Jurnal Nutrisia
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Apakah Ibu Bekerja Mempengaruhi Asupan Anak dan Menyebabkan Kegemukan? Sebuah Penelitian Kasus Kontrol
Get PDFBackground:Nowadays, more mothers are choosing to work so they must divide their time between responsibilities. More time spent working will be reduce time for household chores, care and play with the children. Reduced time for household and child can affect food choices in children that can lead to obesity in children.
Objective: to identify maternal employment as risk factor of obesity in preschool children and corelation between working hours and nutrition intake.
Method:A case control study on preschool children aged 3-5 years, 101 cases have nutritional status weight-fot height: Obese (z-score> 2 SD), matching for age and sex with 101 controls that have nutritional status weight-fot height: normal (-2<z-score ≤2 SD). The study was conducted in the city of Yogyakarta early childhood during the months of June through October 2015. Information obtained through interviews with mothers using semi-quantitative FFQ questionnaire.
Result:Maternal employment (OR 1.53; 95% CI: 0.80 to 3.00) and full time working hours (OR 1.57; 95% CI 0.88 to 2.86) was not statistically significant (p> 0 , 05) as risk factors of obesity in preschool children aged 3-5 years. Working hours was not statistically correlated (p> 0.05) with energy (r = -0.04), carbohydrate (r = -0.10), protein (r = -0.00), and fat (r = 0.02).
Conclusion:Maternal employment and working hourswere not statistically significant as risk factors, but tend to increase likelihood of obesity in preschool children and there is no correlation between working hours and nutrition intake (energy, carbohydrates, protein, and fat)
Key words: childhood obesity, maternal employment, preschool children, nutrition intake, working hour
Pengaruh Pola Pemberian Susu Formula terhadap Kejadian Diare pada Baduta
Get PDFBackground : Malnutrition on toddler will lead to impaired growth and development, including the risk of infectious diseases. In Indonesia, diarrhea is the second killer on toddler after Accute Respiratory Tract Infection, related barriers to exclusive breastfeeding program. The prevalence of diarrhea in Indonesia fell from 9% (2007) to 3.5% (2013), but in Yogyakarta the prevalence of diarrhea is still quite large (6.6%), which affects children aged 1-4 years (12 , 2%) and infants (11.2%).
Objective : To determine the effect of formula feeding pattern to the diarrhea’s incidence on children under 2 years.
Methods : This observational study with cross-sectional design involves 43 children under 2 years. Children with chronic diseases, gastrointestinal disorders, and have lactose intolerance or allergy on formula milk excluded. The dependent variable is diarrhea’s incidence, the independent variables is formula feeding pattern. Outer variables are exclusive breastfeeding history, maternal age, parental education, parental income, children’s diet, and children’s disease history. Data were analyzed using univariate, bivariate, and multivariate test.
Results : Exclusive breastfeeding history affects the formula feeding pattern on the childrens (p-value = 0.001), but the other outer variables have no effect. Fisher’s Exact test shows that the formula feeding pattern does not affect the diarrhea’s incidence (p-value
= 1.000).
Conclusions : The formula feeding pattern does not affect the diarrhea’s incidence, but influenced by the exclusive breastfeeding history on the children.
Keywords : Formula feeding pattern, exclusive breastfeeding, diarrhea, children under 2 years
Pengaruh Pengetahuan Dan Sikap Ibu Hamil Serta Peran Bidan Terhadap Pola Konsumsi Mineral Pada Ibu Hamil Di Wilayah Puskesmas Banyumas
Get PDFBackground: The mother's health condition before and after the very pregnant determines the health of pregnant women. So for the sake of the success of the pregnancy, the mother's nutritional state at the time of conception must be in good condition, and during pregnancy should get an extra energy, protein, vitamins, and minerals. The State of health of pregnant women depends on the patterns of everyday food that can be determined by the quality and quantity of the dishes. According to l. Behavioral health is influenced by three factors, namely predisposing factors (knowledge, attitude, belief, education and social levels), factor endowments (health facilities and infrastructure, and the availability of nutritious food), and the amplifier (the role of family, friends, teachers and health workers). Therefore need to do analysis on the influence of the knowledge and attitude to pregnant women as well as the role of the midwife's response to dietary minerals (iron, calcium, and iodium) on pregnant women in work-area Clinics Banyumas
Objective: The purpose of this study was to determine the influence of knowledge and attitude of pregnant women and the role of midwife to the consumption patterns of minerals (iron, calcium, and iodine) in pregnant women. Methods : This research is quantitative research survey approach using the analytic cross-sectional study design. The research was conducted in June - Juli of 2015 at the Banyumas Primary Health Center with a sample of 80 people selected by simple random sampling. Data was collected using a questionnaire and food frequency questionnaire and then conducted data analysis of bivariate, and multivariate analyzes.
Results : using bivariate chi-square analysis showed that factors associated with mineral consumption patterns in pregnant women is knowledge (p = 0.013). The factors that are not related to mineral consumption patterns in pregnant women is the attitude (p = 0.072) and the role of midwife (0,113). Multivariate analysis using logistic regression showed that the most influential factor on the consumption patterns of minerals in pregnant women is knowledge (Exp (B) = 3.462).
Conclusion : It is recommended to pregnant women to increase her knowledge in order to increase mineral consumption patterns.
Keywords : Knowledge, Attitude, Midwife, Minera
Kadar C-Reactive Protein dan Laju Filtrasi Glomerulus Pasien Diabetes Melitus Tipe 2 Obesitas di RSUD Margono Soekarjo Purwokerto
Get PDFBackground. C-Reactive Protein, which is an acute protein as an inflammation marker, is elevated in Type 2 Diabetes Mellitus (T2DM) with obesity. One of the complications of T2DM is diabetic nephropathy, which the kidney disorder occurs due to the atherosclerosis that would cause renal vasoconstriction and decreased Glomerula Filtration Rate (GFR).
Objectives. To analyze the correlation of CRP level with GFR in patients with T2DM and obesity in RSUD Margono Soekarjo Purwokerto.
Methods. The design of this study is observational analytic with cross sectional approach, carried out on 48 patients T2DM with obesity in Internal Clinic RSUD Margono Soekarjo, aged 35-60 years old. Subjects who use Insulin therapy, antibiotics, anti-inflammatory and diuretic medications, which suffer from kidney disease, liver disease, infection , trauma and dehydration were excluded from the study. Data were analyzed with the Pearson correlation test. Where p < 0,05 indicates a significant correlation. CRP levels were tested with hs-CRP test and GFR calculate with the MDRD formula.
Results. Results of the analysis with the Pearson correlation test between CRP levels and GFR values obtained p = 0,045 and r =
-0,290. There is a significant correlation between CRP levels and GFR, with negative and moderate correlational strength. Conclusion. There is a correlation between CRP levels and GFR in patients with Type 2 Diabetes and obesity in RSUD Margono Soekarjo Purwokerto.
Keywords : C-Reactive Protein (CRP), high sensitivity C-Reactive Protein (hsCRP), Glomerular Filtration Rate (GFR), Type 2 Diabetes with Obesity
Kajian Status Gizi, Imunisasi Bacillus calmette guerin (BCG), dan Kondisi Lingkungan Rumah dengan Kejadian Tuberkolosis pada Bakita di Kecamatan Mlati Sleman
Get PDFBackground :Indonesia is number fourth highest Tuberculosis burden country after China, India and South Africa. Now a days, tuberculosis in children is growing rapidly. At least 500,000 children in the world suffer from TB every year. TB is an infectious disease caused by Mycobacterium tubercolosis. Generally, TB attacks lungs, but can spread to other organs in the body. Many factors that can influence TB disease are nutritional status, vaccination and environmental housing condition.
Objective : This research aims to examine the relationship between nutritional status, Bacillus Calmette-Guerin (BCG) vaccination and environmental housing condition with TB in toddlers in Mlati Sleman.
Methods :The type of this study was observational research with case control study match by sex and age design. It was done in June 2015 and located in Mlati.
The subjects of research were 18 toddlers with TB in Mlati I and II clinics. The control sample was collected using purposive random sampling with ratio 1:1 for toddlers who did not suffer from TB. The independent variables were BCG vaccination, nutritional status and environmental housing condition and the dependent variable was TB in toddlers. Data were collected by interviews, measurement and observation of the environmental housing condition of the respondents. The data were analyzed using univariate and bivariat statistical tests (Chi-Square test and OR).
Result : immunization coverage BCG reaches 100%.
Conclusion :There is a relationship of the incidence of TB with the nutritional status of toddlers in Mlati (p < 0.05). The Condition of the home environment include flooring, lighting, windows, toilets, garbage and water are not related to the incidence of TB in Mlati (p
> 0.05).
Keyword: TB in toddlers, nutritional status, BCG vaccination, environment housing conditio
Pengaruh Penyuluhan pada Penjual Gorengan tentang Keamanan Pangan terhadap Kandungan Logam Berat (Pb dan Zn) Gorengan di Sepanjang Jalan Kaliurang Yogyakarta
Get PDFBackground: Food is a basic need for human growth, maintenance, health improvement. The goodfood mean is free from biology and chemistry impurities, and other substances that are harmful for human health such as heavy metal contamination of lead (Pb) and zinc (Zn). Lead found at vehicle exhaust fumes and water can be a poison that damages the central nervous system. Although zinc is needed for the body, zinc can be toxic if it is over consumed. Zinc can be found in cooking utensils, water, and air. Foods sold on the roadside have great risksof impurities exposition of Pb and Zn, one of them is fried foods that are highly preferred by people.
Objective: To find out the food safety of fried foods that are sold along Kaliurang street, Sleman, Yogyakarta based on chemical impurities of Pb and Zn
Method: This research was a descriptive observational with cross sectional study design. The data obtained were analyzed descriptively. The sample consists of 9 fried foods (it was known as tahu isi, fried tofu filled with vegetables) which were cooked on the street and exposed to 2 hours. The samples were raw tofu and fried tofu. This research was conducted at Health Laboratory Hall Yogyakarta quantitatively with AAS method.
Results: 100% of samples containing lead level between 0.1 to 0.6 mg/kg and zinc levels 12 to 15 mg/kg. The lead level of 77,7% of the sample ≥ the maximum level to consume, with 22.2% sample ≤ the maximum level to consume, that is 0.25 mg/kg. The lead level was increased from raw to fried tofu to after-2-hour-exposed tofu. The level of zinc in 100% of samples ≤ tolerable upper intake level (40 mg/kg).The difference of the zinc level in raw, fried, after a 2-hour exposed tofuwas caused by the use of water, the frying pan, and the condition of the contaminated air.
Conclusion: The food safety of fried foods based on the lead impurities was 22.2% of the samples was safe to consume and 77,2% of the sample was not safe to consume, while based on the impurities of zinc, 100% of the sample was safe to consume.
Keywords: Fried food, food safety, lead (Pb) level, zinc (Zn) level
Kajian Variasi Campuran Wortel (Daucus carota L.) pada Selai Nanas Ditinjau dari Sifat Fisik, Sifat Organoleptik dan Aktivitas Antioksidan
Get PDFBackground: Today, there are many sought a safe natural antioxidant source, mainly derived from plants. Some fruits and vegetables shown to have high antioxidant activity. Carrot have a lot of antioxidant. During this carrot has not been used optimally. Jam is a semi-solid food made from fruit and sugar. Jam usually made of the crushed fruits. The addition of carrots in jam is expected to add the content of the antioxidant activity and preferred by the consumers so that could become one of the new alternative in an effort to diversify sources of antioxidant for food product.
Objective: This study aims to determine the phisycal character, organoleptic character, and the antioxidant activity of the pineapple jam with mix variations of the carrot.
Method: The kind of this study is experimental with simple random design.
Results: The test data result of the phisycal character, organoleptic character, and the antioxidant activity analyzed by using the descriptive method. The more mix variations of the carrots so the color of the jam became more orange, the taste became langu like the typical of carrot, the smell became langu also like the typical of carrot, and the texture became smoother. The preffered color jam is the mix variations of carrots color 35%. The preffered smell of the jam is the mix variations of carrots 25%. The preffered taste of the jam is mix variations of carrots 35%. The preffered texture of the jam is mix variations of carrots 25%. The more mixture of carrots, the antioxidant activity of pineapple jam became higher.
Conclusion: There is a difference in phisycal character, organoleptic character, and the antioxidant activity in pineapple jam with mix variations of carrots.
Key words: pineapple jam, carrot, phisycal character, organoleptic character, and the antioxidant activit
Pola Asuh, Stimulasi Psikososial, Dan Status Gizi Balita Di Kabupaten Kudus
Get PDFBackground: Parenting pattern is an important part which also determines nutritional status of children. The effect of employed mother is less of parenting time so it can impact to the quality of parenting pattern provided to children.
Objective:The purpose of this research was to study parenting pattern, psychosocial stimulation, and nutritional status among under-five children between employed mothers (as a cigarette factory workers) and not employed mother in Kudus district.
Method :The research design was cross sectional study with 94 subjects of under-five children aged 3-5 years, divided into two groups are 38 subjects of employed mother and 56 subjects of not employed mother. Place of research was selected purposively in Jati and Mejobo subdistricts.
Result : Mann Whitney test showed that there were significant difference of feeding practice and psychosocial stimulation between employed and not employed mothers. Rank Spearman test showed that there were relationship between mother’s education with feeding practice and psychosocial stimulation and also feeding practice with the nutritional status (WAZ and HAZ) (p <0.05).
Conclusion: in General, the impact of the status of a mother who worked as a factory laborer smoking in this study i.e. decrease in allocation of time nurturing mother thus causing less good quality parenting meal given to balitanya as well as the low score psychosocial stimulation obtained during the toddler in the House.
Keywords: employed and not employed mother, nutritional status, parenting pattern, psychosocial stimulatio
Persepsi Ibu Terhadap Kondisi Lingkungan Sosial Sebagai Faktor Risiko Kegemukan Pada Anak Prasekolah
Get PDFBackground: the prevalence of obesity in children in Indonesia keeps increasing every year. One of the reasons is the low level of physical activity due to the length of time children's Playground outdoors increasingly declining. Long play time outside the House which the increasingly brief thought to be influenced by the social environment in the community.
Objective: Analyze the relationship of maternal perception towards social environmental conditions with obesity in preschoolers
Methods: this research is a case control study. The case was identified obese preschoolers (Z score based on w/TB > 2 SD), the control is a child who is not obese (Z score based on w/TB-2 Z-score < ≤ 2 SD) with a matching age and gender. The location of the research was the city with the selection of the sample using the method of Probability Proportional to size (PPS). The number of sample cases and controls of each group was 101 people (1:1). The statistical analysis was performed using t-test, analysis and testing of Mc Nemar.
Result: a group of children obese mother who has a positive social environment berpersepsi play outdoors 26.46 minutes longer (95 CI 7,18-45,74). The risk of overweight children who play outdoors less than 2 hours and have the mother berpersepsi negatively to social environmental conditions is 2.05 (95 CI 1,09-3.9). Social environmental conditions is an effect modifier for the relationship between long time playing outdoors and overweight in preschoolers in Yogyakarta.
Conclusion: children's play time is influenced by the perception of the mother against the social environmental conditions. The negative perception of the mother on the social environmental conditions will lower the long play time outside the House, raising the risk of overweight children.
Keywords: obesity, social environment, play outdoors, preschoolers
 
Efek Kombinasi Doxorubicin dan Ekstrak Daun Pepaya (Carica papaya L.) terhadap Sel Payudara Pada Tikus Sprague Dawley yang Diinduksi DMBA (7,12-Dimethilbenzene(a)ntrazena)
Get PDFBackground: treatment of cancer is currently done by biopsy and chemotherapy. Chemotherapy is a cancer treatment that is costly and toxic effect conferring on normal cells.
Objective: to know the effect of combination chemotherapy with Doxorubicin as agents of papaya leaf extract as an agent against chemo preventive breast cells on rat Sprague Dawley DMBA induced.
Method: this research is experimental research with design post test only with control group. This research uses 60 rats which are divided into 6 groups of placebo groups, groups, groups of DMBA, Doxorubicin, papaya leaf extract groups, group 1 combination (Doxorubicin 50 50 Papaya leaf extract) and group 2 combination (Doxorubicin 25 75 papaya leaf extract). Research time during the 120 days that consists of the first 3 weeks of treatment were given continued grant of DMBA during 5 weeks (twice a week) and continued treatment back to 6 weeks. The analysis was conducted for three times at the end of week 8, the end of the week to 12 and the end of the week to 16. Any analysis will be carried out the killing mice by as much as 3 tails per group. Parameters measured is histopathology breast tissue and breast cancer cell proliferation.
Results: the breast tissue histopathology observations indicate that treatment combination I have the ability to prevent the occurrence of breast cancer and also improve the breast cells underwent karsinogenesis.
Conclusion: the results of staining method with IHC (Immunohistochemistry) Ki-67 shows that treat the combination I have the lowest level of proliferation than the treatment and the combination of papaya leaf extract II.
Keyword: papaya leaves, cancer, breast, Doxorubici