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Hubungan konsumsi makanan dan kadar hemoglobin (Hb) dengan prestasi belajar siswa SLTP Kota Palembang Sartono Sartono; Wiryatun Lestariana; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 4, No 1 (2007): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Nutrition problems may happen to all groups of ages. A problem at a particular age group may affect nutrition status of the next periodic life cycle (intergenerational impact). Malnourished children may encounter physical growth, mental and intellectual disorder. Someone’s nutrition status may be affected by food consumption supply. Nutrition status can affect children schooling and academic achievement. Children suffering from iron deficiency have lower score in cognitive growth, study and academic achievement.Objective: To identify relationship between food consumption and haemoglobin (Hb) level and academic achievement of junior high school students at Palembang Municipality.Method: The study was an analytical survey with cross sectional design. Population and samples were junior high school students at Palembang Municipality as subject of the study. Samples were chosen with multistage sampling design, the group was randomly selected and samples of each junior high school and grade were chosen using proportional stratified random sampling technique. Data analysis used univariable, bivariable and multivariable techniques. Bivariable statistical test was used to identify relationship between food consumption and academic achievement and between Hb level and academic achievement; whereas regression test was used to identify relationship between food consumption and Hb level. Meanwhile, multivariable analysis used double linear regression. Data of food consumption were processed using NutriSurvey program for Windows. All data were then processed with SPSS program version 10.Result: There was relationship between food consumption (energy, protein, vitamin C, zinc intake) and academic achievement (energy: p=0.001, r=0.372; protein: p=0.046, r=0.209; vitamin C: p=0.009, r=0.273; zinc: p=0.042, r=0.214), and there was relationship between Hb level and academic achievement (p=<0.001, r=0.421). There was relationship between food consumption (energy intake) and Hb level. (p=0.051, r=0.205).Conclusion: The result of multivariable showed that only Hb level had significant relationship with academic achievement (p=<0.001, B=2.077).

Pengaruh penyuluhan dengan media audio visual terhadap peningkatan pengetahuan, sikap dan perilaku ibu balita gizi kurang dan buruk di Kabupaten Kotawaringin Barat Propinsi Kalimantan Tengah Ira Rahmawati; Toto Sudargo; Ira Paramastri
Jurnal Gizi Klinik Indonesia Vol 4, No 2 (2007): November
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.17478

Background: The incident of malnutrition, when it is being examined, will caused mortality in 54% children under five years old. Malnutrition in children under five years old based on districts in Indonesia with prevalence of > 40% (very high) is located in 35 districts which one them is West Kotawaringin district (Kobar). The result of nutrition status measurement survey or statistic center survey in Kobar district in the year of 2005 showed that the prevalence of lack nutrition of children under five years old was 13.1 % and malnutrition was 2.3%. Children under five years old who were below the red line from January to May 2006 was 5%, 4%, 4%, 4.1% and 4.6%. The improvement of nutrition condition is necessary to improve health, decrease mortality rate of infants and children under five years old, improve the ability of growth, physical, mental, child social, work productivity as well as academic achievement. One of the approaches that are often used is by conveying message or information through education, teaching and information so that it can be well obtained and understood.Objective: This research was aimed to improve knowledge, attitude and behavior of mother of children under five years old who joint the health information with audiovisual media, module and control as well as to find out the different level of the improvement before and after intervention.Method: This was a quasi-experimental research that used pretest – posttest with control group design (random allocation). The population was allocated in three groups; control, treatment and audiovisual groups with 15 mothers who had mildly and severely malnourished children under five years of age respectively.Result: The improvement of knowledge, attitude and behavior of mothers who had children under five years old who joint the information with audiovisual media was higher than those who joint the information with module and control group. There was a difference on knowledge, attitude and behavior of mother of children under five years old before and after intervention.Conclusion: The result of the research showed that, in general, audiovisual method was better than module method and module method was better than without intervention (control group). Therefore, audiovisual was the best method to be used.

Pengetahuan dan sikap suami behubungan dengan perilaku keluarga mandiri sadar gizi (kadarzi) di Kota Bandung Provinsi Jawa Barat Misbakhudin Misbakhudin; Toto Sudargo; Muhammad Dawam Jamil
Jurnal Gizi Klinik Indonesia Vol 5, No 1 (2008): 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.17513

Background: A nutrition awareness of family (kadarzi) can be actualized through family empowerment by improving knowledge and attitude toward nutrition alert behavior. To implement the program of kadarzi needs a motivator, i.e. a husband as head of the family. The result of kadarzi mapping at Bandung Municipality in 2005 showed that 57.23% of families were not nutrition alert. Therefore, it is necessary to study the relationship between knowledge and attitude of husbands and behavior of kadarzi.Objective: To identify the relationship between knowledge and attitude of husbands and behavior of kadarzi.Method: The study was observational with cross sectional design using quantitative method. Analysed units were 378 households with husbands and wives as respondents. Location of the study was Bandung Municipality and samples were taken using multistage cluster technique. Data of knowledge and attitude of husbands in kadarzi were obtained through observation using check list. Data analysed with univariable and bivariable technique; statistical test used chi square (χ2 ) and multivariable analysis used logistic regression statistical test.Results: Knowledge of husbands on kadarzi was 63.2% belonged to high category and 36.6% belonged to low category. Attitude of husbands toward kadarzi was 53.2% belonged to strong category and 46.8% belonged to weak category. As much as 69.60% of families had not practiced kadarzi and 30.40% had practiced kadarzi. The result of statistical test showed that there were significant relationship between knowledge and attitude of husbands and behavior of kadarzi, wives’ level of education and activities and behavior of kadarzi (p<0.05).Conclusion: There was a siginifcant relationship between knowledge and attitude of husbands and behavior of kadarzi when control variables of wives’ education and activities were included in the analysis.

Asupan yodium dan asupan goitrogenik hubungannya dengan status gangguan akibat kekurangan yodium (GAKY) pada anak sekolah dasar di Kabupaten Dairi Provinsi Sumatera Utara Urbanus Sitohang; Toto Sudargo; Dhuto Widagdo
Jurnal Gizi Klinik Indonesia Vol 5, No 2 (2008): November
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.17551

Background: Iodine deficiency disorder (IDD) is a health problem which affects the quality of human resources. IDD is caused by lack of iodine substance. The substance is needed for numerous syntheses and metabolism in the body, particularly thyroid glands. IDD may also be caused by high consumption goitrogenic substance.Objective: The study was meant to identify relationship between iodine and thiocyanate intake and IDD, and to identify differences in iodine and thiocyanate intake based on endemic level.Method: This was an observational study with cross sectional design. Method used were palpation of goiter glands to measure endemic level, food recall, and food frequency questionnaire (FFQ) to measure iodine and thiocyanate intake, ammonium persulfate digestion to measure urine iodine excretion. Data analysis used chi-square, Pearson correlation and anova.Results: The result of chi-square analysis showed that there was no significant relationship between iodine intake and IDD (p > 0.05, CI 95%: 0,34–1,18), but there was significant relationship between iodine intake and urine iodine excretion (p < 0.05, CI 95%: 2.2–7.2) with OR 3.9. There was significant relationship between IDD and thiocyanate intake (p < 0.05, CI 95%: 3.0–11.3) with OR 5.9, but there was no significant relationship between thiocyanate intake and urine iodine excretion (p > 0.05, CI 95%: 0.48–1.97). The result of Pearson correlation test showed that there was no significant relationship between iodine and thiocyanate FFQ and IDD (p > 0.05); there was no significant relationship (but there was a tendency) between thiocyanate FFQ and IDD (p > 0.05). There were significant differences in iodine intake, thiocyanate intake, iodine FFQ and thiocyanate FFQ based on endemic level (p > 0.05).Conclusion: There was relationship between iodine intake and IDD/non-IDD, but there was relationship between urine iodine excretion and IDD. Children with IDD had higher consumption of thiocyanate than those who did not have IDD. There were differences in all measurements based on endemic level.

Faktor-faktor yang berhubungan dengan kejadian GAKY pada anak sekolah dasar di pinggiran pantai Kota Palu Provinsi Sulawesi Tengah Normawaty Patuti; Toto Sudargo; Deddy Nur Wachid
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.17611

Background: Iodine deficiency disorder (IDD) is one of serious health problems considering that it has great impact to survival and quality of human resources. The core problem of IDD is initially caused by lack of iodine in water and soil, then heightened by goitrogenic substances in the food consumed, more pollutants as side effects of industrial waste, the blocking agent which naturally exists in water and soil in the surrounding dwelling places.Objective: The study aimed to identify factors affecting the prevalence of IDD among elementary school children at coastal region.Method: The study was analytic observational with cross sectional design. Population and samples of the study were elementary school children of grade 4-6 proportionally chosen that fulfiled inclusion criteria. Variables observed were consumption pattern, environment (drinking water plumbum), and children’s hemoglobin. Data analysis used computer software at signifiance level p<0.05 and confience interval 95% and estimation of risk level (Odds Ratio) with chi square. The result of analysis was presented in frequency distribution table and percentage. Analysis of food nutrient was done with recall 24 hours, dietary history. Examination was made to thyroid gland palpation and hemoglobin using cyanomethemoglobin and drinking water plumbum using Atomic Absorption Spectrophotometer.Result: The result of independent and dependent statistical test showed that there was signifiant effect of consumption pattern of protein source to the prevalence of IDD (p<0.05), iron source to the prevalence of IDD (p<0.05), zinc source to the prevalence of IDD (p<0.05), iodine source to the prevalence of IDD (p<0.05) and hemoglobin source to the prevalence of IDD (p<0.05). Meanwhile, there was no effect of source goitrogenic (thiocyanate) to the prevalence of IDD (p>0.05), drinking water plumbum level to the prevalence of IDD (p>0.05).Conclusion: There was signifiant effect of consumption pattern of protein, iodine and hemoglobin level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality. There was no effect of drinking water plumbum level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality.

Efek minuman kombinasi maltodekstrin dan vitamin C terhadap VO2maks atlet sepak bola Desty Ervira Puspaningtyas; Toto Sudargo; Arta Farmawati
Jurnal Gizi Klinik Indonesia Vol 12, No 1 (2015): 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.22831

Background: VO2max is one of win determiner in a game. Athletes receive training to improve technical skills, tactical skills, and physiology functions that can support the improvement of VO2max, so they can improve their achievement. Maltodextrin and vitamin C can be used as an ingredient for beverage products which can improve VO2max.Objective: To assess the effect of maltodextrin and vitamin C combination drink on VO2max in soccer athletes.Method: Type of this study was experimental design with the same subject design. The study was conducted from January 2014 until June 2014 at Culinary Laboratory Universitas Gadjah Mada (UGM) and Stadium of Universitas Negeri Yogyakarta (UNY). Subjects of this study were 14 soccer players coming from Universitas Negeri Yogyakarta (UNY). Every subject had to fulfill the inclusion and exclusion criteria, and the subjects were chosen by purposive sampling. In the first treatment, subjects received the combination drink―a drink with a composition 15% of maltodextrin and 250 mg of vitamin C in 300 mL. After 6 days washout period, subjects received 300 mL plain water. Drinks were given 30 minutes before VO2max test. VO2max test method used in this study was yo-yo intermittent recovery test level 2 (IR-2).Results: VO2max when subjects consumed maltodextrin and vitamin C combination drink was significantly lower than VO2max when athletes consumed plain water (p=0,0000).Conclusion: Maltodextrin and vitamin C combination drink was less effective than plain water to enhance VO2max.

Pengaruh pendidikan kesehatan melalui short message service (sms) dan booklet tentang obesitas pada remaja overweight dan obesitas Usi Lanita; Toto Sudargo; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 12, No 1 (2015): 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.22920

Background: Adolescent is an important period to be considered because it is a transition period between children and adult. Nutrition problem in an adolescent is while the decline of physical activity, teenage generally have a big appetite, hence, they often look for additional food. The majority of diet that teenage like are an energy dense, sweet, and high-fat foods, which could have a risk of causing overweight and obesity if consumed excessively. Therefore, one of the efforts to overcome the nutrition problem is given a health education to teenage.Objective: To seek for the effect of health education by short message service (SMS) and a booklet about obesity on knowledge and body mass index (BMI) in an overweight and obese adolescent.Method: This study used a quasi-experiment with pre-test and post-test design. The subject were 105 respondents of overweight and obese senior high school students. The data were analyze used a paired t-test and ANOVA with p=0.05 and CI=95%.Results: Health education by SMS, booklet and the combination of SMS and booklet had a significant effect statistically (p<0.05) on knowledge in an overweight and obese adolescent. The combination of SMS and booklet had a significant effect statistically on BMI. The result of ANOVA in knowledge variable showed that combination of SMS and booklet group is more effective than other groups. Whereas health education of BMI variable by SMS, booklet, and the combination of SMS and booklet were not effective (p>0.05) to reduce BMI in an overweight and obese adolescent.Conclusion: Health education by SMS, booklet, and combination of SMS and booklet have an effect on increasing the knowledge in overweight and obese adolescent, whereas on BMI, only SMS and booklet have an effect on reducing BMI.

Estimasi asupan indeks glikemik dan beban glikemik dengan kontrol gula darah pasien diabetes melitus tipe 2 Sinta Mukti Permatasari; Toto Sudargo; Luthfan Budi Purnomo
Jurnal Gizi Klinik Indonesia Vol 12, No 2 (2015): Oktober
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.23116

Background: Non-infectious disease (NID) has become a public health problem both globally, regionally, nasionally, and locally. One of NID that takes a lot of attention is diabetes mellitus (DM). Risk of complication is higher due to lack of attention to lifestyle including diet. The concept of the glycemic index classifies carbohydrate is considered better in controlling blood sugar. However, some studies say otherwise. Therefore, research needs to be done by combining carbohydrate quantity concept (glycemic load) and glycemic indexObjective: To identify the relationship between estimated dietary glycemic index and glycemic load with blood sugar control, as well as to identify other factors associated with glycemic control of patients with type 2 diabetes mellitusMethod: This is an observational study with cross-sectional design. The population study were all outpatients with type 2 diabetes mellitus in Dr.Sardjito hospital Yogyakarta in 2014. Sampling method using a consecutive sampling with sample size of 79 people. Interviews regarding the identity of the respondents through questionnaires, physical activity (IPAQ), and semi-quantitative food frequency (SQFFQ). Blood sugar control (HbA1C) obtained from respondent’s medical record. The data were processed using univariable analysis (descriptive), bivariate (chi-square), and multivariate (GLM)Results: Most respondents were blood sugar uncontrolled (84,81%). Average of dietary GI and GL was 63,26±3,23 and 127,65±43,02. Bivariate test showed that the dietary GI and GL each has a RP value 1,023 and 1,002, and statistically significant (p<0,05) with HbA1C. The prevalence of uncontrolled blood sugar 4,18 times greater in respondents who doesn’t have appropriate eating schedule. Duration of diabetes, nutritional status, physical activity, and education level did not significantly influence HbA1C (p>0,05)Conclusion: There is a relationship between dietary GI, GL, and eating schedule with blood sugar control (HbA1C), but there was no correlation between duration of diabetes, nutritional status, physical activity, and education level with blood sugar control (HbA1C)

Hambatan pemberian ASI ekslusif pada ibu bekerja: teori ekologi sosial Rakhmawati Agustina; Yayi Suryo Prabandari; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 17, No 2 (2020): Oktober
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.50155

Obstacles of providing exclusive breastfeeding among working mothers using social-ecological theoryBackground: The coverage of exclusive breastfeeding (EBF) in Indonesia was increased to 38% but it was lower than the Millennium Development Goals (MDGs) target (80%). One of the influence factors is to return to work. Society assumed that a mother who stays at home more successful to provide EBF than working mothers. A previous study indicated that some obstacles become early cessation factors among working mothers.Objective: To explore the obstacle of breastfeeding using social-ecological theory.Methods: Qualitative research inquiry based on phenomenology design. Informants were chosen through purposive sampling. Inclusion criteria were working mothers who succeeded provide exclusive breastfeeding, had children age 6-24 months, lived, and formally worked at Manado. Data triangulation was conducted through in-depth interviews with the manager/supervisor/colleague. Data collected using in-depth interviews and observation.Results: A total of twelve informants have interviewed consists of six working mothers and six triangulation informants. The result indicated that lack of confidence was related to providing exclusive breastfeeding. This is caused by family influence, culture, health provider, and lack of awareness from the working place. A support group was the main factors that influence the mother to overcome all obstacles.Conclusions: The main obstacles for working mothers to provide EBF come from interpersonal factors that determined by other factors: intrapersonal, organizational, community. Therefore working mothers need breastfeeding preparation since early pregnancy to decrease breastfeeding obstacles.

Pengaruh Intervensi Gizi terhadap Pemenuhan Zat Gizi Makro Atlet MIrza Hapsari Sakti Titis Penggalih; Mohammad Juffrie; Toto Sudargo; Zaenal Muttaqien Sofro
JURNAL NUTRISIA Vol 21 No 1 (2019): Maret 2019
Publisher : Poltekkes Kemenkes Yogyakarta

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

Latar Belakang: Prajurit TNI AD dituntut memiliki kebugaran fisik prima yang disiapkan untuk tugas operasi. Nilai kebugaran fisik dapat dipertahankan apabila memiliki asupan gizi yang baik yaitu asupan energi, vitamin C, dan air. Tujuan: Menganalisis hubungan tingkat kecukupan energi, vitamin C dan air dengan kebugaran fisik prajurit. Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain cross sectional. Sampel penelitian sebanyak 81 tentara yang tinggal di asrama diambil secara systematic random sampling. Analisis data menggunakan uji korelasi spearman. Hasil: Terdapat hubungan yang signifikan antara tingkat kecukupan energi (p=0,000), vitamin C (p=0,010) dengan kebugaran fisik. Tidak terdapat hubungan yang signifikan antara tingkat kecukupan air (p=0,311) dengan kebugaran fisik. Kesimpulan : Prajurit yang memiliki tingkat kecukupan zat gizi baik akan memiliki kebugaran fisik baik.

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