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Binar Panunggal
Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro, Semarang
Aerospace Engineering Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

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DIETARY CARBOHYDRATE AND PHYSICAL ACTIVITY WITH PREDIABETES WITHIN ADULT WOMEN Khoiriyah, Dian; Murbawani, Etisa Adi; Panunggal, Binar
Preventif: Jurnal Kesehatan Masyarakat Vol 8, No 2 (2017): Desember 2017
Publisher : Tadulako University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.817 KB)

Abstract

Background & Objective: Prediabetes is a high-risk condition for developing diebetes mellitus. Adult women have a higher risk of experiencing prediebetes compared with men. Excessive of simple carbohydrate intake, low of fiber intake and physical activity risk to increasing blood glucose levels. This study aimed to analyze the correlation between total carbohydrate intake, simple carbohydrate intake, fiber intake and physical activity with prediabetes in adult women. Materials and Methods: This study used a case control with 36 women aged 45-55 years old in each group chosen by simple random sampling. Food intake was assessed using by Semi FFQ. Waist circumference was measured using by a tape measure, and physical activity was obtained using by Long IPAQ. Data were analyzed using by Chi Square, Fisher Exact and multiple logistic regression test. Results: There is a difference in mean of waist circumference, fasting blood glucose, simple carbohydrate intake, fiber intake and physical activity in both groups. The variable at risk for prediabetes were simple carbohydrate intake (OR=3,94;95%CI 1,23-12,56), fiber intake (OR=2,63;95%CI 0,91-7,63) and fat intake (OR=2,14;95%CI 0,78-5,84). Intake of simple carbohydrate and fiber are the most dominant variable that affecting the incidence of prediabetes with a proportion of 14,5%. There were no correlation between total carbohydrate intake, fiber intake and physical activity with prediabetes in adult women. Conclusion: Excessive simple carbohydrate intake and low fiber intake were risk in the occurrence of prediabetes
Kecenderungan dehidrasi pada remaja obesitas Fitranti, Deny Yudi; Dieny, Fillah Fithra; Panunggal, Binar; Sukmasari, Vintantiana; Nugrahani, Gardinia
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 1 (2018)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (327.323 KB) | DOI: 10.14710/jgi.7.1.43-48

Abstract

Background : The content of water in fat cells in obese people is lower than muscle cells so that obese people are more easily dehydrated.Objective : The purpose of this study is to determine the risk factors of dehydration in adolescents.Methods : This study was a cross sectional study which began with screening of 168 students at SMA N 1 and 2 Semarang and found 63 students fulfilled the inclusion criteria. Subjects were selected by consecutive sampling. The dependent variable of this study is hydration status measured by the urine spesific gravity method. The independent variables consisted of obesity status that determined by the BMI/Age Z-score value, fluid intake was assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using physical activity questionnaire, whereas knowledge regarding fluid was assessed by questionnaire. Data were analyzed using Chi Square test.Results ; There were 52,4% (n=33) subjects who were obese and only 9,5% (n=6) subjects were well-hydrated. The incidence of dehydration in obese adolescents (63,6%) was higher than non obese adolescents (36,7%). Obese subjects was 1.73 times more dehydrated than non obese subjects. Subject with deficiency of fluid intake was 1,85 times more dehydrated than subject with adequate fluid intake. Knowledge regarding fluid and physical activity was not a risk factor for dehydration in adolescents.Conclusion :Obesity and inadequate fluid intake ia risk factor for dehydration in adolescents
Pengaruh pemberian sari umbi bit (beta vulgaris) terhadap kadar hemoglobin dan performa atlet sepak bola Dieny, Fillah Fithra; Fitranti, Deny Yudi; Panunggal, Binar; Safitri, Iqlima
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 2 (2017)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (681.907 KB) | DOI: 10.14710/jgi.5.2.119-126

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Background: Nutritional factors in athletes were very influential to lead achievement. Giving special food or drink is also important to improve VO2max. One of the substances that can optimized the levels of VO2max is the content of nitrates in foodstuffs. The beetroot is one source of food with high nitrate content.Objective: This study aimed to analyze the effect of bit extract (beta vulgaris) on Hb Levels and performance among football athleteMethods: Design of quasi experimental research with pretest-post test control group approach, conducted on 18 athletes of UNNES Football Club aged 18-22 years. The treatment of beetroot juice was given for 7 days, consist of P200 treatment group consumed 200 ml, P300 was given 300 ml, while control consumed 300 ml of syrup with the same color with beet extract. Athlete’s performance was obtained with VO2max levels. VO2max measurements were taken twice using MFT (multistage fitness test) on day 1 before intervention and day 7 after intervention. Confounding variables were energy intake, macronutrient intake, iron intake, vitamin C intake, and smoking habits. The analysis using by paired-t-test, kruskal wallis, and one way anova.Result: Most subjects had intake (energy, carbohydrate, fat, protein, iron and vitamin C) less categories. Most of the subjects had a good category VO2 Max and were excellent, as well as not anemic. There was no significant effect of treatment on VO2 Max and Hb level (p <0.05), but the increase in VO2 Max was greater in group P 300 than in group P 200 and control. Hb levels of subjects after intervention decreased, but still relatively normal levels. Conclusions: There was no significant effect of giving beetroot juice on VO2 Max and Hb levels, but the increase in VO2 Max in group P 300 was higher than in P group of 200 and control group.
Pengaruh pemberian susu almond terhadap glukosa darah puasa pada tikus diabetes Ningsih, Ryta Ristantia; Probosari, Enny; Panunggal, Binar
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (371.287 KB) | DOI: 10.14710/jgi.7.2.86-91

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Background: Type 2 Diabetes Mellitus is a group of metabolic diseases with characteristic hyperglycemia that occurs due to abnormalities in insulin secretion and insulin action. Diet plus high fiber can help control glucose levels. Almond contains fiber, vitamin E, and magnesium that contributes to the fasting blood glucose levels. This study aimed to analyze the effect of almond milk to the fasting blood glucose diabetic rats.Method: This study used an experimental design with pre-post test control group design. The sample were Rattus norvegicus Wistar which were divided into 4 groups: K (-), K (+), A1 and A2. Almond milk was given in the group treatmeant for 14 days with a dose of 4.32 ml and 8.64 ml. Fasting blood glucose measurement taken before and after treatment used Oxidase Glucose - Peroxidase Aminoantypirin (GOD PAP). Analysis of data used paired t-test, ANOVA and Post Hoc.Results: The fasting blood glucose levels decreased significantly (p = 0.01) in the treatment group which were intervened with almond milk. A decrease in fasting blood glucose levels in a dose treatment group 1 for 116.96 ± 4.45 (p = 0:01), whereas in the group treated at a dose of 2 for 155.53 ± 3.15 (p = 0.01). There were a significant difference in decreased of the fasting blood glucose levels between the two treatment groups (p = 0.01).Conclusion:  Giving a dose almond milk 4.32 ml and 8.64 ml for 14 days can lower the fasting blood glucose levels significantly.
Zat gizi, massa lemak tubuh, dan tekanan darah pada wanita vegetarian dan nonvegetarian berusia 20-30 tahun Kirana, Stela Maris Adinda Budi; Murbawani, Etisa Adi; Panunggal, Binar
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 6, No 1 (2017)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (312.327 KB) | DOI: 10.14710/jgi.6.1.17-28

Abstract

Background : Vegetarians tend to have a risk of underfat. Several studies have reported that vegetarians have lower fat and higher fiber intake, lower body fat mass and blood pressure than nonvegetarians. There are only few studies about those variabels in 20-30 year-old subject. Objective : To analyze the difference of nutrients intake, body fat mass, and blood pressure between 20-30-year-old vegetarian and nonvegetarian women.Methods : Cross-sectional study design in 26 vegetarian women and 26 nonvegetarian women who was selected by consecutive sampling. Nutrients intake were obtained by Semi Quantitative Food Frequency Questionaire (SQFFQ) and analyzed by Nutrisurvey. Body fat mass was measured using Bioelectrical Impedance Analysis (BIA). Blood pressure was measured using Mercury sphygmomanometer. Data were analyzed using Independent t-test and Mann-Whitney test.Result : There were 38.5% of  vegetarians and 3.8% of nonvegetarians classified as underfat. There were 30.7% of vegetarians and 50% of  nonvegetarians classified as prehypertension. There were difference in fat (p=0.005), saturated fatty acid (p=0.000), monounsaturated fatty acids (p=0.002), polyunsaturated fatty acids (p=0.043), fiber (p=0.000), potassium (p=0.000), magnesium (p=0.004); body fat mass (p=0.021); and sistolic blood pressure (p=0.004) between both of groups. There weren’t difference energy intake (p=0.098), carbohydrate (p=0.207), protein (p=0.535), sodium (p=0.784), calcium (p=0.798), and diastolic blood pressure (p=0.799) between both of groups.Conclusion : Between vegetarian group and nonvegetarian group, there were difference in fat, saturated fatty acid, monounsaturated fatty acids, polyunsaturated fatty acids, fiber, potassium, magnesium intake; body fat mass; and sistolic blood pressure. However, there weren’t diffference in energy, carbohydrate, protein, sodium, calcium intake, and diastolic blood pressure between vegetarian group and nonvegetarian group 
HUBUNGAN LINGKAR PERGELANGAN TANGAN, RASIO LINGKAR PINGGANG TERHADAP TINGGI BADAN DENGAN PROFIL LEMAK PADA REMAJA USIA 16-18 TAHUN Winarto, Zahra Qurrota A'yun; Murbawani, Etisa Adi; Panunggal, Binar
DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO) Vol 6, No 2 (2017): JURNAL KEDOKTERAN DIPONEGORO
Publisher : DIPONEGORO MEDICAL JOURNAL (JURNAL KEDOKTERAN DIPONEGORO)

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Abstract

Latar Belakang: Dislipidemia adalah kondisi abnormalitas kadar lemak dalam darah. Kondisi ini berkaitan erat dengan sindroma metabolik sehingga sering dikaitkan dengan kondisi obesitas. Prevalensi sindroma metabolik di Indonesia menurut Riskesdas 2013 adalah 2,1%. Skrining untuk sindroma metabolik dapat menggunakan berbagai metode, salah satunya yang sedang dikembangkan adalah pengukuran lingkar pergelangan tangan dan rasio lingkar pinggang terhadap tinggi badan. Pengukuran lingkar pergelangan tangan dan rasio lingkar pinggang terhadap tinggi badan pada remaja diharapkan dapat memprediksi kondisi dislipidemia.Tujuan: Mengidentifikasi hubungan antara lingkar pergelangan tangan dan rasio lingkar pinggang terhadap tinggi badan dengan kadar profil lemak pada remaja usia 16-18 tahun.Metode: Penelitian ini dilakukan kepada 61 subjek dengan usia 16-18 tahun yang merupakan siswa SMA Negeri 9 Semarang. Penelitian ini menggunakan metode belah lintang (cross sectional). Variabel bebas pada penelitian ini adalah lingkar pergelangan tangan dan rasio lingkar pinggang terhadap tinggi badan sedangkan variabel terikatnya adalah profil lemak yang terdiri darai kolesterol, trigliserida, LDL dan HDL.Hasil: Rasio antara lingkar pinggang terhadap tinggi badan tidak memiliki korelasi dengan kolesterol (p=0,106), trigliserida (p=0,187), LDL (p=0,061) dan HDL (p=0,105). Lingkar pergelangan tangan berkorelasi dengan kadar trigliserida (p=0,045) dan HDL (p=0,022) namun tidak memiliki hubungan dengan kadar kolesterol (p=0,145) dan LDL (p=0,181).Simpulan: Rasio lingkar pinggang tidak berhubungan dengan profil lemak sedangkan lingkar pergelangan tangan berhubungan dengan trigliserida dan HDL.
KEJADIAN RESISTENSI INSULIN PADA ANAK OBESITAS USIA 9-12 TAHUN DI KOTA SEMARANG Asnelviana, Hana; Sulchan, Muhammad; Panunggal, Binar
Journal of Nutrition College Vol 6, No 4 (2017): Oktober
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (738.049 KB) | DOI: 10.14710/jnc.v6i4.18793

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Introduction: Obesity is caused by imbalance amount of energy intake and energy requirement of the body. Obesity in children has high risk to become obesity in adult and results in degenerative diseases. In obese children have higher of getting insulin  resistance. This study was aimed to determine insulin resistance in obesity children aged 9-12 years in Semarang.Methods: This study used a cross-sectional design with two groups: height below the median-obesity circumference (TBBM-obesity) and height above the median-obesity (TBAM-obesity). Screening was done in 602 children aged 9-12 years in urban and suburban areas of Semarang. Nutritional status was determined with measurements of z-scores of height-for-age (HAZ) and waist circumference. To define insulin resistance were measured using homeostasis model assessment of insulin resistance (HOMA-IR). Data were then analyzed by Mann-Whitney test and Spearman test.Results: There was found 75% subjects with high HOMA-IR value. HOMA-IR value in TBAM-obesity was 42.5% higher than TBBM-obesity was 32.5% (p= 0,088). Waist circumference and Waist to Height Ratio(WHtR) has a correlation on the increased HOMA-IR value (r= 0.662 p=0.000 and  r= 0.333 p=0.036) and height does not has a correlation on the increased HOMA-IR value (r=0.235; p= 0.144). Conclusion: Insulin resistance from all subject were found 75%. Waist circumference and Waist to Height Ratio(WHtR) has a correlation on the increased HOMA-IR value and height does not has a correlation on the increased HOMA-IR value.
POLA MAKAN, STATUS SOSIAL EKONOMI KELUARGA DAN PRESTASI BELAJAR PADA ANAK STUNTING USIA 9-12 TAHUN DI KEMIJEN SEMARANG TIMUR Saniarto, Febrian; Panunggal, Binar
Journal of Nutrition College Vol 3, No 1 (2014): Januari 2014
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (377.88 KB) | DOI: 10.14710/jnc.v3i1.4552

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Latar belakang: Stunting pada anak usia sekolah dasar (9-12 tahun) terjadi karena malnutrisi kronis. Malnutrisi kronis juga berakibat pada terlambatnya perkembangan otak. Hal ini berakibat pada rendahnya kemampuan kognitif dan rendahnya prestasi belajar. Namun ada banyak faktor yang mempengaruhi prestasi belajar anak. Pola makan dan status sosial ekonomi keluarga adalah faktor yang berhubungan dengan prestasi belajar pada anak. Penelitian ini dilakukan untuk mengetahui hubungan pola makan dan status sosial ekonomi keluarga dengan prestasi belajar anak stunting usia 9-12 tahun di Kemijen Semarang Timur.Metode: Sebanyak 85 anak stunting usia 9-12 tahun berpartisipasi dalam penelitian cross sectional ini. Subjek dan responden (orang tua subjek) diwawancarai untuk mendapatkan data karakteristik subjek, pola makan, dan status sosial ekonomi keluarga yang meliputi pendidikan, pekerjaan orang tua, dan pendapatan yang dilihat dari pengeluaran perkapita. Canada’s Food Guide to Healthy Eating (CFGHE) digunakan untuk mengkategorikan pola makan anak. Sementara data prestasi belajar diperoleh dari nilai raport mata pelajaran IPA, Matematika dan Bahasa Indonesia. Hasil: Sebanyak 52,9% subjek memiliki prestasi belajar kurang. Hampir setengah dari subjek memiliki pola makan yang buruk (40%) dan lebih dari setengah memiliki pola makan sedang (58,8%). Sebagian besar orang tua subjek berpendidikan rendah (ibu 74,1% dan ayah 61,2%). Sebanyak 61,2% keluarga mempunyai pengeluaran perkapita yang rendah. Analisis bivariat menunjukkan bahwa tidak terdapat hubungan antara pola makan dan status sosial ekonomi keluarga dengan prestasi belajar anak stunting usia 9-12 tahun. Kesimpulan: Pola makan dan status sosial ekonomi keluarga tidak berhubungan dengan prestasi belajar anak stunting usia 9-12 tahun di Kemijen Semarang Timur.
PENGARUH PEMBERIAN ANGKAK (Red Yeast Rice) TERHADAP KADAR KOLESTEROL TOTAL DAN TRIGLISERIDA PADA WANITA PENDERITA HIPERLIPIDEMIA Balgis, Balgis; Panunggal, Binar
Journal of Nutrition College Vol 2, No 4 (2013): Oktober 2013
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.381 KB) | DOI: 10.14710/jnc.v2i4.3741

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Latar Belakang : Hiperlipidemia merupakan salah satu faktor risiko terjadinya penyakit jantung dan pembuluh darah. Angkak mengandung Monakolin K, yaitu metabolit sekunder yang dapat menghambat kerja enzim HMG-KoA reduktase sehingga menghambat sintesis kolesterol. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian angkak (Red Yeast Rice) terhadap kadar kolesterol total dan trigliserida pada wanita penderita hiperlipidemia.  Metode : Jenis penelitian adalah true experiment dengan rancangan control group pre test – post test. Subjek adalah 38 wanita hiperlipidemia dengan kadar kolesterol total ≥200 mg/dl dan atau kadar trigliserida ≥150mg/dl, kelompok perlakuan mendapat 4.8 g/hari angkak dan kelompok kontrol mendapat plasebo. Intervensi dilakukan selama 14 hari. Metode CHOD-PAP digunakan untuk menganalisis kadar kolesterol total dan metode GPO-PAP digunakan untuk menganalisis kadar trigliserida, darah diambil setelah subyek berpuasa selama 10 jam. Uji normalitas menggunakan Shapiro Wilk. Analisis statistik menggunakan uji dependent t-test, Wilcoxon, independent t-test dan Mann Whitney.Hasil : Rerata kadar kolesterol total dan trigliserida sebelum intervensi kelompok perlakuan berturut-turut yaitu 227,52 mg/dl dan 166,57 mg/dl. Rerata kadar kolesterol total dan trigliserida setelah intervensi kelompok perlakuan berturut-turut yaitu 234.31 mg/dl dan 123.36 mg/dl. Konsumsi angkak dengan dosis 4.8 g/hari tidak berpengaruh terhadap kadar kolesterol total (p=0.370) dan trigliserida (p=0.099). Tidak ada perbedaan kadar kolesterol total (p=0.442) dan trigliserida (p=0.447) antara kelompok kontrol dan kelompok perlakuan. Kesimpulan : Konsumsi angkak tidak berpengaruh terhadap kadar kolesterol total dan trigliserida pada wanita penderita hiperlipidemia. Tidak terdapat perbedaan kadar kolesterol total dan trigliserida antara kelompok kontrol dan perlakuan.
FAKTOR DETERMINAN JUMLAH KONSUMSI SOFT DRINK PER HARI PADA ANAK USIA 10-12 TAHUN DI PEDESAAN Dewi, Clara Rashinta; Subagio, Hertanto Wahyu; Panunggal, Binar
Journal of Nutrition College Vol 6, No 4 (2017): Oktober
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (731.648 KB) | DOI: 10.14710/jnc.v6i4.18789

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Background: Children become consumer target of soft drink. Many factors influencing children’s consumption of soft drink. There are only few studies about factor influencing children’s consumption in rural area. Objective : To analyze total soft drink consumption per day among 10-12 year-old children in rural area and analyze determinant factors of soft drink consumption.Methods : Cross-sectional study design in 109 children aged 10-12 years who was selected by consecutive sampling. Data collected were gender, nutrition knowledge related soft drink, attitude to soft drink consumption,, pocket money, peer influence, and exposure to mass media. The instruments used are questionnaire and Semi Quantitative Food Frequency Questionaire (SQ-FFQ). Data were analyze using  rank Spearman test and Chi Square test.Result : Total soft drink consumption per day was 422,0±483,94ml. Variables that correlated with total soft drink consumption per day were gender (p=0,025), attitude to soft drink consumption (r=0,28;p=0,003) and peer influence (r=0,25;p=0,007). Variables that are not correlated with total soft drink consumption per day were nutrition knowledge (r=-0,10;p=0,269), pocket money (r=-0,10;p=0,265), exposure to mass media (r=0,15;p=0,116).Conclusion : Factors that correlated with total soft drink consumption per day were gender (p=0,025), attitude to soft drink consumption (r=0,28;p=0,003) and peer influence (r=0,25;p=0,007).
Co-Authors Adriyan Pramono Ahmad Syauqy Anjani, Gemala Aryu Candra Asnelviana, Hana Ayu Rahadiyanti Balgis Balgis Bintang, Fransisca Natalia Chairunnisa, Estillyta Choirun Nissa Choirun Nissa Dea Mustika Hapsari, Dea Mustika Deny Yudi Fitranti Dewi Marfu’ah Kurniawati Dewi Mulad Sari Dewi, Clara Rashinta Dewi, Listiyani Kusumo Diana Nur Afifah, Diana Nur Dita Adi Subiakti Dwi Arum Sulistyaningsih Emma Kurniawaty, Emma Enny Probosari Etisa Adi Murbawani Fachrana Fachrana Febrian Saniarto Fillah Fithra Dieny Fitriyono Ayustaningwarno Gusria Yuana Haidar Asshidiqie Hartanti Sandi Wijayanti Hertanto Wahyu Subagio Ignatius Roy Indra P, Ignatius Roy Iqlima Safitri, Iqlima Khoiriyah, Dian Kirana, Stela Maris Adinda Budi Lestari, Rahma Wati Dwi Linda Isdamayani, Linda Lusia Yotista Enggal Parasthi MARTHA ARDIARIA Maulana, Reza Achmad Mohammad Sulchan Mohammad Zen Rahfiludin Muhammad Sulchan Mumpuni, Ocka Febrian Neni Anggraeni Ningsih, Diajeng Dian Rahana Ningsih, Ryta Ristantia Nugrahani, Gardinia Nugraheni, Dini Nuris Zuraida Rakhmawati Nurkomala, Siti Nurmasari Widyastuti Nuryanto Nuryanto Pramono, Adryan Pratiwi, Hera Rachma Purwanti Rahayu, Gita Riski Rahma Wati Dwi Lestari Rahma, Fadilla Ratna Fathurrizqiah, Ratna Rejeki, Vina Puji Riani Arifin Setyawan, Fajar Siringoringo, Ester Theresia Siti Santiaji Pursriningsih, Siti Santiaji Sukmasari, Vintantiana Suryaningtyas, Ratih Tiara Aris Dahriani Tika Mei Indah Susanti, Tika Mei Indah Vintantiana Sukmasari Winarto, Zahra Qurrota A'yun Wiriesta Anggraini Yusuf Hidayat