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Tantangan Implementasi Konvergensi pada Program Pencegahan Stunting di Kabupaten Prioritas Yurista Permanasari; Meda Permana; Joko Pambudi; Bunga Christitha Rosha; Made Dewi Susilawati; Ekowati Rahajeng; Agus Triwinarto; Rachmalina S. Prasodjo
Media Penelitian dan Pengembangan Kesehatan Vol 30 No 4 (2020)
Publisher : Sekretariat Badan Penelitian dan Pengembangan Kesehatan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mpk.v30i4.3586

Stunting is one of the nutritional problems faced in the world, including Indonesia. To overcome this problem, the government conducted a program to accelerate stunting prevention in 100 priority districts / cities through specific and sensitive nutrition interventions including health and non-health stakeholders. Interventions are carried out in a convergent manner by aligning various resources to achieve the goal of preventing stunting.The convergence is carried out from the planning, budgeting, implementation, to monitoring stages. The purpose of this study is to analyse the challenges of implementing the convergence of stunting prevention programs that have been running since 2018 by local governments in priority districts / cities based on content, context, process, and actors. The research method is operational research with a research design using a qualitative approach design with in-depth interviews in 13 priority districts/cities. The health policy triangle framework is used as an approach in analyzing the results of this study which consists of content, context, process, and actors. In-depth interview sources are policy makers and program managers to accelerate stunting reduction from province to sub-district and village. The results showed that the challenge in implementing convergence was the existence of sectoral egos in each OPD (stakeholders) because of the socialization was not yet optimal so that many stakeholders did not fully understand the stunting prevention program. Information that was late in being obtained, information cut off from socialization, and difficult demographic conditions in the area where one of the causes in certain areas of the obstruction of socialization. The implementation of convergence that has not been optimal is also due to the ansence operational and technical guidelines for implementing program when the research was conducted so that the regions do not know the steps to carry out these activities. Abstrak Masalah anak pendek (stunting) merupakan salah satu permasalahan gizi yang dihadapi di dunia, termasuk Indonesia. Untuk mengatasi permasalahan stunting, pemerintah melakukan program percepatan penanggulangan stunting di 100 kabupaten kota prioritas yang melibatkan sektor kesehatan dan non kesehatan melalui intervensi gizi spesifik dan sensitif. Penyelenggaraan intervensi dilakukan secara konvergen dengan menyelaraskan berbagai sumber daya untuk mencapai tujuan pencegahan stunting. Konvergensi dilakukan mulai dari tahap perencanaan, penganggaran, pelaksanaan, sampai monitoring. Tujuan penelitian ini adalah menganalisis tantangan implementasi konvergensi program pencegahan stunting yang telah berjalan sejak tahun 2018 oleh pemerintah daerah pada Kabupaten prioritas berdasarkan konten, konteks, proses, dan aktor. Metode penelitian merupakan operational research dengan desain penelitian menggunakan pendekatan kualitatif dengan metode wawancara mendalam di 13 kabupaten prioritas. Kerangka segitiga kebijakan kesehatan digunakan sebagai pendekatan dalam menganalisis hasil penelitian ini yang terdiri dari konten, konteks, proses, dan aktor. Informan wawancara mendalam ialah para pengambil kebijakan dan pengelola program percepatan penurunan stunting dari mulai provinsi sampai kecamatan dan desa. Hasil penelitian menunjukkan bahwa tantangan dalam implementasi konvergensi ialah masih adanya ego sektoral pada masingmasing OPD karena masih belum optimalnya sosialisasi sehingga banyak yang belum memahami secara menyeluruh mengenai program pencegahan stunting. Informasi yang terlambat diperoleh, terputusnya informasi dari sosialisasi, serta kondisi demografi wilayah yang sulit menjadi salah satu penyebab pada beberapa daerah tertentu tehadap terhambatnya sosialisasi. Implementasi konvergensi yang belum optimal juga dikarenakan belum diperolehnya juklak dan juknis dalam melaksanakan program saat penelitian dilakukan sehingga daerah belum tahu langkah untuk melakukan kegiatan tersebut.

THE RELATIONSHIP OF CHILDREN KNOWLEDGE THROUGH 4 HEALTHY 5 PERFECT FOOD TOWARD UNDER HEALTH SERVICES IN SCHOOL: HUBUNGAN TINGKAT PENGETAHUAN MAKANAN 4 SEHAT 5 SEMPURNA DENGAN SIKAP ANAK TERHADAP JAJANAN TIDAK SEHAT PADA ANAK SEKOLAH Rani Devayanti; Agus Triwinarto
Jurnal Ilmiah Wijaya Vol. 10 No. 1 (2018): Volume 10 Number 1 : 2018
Publisher : Wijaya Husada

Food is most important needs for human being, by consuming a food every human can be live, growing and thinking. Intensely of food is affecting bodies as well as minds. If we consume dirty and unhealthy food then the condition of the agency can to deteriorate so it can be cause the disease. However, if we consume too much food, what else are instantly made a preservative can result in the performance of the brain being broken, slow in thinking something, and lost of concentration. The aim of this research is to find out the relationship of children knowledge through 4 healthy 5 perfect foods toward under health services in 5 grade of Mardiyuana Elementary School. The design of this research is analytic approach description on the cross sectional research. To conudct this research, the researcher collect the data by using questionnaire, only 100 with the statistics chi square. The collection of data were collected from the spread of the questionnaire covered. The results of this research is the son of having knowledge of good as many as 49 or ( 49 percent from 100 respondents , and children with positive attitude as many as 62ofrespondentsor(62%).ThestatisticsoftheresultsobtainedPv0.030and0.05 then Pv <,So Ho rejected whichmeans there is a level of knowledge of healthy food 4 5 perfect with the attitude of children against unhealthy snacks.

PENGEMBANGAN ALAT SKRINING UNTUK HIPERTENSI Heryudarini Harahap; Yekti Widodo; Sri Muljati; Agus Triwinarto; Imam Effendi
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v33i2.92

THE DEVELOPMENT OF SCREENING TOOL FOR HYPERTENSIONThe increasing prevalence of hypertension is an important public health problem contributing to significant excess disease and mortality. The risk factors of high blood pressure were smoking, sex, age, consumption, activity, obesity, and heredity. Studies showed that subjects didn’t aware about their blood pressure as well as subjects’ knowledge about risk and symptom of hypertension was not good. Hypertension prevention can be done by giving screening tools to detect the blood pressure as well asgiving information about risk and symptom of hypertension. The objective of the study was to develop screening tool to detect hypertension. A cross-sectional survey was conducted in Bogor, North Jakarta and Tangerang district. Blood pressure was collected using spyhgmanometer. The JNC 7 was used to classify of hypertension. Screening tool and leaflet was developed based on the result of Basic Health Research data set as well as literature study. The study had three activities that were focus group discussion, validity and reliability, as well as screening tool trial. Results: Validity test showed that over 17 questions only 6 questions were valid (p0,05, r = 0,176). After re-construction of screening tool questions then validity test was done again. Over 15 questions, 12 was valid (p0,05, r = 0,07).Eventhough 3 questions were not valid that questions were still included in that screening tools. Reliabilty of screening tool was realiable (α Cronbach’s = 0.586). The sensitivity (Se) and Specificity (Sp) of subjects that had been have 7 scores or higher was had Se 61.6 and 64.1 Sp respectively. Conclusion: This study implies that hypertension screening tool can be used as screening tool to detect hypertension.Keywords: hypertension, obesity, sensitivity, screening tool, specificity

DISABILITAS PADA LANJUT USIA MENURUT STATUS GIZI, ANEMIA DAN KARAKTERISTIK SOSIODEMOGRAFI Sri Muljati; Agus Triwinarto; Yudi Kristanto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 37 No. 2 (2014)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v37i2.4012.87-100

ABSTRACTIt is estimated that Indonesian elderly population will increase to 10.14 percent of the total population in year of 2020 and 16.19 percent in 2030. The consequence of elderly (60 years old or above) will add more burden to government on health care program for this group. As the population grows older, the risk of disability and burden of desease in the population is increasing, therefore government should allocate more fund for health care. The objective this study is to assess association between nutritional status and anemia on elderly after controlled by age, sex, education, occupation, by multiple logistic regression test. The result showed that based on six models, elderly group age ≥70 years old had twice risk, elderly with malnutrition had 1.3 to 1.5 times risk, while the anemic elderly had 1.3-1.6 times risk to have physical disabilities of cognitive domain, mobility domain, personal care, friendship care, daily activities as well as participation. On the other hand, obese elderly had risk of 1,4 to experience disability in mobility domain. One of ways to prevent disability of elderly group is through improvement of nutritional status focusing on controlling of anemia, underweight and obesity.Keyword: disability, anemia, underweight, elderly ageABSTRAKSalah satu tantangan kependudukan di Indonesia yaitu meningkatnya jumlah penduduk lanjut usia (lansia) yang pada tahun 2010 berjumlah 18,037 juta jiwa (7,59%). Diperkirakan pada tahun 2020 menjadi 10,14 persen dan pada tahun 2030 mencapai 16,19 persen dari total penduduk. Bertambahnya jumlah penduduk lansia mengakibatkan meningkatnya kebutuhan program kesehatan bagi lanjut usia. Konsekuensi tingginya prevalensi berbagai penyakit yang menjadi determinan terhadap disabilitas pada lansia dan masih tingginya prevalensi masalah gangguan gizi pada lansia memerlukan biaya tinggi untuk pemeliharaan kesehatan. Tulisan ini mengkaji hubungan antara status gizi, anemi terhadap disabilitas pada lansia setelah dikontrol oleh faktor umur, jenis kelamin, pendidikan, pekerjaan melalui pemodelan dengan uji regresi logistik ganda. Hasil menunjukkan bahwa berdasarkan enam pemodelan yang dihasilkan, lansia yang berusia ≥70 tahun memiliki risiko dua kali, lansia dengan status gizi kurus memiliki resiko 1,3 hingga 1,5 kali, lansia dengan anemia memiliki risiko 1,3 hingga 1,6 kali untuk mengalami disabilitas baik terhadap domain kognitif, mobilitas, perawatan diri, memelihara persahabatan, mengerjakan pekerjaan sehari-hari maupun partisipasi. Sedangkan lanjut usia dengan status gizi obesitas memiliki risiko 1,4 kali untuk mengalami disabilitas dalam domain mobilitas. Maka salah satu upaya untuk mencegah disabilitas pada lansia dapat dilakukan melalui perbaikan gizi pada lansia dengan prioritas mengatasi anemia, kurang gizi (underweight) dan obesitas. [Penel Gizi Makan 2014, 37(2): 87-100]Kata kunci: disabilitas, anemi, kurang gizi (underweight), lanjut usia (lansia)

PERUBAHAN POLA KONSUMSI PANGAN KELUARGA PADA SEBELUM DAN SEWAKTU KRISIS EKONOMI Yayah K. Husaini; Yekti Widodo; Agus Triwinarto; Salimar Salimar
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1488.

CHANGES OF HOUSEHOLD CONSUMPTION PATTERN BEFORE AND DURING THE ECONOMIC CRISIS.Background: It is generally agreed that the economic crisis has an impact on food insecurity and malnutrition. People's ability to secure an adequate diet during the crisis in Indonesia would have been declined, however, data are not adequately available.Objective: The purpose of this study was to examine the magnitude of the impact of the crisis on household food consumption in three rural areas: Cianjur (West Java), South Lampung (Lampung) and Tanah Datar (West Sumatera).Method: The study on food consumption had been conducted in 1993/1994 (before crisis), and a similar study was repeated in 1999 during the peak of the crisis in the same areas. A total of 346 households in the three areas were surveyed. The food consumption was recorded using a 24- hour method; knowledge and attitudes on foods were collected by interview. Information on socio-cultural and tradition surrounding foods use were also gathered. The consumption of foods as part of the five groups (staples, plant and animal protein resources, vegetables, fruits, and milk) were examined, and ranked their frequencies of consumption and their contribution to each food groups. This would allow us to make comparison on household consumption patterns in the three different areas at before and during the peak of the crisis.Results: Rice was eaten two or three times a day and there was no significant changes in the frequency of consumption of rice during the crisis. Noodes and flours were eaten less frequent, but com and cassava were increased during the crisis. Although during the crisis there was a decrease in the consumption of meat, but not the case for fresh fish, salted fish, eggs, tofu and tempeh. People's have had switched the consumption pattern more on less expensive foods. People's in Tanah Datar (West Sumatera) was apparently better in coping mechanism as the response to the crisis than the other two areas. In Tanah Datar, diet was likely more diversified, perhaps even better than the situation at before crisis.Conclusions: The results suggest that the effects of the economc crisis on household food consumption were varied, depend on the nature (land) and environment, level of education, pattern of employment and socio-cultural in each areas.Key Words: economic crisis, consumption pattern, diet, coping mechanism

PENGARUH POLA ASUH TERHADAP GANGGUAN PERTUMBUHAN BAYI SAMPAI UMUR SEMBILAN BULAN: Studi Kasus di Kecamatan Sukaraja, Kabupaten Bogor Agus Triwinarto; Anies Irawati
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 27 No. 2 (2004)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v27i2.1414.

The Effect of Child Caring Practices To Infant Growth Faltering Since Birth To 9 Months Olds: A Case Study In Sub District Sukaraja, District Bogor.Introduction: Growth faltering in Indonesian infant started when they are less than six month old and continued untill they grow up. Child care including feeding pattern may as aa caused this problem. The main factors related with growth faltering are unbalanced food consumption (macro and micro nutrient) and infectious disease.Objectives: The study was aimed to assess the contribution of infant care to infant growth faltering before they reach age of nine month old. The study was designed as cohort prospective Fifty-nine babies were followed from birth until nine months old, in Sukaraja Subdistrict, Bogor Regency. Child care aspects being monitored were feeding pattern, nutrition comsumption and health care. Infant growth measured by weight and length gain, based on CDC-NCHS 2000 growth curve. Repeated measured analysis were used to evaluate when growth faltering begins. Multiple linier regressions were used to evaluate the impact of child care on infant growth.Result: The result of the study showed that child care significantly contribute infant weight gain and lenght gain when birth weight, birth length, frequency of infection, sex, age of mother, education of mother, nutrition and health knowledge of mother and ratio food to total expenditure were controlled. Growth faltering in weight due to child care starts when they reach two mothers old, and continue until nine months old. Growth faltering in length due to child care starts when they reach five months old, and continue until they the age reach nine months.Conclusions: Infant care especially during the first month of life is an important period to prevent infant from early growth faltering.Keywords: child care, feeding pattern, growth faltering

STRATEGI PENINGKATAN PRAKTIK PEMBERIAN ASI EKSKLUSIF Yekti Widodo; Heryudarini Harahap; Sri Muljati; Agus Triwinarto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 26 No. 1 (2003)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v26i1.1428.

STRATEGY TO IMPROVEMENT EXCLUSIVE BREASTFEEDING COVERAGEBackground: Exclusive breastfeeding practice in Indonesia not yet gratified, ranging from 3,6% up to 27,5%. Therefore require to be developed a promotion strategy to motivate the exclusive breastfeeding, by entangling target of besides mother with given by a complete information about exclusive breastfeeding. Objectlves: Knowing exclusive breastfeeding promotion impact to coverage of exclusive breastfeeding. Methods: This research represent the research observational, with kohort design. Sampel research is all pregnancy women which old age its pregnancy have entered the third trimester. All sampel research given the counselling with interpersonal communication and non-formal condition and also the discussion with husband, parent, grandmother. At this research the strategy counselling to motivate the exclusive breastfeeding by giving information about exclusive breastfeeding, creating condition and environment supporting, improving husband involvement, other family member, traditional birth attendant, cadre, and rural midwife (bidan di desa) and also lessen the negative consequence, like busy, baby rewel, and insufficient breastfeeding. Counselling conducted by special worker which have been trained, since the pregnant women in third trimester until the baby 4 month ages. Results: Total sampel in this research is 221 all family have been given the motivation for the pracllcaly of exclusive breastfeeding. From 221 sampel gave the motivation 110 sampel (49,8%) earning given exclusive breastfeeding during 4 month, while 111 sampel (50,2%) cannot given exclusive breastfeeding because some reason among other things: husband, arent, and or parent in law not support, feel too busy, child need the practice eat, fear later child become difficult eat. This applying counselling strategy can motivate the mother to give the exclusive breastfeeding during 4 month reach 49,8%. This matter indicate that this strategy is good enough to increase exclusive breastfeeding coverage. Conclusions: Counselling strategy with infonnal communications and while non-formal condition and given the complete information and also to combining discussion with the counselling target, is good enough to motivate and look after the exclusive breastfeeding gift behavior. Recommendations: Applying of strategy counselling in order to exclusive breastfeeding promotion need the commitment all of health worker to support and also have to entangle the husband, parent, parent in law, and traditional birth attendant as counselling target. Keywords: exclusive breastfeeding, counselling exclusive, breastfeeding improvement

PENGARUH STATUS GIZI IBU SELAMA KEHAMILAN DAN MENYUSUI TERHADAP KEBERHASILAN PEMBERIAN AIR SUSU IBU Anies Irawati; Agus Triwinarto; Salimar Salimar; Irlina Raswanti
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 26 No. 2 (2003)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v26i2.1431.

EFFECT OF MATERNAL NUTRITION STATUS DURING PREGNANCY AND LACTATION TO SUCCESSFULLY BREASTFEEDING.Background: Infant should be only got breast milk in first six-months, but most of mothers do not successfully breastfed their infant because infant consumed low energy from breast milk. Maternal nutrition status during pregnancy and lactation may contribute to successful breastfeeding. During lactation, there is mobilization of fat to produce breast milk.Objective: The objective of this study is to evaluate contribution of maternal nutrition status before pregnancy, during pregnancy and lactation to successful breastfeedingMethods: In the first four-month of life, if infant consumed energy from breast milk ≤ 65% of RDA categorized as not successful breastfeeding, and if infant consumed energy from breast milk > 65% of RDA categorized as successful breastfeeding.Results: The result shows that maternal nutrition status during pregnancies doesn't contribute to successful breastfeeding. Maternal nutrition status during lactation significantly contributes to successful breastfeeding after controlling other factors (mother factors, infant factors, food pattern and social economics factors). During lactation, the risk of thin mothers (IMT < 18.5) to unsuccessful breastfeeding is 2.26 to 2.56 times compared to normal mothers (IMT ≥ 18.5-25.0) (RR = 2.26 to RR = 2.56).Conclusion: Mother should consume more energy and protein to achieve successful breastfeedingKeywords: successfully breastfeeding

GAMBARAN MEDIAN TINGGI BADAN DAN BERAT BADAN MENURUT KELOMPOK UMUR PADA PENDUDUK INDONESIA YANG SEHAT BERDASARKAN HASIL RISKESDAS 2013 sri muljati; Agus Triwinarto; Nurhandayani Utami; Hermina Hermina
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 39 No. 2 (2016)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v39i2.5723.

The availability of weight and height data based on age group of Indonesian population are needed to assess the appropriate nutrition intake in every gender and age group. However, threre are many problems during determining recommended dietary allowances (RDA) for Indonesians due to un intregated available aquired data in a survey. This analyced data aimed to present aquired information for arranging RDA base on gender and age group. Weight and height data were axtracted from baseline health survey of Indonesia (Riskesdas) 2013. The weight and height data included in the analyses were individu should have good nutritional status, free from chronic diseases and came from wealth economic status. The median of weight and of height were compare to recommended weight and height in RDA 2012 in same gender and same age group. Results show that median weight and height were looked lower than RDA one, the results can be considered on determining of the coming RDA for Indonesian. Tersedianya data berat badan dan tinggi badan menurut kelompok umur pada penduduk Indonesia bermanfaat untuk menilai asupan gizi yang tepat pada setiap kelompok umur dan jenis kelamin. Namun demikian dalam penetapan AKG (Angka Kecukupan Gizi) selama ini masih terkendala karena beberapa informasi yang diperlukan ketersediannya terbatas, seperti data berat badan, tinggi badan, serta asupan zat gizi belum dilakukan dalam suatu survei yang terintegrasi. Analisis ini bertujuan untuk mendapatkan informasi tentang nilai median berat badan dan tinggi badan penduduk Indonesia menurut kelompok umur berdasarkan data Riskesdas 2013 dan membandingkan dengan median tinggi badan dan berat badan yang digunakan dalam AKG 2012. Data yang digunakan dalam analisis ini adalah data berat badan dan tinggi badan individu yang memiliki tingkat soaial ekonomi baik, status gizi normal dan tidak menderita penyakit kronis. Hasil analisis menunjukkan bahwa median berat badan dan tinggi badan pada jenis kelamin yang sama dan kelompok umur yang sama tampak lebih rendah dibandingkan dengan median berat badan dan tinggi badan dari setiap kelompok umur dalam AKG 2012. Dengan diperolehnya angka median berat badan dan tinggi badan menurut kelompok umur dan jenis kelamin diharapkan dapat digunakan sebagai bahan pertimbangan dalam menentukan AKG yang akan datang.

CUT-OFF POINT INDEKS MASSA TUBUH (IMT) DAN LINGKAR PERUT SEBAGAI INDIKATOR RISIKO DIABETES DAN HIPERTENSI PADA ORANG DEWASA DI INDONESIA (CUT-OFF POINT BODY MASS INDEX (BMI) AND ABDOMINAL CIRCUMFERENCE AS INDICATORS OF DIABETES AND HYPERTENSION RISKS AM Agus Triwinarto; Sri Muljati
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 35 No. 2 (2012)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v35i2.3381.119-135

ABSTRACT Nowadays, Indonesia is facing a double problem of nutrition the high prevalence of malnutrition and also the increasing prevalence of obesity which have a risk for the occurrence of chronic diseases, such as cardiovascular and diabetes who will be a risk factor for coronary heart disease and ischemic stroke. Namely to make cut-off point BMI and abdominal circumference as an indicator of the risk of diabetes and hypertension in Indonesian adults. The data used in this analysis are data from RISKESDAS year 2007, with inclusion criteria age 35-75 years and exclusion criteria pregnant women, consuming diabetes and hypertension medications, with a sample of 8181. Shows that the average increase in abdominal circumference and BMI have occurred in the age group 18-24 years to 45-54 years. The average of Body Mass Index (BMI) in the group of men 22.2 and women at 23.3. Abdominal circumference cut-off point is considered good enough as an indicator of diabetes 80 cm in men (Se 58.0 and Sp 58.5) and 81 cm in women (Se 56.5 and Sp 57.0). Hypertension ranges 79-80 cm (Se 57.2 and Sp 64.5) for men and 80-81 cm in women (Se 62.2 and Sp 57.0). Then, cut-off point BMI, which is considered good enough as an indicator of the occurrence of diabetes in men is 23 (Se 53.5 and Sp 58.3) and in women 24 (Se 56.1 and Sp 54.7). For hypertension ranges between BMI 22-23 in males (Se 62.5 and Sp 63.6) and 23-24 in women (Se 61.9 and Sp 56.9). Abdominal circumference better than BMI when used as an indicator of the risk of diabetes and hypertension. But, abdominal circumference and BMI it doesn’t have enough competence to be diabetes and hypertension indicator. Keywords: diabetes, hypertension, IMT, abdominal circumference ABSTRAK Saat ini Indonesia menghadapi masalah gizi ganda, yaitu selain masih tingginya prevalensi gizi kurang juga meningkatnya prevalensi obesitas yang berisiko terhadap terjadinya penyakit kronis, seperti penyakit kardiovaskular dan diabetes yang akan menjadi faktor risiko jantung koroner dan stroke iskemik. Membuat cut-off point Indeks Massa Tubuh (IMT) dan lingkar perut (LP) sebagai indikator risiko diabetes dan hipertensi pada orang dewasa di Indonesia. Data yang digunakan dalam analisis ini adalah data hasil Riset Kesehatan Dasar (Riskesdas) 2007 berjumlah sampel 8181 dengan kriteria inklusi adalah umur 35-75 tahun, sedangkan kriteria eksklusi adalah perempuan hamil, minum obat diabetes dan hipertensi. Kenaikan rata-rata IMT dan LP sudah terjadi pada kelompok umur 18-24 tahun sampai kelompok umur 45-54 tahun. Rata-rata IMT pada kelompok laki-laki 22,2 dan pada kelompok perempuan 23,3. Cut-off point LP yang dianggap cukup baik sebagai indikator risiko diabetes adalah 80 cm pada laki-laki (Se 58,0 dan Sp 58,5) dan 81 cm pada perempuan (Se 56,5 dan Sp 57,0), sedangkan indikator risiko hipertensi berkisar 79-80 cm (Se 57,2 dan Sp 64,5) untuk laki-laki dan sekitar 80-81 cm pada perempuan (Se 62,2 dan Sp 57,0). Cut-off point IMT yang dianggap cukup baik sebagai indikator risiko diabetes adalah 23 pada laki-laki (Se 53,5 dan Sp 58,3) dan 24 pada perempuan (Se 56,1 dan Sp 54,7). Adapun cut-off point IMT yang dianggap cukup baik sebagai indikator risiko hipertensi berkisar 22-23 pada laki-laki (Se 62,5 dan Sp 63,6) dan 23-24 pada perempuan (Se 61,9 dan Sp 56,9). Lingkar perut lebih baik dibandingkan dengan IMT bila digunakan sebagai indikator risiko terjadinya diabetes dan hipertensi. Namun, keduanya tidak cukup andal sebagai indikator untuk diabetes dan hipertensi. [Penel Gizi Makan 2012, 35(2): 119-135] Kata kunci: diabetes, hipertensi, IMT, lingkar perut,

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