Analysis of the Relationship Between Children's Characteristics, Family Characteristics, Food Intake, Eating Habits, and Disease History with Nutritional Status of Under-Five Children Based on the Composite Index of Anthropometric Failure in Karangkamulyan Village, Cihara District, Lebak Regency, Indonesia in 2020

Composite Index of Anthropometric Failure (CIAF) is an indicator of composite nutritional status assessment (WAZ, HAZ, and WHZ) to describe toddler's nutritional problems. In 2020, malnutrition, unemployment, and poverty in Banten Province were high, the population's income tends to be low. Karangkamulyan is an underdeveloped village with mining areas. This is a secondary study used a cross-sectional study design to analyze the relationship between children's characteristics, family characteristics, food intake, eating habits, and disease history with the toddler's nutritional status based on CIAF in Karangkamulyan Village in 2020. The primary research was conducted in September 2020, instrument used is a questionnaire. The sample was 141 toddlers aged 24-59 months. Data were analyzed by univariate and bivariate. The results found that children under five experienced nutritional problems were 36.2%. The variables related to toddler's nutritional status, is exclusive breastfeeding (p=0.026), energy intake (p=0.026), and vegetable protein consumption habits (p =0.003)

Faktor-Faktor yang Berhubungan dengan Kejadian Diare pada Siswa Sekolah Dasar di Kabupaten Lebak, Provinsi Banten, Indonesia

Penyakit diare adalah penyakit endemis yang mempunyai potensi untuk menciptakan kejadian luar biasa (KLB) dalam suatu negara termasuk di Indonesia. Di kabupaten Lebak ditemukan kasus diare tertinggi di Provinsi Banten, dengan angka tertinggi pada kelompok usia anak sekolah. Penelitian bertujuan untuk mengetahui hubungan antara kejadian diare terhadap karakteristik anak, karakteristik perilaku anak, karakteristik ibu/keluarga dan karakteristik lingkungan. Penelitian ini menggunakan data sekunder dengan desain cross-sectional dengan jumlah sampel sebanyak 151 anak sekolah dasar. Dengan variabel dependen yaitu kejadian diare dan variabel independen yaitu frekuensi jajan, frekuensi makan sayuran mentah, kebersihan kuku, panjang kuku, mencuci tangan sebelum makan, mencuci tangan pakai sabun dan air mengalir, mencuci tangan setelah BAB/BAK, pendidikan ibu, pekerjaan ibu, penghasilan orangtua, kebiasaan BAB sembarangan, keberadaan jamban, sumber air minum dan tempat penyimpanan air minum. Hasil penelitian menunjukkan bahwa terdapart hubungan antara frekuensi makan sayuran mentah, dan mencuci tangan sebelum makan dengan kejadian diare di pada siswa di SDN 01 Karangkamuyan

Paternal breastfeeding self-efficacy in South Tangerang, Indonesia: a qualitative study

Studies focusing on paternal confidence in supporting breastfeeding remain relatively scarce, especially in Indonesia. The purpose of this study was to explore paternal breastfeeding self-efficacy among fathers in Indonesia. This study used a qualitative approach with ten participants, including fathers and mothers with children aged 6-24 months who had experience in exclusive breastfeeding. It took place in South Tangerang City between May and July 2023. Fathers participated in focus group discussions, while mothers underwent in-depth interviews. The data analysis utilized content analysis, referring to the theme of the Self-efficacy framework. This study revealed that fathers felt less confident when dealing with issues such as the baby's low weight, breastfeeding refusal, and the mother returning to work. However, seeing the consequences of not exclusively breastfeeding and the support from health workers and the community helped them stay confident. These factors, along with a sense of pride and satisfaction, strengthened their ability to support exclusive breastfeeding. Paternal breastfeeding self-efficacy is dynamic. However, previous experience, observation of others, verbal persuasion, and positive emotions strengthen fathers' beliefs. Parents need to consult a lactation counselor when facing problems while breastfeeding. Counselors can provide assistance and motivation to remain confident and continue to exclusively breastfeed

Analisis Pemanfaatan Program Pelayanan Kesehatan Status Gizi Balita

Gizi merupakan faktor determinan utama yang berhubungan dengan kualitas sumber daya manusia. Anak-anak berusia kurang dari lima tahun adalah kelompok rentan untuk masalah gizi dan kesehatan. Tujuan penelitian ini mendapatkan faktor status gizi yang paling dominan anak usia dibawah lima tahun. Penelitian ini dilakukan terhadap sumber data sekunder data riset kesehatan dasar (Riskesdas) tahun 2007. Penelitian ini menggunakan metode analisis multivariat untuk menilai berbagai faktor risiko yang berhubungan dengan status nutrisi. Mengunakan berat badan untuk umur, faktor risiko paling dominan adalah diare setelah dikontrol dengan sumber air minum, ketersediaan latrine, status sosioekonomi, ukuran keluarga, gender, pemanfaatan pelayanan kesehatan, penyakit saluran napas, pekerjaan ibu dan waktu pemberian air susu ibu sampai dua tahun. Menggunakan tinggi untuk tinggi badan faktor risiko dominan adalah ketersediaan latrines setelah dikendalikan oleh perilaku cuci tangan, status sosial ekonomi, sumber air minum, durasi pemberian ASI sampai dua tahun. Untuk mengatasi masalah gizi pada anak usia di bawah lima tahundibutuhkan kebijakan yang terfokus memulihkan pertumbuhan dan status kesehatan anak usia di bawah lima tahun dengan korelasi antara program gizi dan program lain, seperti kesehatan lingkungan dan imunisasi. Selain itu, pemerintah harus mengatur peranan posyandu sebagai fasilitas yang membantu pemerintah untuk meningkatkan status kesehatan masyarakat.Kata kunci: Akses pelayanan kesehatan, balita, status gizi, malnutrisiAbstractNutrition is one of the major determinant factors related to human resources quality. Under-five years old children are susceptible to nutrition and health problems. The purpose of this study is to identify the most dominant factor of nutritional status of under five children using Riskesdas data in 2007.Multivariate analysis results showed that the risk factor which mostly associated with nutritional status using weight for age was a diarrheal illness after being controlled by the source of drinking water, latrine availability, socio-economic status, family size, gender, utilization of health services, respiratorydiseases, maternal employment, and duration of breastfeeding up to 2 years. Using height for age was the availability of latrines after being controlled by hand-washing habits, socioe-conomic status, source of drinking water, duration of breastfeeding up to 2 years, diarrheal disease, family size and gender. Using weight for height was sex after being controlled by age, drinking water sources, distance and time to health services and respiratory disease. To overcome malnourished problem in children under five years old, it is needed to establish a policy focusing on the recovery of thegrowth and health status for under-five children with correlation between nutrition program and other programs, such as environmental health (clean and healthy life style) and immunization. Beside that, the government should arrange the role of the posyandu as a facility that help government to increase the health status of community.Key words: Usage of health service facility, under-five children, nutritional status, malnutritio

FACTORS ASSOCIATED WITH SOCIAL PARTICIPATION ACCORDING TO RESIDENCE AREA AMONG ELDERLY IN INDONESIA

Social participation in elderly is an important component of active aging. The purpose of this study was to identify factors associated with social participation in elderly by differential residence area (urban/rural). This cross-sectional study involved all subjects (n = 2900) aged ≥ 60 years old from Indonesia Family Life Survey data (IFLS) 2014. Chi-square analysis were used to identify factors associated with social participation. This study found that the proportion of social participation in elderly in urban area was greater than rural. Factors associated with social participation both in rural and urban areas were level of education and working status.According to mental health problem, anxious was significantly related to social participation in elderly in rural area, while in urban area was isolated. This result implies that socio-demographic is an important factor of social participation in the elderly, and mental health contributes to their involvement. Some efforts are needed to maximize the social participation activities according to the characteristics of their environmental life.&nbsp

Effects Of The Covid-19 Pandemic On Eating Habits And Exercise Habits Of The Selected High School Adolescents In West Lampung Regency

ABSTRAK Coronavirus Disease-19 (COVID-19) merupakan pandemi global yang telah menginfeksi berbagai negara di dunia, termasuk Indonesia. Pembatasan pada kegiatan di luar rumah termasuk penutupan sekolah dalam menekan penularan COVID-19 berdampak pada perubahan aktifitas fisik dan perilaku makan dalam arah yang membahayakan kesehatan dan menimbulkan masalah gizi, serta meningkatkan risiko NCD yang dapat memperparah penyakit COVID-19. Penelitian ini bertujuan untuk mengetahui perbedaan kebiasaan olahraga dan kebiasaan konsumsi sebelum dan saat pandemi COVID-19 pada siswa SMAN terpilih di Kabupaten Lampung Barat. Desain studi penelitian ini adalah cross-sectional dengan menggunakan data primer yang didapatkan melalui pengisian kuesioner dan FFQ. Penelitian dilakukan pada bulan juli 2020. Sampel penelitian berjumlah 295 siswa yang dipilih dengan metode purposive sampling pada SMA Negeri terpilih di Kabupaten Lampung Barat. Data penelitian ini dianalisis menggunakan SPSS 2.0 menggunakan analisis bivariat uji Mc Nemar.  Hasil penelitian menunjukkan ada perbedaan variabel frekuensi olahraga (p-value 0,000), durasi olahraga (p-value 0,000), kebiasaan konsumsi sayur (p-value 0,021) dan buah (p-value 0,000) sebelum dan saat pandemi COVID-19. Tidak terdapat perbedaan variabel kebiasaan konsumsi jajanan (p-value 0,280), fast food (p-value 0,207), gorengan (p-value 0,180) dan soft drink (p-value 0,103).  Dapat disimpulkan bahwa, masa pandemi COVID-19 berdampak pada perubahan kebiasaan olahraga baik pada frekuensi dan durasi olahraga serta kebiasaan konsumsi sayur dan buah siswa SMAN terpilih di Kabupaten Lampung Barat.   Kata Kunci : COVID-19, Kebiasaan Konsumsi, Olahraga, Remaja     ABSTRACT             Coronavirus Disease-19 (COVID-19) is a global pandemic that has infected various countries in the world, including Indonesia. Restrictions on activities outside the home including school closures in suppressing the transmission of COVID-19 have an impact on changes in physical activity and eating behavior in a direction that endangers health and causes nutritional problems, as well as increases the risk of NCDs that can exacerbate COVID-19 disease. This study aims to determine differences in exercise habits and consumption habits before and during the COVID-19 pandemic in selected high school students in West Lampung Regency. The study design of this study was cross-sectional using primary data obtained through filling out questionnaires and FFQ. The study was conducted in July 2020. The research sample consisted of 295 students who were selected using the purposive sampling method at selected public high schools in West Lampung Regency. The research data were analyzed using SPSS 2.0 using Mc Nemar test bivariate analysis. The results showed that there were differences in the frequency of exercise (p-value 0.000), exercise duration (p-value 0.000), vegetable consumption habits (p-value 0.021) and fruit (p-value 0.000) before and during the COVID-19 pandemic. There is no difference in the variables of snack consumption habits (p-value 0.280), fast food (p-value 0.207), fried food (p-value 0.180) and soft drinks (p-value 0.103). It can be concluded that, the COVID-19 pandemic has an impact on changes in exercise habits both in the frequency and duration of exercise as well as vegetable and fruit consumption habits of students selected high school in West Lampung Regency. Keywords: COVID-19, Eating Habits, Sports, Adolescent

SHOULD MONO-UNSATURATED AND POLY-UNSATURATED FAT PREVENTS THEPROGRESSIVITY PREDIABETES ON WOMAN?

Most evidence showed that women with diabetes mellitus have a higher risk for cardiovascular disease. Prediabetes is a reversible state that can progressive for future complications or regressive to normoglycemic. The weight loss that prevents progressivity from prediabetes can be achieved by regulating dietary composition. The dietary composition may affect pancreatic ?-cell function and insulin sensitivity. Consumption of foods rich in MUFA and PUFA has a positive effect on metabolism, which is associated with an increase in the position of adiponectin, anti-inflammatory cytokines, which increase liver elevation, and reduce atherosclerosis, such as decreased triglycerides, LDL and VLDL and increased HDL. This article explores relevant literature on this subject in order to identify and elaborated the knowledge for further research

Factors Associated with Underweight among Two Years Old Children in DKI Jakarta Province (Indonesian Family Life Survey 2014)

Abstract A good health status, cognitive development, and productivity cannot be achieved without good nutrition. Nutritional status and its fulfilment of two years old children will be shaping the health status in the next age period. Unfortunately, nutritional problems like underweight is still a significant health problem in Indonesia, especially Special Capital Region of Jakarta. This study used secondary data achieved from Indonesian Family Life Survey 5 data in 2014. This study used a cross-sectional study design with a total of 135 samples of two years old children using a total sampling. Accordingly, the chi square test was used to find factors associated with underweight among two years old children. The result showed that the prevalence of underweight among under two years old children in DKI Jakarta Province was 30,4%. This result showed that child characteristics such as gestational age (OR= 5,813; CI= 1,291 - 26,178), low birth weight (OR= 5,060; CI= 1,136 - 22,533), and frequency of eating sweets (OR= 3,5; CI= 1,118 – 10,962) were associated with underweight (p-value < 0,05). The result of the study suggests that government should involve more in order to increase the role of community such as health center staff and cadres on preventing, detecting, and handling underweight cases by providing education and solutions to this phenomenon. AbstrakStatus kesehatan yang baik, perkembangan kognitif, dan produktivitas tidak dapat dicapai tanpa gizi yang baik. Status gizi dan pemenuhannya terhadap anak usia dua tahun akan mempengaruhi derajat kesehatan pada periode usia berikutnya. Sayangnya masalah gizi seperti kekurangan berat badan masih menjadi masalah kesehatan yang serius di Indonesia, khususnya di ibu kota negara, DKI Jakarta. Penelitian ini menggunakan data sekunder dari data Indonesia Family Life Survey 5 tahun 2014. Penelitian ini menggunakan desain studi cross sectional dengan jumlah sampel sebesar 135 bayi dua tahun menggunakan total sampling. Uji chi square digunakan untuk mengetahui faktor-faktor yang berhubungan dengan berat badan rendah pada anak usia dua tahun. Hasil penelitian menyatakan bahwa prevalensi anak dengan berat badan rendah pada balita di Provinsi DKI Jakarta sebesar 30,4%. Hasil penelitian ini menunjukkan bahwa karakteristik anak seperti usia kehamilan (OR= 5,813; CI= 1,291 - 26,178), BBLR (OR= 5,060; CI= 1,136 - 22,533), dan frekuensi makan yang manis berhubungan dengan berat badan kurang pada balita (OR= 3,5; CI= 1,118 – 10,962) (p-value <0,05). Hasil penelitian menyarankan pemerintah untuk lebih banyak terlibat untuk meningkatkan peran masyarakat seperti petugas puskesmas dan kader dalam pencegahan, pendeteksian, dan penanganan kasus anak dengan berat badan rendah dengan memberikan edukasi dan solusi pencegahannya

The Difference of Ultra-Processed Food Consumption based on Individual Characteristics and Other Factors among Non-Health Undergraduate Students in Universitas Indonesia in 2023

Ultra-processed food/UPF is a product that undergoes a series of industrial techniques and processes, also has low nutritional value. Overconsumption of UPF can increase the risk of overweight and obesity. The purpose of this study is to determine the differences in the proportion of UPF consumption based on individual characteristics, environmental factors, and lifestyle factors among non-health undergraduate students in Universitas Indonesia in 2023. A cross sectional study design conducted on 149 samples. The data was collected using a self-administered online questionnaire. The data was analyzed using univariate and bivariate (chi-square) analyses. The results showed that 50,3% of the students consumed a high level of UPF. The bivariate analysis showed a significant difference in the proportion of UPF consumption based on peer influence and access to UPF

Family, Social, and Health Workers Support with Complience Behaviour to Patients with Hypertension in Bogor, Indonesia

Background: Abnormalities of the heart and blood vessels marked by an increase in blood pressure are known as hypertension. Worldwide, high blood pressure is estimated to affect more than one in three adults aged 25 years and over, or about one billion people. Overall, high-income countries have a lower prevalence of hypertension (35% of adults) than low and middle-income groups (40% of adults). The prevalence of hypertension in Indonesia based on the Basic Health Research (Riskesdas) data in 2018 was 34.1%. Objective: This study determines the relationship of family support, social support, and health worker support with compliance of hypertensive patients. Methods: This research was conducted at the Tegal Gundil Community Health Center, North Bogor District, Bogor City, Indonesia, which was conducted from May to December 2017. The design of this study was cross-sectional. Sampling was carried out with a purposive sampling method with inclusion and exclusion criteria. The former consisted of all hypertensive patients aged 25-65 years who routinely control during the last six months who are present and willing to be interviewed during the study. The later includes hypertensive patients who have memory disorders with the number of samples of 110 respondents. Results: The results showed the respondents were dominated by the age of under 59 (75.5%), female (86.4%), junior high school as the highest education (68.2%), have no job (81.8%), and the prevalence of their sufferers’ compliance was 47.3%. The results of the Chi-square test showed that family support, social environment, and health workers were associated with compliance in hypertensive patients (OR = 2.461; CI 95% 1.140 to 5.310; P Value = 0.034). Conclusion: In order to improve compliance of patients with hypertension, it is necessary to pursue a program of activities focused on health promotion activities not only for patients but also involving family and social members