Cesilia Meti Dwiriani
Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB University

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Prevalence and Risk Factors of Inadequate Micronutrient Intake among Children Aged 6-23 Months in Indonesia Nathasa Khalida Dalimunthe; Ikeu Ekayanti; Cesilia Meti Dwiriani
Amerta Nutrition Vol. 6 No. 4 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i4.2022.342-350

Abstract

Background: Poor quality and quantity are the main factors that contribute to the increasing inadequacy of micronutrients intake such as Iron, Calcium, Zinc, Vitamins A, and C since the complementary food was introduced at 6 months of infant’s age. Objectives: To analyze the prevalence and risk factors of inadequate micronutrients intake among children aged 6-23 months in Indonesia. Methods: A cross-sectional study used Individual Food Consumption Survey 2014 data from Indonesian Health Study and Development Agency involving 1575 children aged 6-23 months as the total subjects. Minimum Dietary Diversity (MDD) was measured by eight food groups for children under two years old. The prevalence of inadequate micronutrients intake used the probability approach. Binary logistic regression was used as a multivariate test to determine the risk factors of inadequate micronutrients intake. Results: The highest prevalence of inadequate micronutrients intake was vitamin C, while the lowest was zinc, with overall inadequate multiple micronutrients intake being 61.9%. About 57.7% and 15.9% of subjects were low in energy intake and achieved the MDD, respectively. Lived in rural area [OR=1.37(95%CI:1.06-1.77)], low education mother [OR=1.71(95%CI:1.32-2.22)], low energy intake [OR=6.22(95%CI:4.84-7.99)] and not achieved MDD [OR=4.84(95%CI:3.47-6.75)] were more likely to have inadequate micronutrients intake, while not consuming breast milk were less likely to have  inadequate micronutrients intake in children [OR=0.55(95%CI:0.43-0.71)]. Conclusions: Almost two-thirds of subjects were inadequate in overall multiple micronutrients. Low energy intake and not achieved MDD were the highest risk of inadequate micronutrients intake of subjects, instead of low mother education and living in rural areas.
Faktor Risiko Stunting, Anemia Defisiensi Besi, dan Koeksistensinya pada Anak Usia 6-9 Tahun di Indonesia: Hasil dari Indonesian Family Life Survey (IFLS-5) tahun 2014-2015: Risk Factors of Stunting, Iron Deficiency Anemia, and Their Coexistence among Children Aged 6-9 Years in Indonesia: Results from the Indonesian Family Life Survey-5 (IFLS-5) in 2014-2015 Mia Mustika Hutria Utami; Lilik Kustiyah; Cesilia Meti Dwiriani
Amerta Nutrition Vol. 7 No. 1 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i1.2023.120-130

Abstract

Background: Stunting and anemia are malnutrition and have become major public health problems. The evidence is limited about the coexisting stunting and anemia (CSA) among school-aged children (SAC).  Objectives: To analyze risk factors of stunting, anemia, and their coexistence among Indonesian children aged 6-9.  Methods: This cross-sectional study used secondary data from 1,986 children aged 6-9 years from 13 out of 34 provinces in Indonesia. Risk factors of stunting, anemia, and CSA were analyzed by logistic regression.  Results: The prevalence of stunting, anemia, and CSA among children aged 6-9 years was 24.8%, 30.5%, and 8.8%, respectively. Risk factors of stunting were anemia (OR=1.355), underweight father (OR=1.587), maternal education (<12 years) (OR=1.679), short parental stature (mother: OR=2.504, father: OR=1.995), low and middle sanitation score (OR=2.356, OR=1.366), and living in a rural area (OR=1.367). Risk factors of anemia were stunting (OR=1.307), age 6-7 years (OR=1.933), and parental anemia (mother: OR=1.973, father: OR=1.692). Children aged 6-7 years (OR=1.993) and short parental stature (mother: OR=1.901, father: OR=1.620) were risk factors for CSA.  Conclusions: The coexistence of stunting and anemia as a double burden of undernutrition exists among Indonesian children. An anemic child, an underweight father, low maternal education, low and middle sanitation score, and living in a rural area increase the risk of stunting. Stunted children and parental anemia increase the risk of anemia, short parental stature increases the risk of stunting and CSA, while younger children increase the risk of anemia and CSA. 
Validitas dan reliabilitas kuesioner literasi gizi pada remaja (Nulit) di Wilayah Pascabencana Nikmah Utami Dewi; Ali Khomsan; Cesilia Meti Dwiriani; Hadi Riyadi; Ikeu Ekayanti
AcTion: Aceh Nutrition Journal Vol 8, No 1 (2023): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i1.747

Abstract

The validation of the nutritional literacy questionnaire with a broader concept has never been published in Indonesia. This study aims to describe the validation of a nutritional literacy questionnaire (Nulit) in adolescents in post-disaster areas. Content validation was carried out qualitatively and quantitatively. They involve nine panellists by calculating the content validity index (CVI) and multi-rater kappa statistics. Face validation involved ten adolescents living with their mothers in Palu during the 2018 natural disaster. The face validation, item validity, and reliability were assessed by the impact score, the correlation score of each item with the total score, and the value of Cronbach's Coefficient Alpha. The results found that the I-CVI on all items was between 0,78 - 1, which is considered very good. The validation of the questionnaire display found the statement items to be essential and appropriate in the daily life of adolescents, and the impact factor value was 3,9 - 4,3. A total of 21 items are valid; the Cronbach's alpha value is FNL= 0,73, INL= 0,70 and CNL= 0,71. In conclusion, the Nulit Questionnaire is valid and reliable for measuring nutritional literacy in adolescents in post-disaster areas.
PENGETAHUAN ASAM URAT, ASUPAN PURIN DAN STATUS GIZI TERHADAP KEJADIAN HIPERURISEMIA PADA MASYARAKAT PERDESAAN Delita Septia Rosdiana; Ali Khomsan; Cesilia Meti Dwiriani
Media Pendidikan Gizi dan Kuliner Vol 7, No 2 (2018)
Publisher : Universitas Pendidikan Indonesia (UPI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.236 KB) | DOI: 10.17509/boga.v7i2.14291

Abstract

Penelitian ini bertujuan untuk melihat status hiperurisemia di pedesaan. Metode penelitian ini dilakukan dengan cara cross-sectional studi yang dilakukan di pedesaan Kabupaten Cianjur. Pemilihan subjek penelitian dengan teknik random sampling dan diperoleh 116 subjek terpilih yang berpartisipasi dalam penelitian. Data penelitian yang dikumpulkan adalah pengetahuan terkait asam urat, asupan purin subjek dengan menggunakan kuesioner dengan teknik wawancara. Data status gizi berupa Indeks Massa Tubuh (IMT) dikumpulkan melalui berat badan (kg) dan tinggi badan (m2) dikumpulkan melalui pengukuran antropomteri gizi serta serta data kadar asam urat sampel diperoleh melalui pengambilan darah vena subjek. Hasil studi menunjukkan bahwa subjek dengan IMT normal sebanyak 58,6% kadar asam urat subjek menunjukan normal ( 500 mg) sedangkan rata-rata pengetahuan asam urat subjek terkategorikan rendah ( 60 ). Asupan purin subjek tergolong rendah. Hasil uji hubungan menunjukkan bahwa kejadian hiperurisemia berhubungan signifikan dengan tingkat asupan purin subjek. Hasil uji regresi berdasarkan jenis kelamin, pada pria dengan rentang usia dewasa menengah menunjukkan bahwa asupan purin merupakan faktor risiko hiperurisemia p = 0.001 (OR = 24,5; 95% CI: 1.80-332.46). Kata kunci: asupan purin, hiperurisemia, pengetahuan gizi, status gizi.