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PREDICTION OF LOW BIRTH WEIGHT BASED ON MATERNAL THIRD TRIMESTER WEIGHT AMONG MOTHERS AT A MATERNAL CLINIC IN JAKARTA, INDONESIA Kusharisupeni Djokosujono; Wahyu Kurnia Yusrin Putra; Diah Mulyawati Utari; Isna Aulia Fajarini
Media Gizi Indonesia Vol. 16 No. 2 (2021): JURNAL MEDIA GIZI INDONESIA (National Nutrition Journal)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v16i2.106-110

The occurrence of low birth weight (LBW) can be reduced by optimizing gestational weight gain. However, the gestational weight cannot be monitored properly as there are a lot of mothers who receive Antenatal Care (ANC) less than four times as recommended by WHO. Therefore, this study aimed to determine whether early third trimester gestational weight could predict the incidence of LBW among newborns. A cross-sectional study was conducted using secondary data from Anny Rahardjo Maternity Clinic’s registry. A total of 278 eligible data of pregnant mothers who visited the clinic in 2017–2018 was chosen as study subjects. The mean for weight of birth was 3112.77 ± 384.40 g and early third trimester was 63.52 ± 11.07 kg. The prevalence of LBW was 3.2%. Early third trimester weight was found as the dominant factor of LBW after controlling the length of gestation. Early third trimester weight is signifi cantly correlated with LBW (p < 0.001). The optimum cutoff point was 59.8 kg with AUC = 0.68 (CI 95% = 0.52 – 0.83), sensitivity 67%, specifi city 63%, positive predictive value 5.66%, and negative predictive value 98.2%. The early third trimester weight is able to predict LBW with optimal cutoff value 59.8 kg.

KERAGAMAN MAKAN MINIMUM SEBAGAI FAKTOR DOMINAN STUNTING PADA ANAK USIA 6-23 BULAN DI KABUPATEN KUPANG Irmawati Apriany Thobias; Kusharisupeni Djokosujono
JURNAL KESMAS DAN GIZI (JKG) Vol. 3 No. 2 (2021): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v3i2.592

Background: Stunting in children is one of the things that most significantly hinders human development, which globally affects around 162 million children under 5 years (WHO, 2017). Kupang Regency is one of the contributors to the stunting rate with a prevalence of 46.2% in 2013 and increasing in 2019 to 50.3% (SSGBI, 2019). Objectives: This study aims to determine the factors most associated with the incidence of stunting in children 6 -23 months in Kupang Regency. Methods: This study used secondary data from the results of the 2019 YASATU NGO survey with the simple random sampling method, with a sample of 166 children aged 6-23 months. The variables analyzed consisted of the dependent variable stunting, the independent variables: maternal age and education, age and sex of the child, breastfeeding status, minimum dietary diversity, minimum meal frequency, and minimum acceptable diet. Results: The bivariate analysis showed that there hadnâ€™t a relationship between maternal age, maternal education, child age, child sex, breasfeeding status on the incidence of stunting. Meanwhile, there was a significant relationship between minimum dietary diversity (MDD), minimum meal frequency (MMF), minimum acceptable diet (MAD) on the incidence of stunting. The final result of multivariate analysis showed that minimum dietary diversity had the greatest Odds Ratio (OR=12,341; CI 95%=3,118-48,841). It was controlled by breastfeeding status, minimum meal frequency and minimum accpetable diet. Conclusion: Minimum dietary diversity is a dominant factor of stunting in children aged 6-23 months in Kupang Regency. Children who did not meet MDD have 12,3 times higher risk of stunting than those who meet MDD.

Hubungan Asupan Gizi dengan Kejadian Premenstrual Syndrome Kartika Estiani; Kusharisupeni Djokosujono
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 02 (2020): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Premenstrual Syndrome (PMS) adalah kumpulan gejala fisik, psikologis, dan emosional yang terkait dengan siklus menstruasi yang biasanya terjadi 7-14 hari sebelum periode menstruasi dan menghilang ketika menstruasi dimulai. Gejala yang muncul dapat mengganggu aktivitas. Salah satu faktor penyebab PMS adalah asupan gizi. Tujuan dari penelitian ini yaitu menganalisis hubungan antara asupan gizi dengan kejadian PMS pada siswi SMA pada tahun 2017. Penelitian ini menggunakan studi cross sectional dengan pendekatan kuantitatif. Pengumpulan data menggunakan formulir estimated food records 2x24 jam dan kuesioner Shortened Premenstrual Assessment Form untuk mendapatkan variabel PMS. Data dianalisis menggunakan uji regresi logistik. Hasil analisis multivariat menunjukkan empat variabel yang secara signifikan terkait dengan PMS yaitu asupan lemak (Pv=0,047; OR=0,680), karbohidrat (Pv=0,040; OR=0,339), serat (Pv=0,010; OR=-0,0005), dan piridoksin (Pv=0,079; OR=0,717). Asupan piridoksin adalah variabel paling protektif terkait PMS dengan OR= 0,717. Analisis ini menghasilkan OR<1 artinya asupan lemak, karbohidrat, serat, dan piridoksin merupakan faktor protektif sehingga dapat mengurangi risiko kejadian PMS. Kesimpulan dari penelitian ini adalah PMS dapat terjadi jika siswi SMA tidak cukup asupan lemak, karbohidrat, serat, dan piridoksin. Oleh karena itu, siswi SMA perlu meningkatkan asupan makanan yang mengandung lemak, karbohidrat, serat, dan piridoksin sesuai kebutuhan gizi.

An Effective Method to Predict Low Birth Weight in Indonesia Rural Area Asyifa Robiatul Adawiyah; Kusharisupeni Djokosujono; Nur Alam; Novita Arie Setiawati
Indonesian Journal of Public Health Nutrition Vol 2, No 1 (2021)
Publisher : Faculty of Public Health Universitas Indonesia

Antenatal care is a compulsory program in Indonesia with minimally 4 times visits, unfortunately, regular Antenatal care visit at Kanjillo health center, South Sulawesi, Indonesia is still low. Most of the LBW in Indonesia born in a rural-areas, where most of the women visit ANC during the third trimester. This study aims to determine the cut-off point of mother’s last trimester pregnancy weight for predicting as well as preventing low birthweight outcomes in the community. The research design was cross-sectional with secondary data taken from the Kanjilo health center, with 150 pregnant mothers visited the health center in 2019, as samples. Anthropometric measurements were used to determine the pregnancy weight in the last trimester as well as the weight of the baby born. Univariate, bivariate, multivariate analysis as well as Receiving Operation Characteristic (ROC) analysis was used. Cut off point of 60.5 kg of pregnancy weight in the third trimester of pregnancy and 0.919 AUC can predict low birth weight. To confirm this method, validation should be done in the community setting in several rural areas.

Availability of Sugar-Sweetened Beverages at Home as The Dominant Factor Related to Its Consumption Among Students of SMAN (State High School) 47 Jakarta, Indonesia, in 2022 Nadhira Winindya Sari; Kusharisupeni Djokosujono; Diah Mulyawati Utari; Neni Rohayati
Indonesian Journal of Public Health Nutrition Vol 3, No 1 (2022)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ijphn.v3i1.6176

AbstractSugar-sweetened beverages (SSBs) are drinks added with simple sugar, which can increase the energy because of calorie-dense and high in sugar, but low in other nutrients. Excessive consumption of SSBs can cause nutritional problems, such as increasing the risk of overweight and obesity. This study aims to determine the relationship between SSBs consumption and various factor and the dominant factor of SSBs consumption among students of SMAN (State High School) 47 Jakarta in 2022. The cross-sectional study was conducted from November 2021 to June 2022 with 120 respondents. Primary data was taken using questionnaires and analyzed by univariate, bivariate (chi-square test), and multivariate (multiple logistic regression). Univariate analysis shows that 90% of respondents consumed high levels of SSBs. Bivariate analysis shows that pocket money, advertising and media exposure, and availability of SSBs at home have a significant relationship with SSBs consumption. Multivariate analysis shows that the dominant factor associated with SSBs consumption was the availability of SSBs at home. The school is advised to provide education about the impact of high SSBs consumption, provide mineral water refills, and encourage parents to provide healthy drinks at home. The government is advised to use social media for intervention, limiting unhealthy drinks ads, and implementing a policy of SSBs excise tax.Keywords: Sugar-sweetened beverages, adolescents, high school studentsAbstrakSugar-sweetened beverages (SSBs) merupakan minuman yang diberi tambahan gula sederhana yang menambah kandungan energi karena padat kalori dan tinggi gula, namun memiliki sedikit kandungan zat gizi lain sehingga dapat meningkatkan risiko kejadian gizi lebih. Penelitian ini bertujuan untuk mengetahui hubungan konsumsi SSBs dengan berbagai faktor dan mengetahui faktor dominan konsumsi SSBs pada siswa SMAN 47 Jakarta tahun 2022. Penelitian ini menggunakan desain studi cross sectional pada bulan November 2021 - Juni 2022 dengan jumlah responden sebanyak 120 orang. Data yang diambil adalah data primer dengan pengisian kuesioner. Data yang diperoleh selanjutnya akan dianalisis secara univariat, bivariat (uji chi-square), dan multivariat (uji regresi logistik ganda). Hasil analisis univariat menunjukkan 90% responden mengonsumsi SSBs tingkat tinggi. Hasil bivariat menunjukkan bahwa uang saku, paparan iklan dan media, serta ketersediaan SSBs di rumah memiliki hubungan yang signifikan terhadap konsumsi SSBs. Analisis multivariat menunjukkan bahwa faktor dominan yang berhubungan dengan konsumsi SSBs adalah ketersediaan SSBs di rumah. Pihak sekolah disarankan untuk memberikan edukasi gizi terkait dampak konsumsi SSBs berlebih, menyediakan tempat pengisian ulang air mineral, dan mengimbau orang tua siswa untuk menyediakan makanan sehat di rumah. Pemerintah disarankan untuk memanfaatkan media sosial sebagai media intervensi, membatasi iklan minuman yang kurang sehat, dan menerapkan kebijakan pengenaan cukai SSBs.Kata kunci: Sugar-sweetened beverages, remaja, siswa SMA

Factors Related to the Incidence of Diarrhea of Children Aged 24-59 Months in Karangkamulyan Village, Cihara District, Lebak Regency in 2020 Hafshah Farah Fadhilah; Kusharisupeni Djokosujono; Ratu Ayu Dewi Sartika
Indonesian Journal of Public Health Nutrition Vol 3, No 2 (2023)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ijphn.v3i2.6609

AbstractDiarrhea remains a major issue in developing countries, including Indonesia, and is a leading cause of malnutrition and death. Banten is one of the provinces with a high incidence of diarrhea. In 2019, the district with the highest number of diarrhea cases for all ages in Banten was Lebak with a total of 50,270 cases. The age group with the greatest number of diarrhea cases was toddlers with over 14,000 cases. This study aimed to investigate the relationship between the incidence of diarrhea and the characteristics of toddlers and their parents, personal hygiene, and environmental sanitation. The study used secondary data with a cross-sectional design and a sample size of 209 toddlers aged 24-59 months. The dependent variable was the incidence of diarrhea, while the independent variables were the child's age, gender, mother's education, mother's occupation, family income, hand washing habits, snacking habits, footwear habits when playing outside the home, nail cleanliness, and toilet habits, drinking water source, storage of clean water after cooking, and toilet ownership. The results of the bivariate analysis in this study showed that there was a relationship between the child's age (p-value = 0.001; OR = 2.990), the mother's education (p-value = 0.027; OR = 0.404), the mother's habit of washing hands with running water (p-value = 0.001; OR = 0.335), and the source of drinking water (p-value = 0.005; OR = 0.329) with the incidence of diarrhea in toddlers aged 24-59 months in Karangkamulyan Village, Cihara Sub-district, Lebak District, Banten Province in 2020. Keywords: Toddler, diarrhea, hand washing, drinking water source AbstrakPenyakit diare menjadi permasalahan utama di negara-negara berkembang termasuk di Indonesia, diare juga menjadi penyebab utama gizi kurang yang bisa menimbulkan kematian. Banten merupakan salah satu provinsi dengan angka kejadian diare yang tinggi. Sedangkan daerah Kabupaten / Kota di Provinsi Banten dengan kasus diare tertinggi untuk semua umur pada tahun 2019 adalah Kabupaten Lebak dengan total 50.270 kasus. Kelompok umur dengan jumlah kasus diare terbanyak adalah usia balita dengan total lebih dari 14.000 kasus. Penelitian bertujuan untuk mengetahui hubungan antara kejadian diare terhadap karakteristik anak balita dan orang tua, personal hygine, dan sanitasi lingkungan. Penelitian ini menggunakan data sekunder dengan desain cross-sectional dengan jumlah sampel sebanyak 209 anak balita usia 24-59 bulan. Dengan variabel dependen yaitu kejadian diare dan variabel independen yaitu usia anak, jenis kelamin anak, pendidikan ibu, pekerjaan ibu, penghasilan keluarga, kebiasaan mencuci tangan, kebiasaan jajan, Kebiasaan Pemakaian Alas Kaki saat bermain di luar rumah, kebersihan kuku, dan kebiasaan BABS, sumber air minum, penyimpanan air bersih setelah dimasak, dan kepemilikan jamban. Hasil analisis bivariat pada penelitian ini menunjukkan bahwa adanya hubungan antara usia anak (p- value = 0,001; OR = 2,990), pendidikan ibu dengan (p- value = 0,027; OR = 0,404), kebiasaan ibu mencuci tangan dengan air mengalir (p- value = 0,001; OR = 0,335), dan sumber air minum (p- value = 0,005; OR = 0,329) dengan kejadian diare pada balita usia 24-59 bulan di Desa Karangkamulyan, Kecamatan Cihara, Kabupaten Lebak, Provinsi Banten tahun 2020. Kata kunci: Balita, diare, cuci tangan, sumber air minum

Hubungan Asupan Gizi dengan Kejadian Premenstrual Syndrome Kartika Estiani; Kusharisupeni Djokosujono
Jurnal Ilmu Kesehatan Masyarakat Vol 9 No 02 (2020): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v9i02.523

Premenstrual Syndrome (PMS) adalah kumpulan gejala fisik, psikologis, dan emosional yang terkait dengan siklus menstruasi yang biasanya terjadi 7-14 hari sebelum periode menstruasi dan menghilang ketika menstruasi dimulai. Gejala yang muncul dapat mengganggu aktivitas. Salah satu faktor penyebab PMS adalah asupan gizi. Tujuan dari penelitian ini yaitu menganalisis hubungan antara asupan gizi dengan kejadian PMS pada siswi SMA pada tahun 2017. Penelitian ini menggunakan studi cross sectional dengan pendekatan kuantitatif. Pengumpulan data menggunakan formulir estimated food records 2x24 jam dan kuesioner Shortened Premenstrual Assessment Form untuk mendapatkan variabel PMS. Data dianalisis menggunakan uji regresi logistik. Hasil analisis multivariat menunjukkan empat variabel yang secara signifikan terkait dengan PMS yaitu asupan lemak (Pv=0,047; OR=0,680), karbohidrat (Pv=0,040; OR=0,339), serat (Pv=0,010; OR=-0,0005), dan piridoksin (Pv=0,079; OR=0,717). Asupan piridoksin adalah variabel paling protektif terkait PMS dengan OR= 0,717. Analisis ini menghasilkan OR<1 artinya asupan lemak, karbohidrat, serat, dan piridoksin merupakan faktor protektif sehingga dapat mengurangi risiko kejadian PMS. Kesimpulan dari penelitian ini adalah PMS dapat terjadi jika siswi SMA tidak cukup asupan lemak, karbohidrat, serat, dan piridoksin. Oleh karena itu, siswi SMA perlu meningkatkan asupan makanan yang mengandung lemak, karbohidrat, serat, dan piridoksin sesuai kebutuhan gizi.

KONSUMSI BUAH-SAYUR PADA SISWA SMA NEGERI 81 JAKARTA [THE CONSUMPTION OF FRUITS AND VEGETABLES AMONG STUDENTS OF SMA NEGERI 81 JAKARTA] Aufa Hanifa; Kusharisupeni Djokosujono; Triyanti Triyanti; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 43 No. 2 (2020): PGM VOL 43 NO 2 TAHUN 2020
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar

ABSTRACT Lack of fruit and vegetable consumption may increase the risk of non-communicable diseases in later life. Consumption of fruits and vegetables in the Indonesian population is still low, especially among adolescents. The study aimed to determine the dominant factor associated with fruit and vegetable consumption among high school students in SMA Negeri 81 Jakarta. This study used a cross-sectional study design and was conducted from March until April 2020, wich consist 143 respondents. Data collection including consumption of fruits and vegetables, gender, preferences, knowledge of fruits and vegetables, parental influence, peer influence, availability of fruits and vegetables at home, consumption of fast food, consumption of SSBs, pocket money, exposure to mass media, and parental education levels were carried out online. Data were analyzed by bivariate analysis with the Chi-Square test and multivariate analysis with multiple logistic regression tests. The results found that 67,1 percent of respondents consumed less fruit and vegetables (<400 grams per day). Bivariate results showed a significant relationship between gender, preference, parental influence, fruit and vegetable availability at home, and mass media exposure with fruit and vegetable consumption. Logistic regression analysis showed that the availability of fruits and vegetables at home was a dominant factor associated with fruit and vegetable consumption (OR = 5,8; CI = 1,7 – 20,3). The availability of fruits and vegetables at home was the dominant factor in the consumption of fruits and vegetables among students of SMA Negeri 81 Jakarta. It is necessary to implement policies that promote and provide easy access to fruits and vegetables through school and home to increase fruit and vegetable intake in adolescents. ABSTRAK Kurang konsumsi buah dan sayur dapat meningkatkan risiko terjadinya penyakit tidak menular di kemudian hari. Konsumsi buah dan sayur penduduk Indonesia masih rendah, terutama pada kalangan remaja. Tujuan penelitian untuk mengetahui faktor dominan konsumsi buah dan sayur pada siswa SMA Negeri 81 Jakarta. Desain penelitian cross-sectional, dilaksanakan pada bulan Maret hingga April 2020 dengan responden sejumlah 143. Data yang dikumpulkan meliputi konsumsi buah dan sayur, jenis kelamin, preferensi, pengetahuan tentang buah dan sayur, pengaruh orang tua, pengaruh teman sebaya, ketersediaan buah dan sayur di rumah, konsumsi fast food, konsumsi SSBs, uang jajan, keterpaparan terhadap media massa, dan tingkat pendidikan orang tua dilakukan secara daring. Data dianalisis secara bivariat dengan uji Chi-Square, dan analisis multivariat dengan uji regresi logistik ganda. Hasil penelitian menemukan sebanyak 67,1 persen responden kurang mengonsumsi buah dan sayur (<400 gram/hari). Hasil bivariat menunjukkan adanya hubungan yang signifikan antara jenis kelamin, preferensi, pengaruh orang tua, ketersediaan buah dan sayur di rumah, dan keterpaparan terhadap media massa dengan konsumsi buah dan sayur. Analisis regresi logistik menunjukkan bahwa ketersediaan buah dan sayur di rumah merupakan faktor dominan yang berhubungan dengan konsumsi buah dan sayur (OR = 5,8; CI = 1,7 – 20,3). Ketersediaan buah dan sayur di rumah merupakan faktor dominan konsumsi buah dan sayur pada siswa SMA Negeri 81 Jakarta. Perlu kebijakan untuk mempromosikan dan memberikan kemudahan akses konsumsi buah dan sayur melalui sekolah dan rumah untuk meningkatkan asupan buah dan sayur pada remaja.

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