Media Penelitian dan Pengembangan Kesehatan

THE RELATIONSHIP BETWEEN ENERGY, NUTRIENT INTAKE, AND OCCUPATIONAL STATUS WITH CHRONIC ENERGY DEFICIENCY (CED) IN PREGNANT WOMEN

Meilinasari Meilinasari — 2024-07-25

Kurang Energi Kronis (KEK) adalah suatu kondisi pada ibu hamil dengan ukuran LILA kurang dari 23,5 cm. Terjadinya KEK dipengaruhi oleh asupan energi dan nutrisi, pengetahuan gizi, penyakit menular, pendapatan keluarga, jumlah anggota keluarga, pengendalian kehamilan, paritas, dan pemberian makanan tambahan (PMT). Menurut data Riskesdas 2018, prevalensi KEK pada ibu hamil di Kabupaten Banyumas mencapai 16,03 persen. Penelitian ini bertujuan untuk mengetahui hubungan antara asupan energi dan nutrisi dengan status pekerjaan terhadap kejadian CED pada ibu hamil di Kabupaten Sumbang. Penelitian ini menggunakan metode cross-sectional dengan 92 sampel yang dipilih melalui systematic random sampling. Data asupan energi dan nutrisi dikumpulkan dengan menggunakan food recall 3x24 jam, status pekerjaan dengan wawancara menggunakan kuesioner, dan data KEK untuk ibu hamil dengan mengukur LILA. Analisis menunjukkan bahwa sebagian besar wanita hamil (75-92%) memiliki asupan energi dan nutrisi yang tidak mencukupi (makro dan mikro, kecuali vitamin A). Sebagian besar wanita hamil (87%) tidak bekerja, dan 13% menderita CED. Analisis bivariat menunjukkan hubungan antara asupan energi (p=0,05) dan karbohidrat (p=0,034) dengan kejadian CED pada ibu hamil serta tidak ada hubungan antara protein, lemak, vitamin B1, vitamin A, asupan zat besi, dan status pekerjaan terhadap kejadian CED pada ibu hamil (p>0,05). Disimpulkan bahwa asupan energi dan karbohidrat terkait dengan CED pada ibu hamil. Peningkatan status gizi ibu hamil harus ditingkatkan dengan memanfaatkan pangan lokal serta edukasi gizi berkelanjutan.

KEBIASAAN KONSUMSI KOPI DAN TINGKAT KECUKUPAN ZAT BESI DENGAN ANEMIA PADA REMAJA PUTRI

Miko Ardiansyah — 2024-08-02

Anemia is a nutritional deficiency problem that is prone to be experienced by adolescent girls. Anemia can be influenced by iron intake from food sources and other factors such as coffee consumption habits. The aim of this research was to analyze the relationship between coffee consumption habits and iron sufficiency levels with anemia in adolescent girls at SMAN 1 Manyar Gresik. The research method used was observational with a cross-sectional design. The total population consisted of 487 female students from grades X and XI at SMAN 1 Manyar Gresik. The sample size was 78 individuals selected using proportional random sampling technique. Data on iron sufficiency levels and coffee consumption habits were obtained from filling out the SQ-FFQ questionnaire. Respondents' anemia status data were obtained by measuring hemoglobin levels using a hemoglobinometer (easy touch). Data analysis was conducted using the Chi-square test. This study showed that 23% of respondents had anemia and the results of statistical tests indicated that there was a relationship between the time of coffee consumption (p= 0.005) and the level of iron intake (p=0.003) with anemia. The research concluded that sufficient iron intake and consumption of coffee more than 2 hours before/after meals will reduce the risk of anemia. Therefore, respondents are advised to pay attention to the timing of coffee consumption to avoid inhibiting iron absorption.

DAMPAK SUPLEMENTASI MIKRONUTRIEN IBU HAMIL TERHADAP LUARAN KEHAMILAN: A LITERATURE REVIEW

Chatrine Aprilia Hendraswari — 2024-08-14

Selama kehamilan, kebutuhan nutrisi meningkat dibandingkan dengan wanita yang tidak hamil. Makanan bergizi selama hamil meliputi asupan energi, protein, vitamin dan mineral. Namun di negara-negara berpenghasilan rendah-menengah. Pemenuhan kebutuhan asupan makanan ibu hamil menjadi tantangan yang menyebabkan terjadinya defisiensi mikronutrien sehingga diperlukan suplementasi mikronutrien. Tinjauan pustaka ini bertujuan untuk mendeskripsikan pengaruh suplementasi mikronutrien terhadap dampak pada kehamilan. Artikel ini disusun menggunakan Preferred Reporting Items for Systematic Review and Meta Analysis (PRISMA). Database diambil dari Science Direct, PubMed, Cochrane, dan SAGE Journal dengan kata kunci “Micronutrient during Pregnancy” OR “Micronutrient Supplementation of Pregnancy” OR “Micronutrient of Pregnant Women” OR “Supplementation of Pregnancy”. Sepuluh artikel dianalisis mengenai desain tujuan, hasil serta kesimpulan. Hasil tinjauan pustaka ini menjelaskan bahwa suplementasi mikronutrien untuk ibu hamil yang penting yaitu zat besi (Fe), asam folat, kalsium (Ca), magnesium (Mg), tembaga (Mg), seng (Zn) dan vitamin A, vitamin B, vitamin C, vitamin D. Suplementasi ini dapat dikonsumsi sesuai apa yang dibutuhkan tubuh. Dampak konsumsi suplementasi selama hamil yaitu dapat mencegah terjadinya anemia, gizi buruk, dan preeklamsia/eklampsia pada ibu hamil, bayi lahir pendek, prematur, berat badan lahir rendah dan kematian.

EFEKTIVITAS SEDUHAN DAUN ASAM JAWA TERHADAP KADAR HOMA-IR DAN HOMA-β PADA PASIEN DIABETES MELLITUS TIPE 2

Nopriantini Nopriantini — 2024-08-16

This study assessed the impact of tamarind leaf tea on HOMA-IR and HOMA-β levels in patients with Type 2 Diabetes Mellitus (DM). Thirty-two patients aged 20-50 years from Sungai Ambawang District Health Center, who were not using any DM medication, participated. They were divided into control (KN) and treatment (KP) groups, with KP receiving a tamarind leaf tea infusion for 7 days. HOMA-IR and HOMA-β levels were calculated using standardized formulas based on fasting insulin and glucose levels. The Wilcoxon signed-rank test revealed a significant decrease in HOMA-IR levels in the KP group (p<0.05), while no significant change was observed in the KN group. Although no significant difference in HOMA-β levels was found between the two groups, the KP group showed a notable increase by 4. These findings suggest that a 7-day tamarind leaf tea infusion effectively reduced HOMA-IR levels in patients with type 2 DM, although it did not significantly affect HOMA-β levels. This study highlights the potential of tamarind leaf tea as a complementary approach for managing insulin resistance in Type 2 DM patients. Further research is needed to explore the long-term effects and mechanisms of action for improving β-cell function. The conclusion of this study is that steeping tamarind leaves for seven days can reduce HOMA-I levels and slightly increase HOMA-β levels in patients with type 2 Diabetes Mellitus.

MASSA OTOT BERKORELASI POSITIF DENGAN TOTAL AIR TUBUH PADA LANSIA: STUDI OBSERVASIONAL

Maria Dara Novi Handayani — 2024-08-16

Dehydration, the decrease of body fluid and electrolytes, is the most common disorder in the elderly. Total body water (TBW) is influenced by various factors including body composition, such as fat mass (FM) and fat-free mass (FFM). FM can be represented by body mass index (BMI), waist circumference (WC), and waist-to-hip ratio (WHR) while FFM can be represented by muscle mass (MM). This study aimed to determine the correlation of BMI, WC, WHR and MM with TBW in the elderly. This cross-sectional research was conducted on elderly people in four nursing homes in Jakarta between November and December 2020. The sample was 87 people who meet the inclusion and exclusion criteria with the total sampling method. Fat mass data collection were carried out by trained personnel by measuring BMI, WC, WHR. MM data were collected using the Maltron Bioscan 916. Correlation analysis was carried out using the independent t-test and linear regression test. The results showed that the average TBW was 28.5 ± 5.4 liters (men were significantly higher than women). Further analysis showed that BMI, WC, and MM were positively correlated with TBW, but not WHR. In linear regression analysis, MM had the greatest correlation with TBW (p<0.05). This study validated that elderly people with lower muscle mass tend to have lower total body fluids; therefore, elderly people are advised to maintain muscle mass through diet and exercise modification to maintain total body fluids and reduce the risk of dehydration.

KAPSUL EKSTRAK KULIT PISANG AMBON MENINGKATKAN KADAR NITRIT OKSIDA PADA WANITA HIPERTENSI USIA SUBUR

Anisa Alfia Ramadanti — 2024-08-27

Hypertension affects individuals of all ages, including women. One of the contributing factors to hypertension is oxidative stress. Banana peel contains high levels of flavonoids, which increase antioxidant activity. This study aimed to analyze the effect of ambon banana peel extract capsules on increasing nitric oxide levels and reducing blood pressure hypertensive women. This research employed quasi experimental design with purposive sampling, non randomized pre and post test control group design. The sample included 32 hypertensive women divided into two groups 16 in the intervention group and 16 in the control group. The intervention group received 2,500 mg of banana peel extract capsules addition to antihypertensive drugs, the control group received only antihypertensive drugs. Both groups were treated for 14 days. The results indicated that the mean systolic blood pressure the intervention group decreased average of 16.32 mmHg, compared to decrease of 7.49 The results indicated that the mean systolic blood pressure in the intervention group decreased an average of 16.32 mmHg, compared decrease of 7.49 mmHg in the control group. Mean diastolic blood pressure the intervention group decreased by 12.56 mmHg, compared decrease 4.68 mmHg in the control group. Nitric oxide levels increased by 61.06 points in the intervention group and decreased by 19.75 points the control group. Conclusion, the study found significant differences in pretest-posttest systolic and diastolic blood pressure between the intervention and control groups, indicating that ambon banana peel extract capsules effectively increase nitric oxide levels and reduce blood pressure in hypertensive women

EFEKTIVITAS HYDROGEL LIDAH BUAYA (ALOE VERA) TERHADAP RUAM POPOK (DIAPERS RASH) PADA BAYI 0 – 12 BULAN

Nathasia Elga Haryono — 2024-08-28

Diaper rash occurs in approximately 25% of all babies born worldwide, with 6,840,507,000 experiencing diaper rash due to the use of diapers. The main causes of diaper rash are the growth of fungi and bacteria. Diaper rash can be treated using non-pharmacological therapy, one of which is the use of aloe vera gel. The purpose of this study is to prove the effectiveness of aloe vera gel in healing diaper rash in babies aged 0-12 months. This research was conducted in Kediri City from January to March. The sample in this study consisted of 36 baby respondents aged 0-12 months using random sampling. This study used a quasi-experimental design with a pretest-posttest control group design. The intervention group was given aloe vera hydrogel, while the control group was given zinc oxide ointment, then measured using the diaper dermatitis grading scale score. This study used the repeated measures ANOVA test. The results showed an average difference of 0.750 in the intervention group and 0.584 in the control group. It was shown that the effectiveness of healing diaper rash in the intervention group was 51.02%, and in the control group, it was 41.13%. Data analysis with a P-value < 0.05 indicated a difference in healing between the administration of zinc oxide and aloe vera in reducing diaper rash scores. The administration of aloe vera hydrogel is significantly effective in healing diaper rash in babies aged 0-12 months. Future research could use a narrower age range of babies.

DURASI MENDERITA DM MEMENGARUHI KONTROL GLIKEMIK JANGKA PANJANG YANG DIUKUR MELALUI HbA1c PADA PASIEN DIABETES MELITUS TIPE 2

Cendi Nurgajayanti — 2024-09-02

Diabetes mellitus (DM) is a metabolic disorder characterized by hyperglycemia due to abnormalities in insulin secretion or action. In West Java, the prevalence of DM reached 1.9%, with a significant increase in Tasikmalaya City, which recorded 7,436 cases in 2022. This study aimed to explore the relationship between individual characteristics, nutritional status, comorbidities, and duration of DM with HbA1c levels in type 2 diabetes patients at one of the private hospitals in Tasikmalaya City.This study evaluated medical records of 210 patients with type 2 DM. The Spearman's rank correlation test was used to analyse the relationships between variables and a p<0.05 was considered as statistically significant. The research design used is cross sectional with purposive sampling technique.The result showed there was a statistically significant relationship between the duration of illness and HbA1c levels (p = 0.001 and r = 0,072). However, the relationship between nutritional status or comorbidities and HbA1c levels were not statistically significant (p = 0.471 and 0.187, respectively), indicating no relationship between nutritional status and HbA1c levels. The study concluded there was no significant relationship between nutritional status and comorbidities with HbA1c levels. Namun, ada hubungan antara durasi penyakit dengan kadar HbA1c

PENGARUH SPRAY GEL EKSTRAK BATANG BAJAKAH TAMPALA (SPATHOLOBUS LITTORALIS HASSK) TERHADAP PENYEMBUHAN LUKA PERINEUM PADA IBU NIFAS

Fitriana Sindi — 2024-09-02

Perineal laceration occurred during childbirth, either naturally or through episiotomy. One alternative for perineal wound healing was using a spray gel of Bajakah tampala stem extract, which had anti-inflammatory, antioxidant, and antibacterial benefits that helped accelerate perineal wound healing. The spray technique delivered the preparation directly to the wound without contact with cotton, reducing waste and preventing infection or contamination. This study aimed to determine the effect of Bajakah tampala stem extract spray gel (Spatholobus littoralis Hassk.) on perineal wound healing in postpartum women. The study was conducted at the Eka Setyowati midwife practice and Ngesrep Health Center from January to February 2024. It was a quasi-experiment with a pretest and posttest control group design. Using purposive sampling, 36 respondents were obtained and divided into two groups: the control group, which received dry clean wound care, and the intervention group, which was given Bajakah tampala stem extract spray gel three times a day for seven days with three sprays per application. The perineal wounds were measured using the REEDA scale (Redness, Edema, Ecchymosis, Discharge, Approximation) on the 3rd, 5th, and 7th days. The results showed a decrease in the REEDA score on post-test I (the 5th day), with an average score of 2.78 in the intervention group compared to the control group, which had an average REEDA score of 5.72. The administration of Bajakah tampala stem extract spray gel (Spatholobus littoralis Hassk.) affected perineal wound healing in postpartum women based on the REEDA score.

MODEL VIDEO PENDIDIKAN GIZI GUNA MENINGKATKAN PEMAHAMAN TERKAIT KONSUMSI PRODUK ULTRA-PROCESSED FOOD PADA REMAJA

Alfia Rusfianti — 2024-09-04

The high consumption of ultra-processed food (UPF) among adolescents can increase the prevalence of obesity and non-communicable diseases. Educating adolescents through videos related to UPF consumption may increase knowledge and potentially change their behaviors to choose healthier foods.This study aimed educating adolescents through videos related to UPF consumption may potentially increase their knowledge regarding nutrition and change their behavior to choose healthier foods. We used Research and Development (R&D) approach by adopting the analysis, design, development, implementation, and evaluation (ADDIE) model. The study subjects were a content expert, a linguist, a media expert, and a small group of adolescents. Data were collected using questionnaires and descriptively analyzed. Assessment results from the three experts were 77.1%, 80.0%, and 70.0%, respectively, with an averaged score of 75.1%, suggesting that the educational videos developed were valid, requiring only minor revisions. The revised videos were then validated on a small group of adolescents, with averaged score of 83.90% rendering the videos highly valid to be used as a nutrition education media. Based on these results, it can be concluded that the developed videos about UPF are suitable for use as a nutrition educational media for adolescents.

PENGARUH EDUKASI MENGGUNAKAN MEDIA AUDIO VISUAL (INSTAGRAM) TERHADAP PENGETAHUAN GIZI PADA SISWI ANEMIA

Syahrizal Rahman Suni — 2024-09-06

Adolescence is a transition period from childhood to adulthood that is vulnerable to nutritional problems, especially anemia. Lack of nutritional knowledge is one of the causes of this situation. Education is an effort that can be made to increase knowledge and prevent anemia in adolescents. This study aimed to analyze the effectiveness of nutrition education Instagram on nutritional knowledge in anemic schoolgirls. The research was conducted at SMK N 1 Banyumas in December 2023-February 2024. The method used a Quasi-experiment with a pre-post-test with a control group design. The study was conducted with a total of 32 anemic schoolgirls obtained using purposive sampling who were divided into 2 groups. The intervention group used audio-visual as nutrition education, while the control group received counseling in the end of this study. Knowledge data was obtained using a questionnaire and data analysis using the independent t-test. The study result showed there was an effect of nutrition education using audio-visual media on increasing knowledge in anemic female student (p = 0.000). Nutrition education using Instagram audio-visual media was significant in increasing nutritional knowledge in anemic female students.

PENGEMBANGAN PEMBALUT BUNGA TELANG BERBASIS NANOTECHNOLOGY DAN AKURASI DALAM DETEKSI DINI KETUBAN PECAH DINI

Ating Miraningtyas — 2024-09-06

The incidence of premature rupture of membranes (PROM) reaches 12.3% of total births throughout the world. Efforts to detect early KPD still face problems, namely the use of litmus paper which is small in size and there are no regulations regarding its use, so a tool is needed that has the same function as litmus paper in detecting amniotic fluid which can be used and used by pregnant women independently. The study aimed to develop nanotechnology-based butterfly pea flower pads in early detection of PROM. The research method used is Quasy Experimental, with purposive sampling technique, using an observation sheet. The sanitary napkin design is designed with a telang flower indicator for PROM detection with a sanitary napkin length of 22 cm and a width of 7 cm. Testing was carried out on 30 pregnant women in Jati District, Blora Regency, at January 20 to February 19, 2024. Statistical analysis uses Anova, Multiple Comparison test and Tukey's Difference Test. The research results obtained accuracy, sensitivity and specificity values of 100%. Sanitary napkins do not cause irritation to the skin, have an ideal absorbency of 10x the initial weight, a chlorine concentration of 1.8 ppm with a total of 39 bacterial colonies which is still below the quality threshold for sanitary napkins. The study concluded that butterfly pea flower sanitary napkin products can accurately replace litmus paper as an indicator for early detection of PROM.

PENGARUH PENYULUHAN GIZI DENGAN MEDIA GAME EDUKASI BERBASIS ANDROID TERHADAP KONSUMSI BUAH DAN SAYUR

Jonni Syah R. Purba — 2024-09-06

The main issue faced in fruit and vegetable consumption is that, on a national scale, the consumption of fruits and vegetables by the Indonesian population is still below the recommended levels. In the context of increasing needs for nutritional and health understanding, this study aimed to examine the effect of an android-based educational game on fruit and vegetable consumption through teacher capacity enhancement among junior high school students in Ngabang, Landak Regency. A quasi-experimental method utilizing the separate sample pretest-posttest control group design was employed with two treatment groups. The sample consisted of 35 Grade 8 students for each group. The sampling technique used quota sampling. Statistical analysis using paired t-test and independent t-test. The results indicate there was no significant difference in fruit consumption frequency between the control group before and after the intervention (p=0.160), whereas a significant difference was observed in the treatment group (p=0.000). Similar patterns were observed for vegetable consumption frequency, with no difference in the control group (p=0.263) but a significant difference in the treatment group (p=0.000). Overall, the study found a significant difference in the frequency of consumption between the control and treatment groups for both fruits (p=0.000) and vegetables (p=0.000). This suggests that the android-based educational game, through enhancing teacher capacity, effectively increases fruit and vegetable consumption among junior high school students. These findings highlight the potential of using educational technology to improve dietary habits and address nutritional issues among adolescents in Indonesia.

EFFECTS OF HEALTH EDUCATION WITH MODULE DEVELOPMENT ON HEALTHCARE CADRES’ KNOWLEDGE AND ATTITUTE REGARDING EARLY DETECTION OF HIGH-RISK PREGNANCY

Hasrah Murni — 2024-09-25

Metode pendidikan kesehatan yang efektif perlu dilakukan untuk memperkuat peran kader kesehatan dalam mencegah angka kematian ibu dan bayi dengan cara meningkatkan pengetahuan dan sikap kader tentang deteksi dini kehamilan risiko tinggi. Penelitian ini bertujuan untuk mengetahui pengaruh metode edukasi dengan pengembangan modul terhadap pengetahuan dan sikap kader tentang deteksi dini kehamilan risiko tinggi di masyarakat. Penelitian ini menggunakan desain quasi-experiment with comparison group yang dilaksanakan pada bulan April hingga November 2019 di sebuah Puskesmas di kota Bukittinggi, Sumatera Barat, Indonesia. Sampel penelitian terdiri dari 50 kader yang dibagi secara acak dibagi ke dalam kelompok kontrol (n= 25) dan kelompok intervensi (n= 25). Peserta dalam kelompok intervensi menerima modul yang dikembangkan oleh peneliti dan peserta dalam kelompok pembanding menerima buku panduan Kesehatan Ibu dan Anak (KIA) biasa. Pengetahuan dan sikap kader kesehatan diukur dengan menggunakan kuesioner Pengetahuan tentang Kehamilan Berisiko Tinggi dan Skala Sikap yang telah dimodifikasi oleh peneliti. Analisa data menggunakan uji-t berpasangan dan uji-t independen untuk statistik inferensial. Hasil penelitian ini menemukan bahwa skor rata-rata pengetahuan kader pada kelompok intervensi secara signifikan lebih tinggi daripada kelompok pembanding. Metode edukasi dengan pengembangan modul yang efektif secara signifikan meningkatkan pengetahuan kader sebagai pendidik kesehatan bagi ibu hamil di masyarakat. Dengan mengimplementasikan program edukasi dengan modul, efektivitas kader kesehatan dalam mendeteksi dini kehamilan berisiko tinggi dapat ditingkatkan secara signifikan, sehingga memberikan dampak dalam perawatan kesehatan yang lebih baik bagi ibu dan bayi.

MEDIA VIDEO ANIMASI MINDFUL EATING DAPAT DIGUNAKAN UNTUK MEMBANTU MENGATASI DISORDERED EATING PADA MAHASISWA

Aisyah Intan Ramadhani — 2024-09-27

Disordered Eating (DE) or eating behavior problems are one of the issues that are increasingly significant among college students. Academic pressures and cultural changes influence the concept of the ideal body, leading to unhealthy eating behaviors. Mindful Eating (ME), which emphasizes awareness and appreciation of eating behaviors, effectively addresses disordered eating behaviors. However, there are still many cases of DE among collage students, especially women. This research aimed to develop a canvas-based animation video to help college students overcome DE. The type research method in this study used Research and Development (R&D) with the ADDIE (Analyze, Design, Development, Implementation, and Evaluation) model, but only up to the development stage in this study. Canva-based animation video validation involves three experts: expert materials, linguists, and media experts, with an average result of 80.3 (decent category, revised as necessary). Next, it was tested on prospective users (n = 37) who were selected by simple random sampling. The results of product assessment by prospective users amounted to 91.1 (very feasible category, no need to revise). The ME Knowledge Questionnaire measured the impact of video use (reliability = 0.621). The results of the comprehension score based on the pre-test and post-test on students obtained an average N-Gain score of 0.84 with an average score of 0.84 with a high category. Based on the analysis results, it can be concluded that ME video products are feasible to use as learning media to increase ME knowledge and overcome ED problems in collage students.

ANALISIS FAKTOR-FAKTOR YANG MENGHAMBAT KAJI ETIK PROTOKOL PENELITIAN: STUDI PADA KOMITE ETIK PENELITIAN FAKULTAS KEDOKTERAN UNIVERSITAS SEBELAS MARET, SURAKARTA

Tri Nugraha Susilawati — 2024-09-30

Ethics review is essential prior to conducting research involving humans and animals. This study aimed to evaluate the effectiveness of ethics review procedures and identify the causes of delayed ethical approval of the protocols submitted to Research Ethics Committee of the Faculty of Medicine, Universitas Sebelas Maret during 2022-2023. Retrospective data collected include protocol identity number, institution and educational level of the proposer, research type, date of protocol submission, completion of initial ethics review, and issuance of the ethical clearance certificate. A total of 458 protocols were received over 2 years period but the processing of 8 protocols were discontinued so that those 8 protocols were excluded from further analysis. Of the 450 protocols analysed, most involved human subjects (331; 73.6%). The majority of proposers were from UNS (309; 68.7%), were students (353; 78.4%), and had undergraduate education (166; 36.9%). The duration of the initial ethics review was generally <2 weeks (90.4%). Most (92.7%) protocols needed revision. The majority (66.4%) of proposers needed <2 weeks to revise the protocol. The total time for the entire ethics review process was 22.9 ± 14 days. Further evaluation found that the average duration needed for protocol revision was longer than that for reviewing (16 vs 9 days). It can be concluded that the ethics review process ran effectively so that almost all protocols submitted could undergo initial reviews in a relatively short time. The delayed ethical approval was due to the slow protocol revision process by the proposers.

SOCIAL MARKETING IN PROMOTING IRON-FOLIC SUPPLEMENTATION FOR ADOLESCENT GIRLS IN INDONESIA: DOCUMENT STUDY AND LITERATURE REVIEW

Marlina Rully Wahyuningrum — 2024-09-30

Suplementasi Tablet Tambah Darah untuk menanggulangi anemia pada remaja putri di Indonesia telah dimulai tahun 1990-an. Namun hingga saat ini, kepatuhan konsumsi masih rendah dan prevalensi anemia masih tinggi. Pemerintah Indonesia telah gencar mempromosikan pentingnya konsumsi Tablet Tambah Darah. Penguatan pemasaran sosial dalam pelaksanaan suplementasi ini sangat diperlukan untuk meningkatkan kepatuhan remaja putri dalam mengonsumsi Tablet Tambah Darah. Tujuan penelitian ini untuk menganalisis penerapan pemasaran sosial dalam promosi Tablet Tambah Darah bagi remaja putri di Indonesia. Metode studi dokumen dan literature review digunakan dalam penelitian ini. Dokumen berupa kebijakan, laporan, serta berbagai media terkait suplementasi Tablet Tambah Darah pada remaja putri. Untuk literature review, pencarian artikel dilakukan dalam Scopus, ScienceDirect, Pubmed, dan Google Scholar dengan kata kunci promotion, iron-folic supplementation, dan adolescent girls, dengan kriteria inklusi berupa artikel hasil penelitian primer di Indonesia terkait pemasaran atau promosi Tablet Tambah Darah bagi remaja putri, dalam Bahasa Inggris atau Indonesia, full text, open access, dan diterbitkan Januari 2019-Agustus 2023 pada jurnal terindeks Scopus atau Sinta. Kriteria eksklusi berupa literature/systematic review, prosiding, atau artikel yang tidak dipublikasikan. Pemberian Tablet Tambah Darah saat ini dilakukan melalui kegiatan Aksi Bergizi di sekolah. Dari 19 artikel yang dikaji menunjukkan faktor yang memengaruhi kepatuhan konsumsi, metode dan media promosi, serta monitoring dan evaluasi pemberian Tablet Tambah Darah. Aspek pemasaran sosial telah diterapkan dalam perencanaan, implementasi, monitoring dan evaluasi pada pemberian Tablet Tambah Darah bagi remaja putri di Indonesia. Namun, masih diperlukan perbaikan terkait spesifikasi produk, pesan, metode, keterlibatan orang tua dan masyarakat, serta pendampingan dan pembinaan.

THE EFFECT OF EDUCATION USING DIGITAL COMIC MEDIA ON HEALTHY FOOD CHOICES IN ADOLESCENT GIRLS WITH PRIMARY DYSMENORRHEA

Shinta Shinta — 2024-09-30

Remaja merupakan masa peralihan dari anak-anak menuju dewasa ditandai dengan terjadinya menstruasi pada wanita. Sebagian besar remaja merasakan nyeri menstruasi yaitu dismenorea primer. Prevalensi dismenorea di dunia tertinggi terdapat pada remaja putri yaitu sekitar 20-90% dan di Indonesia sebesar 60-75%.Kurangnya pengetahuan gizi dan kecenderungan untuk mengikuti faktor emosional dan sosial menyebabkan remaja memilih makanan yang kurang sehat dan bergizi, sehingga berdampak pada asupan gizi. Penelitian ini bertujuan untuk menganalisis pengaruh komik digital terhadap pemilihan makanan sehat terhadap remaja yang menderita dismenorea primer. Penelitan ini menggunakan metode campuran (R&D dan true eksperimen dengan rancangan pre-post test with control group). Penelitian ini melibatkan tiga validator ahli yaitu ahli materi, ahli bahasa dan ahli media. Pengumpulan data melalui kuesioner penilaian media dan wawancara. Subjek penelitian 100 remaja putri di sekolah sasaran penelitian yang memenuhi kriteria inklusi yaitu siswi SMA Negeri Kelas X dan XI, riwayat menstruasi teratur selama 6 bulan terakhir, usia 15-18 tahun, memiliki smartphone pribadi dan belum pernah mendapatkan edukasi terkait dismenorea. Kriteria eksklusi yaitu tidak hadir saat penelitian dan tidak mengisi kuesioner secara lengkap. Pengambilan sampel menggunakan multistage random sampling terdiri dari 2 tahap yaitu cluster random sampling dan proportional random sampling. Instrumen data pemilihan makanan sehat menggunakan formulir healthy food choices quetionarre. Hasil uji Wilcoxon menunjukkan pada kelompok intervensi didapatkan nilai p-value = <0,001 dan pada kelompok kontrol didapatkan nilai p-value = <0,001. Hasil ini menunjukkan komik digital yang dirancang memiliki pengaruh terhadap skor pemilihan makanan sehat.

DIAGNOSTIK PAPER ANALYTICAL DEVICE (PAD) MENGGUNAKAN EKSTRAK UBI JALAR UNGU UNTUK DETEKSI BORAKS DALAM MAKANAN

Zuri Rismiarti — 2024-09-30

Consuming foods containing borax (tetraborate) will cause health problems. However, in reality, borax is often added to foods such as crackers, meatballs, wet noodles, dumplings. These foods are usually produced by unregistered public members, so their quality is less controlled, so routine monitoring of borax levels in food is needed so that the food quality circulating in the community is maintained and safe for consumption. This research aimed to develop simple method that does not use special instruments to diagnose borax using a Paper Analytical Device (PAD) based on digital imaging using natural reagents from purple sweet potato extract. The research design was laboratory research and development (RnD). The research was conducted at Poltekkes Kemenkes Bandung in January-June 2022. The samples used were borax samples at concentrations of 100, 300, and 500 ppm. The research method was PAD based on digital imaging using Image J. This research was carried out by extracting anthocyanins from purple sweet potatoes, then optimizing the anthocyanin concentration extract; pH; measurement time, determining measurement linearity, and validation by determining % recovery. The research results include that the optimum pH is 9. Optimized measurement time is 3 minutes and is stable until the 5th minute, the linear concentration range of tetraborate is 100-500 ppm tetraborate. In the validation test of the PAD method, a recovery percentage of 87.58-87.95% was obtained for 200 and 300 ppm tetraborate samples. The research result will be able to diagnose and monitor borax in food.

TRANSFORMASI GIZI BALITA STUNTING: PENGARUH BISKUIT TINGGI PROTEIN BERBASIS WHEY PROTEIN TERHADAP KADAR SCFA

Ayu Fauziyyah Adhimah — 2024-09-30

Stunting, characterized by impaired growth and development in children under five, is a major health issue caused by chronic malnutrition and recurrent infections during the first 1000 days of life. Protein intake is crucial for the provision of essential amino acids necessary for optimal growth and immune function. This study aimed to analyze the effect of whey protein-based high-protein biscuits on short-chain fatty acids (SCFA) levels in stunted children. A quasi-experimental design with a pre-post test group was used. Thirty-six stunted children were divided into two groups: the intervention group received whey protein-based high-protein biscuits, while the control group received an equivalent protein source from eggs and tempeh. SCFA levels were measured before and after the intervention. Paired T-tests and Wilcoxon tests were used for statistical analysis. The study found that high-protein biscuits significantly increased SCFA levels (acetate, propionate, and butyrate) in the intervention group (p-value < 0.001). These findings suggest that high-protein biscuits can positively influence gut microbiota and overall health in stunted children. High-protein biscuits can effectively increase SCFA levels in stunted children, contributing to improved gut health. Future studies should explore the long-term effects and potential risks associated with this intervention

EDUCATION ON HEALTHY SNACKS USING NUTRITION BINGO GAMES TO IMPROVE KNOWLEDGE AND ATTITUDES ON BALANCED NUTRITION

Neily Widya Alvianti — 2024-09-30

Permasalahan gizi dialami oleh masyarakat di seluruh dunia, termasuk Indonesia. Gizi buruk di Samarinda banyak dialami oleh anak usia sekolah dasar. Edukasi jajanan sehat pada anak usia sekolah dasar dapat dilakukan melalui permainan bingo nutrisi. Penelitian ini bertujuan untuk menganalisis pengaruh edukasi jajanan sehat melalui permainan bingo gizi terhadap peningkatan pengetahuan dan sikap gizi seimbang siswa sekolah dasar. Penelitian ini menggunakan metode kuasi eksperimen dengan desain kelompok kontrol pretest-posttest. Subjek penelitian adalah siswa SDIT Fastabikhul Khairat Samarinda yang berjumlah 80 orang yang dipilih menggunakan purposive sampling. Sebanyak 40 siswa sebagai kelompok eksperimen dan 40 siswa kelompok kontrol. Metode pengumpulan data menggunakan instrumen tes dan angket. Metode analisis data menggunakan uji dependen sample t-tes. Hasil penelitian menunjukkan edukasi jajanan sehat menggunakan N-BINGO dapat meningkatkan pengetahuan jajanan sehat siswa sebelum edukasi (rerata =19.07; SD = 2.81) menjadi sesudah edukasi (rerata = 29.74; SD = 3.72), t=11.072; p <.001, dan meningkatkan sikap gizi seimbang sebelum edukasi (rerata =55.87; SD = 3.43) menjadi (rerata = 70.78; SD = 4.37; p <.001); t = 16.114; ρ=.003.

ANALISIS GEOGRAPHIC INFORMATION SYSTEM FAKTOR RISIKO BAYI BERAT BADAN LAHIR RENDAH (BBLR) PADA IBU HAMIL DENGAN MALARIA: STUDI KASUS

Heni Voni Rerey — 2024-09-30

Papua has the highest rate of malaria cases among all provinces in Indonesia. Malaria is a scourge, especially among vulnerable groups, including pregnant women. Pregnant women with malaria increase the risk of giving birth to Low Birth Weight (LBW). This study aimed to analyze geographic information system risk factors for LBW in pregnant women with malaria. This research method was observational analytics using a matched case-control design. The study encompassed pregnant women residing in the Sentani health center working area, who were both afflicted with and unaffected by malaria, and sought outpatient care at the health center. With a population of 104 pregnant woman, and the sample used was the Total sampling technique. This study found that the distribution of LBW cases tends to increase if there are many malaria incidents in the area. The distribution pattern of malaria cases shows a tendency to gather in areas with high rainfall, areas with low air humidity and areas with high air temperatures, namely Nolokla and Asei Villages. To maintain the health of mothers and babies and avoid possible risks, it is necessary to increase supervision and vigilance in the months where the intensity of rain increases, namely from November to March, where rainfall is also related to humidity and temperature so that it affects the sustainability of mosquito larvae habitat

MODEL PEMBERDAYAAN REMAJA MELALUI PELATIHAN PENCEGAHAN STUNTING BAGI CALON PASANGAN SUAMI ISTRI

Udi Wahyudi — 2024-09-30

Stunting is a global health problem affecting many countries, including Indonesia, with serious long-term impacts on children's growth and development. This phenomenon requires special attention because it can affect the quality of life and future potential of individuals. This study aimed to design a relevant and effective adolescent empowerment model to prevent stunting, focusing on prospective married couples in the Bogor area. The research method used is the 4-D model development design (Four D Models), which includes four main stages: Define (problem determination), Design (model design), Develop (model development), and Disseminate (model dissemination). The results of this study indicate that prospective married couples in Bogor have very limited initial understanding of how to prevent stunting. This finding highlights the need for active involvement of adolescents in the education process and decision-making related to stunting prevention. In addition, community support has proven to be very important in changing behavior and raising awareness about stunting. This study also underlines the importance of a solid monitoring and evaluation system to ensure that the empowerment model developed can be implemented sustainably and effectively. By implementing the empowerment model widely and continuously monitoring its implementation, it is hoped that it can optimize stunting prevention efforts in the future and have a positive impact on public health in the Bogor area.

PENGARUH PEMBERIAN SERBUK DAUN SALAM (Syzygium polyanthum) TERHADAP KADAR FERITIN PADA TIKUS WISTAR MODEL ANEMIA

Rhisma Mutiara Devi — 2024-09-30

Anemia is a global health problem with the prevalence of anemia in women of reproductive age ranging from 27% to 32.8%. In Indonesia, the prevalence of anemia reached 48.9% in adolescent girls, and 46.9% in pregnant women. Iron deficiency is one of the main causes of anemia, which can be triggered by inadequate nutrient intake or problems with iron absorption in the body. Bay leaves powder/BLP (Syzygium polyanthum), which are rich in iron, have not been fully utilized in anemia treatment. The study aimed to analyze BLP administration on ferritin levels in female Wistar rats with anemia. Ferritin research with a Pre and Post Control Group experimental design was conducted at LPPT UGM and UPT UNS for 45 days (August–October 2023). Female white rats (Rattus norvegicus strain Wistar) aged 6 weeks with weight range of ±100–200 g were obtained from UD Wistar Yogyakarta. During acclimatization, they were given comfeed and AIN-93M diets without iron. Anemia in rats was induced by a low-iron diet for 15 days before treatment. BLP was administered for 28 days with different doses of bay leaf powder (3 dose groups) P1 18,6mg/200gr BB, P2 36 mg/200grBB, P3 55,6 mg/200grBB. Ferritin were obtained by taking blood from mice to obtain blood serum using the centrifuge method. Group P3 (SDS 55.6mg/100BB), there was a significant change in ferritin during the treatment. The study concluded was an influence of administering SDS at a dose of 55.6 mg/100BB on changes in ferritin in the anemia rat model.