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Sri Sumarmi
Department of Nutrition, Faculty of Public Health, Universitas Airlangga, Surabaya, 60115, Indonesia

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Pemberian Diet Tinggi Energi Tinggi Protein Rendah Garam III dan Tinggi Antioksidan pada Pasien Kanker Payudara Stadium IIA: Sebuah Laporan Kasus Qurrota A’yun Nur Rahmadani; Renatasaskia Nurkusumahputri; Lailatul Muniroh; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.580-586

Abstract

Background: Breast cancer ranks first in cases of cancer deaths in Indonesia. The causes of this disease are not completely understood because there are many factors that increase the risk of cancer. The Standardized Nutrition Care Process (NCP) is carried out by providing a High Energy High Protein (HEHP) Low Salt III diet and high in antioxidants to support the patient's improved condition. Objective: To determine the management of NCP in stage IIA breast cancer patients according to the patient's condition. Method: A case study was conducted in March 2021 on patients at Darmo Hospital, Surabaya. Sampling is determined based on emergency considerations and the complexity of the patient's condition. The data collection method was carried out by observation and analysis for 3 days in the patient's intake, physical and clinical, biochemical and anthropometric domains. A literature study was also carried out to complete patient data. Results: In the results of monitoring and evaluation, anthropometric examination there was a constant decrease in the patient's weight, apart from that there was a decrease in leukocyte levels in biochemical examination, in physical and clinical examination there was a constant increase in blood pressure, a decrease in pulse and respiratory rate, body temperature tended to constant and reduced nausea. The patient's intake fluctuates due to the mismatch between the taste of hospital food and the patient's taste. Conclusion: The patient's recovery condition is considered poor in terms of unstable food consumption due to a mismatch between the patient's appetite and the food provided.
Hubungan Usia Ibu, Pekerjaan Ibu dan Pendapatan Keluarga dengan Waktu Pertama Pemberian MP-ASI di Posyandu Kelurahan Bugel Kota Salatiga Adiene Pramita; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.8-14

Abstract

Background: Complementary feeding at six months old has an important role in the nutritional adequacy infants. Complementary feeding last than six months and more than six months had the same risk for lack of nutrition cases. Characteristics of mothers like mother’s age, mother’s work status, and family income can influence the first time complementary feeding. Objectives: This study aims to analyzed correlations between mother’s age, mother’s work  status, and family income with first time complementary feeding. Methods: This research was an observational with cross-sectional method. Population of the study was 176 toddlers with total sample 69 toddlers and their mother became the respondents. The instrument that used in this research were interview and questionnaire. For knowing the correlation, this research using Chi-Square test. Results: Based on the results of the study, most of the respondents were in the adult age group (26-45 years) as many as 63 respondents (91.3%), the non-working group were 57 respondents (82.6%), and the income group was IDR 2,000,001 – IDR 4,200,000 as many as 36 respondents (52.1%). From the results of  Chi-Square test, there was negative correlations between mother’s age (p=0.571) and family income (p=0.672) with first time complementary feeding but positive correlations between mother’s work status with first time complementary feeding (p=0.001). Conclusions: There were no correlations between mother’s age and family income with first time complementary feeding. There was a correlation between mother’s work status with first time complementary feeding. However the more time mother could spent, the more first-time complementary feeding would exact time.
Hubungan Pengetahuan dan Sikap dengan Konsumsi Sugar-Sweetened Beverages pada Wanita Usia Produktif Anggita Rifky Setyanurlia; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.67-74

Abstract

Background: Consumption of sweet drinks, or Sugar-Sweetened Beverages (SSB), is a common habit among people who think that SSB drinks are social drinks. The level of consumption of SSB by women of reproductive age can be influenced by their level of knowledge and attitude toward consuming SSB. If knowledge and attitude are positive towards consumption of SBB and health, then a person will know the quality and quantity of food and drink consumed. Glycemic control is needed to control blood glucose levels based on diet, which includes the type and amount of food and drinks consumed. Objectives: This study aims to analyze the relationship between knowledge and attitudes toward the consumption of Sugar-Sweetened Beverages (SSB) among women of reproductive age in the city of Surabaya Methods: This research is a type of quantitative descriptive research with a cross sectional research design. The research sample consisted of 125 productive-age female respondents aged 18–30 years who were taken by accidental sampling technique. The data collection consisted of the characteristics of the respondents, namely age, education, the respondents' knowledge questionnaire related to SSB consumption, the attitude questionnaire on SSB consumption, and the SQ-FFQ (Semi Quantitative Food Frequency Questionnaire). The collected data were analyzed by statistical analysis using the Chi-Square test to examine the relationship between the independent variables and the dependent variable with a significance level of 95% (α=0.05) Results: The results showed that there was no significant relationship between knowledge (p=0.504) and attitude (p=0.332) and the consumption of Sugar-Sweetened Beverages (SSB). Conclusions: Female respondents of reproductive age have good knowledge, positive attitude towards consumption of Sugary Drinks (SSB), consume low amounts of SSB (<2x per week), average total energy consumption per day, and average sugar consumption per day of SSB consumption that is in accordance with the recommendations. However, some respondents with positive knowledge and attitudes still consumed high amounts of SSB. Knowledge and attitudes are not necessarily the main factors that influence SSB consumption. The determinants of food and beverage selection can be further investigated to determine the supporting factors for SSB consumption.
Pengaruh Sosio Budaya dalam Pemberian ASI Eksklusif dan MP-ASI Dini Dikaitkan dengan Status Gizi pada Anak Usia 6-23 Bulan di Wilayah Kerja Puskesmas Banyuanyar Kabupaten Sampang Annisa Nur Fadilah; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.58-66

Abstract

Background: Problems with children's nutritional status can arise due to factors that are interconnected with others. The main factor that causes nutritional problems in children is the lack of knowledge of the importance of adequate nutritional intake for children. Based on data from the ePPGBM East Java 2021 Health Profile, toddlers in Sampang District are undernourished with 4,646 people, stunted toddlers with 2,425 people, and thin toddlers with 1,609 people.  Objectives: Knowing the socio-cultural influence of exclusive breastfeeding and early complementary feeding on the nutritional status of children aged 6-23 months in the Banyuanyar Health Center working area, Sampang Regency. Methods: This research uses quantitative methods and uses cross sectional studies. The number of samples to be used in this study used 100 respondents of mothers with children aged 6-23 months. Sample selection using multistage random sampling technique. The data were tested using chi square, Fisher's Exact and logistic regression tests. Results: The results showed that there was no influence between socio-culture during pregnancy with exclusive breastfeeding (p = 0.000), postpartum socio-culture with exclusive breastfeeding (p = 0.226), socio-culture during breastfeeding with exclusive breastfeeding (p = 0.732). There was no association between socio-culture and early complementary feeding (p-value for honey=0.142, p-value for formula=0.185, p-value for banana=0.298, p-value for young coconut=0.135, p-value for tajin water=0.142, p-value for team rice=0.809, p-value for cornstarch=0.380, p-value for rice cake=0.135, p-value for instant porridge=0, 285, p-value of fruit puree=0.0.135, abstinence from too much sea fish=0.529), and there is no effect between exclusive breastfeeding on children's nutritional status (p-value of  Weight-for-age index=0.182, p-value of Length for-age index=0.931, p-value of Weight-for-length index=0.717) and early complementary feeding on children's nutritional status (p-value of Weight-for-age index=0.482, p-value of Length for-age index=0.134, p-value of Weight-for-length index=0.541). Conclusions: The conclusion of this study is that there is no socio-cultural influence on exclusive breastfeeding and early complementary feeding on nutritional status in children aged 6-23 months in the Banyuanyar Health Center working area, Sampang Regency.
Hubungan Tingkat Stres Akademik dengan Perilaku Makan pada Mahasiswa Sarjana Fakultas Kesehatan Masyarakat Universitas Airlangga Salma Aulia Rizqi Nuramalia; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.192-199

Abstract

Background: College students are a group of individuals who belong to adolescence and young adulthood with generally poor eating habits that can be caused by various factors. Pressure in academic matters is one of the main factors of student stress, such as the desire to get high grades and student anxiety to try not to fail. Students often neglect some routines that can actually support performance in learning, one of which is eating.  This kind of lifestyle is associated with poor health, which in turn affects life satisfaction. Life satisfaction of young adults is related to eating, because eating can determine health conditions. Objective: This study aims to analyze the relationship between academic stress levels and eating behavior in undergraduate students of the Faculty of Public Health, Universitas Airlangga. Methods: This study was a quantitative study with a cross sectional approach. The research samples was 60 people, obtained randomly by simple random sampling on Microsoft Excel. Data collection included filling out a questionnaire of respondent characteristics, academic stress levels with the Student-Life Stress Inventory, and eating behavior with the Adult Eating Behaviour Questionnaire. Data analysis used in this study was Spearman correlation test. Results: It was found that 58.3% of students had eating behavior that tended to food avoidance and 41.7% of students have eating behavior that tended to food approach. A total of 58.3% of students experienced academic stress levels. There was a relationship between academic stress level (p = 0.001) and eating behavior. Conclusion: The conclusion of this study is that students who have moderate levels of academic stress experience eating behaviors that tend to be food avoidance. It is recommended that students still be able to manage stress well and regulate eating behavior by choosing foods that are in accordance with the principles of balanced nutrition and not skipping breakfast or eating.
Hubungan Karakteristik Keluarga dan Tingkat Ketahanan Pangan Rumah Tangga dengan Kejadian Stunting pada Balita (Studi di Wilayah Kerja Puskesmas Singgahan, Kabupaten Tuban) Nur Laila Syarifah; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.241-248

Abstract

Background: Stunting is chronic malnutrition that occurs in a long time and there are symptoms such as shorter stature compared to their age. Stunting can be caused by several factors, both directly and indirectly. The direct factors are nutritional deficiency and infection, while the indirect factors are household food security and family characteristics. Objectives: The objective of this study is to examine the correlation between family characteristics and the degree of household food security with the occurrence of stunting in toddlers residing in the Singgahan Health Center's jurisdiction in Tuban Regency. Method: The chosen research methodology employs a quantitative analytical approach and adopts a cross-sectional design. The study's sample consists of 95 individuals, selected using a multistage random selection process. The collection of research data involved the utilization of many methods, including height measurements, interviews, and the administration of the Household Food Insecurity Access Scale (HFIAS) questionnaire. Additionally, the data obtained in the study were subjected to analysis using the Chi-Square test. Results: The results showed that the prevalence of stunting was relatively high, namely 41.1%. Not only that, the prevalence of families categorized as severe food insecure was also found, which was 13.7%. Based on the results of the study, a relationship was found between the father's occupation and the incidence of stunting in toddlers (p=0.007), family income and the incidence of stunting in toddlers (p=0.013), food expenditure and the incidence of stunting in toddlers (p=0.019), and the level of food security. household food with the incidence of stunting in toddlers (p=0.033). Conclusion: The occurrence of stunting in young children can be attributed to familial traits and the degree of food security within the home. Insufficient household income has a detrimental impact on the ability of individuals to obtain enough access to food. Respondents are anticipated to enhance the quality of balanced nutrition in toddlers in accordance with the guidelines provided by the Ministry of Health of the Republic of Indonesia. Enhancing household food security can be achieved through the provision of training and the development of productive business skills, hence augmenting income and facilitating improved food accessibility.
Implementasi Proses Asuhan Gizi Terstandar pada Pasien Diabetes Mellitus Tipe 2 dengan Pneumonia dan Post-COVID 19: Sebuah Laporan Kasus Maria Khana Nuansa; Sri Sumarmi
Media Gizi Kesmas Vol 13 No 1 (2024): MEDIA GIZI KESMAS (JUNE 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i1.2024.467-473

Abstract

Background: Type 2 diabetes mellitus patients require special nutritional care to maintain blood sugar levels and meet nutritional needs. Especially in cases of type 2 diabetes mellitus with pneumonia and post-COVID 19 which affects the ability to consume food adequately. The B1 diet is a diet for diabetes sufferers who require a high protein intake. The standardized nutritional care process is carried out by providing B1 diet to lower blood sugar levels and reduce the risk of disease severity. Objectives: To determine the management of standardized nutritional care for type 2 diabetes mellitus patient with pneumonia and post-COVID 19 who use the B1 diabetes mellitus diet. Methods: A case study was conducted in February 2021 on a patient at RSUD Dr. Soetomo Surabaya. The data collection method was observation for 3 days on intake, physical/clinical, anthropometric and biochemical domains. Researchers also conducted literature studies to complete and analyze the data. Results: After nutritional intervention, the patient's physical/clinical complaints began to decrease, GDP levels gradually decreased, and the patient's intake gradually increased although it had not yet reached the target (<80%). Conclusion: Based on the results of monitoring and evaluation, the nutritional intervention provided had not reached the target, but the patient's condition is gradually improving.