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Hubungan Asupan Karbohidrat dan SAFA dengan Overweight Siswa Sekolah Dasar Agnia Nurul Hikmah; Ratu Ayu Dewi Sartika
Jurnal Kesehatan - STIKes Prima Nusantara Vol 12, No 3 (2021): JURNAL KESEHATAN
Publisher : STIKes Prima Nusantara Bukittinggi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35730/jk.v12i3.435

Abstract

Menurut WHO, prevalensi obesitas di seluruh dunia meningkat hampir tiga kali lipat sejak tahun 1975 sampai 2015. Pada tahun 2016, lebih dari 340 juta anak dan remaja berusia 5-19 tahun mengalami overwieght. Di Indonesia, prevalensi overweight dan obesitas anak usia 5-12 pada tahun 2013 sebesar 18,8% dan meningkat menjadi 20% pada tahun 2018. Penelitian ini bertujuan untuk melihat hubungan antara kecukupan asupan zat gizi makro dengan overweight pada siswa sekolah dasar. Penelitian ini merupakan studi kuantitatif dengan desain studi crossectional menggunakan data sekunder dari penelitian primer yang dilakukan bulan September-Oktober 2020 di SDN 1 Karangmulyan Kabupaten Lebak Banten. Populasi penelitian adalah seluruh siswa dengan kriteria inklusi memiliki z-score IMT/U -2 SD sampai dengan +2 SD. Metode pengambilan sampel menggunakan total purposive sampling dengan jumlah sampel sebanyak 120 siswa. Variabel dependen dalam penelitian ini adalah status gizi overweight sementara variabel independent meliputi usia, jenis kelamin, kecukupan asupan energi, protein, lemak, karbohidrat, rata-rata asupan serta total asupan SAFA,  protein heweni, protein nabati, dan total sukrosa. Analisis data dalam penelitian ini menggunakan uji chi-square dan uji nonparametrik mann-whitney. Hasil penelitian ini menunjukkan bahwa sebanyak 11,7% siswa memiliki status gizi overweight dan obesitas. Adanya hubungan signifikan antara kecukupan energi OR 3,93 (95%CI: 1,21-12,8), kecukupan karbohidrat OR 9,28 (95%CI: 2,55-33,1) , dan total asupan SAFA dengan overweight. Penelitian ini tidak menunjukkan hubungan signifikan antara usia, jenis kelamin, kecukupan asupan protein, kecukupan asupan lemak, total asupan SAFA, total asupan protein hewani dan nabati, serta total asupan sukrosa.
Obesity as Type 2 Diabetes Common Comorbidity: Study of Type 2 Diabetes Patients’ Eating Behaviour and Other Determinants in Jakarta, Indonesia Isna Aulia Fajarini; Ratu Ayu Dewi Sartika
Jurnal Kesehatan Masyarakat Nasional Volume 13, Issue 4, May 2019
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (116.881 KB) | DOI: 10.21109/kesmas.v13i4.2483

Abstract

Obesity is one of the comorbidities widely occurred among type 2 diabetes patients. It is one of the most modifiable risk factors for the prevention of other comorbid conditions such as diabetic nephropathy and cardiovascular disease. The aim of this study was to recognize eating behaviour, physical activity, and other related factors, also their correlation with obesity as comorbidity among type 2 diabetes patients. Using cross-sectional design, data were collected from purposively selected 133 members of “PROLANIS” in Jatinegara Primary Health Care, East Jakarta. Food intake was assessed by 1x24 hours food recall and FFQ, physical activity by GPAQ. The result showed 63,9% of adult with type 2 diabetes were obese (BMI ≥25 kg/m2), fat intake was higher than recommendation (30,77±9,06%), but mean energy intake was insufficient compared to energy requirement (62,06±23,67%). The prevalence of obesity among adults with type 2 diabetes is found associated with nutrition knowledge, level of education, and length of suffering type 2 diabetes. Nutrition education is important to reduce the prevalence of obesity among adults with type 2 diabetes.
Family, Social, and Health Workers Support with Complience Behaviour to Patients with Hypertension in Bogor, Indonesia Siska Maytasari; Ratu Ayu Dewi Sartika
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 8 No. 2 (2020): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jpk.V8.I2.2020.146-153

Abstract

Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members.
Implementasi Penyesuaian Obat Diabetes pada Saat Puasa Ramadan dan Pengaruhnya Terhadap Nilai HbA1c Rahmi Safyanty; Retnosari Andrajati; Sudibyo Supardi; Ratu Ayu Dewi Sartika
Jurnal Sains Farmasi & Klinis Vol 7, No 2 (2020): J Sains Farm Klin 7(2), Agustus 2020
Publisher : Fakultas Farmasi Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (660.144 KB) | DOI: 10.25077/jsfk.7.2.126-134.2020

Abstract

This study aimed to evaluate the effect of diabetes medication adjustment during Ramadan fasting according to the recommendation of International Diabetes Federation-Diabetes and Ramadan International Alliance (IDF-DAR) to HbA1c values in type-2 diabetes mellitus patients. The study was conducted at a hospital in Jakarta, Indonesia with a cross-sectional study design involving 80 ambulatory patients with type-2 DM who fasted during Ramadan in 2016. About 60% of patients used oral antidiabetes drug (OAD), mostly the combination of biguanide + sulfonylurea drugs (27.5%). The adjustments were made in which 56.2% was in accordance with IDF-DAR recommendations. The study showed that the HbA1c values decreased insignificantly (p = 0.082) from 8.75 ± 1.90 to 8.63 ± 1.82 after the adjustment. The appropriate drug adjustment based on IDF-DAR had a significant effect on the HbA1c value of DM patient with p-value 0.030 (p < 0.05).The discrepancy of drug use based on IDF-DAR 3.222 times greater caused uncontrolled HbA1c. The most influential variable to HbA1c value was drug type with p-value 0.006 (p < 0.05). Improper adjustment of Insulin or combination insulin-OAD caused HbA1c value 5 times greater to be uncontrolled than OAD.
Relationship Between Birth Weight Against Weight Gain 12 Months of Age in Babies at Lubuklinggau City Muhammad Ridho Nugroho; Ratu Ayu Dewi Sartika
Jurnal Kesehatan Komunitas Vol 5 No 3 (2019): Jurnal Kesehatan Komunitas
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (755.068 KB) | DOI: 10.25311/keskom.Vol5.Iss3.434

Abstract

The baby's weight gain is very rapid, but the rate of weight gain is getting less and less. At the age of 5 months, a baby weighs twice his birth weight, while at 1 year his weight reaches three times his birth weight, and at 2 years his weight weighs four times his birth weight. The purpose of this study was to determine the relationship between birth weight and factors influencing weight gain at the age of 12 months in babies born at the midwife independent practice clinic (BPM) in Lubuklinggu City, South Sumatra Province in 2019. Sample of 108, research design cross sectional. The results showed there was a relationship between birth weight (p value = 0.001) and immunization status (p value = 0.017) to the baby's weight gain at 12 months of age.
Effects Of The Covid-19 Pandemic On Eating Habits And Exercise Habits Of The Selected High School Adolescents In West Lampung Regency Rizti Millva Putri; Ratu Ayu Dewi Sartika
Jurnal Kesehatan Komunitas Vol 7 No 2 (2021): Journal of Community Health
Publisher : STIKes Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol7.Iss2.942

Abstract

ABSTRAK Coronavirus Disease-19 (COVID-19) merupakan pandemi global yang telah menginfeksi berbagai negara di dunia, termasuk Indonesia. Pembatasan pada kegiatan di luar rumah termasuk penutupan sekolah dalam menekan penularan COVID-19 berdampak pada perubahan aktifitas fisik dan perilaku makan dalam arah yang membahayakan kesehatan dan menimbulkan masalah gizi, serta meningkatkan risiko NCD yang dapat memperparah penyakit COVID-19. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan olahraga dan kebiasaan konsumsi sebelum dan saat pandemi COVID-19 pada siswa SMAN terpilih di Kabupaten Lampung Barat. Desain studi penelitian ini adalah cross-sectional dengan menggunakan data primer yang didapatkan melalui pengisian kuesioner dan FFQ. Penelitian dilakukan pada bulan juli 2020. Sampel penelitian berjumlah 295 siswa yang dipilih dengan metode purposive sampling pada SMA Negeri terpilih di Kabupaten Lampung Barat. Data penelitian ini dianalisis menggunakan SPSS 2.0 menggunakan analisis bivariat uji Mc Nemar. Hasil penelitian menunjukkan ada perbedaan variabel frekuensi olahraga (p-value 0,000), durasi olahraga (p-value 0,000), kebiasaan konsumsi sayur (p-value 0,021) dan buah (p-value 0,000) sebelum dan saat pandemi COVID-19. Tidak terdapat perbedaan variabel kebiasaan konsumsi jajanan (p-value 0,280), fast food (p-value 0,207), gorengan (p-value 0,180) dan soft drink (p-value 0,103). Dapat disimpulkan bahwa, masa pandemi COVID-19 berdampak pada perubahan kebiasaan olahraga baik pada frekuensi dan durasi olahraga serta kebiasaan konsumsi sayur dan buah siswa SMAN terpilih di Kabupaten Lampung Barat. Kata Kunci : COVID-19, Kebiasaan Konsumsi, Olahraga, Remaja ABSTRACT Coronavirus Disease-19 (COVID-19) is a global pandemic that has infected various countries in the world, including Indonesia. Restrictions on activities outside the home including school closures in suppressing the transmission of COVID-19 have an impact on changes in physical activity and eating behavior in a direction that endangers health and causes nutritional problems, as well as increases the risk of NCDs that can exacerbate COVID-19 disease. This study aims to determine differences in exercise habits and consumption habits before and during the COVID-19 pandemic in selected high school students in West Lampung Regency. The study design of this study was cross-sectional using primary data obtained through filling out questionnaires and FFQ. The study was conducted in July 2020. The research sample consisted of 295 students who were selected using the purposive sampling method at selected public high schools in West Lampung Regency. The research data were analyzed using SPSS 2.0 using Mc Nemar test bivariate analysis. The results showed that there were differences in the frequency of exercise (p-value 0.000), exercise duration (p-value 0.000), vegetable consumption habits (p-value 0.021) and fruit (p-value 0.000) before and during the COVID-19 pandemic. There is no difference in the variables of snack consumption habits (p-value 0.280), fast food (p-value 0.207), fried food (p-value 0.180) and soft drinks (p-value 0.103). It can be concluded that, the COVID-19 pandemic has an impact on changes in exercise habits both in the frequency and duration of exercise as well as vegetable and fruit consumption habits of students selected high school in West Lampung Regency. Keywords: COVID-19, Eating Habits, Sports, Adolescents
Current Intake and Infection Status were not Good Predictive Factors of Stunting among Children Aged 6-59 Months in Babakan Madang Sub-District, Bogor District, West Java, Indonesia Ruth Desinta Purnamasari; Ratu Ayu Dewi Sartika; Trini Sudarti
Indonesian Journal of Public Health Nutrition Vol 2, No 2 (2022)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ijphn.v2i2.5387

Abstract

AbstractThis study aims to discover the prevalence of stunting and determine the associations between the history of pulmonary tuberculosis disease with the prevalence of stunting among children under five years of age (6-59 months) in Babakan Madang Sub-District, Bogor District 2019. This study uses a cross-sectional design with a quantitative approach. The sample in this research was 194 children under five obtained by cluster sampling. Data collection was conducted through May 2019. The data collection process includes anthropometric measurements using calibrated microtoise and digital length board, dietary assessment using 1 x 24-h food recall, and a self-administered questionnaire. Data analyses were performed using the chi-square test and independent t-test. The result of this study shows that 35.6% of children under five are being stunted (HAZ ≤ -2.00). The risk factor with a significant correlation with stunting is history of pulmonary tuberculosis disease (p-value 0.044), although careful interpretation is needed in this result due to the limited number of observed cases. However, this study recommends pulmonary tuberculosis disease prevention and improve nutritional education. Keywords: stunting, children under-five, pulmonary tuberculosis disease AbstrakPenelitian ini bertujuan untuk mengetahui besaran prevalensi stunting dan membuktikan hubungan antara riwayat penyakit TB paru serta faktor lainnya dengan kejadian stunting pada balita umur 6-59 bulan di Kecamatan Babakan Madang Kabupaten Bogor Tahun 2019. Penelitian ini menggunakan desain studi cross-sectional dengan pendekatan kuantitatif. Sampel pada penelitian ini berjumlah 194 balita yang didapat dengan cara cluster sampling. Pengambilan data dilakukan selama bulan Mei 2019. Proses pengambilan data meliputi pengukuran antropometri menggunakan microtoise dan digital length board yang telah divalidasi, wawancara food recall 1x 24 jam, dan pengisian kuesioner. Analisis data dilakukan dengan uji chi-square dan independent-t.  Hasil penelitian ini menunjukkan terdapat 35,6% balita stunting (Z-score PB/U atau TB/U ≤ -2,00). Faktor risiko yang memiliki hubungan signifikan dengan kejadian stunting adalah riwayat penyakit TB paru, meskipun hasil ini memerlukan kehati-hatian dalam interpretasi mengingat sangat terbatasnya jumlah kasus TB paru yang diobservasi. Meskipun demikian, studi ini merekomendasikan upaya pencegahan terhadap penyakit TB paru dan peningkatan edukasi gizi. Kata kunci:  stunting, balita, riwayat TB paru
Faktor yang Berhubungan dengan Kejadian Diare pada Balita di Wilayah Indonesia Tengah (IFLS 2014) Fety Fathimah Al Mubarokah; Ratu Ayu Dewi Sartika
Jurnal Kesehatan Komunitas Vol 8 No 3 (2022): Jurnal Kesehatan Komunitas
Publisher : LPPM Hang Tuah Pekanbaru

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25311/keskom.Vol8.Iss3.1185

Abstract

Diarrhea is the second leading cause of death in children under five in the world. Every year at least 1.7 million cases of diarrhea in children occur. This study was conducted to determine the factors associated with the incidence of diarrhea in toddlers in the Central Indonesia region. This study uses data from IFLS 5 in 2014. The sample of this study was toddlers aged 6-59 months in the provinces of Bali, West Nusa Tenggara, South Kalimantan, and South Sulawesi. The research design used was cross-sectional with a sample size of 1079 toddlers. It is known that 16.8% of children under five in Central Indonesia experience diarrhea, with the largest percentage being 17.75% in West Nusa Tenggara. Based on the results of the multivariate test, it was found that age (p-value: <0.001), gender (p-value: <0.003), and household waste management (p-value: <0.017) were associated with diarrhea. Age is the dominant factor in the incidence of diarrhea in toddlers in Central Indonesia (OR: 2.421, 95% CI = 1.739-3.370), meaning that children aged 6-23 months have a 2.4 times risk of suffering from diarrhea. This is due to the reduced immunity of the child obtained from the mother, increased growth and development of the child, and the start of weaning at that age. Strengthening understanding and commitment to implementing PIS-PK is needed to provide health information related to the prevention and treatment of diarrhea conveyed by an approach to families of children under five, thereby raising health awareness starting from the family.
Factors Related to the Incidence of Diarrhea of Children Aged 24-59 Months in Karangkamulyan Village, Cihara District, Lebak Regency in 2020 Hafshah Farah Fadhilah; Kusharisupeni Djokosujono; Ratu Ayu Dewi Sartika
Indonesian Journal of Public Health Nutrition Vol 3, No 2 (2023)
Publisher : Faculty of Public Health Universitas Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.7454/ijphn.v3i2.6609

Abstract

AbstractDiarrhea remains a major issue in developing countries, including Indonesia, and is a leading cause of malnutrition and death. Banten is one of the provinces with a high incidence of diarrhea. In 2019, the district with the highest number of diarrhea cases for all ages in Banten was Lebak with a total of 50,270 cases. The age group with the greatest number of diarrhea cases was toddlers with over 14,000 cases. This study aimed to investigate the relationship between the incidence of diarrhea and the characteristics of toddlers and their parents, personal hygiene, and environmental sanitation. The study used secondary data with a cross-sectional design and a sample size of 209 toddlers aged 24-59 months. The dependent variable was the incidence of diarrhea, while the independent variables were the child's age, gender, mother's education, mother's occupation, family income, hand washing habits, snacking habits, footwear habits when playing outside the home, nail cleanliness, and toilet habits, drinking water source, storage of clean water after cooking, and toilet ownership. The results of the bivariate analysis in this study showed that there was a relationship between the child's age (p-value = 0.001; OR = 2.990), the mother's education (p-value = 0.027; OR = 0.404), the mother's habit of washing hands with running water (p-value = 0.001; OR = 0.335), and the source of drinking water (p-value = 0.005; OR = 0.329) with the incidence of diarrhea in toddlers aged 24-59 months in Karangkamulyan Village, Cihara Sub-district, Lebak District, Banten Province in 2020. Keywords: Toddler, diarrhea, hand washing, drinking water source AbstrakPenyakit diare menjadi permasalahan utama di negara-negara berkembang termasuk di Indonesia, diare juga menjadi penyebab utama gizi kurang yang bisa menimbulkan kematian. Banten merupakan salah satu provinsi dengan angka kejadian diare yang tinggi. Sedangkan daerah Kabupaten / Kota di Provinsi Banten dengan kasus diare tertinggi untuk semua umur pada tahun 2019 adalah Kabupaten Lebak dengan total 50.270 kasus. Kelompok umur dengan jumlah kasus diare terbanyak adalah usia balita dengan total lebih dari 14.000 kasus. Penelitian bertujuan untuk mengetahui hubungan antara kejadian diare terhadap karakteristik anak balita dan orang tua, personal hygine, dan sanitasi lingkungan. Penelitian ini menggunakan data sekunder dengan desain cross-sectional dengan jumlah sampel sebanyak 209 anak balita usia 24-59 bulan. Dengan variabel dependen yaitu kejadian diare dan variabel independen yaitu usia anak, jenis kelamin anak, pendidikan ibu, pekerjaan ibu, penghasilan keluarga, kebiasaan mencuci tangan, kebiasaan jajan, Kebiasaan Pemakaian Alas Kaki saat bermain di luar rumah, kebersihan kuku, dan kebiasaan BABS, sumber air minum, penyimpanan air bersih setelah dimasak, dan kepemilikan jamban.  Hasil analisis bivariat pada penelitian ini menunjukkan bahwa adanya hubungan antara usia anak (p- value = 0,001; OR = 2,990), pendidikan ibu dengan (p- value = 0,027; OR = 0,404), kebiasaan ibu mencuci tangan dengan air mengalir (p- value = 0,001; OR = 0,335), dan sumber air minum (p- value = 0,005; OR = 0,329) dengan kejadian diare pada balita usia 24-59 bulan di Desa Karangkamulyan, Kecamatan Cihara, Kabupaten Lebak, Provinsi Banten tahun 2020. Kata kunci: Balita, diare, cuci tangan, sumber air minum