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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.
Pola makan suku asli Papua dan non-Papua sebagai faktor risiko kejadian hipertensi Sarni Rante Allo Bela; Bambang Djarwoto; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 10, No 4 (2014): April
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.18872

Abstract

Background: Hypertension is one of the problems in the medical and public health sector. The prevalence of hypertension in Jayapura City is 23,8%. Hypertensive disease was ranked 6th among the top 10 diseases in Abepura Hospital. The risk factors, a diet containing high fat, high sodium, low potassium and excessive alcohol consumption has contributed to the increasing of blood pressure.Objective: To determine the degree of hypertension difference between Papuans and non-Papuans, and the effect of intake of fat, sodium, potassium and alcohol consumption as risk factors for hypertension in each tribe.Method: The study was an observational analytic with a case-control design. Samples are 248 which is divided in 62 cases and 62 controls on each tribe. Data analysis using the statistical independent t-test, Chi-Square, Mantel Haenzel, Multiple Regression Logistic.Results: Non-Papuan tribes had 1.9 times higher risk of hypertension stage 2. The fat intake of indigenous Papuans (OR=3.250) and non-Papuans (OR=3.275) correlated significantly. Sodium intake significantly associated in indigenous Papuans, but the non-Papuans, have a significant relation (OR=2.531). There was a correlation between potassium intake in indigenous Papuans (OR=2.348), but the non-Papuans, was not. Consumption of alcohol in indigenous Papuans was significantly associated (OR=2.343), but the non-Papuans, was not. Multivariate analysis showed that psychosocial stress, consumption of alcohol, family history of hypertension, and potassium intake were contributing in indigenous Papuans. Intake of fat, sodium intake, and obesity was contributed in non-Papuan tribes. Conclusion: Non-Papuan tribes prone to has hypertension stage 2. In Papuans, fat intake (> 30%), potassium intake (<2000 mg) and excessive alcohol (≥ 2 glasses/day) are risk factors. In the non-Papuan, fat intake (> 30%) and sodium intake (≥ 2300 mg) are risk factors for hypertension.
Aktivitas fisik dengan penyakit jantung koroner di Indonesia Diyan Yunanto Setyaji; Yayi Suryo Prabandari; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): 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.26502

Abstract

Background: Coronary heart disease (CHD) is responsible for a substantial amount of early deaths, reduced quality of life and significant costs to the health and social care system. More than 3/4 CHD cases can prevented by lifestyle changes and focus on earlier risk factors management. Physical activity become a reference for the most important of primary and secondary prevention.Objective: To determine the relationship between physical activity and coronary heart disease in Indonesia.Method: This study used a cross-sectional design. Coronary heart disease’s history, physical activity, age, sex, economic status and consumption of fatty food were obtained from Basic Health Research (Riskesdas) 2013. Riskesdas 2013 used multistage cluster sampling. Subject in this study was 374.506 women and 347.823 men above 15 years old in Indonesia who answered the coronary heart disease questions which was selected purposively. Data was analyzed by using descriptive analysis, Chi-Square and multiple logistic regression.Results: Those who did not perform vigorous-intensity physical activity or who only did it less than 80 minutes per week had a higher prevalence of CHD than those who were more active  [2.63 (2.44-2.86); p=0.00].Conclusion: Physical activity had a significant association with CHD events in people above 15 years old in Indonesia. 
Konsumsi ikan bersifat protektif terhadap diagnosis stroke pada orang yang pernah terdiagnosis hipertensi di Indonesia Arif Rahmat Kurnia; Martalena Br. Purba; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): 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 (183.294 KB) | DOI: 10.22146/ijcn.28077

Abstract

Background: Stroke is a burdensome disease. The prevalence of stroke has increased by 16% over the last 6 years. The biggest risk factor for stroke is hypertension, but consumption of animal products such as meat, fish, eggs, and milk is often associated with the onset of stroke.Objective: To examine the relationship between the frequencies of animal products consumption to the incidence of stroke in 2014/2015 on hypertensive people in 2007/2008.Method: This research was using case control design performed by analyzing longitudinal data derived from Indonesian Family Life Survey (IFLS) 4 and 5 (2007/2008 and 2014/2015). The population of this study was Indonesian aged over 40 years who have been diagnosed with hypertension in IFLS 4.Results: The results of bivariate analysis using Chi Square test and Fisher's exact test found that the variables significantly associated with stroke diagnosis in IFLS 5 were IFLS 5 fish consumption (p=0.027; OR=0.47); IFLS 4 milk consumption (p=0.04; OR=2.97); IFLS 5 hypertension diagnosis (p=0.006; OR=4.03); IFLS 4 diabetes mellitus diagnosis (p=0.033;OR=8.91); and IFLS 5 diabetes mellitus diagnosis (p=0.041; OR=3.73), also IFLS 5 physical activity (p=0.00; OR=0.34).Conclusion: Fish consumption of 2 - 7 days per week and adequate physical activity is associated with a decreased risk of stroke in a population that has been diagnosed with hypertension. Daily milk consumption, hypertension diagnosis, and diabetes mellitus diagnosis may increase the risk of stroke.
Pola asuh dan pola makan sebagai faktor risiko stunting balita usia 6-24 bulan suku Papua dan non Papua di wilayah kerja Puskesmas Arso III kabupaten Keerom Fiyanita Nesa Ramadhani; BJ Istiti Kandarina; I Made Alit Gunawan
Berita Kedokteran Masyarakat (BKM) Vol 35, No 5 (2019)
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (269.012 KB) | DOI: 10.22146/bkm.46336

Abstract

Parenting and feeding paterns as risk factors for stunting toddlers aged 6-24 months Papuans and Non-PapuansPurpose: Stunting or short is one indicator of chronic nutritional status that has long-term effects. The stunting prevalence in Indonesia in 2013 was 37.2% and in Papua in 2016 amounted to 51.72%. In 2017 there were 527 stunting toddlers in Keerom Regency and 214 toddlers found in Skanto District. This study aims to determine the risk of parenting and feeding patterns to the incidence of stunting of children aged 6-24 months in the Papuan and Non-Papuan tribes in the Arso III Health Center, Keerom. Method: This type of research is observational with a case-control design. A total of 160 toddlers were divided into 40 cases and 40 controls in each tribe. Data collection uses parenting questionnaires and SQ-FFQ. Data analysis used the Independent T-Test, Mann-Whitney, Chi-Square and Multiple Logistic Regression. Results: The results of the bivariate analysis showed that there were differences in energy and protein intake and there were no differences in parenting and types of food in Papua and non-Papuan stunting children. In the Papuan tribe there is a relationship between parenting (OR=5.57), energy intake (OR=16.71), protein intake (OR=13.77), type of food (OR=4.63), and incidence of diarrhea (OR= 3.14) with the incidence of stunting. In the Non-Papuan tribe, there is a relationship between parenting (OR=8.03), energy intake (OR=11.76) and protein intake (OR=26.71) with the incidence of stunting. The results of multivariate analysis showed that the factors that contributed to the incidence of stunting in the Papuan tribe were parenting, energy intake, protein intake, and diarrhea, while in the Non-Papuan tribes were parenting, energy intake and protein intake. Conclusion: Parenting, energy intake and protein intake are risk factors for stunting in Papuans and non-Papuans. Energy intake is the most dominant factor in Papuans, while in Non-Papuans is protein intake. It is hoped that the local government can create special family assistance programs or activities to overcome stunting and use land that can prevent or overcome stunting.
Co-Authors Arif Rahmat Kurnia Bambang Djarwoto Bernadette Josephine Istiti Kandarina Fiyanita Nesa Ramadhani Martalena Br. Purba Sarni Rante Allo Bela Setyaji, Diyan Yunanto Shelly Festilia Agusanty Yayi Suryo Prabandari