Several Dominants Risk Factors Related to Obesity in Urban Childbearing Age Women in Indonesia

Background: The prevalence of women suffered from obesity is elevating, mostly in urban areas. Thiscould lead problems especially for chronic diseases. This study aimed to analyze several dominant riskfactors related to obesity in childbearing age women living in urban areas in Indonesia.Methods: This analysis used a part of Basic Health Research (Riskesdas) 2007 data. The samples werederived from 258366 households. Riskesdas data on socio-demographic and other factors was collectedby questionnaire. Nutritional status was measured using body mass index (BMI). Cox regression withconstant time analysis was used for the analysis.Results: This analysis noted that there are 14357 (18.8%) of women were obese and 62052 (81.2%)normal. Compared with the respective reference groups, women aged 25-49 had a 3.5-fold greater riskof becoming obese [adjusted relative risk (RRa) = 3.49; P = 0.000), and divorced or married had 2.5-foldhigher risk to be obese (RRa = 2.58; P= 0.000 and RRa = 2.62; P = 0.000, respectively). Furthermore,unemployed women had higher risk to be obese (RRa = 1.06; P = 0.000), and consuming excess proteinas well as often consume fatty foods made women had a higher risk of obesity (RRa = 1.09; P = 0.000 andRRa = 1.17; P = 0.000, respectively).Conclusion: Women aged 25-49, divorced or married, unemployed, consumed excess protein, and often consumefatty foods have a higher risk for becoming obese. (Health Science Journal of Indonesia 2015;6:63-8

Determinan Pemberian Makanan Prelaktal pada Bayi Baru Lahir di Kelurahan Kebon Kelapa dan Ciwaringin, Kota Bogor (Determinants Of Prelacteal Feeding Among Newborn Babies In Kebon Kelapa And Ciwaringin Villages, Bogor)

Breast milk is the appropriate for babies for the first six months after birth. Although it has been known that exclusive breastfeeding has many benefits and encouraged by the government, but the proportion of exclusive breasfeeding is still low, including Bogor. One of the the reason for the failure in exclusive breastfeeding is the prelacteal feeding practice among newborn babies. This analysis was conducted to provide information on the determinants of prelacteal feeding practice in Kebon Kelapa and Ciwaringin Village in Bogor, in 2012. The data for this analysis was came from the child growth and development cohort study conducted in Kebon Kelapa and Ciwaringin, Bogor in 2012. Participants of the study were 91 mothers with her newborn babies. The data were analysed with descriptive analysis, bivariate analysis with chi square, and multivariate analysis using logistic regression. The results showed that mode of delivery, rooming-in care and time of breastfeeding after delivery were significantly associated with prelacteal feeding practice (p<0,05). The major determinant factor of prelacteal feeding practice was non rooming-in care (OR: 5.86; 95% CI: 1.17, 29.35) after controlling the time of breastfeeding after delivery. Postpartum mothers that not cared in the same room with the baby had risk 5.86 times for give the baby prelacteal food compared with postpartum mothers that cared in the same room with their baby. Mothers who breastfeed their baby more than 1 hour after delivery had risk of 4.87 times for give the baby prelacteal food compared with mothers who breastfeed less than 1 hour after delivery. Therefore, it is necessary to improve the implementation of Baby Friendly Hospitals program in maternal and child health services, especially the implementation of rooming-in care for mother and child, so that the mother can breastfeed immediately after birth so that the baby does not need to be given food or prelacteal liquids. The government should provide strict sanctions for hospitals that have not held a rooming-in care for mother and child

Anemia Dan Anemia Gizi Besi Pada Kehamilan: Hubungannya Dengan Asupan Protein Dan Zat Gizi Mikro

Anemia masih menjadi permasalahan kesehatan pada wanita hamil. Zat besi dianggap sebagai salah satu zat gizi mikro yang berperan terhadap terjadinya anemia. Kekurangan gizi besi dalam tingkat lanjut dapat menyebabkan anemia, yang disebut sebagai anemia gizi besi. Tujuan studi ini adalah untuk menganalisis perbedaan antara asupan protein dan gizi mikro serta menghitung odd ratio (OR) kejadian anemia dan anemia gizi besi akibat asupan protein dan gizi mikro pada wanita hamil di lokasi studi. Analisis ini merupakan analisa dari data studi kohor Tumbuh Kembang anak pada tahun pertama, yang dilaksanakan di Kelurahan Kebon Kalapa dan Ciwaringin, Kota Bogor yang dianalisa menggunakan disainkasus kontrol. Sebanyak 47 ibu hamil menjadi sampel dalam analisa ini. Kategori untuk anemia yaitu apabila kadar hemoglobin (Hb) ibu hamil ≤11 g/dL. Kekurangan gizi besi dikategorikan apabila kadar serum transferrin reseptor (sTfR) diatas 4.4 mg/L. Sedangkan Anemia Gizi Besi dikategorikan apabila memiliki kadar Hb < 11 g/dL dan sTfr > 4.4 mg/L. Tes one way anova digunakan untuk menganalisa adanya perbedaan asupan energi, protein dan zat gizi mikro antara ibu hamil yang mengalami anemia, anemia gizi besi maupun yang normal. Odd ratio dianalisa dengan menggunakan uji chi square. Nilai signifikan ditentukan apabila nilai p value < 0.05 dan perhitungan OR> 1. 27.7% dari ibu hamil di lokasi studi mengalami anemia, 14.9% tergolong dalam anemia ringan, 10.6% anemia sedang dan 2.1% anemia berat. Anemia gizi besi dialami oleh 17% dari wanita hamil. Terdapat hubungan yang signifikan antara keparahan anemia dan terjadinya anemia gizi besi. Tidak ditemukan perbedaan antara asupan protein, besi, folate dan zink pada wanita yang mengalami anemia, anemia gizi besi maupun yang normal. Akan tetapi terdapat kecenderungan bahwa asupan zat besi dan seng pada ibu yang anemia dan anemia gizi besi lebih rendah daripada ibu yang normal. Anemia masih menjadi permasalahan kesehatan pada ibu hamil, diantaranya merupakan anemia karena kekurangan zat besi. Semakin parah anemia maka akan semakin besar kemungkinan terjadinya anemia disebabkan oleh gizi besi. Ada kecenderungan kekurangan asupan besi dan seng pada ibu hamil akan berakibat pada anemia dan AGB, akan tetapi dalam analisis ini tidak ditemukan adanya hubungan yang signifikan

Faktor-faktor Yang Berhubungan Dengan Status Anemia Ibu Hamil Di Wilayah Kerja Puskesmas Air Dingin Kecamatan Koto Tangah, Kota Padang

Latar Belakang : Anemia pada kehamilan saat ini masih menjadi masalah utama yang diderita oleh hampir separuh wanita hamil di seluruh negara di dunia, termasuk Indonesia. Anemia pada kehamilan merupakan “potential danger to mother and child” (potensial membahayakan ibu dan anak). Secara umum, penyebab utama anemia kehamilan adalah kekurangan zat besi yang timbul sebagai akibat dari peningkatan penggunaan zat besi untuk janin. Tujuan : menilai faktor-faktor yang hubungan dengan status anemia pada ibu hamil di wilayah kerja Puskesmas Air Dingin, Kecamatan Kota Tangah, Kota Padang. Metode : Jenis penelitian ini Cross sectional. Alat pengumpul data yang digunakan adalah melalui pengisian kuesioner dan sampel diambil dengan cara Simple Random Sampling. Penelitian ini dilaksanakan pada bulan April– Mei tahun 2014 yang bertempat di Kecamatan Wilayah Kerja Puskesmas Air Dingin Koto Tangah Kota Padang. Pengolahan dan analisis data dilakukan dengan SPSS versi 16 data di analisa univariat dan bivariat dengan Uji Chi-Square pada tingkat kemaknaan 0,05. Hasil : Sebesar 69,4 persen ibu hamil mengalami anemia. Uji chi square menunjukkan hubungan bermakna antara umur kehamilan, suplementasi tablet besi, dan konsumsi (protein, lemak, vitamin c, dan zat besi) terhadap status anemia pada ibu hamil. Kesimpulan : Pencegahan anemia pada ibu hamil dilakukan dengan meningkatkan konsumsi zat gizi dan peningkatan pengetahuan melalui promosi kesehatan ibu hamil mengenai anemia

Hubungan Lama Perawatan Dengan Status Gizi Setelah Perawatan Di Therapeutic Feeding Center (Tfc) Pada Anak Gizi Buruk Di Kabupaten Boalemo, Provinsi Gorontalo

One of nutritional problems in Indonesia is severe undernutrition. To overcome this problem the governnment set a target that all severe undernourished children should get optimal care to recover their nutritional status. One of the treatments for the severe undernourished children is a treatment in therapeutic feeding center (TFC). The succesfull of recovery of nutritional status in TFC was influenced by several factors, such as the lenght of care . This article presents the information about the association between lenght of care and nutritional status of children after treatment in TFC Tani-Nelayan, Boalemo District, Gorontalo Province in 2008-2012. This paper use quantitative and qualitative data. The quantitative data was gathered from patient register (in and out)in TFC during 2008-2012 (180 respondent), while the qualitative data was obtained from in depth interview (IDI) with patient's family and TFC officers (7 informants). The quantitative data analysis was done with univariate, bivariate and multivariate analysis. The qualitative data analysis presented the excerpts answers from informants. Logistic regression analysis showed that children who received treatment less than 30 days have possibility or risk of 2,78 times to keep suffering from severe undernutrition compare to children who received treatment more than 30 days. The IDI results showed that factors caused premature leave of treatment in TFC on severe undernourished patients were concerns regarding caring the other children, household matters, and economic reason. Therefore, improvement of mother's and family's knowledge on the importance of total caring for severe undernourished children in TFC is very crucial, so that there is no mothers or families leave the TFC before the treatment of severe undernourished children perfectly executed

Analisis Determinan Underweight Anak 0-23 Bulan Pada Daerah Miskin Di Jawa Tengah Dan Jawa Timur

Anak dengan umur di bawah dua tahun (baduta) merupakan salah satu kelompok anak yang rentan terkena permasalahan gizi karena dalam proses tumbuh kembang yang cepat. Oleh karena itu kebutuhan zat gizinya relatif lebih tinggi dari kelompok lain. Salah satu masalah gizi pada anak baduta adalah underweight. Underweight akan berdampak negatif terhadap pertumbuhan, perkembangan intelektual, serta dapat meningkatkan angka kesakitan dan kematian anak. Tujuan penelitian ini adalah menganalisis faktor determinan underweight anak usia 0-23 bulan di wilayah miskin Jawa Tengah dan Jawa Timur. Penelitian ini menggunakan data Riskesdas 2007. Sampel adalah anak usia 0-23 bulan. Status underweight diukur dengan z-score berat badan terhadap umur (BB/U). Data dianalisis menggunakan univariat, bivariat dan multivariat dengan regresi logistik. Hasil penelitian menunjukkan bahwa 13,3 % anak mengalami underweight. Determinan underweight adalah jumlah Balita dalam keluarga, sanitasi lingkungan dan asupan giz

Gender and Other Factors and Risk of Mental Emotional Problems Among Students in Indonesia

Background: Mental emotional problems often occurred in young age. Most of the young age is student. Research in students' mental health is still not much. The research is to investigate some of the factors related to mental emotional problems in students in Indonesia. Method: This research using Riskesdas 2007 data, the survey was cross sectional. The subjects of the study were 15-24 years old and still in school. The mental health problems assessed using Self Report Questionnaire (SRQ-20). The mental health problems identified if respondents answer yes 6 questions and above. Results: The total sample of young age is 49,520. The total respondents analyzed are 48200 students age 15-24 years. The results revealed that 7.7% students were having mental emotional problems. Female students had 71% higher risk to be experiencing mental emotional problems than male students [adjusted odd ratio (ORa) = 1.71; P = 0.000]. Students live in Java are 68% riskier for having mental emotional problems than students live outside Java (ORa=1.68; P = 0.000). Students from low socio economic status had 8% higher risk to have mental emotional problems compare to students from high socio-economic status (ORa=1,08; P = 0,035). Conclusion: Female students living in Java and low socioeconomic status had higher risk to experience mental emotional problems. (Health Science Indones 2013;2:98-102