Latar Belakang: Stunting merupakan kondisi gagal tumbuh pada balita sehingga balita menjadi pendek dan tidak sesuai dengan usianya. Stunting disebabkan oleh multifaktor, antara lain faktor genetik, pola asuh, serta perilaku hidup bersih dan sehat. Perilaku hidup bersih dan sehat pada balita memiliki hubungan dengan penyakit infeksi, terutama diare. Balita bergantung pada ibu yang berperan dalam pengasuhan dan perawatan. Salah satu faktor genetik yang mempengaruhi kejadian stunting balita adalah tinggi badan orang tua. Tujuan: Untuk mengetahui hubungan tinggi badan orang tua, pola asuh praktik pemberian makan, rangsangan psikososial, dan perawatan kesehatan, serta kejadian diare sebagai faktor risiko stunting pada balita di wilayah kerja Puskesmas Ijen Kabupaten Bondowoso. Metode: Penelitian ini menggunakan desain cross sectional. Subjek penelitian ini adalah 76 balita berusia 24-59 bulan beserta orang tua sesuai kriteria inklusi dan eksklusi dengan teknik cluster sampling. Penelitian ini dilakukan di wilayah kerja Puskesmas Ijen, Kabupaten Bondowoso pada Agustus 2019. Data dikumpulkan dengan alat bantu berupa kuesioner dan microtoice. Analisis data menggunakan uji Chi Square dengan derajat kemaknaan 95% (p<0,05). Hasil: Tidak ada hubungan antara tinggi badan orang tua, pola asuh rangsangan psikososial, dan kejadian diare dengan kejadian stunting pada balita (p>0,05). Ada hubungan antara pola asuh praktik pemberian makan dan perawatan kesehatan dengan kejadian stunting pada balita (p<0,05). Kesimpulan: Ada hubungan yang signifikan antara pola asuh praktik pemberian makan dan perawatan kesehatan dengan kejadian stunting pada balita berusia 24-59 bulan.
Moringa oleifera leaf is a food that has high levels of protein and calcium but has not been utilized optimally. Processing of ice cream with the addition of Moringa leaf flour is one form of diversification of foods that are rich in nutrients (protein and calcium) that function in supply nutrition demand of pregnant women. The research aimed to analyze protein, calcium levels and the acceptability of ice cream by adding Moringa leaf flour. The research method used true experimental design with 12 units of trials in 4 treatments: ice cream without the addition of Moringa leaf flour / control (X0) and with the addition of Moringa leaf flour 20 gram (X1), 25 gram (X2), 30 gram (X3). The protein content of the samples was analyzed by the Kjeldahl method, calcium by the Permanganometry method, and the test of acceptability using the Hedonic Scale Test. Data on protein and calcium levels were analyzed using the Kruskall Wallis test and Mann Whitney U Test while the results of the acceptance test were analyzed using the Friedman test and the Wilcoxon Signed Ranks Test with a significance level of 5% (α = 0.05). The results showed the addition of Moringa leaf flour can increase protein and calcium levels of ice cream. The results of the analysis showed that the addition of Moringa leaf flour affected the levels of protein, calcium and acceptability (color and taste) of ice cream (p-value ≤ α). Ice cream with the addition of 30 gram Moringa leaf flour (X3) has the highest levels of protein and calcium. The recommended ice cream is an ice cream with the addition of 25 gram (X2) of Moringa leaf flour because it is most preferred by panelists and has appropriate the quality standards of ice cream. Pregnant women with the chronic energy defenciasy (CED) category can consume X2 ice cream (50 gram) as much as 3-4 cups per day as PMT to fulfill their nutritional needs. ABSTRAK Daun Kelor merupakan bahan makanan yang memiliki kadar protein dan kalsium yang tinggi namun belum dimanfaatkan secara maksimal. Pengolahan es krim dengan penambahan tepung daun kelor merupakan salah satu bentuk diversifikasi pangan yang kaya zat gizi (protein dan kalsium) yang berfungsi dalam pemenuhan kebutuhan gizi ibu hamil. Tujuan penelitian ini untuk menganalisis pengaruh penambahan tepung daun kelor terhadap kadar protein, kalsium dan daya terima es krim. Metode penelitian yang digunakan adalah desain true experimental dengan 12 unit perobaan dalam 4 perlakuan: es krim tanpa penambahan tepung daun kelor/ kontrol (X0) dan dengan penambahan tepung daun kelor 20 gram (X1), 25 gram (X2), 30 gram (X3). Kadar protein sampel dianalisis dengan metode Kjeldahl, kalsium dengan metode Permanganometri, dan uji daya terima menggunakan Hedonic Scale Test. Data hasil uji kadar protein dan kalsium dianalisis menggunakan uji Kruskall Wallis dan Mann Whitney U Test sedangkan hasil uji daya terima dianalisis menggunakan uji Friedman dan Wilcoxon Signed Ranks Test dengan tingkat signifikasi 5% (α = 0,05). Hasil penelitian menunjukkan penambahan tepung daun kelor dapat meningkatkan kadar protein dan kalsium es krim. Hasil analisis menunjukkan penambahan tepung daun kelor berpengaruh terhadap kadar protein, kalsium dan daya terima (warna dan rasa) es krim (p-value ≤ α). Es krim dengan penambahan tepung daun kelor 30 gram (X3) memiliki kadar protein dan kalsium paling tinggi. Es krim yang direkomendasikan adalah es krim dengan penambahan tepung daun kelor 25 gram (X2) karena paling disukai panelis dan telah memenuhi standar persyaratan mutu es krim. Ibu hamil dengan kategori KEK dapat mengkonsumsi es krim X2 (50 gram) sebanyak 3-4 cup per hari sebagai PMT untuk memenuhi kebutuhan gizinya.
The good procurement of the food in a boarding school has guarantee the nutritional needs of the students. This study aims to describe the implementation of the food in the boarding school in the district of Jember. This type of research is qualitative research with descriptive approach using primary and secondary data. The informant in this study is the executive management of the boarding school and the cheff manager. The Processing and analyzing of data is using content analysis and presented in narrative form and quote. The results showed a third implementation of the boarding school was a self-managed non-commercial. The executive manager was Ning (daughter of the owner of boarding school) or coordinator of ustadzah (teacher). Only NI boarding school that has a menu cycle i.e 10 days cycle menu, budget planning is done by those responsible for food manager and Ndalem (family members of the owner of boarding house). Purchases made directly groceries every day, which storage was FIFO. Food preparation is done two times, in the morning hours of 6:00 pm and 15:00 pm. There was no calculation for nutritional adequacy andthe students consumption were still in the deficit category. Food procurement in a boarding school need to increase with planning optimizing,
Objective. To analyze the effect of Channa striata supplementation on body mass index among tuberculosis patients, in which their health status is also investigated. Methods. This study employed a true experiment. The study was designed randomized pretest-posttest with a control group, in which 200 respondents were enrolled. Body mass index (BMI), used as a nutritional status indicator, was measured every week for a month. Chi-square test was used to analyze the data with a significance level of 5% by STATA 13. Results. The mean BMI of all groups increases during the month, in which rapid alteration occurs in the treatment group. The mean BMI (kg/m2) in the treatment group at weeks 0–4 was reported to be 17.43, 17.65, 17.90, 18.04, and 18.22, respectively. Meanwhile, the mean BMI (kg/m2) at weeks 0–4 in the control group was reported to be 17.20, 17.36, 17.57, 17.71, and 17.96, respectively. Furthermore, the alteration from severe thinness to higher BMI level in the treatment group is the highest. Based on the statistical test, there were no differences in BMI between the treatment and control groups (p>0.05). However, the alteration of nutritional status in the treatment group is faster than that in the control group. In addition, there is no difference in their health status between the treatment and control groups (p>0.05), except vomiting (p<0.05). Conclusion. The BMI among tuberculosis patients with Channa striata supplementation is increasing faster than that in the control group within a month with a minimum potential negative effect.
Stunting (kerdil) menjadipermasalahan giziyang sedang dihadapi KabupatenJember.KabupatenJembertermasuksatudari11Kabupaten prioritaspenangananstuntingdiJawaTimur.DesaArjasamerupakansalah satuDesadiKabupatenJemberdenganprevalensistuntingsebesar24,56% padatahun2018 berdasarkandatadariDinasKesehatanKabupaten Jember.Salah satu faktorrisiko terjadinya stunting yaitu bayitidak mendapatkanASIekslusif.PemberianASIekslusifmemilikiketerkaitan denganpemberiankolostrum padabayi.Upayapreventifmelaluiedukasi yangdapatmenyentuhaspekemosionalmerupakansalahsatulangkah yangdapatdilakukanuntukmenurunkanprevalensistunting.Emo-Demo merupakansalahsatumetodeedukasiinteraktifdenganmemanfaatkan doronganemosiuntukmenyampaikaninformasikesehatankepadasasaran. PelatihanedukasipadakaderPosyandudiDesaArjasainimenggunakan modulEmo-Demo“Kolostrum ituPenting”.Hasilpelatihanmenunjukkan bahwa terdapatpeningkatan pengetahuan untuk mencegah stunting sebesar8%.HalinimenunjukkanbahwametodeEmo-Demomerupakan salahsatualternatifedukasikesehatanyangdapatdikembangkandan digunakanuntukmenurunkanprevalensistunting.
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