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INDONESIA
GIZI INDONESIA
Published by DPP PERSAGI Jakarta
ISSN : 04360265     EISSN : 25285874     DOI : -
Core Subject : 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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Articles 538 Documents
PENGARUH KOMPOSISI DIET DAN SENAM AEROBIK TERHADAP PENURUNAN BERAT BADAN Ni Made Dewantari; I Wayan Ambartana
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v40i2.239

Abstract

Kemajuan teknologi dan sosial ekonomi pada kelompok masyarakat menyebabkan terjadinya perubahan gaya hidup yaitu perubahan pola diet yang cenderung komposisinya rendah serat, tinggi lemak dan berkurangnya aktivitas fisik. Kondisi tersebut berkontribusi pada meningkatnya prevalensi kegemukan. Penelitian ini bertujuan untuk mengetahui pengaruh komposisi diet dan senam aerobik terhadap penurunan berat badan. Jenis penelitian eksperimental dengan rancanganrandomized pre test-post test control group design. Sampel adalah wanita dewasa di Kota Denpasar, sebanyak 33 orang, umur 30-50 tahun, IMT 25-30  kg/m2. Kelompok 1 menerapkan diet rendah lemak; kelompok 2 diet rendah karbohidrat; kelompok 3 sebagai kontrol. Sebelum dan sesudah intervensi dilakukan pengukuran berat badan. Perubahan berat badan sebelum dan setelah intervensi dianalisis dengan uji paired t-test. Perbedaan rerata penurunan berat badan ketiga kelompok dianalisis dengan uji One Way Anova. Hasil penelitian menunjukkan intervensi diet rendah lemak dan diet rendah karbohidrat dapat menurunkan berat badan secara bermakna (p=0,000). Rerata penurunan berat badan pada diet rendah lemak 3,61 kg dan diet rendah karbohidrat 3,42 kg. Penurunan berat badan pada diet rendah lemak dan diet rendah karbohidrat tidak berbeda bermakna (p=0,547). Penurunan berat badan dapat dilakukan dengan menerapkan diet energi rendah dengan komposisi rendah lemak atau rendah karbohidrat disertai senam aerobik.ABSTRACT The Effect of Diet Composition and Aerobic Exercise on Weight LossAdvances in technology and social economy at particular groups of people, especially in urban communities leads to changes in lifestyle eq. changes in diet that tends composition low in fiber, high in fat and lack physical activity. These conditions contribute to the increasing prevalence of obesity. The research objective was to determine the effect of dietary composition and aerobics to weight decrease. This research is a experimental design with randomized pretest-posttest control group design. Samples are adult women in Denpasar City, as many as 33 people, aged 30-50 years, BMI 25-30 kg/m2. Group 1 apply a low-fat diet; group 2 low-carb diet; group 3 controls. Before and after the intervention measurement of body weight. Changes in body weight before and after the intervention analyzed by paired t-test. The mean differences in weight loss of the three groups were analyzed with One Way Anova. The results showed low-fat diet and low-carbohydrate diets can lose weight is significantly (p=0.000). Mean weight loss on a low-fat diet 3.61 kg and 3.42 kg of low-carbohydrate diets. Weight loss in low-fat diets and low-carbohydrate diets did not differ significantly (p=0.547). Weight loss can be done by applying a low energy diet with low-fat or low-carbohydrate composition with aerobic exercise. Keywords: low-carbohydrate diet, low-fat diet, aerobic exercise, weight  
FAKTOR-FAKTOR YANG MEMENGARUHI TERJADINYA HIPERTENSI DI DAERAH PERKOTAAN (Analisis Data Riskesdas 2007) Pradono, Julianty
GIZI INDONESIA Vol 33, No 1 (2010): Maret 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v33i1.83

Abstract

FACTORS CONTRIBUTE TO HYPERTENSION IN RURAL AREAS(Data Analysis of Basic Health Research 2007)The increasing of blood-pressure is a one main risk factor to stroke and heart diseases. Blood-pressure increased could be caused by genetic factor, as well as beha viour and environment which might triggered the risk factor. This was much worst with the absence of the particular symptoms, therefore the increasing of blood-pressure was unrealized and could be resulted a very serious impact. Some studies shown that hypertension prevalens were continously rising in a young age group. This analysis aimed to identify factors influenced the rising of blood-pressure for preventing effort. Data sources for this study were Basic Health Research (Riskesdas) 2007. Blood-pressure was measured by using Digital Sphygmoma-nometer. The sample size consisted of 18,601 respondents, included age above 15 years old both males and females from 10 percent of urban area in Indonesia. A multivariate analysis had been done for describing factors influenced the blood-pressure increased. The results shown that respondents ≥ 45 years were the most contributed factor for the inceasing of blood-pressure (OR=2,4), followed by overweight-obese (OR=2,3), obese-central (OR=1,6), hyperglychemic (OR=1,5), duration of smoking (OR=1,5), mental disorder (OR=1,3), economic status (OR=1,2), and unmarried status (OR=1,2). On the otherhand, the better consumption grilled foods, and foods with preservatives might reduce the bloodpressure of respondents (anova, p=0,000). Prediction asumption towards blood-pressure based on those factors was 16,0 percent (R-squared). This study showed that lifestyle modification is essential in preventing urban adults from hypertension. Targeting adults with promotional efforts Healthy Behavior to raise awareness of risk factors for hypertension.Keywords: factors, hypertention, urban
EFEK PEMBERIAN SUPLEMEN SINBIOTIK DAN ZAT GIZI MIKRO (VITAMIN A DAN ZINC) TERHADAP STATUS GIZI PENDERITA TBC PARU ORANG DEWASA YANG MENGALAMI KEKURANGAN ENERGI KRONIK Hardinsyah, Suparman; Kusharto, Clara M; Sulaeman, Ahmad; Alisjahbana, Bachti
GIZI INDONESIA Vol 34, No 1 (2011): Maret 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v34i1.99

Abstract

Pasien  TB  paru  pada  akhirnya  akan  mengalami  keadaan gizi  buruk  dan  menurunnya  respon  imun. Kemoterapi  dengan  menggunakan  obat-obatan  TB  merupakan  langkah  yang  efektif  untuk  mengobati penyakit ini, tetapi mempunyai pengaruh negatif terhadap keseimbangan mikropola usus inflamasi karena infeksi TB paru, menurunkan pengaturan sintesa zat  gizi dan menurunkan nafsu makan, sehingga terjadi kekurangan  gizi.  Penelitian  bertujuan  untuk  menganalisa  efikasi  symbiotik  dan  suplemen zat  gizi  mikro terhadap status gizi pada pasien dewasa TB paru yang sedang diobati yang menderita kekurangan energi kronik  setelah  2  bulan  menjalani  intervensi.  Desain penelitian  “a  double-blind  randomized  treatment control trial“ dilakukan pada 2 pusat penyembuhan TB paru di Bandung dan Garut. Sejumlah 43 orang yang  menderita  kekurangan  energi  kronik  (KEK)  dipilih  dari  76  pasien  TB  paru  yang  terekrut  dengan variasi umur antara 20–45 tahun. Kelompok ini dibagi 2 kelompok, kelompok pertama diberikan susu yang berisi  protein,  symbiotik  dan  suplemen  micronutrien (MSM)  dan  kelompok  kedua  diberi  susu  yang berbasis protein saja (MO) sebagai kelompok kontrol. Seluruh pasien menerima terapi standar untuk TB paru, parameter status gizi (BB, IMT, masa Lemak, hemoglobin, serum vitamin A dan seng) dikumpulkan pada saat awal setelah 1 bulan, 2 bulan dari pemberian intervensi data di awalnya. Perbedaan antara dan dalam kelompok menggunakan statistik parametrik dannon parametric. Hasil menunjukan bahwa setiap kelompok  pada  akhir  intervensi  parameter  status  gizi  secara  signifikan  mengalami  perbaikan dibandingkan  pada  awal  penelitian  (P0,05)  tetapi  tidak  ada  perbedaan  signifikan  antara  dua  kelompok (p0,05). Ada pengaruh potensial dari setiap suplemen dalam meningkatkan status gizi, penelitian yang lebih lama dengan tidak memberikan susu berbasis protein pada kelompok kontrol dibutuhkan. Kata kunci: imunitas, zat gizi mikro, symbiotik, TBparu
FORMULASI BMC MENINGKATKAN KADAR PROTEIN KUE KERING DENGAN PENAMBAHAN TEPUNG IKAN Somali, Lanita; Karina, Sa’diah Multi; Amrihati, Endang Titi
GIZI INDONESIA Vol 36, No 1 (2013): Maret 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v36i1.115

Abstract

Protein hewani merupakan zat gizi yang baik untuk pertumbuhan tubuh dan mempunyai nilai biologi yang lebih tinggi dibanding dengan protein nabati. Oleh sebab  itu dalam penelitian ini digunakan tepung ikan untuk  meningkatkan  protein  score  bahan  dasar  kue  kering.  Penelitian  ini  bertujuan  untuk  mengetahui pengaruh formula BMC tepung ikan terhadap kualitas organoleptik dan proksimat kue kering.   Penelitian eksperimental  dengan  RAL  1  perlakuan,  6  taraf  dan  3  replikasi  diawali  dengan  menghitung  PS≥69 berbagai formula  BMC.  Uji statistik menunjukkan tidak ada pengaruh berbagai formula terhadap warna, rasa,  dan  tekstur.  Sebaliknya  ada  pengaruh  berbagai  formula  terhadap  aroma  kue  kering.  Berdasarkan hasil penilaian panelis terhadap produk, panelis menyukai kue kering dengan perlakuan T-2, BMC dengan PS 81,2 mempunyai karakteristik: warna kuning keemasan, rasa cukup asin terasa gurih, renyah-kompak saat digigit dan sedikit beraroma ikan dengan 5,63% kadar air, 1,91gram abu, 6,74gram protein, 29,47gram lemak dan 56,26  gram karbohidrat. Disarankan untuk mengembangkan kue kering dengan menggunakan tepung lain.Keywords: protein score, BMC, kue kering, tepung ikan
HUBUNGAN PENYAKIT MENULAR BERBASIS LINGKUNGAN DENGAN STATUS GIZI BALITA Elsi, Elsa
GIZI INDONESIA Vol 35, No 2 (2012): September 2012
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v35i2.131

Abstract

Penyakit menular berbasis lingkungan dapat menyebabkan kejadian gizi kurang dan gizi buruk. Penelitian lanjutan ini bertujuan untuk mengetahui hubungan antara penyakit menular berbasis lingkungan dengan status gizi balita (0-59 bulan) dengan menggunakan data Riskesdas 2007.  Desain penelitian adalah crosssectional  yang  bersifat  deskriptif.  Populasi  penelitian  adalah  seluruh  balita  0-59  bulan  pada  Riskesdas 2007, sedangkan sampel adalah seluruh balita 0-59 bulan pada Riskesdas 2007  dengan ibu yang berusia 15-54 tahun. Kriteria inklusi  adalah seluruh rumah tangga Riskesdas 2007 yang mempunyai balita dengan variabel  yang  lengkap.  Data  yang  dikumpulkan  meliputi:  karakteristik  balita  (umur,  jenis  kelamin,  berat badan),  karakteristik  ibu  (umur,  pendidikan,  dan  pekerjaan),  penyakit  menular  berbasis  lingkungan (penyakit  filariasis,  demam  berdarah  dengue,  malaria,  infeksi  saluran  pernafasan  akut,  pneumonia, tuberkulosis paru, campak, tifoid, hepatitis, diare), dan lingkungan rumah tangga balita ( kualitas fisik air minum, kualitas tanah, dan pemeliharaan ternak). Hasil penelitian menunjukkan  bahwa risiko status gizi kurang dan status gizi buruk pada balita yang mengalami penyakit menular berbasis lingkungan dan ibu dengan pendidikan SD ke bawah lebih tinggi (OR=2,05) dibandingkan ibu dengan pendidikan perguruan tinggi (OR= 1,12). Sedangkan menurut tempat tinggal diketahui bahwa risiko status gizi kurang dan status gizi  buruk  pada  balita  yang  mengalami  penyakit  menular  berbasis  lingkungan  dan  bertempat  tinggal di perdesaan lebih tinggi (OR=1,25) dibandingkan balita yang tinggal di perkotaan (OR= 1,12).Kata kunci: penyakit menular, lingkungan, status gizi
IRON-ZINC SUPPLEMENTATION AMONG ADOLESCENT GIRLS AT ELEMENTARY SCHOOL IN KUPANG CITY, EAST TIMOR PROVINCE. Indriastuti Kurniawan, Yustina Anie; Muslimatun, Siti
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i2.17

Abstract

Anemia is the main micronutrient deficiency problem among adolescent girls in Indonesia. Anemia due to iron deficiency often coexists with zinc deficiency. Both iron deficiency anemia and zinc deficiency can increase the risk of obstetric complications among pregnant women i.e. bleeding during labor and post-partum hemorrhage. Iron-folate supplementation among pregnant women had been conducting since long time ago throughout this country; however, effort to improve the nutritional status particularly among adolescent girls prior to pregnancy is still lack behind. Iron and zinc have antagonistic interaction. Therefore it was challenging to alleviate anemia problem among adolescent girls with appropriate ratio of iron-zinc supplementation, and will give a benefit to improve their nutritional status. This study was aimed to investigate the different ratios of ironzinc supplementation on reducing the prevalence of anemia as improving the nutritional status of adolescent school girls.A female elementary school students age 10-12 years old (n= 137) were screened in rural area of Kupang City, East Timor Province. Subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks; Group 1 (iron; 60 mg/day), Group 2 (iron and zinc; 30 mg and 15 mg/day), Group 3 (iron and zinc; 60 mg and 15 mg/day). Hemoglobin concentration was measured by cyanmethemoglobin method (Hemocue) to determine the prevalence of anemia (Hb level 120 g/L), while anthropometric assessment was conducted for measuring weight and height to determine the nutritional status. General characteristics was assessed through interview. At base line, 29.1% of subjects suffered from anemia and in general, the prevalence was reduced to around 13.1% after they took iron supplements with or without zinc. Hemoglobin concentration was significantly increased among all subjects euther suffered from anemia or not. The result of this study showed that subject who received iron/zinc supplement with ratio 4: 1 for 12 weeks asa “blanket approach” significantly increased hemoglobin conc. higher than to who received iron alone. Similar result occurred when supplement was received to anemic adolescent. Although there were significantly increased of weight, height and BMI for age among all groups, the percentage of subjects were underweight, stunted and wasted remains high after supplementation that 54.6%, 36.9% and 39.2% respectively. Anemia seems to be a health problem among adolescent school girls in Kupang City, East Timor Province and iron-zinc supplementation with appropriate ratio is promising to increase hemoglobin level. A large scale of cohort study was recommended for female student, to investigate the effect iron/zinc supplementation with ratio 2: 1 on iron, zinc status and growth performance among adolescent girls.Key Words: Iron, Zinc, Adolescent, Girls
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
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v37i1.146

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
PERILAKU MEMBERI MAKAN UNTUK MENINGKATKAN TUMBUH KEMBANG ANAK Husaini, Yayah K.
GIZI INDONESIA Vol 29, No 1 (2006): Maret 2006
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v29i1.28

Abstract

FEEDING BEHAVIOUR FOR BETTER GROWTH AND DEVELOPMENTThe widespread malnutrition in children especially among those under two years of age is closely linkage not only to poverty but also to inappropriate child caring practices particularly feeding behavior and infection. Complementary foods given into an infant’s diet in addition to breast milk after the child above 6 months old either commercially or specially prepared at home are needed to meet the nutrient requirements. The Pengalengan study shows that children with better nutritional status because of local food supplements in early infancy perform better cognition in later life. Therefore, to empower women who are the main caregiver with knowledge and skill is necessary to optimal nutritional benefits for their children.Key wood: Feeding behaviour, growth, development
RIWAYAT MAKANAN YANG MENINGKATKAN ASAM LAMBUNG SEBAGAI FAKTOR RISIKO GASTRITIS Arikah, nFN; Muniroh, Lailatul
GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v38i1.163

Abstract

Gastritis merupakan salah satu gangguan pencernaan akibat pola makan. Hampir 10 persen penduduk dunia menderita gastritis. Di Indonesia, angka kejadian gastritis sebesar 40,8 persen. Pola makan yang merupakan faktor pemicu gastritis adalah konsumsi tinggi protein dalam menu harian, kebiasaan konsumsi makanan pedas dan minum kopi. Penelitian ini bertujuan mengidentifikasi faktor risiko riwayat konsumsi makanan yang berpotensi meningkatkan keasaman lambung terhadap kejadian gastritis. Penelitian observasional dengan desain case control dilakukan pada 32 responden terdiri dari 16 responden gastritis dan 16 responden non gastritis. Variabel bebas penelitian meliputi riwayat konsumsi protein, riwayat konsumsi sambal, dan kebiasaan minum kopi. Pengambilan sampel dilakukan dengan metode systematic random sampling dan dengan menggunakan form Dietary History dan form Food Frequency semi quantitative. Hasil penelitian menunjukkan sebagian besar responden gastritis berjenis kelamin perempuan (78,12%), berusia antara 20-30 tahun (40,63%), dan telah menderita gastritis 3 tahun (43,75%). Berdasarkan uji statistik, variabel yang merupakan faktor risiko gastritis adalah frekuensi konsumsi susu (p=0,034, OR=6,600) dan jumlah konsumsi sambal (p=0,037, OR=11,667). Responden dengan riwayat frekuensi konsumsi susu sering, berisiko 6,6 kali lebih besar mengalami gastritis dibanding responden dengan riwayat konsumsi susu jarang, dan responden yang memiliki riwayat kebiasaan konsumsi sambal 3 sdt per konsumsi, berisiko 11,667 kali untuk menderita gastritis dibanding yang memiliki kebiasaan konsumsi sambal kurang dari itu. Saran untuk pasien gastritis sebaiknya membatasi konsumsi susu terutama bila bersamaan dengan makanan berat lain dan konsumsi sambal yang berlebihan, karena keduanya dapat menstimulasi produksi asam lambung berlebihan sehingga menimbulkan perlukaan pada dinding lambung.ABSTRACT DIET HISTORY AS RISK FACTORS OF GASTRISTIC BY IMPROVING GASTRICT ACID Gastritis is a digestive disorder caused by diet. Nearly 10 percent of people worldwide suffer from gastritis. In Indonesia, the incidence of gastritis was 40.8 percent. Food consumption which is a trigger factor of gastritis are the high consumption of protein in the daily diet, spicy foods and drinking coffee. This study aimed to identify risk factors of food consumption history that could increase gastric acidity as a risk factor of gastritis. The observational study with case control design conducted to 32 respondents devided into 2 groups, gastritis and non-gastritis group. Independent variables were protein consumption history, consumption of chili sauce, and drinking coffee habits. Sampling has done using systematic random sampling and food history was assessed using  Dietary History form and Food Frequency semi quantitative form. The results showed that most of the gastritis respondents were female (78,12%), at  the age range of 20-30 years (40,63%), and had suffered gastritis 3 years (43,75%). The risk estimation results indicated that the significant variables as risk factors of gastritis were frequency of milk consumption (p=0,034, OR=6,600) and the amount of chili sauce consumption (p=0,037, OR=11,667). Respondents with frequent history of milk consumption had 6,6 times greater risk for experiencing gastritis than those infrequent history of milk consumption, and respondents who had history of chili sauce consumption habits 3 tsp per consumptionhad  11,667 times greater risk for experiencing gastritis than those who consumed chili sauce habits less than that. Patients with gastritis should limit their milk consumption especially when ate with other heavy foods; and also limit consumption of chili sauce because it can stimulate excessive production of gastric acid that can iritate the gastric mucosa.Keywords: diet history, gastric acid, gastritis
UKURAN LINGKAR PERGELANGAN TANGAN SEBAGAI INDIKATOR KEGEMUKAN PADA ANAK USIA SEKOLAH DASAR DI KOTA BOGOR JAWA BARAT ., Hermina; Jahari, Abas Basuni
GIZI INDONESIA Vol 30, No 2 (2007): September 2007
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Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v30i2.45

Abstract

WRIST CIRCUMFERENCE AS AN INDICATOR FOR OBESITY AMONG PRIMARY SCHOOL CHILDREN IN BOGOR, WEST JAVAIntroduction:Obesity is now increasing problem among primary school children. Obesity duringchildhood has a consequence of obesity in the teen age. Approximately, one third of children withobesity will become obese in their older age.Objective:To examine the reliability of wrist circumference as an indicator of obesity, particularlyfor rapid assessment. Method: The analysis used data from the study on ”The development of nutrition educationintervention for primary school children from midlle economic class families (2001)”. The sample inthis study is primary school children age 9-12 years from several favorite schools in the city ofBogor West Java. The weight and height of 1990 children were collected during the study. Inaddition data of wrist circumference was collected by a simple method non numerical measure buta qualitatif. The method used was by connecting the thumb and the mid-finger of child’s right handon the wrist of child’s left hand. The method gives three condition: 1) Normal if the tips of thumband mid-finger touch each other and no space between wrist and the circle made by the thumband mid-finger, 2) Thin if the tips of thumb and mid-finger touch each other but there is spacebetween the wrist and the circle, and 3) overweight/obese if the tips thumb and mid-finger doesnot touch each other. Data on weight and height were converted into z-score weight-for-height (ZWH) based on WHO-NCHS standard, 1982. Kappa coefficient was obtained to evaluate thereliability of wrist circumference to Z-WH in identifying obesity among school children.Result: 76% of overweight/obese children and 95% of non-overweight/obese children could beidentified by using wrist circumference. The Kappa coefficient for the reliability test is 0,6 and is asufficiently reliable.Conclusion: Wrist circumference could be used as a simple tool for a rapid assesment orsceening of obesity among school children.Keywords:obesity, wrist circumference, weight-for-height Z-score, school children

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