(or = 4.69; ci: 2.12 to 10.35); fat (or = 2.34; ci: 1.19 to 4.57); carbohydrates (or = 2.64; ci: 1.34 to 5.20); the frequency of fast food (or = 2.47; ci: 1.26 to 4.83); and the morning breakfast intake (or = 5.24; ci: 2.56 to 10.71
School-age children are approved as agents of change, easy, motivated, and competent. The right media will facilitate the delivery of messages, set more goals, save time, and reduce misunderstanding of the recipient of the message. The study aimed to determine the differences in knowledge about nutrition using pop up book media, PGS cards, and leaflets to improve PGS knowledge, attitudes and behavior in elementary school students. Quasi-experimental research design was pre-post test with control group design in 3 groups in 3 different elementary schools. The sample of 123 students who were divided into intervention groups were given counseling from PGS with pop up book media and PGS cards and control groups using leaflet media. Intervention was given 4 times for 8 weeks (counseling every 2 weeks). Data analysis using paired t-test and ANOVA test. The results of the analysis showed that the highest mean in knowledge score (15.00 ± 3.35) and significant was found in the PGS cards group (p = 0.017). No increase in attitude and behavior scores (p>0.05) in all media. Only the average knowledge score showed a significant difference between media (p = 0.001). Thus, it can be concluded that there are differences in students' knowledge about PGS between before and after PGS counseling using nutritional promotion media (pop up book, PGS card, and leaflets) and otherwise with attitudes and behavior. Keywords: balanced nutrition guidelines, leaflets, PGS card, pop up book, school-age children ABSTRAK Anak usia sekolah berpotensi sebagai agen perubahan (agent of change), mudah dimotivasi dan ditingkatkan kompetensinya meliputi aspek pengetahuan, sikap, dan perilaku. Media yang tepat akan memudahkan penyampaian pesan, menjangkau sasaran lebih banyak, efisiensi waktu, dan mengurangi kesalahpahaman penerima pesan. Penelitian bertujuan mengetahui perbedaan pengaruh penyuluhan gizi menggunakan media pop up book, PGS Cards, dan leaflet terhadap peningkatan pengetahuan, sikap, dan perilaku PGS pada siswa sekolah dasar (SD). Jenis penelitian eksperimen semu dengan desain penelitian pre post test with control group design pada 3 kelompok di 3 SD yang berbeda. Jumlah sampel 123 siswa, yaitu kelompok yang diberi perlakuan penyuluhan PGS dengan media pop up book dan PGS cards serta kelompok kontrol/pembanding dengan media leaflet. Perlakuan diberikan sebanyak 4 kali selama 8 minggu (1 kali penyuluhan setiap 2 minggu). Analisis data menggunakan uji paired t-test dan Anova. Hasil analisis menunjukkan peningkatan rerata skor pengetahuan yang tertinggi (15,00±3,35) dan signifikan ditemukan pada kelompok media PGS cards (p=0,017). Tidak ditemukan kenaikan skor sikap dan perilkau (p>0,05) pada ketiga media. Hanya rerata skor pengetahuan yang menunjukkan perbedaan signifikan antar media (p=0,001). Dengan demikian, dapat disimpulkan bahwa terdapat perbedaan pengetahuan siswa tentang PGS antara sebelum dan setelah penyuluhan PGS menggunakan media promosi gizi (pop up book, PGS card, dan leaflet) dan sebaliknya dengan sikap dan perilaku. Kata kunc...
Upper arm circumference, body mass index, and fundal height of pregnant women to estimate birth weightBackground: Accuracy of estimated infant’s birth weight is one of the most important measurements at the beginning of labor. Some anthropometric measures of pregnant women are upper arm circumference (MUAC) as a screening tool for chronic energy deficiency, body mass index (BMI) for assessment of chronic energy deficiency status, and indicators of fundal height to estimate birth weight. However, many studies with varying results are related to the accuracy of estimated birth weight.Objective: The study aimed to compare the capacity of MUAC, BMI, and fundal height indicators in predicting birth weight.Methods: The type of research is a cross-sectional study carried out at the Sadewa Maternal and Child Hospital in Yogyakarta in June-August 2018 with a 376 sample. The independent variables were MUAC, BMI, and fundal height, and the dependent variable is birth weight. Bivariate analysis using Pearson correlation and AUC and ROC curve tests.Results: There is a relationship between BMI and the fundal height of pregnant women with birth weight. The AUC BMI value (AUC=0.519) was found to be the highest compared to the MUAC (AUC=0.496) and fundal height (AUC=0.466) measurements.Conclusions: Pre-pregnancy BMI had a better capacity for predicting birth weight than MUAC and fundal height.
Background: The management of DM focused on four pillars: education, nutrition therapy, physical exercise, and pharmacological interventions. In type 2 diabetes, physical activity functions primarily in controlling diabetes.Objective: This study aims to determine the effect of differences in the duration of aerobic exercise on blood glucose levels.Method: This was quasi-experimental research with pre-post test design. A total of 24 respondents with type 2 diabetes were divided into two groups consisting of groups A that received aerobic exercise with a duration of 30 minutes and group B received aerobic exercise with a duration of 60 minutes for 6 weeks and frequency of exercise 3 times each week. Statistical tests use paired t-tests and independent t-tests.Results: The mean post-test blood sugar level based on HbA1c measurements in group A was 7.92±1.56% while group B was 7.13±0.99%. Mean pre-test - post-test blood sugar levels in the two groups were significantly different (p<0.05). Aerobic exercise for 6 weeks with a frequency of 3 times each week can reduce HbA1c by -2.5±0.96% in group A while group B increased by 0.02±0.29%. There is a significant difference in HbA1c before and after 6 weeks of aerobic exercise between two groups (p=0.021).Conclusion: Aerobic exercise with a duration of 30 minutes for 6 weeks 3 times each week can reduce blood glucose (HbA1c) by -2.5±0.96% while the group duration of aerobic exercise 60 minutes an increase of 0.02±0.29%. There is a significant difference in HbA1c before and after 6 weeks of aerobic exercise between the two groups.
Praktek pemberian ASI di Indonesia masih buruk, masyarakat masih sering beranggapan bahwa menyusui hanya urusan ibu dan bayinya. Kelompok Pendukung (KP) Ibu dilakukan untuk meningkatkan pengetahuan tentang ASI Eksklusif dan praktek pemberian ASI Eksklusif, serta memungkinkan petugas kesehatan untuk melakukan pendampingan teknis yang akhirnya akan meningkatkan cakupan ASI Eksklusif. Penelitian ini bertujuan untuk mengetahui efektifitas program Kelompok Pendukung (KP) Ibu terhadap perilaku pemberian ASI Eksklusif. Penelitian ini merupakan penelitian observasional dengan rancangan Kohort yang dilaksanakan pada bulan Juli s.d. Desember 2011 di wilayah kerja Puskesmas Kasihan II Kabupaten Bantul. Sampel ditentukan dengan cara purposive sampling, dengan ketentuan bayi usia 3-4 bulan, masih memberikan ASI saja, tinggal di wilayah kerja Puskesmas Kasihan II dan bersedia mengikuti penelitian. Kriteria eksklusinya adalah ibu dengan penyakit kronis yang mengganggu pemberian ASI eksklusif dan menyusui lebih dari 1 bayi (bayi kembar). Jumlah tiap-tiap kelompok subyek (KP-Ibu dan Non KP-Ibu) adalah 35 orang, dengan melakukan matching untuk umur. Penempatan kedalam kelompok KP dan Non KP dilakukan secara acak. Data dianalisis dengan t test dan chi square. Hasil penelitian menunjukkan bahwa terdapat hubungan yang nyata perlakuan KP Ibu terhadap pengetahuan tentang ASI untuk responden yang berpendidikan rendah, tidak bekerja (sebagai ibu rumah tangga), dan yang mendapatkan Inisiasi Menyusu Dini (IMD). Sebaliknya untuk responden yang berpendidikan tinggi, bekerja, dan tidak mendapat Inisiasi menyusu dini, hubungan ini tidak nyata. Kesimpulannya, kelompok pendukung ibu untuk mensukseskan pemberian ASI eksklusif (praktek menyusu) sangat bermanfaat dalam meningkatkan pengetahuan ibu tentang ASI pada responden yang berpendidikan rendah, tidak bekerja (sebagai ibu rumah tangga saja), dan yang mendapatkan Inisiasi Menyusu Dini. Kata kunci: KP-Ibu, pengetahuan ASI, praktek ASI eksklusif ABSTRACT THE ASSOCIATION OF MOTHER SUPPORTING GROUP PROGRAMME TO THE KNOWLEDGE AND PRACTICE OF EXCLUSIVE BREASTFEDING Breastfeeding practices are still poor in Indonesia, and the community always assumes that the breastfeeding was the responsibilites of mother to handle her baby. The Mother Supporting Group (SG) Programme designed to increase the knowledge and practices about Exclusive Breastfeeding and to improve the techical supports from the health provider to lacatating women. The impact of SG programme was increasing the coverage of Exclusive Breasfeeding Mothers. The Objectives of this research to measure effectivity of SG programme to the Exclusive Breastfeeding behavior. This research was observational as cohort design from July until December 2012, in Kasihan Sub District area of Bantul District. The samples were taken purposively among 2-3 months babies and still breasfed, living in study areas and signed informed concents as subject criterias. The excluded criterias were the mothers had the cronic deseases which may disturb the breasfeeding act...
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