HUBUNGAN ANTARA STATUS ANEMIA, TINGKAT AKTIVITAS FISIK, KEBIASAAN SARAPAN DAN DEPRESI PADA REMAJA PUTRI DI KOTA YOGYAKARTA

Latar Belakang. Depresi pada remaja merupakan pencetus beban penyakit, mengakibatkan kerugian karena kehilangan produktivitas, dan meningkatkan risiko sindrom metabolik saat dewasa. Gangguan mental emosional pada kelompok usia 15-24 tahun di Daerah Istimewa Yogyakarta (DIY) sebesar 9,5 persen. Zat besi mempunyai peran penting dalam pembentukan perilaku emosional karena perannya sebagai kofaktor sintesis serotonin dan dopamin otak. Selain itu, tingkat aktivitas fisik dan pola makan (kebiasaan sarapan) berkontribusi juga dalam menjaga keseimbangan neurotransmiter tersebut. Defisiensi zat besi merupakan faktor utama penyebab anemia pada remaja putri. Prevalensi anemia remaja putri di Kota Yogyakarta mencapai 35,2 persen pada tahun 2012. Tujuan. Penelitian ini bertujuan untuk mengetahui hubungan status anemia, tingkat aktivitas fisik, kebiasaan sarapan, dan depresi pada remaja putri di Kota Yogyakarta. Metode. Penelitian dilakukan dengan desain cross sectional. Subjek penelitian adalah 250 remaja putri SMA usia 14-18 tahun di Kota Yoyakarta. Depresi remaja diukur menggunakan Inventori Depresi Remaja (IDR) dan kadar hemoglobin untuk menentukan status anemia. Analisis data bivariat menggunakan chi square. Hasil. Ada hubungan antara kebiasaan sarapan dengan depresi pada remaja putri (RP= 1,52; CI= 1,071-2,162; p<0,05).Tidak terdapat hubungan yang signifikan antara anemia (RP= 1,7; CI= 0,969-3,034; p>0,05), tingkat aktivitas fisik rendah (RP= 0,9; CI= 0,461-1,809; p>0,05) dengan kejadian depresi pada remaja putri di Kota Yogyakarta. Tidak terdapat hubungan yang signifikan antara asupan zat besi dengan depresi. Namun, terdapat hubungan antara kebiasaan sarapan dan depresi pada remaja (RP= 1,52 ; CI=1,071-2,162 ; p=<0,05). Kesimpulan. Kebiasaan sarapan pagi dapat dikaitkan dengan kejadian depresi pada remaja putri. Walaupun proporsi depresi remaja cukup tinggi dalam penelitian ini, namun hubungannya dengan anemia belum dapat dibuktikan secara signifikan

Antenatal care visit frequency of short stature mother as risk factor of stunting among children aged 6 - 23 months in Indonesia (IFLS 5 Study Analysis)

 ABSTRAKLatar Belakang: Stunting adalah gangguan pertumbuhan linear yang saat ini menjadi masalah utama kesehatan anak di negara berkembang yang berhubungan dengan morbiditas dan mortalitas. Berdasarkan hasil Riset Kesehatan Dasar, prevalensi stunting di Indonesia pada tahun 2018 masih tinggi, yaitu mencapai 30,8%.  Salah satu faktor yang mempengaruhi terjadinya stunting adalah tinggi badan ibu yang pendek, dengan prevalensi sebesar 30,5%. Ibu hamil dengan tinggi badan pendek harus memperhatikan kondisi kesehatan selama kehamilan, salah satunya melalui pemeriksaan kehamilan atau antenatal care (ANC) dengan frekuensi pemeriksaan yang sesuai dengan standar. Metode: Penelitian ini adalah penelitian observasional yang menggunakan data sekunder dari penelitian longitudinal yaitu Indonesia Family Life Survey (IFLS) periode ke-5 yang dilaksanakan pada tahun 2014. Rancangan penelitian ini adalah kohort retrospektif. Analisis bivariat dilakukan menggunakan uji chi square, sedangkan analisis multivariat menggunakan uji regresi logistic. Uji statistik dilakukan menggunakan software Stata v13.Hasil: Hasil analisis bivariat diketahui bahwa frekuensi ANC ibu dengan tinggi badan pendek memiliki hubungan signifikan dengan kejadian stunting dengan nilai p=0,04 (RR=1,29; CI 95%=1,02-1,65). Hasil analisis multivariat frekuensi ANC dengan kejadian stunting yang mengikut sertakan variabel luar didapatkan bahwa BBLR merupakan penyebab terbesar kejadian stunting (OR=1,97; CI 95%=1,06-3,64)Kesimpulan: Frekuensi ANC yang sesuai perlu dilakukan oleh ibu hamil dengan tinggi badan pendek. Hal ini adalah upaya untuk mengoptimalkan status kesehatan, sehingga kejadian BBLR yang merupakan faktor risiko kejadian stunting tidak terjadi. Diperlukan strategi pemerintah untuk meningkatkan frekuensi kunjungan ANC dengan mempertimbangkan komponen pelayanan.Kata kunci: stunting; ibu dengan tinggi badan pendek; antenatal care; IFLS 5 ABSTRACT Background: Stunting is linear growth retardation that associated with morbidity and mortality. Prevalence of stunting in Indonesia on 2018 is high, 30,8%. One of the factors that influence stunting is short stature mother. Pregnant women with short stature should concern to their health conditions during pregnancy, through antenatal care (ANC) with frequency that are in accordance with the standards.Method: This study was an observational study using the secondary data of the 5th wave Indonesian Family Life Survey (IFLS) on 2014. The design of this study was a retrospective cohort. . Bivariate analysis was performed using the chi square test, while the multivariate analysis used a logistic regression test. All analyses were performed in Stata v13.Results: Bivariate analysis showed that the ANC frequency of short stature mother had a significant relationship with stunting (p=0.04; RR= 1.29; CI 95%= 1.02-1.65). Multivariat analysis showed that low birth weight is the main cause of stunting (OR=1,97; CI 95%=1,06-3,64)Conclusion: ANC visit essential for short height mother to optimize their health status, so low birth weight which is a risk factor for stunting does not occur. Strategies are needed to improve the frequency and components of ANC services Keywords: stunting; short height mother; antenatal care; IFLS

Peran lurah, petugas kesehatan, dan kader dalam partisipasi ibu balita ke posyandu di wilayah cakupan D/S terendah dan tertinggi di Kota Jambi

ABSTRACTBackground: IHP (Integrated health post) is a form of UKBM (Community Resources Based-Health Effort) that is managed and administered from, by for and together with community in health development IHP administration involved many parties such as cadres, health staff and village head. Rawasari PrimaryHealth Care had the lowest coverage level of D/S (33.2%), while Olak Kemang Primary Health Care had the highest D/S coverage (81.98%).Objectives: To study thoroughly the role of village head, health staff, and cadres in increasing the participation of underfive’s mothers to visit IHP.Methods: This was descriptive study used qualitative method by phonological approach. Informants were selected by purposive sampling. Data collection was performed by 2 methods, in-depth interview to 16 informants and focus group discussion (FGD) to 28 informants. Data validity was performed by sourceand method of triangulation.Results: Village head, nutrition staffs, health cadres, PKK woman and community figures from the highest D/S coverage area took a role in increasing participation of the mother of underfive, but they who were from the lowest D/S coverage did not. They contributed in different way in increasing their participation. Head villages gave the motivation and direction, nutrition staffs attended the IHP, cadres took a role by arrange arisan and ballon provision, and PKK’S woman delegated their member to attend IHP monthly (highest D/S) but they whom from the lowest D/S coverage area did not.Conclusion: Village head, nutrition staffs, health cadres, PKK woman, and community figures in highest D/S coverage area took a role in increasing participation of underfive’s mothers to visit IHP, but they who where from the lowest D/S coverage did not. The Innovation a creativity encourage the mothers to visit IHP.KEYWORDS: village head, health staff, cadre, PKK woman, community figure, woman who had underfiveABSTRAKLatar belakang: Posyandu merupakan bentuk upaya kesehatan bersumber daya masyarakat (UKBM) yang dikelola dan diselenggarakan dari, oleh, untuk dan bersama masyarakat dalam pembangunan kesehatan. Terselenggaranya posyandu melibatkan banyak pihak di antaranya kader, petugas kesehatan dan Lurah. Puskesmas Rawasari dengan tingkat cakupan D/S terendah yaitu 33,2%, dan Puskesmas Olak Kemang dengan cakupan D/S tertinggi yaitu 81,98%.Tujuan: Mengkaji secara mendalam peran lurah, petugas kesehatan, dan kader dalam meningkatkan partisipasi ibu balita ke posyandu. Metode: Penelitian deskriptif menggunakan metode kualitatif dengan pendekatan fenomenologi. Informan dipilih secara purposive sampling. Pengumpulan data dilakukan dengan 2 metode, wawancara mendalam terhadap 16 orang informan dan diskusi kelompok terfokus (DKT) terhadap 28 orang informan. Keabsahan data dengan melakukan triangulasi sumber dan metode.Hasil: Lurah, petugas gizi, kader, ibu PKK, dan tokoh masyarakat dari wilayah cakupan D/S tertinggi berperan dalam meningkatkan partisipasi ibu balita namun di wilayah D/S terendah tidak. Masing-masing berkontiribusi dengan cara yang berbeda misalnya lurah memberikan motivasi dan arahan, petugas gizi datang ke posyandu, kader membuat arisan dan membagikan balon saat posyandu, dan ibu PKK mendelegasikan salah satu anggota untuk datang ke posyandu setiap bulan (D/S tertinggi). Sementara kegiatan-kegiatan tersebut tidak dilakukan di wilayah D/S terendah.Kesimpulan: Lurah, petugas gizi, kader, ibu PKK dan tokoh masyarakat (D/S terendah) tidak berperan dan lurah, petugas gizi, kader, ibu PKK dan tokoh masyarakat (D/S tertinggi) berperan. Adanya inovasi dan kreativitas dari kader di Puskesmas Olak Kemang (D/S tertinggi) dapat mendorong ibu balita untukhadir ke posyandu.KATA KUNCI: partisipasi ibu, posyandu, kader, petugas kesehatan, tokoh masyaraka

Pemilihan food outlet sebagai faktor risiko berat badan lebih anak usia sekolah dasar di Kecamatan Tegalsari Surabaya

ABSTRACTIntroduction: Overweight and obesity are conditions resulting from an imbalance of calories in the body that occur in a long time and cause more deaths than underweight. One of factors related is food pattern, which also infl uenced the selection of food outlets. Surabaya is an urban area so it has many types and characteristic s of food outlet. Elementary school (4, 5, 6) do not really depend on their parents, so their food consumption and physical activity began to vary. Objectives: To identify the relationship between the selection of food outlets and overweight/obesity status of elementary school in Tegalsari district, Surabaya.Methods: This research used a case-control study design. Samples were 51 children for each group of cases and control and obtained from 11 primary school in the 5 subdistricts in Tegalsari district, Surabaya. Data were obtained by interview, direct observation of food outlets, and interview to select informants about the reasons of selecting food outlets . Quantitative data were processed by bivariate (chi-square) and multivariate (binomial regression) test. Results: Bivariate test results showed that there were signifi cant relationships between the frequency to the street vendors consumption (OR=4.09, 95% CI:1.60-10.75), frequency of fast food consumption (OR=2.86, 95% CI:1.19-6.94) and snacks (OR=6,05, 95% CI:2.20-17.62), physical activity (OR=3.09, 95% CI:1.28-7.51) and gender (OR=2.70, 95% CI:1.11-6.64) with overweight/obesity status, while frequency of stores (total, supermarket, market, mini-market), frequency of food service place (total, restaurants, fast food restaurants), frequency of vegetable and fruit consumption, and socio-economic status of respondents did not relate signifi cantly. In multivariate analysis, the variables that affected frequency of the street vendors were snack consumption, physical activity, sex and total expenditure. Conclusions: Frequency of the street vendors, fast food consumption, physical activity,gender, and total expenditure had relationship with overweight/obesity status.KEYWORDS: food outlet, obesity, overweightABSTRAKLatar belakang: Overweight dan obesitas adalah keadaan akibat ketidakseimbangan kalori dalam tubuh yang terjadi dalam waktu lama dan menjadi penyebab kematian lebih banyak dibanding underweight. Salah satu faktor yang berhubungan langsung adalah pola makan, yang juga dipengaruhi pemilihan food outlet. Surabaya merupakan daerah perkotaan sehingga memiliki jenis dan karakteristik food oulet lebih beragam. Anak usia SD kelas IV, V, VI sudah tidak terlalu bergantung pada orang tua, sehingga konsumsi pangan dan aktivitas fisiknya mulai beragam. Tujuan: Mengetahui hubungan antara pemilihan food outlet dan status berat badan lebih pada anak usia sekolah dasar di Kecamatan Tegalsari, Surabaya.Metode: Penelitian menggunakan desain studi kasus-kontrol. Sampel penelitian adalah 51 anak untuk masing-masing kelompok kasus dan kontrol dari 11 SD di 5 Kelurahan di Kecamatan Tegalsari, Surabaya. Data diperoleh dengan wawancara, observasi langsung ke food outlet dan wawancara alasan pemilihan food outlet pada informan terpilih. Data kuantitatif diolah dengan uji bivariat (chi-square) dan multivariariat (regresi binomial).Hasil: Uji bivariat menyatakan terdapat hubungan signifi kan antara frekuensi datang ke pedagang kaki lima (OR=4,09, 95% CI:1,60-10,75), frekuensi konsumsi fast food (OR=2,86, 95% CI:1,19-6,94) dan kudapan (OR=6,05, 95% CI:2,20-17,62), aktivitas fi sik (OR=3,09, 95% CI:1,28-7,51) serta jenis kelamin (OR=2,70, 95% CI:1,11-6,64) dengan berat badan lebih, sedangkan frekuensi ke food store (total, supermarket, pasar, mini-market), frekuensi ke food service place total, rumah makan, restoran fast food), pola konsumsi sayur buah, dan sosial ekonomi responden tidak berhubungan signifi kan. Pada analisis multivariat, variabel yang mempengaruhi frekuensi datang ke pedagang kaki lima adalah frekuensi konsumsi kudapan, aktivitas fisik, jenis kelamin, dan total pengeluaran.Kesimpulan: Frekuensi datang ke pedagang kaki lima, konsumsi kudapan, aktivitas fisik, jenis kelamin, dan total pengeluaran berhubungan dengan status berat badan lebih.KATA KUNCI: food outlet, overweight, obesita

Studi ketidakaktifan kader posyandu di Wilayah Kerja Puskesmas Paramasan, Banjar, Kalimantan Selatan

ABSTRACTBackground: Integrated health post is a community empowered health service that also supported by health workers. Cadres are the drive motor of integrated health post. Inactivity of cadres influence the continuity of integrated health post and affect nutritional status early detection of infants and childrenunderfive. Paramasan Primary Health Care is a region in Banjar Regency that has the highest inactivity cadres level (54.5%).Objectives: To examine the knowledge of cadres, comprehensiveness of facilities and infrastructure at integrated health post, head of village and health workers support, incentives and awards, and community participation as the background of integrated health post cadres inactivity in Banjar Regency, SouthKalimantan.Methods: This was a descriptive research with qualitative methods using a case study design. The research was implemented in the Region of Paramasan Primary Health Cares at Banjar Regency, South Kalimantan in April until May 2014. Informants were selected by purposive sampling until get saturateddata. The data collection was done by using 3 methods: in-depth interview of 23 informants, focus group discussion (FGD) of 30 informants, and field observation. Data analysis used in this study was constant comparative method.Results: Cadres had very low knowledge never joined any training, and also illeterate. The facilities and infrastructure in integrated health post were very limited. Head of village support on cadres and integrated health post were also low. Unscheduled and unstable of incentive numbers and awards received bycadres was also a problem. The level of community participation was really depended on the activeness of cadres in reminding the schedule of integrated health post activities.Conclusions: The knowledge of cadres contibuted to the cadres inactivity, such as a poor participation and lack of confidence in attending the activities of the integrated health post.KEYWORDS: cadres, inactivity, integrated health postABSTRAKLatar belakang: Posyandu merupakan wadah pelayanan kesehatan dari, oleh, dan untuk masyarakat dengan dukungan petugas kesehatan. Kader merupakan motor penggerak posyandu. Tidak aktifnya kader menyebabkan ketidaklancaran pelaksanaan posyandu serta tidak terdeteksinya status gizi bayi dan balita sejak dini. Puskesmas Paramasan merupakan salah satu wilayah di Kabupaten Banjar dengan tingkat ketidakaktifan kader tertinggi yaitu sebesar 54,5%.Tujuan: Mengkaji secara mendalam pengetahuan kader, kelengkapan sarana dan prasarana posyandu, dukungan kepala desa dan petugas kesehatan, insentif dan penghargaan kader, serta partisipasi masyarakat ke posyandu sebagai latar belakang ketidakaktifan kader posyandu.Metode: Penelitian ini merupakan penelitian deskriptif dengan metode kualitatif menggunakan rancangan studi kasus. Pelaksanaan penelitian di wilayah kerja Puskesmas Paramasan Kabupaten Banjar Provinsi Kalimantan Selatan pada bulan April hingga Mei 2014. Informan dipilih secara purposive sampling, berlanjut hingga saturasi data. Pengumpulan data dilakukan dengan wawancara mendalam terhadap 23 orang informan, diskusi kelompok terfokus (DKT) terhadap 30 orang informan, dan observasi lapangan. Analisis data menggunakan metode constant comparative method.Hasil: Kader memiliki pengetahuan kurang, tidak pernah mengikuti pelatihan, dan tidak bisa baca tulis. Sarana dan prasarana di posyandu sangat kurang, demikian pula dengan dukungan kepala desa terhadap kader, dan posyandu yang tergolong masih minim. Insentif dan penghargaan yang diterima kader dikategorikan tidak rutin dengan jumlah tidak tetap. Tingkat partisipasi masyarakat ke posyandu masih tergantung pada keaktifan kader dalam mengingatkan tentang hari buka posyandu.Kesimpulan: Pengetahuan kader memberikan kontribusi terhadap ketidakaktifan kader yaitu kurangnya keaktifan dalam menghadiri kegiatan di posyandu.KATA KUNCI: kader, ketidakaktifan, posyand

Pola asuh dan pola makan sebagai faktor risiko stunting balita usia 6-24 bulan suku Papua dan non Papua di wilayah kerja Puskesmas Arso III kabupaten Keerom

Parenting and feeding paterns as risk factors for stunting toddlers aged 6-24 months Papuans and Non-PapuansPurpose: Stunting or short is one indicator of chronic nutritional status that has long-term effects. The stunting prevalence in Indonesia in 2013 was 37.2% and in Papua in 2016 amounted to 51.72%. In 2017 there were 527 stunting toddlers in Keerom Regency and 214 toddlers found in Skanto District. This study aims to determine the risk of parenting and feeding patterns to the incidence of stunting of children aged 6-24 months in the Papuan and Non-Papuan tribes in the Arso III Health Center, Keerom. Method: This type of research is observational with a case-control design. A total of 160 toddlers were divided into 40 cases and 40 controls in each tribe. Data collection uses parenting questionnaires and SQ-FFQ. Data analysis used the Independent T-Test, Mann-Whitney, Chi-Square and Multiple Logistic Regression. Results: The results of the bivariate analysis showed that there were differences in energy and protein intake and there were no differences in parenting and types of food in Papua and non-Papuan stunting children. In the Papuan tribe there is a relationship between parenting (OR=5.57), energy intake (OR=16.71), protein intake (OR=13.77), type of food (OR=4.63), and incidence of diarrhea (OR= 3.14) with the incidence of stunting. In the Non-Papuan tribe, there is a relationship between parenting (OR=8.03), energy intake (OR=11.76) and protein intake (OR=26.71) with the incidence of stunting. The results of multivariate analysis showed that the factors that contributed to the incidence of stunting in the Papuan tribe were parenting, energy intake, protein intake, and diarrhea, while in the Non-Papuan tribes were parenting, energy intake and protein intake. Conclusion: Parenting, energy intake and protein intake are risk factors for stunting in Papuans and non-Papuans. Energy intake is the most dominant factor in Papuans, while in Non-Papuans is protein intake. It is hoped that the local government can create special family assistance programs or activities to overcome stunting and use land that can prevent or overcome stunting.Latar belakang: Stunting atau pendek merupakan salah satu indikator status gizi kronis yang berpengaruh jangka panjang. Sebanyak 151 juta anak-anak di dunia menderita stunting pada 2017. Prevalensi stunting di Indonesia pada tahun 2013 sebesar 37,2% dan di Papua tahun 2016 sebesar 51,72%. Tahun 2017 terdapat 527 balita stunting di Kabupaten Keerom dan 214 balita terdapat di Distrik Skanto. Penelitian ini bertujuan untuk mengetahui besar risiko pola asuh dan pola makan terhadap kejadian stunting balita usia 6-24 bulan suku Papua dan Non Papua di wilayah kerja Puskesmas Arso III Kabupaten Keerom. Metode: Jenis penelitian ini adalah observasional dengan rancangan Case Control. Total sampel 160 balita yang terbagi dalam 40 kasus dan 40 kontrol pada masing-masing suku. Analisis data menggunakan uji Independent T-Test, Mann-Whitney, Chi-Square dan Regresi Logistik Berganda. Hasil: Hasil analisis bivariat menunjukkan ada perbedaan asupan energi dan protein balita stunting Papua dan Non Papua. Pada suku Papua terdapat hubungan antara pola asuh (OR=5,57), asupan energi (OR=16,71), asupan protein (OR=13,77), jenis makanan (OR=4,63), dan kejadian diare (OR=3,14) dengan kejadian stunting. Pada suku Non Papua terdapat hubungan antara pola asuh (OR=8,03), asupan energi (OR=11,76) dan asupan protein (OR=26,71) dengan kejadian stunting. Hasil analisis multivariat menunjukkan faktor yang berkontribusi terhadap kejadian stunting pada suku Papua adalah pola asuh, asupan energi, asupan protein dan diare, sedangkan pada suku Non Papua adalah pola asuh, asupan energi dan asupan protein. Simpulan: Pola asuh, asupan energi dan asupan protein merupakan faktor risiko kejadian stunting pada suku Papua maupun Non Papua. Asupan energi merupakan faktor yang paling dominan memengaruhi stunting pada suku Papua, sedangkan pada suku Non Papua adalah asupan protein. Diharapkan pemerintah setempat dapat membuat program atau kegiatan pendampingan keluarga khusus untuk mengatasi stunting dan memanfaatkan lahan yang dapat mencegah maupun mengatasi kejadian stunting

Pengaruh suplementasi zink terhadap parameter hematologi atlet sepatu roda setelah latihan endurance

Background: In sports such as roller skates, endurance can lead to increased inflammation and muscle cell damage, free radical formation, and zinc excretion from sweat and urine that affect the increased redistribution of zinc from blood to tissue. This mechanism causes a decrease in blood zinc levels, erythrocyte numbers and hemoglobin concentrations, increased leukocyte counts and the body’s oxidative stress parameters that have an impact on the athlete’s performance decline. Zinc supplementation may be given to maintain the athlete’s hematologic parameters during endurance exercise.Objectives: To examine the effect of zinc supplementation on serum zinc level, hemoglobin concentration, erythrocyte and leukocyte counts, and blood MDA level of skate athletes after endurance exercise.Method: This study was an experimental clinical trial using pre and post-test designs on 8 athletes incorporated in the pre-PON DIY Wheels Team. The study was conducted in two periods, one week of endurance exercise without zinc supplementation and one week of endurance exercise with 30 mg/d of zinc supplementation. Blood sampling was performed on the seventh day of each period, before and after endurance training.Results: There was a decrease in erythrocytes and hemoglobin concentration, and a significant increase in leukocyte count after endurance training in both periods (p0.05). Although there were no significant differences in all athlete hematologic parameters between two treatments (p>0.05), there was an improvement in serum zinc levels, hemoglobin concentrations, erythrocyte, and leukocyte counts.Conclusion: Zinc supplementation 30 mg/day for one week did not have a significant effect on the athlete’s hematology parameters after endurance exercise

Status Gizi, Harga Diri, dan Citra Tubuh dalam Perilaku Fad Diets pada Remaja Putri SMA Negeri 6 Yogyakarta

Background: Adolescence is where the improvement goes fast which causes the teens really aware about their body and the sex-appeal become important to them as it can affect their social support, popularity, and friendships. This research discussed about fad diets behavior which is an effort in weight-loss diet that adolescent girls at SMA Negeri 6 Yogyakarta. Purpose: To explore the relationships between nutritional status, self-esteem, and body image in fad diets behavior at SMA Negeri 6 Yogyakarta. Method: Observational, with the cross sectional design. Using questionnaire that has been validated and has reliability value > 0.7 and weight scales as measuring instruments along with microtoise to get the nutritional status. The samples for this research are 284 female students of SMA Negeri 6 Yogyakarta. The hypotheses are tested using chi-square test and Kolmogorov-smirnov. Result: From this research, we found that 75 (26,4%) respondents are doing an effort of weight-loss and all of them do fad diets. There is a significant relationship between nutritional status and fad diets behavior (p-value=0,000) with Odds ratio 4,045. There is also a significant relationship between body image and fad diets behavior (p-value=0,000) with Odds ratio 13,02. There is no relationship between self-esteem and fad diets behavior (p-value=0,997). Conclusion: There is a relationship between nutritional status and body image with fad diets behavior but there is no relationship between self-esteem and fad diets behavior

FAKTOR RESIKO SARAPAN PAGI DAN MAKANAN SELINGAN TERHADAP KEJADIAN OVERWEIGHT PADA REMAJA SEKOLAH MENENGAH ATAS DI KOTA PONTIANAK

Background : Overweight and obesity are seriously health problems because they are the fifth leading risk for global deaths and need more seriously concern to prevent and treatment. Overweight or obesity during childhood and adolescence are important risk factors for the presence of adult overweight or obesity. Physical growth and development experienced are increasing significantly in adolescents and susceptible to have nutrition problems. Eating habits in childhood and adolescence influence their healthy condition. Prospective studies of breakfast habits in children and adolescent and nutritional status suggest an inverse (protective) association between the frequency of eating breakfast and the risk for overweight and obesity and no relationships between breakfast and increasing body weight. Objective : To examine risk factor of breakfast and snacking related to overweight status in adolescents. Methods : This was observational study in adolescent in senior high school. First step of study was screening to have prevalence of overweight in adolescents. The second step was case control study participated 100 overweight adolescents and 100 normal weight adolescents in senior high school matching with sex, age and school. Data collected were weight and height measurements for nutritional status, responden identity and characteristic, breakfast dan snacking habits and physical activity. Statistical analysis used Chi square statistics and multivariable logistic regression analyses were applied. Results : Prevalence of overweight in adolescents were 16,8%. There were significant association between breakfast with overweight (p<0,05). The odds ratio for the association with overweight were 3.1 (95% CI: 1.4-7.47) for breakfast. There was no association between snacking and overweight, but there were significant association between frequency of snacking, energy of snacking, and carbohydrate of snacking with overweight. The odds ratio for the association with overweight were : 1.9 (1.05- 3.50) for frequency of snackin