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Effect of “Bento” preparation training on mothers knowledge, skill, and child’s picky eating Carissa Cerdasari; Theresia Puspita; Rany Adelina
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 6, ISSUE 2, 2018
Publisher : Alma Ata University Press

ABSTRAKLatar belakang: Masalah sulit makan pada anak dapat berakibat jangka panjang pada pertumbuhan dan perkembangan, terutama dikaitkan dengan kejadian underweight. Underweight akan berdampak pada gangguan perkembangan kecerdasan dan proses belajar, lebih rentan terhadap infeksi, meningkatkan keparahan penyakit, hingga meningkatkan mortalitas. Salah satu penyebab sulit makan pada anak karena penampilan makanan yang tidak menarik. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan pengetahuan ibu terkait gizi dan kesulitan makan pada anak, keterampilan ibu dalam pembuatan bekal, dan tingkat kesulitan makan pada anak sebelum dengan setelah pelatihan pembuatan “bento”. Metode: Pada penelitian one-group pretest-posttest design ini, ibu (n=20) dari anak prasekolah usia 3-6.5 tahun direkrut dari KB/TK Al-Ghoniya, Malang. Variabel yang diteliti diukur sebelum dan setelah pelatihan pembuatan Bento. Kesulitan makan pada anak ditentukan dengan menggunakan Child Eating Behavior Questionnaire (CEBQ) versi Indonesia. Pengetahuan ibu diukur menggunakan pertanyaan pilihan ganda sebanyak 20 butir, dan keterampilan pembuatan bekal dinilai menurut 5 aspek, yaitu kesesuaian porsi, variasi menu, cita rasa, dan penampilan. Uji wilcoxon dan uji t berpasangan digunakan untuk menilai perbedaan pengetahuan dan keterampilan ibu, serta tingkat kesulitan makan pada anak sebelum dengan sesudah pelatihan.Hasil: Terdapat perbedaan pengetahuan dan keterampilan ibu, serta nilai kerewelan pada anak (p <0.05). Tidak ditemukan perbedaan skor peka terhadap kenyang dan lambannya makan pada anak (p>0.05). Meskipun tidak ada perbedaan secara statistik, namun terdapat kecenderungan penurunan nilai peka terhadap kenyang dan lambannya makan sebelum dengan setelah pelatihan. Kesimpulan: peningkatan penampilan pada makanan melalui bento dapat dijadikan alternatif untuk mengatasi kesulitan makan pada anak prasekolah. KATA KUNCI: bento; kesulitan makan; anak prasekolah ABSTRACTBackground: Picky eating in children may have long-term consequences for growth and development, especially related to underweight. Underweight results on developmental disorder, increase infection susceptibility, disease severity and mortality. One of the causes of picky eating in children is the unattractive of food appearance.Objectives: To analize the effectiveness of the bento making training, including: Mother’s knowledge related to nutrition and feeding difficulty in children; mother’s skill in food preparation; and level of eating difficulty in children before and after bento making.Methods: This study used pretest-posttest design one-group study, mothers (n= 20) of preschool-aged 3-6.5 years were recruited from Al-Ghoniya Playgroup and Kindergarten School, Malang. Picky eating in children was determined by Child Eating Behavior Questionnaire (CEBQ) Indonesian version. Studied variables were mother’s knowledge and skills, children’s satiety responsiveness, slowness in eating, and fussiness. Wilcoxon test and paired t-test were used to assess differences in mother’s knowledge and skills, as well as the level of eating difficulty in children before and after the training.Results: There were differences in maternal knowlege and skills (p<0.00), and also the score of fussiness in children before and after training (p=0.04). No difference was found in satiety responsiveness (0.058) and slowness in eating in children (p=0.10).Conclusions: Bento-making training is effective to increase mother’s knowledge and skill and could be as alternative to overcome picky eating among preschool children, indicated by a decrease in the score of fussines. However, this training couldn’t improve the score of satiety responsiveness and slowness in eating.KEYWORDS: bento, picky eater, preschool children

Tekanan untuk makan dengan kejadian picky eater pada anak usia 2-3 tahun Carissa Cerdasari; Siti Helmyati; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 13, No 4 (2017): April
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.24169

Background: Picky eater is potentially at risk for nutritional deficits. In a long term, this habit could affect child’s growth and could lead to malnutritionObjective: This study was conducted to assess the association of maternal food variation, infant feeding practices, and pressure to eat with picky eating behaviors in 2-3 years old children.Method: In this cross-sectional study, mothers (n=141) of children aged 2-3 years old were recruited from 26 integrated health care centers in Gamping, Indonesia between Juni-September 2015 using a cluster random sampling method. Picky eater was calculated using Child Eating Behavior Questionnaire (CEBQ). Maternal food variation and early age feeding variability data were measured using food variation questionnaire. Data on the pressure to eat were obtained based on subscale pressure to eat in Child Feeding Questionnaire (CFQ). Mann-Whitney test was used to evaluate the association between maternal food variation, infant feeding practices, and pressure to eat with picky eating behavior.Results: Picky eater was significantly associated with mother pressure to eat (p<0,05). There were tendencies of shorter exclusive breastfeeding practice, later in the introduction of solid food, and fewer variability of food at an early age on picky eater, however, there was no significant association (p>0,05).Conclusion: Mother has a major role in forming children eating behavior. Not pressing children to eat, will protect children from picky eating.

Evaluation of Nutrition Intervention On Snack's Eating Habits and Anthropometric Status of College Students in Malang City Rany Adelina; Carissa Cerdasari; Rani Nurmayanti; Elok Widayanti
Amerta Nutrition Vol. 5 No. 2 (2021): 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.v5i2.2021.166-172

Background: Problems that arise in students based on the results of the 2016 study indicate that more than 80% of students like to eat unhealthy snacks such as packaging snacks, fried foods, instant noodles, and meatballs. Where snacks contain high energy, carbohydrates, protein, saturated fat, and salt. The excess energy and nutrients intake are related to increasing the metabolic incidence of syndromes and the main risk factors for cardiovascular disease.Objectives: This study aims to determine the effectiveness of giving nutritional interventions to eating habits and anthropometric status of college students in Malang.Methods: The quasi-experimental design with 31 participants from college students in Malang. Nutrition interventions provided in the form of education related to healthy snacks and assistance in making healthy snacks. The instruments used were pretest-posttest, questionnaire, and semi FFQ. Data processing was carried out by descriptive statistical analysis and dependent t-test at a 95% confidence level.Results: There was a significant increase in knowledge related to healthy snacks for subyek penelitiants (p <0.01) indicated by the results of the pre-test and post-test. There was an increase in the influence with nutrition claims by 31% and there was a significant difference between before and after the intervention (p = 0.013). The results of a healthy semi FFQ snack for the fruit category experienced a significant increase after being given an intervention program (p <0.01), while the semi FFQ results for unhealthy snacks for the category of salted crackers, chocolate/candy, pudding, and market snacks tended to decrease in consumption although not significant. The prevalence of overweight and obese in participants before being given intervention was 29% and decreased after being given intervention to 22.6% even though there was no significant difference (p = 0.096).Conclusions: There is an increase in the influence of 'nutrition claims' and fruit consumption significantly. While the prevalence of obese tends to fall even though it is not significant between college students.

Evaluating the food consumption among Indonesian young adults lived in a different environment Rany Adelina; Esti Nurwanti; Rathi Paramastri; Carissa Cerdasari; Jane C J Chao
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 1 (2021): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.1.36-44

Background: Indonesian young adults who live abroad usually buy meals from café or catering. These meals tend to be less nutritious, including high fat, low fiber, and high carbohydrate.Objective: This study aimed to investigate the pattern of food consumption among young Indonesian adults who lived in a different environment.Materials and Methods: A cross-sectional observational study was carried out with 497 participants (73 men and 420 women). Data were collected using a validated food frequency questionnaire (FFQ) of 78 food groups. In addition, the Mann-Whitney U test was conducted to compare consumption patterns among study participants who lived in a different environment (Malang city, East Java, Indonesia, and Taipei City, Taiwan). Furthermore, the Chi-Square test and Fisher’s exact test analyzed the consumption level by gender.Results: Our study indicated no significant differences between food consumption of Indonesian young adults in Malang city, Indonesia, and Taipei City, Taiwan (p=0.623). Meanwhile, beverage (tea) was significantly different between gender in the home country (p=0.005). In contrast, participants who lived abroad showed significantly different consumption levels of fast food (instant noodle) and plant protein source (tofu) across gender (p=0.01 and p=0.02).Conclusion: The present study showed that fruits were often changed into juices, especially more frequent in a home country than abroad. Meanwhile, several food items, including beverages (tea), fast food, and plant protein source (tofu), showed significant differences across gender.

Breastfeeding pattern based on nutritional status in 6-12 months old infants Carissa Cerdasari
Berita Kedokteran Masyarakat (BKM) Vol 34, No 5 (2018): Proceedings the 3rd UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Background: Malnutrition especially undernutrition is still concern for public health problems.Underweight in children will disrupt the learning process due to interference with the development of intelligence, more susceptible to infection and increase disease severity, to increase mortality. Objective: This study was conducted to asses the difference breastfeeding patterns include the breastmilk only duration and daily breastfeeding frequencies based on nutritional status in 6-12 months old infants. Methods: In this cross-sectional study, mothers (n=60) of infants aged 6-12 months old were recruited. The infant’s nutritional status was determined anthropometrically by 3 indexes ie body weight for age, length for age, and weight for length. Breastfeeding patterns include the breastmilk only duration and daily breastfeeding frequencies is obtained by interview and by 2x24 hour daily breastfeeding form. Kruskal-wallis test were used to evaluate the difference breastfeeding patterns based on nutritional status. Results: The average of brestmilk only duration was 3,21±2,41 months, and the average of daily breastfeeding frequencies was 12,46±3,8 times a day. Most of the respondents were in normal nutritional status (86,67% for W/A, 83,3% for L/A, and 85,0% for W/L). There were no difference in breastfeeding patterns either on breastmilk only durations or on daily breastfeeding frequencies based on nutritional status in 6-12 months old infants (p>0,05).Conclusion: Infant's nutritional status is determined more by the daily energy consumption of all infant foods, not only from breastmilk but also from complementary food.

Gambaran status gizi, kebiasaan hidup sehat, dan tingkat konsumsi pada mahasiswi jurusan gizi Poltekkes Kemenkes Malang Carissa Cerdasari
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Tujuan: Penelitian ini bertujuan untuk melihat gambaran status gizi, kebiasaan hidup sehat, dan tingkat konsumsi pada mahasiswi Jurusan Gizi Poltekkes Kemenkes Malang. Metode: Pada penelitiancross-sectionalini mahasiswi tingkat II Jurusan Gizi Poltekkes Malang(n=60) dipilih dari 3 kelas secara proporsional sampling. Status gizi ditinjau dari dua parameter, yaitu kadar Hemoglobin (Hb) dan Indeks Massa Tubuh (IMT). Kadar Hb mahasiswi diukur menggunakan metode cyanmethemoglobin. Data karakteristik responden dan kebiasaan hidup sehat dan kebiasaan makan dikumpulkan melalui kuesioner. Sedangkan data asupan makan dikumpulkan menggunakan metode recall3x24 jam. Data yang telah terkumpul ditabulasikan dalam tabel distribusi frekuensi dan dianalisis secara deskriptif. Hasil: Prevalensi mahasiswa yangmengalami anemia sebesar 18,3%. Ditemukan sebesar 10% mahasiswi memiliki status gizi kurang, dan 12% mahasiswi memiliki status gizi lebih. Sebanyak 83,3% mahasiswa telah memiliki kebiasaan sarapan. Mahasiswi yang telah terbiasa mengkonsumsi sayur, buah, dan lauk hewani minimal 2x/hari adalah 53,3%, 40%, dan 66,7% secara berurutan. Sedangkan 23,3% mahasiswi telah terbiasa berolahraga. Tingkat konsumsi zat gizi mahasiswi yang telah sesuai AKG meliputi energi dan protein hanya sebesar 6,7% dan 38,3% secara berurutan. Sedangkan tidak ditemukan mahasiswi yang tingkat konsumsinya telah sesuai AKG pada zat besi dan asam folat. Simpulan: Prevalensi anemia pada mahasiswi Jurusan gizi Poltekkes Malang termasuk ke dalam masalah kesehatan masyarakat yang ringan. Mahasiswi telah terbiasa sarapan, namun kebiasaan berolahraga, konsumsi sayur, buah, dan lauk hewani dalam sehari masih perlu untuk ditingkatkan. Asupan energi, protein, zat besi dan asam folat juga perlu ditingkatkan untuk mencegah meningkatnya prevalensi anemia.

PICKY EATER, ASUPAN MAKAN, DAN STATUS GIZI PADA ANAK PRASEKOLAH Carissa Cerdasari; Juin Hadisuyitno; Endang Sutjiati; Rany Adelina
Medika Respati : Jurnal Ilmiah Kesehatan Vol 17, No 2 (2022)
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/mr.v17i2.645

Latar belakang: Picky eater dapat menyebabkan asupan makan tidak mencukupi kebutuhan. Apabila berlangsung lama, maka dapat mempengaruhi status gizi. Berat badan anak dapat menjadi kurang, dan berdampak pada pertumbuhan dan perkembangannya. Tujuan: untuk menganalisis hubungan picky eater dengan asupan makan dan status gizi pada anak prasekolah. Metode: Sejumlah 139 anak usia 3-5 tahun dari 12 posyandu di Kota Malang diikutkan dalam penelitian cross-sectional ini menggunakan purpossive sampling. Status picky eater ditentukan berdasarkan Children’s Eating Behaviour Questionnaire (CEBQ), sedangkan asupan makan (energi, protein, seng) dikumpulkan menggunakan food recall 3x24 jam. Status gizi ditentukan menggunakan parameter BB/U. Perbedaan status gizi pada anak berdasarkan status picky eater dianalisa menggunakan uji Kolmogorov Smirnov, sedangkan perbedaan asupan makan diuji menggunakan uji Mann-Whitney. Hasil: Sebanyak 12,2% anak mengalami picky eater dan 1,4% anak mengalami gizi buruk. Tidak ada perbedaan asupan makan dan status gizi pada anak picky eater dengan yang tidak picky eater (p>0,05). Kesimpulan: Tidak ada perbedaan yang bermakna pada asupan makan dan status gizi antara anak picky eater dengan yang tidak. Meskipun demikian, terdapat kecenderungan anak picky eater memiliki status gizi yang lebih kurang disbanding anak yang tidak picky eater

Pengaruh Pengaruh Media Poster pada Pengetahuan dan Praktik Personal Hygiene Penjamah Makanan di Katering Senjani Kitchen Malang : Poster Personal Hygiene: Media untuk Pengetahuan dan Praktik Penjamah Makanan Salsabila Fauziah Rahayu; Nurul Hakimah; Carissa Cerdasari
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.200-205

Background: Catering is way to fulfill the need for food. Catering is an institutional food management because it produce large amounts of food. Large quantities of food handlers also required and increasing the potential of food contamination. Prevention can be done by applying personal hygiene according to Permenkes RI No. 1096/Menkes/PER/VI/2011. Enhancement of knowledge and practice are needed to improve the application of personal hygiene with poster installation. Senjani Kitchen Catering is a catering service located in Malang. The preliminary study indicate that the food handlers have not implemented personal hygiene properly. Objectives: This study aims to analyze poster’s effect on Senjani Kitchen Malang food handlers’ personal hygiene knowledge and practices. Methods: This research is a descriptive study with quantitative approach used pre-experimental research with one group pretest posttest design. Posters were installed in the work area with sample of 5 food handlers. Results: The average scores of food handlers’ personal hygiene knowledge before the intervention was 70.7 (enough). After the intervention, it increased to 82.7 (good). The average scores of food handlers’ personal hygiene practice before the intervention was 55.7 (less). After the intervention, it increased to 73.0 (enough). Conclusions: There is an increased value of food handlers’ personal hygiene knowledge and practices after placing posters in the work area.

Pola Menu, Besar Porsi Penyajian dan Ketersediaan Energi dan Zat Gizi Makro pada Santri Usia 13-15 Tahun di Pondok Pesantren Kanjeng Sunan Kalijogo Kabupaten Probolinggo Nur Ilhami Wulandari Basuki Putri; Nurul Hakimah; Carissa Cerdasari
NUTRITURE JOURNAL Vol 2 No 1 (2023): Jurnal Nutriture
Publisher : Politeknik Kesehatan Kemenkes Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/nj.v2i1.3669

Latar belakang: Pondok Pesantren Kanjeng Sunan Kalijogo merupakan salah satu institusi yang menyelenggarakan makanan bagi santri dan satriwati. Penyelenggaraan makanan di Pondok Pesantren Kanjeng Sunan Kalijogo belum memiliki siklus menu serta perencanaan menu. Menu makanan yang disajikan belum seimbang dan besar porsi belum sesuai dengan standar yang dianjurkan. Tujuan: Menganalisis pola menu, besar porsi penyajian dan ketersediaan energi dan zat gizi makro pada penyelenggaraan makan di Pondok Pesantren Kanjeng Sunan Kalijogo. Metode: Penelitian deskriptif dengan desain studi Crosss-secccctional. Penelitian dilakukan di Pondok Pesantren Kanjeng Kabupaten Probolinggo pada tanggal 27 Juli-02 Agustus 2022. Populasi dalam penelitian ini yaitu santri laki-laki usis 13-15 tahun sebanyak 43 orang dengan teknik total sampling dan menu makan pagi dan makan siang selama 7 hari dengan teknik purposive sampling. Hasil: Hasil penelitian menunjukkan bahwa dari menu yang disajikan selama 7 hari untuk makan pagi termasuk kategori tidak seimbang sebesar (100%), sedangkan untuk makan siang termasuk dalam kategori kurang seimbang sebesar (100%). Pada pemorsian makanan yang disajikan pada 14 menu makanan diperoleh hasil rata-rata penyajian makanan belum sesuai dengan standar yang dianjurkan. Dan ketersediaan energi dan zat gizi makro dalam kategori defisit. Simpulan: Disarankan kepada pihak penyelenggara makanan untuk tetap memperhatikan pola menu seimbang dengan menyesuaikan standar porsi yang dianjurkan sehingga dapat menambah nilai ketersediaan energi dan zat gizi pada menu yang disajikan.

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