal) dengan uji lanjutan Mann-Whitney, tingkat kepercayaan 95% dan hasil signifikan dengan nilai p < 0,05. Terdapat perbedaan kecukupan asupan zat gizi meliputi energi, protein, lemak, dan karbohidrat (p < 0,001) dan kejadian penyakit infeksi (p = 0,007) antara kelompok balita dengan dan tanpa WaSt (Wasting-Stunting). Kecukupan asupan energi kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok stunting dan normal. Kecukupan asupan protein kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok wasting. Kejadian penyakit infeksi pada kelompok WaSt lebih tinggi dibandingkan kelompok wasting, stunting dan normal (secara berturut-turut sebesar 38,9%; 16,7%; 5,6%; dan 0%). Penelitian ini menyimpulkan bahwa kelompok WaSt mempunyai riwayat kejadian penyakit infeksi dan kecukupan asupan zat gizi makro (energi, karbohidrat, protein, lemak, dan karbohidrat) yang berbeda dengan kelompok lainnya.  
Early Marriage and Exclusive Breastfeeding History with The Incidence of Stunting in Toddlers at Karangreja, Purbalingga Firmandani, Raihan Dhia; Dieny, Fillah Fithra; Susilo, Mursid Tri; Rahadiyanti, Ayu; Tsani, A. Fahmy Arif
Health Information : Jurnal Penelitian Vol 17 No 3 (2025): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i3.1655

Abstract

Latar belakang: Kabupaten Purbalingga menempati peringkat keempat prevalensi stunting tertinggi di Jawa Tengah dengan rendahnya cakupan ASI eksklusif dan tingginya praktik pernikahan dini di Kecamatan Karangreja. Tujuan: Penelitian ini bertujuan menganalisis hubungan pernikahan dini dan riwayat pemberian ASI eksklusif dengan kejadian stunting pada balita. Metode: Desain penelitian menggunakan pendekatan case-control melibatkan 54 balita berusia 12-24 bulan yang dipilih secara consecutive sampling dengan perbandingan kasus dan kontrol 1:1. Data dikumpulkan melalui wawancara terstruktur dan dianalisis secara univariat, bivariat, serta multivariat. Hasil: Pernikahan dini (p=0,008; OR=5,839) dan riwayat ASI eksklusif (p=0,045; OR=3,856) berhubungan signifikan dengan kejadian stunting setelah dikontrol variabel perancu. Pernikahan dini merupakan faktor paling dominan yang berhubungan dengan stunting. Simpulan: Pernikahan dini dan riwayat ASI eksklusif berhubungan signifikan dengan kejadian stunting pada balita di Kecamatan Karangreja. Saran: Penguatan program Bina Keluarga Remaja (BKR) dan edukasi pemberian ASI eksklusif sebagai upaya pencegahan stunting berbasis komunitas.
Analisis Prediksi Body Roundness Index untuk Prediabetes pada Orang Dewasa di Indonesia: Assessing the Predictive Accuracy of the Body Roundness Index for Prediabetes in Indonesian Adults Pramono, Adriyan; Nursari, Elia Nawang; Dieny, Fillah Fithra; Kurniawati, Dewi Marfu'ah; Rahadiyanti, Ayu
Amerta Nutrition Vol. 9 No. 4 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i4.2025.689-697

Abstract

Background: Anthropometric measurements for identifying body fat could be used to screen individuals with prediabetic risk. Objectives: To evaluate and compare the diagnostic accuracy of body roundness index (BRI), conicity index (C-index), body mass index (BMI), waist circumference, and waist-to-height ratio (WHtR) as predictors of prediabetes in the adult population of Indonesia. Methods: This study employs a cross-sectional design and uses secondary data from the Baseline Health Research (Ind: Riskesdas) 2018. As many as 12.327 samples were subjected to descriptive analysis, and the area under the curve (AUC) was utilised to assess the diagnostic potential of anthropometric measures in predicting prediabetes. Results: The five anthropometric parameters have a very weak ability as a prediabetic predictor. The WHtR and BRI (AUCmen=0.571; AUCwomen=0.573) were significantly better than the other anthropometric parameters. In contrast, the C-index values for women (AUCwomen=0.548) were considerably lower than other anthropometric parameters. However, there was no significant difference between the C-index for men (AUCmen=0.560) and the waist circumference (AUC=0.564) and BMI (AUC=0.559) values. Conclusions: The body roundness index has the same ability to predict prediabetes with WHtR, while the C-index in women is weaker than waist circumference and BMI.
Faktor Ibu dan Praktik Pemberian Makan Balita dengan dan tanpa Malnutrisi: Maternal Factors and Feeding Practices of Children Under Five with and without Malnutrition Purwanti, Rachma; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah; Wijayanti, Hartanti Sandi
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.62-72

Abstract

Background: Feeding practices are associated with malnutrition. Objectives: To analyze differences in maternal factors and feeding practices of children under five with and without malnutrition. Methods: The research was conducted from March to October 2024 in the city of Semarang. The sample size consisted of 97 subjects (P=0.5; Zα=1.96; d=0.1). Inclusion criteria included mothers as primary caregivers, in good health and not pregnant, and toddlers with no history of recurrent or chronic infectious diseases. The variables studied were maternal factors (maternal age at childbirth, number of children, maternal education level, maternal occupation, family income, maternal nutrition knowledge, and attitudes related to feeding), feeding practices (dietary diversity, consumption of main meals and snacks, variety of cooking methods, feeding responsiveness, and feeding during illness and recovery), and nutritional status of toddlers (normal, wasting-stunting, stunting, wasting, and overweight or obesity). Data were collected through interviews using a structured questionnaire  and were analyzed descriptively and bivariately. Results: There were significant differences in child characteristics (low birth weight [LBW] status), maternal characteristics (maternal nutritional status, maternal income, and maternal nutrition knowledge), and feeding practices (frequency of healthy snack consumption, maternal cooking methods, feeding responsiveness, provision of children's preferred foods, and forcing children to finish meals) based on their nutritional status (p-value<0.05). Conclusions: Differences in LBW status, maternal nutritional status, maternal income, maternal nutrition knowledge, frequency of healthy snack consumption, cooking methods, feeding responsiveness, provision of children's preferred foods,coercion to finish meals, and maternal nutrition status were found between mothers with and without children experiencing malnutrition. Prevention of malnutrition among toddlers from at-risk families is necessary, especially through education and assistance to optimize responsive feeding patterns and improve the quality and quantity of nutritional intake.
Co-Authors A Fahmy Arif Tsani Adriyan Pramono Ahmad Syauqy Aida Fitri Nazillah Ani Margawati Anjani, Gemala Armelinda, Nyoman Putri Ari Aryu Candra Astiti, Rosiana Dwi Aulia, Nurhanna Putri Ayu, Azzahra Mutiara Binar Panunggal Christanto, Monica Lemuela Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudi Fitranti Destikasari, Widya Dewi Kurnia Sandi Dewi Kurniawati Dewi Marfu'ah Kurniawati Dewi Marfu’ah Kurniawati Diana Nur Afifah, Diana Nur Enny Probosari Etika Ratna Noer Etisa Adi Murbawani Fajrani, Alifia Mukti Fauzia Purnamasari Febriandina, Kharisma Dwi Ferry Sandra Fillah Fithra Dieny Fillah Fithra Dieny Firmandani, Raihan Dhia Fitriyono Ayustaningwarno Furi, Agnes Kalpita Galuh Chandra Irawan, Galuh Chandra Ginting, Ignasia Agatha Br Hartanti Sandi Hartanti Sandi Wijayanti Hisanah, Raniah Iin Indartiningsih Indriyanti, Risa Ira Mulyani Jauharany, Firdananda Fikri Khoirunnisa, Novia Tri Kumala, Anandita Mega Latifah, Nandita Nury Luthfiatul Khusna Mardiana, Zahra Aulia MARTHA ARDIARIA Maura Tirta Nabila Mulyani, Ira Mursid Tri Susilo Ninik Rustanti Nissa, Choirun Noviasti Rahma Utami Nurhidayati, Lisa Rosyida Nurmasari Widyastuti Nursari, Elia Nawang Nuryanto Nuryanto Nuryanto Nuryanto Nyoman Suci Widiastiti Pradita Putri Ramadhani Rachma Purwanti Rahma, Devi Elvina Restutiwati, Fidi Rizqiawan, Angga Rosha, Putri Tiara Sandi, Dewi Kurnia Setyawan, Fajar Setyawati, Novi Sitanggang, Golda Sharon Suryawati Suryawati Suwito, Maria Rebecca Syafira Noor Pratiwi Syahadah, Muti'ah Mustaqimatusy Tsani, A Fahmy Arif Tsani, A. Fahmy Arif Umu Faradilla Velicia, Velicia Widya Destikasari