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All Journal Jurnal Gizi dan Pangan Media Gizi Mikro Indonesia Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Jurnal Gizi Klinik Indonesia Journal of Community Empowerment for Health
Setyo Utami Wisnusanti
Departemen Gizi Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan Universitas Gadjah Mada
Biochemistry, Genetics & Molecular Biology Education Health Professions Medicine & Pharmacology Nursing Public Health Other

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KEADAAN MIKROBIOTA SALURAN CERNA PADA ANAK SEKOLAH DASAR YANG MENGALAMI STUNTING DI LOMBOK BARAT Siti Helmyati; Endri Yuliati; Setyo Utami Wisnusanti; Risnhukathulistiwi Maghribi; Mohammad Juffrie
Jurnal Gizi dan Pangan Vol. 12 No. 1 (2017)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (324.971 KB) | DOI: 10.25182/jgp.2017.12.1.55-60

Abstract

The purpose of this study was to compare the population of gut microbiota between the normal height and stunted in primary school children in West Lombok. The study design was observational study with comparative design. The study involved 115 primary school students with age 9-12 years old by simple random sampling. The research data included the measurement of height for age and gut microbiota analysis of faecal samples. Based on the results of t-test, the number of bacteria Lactobacillus in stunting group (6.96±0.94 log CFU/g) were significantly (p <0.05) lower than normal group (7,38±0,98 log CFU/g). The population of Bifidobacteria, Enterobacter, and E. coli were not different between the two group. However the trend of Bifidobacteria count in stunting group (8.19±0.74 log CFU/g) was lower than normal group (8.22±0.79 log CFU/g) while the number of Enterobacter and E. coli in stunting group (7.82±0.68 and 7.03±0.97 log CFU/g) were higher than the normal group (7.71±0.81 and 6.96±1.22 log CFU/g).
THE RELATION BETWEEN GUT MICROBIOTA AND OBESITY AMONG CHILDREN IN WEST LOMBOK, WEST NUSA TENGGARA, INDONESIA Siti Helmyati; Setyo Utami Wisnusanti; Maria Wigati; Endri Yuliati
Media Gizi Mikro Indonesia Vol 11 No 1 (2019): Media Gizi Mikro Indonesia Desember 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.76 KB) | DOI: 10.22435/mgmi.v11i1.1738

Abstract

Background. Obesity in children makes the higher risk of micronutrients deficiency, increase profile lipid, and promote cell inflammation. Some studies report that gut microbiota may have roles in body metabolism include obesity. Our study aimed to compare the number of Lactobacillus, Bifidobacteria, Escherichia coli, and Enterobacter between obese, normal, and wasted children. Methods. The study was performed in 115 healthy children in West Lombok, West Nusa Tenggara, Indonesia. The total number of bacteria was counted using a culture technique with selective media and total plate count method. Dietary intake assessed to all subjects using a semi-quantitative food frequency questionnaire. Data were analyzed using one-way ANOVA between three groups. Results. The result showed a significant difference in the number of Escherichia coli between obese, normal, and wasted children (p= 0.02), meanwhile there were no significant differences of dietary intake and the number of Lactobacillus, Enterobacter, and Bifidobacteria between the three groups. A potential mechanism by which dysbiosis may cause obesity is its ability to produce short-chain fatty acid (SCFA) by fermentation in the colon. It may increase gut permeability, ghrelin secretion, or bind to toll-like-receptor which leads to enhancement of free fatty acid, cholesterol, and adipose tissue synthesis. Conclusion. Dysbiosis often happened in obese children. Obese children tend to have an imbalance of gut microbiota. However, it needs further study to assess the effects of certain gut microbiota on dietary intake and their effects on obesity cases among children. Keywords: children, dysbiosis, gut microbiota, obesity
The tendency of parents’ perception about underestimating the body weight and height of their own children under five years old Siti Helmyati; Setyo Utami Wisnusanti; Dominikus Raditya Atmaka
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 7 ISSUE 1, 2019
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2019.7(1).1-8

Abstract

ABSTRAKLatar belakang: Proporsi balita gizi lebih dan gizi kurang masih cukup tinggi di Indonesia. Penanggulangan masalah gizi sangat penting dilakukan karena memiliki dampak kesehatan jangka panjang. Penyelesaian masalah gizi buruk dan gizi lebih di Indonesia terkendala dengan kurangnya efektivitas program intervensi dan pola asuh yang diberikan orang tua kepada anak. Salah satu hal yang mempengaruhi keberhasilan penanggulangan masalah gizi adalah persepsi orang tua terhadap status gizi balita.Tujuan: Penelitian ini bertujuan untuk menilai persepsi orang tua terhadap status gizi balita yang dikelompokkan antara berat badan atau tinggi badan menurut umur.Metode: Penelitian menggunakan desain potonglintang dengan memberikan kuesioner penilaian persepsi kepada orangtua yang memiliki anak balita dan datang ke posyandu di 11 Padukuhan di Kecamatan Seyegan, DI Yogyakarta. Penelitian berfokus pada penilaian persepsi orang tua terhadap berat badan dan tinggi badan anak menurut umur dan apakah orang tua mengalami underestimasi atau overestimasi terhadap status gizi anak-anaknya.Hasil: Terdapat 89 responden yang bersedia mengikuti penelitian ini. Dari jumlah tersebut, 27 orang tua (30%) memiliki overestimasi bahwa anaknya gemuk atau normal, padahal apabila menurut kurva z-skor, anak tergolong kurus. Terdapat 10 orang tua (11,2%) underestimasi terhadap tinggi badan anak yang sebenarnya normal atau tinggi namun dianggap pendek. Sebaliknya, 5 orang tua (5,6%) mengalami overestimasi dengan menganggap tinggi badan anaknya normal atau tinggi padahal sebenarnya tergolong pendek menurut kurva z-skor.Kesimpulan: Masih terdapat kesalahan persepsi orang tua terhadap status gizi anaknya. Penelitian lebih lanjut diperlukan untuk mendalami faktor-faktor yang mempengaruhi persepsi dan bagaimana cara mengubahnya sehingga pola asuh orang tua dan penerimaan terhadap program perbaikan gizi menjadi lebih baik.KATA KUNCI: persepsi; berat badan; tinggi badan; balita; status giziABSTRACT Background: The proportion of over- and under-nutrition is still high in Indonesia. Overcoming the nutritional problems is important since it can lead to long term health impacts. However, there are some problems that inhibit the intervention program such as low effectiveness and inappropriate parenting. One thing that affects the success of the program is about parents’ perception of the nutritional status of their children.Objectives: The study aimed to identify the perception of the parents towards the nutritional status of their children, which is categorized as body weight and height to age.Methods: The research use cross-sectional design by giving the questionnaire to the parents who have children under-five and go to Posyandu in 11 villages in Seyegan, DI Yogyakarta. The study focused on the judgment of the parents towards the height and weight to the age of their children and whether the parents under- or overestimate the nutritional status of their children. Results: There were 89 respondents following the study. From the number, there were 27 parents (30%) who overestimate their children by assuming the children to be overweight while according to z-score they was categorized as wasted. There were 10 parents (11.2%) who underestimate the height of their children by assuming that their children was stunted while they was not. On the other hand, 5 parents (5.6%) overestimate the height of their children by saying they had normal height while the fact they were stunted.Conclusion: There is still misperception among the parents about the nutritional status of their children. Further study is needed to identify what factors affecting the perception and how to change it so that the nutritional intervention program and parenting can be better.KEYWORDS: perception; body weight; body height; children under-five; nutritional status
Iron status and Hepcidin Level of normal and obese adolescents Setyo Utami Wisnusanti; Lily Arsanti Lestari; Siti Helmyati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 9 ISSUE 2, 2021
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2021.9(2).85-93

Abstract

ABSTRAK Latar Belakang: Faktor risiko anemia pada remaja obesitas meningkat dengan adanya gangguan homeostasis besi yang terjadi, ditandai dengan kadar feritin dan kadar hepcidin tinggi namun kadar hemoglobin rendah yang disebabkan oleh adanya inflamasi kronik derajat ringan terkait obesitas.Tujuan: Penelitian ini dilakukan untuk mengetahui hubungan antara obesitas, faktor perantara yang memengaruhi, dan kejadian anemia pada remaja usia 12-15 tahun di SMP di Kota Yogyakarta.Metode: Penelitian yang dilakukan adalah penelitian observasional dengan rancangan penelitian potong lintang pada 68 siswa SMP di Kota Yogyakarta yang mempunyai status gizi normal dan obesitas. Pengukuran tinggi badan, berat badan, indeks massa tubuh, kadar hepcidin, kadar feritin, kadar hemoglobin, dan penilaian asupan zat gizi responden dilakukan dalam satu kurun waktu yang hampir bersamaan.Hasil: Persentase anemia pada kelompok normal sebesar 15,15% sedangkan pada kelompok obesitas sebesar 2,85%. Pada penelitian ini, tidak terdapat perbedaan secara signifikan pada prevalensi anemia antara remaja status gizi normal dan obesitas (p=0,074). Median data kadar hemoglobin pada kelompok normal 14,2 g/dl dan kelompok obesitas 14,5 g/dl. Kadar feritin pada kelompok obesitas lebih tinggi secara signifikan dibandingkan dengan kelompok normal, masing-masing 9,7 ng/ml pada kelompok normal, 11,59 ng/ml pada kelompok obesitas sedang dan 15,81 ng/ml kelompok obesitas berat. Terdapat perbedaan signifikan pada kadar leukosit pada kedua kelompok responden (p=0,0443), namun tidak terdapat perbedaan signifikan pada kadar hepcidin (p=0,511). Tidak terdapat korelasi antara kadar hepcidin dan feritin pada seluruh responden (p=0,396), serta terdapat korelasi positif tingkat rendah antara kadar feritin dan hemoglobin pada seluruh responden (p=0,0008).Kesimpulan: Terjadi proses inflamasi kronis derajat ringan pada kelompok obesitas, namun tidak terjadi gangguan metabolisme besi akibat inflamasi. Penelitian lebih lanjut dibutuhkan untuk menggali hubungan anemia dengan obesitas di masa dewasa.KATA KUNCI: anemia; gizi remaja; Hemoglobin; obesitas    ABSTRACT Background: The risk factor for anemia in obese adolescents is increased by the presence of iron homeostatic disorder that occurs, characterized by high levels of ferritin and hepcidin levels but low hemoglobin levels which is caused by mild chronic inflammation associated with obesity.Objectives: This study was conducted to determine the relationship between obesity and intermediary factors that affect the incidence of anemia in adolescents aged 12-15 years in Junior High School, Yogyakarta.Methods: This study was observational research with a cross-sectional study design on 68 junior high school students in Yogyakarta City who had normal and obese nutritional status. Measurement of height, weight, body mass index, hepcidin levels, ferritin levels, hemoglobin levels, and assessment of nutrient intake of respondents performed in a period of time.Results: The percentage of anemia in the Normal Group (NG) was 15.15% meanwhile in the Obese Group (OG) was 2.85%. In this study, there was no significant difference in the prevalence of anemia between NG and OG (p=0.074). Median data hemoglobin levels in the NG were 14.2 g/dl and in the OG was 14.5 g/dl. Surprisingly, there was a significantly higher level of ferritin found in the OG than NG, respectively 9,7 ng/ml in NG, 11.59 ng/ml in the moderately obese group, and 15.81 ng/ml severe obese. There was a significant difference in leukocyte levels between groups (p = 0.0443), however, there was no significant difference in hepcidin levels (p=0.511). There was no correlation between hepcidin and ferritin levels in all respondents (p=0.396), and there was a low positive correlation between ferritin and hemoglobin levels in all respondents (p=0.0008).Conclusions: Low-grade chronic systemic inflammation occurs in the OG, but no iron metabolism disorder occurs due to inflammation. Further study is needed to explore the correlation between anemia and obesity in adulthood.KEYWORDS: adolescents; anaemia; Haemoglobin; obesity
Initiation of Sekolah Sadar Gizi by conducting nutritional status assessment and nutritional education to junior high school student Siti Helmyati; Emy Huriyati; Setyo Utami Wisnusanti; Maria Wigati
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.716 KB) | DOI: 10.22146/jcoemph.46265

Abstract

School is a strategic place to form nutrition behaviors of the students, for example, is by initiating Sekolah Sadar Gizi (Nutrition Awareness School). The first step to initiate Sekolah Sadar Gizi is collecting the nutrition situation data of the students. Nutrition education and nutritional status assessment are examples of how the data can be collected. This is a community services program aimed to provide the nutrition situation of the students and to educate the students to initiate Sekolah Sadar Gizi. The activities were conducted in August – October 2017 at Muhammadiyah 3 Junior High School. There were 2 main activities, nutritional status assessment, and nutrition education. The results show that over-nutritional and under-nutritional problem happened in all classes, either class 7, 8, or 9. The highest number of stunted and obese children is in class 8 which was around 7% and 15%. Meanwhile, the number of wasted children was around 5% and obese children were around 20%. From nutrition education which followed by Palang Merah Remaja of the school, the score of 60% of the participants was increasing. Considering the burden of nutritional problems in the school, initiation of Sekolah Sadar Gizi is highly recommended.
Factors associated with food choice motives of adolescents in Yogyakarta Special District Rifka Wahyuningtyas; Setyo Utami Wisnusanti; Mutiara Tirta Prabandari Lintang Kusuma
Jurnal Gizi Klinik Indonesia Vol 18, No 2 (2021): 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.63152

Abstract

Background: Adolescents begin to have eating autonomy which causes changes in behavior and habits related to food selection. Various factors are considered to be able to influence food choice motives. Objective: The study aimed to determine factors related to adolescents' food choice motives. Methods: A cross-sectional study involving 121 students who studied at two state Junior High schools in Yogyakarta Special District (YSD) from April to May 2020. The independent variables are gender, perception of body image, nutritional knowledge, peer influence, school location, amount of pocket money, family income, parental education, and media influence. The dependent variables are nine food choice motives. Data collection was used online questionnaires via an online form. The data were analyzed by using multiple linear regression. Results: Most respondents had health motive as their primary motive in food choice, followed by natural content, price, and ethical concern. This research also found that there was a relationship between nutritional knowledge with a natural content motive; media influence, nutritional knowledge, and amount of pocket money with ethical concern motive; parental education with price motive; perception of body image, media influence, amount of pocket money, and nutritional knowledge with weight control motive (p<0,05). Conclusions: Perception of body image, nutritional knowledge, media influence, amount of pocket money, and parental education were related to the food choice motives of adolescents. Future intervention strategies related to healthy eating behavior in adolescents can be designed based on these factors.* Presented at the International Nutrition and Health Symposium (INHESION) on Sunday, November 15th, 2020, in Yogyakarta, organized by HIMAGIKA and the Department of Health Nutrition, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada
Customer satisfaction survey, menu development and HACCP training to improve the food service quality of canteens Dwi Budiningsari; Siti Helmiyati; Setyo Utami Wisnusanti; Lily Arsanti Lestari; Sridanti Annissa Putie
Journal of Community Empowerment for Health Vol 6, No 1 (2023): Vol 6, No 1 (2023)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.77001

Abstract

Canteen is an important aspect of the food environment in providing healthy food and supporting good nutrition status. The food service quality of the canteens could be improved by customer satisfaction survey and followed up with staff training. This study aimed to measure customer satisfaction via surveys and identify the impact of menu development training as well as HACCP training for canteen staff. The survey was collected using an online form involving 1,022 customers. The training was attended by 31 canteen staff. In addition to menu development-training, we also conducted Hazard Analysis Critical Control Point (HACCP) training. Menu development training includes topics such as menu variation, creating new recipes, and food traffic light system. A descriptive post evaluation was conducted to evaluate the impact of the training. A 6-question survey to assess how well the canteen staff retained knowledge from the provided food safety training were performed. From the survey, it was obtained the mean score for each indicator as follows: 3.32 for food taste, 3.22 for menu variation, 3.48 for canteen hospitality, 3.43 for canteen cleanliness, and 3.14 for food prices. The staff gave responses that the training was useful to increase foodservice quality and board the healthy food knowledge of canteen staff. Food traffic light systems that were placed in front of the counters could help customers to choose healthier foods. The results of HACCP training showed that all participants got more than half of the questions right. The responses of surveyed staff members suggest that the training was useful in increasing food service quality as well as food safety knowledge and practices of canteen staff. Sustainability of training impacts should be evaluated to gain comprehensive evaluation and identify further intervention to improve the food quality of canteens.
Co-Authors Dominikus Raditya Atmaka Emy Huriyati Endri Yuliati Lestari, Lily Arsanti Lily Arsanti Lestari Maria Wigati Mohammad Juffrie Mutiara Tirta Prabandari Lintang Kusuma R. Dwi Budiningsari Rifka Wahyuningtyas Risnhukathulistiwi Maghribi Siti Helmiyati Siti Helmyati Siti Helmyati Siti Helmyati Siti Helmyati Sridanti Annissa Putie