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Journal : GIZI INDONESIA

PENGGUNAAN BERBAGAI CUT-OFF INDEKS MASSA TUBUH SEBAGAI INDIKATOR OBESITAS TERKAIT PENYAKIT DEGENERATIF DI INDONESIA Heryudarini Harahap; Yekti Widodo; Sri Mulyati
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i2.20

Abstract

DETERMINING CUT-OFF POINTS OF BODY MASS INDEX FOR OBESITY ASSOCIATED WITH DEGENERATIVE DISEASES IN INDONESIAObesity now is recognized as a public health problem. Changing diets and decreasing physical activity explain the increasing prevalence of obesity. Method that is commonly used for indentifying obesity is Body Mass Index (BMI). At present, there has been a growing debate on different BMI cut-off points for different ethnic groups, in particular for Asian population. A different cut-off point is needed due to evidence associated with BMI, percentage of body fat, and body fat distribution that differ across population. Therefore, health risks may incrase even below the cutoff point of 25 kg/m2 that now categorized as overweight. The objective of the study was to determine BMI cut-off points and their relationship with degenerative diseases. Data was originally taken from Health National Household Health Survei (SKRT) in 2004. The population were those who were aged 25 to 65 years old. The variable analysed statistically were age, sex, blood pressure, total cholesterol, and Diabetes Mellitus (DM). The analysis used in this study was univariate and bivariate tables to answer the objective. Based on WHO cut-off point, obesity was in BMI =25 kg/m2, and the prevalence of being hypertension, DM and hyperkolestrolemia as risks were 52.3%, 12,7% and 1,6% respectively. However, based on International Obesity Task Force (IOTF) cut-off in which pre obesity was started on BMI 23 kg/m2, the prevalence of each risk was consecutively 40,1%; 11,4% and 0,6%. Respectively cut-off used by Ministry of Health in obesity was 25 kg/m2 with prevalence for each risk was 50.2%, 11.8% and 1.5% respectively. Sensitivity (Se) and Specificity (Sp) were around 22.0-23.0 for all subjects based on sex, age, and education. The highest Se and Sp was found on hypercholesterol. Logistic regresion analysis showed that the increasing of BMI cut-off of 23 to 25 would be followed by the increase of the risk of hypercholesterol up to 0.6 points. On the other hand, decreasing BMI from 25 to 25 in USA may reduce 13% co-morbidity disease associated to obesity. In conclusion this study showed that on BMI =23.5 was related to degenerative diseases. However, the cut-off point still need to be examined in relation to the incidence of degenative diseases.Key Word: body mass index, cut-off point, degenerative diseases
PERANAN PEMBERIAN MAKANAN TAMBAHAN PADA ANAK UMUR 6 – 23 BULAN PADA SAAT KRISIS EKONOMI Sandjaja -; Sri Mulyati; M. Saidin; Suhartato -; Yekti Widodo
GIZI INDONESIA Vol 28, No 1 (2005): Maret 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i1.16

Abstract

THE IMPACT OF FOOD SUPPLEMENTATION FOR CHILDREN AGED 6-23 MONTHS DURING ECONOMIC CRISISSupplementary feeding program (PMT) for children aged 6-23 months of poor families (Gakin) is a sub-component of Social Safety Net – Health Sector (SSN-HS) following economic crisis that hit Indonesia the end of 1997. It is intended to provide additional food and prevent deteriorating impact of nutritional status of the target. The main objective of the study was to determine the impact of PMT for children on malnutrition and growth as compared with that for children not receiving PMT. The design of the study is case control. Case was children of poor family who had or ever had received PMT for three months provided by SSN-HS in the last six months. Control was children of near poor families but who had never received PMT. Matching criteria for case and control were age, sex, and residence of the family. The study was conducted in West Java, Central Java, South Kalimantan covering 1014 cases and 1014 controls and their families. Data on child collected were current weight and height, and retrospective weight in the last 10 months. Other data collected were characteristics of chlidren and therir families including socioeconomic status, clinical examination, dietary intake including food suplement. Program implementation of PMT varied among study areas on selection criteria for child beneficiaries in addition to poor families, duration of PMT, method of distribution, type of food. There were similar characteristics between case and control in age, sex, breastfeeding, morbidity except for socioeconomic status of the family, age of father, educational attainment of parents. Foods distributed for 6-11 month old samples included supplementary food, foodstuff, cooked (rice/flour porridge+egg). Foods for 12-23 month old samples more varied than food suplement for 6-11 months old children. Nutrient content of food distributed was 268 Kcal for energy and 9.2 grams protein, below the recommended nutrient content of PMT 360-430 Kcal and 9-15 grams protein. Dietary intake were similar in both groups consisting of energy around 46% RDA and protein 67-73% RDA (excluding breast milk). This finding shows that part of PMT became substitute rather than supplement. Cases had significantly lower nutritional status in W/A and H/A anthropometric indices than control except for W/H. Growth pattern as analyzed using retrospective data found that there was faltering growth pattern in both groups. Period between three months prior to PMT to the baseline showed that more decreasing Z-score was significantly (repeated measures of ANOVA) greater in case than in control group. Three months during PMT, there was still further decreasing mean Z-score in both groups although it was not as great as three months before. This finding showed that PMT was able to prevent deteriorating nutritional status among child beneficiaries of poor families but was not able to improve their nutritional status.Keywords: food suplementation, economic crisis
Co-Authors Abas Basuni Jahari Abdullah Hasib abiel Aditya Pratama Abrar Muslim Achmad Fauzan Al Atsary Ade Rahmat Nahrowy Adeko, Riang Afriansyah Ariatama Afsun Aulia Nirmala Agus Irpan Nurhidayat AGUS RIYANTO ahmad arifin AHMAD RIDHO B31109025 Aisyatur Rodiyah Akhtar Rahmatul Rizki Akhyar Al Baihaqi Anas Albert Efendi Pohan Aldin Akbar Rahmatullah Alfia Nur Fadhilla Alifia, Annisa Ambariani Andriana Marwanto Anisaa Fauziyah Apriana Apriana Apriana Ardila Pratiwi Ari Mulyoto Arie Ardiansyah, Arie Arman Husni Astuti Andjar Aula Chairunnisak Auzan Muhammad Yustanto Avrilya Iqoranny Susilo BAHRUDI EFENDI DAMANIK Bambang Sugiharto Bangun Nur Wijaya Bastian Arifin Bayu Lintang Pangestu Benito C Tan Boedi Setiawan Boon-Chuan Ho Bt. Ab. Hadi, Siti Hajar BUDI UTOMO Catur Fatchu Ukhriyawati Catur Fatchu Ukhriyawati Celina Cicilia Margaritha Charles Charles Daniarti, Yeni Delisa Lestari Dena Merliana Dewi Mahartina Dewi, Yesi Puspita Dhomas Hatta Fudholi Diana Djuwita, Diana Dicky Pratama Putra Distyarini Primadita Dwi Catur Wulandari Dwi Hapsari Tjandrarini Dwight Mahaputera Marulitua Hutapea Dyah Retno Utari Dzaqiah, Meila Nazwa Eka AP Iskandar Eki Prafitri Ramadani Elizabeth Nafthaliana Bermuli Emy Koestanti Sabdoningrum Endah Sukmayanti Endang Supardi Endar Nirmala Entin Jumantini Eprina Intami Ery Harinanto Fachrul Razi Fahriza Aulia Fathurohman Fathurohman Fatika Faturrochman, Fedora Firda Fauzi Djuned Ferriastuti, Widiana Gea Mutiara Ghilman faza Ginting, Chrismis Novalinda Habibi Hidayat, Habibi Halimah Hanif Evendi Heni Pujiastuti Hermin Ratnani Heryudarini Harahap Hesti Meilina Hesti Meilina Hideto Matsuyama Husain, Syepry Maulana Husda Marwan I Nyoman Ehrich Lister Ida Haerida Iip Istirahayu Ilham Pratama Ima Susanti Indah Maharani Indah Puspita Sari Insanur Hanifuddin Ipah Nurhasanah Ira Sari Yudaniayanti Irnameria, Dira Iskandar Iskandar Ismudiono Ismudiono ita novita Iwan Susanto Jannah, Marichatul Jinan Prabowoningtyas Juliasari, Noni Juwarin Pancawati, Juwarin Khansa Syarahil Putri Kiki Risdayanti Koko Prasetyo Kristy Mellya Putri Kuncoro Jati, Dimas Kurniawan , Asep Lastri Mei Lestari Lestari, Syifa Puji Lina Restita Sari Lucyana Indriastuti Lukmanul Hakim Lutfi Luthfi M. Alifudin Sena M. Najmi M. Saidin Mafiroh, Cindhi Mardiaton, Mardiaton Marsandi Manar Mei Candra Putri Meily Sawitri Melita Sugiarti Meutia Meutia Mohammad Arif Mufaro’ah Mufaro’ah Muhammad Aji Khoirun Muhammad Al-Mighwar Muhammad Hambal Muhammad Iqbal Aulawi Muhammad Rizhan Ridha Ridha Muhammad Thohawi Elziyad Purnama Mukramah Mumtaz Fahmi Ismail Munawaroh Muriir Halim Rosyadi Naila Zulfa Siregar Naomy Intan Della Nasrul Arahman Naufal Yaafi Aditama Nidom, Chairul Anwar Niken Nur’aini Niki Ratama NINA HERLINA Nove Hidajati Novi Efriyanti Novi Satria Pradja Nur Andini Nuraeni Nuraeni Nuraida Faradhilla Nurfi Afriansyah Nurhayati Nurhayati Nurhayati Nurhayati Nurhidayat, Agus Irpan Nursely, Dinda Paraningrum, Widiyaningtyas Paras Faturohim Paryatun Perpitasari, Dia Ayu Pipit Pilda Agustin Piterven Leonardo Manurung Poedji Hastutiek Pratama Putra Banusiandana Pudji Srianto Pujiyana Pujiyana Putri, Trisandi Eka Radiffa Fizry Nurfuadi Ramjan Agsay Ramon Zamora Rany Gesta Putri Rais Ratna Mega Sari Ravika Permata Hati Rendra RS, Esta Restu Bias Primandhika Retno Wijayanti Rica Tri Septinora Rimayanti Rimayanti Rini Fertiasari Rini Indrati Rini Indrati Rio Erwan Pratama Riris Butarbutar Rita Mey Hardiaz Rohmat Taufiq Rusii’dy Nur Amin Safrina Amini Salimar Salimar Sandjaja - Sandjaja Sandjaja Sari, Nurratri Kurnia Sayi Datur Rohmah Shintya Anugrah Rahmadani Siti Daryati Siti Hanan Siti Masrochah Soeharsono Soeharsono Sofia Brenieta Brilianti Solihat Solihat Sri Agus Sudjarwo Sri Hidanah Sri Pantja Madyawati Suhartato - Suherman Suherman Suherni Susilowati Sukma, Puspa Permata Sumardi Sadi Sumardi Sadi Sundaniawati Safitri Suparno Susi Mawarni Syafrudin . Syahraini Adhiya Lathifah Syamsul Anwar Syarifudin Syifa Anis Kurli Tatik Hernawati Tia Setiawati Titin Martini Tjetjep syarif Hidayat Tri Wahyu Suprayogi Tubagus Faisal Umban Adi Jaya Virgilio Linis Wahyu Rinaldi Warsito, Sunaryo Hadi Widhy Nandha Saputra Widodo, Oky Setyo Winda Anggraeni Winda Angraeni Wiraguna, Sidi Ahyar Wiwit Aditama Wurlina, W Yana Heri Yani Astuti Yaya Dimas Andika Yekti Widodo Yeni Dhamayanti Yoshikage Ohmukai Yudhia Fratidhina YUDI FEBRIYANTO Yulia Rianawati Yunardi Yusra, Muhammad