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Efektifitas Penyuluhan tentang Sayuran Menggunakan Media “Kartu Sayuran” terhadap Peningkatan Pengetahuan Siswa Sekolah Dasar Dina Fadhilah; Th Ninuk Sri Hartini; I Made Alit Gunawan
JURNAL NUTRISIA Vol 19 No 2 (2017): Vol 19 No 2 (2017): September 2017
Publisher : Poltekkes Kemenkes Yogyakarta

Background: Vegetable consumption of Indonesian population, especially children still not in accordance with government recommendations are 4-5 servings a day. Elementary school student is a very decisive period of good growth and development. A balanced nutritious food intake is essential to ensure healthy and active child growth. If eating habits by applying healthy and balanced nutritious food early given, then the habit will affect until growing up later. Nutrition education efforts in schools have a great opportunity to successfully improve the knowledge about nutrition among the community because the school students are expected to be a bridge for teachers with their parents, teachers as educators in teaching and learning process have an influence on their students. The right media will increase enthusiasm self-study according to the environment and enable students to learn by themselves according to their interests and abilities. Objective: This research are Quasi experiment (experiment) is doing experimental activities, which aims to determine the effects that arise, as a result of a particular treatment Method:. Research design is “pre test and post test with contol group design”. The subjects of the study were 30 student of elementary school from SDN Godean 1 as a counseling group and 30 students from SDN Godean 2 as a group of vegetable cards. Result: The results concluded that there was no difference in the level of knowledge of the sample on vegetables before treatment was given. There is an increase in students’ knowledge of vegetables after being given treatment with lectures and media of vegetable cards. Conclusion: Couseling about vegetables using vegetable card media was more effective than treatment with lecture method toward improvement of elementary school student knowledge. Keywords: Counseling, vegetables, cards, elementary school student

Hubungan antara Kepatuhan Ibu Hamil Mengkonsumsi Tablet Fe, Asupan Fe, Protein dan Vitamin C dengan Kejadian Anemia di Puskesmas Kalasan Arum Dyah Ratnasari; I Made Alit Gunawan; Abidillah Mursyid
JURNAL NUTRISIA Vol 19 No 1 (2017): Vol 19 No 1 (2017): Maret 2017
Publisher : Poltekkes Kemenkes Yogyakarta

Background : Iron deficiency anemia is one of the most common disorders that occur during pregnancy. Factors affecting anemia there is a wide range between low intake of other nutrients (intake of protein, iron, and vitamin C). Besides the low compliance of pregnant women in consuming iron tablet is one of the causes of the prevalence of anemia remains high. Data from health center Kalasan shows the percentage of anemia in pregnant mothers in 2015 by 22%. Objective : This study aims to determine the relationship between compliance of pregnant women consume iron tablet, intake of iron, protein and vitamin C with anemia in health center Kalasan. Methods : The study was conducted using cross sectional design in health center Kalasan in September through November 2016. The sample is third trimester pregnant women who totaled 41 people who meet the criteria for inclusion and exclusion. Samples were taken by way of Systematic Random Sampling. Data collected from mothers consuming compliance iron iron tablet, intake of iron, protein, vitamin C and anemia status. The data obtained in the test statistic used in the bivariate analysis were Chi Square test. Result : After analyzed the results get most expectant mothers dutifully consume the iron tablet (70.7%), iron intake in good (65.9%), protein intake in good (68.3%), vitamin C intake in good (65.9%) and anemia (70.7%). Conclusion : There is relationship compliance pregnant women consume iron tablets with anemia, there is a relationship iron intake with the incidence of anemia, there is a relationship of protein intake with the incidence of anemia, and no association of vitamin C intake with the incidence of anemia. Keywords: Compliance rate, Iron tablets, Iron intake, Protein, Vitamin C, Anemia

Pengenalan Dini Media Berbasis Layar sebagai Faktor Risiko Kegemukan pada Anak Prasekolah di Kota Yogyakarta Neni Pangesti; I Made Alit Gunawan; Madarina Julia
JURNAL NUTRISIA Vol 18 No 2 (2016): September 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background: The prevalence of childhood obesity has increased over the years. It is caused by sedentary lifestyle that is often associated with early exposure to screen-based media. Early exposure refers to screen-based media introduction to children younger than 2 years old. This could lead to unhealthy habit until adolescent and adulthood. Screen exposure at an early age has also been associated with increased food intake. Objective: To analyze the effect of early screen-based media exposure to obesity risk among preschool children in the City of Yogyakarta. Method: This was a case-control study involving 101 obese and 101 non-obese preschool children aged 3-5 years who were enrolled at preschools in Yogyakarta. The school was selected using PPS (Probability Proportional to Size) method. The case and control were matched by age and gender. Obesity was defined by WHZ-score of > 2 SD. Data was analyzed using independent t-test, mc-Nemar test, spearman test, and conditional logistic regression. Result: Obese children were introduced to screen-based media 2 months earlier than their non-obese peers, the difference was however, not statistically significant. Screen-based media introduction was weakly corellated with parents’ income dan the amount of screen media at home. Early screen-based media exposure was not associated with childhood obesity (p>0, 05). Conclusion: Early screen-based media exposure did not increase the risk of obesity among preschool children in the City of Yogyakarta. Keyword: obesity, screen-based media, early exposure, preschool

Hubungan antara pertambahan berat badan ibu selama hamil dengan kegemukan anak prasekolah di Kota Yogyakarta Dian Kurniasari Yuwono; Yayi Suryo Prabandari; I Made Alit Gunawan
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Latar Belakang: Kegemukan merupakan masalah kesehatan yang saat ini menjadi pergulatan, baik bagi negara maju maupun negara berkembang. Penyakit-penyakit tidak menular yang timbul akibat kegemukan menyumbang angka kesakitan dan kematian yang besar.Faktor risiko yang diduga memberi kontribusi terhadap terjadinya kegemukan anak prasekolah adalah faktor-faktor prenatal yang terkait kondisi ibu seperti status gizi sebelum hamil, pertambahan berat badan selama kehamilan, dan pajanan asap rokok pada ibu saat hamil serta faktor lain seperti jumlah asupan kalori dan lemak yang dikonsumsi anak. Tujuan: Menganalisis pengaruh pertambahan berat badan ibu selama hamilterhadap kejadian kegemukan pada anak prasekolah di Kota Yogyakarta. Metode: Jenis penelitian ini adalah penelitian kasus kontrol berpasangan. Populasi penelitian adalah seluruh anak usia prasekolah yang ada di Kota Yogyakarta. Subjek penelitian adalah anak prasekolah berumur 3 – 5 tahun yang terdaftar dalam institusi PAUD di Kota Yogyakarta, dimana yang menjadi kriteria matching adalah jenis kelamin dan umur anak. Kelompok kasus adalah anak dengan status gizi gemuk dan kelompok kontrol adalah anak dengan status gizi normal.Jumlah sampel yang diperoleh adalah 101 pasang anak yang didapatkan melalui teknik multistage sampling.Analisis data menggunakan uji statistic McNemar dan conditional logistic regression. Hasil : Hasil uji McNemar menunjukkan bahwa pertambahan berat badan ibu selama hamil yang melebihi anjuran, meningkatkan risiko kegemukan anak prasekolah secara signifikan sebesar 2,08 kali (CI: 1,06 – 4,08), dan semakin tinggi risikonya jika asupan kalori anak melebihi jumlah yang dibutuhkan. Kesimpulan : Pertambahan berat badan ibu selama hamil yang melebihi anjuran serta asupan kalori anak yang berlebihan akan mengkibatkan kegemukan anak prasekolah di Kota Yogyakarta.

Perilaku ‘Food Approach’ Pada Anak Prasekolah : Studi Kualitatif Herni Dwi Herawati; Indria Laksmi Gamayanti; A Fahmi Arif Tsani; I Made Alit Gunawan
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background : the prevalence of obesity in preschool children was increasing. Food approach behavior was the cause of obesity in children. Objective :to describe food approach behavior in preschool children who have obese and normal nutritional status. Method:this research was qualitatif study. Sampling was done by purposive sampling in mothers who had preschool children aged 3-5 years, consist of two groups; mothers who had obese children (Zscore weight/height > 2 SD), and mothers who had normal nutritional status children. The data colllection was done in-depth interview. Results:in children who were obese more describing overeating, enjoyment of food and desire to drink than in children who were normal nutritional status. Conclusion:obese children tend to describe food approach behavior. Keyword:food approach, preschool children, qualitative study

Persepsi Ibu Terhadap Kondisi Lingkungan Sosial Sebagai Faktor Risiko Kegemukan Pada Anak Prasekolah Ika Agustina; I Made Alit Gunawan; Madarina Julia
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background: the prevalence of obesity in children in Indonesia keeps increasing every year. One of the reasons is the low level of physical activity due to the length of time children's Playground outdoors increasingly declining. Long play time outside the House which the increasingly brief thought to be influenced by the social environment in the community. Objective: Analyze the relationship of maternal perception towards social environmental conditions with obesity in preschoolers Methods: this research is a case control study. The case was identified obese preschoolers (Z score based on w/TB > 2 SD), the control is a child who is not obese (Z score based on w/TB-2 Z-score < ≤ 2 SD) with a matching age and gender. The location of the research was the city with the selection of the sample using the method of Probability Proportional to size (PPS). The number of sample cases and controls of each group was 101 people (1:1). The statistical analysis was performed using t-test, analysis and testing of Mc Nemar. Result: a group of children obese mother who has a positive social environment berpersepsi play outdoors 26.46 minutes longer (95 CI 7,18-45,74). The risk of overweight children who play outdoors less than 2 hours and have the mother berpersepsi negatively to social environmental conditions is 2.05 (95 CI 1,09-3.9). Social environmental conditions is an effect modifier for the relationship between long time playing outdoors and overweight in preschoolers in Yogyakarta. Conclusion: children's play time is influenced by the perception of the mother against the social environmental conditions. The negative perception of the mother on the social environmental conditions will lower the long play time outside the House, raising the risk of overweight children. Keywords: obesity, social environment, play outdoors, preschoolers

Apakah Ibu Bekerja Mempengaruhi Asupan Anak dan Menyebabkan Kegemukan? Sebuah Penelitian Kasus Kontrol Pricillia Wulandari; I Made Alit Gunawan; A Fahmy Arif Tsani
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background:Nowadays, more mothers are choosing to work so they must divide their time between responsibilities. More time spent working will be reduce time for household chores, care and play with the children. Reduced time for household and child can affect food choices in children that can lead to obesity in children. Objective: to identify maternal employment as risk factor of obesity in preschool children and corelation between working hours and nutrition intake. Method:A case control study on preschool children aged 3-5 years, 101 cases have nutritional status weight-fot height: Obese (z-score> 2 SD), matching for age and sex with 101 controls that have nutritional status weight-fot height: normal (-2<z-score ≤2 SD). The study was conducted in the city of Yogyakarta early childhood during the months of June through October 2015. Information obtained through interviews with mothers using semi-quantitative FFQ questionnaire. Result:Maternal employment (OR 1.53; 95% CI: 0.80 to 3.00) and full time working hours (OR 1.57; 95% CI 0.88 to 2.86) was not statistically significant (p> 0 , 05) as risk factors of obesity in preschool children aged 3-5 years. Working hours was not statistically correlated (p> 0.05) with energy (r = -0.04), carbohydrate (r = -0.10), protein (r = -0.00), and fat (r = 0.02). Conclusion:Maternal employment and working hourswere not statistically significant as risk factors, but tend to increase likelihood of obesity in preschool children and there is no correlation between working hours and nutrition intake (energy, carbohydrates, protein, and fat) Key words: childhood obesity, maternal employment, preschool children, nutrition intake, working hours

Apakah Membiarkan Anak Mengatur Asupan Makan Sendiri Dapat Menyebabkan Kegemukan? Sebuah Penelitian Case Control Wulan Tri Yutanti; M. Jufrie; I Made Alit Gunawan; A Fahmy A Tsani
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background : Child control or maternal who are allowing preschool children to self-regulate their own food intakewould affect dietary intake and weight status.Children (>3 years old) tend to eat more when served larger portions and do not regulate intake as well, especially if at higher risk of obesity.Objective : To investigation child control as a risk factors on the risk of obesity and identified the association child control with dietary intake and weight in preschool children in Yogyakarta City. Method : A case control study of preschool children (aged 3 – 5) and their mother was recruited from June to October 2015. Anthropometric measurements included weight and height . Subject divided into normal weight (n=101) and overweight/obesity (n=101) group based on World Health Organization 2005 weight-for-height and were matched by gender and age, Comprehension Feeding Practices Questionnaire (CFPQ) to asses maternal feeding practices, semi quantitative food-frequency questionnaire over the past 3 months to asses children’s dietary intake.Statistical analysis was performed with Mc Nemar test and Spearman. Results : Child control variable wasnot significantly related to risk of obesity (OR = 1,18; 95%CI 0,64 – 2,19) and there is no association between child control with dietary intake and weight (p > 0,05) in preschool children. Conclusions : Child control variable wasnot significantly related to risk of obesity and there is no association between child control with dietary intake and weight in preshool children. Key Words : overweight, obesity, child control feeding practices, dietary intake, preschool children

Maternal Eating Practices and Risk Factor of Obesity in Preschool Children Yunita Indah Prasetyaningrum; Nyoman Kertia; I Made Alit Gunawan
JURNAL NUTRISIA Vol 18 No 1 (2016): Maret 2016
Publisher : Poltekkes Kemenkes Yogyakarta

Background: Yogyakarta became one of the cities with quite high prevalence of childhood obesity at 8,98%. In other hand, shifting socio-economic conditions can alter maternal role model of healthy eating practices. These changes related to food intake and incidence of getting obesity in preschool children. Objective: To analyzed maternal eating practices as risk factor of obesity and identified the dominant risk factor related to obesity in preschool children aged 3-5 years. Method: This study was a case control study. 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). There were 101 obese children and 101 non-obese children based on the nutritional status screening result of 53 early childhood education (ECD) schools in Kota Yogyakarta. Control group was taken by an age and gender matching with the case group. Using Home environment Survey (HES) questionnaire to asses maternal eating practices. The data were analyzed using McNemar test and conditional logistic regression. Results: Maternal eating practices was significantly related to risk of obesity (OR=2,45; p=0,01; 95% CI=1,25-4,84). Maternal eating practices (OR=2,42; p=0,017) and maternal obesity (OR=2,62; p=0,003) were the most dominant risk factors related to the incidence of obesity in preschool children aged 3-5 years. Conclusion: Maternal eating practices and maternal obesity were significantly increase the risk for getting obese in preschool children aged 3-5 years. Key Word: maternal eating practices, maternal obesity, obesity, preschool

Developing Vegetables Card Media As A Learning Media For Elementary School Students Dina Fadhilah; Theresia Ninuk Sri Hartini; I Made Alit Gunawan; Ayu Triani
Jurnal Teknologi Kesehatan (Journal of Health Technology) Vol. 14 No. 1 (2018): Maret
Publisher : POLTEKKES KEMENKES YOGYAKARTA

Nutrition education efforts in schools have a great opportunity to successfully improve the knowledge of nutrition among the community because school students are expected to be a bridge for teachers with their parents, teachers as educators in the teaching and learning process have an influence on their students who are sometimes more comply than parents. Nutrition education should be given as early as possible, because children generally have a high desire to know and learn something further. The appropriate age of children to be given nutritional education is at 6-14 years, because this is the intellectual period in which children begin to learn. From the range, the most appropriate time in giving nutritional counseling is at the age of 11 years because at that age children are in the formal operational stage, which means able to think in abstract, build logical reasoning, and draw the conclusions of available information. The right media will increase the spirit of self-study according to the environment and enable students to learn by themselves according to their interests and abilities. Media must be created by not ruling out good and correct media requirements, so that information can be received in accordance with the wishes of the messenger. This research is a media development research. Starting by designing the format of the form and the content of the media. Furthermore the card was validated by 2 media experts, those were a lecturer in Health Polytechnic of Ministry of Health in Yogyakarta and a graphic designer. Then it was tested to 20 students of class V of academic year 2016/2017 in SDN Nglahar 1, Yogyakarta. Methods of data collection using questionnaire method and analyzed. The results concluded that vegetables cards developed were feasible to use. Presentation of feasibility based on validation result from lecturer and graphic design was 80.32% (feasible) as well as response from elementary school student equaled to 80.74% (feasible).

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