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Hubungan antara Pengetahuan Gizi Seimbang dengan Status Gizi pada Siswa di SMA Negeri 7 Manado Anggi Tatontos; Ester Musa; Maureen Irinne Punuh
JURNAL BIOS LOGOS Vol. 13 No. 3 (2023): JURNAL BIOS LOGOS
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35799/jbl.v13i3.51560

Status gizi siswa dapat dipengaruhi oleh pengetahuan gizi seimbang. Tujuan dari penelitian yang dilakukan yatu guna melakukan anlisa terkait hubungan yan terjadi pada pengetahuan gizi seimbang terhadap status gizi siswa di SMA Negeri 7 Manado. Penelitian yang dilakukan menerapkan metode observasional analitik dan pendekatan cross sectional study. Penelitian ini dilakukan dalam bulan November 2022 – Juni 2023 di SMA Negeri 7 Manado. Sebagaimana dilakukannya penelitian juga menerapkan sebuah populasi penelitiannya sebanyak 506 siswa kelas XI SMA Negeri 7 Manado yang diperoleh banyaknya sampel hingga 90 siswa yang ditentukan menggunakan metode systematic random sampling. Hubungan antar variabel berdasarkan uji statistik menggunakan uji Chi-Square yaitu α = 0,001. Penelitian yang dilakukan memperoleh sebuah hasil peneltiannya berupa banyak responden mempunyai pengetahuan gizi seimbang baik (67,8%) dan status gizi baik (78,9%). Kesimpulan penelitian ini yaitu adanya hubungan yang signifikan antara pengetahuan gizi seimbang terhadap status gizi siswa di SMA Negeri 7 Manado dengan nilai P = 0,001 (P<0,05). Siswa diharapkan lebih banyak membaca buku atau mencari referensi jurnal terkait gizi seimbang untuk menambah pengetahuan tentang gizi seimbang.

Gambaran status gizi dan siklus menstruasi pada remaja putri Rehuellah Daniella Karambut; Maureen Irinne Punuh; Ester Candrawati Musa
Hik Vol. 20 No. 5 (2026): Volume 20 Nomor 5
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v20i5.3195

Background: Nutritional status plays an important role in maintaining reproductive health among adolescent girls. Both undernutrition and overnutrition may disrupt the balance of reproductive hormones, including estrogen, progesterone, luteinizing hormone (LH), and follicle-stimulating hormone (FSH), potentially leading to menstrual cycle irregularities. Purpose: To describe the nutritional status and menstrual characteristics of adolescent girls attending all junior high schools. Method: A descriptive study with a quantitative approach was conducted among adolescent girls enrolled in six junior high schools in Manganitu District. Total sampling was employed. A total of 161 participants were included in the nutritional status analysis, while menstrual characteristics were analyzed among 132 participants who had experienced menarche. Nutritional status was assessed through anthropometric measurements of weight and height and classified using the Body Mass Index-for-Age (BMI-for-Age) according to WHO standards. Menstrual characteristics were collected using a structured questionnaire through face-to-face interviews. Data were analyzed descriptively using frequencies, percentages, means, and standard deviations. Results: The mean age of the participants was 13.17 ± 0.81 years (range: 12–16 years). Most participants had normal nutritional status (78.8%), while 10.5% were obese, 6.2% were overweight, and 4.5% were undernourished. Among the 132 participants who had experienced menarche, 68.2% had a normal menstrual cycle (21–35 days), whereas 31.8% had an abnormal menstrual cycle. Furthermore, 72.7% of participants reported experiencing dysmenorrhea, and 81.8% reported mood changes during menstruation. Conclusion: Most adolescent girls had normal nutritional status and a normal menstrual cycle. However, undernutrition, overweight, obesity, and abnormal menstrual cycles were still observed in a considerable proportion of participants. These findings highlight the importance of continuous nutritional monitoring and reproductive health education to promote the health and well-being of adolescent girls. Keywords: Adolescent Girls; Junior High School; Menstrual Cycle; Nutritional Status; Reproductive Health.

Hubungan riwayat pemberian ASI dan kejadian wasting pada balita: Analisis data SSGI 2022 Yulianty Sanggelorang; Nancy Swanida Henriette Malonda; Maureen Irinne Punuh; Vidya Novita
Hik Vol. 18 No. 12 (2025): Volume 18 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v18i12.694

Background: One of the nutritional issues arising in toddlers due to inadequate nutrient intake is wasting. Toddlers who experience wasting have relatively thin bodies compared to their height, characterized by a weight-for-height z-score of less than -2 SD. Exclusive breastfeeding is one of the contributing factors to wasting. Purpose: To analyze the relationship between exclusive breastfeeding and wasting among toddlers. Method: Quantitative research with a cross-sectional design using secondary data. The study population was all toddlers aged 0-23 months in the Talaud Islands Regency who were included in the census block based on the 2022 SSGI. Data analysis used univariate and bivariate analysis. Results: Based on univariate analysis, toddlers who experienced wasting were 13.1%, toddlers who received colostrum were 88.7%, and those who received exclusive breastfeeding were 56.1%. Based on the bivariate test, the history of colostrum administration with wasting incidents obtained a p value = 0.000 (<0.05) which indicated a relationship between the two variables. Conclusion: Wasting is influenced by various factors including nutritional intake, history of infectious diseases, and completeness of immunization. In addition, colostrum and exclusive breastfeeding have a significant relationship with wasting incidents. Lack of maternal knowledge and family support are also factors that influence the provision of breast milk and colostrum, so increasing education and family support is very important to reduce the prevalence of thinness in toddlers. Keywords: Colostrum; Exclusive Breasting Feeding; Toddlers; Wasting. Pendahuluan: Salah satu masalah gizi yang timbul pada balita dari asupan nutrisi yang tidak memadai adalah wasting. Balita yang menderita wasting akan memiliki tubuh yang relatif kurus dibandingkan dengan tinggi badannya ditandai dengan z-score BB/TB -2 SD. Pemberian ASI eksklusif merupakan salah satu faktor penyebab terjadinya wasting. Tujuan: Untuk menganalisis hubungan pemberian ASI eksklusif dan wasting pada balita. Metode: Penelitian kuantitatif desain cross sectional menggunakan data sekunder. Populasi penelitian adalah seluruh balita usia 0-23 bulan di Kabupaten Kepulauan Talaud yang masuk dalam blok sensus berdasarkan SSGI 2022. Data dianalisis menggunakan analisis univariat dan bivariat. Hasil: Berdasarkan analisis univariat, balita yang mengalami kejadian wasting sebesar 13.1%, balita yang mendapatkan kolostrum 88.7%, dan yang mendapatkan ASI eksklusif 56.1%. Berdasarkan uji bivariat, riwayat pemberian kolostrum dengan kejadian wasting memperoleh nilai p = 0.000 (<0.05), menunjukkan adanya hubungan antara kedua variabel. Simpulan: Wasting dipengaruhi oleh berbagai faktor, termasuk asupan nutrisi, riwayat penyakit infeksi, dan kelengkapan imunisasi. Selain itu, pemberian kolostrum dan ASI eksklusif memiliki hubungan signifikan dengan kejadian wasting. Kurangnya pengetahuan ibu dan dukungan keluarga juga menjadi faktor yang memengaruhi pemberian ASI dan kolostrum, sehingga peningkatan edukasi dan dukungan keluarga sangat penting untuk mengurangi prevalensi wasting pada balita. Kata Kunci: ASI Eksklusif; Balita; Kolostrum; Wasting.

Hubungan antara pola asuh dengan status gizi pada balita Aprilyana Tandi Payuk; Yulianty Sanggelorang; Maureen Irinne Punuh
Hik Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1193

Background: Nutritional problems remain a crucial public health challenge in Indonesia, including in the working area of Remboken Public Health Center, Minahasa Regency. Parenting practices, particularly feeding behavior and child care, are known to influence the nutritional status of toddlers. Purpose: To analyze the relationship between parenting patterns and the nutritional status of toddlers. Method: A cross-sectional study was conducted involving 91 toddlers selected through simple random sampling. Data were collected using a structured questionnaire to assess feeding and caregiving practices, and anthropometric measurements were performed to determine nutritional status based on z-scores: weight-for-age (W/A), height-for-age (H/A), and weight-for-height (W/H). Data were analyzed using Fisher's Exact Test and Chi-square test. Results: There was a significant relationship between feeding practices and nutritional status based on W/A (p = 0.044) and H/A (p = 0.000), but no significant relationship with W/H (p = 1.000). Similarly, caregiving practices were significantly associated with W/A (p = 0.030) and H/A (p = 0.000), but not with W/H (p = 0.092). Conclusion: The results highlight the importance of improving feeding and caregiving practices to enhance children's nutritional status, particularly in addressing underweight and stunting among toddlers. Suggestion: Parents, especially mothers, need to adopt more responsive feeding and caregiving practices. Meanwhile, public health centers are expected to enhance education and provide support to families at risk of stunting, focusing on nutrition, hygiene, immunization, and psychosocial support. Keywords: Feeding Practices; Parenting Patterns; Toddler Nutritional Status Pendahuluan: Masalah gizi masih menjadi tantangan kesehatan masyarakat yang krusial di Indonesia, termasuk di wilayah kerja Puskesmas Remboken, Kabupaten Minahasa. Praktik pengasuhan, khususnya perilaku pemberian makan dan pengasuhan, diketahui memengaruhi status gizi balita. Tujuan: Untuk menganalisis hubungan antara pola asuh dan status gizi balita. Metode: Studi cross-sectional yang melibatkan 91 balita yang dipilih melalui pengambilan sampel acak sederhana. Data dikumpulkan menggunakan kuesioner terstruktur untuk menilai praktik pemberian makan dan praktik merawat balita, juga dilakukan pengukuran antropometri untuk menentukan status gizi berdasarkan z-score berat badan menurut usia (BB/U), z-score tinggi badan menurut usia (TB/U), dan z-score berat badan menurut tinggi badan (BB/TB). Analisis data dilakukan dengan menggunakan uji Fisher-exact dan uji Chi-kuadrat. Hasil: Menunjukkan hubungan yang signifikan antara praktik pemberian makan dan status gizi berdasarkan BB/U (p value = 0.044) dan TB/U atau PB/U (p value = 0.000), tetapi tidak ada hubungan yang signifikan dengan BB/TB atau BB/PB (p value = 1.000). Demikian pula, praktik merawat anak secara signifikan berhubungan dengan BB/U (p value = 0,030) dan TB/U atau PB/U (p value = 0.000), tetapi tidak dengan BB/TB atau BB/PB (p value = 0.092). Simpulan: Hasil penelitian ini menegaskan pentingnya peningkatan praktik pemberian makan dan merawat anak untuk meningkatkan status gizi, terutama dalam mengurangi masalah underweight dan stunting pada balita. Saran: Orang tua, terutama ibu, perlu meningkatkan praktik pemberian makan responsif dan perawatan untuk balita, sementara pusat kesehatan masyarakat diharapkan meningkatkan pendidikan dan memberikan dukungan bagi keluarga yang berisiko stunting dengan fokus pada nutrisi, kebersihan, imunisasi, dan dukungan psikososial. Kata Kunci: Pola Asuh; Praktik Pemberian Makan; Status Gizi Balita.

Asupan energi dan status gizi peserta didik Nikita Ester Paendong; Maureen Irinne Punuh; Ester Candrawati Musa
Hik Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1242

Background: Adolescence is a crucial life period in human development marked by significant biological, emotional, social, and cognitive changes as individuals transition from childhood to adulthood. Meeting nutritional needs during adolescence is absolutely essential. Deficiencies in energy and other nutrients can have negative effects that persist into adulthood. Both under nutrition and overnutrition often stem from imbalanced energy intake. Most Indonesians still have unstable energy intake, often exceeding the recommended dietary allowance, even though many adolescents in Indonesia have normal nutritional status. Purpose: To analyze the relationship between energy intake and nutritional status among students. Method: This study used a quantitative, analytical observational design with a cross-sectional approach. The sample consisted of 77 seventh and eighth-grade students selected through total sampling (entire population). The variables examined were energy intake and nutritional status. Energy intake data were collected using a 24-hour food recall form, while nutritional status was assessed using BMI-for-age (BMI/U) through anthropometric measurements, including height (measured using a SECA microtoise) and weight (measured using a SECA digital scale). The relationship between variables was analyzed using Spearman’s Rank Correlation test. Results: The results showed that the respondents' nutritional status was dominated by good nutritional status (75.3%), and normal energy intake (51.9%). A Spearman's Rank Correlation test showed a relationship between energy intake and nutritional status (p = 0.000; r = 0.388). Conclusion: That most respondents had good nutritional status and normal energy intake. There was a relationship between energy intake and nutritional status, with a positive r value indicating a unidirectional relationship. Suggestion: Future researchers can use these results as a reference but should add other methods or variables that were not included in this study. Keywords: Adolescents; Energy Intake; Nutritional Status. Pendahuluan: Masa remaja adalah fase krusial dalam hidup manusia yang ditandai dengan transformasi signifikan pada aspek biologis, emosional, sosial, dan kognitif selama transisi dari anak-anak ke dewasa. Status gizi yang kurang maupun lebih, sering kali berakar dari asupan energi yang tidak seimbang. Sebagian besar masyarakat Indonesia memiliki asupan energi yang masih tidak stabil dan melebihi angka kecukupan energi meskipun sebagian besar remaja di Indonesia memiliki status gizi normal. Tujuan: Untuk menganalisis hubungan antara asupan energi dengan status gizi pada peserta didik. Metode: Jenis penelitian ini adalah penelitian kuantitatif yang bersifat observasional analitik dengan menggunakan desain atau rancangan penelitian yang dipakai yaitu studi potong lintang dengan sampel 77 siswa kelas VII-VIII yang dipilih secara total sampling/total populasi. Variabel dalam penelitian ini yaitu asupan energi dan status gizi. Data asupan energi dikumpulkan melalui formulir food recall 24 jam dan status gizi diukur dengan IMT/U melalui pengukuran antropometri terlebih dahulu menggunakan alat ukur tinggi badan dan berat badan yaitu mikrotoise dan timbangan digital merk SECA. Analisis hubungan menggunakan uji Spearman’s Rank Correlation. Hasil: Status gizi didominasi oleh status gizi baik (75.3%), asupan energi normal (51.9%), dan didapatkan adanya hubungan antara asupan energi dengan status gizi berdasarkan hasil uji Spearman’s Rank Correlation dengan nilai (p= 0.000; r = 0.388). Simpulan: Sebagian besar responden memiliki status gizi baik dan asupan energi normal, serta adanya hubungan antara asupan energi dengan status gizi dengan arah hubungan nilai r positif menunjukkan hubungan searah. Saran: Bagi peneliti selanjutnya dapat menggunakan hasil ini sebagai referensi, namun dengan menambah metode lain atau dengan menambahkan variabel yang belum ada pada penelitian ini. Kata Kunci: Asupan Energi; Remaja; Status Gizi.

Hubungan aktivitas fisik dengan status gizi pada peserta didik SMP Muhammad Rosyad Hullah; Maureen Irinne Punuh; Yulianty Sanggelorang
Hik Vol. 19 No. 7 (2025): Volume 19 Nomor 7
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i7.1246

Background: Adolescents are a group vulnerable to nutritional problems. The main factor behind this is that adolescence is a period of accelerated growth and development, often accompanied by changes in eating habits and lifestyle. Although each adolescent has different demands, activity levels begin to increase significantly as they approach junior high school. Adolescents' nutritional status is influenced by various factors, including eating habits, economic conditions, cultural background, and physical activity levels. Physical activity is defined as any form of bodily movement that increases energy expenditure, thus playing a role in maintaining energy balance and preventing the risk of excess weight. Purpose: To analyze the relationship between physical activity and nutritional status of students in junior high school. Method: This quantitative research with an analytical observational design employed a cross-sectional approach. The study was conducted from March to July 2025 at Pineleng 2 Public Junior High School, involving 77 respondents in grades VII and VIII. The research instruments included the International Physical Activity Questionnaire (IPAQ) and the SECA height and weight measurement tool. Data were analyzed using univariate and bivariate methods, with Fisher's exact test for correlation between variables. Results: some respondents had active physical activity totaling 69 respondents and for good nutritional status totaling 58 respondents. Conclusion: There is a relationship between physical activity and nutritional status with a p value = 0.019 (p<0.05). Keywords: Adolescents; Nutritional Status; Physical Activity. Pendahuluan: Remaja termasuk dalam kelompok yang rentan terhadap masalah gizi. Faktor utama yang melatarbelakangi hal ini adalah masa remaja merupakan periode percepatan pertumbuhan dan perkembangan, yang sering kali diiringi dengan perubahan kebiasaan makan dan pola hidup. Meskipun setiap remaja mempunyai tuntutan yang berbeda, tingkat aktivitas pada usia remaja akan mulai cukup meningkat ketika mendekati usia Sekolah Menengah Pertama. Status gizi remaja dipengaruhi oleh berbagai faktor, antara lain kebiasaan makan, kondisi ekonomi, latar belakang budaya, dan tingkat aktivitas fisik. Aktivitas fisik didefinisikan sebagai segala bentuk gerakan tubuh yang meningkatkan pengeluaran energi, sehingga berperan dalam menjaga keseimbangan energi dan mencegah risiko kelebihan berat badan. Tujuan: Untuk menganalisis hubungan antara aktivitas fisik dan status gizi peserta didik di SMP. Metode: Penelitian kuantitatif dengan desain observasional analitik menggunakan pendekatan cross sectional study. Penelitian dilaksanakan pada Maret–Juli 2025 di SMP Negeri 2 Pineleng dengan melibatkan 77 responden kelas VII dan VIII. Instrumen penelitian meliputi kuesioner International Physical Activity Questionnaire (IPAQ) serta alat ukur tinggi badan dan berat badan merk SECA. Analisis data dilakukan secara univariat dan bivariat, dengan uji hubungan antar variabel menggunakan uji Fisher’s Exact Test. Hasil: Sebagian responden memiliki aktivitas fisik aktif berjumlah 69 responden dan untuk status gizi baik berjumlah 58 responden. Simpulan: Terdapat hubungan antara aktivitas fisik dengan status gizi dengan nilai p = 0.019 (p<0.05). Kata Kunci: Aktivitas Fisik; Remaja; Status Gizi.

Hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi anak 6-24 bulan Anggun Igir; Maureen Irinne Punuh; Nancy Swanida Henriette Malonda
Hik Vol. 19 No. 8 (2025): Volume 19 Nomor 8
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i8.1272

Background: Malnutrition can lead to physical and mental retardation, decreased thinking ability, and increased productivity, as well as increasing the risk of disease and death in children. Malnutrition can be caused by inappropriate provision of complementary foods to meet children's nutritional needs. Purpose: To determine the relationship between complementary feeding and breast milk and the nutritional status of children aged 6-24 months. Method: This was an observational analytical study with a cross-sectional design. The population was 363 children aged 6-24 months, with a total sample size of 86 children. The sampling technique used was a probability sampling with simple random sampling. The instrument used in this study was the Child Feeding Questionnaire (CFQ) to measure the criteria for complementary feeding. Results: Based on the weight-for-age (W/A) index, 86.0% had normal weight and 11.6% were underweight. Based on the weight-for-height (W/B) index, 84.9% were categorized as well-nourished, and 10.5% were malnourished. In this study, the appropriate provision of complementary feeding was 88.4%, while the inappropriate provision was 11.6%. The bivariate analysis, based on the weight-for-age (W/A) and weight-for-height (W/H) indices, yielded a p-value of 0.000 (p<0.05). This indicates a relationship between the provision of complementary foods and breast milk and the nutritional status of children aged 6-24 months. Conclusion: There is a relationship between the provision of complementary foods and breast milk and the nutritional status of children aged 6-24 months. Suggestion: Complementary foods should be provided according to the child's age, starting with mashed, soft/finely chopped complementary foods, and continuing with family meals. Complementary foods should also include a variety of ingredients, such as carbohydrates, animal protein, vegetable protein, fruits, and vegetables, and hygiene should be maintained during the preparation and serving of complementary foods. Keywords: Children; Complementary Foods; Nutritional Status. Pendahuluan: Kekurangan gizi dapat menyebabkan hambatan fisik, mental, penurunan kemampuan berpikir, produktivitas, serta meningkatkan risiko penyakit dan kematian anak. Penyebab kekurangan gizi dapat disebabkan oleh pemberian MP-ASI yang tidak tepat dengan kebutuhan gizi anak. Tujuan: Untuk mengetahui hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi anak 6-24 bulan. Metode: Penelitian observasional analitik dengan desain cross sectional study. Populasi dalam penelitian ini adalah 363 anak berusia 6-24 bulan dengan total sampel berjumlah 86 anak, teknik pengambilan sampel menggunakan probability sampel dengan metode simple random sampling. Instrumen yang digunakan dalam penelitian ini yaitu Child Feeding Questionnaire (CFQ) untuk mengukur kriteria MP-ASI. Hasil: Berdasarkan pengukuran indeks BB/U, terdapat 86.0% dengan berat badan normal dan sejumlah 11.6% dengan berat badan kurang. Berdasarkan pengukuran indeks BB/PB terdapat 84.9% dengan kategori gizi baik dan terdapat 10.5% mengalami gizi kurang. Pada penelitian ini, kategori pemberian MP-ASI tepat sejumlah 88.4% dan kategori MP-ASI tidak tepat sejumlah 11.6%. Hasil analisis bivariat berdasarkan indeks BB/U dan BB/PB diperoleh p-value 0.000 (p<0.05). Hal ini menunjukkan terdapat hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi anak 6-24 bulan. Simpulan: Terdapat hubungan antara pemberian makanan pendamping air susu ibu dengan status gizi anak 6-24 bulan. Saran: MP-ASI perlu diberikan sesuai dengan usia anak, dimulai dari MP-ASI dengan bentuk lumat, lembek/dicincang halus hingga makanan keluarga. Pemberian MP-ASI juga harus beragam jenis bahan makanan, seperti karbohidrat, protein hewani, protein nabati, buah dan sayur serta harus menjaga kebersihan dalam proses pengolahan dan penyajian MP-ASI. Kata Kunci: Anak; Makanan Pendamping Air Susu Ibu (MP-ASI); Status Gizi.

Hubungan riwayat pemberian ASI eksklusif dengan stunting pada balita Jesica Christin Muhaling; Yulianty Sanggelorang; Maureen Irinne Punuh
Hik Vol. 19 No. 10 (2025): Volume 19 Nomor 10
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i10.1725

Background: Indonesia is in the process of achieving the Sustainable Development Goals (SDGs) to eradicate hunger, achieve food security, and improve nutrition, while supporting sustainable development. These goals include addressing the problem of stunting, which is being pursued to reduce it. Stunting can impact a child's life into adulthood. If not addressed promptly and appropriately, it can lead to the risk of physical and cognitive developmental disabilities. Purpose: To analyze the relationship between a history of exclusive breastfeeding and stunting in toddlers. Method: This quantitative study used an analytical survey design using a cross-sectional approach. The study was conducted in the Pineleng Community Health Center working area from June to September 2025. The sample size was determined using the Slovin formula with a 10% margin of error, resulting in 100 respondents. Data on exclusive breastfeeding history were obtained through structured questionnaire interviews with parents of toddlers, while height data were obtained through direct measurements using a microtoise. Data analysis included univariate and bivariate analyses using the chi-square test. Results: The mean age of toddlers was 40.4 ± 9.9 months, with an age range of 24–59 months. Most toddlers were in the 24–36 month age group (42.0%), the majority were male (57.0%), not exclusively breastfed (70.0%), and stunting was found in 12.0%. A chi-square test showed no significant association between a history of exclusive breastfeeding and stunting, with a p-value of 0.101. Conclusion: There was no significant association between exclusive breastfeeding and stunting in toddlers aged 24–59 months. This suggests that stunting is caused by multiple factors, such as low household socioeconomic status, premature birth, low parental education, living in rural or slum areas, poor environmental sanitation, poor cultural practices, and others. Keywords: Exclusive Breastfeeding; Stunting; Toddlers. Pendahuluan: Indonesia sedang dalam proses mencapai tujuan pembangunan berkelanjutan atau Sustainable Development Goals (SDGs) untuk memberantas kelaparan, mencapai ketahanan pangan, dan peningkatan gizi serta mendukung pembangunan berkelanjutan. Tujuan yang termasuk didalamnya adalah untuk mengatasi masalah stunting yang diupayakan menurun. Stunting dapat memengaruhi kehidupan anak saat mencapai usia dewasa, jika tidak ditangani dengan cepat dan tepat, hal ini dapat menyebabkan risiko cacat perkembangan fisik dan kognitif. Tujuan: Untuk menganalisis hubungan antara riwayat pemberian ASI eksklusif dengan stunting pada balita. Metode: Penelitian kuantitatif dengan desain survei analitik menggunakan pendekatan cross sectional. Penelitian dilaksanakan di wilayah kerja Puskesmas Pineleng pada bulan Juni–September 2025. Jumlah sampel ditentukan menggunakan rumus Slovin dengan tingkat kesalahan 10%, sehingga diperoleh 100 responden. Data riwayat ASI eksklusif diperoleh melalui wawancara menggunakan kuesioner terstruktur kepada orangtua balita, sedangkan data tinggi badan diperoleh melalui pengukuran langsung menggunakan microtoise. Analisis data meliputi analisis univariat dan bivariat menggunakan uji chi-square. Hasil: Menunjukkan rerata umur balita adalah 40.4 ± 9.9 bulan dengan rentang usia 24–59 bulan, sebagian besar balita berada pada kelompok usia 24–36 bulan sebesar 42.0%, mayoritas berjenis kelamin laki-laki sebanyak 57.0%, tidak mendapatkan ASI eksklusif sebanyak 70.0%, dan kejadian stunting ditemukan pada 12.0% balita. Uji chi-square menunjukkan tidak terdapat hubungan yang bermakna antara riwayat pemberian ASI eksklusif dengan kejadian stunting dengan nilai p sebesar 0.101. Simpulan: Tidak terdapat hubungan signifikan antara pemberian ASI eksklusif dengan stunting pada balita umur 24-59 bulan. Hal ini menunjukkan bahwa stunting disebabkan oleh multifaktor, seperti status sosial ekonomi rumah tangga yang rendah, kelahiran prematur, pendidikan orang tua yang rendah, tinggal di rumah tangga di pedesaan atau daerah kumuh, sanitasi lingkungan yang buruk, budaya yang buruk, dan lain-lain. Kata Kunci: ASI Eksklusif; Balita; Stunting.

Hubungan antara asupan energi dengan status gizi pelajar Christa Natalia Bidara; Maureen Irinne Punuh; Nancy Swanida Henriette Malonda
Hik Vol. 19 No. 11 (2026): Volume 19 Nomor 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i11.1737

Background: Adolescence is a period of rapid growth and development, requiring adequate energy intake to support daily activities and growth processes. An unbalanced energy intake can have a significant impact on the nutritional status of adolescents. Excess energy intake can lead to overweight and obesity, while insufficient energy intake can decrease immunity and increase the risk of various diseases. Purpose: To determine the relationship between energy intake levels and nutritional status among students. Method: A quantitative research uses an analytical observational design with a cross-sectional study design, held in March-September 2025 at State Senior High School 2 Tondano. The entire student population consisted of 60 respondents. Data were collected using a 2x24 Hour Food Recall Form questionnaire and Body Mass Index according to Age (BMI/A) measurements, then analyzed using the chi-square test. Results: Most students had an energy intake of less than 68.3% and 61.7% were classified as having good nutrition. This shows that there is a significant relationship between energy intake and nutritional status in students with a p-value = 0.047 (p<0.05). Conclusion: There is a significant relationship between energy intake and nutritional status among students. Suggestion: It is recommended to consume a variety of foods in appropriate portions (carbohydrates, fats, proteins, vegetables, fruits) to meet energy needs, and for those who are overweight, to regularly monitor their weight and exercise regularly. Keywords: Energy Intake; Nutritional Status; Student. Pendahuluan: Masa remaja merupakan periode pertumbuhan dan perkembangan yang pesat, sehingga membutuhkan asupan energi yang adekuat untuk mendukung aktivitas harian dan proses pertumbuhan. Asupan energi yang tidak seimbang dapat berdampak signifikan terhadap status gizi remaja. Kelebihan asupan energi dapat menyebabkan kelebihan berat badan dan obesitas, sementara kekurangan asupan energi dapat menurunkan daya tahan tubuh dan meningkatkan risiko berbagai penyakit. Tujuan: Untuk mengetahui hubungan antara tingkat asupan energi dengan status gizi pada pelajar. Metode: Penelitian kuantitatif menggunakan desain observasional analitik dengan rancangan penelitian cross sectional, dilaksanakan pada Maret-September 2025 di SMA Negeri 2 Tondano. Seluruh populasi pelajar berjumlah 60 responden. Data dikumpulkan menggunakan kuesioner formulir food recall 2x24 hour dan pengukuran Indeks Massa Tubuh menurut Umur (IMT/U), kemudian dianalisis menggunakan uji chi-square. Hasil: Sebagian besar pelajar memiliki asupan energi kurang 68.3% dan 61.7% tergolong gizi baik. Hal ini menunjukkan terdapat hubungan signifikan antara asupan energi dengan status gizi pada pelajar dengan p-value = 0.047 (p<0.05). Simpulan: Terdapat hubungan signifikan antara asupan energi dengan status gizi pada pelajar. Saran: Diharapkan peserta didik untuk mengonsumsi makanan beragam dengan porsi yang sesuai (karbohidrat, lemak, protein, sayur, buah) untuk memenuhi kebutuhan energi dan bagi yang berstatus gizi lebih agar rutin mengontrol berat badan serta aktif berolahraga. Kata Kunci: Asupan Energi; Pelajar; Status Gizi.

Media sosial memengaruhi body image dan gangguan makan pada remaja Nancy Swanida Henriette Malonda; Maureen Irinne Punuh; Alpinia Shinta Pondagitan; Yohanis Tomastola; Solideo Anastasya; Christa Bidara; Putri Taroreh
Hik Vol. 19 No. 12 (2026): Volume 19 Nomor 12
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i12.1892

Background: Social media can negatively impact body image and increase the risk of eating disorders in adolescents, yet these platforms are widely used. Adolescents tend to worry about their appearance in response to social media content. Negative body image is a risk factor for eating disorders, which can impact adolescents' nutritional status, leading to undernutrition or overnutrition. Purpose: To determine the influence of social media on body image and eating disorders in adolescents. Method: The study design used a descriptive analytical approach with a cross-sectional approach. The sample consisted of 211 eleventh-grade students from Senior High School in Tondano, Minahasa Regency, taken using a total sampling technique. Body image was measured using the MBSRQ-AS, eating disorders were measured using the EAT-26 questionnaire, and social media was measured using the ASMC Scale questionnaire. Results: The majority of respondents had a positive body image (85.8%), were not at risk for eating disorders (54%), and reported a high influence from social media (78.7%). Statistical analysis using the Spearman rank sum test showed a positive correlation between digital media and body image (p=0.000; 0.261) and eating disorders (p=0.045; 0.138). The influence of social media can lead to body image dissatisfaction and eating disorders. Therefore, interventions such as improving social media literacy are recommended to prevent negative impacts on adolescents' mindsets and attitudes. Conclusion: Social media exposure is significantly associated with body image disturbance and eating disorders in adolescents. Keywords: Body Image; Eating Disorders; Social Media. Pendahuluan: Media sosial memiliki dampak negatif terhadap body image dan gangguan makan remaja, namun remaja cenderung selalu menggunakan platform ini. Oleh karena itu, penting untuk mengidentifikasi strategi yang dapat mengurangi dampak buruk media sosial terhadap kesehatan mental remaja. Tujuan: Untuk mengetahui pengaruh media sosial terhadap body image dan gangguan makan pada remaja. Metode: Rancangan penelitian menggunakan deskriptif korelatif dengan pendekatan cross-sectional. Sampel berjumlah 211 remaja kelas XI SMAN 1, SMAN 2, dan SMAN 3 di Tondano kabupaten Minahasa yang diambil dengan menggunakan teknik total sampling. Body image diukur menggunakan MBSRQ-AS, gangguan perilaku makan diukur menggunakan kuesioner EAT-26 dan pengaruh media sosial menggunakan kuesioner ASMC scale. Hasil: Mayoritas responden memiliki body image positif (85.8 %), tidak berisiko mengalami gangguan perilaku makan (54 %), dan memiliki pengaruh tinggi (78.7%) dari media sosial. Hasil analisis statistik menggunakan uji Spearman rank, diketahui bahwa terdapat korelasi positif antara media digital terhadap body image (p=0.000; 0.261) dan gangguan makan (p=0.045; 0.138). Pengaruh media sosial dapat menyebabkan ketidakpuasan akan body image dan gangguan perilaku makan, sehingga direkomendasikan untuk dilakukan intervensi berupa peningkatan literasi penggunaan media sosial agar tidak menimbulkan efek negatif terhadap pola pikir dan sikap remaja. Simpulan: Paparan media sosial secara signifikan berhubungan dengan gangguan body image dan gangguan makan pada remaja. Kata Kunci: Body Image; Gangguan Makan; Media Sosial.

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