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Kualitas diet, kurang energi kronis (KEK), dan anemia pada pengantin wanita di Kabupaten Semarang Dieny, Fillah Fithra; Jauharany, Firdananda Fikri; Fitranti, Deny Yudi; Tsani, A Fahmy Arif; Rahadiyanti, Ayu; Kurniawati, Dewi Marfuâ€™ah; Wijayanti, Hartanti Sandi
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 8, No 1 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Introduction: Pre-conception women are potential mothers or vulnerable groups who need special attention. The less of nutrients Intake than necessary can lead to nutritional problems such as Chronic Energy Deficiencyand nutritional anemia that have an impact on the next phase of life such as the risk of giving birth to babies with low birth weight (LBW), babies stunting, and growth disruption and development of the fetus / baby during pregnancy or after that. Objective: To analyze the relationship between diet quality, chronic energy malnutrition status with anemia in the bride.Methods: A cross-sectional study with 70 subjects who were brides aged 16-30 years. Selection of subjects with consecutive sampling method. Dietary quality data was measured through the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) and Diet Quality Index - International (DQI-I) forms, SEZ status assessed from body mass index (BMI) and upper arm circumference (LiLA). Anemia status was measured from hemoglobin levels, MCV, MCH, and MCHC. To examine the relationship between diet quality, chronic energy malnutrition, and anemia using a linear regression test.Results: The subject aged 16-30 years, and 41.4% are still <20 years old. A total of 10 subjects (14.3%) belonged to Chronic Energy Deficiency. Haemoglobin level measurements showed there were 8 subjects (11.4%) who had low Hb levels, and 4 of them had anemia with microcytic hypychromic type which was characterized by low MCV, MCH and MCHC values. Based on the calculation of intake was known that 55 subjects (78.6%) had a low quality diet. This study showed no relationship between diet quality and anemia, but the sub-components of diet quality were adequacy of protein intake (p = 0.007), iron intake (p = 0.009) and upper arm circumference (p = 0.018) indicating a significant relationship with anemia (hemoglobin level) in the bride. Conclusion: the less protein and iron intake and lower upper arm circumference associated with a decrease in the bride's hemoglobin level

DEFISIENSI BESI PADA WANITA USIA SUBUR PRANIKAH OBESITAS Fillah Fithra Dieny; Nurmasari Widyastuti; Deny Yudi Fitranti; Choirun Nissa; A. Fahmy Arif Tsani; Firdananda Fikri Jauharany
Media Gizi Mikro Indonesia Vol 10 No 2 (2019): Media Gizi Mikro Indonesia Juni 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Latar Belakang. Wanita usia subur (WUS) terutama di Indonesia saat ini menghadapi masalah gizi ganda yang kompleks. Obesitas merupakan salah satu masalah gizi yang paling banyak dialami oleh WUS. Anemia merupakan satu sisi lain dari masalah gizi ganda yang banyak dialami di negara berkembang. Obesitas diketahui memiliki hubungan dengan anemia pada WUS. Tujuan. Menganalisis status besi pada WUS pranikah dengan status gizi obesitas dan non obesitas. Metode. Penelitian ini merupakan penelitian observasional dengan desain cross-sectional yang dilakukan pada 50 mahasiswi Universitas Diponegoro, Semarang. Subjek berusia 18-25 tahun dan dipilih dengan metode systematic random sampling. Subjek terdiri dari 25 mahasiswi obesitas dan 25 mahasiswi non obesitas. Status besi diukur melalui serum besi, serum Transferrin Saturation (TSAT), dan Total Iron Binding Capacity (TIBC). Status obesitas dilihat melalui pengukuran antropometri persen lemak tubuh. Uji T tidak berpasangan digunakan untuk mengetahui perbedaan status besi pada WUS pranikah obesitas dan non obesitas. Hasil. Ada perbedaan kadar serum besi (p=0,027), TIBC (p=0,034), dan TSAT (p=0,004) antara kelompok obesitas dan non obesitas. Kadar serum besi kelompok obesitas lebih rendah, ditunjukkan dengan rerata sebesar 83,99±20,66 μg/dl pada kelompok obesitas, sedangkan kelompok non obesitas sebesar 99,2±26,03 μg/dl. Kadar TIBC kelompok obesitas lebih tinggi dilihat dari reratanya sebesar 420,98±47,22 μg/dl, sedangkan kelompok non obesitas 389,94±53,35 μg/dl. Pengukuran TSAT menunjukkan kelompok obesitas memiliki kadar yang lebih rendah ditunjukkan dengan reratanya 20,13±5,27%, sedangkan kelompok non obesitas memiliki rerata sebesar 25,99±7,92%. Kesimpulan. Kelompok obesitas memiliki rata-rata kadar serum besi dan TSAT lebih rendah serta rata-rata kadar TIBC lebih tinggi.

Program asuhan gizi olahraga (PAGO) atlet sepatu roda sebagai strategi memperbaiki profil status gizi, biokimia dan kualitas asupan Fillah Fithra Dieny; Firdananda Fikri Jauharany; Ayu Rahadiyanti; Deny Yudi Fitranti; A. Fahmy Arif Tsani; Dewi Marfu’ah Kurniawati
Jurnal Keolahragaan Vol 9, No 2: September 2021
Publisher : Program Studi Ilmu Keolahragaan Program Pascasarjana Universitas Negeri Yogyakarta

Penelitian bertujuan menganalisis pengaruh pemberian intervensi gizi berupa edukasi dan konseling gizi pada atlet sepatu roda remaja terhadap status gizi, status hidrasi, status biokimia, dan asupan gizi. Penelitian one group pre and post test design yang melibatkan 11 atlet di Klub Sepatu Roda Kairos Semarang. Variabel terikat adalah profil antropometri (berat badan, tinggi badan, fat mass, massa otot, body water), status hidrasi, status biokimia (kadar gula darah puasa, asam urat, kolesterol, hemoglobin), dan asupan makan. Uji Wilcoxon digunakan untuk menganalisis perbedaan profi antropometri, status hidrasi, status biokimia, dan asupan makan subjek antara sebelum dan sesudah intervensi. Terdapat perbedaan yang signifikan pada berat badan (p=0,029), fat mass (p=0,003), status hidrasi subjek sebelum latihan (p=0,026), kadar gula darah (p=0,005), kadar hemoglobin (p=0,007), asupan karbohidrat (p=0,029) dan asupan seng (p=0,049) sebelum dan setelah intervensi. Program Asuhan Gizi Olahraga (PAGO) pada atlet sepatu roda terbukti berdampak pada perbaikan beberapa profil antropometri, status biokimia, dan asupan makan. Program for inline skating athletes as strategies to improve the profile of nutritional status, biochemistry and quality of food intakeAbstract: This study aims to determine the effect of nutrition intervention in the form of nutrition education and counseling for adolescent inline skating athletes on nutritional status, hydration status, biochemical status, and nutritional intake. Methods: One group pre and post test design research on 11 athletes at the Kairos Wheeled Shoes Club Semarang. The dependent variables were anthropometric profiles (body weight, height, fat mass, muscle mass, body water), hydration status, biochemical status (fasting blood sugar levels, uric acid, cholesterol, hemoglobin), and food intake. The Wilcoxon test was used to analyze differences in anthropometric profile, hydration status, biochemical status, and food intake of subjects between before and after the intervention, Results: There was a significant difference in body weight (p = 0.029), fat mass (p = 0.003), hydration status subjects before exercise (p = 0.026), blood sugar levels (p = 0.005), hemoglobin levels (p = 0.007), carbohydrate intake (p = 0.029) and zinc intake (p = 0.049) before and after the intervention. Sports Nutrition Care Programme to inline skates athletes is proven to have an impact on anthropometric profile, biochemical status, and intake.

POTENSI FEMALE ATHLETE TRIAD PADA ATLET REMAJA PUTRI DEFISIENSI BESI Fillah Fithra Dieny; Deny Yudi Fitranti; Firdananda Fikri Jauharany; A Fahmy Arif Tsani
GIZI INDONESIA Vol 44, No 1 (2021): Maret 2021
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v44i1.511

The female athlete triad (FAT) is a syndrome that occurs in female athletes who have a combination of 3 related conditions and are associated with sports. The aimed of this study to analyze the relationship between iron deficiency and the state of the female athlete triad (FAT) in female athletes. The design of this study was cross sectional with 80 subjects of female athletes aged 12-18 years from various sports, who were taken by simple random sampling. The research was conducted at the Central Java Student Center for Education and Sports Training (BPPLOP). Bivariate analysis was performed using the Spearman test. Based on Ferritin, as many as 15 subjects (18.25%) had iron deficiency anemia, and FAT syndrome was not found in the subjects, however, when each sign was seen, 20 percent were classified as polimenorrhea and oligomenorrhea, and 37.5 percent experienced eating disorders. There were a significant relationship between iron deficiency based on serum ferritin (p = 0.015; r = 0.273) and Hb levels (p = 0.002; r = 0.337) with the component of athlete's bone density. However, iron deficiency (based on serum Ferritin and Hb levels) did not show a significant association with menstrual cycle disorders and eating disorders (p 0.05). Female Athlete Triad has not been found among subjects, but athletes have experienced eating behavior disorders, menstrual cycle disorders and the risk of low bone density. Iron deficiency is associated with decreased bone density in young female athletes. ABSTRAK Female athlete triad (FAT) merupakan suatu syndrom yang terjadi pada atlet wanita yang memiliki kombinasi dari 3 kondisi yang saling berkaitan, dan berhubungan dengan olahraga. Tujuan penelitian untuk menganalisis hubungan defisiensi besi dengan keadaan female athelete triad (FAT) pada atlet remaja putri. Desain penelitian ini adalah cross-sectional dengan 80 subjek atlet putri berusia 12-18 tahun dari berbagai cabang olahraga yang diambil secara simple random sampling. Penelitian dilakukan di Balai Pemusatan Pendidikan dan Latihan Olahraga Pelajar (BPPLOP) Jateng. Analisis univariat untuk mendeskripsikan data berupa distribusi dan persentase. Analisis bivariat dilakukan menggunakan uji Spearman. Berdasarkan data serum ferritin, sebanyak 15 subjek (18,25%) mengalami anemia defisiensi besi, namun belum ditemukan kejadian FAT pada subjek, tetapi bila dilihat masing masing tanda sebanyak 20 persen tergolong polimenorea dan oligomenorea, serta 37,5 persen mengalami gangguan perilaku makan. Ada hubungan yang signifikan antara defisiensi besi berdasarkan serum ferritin (p=0,015; r=0,273) dan kadar Hb (p=0,002; r=0,337) dengan komponen kepadatan tulang atlet. Namun defisiensi besi (bedasarkan serum Ferritin dan Kadar Hb) tidak menunjukkan hubungan yang signifikan dengan gangguan siklus menstruasi dan gangguan perilaku makan (p0,05). FAT belum ditemukan pada atlet remaja putri, namun atlet sudah ada yang mengalami gangguan perilaku makan, gangguan siklus menstruasi dan risiko kepadatan tulang rendah. Defisiensi besi berhubungan dengan menurunnya kepadatan tulang atlet remaja putri.Kata kunci: atlet; remaja putri; defisiensi besi; female athlete triad (FAT)

Perilaku makan sebelum dan selama pandemi covid-19 pada kelompok remaja dan dewasa di Indonesia Fillah Fithra Dieny; Firdananda Fikri Jauharany; A. Fahmy Arif Tsani; Choirun Nissa
AcTion: Aceh Nutrition Journal Vol 6, No 2 (2021): November
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v6i2.418

The COVID-19 pandemic impacts lifestyle changes, one of which is the eating behavior of people. The research aims to examine changes in eating behavior before and during the COVID-19 pandemic among adolescents and adult groups in Indonesia. A cross-sectional study on 563 subjects, with the subject's inclusion criteria, namely living in Indonesia, aged 12-55 years, willing to participate in the research by filling in informed consent and filling out a questionnaire via an online google form. The data obtained were grouped based on variables before and after the pandemic, then tested the normality of the data. Bivariate analysis used the Wilcoxon text because the data were not normally distributed. As a result, there was an increase in the subject's breakfast habits and frequency of eating. Subjects experienced changes in eating habits, namely an increase in the frequency, variety, and portion of consumption of animal protein, vegetable protein, vegetables, and fruit between before and during the COVID-19 pandemic (p <0,001). In addition, the habit of consuming fluids, supplements, and spices also experienced a significant increase, while the pattern of snacking decreased between before and during the pandemic (p <0,001). In conclusion, there were differences in eating behavior: breakfast habits, dietary variations, consumption of animal and vegetable protein, vegetables, fruits, fluids, supplements, spices, and snacking patterns outside the home between before and during the pandemic in the subject

Keseimbangan asam-basa tubuh dan kejadian sindrom metabolik pada remaja obesitas Firdananda Fikri Jauharany; Nurmasari Widyastuti
Jurnal Gizi Klinik Indonesia Vol 14, No 1 (2017): Juli
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.24811

Background: The prevalence of metabolic syndrome increased in young population, indicated by the rise in obesity among children and adolescent. The Western dietary pattern was one of the causes. A Western diet rich in animal protein can produce acid during the metabolic process and may cause an acid-excess in the body (dietary acid load). This process was contributed to acid-base balance through the metabolism of sulfur-containing amino acids (cysteine and methionine) which produce H+ ions as well as lowering the pH.Objective: To examine the association between acid-base balance and components of metabolic syndrome among obese adolescent.Method: A cross-sectional study was conducted on 40 obese adolescents in Semarang high school. We measured Potential Renal Acid Load (PRAL) score and pH urine as an acid-base indicator. MetS are defined ≥ 3 following risk factors: waist circumference ≥90th percentile, blood pressure ≥90th percentile, triglycerides ≥110 mg/dl, HDL levels ≤40 mg/dl, and fasting blood glucose levels ≥110 mg/dl. Normality test used the Shapiro-Wilk test (n <50). The bivariate analysis used Pearson test, Rank-Spearman test, and Chi-Square test. The multivariate analysis used Multivariate Linear Regression analysis of Backward.Results: PRAL score was associated with waist circumference (r=0,347; p=0,028), sistolic blood pressure (r=0,590; p=<0,001), diastolic blood pressure (r=0,668; p=<0,001), and triglyceride levels (r=0,362; p=0,022). pH urin was not associated with any risk factors of MetS.Conclusion: High dietary acid load may be a risk factor for the development of MetS.

Peningkatan visceral adiposity index berhubungan dengan sindrom metabolik remaja obesitas Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Deny Yudi Fitranti
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

The increased visceral adiposity index associated with metabolic syndrome in obese adolescentsBackground: Metabolic syndrome is a complex risk factor of cardiovascular disease and diabetes mellitus type II. Metabolic syndrome scores are calculated to describe the severity of the risk of metabolic syndrome. Adipose tissue is an independent risk factor for metabolic changes related to metabolic syndrome. One indicator to calculate the distribution and fat function is through the calculation of the visceral adiposity index (VAI).Objective: Analyzing the correlation of VAI with metabolic syndrome score in adolescents in the City of Semarang.Methods: A cross-sectional study of 95 obese adolescents in Semarang City aged 12-17 years who were selected by consecutive sampling method. The inclusion criteria were students aged 12-17 years; subjects were obese based on BMI for age (BMI/U > 95th percentile CDC 2000 curves); not in chronic pain or the care of a doctor; and not on a certain diet. Data collected were waist circumference (WC), blood pressure, fasting blood sugar levels, triglyceride levels, and high-density lipoprotein (HDL) levels. Metabolic syndrome scores are calculated using metabolic syndrome risk score (cMets). VAI is calculated to measure fat distribution and dysfunction. Correlation of VAI with metabolic syndrome and the component was analyzed with the Spearman test.Results: VAI score has a range of 1.8-14.9 with a greater mean in female subjects. The metabolic syndrome score has a range of -5.9 to 6.3 with a greater mean in male subjects. The Spearman correlation test showed a significant relationship between VAI and HDL levels (r=-0.427), triglyceride levels (r=0.914), and metabolic syndrome scores (r=0.439) in male, and HDL levels (r=-0.427), triglyceride levels (r=0.955), WC (r=0.346), and metabolic syndrome scores (r=0.691) in female.Conclusions: VAI has a significant relationship with the metabolic syndrome score which indicates the body's metabolic profile which is getting worse, so the body's metabolic profile can be described from the magnitude of VAI.

Kepadatan tulang santriwati berhubungan dengan profil antropometri Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Ayu Rahadiyanti
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
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.52311

Santriwati’s bone mass density was associated with the anthropometric profileBackground: One group of female adolescents who had nutritional problems was Islamic boarding school students, namely santriwati. Low intake was supported by a poor diet profile that had a risk of developing osteopenia. The problem of osteopenia in adolescents could affect long-term calcium deposits and had an impact on old age and a high risk of osteoporosis.Objective: This study aims to examine the relationship between diet profiles and anthropometric profiles with bone density in female students.Methods: A cross-sectional study of 76 female students who were selected using a simple random sampling technique. Anthropometric profiles measured were body mass index, body fat percent, and waist circumference. Bone density was measured using Dual Energy X-Ray Absorptiometry (DXA). Nutrient intake profiles were obtained based on intake interviews used food recall form 6x24 hours. Data were analyzed using Spearman correlations.Results: Most female students had normal nutritional status, and 14 female students (18.4%) had low bone density. The intake of energy, macronutrients (protein, fat, and carbohydrate), and micronutrients (phosphorus, calcium, and vitamin D) of female students were insufficient. There was a relationship between body mass index (p=0.036; r=0.241) and percent body fat (p=0.027; r=0.254) with bone density. However, the nutrient intake factor has no relationship with bone density (p>0.05).Conclusions: Body mass index and body fat percent are positively correlated with female bone density.

Dietary acid load berhubungan dengan sindrom metabolik dan kesehatan mental pada mahasiswi obesitas Firdananda Fikri Jauharany; Martha Irene Kartasurya; Apoina Kartini; Fillah Fithra Dieny; Dian Ratna Sawitri; Etika Ratna Noer
Jurnal Gizi Klinik Indonesia Vol 17, No 3 (2021): Januari
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.59033

The dietary acid load was associated with metabolic syndrome and mental health among obese college studentsBackground: The prevalence of metabolic syndrome has been increasing every year in the young population. The western diet is one of the causes that makes excess acid in the body called a dietary acid load. On the other hand, the high dietary acid load was associated with decreased mental health status.Objective: To examine the association between dietary acid load and the risk of metabolic syndrome and mental health.Methods: This was a cross-sectional study conducted with 115 female students in Semarang aged 18-22 years. The dietary acid load was evaluated through a potential renal acid load (PRAL), the risk score for metabolic syndrome was calculated by Metabolic syndrome risk score. Mental health status was assessed through levels of self-esteem and levels of anxiety. The level of self-esteem was measured by the Rosenberg Self-Esteem Scale questionnaire, while the level of anxiety was measured by the State Anxiety Inventory questionnaire. Multiple linear regression models with adjustment for a potential cofounding variable were used to evaluate the association between dietary acid load with metabolic syndrome scores, self-esteem scores, and anxiety scores.Results: The mean PRAL score was 6.11 ± 9.72 mEq/day indicated the intake of the subjects was the dietary acid load. 13% of subjects had metabolic syndrome, and 87% had a pre-metabolic syndrome. 36.5% of the subjects have low self-esteem scores. The anxiety level score calculation shows that 59.1% of the subjects are at high risk of anxiety. Pearson test showed that PRAL scores were correlated with anxiety scores (r=0,669; p<0,001). The linear regression test showed that PRAL scores were correlated with metabolic syndrome scores (β=0.899; p<0.001) and self-esteem scores (β =-0.069; p=0.047).Conclusions: High dietary acid load may be a risk factor related to the development of metabolic disorders and decreased mental health status in females with obesity.

Nutrition Class by Instagram: Interventions to Improve The Diet Quality, Physical Activity and Waist Circumfeence Among Female College Students with Obese Fillah Fithra Dieny; Deny Yudi Fitranti; Firdananda Fikri Jauharany; Suryawati Suryawati; A. Fahmy Arif Tsani; Ayu Rahadiyanti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Female students are a group of women of childbearing age (WUS) or preconception. Obesity in WUS or the preconception period can interfere with future pregnancies and interfere with metabolism and hormones. Obese women with obesity need to change their behavior so that it needs increased knowledge and motivation as a basis for behavior change. This research objective was to determine the effect of nutrition education and motivation classes on the practice of healthy weight loss in obese women. This quasi-experimental research with pre-posttest control group design on 24 female women who met the inclusion criteria was divided into 2 groups using the simple randomization method. The independent variable is the Instagram Nutrition School program for 1 month, consisting of nutritional counseling with a motivational interviewing strategy and social media-based nutrition education classes on Instagram, while the control group is given education through leaflet media. The dependent variable is knowledge of healthy weight loss, quality of diet and changes in anthropometric profiles, namely body weight, body mass index, waist circumference and percent body fat. Independent T-test and Mann Whitney test were used to assess differences in knowledge scores on healthy weight loss, diet quality, and differences in anthropometric deltas. There was a significant difference in knowledge score (p= 0.002), score of moderation (p= 0.001), total physical activity score (p= 0.002), and moderate physical activity (p less than 0.001), mean waist circumference (p = 0.047), and waist circumference (p= 0.032) after intervention. The Instagram Nutrition School Program has been proven to increase nutritional knowledge, change eating behavior, and increase physical activity. Abstrak: Mahasiswi merupakan kelompok Wanita Usia Subur (WUS) atau prakonsepsi. Obesitas pada WUS atau periode prakonsepsi dapat mengganggu kehamilan di masa depan dan mengganggu metabolisme dan hormonal. WUS obesitas perlu merubah perilaku sehingga dibutuhkan peningkatan pengetahuan dan motivasi sebagai dasar perubahan perilaku. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi gizi dan kelas motivasi terhadap praktik healthy weight loss pada WUS obesitas. Penelitian quasi-experimental with pre-post test control group design pada 24 WUS yang memenuhi kriteria inklusi dibagi menjadi 2 kelompok dengan metode simple randomization. Variabel bebas adalah program Sekolah Gizi Instagram selama 1 bulan, terdiri dari konseling gizi dengan strategi motivational interviewing dan kelas edukasi gizi berbasis sosial media Instagram, sedangkan kelompok kontrol diberikan edukasi melalui media leaflet. Variabel terikat adalah pengetahuan healthy weight loss, kualitas diet dan perubahan profil antropometri yaitu berat badan, indeks massa tubuh, lingkar pinggang dan persen lemak tubuh. Independent T-test dan Mann Whitney Test digunkaan untuk mengkaji perbedaan skor pengetahuan healthy weight loss, kualitas diet, dan perbedaan delta antropometri. Terdapat perbedaan yang signifikan pada skor pengetahuan (p=0,002), skor moderasi (p=0,001), skor total aktifitas fisik (p=0,002), dan aktifitas fisik sedang (p kurang dari 0,001), rerata lingkar pinggang (p=0,047), dan lingkar pinggang (p=0,032) setelah intervensi. Program Sekolah Gizi Instagram terbukti meningkatkan pengetahuan gizi, merubah perilaku makan, dan meningkatkan aktivitas fisik.

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