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Strategi Penerapan Budaya Keamanan Pangan pada Rantai Pasok Distribusi di PT XYZ Wilis, Nabila Sekar; Dewanti-Hariyadi, Ratih; Sartika, Ratu Ayu Dewi
Jurnal Teknologi dan Industri Pangan Vol. 36 No. 1 (2025): Jurnal Teknologi dan Industri Pangan
Publisher : Perhimpunan Ahli Teknologi Pangan Indonesia bekerjasama dengan Departemen Ilmu dan Teknologi Pangan, IPB University Bogor, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.6066/jtip.2025.36.1.107

Abstract

Food safety culture (FSC) can be defined as how a group or organization of individuals achieve food safety in their thoughts and behaviors. Extending FSC implementation to downstream industries can assure quality and safety in the food supply chain. However, food distributors often lack a thorough understanding of good warehouse practices (GWP) and good distribution practices (GDP), even though both are essential to ensure the quality and safety of food. The inspection report by Indonesian Food and Drug Authority (Badan Pengawas Obat dan Makanan – BPOM) from 2017−2021, more than 30% of distribution facilities did not conform to the standard. This study evaluated employees' perception of FSC, analyze the Strengths, Weaknesses, Opportunities, and Threats of FSC implementation, and develop strategies for implementation in a food distribution company (PT XYZ). The research employed quantitative and qualitative methods. The quantitative study involved a questionnaire completed by 350 respondents, revealing that 82.13% of the employees perceived a positive perception of FSC. Meanwhile, the qualitative study included a focus group discussion with 21 informants, that identified key weaknesses and threats to FCS implementation. The Internal Factor Evaluation−External Factor Evaluation (IFE−EFE) analysis identified seven strengths, 11 weaknesses, seven opportunities, eight threats, and nine alternative strategies for the implementation of food safety culture at PT XYZ. The strategy with the highest total attractive score (TAS) of 6.91, based on quantitative strategic planning matrix (QSPM), was the periodic implementation of “Gemba program” to monitor food safety practices.
Dietary Patterns, Physical Activity And Obesity Status On Blood Pressure In Hypertensive Patients Suryani, Tatiek; Syafiq, Ahmad; Sartika, Ratu Ayu Dewi; Putri, Primasti Nuryandari
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 4 (2025): Volume 11 No 4, April 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i4.19450

Abstract

In Indonesia, the prevalence of hypertension has increased significantly, from 25.8% in 2013 to 30.8% in 2023. The proportion of controlled hypertension reached only 19.8% in the productive age group and 17.7% in the elderly. This large number of uncontrolled hypertension cases contributes significantly to the increased risk of cardiovascular disease. The objective of this study was to ascertain the correlation between consumption patterns, physical activity, and obesity status with blood pressure in hypertensive patients in the work area of the Kemirimuka Village Health Center, located in Depok City. This is a quantitative study using a cross-sectional design. The sampling method used was non-probability total sampling, with a sample size of 178 respondents who met the inclusion criteria. The data collected were analyzed univariate and bivariate using the Chi-Square statistical test. The results showed that most of the hypertensive patients, 66.3%, had uncontrolled blood pressure. Statistical test results showed a significant inverse relationship between age and blood pressure (p=0.002 and OR=0.356). In addition, there was a significant relationship between the frequency of junk food consumption and blood pressure (p= 0.017 and OR= 2.269). While the variables gender (p=1.000), frequency of coffee consumption (p=0.154), physical activity (p=0.583), BMI (p=0.594) and BF% (p=0.517) were not associated with blood pressure in hypertensive patients. In conclusion, the elderly group had a 2.81 times lower risk of uncontrolled blood pressure than the productive age group, and frequent consumption of junk food was associated with a 2.269 times increased risk of uncontrolled blood pressure. Education about hypertension, with an emphasis on weight management and healthy eating, should be provided to all age groups. Keywords: Hypertension, Blood pressure, dietary patterns, physical activity, obesity ABSTRACT Di Indonesia prevalensi hipertensi meningkat signifikan, dari 25,8% di tahun 2013 meningkat menjadi 30,8% ditahun 2023. Proporsi hipertensi yang terkendali hanya mencapai 19,8% pada kelompok usia produktif dan 17,7% pada kelompok usia lanjut. Banyaknya jumlah kasus hipertensi yang tidak terkendali ini berkontribusi besar terhadap meningkatnya risiko penyakit kardiovaskular. Tujuan penelitian ini untuk mengetahui hubungan pola konsumsi, aktivitas fisik dan status obesitas dengan tekanan darah pada pasien hipertensi di wilalayah kerja Puskesmas Kelurahan Kemirimuka Kota Depok. Penelitian ini bersifat kuantitatif, dengan menggunakan desain cross-sectional. Metode pengambilan sampel yang digunakan adalah non-probability total sampling, dengan jumlah sampel sebanyak 178 responden yang memenuhi kriteria inklusi. Data yang terkumpul dianalisis secara univariat dan bivariat dengan menggunakan uji statistik Chi-square.  Hasil penelitian menunjukkan bahwa sebagian besar pasien hipertensi 66,3% memiliki tekanan darah tidak terkendali. Hasil analisis menunjukkan hubungan terbalik yang signifikan antara usia dan tekanan darah (p=0.002 and OR=0.356). Selain itu, terdapat hubungan yang signifikan antara frekuensi konsumsi junk food dengan tekanan darah (p= 0.017 and OR= 2.269). Sedangkan variabel jenis kelamin (p=1,000), frekuensi konsumsi kopi (p=0,154), aktivitas fisik (p=0,583), indeks massa tubuh (IMT) (p=0,594) dan persen lemak tubuh (PLT) (p=0,517) tidak berhubungan dengan tekanan darah pada pasien hipertensi. Kesimpulannya, kelompok usia lanjut memiliki risiko 2,81 kali lebih rendah untuk memiliki tekanan darah yang tidak terkontrol dibandingkan kelompok usia produktif, dan seringnya konsumsi junk food ditemukan berhubungan dengan peningkatan risiko 2,269 kali lebih tinggi untuk memiliki tekanan darah yang tidak terkontrol.  Edukasi tentang hipertensi, dengan penekanan pada manajemen berat badan dan pola makan sehat, harus diberikan kepada semua kelompok usia. Kata Kunci: Hipertensi, Tekanan darah, pola makan, aktivitas fisik, obesitas
Development of a Medication Compliance Determinant Instrument for Low-Middle Literate Patients with Type 2 Diabetes Mellitus Panduwiguna, Ivans; Sauriasari, Rani; Sartika, Ratu Ayu Dewi; Riyadina, Woro; Renaldi, Fransiskus Samuel
Kesmas Vol. 18, No. 3
Publisher : UI Scholars Hub

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Abstract

Diabetes, a leading cause of 6.7 million deaths in 2021, poses a significant challenge despite existing interventions. Non-adherence to treatment remains a barrier to diabetes management. However, a comprehensive instrument to assess medication adherence determinants in diabetes patients’ population in Indonesia with low-medium literacy levels and following the sociocultural characteristics of Indonesian society has been lacking. This study aimed to develop and evaluate a valid and reliable instrument for measuring medication adherence in type 2 diabetes mellitus patients based on the Borg and Gall model. Through the input of an expert panel, a valid and reliable instrument was developed, which comprised 21 questions and encompassed all medication adherence determinants, with a CVR and CVI value of 1 and a final Cronbach’s alpha value of 0.731. This instrument is still being tested and needs to be implemented in the right and wider population to obtain more accurate results.
Pengaruh Asam Lemak Jenuh, Tidak Jenuh dan Asam Lemak Trans terhadap Kesehatan Sartika, Ratu Ayu Dewi
Kesmas Vol. 2, No. 4
Publisher : UI Scholars Hub

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Abstract

Dewasa ini pola makan modern sering dihubungkan dengan meningkatnya kadar kolesterol di dalam darah. Tingginya kolesterol darah dapat memicu munculnya penyakit degeneratif seperti stroke dan penyakit jantung koroner. Jenis makanan yang diduga berpengaruh terhadap timbulnya penyakit degeneratif yaitu makanan yang mengandung asam lemak jenuh dan asam lemak trans. Asam lemak trans memiliki pengaruh hampir 2 kali lipat dalam meningkatkan rasio K-LDL/K-HDL dibandingkan dengan asam lemak jenuh. Perubahan pada rasio kolesterol total/HDL-K atau K-LDL/K-HDL merupakan prediktor CHD (Coronary Heart Disease). Nowadays modern meal pattern is related to the increase of cholesterol level in the blood. The high blood cholesterol can lead to degenerative diseases such as stroke and coronary heart disease. Foods that suspected to influence the occurrence of degenerative diseases are saturated fatty acid and trans fatty acid. Trans fatty acid can influence almost twice higher in increasing ratio of K-LDL/K-HDL compared to saturated fatty acid. The change in ratio of total cholesterol/ HDL-K or K-LDL/K-HDL is predictor of coronary heart disease.
Dietary Changes Among Normal and High Blood Pressure Adolescents During the COVID-19 Pandemic Victoria, Bernadette; Sartika, Ratu Ayu Dewi; Putri, Rizti Millva
Kesmas Vol. 18, No. 2
Publisher : UI Scholars Hub

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Abstract

The COVID-19 pandemic has significantly impacted adolescents' unhealthy eating habits and sedentary lifestyles, leading to an increase in blood pressure and obesity rate. High blood pressure among adolescents is an early indicator of adult hypertension, but this condition has received less attention recently. Therefore, this study aimed to determine the differences in dietary changes among high school students with normal and high blood pressure before and during the COVID-19 pandemic in West Lampung District, Indonesia. A cross-sectional design was used, and the sample population consisted of 167 students aged 14-19 years. The results showed that 43 participants had elevated blood pressure and stage 1 hypertension, accounting for 25.7% of the total population. Among these participants, 14 (32.6%) were found to be overweight and obese. Based on the results, students with high blood pressure were less likely to improve their dietary choices during the COVID-19 pandemic than those with normal blood pressure.
Analisis Pemanfaatan Program Pelayanan Kesehatan Status Gizi Balita Sartika, Ratu Ayu Dewi
Kesmas Vol. 5, No. 2
Publisher : UI Scholars Hub

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Abstract

Gizi merupakan faktor determinan utama yang berhubungan dengan kualitas sumber daya manusia. Anak-anak berusia kurang dari lima tahun adalah kelompok rentan untuk masalah gizi dan kesehatan. Tujuan penelitian ini mendapatkan faktor status gizi yang paling dominan anak usia dibawah lima tahun. Penelitian ini dilakukan terhadap sumber data sekunder data riset kesehatan dasar (Riskesdas) tahun 2007. Penelitian ini menggunakan metode analisis multivariat untuk menilai berbagai faktor risiko yang berhubungan dengan status nutrisi. Menggunakan berat badan untuk umur, faktor risiko paling dominan adalah diare setelah dikontrol dengan sumber air minum, ketersediaan latrine, status sosioekonomi, ukuran keluarga, gender, pemanfaatan pelayanan kesehatan, penyakit saluran napas, pekerjaan ibu dan waktu pemberian air susu ibu sampai dua tahun. Menggunakan tinggi untuk tinggi badan faktor risiko dominan adalah ketersediaan latrines setelah dikendalikan oleh perilaku cuci tangan, status sosial ekonomi, sumber air minum, durasi pemberian ASI sampai dua tahun. Untuk mengatasi masalah gizi pada anak usia di bawah lima tahun dibutuhkan kebijakan yang terfokus memulihkan pertumbuhan dan status kesehatan anak usia di bawah lima tahun dengan korelasi antara program gizi dan program lain, seperti kesehatan lingkungan dan imunisasi. Selain itu, pemerintah harus mengatur peranan posyandu sebagai fasilitas yang membantu pemerintah untuk meningkatkan status kesehatan masyarakat. Nutrition is one of the major determinant factors related to human resources quality. Under-five years old children are susceptible to nutrition and health problems. The purpose of this study is to identify the most dominant factor of nutritional status of under five children using Riskesdas data in 2007. Multivariate analysis results showed that the risk factor which mostly associated with nutritional status using weight for age was a diarrheal illness after being controlled by the source of drinking water, latrine availability, socio-economic status, family size, gender, utilization of health services, respiratory diseases, maternal employment, and duration of breastfeeding up to 2 years. Using height for age was the availability of latrines after being controlled by hand-washing habits, socioe-conomic status, source of drinking water, duration of breastfeeding up to 2 years, diarrheal disease, family size and gender. Using weight for height was sex after being controlled by age, drinking water sources, distance and time to health services and respiratory disease. To overcome malnourished problem in children under five years old, it is needed to establish a policy focusing on the recovery of the growth and health status for under-five children with correlation between nutrition program and other programs, such as environmental health (clean and healthy life style) and immunization. Beside that, the government should arrange the role of the posyandu as a facility that help government to increase the health status of community.
Prevalensi dan Determinan Kelebihan Berat Badan dan Kegemukan pada Anak Berusia 5-15 Tahun Sartika, Ratu Ayu Dewi
Kesmas Vol. 5, No. 6
Publisher : UI Scholars Hub

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Abstract

Kelebihan berat badan dan kegemukan, suatu keadaan lemak tubuh yang berlebihan, merupakan masalah kesehatan di negara-negara maju dan negara-negara berkembang, termasuk Indonesia. Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan kelebihan berat badan dan kegemukan anak usia 5-15 tahun menggunakan data Riset Kesehatan Dasar (Riskesdas) tahun 2007. Ditemukan bahwa prevalensi kelebihan berat badan dan kegemukan pada anak berusia usia 5-15 tahun masing-masing 7,4% dan 8,3%. Jika dikontrol oleh jenis kelamin, tingkat pendidikan, riwayat kegemukan ibu, kebiasaan konsumsi buah mingguan, kebiasaan merokok, dan asupan energi, faktor paling dominan yang berhubungan dengan kelebihan berat badan (> 85% persentil) anak adalah riwayat kegemukan ayah. Disimpulkan bahwa keturunan merupakan faktor penting kelebihan berat badan dan kegemukan pada anak-anak. Program intervensi kesehatan masyarakat sebaiknya ditujukan pada keluarga dan determinan sosial yang difokuskan pada perubahan gaya hidup seperti membiasakan untuk tidak terlalu banyak mengonsumsi makanan tinggi kalori dan gula serta orang tua sebaiknya mengembangkan suatu pola aktivitas fisik anak yang dapat merangsang gerakan olah tubuh. Overweight and obesity, a condition where the amount of body fat is in excess, are health problems in both developed and developing countries including Indonesia. The purpose of this study was to determine the prevalence and determinant of overweight and obesity in children using 2007 Basic Health Research data. It was found that the prevalence of overweight and obesity in children aged 5 to 15 years old are 7,4% and 8,3%, respectively. If controlled by sex, education level, history of mother’s obesity, weekly habit to consume fruit, smoking habit, and energy intake, the most dominant factor related to children overweight (> 85%) is the history of father’s obesity. It is concluded that genetics are important factors of overweight and obesity in children. Public health intervention should address family and social determinants with a focus on the change in life style i.e not too much eating high calories and sugar and parents should develop physical activity patterns to stimulate their activity.
Penerapan Komunikasi, Informasi, dan Edukasi Gizi terhadap Perilaku Sarapan Siswa Sekolah Dasar Sartika, Ratu Ayu Dewi
Kesmas Vol. 7, No. 2
Publisher : UI Scholars Hub

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Abstract

Sarapan pagi merupakan kegiatan makan yang paling penting dalam memenuhi kebutuhan energi dan zat gizi dalam sehari. Kegiatan ini bertujuan untuk mengetahui pengaruh komunikasi, informasi, dan edukasi (KIE) gizi terhadap perilaku sarapan pagi siswa sekolah dasar di Kabupaten Bogor. Desain studi penelitian ini adalah kuasi-eksperimental, pre-post intervention. Hasil penelitian menunjukkan bahwa setelah dilakukan kegiatan KIE gizi diperoleh peningkatan skor rata-rata pengetahuan dan perilaku siswa terhadap kebiasaan sarapan pagi (nilai p < 0,05). Media yang digunakan adalah kartu bergambar, kartu kuartet, ular tangga, tebak gambar, teka teki silang (TTS), leaflet, poster, dan lomba cerdas cermat. Peran ibu sebagai penyedia sarapan pagi bagi siswa sangat penting terutama dalam menghindari kebosanan siswa terhadap menu yang disediakan. Sebaiknya pihak sekolah bekerja sama dengan Persatuan Orang Tua Murid dan puskesmas untuk menggiatkan kembali Usaha Kesehatan Sekolah dengan melakukan kegiatan promosi kesehatan bagi ibu/pengasuh siswa, khususnya tentang bagaimana merencanakan menu sarapan pagi yang enak, praktis, dan sehat bagi siswa. Breakfast as the most important meal of the day, contributing substantially to daily nutrient intake and energy needs. This study was conducted to determine the effect of communication, information, and education toward the breakfast behavior of primary school students in Bogor. The study design was quasi-experimental design with pre and post intervention. The study results showed that there were increased knowledge and attitudes towards the habit of breakfast (p value < 0,05). The media used were picture card, quartet card, the ladder snake, guess the picture, crossword puzzle, leaflet, poster, and quizes. Mother’s role as a breakfast provider for students is important in avoiding students who are bored with menu provided. Collaboration needed between school unit, parents, and staff of public health center to revitalize the School Health Program with health promotion activities for mothers/caregivers of students, especially about how to plan and serve a delicious breakfast menu, easy making, and healthy for students.
Asupan Gizi dan Mengantuk pada Mahasiswa Rasmada, Sada; Triyanti, Triyanti; M. Indrawani, Yvonne; Sartika, Ratu Ayu Dewi
Kesmas Vol. 7, No. 3
Publisher : UI Scholars Hub

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Abstract

Asupan nutrisi dan energi, status nutrisi, serta aktivitas harian berpengaruh pada kejadian mengantuk yang berpengaruh negatif pada konsentrasi dan produktivitas belajar pada mahasiswa. Kejadian mengantuk berhubungan dengan penurunan kemampuan kognitif yang disebabkan oleh defisiensi zat besi. Seseorang yang mengantuk akan mengalami penurunan aktivitas fisik yang menyebabkan kelebihan berat badan sehingga berisiko lebih tinggi untuk terkena penyakit degeneratif seperti penyakit kardiovaskular dan diabetes melitus. Penelitian ini bertujuan untuk menganalisis faktor dominan yang berpengaruh pada kejadian mengantuk di kalangan mahasiswa. Penelitian dengan desain studi cross sectional ini dilakukan terhadap sampel 139 mahasiswa Fakultas Kesehatan Masyarakat Universitas Indonesia. Proporsi mahasiswa yang hampir mengantuk sekitar 28,80%. Terdapat hubungan yang signifikan antara durasi tidur dan masalah kantuk (nilai p = 0,048). Mahasiswa dengan durasi tidur < 8 jam per hari mengalami kejadian mengantuk 0,50 kali lebih besar daripada mahasiswa dengan durasi tidur > 8 jam per hari. Faktor dominan yang berhubungan dengan kejadian mengantuk adalah durasi tidur setelah dikontrol dengan asupan protein dan lemak, aktivitas fisik, dan paparan media. Mahasiswa yang sering mengantuk memperlihatkan asupan zat besi rendah sehingga disarankan untuk meningkatkan asupan zat besi yang berasal dari sumber makanan yang mengandung heme. Nutrient and energy intake, nutrition status, and daily activity could give impact for sleepiness problem. Sleepiness related to the decreasing of cognitive ability that caused by iron deficiency. A person who feels sleepy will have a lack of physical activities that lead to overweight and therefore has a higher risk to suffer degenerative diseases such as cardiovascular and diabetes mellitus. This study aimed to analyze dominant factor that can give influence to sleepiness problem among students. The cross sectional research used 139 students of Faculty of Public Health University of Indonesia. The percentage of students who is almost sleepy was 28,80%. This research showed the association between sleep duration and somnolence problem is significant (p value = 0,048). Students with sleep duration < 8 hours a day could be 0,50 times more sleepy than students with sleep duration > 8 hours a day. The dominant factor is sleep duration after controlled by protein and fat intake, physical activity, and media exposure. Students that frequently feels sleepy indicated low iron intake so that suggested to increase the iron intake through consuming heme contained food.
Obesitas pada Pekerja Minyak dan Gas Christina, Dilla; Sartika, Ratu Ayu Dewi
Kesmas Vol. 6, No. 3
Publisher : UI Scholars Hub

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Beberapa tahun terakhir angka obesitas di Indonesia cenderung meningkat. Obesitas terjadi akibat ketidakseimbangan antara asupan dan output energi dalam jangka waktu cukup lama. Tujuan penelitian ini adalah untuk mengetahui faktor risiko kejadian obesitas pada pekerja on shore di perusahaan minyak dan gas. Desain penelitian ini adalah studi cross sectional. Sampel yang diteliti adalah seluruh pekerja on shore (laki-laki maupun perempuan) berusia 35 – 55 tahun yang sesuai dan memenuhi kriteria inklusi dan ekslusi yang telah ditetapkan (n = 378). Hasil penelitian menunjukkan bahwa prevalensi obesitas (IMT ³ 25 kg/m2) pada pekerja on-shore sebesar 49,5%. Variabel umur, tingkat pendidikan, status pegawai, asupan energi, karbohidrat, dan serat memiliki hubungan signifikan dengan kejadian obesitas (nilai p < 0,05). Faktor yang paling dominan berhubungan dengan kejadian obesitas adalah tingkat pendidikan (OR = 2,85; 95%CI = 1,240 – 6,502). Tingginya prevalensi obesitas pada pekerja memerlukan perhatian yang lebih serius dari pihak perusahaan dalam menanggulangi masalah obesitas melalui upaya peningkatan program komunikasi, informasi, dan edukasi gizi yang lebih terarah dan terprogram serta perlu dilakukan sosialisasi untuk memantau berat badan dan lingkar pinggang-panggul secara rutin untuk mencegah timbulnya penyakit jantung koroner. In the last few years the incidence of obesity in Indonesia tends to increase. Obesity is caused by an imbalance between energy intake and output in a long term. The purpose of this study was to identify risk factors in the incidence of obesity of the workers on-shore oil and gas companies. This research designed by cross sectional study.The subject of this research was on shore workers of oil and gas company (male and female) aged 35 – 55 years old in East Kalimantan and were eligible for inclusion and exclusion criteria (n = 378). The results showed that the prevalence of obesity of on-shore workers was as high as 49.5% (BMI ³ 25 kg/m2). Age, level of education, employement status, energy, carbohydrate, and fiber intake were associated with obesity (p value < 0,05). The most dominant factor associated with obesity was level of education (OR = 2,85; 95%CI = 1,240 - 6,502). The high prevalence of obesity in the workers need more serious attention from the company in overcoming the problem of obesity, by enhancing the EIC program with more focused and sustainable, and need to socialize monitoring of body weight and waist-hip circumference regularly to prevent coronary heart disease.