Obesity is a common comorbidity of type-2 diabetes and one of the most modifiable risk factors for preventing other comorbid conditions, such as diabetic nephropathy and cardiovascular disease. Using a cross-sectional design, this study aimed to determine eating behavior, factors related with obesity and the dominant factor of obesity in patients with type-2 diabetes. Data were collected from 133 members of the Chronic Disease Countermeasure Program in Jatinegara Primary Health Care, East Jakarta, that were selected using purposive sampling. Food intake was assessed by 1 × 24-hour food recall and the Food Frequency Questionnaire, Physical activity was assessed by the Global Physical Activity Questionnaire. Results showed that 63.9% of the surveyed type-2 diabetics were obese (body mass index ≥ 25 kg/m 2 ) and that the respondents consumed more fat than the recommended value (30.77% ± 9.06%) but less energy than the required value (62.06% ± 23.67%). The prevalence of obesity among adults with type-2 diabetes could be associated with nutritional knowledge, education level, and the length of suffering from the disease. Nutritional knowledge was found to be a dominant factor associated with obesity. AbstrakObesitas merupakan salah satu komorbiditas yang banyak terjadi pada pasien diabetes tipe 2 dan salah satu faktor risiko yang dapat diubah dalam pencegahan komorbiditas lain seperti nefropati diabetik dan penyakit kardiovaskular. Menggunakan desain potong lintang, penelitian ini bertujuan mengetahui perilaku makan, faktor-faktor yang berhubungan dengan obesitas dan faktor dominan obesitas pada pasien diabetes tipe 2. Data dikumpulkan dari 133 peserta Program Penanggulangan Penyakit Kronis di Puskesmas Jatinegara, Jakarta Timur, yang dipilih menggunakan metode purposive sampling. Asupan makanan diukur melalui wawancara menggunakan kuesioner food recall 1 x 24 jam dan Food Frequency Questionnaire, dan aktivitas fisik diukur menggunakan kuesioner Global Physical Activity Questionnaire. Hasil menunjukkan bahwa 63,9% orang dewasa dengan diabetes tipe 2 yang disurvei mengalami obesitas (indeks massa tubuh (IMT) ≥ 25 kg/m 2 ), asupan lemak lebih tinggi dibandingkan rekomendasi (30,77 ± 9,06%), tetapi rerata asupan energi kurang dibandingkan energi yang dibutuhkan (62,06 ± 23,67%). Prevalensi obesitas pada orang dewasa dengan diabetes tipe 2 berhubungan dengan pengetahuan tentang gizi, tingkat pendidikan, dan lamanya menderita diabetes tipe 2. Pengetahuan tentang gizi merupakan faktor dominan terhadap obesitas.

High proportion of unmeasured birth weight as well as its improper documentation has become a problem in developing countries, including Indonesia. In 2017, a total of 9.9% labour were not assisted by health personnel and 43.4% of newborn did not have proper birth record. This condition increases the possibility of undetected low birth weight (LBW) cases. Therefore, this study aimed to determine an alternative measurement of birth weight which able to detect LBW. The study used cross sectional approach to analyse birth records from maternity clinic. A total of 100 records met the inclusion criteria, such as has complete record of birth weight, calf circumference, and mid-upper arm circumference (MUAC) which were measured within fi rst 24 hours of birth. Data was analysed using correlation test, area under curve (AUC), sensitivity, specifi city, positive predictive value (PPV), negative predictive value (NPV) and likelihood ratio. Result showed that calf circumference and MUAC were signifi cantly correlated with birth weight (p <0.001) with r value 0.529 and 0.674 respectively. At cut-off value 10.62 cm, calf circumference had AUC 0.90, sensitivity 66.7%, specifi city 97.9%, PPV 8.2%, NPV 98.2%, likelihood ratio (+) 31.7 and likelihood ratio (-) 0.03. Calf circumference had better performance as alternative measurement of birth weight to detect LBW compared to MUAC.

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Background. Hypertensive patients usually have shorter sleep duration compared to the healthy population. Short sleep duration in hypertensive patients increases the risk of hypertension co-morbidity incidence and is caused by dietary intake, stress or other lifestyle factors.Objectives. This study aimed to determine the relationship between stress and other factors related with sleep duration in hypertensive patients. Materials and methods. This study used a cross-sectional design with a sample size of 98 hypertensive patients who regularly received treatment for at least six months prior to data collection. Data was collected at Tegal Gundil Primary Healthcare, West Java, Indonesia, in 2017. Sleep duration was determined through the self-reported method, stress was assessed using the Perceived Stress Scale (PSS) questionnaire, dietary intake using the Semi-Quantitative Food Frequency Questionnaire (SFFQ), physical activity using the Global Physical Activity Questionnaire (GPAQ) and the presence of a roommate using the Pittsburgh Sleep Quality Index (PSQI). Results. The results showed that the average of hypertensive patients' sleep duration was 6.39 hours, with 54% of respondents sleeping less than the recommended duration (7 hours). A positive correlation was found between stress and sleep duration (p = 0.020; r = 0.235) and protein intake and sleep duration (p = 0.041; r = 0.266). The presence of a roommate also had a significant relation with sleep duration (p = 0.023; OR = 4.45 (1.32-15.01)). Conclusions. It was found that stress, protein intake and the presence of a roommate were associated with short sleep duration among hypertensive patients.

The occurrence of low birth weight (LBW) can be reduced by optimizing gestational weight gain. However, the gestational weight cannot be monitored properly as there are a lot of mothers who receive Antenatal Care (ANC) less than four times as recommended by WHO. Therefore, this study aimed to determine whether early third trimester gestational weight could predict the incidence of LBW among newborns. A cross-sectional study was conducted using secondary data from Anny Rahardjo Maternity Clinic’s registry. A total of 278 eligible data of pregnant mothers who visited the clinic in 2017–2018 was chosen as study subjects. The mean for weight of birth was 3112.77 ± 384.40 g and early third trimester was 63.52 ± 11.07 kg. The prevalence of LBW was 3.2%. Early third trimester weight was found as the dominant factor of LBW after controlling the length of gestation. Early third trimester weight is signifi cantly correlated with LBW (p < 0.001). The optimum cutoff point was 59.8 kg with AUC = 0.68 (CI 95% = 0.52 – 0.83), sensitivity 67%, specifi city 63%, positive predictive value 5.66%, and negative predictive value 98.2%. The early third trimester weight is able to predict LBW with optimal cutoff value 59.8 kg.