Model Prediksi Berat Lahir Bayi Berdasarkan Berat Badan Ibu Hamil

Berat lahir bayi kurang dari 3.000 gram berisiko untuk terjadinya penyakit jantung dan stroke serta kematian yang tiga belas persen lebih tinggi daripada berat lahir lebih dari 3000 gram. Tujuan penelitian ini yaitu untuk mendapatkan model prediksi berat lahir dan mengetahui faktor yang paling berpengaruh terhadap berat lahir bayi. Desain penelitian menggunakan cohort retrospektif. Sampel melibatkan 233 ibu hamil beserta bayi yang melakukan pemeriksaan antenatal care dan melahirkan di Rumah Sakit Citra Medika dan bidan bersalin Hj. Sumartini dari bulan Januari 2010 sampai Desember 2011 di Rantauprapat. Data dikumpulkan dari data rekam medis dan kelahiran pasien. Analisis korelasi dan regresi linier ganda digunakan untuk mengetahui kekuatan dan arah hubungan antara variabel independen dengan berat lahir. Hasil penelitian menemukan rata-rata berat lahir 3.337,8 ± 353,7 gram (95% CI= 3.292 – 3.383). Berat badan (BB) sebelum hamil, pertambahan berat badan ibu trimester pertama, kedua, dan ketiga mempunyai kekuatan hubungan yang sedang dan berpola positif. Model prediksi menunjukkan bahwa berat lahir = 1.764,133 + 0,023 (BB pra hamil) + 0,131 (pertambahan berat badan trimester 1) + 0,037 (per- tambahan berat badan trimester 2) + 0,037 (pertambahan berat badan trimester 3). Variabel yang paling berpengaruh adalah pertambahan berat badan trimester pertama.Birth weight less 3,000 gram have more risk to cause heart and stroke disease, 13% higher than birth weight < 3,000 gram. This study described about the correlation between prepregnancy weight, first trimester weight gain, second trimester weight gain, third trimester weight gain with birth weight. This study aimed to predict birth weight and find out the factors that most influence on birth weight. This study used a retrospective cohort design. Samples were 233 pregnant women and infants who perform antenatal care and deliver in Citra Medika Hospital and midwife maternity from January 2010 to December 2011. The data were collected through patient medical record and birth data. Correlation analysis and multiple linear regression were used to determine the strength and the relationship direction between independent variables and birth weight. The results revealed the averages of birth weight in the hospital and maternity midwife are 3,337.8 ± 353.72 grams (95% CI: 3,292 – 3,383). Prepregnancy weight, maternal weight gain in first, second, and third semester have a moderate power relationship and positive pattern. The prediction model of birth weight = 1,764.133 + 0.023 (pre-pregnancy weight) + 0.131 (first semester weight gain) + 0.037 (second semester weight gain) + 0.037 (third semester weight gain). The most variable effect is a first semester weight gain

Perbedaan Durasi Tidur Malam pada Orang Dewasa Obesitas dan Non-obesitas: Meta-analisis Studi Cross-sectional 2005-2012

Tidur berperan dalam mekanisme pengaturan energi. Berbagai penelitian terkini menunjukkan bahwa durasi tidur yang pendek berhubungan dengan kejadian obesitas pada orang dewasa. Penelitian ini dilakukan untuk mengetahui perbedaan durasi tidur pada orang dewasa yang mengalami obesitas dengan orang dewasa yang tidak obesitas. Penelitian yang diikutsertakan dalam meta-analisis merupakan penelitian yang dipublikasikan pada rentang tahun 2005 hingga 2012. Identifikasi penelitian secara sistematis dilakukan menggunakan PubMed dan e-resource PNRI. Identifikasi penelitian secara manual dilakukan berdasarkan daftar referensi pada penelitian yang diidentifikasi secara sistematis. Proses identifikasi menghasilkan 62 penelitian potensial untuk dianalisis. Dari jumlah tersebut, 9 penelitian memenuhi kriteria inklusi menjadi bahan untuk dilakukan meta-analisis. Ke-sembilan penelitian tersebut mencakup 78.119 partisipan. Durasi tidur malam pada kelompok obesitas adalah kurang dari 7 jam, sedangkan durasi tidur kelompok non obesitas adalah 7-9 jam. Meta-analisis menghasilkan OR gabungan 1,42 (95% CI: 1,25-1,61). Analisis dengan membedakan dua kelompok durasi tidur, yaitu ≤ 5 jam dan 5-7 jam OR menghasilkan OR gabungan 1,73 (95% CI: 1,47-2,03) pada durasi tidur kurang dari lima jam dan 1,21 (95% CI: 1,05-1,39) pada kelompok lainnya. Disimpulkan bahwa orang dewasa dengan durasi tidur yang lebih singkat memiliki resiko lebih besar mengalami obesitas

Status Gizi Balita Berdasarkan Composite Index of Anthropometric Failure

Upaya menurunkan prevalensi kurang gizi pemerintah membuat program Keluarga Sadar Gizi (Kadarzi). Cakupan Kadarzi Kota Depok tahun 2011 rendah (12,7%) dan prevalensi gizi kurang, pendek, kurus berturut-turut 7,89%, 7%, 4,75%. Penelitian bertujuan mengetahui faktor dominan terhadap status gizi Balita 6 - 59 bulan berdasarkan Composite Index of Anthropometric Failure (CIAF). Penelitian menggunakan data sekunder hasil survei Kadarzi 2011. Survei dilakukan di sebelas kecamatan Kota Depok menggunakan desain cross sectional. Sampel sebanyak 1.176 keluarga yang memiliki Balita termuda umur 6 _ 59 bulan. Variabel yang diteliti adalah status gizi Balita, perilaku Kadarzi, status Kadarzi, karakteristik Balita, dan karakteristik keluarga. Hasil penelitian menunjukkan prevalensi Balita gagal tumbuh 31%. Terdapat dua variabel yang memberikan pengaruh status gizi Balita secara bersama-sama yaitu penimbangan Balita (nilai p = 0,003) dan pendidikan ibu (nilai p = 0,034). Uji regresi logistik ganda menunjukkan penimbangan Balita sebagai faktor dominan terhadap status gizi Balita. Balita yang ditimbang tidak teratur berisiko 1,5 kali mengalami gagal tumbuh dibandingkan yang ditimbang teratur. Indeks CIAF berguna untuk mengetahui prevalensi gizi kurang secara keseluruhan dan penanggulangannya. Diperlukan penyuluhan dan promosi yang lebih aktif kepada masyarakat mengenai pentingnya pemantauan pertumbuhan Balita melalui posyandu dan melakukan pembinaan kader posyandu dalam pemantauan status pertumbuhan anak sebagai deteksi dini adanya gangguan pertumbuhan.Effort to reduce malnutrition governments make Keluarga Sadar Gizi (Kadarzi). Kadarzi in Depok 2011 still low (12,7%) and the prevalence of underweight, stunting, wasting are respectively 7,89%, 7%, 4,75%. This study aimed to determine the dominant factor for nutritional status of children based on Composite Index of Anthropometric Failure (CIAF). Research using secondary data survey Kadarzi 2011. The survey was conducted using a cross sectional study in 11 districts. Samples of 1,176 families who have children youngest aged 6 - 59 months. The variables studied were the nutritional status, Kadarzi behaviors, Kadarzi status, children characteristics, and family characteristics. Results showed prevalence of growth faltering (31%). There are two variables that influence nutritional status, child\u27s weighing (p value = 0,003) and mother\u27s education (p value = 0,034). Multiple logistic regression analysis show child\u27s weighing as a dominant factor to the nutritional status of children. Children who are weighed not regularly are more risky 1,5 to get growth faltering then children who are weighed regularly. CIAF is useful to determine prevalence of undernutrition clearly and its solution. Counseling and promotion about child\u27s growth monitoring are required as early detection of growth faltering

Effects of Restrained, External, and Emotional Eating Styles on Weight Gain Among Female Students at Faculty of Public Health, Universitas Indonesia

Continuous weight gain increases the risk of coronary heart disease. This research was a six-week prospective cohort study aimed at identifying the effects of restrained, external, and emotional eating styles on weight gain by controlling energy intake, physical activity, and socioeconomic status. A total of 40 female students were assessed at three points within a six-week period. Eating styles were assessed using a self-administered questionnaire based on restrained, externality, and psychosomatic theories. There was a significant weight gain of 0.32 kg on average among female students. Twenty-five percent of respondents experienced changes in eating style, while the rest were consistent with one eating style. A significant effect on weight gain was found only in external eating before and after being controlled by energy intake (p&lt;0.05). This indicates that external eating, rather than emotional eating and restrained eating, drives weight gain among female college students. This study also found that the proportion of restrained eating was higher in students with normal weight than in those who were overweight, whereas emotional eating was higher in underweight students than overweight students, and external eating was higher in underweight students than obese students. In conclusion, external eating may cause weight gain, yet restrained and emotional eating are not necessarily effective ways to control weight either. Therapies to stop the weight gain epidemic are urgently needed

Microbiological Analysis of Escherichia Coli O157:H7 on Cow\u27s Products During the Production Process

The&nbsp;problem on food health is the high amount of bacterial contamination of food served by several kinds of food sellers,&nbsp;e.g. vendors, restaurants, caterers and food industries. Meat and milk products are kinds of food prone to contamination.&nbsp;To secure food against contamination by bacteria such as E. coli O157:H7, especially related to raw food, should begin&nbsp;with the securing of products through the whole production process till it reaches the consumers. Although these&nbsp;pathogenic bacteria are part of the normal flora in the intestines of cattle, however we should be aware of the possibility&nbsp;of an outbreak in the community due to E. coli O157:H7 contamination of beef products. To anticipate the danger of an&nbsp;outbreak a study should be conducted to know about this microorganism from the beginning i.e. the production phase&nbsp;until the seller phase. The aim of this research is to know the existence of E. coli O157:H7 on beef and milk products&nbsp;obtained from abattoirs, cow ranches, traditional markets and other sellers in addition with knowing the influencing&nbsp;factors on the spreading of the microorganism. The survey design used for this research is the cross sectional design.&nbsp;The material used for the tests are 250 ml water/milk and 250 gram beef/carcass. The bacterial tests included qualitative&nbsp;tests as follows: presumptive test, confirmed test, completed test, whereas quantitatively tests as follows: Total Plate&nbsp;Cound (TPC), Most Probable Number (MPN), which is a near amount prediction of bacteria per 100 ml of water.&nbsp;Results showed that all meat (100%) coming from abattoirs and traditional markets were contaminated with E. coli&nbsp;O157:H7, in addition with most of the fresh and pasteurized milk samples (73.3%) coming from cattle ranches and home&nbsp;industries. Contamination was also found in most of the water samples (60%) and in food handlers (41.7%)