Diffah Hanim

RISIKO INISIASI MENYUSU DINI DAN PRAKTEK ASI EKSKLUSIF TERHADAP KEJADIAN STUNTING PADA ANAK 6-24 BULAN (EARLY BREASTFEEDING INITIATION AND EXCLUSIVE BREASTFEEDING AS RISK FACTORS OF STUNTING CHILDREN 6-24 MONTHS-OLD)

ABSTRACT Some of causes of stunting are the deferment of early breastfeeding initiation and the administration of the non-exclusive breastfeeding. The objective of this study was to elaborate relationship of early breastfeeding initiation and exclusive breastfeeding administration history to the stunting. This sudy used the observational analytical research method with the cross-sectional design. Its subjects were 33 stunting and 77 non-stunting children aged 6-24 months in Boyolali Regency. Data was analyzed by using the chi-square test and multiple logistic regression analysis. The stunting children who got the early breastfeeding initiation were 14, and those who did not get the early breastfeeding initiation were 19. The stunting children who got the exclusive breastfeeding were 4 and those who did not get the exclusive breastfeeding were 29. Early breastfeeding initiation and exclusive breastfeeding had a significant correlation with the stunting as indicated by the p-value <0.05. The children who did not get the early breastfeeding initiation have the possibility of 3.69 times higher to suffer from stunting than those who got the early breastfeeding initiation. In addition, the children who did not get the exclusive breastfeeding have the possibility of 9.5 times higher to suffer from stunting than those who got the exclusive breastfeeding. Therefore, nutrition education to the gestational mothers on the importance of exclusive breastfeeding administration is required. ABSTRAK Penyebab masalah stunting antara lain akibat dari penundaan inisiasi menyusu dini (IMD), dan pemberian air susu ibu (ASI) tidak eksklusif. Penelitian ini bertujuan untuk menganalisis hubungan IMD dan ASI eksklusif dengan kejadian stunting. Penelitian observasional ini dilaksanakan di Boyolali dengan menggunakan pendekatan cross-sectional . Partisipan terdiri dari 33 anak stunting dan 77 anak tidak stunting berusia 6-24 bulan. Analisis data menggunakan uji chi-square dan regresi logistik berganda. Partisipan anak stunting yang mendapatkan IMD sebanyak 14 orang dan tidak mendapatkan IMD sebanyak 19 orang. Anak stunting yang mendapatkan ASI eksklusif sebanyak 4 orang dan yang tidak sebanyak 29 orang. Inisiasi menyusu dini dan ASI eksklusif memiliki hubungan yang bermakna dengan kejadian stunting (p<0,05). Anak yang tidak mendapatkan IMD memiliki kemungkinan 2,63 (1,02-6,82) kali lebih tinggi mengalami kejadian stunting , selain itu anak yang tidak mendapatkan ASI eksklusif memiliki risiko mengalami kejadian stunting 7,86 (2,43-25,4) kali lebih tinggi dibandingkan anak yang mendapatkan ASI eksklusif. Oleh karena itu, diperlukan edukasi gizi kepada ibu hamil mengenai pentingnya pemberian ASI eksklusif.

HUBUNGAN KURANG ENERGI KRONIK DAN ANEMIA PADA IBU HAMIL DENGAN STATUS GIZI BAYI USIA 6-12 BULAN DI KABUPATEN BOYOLALI (CORRELATION CHRONIC ENERGY DEFICIENCY AND ANEMIA DURING PREGNANCY WITH NUTRITIONAL STATUS OF INFANT 6 – 12 MONTHS IN BOYOLALI REGENCY)

ABSTRACT Malnutrition still becomes a problem in developing countries such as Indonesia. In Boyolali regency the prevalence of stunting and wasting of infants was 27,5 percent and 6,6 percent respectively. The aim of this study was to analyze the correlation between chronic energy deficiency and Anemia on pregnant mothers with the nutritional status of infants aged 6-12 months. Prospective cohort design was implemented in authorized administration of 6 Community Health Centers of Boyolali Regency. A number of 40 pregnant mothers who had record of chronic energy deficiency and Anemia during third trimester and have infants aged 6-12 months participated in the study. Statistic analyzed were performed using the Peason’s Correlation method. The study failed to show the relationship between chronic energy deficiency during pregnancy and z-score of weight for age (WAZ), height for age (HAZ) and weight for height (WHZ) of infants p>0.05 while anemic pregnant mother found a correlation with Z-score of weight for height (WHZ) of infants (p 0.05) of infant 6-12 months. Thus, early improvement nutrition program for adolescence should be done to prevent malnutrition in pregnant mothers such as chronic energy deficiency and anemia. ABSTRAK Gangguan gizi masih merupakan masalah di negara berkembang termasuk Indonesia. Di Kabupaten Boyolali prevalensi balita pendek ( stunting ) sebesar 27,5 persen dan kurus (wasting) 6,6 persen. Penelitian ini bertujuan menganalisis hubungan riwayat kurang energi kronik (KEK) dan anemia pada ibu hamil dengan status gizi bayi usia 6-12 bulan. Desain Penelitian adalah kohort prospektif di enam wilayah Puskesmas, di Kabupaten Boyolali. Partisipan terdiri dari 40 ibu yang memiliki riwayat KEK dan anemia pada kehamilan trimester III, memiliki bayi berusia 6-12 bulan. Analisis statistik menggunakan uji korelasi pearson. Pada penelitian ini tidak ditemukan hubungan riwayat KEK pada ibu hamil dengan status gizi bayi usia 6-12 bulan (Indeks BB/U, PB/U dan BB/PB) (p>0,05). Riwayat anemia pada ibu hamil berhubungan dengan status gizi bayi indeks BB/PB (p 0,05). Perbaikan pencegahan kurang gizi dan anemia pada masa remaja atau calon pengantin diperlukan untuk mencegah terjadinya gizi kurang pada ibu hamil dan generasi selanjutnya.

FACTORS ASSOCIATED WITH THE QUALITY OF LIFE AMONG THE ELDERLY

Background: Most countries in the world have succesfully prolong life expectancy of their populations. However, the quality of life may be decreasing with increasing age. This study aimed to investigate factors associated with the quality of life of the elderly. Subjects and Method: This was a cross sectional study carried out in Surakarta, Sragen, Karanganyar, and Klaten, in Central Java, from January to March 2017. A total of 224 elderlies were selected for this study. The dependent variable was quality of life. The independent variables were age, education, income, behavior, locus of control, family support, peer support, and social support. Data were collected by questionnaire and analyzed by path analysis. Results: Quality of life among the elderly showed positive association with education ≥SMA (b= 0.43; SE= 0.43; p= 0.668), income ≥Rp 876,420 (b= 0.92; SE<0.001; p= 0.357), positive behavior (b= 2.07; SE= 0.18; p= 0.039), and peer support (b= 7.35; SE= 0.22; p<0.001). Quality of life among the elderly showed negative association with age (b= -1.06; SE= 0.05; p= 0.290) and external locus of control (b= -1.07; SE= 0.25; p= 0.284). Conclusion: Quality of life among the elderly increases with higher education ≥SMA, higher income, positive behavior, and peer support. Quality of life decreases with increasing age and external locus of control. Keywords: quality of life, age, education, income, peer support, locus of control, elderly

The Formulation of High-Calorie and Rich-Fe Biscuits for Pregnant Women with Chronic Energy Malnutrition

Received Jun 20, 2016 Revised Aug 23, 2016 Accepted Aug 26, 2016 Supplementary food distribution for pregnant women still depends on the local policy. This program is funded using Health Operational Funds and distributed in form of milk, eggs, raw materials such as green beans and others. The field constraints of this program were acceptability and willingness of pregnant women to process the raw materials. This study aims to address the problems of providing supplementary food for pregnant women who suffer from chronic energy malnutrition and anemia by making the formulation of high protein biscuits and Fe using soybean flour substitution catfish eggs and flour as a source of protein and Fe. Biscuits produced are expected to be one of the snacks and nutritions for women who suffer from chronic energy deficiency. The ingredients were flour, fish powder, soy flour, eggs, milk powder, sugar, and maize flour. The method used was pure experimental approach completely randomized design with three times repetition. The formulation of the biscuits proportion between fish and soy flour as much as 2:1, 1:1, and 1:2. Proximate test shows that the proportion of fish and soy flour 1:2 has the highest energy value (496.81 kcal) with a value of 17.74% protein. Organoleptic test indicates that the most favourable taste and texture was the formulation with the proportion of fish flour and soy flour 1:2. The formulation of high protein and Fe biscuits for women with chronic energy malnutrition and anemia in Boyolali favoured by third trimester pregnant women is the one with the proportion of 1:2 Keyword: