Toto Sudargo
Departemen Gizi Dan Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat Dan Keperawatan, Universitas Gadjah Mada

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Sosio Demografi Ketahanan Pangan Keluarga Dalam Hubungannya Dengan Kejadian Stunting Pada Anak Usia 1 – 5 Tahun (Studi Di Wilayah Kerja Puskesmas Bandarharjo Kelurahan Tanjung Mas, Kecamatan Semarang Utara, Kotamadya Semarang, Provinsi Jawa Tengah) La Abdullah Laode Wado; Toto Sudargo; Armaidy Armawi
Jurnal Ketahanan Nasional Vol 25, No 2 (2019)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkn.45707

Abstract

ABSTRACT Family food resiliencey was the fulfillment of food in the family that was sufficient in both quality and quantity continuously, while socio-demography was the structure and process of the population in an area where processes and social change occured. Food inresilience and low socio-demographic conditions would affect nutrition consumed not in accordance with its portion and would result in poor health of the family. This condition would give birth to a generation  with lesser quality and became a threat to national resilience in the future. This study aimed to examined the relationship of family food resiloience, socio-demographic with the incidence of stunting in children aged 1-5 years; and a variety of efforts to improved family food resilience in the work area of Bandar Harjo Health Center, Tanjung Mas Village, North Semarang District , Semarang city.This research was a quantitative and qualitative descriptive study using the Case Control method with a study population of parents (mothers / fathers) of children aged 1-5 years who experience the incidence of stunting, and as a comparison were parents of children aged 1-5 years who did not experience the incidence of stunting (normal child). The research sample was taken by simple random sampling. The analytical method used were descriptive univariate analysis, bivariate analysis and qualitative data analysis. The result of research showed that with the Spearman Correlation test it was known, the  family food resilience and socio-demography had a significant relationship with the incidence of stunting in children aged 1-5 years. The program to improved the quality of life of the community were done by preventing the occurrence of stunting of toddlers in the work area of Bandarharjo Community Health Center, including implementing the  Healthy Indonesia Program with Family Approach (PIS-PK), Supplementary Food Delivery (PMT), and 1000 First Days of Life (HPK)., and  encountered the obstacles  in the form of non-optimal regulations, inadequate patterns of life of the people and inadequate health infrastructure so that the incidence of stunting in children aged 1-5 years in the work area of Bandarharjo Health Center could be minimized.ABSTRAK           Ketahanan pangan keluarga adalah terpenuhinya pangan dalam keluarga yang cukup baik kualitas maupun kuantitas secara terus menerus, sedangkan sosio demografi adalah struktur dan proses penduduk di suatu wilayah dimana di dalamnya terjadi  proses dan perubahan sosial. Ketidaktahanan pangan dan kondisi sosio demografi yang rendah akan berpengaruh terhadap gizi yang dikonsumsi tidak sesuai dengan porsinya dan berakibat buruknya kesehatan keluarga. Kondisi ini akan melahirkan generasi kurang berkualitas dan menjadi ancaman bagi ketahanan nasional di masa depan. Penelitian ini bertujuan untuk mengkaji hubungan ketahanan pangan keluarga, sosio demografi dengan kejadian stunting pada anak usia 1-5 tahun dan ragam upaya meningkatkan ketahanan pangan keluarga di wilayah kerja Puskesmas Bandar Harjo, Kelurahan Tanjung Mas, Kecamatan Semarang Utara, Kota Semarang.Penelitian ini merupakan penelitian deskriptif kuantitatif dan kualitatif dengan metode Case Control dengan populasi penelitian orang tua (ibu/bapak) dari anak usia 1-5 tahun yang mengalami kejadian stunting, dan sebagai pembanding adalah orang tua dari anak usia 1-5 tahun yang tidak mengalami kejadian stunting (anak normal). Sampel penelitian diambil secara acak sederhana. Metode analisis yang digunakan adalah analisis univariat secara deskriptif, analisis bivariat dan analisis data kualitatif. Hasil penelitian menunjukkan bahwa dengan uji Spearman Correlation diketahui  ketahanan pangan keluarga dan  sosio demografi memiliki hubungan signifikan dengan kejadian stunting pada anak usia 1-5 tahun. Program peningkatan kualitas hidup masyarakat dilakukan melalui  pencegahan terjadinya stunting anak balita di wilayah kerja Puskesmas Bandarharjo, yaitu dengan melaksanakan Program Indonesia Sehat dengan Pendekatan Keluarga (PIS-PK), Pemberian Makanan Tambahan (PMT), dan 1000 Hari Pertama Kehidupan (HPK), serta berupaya mengatasi hambatan-hambatan berupa regulasi yang belum optimal, pola kehidupan masyarakat yang kurang sehat dan infrastruktur kesehatan yang belum memadai sehingga kejadian stunting pada anak usia 1-5 tahun di wilayah kerja Puskesmas Bandarharjo dapat diminimalisir
ANALISIS ZAT GIZI MAKRO, GIZI MIKRO, DAN ORGANOLEPTIK MAKANAN TABUR BERBASIS TUNA DAN LABU SIAM UNTUK TERAPI DIET PREDIABETES Toto Sudargo; Atika Anif Prameswari; Bianda Aulia; Tira Aristasari; Alim Isnansetyo; Indun Dewi Puspita; Siti Ari Budiyanti; Sheila Rosmala Putri; Khusnul Alfionita
Media Gizi Mikro Indonesia Vol 12 No 1 (2020): Media Gizi Mikro Indonesia Edisi Desember 2020
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v12i1.3979

Abstract

Latar Belakang. Pengaturan diet bagi pasien prediabetes merupakan salah satu pencegahan kejadian penyakit diabetes melitus secara dini. Labu siam dan ikan tuna merupakan bahan pangan lokal yang mengandung banyak senyawa di mana mampu menanggulangi masalah diabetes sehingga dapat dimanfaatkan sebagai makanan tabur fungsional. Pengembangan makanan berbasis tuna dan labu siam perlu diperhatikan karena dapat merubah kandungan zat gizi makro maupun mikro dan sifat organoleptiknya. Penelitian ini bertujuan untuk menganalisis zat gizi mikro, makro, dan organoleptik makanan tabur berbasis Tuna dan labu siam untuk terapi diet prediabetes. Metode. Penelitian eksperimental dengan rancangan acak lengkap (RAL) menggunakan 3 formula makanan tabur Chaguro yaitu, F1 (ikan tuna 60% dan labu siam 40%), F2 (ikan tuna 50% dan labu siam 50%), dan F3 (ikan tuna 40% dan labu siam 60%). Penelitian ini juga menganalisis kandungan kadar air dan uji mikroba. Analisis statistik dilakukan dengan uji Kruskall Wallis dan uji Post-Hoc Mann Whitney untuk melihat perbedaan tingkat kesukaan dari tiap formula makanan tabur. Hasil. Hasil uji kadar air pada ikan tuna didapatkan pengeringan ikan tuna selama 10 jam dengan suhu 55°C dan 65°C menghasilkan kadar air yang memenuhi syarat <7 persen yaitu 5,85±0,15% dan 5,96±0,00%, berturut-turut. Pada uji kandungan gizi, kadar abu, kadar protein, kadar lemak, kadar serat kasar, dan Zn dalam 100 g formula Chaguro F1 masih dalam batas aman untuk dikonsumsi. Berdasarkan uji organoleptik, parameter kenampakan, aroma, tekstur, dan rasa ikan paling kuat adalah Formula F1. Hasil angka lempeng total (ALT) untuk makanan tabur Chaguro yaitu sebesar 5,5 x 103 CFU/gr. Uji mikroba Salmonella sp. dan Escherichia coli pada makanan tabur Chaguro dinyatakan negatif. Kesimpulan. Formula F1 (ikan tuna 60% dan labu siam 40%) merupakan formula yang paling kuat dan memilki sifat dominan ikan dibandingkan dengan formula lain dan sudah memenuhi syarat SNI Abon 01-3707-1995 dari segi kandungan gizi, kecuali kadar air dan ALT.
HUBUNGAN ANTARA PENGETAHUAN IBU TENTANG IODIUM DENGAN KETERSEDIAAN GARAM BERIODIUM DI RUMAH TANGGA Yayuk Hartriyanti; Adi Utarini; Djoko Agus Purwanto; Budi Wikeko; Susetyowati Susetyowati; Toto Sudargo; A.Fahmy Arif Tsani
Media Gizi Mikro Indonesia Vol 13 No 1 (2021): Media Gizi Mikro Indonesia Edisi Desember 2021
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v13i1.4424

Abstract

Latar Belakang. Iodium merupakan mikronutrien penting terutama bagi perkembangan otak janin dan anak. Iodium berperan untuk proses pertumbuhan dan perkembangan sebagian besar organ terutama otak. Konsumsi iodium yang rendah dalam jangka panjang merupakan salah satu faktor yang dapat menyebabkan gangguan akibat kekurangan iodium (GAKI). Tingkat pengetahuan mengenai GAKI dan garam beriodium berpengaruh terhadap ketersediaan dan praktik penggunaan garam beriodium. Pemerintah telah mengupayakan penanggulangan GAKI melalui fortifikasi garam dengan iodium. Tujuan. Penelitian ini bertujuan untuk menganalisis pengetahuan ibu tentang iodium dengan ketersediaan garam beriodium di rumah tangga dan faktor yang memengaruhinya. Metode. Penelitian ini merupakan penelitian cross-sectional. Data diambil dari 198 rumah tangga menggunakan teknik proportional stratified random sampling. Penilaian pengetahuan ibu dilakukan dengan menggunakan kuesioner dalam bentuk pertanyaan tertutup. Sementara itu, penilaian ketersediaan garam diperoleh dengan pengujian kandungan iodium (KIO3). Uji statistik yang digunakan adalah chi-square test/fisher’s exact test dan Mann Whitney U/Kruskal Wallis untuk mengetahui hubungan antar variabel. Hasil. Sebagian besar responden tinggal di daerah dataran tinggi (74,2%), berpendidikan SD (47,5%) dan bekerja sebagai petani (41,4%). Karakteristik lokasi geografi tempat tinggal responden berhubungan dengan pengetahuan responden mengenai GAKI serta dampak dan faktor risiko GAKI (p=0,023 dan p<0,001), sedangkan pekerjaan responden berhubungan dengan pengetahuan mengenai dampak dan faktor risiko GAKI (p=0,020). Tidak ada hubungan antara pengetahuan dengan pemenuhan syarat mutu kandungan KIO3 pada garam yang digunakan di rumah tangga. Namun ada kecenderungan responden yang mempunyai garam dengan KIO3 sesuai, lebih banyak pada responden dengan pengetahuan yang baik. Kesimpulan. Responden dengan pengetahuan baik lebih banyak yang memiliki garam dengan kadar iodium sesuai standar. Perlu adanya program edukasi mengenai GAKI, penggunaan dan penyimpanan garam beriodium, serta faktor penyebab penurunan kualitas garam di rumah tangga.
ANALISIS SENSORIS DAN UMUR SIMPAN MAKANAN SELINGAN PREDIABETES BERBASIS TUNA (Thunnus sp.) DAN LABU SIAM (Sechium edule) Toto Sudargo; Atika Anif Prameswari; Bianda Aulia; Tira Aristasari; Khusnul Alfionita; Rahadyana Muslichah; Alim Isnansetyo; Indun Dewi Puspita; Siti Ari Budhiyanti; Sheila Rosmala Putri
Media Gizi Mikro Indonesia Vol 12 No 2 (2021): Media Gizi Mikro Indonesia Edisi Juni 2021
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v12i2.4952

Abstract

Latar Belakang. Uji sensoris dan uji umur simpan pada pengembangan produk pangan diperlukan agar produk yang dihasilkan dapat diterima dan aman bagi konsumen. Individu yang mengalami prediabetes memiliki kesempatan untuk mencegah atau menunda perkembangan terjadinya diabetes melitus (DM) jika dapat memperbaiki pola hidupnya. Makanan selingan adalah bagian penting dalam manajemen pola makan penyandang prediabetes sehingga jumlah dan jenis bahan makanannya perlu dipertimbangkan. Tujuan. Penelitian ini bertujuan untuk menganalisis dan merumuskan sifat organoleptik dan umur simpan suatu produk makanan selingan untuk penyandang prediabetes. Metode. Penelitian ini menggunakan desain eksperimental dengan rancangan acak lengkap untuk menguji karakteristik sensoris empat formula rasa pada produk makanan selingan prediabetes. Uji pendugaan umur simpan dengan Accelerated Shelf-Life Testing (ASLT) Arrhenius melalui pendekatan nilai angka thiobarbituric acid (TBA) dilakukan pada produk yang belum diberi rasa. Produk disimpan pada suhu 4°C, 27°C, dan 45°C. Analisis statistik dilakukan dengan uji Kruskall Wallis dilanjutkan uji Post-Hoc Mann Whitney. Hasil. Tidak terdapat perbedaan yang signifikan antar formula pada parameter warna dan aroma sampel, tetapi terdapat perbedaan yang signifikan pada parameter rasa, tekstur, dan nilai keseluruhan (p<0,05). Hasil analisis uji pendugaan umur simpan menunjukkan bahwa persamaan regresi pada orde 1 dapat digunakan sebagai pendekatan untuk memprediksi umur simpan makanan selingan untuk prediabetes. Kesimpulan. Makanan selingan prediabetes yang paling disukai untuk parameter warna, aroma, rasa, dan penilaian keseluruhan adalah formula F3 (bumbu bubuk bawang dan garam), sedangkan formula F2 (bumbu bubuk bawang) adalah yang paling disukai untuk parameter tekstur. Prediksi umur simpan makanan selingan untuk prediabetes pada suhu ruang/normal 30°C adalah 80,97 hari atau sama dengan 2,69 bulan.
Hubungan Status Sosial Ekonomi dengan Tingkat Konsumsi Fast Food pada Remaja Musparlin Halid; Toto Sudargo
Biota Vol 9 No 1 (2016)
Publisher : Universitas Islam Negeri Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1077.52 KB) | DOI: 10.20414/jb.v9i1.37

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Modernization has brought negative impact to the public, including in adolescents directly or indirectly, that has directed the diversion a healthy diet. Adolescent are required to more selective in choosing food products consumed. Fast food is food containing high in calories, fat and low fibers. To know the relationship of socioeconomic status with fast food consumption levels among adolescents in Mataram city. The study was observational studies with cross sectional design. The samples as many as 373 students. Dependent variable was the consumption of fast food, and the independent variable was socioeconomic status. The instruments used were questionnaire and FFQ. Data analysis by means of descriptive, and Chi Square test (χ²). Based on the duration per week, there was a relationship between socio-economic status with the western fast food consumption levels (p = 0.00) and local fast food (p = 0.00). Moreover, adolescents with prosperous socioeconomic status have a higher consumption of fast food was very high with a duration of 1 time/week and 2 times/week. While based on the frequency, there was a significant relationship between socioeconomic status with western fast food consumption levels with p = 0.00 and local fast food with p = 0.00 influence of friends was significant with western fast food consumption levels in adolescents (p = 0.002). The habit of eating at home (lunch with p = 0.007) and the effect of mass media was significant with the local fast food consumption levels (p = 0.04). Adolescents with a prosperous socioeconomic status have greater opportunities to consume fast food than in adolescents with socioeconomic status were less prosperous.
Durasi menyusu dan kejadian overweight pada remaja Nurlaili Ramli; Madarina Julia; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 9, No 2 (2012): 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.15379

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Background: Statistic showed an increasing number of overweight incidences among children in Aceh Province. However, relationship between breastfeeding and risk of overweight and obesity is still controversial due to strong confounding factors. Hence, the relationship between breastfeeding and obesity is unclear. To reduce the confounding factors, siblings analysis can be undertaken as children live in the same environment.Objective: To investigate the influence of siblings overweight status on breastfeeding duration and overweight incidence among adolescents and to explore other environmental and genetic factors related to overweight incidence in adolescents.Method: This was an observational-analytical study with a matched case control design. There were 50 subjects for each group. Subjects in the case group were taken from existing cases, while the control group was selected by purposive sampling by matching in age and gender. Paired t test, McNemar test and conditional logistic regression were performed to analyse the data.Results: Overweight adolescents have shorter breastfeeding duration than non-overweight adolescents. Multiple conditional logistic regression tests on overweight status in siblings showed that breastfeeding duration could reduce overweight incidence among adolescents (OR=0.81; 95%CI:0.69-0.96).Conclusion: Overweight adolescents have shorter duration of breastfeeding than those who were not overweight. Factors that affect the risk of overweight among adolescents in this study were mother’s education, adolescent’s eating behavior, mother’s overweight status and sibling’s overweight status.
Akurasi petugas dalam penentuan sisa makanan pasien rawat inap menggunakan metode taksiran visual skala comstock 6 poin Susyani Susyani; Endy Paryanto Prawirohartono; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 2, No 1 (2005): 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.17351

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Background: bserving plate waste is categorized as a simple way but yet still needs evaluation. When many foods are wasted, a dietitian should quickly respond and know the best way how to overcome the matters. There are three accurate ways to determine plate waste: plate waste weighing, visual estimation, and 24 hours recall. The application of each method really depends on its purposes. According to previous researches there are significant and positive correlations between the visual estimation of Comstock Scale and plate waste weighing. Visual estimation, moreover, has more advantages as it is easy to apply, cheap, and less time consuming. Considering those advantages, visual estimation needs to be socialized and considered as a new accurate method besides weighing methods.Objective: The objective of this study is to know the medical official accuracy in determining plate waste using visual estimation of 6 point Comstock Scale.Methods: An observational study was conducted using a cross-sectional design. Subjects were nurses and meal servants from hospital wards. Before the meal served to the patient the food is weighed, than the observers officer has to observed portion sized. After the patient having meal, plate waste should be estimated using Comstock Scale by the officer after that the plate waste have to be weight to know the actual weigh. The accuracy difference between two groups in determining plate waste using Comstock Scale were analysed with t-test.Results: There was significant differences of accuracy (p=0.01) between nurse group and meal servant in estimating wasted rice and wasted meat (p=0.02). The difference were not due to the job factor but the significant of various meal (p=0.0001). The work experience is a significant factor in the accuracy of plate waste (p=0.42). There was no correlation between kind of job and kind of meal (p=0.47), and kind of meal with the work experience (p=0.79).Conclusion: Visual estimation of 6 point Comstock scale could be used by both nurses and meal servant in determining plate waste.
Pengaruh konseling gizi terhadap status gizi ibu hamil KEK pada program JPS-BK di Kota Palembang Hana Yuniarti; Dradjat Boediman; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 1, No 3 (2005): Maret
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.17373

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Background: Low quality and quantity of food and limited knowledge on nutrition are major cause of malnutrition among pregnant mothers. Nutrition counseling is expected to improve nutrition status of pregnant mothers.Objective: To identify the effect of nutrition counseling to nutrition status of chronic energy malnourished pregnant mothers.Method: The study was a quasi experiment which used pretest – posttest control group design. Subject of the study were pregnant mothers with upper arm circle < 23.5 cm. The study was conducted at 2 health centers which had high prevalence of chronic energy malnourished pregnant mothers in Palembang Municipality. Nutrition counseling was given every 2 weeks within 3 months. Data obtained were food consumption every 2 weeks at 6 times (multiple recall), weight gain and measurement of upper arm circle once a month and knowledge of the subject about nutrition.Results: There was difference in knowledge of mothers who got nutrition counseling from those who did not (p<0.05). There was difference in energy consumption of mothers who got nutrition counseling from those who did not (p<0.05). There was no difference in protein consumption between mothers who got nutrition counseling and those who did not (p<0.05). There was difference in weight and upper arm circle of mothers who got nutrition counseling and those who did not (p<0.05).Conclusion: Nutrition counseling affected increase of knowledge, energy consumption, weight and upper arm circle. Nutrition counseling did not affect increase of protein consumption.
Pengaruh alat penyajian disposable terhadap sisa makanan pasien di ruang rawat inap RSUP Dr. Kariadi Semarang Tiurma Heryawanti P; Endy Paryanto Prawirohartono; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 1, No 2 (2004): November
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.17398

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Background: Food service success relates to patient plate waste. Patient plate waste in Indonesia Hospitals could be more than 25%. Cause of patient plate waste in Hospital is lack of food and equipment quality. Almost of 32.8% patients in 10 hospitals model in Indonesia clarify that appearance, cleanliness, and equipment are good.Objective: The aim of theses research was to identify the effect of serving utensils and the other factors to the plate waste.Methods: This was a Quasi Experiment study using pre posttest with control. Study subject consisted of 45 patients in the treatment group and 45 patients in the control group. Data were analyzed descriptively and whereas t-test, Fisher Exact test, Chi-Square were performed to differentiate the proportions and means in two groups. The effect of several variables on plate waste was calculated using logistic regression on analysis.Results: This study showed that no significant difference of taste, appearance, attitude of the staff who serve meals, service timeliness, kind of food, kind of diseases and environment to patient plate waste (p>0.05). There was no significant effected of the serving disposable utensils on patient plate waste (p>0.05).Conclusion: The type of serving disposable utensils was no a significant factor effected the plate waste.
Pengaruh pendidikan gizi kepada ibu terhadap konsumsi makanan dan status gizi anak balita penderita tuberkulosis primer di rawat jalan RSUP Dr. Kariadi Semarang Tatik Mulyati; Endy Paryanto Prawirohartono; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 1, No 2 (2004): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1955.704 KB) | DOI: 10.22146/ijcn.17399

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Background: Tuberculosis is an infectious disease that persists as a public health problem in Indonesia. The tuberculosis infected to the under 5-years old-children namely primary tuberculosis, could decrease the children’s immunity eventually causes death, which were 100.000 death rate 75% are children’s. Conditions of children’s health were deeply depending on the quality and quantity of their food consumption. An adequate consumption is needed to increase their nutrition status. To improve the maternal behavior of children’s food consumption, it is necessary to give nutritional education.Objective: The purpose of this study is to examine the effect of nutritional education on the food consumption and nutrition status of the under 5-years old-children that infected by primary tuberculosis.Methods: The research was an experimental research using randomized controlled trial method. The subject was 1 to 5- year(s) old-children those who infected by primary tuberculosis at Unit Rawat Jalan RSUP Dokter Kariadi Semarang. Two groups chosen by randomized got different treatments, i.e. availability and unavailability of nutritional education. Each group was asked to come to Poliklinik Paru Anak every two-week for two months (4 times). The food consumption data was collected by multiple recalls before treatment and after research. The nutrition status was determined by weight per age and weight per height of Z- Score WHO NCHS.Results: The result of this study showed that after the nutritional education issued, the energy consumption average of children has increase 18.18% from necessity and the protein consumption average of children has increase 21.39% from necessity. There was a significant effect of nutritional education on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05). It was also showed that the Z-Score increasing (weight per age and weight per height) of children in treatment-group was higher than the control-group.Conclusion: Nutritional education has a significant effect on increasing protein consumption of under 5-years old-children that was infected by primary tuberculosis (p<0.05), or there is increasing of protein consumption about 21.39%.