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Sociodemographic, Infectious Diseases, Food Security, and Environmental Conditions in the Family of Children with and without Intraindividual Double Burden Malnutrition WaSt Purwanti, Rachma; Ajeng, Novitasari Dwi
Al-Sihah : The Public Health Science Journal Volume 16, Nomor 1, January-June 2024
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v16i1.45136

Abstract

Intraindividual double-burden malnutrition, Wasted-Stunted (WaSt), frequently occurs in the same child simultaneously or at different moments throughout their life. This study aims to identify differences in the sociodemographic characteristics, incidence of infectious diseases, food security, and environmental conditions in the family of children with and without WaSt. The research employed a cross-sectional design conducted from April to October 2022 in Semarang City involving 133 subjects. The independent variables included toddler, mother, father, and family characteristics. The dependent variable was WaSt. The statistical tests used were the Kruskal-Wallis test with the Mann-Whitney U test for data that were not normally distributed and the one-way ANOVA test with the Bonferroni post hoc test for normally distributed data. This research shows that 19% of toddlers have WaSt. There were differences in the incidence of infectious diseases, home sanitation hygiene, father’s education, and food security between toddlers with normal nutritional status and the other two groups (stunted and WaSt) with a p-value <0.05. There were no differences in the incidence and types of infection between WaSt and stunted groups. Most family expenditures were allocated to food (70% in the WaSt and stunting groups and 60% in the normal nutritional status group). The government and related stakeholders need to pay more attention to families of children under five with limited access and facilities for hygiene and sanitation, low income, low parental education, and low food security to prevent an increase in the risk of WaSt.
Karakteristik Keluarga, Ketahanan Pangan, Pengeluaran Pangan, dan Keanekaragaman Pangan Keluarga dengan dan tanpa WaSt (Wasting-Stunting) pada Anak di Kota Semarang: Family Characteristics, Food Security, Expenditure, and Dietary Diversity among Families with and without Concurrently Wasted and Stunted Children in Semarang Purwanti, Rachma; Ginting, Ignasia Agatha Br; Aulia, Nurhanna Putri; Nuryanto, Nuryanto; Dieny, Fillah Fithra
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.228-239

Abstract

Background: Family characteristics, food security, expenditure, and diversity are indirectly associated with children's nutritional status. Objectives: This study aimed to examine the differences between food security, expenditure, and diversity among children under five with and without concurrent wasting and stunting (WaSt) in Semarang City. Methods: This study utilized an observational analytic approach with cross-sectional design. Subject selection using a consecutive sampling method obtained 72 subjects consisting of 18 subjects in each group of normal, stunted, wasted, and concurrently wasted and stunted (WaSt). Structured questionnaires collected data on the characteristics of fathers, mothers, and families. Interviews were conducted using the Household Food Insecurity Access Scale (HFIAS), which was obtained to measure food security among families. In contrast, the Individual Dietary Diversity Score (IDDS) was used to obtain food diversity. Differences were analyzed using one-way ANOVA and the Kruskal-Wallis test. A confidence level of 95% was utilized, and the results were significant, with a p-value<0.05 Results: There were significant differences in age, maternal nutrition knowledge, family income, food security, food expenditure, and food diversity between children under five with and without WaSt (p-value=0.010; 0.002; 0.026; 0.001; <0.001; 0.021). Conclusion: The WaSt group has a different age composition, maternal nutritional knowledge, family income, food security, food expenditure, and food diversity from other groups.
Paritas Berhubungan dengan Riwayat Pemberian ASI eksklusif pada Balita Stunting Purwanti, Rachma; Tantri, Ignas Fawwaz; Widyastuti, Nurmasari; Probosari, Enny
Pontianak Nutrition Journal (PNJ) Vol 8, No 1 (2025): MARET 2025
Publisher : Poltekkes Kemenkes Pontianak

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30602/pnj.v8i1.1799

Abstract

Stunting adalah permasalahan gizi yang persentase angka kejadiannya masih tergolong tinggi. ASI eksklusif berkontribusi memenuhi kebutuhan asupan gizi bayi, yang berefek pada tumbuh kembang serta imunitas tubuh bayi. Balita yang mengalami stunting cenderung tidak menerima ASI eksklusif. Faktor yang mempengaruhi terlaksanya pemberian ASI eksklusif adalah paritas dan jenis persalinan. Penelitian ini bertujuan untuk mengetahui hubungan paritas dan jenis persalinan dengan riwayat pemberian ASI eksklusif pada balita stunting. Penelitian ini termasuk penelitian cross sectional. Subjek penelitian adalah 50 ibu dengan balita stunting di wilayah Kota Semarang. Data yang diambil berupa riwayat pemberian ASI Eksklusif, paritas, jenis persalinan, usia ibu, pekerjaan, dan pendidikan. Analisis dilakukan dengan uji fisher exact untuk mengetahui hubungan antar variabel. Sejumlah 13 ibu (26,0%) tidak memberikan ASI eksklusif, 34 ibu (68,0%) seorang multipara, 20 ibu (40,0%) melahirkan secara caesar, 16 ibu (32,0%) usia berisiko, 36 ibu (72,0%) tidak bekerja, dan 14 ibu (28,0%) berpendidikan rendah. Terdapat hubungan paritas dengan pemberian ASI eksklusif (p=0,002), sedangkan jenis persalinan, usia, pendidikan, dan pekerjaan tidak berhubungan dengan pemberian ASI eksklusif. Terdapat hubungan yang signifikan antara paritas dan riwayat pemberian ASI eksklusif pada balita. Tidak ada hubungan antara jenis persalinan normal dan persalinan caesar dengan pemberian ASI eksklusif pada balita.
Utilization of E-PPGBM for analysing the relation between Posyandu visits post-covid-19 adaptation and low body weight history with stunting among toddlers in semarang city Larasati, Erika Nurul; Dieny, Fillah Fithra; Rahadiyani, Ayu; Purwanti, Rachma
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 13, No 2 (2025): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.13.2.105-116

Abstract

Background: Stunting is a failure in growth and development among children, influenced by various factors such as birth condition and health services. After the Covid-19 pandemic in Indonesia, mothers’ perspectives on Posyandu have changed, and data entry in the e-PPGBM, an application for recording and reporting community-based nutrition,has increased, particularly in Semarang City.Objective: The study aimed to utilize e-PPGBM to analyze the relationship between Posyandu visits post-Covid-19 adaptation and low birth weight (LBW) with stunting among toddlers in Semarang City. Materials and Methods:This case-control study used secondary data from e-PPGBM in Semarang City. The case and control groups each included 1,153 gender-matched toddlers aged 12-59 months as of December 2022. The independent variables were Posyandu visits post-Covid-19 adaptation and low birth weight (LBW). The confounding variables included vitamin A supplementation, birth length, early initiation of breastfeeding (EIBF), birth order, and age. Analysis was conducted for bivariate with chi squares and multivariate with logistic regression.Results: Posyandu visits post-Covid-19 adaptation, LBW and EIBF were not associated with stunting. However, incomplete vitamin A supplementation (OR=0.66, 95% CI=0.54-0.81), short birth length (OR=2.39, 95% CI=1.74-3.27), third or higher birth order (OR=1.52, 95% CI=1.15-2.01), children aged 24-35 months (OR=1.85, 95% CI=1.36-2.53), and children aged 36-47 months (OR=1.58, 95% CI=1.16-2.16) were associated with stunting. Conclusion: Non-routine visits to Posyandu post-Covid-19 adaptation and LBW were higher among toddlers with stunting than normal toddlers. However, this relationship was not significantly related to stunting in Semarang City in December 2022. 
Nutrition Literacy Strategies for Improving Healthy and Nutritious Food Consumption Practices in Preschool Children Purwanti, Rachma; Rizqiawan, Angga; Syahadah, Muti'ah Mustaqimatusy; Wijayanti, Hartanti Sandi; Margawati, Ani; Rahadiyanti, Ayu; Syauqy, Ahmad
Wikrama Parahita : Jurnal Pengabdian Masyarakat Vol. 9 No. 1 (2025): May 2025
Publisher : Universitas Serang Raya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30656/jpmwp.v9i1.10286

Abstract

Background: Food consumption practices in preschool children play a crucial role in shaping their dietary habits in later years. Effective nutrition literacy strategies are essential to foster healthy and nutritious food consumption among preschoolers. Aims: To identify problems, interviews were conducted with members of the kindergarten community, including teachers, parents, and students, and observations of the school environment. Methods: Community service with problem-based learning activities were conducted at At Tiin Kindergarten in Semarang City from July to September 2024. The participants in this initiative included 52 preschool children attending Class A at At Tiin Kindergarten. Participants were divided into two groups: a control group (Class A1) receiving a single storytelling session with story books and an intervention group (Class A2) receiving repeated storytelling sessions with story books. Results: The identified issues among the preschoolers included overnutrition (WHZ 17%; WAZ 7%; and BAZ 12%), undernutrition (WHZ 4%; WAZ 10%; BAZ 7%), and stunting (HAZ 4%). Following the implementation of storytelling and storybook-based interventions, children's nutritional literacy improved, especially in the intervention group (16 children), who participated in repeated storytelling sessions, compared to the control group (13 children), who only received one session. Conclusion: Repeated storytelling sessions led to greater gains in balanced nutrition knowledge and improved understanding of the MyPlate guidelines in preschool children. Suggestion: To further enhance nutritional literacy and promote balanced nutrition practices among preschool children, it is recommended that periodic activities be implemented to address and mitigate the issue of malnutrition in this age group.
Penentuan Status Gizi pada Anak Usia Dini di TK Islam Siti Fatimah Tsani, Fahmy Arif; Dieny, Fillah Fithra; Purwanti, Rachma; Kristiana, Ida
Aksiologiya: Jurnal Pengabdian Kepada Masyarakat Vol 6 No 2 (2022): Mei
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/aks.v6i2.4386

Abstract

Anak usia dini merupakan anak yang berusia 0-6 tahun. Pada masa tersebut merupakan masa keemasan atau yang disebut golden age, dimana pada masa tersebut terjadi pertumbuhan yang sangat pesat. Pemantauan perkembangan anak pada rentang usia tersebut sangatlah penting, sehingga anak akan tumbuh dengan baik sesuai dengan umurnya. Pemantauan status gizi anak dapat dilakukan salah satunya di sekolah. Para guru juga berperan dalam mengetahui status gizi para muridnya. Penelitian ini bertujuan untuk mengetahui dan memantau status gizi anak usia dini. Penelitian ini merupakan penelitian kuantitatif dengan rancangan survei yang dilakukan di TK Islam Siti Fatimah, Semarang. Jumlah sampel pada penelitian ini adalah sebanyak 76 sampel. Pengambilan data dilakukan dengan pengukuran berat badan dan tinggi badan dan dianalisis menggunakan WHO Anthro dan WHO Anthro Plus. Berdasarkan hasil pengukuran diketahui bahwa rata-rata z-score BB/U tergolong gizi baik, TB/U tergolong normal, IMT/U tergolong baik dan BB/TB tergolong baik. Sehingga dapat disimpulkan bahwa status gizi anak di TK Islam Siti Fatimah tergolong baik.
Food Neophobia and Animal Protein Intake in Children Aged 3-5 Years: A Cross-Sectional Study in Indonesia Khoirunnisa, Novia Tri; Purwanti, Rachma; Nuryanto, Nuryanto; Rahadiyanti, Ayu
Diversity: Disease Preventive of Research Integrity Volume 6, Issue 1, August 2025
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/diversity.v6i1.56848

Abstract

Food neophobia, defined as the avoidance of unfamiliar or familiar foods due to fear and negative perceptions, can significantly influence children’s dietary variety and nutritional adequacy. Previous studies have highlighted inconsistent findings on its relationship with protein intake, yet limited evidence exists in Indonesia. This study aimed to examine the association between food neophobia and animal protein consumption among toddlers aged 3–5 years in Semarang City, Indonesia. An observational analytic study with a cross-sectional design was conducted from May to July 2024. Data were collected through interviews with parents/caregivers using the Child Food Neophobia Scale (CFNS) and a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Statistical analysis applied Chi-Square tests and logistic regression at a 95% confidence level (p < 0.05). A total of 73 toddlers participated in the study. Findings revealed a significant correlation between food neophobia and frequency of dairy product consumption (p < 0.001), with neophobic children being 13.4 times more likely to consume dairy products than food-neutral children. However, no significant associations were observed with the adequacy or frequency of seafood, poultry, or red meat consumption. These findings indicate that while food neophobia may restrict dietary variety, the preference for dairy can serve as a compensatory nutrient source, particularly for calcium and protein, supporting growth and development. In the Islamic perspective, the inclusion of milk as a wholesome and pure food aligns with Quranic teachings, reinforcing family health practices that integrate both nutritional and spiritual well-being.
Muscle Dysmorphia in Fitness Center Members: Its Affecting Factors and Impacts Fitranti, Deny Yudi; Widyastuti, Nurmasari; Noer, Etika Ratna; Rahadiyanti, Ayu; Dieny, Fillah Fithra; Purwanti, Rachma; Sandi, Dewi Kurnia; Destikasari, Widya
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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

Abstract

Muscle dysmorphia (MD) has several impacts on the decline in social and health functions. This study aimed to determine the correlation between MD with eating behaviors and exercise loading among fitness center members and analyze the factors affecting it. This study used a cross-sectional design with 100 subjects chosen by a consecutive sampling method at three fitness centers in Semarang City. The subjects were all male members of an active fitness center between 17 and 45 years. The data of MD were obtained using the Drive Muscular Scale (DMS), while eating behavior data were obtained using the Eating Attitude Test-40 (EAT-40) and the training load data, including the duration and frequency of weight training data. Social influence data, self-esteem data, and perfectionism data were obtained using a questionnaire. The findings revealed that 61% of the subjects experienced MD, 80% experienced impaired eating behavior, and 80% consumed supplements. There was a correlation between the occurrence of MD with eating behavior with PR = 2.56 and consumption of supplements with PR = 2.56. The most influential factor on MD was a social influence.
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.
Risk Factors for Under-Five Children Severe Acute Malnutrition (SAM) in Grobogan Regency Nuryanto, Nuryanto; Sidhin, Syaharani; Fala, Etika Nurul; Nissa, Choirun; Candra, Aryu; Purwanti, Rachma; Fitranti, Deny Yudi; Rustanti, Ninik; Habibi, Nur Ahmad
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1494

Abstract

Severe Acute Malnutrition (SAM) is a major health risk for children under five. Various factors, such as poor food intake, infections, family size, healthcare participation, maternal nutrition knowledge, and parenting practices, contribute to SAM. However, no studies have specifically examined these factors in under-five children in Grobogan Regency. This study aims to analyze the risk factors associated with severe acute malnutrition among children under five years old in Grobogan Regency. The study employed a quantitative case-control design involving children aged 0-59 months in Grobogan Regency, with 11 children with Severe Acute Malnutrition (SAM) as the case group obtained through total sampling, and 11 well-nourished children as the control group selected via matching. Key variables examined included energy, protein, fat, and carbohydrate intake, as well as infectious diseases, family size, participation in posyandu, maternal nutrition knowledge, and parenting practices. Descriptive analysis outlined the subjects and variables, with bivariate analysis using the Chi-Square test at a 95% confidence level (α=0.05). The results study show that the statistical analysis indicated that inadequate energy intake was significantly associated with SAM (p=0.008, OR=26.667), suggesting that children under five with insufficient energy intake are 26.667 times more likely to experience severe acute malnutrition compared to those with adequate energy intake. In contrast, adequate intake of protein, fat, and carbohydrates, as well as factors such as infectious diseases, family size (p=0.080), participation in posyandu (p=1.000), maternal nutrition knowledge (p=0.476), and parenting practices (p=0.198), did not demonstrate significant associations with SAM among these children. The conclusion is adequate energy intake has been identified as a significant risk factor for SAM among under-five children in Grobogan Regency. Conversely, factors such as adequate intake of protein, fat, and carbohydrates, infectious diseases, family size, participation in posyandu, maternal nutrition knowledge, and parenting practices were not recognized as significant risk factors.
Co-Authors 'Aisy, Amalia Rihadatul A Fahmy Arif Tsani Adani Ladiba Addina Zulfaa Adinda Djasmin Adinda Mevya Adinda Safitri Adzro&#039;ul Akifah Agavita Cendy Ahmad Syauqy Ahmad Syauqy Aida Fitri Nazillah Ajeng, Novitasari Dwi Alfia Nur W Anggraeni, Erika Tri Ani Margawati Anindiba, Inas Fatin Arfinanda, Najwa Diva Khoirunnisa' Arisanti, Yohanete Novita Aryu Candra Astika Widy Utomo, Astika Widy Atika Putri Widia Anggraeni Aulia, Nurhanna Putri Avisha, Rosita Nur Ayu Rahadiyanti Ayu Rahadiyanti Azzahra K. Bagoes Widjanarko Binar Panunggal Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudy Fitranti Desi Nurfita Destikasari, Widya Devana Doanaresta Dewi Kurnia Sandi Dewi Marfu'ah Kurniawati Dewi Marfu'ah Kurniawati Dewi Marfu’ah Kurniawati Diana Nur Afifah, Diana Nur Dieny, Fillah Fitra Eka Cahyaningsih Enny Probosari Etika Ratna Noer Etisa Adi Murbawani Fadhila, Farah Rosyihana Fajrani, Alifia Mukti Fala, Etika Nurul Faradina, Amelia Fauzia Purnamasari Febriyanti, Monica Sofchah Ferry Sandra Fillah Fithra Dieny Fillah Fitra Dieny Fitriyono Ayustaningwarno Galuh Chandra Irawan, Galuh Chandra Gemala Anjani Ginting, Ignasia Agatha Br Gita A, Putri Hartanti Sandi Wijayanti Hayatun Azni Helena Rahmarani Ice Diananingrum Ida Kristiana Iriyanti Harun Jauziyah, Shofi Khoirunnisa, Novia Tri Khusana Aniq Kristiana, Ida Kusumawati, Inmas Larasati, Erika Nurul Laura, Cicilia Lilis Endang Wijayanti, Lilis Endang Luluk Hidayatul Maghfiroh Luthfiatul Khusna M. Rifky Al Haedar Maharani, Mutiara Irma Mar Atus Sholihah Marfu'ah Kurniawati, Dewi MARTHA ARDIARIA Masha, Tania Mentari Suci Ramadini Sujono Mursid Tri Susilo Nafsih, Vifin Zakiahtin Ninik Rustanti Nisa, Lainatin Nissa, Choirun Noviasti Rahma Utami Noviasti Rahma Utami Nur Ahmad Habibi Nur Hidayah Nur W, Alfia Nurmasari Widyastuti Nuryanto Nuryanto Nurzanah Febrianah Nyoman Suci Widiastiti Permata Laila K. Putri Gita A R, Rahmawati Rachmania Anggita Savitri Rahadiyani, Ayu Rahma, Devi Elvina Rahmawati R Raisa Namira Rani Ridowahyu Saphira Rizqiawan, Angga Sandi, Dewi Kurnia Septamarini, Risna Galuh Setiyowati Rahardjo Sidhin, Syaharani Siringoringo, Ester Theresia Syafira Noor Pratiwi Syahadah, Muti'ah Mustaqimatusy Tantri, Ignas Fawwaz Taradipa, Priska Tamara Tsani, A. Fahmy Arif Tsani, Fahmy Arif Werry Lisfani Widiastuti, Nurmasari Widiastuti, Yuliati Widya Destikasari Yanti Ernalia Yulia Rizki Maulina Yunita Sekar Asri Zulfa, Fairuz