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INDONESIA
GIZI INDONESIA
Published by DPP PERSAGI Jakarta
ISSN : 04360265     EISSN : 25285874     DOI : -
Core Subject : Health,
Public Health
Gizi Indonesia (Journal of The Indonesian Nutrition Association) is an open access, peer-reviewed and inter-disciplinary journal managed by The Indonesia Nutrition Association (PERSAGI). Gizi Indonesia (Journal of The Indonesian Nutrition Association) has been accredited by Indonesian Institute of Sciences since 2004. Gizi Indonesia aims to disseminate the information about nutrition, therefore it is expected that it can improve insight and knowledge in nutrition to all communities and academics. Gizi Indonesia (Journal of The Indonesian Nutrition Association) offers a specific forum for advancing scientific and professional knowledge of the nutrition field among practitioners as well as academics in public health and researchers
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Search results for , issue " Vol 37, No 1 (2014): Maret 2014" : 8 Documents clear
PERILAKU PEMILIHAN MAKANAN TINGGI NATRIUM BERPENGARUH TERHADAP ASUPAN NATRIUM PENDERITA HIPERTENSI DI KOTA SEMARANG Hendriyani, Heni; Pertiwi, Estuasih Dyah; Mintarsih, Sri Noor
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

World Health Organization (WHO) menyatakan satu dari tiga orang dewasa di seluruh dunia memiliki tekanan darah tinggi dan proporsinya meningkat seiring meningkatnya usia. Di Indonesia, Hasil Riset Kesehatan Dasar (Riskesdas)  Tahun 2007 menunjukkan prevalensi hipertensi secara nasional mencapai  31,7 persen dan di Propinsi Jawa Tengah prevalensinya mencapai 37 persen. Penelitian ini bertujuan untuk mengetahui perilaku pemilihan makanan tinggi natrium yang meliputi pengetahuan, sikap dan praktek serta hubungannya dengan asupan natrium. Desain penelitian cross-sectional. Sejumlah 60 wanita dewasa usia 36 sampai 76 tahun menjadi responden dengan kriteria inklusi menderita hipertensi kurang dari 3 tahun dan tidak sedang menjalani program diet. Pengetahuan dan sikap pemilihan makanan tinggi natrium dikumpulkan dengan wawancara dilengkapi kuesioner sedangkan praktek dan asupan natrium dikumpulkan dengan semi quantitative food frequency questionnaire. Analisis data dengan chi square dan korelasi pearson. Asupan natrium responden rata-rata sebesar 3604,10 mg. Sejumlah 96,7 persen responden  asupan natriumnya di atas anjuran (<2400 mg). Proporsi responden dengan pengetahuan kurang, sikap kurang dan konsumsi makanan tinggi natriumnya sering memiliki asupan natriumnya tinggi yaitu masing-masing 54,5 persen, 63,6 persen dan 84,8 persen. Ada hubungan negatif yang signifikan antara pengetahuan dan sikap  dengan asupan natrium dengan masing-masing nilai r=-0,508; p=0,000; r=-0,342; p=0,008 dan ada hubungan positif signifikan antara praktek  dengan asupan natrium (r=0,782; p=0,000). Hasil penelitian ini menunjukkan responden yang merupakan penderita hipertensi sering mengkonsumsi makanan sumber natrium tinggi. Pemberian pemahaman mengenai risiko asupan natrium yang tinggi terhadap kesehatan kepada masyarakat akan sangat bermanfaat.ABSTRACT   FOOD SELECTION BEHAVIOURS RELATED TO NATRIUM INTAKE AMONG HYPERTENSIVE  OUTPATIENT IN SEMARANG High natrium intake is one of hypertension risk factors. Basic health research data in 2007 showed that in Indonesia, hypertension  prevalence in community reached 31,7% and in Central Java the prevalence was 37%. Objective of the study is to find out high natrium food behavior include knowledge, attitude and practice as well as to analyze it’s relationship with natrium intake. The study used cross sectional design. There were 60 adult women selected as respondents aged 36 to 76 years with inclusion criteria as being hypertension  less than 3 years and  was not in a diet program. Knowledge and attitude were collected by  interviewing them using questionnaire. Practices and natrium intake data were collected using semi quantitative food frequency questionnaire. The results showed that mean of natrium intake was 3604,10 mg. Majority (96,7%) of respondents had natrium intake above recommendation (<2400 mg). Respondents with poor knowledge and attitutude as well as high consumption of natrium rich food had high intake of natrium 54,5%, 63,6% dan 84,8% respectively. There were negative significant correlation between knowledge (r=-0,508; p=0,000) and attitude (r=-0,342; p=0,008) with natrium intake. There was a positive significant correlation between practice and natrium intake (r=0,782; p=0,000). High consumption of natrium rich food is considered prevalent in the community. It is essential to educate people the negative effect of high natrium consumption.Keywords: dietary behaviours, natrium intake, hypertension  
STATUS GIZI ANAK BALITA DAN KARAKTERISTIKNYA DI DUA KECAMATAN DI KOTA PEKANBARU Desfita, Sri; Priwahyuni, Yuyun
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Berdasarkan profil kesehatan Provinsi Riau tahun 2010 diketahui bahwa prevalensi status gizi pendek di Kota Pekanbaru sebesar 30,2 persen. Batas masalah kesehatan masyarakat untuk status gizi pendek adalah lebih dari 20 persen.5 Dengan demikian masalah kekurangan gizi masih menjadi masalah kesehatan masyarakat di Kota Pekanbaru. Penelitian ini bertujuan untuk mengetahui status gizi anak balita dan hubungannya dengan riwayat menyusui dan pengetahuan gizi ibu di kota Pekanbaru. Jenis penelitian adalah observasional dengan desain cross-sectional. Populasi adalah seluruh anak balita di kecamatan Sail dan kecamatan Tampan, kota Pekanbaru. Sampel adalah anak balita berusia 6 - 60 bulan sebanyak 194 anak balita. Teknik sampling menggunakan purposive dalam pemilihan kecamatan, dan secara consecutive sampling dalam pemilihan subjek penelitian. Variabel penelitian adalah status gizi anak balita sebagai variabel terikat dan riwayat menyusui (inisiasi menyusu dini dalam 1 jam setelah lahir, pemberian kolostrum, dan pemberian ASI eksklusif), serta pengetahuan gizi ibu sebagai variabel bebas. Data dianalisis secara univariat dan bivariat menggunakan uji chi-square dan uji fisher exact. Hasil menunjukkan bahwa 25 persen anak balita mengalami status gizi pendek, 9,25 persen mengalami gizi kurang, dan 4,16 persen mengalami kurus. Inisiasi menyusu dini, pemberian kolostrum, dan pemberian ASI eksklusif tidak berhubungan dengan status gizi anak balita (p>0,05). Pengetahuan gizi ibu tidak berhubungan dengan status gizi anak balita (p>0,05). Dapat disimpulkan bahwa masalah gizi pada anak balita di kota Pekanbaru terutama adalah status gizi pendek. Riwayat menyusui dan pengetahuan gizi ibu bukan merupakan faktor risiko yang signifikan terhadap status gizi anak balita di kota Pekanbaru.ABSTRACT NUTRITIONAL STATUS OF UNDER-FIVE-YEAR-OLD CHILDREN AND ITS CHARACHTERICTICS                        AT TWO SUB-DISTRICTS IN PEKANBARU CITY  According to the health profile of Riau Province in 2010, the prevalence of stunting in under five year old children in Pekanbaru City is 30,2%. Cut-off for prevalence value to be a public health significance for stunting is > 20%. Thereby stunting is still a public health problem in Pekanbaru City. This aim of the study is to know the nutritional status of under-five-year-old children and its relationship with breastfeeding history and maternal nutritional knowledge. The study was observational using crossectional design. The study population was all children aged under five years in Sail Sub District and Tampan Sub District, Pekanbaru City. The samples were taken consecutive sampling among 6-60 months children. The total samples were 194 children. Purposive sampling was used to select the sub district and consecutive sampling was used to select the sample. Variables studied include nutritional status using anthropometry as dependent variable, breastfeeding history (initiation of breastfeeding within 1 hour of birth, colostrum feeding, and exclusive breastfeeding) and maternal nutritional knowledge as independent variables. Data analysis was used for univariate and bivariate using chi square and fisher exact tests. The results showed that 25% of children were stunted, 9.25% were underweight while 4.16% were wasted. Initiation of breastfeeding within 1 hour after birth, colostrum feeding and exclusive breastfeeding, as well as maternal nutritional knowledge were not significant (p>0.05) with nutritional status of children under-five years. In conclusion, stunted is the major nutritional problem in Pekanbaru City. Breastfeeding history and maternal nutritional knowledge are not significant risk factors for undernutrition among children under-five years.Keywords: nutritional status, breastfeeding history, maternal nutritional knowledge, children under-five years
UJI VALIDITAS SKRINING STATUS GIZI NRS 2002 DENGAN ASESMEN BIOKIMIA UNTUK MENDETEKSI RISIKO MALNUTRITION DI RSUP Dr. SARDJITO YOGYAKARTA Ansari, M Ridwan; Susetyowati, nFN; Pramantara, IDP
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Saat ini alat skrining gizi yang dapat digunakan di rumah sakit jumlahnya cukup banyak, namun belum banyak penelitian yang bertujuan untuk mengetahui validasi alat-alat tersebut ketika digunakan pada masing-masing institusi. Penelitian ini dilakukan dengan rancangan cross-sectional. Pengambilan sampel dengan metode purposive sampling yang memenuhi kriteria inklusi dan eksklusi minimal sebanyak 101 orang. Skrining gizi dilakukan dengan cara observasi dan wawancara langsung dengan pasien, sedangkan asesmen gizi dilakukan dengan melihat data albumin dan TLC pada buku rekam medik pasien. Untuk melihat hubungan antar variabel dianalisis dengan uji chi square dan regresi logistik sedangkan untuk melihat nilai validitas NRS digunakan uji kontingensi tabel 2x2 dan uji korelasi melalui uji Spearman. Hasil penelitian menunjukkan bahwa pasien yang berisiko malnutrition berdasarkan NRS 2002 sebanyak 33,7 persen (34 orang) dan yang mengalami malnutrition berdasarkan albumin adalah 71,3 persen (72 orang) dan TLC 47,5 persen (48 orang). Nilai sensitivitas dan spesivisitas NRS 2002 berdasarkan albumin berturut-turut adalah 82,4 persen dan 65,7 persen, sedangkan nilai sensitivitas dan spesifisitas NRS 2002 berdasarkan TLC berturut-turut adalah 55,9 persen dan 50,7 persen. Terdapat korelasi yang signifikan antara skor NRS 2002 dengan kadar albumin (r: -0.238) namun tidak dengan TLC. Tidak ada hubungan yang signifikan antara skrining gizi NRS 2002 dengan TLC dan albumin (p value > 0,05 untuk kedua analisis). Namun didapatkan kecenderungan pada pasien dengan skor NRS > 3 (OR: 3.078, 95%CI: 0.9-9.76), dan yang berada di bangsal penyakit dalam (OR: 5.330, 95%CI: 1.48-19.09), serta pasien yang tergolong lansia (OR:4.057, 95%CI: 1.08-15.14) mengalami kurang gizi berdasarkan albumin. Metode skrining status gizi NRS 2002 valid untuk mendeteksi risiko malnutrition di rumah sakit setelah dibandingkan dengan kadar albumin sebagai referensi.ABSTRACT VALIDITY TEST OF NRS 2002 NUTRITIONAL SCREENING USING BIOCHEMICAL ASSESSMENT TO DETECT THE RISK OF MALNUTRITION IN RSUP Dr. SARDJITO YOGYAKARTA Currently various nutritional screening tools have been used in hospitals, but only a few researches have been directed to determine the validation of the tools. This research was carried out using cross sectional observational study design. Purposive sampling method used to withdraw 101 subjects which met the minimum criteria for inclusion and exclusion. Nutritional screening was performed through observation and direct interview, whereas nutritional assessment carried out by evaluating albumin data and TLC from medical record. Chi square and logistic regression tests were applied to determine the relationship between variables. The validity of the NRS was analyzed using 2x2 contingency tables and Spearman correlation coefficient. This study found out that subjects who were at risk of malnutrition according to NRS 2002  were 33.7 per cent (34 subjects) and the malnourished based on albumin level was 71.3 per cent (72 subjects) and  based on TLC 47.5 per cent (48 subjects). Sensitivity and specificity values of NRS based on albumin level were 82.4 per cent and 65.7 per cent, while their values based on TLC were 55.9 per cent and 50.7 per cent, respectively. There was a significant correlation between NRS 2002 and albumin (r=-0.238; p <0.05) but not with TLC. There was no relationship between nutritional screening NRS 2002 with TLC and albumin (p >0.05). However, there was a trend obtained from patients with a NRS score > 3 (OR: 3.078, 95%CI:0.9-9.76), from the internal medicine patients (OR: 5.330, 95%CI: 1.48-19.09), and from elderly patients (OR:4.057, 95%CI: 1.08-15.14) that  they became malnutrition based on albumin level. NRS 2002 screening tool was valid method to detect risk of malnutrion in hospital after compared to albumin as a reference. Keywords: malnutrition, NRS 2002, albumin, TLC, nutritional status
DEFISIENSI BESI DAN ANEMIA PADA ANAK USIA BAWAH DUA TAHUN (6-23 BULAN) DI KABUPATEN ACEH BESAR Ahmad, Aripin; Zulfah, Siti; Wagustina, Silvia
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Anemia pada balita di Indonesia masih sangat tinggi, hasil Susenas (2001) menunjukkan rata-rata 47 persen balita menderita anemia dengan prevalensi terbesar pada usia 6-11 bulan yaitu 64,8 persen. Di Aceh, Survei Word Vision Indonesia (2010) 67,8 persen anak balita menderita anemia, sementara data Riskesadas 2013 didapatkan anemia pada anak usia 12-59 bulan 30,3 persen di kota dan 25,8 persen di pedesaan. Salah satu faktor yang sangat mempengaruhi anemia adalah status besi. Penelitian ini bertujuan untuk mengetahui status besi dan anemia pada anak baduta usia 6-23 bulan di Kabupaten Aceh Besar. Penelitian ini menggunakan desain cross-sectional survei dilaksanakan pada bulan Agustus 2011 pada tiga kecamatan, yaitu Kecamatan Lhoknga, Leupung dan Lhong Kabupaten Aceh Besar. Sampel penelitian adalah anak usia 6-23 bulan berjumlah 257 orang yang diambil dengan metode stratified random sampling. Data kadar Haemoglobin (Hb) dikumpulkan dengan metode cyanmethaemoglobin dan serum Ferritin dengan metode ELISA oleh tenaga laboran terlatih di Laboratorium “P” Banda Aceh. Analisis hubungan antara kadar serrum Ferritin dengan Anemia digunakan uji chi-square pada derajat kepercayaan 95%. Hasil penelitian didapatkan 46,7 persen sampel menderita anemia dan 36,2 persen menderita defisiensi besi. Setelah dilakukan analisis penentuan jenis anemia, didapatkan sampel dengan kadar Hb dan status besi normal sebesar 43,6 persen, anemia defisiensi besi 26,5 persen, defisiensi besi tidak anemia 9,7 persen, dan anemia tetapi status besi normal 20,2 persen. Anemia lebih banyak didapatkan pada anak baduta dengan status defisiensi besi, yaitu 73,1 persen dibandingkan anak non defisiensi 31,7 persen. Ada perbedaan yang signifikan antara defisiensi besi dengan anemia (p=0,00) dan nilai Odd Ratio (OR) =5,8. Anemia anak baduta di Aceh merupakan ”severe public health problem” dengan penyebab defisiensi zat besi. Untuk itu sangat diperlukan upaya peningkatan asupan zat besi dari makanan terutama MPASI, intervensi pemberian suplementasi besi untuk mencegah terjadinya anemia pada anak baduta.ABSTRACTIRON DEFICIENCY AND ANEMIA AMONG UNDER-TWO-YEAR-OLD-CHILDREN (6-23 MONTHS) IN ACEH BESAR DISTRICT OF ACEHAnemia among children aged under-five years in Indonesia is still high. The Social Economic National Survey (Susenas) in 2001 showed that 47 percent under five children suffered anemia and 64,8 percent of them were 6-11 months. Anemia in Aceh is also high, Word Vision Indonesia Survey in 2010 obtained that 67.8 percent under-five- year-old-children suffered from anemia. Riskesdas 2013 showed 30,3 percent anemia was found at 12-59 month old in urban and 25,8 percent in rural. One of the factors that influences anemia is iron status. This study aimed to determine iron status and anemia in children aged 6-23 months in Aceh Besar District. This study used a cross-sectional design that was conducted in August 2011 at three subdistricts in Aceh Besar: Lhoknga, Leupung and Lhong. A total of 257 children was taken as subjects with stratified random sampling method. Haemoglobin levels were collected by cyanmethaemoglobin method and serum ferritin was measured using ELISA method by trained staff at “P” Laboratory Banda Aceh. To analyse the relationship between ferritin serum levels and anemia, chi-square test was used at 95 percent confidence level. The study showed 46.7 percent children aged 6-23 month suffered anemia and 36.2 percent was iron deficiency. After analyzing the type of anemia, it showed that 43.6 percent children was normal, 26,5 percent was iron deficiency anemia, 9,7 percent was iron deficiency without anemia; and 20.2 percent was anemia without iron deficiency. Anemia among children with iron deficiency was 73.1 percent, and non iron deficiency children was 31.7 percent. There was a significant different between iron deficiency and anemia in children aged 6-23 month (p=0.00) with Odd Ratio (OR) 5.8. Anemia among children aged 6-23 month is a severe public health problem and iron deficiency is the main cause of anemia in Aceh Besar District. Therefore, it is important to improve iron intake from complementary feeding and iron supplement intervention for 6-23 month age children.Keywords: anemia, iron deficiency, children aged 6-23 month
HUBUNGAN KADAR SOD DAN JUMLAH SEL RADANG AKUT AKIBAT PEMBERIAN TEPUNG PSPL PADA TIKUS YANG DIPAPAR ASAP ROKOK Kusumastuty, Inggita; Nugroho, Fajar Ari; Harti, Leni Budhi
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Daun ubi jalar unggu (Purple Sweet Potato Leaves, PSPL) mengandung antioksidan yang tinggi dan dapat memperbaiki tingkat stres oksidatif akibat tingginya oksidan di dalam tubuh. Tujuan penelitian ini adalah mengetahui hubungan SOD dengan jumlah sel radang akut alveoli paru tikus yang diberi PSPL dan dipapar asap rokok. Penelitian ini menggunakan rancangan Randomized Post Test Control Design dengan menggunakan sampel tikus putih sebanyak 30 ekor. Kelompok perlakuan dipapar asap rokok dan diberikan tepung PSPL sejumlah 0,07 g (P1); 0,14 g (P2) dan 0,28 g (P3) selama 30 hari. Kadar SOD dan jumlah sel radang akut alveoli paru kemudian diukur.  Hasil penelitian ini menunjukkan bahwa PSPL dapat meningkatkan SOD dan menurunkan jumlah sel radang akut alveoli paru pada tikus. Ada hubungan antara kadar SOD dengan jumlah sel radang akut alveoli paru, dimana semakin tinggi kadar SOD maka semakin rendah jumlah sel radang akut alveoli paruABSTRACT    THE RELATION BETWEEN SODAND NUMBER OF ACUTE INFLAMMATORY IN RATS WITH PSPL  POWDER TREATMENT AND CIGARETTE SMOKE EXPOSURE Purple sweet potato leaves (PSPL) contains polyphenols in high concentration that lead to improve oxidative Stres levels due to high oxidant present in the body. The purpose of this study was to determine the relationship between SOD with the number of acute inflammatory cells of lung alveoli rats that it was fed with PSPL and exposure with cigarette smoke. This research was Randomized Post Test Control Design using 30 white rats. The treatment groups exposed with cigarette smoke and PSPL’s powder that they were 0.07 g (P1), 0.14 g (P2) and 0.28 g (P3) in 30 days. The level of SOD and acute inflammatory cell lung alveoli will measured. The result is PSPL powder have ability to increase SOD and decrease the number of acute inflammatory cells of the lung alveoli of rats.There was a correlation between the level of SOD and the number of  acute inflammatory pulmonary alveoili, where the higher levels of SOD induced the lower number of acute inflammatory pulmonary alveoli.Keywords: PSPL, SOD, antioxidant
FAKTOR RISIKO ANEMIA PADA IBU MENYUSUI DI RUMAH TANGGA MISKIN sudikno, nFN; Jus'at, Idrus; Sandjaja, nFN; Ernawati, Fitrah
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Anemia pada ibu menyusui menjadi salah satu masalah kesehatan masyarakat, khususnya di negara berkembang. Penelitian ini bertujuan untuk mengetahui faktor risiko anemia pada ibu menyusui. Penelitian ini dilaksanakan pada bulan Juni-Juli 2011 di kabupaten Tasikmalaya dan kabupaten Ciamis, Provinsi Jawa Barat. Desain penelitian cross-sectional yang melibatkan 229 ibu menyusui dari keluarga miskin. Hasil penelitian menunjukkan bahwa rata-rata hemoglobin pada ibu menyusui sebesar 13,28±1,56 g/dl. Prevalensi anemia pada ibu menyusui sebesar 17, 9 persen. Analisis regresi logistic multivariate menunjukkan bahwa faktor kecukupan vitamin A dan umur ibu berhubungan dengan kejadian anemia pada ibu menyusui. Ibu menyusui yang kekurangan vitamin A cenderung berisiko untuk mengalami anemia sebesar 4,58 kali setelah dikontrol variable umur ibu (OR=4,58; p=0,001, 95% CI: 1,86-11,26)  dibandingkan ibu menyusui tidak kekurangan vitamin A. Rekomendasinya adalah perbaikan gizi pada ibu menyusui melalui pemberian makanan tambahan maupun penambahan mikronutrien sangat diperlukan. Di samping itu, penyuluhan tentang penundaan usia kehamilan  juga bisa menjadi program alternatif pencegahan anemia.ABSTRACT ANEMIA RISK FACTORS IN LACTATING MOTHERS AMONG POOR HOUSEHOLDS Anemia in Lactating mothers is still one of public health problem, particularly in developing countries. This study aims to determine the risk factors of anemia in lactating  women. This study was conducted from June -July 2011 in Tasikmalaya and Ciamis Districts, West Java Province. Design of the study was cross-sectional study involving 229 breastfeeding women from poor families. The result showed that the average hemoglobin in breastfeeding mothers was 13.28 ± 1.56 g/dl. The prevalence of anemia in lactating  women was 17.9 percent. Multivariate logistic regression analysis showed that factors adequacy of vitamin A and maternal age were associated with maternal anemia during breastfeeding. Lactating  women who were deficient in vitamin A tended to have anemia experience was 4.58 times after controlled by maternal variables (OR = 4.58; p = 0.001, 95% CI: 1.86-11.26) compared  to those  who were not deficient in vitamin A. It  is recommended  to improve nutrition among lactating  women through supplementary feeding with  micronutrients addition. Furthermore, the extension of delay marriage age is also an alternative programs to prevent anemia.Keywords: risk factors, anemia, lactating women
PENGARUH MODUL TERHADAP PENINGKATAN PENGETAHUAN, SIKAP DAN PRAKTEK KADER DALAM UPAYA PEMBERIAN ASI EKSKLUSIF Jumiyati, nFN; A, Nugrahaeni S; Margawati, Ani
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Rendahnya cakupan ASI eksklusif dipengaruhi oleh terbatasnya tenaga konselor ASI, belum maksimalnya kegiatan edukasi, sosialisasi dan belum optimalnya membina kelompok pendukung ASI. Kelompok pendukung ASI di  masyarakat dapat melibatkan peran kader dengan cara menambah pengetahuan, sikap dan praktek kader. Penelitian bertujuan  untuk menganalisis pengaruh  modul terhadap peningkatan pengetahuan, sikap dan praktek kader dalam upaya  pemberian ASI eksklusif. Desain quasi experimen dengan rancangan non  randomized control group pre test – post test design. Sampel penelitian 60 kader (30 kelompok perlakuan dan 30 kontrol). Perilaku kader diukur 4 kali yaitu pada kondisi awal, setelah pelatihan, satu bulan, dan dua bulan setelah pelatihan. Dilakukan uji beda rata-rata. Kelompok perlakuan terjadi peningkatan skor pengetahuan  9,63 poin, post-test bulan pertama 8,94 poin dan post-test bulan kedua 1,55; sikap meningkat 6,35 poin, post tes bulan pertama 7,5 poin dan post-test bulan kedua tidak terjadi peningkatan; praktek meningkat 4,55 poin, post-test bulan pertama 11,8 poin dan post-test bulan kedua 0,39 poin. Kelompok kontrol terjadi peningkatan pengetahuan 3,25 poin, sikap meningkat 2,03 poin dan praktek meningkat 2 poin. Pelatihan dengan menggunakan modul dapat meningkatkan pengetahuan, sikap dan praktek kader dibandingkan kelompok kontrol.ABSTRACT THE IMPACT OF MODULE INCREASE KNOWLEDGE, ATTITUDE AND PRACTICE AMONG THE HEALTH SERVICE PROVIDERS  TO PROMOTE EXCLUSIVE BREASTFEEDING  The low coverage of exclusive breastfeeding is influenced by limited of breastfeeding counselor, educational activities, socialization and lack of involving breastfeeding support groups. Support groups in the community can involve health service provider participation in improving knowledge, attitude and their practice. The Objective of this study is to analyze impact of the module toward increase the knowledge, attitude and practice of health service providers to promote the breastfeeding. The desain of the study research design used a quasi experiment with the design of non-randomized control group pre test-post test design. The sample was 60 health service providers (30 as treatment group and 30 as control group). Health service providers behavior was measured 4 times on the initial conditions, after training, one month, and two months after training used different test average. The result shows that there was an increase in treatment group by 9.63 points, the first month post-test by 8.94 points and at the second post-test by 1.55, for attitude increased 6.35 points, the first month post-test by 7,5 points and at the second month test showed no improvment, the practice increased by 4.55 points, the first month post-test by 11.8 points and second month post-test by 0.39 points. In control group, there was an increase of knowledge by  3.25 points, for attitude increased by 2,03 points and practice increased by 2 point. Training using the module can improve knowledge, attitude and practice of health service providers compared to those without the control group.Keywords: training module, knowledge, attitude and practice of health service providers,  exclusive breastfeeding
HUBUNGAN KONSUMSI KOPI TERHADAP STROK ATAU PENYAKIT JANTUNG KORONER (Baseline Data Studi Kohor Faktor Risiko Penyakit Tidak Menular) Tuminah, Sulistyowati; Riyadina, Woro
GIZI INDONESIA Vol 37, No 1 (2014): Maret 2014
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

Hubungan antara kebiasaan konsumsi kopi dengan penyakit Strok dan Penyakit Jantung Koroner (PJK) masih menjadi perdebatan apakah bersifat prediktif atau protektif. Tujuan penelitian ini adalah menentukan hubungan antara kebiasaan konsumsi kopi terhadap penyakit Strok atau PJK.  Data merupakan subset dari data baseline penelitian “Studi Kohor Faktor Risiko Penyakit Tidak Menular (FRPTM)” yang diperoleh dengan metode wawancara menggunakan kuesioner dan pemeriksaan kesehatan terhadap penduduk tetap umur 25-65 tahun di 5 kelurahan di Kecamatan Bogor Tengah, Kota Bogor pada tahun 2011-2012 yaitu sebanyak 3.296 responden. Hasil menunjukkan kebiasaan minum kopi bersifat protektif terhadap penyakit Strok atau PJK dengan besaran risiko OR=0,76 (95% CI: 0,64–0,91). Kesimpulan penelitian adalah bahwa kebiasaan minum kopi mempunyai risiko mengalami Strok atau PJK lebih rendah (OR<1) dibandingkan dengan responden yang tidak terbiasa minum kopi setelah dikontrol faktor jenis kelamin dan tekanan darah. Untuk penelitian lebih lanjut disarankan untuk mengkaji jumlah (dosis) kopi yang dikonsumsi orang Indonesia karena data ini sangat dibutuhkan untuk melihat pengaruhnya pada penyakit Strok atau PJK.ABSTRACTHABITUAL COFFEE CONSUMPTION ON STROKE OR CORONARY HEART DISEASE (CHD)(Baseline of Cohort Study on Risk Factors of Non Communicable Disease)  The relationship between habitual coffee consumption on Stroke or Coronary Heart Disease (CHD) is still debatable whether predictive or protective. The objective of the study is  to establish the  association between habitual coffee consumption on stroke or CHD. The analysis used subset data from baseline of cohort study of non communicable disease’s risk factors. Data were obtained through interview method using questionnaire and health examination of 3.296 respondents aged 25-65 years old from five villages in the District of Bogor Tengah, Bogor City in 2011-2012. The result showed that habitual coffee consumption had protective effect on stroke or CHD [OR=0,76 (95% CI: 0,64–0,91)]. It is concluded that  subject who had habitual coffee consumption had a lower risk on stroke or CHD (OR<1) compared to subject who had no habitual coffee consumption after adjusted by sex and blood pressure. Further investigation about different doses of coffee intake according to Indonesian is still needed to see the dose effects to stroke and CHD.Keywords: stroke, coronary heart disease, habitual coffee consumption

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