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FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN IBU MENGONSUMSI TABLET BESI-FOLAT SELAMA KEHAMILAN Luh Ade Ari Wiradnyani; Helda Khusun; Endang Laksminingsih Achadi
Jurnal Gizi dan Pangan Vol. 8 No. 1 (2013)
Publisher : Food and Nutrition Society of Indonesia

ABSTRACTThis review aims at compiling and summarizing findings of published studies that assessed factors associated with compliance of women to take recommended iron tablets during pregnancy. The review is done in 10 published studies (8 are 2002—2010 publications and 2 are 1993—1994 publications) indexed in Pubmed with the above objective. Low utilization of antenatal care/ANC services is found to be associated with low compliance as it prevents the women to receive recommended number of the iron tablets as well as decrease the opportunity of women to have encouragement from health staff to take the tablets. Supply of tablets becomes the issue since not all women receiving 30 tablets/ANC visits as recommended. Studies on influence of side-effects of taking the tablets to compliance show inconclusive findings. Some studies found the effect is very minimal, and can be managed appropriately especially among more educated women and among women with adequate counseling. Studies also indicated that support from family is important to reduce possibility of pregnant women forgot to take the tablets, the other major factor of the low compliance. Quality of counseling, e.g. clarity of the messages, is associated with compliance. In conclusion, improving support from ANC provider (such as sufficient tablet supply, clear message on the tablets benefits) and support from family may contribute to better compliance of women towards maternal iron supplementation.Keywords: compliance, iron supplementation, pregnancyABSTRAKReview ini bertujuan mengumpulkan temuan studi yang mengukur faktor yang berhubungan dengan kepatuhan ibu dalam mengonsumsi tablet besi selama kehamilan. Review dilakukan pada 10 studi (8 publikasi tahun 2002—2010, 2 publikasi tahun 1993—1994) yang terdaftar di Pubmed. Rendahnya partisipasi ibu hamil untuk memeriksakan kehamilannya/ANC berhubungan dengan rendahnya kepatuhan konsumsi tablet besi. Rendahnya kunjungan ANC membuat ibu tidak mendapat tablet dengan jumlah yang cukup dan mengurangi kesempatan ibu untuk mendapat dukungan dari petugas ANC untuk minum tablet besi sesuai anjuran. Suplai tablet juga menjadi penting karena tidak semua ibu mendapat 30 tablet pada setiap kunjungan ANC seperti seharusnya. Pengaruh efek samping konsumsi tablet besi terhadap kepatuhan ibu belum dapat disimpulkan. Pengaruh efek samping ditemukan sangat kecil dan dapat diatasi dengan baik terutama pada ibu dengan pendidikan yang lebih tinggi atau yang mendapat penyuluhan yang cukup. Studi juga menemukan bahwa dukungan keluarga sangat penting untuk membantu mengingatkan ibu untuk mengonsumsi tablet besi. Hal ini menjadi penting karena salah satu faktor utama rendahnya kepatuhan ibu adalah karena ibu lupa mengonsumsi tablet tersebut. Kualitas penyuluhan, misalnya kejelasan pesan dari petugas kesehatan, berhubungan dengan kepatuhan ibu. Sebagai kesimpulan, dukungan yang lebih baik pada ibu, baik dari petugas ANC (misalnya pemberian tablet besi dalam jumlah yang cukup, kejelasan pesan tentang manfaat tablet) maupun keluarga dapat berkontribusi pada kepatuhan yang lebih baik pada ibu hamil dalam mengonsumsi tablet besi.Kata kunci: kehamilan, kepatuhan, suplementasi tablet besi

A Cellular Automata Modeling for Visualizing and Predicting Spreading Patterns of Dengue Fever Puspa Eosina Hosen; Taufik Djatna; Helda Khusun
TELKOMNIKA (Telecommunication Computing Electronics and Control) Vol 14, No 1: March 2016
Publisher : Universitas Ahmad Dahlan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.12928/telkomnika.v14i1.2404

A Cellular Automata (CA) model is used for visualizing and predicting spreading pattern of the disease. The main problem of this model is how to find a function that represents an update rule that changes the state of a cell in time steps affected by neighborhood. This research aims to develop visualization and prediction model of the spreading patterns of Dengue Hemorrhagic Fever. The contribution of our study is to introduce a new approach in defining a probabilistic function that represents CA transmission rule by employing Von Neumann neighborhood and the Hidden Markov Model (HMM). This study only considered an infective state which dedicated particular attention to the spatial distribution of infected areas. The infected data were devided into four categories and change the definition of a cell as an area. The evaluation was conducted by comparing the results of the proposed model to that of one yielded by a Susceptible-Infected-Recovered (SIR) model. The evaluation result showed that the CA model was capable of generating patterns that similar to the patterns generated by SIR models with a similarities value of 0.95.

Effect of intermittent fasting on fat mass and fat free mass among obese adult: A literature review Hadiyati Fudla; Ninik Mudjihartini; Helda Khusun
World Nutrition Journal Vol. 4 No. 2 (2021): Volume 04 Issue 2, August 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.i2.0008

Introduction Obesity is a serious hurdle facing by the world nowadays. Even though so many efforts have been done, yet the prevalence is keep rising. Intermittent fasting is seen as an effective and optimal approach for improving nutrition status without undesirable side effect. Objective to identify the effect of intermittent fasting on fat mass and fat free mass among obese adult. Methods: a literature exploration was conducted from January to October 2020 by searching the relevant studies from several databases. Results: many human clinical trials recommended that IF affects beneficial on body composition and body weight. Consuming calorie only in a certain time frame per day for 4-12 months put the body into a fast metabolism which influence the reduction of fat mass from 0.03â€“16.4% intervention and increasing of fat free mass for around 0.64 to 0.86%. Conclusion: intermittent fasting may reduce fat mass and increase fat free mass in obese adult through the reduction of energy intake (fasting) and the benefit to adipose tissue, liver, pancreas, skeletal muscle, and the brain.

Association of Ultra Processed Food Consumption and Body Mass Index for Age among Elementary Students in Surabaya Azizah Ajeng Pratiwi; Dian Novita Chandra; Helda Khusun
Amerta Nutrition Vol. 6 No. 2 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i2.2022.140-147

Background: Childhood obesity became a major nutritional problem in the last decades and growing rapidly in many countries, including Indonesia. Processed food especially ultra-processed food (UPF) as part of NOVA classification had known to contain obesogenic nutrients which were high energy-dense, fatty, sugary, and salty may lead to higher body mass index-for-age (BAZ). Objective: The study aimed to assess the correlation between UPF and BAZ among school-age children 10-12 years old in Surabaya. Methods: A cross-sectional study and data collection were conducted in three public and private schools in Surabaya, East Java Indonesia from March-April 2020. Elementary students in the 4th and 5th grades were enrolled and 136 students were randomly selected as respondents. Weight and height measurements were obtained for calculating the BAZ, and UPF consumption was obtained by food frequency questionnaire. Structured questionnaires and physical activity questionnaires for children (PAQ-C) were used to assess socio-demographic status, physical activity level, energy intake, and sedentary screen time. ANOVA test was done for bivariate analysis and linear regression for multivariate analysis, all data analyzed used SPSS version 20. Results: The result found a mean of BAZ was 0.31 SD; 35.3% of respondents were in the 1st tercile of UPF consumption. Most of the respondents had inadequate TEI and low PAL. No significant association was found between UPF consumption and BAZ (p=0.217). Only physical activity that significant in multivariate analysis (p=0.032) Conclusion: It was necessary to distinguish the type of obesogenic and non-obesogenic UPF to get a clear correlation between UPF consumption and BAZ among school-age children.

Food Choice Motives among Workers during COVID-19 Pandemic in Jakarta Nurulita Aida Rahmasari; Dian Novita Chandra; Helda Khusun
Amerta Nutrition Vol. 6 No. 2 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i2.2022.130-139

Background: COVID-19 pandemic has affected many countries globally. This crisis may influent food choice motives due to the stressful events, prolonged duration of quarantine, lack of in-person contact, fears of infection, and financial loss. Meanwhile, food choice motives remain important as the basic information to form efficient and adaptable dietary intervention to maintain health and well-being, especially among workers to improve their productivity. Purpose: To assess the food choice motives among office workers during the COVID-19 pandemic in Jakarta. Methods: This was an online cross-sectional study on 290 workers aged 25-54 years old in Jakarta. Subjects were recruited through a consecutive sampling method. Food choice motives were assessed using a validated Food Choice Value questionnaire on January-February 2021. Its association with the sociodemographic characteristics was also being analyzed using Spearman, Mann-Whitney, and Kruskal Wallis test to get a complete picture. Results: Safety has become important during this pandemic due to high concern on COVID-19 (p<0.001, r: 0.232). Older worker tend to give more concern on organic (p<0.001, r: 0.254), weight control/health (p<0.05, r: 0.124), and tradition motives (p<0.01, r: 0.161) in choosing food. Meanwhile, access was important to younger (p<0.001, r: -0.205) and single respondents (p<0.01). Married respondents were having significantly higher scores on organic motive (p<0.01). Females were putting more concerned about inconvenience (p<0.01). Tradition motive as the least one reported by the respondents was significantly related to income (p<0.05). Conclusion: Concern on food safety has become the most important due to pandemic conditions. Different motives emerged among different sociodemographic characteristics.

Nutrition Fact Panel Use and its Association to Diet Quality among University Students in Universitas Indonesia Sarah Christy; Helda Khusun; Dian Novita Chandra; Diana Sunardi
Jurnal Gizi dan Pangan Vol. 16 No. 3 (2021)
Publisher : Food and Nutrition Society of Indonesia

The aim of this study was to assess the association between Nutrition Fact Panel (NFP) use and diet quality among university students. A comparative cross sectional study was conducted in 2019 among 172 college students living in dormitory of Universitas Indonesia, Depok, Indonesia. Data about socioeconomic and demographic characteristics, food preparation, NFP use and nutritional knowledge were collected through interview using structured questionnaire. Nutritional status was obtained by direct height and weight measurement. Diet quality was measured using Diet Quality Index-International (DQI-I) score, derived from 3x24 hours recall. Finding of this study showed that the characteristics of NFP users and non-users were not differed significantly except for nutritional knowledge in which NFP users were 1.852 times more likely to have good knowledge than NFP non-users (p<0.05; 95% CI:1.009−3.396). The median total diet quality score was categorized as low (44 out of 100). There was no association between NFP use and total diet quality score even after controlling for possible confounder. However, the exploration in each component of diet quality measurement showed adequacy score of calcium was significantly higher in NFP users than non-users (p<0.05). NFP use also positively associated to total variety score (β=0.985; p<0.05). Future nutrition interventions could focus on enhancing the use and understanding of NFP among university students

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