AbstrakDehidrasi merupakan kondisi kekurangan cairan tubuh karena jumlah cairan yang keluar lebih banyak daripada jumlah cairan yang masuk. Terdapat 37,3% remaja asupan cairannya kurang dari 90% kebutuhannya atau risiko dehidrasi. Dehidrasi dapat menjadi faktor risiko terjadinya obesitas pada anak dan remaja di samping asupan energi dan lemak yang berlebihan. Tujuan penelitian untuk mengetahui perbedaan tingkat konsumsi energi, lemak dan cairan serta status hidrasi pada mahasiswa obesitas dan non obesitas di Akademi Gizi Surabaya. Penelitian ini merupakan studi observasional analitik yaitu membanding antara kelompok obesitas dan non obesitas atau case control study. Populasi dalam penelitian seluruh mahasiswa Akademi Gizi Surabaya sebanyak 170 mahasiswa baik yang obes maupun normal. Sampel yang diambil sebanyak 31 mahasiswa obesitas (total population) dan 31 mahasiswa non obesitas (simple random sampling). Pengambilan data asupan energi, lemak dan cairan dilakukan dengan repeated recall dan status hidrasi dilakukan dengan tes urine, sedangkan uji statistik yang digunakan untuk melihat perbedaan dua kelompok dengan uji Chai Square. Hasil penelitian menunjukkan bahwa ada perbedaan tingkat konsumsi lemak, cairan, dan status hidrasi pada mahasiswa obesitas dan non obesitas di Akademi Gizi Surabaya. Mahasiswa yang obesitas memiliki tingkat konsumsi energi dengan kategori di atas normal yang lebih tinggi dibandingkan mahasiswa non obesitas. Tingkat konsumsi lemak pada mahasiswa non obesitas dengan kategori defisit berat lebih tinggi (32,3%) dibandingkan kelompok obesitas (3,2%). Tingkat konsumsi cairan pada mahasiswa obesitas dengan kategori defisit berat lebih tinggi (64,5%) dibandingkan non obesitas (19,4%). Status hidrasi menunjukkan mahasiswa obesitas banyak mengalami dehidrasi yaitu 21 responden (67,7%), dibandingkan mahasiswa non obesitas yaitu 6 responden (19,4%). Diharapkan mahasiswa terutama yang obesitas harus mendapatkan cukup informasi tentang pola makannya terutama asupan cairan karena ini akan mempengaruhi konsentrasi belajar. Perlu adanya penelitian lanjutan antara asupan cairan dan status hidrasi dengan status kesehatan pada mahasiswa.
Low Birth Weight (LBW) is one of the biggest causes of neonatal mortality in Indonesia. The prevalence of LBW at Semampir District in Surabaya tended to increase from 5.74% in 2013 to 13.65% in 2015. LBW caused by multi-factors including internal factors such as fetal, placental and maternal, and also external factors such as lifestyle and environment. This study aimed to analyze the association between maternal age, gestational age, Mid Upper-Arm Circumference (MUAC), Hemoglobin (Hb) levels, environmental tobacco exposure and LBW at Semampir District, Surabaya. The respondents were mothers at Semampir District who gave birth in 2016. The design of this study was case control. The sample consisted of 22 mothers from the control group and 22 mothers from the case group. The result of descriptive analysis respectively showed that in case group (40.6%) and control group (13.6%) were not pregnant in healthy reproductive age. 59.1% and 18.1% gave birth when the gestational age <37 weeks. 41% and 9.1% were suffered of chronic energy malnutrition (MUAC <23.5). 40.9% and 22.7% were anemic. Moreover, 90,9% and 77,2% were exposed to tobacco smoke (secondhand smoke exposure). Chi square analysis with α=0,05 showed that there were significance associations between gestational age (p=0,006) (OR=6,198; CI 95%=1,61-27,88) and MUAC (p=0,018) (OR=6,623; CI 95%=1,327-51,2) with LBW. It is concluded that mother who gave birth to a premature baby were 6,2 times more likely to have LBW, whereas mother who suffered from chronic energy malnutrition were 6,6 times more likely to have LBW baby.
The need for a multisectoral approach to tackle stunting has gained attention in recent years. Baduta project aims to address undernutrition among children during their first 1000 days of life using integrated nutrition-specific and nutrition-sensitive interventions. We undertook this cohort study to evaluate the Baduta project’s effectiveness on growth among children under 2 years of age in two districts (Sidoarjo and Malang Districts) in East Java. Six subdistricts were randomly selected, in which three were from the intervention areas, and three were from the control areas. We recruited 340 pregnant women per treatment group during the third trimester of pregnancy and followed up until 18 months postpartum. The assessment of breastfeeding and complementary feeding practices used standard infant and young child feeding (IYCF) indicators in a tablet-based application. We measured weight and length at birth and every three-months after that. The enumerators met precision and accuracy criteria following an anthropometry standardization procedure. Among the breastfed children, the percentage of children who achieved the minimum dietary diversity score (DDS) and minimum acceptable diet (MAD) was higher for the intervention group than the comparison group across all age groups. The odd ratios were 3.49 (95% CI: 2.2–5.5) and 2.79 (95% CI: 1.7–4.4) for DDS and 3.49 (95% CI: 2.2–5.5) and 2.74 (95% CI: 1.8–5.2) for MAD in the 9–11 month and 16–18-month age groups, respectively. However, there was no significant improvement in growth or reduction in the prevalence of anemia. The intervention was effective in improving the feeding practices of children although it failed to show significant improvement in linear growth of children at 18 months of age.
Background: Overweight and obesity becomes a problem that not only occurs in adulthood but also started from childhood. The direct cause overweight is food consumption pattern, while the factors that can affect of it such as :the role of friends, the role of parents, pocket money and perceptions of snacks.Objectives: This study aimed to analyze the relationship between the role of friends,the role of parents, pocket money and perceptions of snacks with overweight incidents in school children.Methods: This research with a case control design study involved 110 respondents with 55 case samples, and 55 control samples. Data were analyzed using chi-square test and linear regression.Results: The results showed that was a significant correlation between the role of parents (p= 0.006)), the role of friends (p= 0.000), perceptions of snack (p= 0.045), pocket money (p= 0.023) with overweight incidence.Conclusion: The role of friends and perceptions of snacks show positive correlation that could be at risk for overweight incidents, meanwhile the role of parents show a protective factors for overweight incidents. It is suggested to give nutrition education to school children, so that they have the correct perception about snacks and the parents to pay attention about healthy snacks to prevent overweight incidents in school children.ABSTRAKLatar Belakang : Gizi lebih (obesitas dan overweight) menjadi permasalahan yang tidak hanya terjadi pada saat dewasa tetapi mulai dari anak-anak, tak terkecuali anak sekolah. Faktor penyebab langsung gizi lebih adalah pola makan, sedangkan faktor yang dapat mempengaruhi pola makan antara lain peran teman, peran orang tua, besaran uang saku dan persepsi terhadap jajanan.Tujuan : Penelitian ini bertujuan untuk menganalisis hubungan peran teman, peran orang tua, besaran uang saku dan persepsi terhadap jajanan dengan kejadian gizi lebih pada anak sekolah.Metode : Penelitian ini menggunakan desain studi case control yang melibatkan 110 anak sekolah, dengan sampel kasus sebanyak 55 dan sampel kontrol sebanyak 55 dengan analisis data menggunakan uji chi square dan uji regresi linear.Hasil : Hasil uji regresi linear menunjukkan bahwa ada hubungan yang signifikan antara peran orang tua (p= 0.006), peran teman (p= 0.000), persepsi terhadap jajanan (p= 0.045), dan besaran uang saku (p= 0.023) dengan kejadian gizi lebih pada anak sekolah.Kesimpulan: Peran teman dan persepsi terhadap jajanan menunjukkan hubungan positif yang dapat beresiko terhadap kejadian gizi lebih,sedangkan peran orang tua dapat menjadi faktor yang protektif terhadap gizi lebih. Saran penelitian, perlu pendidikan gizi untuk anak sekolah agar memiliki persepsi yang benar terhadap jajanan dan orang tua perlu memperhatikan pemilihan jajanan sehat untuk mencegah kejadian gizi lebih pada anak sekolah.
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