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Jurnal Vol.3 No.1

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ARTIKEL - Juli 2006, Vol.3, No.1

POLA MAKANAN PENDAMPING AIR SUSU IBU DAN STATUS GIZI BAYI 0-12 BULAN DI KECAMATAN LHOKNGA KABUPATEN ACEH BESAR

Aripin Ahmad1, Dradjat Boediman2, Endy P Prawirohartono2

ABSTRACT>

Background
: The prevalence of malnutrition in Indonesia is still high. One of potential factor contributing to the high prevalence of malnutrition is improper complementary feeding pattern and breast feeding practices. In the community there are three complementary feeding patterns, those are traditional feeding, industries feeding and combination.
Objective : This study was conducted to analyse the association between complementary feeding, energy and protein intake, and breast feeding status with nutritional status of infants 0-12 month old.
Method : This study used a cross sectional design. Subjects were 151 infants 0-12 month old. Complementary feeding pattern and breast feeding status were collected using interview methods. Energy and protein intakes were collected using food recall methods. Nutritional status was measured using weight for length (WHZ). The chi square test was used to analyse the data.
Result : There wasn’t any association between complementary feeding pattern and nutritional status of infants 0-6 mo old (p=0.04) and 6-12 month (p=0.62). There wasn’t any association between energy intake and nutritional status of infants 0-6 month old (p=0.40), but there was any association in infants 6-12 month old (p=0.01). Protein intake associated with nutritional status of infants 0-6 mo old and 6-12 month old (p=0.033 and p=0.04). Breast feeding status didn’t associated with nutritional status of infants 0-6 month old and 6-12 month old (p=0.689 and p=0.10).
Conclusion : Complementary pattern and breast feeding status were not associated with nutritional status. Energy intake was associated with nutritional status of infants 6-12 month old. Protein intake associated with nutritional status of infants 0-6 month old and 6-12 month old.

Key words : Complementary Feeding, Breast Feeding, Energy and protein intake, Nutritional status

1 Jurusan Gizi Politeknik Kesehatan Banda Aceh
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta

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STUDI KOHORT PREVALENSI OBESITAS SISWA SISWI SEKOLAH LANJUTAN TINGKAT PERTAMA (SLTP) KOTA YOGYAKARTA

Emy Huriyati1

ABSTRACT

Background
: The prevalence of obesity is continuously increasing both in developed and developing countries. This increasing prevalence of obesity may be associated with the increasing exposure to obesogenic environment.
Objective : To know the trend of obesity prevalence among Rural Junior High School in Yogyakarta
Method : This cohort study was conducted in Yogyakarta at 2003 from August to October and at 2005 from June to September.
Result : The prevalence of obesity in 2003 showed 7.3% and 10.3% in 2005. Thus, it increased 3% during 2 years. But prevalence of obesity was not increased among 1440 students who followed body mass index percentile based on center for chronic disease (CDC) 2000.
Conclusion : During 2 years, the change of obesity status had not significantly shown because obesity occurred in a long period. While the increasing obesity prevalence occurred.

Key words : prevalence, obesity, BMI, Junior High School students

1Program Studi S1 Gizi Kesehatan Fakultas Kedokteran UGM, Yogyakarta.

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PERBEDAAN ASUPAN ENERGI, ZAT GIZI MAKRO DAN MIKRO PADA MAHASISWA S2 IKM REGULER YANG STRES

Ice Yolanda Puri1, Pernodjo Dahlan2, Ira Paramastri3

ABSTRACT

Background
: In general, sufferers of stress lose appetite, although sometimes some of them eat more than usual. If they lose appetite, there will be energy and protein deficiency. This condition will disrupt antibody so that they can get easily infected. Stres causes nutrition absorption disorder and then reduces antibody. Emotional and environmental stress will lose vitamin C as much as 2500 mg within a short period. Another bad impact is reducing supply of vitamin B12, vitamin C, calcium and zinc.
Objective : To identify differences of energy, macronutrient (carbohydrate, protein, and fat) and micronutrient (vitamin C, vitamin B12, calcium and zinc) intake among postgraduate students of public health sciences (Health Policy Management and Service, Health Nutrition and Mother and Child Health Reproduction) with low, middle and high stress.
Method : The study was an observational type which used a nested case control design. It used a quantitative approach to analyze stress and intake of energy, macronutrient (carbohydrate, protein and fat) and micronutrient (vitamin C, B12, calcium and zinc). Subject of the study were as many as 34 postgraduate students of public health sciences of Gadjah Mada University of academic year 2004/2005. Data of respondents’ identity, intake of protein, macronutrient and micronutrient and stres were achieved directly through questionnaires. Intake data were taken from food record form with multiple record 4 x 24 method which was collected for a month to represent all days. Anthropometric data used was body weight. Data of stres were collected using stress questionnaires. Intake data analysis used Nutri Survey program. Anova test were used to identify differences of average consumption of macro and micro nutrients.
Result : There was no difference of macronutrient and micronutrient intake with low, middle and high stres. Result of Anova analysis showed that there was no significant difference between intake of macronutrient and micronutrient and level of stress.
Conclusion : There was no significant difference of macronutrient and micronutrient intake with low, middle and high level of stress among postgraduate students of public health sciences of academic year 2004/2005.

Key words: psychosocial stress, intake of macronutrient and micronutrient, postgraduate student

1 Jl.Jhoni Anwar D.38 Lapai-Padang Sumbar,Padang Sumbar.
2 Bagian Ilmu Penyakit Syaraf RS. Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta.

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SISTEM DISTRIBUSI DAN CAKUPAN SUPLEMENTASI TABLET BESI IBU HAMIL PASCABENCANA TSUNAMI 2004 DI KABUPATEN ACEH BESAR PROVINSI NANGGROE ACEH DARUSSALAM

Maryani1, I Made Alit G2, Siti Helmyati3

ABSTRACT

Background
: The prevalence of anemia is one of indicators applied to determine pregnant woman nutrition status. The coverage of iron supplementation is still low due to poor iron distribution. In Aceh Besar regency, the prevalence of anemia in 2003 was 18.71% and become 45.5% in 2005 (report of Rapid Nutrition Assessment in Tsunami Affected Districts in NAD, Feb-March 2005).
Objective : The study was meant to explore the distribution system and iron supplementation coverage post tsunami in Aceh Besar regency, NAD Province.
Method : This was a qualitative naturalistic study; the design was investigative exploration study, and the data was collected by indepth interview. The analysis unit were health department, primary health care and villages in Aceh Besar regency. Subjects were stakeholders and pregnant women taken by purposive sampling and showed descriptively.
Result : Poor health service and unreadiness of health staff affected the stagnation of iron distribution program. The unavailable of guidance book and lack of nutrition staff and midwife development become so crucial. Indeed, they could not understand their jobs description in expansing iron distribution network. Furthermore, the distribution of iron tablet were done passively of pregnant woman visiting health service place. The policy of iron distribution by health department of Aceh Besar regency post tsunami 2004 were collecting data and pregnant woman ANC service held by midwife using iron program. The achievement of iron supplementation coverage was still low, though the attitude of pregnant woman has changed.
Conclusion : The stagnation of basic health service and lack of health staff empowerment affected poor iron distribution for pregnant woman.

Key words : iron distribution system, iron tablet supplementation coverage, pregnant woman, tsunami NAD 2004.

1 Dinas Kesehatan Kota Banda Aceh
2 Jurusan Gizi Politeknik Kesehatan Yogyakarta
3 Program Studi Gizi Kesehatan Fakultas Kedokteran UGM, Yogyakarta

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HUBUNGAN ANTARA POLA KONSUMSI GLUTEN DAN KASEIN DENGAN SKOR CARS (CHILDHOOD AUTISM RATING SCALE) PADA ANAK ASD (AUTISTIC SPECTRUM DISORDER)

Rahmawati1, Sunartini2, Madarina Julia2

ABSTRACT

Background : The worldwide prevalence of ASD (Autistic Spectrum Disorder) during the last few years is increasing. The association between diet free of gluten and casein and improvement of autistic behaviors is still under questions.
Objective : To study the association between the consumption of gluten and casein and the score of Childhood Autistic Rating Scale (CARS) in children with ASD (Autistic Spectrum Disorder). The study also aimed at understanding mothers’ attitude toward the diet.
Methods : This was a cross sectional study on 10 mothers of children suffering from ASD in a clinic in Yogyakarta, Indonesia. A dietician measured the consumptions of gluten and casein with scored food frequency questionnaire while experts in the clinic measured CARS. In-depth interviews were performed to capture the mothers’ attitude toward the diet.
Result : There was a decrease in the mean score of consumption of gluten and casein before and after diagnoses of ASD, mean difference of 156.6 (125.2; 187.9), p<0.001). There was no significant correlation between the consumption score of gluten and casein and the decrease in the score of CARS (r= 0.274, p= 0.82). Mothers thought diet free of gluten and casein was associated with improvement of behaviors.
Conclusion : Consumption of gluten and casein decreased after diagnosis of ASD. Mothers think diet free of gluten and casein improved their children’s behaviors.

Key words : gluten, casein, Childhood Autism Rating Scale (CARS), Autistic Spectrum Disorder (ASD), children

1 Jl. Bandar Purus No. 57B Padang 25113
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta

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ANALISIS POTENSI PENGEMBANGAN INSTALASI GIZI RUMAH SAKIT UMUM BANYUMAS MENJADI PROFIT CENTER

Wahyanto1, Hamam Hadi2, Sigit Riyarto3

ABSTRACT

Background
: A hospital is supposed to be self-financed. Nutrition installation as one of units in the hospital is categorized as a cost center unit. It may be changed into a profit center unit if it is developed by providing foods for staff, students and patients’ families.
Objectives : To know feasibility of nutrition department development potential of Banyumas Hospital through provision of food service for staff, students and patients’ families in order to contribute for hospital income.
Methods : Primary data were collected through questionnaires to know: willingness to pay for from staff, students and patients’ families and commitment of nutrition installation staff; and through focus group discussion to know the commitment of hospital management. Secondary data were obtained from non experiment observation at nutrition installation and hospital secretariat. Nutrition service development feasibility was viewed from market, commitment of staff and hospital management, and technical aspects.
Results : Result of the study showed than potential of nutrition department development to become a profit center by serving foods for staff, students and patients’ families was feasible to implement viewed from: market aspect, there was difinite potential market, willingness and capacity to pay, high interest to become customers and marketing mix control; Investment criteria, Net Present value was as much as Rp166,333,504.04, Internal Rate of Return Value was 81.9%, Pay Back Period was 9 months, and Break Even Point was 2 years 10 months and 24 days; Nutrition Installation staff and hospital management commitment was high; Technical aspect, location, raw material resources, manpower, production capacity and facilities were justified.
Conclusion : Nutrition department development was feasibly potential to be implemented.

Key words : food service, feasibility study, profit center

1 Rumah Sakit Umum Banyumas
2 Magister Gizi dan Kesehatan UGM, Yogyakarta
3 Magister Kebijakan Pembiayaan & Manajemen Asuransi Kesehatan UGM, Yogyakarta

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PENGARUH PENDIDIKAN GIZI PADA MURID SEKOLAH DASAR TERHADAP PENINGKATAN PENGETAHUAN, SIKAP DAN PERILAKU IBU KELUARGA MANDIRI SADAR GIZI DI KABUPATEN INDRAGIRI HILIR

Zulkarnaini1, Toto Castro2, Untung S Widodo3

ABSTRACT

Background
: The programme of KADARZI could be realized by optimalizing the role of family, namely by increasing nutrition knowledge, changing attitude and behaviour and developing independent family. The poor knowledge, attitude and behaviour of society, especially house wives, toward nutrition and health are important factors which influence the realization of KADARZI programme. The evaluation of KADARZI programme in 2002 in Indragiri Hilir resulted 22.41% from the target 80%. One way to increase society’s knowledge, attitude and behaviour toward nutrition is by giving nutrition education during early life.
Objective : The study was purposed to investigate the influence of nutrition education among elementary school students to KADARZI house wives knowledge, attitude and behaviour.
Method : This was quasi experimental with non randomised control group pre test-post test study. Subjects were elementary students in the fourth, fifth, and sixth class along with their mothers. The place was in Indragiri Hilir district. Subjects were gathered by purposive. The quantity of subjects were determined with sample formulation, knowledge, attitude and behaviour data were gathered by interview and observation adjusted in questionnaire list. Characteristic was analysed with chi square, statistic test with t-test, with significance level of p=0.05.
Result : The analysis of age, education, occupation, the number of household members and family income of both group were similar. Pre test analysis of knowledge, attitude and behaviour among students and mothers in both groups were also similar in both groups before intervention. Post test analysis of knowledge, attitude and behaviour of treatment group were significantly increased (p<0.05). While in the control group showed insignificant differences (p>0.05). Analysis among mothers whose children got no intervention showed there were no significant differences (p>0.05). While mothers whose children got intervention showed insignificant differences in knowledge and attitude but behaviour.
Conclusion : Nutrition education about kadarzi on elementary student couldn’t increase mother’s knowledge and attitude but behavior.

Key words : nutrition education, kadarzi, knowledge, attitude and behaviour.

1 Dinas Kesehatan KabupatenIndragiri Hilir Riau
2 Balai Pelatihan Kesehatan Salaman Magelang Jawa Tengah
3 Balai Penelitian Gangguan Akibat Kekurangan Yodium Borobudur Jawa Tengah

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