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All Journal GIZI INDONESIA Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research)
Yekti Widodo
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : GIZI INDONESIA

 1 
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
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

Abstract

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
PENCAPAIAN PERTUMBUHAN ANAK INDONESIA UMUR 0,5–12,9 TAHUN Moesijanti Soekatri; nFN Sandjaja; Yekti Widodo
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v36i2.139

Abstract

SEANUTS adalah studi gizi lengkap yang mencakup pengukuran antropometri, pemeriksaan biokimia darah dan urin, konsumsi makanan dan pola makan anak, informasi mengenai sosial ekonomi keluarga, kesehatan anak, aktivitas fisik, dan perkembangan anak. Dalam makalah ini akan dibahas pertumbuhan anak berdasarkan pengukuran antropometri dengan menggunakan standar WHO 2006 untuk anak balita dan 2007 untuk anak 5,0 sampai 12,9 tahun, yang dibagi dalam 5 kelompok umur yaitu 0,5-0,9; 1,0-2,9; 3-5,9; 6,0-5,9; and 9,0-12,9 tahun. Penelitian ini adalah cross-sectional pada 48 Kabupaten/Kota di Indonesia, dan pengambilan sample dilakukan dengan two-stage randomized cluster sampling dengan stratifikasi berdasarkan area geografi, untuk menetapkan lokasi, gender dan umur. (Metodologi lengkap ditulis dalam tulisan lain di jurnal ini) yang mencakup 7211 anak terdiri dari 50,6 persen anak laki-laki dan 49,4 persen perempuan. Indeks yang digunakan adalah PB/U atau TB/U; BB/U; BB/PB atau BB/TB; dan IMT/U. Hasil menunjukkan bahwa secara nasional prevalensi anak yang pendek dan sangat pendek adalah adalah 31,4 persen, yang mana prevalensi di kota (24,4%) lebih rendah dari pada di desa (38,3%). Untuk anak dengan berat badan kurang dan sangat kurang adalah 23,2 persen; yang mana di desa (27,9%) lebih tinggi dari pada di kota (18,5%); dan prevalensi anak kurus dan sangat kurus (7,8%), di kota (7,6%) tidak jauh berbeda dengan anak yang di desa (7,9%). Masalah gizi yang juga perlu mendapat perhatian adalah gemuk dan sangat gemuk karena kecenderungan jumlahnya semakin banyak dengan prevalensi 7,9 persen. Sebanyak 10,7 persen di kota dan 5,0 persen anak di desa menderita gemuk dan sangat gemuk. Karena masalah pendek terkait kekurangan makro dan mikro, disarankan agar program kesehatan untuk 1000 hari kehidupan anak dilanjutkan yaitu pemberian tabur gizi (Multi Micromineral Powder =MNP) untuk anak gizi kurang termasuk pendek.ABSTRACT GROWTH ACHIEVEMENT OF INDONESIAN CHILDREN AGED 0.5-12.9 YEARS OLD SEANUTS is a comprehensive study conducted in 48 districts in Indonesia. The study covers assessments on antrophometry, biochemical, physical activity, morbidity, dietary consumption and psychology development. Detailed methodology of the study is presented in previous paper in this journal. In this article, only antrophometry is discussed and children are devided in 5 groups according to the age, 0.5-0.9; 1.0-2.9; 3.0-5.9; 6.0-5.9; and 9.0-12.9 years old. In this cross sectional, two-stage randomized cluster sampling was applied using stratification based on geography area for deciding the location of residence, sex and age. A total of 7211 children were recruited, consisting of 50.6 percent boys and 49.4 percent girls. Indices used were HAZ; WAZ; WHZ; and BAZ. The results showed that 31.4 percent of children were stunted and severe stunted. The prevalence was lower in urban children (24.4%) compared to rural children (38.3%). The overall prevalence of underweight (moderate and severe) was 23.2 percent which was higher in rural areas (27.9%) than in urban areas (18.5%). The overall prevalence of wasting (moderate and severe) was 7.8 percent, which was higher in rural areas (8.0%) compared to urban areas (7.6 %). An emerging problem was overweight and obesity, 7.8% of the children were overweight/obese. The prevalence was higher in urban areas (10.6%) versus rural areas (5.0%). Because stunting has closely related to macro and micro nutrients, it is recommended that nutrition intervention programs should be addressed to the first 1000 days of children’ life like MNP (Micro Nutrient Powder) for those who had undernutrition including stunting
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
HUBUNGAN PENGELUARAN ROKOK RUMAH TANGGA DENGAN STATUS GIZI BALITA DI INDONESIA (ANALISIS DATA RISKESDAS 2010) Sudikno .; Bona Simanungkalit; Yekti Widodo; Sandjaja .
GIZI INDONESIA Vol 34, No 2 (2011): September 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v34i2.109

Abstract

Tingkat  pendapatan masyarakat  diperberat  oleh  pengeluaran  rokok  rumah  tangga  yang  secara  tidak langsung  akan  mempengaruhi  status  gizi  balita.  Penelitian  ini  bertujuan  mengetahui  hubungan pengeluaran rokok rumah tangga dengan status gizi balita. Penelitian menggunakan data Riskesdas 2010. Populasi  penelitian  meliputi  semua  rumah  tangga  Riskesdas  2010.  Sedangkan  sampel  adalah  semua rumah tangga Riskesdas 2010 yang memiliki balita (0-59 bulan) dengan kriteria inklusi balita (0-59 bulan) termuda di rumah tangga. Variabel penelitian meliputi: status gizi balita, pengeluaran rokok rumah tangga, pendidikan KK, pekerjaan KK, tinggi badan ibu, pendidikan ibu, pekerjaan ibu, dan status sosial ekonomi. Hasil penelitian menunjukkan rumah tangga dengan pengeluaran rokok pada kuintil 4 dan 5 memiliki odds rasio  1,21  kali  untuk  memiliki  balita  dengan  status gizi  (BB/TB)  kurus  dan  sangat  kurus  dibandingkan rumah  tangga  dengan  pengeluaran  rokok  pada  kuintil  1,  2,  dan  3  setelah  dikontrol  oleh  variabel pendidikan ibu, pendidikan KK, dan pekerjaan KK. Kata kunci: pengeluaran rokok, rumah tangga, statusgizi balita
Co-Authors Aditianti Aditianti Agus Triwinarto Amalia Safitri Bona Simanungkalit Budi Setyawati Bunga Christitha Rosha Cesilia M Dwiriani Doddy Izwardy Dwi Anggraeni Puspitasari Dyah Santi Puspitasari Elisa Diana Julianti Febriani Febriani Feri Ahmadi Fitrah Ernawati Heryudarini Harahap Imam Effendi Irlina Raswanti Irawan Jajah K. Husaini Joko Pambudi Lilik Kustiyah M. Saidin Moesijanti Soekatri nFN Sandjaja Nurilah Amaliah Nuzuliyati Nurhidayati Prisca Petty Arfines Rika Rachmawati Salimar Salimar Sandjaja - Sandjaja . Sandjaja Sandjaja Sri Muljati Sri Mulyati Sudikno . sudikno sudikno Suhartato - Vivi Setiawaty Yayah K. Husaini Yunita Diana Sari