Background: The role of early childhood education teachers (PAUD) is getting bigger in areas related to child nutrition and become potential contributors in improving and reducing stunting cases in children under five. The purpose of this study is how to promote health through the right food for PAUD-aged children. The role of PAUD teachers as well as health cadres is to become best practice in efforts to reduce stunting in the Malang City, Indonesia. Methods: This research is an analytic observational cross sectional design, using 150 PAUD teachers as well as health cadres who carry out best practice efforts to reduce stunting through evidence-based in-depth interviews. Results: The best practices that have been implemented are : the number of PAUD-age children who receive PMT directly; the ease of delivery of health promotion to the community, especially parents or child caretakers; higher community compliance; and a significant increase in children's weight and height. The impact and output of the dual role of PAUD teachers as health cadres in reducing stunting is more effective. Conclusion: This dual role of early childhood teachers as health cadres needs to be appreciated, defined, and rewarded by national authorities, based on local needs, and programmed according to policy-based evidence, such as in the formation of the Team for the Acceleration of Stunting Reduction (TPPS).
Remaja merupakan salah satu fase penting karena merupakan masa transisi menuju dewasa sehingga status gizi pada masa remaja akan menentukan kondisi kesehatan saat dewasa. Pembatasan pelaksanaan kegiatan di luar rumah selama pandemi COVID-19, menyebabkan penurunan aktivitas fisik, peningkatan aktivitas sedentari dan kejadian stress yang salah satunya berawal dari body image negatif. Perubahan aktivitas fisik serta adanya body image negatif khususnya pada remaja putri akan menyebabkan perubahan status gizi dan meningkatkan risiko terjadinya masalah gizi baik masalah gizi lebih maupun gizi kurang. Tujuan: Untuk menganalisis hubungan body image dan aktivitas fisik dengan status gizi siswi SMA Negeri 2 Surabaya. Metode: Desain penelitian berupa studi potong lintang, dengan besar sampel 61 siswi SMA Negeri 2 Surabaya berusia 15-17 tahun yang telah diundi dan diambil menggunakan teknik pengambilan sampel acak sederhana. Instrumen penelitian berupa kuisioner Body Shape Questionnaire (BSQ-16a), International Physical Activity Questionnaire-short form (IPAQ) dan kuisioner data diri, tinggi dan berat badan (self-assesment) yang didesain secara online. Analisis data berupa analisis tabel kontingensi dan uji fisher's exact melalui program IBM SPSS Statistics v23. Hasil: Sebanyak tujuh dari sepuluh siswi (70,5%) memiliki body image negatif; sebagian besar siswi berstatus gizi normal (77%) namun prevalensi status gizi gemuk (14,8%) tergolong tinggi dan tingkat aktivitas fisik yang bervariasi (ringan=32,8, sedang=31,1%, berat=36,1%). Hasil menunjukkan adanya hubungan antara body image (p=0,011) dan aktivitas fisik (p=0,006) dengan status gizi siswi SMA Negeri 2 Surabaya. Kesimpulan: Body image negatif dan aktivitas fisik rendah atau perilaku sedentari berkontribusi pada kejadian overweight dan obesitas pada siswi SMA Negeri 2 Surabaya.
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