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Journal : GIZI INDONESIA

PENGGUNAAN BERBAGAI CUT-OFF INDEKS MASSA TUBUH SEBAGAI INDIKATOR OBESITAS TERKAIT PENYAKIT DEGENERATIF DI INDONESIA Harahap, Heryudarini; Widodo, Yekti; Mulyati, Sri
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

DETERMINING CUT-OFF POINTS OF BODY MASS INDEX FOR OBESITY ASSOCIATED WITH DEGENERATIVE DISEASES IN INDONESIAObesity now is recognized as a public health problem. Changing diets and decreasing physical activity explain the increasing prevalence of obesity. Method that is commonly used for indentifying obesity is Body Mass Index (BMI). At present, there has been a growing debate on different BMI cut-off points for different ethnic groups, in particular for Asian population. A different cut-off point is needed due to evidence associated with BMI, percentage of body fat, and body fat distribution that differ across population. Therefore, health risks may incrase even below the cutoff point of 25 kg/m2 that now categorized as overweight. The objective of the study was to determine BMI cut-off points and their relationship with degenerative diseases. Data was originally taken from Health National Household Health Survei (SKRT) in 2004. The population were those who were aged 25 to 65 years old. The variable analysed statistically were age, sex, blood pressure, total cholesterol, and Diabetes Mellitus (DM). The analysis used in this study was univariate and bivariate tables to answer the objective. Based on WHO cut-off point, obesity was in BMI =25 kg/m2, and the prevalence of being hypertension, DM and hyperkolestrolemia as risks were 52.3%, 12,7% and 1,6% respectively. However, based on International Obesity Task Force (IOTF) cut-off in which pre obesity was started on BMI 23 kg/m2, the prevalence of each risk was consecutively 40,1%; 11,4% and 0,6%. Respectively cut-off used by Ministry of Health in obesity was 25 kg/m2 with prevalence for each risk was 50.2%, 11.8% and 1.5% respectively. Sensitivity (Se) and Specificity (Sp) were around 22.0-23.0 for all subjects based on sex, age, and education. The highest Se and Sp was found on hypercholesterol. Logistic regresion analysis showed that the increasing of BMI cut-off of 23 to 25 would be followed by the increase of the risk of hypercholesterol up to 0.6 points. On the other hand, decreasing BMI from > 25 to < 25 in USA may reduce 13% co-morbidity disease associated to obesity. In conclusion this study showed that on BMI =23.5 was related to degenerative diseases. However, the cut-off point still need to be examined in relation to the incidence of degenative diseases.Key Word: body mass index, cut-off point, degenerative diseases
PERANAN PEMBERIAN MAKANAN TAMBAHAN PADA ANAK UMUR 6 – 23 BULAN PADA SAAT KRISIS EKONOMI -, Sandjaja; Mulyati, Sri; Saidin, M.; -, Suhartato; Widodo, Yekti
GIZI INDONESIA Vol 28, No 1 (2005): Maret 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

THE IMPACT OF FOOD SUPPLEMENTATION FOR CHILDREN AGED 6-23 MONTHS DURING ECONOMIC CRISISSupplementary feeding program (PMT) for children aged 6-23 months of poor families (Gakin) is a sub-component of Social Safety Net – Health Sector (SSN-HS) following economic crisis that hit Indonesia the end of 1997. It is intended to provide additional food and prevent deteriorating impact of nutritional status of the target. The main objective of the study was to determine the impact of PMT for children on malnutrition and growth as compared with that for children not receiving PMT. The design of the study is case control. Case was children of poor family who had or ever had received PMT for three months provided by SSN-HS in the last six months. Control was children of near poor families but who had never received PMT. Matching criteria for case and control were age, sex, and residence of the family. The study was conducted in West Java, Central Java, South Kalimantan covering 1014 cases and 1014 controls and their families. Data on child collected were current weight and height, and retrospective weight in the last 10 months. Other data collected were characteristics of chlidren and therir families including socioeconomic status, clinical examination, dietary intake including food suplement. Program implementation of PMT varied among study areas on selection criteria for child beneficiaries in addition to poor families, duration of PMT, method of distribution, type of food. There were similar characteristics between case and control in age, sex, breastfeeding, morbidity except for socioeconomic status of the family, age of father, educational attainment of parents. Foods distributed for 6-11 month old samples included supplementary food, foodstuff, cooked (rice/flour porridge+egg). Foods for 12-23 month old samples more varied than food suplement for 6-11 months old children. Nutrient content of food distributed was 268 Kcal for energy and 9.2 grams protein, below the recommended nutrient content of PMT 360-430 Kcal and 9-15 grams protein. Dietary intake were similar in both groups consisting of energy around 46% RDA and protein 67-73% RDA (excluding breast milk). This finding shows that part of PMT became substitute rather than supplement. Cases had significantly lower nutritional status in W/A and H/A anthropometric indices than control except for W/H. Growth pattern as analyzed using retrospective data found that there was faltering growth pattern in both groups. Period between three months prior to PMT to the baseline showed that more decreasing Z-score was significantly (repeated measures of ANOVA) greater in case than in control group. Three months during PMT, there was still further decreasing mean Z-score in both groups although it was not as great as three months before. This finding showed that PMT was able to prevent deteriorating nutritional status among child beneficiaries of poor families but was not able to improve their nutritional status.Keywords: food suplementation, economic crisis
Co-Authors ., Jetendra Abd. Rasyid Syamsuri Afrinanda, Afrinanda Afsun Aulia Nirmala Agung Setiyadi Akbar Sutawidjaja, Akbar Akbarsari, Apriliani Ali, Haidina Aminin, Fidya Aminuyati Antarsih, Novita Rina Aries Saifudin Asriyani, Wahyu Ayu, Adetya Nurlita Benito C Tan, Benito C Boon-Chuan Ho, Boon-Chuan Eka A. P. Iskandar, Eka A. P. Endang Purwaningsih Endang Supardi, Endang Fachrul Razi Faradhilla, Nuraida febriasari, novi Fery Setiawan Fitriyani, Ririn Fratidhina, Yudhia Hasrayati Agustina Hati, Ravika Permata Heryudarini Harahap Hidayat, Muhamad Syahrul Ida Haerida, Ida Ika Sari, Vita Ilahiyyah, Inayatun Ilahiyyah, Inayatun Ilyasa, Syahrul Insi Farisa Desy Arya Ipah Nurhasanah, Ipah Iwan junaedi Iwan Susanto Jannah, Rauzatul Jayana Salesti, Jayana Jeffri Ardiyanto Jetendra Kisa, Roswari Komala, Rice Kumala, Shelee Fransiska Kurniati Kurniati Kurniawan, Nur Muchamad Kurniawan, Nur Muchamad Kusnandar, Hasan Fahmi Lastri Mei Lestari, Lastri Mei Lestari, Klabut Ayu Linda Rosita M. Saidin Madarina Julia Maesya?bani, Maesya?bani Maulidha, Erina Meutia, Meutia Mualim, Mualim Murni, Ania Mursyid, Abidillah Mursyidah Dwi Hartati, Mursyidah Dwi Muslimah Muslimah Nafiza, Hayatun Nani Imaniyati Netti, Syukma Netti Syukma Nina Herlina Nindhita, Lokika Nityama Nindhita, Lokika Nityama Ningsih, Indri Septi Ningsih, Indri Septi Nuraeni Nuraeni Oki Suwarsa Pratama, Arvin Arya Putri, Shintya Anggun Kencana REPERO, REPERO Ridlo, Muhammad Rasyid Rini Indrati, Rini Rio Erwan Pratama, Rio Erwan Sandjaja -, Sandjaja Saputri, Yoandini Sari, Resta Rahma Sari, Resta Rahma SARI, VITA IKA Sari, Yulia Prima Sri Kusumadewi Sri Suryanti Subanji Subanji Suhartato -, Suhartato Sukmana, Adi Angga Sukmana, Adi Angga Susilawati, Susilawati Sutawdjaja, Akbar Syahputra, Satria Taufik Hidayat Tri Lestari, Gita Tri Mulyono Tri Mustikowati Virgilio Linis, Virgilio Yekti Widodo Yeti Kartikasari, Yeti YL, Sukestiyarno Yulianti Yusriadi Yusriadi Zahrotun Nihayah Zuhra Zuhra