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The Body Size and Micronutrients Status Among the Bride-To Be in Probolinggo Districtof East Java Sri Sumarmi, Sri Sumarmi; Puspitasari, Nunik; Melaniani, Soenarnatalina
KEMAS: Jurnal Kesehatan Masyarakat Vol 13, No 1 (2017)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v13i1.8918

Abstract

Micronutrients deficiency is prevalent among women in reproductive age, particularly in developing countries, including in Indonesia.  Small body size reflects a chronic deficiency of nutrients intake. Both of those problems may correlate each other and making maternal nutrition more complicated. Brides-to be are the most important group of women in reproductive age who require better recognition, because they will become mothers. This study was to describe inter-correlation among anthropometric indices which reflected the maternal body size and several indicators of micronutrient status. A cross sectional study was conducted in selected sub-districts of Probolinggo District, East Java Province year 2012. The samples size of 115 brides-to be were randomly selected from list of brides-to be in Sub-district Office of Religious Affair. The observed variables were body weight, height, body mass index (BMI), mid upper arms circumference (MUAC), micronutrients status including concentration of hemoglobin, serum ferritin, serum retinol and serum zinc. Pearson correlation test was used to analyze data using SPSS for Window version 13.0. Result showed that the average of body weight was 47,3 kg, average stature was 150,4 cm, BMI was 20, MUAC was 25,3 cm. The average of hemoglobin level was 12,4 g/dL, serum ferritin was 50,6 µg/L, serum retinol level was 1,06 µmol/L, and serum Zn level was 12,9 µmol/L. Statistical analisis showed significant correlation between the body weight and hemoglobin concentration (r =0,25, p = 0,01) and serum retinol (r = 0,21, p = 0,03); between BMI and hemoglobin concentration (r = 0,31, p = 0,00) and serum ferritin (r = 0,23, p = 0,03), and serum retinol (r = 0,21, p = 0,02); between MUAC and hemoglobin (r = 0,32, p = 0,00) and serum retinol (r = 0,24, p = 0,02);  between hemoglobin concentration and serum ferritin concentration (r = 0,30, p = 0,00). Stature did not correlate with any indicators of micronutrient. It implies that among the indices of body size, body weight and BMI as well as MUAC are important indicators relating to iron status, and vitamin A status, but not zinc status.
HUBUNGAN KONSUMSI SUPLEMEN DAN FREKUENSI PEMERIKSAAN KEHAMILAN DENGAN KOMPLIKASI KEHAMILAN Imaculata Tinneke Tandiono; Triska Susila Nindya; Sri Sumarmi
Media Gizi Indonesia Vol. 10 No. 1 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (189.312 KB) | DOI: 10.20473/mgi.v10i1.7-12

Abstract

Complication of pregnancy can be induced by anemia in pregnancy which can be caused by deficiency of micronutrients, especially iron, folic acid, minerals and other vitamins. Complication of pregnancy can be prevented by doing routine antenatal care because pregnant women got a supplement to prevent anemia. This study was conducted to analyze the association of the type of supplement and the frequency of antenatal care to complication of pregnancy in Probolinggo district. This was a case control study. Sample taken was 57 people consist of 19 pregnant women who had complication of pregnancy and 38 pregnant women who did not have complication of pregnancy. Three types of supplements that consumed by pregnant women who had complication of pregnancy and pregnant women who did not have complication of pregnancy were in balance proportion (MMN=33,3%, IFA=31,6% and TTD=35,1%). Pregnant women who had complication of pregnancy were doing less than four visits of antenatal care. Types of supplement did not show significant association to complication of pregnancy (p=0,713, while frequency of antenatal care had significant association to complication of pregnancy (p=0,001). Pregnant women should do routine antenatal care to prevent complication of pregnancy.Keywords: complication of pregnancy, frequency of antenatal car, type of supplement
HUBUNGAN JENIS SUPLEMEN YANG DIKONSUMSI DENGAN USIA KEHAMILAN, LAMA PERSALINAN, DAN JENIS PERSALINAN Isnaini Fajariah; Triska Susila Nindya; Sri Sumarmi
Media Gizi Indonesia Vol. 10 No. 1 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (179.119 KB) | DOI: 10.20473/mgi.v10i1.32-37

Abstract

Women labor process consists of several stages which each of it has risk to unspontaneous labor that need assistance, such as vaccum, induction, forcep, and section caesarean. The risk could be worsened by maternal anemia or low Hb concentration. Reducing anemia can be done by iron and folic acid (IFA) and multimicronutrients (MMN) supplementation. The aim of this study is to analyze the correlation between type of supplement with gestational age, duration of labor, and type of labor. The study design used was cross sectional. The population is mother in delivery who has given the supplement when they were pregnant. The population were spread in 9 sub-districts in Probolinggo district. The sample was 60 respondents that selected by simple random sampling. Data analysis used was chi square. The result showed that the duration of respondents’ labor, both IFA (73.3%) or MMN (83,3%) were in aterm category, that is 37-42 weeks. Duration of labor was categorized in non-prolonged labor or less than 24 hours (IFA=100%, MMN=93.3%). The most common type of labor is spontaneous without assistance (IFA=70.0%, MMN=66.7%). There is no correlation between type of supplement with gestational age (p = 0,144), duration of labor (p = 0,492), and type of labor (p = 0,492). This research suggest that further research should be carried out regarding factors that strongly effect gestational age, duration of labor, and types of labor such as Hb level, consumption pattern, and supplement consumption methods.Keywords: duration of labor, gestational age, supplement, type of labor
ANALISIS RISIKO KEJADIAN BERAT BAYI LAHIR RENDAH (BBLR) PADA PRIMIGRAVIDA Hidayatush Sholiha; Sri Sumarmi
Media Gizi Indonesia Vol. 10 No. 1 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (222.247 KB) | DOI: 10.20473/mgi.v10i1.57-63

Abstract

Low birth weight (LBW) babies still become a problem in developing countries. LBW increase risk of mortality and morbidity. The prevalence of LBW in Probolinggo increased from 2011 to 2013. This study aims to analyze risk factors related to LBW in primigravidae. This study used case control design and purposive sampling technique. The variables include age of pregnant mothers, mother’s education level, family income, gestational age, frequency and quality of antenatal care, and food taboo. Data was analyzed using chi-square and multivariate regression logistic (α=0.05). Factors associated to LBW were the gestational age (p=0.000), age at pregnancy (p=0.030), and level of education (p=0.023). Regression logistic analysis showed that gestational age is a risk factor of LBW (OR= 66; CI 95% 8.197 to 531,391). Mother who gave birth at the age of preterm (<37 weeks gestation) have 66 times greater risk of having LBW baby in primigravidae compared to mothers who gave birth at the age of aterm. Mothers and brides’ woman are expected to avoid pregnancy at risk age (<20 years and >35 years) and the socialization of risk factors related to high risk of pregnancy is needed to reduce the risk of LBW.Keywords: gestational age, low birth weight, primigravidae
FREKUENSI KUNJUNGAN POSYANDU DAN RIWAYAT KENAIKAN BERAT BADAN SEBAGAI FAKTOR RISIKO KEJADIAN STUNTING PADA ANAK USIA 3 – 5 TAHUN Alfian Destiadi; Triska Susila Nindya; Sri Sumarmi
Media Gizi Indonesia Vol. 10 No. 1 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (184.391 KB) | DOI: 10.20473/mgi.v10i1.71-75

Abstract

Stunting is a chronic nutrition problem that requires precise intervention. Risk factors of stunting are need to be assessed to find the solution, such as attendance rate in integrated health post (posyandu) and weight gain. This was a case control study done in children aged 3-5 years old in Sidoarum village, Godean, Sleman, Yogyakarta. Sampling was done by simple random sampling technique with total 43 respondents in each group. Stunting is categorized based on the value of the z-score of height for age less than -2 SD. Primary data was obtained by interview, while attendance rate in integrated health post and weight gain were obtained through secondary data that is growth monitoring card (KMS) and monthly reports of integrated health post. Statistic test used for bivariate analysis was Chi-square and Multiple Logistic Regression for multivariate analysis. Result of bivariate analysis found that attendance rate in integrated health post and weight gain are related to stunting. Result showed that a low rate of attendance in integrated health post is the most dominant factor for the incidence of stunting in children aged 3-5 years (OR = 3.1, CI 95%= 1,268-7,623). This study concluded that children who are less active to come to integrated health post have 3.1 times higher risk of stunting compared to children who are actively come to integrated health postKeywords: attendance rate in integrated health post, children, stunting, weight gain
HUBUNGAN ASUPAN MIKRONUTRIEN DENGAN KADAR HEMOGLOBIN PADA WANITA USIA SUBUR (WUS) Oky Nor Sahana; Sri Sumarmi
Media Gizi Indonesia Vol. 10 No. 2 (2015): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (214.524 KB) | DOI: 10.20473/mgi.v10i2.184-191

Abstract

Women in reproductive age is a group that are more susceptible to anemia. Anemia is caused by a deficiency of various nutrients in the body which existence affects each other and it can lower the immune system then increased risk of morbidity. The aim of this study was to analyze the relationship between intake of iron, vitamin A, vitamin B2, vitamin B6, vitamin C, folic acid, and zinc with hemoglobin level among women in reproductive age. This cross sectional study was conducted in 9 subdistricts in Probolinggo and subjects were 71 people selected by simple random sampling using secondary research data in 2014. Micronutrients intake data obtained by 24 hours recall method then compared to RDA. Hemoglobin level measured by Hemocue. Data was analyzed using the Pearson correlation test. The result showed the average of hemoglobin level was 12.01 ± 1,24 g/dl and anemia prevalence was 42.25%. Statistical analysis showed that vitamin A intake is correlated to hemoglobin level (p = 0.015; r = 0.287). Further analysis is done by dividing respondents into two groups, anemic and not anemic to analyze the difference of the average of micronutrients intake. The sufficient level of vitamin A and vitamin B6 were adequate (≥ 77% RDA), but only vitamin A that significantly associate to hemoglobin level. Keywords: micronutrient intake, hemoglobin level, Women in reproductive age
CAKUPAN ANC DAN CAKUPAN TABLET FE HUBUNGANNYA DENGAN PREVALENSI ANEMIA DI JAWA TIMUR Sylvi Natalia; Sri Sumarmi; Siti Rahayu Nadhiroh
Media Gizi Indonesia Vol. 11 No. 1 (2016): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (233.589 KB) | DOI: 10.20473/mgi.v11i1.70-76

Abstract

Iron supplementation is one of the anemia prevention program in Indonesia. Success Indicator of its program is ANC coverage and coverage of iron tablet distribution. This study aimed to analyze the relationship between the ANC (Antenatal Care) and iron tablet coverage with prevalence of anemia among pregnant women in East Java year 2015. This research used data report from Nutrition Division and Family Health Division of Provincial Health Office East Java. Data was analyse using Pearson correlation test. The prevalence of anemia among pregnant women in East Java was 5.8%, the result are still below the national target which is 28%. The result showed that there was no relationship between the ANC and iron tablet coverage with the prevalence of anemia (p-value > 0.05). It is concluded that coverage of iron supplementation among pregnant women through ANC does not describe the prevalence of anemia among pregnant women due to many factors that infl uence anemia such as bioavailability of iron and compliance pregnant women consume iron.Keywords: anemia, ANC coverage, iron tablet
PENDIDIKAN GIZI MENGGUNAKAN MEDIA BUKU SAKU MENINGKATKAN PENGETAHUAN DAN PRAKTIK KONSUMSI SAYUR DAN BUAH PADA SISWA SEKOLAH DASAR Fitria Laras Azadirachta; Sri Sumarmi
Media Gizi Indonesia Vol. 12 No. 2 (2017): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (183.623 KB) | DOI: 10.20473/mgi.v12i2.107-115

Abstract

The average consumption of vegetables and fruits in Indonesia is still low. This condition can cause the emergence of nutritional problems in children. The purpose of this study was to determine the effect of nutritional education using pocketbook to increasing knowledge and practice of vegetables and fruits consumption among elementary students. This research was quasy experiment using pre-test post-test control group design. The sample size was 60 students consisting of 20 students of SDN Kandang Tepus I as control group treated with media leaflet and 40 students of SDN Kandang Tepus II as treatment group given the pocketbook. The result of independent t-test in pre-test of booth groups shows that there was no difference in knowledge (p=0.220) and practice (p=0.091) between the two groups. Independent t-test result on post-test also shows was no difference in knowledge (p=0.421) and practice (p=0.810) between the two groups. The result of paired sample t-test of the treatment group showed the average of pre-test and post-test of knowledge score were 31.50 and 66.25 and the practice were 2.58 and 3.08. There were significant difference of knowledge (p=0.000) and practice (p=0.000) before and after being given pocketbook. Wilcoxon sign rank test in the control group showed that leaflet did not affect knowledge (p=0.052) but affect the practice (p=0.001). It can be concluded that use of pocketbook media influence the knowledge and the respondent practice.
HUBUNGAN KONTAMINASI COLIFORM DAN SKOR PERILAKU HIGIENE-SANITASI PADA PEDAGANG JAJANAN DI KANTIN SEKOLAH DAN PEDAGANG KELILING[Correlation between Nutritional Status and Magnesium Intake towards Premenstrual Syndrome (PMS) in Female Teenagers] Andhita Riana; Sri Sumarmi
Media Gizi Indonesia Vol. 13 No. 1 (2018): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (476.86 KB) | DOI: 10.20473/mgi.v13i1.27-32

Abstract

Food is one  of components that can cause illness, so it must be safe. An outbreaks of food poisoning 19% happened  in school and 78.57%   happened to elementary   school children. Hygiene and sanitation are important factors related to food safety. This study was aimed to analyze correlation between behavior of hygiene and sanitation of food vendors with food safety by using most probable number of coliform indicator. This was an observational study used cross sectional design, involving 25 food  vendors and 25 food sample which were selected randomly. Result showed  that 40% of the snacks were contaminated by Coliform (>10 Juml./g). The highest contamination of Coliform was >1.100 Juml./g and was found on four food snacks sold in the canteen. Categories of hygiene knowledge score of vendors ware moderate (52%). The majority of vendors ware included in the moderate hygiene attitude score category (52%), and most of the vendors ware included in the moderate hygiene practice score category and moderate environment sanitation score category (56%, respectively). Statistical analysis using Spearman’s rho test showed that there ware a significant correlation  between knowledge of hygiene, practice of hygiene, and environment sanitation of vendors with food safety using indicator most probable number of coliform (p=0.022, p=0.005, p=0.000, respectively). Whereas no significant correlation found between  attitude of hygiene with contamination of Coliform (p=0.088). It was Found as much as 40% of foods are contaminated by coliform  and should be awared, observations of food processing needs to be applied to prevent coliform contamination of school children’s snacks.
The Expression Change of Mmp-8 and Collagen Type-2 Intracell in Lung Tissue Due to Electronic Smoke Exposure Suryadinata, Rivan Virlando; Wirjatmadi, Bambang; Andriani, Merryana; Sumarmi, Sri
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 1 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v17i2.26557

Abstract

The number of electronic smokers has increased annually. Exposure to an electronic cigarette will increase free radicals in the body and result in oxidative stress causing lung tissue damage. The severity degree of lung tissue damage caused by electronic smoke exposure depends on the duration of electronic cigarette smoke exposure, and will affect Matrix Metalloproteinase-8 and collagen type-2 in the cells. The study aims to understand the change degree of Matrix Metalloproteinase-8 and collagen type-2in lung tissue due to electronic cigarette smoke exposure. This study applied the experimental method with a post control group design. The male Wistar rats were used as the animal models in this research to assess cell damage through the Matrix Metalloproteinase-8 expression and collagen type-2 in the lung tissue using immunohistochemical staining. Exposure to electronic smoke cigarettes was given to each group of animal models with the difference in amount and time duration. The expression of Matrix Metalloproteinase-8 indicated a significant increase due to electronic smoke exposure (ANOVA, p=0.000). Meanwhile the expression of collagen type-2 showed a significant decrease because of electronic smoke exposure (ANOVA, p=0.000). Besides, MMP-8 and collagen type-2 manifested relationship existence and strong impact (r=0.948, p=0.000).  The negative impact of exposure to electric cigarette smoke causes increased expression of Matrix Metalloproteinase-8 and decreased expression of type-2 collagen in lung tissue.