Hildagardis Meliyani Erista Nai
Sekolah Tinggi Ilmu Kesehatan Panti Rapih Yogyakarta

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Developing a New Tool for Early Detection of the Nutritional and Health Risk Factors of Urban Workers’ Productivity Nai, Hildagardis Meliyani Erista; Estri, Arimbi Karunia; Widianti, Christina Ririn
Kesmas Vol. 18, No. 1
Publisher : UI Scholars Hub

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

Abstract

Nutrition and health play vital roles in work productivity. This study aimed to develop a risk self-assessment tool called Early Detection of the Nutritional and Health Risk Factors on the productivity of urban workers. This study was conducted in two stages: 1) the development of the tool to determine the nutritional and health risk factors that affect productivity based on literature reviews and scoring systems and 2) the testing of validity and reliability. Finally, the tool contained 63 items, including 28 items on nutritional risk factors and 35 on health risk factors. The validity of the tool was assessed using the content validity index (CVI): item-level CVI (I-CVI) and scale-level CVI (S-CVI), and face validity index (FVI) and reliability using Cronbach’s alpha coefficient. Preliminary versions of this tool showed a high content validity (I-CVI = 1.00; S-CVI based on the average method = 1). The face validity index among urban workers was at least 0.90, and the overall Cronbach’s alpha coefficient was 0.70. The tool developed is acceptable, but revisions are still needed, and sample sizes must be increased.
Frekuensi konsumsi makanan instan dan stunting pada anak usia 6-23 bulan Manalu, Keysa Novita; Nai, Hildagardis Meliyani Erista; Pujiastuti, Veronica Ima
Jurnal Gizi Klinik Indonesia Vol 21, No 2 (2024): Oktober
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.85169

Abstract

Frequency of instant food consumption and stunting in children aged 6-23 monthsBackground: Stunting is related to feeding patterns: breastfeeding and complementary foods, especially in the first two years of life. Many commercial complementary food products, such as instant powder and biscuits, still do not meet iron and zinc content requirements.Objective: This study aims to determine the relationship between the frequency of instant food consumption and the incidence of stunting in children aged 6-23 months in Sleman Regency. Methods: This study is an analytic observational study with a cross-sectional design. The research sample was children aged 6-23 months in the working areas of the Minggir Public Health Center, Pakem Public Health Center, and Ngemplak 1 Public Health Center. The sample size for this study was 265 people, consisting of 125 boys and 140 girls. The sampling technique used simple random sampling. Data collected included the characteristics of the research subjects and respondents, frequency of instant food consumption, incidence of stunting, and history of infectious disease. Data analysis used the Chi-Square test. Results: Most children were not stunted (70.6%) and consumed instant food often (58.9%). There was no relationship between the frequency of instant food consumption and the incidence of stunting (p>0.05). There was no significant relationship between gender, age, history of diarrhea, history of pneumonia, mother's education level, mother's employment status, family income, number of family members, and frequency of instant food consumption with the incidence of stunting (p>0.05). A significant relationship exists between the history of acute respiratory infection and the father's education level and stunting incidence (p<0.05). Conclusions: There is no significant relationship between the frequency of instant food consumption and the incidence of stunting in children aged 6-23 months. Future research can examine the frequency of giving instant food by considering instant food portions.
SENSITIVITY AND SPECIFICITY OF A NEW TOOL FOR EARLY DETECTION OF RISK FACTORS FOR NON COMMUNICABLE DISEASES IN URBAN WORKERS Erista Nai, Hildagardis Meliyani; Wulandari, Risky
The Indonesian Journal of Public Health Vol. 19 No. 1 (2024): THE INDONESIAN JOURNAL OF PUBLIC HEALTH
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/ijph.v19i1.2024.94-105

Abstract

Introduction: Non communicable diseases (NCDs) have an impact on health, economy, and quality of life, and can reduce worker productivity. Approximately 41 million people die from NCDs every year, accounting for 74% of deaths worldwide. The Deteksi Dini Faktor Risiko Gizi dan Kesehatan (DDR-GizKes) is instrument designed for the early detection of nutritional and health risk factors related to NCDs that affect the productivity of urban workers . A screening test is essential part of this newly developed tool. Aims: This study aims to test the sensitivity and specificity of the DDR-GizKes instrument for detecting NCDs in urban workers. Methods: This study used a descriptive observational design with a cross-sectional approach. The population consisted of 227 teachers and staff in high schools in Yogyakarta who were selected using a cluster random sampling technique. Hypertension was used as the gold standard for the screening test. Results: The nutritional risk factor test had a sensitivity of 15.8% and a specificity of 94.2%. The positive predictive value (PPV) for the nutritional risk factor was 16.7% and the negative predictive value (NPV) was 93.8%. Meanwhile,  the health risk factor test had a sensitivity of 15.8% and a specificity of 86.4%. The PPV for the health risk factor was 7.89% and the NPV was 93.3%. Conclusion: The DDR-GizKes instrument had low sensitivity but high specificity. Further research is necessary to establish the scoring system of the DDR-GizKes instrument in populations with a high prevalence of NCDs using a larger sample size.
Edukasi dan Pelatihan Gizi Bagi Ibu Hamil dan Ibu Menyusui di Lokasi Fokus Stunting Nai, Hildagardis Meliyani Erista; Amrijati Lubijarsih, Maria; Ririn Widianti, Christina
Jurnal Abdimas Saintika Vol 4, No 2 (2022): November Jurnal Abdimas Saintika
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jas.v4i2.1620

Abstract

Penurunan prevalensi stunting pada balita adalah agenda utama pemerintah. Sasaran intervensi untuk percepatan penurunan stunting adalah kelompok remaja, calon pengantin, ibu hamil, ibu menyusui, anak balita usia 0-59 bulan.  Kabupaten Sleman menjadi salah satu Kabupaten selain 4 Kabupaten/Kota di Provinsi Daerah Istimewa Yogyakarta yang menjadi lokasi fokus (Lokus) intervensi penurunan stunting terintegrasi tahun 2022. Kegiatan pendampingan dilakukan kepada ibu hamil dan ibu menyusui di Wilayah Puskesmas Ngemplak 1 yang mencakup kegiatan edukasi dan pelatihan gizi. Pemberian edukasi terkait gizi ibu hamil, gizi ibu menyusui, dan gizi anak bawah dua tahun. Pelatihan gizi berupa pembuatan makanan keluarga cepat saji kaya zat gizi yaitu nugget kaya gizi dan  rolade kaya gizi. Peserta berjumlah 15 orang yan terdiri dari ibu hamil pada trimester ketiga dan ibu yang memiliki anak usia 12-24 bulan. Perbedaan nilai rata-rata post-test dan pre-test sebesar 8,75. Kandungan nugget dan rolade terbuat dari bahan makanan lokal sumber karbohidrat, protein hewani, protein nabati, dan sayur yang mudah didapatkan. Nugget dan rolade kaya zat gizi dapat menjadi makanan alternatif bagi ibu hamil, ibu menyusui, dan anak.  
Perubahan frekuensi konsumsi makanan dan hubungannya dengan kerawanan pangan selama pandemi COVID-19 di Kota Yogyakarta: Studi Cross-Sectional Nai, Hildagardis Meliyani Erista
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2544

Abstract

Background: The number of poor people in Yogyakarta City increased by 7,37% compared to the previous year in 2020 and 2021. The scale of household hunger in Daerah Istimewa Yogyakarta Province was 6% before the pandemic and increased during the pandemic to 11%. The research question of this study is whether there is a change in the frequency of food consumption during the COVID-19 pandemic in Yogyakarta City and whether there is a relationship between food insecurity and the frequency of food consumption in Yogyakarta City.Objectives: This study aims to compare the frequency of food consumption among Yogyakarta City people aged 20–54 before and during the COVID-19 pandemic.Methods: This study used cross-sectional design.The research was conducted in Yogyakarta City from February 2021 to February. There were 357 people involved in this study. The sample was selected using multistage random sampling.Data were collected using interview techniques and filling out respondent identity questionnaires, Food Frequency Questionnaire (FFQ), and Household Food Insecurity Access Scale (HFIAS). Data were analyzed descriptively and analytically.The difference test used the Wilcoxon Signed Ranks Test. Relationship between food security status and frequency of food consumption during the COVID-19 Pandemic used the Spearman's rank Correlation Test.Results: The results showed that there was a difference in the frequency of consumption of vegetables and fruit between before and during the COVID-19 pandemic (p= 0,035; p=0,010). There was a significant relationship between food insecurity during the COVID-19 pandemic and the frequency of consumption of staple foods (p=0,04;r=-0,10), milk/dairy products (p=0,02;r=-0,12), meat (p=0,00,r=-0,28), fish/seafood (p=0,00;r=0,33), and fruit (p=0,00;r=-0,19).Conclusion: Fruit and vegetable consumption has increased during the COVID-19 pandemic compared to pre-pandemic levels. There was a significant relationship between food insecurity during the COVID-19 pandemic and the frequency of consumption of staple foods, milk, meat, fish/seafood, and fruit. Public health strategies should ensure access to affordable sources of animal for food-insecure populations during health crises.
Early marriage is a risk factor for stunting in children in Gunungkidul Regency Tengjaya, Angelia Anisa Amelia; Nai, Hildagardis Meliyani Erista; Purnawijayanti, Hiasinta Anatasia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 1, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(1).42-54

Abstract

Background: The prevalence of stunting in 2022 in Indonesia is still high, namely 21.6%. Stunting in children under five can be caused by nutritional problems during the first 8000 days of life. The mother's age at marriage can also cause stunting in children under five. There are 312 incidents of early marriage (married at <19 years of age) in Gunungkidul Regency in the period 2017-2022.Objective: to analyze the relationship between early marriage and the incidence of stunting in children aged 0-59 months in Gunungkidul Regency.Method: The study used a retrospective cohort design with exposed and unexposed sample groups of 65 people each. The sampling technique uses simple random sampling. Data on the age of early marriage was obtained from records at the Gunungkidul Regency Religious Affairs Office. Data were collected on sample characteristics, breastfeeding status, and child infectious diseases using interview techniques using a questionnaire. The incidence of stunting is assessed by measuring body length or height.Results: Result of the bivariate analysis showed that there was a significant relationship between the mother's age at marriage (RR=25.4; CI=5.72-112.62; p=0.000), gender of the child (RR=2.37; CI=1 .02-5.4; p=0.040), history of acute respiratory infections (RR=4.80; CI=2.03-11.34; p=0.000), and history of diarrhea (RR=5.1; CI=2.16-12.08; p=0.000) with the incidence of stunting in children aged 0-59 months. Multivariate analysis showed that maternal age at marriage, (OR=36.5; CI=6.82-195.52; p=0.000), history of acute respiratory infections (OR=3.32; CI=1.09-1.09; p=0.035), and a history of diarrhea (OR=6.9; CI=2.19-22.15; p=0.001) influence the incidence of stunting.Conclusion: Early marriage, history of acute tract infections, and history of diarrhea are risk factors for stunting in children aged 0-59 months in Gunungkidul Regency.