Dina Rahayuning Pangestuti, Dina
Public Health Nutrition Department, Faculty Of Public Health, Diponegoro University Semarang 50239, Indonesia

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Status Gizi dan Perkembangan Motorik Balita Usia 24-59 Bulan di Wilayah Pertanian: Status Gizi dan Perkembangan Motorik Balita Usia 24-59 Bulan di Wilayah Pertanian Kabupaten Semarang Ihza, Shalza Ellian Farthur; Pangestuti, Dina Rahayuning; Asna, Alfi Fairuz; Lisnawati, Naintina
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.199-205

Abstract

Background: Poor nutritional status during the growth and development of toddlers is irreversible. It can affect the inadequate functioning of various body systems, including the nervous and muscular systems that play a role in motor development. The trend of food intake in agricultural areas is vegetable consumption, while low animal protein intake will affect the nutritional status and development of toddlers. Objectives: This study aimed to analyze the correlation between nutritional status and motor development in toddlers aged 24-59 months in agricultural areas. Methods: This was a cross-sectional study with a sample size of 65 subjects aged 24-59 months in Sumowono, Semarang Regency, Central Java. The variables studied were nutritional status weight-for-age z-scores (WAZ), weight-for-height z-scores (WHZ), and height-for-age z-scores (HAZ) measured using digital and microtome scales, as well as gross motor and fine motor development measurements with observations and interviews based on the Standard of Child Development Achievement (STPPA) questionnaire. Univariate and bivariate data were then analyzed statistically using the Spearman rank correlation test. Results: Based on anthropometric measurements, 10.8% of toddlers were underweight; 1.5% were overweight; 4.6% were wasting; 9.2% had a possible risk of being overweight; and 40% were stunted. A total of 15.4% of toddlers had severe gross motor delays, and 13.8% had fine motor delays. WAZ (p-value=0.003; r=0.366) and HAZ (p-value<0.001; r=0.633) had relationships with gross motor skills. Both WAZ (p-value=0.019; r=0.291) and HAZ (p-value<0.001; r=0.719) also had relationships with fine motor skills. However, there was no relationship between WHZ with gross motor (p-value=0.935) and fine motor (p-value=0.168). Conclusions: Toddlers with good nutritional status (WAZ and HAZ) will have good gross and fine motor development.
Analysis of Lithology Influence on the Coliform Distribution in Semarang City Umar, Savikri Misbahul; Putranto, Thomas Triadi; Pangestuti, Dina Rahayuning; Susanto, Novie; Santi, Narulita
Jurnal Presipitasi : Media Komunikasi dan Pengembangan Teknik Lingkungan Vol 21, No 3 (2024): November 2024
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/presipitasi.v21i3.838-851

Abstract

The amount of available water is becoming more scarce due to increased human demand. As a result, people are now obtaining their water from limited aquifers or deep groundwater from artesian water sources. Nonetheless, the varied properties of the soil and rocks within it do not ensure that the groundwater's quality remains safe from microorganisms or germs. Coliform, one of the bacteria or microorganisms that can increase in groundwater due to variations in the rock lithologies found in different regions. Analysis of coliform bacteria distribution was carried out in 30 drilled wells from confined aquifers spread across the city of Semarang. This research identified total coliforms using the Most Probable Numbers (MPN) method. The presence of coliform bacteria in certain wells was compared with the characteristics of rocks, where in this study area there are several rock lithologies such as volcanic breccia, andesite, pyroclastic breccia, lava, and clay. As for the results of this analysis, it was found that 10% of the samples contained total coliforms that exceeded the maximum limit of 50 CFU/100 ml, where the lithology with the highest total coliform content was found in the basalt area with the highest results, namely TNTC (Too Numerous to Count).
Identification of Lead Contamination in the Food Chain and Environment Surrounding Breastfeeding Mothers in Highland Agricultural Areas Pangestuti, Dina Rahayuning; Kartini, Apoina; Suhartono, Suhartono; Lisnawati, Naintina; Putranto, Thomas Triadi; Susanto, Novie
JURNAL KESEHATAN LINGKUNGAN Vol. 17 No. 1 (2025): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

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Abstract

Introduction: Lead in the environment can be more easily absorbed by individuals with nutritional deficiencies, particularly breastfeeding mothers residing in agricultural areas near lead sources. Contaminated breast milk can disrupt infants' growth and development. This study aims to identify lead contaminants in the environment and assess the nutritional status of breastfeeding mothers to provide preventive measures. Methods: This cross-sectional study was conducted in the highland agricultural area of Semarang Regency in October 2021. Environmental samples, including air from agricultural land, settlements, groundwater, and raw food were carried out as environmental samples from 31 breastfeeding mothers. Dietary intake, haemoglobin, MCV, MCH, MCHC, and lead levels in breast milk was carried out. Lead content was analysed using ICP-OES. Geographic information system (GIS) was used to compare spatial distribution lead status levels with identified exposure factors. Results and Discussion: Median age of breastfeeding mothers was 24 years, with 72% being housewives, having a senior high school education. Median age of the infants was 2.5 months, 32% being boys, and 48% were exclusively breastfed. Mean hemoglobin level of the mothers was 13 ± 1.4 g/dL (13.8% was anemic) and median lead level in breast milk was 0.019 ppm. None of the mothers met their recommended macro- and micronutrient intake. Lead content in foods was 0.02-0.180 ppm, groundwater 0.017-0.034 ppm, and air 0-1.56 μg/Nm3 over a three-hours. Conclusion: The environment surrounding breastfeeding mothers contains lead, particularly in the air, and these mother experiences nutritional deficiencies, thereby increasing the risk of lead absorption.
Rendahnya Pengetahuan Gizi Ibu dan Defisiensi Asupan Energi Balita sebagai Faktor Risiko Stunting di Wilayah Pertanian: Low Maternal Nutrition Knowledge and Insufficient Energy Intake in Toddlers as Risk Factors for Stunting in Agricultural Areas Zhafira, Shabrina Nuril; Pangestuti, Dina Rahayuning; Kartini, Apoina
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.259-268

Abstract

Background: Stunting is a significant nutritional problem in Indonesia, with higher incidence rates compared to other nutritional problems. Its influencing factors include toddler’s nutritional intake, parenting practices, environmental health, access to health services, mother’s education, and family food security. Objectives: This study sought to identify the most significant factors that contribute to the incidence of stunting in Sumowono District. Methods: This quantitative case-control study compared mothers of stunted toddlers (ages 12–59 months) against those of normally developing toddlers. Participants were selected through purposive sampling. The risk factors for stunting examined in this study included mother’s knowledge, family food security, toddler’s nutritional intake, mother’s age, father’s occupation, family income, Direct Cash Assistance (BLT) recipient status, parenting practices, access to health services, and environmental health. Data were collected using questionnaire surveys, observations, and 24-hour recalls. Data analysis used bivariate (chi-square) and multivariate (logistic regression) methods. Results: Most mothers of stunted toddlers had poor knowledge (81.1%) and lived in food-insecure families (86.5%). Bivariate tests showed associations between stunting and factors such as father’s occupation (p-value=0.019), family income (p-value=0.001), mother’s knowledge (p-value=0.001), family food security (p-value=0.001), energy intake (p-value=0.001), protein intake (p-value=0.001), vitamin A intake (p-value=0.036), vitamin D intake (p-value=0.027), zinc intake (p-value=0.036), parenting practices (p-value=0.011), and environmental health (p-value=0.001). The main factors found to influence stunting were mother’s knowledge (OR=19.144; CI: 1.919–190.953; p-value=0.012) and toddler’s energy intake (OR=227.996; CI: 16.899–3,076.100; p-value=0.001). Conclusions: The incidence of stunting in Sumowono District was significantly influenced by mother’s knowledge and toddler’s energy intake.
Pengaruh Metode Emo-Demo terhadap Pengetahuan, Motivasi, dan Self-Efficacy Ibu Mengenai Praktik Pemberian ASI Eksklusif di Wilayah Kerja Puskesmas Sumowono: The Effect of the Emo-Demo Method on Mothers' Knowledge, Motivation, and Self-Efficacy Regarding Exclusive Breastfeeding Practices in the Sumowono Community Health Center Working Area Idroes, Syarifah Zahwana Tasya Al; Pangestuti, Dina Rahayuning; Rahfiludin, Mohammad Zen
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.51-60

Abstract

Background: Breast milk is the main source of nutrition for newborns up to six months of age. Data from Statistics Indonesia (BPS) shows a decline in the number of infants receiving exclusive breastfeeding in Central Java. This study aimed to see the effect of the Emo-Demo method on mothers' knowledge, motivation, and self-efficacy regarding exclusive breastfeeding practices in the Sumowono Community Health Center Working Area. Objectives: This study aimed to determine the effect of the application of the Emo-Demo method on mothers' knowledge, motivation, and self-efficacy regarding exclusive breastfeeding practices in the intervention and control groups. Methods: The study employed a quasi-experimental pretest-posttest control group design, involving 71 respondents: 43 mothers in an intervention group and 28 mothers in a control group. The research instruments included an interview guide, research questionnaires, Emo-Demo method modules, a microtoise, and a digital scale. Data was analyzed using univariate and bivariate methods (Mann-Whitney and Wilcoxon tests). Results: The Emo-Demo method improved mothers' knowledge and motivation, implying that there were significant effects on both knowledge (<0.001) and motivation (<0.001) between groups. In contrast, there were no significant effects on self-efficacy (0.070) and exclusive breastfeeding practices (0.439) between groups. Conclusions: The Emo-Demo method was effective in measuring the knowledge and motivation of mothers in the Sumowono Community Health Center Working Area.
Hubungan Ketahanan Pangan, Pola Asuh, dan Tingkat Kecukupan Gizi dengan Kejadian Stunting Balita 6-59 Bulan di Puskesmas Dawe, Kabupaten Kudus: The Association of Food Security, Parenting Patterns, and Nutritional Adequacy Levels with Stunting among Toddlers Aged 6–59 Months at the Dawe Community Health Center, Kudus Rahmatika, Tarisca; Pangestuti, Dina Rahayuning; Asna, Alfi Fairuz
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.82-93

Abstract

Background: Stunting is a significant issue in Kudus District, with a 2023 prevalence of 15.7%, driven by factors like parenting patterns, food security, and nutritional intake. Despite being food-secure, the Dawe Health Center area has the third-highest stunting rate in Kudus Regency. Objectives: Examine the correlations of family food security, nutritional adequacy levels, and parenting patterns with the incidence of stunting among toddlers at the Dawe Community Health Center. Methods: This cross-sectional study sampled 86 mother-toddler pairs at the Dawe Community Health Center purposively. Data on stunting in toddlers and maternal height were assessed using anthropometric measurements. Information on general characteristics, parenting patterns, and household food security was gathered with interviews, questionnaires, and observations. Nutritional intake data were collected with 2×24-hour recall and the SQ-FFQ. Associations were analyzed using the chi-square test, Fisher's exact test, and multiple logistic regression analysis. Results: The study found that respondents had good parenting patterns (58.1%) and were food-secure (74.4%). Energy (73.3%), zinc (91.9%), calcium (57%), iron (54.7%), and vitamin D (38.4%) intake were sufficient. In addition, all toddlers had sufficient protein and vitamin A. Bivariate test results showed that parenting patterns (p-value = 0.004), food security (p-value=0.006), energy adequacy (p-value<0.001), and calcium adequacy (p-value<0.001) were correlated with stunting. Multivariate test showed that energy adequacy (OR=7.7; p-value=0.003), calcium adequacy (OR=5.2; p-value=0.007), and parenting patterns (OR=5.3; p-value=0.006) were dominant factors associated with stunting. Conclusions: The dominant factors influencing the occurence of stunting among toddlers at the Dawe Community Health Center were the levels of nutritional adequacy (energy, calcium) and parenting patterns.
Harnessing Local and Traditional Foods for Nutrition, Health and Functional Food Development: Insight from Global and Indonesian Biodiversity Pangestuti, Dina Rahayuning
Amerta Nutrition Vol. 9 No. 2 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

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Abstract

Editorial, Volume 9 Issue 2, June 2025
Implementasi Teknologi Tepat Guna dalam Mitigasi Banjir Sungai Gambir Tembalang Semarang Churun Ain; Siti Rudiyanti; Dina Rahayuning Pangestuti; Bragy Nizar Adi Brata
SEWAGATI: Jurnal Pengabdian Masyarakat Indonesia Vol. 4 No. 3 (2025): September : Jurnal Pengabdian Masyarakat Indonesia
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/sewagati.v4i3.3151

Abstract

Flooding in the Tembalang area, particularly around the Gambir River, is a recurring problem every year. This problem is primarily caused by an increase in water discharge that is not balanced with the physical condition of the river, which is experiencing narrowing and silting. Furthermore, the presence of a bridge on Jalan Bulusari also exacerbates the situation because its construction impedes the smooth flow of water. This obstacle is further exacerbated when garbage accumulates and becomes stuck under the bridge, resulting in overflows that inundate the surrounding area. Various self-help efforts have been undertaken by the community, including submitting proposals for bridge reconstruction to relevant agencies, but have not yet produced a tangible impact. This community service activity adopted a Participatory Action Research (PAR) approach, involving the community directly in the planning, decision-making, and implementation of flood mitigation solutions. The main proposed solution is bridge reconstruction to increase river flow capacity and minimize water flow obstructions. As a supporting measure, a sensor-based water level monitoring system has been installed to serve as an early warning for local residents. Furthermore, a waste sorting program has been implemented, providing separate bins for plastic bottles and paper to reduce the potential for river blockages. This participatory approach is expected to not only increase the effectiveness of flood mitigation, but also strengthen community preparedness and resilience to disasters, while providing examples of model solutions that can be replicated in other areas with similar conditions.
Co-Authors Alfi Fairuz Asna Andika Rikarno Putra Anggraeni, Nurul Apoina Kartini Ayu Ernawati Bragy Nizar Adi Brata Budiman, Delima Siskawati Christina Tri Restuti, Christina Churun Ain Devi Priyantika, Devi Devy Aulia Juniar Dewi Kurniasih Dian Iswahyu Hadi, Dian Dwi Kurnia Yulia Ratnasari Dwi Kurnia Yuliyawati Dyah Sulistyoning Tyas Rahayu Eka Purna Yudha Ella Febriana Erin Ratna Kustanti Fani Rizky Nugraheni Hanifah Maharani Hapsari, Qori Chairunisa Herlinda Christi Himma Sahulika Idroes, Syarifah Zahwana Tasya Al Ihza, Shalza Ellian Farthur Iik Santi Komala Imas Rini Intan Claudina Isninda Priska Syabandini Jayawarsa, A.A. Ketut Khoirunisa Triavi Sefaya Kunarsih Fitriana Laksmi Widajanti M. Zen Rahfiluddin Martha Irene Kartasurya Misrina Ulil Aziza Mohammad Zen Rahfiludin Mulyadi Mulyadi Nadyah Ayu Ginanti Naintina Lisnawati Nofi Anggraeni Novalia Clara Rosvita Novie Susanto Nur Asiah Rahmi Pranata, Mathias Andika Setya Puji Sri Rahayunigtyas Pusporini, Anggraeni Dyah Rahmatanti, Riris Rahmatika, Tarisca Resa Ana Dina Rizqi Mufidah Rofiana, Annisa Restu Ronny Aruben Safina Andita Dewi Safitri, Adelia Marista Safitri, Vania Arthamevia Santi, Narulita Saputri, Ulfa Ayu Selestin Nisfu Choiriyah, Selestin Setyaningsih, Rini Indah Silvia Etika Sari Siti Fatimah Pradigdo Siti Rohmawati Siti Rudiyanti Sri Achadi Nugraheni Sulistyawati Sulistyawati Susi Yunita Haryanti Suyatno Suyatno Suyatno Suyatno Syifa Fauzia Thomas Triadi Putranto, Thomas Triadi Tias Larasati Umar, Savikri Misbahul Virnanda Adani Wardatus Zahro Yoga Adhi Dana Zhafira, Shabrina Nuril