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Baithesda
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Consuming Habits Fast Food and the incidence of obesity in elementary school students Baithesda; Juliastri Anggraini Schu; Autry Alvian Mandagi
JOURNAL of HEALTH SCIENCE REVIEW Vol. 1 No. 2 (2024): Vol 1 No 2 October 2024
Publisher : SABDA EDU PRESS (SEP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70519/jhsr.v1i2.67

Abstract

Obesity has become a global pandemic throughout the world and is declared the largest chronic health problem, making it a major public health problem, including for school-aged children. The aim of this research is to identify the relationship between consumption fast food and the incidence of obesity in elementary school students. Design approach cross-sectional with a student population in one of the elementary schools in Manado City. The number of respondents was 162 people with the criteria being aged 6 years and over and having consent from their parents, taken using techniques quota sampling. Fast food consumption data was collected using a paper-based questionnaire, while the incidence of obesity was measured by BMI. Data were analyzed using the Chi-square test with significance values p ≤ 0.005. The research results showed a significant relationship between consumption frequency fast food with the incidence of obesity in students (p < 0.001). It is recommended for schools to provide school canteens that comply with health standards and for parents to prepare a healthy breakfast for children.
Play-Based Emotional Training and Engagement for Normalizing Distress (Pretend) in Preschool Children at Provincial General Hospital of North Sulawesi Molintao, Winarsi Pricilya; Legi, Julita Roslia; Baithesda
NUTRIX Vol 10 No 1 (2026): Volume 10, Issue 1, 2026
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v10i1.1464

Abstract

Hospitalization can trigger emotional distress in preschool children due to separation, unfamiliar surroundings, and invasive procedures. This study aimed to determine the effectiveness of Play-Based Emotional Training and Engagement for Normalizing Distress (PRETEND) in reducing emotional distress. A quasi-experimental design with a pretest-posttest control group involved 44 children aged 3–5 years at the North Sulawesi Provincial Hospital (2025), divided into intervention (n=22) and control (n=22) groups. Distress was measured using the OSBD-R, as well as questionnaires on child involvement, parental satisfaction, and perceived benefits. The results showed a significant decrease in distress scores in the intervention group from 6.77 ± 1.27 to 0.45 ± 0.67, while the control group remained high (5.36 ± 1.56). Child involvement was classified as moderate–high, parental satisfaction was very high, and program perceptions were very positive. It was concluded that PRETEND was effective in reducing emotional distress and increasing parental involvement and satisfaction. This intervention is recommended as part of child closure practice, with further research to assess long-term effects. Hospitalisasi dapat memicu distress emosional pada anak pra-sekolah akibat perpisahan, lingkungan asing, dan tindakan invasif. Penelitian ini bertujuan mengevaluasi efektivitas Play-Based Emotional Training and Engagement for Normalizing Distress (PRETEND) dalam menurunkan distress emosional. Desain quasi-eksperimen dengan pretest-posttest kelompok kontrol melibatkan 44 anak usia 3–5 tahun di RSUD Provinsi Sulawesi Utara (2025), yang dibagi menjadi kelompok intervensi (n=22) dan kontrol (n=22). Distress diukur menggunakan OSBD-R, serta kuesioner keterlibatan anak, kepuasan orang tua, dan persepsi manfaat. Hasil menunjukkan penurunan signifikan skor distress pada kelompok intervensi dari 6,77 ± 1,27 menjadi 0,45 ± 0,67, sementara kelompok kontrol tetap tinggi (5,36 ± 1,56). Keterlibatan anak tergolong sedang–tinggi, kepuasan orang tua sangat tinggi, dan persepsi program sangat positif. Disimpulkan bahwa PRETEND efektif menurunkan distress emosional dan meningkatkan keterlibatan serta kepuasan orang tua. Intervensi ini direkomendasikan sebagai bagian praktik keperawatan anak, dengan penelitian lanjutan untuk menilai efek jangka panjang.
Risk Factors of Chronic Energy Deficiency among Pregnant Women in Minahasa Kairupan, Michelle; Manengkey, Olvin Kristin; Baithesda
NUTRIX Vol 10 No 1 (2026): Volume 10, Issue 1, 2026
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v10i1.1505

Abstract

Chronic Energy Deficiency (CED) remains a major public health concern among pregnant women and is associated with adverse maternal and neonatal outcomes. This study aimed to analyze the risk factors for CED and identify the dominant predictors among pregnant women in Minahasa. A cross-sectional analytical design was employed involving 246 pregnant women. Data were collected using structured questionnaires, dietary assessments, and Mid-Upper Arm Circumference (MUAC) measurements. Bivariate analysis was performed using the Chi-square test, and multivariate analysis was conducted using logistic regression. The prevalence of CED was 41.5%. Significant factors associated with CED included maternal age (p=0.012; OR=3.9), parity (p=0.004; OR=4.7), knowledge (p<0.001; OR=14.8), and dietary patterns (p=0.002; OR=2.9). Multivariate analysis revealed that maternal knowledge was the strongest predictor of CED (aOR=15.25; 95% CI: 3.80–61.20), followed by parity, age, and dietary diversity. Education and antenatal care (ANC) visits were not significantly associated with CED prevalence. These findings indicate that knowledge gaps and poor dietary diversity are key determinants of CED. Strengthening culturally sensitive nutrition education within antenatal care services is essential for improving maternal nutrition and supporting stunting reduction strategies. Defisiensi Energi Kronis (CED) tetap menjadi masalah kesehatan masyarakat yang serius di kalangan ibu hamil dan dikaitkan dengan hasil kehamilan yang buruk bagi ibu dan bayi baru lahir. Penelitian ini bertujuan untuk menganalisis faktor risiko CED dan mengidentifikasi prediktor utama di kalangan ibu hamil di Minahasa. Desain penelitian analitik cross-sectional digunakan dengan melibatkan 246 ibu hamil. Data dikumpulkan menggunakan kuesioner terstruktur, penilaian pola makan, dan pengukuran Lingkar Lengan Atas Tengah (MUAC). Analisis bivariat dilakukan menggunakan uji Chi-square, sedangkan analisis multivariat dilakukan menggunakan regresi logistik. Prevalensi CED sebesar 41,5%. Faktor-faktor signifikan yang terkait dengan CED meliputi usia ibu (p=0,012; OR=3,9), paritas (p=0,004; OR=4,7), pengetahuan (p<0,001; OR=14,8), dan pola makan (p=0,002; OR=2,9). Analisis multivariat menunjukkan bahwa pengetahuan ibu merupakan prediktor terkuat CED (aOR=15,25; 95% CI: 3,80–61,20), diikuti oleh paritas, usia, dan keragaman makanan. Pendidikan dan kunjungan perawatan antenatal (ANC) tidak secara signifikan terkait dengan CED. Temuan ini menunjukkan bahwa kesenjangan pengetahuan dan keragaman pola makan yang buruk merupakan faktor penentu utama CED. Memperkuat pendidikan gizi yang sensitif terhadap budaya dalam layanan perawatan antenatal sangat penting untuk meningkatkan gizi ibu dan mendukung strategi pengurangan stunting.
Co-Authors Autry Alvian Mandagi Juliastri Anggraini Schu Kairupan, Michelle Legi, Julita Roslia Manengkey, Olvin Kristin Molintao, Winarsi Pricilya