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                        TINGKAT KECUKUPAN ZAT GIZI MAKRO DAN STATUS GIZI PASIEN TUBERKULOSIS DENGAN SPUTUM BTA (+) DAN SPUTUM BTA (–) 
                    
                    Rina Wasesa Aprilia Lazulfa; 
Bambang Wirjatmadi; 
Merryana Adriani                    
                     Media Gizi Indonesia Vol. 11 No. 2 (2016): JURNAL MEDIA GIZI INDONESIA 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/mgi.v11i2.144-152                            
                                            
                    
                        
                            
                            
                                
Tuberculosis is an infectious disease caused by mycobacterium t uberculosis germs. Germs in form of droplets spread through saliva splashes out when coughing, sneezing and talking then inhaled during breathing. The degree of sputum smear positivity of patients describe the increasing number of  tuberculosis bacteria in the lungs that could potentially transmit the infection. In general, patients with  tuberculosis have decreased appetite which impact on weight loss. This research was comparative observational analytic research using cross sectional approach with simple random sampling conducted at the Hospital Asy-Syaafi  Pamekasan with a sample size of 50 people. The results of Mann Whitney test showed a signifi cant difference in  adequacy level of energy (p= 0.026), carbohydrates (p = 0.000),  protein (p = 0.001), fat (p = 0.029) and nutritional status (p = 0.022) between the groups of  tuberculosis with sputum smear (+) and sputum smear (-). It was concluded that adequacy level (energy, p rotein, fat and carbohydrates) and nutrition status among respondents t uberculosis sputum smear (+) have signifi cant differences with the respondent t uberculosis sputum smear (-).
                            
                         
                     
                 
                
                            
                    
                        Perbedaan Besaran Uang Saku Dan Aktivitas Fisik Antara Siswi Gemuk Dan Normal Di SMA Negeri 5 Surabaya 
                    
                    Annisa Rizka Oktavianita; 
Bambang Wirjatmadi                    
                     Amerta Nutrition Vol. 4 No. 3 (2020): AMERTA NUTRITION 
                    
                    Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia 
                    
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                                DOI: 10.20473/amnt.v4i3.2020.178-184                            
                                            
                    
                        
                            
                            
                                
ABSTRACT Background: High food consumption due to spending excess money and low physical activity could increased the risk of overweight.Objectives:  This study aimed to analyzed the differences amount of pocket money and physical activity between students with overweight and normal at SMA Negeri 5 Surabaya.Methods: The design of the study was case control involving 52 samples with 26 case sampels for overweight students and 26 control sampels for normal students. Body weight measurements using a digital body scale and height using microtoise, this measurements was done before the research began. The quetioners were to identified data identity, amount of pocket money and physical activity. Data were analyzed using  Mann Whitney with p>0.005.Results: Some characteristic of the sampels were based on age groups, parent’s occupation and body mass index. The average age of case sampels was 15 years old and control sampels was 16 years old. The occupation of sampels father from two groups were as employees (53.8% and 57.7%) and entrepreneurs (15.4% and 19.2%). Furthermore the occupation of sampel’s mother from two groups were as house wife (96.2% and 92.3%) and entrepreneurs (3.8%). The test result showed the p value about difference of amount of pocket money was p=0.380 and p<0.001 for physical activity.Conclusions: In conclusion there were no differences of amount of pocket money between the two groups. There were  differences about physical activity between the two groups . ABSTRAKLatar Belakang: Tingginya konsumsi makanan akibat pengeluaran uang saku berlebih dan rendahnya aktivitas fisik dapat meningkatkan resiko kegemukan.Tujuan: Untuk menganalisis perbedaan besaran uang saku dan aktivitas fisik antara siswi gemuk dan normal di SMA Negeri 5 Surabaya.Metode: Penelitian ini menggunakan desain studi case control dengan total responden 52 siswi yang terbagi menjadi dua kelompok yaitu 26 siswi kelompok kasus yaitu siswi gemuk dan 26 siswi kelompok kontrol yaitu siswi normal. Dilakukan pengukuran berat badan menggunakan digital scale dan tinggi badan menggunakan microtoise untuk menilai status gizi, pengukuran ini dilakukan pada saat sebelum penelitian dimulai. Wawancara dan pengisian kuesioner guna mengetahui karakteristik dan besaran uang saku beserta aktivitas fisik responden yang diukur bersamaan pada saat pengambilan data. Teknik analisis data menggunakan uji beda Mann Whitney dengan p<0,05.Hasil: Rata-rata usia siswi pada kelompok kasus adalah 15 tahun sedangkan pada kelompok kontrol adalah 16 tahun. Pekerjaan ayah dari kedua kelompok siswi adalah sebagai karyawan swasta (53,8% dan 57,7%) dan wiraswasta (15,4% dan 19,2%). Untuk pekerjaan ibu dari kedua kelompok siswi tersebut ialah ibu rumah tangga (96,2% dan 92,3%) dan wirausaha masing-masing kelompok sebesar 3,8%. Hasil uji beda besaran uang saku adalah p = 0,380  dan hasil dari uji beda aktifitas fisik adalah p < 0,001.Kesimpulan: Tidak terdapat perbedaan besaran uang dan terdapat perbedaan aktivitas fisik antara kelompok kasus dan kontrol. Perlu diadakannya aktivitas fisik tambahan sebagai bentuk pencegahan masalah gizi lainnya. 
                            
                         
                     
                 
                
                            
                    
                        Perbedaan Kecukupan Energi dan Status Gizi Siswa Membawa Bekal dan Tidak Membawa Bekal Ke Sekolah 
                    
                    Cindy Claudia Nurulita; 
Bambang Wirjatmadi                    
                     Amerta Nutrition Vol. 3 No. 4 (2019): AMERTA NUTRITION 
                    
                    Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia 
                    
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                                DOI: 10.20473/amnt.v3i4.2019.305-309                            
                                            
                    
                        
                            
                            
                                
Background: The school age is growth and development era towards adolescence, and if nutritional disorders occur during this period, it will have a major impact on the next life cycle. One of the direct causes the occurrence of nutritional problems is unbalanced meal intake. Since the intake of foods that contain nutrients balanced is essential for growth and development, especially in childhood. One of the messages of a balanced nutritional guidelines for elementary school children that is bringing meal.Objectives: to study the difference of adequacy energy level and nutritional status of students who packed meal from home and not packed meal to schoolMethods: this research was an observational analytical with case control design which was located in Pacarkeling 1 Elementary School Surabaya on March – April 2019. The sample was 34 students in grade 4 and 5, also to the number of each group of 17 students. Sampling method using simple random sampling. The research Variables are adequacy difference of energy, nutritional status, students who bring meal in school.  Data was analyzed by independent sample t-test. Data was collected through interview using food recall 2x24 hours, anthropometry data using weight and high measurement. Results: This study showed that there was difference of adequacy energy (p=0.011) and nutritional status (p=0.014) of students who packed meal to school and those who do not bring packed meal to school Conclusions: There was a significance difference between energy needs level and nutritional status of students who packed meal to school and those who do not bring packed meal to school ABSTRAK Latar Belakang: Masa usia sekolah ialah masa tumbuh kembang anak menuju masa remaja sehingga rentan terkena gangguan gizi. Masa usia sekolah memiliki dampak yang cukup besar untuk masa kehidupan selanjutnya. Penyebab utama adanya gangguan gizi ialah konsumsi makanan yang tidak seimbang. Konsumsi makanan yang cukup mengandung zat gizi seimbang yang sangat penting untuk tumbuh kembang anak. Berdasarkan pedoman dari gizi seimbang untuk anak sekolah dasar yaitu membawa bekal makanan ke sekolahTujuan:  mempelajari perbedaan kecukupan energi dan status gizi antara siswa membawa bekal dan tidak membawa bekal ke sekolahMetode: Metode penelitian bersifat observasional analitik dengan design case control yang berlokasi di SDN Pacar keling 1 Surabaya pada Maret-April 2019. Total sampel penelitian adalah sebanyak 34 sampel dengan jumlah setiap kelompok sebesar 17 sampel. Pengambilan sampel menggunakan simple random sampling, Variabel penelitian ini yaitu kecukupan energi, siswa membawa bekal dan tidak membawa bekal dan status gizi. Data dianalisis dengan uji independent T-test. pengukuran asupan makanan menggunakan metode wawancara menggunakan recall 2x24 jam dan instrument yang digunakan adalah meliputi timbangan berat badan digital, microtoise dan kuesionerHasil: terdapat perbedaan kecukupan energi (p= 0,014) dan status gizi (p= 0,011) siswa membawa bekal dan tidak membawa bekal.Kesimpulan: Kesimpulan penelitian ini adanya perbedaan yang signifikan pada tingkat kecukupan energi, dan status gizi siswa membawa bekal dan tidak membawa bekal. sebaiknya, anak sekolah terutama sekolah dasar memperhatikan pemilihan jenis makanan sesuai dengan kebutuhan zat gizi dalam sehari. 
                            
                         
                     
                 
                
                            
                    
                        Bone Density Status and Vitamin D and Calcium Concentrations in Pregnant and Non-Pregnant Women 
                    
                    Setiarsih, Dini; 
Wirjatmadi, Bambang; 
Adriani, Merryana                    
                     Makara Journal of Health Research Vol. 20, No. 3 
                    
                    Publisher : UI Scholars Hub 
                    
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Background: The aim of this study was to analyse differences in bone density and vitamin D and calcium concentrations between pregnant and non-pregnant women. Methods: This was an analytical, cross-sectional study of women aged 30 years or over, residing in the Puskesmas Bangkalan district. The sample population was chosen at random and included 10 pregnant women in their third trimester and 10 non-pregnant women. This observational study consisted of an interview, a blood test, and a 24-hour recall. The concentration of serum vitamin D (25(OH)D) was measured by Gas Chromatography and a Photometric Test measured the concentration of serum calcium. Participant's bone density was measured by bone ultra sonometer. The data was analysed using the Mann-Whitney test and assessed ultraviolet-B exposure, bone density values, and consumption of vitamin D, calcium, energy, and protein. The Student t-test was used to analyse serum vitamin D and calcium concentrations. Results: There were no differences between the groups' serum vitamin D concentrations (p = 0.946). However, there were significant differences between the groups' serum calcium concentrations (p = 0.047) and bone density values (p = 0.019). Conclusions: A high prevalence of vitamin D deficiency (25(OH)D < 50 nmol/L) and insufficiency (25(OH)D < 80 nmol/L) was observed in both groups. The mean serum calcium concentrations and bone density values were lower in pregnant subjects than non-pregnant subjects.
                            
                         
                     
                 
                
                            
                    
                        The Expression Change of Mmp-8 and Collagen Type-2 Intracell in Lung Tissue Due to Electronic Smoke Exposure 
                    
                    Suryadinata, Rivan Virlando; 
Wirjatmadi, Bambang; 
Andriani, Merryana; 
Sumarmi, Sri                    
                     KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 1 (2022) 
                    
                    Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang 
                    
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                                DOI: 10.15294/kemas.v17i2.26557                            
                                            
                    
                        
                            
                            
                                
The number of electronic smokers has increased annually. Exposure to an electronic cigarette will increase free radicals in the body and result in oxidative stress causing lung tissue damage. The severity degree of lung tissue damage caused by electronic smoke exposure depends on the duration of electronic cigarette smoke exposure, and will affect Matrix Metalloproteinase-8 and collagen type-2 in the cells. The study aims to understand the change degree of Matrix Metalloproteinase-8 and collagen type-2in lung tissue due to electronic cigarette smoke exposure. This study applied the experimental method with a post control group design. The male Wistar rats were used as the animal models in this research to assess cell damage through the Matrix Metalloproteinase-8 expression and collagen type-2 in the lung tissue using immunohistochemical staining. Exposure to electronic smoke cigarettes was given to each group of animal models with the difference in amount and time duration. The expression of Matrix Metalloproteinase-8 indicated a significant increase due to electronic smoke exposure (ANOVA, p=0.000). Meanwhile the expression of collagen type-2 showed a significant decrease because of electronic smoke exposure (ANOVA, p=0.000). Besides, MMP-8 and collagen type-2 manifested relationship existence and strong impact (r=0.948, p=0.000).  The negative impact of exposure to electric cigarette smoke causes increased expression of Matrix Metalloproteinase-8 and decreased expression of type-2 collagen in lung tissue.
                            
                         
                     
                 
                
                            
                    
                        The giving effects of biscuits and tempeh-based flour cakes as supplemetary feeding towards improvements in body weight and height in children suffering malnutrition 2015 
                    
                    Oktovina Rizky; 
Bambang Wirjatmadi; 
Merryana Adriani                    
                     Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 4, No 1 (2015): edisi September 2015 
                    
                    Publisher : Universitas Wijaya Kusuma Surabaya 
                    
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                                DOI: 10.30742/jikw.v4i1.11                            
                                            
                    
                        
                            
                            
                                
Background: Nutritional problem in children is considered as a major issue and one that should receive priority in treatment is concerning to malnutrition. Malnutrition in children occurs due to insufficiency in energy and protein. Energy and protein are required in supporting rapid growth in children.Objective: to learn the giving effects of biscuits and tempeh-based flour cakes as supplementary feeding towards improvements in body weight and height of children under five suffering malnutrition in one of Public Health Center working area, northern region of Kediri Municipality.Methods: This study used a Randomized Control Triall Design, towards groups of children under five by providing tempeh-based flour cakes for supplementary feeding in the treatment group and by providing biscuits for supplementary feeding in control group. Samples were as many as 30 children under five and the data were being analyzed using peason and pre-post differences analysis was done using paired samples T-testResult: There was significant difference between body weight and body height after  provision of providing biscuits and tempeh-based flour cakes for supplementary feeding with  p = 0.001 (p <α) for the treatment group and p = 0.001 (p <α) for the control group.Conclution: Providing and tempeh-based flour cakes in the treatment group for 30-days gave influence on increasing body weight and height.
                            
                         
                     
                 
                
                            
                    
                        Hubungan Body image, Tingkat Konsumsi Energi, dan Tingkat Konsumsi Lemak dengan Kejadian Gizi Lebih pada Remaja Putri di SMAN 1 Krian Sidoarjo 
                    
                    Civana Dea Alnanda; 
Bambang Wirjatmadi                    
                     Jurnal Ilmiah Universitas Batanghari Jambi Vol 23, No 3 (2023): Oktober 
                    
                    Publisher : Universitas Batanghari Jambi 
                    
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                                DOI: 10.33087/jiubj.v23i3.4138                            
                                            
                    
                        
                            
                            
                                
The incidence of overweight (overweight and obesity) is a nutritional problem caused by excess fat tissue in the body. Adolescent have a high risk of overweight which needs to be considered because it can affect the process of growth and development. The incidence of overweight in female adolescents can be influenced by several factors such as body image, energy intake, and fat intake. The purpose of this study was to analyze the relationship between body image, , energy intake, and fat intake with the incidence of overweight in female adolescents of SMAN 1 Krian.This research is analytic observational research with case control research design. There was a sample of 58 female adolescents who were divided into two groups, in which the overweight and normal nutrition groups consisted of 29 each. Research data obtained from anthropometric measurements, questionnaires, and interviews. Samples were selected randomly using simple random sampling. Research analysis using chi square test and fisher's exact test.The results showed that there was a significant relationship between energy intake (p=0.000) and fat intake (p=0.003) with the incidence of overweight. Meanwhile, between body image (p=0.066) were not there is a relationship with the incidence of overweight.The conclusion of this study is that excess intake of energy and fat can lead to overweight in female adolescents. female adolescents should be given knowledge of the importance of adopting a healthy lifestyle that of eating intake in accordance with balanced nutrition.
                            
                         
                     
                 
                
                            
                    
                        HUBUNGAN TINGKAT PENGETAHUAN IBU TENTANG GIZI DAN POLA PEMBERIAN MAKAN PADA BALITA STUNTING 
                    
                    Wardani, Karmila Ayu; 
Rambung, Etha; 
Wartiningsih, Minarni; 
Wirjatmadi, Bambang                    
                     E-Jurnal Medika Udayana Vol 13 No 3 (2024): E-Jurnal Medika Udayana 
                    
                    Publisher : Universitas Udayana 
                    
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                                DOI: 10.24843/MU.2024.V13.i03.P18                            
                                            
                    
                        
                            
                            
                                
The nutrients in the food consumed play a role in determining a person's condition and nutritional status. This research aims to determine the description and relationship between the level of maternal nutritional knowledge and the feeding patterns of mothers who have stunted toddlers in Desa Sumorame Candi Sidoarjo. This research method is analytical observational with a cross sectional approach. The research subjects were 40 mothers of stunted toddlers in Sumorame Candi Sidoarjo Village. Data collection used a questionnaire with guided interviews. Data were analyzed using the Chi-square test (significance ?<0.05). Data shows the percentage of mothers with high levels of knowledge about nutrition (5%), medium (27.5%), and low (67.5%) while mothers with appropriate (47.5%) and inappropriate feeding patterns (52, 5%). The chi-square statistical test results showed a relationship between the mother's level of knowledge and toddler feeding patterns (p=0.027). The research concludes that the mother's level of knowledge about nutrition influences the mother's feeding pattern for her toddler.
                            
                         
                     
                 
                
                            
                    
                        Association between Picky Eater Behavior with Stunting among Preschool Children in Surabaya 
                    
                    Novita Eka Hardini; 
Wirjatmadi, Bambang                    
                     Media Gizi Indonesia Vol. 19 No. 2 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL) 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/mgi.v19i2.140-147                            
                                            
                    
                        
                            
                            
                                
Stunting is one of the main nutritional problems in Indonesia. Stunting in children can be caused by various things, one of the problems is picky eater behavior which often appear at preschool age. The purpose of this study was to analyze the relationship between picky eater behavior and stunting in preschool children. The methods of this study used case control design, and for the sample selection used simple random sampling technique. The population of this study was all students in PG-TK Al Irsyad Surabaya and the sample for each case and control group was 15 respondents. Nutritional status was measured using the parameters height for age (H/A) and picky eater behavior using the Children's Eating Behavior Questionnaire (CEBQ). Data was analyzed using chi-square test. Most respondents have picky eater behavior and stunting (93.3%), followed by children with picky eater behavior and not stunting (53.3%). The results of statistical tests show that there is a relationship between stunting and picky eater behavior (p-value = 0.035). Additionally, children with picky eater behavior also have a bigger risk of stunting than children who were not (OR 12.250). So it could be concluded that stunting can be caused by various factors, one of which is picky eater behavior. The recommendation for parents to prevent picky eater behavior and stunting is they can try to use responsive feeding technique, so that children can develop good eating habits, and introduce a variety of foods since childhood.
                            
                         
                     
                 
                
                            
                    
                        Literature Review: Hubungan Asupan Makanan Siap Saji dengan Kegemukan pada Remaja 
                    
                    Kirana, Dhea Sukma; 
Wirjatmadi, Bambang                    
                     Media Gizi Kesmas Vol 12 No 1 (2023): MEDIA GIZI KESMAS (JUNI 2023) 
                    
                    Publisher : Universitas Airlangga 
                    
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                                DOI: 10.20473/mgk.v12i1.2023.434-440                            
                                            
                    
                        
                            
                            
                                
Background: Overweight in adolescents has been increasing in its prevalence every year. In 2013 the incidence of overweight was 7.3% and increased to 9.5% in 2018. The impact of being overweight on adolescents is the existence of degenerative diseases and psychological problems in adolescents, such as being ostracized from their environment because of their body shape. In tackling the overweight, WHO has created a global campaign to raise awareness of all parties from policymakers to the public to minimize the occurrence of overweight in adolescents. Indonesia has made a program to prevent and control overweight, but this program is considered ineffective because the incidence of overweight in adolescents is still increasing annually. A factor causes overweight in adolescents is high consumption of fast food. Objectives: This article was made to know whether there is a correlation of fast food intake and the incidence of adolescents overweight. Methods: Article was made as a literature review from two databases, namely Google Scholar and PubMed which had been published in the last 10 years, both national and international articles. Obtained as many as 14 articles regarding the correlation of fast food intake to overweight adolescents. Discussion: Several articles have been reviewed showing that fast food consumption is associated with an increase in Body Mass Index (BMI). The adolescents who consume fast food more often have a greater risk of being overweight than adolescents who rarely consume fast food. Types of modern fast food is the type of fast food that is most often consumed. Conclusions: Can be concluded that fast food consumption had correlation with overweight in adolescents.