Background: Lebong is the third highest district (34.4%) of stunting cases in Bengkulu Province, where the percentage of children under five is very short (11.8%) in Bengkulu2. The purpose of this study was to analyze the associated of parenting to stunting to children with ages 6-59 months and its control recommendation in Lebong district. Method: The type of research used was observational analytic, case control study design and purposive sampling technique. The population is mother and children with ages 6-59 months in August 2018. Quantitative data analysis (univariate and bivariate). Results: Stunting respondents in Lebong district had a history of parenting: non exclusive breastfeeding (55.20%), time for complementary feeding <6 months (55.20%), used poor health services (72.40%), low level of maternal knowledge (67.20%), poor environmental sanitation (77.60%) & poor psychosocial stimulation (94.80%). There was a relationship (P value <0.05) between history of breastfeeding, time of giving complementary feeding, utilization of health services, level of knowledge of mother, environmental sanitation, psychosocial stimulation to stunting in Lebong. Conclusion: Three factors dominant of parenting have influence to stunting in Lebong are utilization of health services, level of mother knowledge and psychosocial stimulation. The model of controled stunting risk factors in Lebong can be done through family empowerment aimed at the individual, community and health service levels.   Keywords: lebong, model, parenting style, stunting

Hypertension is one of non-communicable diseases which prevalence is high in Indonesia, not only among adult and elderly but also among adolescent. Hypertension can be caused by various factors including fat intake, fi ber intake and nutritional status. The purpose of this study was analyze the correlation of fat intake, fi ber intake, and obesity with hypertension among female students at Vocational high school, Bekasi, Indonesia. This was a cross sectional study among 255 female students who were selected by purposive sampling technique. Hypertension was measured using sphygmomanometer with 95 percentile cut-off based on sex, age, and body height (cut-off hypertension was > 104-115 mmHg systolic and > 62-68 mmHg diastolic blood pressure). Fat and fi ber intake were assessed using Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), and obesity was measured using digital weighing scales and microtoise. Data were analyzed by chi square test. The results showed that prevalence of female students with low f fat intake was 58,8%; low fi ber intake was 82,0%; obesity was 25,1%; and hypertension was 16,5%. There was a positive correlation between fat intake (p=0,011) and obesity (p<0,01) with hypertension but no correlation was found between fi ber intake (p=0,916) and hypertension. Fat intake and obesity were related to the hypertension in adolescents. Routine blood pressure checks and restrictions on fat intake are needed to reduce the risk of hypertension in adolescents.

Renal failure was the standard end line of various urinary and renal tractus. Malnutrition among hemodialysis patients can be estimated using Subjective Global Assessment (SGA)-Dialysis Malnutrition Score (DMS) which is simple and reliable. The purpose of this research was to know the relationship between energy intake, protein, and potassium with nutritional status SGA in renal failure patients who were treated by hemodialysis in hospital Dr. M. Yunus Bengkulu. The design of this research was analytical observational by using prospective cohort approach. The number of respondents was 57 patient. Recall method was used to measure intake of energy, protein, and potassium with 2 × 24 h recall a week, as well as the measurement of SGA-DMS. Bivariate statistical tests using correlation are testing the significance of the relationship or difference with a 95 % confidence level and with α = 5 %. There was a relationship between the protein intake (p = 0.035) with SGA, there was no relationship between the energy intake (p = 0.242) with SGA, and there was no link between intake of potassium with SGA (p = 0.603) in chronic renal failure patients undergoing hemodialysis. This study showed which is no significant relationship between energy intake with SGA, there was a relationship of protein intake with SGA and there was no relationship between intake of potassium with SGA.

Stunting in Indonesia is still high, including in Bengkulu Province with the locus on the outermost island, namely Meok Village, Enggano District. Stunting events affect the neurological development and cognitive abilities of children. Risk factors for stunting include education. knowledge, protein intake, infection, exclusive breastfeeding, fish food restriction culture. So that efforts are needed to increase the knowledge and ability of the community in processing local fish food ingredients as a food source for toddlers. The purpose of community service activities is to increase the knowledge and skills of mothers with toddlers in processing fish-based local food ingredients as an effort to prevent stunting in toddlers. The activity targets of mothers who have children under five are 35 people. Place of implementation Meok and Apoho Village, Enggano District, North Bengkulu Regency. Activities carried out in September-December 2021. The method of activity is the preparation, implementation, evaluation, follow-up plans. The result is an increase in the average score of knowledge about stunting prevention efforts from 11.09 before the activity to 18 after the activity. Mothers who have children under five are able to process fish-based food ingredients in the form of banana fish porridge and fish rollade. It can be concluded that this community service activity can increase the knowledge and ability of toddler mothers in processing fish-based food. It is suggested to health service providers to empower cadres in health promotion for stunting prevention through processing food menus in accordance with local wisdom.

No abstract