Yayuk Hartriyanti
Department Of Health And Nutrition, Nutrition And Health Building, Farmako Street, North Sekip, Faculty Of Medicine, Public Health And Nursing (FK-KMK), Universitas Gadjah Mada

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Relationship Between The Duration Of Breastfeeding Until The First 6 Months With Body Composition Changes On Maternal Postpartum Yayi Pramesti, Ajeng Arumsari; Hartriyanti, Yayuk; Prawitasari, Shinta
JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE Vol 1, No 1 (2015)
Publisher : JOURNAL OF HEALTHCARE TECHNOLOGY AND MEDICINE

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction : Most of the mothers are very attentitve to changes in body composition, especially postpartum weight loss. One of the factors believed to facilitate the weight loss and body fat loss in postpartum mothers is breastfeeding. Factor that affect the relationship between breastfeeding with maternal postpartum body composition are food intake and physical activity. The aim of this study is to analyze the change in body composition between the mother who give exclusive breastfeeding for 6 months and the mother who don’t and also attempts to analyze the effect of breastfeeding duration to the change in body composition and the factor affecting it.Methods : This study used the panel study with longitudinal approach. 32 respondents observed for 6 months. Fat mass measurement data are collected using skinfold caliper and breastfeeding status, food intake and physical actiuvity data are collected using interview. The relationship between breastfeeding with the change in body composition is analyzed using t-test analysis. T-test analysis are also used to test the effect of food intake and physical activity to breastfeeding. Regression analysis are used to analyze the effect of food intake and physical activity to body composition. Results : According to the result of statistical analysis, there is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass) (p = 0.743; p = 0.771) and also no significance effect of food intake and physical activity to the relation between breastfeeding with the change in body composition. There is a significance effect of breastfeeding for 4 months to the change in the body composition (p = 0.046). The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t.Conclusion : From 32 respondents in this study, only 4 mothers can successfully give exclusive breastfeed for 6 months. The average fat mass change in mother who give exclusive breastfeed is higher than the one who don’t. There is no significance effect of breastfeeding for 6 months to the change in maternal postpartum body composition (fat mass and free fat mass). There is a significance effect of breastfeeding for 4 months to the change in maternal postpartum body composition.
HUBUNGAN PENGETAHUAN DAN PERSEPSI IBU TENTANG STATUS GIZI ANAK DENGAN PERILAKU IBU DALAM PEMBERIAN MAKAN ANAK Sari, Dyah Purnama; Helmyati, Siti; Sari, Titi Nurma; Hartriyanti, Yayuk
Journal of Nutrition College Vol 10, No 2 (2021): April
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v10i2.30343

Abstract

Background: One of the factors influencing a child's nutritional status is their mother's or caregivers feeding practice. Mother's behavior in feeding their child is affected by many factors such as social & economic factor, the perception of their child's nutritional status and nutrition knowledge. Objective: To determine the correlation between mothers' knowledge about nutrition and behavior in feeding practice; and the correlation between mothers' perception about their children's nutritional status and behavior in feeding practice (energy, protein, fat, and carbohydrate). Methods: This research was a quantitative study with a cross-sectional design. The samples of this study were 89 pairs of mothers and their child who aged between 1 – 5 years selected by cluster sampling. The subjects of this study took place in HDSS's region, which were Ngaglik and Sleman Districts, Sleman Regency, DI Yogyakarta. This study uses a questionnaire about mothers' perception and knowledge and uses a recall 24-hours to measure the mothers' behavior. The analysis techniques used in this study were Mann Whitney Test and Gamma Test.Results: In general, most mothers have excessive feeding behavior to their child. Mothers with high levels of knowledge tend to have excessive feeding behavior for their child in all nutrients categories. However, mothers with a low level of knowledge tend to have less feeding behavior for energy and fat categories. There are significant correlations between mothers’ knowledge about nutrition with mothers’ feeding practice (p-value <0.001; 0.015; <0.001 and 0.001, respectively). But there is no significant correlation between mothers' perception of their children's nutritional status and mothers' feeding practice for energy, carbohydrate, protein, and fat (p-value 0.854; 0.933; 0.594 and 0.985, respectively). Conclusion: There is a significant correlation between mothers' knowledge about nutrition and mothers' feeding practice. On the other hand, there is no significant correlation between mothers' perception of their children's nutritional status and mothers' feeding practice.
Hambatan Birokrasi dan Manajerial dalam Implementasi Kebijakan Asi Eksklusif di Kota Binjai Eka Nenni Jairani; Yayuk Hartriyanti; Detty S. Nurdiati; Mubasysyir Hasanbasri
Jurnal Kebijakan Kesehatan Indonesia Vol 7, No 1 (2018)
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (232.073 KB) | DOI: 10.22146/jkki.10013

Abstract

Background: The coverage of exclusive breastfeeding in Indonesia is still not satisfactory. Based on data from Riskesdas in 2010, exclusive breastfeeding coverage 31,0% and 30,2% in 2013. As for the less than an hour process of breastfeed in 2010 amounted to 29.3% and 34.5% in 2013. Some policies those concerning about exclusive breastfeeding and early initiation of breastfeeding has been established. The established policies at the central level should be implemented and under surveillance in order to have an impact and achieve the goals set. There are many factors that influence the process of implementation including implementing perception, communication, budget, resources, facilities and infrastructure, bureaucratic structures, and unclear technical implementation guidelines. Objective: This research aimed to obtain a representation of the implementation of exclusive breastfeeding policy at Binjai city North Sumatera as well as surveillance and the factors that influence its implementation. Methods: This research use a qualitative method with case study approach. Data collected by indepth interviews, focus groups discussion, observation and document study. Results: Implementation of exclusive breastfeeding policy is still not implemented. This can be seen by inexistence of surveillance to the policy implementation and there are different interpretations in implementing the policy by the policy implementers. Moreover, there is no communication channel, basic quantity of budget, the training for midwives, facilities and supporting infrastructure, bureaucratic structure, as well as the guidelines of technical implementation in this implementation of policy. Conclusion: The implementation of exclusive breastfeeding policy should be initiated with the establishment of derivative policies at the local level so that there are clear regulations in the implementation.ABSTRAKLatar Belakang: Cakupan ASI eksklusif di Indonesia masih belum memuaskan. Berdasarkan data Riskesdas 2010 cakupan ASI eksklusif sebesar 31,0% dan 30,2% pada tahun 2013. Sedangkan untuk proses menyusu kurang dari satu jam (IMD) pada tahun 2010 sebesar 29,3% dan pada tahun 2013 sebesar 34,5%. Beberapa kebijakan mengenai ASI eksklusif dan Inisiasi Menyusu Dini (IMD) telah ditetapkan pemerintah. Kebijakan yang telah ditetapkan dengan baik di tingkat pusat seharusnya diimplementasikan dan dilakukan pengawasan dalam proses implementasinya, agar mempunyai dampak dan mencapai tujuan yang telah ditetapkan. Ada banyak faktor yang mempengaruhi proses implementasi diantaranya persepsi pelaksana, komunikasi, anggaran, sumber daya, sarana dan prasarana, struktur birokrasi, dan pedoman pelaksanaan teknis yang kurang jelas. Tujuan: Penelitian ini bertujuan untuk memperoleh gambaran implementasi kebijakan ASI Eksklusif di Kota Binjai Sumatera Utara serta pengawasannya dan faktor-faktor yang mempengaruhi implementasinya. Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan studi kasus. Penelitian dilaksanakan di Puskesmas Binjai Kota pada bulan Mei-Juni 2015. Pengumpulan data dilakukan dengan indepth interview, focus group discussion, observasi, dan studi dokumen. Hasil: Implementasi kebijakan ASI Eksklusif masih belum dilaksanakan dengan baik. Tidak adanya pengawasan terhadap implementasi kebijakan, penafsiran yang berbeda dalam mengimplementasikan kebijakan oleh implementer kebijakan. Selain itu tidak adanya saluran komunikasi, besaran anggaran, pelatihan bagi bidan, sarana dan prasarana pendukung, struktur birokrasi, serta pedoman pelaksanaan teknis, menyebabkan belum tercapainya tujuan kebijakan yang diharapkan. Kesimpulan: Implementasi kebijakan ASI Eksklusif sebaiknya diawali dengan dibuatnya kebijakan turunan di tingkat daerah sehingga ada regulasi yang jelas dalam pelaksanaannya.  
HUBUNGAN ANTARA PENGETAHUAN IBU TENTANG IODIUM DENGAN KETERSEDIAAN GARAM BERIODIUM DI RUMAH TANGGA Yayuk Hartriyanti; Adi Utarini; Djoko Agus Purwanto; Budi Wikeko; Susetyowati Susetyowati; Toto Sudargo; A.Fahmy Arif Tsani
Media Gizi Mikro Indonesia Vol 13 No 1 (2021): Media Gizi Mikro Indonesia Edisi Desember 2021
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/mgmi.v13i1.4424

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Latar Belakang. Iodium merupakan mikronutrien penting terutama bagi perkembangan otak janin dan anak. Iodium berperan untuk proses pertumbuhan dan perkembangan sebagian besar organ terutama otak. Konsumsi iodium yang rendah dalam jangka panjang merupakan salah satu faktor yang dapat menyebabkan gangguan akibat kekurangan iodium (GAKI). Tingkat pengetahuan mengenai GAKI dan garam beriodium berpengaruh terhadap ketersediaan dan praktik penggunaan garam beriodium. Pemerintah telah mengupayakan penanggulangan GAKI melalui fortifikasi garam dengan iodium. Tujuan. Penelitian ini bertujuan untuk menganalisis pengetahuan ibu tentang iodium dengan ketersediaan garam beriodium di rumah tangga dan faktor yang memengaruhinya. Metode. Penelitian ini merupakan penelitian cross-sectional. Data diambil dari 198 rumah tangga menggunakan teknik proportional stratified random sampling. Penilaian pengetahuan ibu dilakukan dengan menggunakan kuesioner dalam bentuk pertanyaan tertutup. Sementara itu, penilaian ketersediaan garam diperoleh dengan pengujian kandungan iodium (KIO3). Uji statistik yang digunakan adalah chi-square test/fisher’s exact test dan Mann Whitney U/Kruskal Wallis untuk mengetahui hubungan antar variabel. Hasil. Sebagian besar responden tinggal di daerah dataran tinggi (74,2%), berpendidikan SD (47,5%) dan bekerja sebagai petani (41,4%). Karakteristik lokasi geografi tempat tinggal responden berhubungan dengan pengetahuan responden mengenai GAKI serta dampak dan faktor risiko GAKI (p=0,023 dan p<0,001), sedangkan pekerjaan responden berhubungan dengan pengetahuan mengenai dampak dan faktor risiko GAKI (p=0,020). Tidak ada hubungan antara pengetahuan dengan pemenuhan syarat mutu kandungan KIO3 pada garam yang digunakan di rumah tangga. Namun ada kecenderungan responden yang mempunyai garam dengan KIO3 sesuai, lebih banyak pada responden dengan pengetahuan yang baik. Kesimpulan. Responden dengan pengetahuan baik lebih banyak yang memiliki garam dengan kadar iodium sesuai standar. Perlu adanya program edukasi mengenai GAKI, penggunaan dan penyimpanan garam beriodium, serta faktor penyebab penurunan kualitas garam di rumah tangga.
Studi validasi indeks massa tubuh dan rasio lingkar pinggang panggul terhadap profil lipid pada pasien rawat jalan di Poli Jantung RSUP Dr. Sardjito Yogyakarta Tenta Septiana; Martalena Purba; Yayuk Hartriyanti
Jurnal Gizi Klinik Indonesia Vol 7, No 1 (2010): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17613

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Background: Obesity is one of nutrition status categories that can be measured with various methods, just like nutrition status. So far, anthropometric methods such as body mass index (BMI) and Waist-to-Hip Ratio (WHR) are commonly used due to their practicality and inexpensiveness. However, biochemical examination will give more objective result, apart from its ability to make early detection of body changes. Lipid profie is a biochemical method that can be used to predict excess of fat deposit (hyperlipidemia) that causes obesity.Objective: To identify validity of BMI and WHR compared to lipid profie of out-patient at cardiology clinic of Dr. Sardjito Hospital.Method: The study was observational with cross sectional design undertaken at cardiology clinic of Dr. Sardjito Hospital Yogyakarta. Samples were patients of over 40 years old that had blood lipid profie whose height, weight, waist and hip circumference could be measured and were willing to participate.  Patients on wheel chair or unable to stand up properly and wearing tight clothes were excluded. Sensitivity and specifiity test was made to assess the validity of BMI and WHR against lipid profile. Result: As many as 52 samples (53.6%) had hypercholesterolimia, 45 (46.4%) had normocholesterolemia. As many as 38 samples (39.2%) had hypertrygliceridemia, 59 (60.8%) had normotrygliceridemia. Based on BMI 76 samples (78.3%) were obese and 21 (21.7%) non obese. Based on WHR as many as 79 samples (81.5%) were of central obese and 18 (18.5%) non obese. Sensitivity of BMI and WHR was good but their specifiity was low.Conclusion: BMI and WHR could be used to detect hypercholesterolemia and hypertrygliceridemia due to their good sensitivity; but they could not be used to predict normocholesterolemia and normotrygliceridemia due to their low specificity.
Unhealthy Diets among Adult Populations in Sleman Districts, Yogyakarta: Pattern and Related Sociodemographic Determinants, Findings from Sleman HDSS Septi Kurnia Lestari; Yayuk Hartriyanti; Ratri Kusuma Wardani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.103-113

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Background: In Yogyakarta Province, the Sleman Regency has the second-highest life expectancy at birth and a high prevalence of non-communicable diseases (NCDs). One of the common NCD risk factors is an unhealthy diet. Thus, it is important to understand the factors that influence an unhealthy diet.Objective: This study aimed to determine sociodemographic factors associated with an unhealthy diet intake in the Sleman Regency population.Materials and Methods: Cross-sectional data from 4,963 adult respondents of the Sleman Health and Demographic Surveillance System was analyzed. A Descriptive test was done to measure the consumption frequency of sweet food and beverages, salty food, high-fat food, and food with monosodium glutamate (MSG). Generalized logistic regression was used to determine socioeconomic factors (residential area, age, gender, education level, marital status, and household wealth) that were associated with a higher frequency of unhealthy food consumption.Results: The majority of respondents reported frequent consumption of sweet food and beverages (82.4%), food that contains high fat (62%), and MSG (75.5%). About 46% of respondents reported frequent consumption of salty food.Conclusion: Education level, sex, age, household wealth status, and residential area are important determinants of a healthy diet.
Development of school canteen and school gardens guidelines as prevention against cardiovascular disease Bernadette Josephine Istiti Kandarina; Yayuk Hartriyanti; Theodola Baning Rahayujati; Arif Rahmat Kurnia
Journal of Community Empowerment for Health Vol 3, No 1 (2020)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.52618

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Cardiovascular diseases are considered as the deadliest diseases in the world. According to WHO data, deaths caused by coronary heart disease in Indonesia reached 138,380 or 9.89% of the total deaths. The age adjusted mortality rate is 82.30 per 100,000 population with Indonesia ranked #97 in the world. Kulon Progo Regency is located in the western part of the Special Region of Yogyakarta.  The average monthly food expenditure in Kulon Progo is Rp365,012 ($27.49). While a healthy diet is known and promoted to benefit health, only a small portion is used to buy fruits and vegetables (2.24% and 1.76%). Cardiovascular disease is the main cause of morbidity in Kulon Progo. This study aimed to examine the process of developing guidelines for healthy school canteens and school gardens and promote fruit and vegetable consumption. This study used a qualitative research design. The data were collected through in-depth interviews and focus group discussions. A preliminary survey was conducted in 10 private and public schools in Kulon Progo district, Yogyakarta Province, Indonesia.  Guidelines related to healthy lifestyles through Canteen- and school garden were successfully arranged for in-school programs. Interviews and focus group discussions explored possibilities of permanently establishing the programs with local and national funding. Some disagreement was voiced concerning the loss of revenue incurred by local food vendors. Stakeholder involvement is crucially important for the preparation and development of the school canteen - and school gardens guidelines. Follow-up is recommended to carry out the dissemination of the guidebook.
Penyuluhan dan Peningkatan Motivasi Kader Peduli ASI (KP-ASI) Dusun Jetis, Ngemplak, Sleman Ika Ratna Palupi; Yayuk Hartriyanti; Perdana Samekto Tyasnugroho Suyoto
JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat) VOL. 6 NOMOR 2 SEPTEMBER 2022 JPPM (Jurnal Pengabdian dan Pemberdayaan Masyarakat)
Publisher : Lembaga Publikasi Ilmiah dan Penerbitan (LPIP)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (452.032 KB) | DOI: 10.30595/jppm.v6i2.7891

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Kader Peduli ASI (KP-ASI) secara sukarela bertugas sebagai penggerak kegiatan ASI eksklusif di wilayahnya. Kegiatan pengabdian masyarakat ini bertujuan untuk mengetahui keberlanjutan KP-ASI yang telah terbentuk di Dusun Jetis, Ngemplak, Sleman serta mendukung aktivitas KP-ASI dalam membantu ibu menyusui di Dusun Jetis untuk memberikan ASI eksklusif. Metode pelaksanaan kegiatan adalah dengan Focus Group Discussion (FGD), penyuluhan interaktif dan pemberian motivasi (konseling) kepada kader KP-ASI dan ibu menyusui di Dusun Jetis dengan materi efektivitas konseling ASI eksklusif, tips advokasi ASI eksklusif dan menghindari pengaruh susu formula, serta klarifikasi mitos-mitos di masyarakat mengenai ASI dan gizi pada ibu menyusui. Hasil FGD menunjukkan KP-ASI Dusun Jetis telah melakukan kegiatan pemberian motivasi tentang ASI eksklusif kepada para ibu menyusui secara informal. KP-ASI belum pernah memberikan penyuluhan secara formal kepada ibu menyusui dan permasalahan yang diidentifikasi pada KP-ASI adalah kurangnya kepercayaan diri kader serta perlunya pengetahuan praktis tentang menyusui. Seluruh peserta penyuluhan mengetahui lama pemberian ASI eksklusif yaitu selama 6 bulan dan sebanyak 52,7% memiliki pengetahuan baik dan cukup setelah kegiatan penyuluhan. Edukasi dari petugas kesehatan diperlukan untuk meningkatkan pemahaman kader mengenai ASI eksklusif, cara menyusui dan menyimpan ASI, serta konseling tentang ASI dan gizi bayi kepada ibu menyusui.
EFEKTIVITAS BERBAGAI JENIS METODE PELATIHAN UNTUK MENINGKATKAN KAPASITAS KADER POSYANDU DALAM UPAYA PENCEGAHAN STUNTING PADA BALITA Azka Khansa Hanifah; Yayuk Hartriyanti
Journal of Nutrition College Vol 12, No 2 (2023): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v12i2.36823

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ABSTRACT Background: Stunting is a chronic nutritional problem that happens to toddlers in the world nowadays. One of the efforts to prevent stunting is performed by integrated health service (Posyandu) cadres with good capacity to provide optimal services at Posyandu. One way to increase the capacity of cadres is by providing education through various training methods and media.Objectives: In this literature review, various types of cadre capacity building methods will be analyzed to find out which method is the most effective and the best to affect cadre capacity.Methods: The analysis of the literature review was carried out by searching for specific keywords through the Google Scholar electronic database from 2019 – 2021 with various inclusion and exclusion criteria. The effectiveness of various training methods was analyzed based on the p-value and the percentage difference between before and after the training intervention. Results: Various types of capacity can be identified as outcomes, including knowledge, attitudes, skills, performance, and self-efficacy of cadres. The combination of lectures with focus group discussions (FGD) and lectures with audiovisual media is the most effective method for increasing knowledge. Meanwhile, lectures with booklets combined with brainstorming and practice are an effective method for improving attitudes and skills of the cadres. Conclusion: Posyandu cadre training strategies in order to increase capacity can be carried out by utilizing various combinations of methods that act as a stimulus for more than one sense, this can increase the ability of Posyandu cadres to receive and understand information related to stunting. Therefore the role of preventing stunting by Posyandu cadres can be maximized.Keywords: Cadres capacity; Stunting; Training methods ABSTRAKPendahuluan: Stunting adalah masalah gizi kronis yang dialami oleh balita di dunia saat ini. Upaya pencegahan stunting salah satunya diperankan oleh kader Pos pelayanan terpadu (Posyandu) yang perlu memiliki kapasitas baik agar dapat memberikan pelayanan optimal di Posyandu. Salah satu cara untuk meningkatkan kapasitas kader adalah dengan memberikan pelatihan atau pendidikan melalui berbagai metode dan media pelatihan.Tujuan: Literature review ini bertujuan untuk mengetahui metode peningkatan kapasitas kader yang paling efektif dalam memengaruhi kapasitas kader, meliputi pengetahuan, keterampilan, sikap, self-efficacy, dan performa.Metode: Analisis kajian literature review dilakukan melalui pencarian kata kunci spesifik melalui database elektronik Google Scholar dari tahun 2019 – 2021 dengan berbagai kriteria inklusi dan eksklusi. Efektivitas berbagai metode pelatihan dianalisis berdasarkan p-value dan persentase besar perubahan antara sebelum dan setelah interversi pelatihan.Hasil: Dapat diidentifikasi berbagai jenis kapasitas yang menjadi outcome penelitian, meliputi pengetahuan, sikap, keterampilan, performa, dan self-efficacy dari kader. Kombinasi ceramah dengan focus group discussion (FGD) dan ceramah dengan pemutaran video merupakan metode yang paling efektif dalam meningkatkan pengetahuan. Ceramah dengan pemberian booklet yang disertai brainstorming dan praktik merupakan metode yang efektif dalam meningkatkan sikap dan keterampilan.Simpulan: Strategi pelatihan kader Posyandu dalam rangka meningkatkan kapasitas dapat dilakukan dengan memanfaatkan berbagai kombinasi metode sekaligus yang berperan sebagai pemberi stimulus lebih dari satu panca indera, hal ini dapat meningkatkan kemampuan kader dalam menerima dan memahami informasi terkait stunting.Kata kunci: Metode pelatihan; Kapasitas kader; Stunting