Madarina Julia
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Obesitas sebagai faktor risiko penurunan aktivitas fisik vs. penurunan aktivitas fisik sebagai faktor risiko obesitas Fatimah Zahra Burhan; Susetyowati Susetyowati; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 20, No 2 (2023): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.86821

Abstract

Obesity as a risk factor for decreased physical activity vs. decreased physical activity as a risk factor for obesityBackground: The worldwide prevalence of obesity keeps increasing. The increase is closely associated with the worldwide increase in physical inactivity. Obesity and inactivity have formed a vicious cycle that is difficult to disentangle, inactivity precedes obesity or the other way around. Objective: This study aimed to assess the association between obesity and physical inactivity in Indonesian population aged 18-65 years. Methods: This was a longitudinal study using the Indonesian Family Life Survey data in 2007 (IFLS 4) and 2014 (IFLS 5). The sample was 16,166 respondents aged 18-65 years who had data on physical activity, age, sex, weight, and height in both IFLS 4 and 5. Results: The prevalence of obesity increased as our subjects became older, from 25.5% in 2007 to 38.9% in 2014. At the same time, the prevalence of sedentary lifestyles increased from 29.8% to 43.0%. Obese individuals had a higher risk of decreasing their activity level, with RR (95%CI) of 1.27 (1.23-1.31), p<0.001. Compared to women, men were less likely to decrease their activity level, RR (95%CI) of 0.91 (0.89-0.94), p<0.001. Individuals with lower education were also less likely to decrease their activity level, RR (95%CI) of 0.94 (0.90-0.98), p<0.001. The decrease in physical activity was a risk factor for obesity observed in later IFLS, OR (95%CI) of 1.21 (1.13-1.29), p<0.001. Conclusions:  Obesity was a risk factor for the decrease in physical activity, while the decrease in physical activity was also a risk factor for later obesity. Both conditions indeed formed a vicious cycle
Ketahanan pangan sebagai deteminan kejadian stunting pada anak usia 2-3 tahun di Kabupaten Ciamis-Jawa Barat Dika Betaditya; Madarina Julia; Fatma Zuhrotun Nisa
Jurnal Gizi Klinik Indonesia Vol 18, No 4 (2022): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.37573

Abstract

Determinant of stunting in children 2-3 aged years in Ciamis District West Java ProvinceBackground: The prevalence of stunting in Indonesia is still high (at 37,2%), while in the province of West Java is at 35,8%. Household food security is one of the indirect causes of the nutritional problems. Aspects of food security in the form of food availability and access to food are related in a household that affects the aspect of the level of food consumption in every household or individual that is not being met. Objective: The study aims to analyze whether household food security was the determinant of stunting in children aged 2-3 years in Ciamis Districts. Methods: This was an observational study with a case-control design. Subjects in this research are households. Information from a total of 349 households, i.e. 168 had stunted and 181 without stunted children, were collected. Respondents consisted of mothers, fathers, and children aged 2-3 years in Ciamis District. Subjects were selected using quota sampling. Data were analyzed using t-test and logistic regression. Results: Food availability, food access, energy, and protein consumption were not associated with stunting (p>0,05). There were significant differences between the average height (Z-score) of children based on the father's height, the mother's height, and the mother's education level (p<0,05). Breastfeeding, initial formula feeding, father's education level, and a large number of families were not associated with stunting (p> 0,05). Conclusion: This study observed that household food security was not the determinant of stunting. After controlling for potential confounders, the children's heights were independently associated with parental heights and maternal education.