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I Made Alit Gunawan
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Kondisi lingkungan fisik dan lama waktu bermain di luar rumah dengan kegemukan pada anak prasekolah Ika Agustina; I Made Alit Gunawan; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 12, No 4 (2016): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (542.062 KB) | DOI: 10.22146/ijcn.22929

Abstract

Background: The prevalence of childhood obesity in Yogyakarta Municipality has increased in recent years. The built environment of which are not designed properly may limit the time for children's outdoor activity.Objective: This study tried to investigate the links between parents perceptions of their built environment with outdoor playing time and obesity among preschool children in Yogyakarta Municipality.Method: This is a case-control study. Cases were identified as obese preschoolers (Z score based on W / H> 2 SD) and controls were children who were not obese (Z score based on W / H ≤ 2 SD) and matched by sex and age. Data were collected in the Yogyakarta Municipality. Samples were selected using multistage sampling method. The sample of cases and controls were 101 people (1: 1), respectively. conditional logistic regression statistical tests were performed to identify the risk factors for preschool obesity.Results: Children who did not play outdoors enough time were at higher risk of becoming obese (OR = 2,27, CI (1,14-4,62)); Built environment seems to be a modifier for outdoor playing time that will impact the odds of obesity among preschool children. Conclusion: Preschool children who played outdoor less than 2 hours had a higher risk of becoming obese. Outdoor playing time was associated with built environment.
Status ketersediaan makanan dan status gizi ibu sebagai faktor risiko kegemukan pada anak prasekolah Yunita Indah Prasetyaningrum; Nyoman Kertia; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 13, No 2 (2016): 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.23291

Abstract

Background: Childhood obesity is a strong predictor of adult obesity incidence and can increase risk factors for getting chronic diseases. The causes of obesity are multifactor, determined by genetic and food environment changes. Risk factors believed to be the cause of obesity are home food availability status and maternal obesity.Objective: To analyze the risk of home food availability status and maternal obesity to obesity in preschool children aged 3-5 years. Method: This study was a matched case-control study. The case of this study was obese preschool children (Z-score WHZ > 2 SD) and control of this study was non-obese preschool children (Z-score WHZ -2 ≤ SD ≤ 2). Control group was taken by an age and gender matching with the case group. Based on the nutritional status screening result of 53 early childhood education (ECD) schools on 13 sub-districts in Kota Yogyakarta, there were 101 obese children and 101 non-obese children. Those schools were chosen by cluster sampling method and PPS (Probability Proportional to Size). Besides, information about home food availability status and maternal obesity was collected using questionnaire. The data were analyzed using McNemar test and conditional logistic regression. Results: Home food availability status (OR = 1.85; p=0.03; 95% CI=1.08-3.16) and maternal obesity (OR=2.5; p=0.003; 95% CI=1.37-4.55) were the most dominant risk factor related to the incidence of obesity in preschool children aged 3-5 years.Conclusion: Home food availability status and maternal obesity significantly increase the risk for getting obese in preschool children aged 3-5 years.
Co-Authors Ika Agustina Madarina Julia Nyoman Kertia