Sandjaja Sandjaja
Pusat Teknologi Terapan Kesehatan dan Epidemiologi Klinik, Badan Litbangkes, Kemenkes RI Jl. Percetakan Negara 29 Jakarta

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FAKTOR YANG BERHUBUNGAN DENGAN POLA MENYUSUI BAYI DAN ANAK USIA 6-23 BULAN DI INDONESIA Widodo, Yekti; Sandjaja, Sandjaja
GIZI INDONESIA Vol 38, No 2 (2015): September 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v38i2.182

Abstract

ABSTRACT Exclusive breastfeeding for the first 6 months after birth and continued breastfeeding for up to 2 years is a very beneficial. The objectives of the study were to get better insight on the proportion of breastfeeding and its associated factors among Indonesian children to support breastfeeding awareness program. SEANUTS was a multi-centered nutrition study conducted in Indonesia, Malaysia, Thailand, and Vietnam. A subsample of 2.391 Indonesian children 6-23 months of age was analyzed using ANCOVA and multiple logistic regression. The results showed that 4.5 percent of the children were never breastfed. The study showed that factors significantly associated with never being breastfed were child not lived with his/her mother (OR = 5,0), mother’s education was junior high school or less (OR = 2,7), and child caregiver was not his/her mother (OR = 3,27). Delivery helped by private health practitioner or at home was significantly protective against not being breasfed (OR = 0,37). The overall proportion of children 6-23 months of age still being breastfed was 73.3 percent. Factors significantly associated with weaning were early weaned (OR = 1,13), working mother (OR = 2,0), child caregiver not his/her mother (OR = 1,62), and not lived with his/her mother (OR = 9,35). Factors associated with longer breastfeeding were living in rural areas (OR = 0,69), older age of mother 30-39 years (OR = 0,67), delivery at home (OR = 0,45) or health practitioner (OR = 0,65). In conclusion, the research indicated that not all babies get breastfeed in an optimal level. Health promotion program to increase breastfeeding awareness should be targeted more for health profesionals in hospital and maternity clinics, mother’s education was at junior high school or less, young mother, and in the urban area. Keywords: breastfeeding, weaning, Indonesian children ABSTRAK Menyusui eksklusif selama 6 bulan dan dilanjutkan pemberian ASI sampai anak usia 2 tahun, terbukti sangat bermanfaat. Tujuan penelitian adalah menganalisis faktor yang berhubungan dengan pola menyusui guna mendukung program menyusui di Indonesia. Data merupakan subsampel penelitian SEANUTS Indonesia yaitu anak 6-23 bulan berjumlah 2391. SEANUTS merupakan multi-centered study yang dilakukan di Indonesia, Malaysia, Thailand, dan Vietnam pada tahun 2011. Analisis data dilakukan secara deskriptif dan diuji statistik dengan ANCOVA dan multiple logistic regression. Hasil penelitian menunjukkan proporsi anak yang tidak pernah mendapat ASI adalah 4,5 persen. Hasil analisis menunjukkan faktor yang berhubungan dengan perilaku tidak menyusui yaitu tidak tinggal dengan ibu (OR = 5,0), pendidikan ibu SMP ke bawah (OR = 2,7), tidak diasuh oleh ibu kandung (OR = 3,27). Persalinan di klinik bidan atau di rumah bersifat protektif terhadap perilaku tidak menyusui (OR = 0,37). Proporsi anak usia 6-23 bulan yang masih disusui adalah 73,3 persen. Faktor yang berhubungan dengan disapih lebih awal adalah (OR = 1,13), ibu bekerja (OR = 2,0), pengasuh bukan ibu (OR = 1,62), dan anak tidak tinggal dengan ibu (OR = 9,35). Faktor yang berhubungan dengan durasi menyusui lebih lama adalah tinggal di perdesaan (OR = 0,69), umur ibu 30-39 tahun (OR = 0,67), persalinan di rumah (OR = 0,45), di klinik bidan (OR = 0,65). Penelitian ini menunjukkan tidak semua bayi mendapat ASI secara optimal. Target program promosi kesehatan untuk meningkatkan pemberian ASI sampai usia 2 tahun adalah petugas kesehatan di rumah sakit, orang tua bayi berpendidikan SMP ke bawah, ibu usia muda, dan di daerah perkotaan.
FAKTOR YANG BERHUBUNGAN DENGAN POLA MENYUSUI BAYI DAN ANAK USIA 6-23 BULAN DI INDONESIA Widodo, Yekti; Sandjaja, Sandjaja
GIZI INDONESIA Vol 38, No 2 (2015): September 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (456.799 KB)

Abstract

ABSTRACT Exclusive breastfeeding for the first 6 months after birth and continued breastfeeding for up to 2 years is a very beneficial. The objectives of the study were to get better insight on the proportion of breastfeeding and its associated factors among Indonesian children to support breastfeeding awareness program. SEANUTS was a multi-centered nutrition study conducted in Indonesia, Malaysia, Thailand, and Vietnam. A subsample of 2.391 Indonesian children 6-23 months of age was analyzed using ANCOVA and multiple logistic regression. The results showed that 4.5 percent of the children were never breastfed. The study showed that factors significantly associated with never being breastfed were child not lived with his/her mother (OR = 5,0), mother’s education was junior high school or less (OR = 2,7), and child caregiver was not his/her mother (OR = 3,27). Delivery helped by private health practitioner or at home was significantly protective against not being breasfed (OR = 0,37). The overall proportion of children 6-23 months of age still being breastfed was 73.3 percent. Factors significantly associated with weaning were early weaned (OR = 1,13), working mother (OR = 2,0), child caregiver not his/her mother (OR = 1,62), and not lived with his/her mother (OR = 9,35). Factors associated with longer breastfeeding were living in rural areas (OR = 0,69), older age of mother 30-39 years (OR = 0,67), delivery at home (OR = 0,45) or health practitioner (OR = 0,65). In conclusion, the research indicated that not all babies get breastfeed in an optimal level. Health promotion program to increase breastfeeding awareness should be targeted more for health profesionals in hospital and maternity clinics, mother’s education was at junior high school or less, young mother, and in the urban area. Keywords: breastfeeding, weaning, Indonesian children ABSTRAK Menyusui eksklusif selama 6 bulan dan dilanjutkan pemberian ASI sampai anak usia 2 tahun, terbukti sangat bermanfaat. Tujuan penelitian adalah menganalisis faktor yang berhubungan dengan pola menyusui guna mendukung program menyusui di Indonesia. Data merupakan subsampel penelitian SEANUTS Indonesia yaitu anak 6-23 bulan berjumlah 2391. SEANUTS merupakan multi-centered study yang dilakukan di Indonesia, Malaysia, Thailand, dan Vietnam pada tahun 2011. Analisis data dilakukan secara deskriptif dan diuji statistik dengan ANCOVA dan multiple logistic regression. Hasil penelitian menunjukkan proporsi anak yang tidak pernah mendapat ASI adalah 4,5 persen. Hasil analisis menunjukkan faktor yang berhubungan dengan perilaku tidak menyusui yaitu tidak tinggal dengan ibu (OR = 5,0), pendidikan ibu SMP ke bawah (OR = 2,7), tidak diasuh oleh ibu kandung (OR = 3,27). Persalinan di klinik bidan atau di rumah bersifat protektif terhadap perilaku tidak menyusui (OR = 0,37). Proporsi anak usia 6-23 bulan yang masih disusui adalah 73,3 persen. Faktor yang berhubungan dengan disapih lebih awal adalah (OR = 1,13), ibu bekerja (OR = 2,0), pengasuh bukan ibu (OR = 1,62), dan anak tidak tinggal dengan ibu (OR = 9,35). Faktor yang berhubungan dengan durasi menyusui lebih lama adalah tinggal di perdesaan (OR = 0,69), umur ibu 30-39 tahun (OR = 0,67), persalinan di rumah (OR = 0,45), di klinik bidan (OR = 0,65). Penelitian ini menunjukkan tidak semua bayi mendapat ASI secara optimal. Target program promosi kesehatan untuk meningkatkan pemberian ASI sampai usia 2 tahun adalah petugas kesehatan di rumah sakit, orang tua bayi berpendidikan SMP ke bawah, ibu usia muda, dan di daerah perkotaan.
SERUM RETINOL BINDING PROTEIN (RBP) IBU MENYUSUI DAN BAYINYA DI DUA KABUPATEN DI JAWA BARAT Sandjaja, Sandjaja; Sudikno, Sudikno
GIZI INDONESIA Vol 38, No 2 (2015): September 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (514.765 KB)

Abstract

ABSTRACT Serum retinol concentration is commonly used to determine vitamin A status. Studies show that serum retinol binding protein (RBP) is a surrogate measure of vitamin A. Infant is among groups of high risk in vitamin A deficiency (VAD). Studies show that vitamin A status in lactating mother are associated with that in infant. However, there is no study of association between serum RBP in mother and infant. The objective of this paper is to determine the association of serum RBP in mother and that in infant. The study was conducted at 2 districts in West Java province of 293 pairs lactating mother and breastfed infant aged 6-11 month old of poor families. Serum vitamin A and RBP were measured by HPLC and ELISA respectively. Linear regression was employed to determine association between serum RBP of infant and mother after controlling for other risk factors. Mother’s serum retinol (X+SE) was higher compared to infant (39.0+1.1 and 29.9+0.7 mg/dL). Mother’s serum RBP was also higher in mother than in infant (1.25+0.02 and 0.95 + 0.01 µmol/L). There was a significant association between serum retinol and RBP of mother (r=0.565, p=0.000) and also in infant (r=0.309, p=0.000). There is a significant association between RBP status of mother and infant (r=0.379, p=0.000) controlled by household, mother, and child characteristics. Two main significant factors associated with serum RBP level in infant are serum RBP level of mother (p = 0.000) and infant received high-dose vitamin A capsule (p=0.010). The conclusion is that serum RBP can be used as a surrogate measure of vitamin A status and significant association between serum RBP in lactating mother and her infant. Keywords: retinol binding protein, serum retinol, lactating mother, infant  ABSTRAK Serum retinol umum digunakan untuk menentukan status kurang vitamin A (KVA). Salah satu alternatif menilai KVA adalah serum retinol binding protein (RBP). Beberapa penelitian membuktikan korelasi antara serum retinol ibu menyusui dan bayinya, tetapi belum ada yang meneliti korelasi RBP ibu dan bayinya. Penelitian ini bertujuan untuk mengetahui korelasi serum RBP ibu menyusui dan RBP bayi. Penelitian dilakukan di dua kabupaten di Jawa Barat dengan sampel 293 pasangan ibu menyusui dan bayinya. Serum retinol ditentukan dengan metoda HPLC sedangkan RBP dengan ELISA. Analisis regresi linier digunakan untuk menilai korelasi RBP ibu dan bayi dikontrol dengan faktor risiko lain. Kadar serum retinol (X+SE) ibu menyusui lebih tinggi dibanding bayi (39,0+1,1 and 29,9+0,7 mg/dL). RBP ibu menyusui juga lebih tinggi dibanding RBP bayi (1,25+0,02 and 0,95 + 0,01 µmol/L). Ada korelasi signifikan antara serum retinol dengan RBP baik pada ibu menyusui (r=0,565; p=0,000) maupun pada bayi (r=0,309; p=0,000). Korelasi signifikan dibuktikan antara kadar RBP ibu menyusui dan RBP bayi (r=0,379; p=0,000) dikontrol karakteristik rumahtangga, ibu, dan bayi. Faktor utama yang signifikan menentukan kadar RBP bayi adalah RBP ibu menyusui (p = 0,000) dan bayi menerima kapsul vitamin A 6 bulan terakhir (p=0,010). Serum RBP merupakan alternatif menentukan KVA dan ada korelasi signifikan antara serum RBP ibu menyusui dan bayi.
QUANTITY AND QUALITY OF BREAKFAST OF CHILDREN AGED 2.0 TO 12.9 YEARS IN INDONESIA Harahap, Heryudarini; Widodo, Yekti; Sandjaja, Sandjaja; Khouw, Ilse; Deurenberg, Paul
GIZI INDONESIA Vol 42, No 1 (2019): Maret 2019
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1214.505 KB) | DOI: 10.36457/gizindo.v42i1.355

Abstract

Doing breakfast among children is a public health concern as seen at one of the messages in ?Indonesian balanced nutrition which state ?breakfast every day?. The aim of this analysis is to determine the quantity and quality of Indonesian children?s breakfast based on children and parent characteristics, as well as nutritional status. Subjects were 2629 children, aged 2.0?12.9 years, included in the Southeast Asian Nutrition Study. The amount of the breakfast is categorized as very inadequate if <15 percent; inadequate if 15 to < 25 percent; or adequate if ? 25 percent of the Indonesian RDA. The quality of breakfast was categorized as ?not good?, if the breakfast skips one or more components of energy, protein and/or vitamins/minerals, or ?good? if the breakfast provides energy, protein and vitamins/minerals. The results indicated that on average only 31.6 percent of the children were categorized as having adequate breakfast consumption and 21.6 percent having good quality breakfast. Only 9.2 percent of children have adequate and good quality breakfast. Adequacy of breakfast differed between children, parent characteristics, and nutritional status, but only age has an association with the quality of breakfast (p<0.05). The nutrition education about good breakfast should be included as the part of curriculum, and school canteens provided a good food, as well as a campaign about Indonesian balanced nutrition slogan number 1 ?have breakfast every day? should be socialized.
FAKTOR – FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN ISPA PADA ANAK UMUR 6-59 BULAN DI NUSA TENGGARA TIMUR (ANALISA DATA SEKUNDER RISKESDAS 2007) Arif, Sunaryo; Sandjaja, Sandjaja; Herwanti, Bahar
Jurnal Nutrire Diaita (Ilmu Gizi) Vol 7, No 2 (2015): NUTRIRE DIAITA
Publisher : Lembaga Penerbitan Unversitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/nut.v7i2.1573

Abstract

AbstractAcute Respiratory Infection (ARI) is one of the major causes of mortality and morbidity in children. ARI symptoms is usually found in groups. ARI be a concern for both children in developing countries and developed countries. Children will be highly vulnerable to infection due to respiratory systems of the body are still low, which is why the prevalence and symptoms of ARI is very high for children. East Nusa Tenggara province is also the highest in the period prevalence of ARI amounted to 25.5%, according data of Riskesdas 2007. The purpose of this study was to determine the factors associated with the incidence of ARI in children aged 6-59 months in East Nusa Tenggara analysis data of Riskesdas 2007. The result showed that there was significant association between vitamin A supplementation with ARI (p-value <0.05), but there was no significant association between economic status, maternal education, demographic, nutritional status (WAZ, WHZ, HAZ ) with ARI (p-value> 0.05). The most influential factors on the incidence of respiratory infection in children aged 6-59 months in East Nusa Tenggara is giving vitamin A, so that parents who have children expected to regularly bring their children to the health service to get a capsule of vitamin A, in February and August.Keywords: Capsule of vitamin A, ARI, Child AbstrakInfeksi Saluran Pernafasan Akut (ISPA) merupakan salah satu penyebab utama kematian dan kesakitan pada balita. Gejala ISPA sangat banyak ditemukan pada kelompok masyarakat. ISPA menjadi perhatian untuk balita baik dinegara berkembang maupun dinegara maju. Balita akan sangat rentan terinfeksi penyebab ISPA karena sistem tubuh yang masih rendah, itulah yang menyebabkan angka prevalensi dan gejala ISPA sangat tinggi bagi balita. Menurut Riskesdas 2007, Nusa Tenggara Timur juga merupakan provinsi tertinggi dengan ISPA dengan period prevalence ISPA sebesar 25,5%. Tujuan penelitian ini adalah untuk mengetahui faktor-faktor yang berhubungan dengan kejadian ISPA pada anak umur 6-59 bulan di Nusa Tenggara Timur berdasarkan data sekunder Riskesdas 2007. Dari hasil penelitian didapat bahwa Terdapat hubungan yang bermakna antara pemberian kapsul vitamin A dengan kejadian ISPA (p-value <0,05) sedangkan antara status ekonomi, pendidikan ibu, demografi, status gizi (BB/U, BB/TB, TB/U) dengan kejadian ISPA tidak terdapat hubungan yang bermakna (p-value > 0,05). Faktor yang paling berpengaruh terhadap kejadian ISPA pada anak umur 6-59 bulan di Nusa Tenggara Timur adalah pemberian vitamin A sehingga dari hasil ini diharapkan kepada para orang tua, khususnya yang memiliki balita agar rutin membawa anaknya ke tempat pelayanan kesehatan untuk mendapatkan kapsul vitamin A, pada bulan Februari dan Agustus.Kata Kunci : Kapsul vitamin A, ISPA, anak
Hubungan Sarapan, Kecukupan Energi, dan Protein terhadap Status Gizi Remaja Usia 16 – 18 Tahun di Provinsi Lampung (Analisa Data Sekunder RISKESDAS 2010) Pertiwi, Irma; Sandjaja, Sandjaja
Jurnal Nutrire Diaita (Ilmu Gizi) Vol 6, No 1 (2014): NUTRIRE DIAITA
Publisher : Lembaga Penerbitan Unversitas Esa Unggul

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47007/nut.v6i1.1261

Abstract

AbstractThere are many and lack of public awareness about breakfast and the number of adolescents who are enrgy and protein consumption under %RDA. Purpose of this study analyze the relationship breakfast, adequacy of energy and protein on the nutritional status of adolescents aged 16-18 years old in the Province of Lampung. This study used secondary data of Riskesdas 2010 with a cross sectional survey design and analytic. Sampel obtained 387 people. Statistical testing using independent t-test and chi-square test. The statistical tests showed no significant association bertween breakfast energy intake (p≥0.05), protein intake (p≥0.05, and no significant relationship between breakfast, sufficient energy (p≥0.05), protein (p≥0.05) on the status adolescent nutrition. There needs to be outreach to teens about the importance of breakfast and its benefits for the body, as well as education about balanced nutrition. Keywords : breakfast, energy, protein, teenagers  AbstrakMasih banyak dan kurangnya kesadaran masyarakat mengenai sarapan dan banyaknya remaja yang konsumsi energi dan protein dibawah %AKG. Tujuan penelitian ini Menganalisa hubungan sarapan, kecukupan energi dan protein terhadap status gizi remaja usia 16-18 tahun di Provinsi Lampung. Penelitian ini menggunakan data sekunder Riskesdas 2010 dengan pendekatan cross-sectional dan design survey analitik. Sampel yang didapat 387 orang. Pengujian statistik menggunakan uji t-test independen dan uji chi-square. Dari hasil uji statistik menunjukkan tidak ada hubungan yang signifikan antara sarapan asupan energi (p≥0.05), asupan protein (p≥0.05) dan tidak ada hubungan yang signifikan antara sarapan, kecukupan energi (p≥0.05), protein (p≥0.05) terhadap status gizi remaja. Perlu adanya penyuluhan kepada remaja mengenai pentingnya sarapan dan manfaatnya bagi tubuh, serta penyuluhan mengenai gizi seimbang.Kata kunci: sarapan, energi, protein, remaja
QUANTITY AND QUALITY OF BREAKFAST OF CHILDREN AGED 2.0 TO 12.9 YEARS IN INDONESIA Harahap, Heryudarini; Widodo, Yekti; Sandjaja, Sandjaja; Khouw, Ilse; Deurenberg, Paul
GIZI INDONESIA Vol 42, No 1 (2019): Maret 2019
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v42i1.355

Abstract

Doing breakfast among children is a public health concern as seen at one of the messages in ‘Indonesian balanced nutrition which state ‘breakfast every day’. The aim of this analysis is to determine the quantity and quality of Indonesian children’s breakfast based on children and parent characteristics, as well as nutritional status. Subjects were 2629 children, aged 2.0–12.9 years, included in the Southeast Asian Nutrition Study. The amount of the breakfast is categorized as very inadequate if 15 percent; inadequate if 15 to 25 percent; or adequate if ≥ 25 percent of the Indonesian RDA. The quality of breakfast was categorized as ‘not good’, if the breakfast skips one or more components of energy, protein and/or vitamins/minerals, or ‘good’ if the breakfast provides energy, protein and vitamins/minerals. The results indicated that on average only 31.6 percent of the children were categorized as having adequate breakfast consumption and 21.6 percent having good quality breakfast. Only 9.2 percent of children have adequate and good quality breakfast. Adequacy of breakfast differed between children, parent characteristics, and nutritional status, but only age has an association with the quality of breakfast (p0.05). The nutrition education about good breakfast should be included as the part of curriculum, and school canteens provided a good food, as well as a campaign about Indonesian balanced nutrition slogan number 1 ‘have breakfast every day’ should be socialized.