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Djoko Kartono
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Journal : GIZI INDONESIA

ASUPAN IODIUM ANAK USIA SEKOLAH DI INDONESIA Djoko Kartono; Donny K. Mulyantoro
GIZI INDONESIA Vol 33, No 1 (2010): Maret 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v33i1.82

Abstract

IODINE INTAKE AMONG SCHOOL-AGED CHILDREN IN INDONESIAIodine Deficiency Disorders (IDD) has been recognized in many areas mainly around volcanoes in Indonesia for a long time. Fortification of salt with iodine has been used for national IDD control for over two decades. Monitoring survey of iodized salt was conducted regularly by Central Bureau of Statistics and Ministry of Health. In 2007, national survey on iodine was conducted by Ministry of Health through Basic Health Research. The objective of this article is to study the intake of iodine through iodized salt at household level and urinary iodine concentration (UIC) among school-aged children (6-12 years). Rapid test for iodine content in households salt was carried out throughout the country (280.000 households). Meanwhile, the UIC of 8.250 children’s casual urin sample were carried out from 30 selected districts/cities. Selection of 30 districts/cities was using stratified random sampling from all districts/cities throughout the country. Overall, from the rapid test survey showed that 62,3% households salt contained sufficient iodine. Only 14% of households salt contained no iodine. The median value of UIC among school-aged children was 224 µg/L or far higher than the define population of iodine deficiency. The distribution of UIC values were as follows: 12,9% of children had UIC value less than 100 µg/L, 65,2% between 100-299 µg/L, and 21,9% had UIC value 300 µg/L or over. UIC value of 300 µg/L or over is regarded as having the risk of iodine excess. Children with UIC value 300 µg/L or over were found in almost all of the districts/cities. The majority of household salt contained iodine but has not reached the universal salt iodisation. Median value of UIC of school age children that is the proxy of iodine intake is under the tolerable upper intake level.Keywords: school aged children, household, iodized salt, urinary iodine
HUBUNGAN ANTENATAL CAREDENGAN BERAT BADAN LAHIR BAYI DI INDONESIA (ANALISIS LANJUT DATA RISKESDAS 2010) Fitrah Ernawati; Djoko Kartono; Dyah Santi Puspitasari
GIZI INDONESIA Vol 34, No 1 (2011): Maret 2011
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v34i1.98

Abstract

Prevalensi BBLR di Indonesia cukup tinggi mencapai 11,5 persen (Riskesdas 2007). Berat badan lahir sangat berpengaruh terhadap status kesehatan di masa dewasa. Berat badan lahir rendah (BBLR), yaitu berat lahir kurang dari 2500 gr, berkorelasi erat dengan penyakit degenerative diusia dewasa (Barker 1998). Tujuan penelitian adalah meneliti hubungan kunjungan antenatal dengan berat badan lahir di Indonesia. Penelitian ini merupakan analisis lanjutdata Riskesdas 2010. Sampel penelitian adalah seluruh ibu yang mempunyai anak usia satu tahun ke bawah yang mempunyai data berat badan lahir dari sampel Riskesdas 2010. Jumlah sampel 2926 anak usia kurang dari satu tahun. Variabel yang diteliti meliputi: ANC, paritas, umur ibu saat melahirkan, jarak kelahiran, ditimbang saat ANC, diukur tinggi badan, diukur tekanan darah, diperiksa air seni,diperiksa darah (hb),dijelaskan tanda komplikasi, disuntik TT, diberi pil besi, tinggi badan ibu, status ekonomi. ANC dikatagorikan baik jika memenuhi syarat minimal satu kali kunjungan pada trimester satu, satu kali pada trimester dua dan dua kali pada trimester tiga. Untuk mengetahui hubungan ANC dengan kejadian BBLR menggunakan uji statisik regresi logistik Ganda. Hasil uji bivariat menemukan variabel yang berpotensi menjadi variabel yang berhubungan dengan berat badan lahir (p0,05) yaitu kunjungan ANC, penjelasan tanda komplikasi saat ANC, dan jarak lahir. Setelah dilakukan uji multivariate menunjukkan adanya hubungan yang signifikan antara ANC dengan kejadian BBLR dengan OR 1.8 (CI 95%: 1.3 - 2.5). Artinya ibuyang melakukan kunjungan ante-natal care lebih dari 4 kali mempunyai peluang untuk tidak melahirkan anak BBLR sebesar 1,8 kali dibandingkan dengan ibu yang melakukan ante-natal care kurang dari 4 kali. Hasil uji interaksi dan uji confounding tidak menemukan adanya interaksi diantara variabel independen dan pengaruh variabel confoundingterhadap hubungan antara ANC dengan kejadian BBLR.Kata kunci: antenatal care, BBLR, paritas, jarak kelahiran