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All Journal Jurnal Kesehatan Masyarakat Indonesian Journal of Human Nutrition Nutri-Sains: Jurnal Gizi, Pangan dan Aplikasinya Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Keperawatan Muhammadiyah JKM (Jurnal Kebidanan Malahayati) Jambura Journal of Health Sciences and Research Jurnal Dunia Gizi Jurnal Cahaya Mandalika Berita Kedokteran Masyarakat Media Penelitian dan Pengembangan Kesehatan Buletin Penelitian Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Trini Sudiarti
Departemen Gizi Kesehatan Masyarakat Fakultas Kesehatan Masyarakat Universitas Indonesia
Humanities Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Other

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Determinants of the Coexistence Dual Form of Malnutrition in Pairs of Mother and Child Aged 6 – 59 Months in Bogor District 2019 Krismanita, Maulina Dwi; Triyanti, Triyanti; Syafiq, Ahmad; Sudiarti, Trini
Kesmas Vol. 17, No. 2
Publisher : UI Scholars Hub

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Abstract

The dual form of malnutrition (DFM) is defined as multiple nutritional problems in the same household and time. This study aimed to determine the related factor to DFM incidence in pairs of mothers and children aged 6–59 months in Bogor District in 2019. This cross-sectional study used secondary data on the Nutrition and Health of Babakan Madang Subdistrict Toddlers in 2019 and Nutrition Intake and Stunting of Children Under-Five in Bogor District, West Java Province, involving a total sample of 274 households. The dependent variable in this study was DFM, while the independent variables were maternal age during pregnancy, maternal height, maternal breastfeeding history, parity, family income, mother's and father's education level. Bivariate analysis involving the Chi-square test and multivariate analysis with multiple logistic regression tests was used in this study. The results revealed that DFM incidence in the Babakan Madang Subdistrict in 2019 was 42%. The determinants of DFM that were significantly related were maternal height (p-value = 0.000), maternal breastfeeding history (p-value = 0.027), and parity (p-value = 0.049). The analysis results showed that the dominant factor in the prevalence of DFM was the maternal height (OR = 2.704; 95% CI = 1.615-4.528). It is recommended to improving nutrition in adolescence, especially in the case of girls in their role as future mothers.
A Stunting Prevention Risk Factors Pathway Model for Indonesian Districts/Cities with a Stunting Prevalence of ≥30% Fentiana, Nina; Achadi, Endang L; Besral, Besral; Kamiza, Abram; Sudiarti, Trini
Kesmas Vol. 17, No. 3
Publisher : UI Scholars Hub

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Abstract

The prevalence of stunting in Indonesian children aged 0-23 months is a public health problem caused by direct and indirect factors. This study aimed to discover the path of the relationship between various risk factors and the stunting prevalence of ≥30% in 165 districts/cities in Indonesia. Data were obtained from the 2018 National Basic Health Research, National Socioeconomic Survey, and the Statistics Indonesia with a cross-sectional approach. The secondary data on stunting and risk factors were aggregated at the district/city level from individual data; children aged 0-23 months. The path analysis used to determine a stunting prevention model showed that antenatal care at the district/city level decreased stunting rates by at least 2.56% (b = -0.16; p-value = 0.04). A contraceptive user at the district/city level decreased stunting rates by 2.25% (b = -0.15; p-value = 0.05), and handwashing with soap at the district/city level by5.76%, (b = -0.24; p-value = 0.003). Antenatal care, contraceptive use, and handwashing with soap contributed to the reduction of stunting prevalence by18.18%. The study results suggested that districts/cities can play an important role in reducing stunting.
Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure Rahmadini, Nurani; Sudiarti, Trini; Utari, Diah Mulyawati
Kesmas Vol. 7, No. 12
Publisher : UI Scholars Hub

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Abstract

Upaya menurunkan prevalensi kurang gizi pemerintah membuat program Keluarga Sadar Gizi (Kadarzi). Cakupan Kadarzi Kota Depok tahun 2011 rendah (12,7%) dan prevalensi gizi kurang, pendek, kurus berturut-turut 7,89%, 7%, 4,75%. Penelitian bertujuan mengetahui faktor dominan terhadap status gizi balita 6 - 59 bulan berdasarkan Composite Index of Anthropometric Failure (CIAF). Penelitian menggunakan data sekunder hasil survei Kadarzi 2011. Survei dilakukan di sebelas kecamatan Kota Depok menggunakan desain cross sectional. Sampel sebanyak 1.176 keluarga yang memiliki balita termuda umur 6 _ 59 bulan. Variabel yang diteliti adalah status gizi balita, perilaku Kadarzi, status Kadarzi, karakteristik balita, dan karakteristik keluarga. Hasil penelitian menunjukkan prevalensi balita gagal tumbuh 31%. Terdapat dua variabel yang memberikan pengaruh status gizi balita secara bersama-sama yaitu penimbangan balita (nilai p = 0,003) dan pendidikan ibu (nilai p = 0,034). Uji regresi logistik ganda menunjukkan penimbangan balita sebagai faktor dominan terhadap status gizi balita. Balita yang ditimbang tidak teratur berisiko 1,5 kali mengalami gagal tumbuh dibandingkan yang ditimbang teratur. Indeks CIAF berguna untuk mengetahui prevalensi gizi kurang secara keseluruhan dan penanggulangannya. Diperlukan penyuluhan dan promosi yang lebih aktif kepada masyarakat mengenai pentingnya pemantauan pertumbuhan balita melalui posyandu dan melakukan pembinaan kader posyandu dalam pemantauan status pertumbuhan anak sebagai deteksi dini adanya gangguan pertumbuhan. Effort to reduce malnutrition governments make Keluarga Sadar Gizi (Kadarzi). Kadarzi in Depok 2011 still low (12,7%) and the prevalence of underweight, stunting, wasting are respectively 7,89%, 7%, 4,75%. This study aimed to determine the dominant factor for nutritional status of children based on Composite Index of Anthropometric Failure (CIAF). Research using secondary data survey Kadarzi 2011. The survey was conducted using a cross sectional study in 11 districts. Samples of 1,176 families who have children youngest aged 6 - 59 months. The variables studied were the nutritional status, Kadarzi behaviors, Kadarzi status, children characteristics, and family characteristics. Results showed prevalence of growth faltering (31%). There are two variables that influence nutritional status, child’s weighing (p value = 0,003) and mother’s education (p value = 0,034). Multiple logistic regression analysis show child’s weighing as a dominant factor to the nutritional status of children. Children who are weighed not regularly are more risky 1,5 to get growth faltering then children who are weighed regularly. CIAF is useful to determine prevalence of undernutrition clearly and its solution. Counseling and promotion about child’s growth monitoring are required as early detection of growth faltering.
Energy Intake And Wasting Among Children Aged 6-59 Months Ramadhani, Ni Shafa Khalishah Salsabila; Sudiarti, Trini; Syafiq, Ahmad
JKM (Jurnal Kebidanan Malahayati) Vol 11, No 2 (2025): Volume 11 No 2 Februari 2025
Publisher : Program Studi Kebidanan Fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkm.v11i2.18837

Abstract

Background: Wasting is a malnutrition based on low body weight to height. Children are an age group that is more susceptible to wasting compared to other age groups. Wasting can be one of the main causes of morbidity and mortality. The prevalence of children experiencing wasting in Depok City in 2016 was 6.1%.Purpose:  to determine energy intake and other factors related to wasting in Bojongsari Subdistrict, Depok City.Methods:  The research sample was taken from the research population that met the inclusion and exclusion criteria. The inclusion criteria for the study were children aged 6-59 months and children with a z-score >-3 SD - 1SD who live in Bojongsari District, Depok City. While the exclusion criteria were children aged 6-59 months who had a z-score <-3 SD. So that the number of samples obtained was 251 children taken using non-probability sampling with a total sampling method. Data that met the criteria in the study were entered into the IBM SPSS program. Data analysis used the Chi-square test to analyze the relationship between the dependent variable and the independent variable with a statistical significance test using a p value <0.05. Multivariate logistic regression analysis to obtain the dominant factor in the incidence of wasting.Results: The nutritional status was 9.6% of children experienced wasting. The results of multivariate analysis showed that energy intake was the dominant factor in wasting in children aged 6-59 months (p-value 0.035).Conclusion: Children with insufficient energy intake had a 6.2 times greater risk of wasting compared to children with sufficient energy intake.Suggestions:  The results of the study are expected to be further specific and sensitive interventions in addressing factors related to improving malnutrition in children and it is necessary to conduct educational programs for mothers of children to introduce the form of complementary foods, the frequency of feeding, and continue the program of providing additional food to children who experience wasting.
Behavioral change communication strategy options to improve under five-year children’s nutrition: a scoping review Mumtaz, Firial Afra Raisa; Sudiarti, Trini
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.14137

Abstract

Purpose: This study aims to identify some evidence-based strategies as lessons learned for Indonesia to improve behavioral change communication (BCC) nutrition-related strategies in the future of children under five years of age. Methods: A literature review was conducted using two public databases: PUBMED and PLOS ONE, and grey literature, focusing on randomized controlled studies addressing BCC related to children under five years of age nutrition. Results: BCC strategies encompass various topics, mainly focusing on child feeding and enhancing the capacities of delivery actors. These strategies aim to improve knowledge and other aspects of behavior change theory, such as perceived benefits and barriers, cues to action, and self-efficacy. Various media, with different frequencies and intensities, were used, targeting different beneficiaries and involving diverse delivery actors. Conclusion: Evidence-based strategies provide valuable lessons for future BCC implementation related to child nutrition in Indonesia. It is recommended to use multiple media channels, address various beneficiaries, and involve diverse delivery actors to enhance knowledge, attitudes, and self-efficacy in performing recommended behaviors.
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KERAGAMAN KONSUMSI BALITA USIA 12-59 BULAN DI PROVINSI ACEH TAHUN 2021 Zulfan, Zulfan; Sudiarti, Trini
Jurnal Cahaya Mandalika ISSN 2721-4796 (online) Vol. 3 No. 2 (2022)
Publisher : Institut Penelitian Dan Pengambangan Mandalika Indonesia (IP2MI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36312/jcm.v3i2.1723

Abstract

Keragaman makanan balita merupakan salah satu upaya memenuhi asupan makanan berkualitas untuk mengatasi masalah gizi nasional termasuk di dalamnya Propinsi Aceh. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan keragaman konsumsi balita usia 12-59 bulan di Provinsi Aceh Tahun 2021. Jenis penelitian ini kuantitatif analitik observasional dengan desain cross sectional. Studi menggunakan data sekunder SSGI 2021 wilayah Provinsi Aceh. Sebagai subyek penelitian adalah balita usia 12-59 bulan yang telah dikumpulkan oleh tim SSGI 2021 wilayah Aceh dengan cara total sampling. Analisis data dilakukan secara univariat, bivariat dengan uji chi square pada CI 95%, dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan usia balita (OR = 0,60), pendidikan ibu (OR = 1,79), kerawanan pangan (OR = 1,38) dan wilayah (OR = 1,93) berhubungan dengan keragaman konsumsi balita. Hasil analisis multivariat diperoleh wilayah perkotaan sebagai faktor dominan berhubungan dengan keanekaragaman konsumsi balita Provinsi Aceh dengan OR = 1,85. Disimpulkan keanekaragaman konsumsi balita berhubungan dengan usia balita, pendidikan ibu, kerawanan pangan dan wilayah. Wilayah tempat tinggal merupakan faktor dominan yang berhubungan dengan keragaman konsumsi balita. Diharapkan kepada Puskesmas untuk memberikan informasi dan edukasi kepada masyarakat tentang keberagaman konsumsi balita.
HUBUNGAN OBESITAS SENTRAL DAN ASUPAN ZAT GIZI DENGAN HIPERTENSI PADA WANITA Pratiwi, Rizka; Sudiarti, Trini; Mizan, Syaiful
Jambura Journal of Health Sciences and Research Vol 6, No 1 (2024): JANUARI: JAMBURA JOURNAL OF HEALTH SCIENCES AND RESEARCH
Publisher : Universitas Negeri Gorontalo

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35971/jjhsr.v6i1.21760

Abstract

Hipertensi merupakan penyakit yang paling banyak diderita dari semua penyakit tidak menular (PTM), yaitu 76,5% menurut Data Profil Kesehatan Jawa Tengah tahun 2021. Kebaruan penelitian ini karena menganalisis hubungan obesitas sentral dan asupan zat gizi terhadap hipertensi pada wanita. Penelitian ini bertujuan menganalisis hubungan obesitas sentral dan asupan zat gizi dengan hipertensi pada wanita di Posbindu PTM Sekarwangi wilayah Puskesmas Sokaraja II, Banyumas. Metode penelitian adalah cross sectional. Penelitian dilaksanakan pada bulan Juni 2023. Penentuan sampel menggunakan Purposive Sampling melibatkan sebanyak 50 orang. Asupan zat gizi (energi, protein, lemak, karbohidrat, natrium, kalium) dihitung melalui metode'Semi-Quantitative Food Frequency Questionnaire (SQFFQ), sementara obesitas sentral menggunakan lingkar perut. Data dianalisis melalui  pendekatan univariat'dan bivariat menggunakan uji Chi-Square'dengan tingkat signifikansi 95%. Temuan dari penelitian ini menunjukan bahwa proporsi hipertensi pada wanita di posbindu PTM Sekarwangi sebesar 52%. Hasil bivariat ada hubungan yang signifikan antara obesitas sentral (P-value=0,020), asupan protein (P-value=0,024), lemak (P-value=0,013) dan natrium (P-value=0,017) dengan kejadian hipertensi.  Hasil lainnya tidak ditemukan hubungan yang signifikan antara usia (P-value=0,563), asupan energi (P-value=0,087), karbohidrat (P-value=0,501) dan kalium (P-value=0,602) dengan kejadian hipertensi. Kesimpulan yang didapatkan yaitu terdapat hubungan antara obesitas sentral, asupan protein, lemak dan natrium dengan kejadian hipertensi. 
Determinants of stunting among children aged 6–59 months in Banten Province: A cross-sectional analysis of the 2021 Indonesian Nutrition Status Survey (INSS) Arifianti, Dian Isnaini; Sudiarti, Trini; Triyanti, Triyanti; Setiarini, Asih; Djokosujono, Kusharisupeni
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 5, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(5).365-377

Abstract

ABSTRAKLatar Belakang: Stunting adalah kondisi gagal tumbuh karena kekurangan zat gizi kronik dan infeksi berulang yang berdampak jangka panjang. Data SSGI 2021 menunjukkan stunting masih menjadi masalah kesehatan masyarakat di Provinsi Banten karena prevalensinya masih tinggi (24,5%).Tujuan: Penelitian ini bertujuan untuk mengetahui determinan stunting balita 6-59 bulan di Provinsi Banten.Metode: Desain penelitian cross sectional dengan jumlah sampel 1.643 balita 6-59 bulan menggunakan data SSGI 2021. Variabel independen adalah faktor anak (umur, jenis kelamin, berat lahir, panjang lahir, keragaman pangan); faktor ibu (pendidikan ibu, pekerjaan ibu); faktor kerawanan pangan; faktor kesehatan lingkungan (kepemilikan jamban), faktor penyakit infeksi (riwayat ISPA, diare, pneumonia, TBC); faktor pelayanan kesehatan (pemberian vitamin A pengobatan balita sakit di fasilitas kesehatan). Analisis menggunakan univariat, bivariat (chi-square), dan multivariat (regresi logistik ganda).Hasil: Proporsi stunting sebesar 22,7%. Determinan stunting balita 6-59 bulan adalah jenis kelamin (AOR 1,351; CI 95% 1,047 – 1,744); pendidikan ibu (AOR 1,484; CI 95% 1,103 – 1,998); panjang lahir (AOR 2,094; CI 95% 1,512 – 2,899); kerawanan pangan (AOR 1,629; CI 95% 1,131 – 2,347).Kesimpulan: Stunting merupakan masalah kesehatan masyarakat di Provinsi Banten dengan faktor dominan yaitu panjang lahir pendek (AOR 2.09). Keluarga bayi dengan panjang lahir pendek, khususnya ibu perlu mendapatkan pendampingan (termasuk program gizi dan kesehatan) dan informasi pencegahan stunting sebagai upaya mengejar ketertinggalan agar bayi panjang lahir pendek dapat tumbuh dan memiliki panjang badan normal pada tahun-tahun berikutnya. Pemantauan kesehatan secara rutin bayi PBL pendek juga dianjurkan.KATA KUNCI: balita; determinan; panjang lahir; stuntingABSTRACTBackground:  Stunting is a growth failure due to chronic malnutrition and recurrent infections long-term impacts. In Banten Province, the prevalence remains high at 24.5%Objectives:  To identify determinants of stunting among toddlers aged 6-59 months in Banten.Methods :  The cross-sectional study analyzed 1.643 toddlers aged 6-59 months using INSS 2021 data. Independent variables included child factors (age, sex, birth weight, birth length, dietary diversity); maternal factors (education, occupation); food insecurity; environmental health factors (latrine ownership), infectious disease (ARI, diarrhea, pneumonia, tuberculosis); health services (vitamin A, treatment in health facilities). Data were analyzed using univariate, chi-square, and multiple logistic regression.Results: Stunting prevalence was 22.7%. Significant determinants were male gender (AOR 1.351; 95% CI 1.047 – 1.744); low maternal education (AOR 1.484; 95% CI 1.103 – 1.998); short birth length (AOR 2.094; 95% CI 1.512 – 2.899); and food insecurity (AOR 1.629; 95% CI 1.131 – 2.347).Conclusions:  Stunting remains a public health issue in Banten. The most dominant determinant is short birth length (AOR 2.09). Families of infants with Short Birth Length should receive targeted assistance through nutrition and health programs, education on stunting prevention, and monthly growth monitoring to support catch up growth.KEYWORD: birth length; determinant; stunting; toddler
Co-Authors . Zulfan Agus Hendra Al Rahmad Ahmad Syafiq Anggraeni, Nur Asih Anggraeni, Welly Arifianti, Dian Isnaini Asih Setiarini Besral . Daniel Ginting Diah Mulyawati Utari Djokosujono, Kusharisupeni Endang Achadi Endang L Achadi Fauziati, Mirna Hadi Pratomo Indriyani, Sri Kamiza, Abram Krismanita, Maulina Dwi Kusharisupeni Kusharisupeni Mardatillah Mardatillah Maulia Sari Maulidiya, Rizki Mizan, Syaiful Mumtaz, Firial Afra Raisa Nina Fentiana Nurani Rahmadini Nurul Khairani Pratiwi, Rizka Puspitasari, Dewi Ayu Rahmawati, Rahmawati Rahmayanti, Kamilia Ramadhani, Ni Shafa Khalishah Salsabila Siti A. Pujonarti Suharto Suharto Thea, Felicia Triyanti Triyanti Wahyu K. Y. Putra Wulandary, Weny