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All Journal Universa Medicina GIZI INDONESIA Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Jurnal Untuk Masyarakat Sehat (JUKMAS) PUBLIKASI PENELITIAN TERAPAN DAN KEBIJAKAN International Journal of Health and Pharmaceutical (IJHP) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ekowati Rahajeng
Peneliti Pusat Teknologi Intervensi Kesehatan Masyarakat
Agriculture, Biological Sciences & Forestry Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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PENGARUH KONSUMSI KOPI TERHADAP KEJADIAN DIABETES MELITUS TIPE 2 (Studi Follow up Gangguan Toleransi Glukosa di Depok Jawa Barat Tahun 2001-2008) Rahajeng, Ekowati
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

EFFECT OF COFFEE CONSUMPTION FOR THE INCIDENCE OF TYPE 2 DIABETES MELLITUS(Follow up Study for Impaired Glucose Tolerance in Depok, West Java 2001-2008)Coffee consumption is known to increase the risk of the incidence of Type 2 Diabetes Mellitus. Effect of coffee consumption on the occurrence of Type 2 diabetes has been investigated in 289 cases of impaired glucose tolerance (IGT) through prospective cohort studies since 2001 in Depok City, West Java. Coffee drinking habits was collected through measure of caffeine content were consumed. Caffeine content was measured by Atomic Absorption Spectrophotometer (AAS) using the method High Performance Liquid Chromatography (HPLC). Diagnosis of IGT determined based on examination results of fasting blood glucose levels ie lower 126 mg / dL and 2 hours after 75 g glucose load blood glucose levels ie 140-199 mg / dL. Diagnosis of diabetes melitus determined by the basis of the results of clinical examination and results of fasting blood glucose levels, ie ≥ 126 mg / dL and/or results of blood glucose 2 hours after glucose load, ie ≥ 200mg/dl. The follow-up study, to confirm these effects was conducted in 2008. Multinomial logistic multivariate analysis of coffee consumption habits and all variables equally harmful risk of incident type 2 diabetes suggests that coffee consumption with caffein content of 240-359,9 mgcaffein had high risk of type 2 diabetes with RR value 3.88 (95% CI 1.20, 8.75), and RR for coffee consumption with caffein content >= 360 mg caffein daily was 5.46 (95% CI 1.57, 11.86). Another factors was contribut to the incidence of type 2 diabetes mellitus is high fat consumption with RR 4.64 (95% CI 1.90, 10.28), obesity with RR 4.04 (95% CI 1.31, 8.27 ), and hypertriglyceride with RR 4.99 (95% CI 1.55, 10.19). High fiber consumption, and high physical activity was found to prevent Type 2 diabetes with RR 0.37 (95% CI 0.10, 0.70) and RR 0.42 (95% CI 0.18, 0.68).Keywords: coffee consumption, type 2 Diabetes Mellitus
SURVIVAL RATE PENYANDANG HIPERTENSI DENGAN KONSUMSI NATRIUM RENDAH TERHADAP KEJADIAN STROKE Rahajeng, Ekowati; Riyadina, Woro
GIZI INDONESIA Vol 39, No 2 (2016): September 2016
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Stroke is the leading cause of death and disability in the world. Several studies have shown that stroke can be prevented through modifiable risk factors. The adequate treatment of hypertension may reduce the risk of stroke. Lifestyle modification such as reducing salt intake in hypertension management have demonstrated lowering blood pressure, enhancing the effectiveness of antihypertension drugs and also reducing stroke risk. This study aims to verify the survival rate of hypertension with lower sodium intake (<2000 mg per day) on the incidence of stroke. The study was conducted through a prospective cohort study (4 years of follow-up) in 1082 people with confirmed hypertension. Stroke were confirmed by neurologist. The consumption of sodium, sugar and fat were collected through 24-hour dietary recall. Hypertension survival rate was calculated using Life Table Survival analysis. This study has demonstrated evidence of the higher survival rate of hypertension with low sodium intake on the incidence of stroke, with the difference 2-year survival rate is 3 percent higher and 4-year survival rate is 5 percent higher. Sodium consumption of <2000 mg per day in people with hypertension has prevented a 78 percent incidence of stroke. Therefore, the intervention programs to reduce of the consumption of salt or sodium in Indonesia should be prioritized.
OBESITAS SENTRAL PADA ORANG DEWASA: STUDI KOHOR PROSPEKTIF DI KOTA BOGOR Sudikno, Sudikno; Riyadina, Woro; Rahajeng, Ekowati
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Central obesity is one of the public health problems in developing countries. This study aims to analyze the dynamic risk factors for central obesity in adults. This study used secondary data "Cohort Study of Non-Communicable Diseases Risk Factors" observing period for six years. The study design was a prospective cohort. The subjects were all household members aged 25 years and above with the criteria remaining in the study area, healthy, non-physically disabled, non-pregnant, having normal abdominal circumference (male ≤ 90 cm and female ≤80 cm) on baseline study, not suffering from non-communicable diseases (hypertension, diabetes mellitus, cancer, stroke, chronic obstructive pulmonary disease) at the baseline of the study, and completeness of the data. The number of subjects at the baseline of the study were 1510, consisting of 613 men and 897 women. The results showed that a cumulative incidence of central obesity during the 6-year observation period of 837 (55.4%). Multivariate cox regression analysis showed that the risk factors for central obesity in adults were gender, age group, marital status, and physical activity. This study concluded that female subjects with physical inactivity had more central obesity compared to male subjects with physical inactivity.ABSTRAK Obesitas sentral merupakan salah satu masalah kesehatan masyarakat di negara berkembang. Penelitian ini bertujuan untuk menganalisis faktor risiko dinamis terjadinya obesitas sentral pada orang dewasa. Penelitian ini menggunakan data sekunder “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” periode pemantauan selama enam tahun. Desain penelitian adalah kohor prospektif. Subjek adalah semua anggota rumah tangga yang berumur 25 tahun ke atas dengan kriteria tetap tinggal di wilayah penelitian, sehat, tidak cacat fisik, subjek perempuan tidak hamil, memiliki lingkar perut normal (laki-laki ≤ 90 cm dan perempuan ≤80 cm) pada awal studi, tidak menderita penyakit tidak menular (hipertensi, diabetes mellitus, kanker, strok, PPOK) pada awal studi, dan kelengkapan data. Jumlah subjek pada awal penelitian 1510 orang, yang terdiri dari 613 laki-laki dan 897 perempuan. Hasil penelitian menunjukkan kumulatif insiden obesitas sentral selama 6 tahun periode pengamatan sejumlah 837 orang (55,4%). Hasil analisis multivariat cox regression menunjukkan bahwa faktor risiko terjadinya obesitas sentral pada orang dewasa adalah jenis kelamin, kelompok umur, status kawin, dan aktivitas fisik. Penelitian ini menyimpulkan bahwa subjek perempuan dengan aktivitas fisik kurang lebih cepat mengalami obesitas sentral dibandingkan subjek laki-laki dengan aktivitas fisik kurang. Kata kunci: faktor risiko, obesitas sentral, dewasa
Hubungan Merokok Dengan Status Kesehatan Pada Orang Dewasa Indonesia (> 45 Tahun), RISKESDAS 2013 Sirait, Anna Maria; Sulistiowati, Eva; Rahajeng, Ekowati
Publikasi Penelitian Terapan dan Kebijakan Vol 9 No 1 (2015): Jurnal Pembangunan Manusia
Publisher : Badan Penelitian dan Pengembangan Daerah Provinsi Sumatera Selatan

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Abstract

Determinants of diabetes comorbidities in Indonesia: a cohort study of non-communicable disease risk factor Kristanti, Dewi; Rahajeng, Ekowati; Sulistiowati, Eva; Kusumawardani, Nunik; Dany, Frans
Universa Medicina Vol. 40 No. 1 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.3-13

Abstract

BackgroundType 2 diabetes mellitus (DM) is a non-communicable disease that constitutes a huge health burden, with the presence of comorbidities of DM adding to it. This study aimed to obtain the main determinants of the combined incidence of DM and its main comorbidities in adults.MethodsThis was a further analysis of the Non-Communicable Disease Risk Factor Cohort Study 2011 – 2018 involving 3730 subjects. Data of diabetes-free respondents at baseline were followed up every 2 years for 6 years. Data collection was carried out through interviews and health examinations. All subjects were assayed for blood glucose and lipid parameters. Chi-square test and Cox regression were implemented for data analysis.ResultsDuring 6 years of follow-up, DM incidence occurred in 567 (15.2%) subjects. The most common comorbidities were increased low density lipoprotein (LDL), central obesity, increased total cholesterol, obesity and hypertension. Most of the comorbidities occurred before the diagnosis of DM incidence. The determinants of the combined DM incidence–increased LDL are obesity, hypertension, and a family history of DM. The determinants of the combined DM incidence–central obesity are increased triglycerides, hypertension, male gender, and family history of DM. While the determinants of the combined DM incidence–hypertension are obesity and increased triglycerides.CONCLUSIONThis study demonstrated a high burden of diabetes incidence with comorbidities among adults. Knowledge of the magnitude of the diabetescomorbidity determinants emphasizes the role of non pharmacological intervention such as weight reduction and dietary modification.
Determinan Penyakit Stroke Riyadina, Woro; Rahajeng, Ekowati
Kesmas Vol. 7, No. 7
Publisher : UI Scholars Hub

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Abstract

Penyakit stroke merupakan penyebab kematian dan kecacatan kronik yang paling tinggi pada kelompok umur di atas usia 45 tahun terbanyak di Indonesia. Tujuan penelitian ini untuk mengidentifikasi determinan utama yang berhubungan dengan penyakit stroke pada masyarakat di kelurahan Kebon Kalapa Bogor. Analisis lanjut terhadap 1.912 responden subset baseline data penelitian “Studi Kohort Faktor Risiko Penyakit Tidak Menular” Data dikumpulkan dengan metode wawancara pada penduduk tetap di kelurahan Kebon Kalapa, Kecamatan Bogor Tengah, Bogor tahun 2012. Diagnosis stroke berdasarkan anamnesis dan pemeriksaan dokter spesialis syaraf. Variabel independen meliputi karakteristik sosiodemografi, status kesehatan dan perilaku berisiko. Data dianalisis dengan uji regresi logistik ganda. Penyakit stroke ditemukan pada 49 (2,6%) orang. Determinan utama stroke meliputi hipertensi (OR = 4,20; IK 95% = 2,20 – 8,03), penyakit jantung koroner (OR = 2,74; IK 95% = 1,51 – 4,99), diabetes melitus (OR = 2,89; IK 95% = 1,47 – 5,64), dan status ekonomi miskin (OR = 1,83 ; IK 95% = 1,03 – 3,33). Pencegahan penyakit stroke dilakukan dengan peningkatan edukasi (kampanye/penyuluhan) melalui pengendalian faktor risiko utama yaitu hipertensi dan pencegahan terjadinya penyakit degeneratif lain yaitu penyakit jantung koroner dan diabetes melitus. Stroke disease is the leading cause of death and chronic disability in most over the age of 45 years in Indonesia. The aim of study was to identify the major determinants of stroke disease in Kebon Kalapa community in Bogor. A deep analyze was conducted in 1.912 respondents based on the subset of baseline data “Risk Factors Cohort Study of Non Communicable Diseases.” Data was collected by interviews on Kebon Kalapa community, Bogor in 2012. Stroke diagnosis was determined by anamnesis and neurological examination with specialist. Independent variables were sociodemographic characteristics, health status and risk behavior. Data analysis was performed by multiple logistic regression test. This study revealed that stroke disease was found in 49 people (2.6%). The main determinant of stroke included hypertension (OR = 4.20; 95% CI = 2.20 – 8.03), coronary heart disease (OR = 2.74; 95% CI = 1.51 – 4.99), diabetes mellitus (OR = 2.89; 95% CI = 1.47 – 5.64), and low economic status (OR = 1.83; 95% CI = 1.03 – 3.33). Prevention of stroke should be done by increasing education (campaign) through the control of major risk factors of hypertension and prevention of other degenerative diseases are coronary heart disease and diabetes mellitus.
Faktor-Faktor yang Memengaruhi Waktu Tunggu Pelayanan Resep Pasien JKN di Instalasi Farmasi Rawat Jalan RSI Sultan Agung Banjarbaru Yustina, Sophia; Rahajeng, Ekowati; Indrawati, Lili
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 9, No 4 (2025): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/marsi.v9i4.7201

Abstract

Abstrak Latar Belakang: Waktu tunggu pelayanan resep merupakan salah satu indikator mutu pelayanan farmasi di rumah sakit dan berpengaruh terhadap kepuasan pasien. Standar Pelayanan Minimal (SPM) Rumah Sakit menetapkan batas waktu tunggu maksimal 30 menit untuk obat jadi dan 60 menit untuk obat racikan. Instalasi farmasi rawat jalan RSI Sultan Agung Banjarbaru menghadapi kendala dalam memenuhi standar tersebut, namun belum ada penelitian yang menganalisis faktor yang memengaruhi waktu tunggu pelayanan resep di fasilitas ini. Tujuan: Penelitian ini bertujuan untuk menganalisis rata-rata waktu tunggu pelayanan resep pasien Jaminan Kesehatan Nasional (JKN) serta faktor-faktor yang memengaruhi ketidaksesuaian dengan SPM. Metode: Penelitian ini menggunakan metode observasional dengan pendekatan kuantitatif dan kualitatif. Data kuantitatif diperoleh melalui pengamatan langsung dengan stopwatch dan formulir pencatatan, sementara data kualitatif dikumpulkan melalui wawancara mendalam dengan petugas farmasi dan manajemen. Analisis data dilakukan dengan uji Chi-Square dan regresi logistik. Hasil: Rata-rata waktu tunggu pelayanan resep adalah 49,4 menit (SD ±45,2). Untuk obat jadi 60 menit 45 detik dan untuk resep obat racikan 297 menit 87 detik. Sebanyak 46,6% resep tidak sesuai dengan SPM. Faktor yang berhubungan signifikan dengan ketidaksesuaian waktu tunggu adalah jenis resep (p sama dengan 0,011), jenis obat (p sama dengan 0,017), jumlah SDM (p sama dengan 0,006), dan waktu kedatangan resep (p lebih kecil dari 0,001). Kesimpulan: Waktu tunggu pelayanan resep di Instalasi Farmasi RSI Sultan Agung Banjarbaru masih belum sesuai Standar Pelayanan Minimal. Diperlukan strategi peningkatan efisiensi pelayanan, optimalisasi SDM, serta perbaikan sistem manajemen farmasi, dan dukungan sarana prasarana untuk mengurangi keterlambatan. Kata Kunci: Waktu tunggu resep, pelayanan farmasi, JKN, rumah sakit, Standar Pelayanan Minimal
Peranan Dukungan Keluarga Terhadap Kepatuhan Pengobatan Hipertensi Pada Usia Produktif di Wilayah Kerja Puskesmas Ciperna Tahun 2023 Laila, Nadratul; Rahajeng, Ekowati; Sunita, Anna; Windiyaningsih, Cicilia
Jurnal Untuk Masyarakat Sehat (JUKMAS) Vol 8, No 1 (2024): Jurnal Untuk Masyarakat Sehat (JUKMAS)
Publisher : LPPM Universitas Respati Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52643/jukmas.v8i1.3478

Abstract

Kasus hipertensi di wilayah Kerja Puskesmas Ciperna tahun 2022 sebanyak 2.217 kasus dan hanya 164 kasus (14,56%) yang melakukan pengobatan secara rutin di puskesmas maupun di jaringan puskesmas seperti pustu, polindes, pusling, dan poskesdes dikarenakan kebanyakan dari mereka beranggapan bahwa penyakit hipertensi bukanlah penyakit yang berbahaya. Tujuan penelitian ini untuk mengetahui peranan dukungan keluarga terhadap kepatuhan pengobatan hipertensi pada usia produktif di wilayah kerja Puskesmas Ciperna tahun 2023. Disain penelitian ini adalah case control. Populasi dalam penelitian ini adalah seluruh penderita hipertensi di wilayah kerja Puskesmas Ciperna pada tahun 2022 yaitu 2.217 orang dan sampel sebanyak 130 responden dengan perbandingan 65 kasus dan 65 kontrol. Pemilihan sampel kasus secara random dan kontrol secara consecutive sampling. Pengumpulan data menggunakan kuesioner. Analisis data menggunakan analisis univariat, bivariat uji statistik chi-square dan multivariat uji regresi logistik. Hasil penelitian dari 13 var independent (dukungan keluarga, umur, jenis kelamin, tingkat pendidikan, status pekerjaan, pendapatan, kormobid, lama menderita hipertensi, efek samping, pengetahuan, dukungan petugas kesehatan, riwayat pengobatan, dan dukungan petugas kesehatan) terdapat 3 variabel yang berhubungan yaitu dukungan keluarga p value= 0,017, OR= 3,91; 95% CI (1,340 – 11,455), lama menderita hipertensi (p value= 0,013, OR= 2,62; 95% CI (1,281 – 5,381), dan pengetahuan (p value= 0,014, OR= 2,57; 95% CI (1,266 – 5,219) terhadap kepatuhan pengobatan hipertensi. Pemodelan akhir bahwa dukungan keluarga berhubungan dengan kepatuhan pengobatan hipertensi, p value 0,002, OR 6,88; 95%CI (1,987 – 23,826) dengan variabel konfonding adalah komorbid, lama menderita hipertensi, dan pengetahuan. Diharapkan keluarga memberikan dukungan terhadap keluarganya yang menderita hipertensi. Kata Kunci: Hipertensi, kepatuhan pengobatan, dukungan keluarga
Factors Associated with the Incidence of Measles in Toddlers (Aged 0-5 Years) in Central Jakarta in 2024 Nofiyanti, Ely; Rahajeng, Ekowati; Ulfa, Laila
International Journal of Health and Pharmaceutical (IJHP) Vol. 5 No. 4 (2025): November 2025
Publisher : CV. Inara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51601/ijhp.v5i4.476

Abstract

Measles remains a significant public health problem, particularly among children under five years old in urban areas. This study aimed to identify factors associated with measles incidence among children aged 0–5 years in Central Jakarta in 2024. A cross-sectional design was applied using secondary data from measles epidemiological investigations conducted by the Central Jakarta Health Sub-Department in 2024. The study included 115 children recorded in surveillance reports. Data were analyzed using univariate, bivariate, and multivariate methods with logistic regression. The results showed that several factors were associated with measles incidence, including nutritional status, age, sex, immunization history, and history of exposure. Multivariate analysis revealed that the dominant factor was nutritional status with an OR of 13.120 (95% CI: 1.698–101.320; p=0.014). In conclusion, nutritional status is the most influential factor in measles incidence among children in Central Jakarta. Efforts to improve children's nutritional status through growth monitoring, supplementation, and nutrition education should be strengthened to reduce measles risk.
Co-Authors Aan Santi Abdul Aziz Rani Achmad Fauzi Anna Maria Sirait Ari Fahrial Syam Chudahman Manan Dadang Makmun Dewi Kristanti Eva Sulistiowati Frans Dany, Frans Laila, Nadratul Lili Indrawati Marcellus Simadibrata Murdani Abdullah Nofiyanti, Ely Nunik Kusumawardani Sudikno Sudikno Sunita, Anna Ulfa, Laila Windiyaningsih, Cicilia Woro Riyadina Yustina, Sophia