RISK FACTORS OF CENTRAL OBESITY AMONG ADULTS IN DKI JAKARTAObesity is now considered as a major public health problem, afflicting both developed and developing countries including Indonesia. Recently, central obesity, measured by waist circumference, draw a greater attention than overall obesity, measured by body mass index, since more risks have been proved to be associated with central obesity. The objective of the study is to analyzed risk factors associated with central obesity in DKI Jakarta. The study used secondary data of Basic Health Research (RISKESDAS) conducted in 2007 in DKI Jakarta. A Total of 11805 men and women age 15 year old or above excluding pregnant women were used for the analyses. Logistic regression analyses were used to measure the association between central obesity and existing variables in the data on the characteristic of subject. The result showed that significant risk factors associated with central obesity are age 35 year, sex (women), marital status (married), education (high school), occupation (entrepreneur/ tradesman/ services/ housewife), per capita income (quintile-5), fatty foods and mental disorders. Among those risk factors, sex (women) is the most determinant risk factor.
Abstrak Penduduk dewasa dengan tekanan darah sistolik (TDS) normal dan indeks massa-tubuh (IMT) normal dapat digunakan sebagai nilai acuan untuk mengembangkan nilai kecukupan asupan zat gizi untuk orang dewasa. Data dari partisipan Riset Kesehatan Dasar (Riskesdas) 2013 dianalisis untuk penduduk Indonesia dewasa umur 25-59 tahun dengan IMT 18,5—24,9 kg/m2 (n = 19.401). Pada artikel ini, tekanan darah di atas normal merujuk ke TDS >115 mm Hg; itu meliputi kategori prahipertensi dan hipertensi seperti didefinisikan dalam JNC 7. Dua kategori TDS dari partisipan laki-laki dan perempuan tersebut dikelompokkan menjadi empat interval usia (25-29, 30-39, 40-49, 50-59 tahun); lima jenjang pendidikan dan pekerjaan utama kepala keluarga; dua jenis tempat tinggal (kota, desa); lima kuintil kepemilikan; dan 33 provinsi di Indonesia. Di antara orang dewasa dengan IMT normal, 26,2% laki-laki dan 37,6% perempuan memiliki TDS normal. Persentase TDS normal paling tinggi dijumpai pada interval umur termuda, kuintil paling tinggi dan tinggal di kota. Makin bertambah usia, semakin rendah persentase TDS normal. Empat provinsi yang mempunyai persentase tertinggi laki-laki dengan TDS normal adalah Papua Barat, DKI Jakarta, Gorontalo, dan Bali. Sementara empat provinsi yang memiliki persentase paling tinggi perempuan dengan TDS normal ialah Kepulauan Riau, Sulawesi Barat, DKI Jakarta, dan Bali. Bila IMT dan TDS normal orang dewasa akan digunakan antara lain untuk nilai acuan, seperti untuk mengembangkan nilai kecukupan asupan zat gizi untuk orang dewasa, perlu mempertimbangkan nilai batas TDS dan tempat tinggi, terutama kota. Abtract Adult population with normal systolic blood pressure (SBP) among those with normal body-mass index (BMI) can be used as a reference value to develop the Dietary Reference Intakes (DRI) for Adult Data from participants of the Basic Health Research (Riskesdas) 2013 were analyzed for Indonesian adult population aged 25 to 59 years with BMI 18,5—24,9 kg/m2 (n = 19 401). In this paper, above-normal blood pressure refers to SBP >115 mm Hg; this includes all categories of prehypertension and hypertension as defined in 7th report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC 7). The two SBP categories of man and woman participants were grouped into fourths of the age intervals (25-29, 30-39, 40-49, 50-59 years); fifths of the educational and main job level of head of household; two types of residence (urban, rural); fifths of the expenditure level per capita per month; and 33rd of the Indonesian provinces. Among adults with normal BMI, 26,2% of men and 37,6% of women had normal SBP. Percentage of the highest normal SBP found in the youngest age interval, the highest quintile and the urban residence. As we get older, the lower the percentage of normal SBP. The four provinces that have the highest percentage of men with normal SBP were West Papua, DKI Jakarta, Gorontalo, and Bali. The four provinces having the highest percentage of women with normal SBP were Riau Island, West Sulawesi, DKI Jakarta, and Bali. If the adult’s normal BMI and SBP will be used among other things for a reference value, such as to develop the DRI, it is necessary to consider the SBP thresholds and residence, in particular the urban.
Severe wasted among children under five is still a pub lic health prob lem. Treatment of severe wasted at the health center follows the management recommended by the Ministry of Health and WHO. The improvement of nutrition and health status has not b een maximized during treatment and it was suspected related to childcare. Therefore it will b e studied how caring practice had b een done at household. The purpose of this study was to examine caring practice level and their constraints as well. This research was a mix-method with crosssectional design, located in four provinces. Then in each province, the two highest regencies of severe wasted were selected, and purposively from each district one health center was taken which had a lot of severe wasted cases. Sample were parents whose children suffered from severe wasted and informants were nutritionist of health center and integrated post cadre. Data collected were data of characteristics children and their families, feeding and care for sick children hab it and caring parctice level of parents. Data was analyzed descriptively. Results levels of good caring practice were highest in West Java Province (60%), while the other three provinces were lower. The constraints faced were the low mothers education, father's main job as lab orers, the hab it of giving prelacteal food and formu la milk from b irth, solid food given at the b eginning children suffered from severe wasted and complaints of some infectious diseases. There needs to b e an increase in caring practice level with parenting programs b oth expected to b e at health center or at integrated post. ABSTRAKStatus gizi sangat kurus pada balita masih menjadi masalah kesehatan masyarakat dengan prevalensi nasional sekitar 5,3 persen. Penanganannya di puskesmas mengikuti tatalaksana direkomendasikan Kementerian Kesehatan dan WHO. Saat ini peningkatan gizi dan kesehatan belum maksimal melalui pemulihan gizi sangat kurus , diduga masalahnya berkaitan dengan pengasuhan anak. Tujuan penelitian ini mengkaji pengasuhan anak dalam praktik pemberian makan, perawatan anak sakit di rumah tangga dan kendalanya. Penelitian ini merupakan penelitian mix-method dengan desain kros-seksional, berlokasi di empat provinsi dengan prevalensi gizi sangat kurus yang tinggi. Dari tiap provinsi dipilih dua kabupaten yang tinggi prevalensinya, kemudian secara purposive dari tiap kabupaten diambil satu puskesmas yang merupakan kantong gizi sangat kurus. Sampel adalah orang tua yang mempunyai balita gizi sangat kurus yang mengikuti pemulihan gizi di puskesmas. Informan adalah TPG Puskesmas dan kader posyandu. Data yang dikumpulkan adalah data karakteristik balita dan keluarga, kebiasaan pemberian makan dan perawatan anak, dan tingkat pengasuhan anak yang meliputi praktik pemberian makan, perawatan dan perkembangan anak. Data dianalisis secara deskriptif. Hasil tingkat pengasuhan anak yang baik tertinggi di Provinsi Jabar (60%), sedangkan tiga provinsi lainnya lebih rendah dan yang terendah di Provinsi NTT (26%). Kendala yang dihadapi adalah...
Food and nutrition (FN) misinformation is the incomplete, incorrect, or misleading information about FN science, without any scientific evidence. Misinformation can easily be taken from internet, and can come from food industries, friends, families, and influenced by its culture. Information on negative aspect of aspartame consumption is a case of food and nutrition misinformation taken from internet. Searching information through websites on the topic of aspartame will be easily found but most of the information claimed that using aspartame sweeteners is a frightening personal account attributing multiple health disasters, even the evidence has not been established yet. The aim of this article is to review food and nutrition misinformation, with the emphasis on the association between aspartame intake and its effect on health.
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