Hertanto Wahyu Subagio
Bagian Ilmu Gizi Fakultas Kedokteran UNDIP Semarang

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POLA ASUH DAN STATUS GIZI BALITA DI KECAMATAN LAPE, KABUPATEN SUMBAWA, NUSA TENGGARA BARAT Apriyanto, Denny; Subagio, Hertanto Wahyu; Sawitri, Dian Ratna
Jurnal Gizi dan Pangan Vol. 11 No. 2 (2016)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (343.926 KB) | DOI: 10.25182/jgp.2016.11.2.%p

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The purpose of this study was to investigate the relationship between caregiving behavior and nutritional status of under five children. This research used the quantitative cross-sectional design. The number of samples were 70 mothers taken by a multistage random sampling. The data was gained through in-depth interview and observation. Nutritional status was obtained by anthropometric measurement based on the z-score weight-for-age index. Caregiving behaviors that consist of attention to the mothers and feeding practices were poor, while home health practices were adequate. Most of the nutritional status of children under five was good (57.1%). Correlation analysis showed that attention to the mothers (r=0.321; p<0.05), feeding practices (r=0.252; p<0.05) and home health practices (r=0.358; p<0.05) were related positively to nutritional status. The study showed that caregiving behavior that affects nutritional status was attention to the mothers, feeding practices and home health practices.
PENGARUH SUPLEMENTASI VITAMIN E (α-TOKOFEROL) TERHADAP KADAR GAMMA GLUTAMIL TRANSFERASE (GGT) DAN KADAR NITRIC OXIDE (NO) PADA TIKUS (STUDI PADA TIKUS RATTUS NOVERGICUS STRAIN WISTAR JANTAN TERPAPAR INHALASI UAP BENZENE) Roziana, Roziana; Subagio, Hertanto Wahyu; Suhartono, Suhartono; Widyastiti, Nyoman Suci
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 3, No 2 (2015)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (687.835 KB) | DOI: 10.14710/jgi.3.2.73-79

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Latar Belakang : Paparan benzene dapat menyebabkan stres oksidatif, diantaranya ditandai dengan peningkatan kadar GGT dan kadar NO. Vitamin E dapat mengurangi dan mencegah produksi radikal bebas. Reaktivitas hidrogen fenolik pada kelompok hidroksil ?-tokoferol akan menstabilkan elektron tidak berpasangan pada radikal bebas.Tujuan : Membuktikan pengaruh suplementasi vitamin E terhadap kadar GGT dan kadar NO pada tikus jantan terpapar uap benzene.Metode : Penelitian ini adalah penelitian eksperimen pada binatang coba dengan rancangan post test only controlled group design. Sampel 35 ekor tikus strain wistar jantan dibagi secara random dalam enam kelompok yaitu kontrol negatif, kontrol positif dan empat kelompok perlakuan suplementasi vitamin E dosis bertingkat (X1 = 1,8 IU;  X2 = 3,6 IU; X3 = 7,2 IU; dan X4 = 14,4 IU per hari untuk setiap 200 gram berat badan tikus). Setiap kelompok kecuali kontrol negatif dipapar 300 ppm uap benzene selama 2 minggu (6 hari/minggu, 6 jam/hari). Pengukuran kadar GGT menggunakan metoda Kinetik Colorimetric dan kadar NO menggunakan metoda Colorimetric Gries dilakukan pada setiap kelompok. Hasil : Suplementasi vitamin E berpengaruh menurunkan  kadar GGT (p=0,0001). Pengaruh paparan benzene terhadap peningkatan kadar GGT dapat dicegah dengan baik pada dosis suplementasi vitamin E 14,4 IU/200gr BB tikus/hari. Suplementasi vitamin E tidak berpengaruh terhadap kadar NO.Simpulan : Ada pengaruh suplementasi vitamin E terhadap penurunan kadar GGT dan  tidak ada pengaruh suplementasi vitamin E terhadap penurunan kadar NO.
FAKTOR DETERMINAN JUMLAH KONSUMSI SOFT DRINK PER HARI PADA ANAK USIA 10-12 TAHUN DI PEDESAAN Dewi, Clara Rashinta; Subagio, Hertanto Wahyu; Panunggal, Binar
Journal of Nutrition College Vol 6, No 4 (2017): Oktober 2017
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v6i4.18789

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Background: Children become consumer target of soft drink. Many factors influencing children?s consumption of soft drink. There are only few studies about factor influencing children?s consumption in rural area. Objective : To analyze total soft drink consumption per day among 10-12 year-old children in rural area and analyze determinant factors of soft drink consumption.Methods : Cross-sectional study design in 109 children aged 10-12 years who was selected by consecutive sampling. Data collected were gender, nutrition knowledge related soft drink, attitude to soft drink consumption,, pocket money, peer influence, and exposure to mass media. The instruments used are questionnaire and Semi Quantitative Food Frequency Questionaire (SQ-FFQ). Data were analyze using  rank Spearman test and Chi Square test.Result : Total soft drink consumption per day was 422,0±483,94ml. Variables that correlated with total soft drink consumption per day were gender (p=0,025), attitude to soft drink consumption (r=0,28;p=0,003) and peer influence (r=0,25;p=0,007). Variables that are not correlated with total soft drink consumption per day were nutrition knowledge (r=-0,10;p=0,269), pocket money (r=-0,10;p=0,265), exposure to mass media (r=0,15;p=0,116).Conclusion : Factors that correlated with total soft drink consumption per day were gender (p=0,025), attitude to soft drink consumption (r=0,28;p=0,003) and peer influence (r=0,25;p=0,007).
FAKTOR RISIKO KEGAGALAN ASI EKSKLUSIF Wendiranti, Catra Ibriza; Subagio, Hertanto Wahyu; Wijayanti, Hartanti Sandi
Journal of Nutrition College Vol 6, No 3 (2017): Juli 2017
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v6i3.16916

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Latar Belakang: Kegagalan ASI eksklusif sangat umum terjadi di Indonesia, walaupun ASI eksklusif telah dianjurkan oleh pemerintah. Penelitian ini bertujuan untuk mengetahui faktor risiko kegagalan ASI eksklusif.Metode: Penelitian ini merupakan penelitian case-control dengan subjek ibu menyusui yang memiliki bayi usia 6-8 bulan di wilayah kerja Puskesmas Pegandan. Total subjek penelitian ini sebanyak 70 orang, yang terbagi menjadi kelompok kasus dan kelompok kontrol. Informasi mengenai dukungan suami, pemberian informasi oleh petugas kesehatan, penolong persalinan, tempat bersalin, pendapatan keluarga, status pekerjaan ibu, dan ketersediaan ruang ASI di tempat kerja didapatkan melalui wawancara langsung. Analisis data dengan tabulasi silang 2x2 dan regresi logistik.Hasil: Hampir separuh subjek penelitian berada di kelompok usia 20-29 tahun dengan rerata usia 31,1±5,58. Ibu menyusui yang tidak didukung suami untuk melakukan ASI eksklusif berisiko 3,59 kali lebih besar untuk mengalami kegagalan ASI eksklusif, ibu menyusui yang melahirkan di fasilitas kesehatan tingkat pertama berisiko 5,18 kali lebih besar untuk mengalami kegagalan ASI eksklusif, serta ibu menyusui yang menerima informasi yang salah dari petugas kesehatan berisiko 8,06 kali lebih besar untuk mengalami kegagalan ASI eksklusif.Simpulan: Faktor risiko kegagalan ASI eksklusif adalah suami yang tidak mendukung, tempat bersalin di fasilitas kesehatan pertama, dan pemberian informasi yang salah oleh petugas kesehatan.
KEPATUHAN KONSUMSI TABLET BESI FOLAT PADA IBU HAMIL DAN FAKTOR YANG MEMPENGARUHI Rahmawati, Febriana; Subagio, Hertanto Wahyu
Journal of Nutrition College Vol 1, No 1 (2012): Oktober 2012
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v1i1.439

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Backgrounds : Anemia in pregnant women can effect maternal death, increased fetal morbidity and mortality. Iron supplementation programs should have a high success rate because the iron folate tablets are easily available and free of charge. But in reality. the compliance rate of iron folate tablets is still lowPurpose: analyze compliance rate of iron folate tablets in pregnant women at Puskesmas Halmahera and the factors influenced.Method: An analytic observational research with cross-sectional design. The subjects in this study is 56 pregnant women who went on Puskesmas Halmahera. Subject was taken by consecutive sampling technique with the criteria pregnant women trimester 2 and 3. Compliance data, knowledge, education, family support and health care obtained through interviews with a questionnaire. Normality of data was tested using Kolmogorov-Smirnov. Bivariate analyzes performed using Rank Spearman testResult: there is a association between knowledge scores with compliance (r = 0.370, p = 0.005), there is no significant association between education level and compliance (r = 0.032, p = 0.817 there is no significant association between family support and compliance (r = 0.216, p = 0.115) and there is no significant association between health service and compliance (r = 0.217, p = 0.108)Conclusion: more than a half of respondents (58,9%) did not comply consume iron folate tablets. Based on the data can be seen that the knowledge is the most influental factor.
GAMBARAN KONSUMSI ASAM LEMAK TRANS DI PEDESAAN Ulfa, Viny Rosaliana; Subagio, Hertanto Wahyu; Nuryanto, Nuryanto
Journal of Nutrition College Vol 6, No 3 (2017): Juli 2017
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v6i3.16912

Abstract

Latar Belakang: Perubahan gaya hidup seperti konsumsi asam lemak trans terutama di pedesaan dapat menyebabkan berbagai macam penyakit tidak menular. Penelitian ini bertujuan untuk melihat konsumsi asam lemak trans di pedesaan.Metode: Penelitian deskriptif semi-kualitatif dilakukan di Desa Watuagung dengan 68 sampel ibu rumah tangga usia 30-55 tahun yang diambil secara cluster sampling. Asam lemak trans diukur dengan FFQ semi-kuantitatif, dihitung dalam persentase asam lemak trans dari total energi dan dibandingkan dengan rekomendasi WHO 2008. Analisis data menggunakan uji statistik deskriptif.Hasil: Rerata konsumsi asam lemak trans sebesar 0,38±0,3% dari total energi. Kelompok asam lemak trans yang sering di konsumsi adalah olahan gorengan 0,27% dari total energi dengan frekuensi  konsumsi 1-4 kali/minggu (78%). Sumber asam lemak trans yang paling banyak tersedia adalah kelompok olahan gorengan (6-8 jenis). Pengetahuan asam lemak trans dalam kategori kurang (53%), subjek tidak pernah mendengar promosi dan iklan (63%), dan semua aspek pemilihan makan terkait asam lemak trans dianggap penting.Simpulan: Konsumsi sumber asam lemak trans di pedesaan tidak melebihi batas maksimal dari WHO yaitu kurang dari 1% dari total energi. Kelompok sumber asam lemak trans yang sering dikonsumsi adalah olahan gorengan.
HUBUNGAN PENGETAHUAN, SIKAP, DAN MOTIVASI DENGAN KEPATUHAN KONSUMSI TABLET BESI FOLAT PADA IBU HAMIL Budiarni, Widya; Subagio, Hertanto Wahyu
Journal of Nutrition College Vol 1, No 1 (2012): Oktober 2012
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v1i1.364

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Background: The benefit of giving free iron folic tablets to prevent iron deficiency anemia in pregnancy is often inhibited by the compliance of iron folic tablets consumption in pregnant women. Compliance is a behavior that can be influenced by many factors, such as knowledge, attitude and motivation. The purpose of this study is to determine association between knowledge, attitude, and motivation with compliance of iron folic tablets consumption in pregnant women. Methods: This is a cross sectional study, with 56 pregnant women as sample which are selected by consecutive sampling in Halmahera health center, Semarang. Data of compliancy on iron folic tablets consumption was measured by tablet calculation. Data of knowledge, attitude and motivation are taken from interviews using questionnaire. Bivariate analysis performed by Rank Spearman test. Results: This study showed 41,1% of subjects complied iron folic tablet consumption. The average compliance of iron folic tablet consumption in 10 days is 62.86%. Majority of pregnant women have a good knowledge (50%), good attitude (51.8%) and good motivation (57.1%). This study showed association between knowledge (r = 0.370, p = 0.005), attitude (r = 0.343, p = 0.010), and motivation (r = 0.616, p = 0.000) with compliance of iron folic tablets consumption. Conclusion: Motivation is the most dominant factor. The higher the motivation given  the more compliance the pregnant women of taking iron folic tablets consumption.
STUDI KUALITATIF KETERSEDIAAN DAN TINGKAT KONSUMSI GARAM BERIODIUM DI KABUPATEN JEPARA Widiyatni, Wiwid; Subagio, Hertanto Wahyu; -, Suhartono
Jurnal Gizi Vol 5, No 2 (2016): Jurnal Gizi UNIMUS
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.714 KB) | DOI: 10.26714/jg.5.2.2016.%p

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Universal salt iodization (USI) was the main program to overcome iodine deficiency disorders (IDD) in Indonesia. The uneven availability of iodized salt according to IndonesiaNational Standard (SNI) became a problem to reach USI in some part of Indonesia, including in Jepara. Jepara was one of the city in Central java province which produced iodized salt. Unfortunately, most of those salt was sold outside Jepara area while iodized salt needed by Jepara community was supplied from area outside Jepara. The aim of this research was toanalyze the availability and consumption rate of iodized salt in Jepara regency. This research used qualitative method. The main informants consist of five member from IDD prevention team and eleven salt producers. The triangulation informants consist of thirtypregnant women from Pakis Aji. Data collected through observation, in-depth interview, focus group discussion and documents review. Data was analyzed using content analysis method. The Results of this study : 76 iodized salt brands were circulated in jepara, 75% of them contain iodine <30 ppm. Those circulated unstandarized salt was caused by the lack of law enforcement by the Jepara Government. Most of the respondents thought that goiter was the most prevalent from IDD. Iodized salt available in every stores in Jepara, but the quality and taste of those salt became obstacle to consumed iodized salt according to SNI daily. The conclusion of this study : Most of the respondents has already consumed iodized salt but Most of iodized salt circulated in Jepara contain iodine < 30 ppm. Keywords: availability, salt consumption, iodized salt, Jepara
SOSIALISASI PRINSIP DAN PESAN GIZI SEIMBANG SEBAGAI PENGGANTI PROGRAM EMPAT SEHAT LIMA SEMPURNA Ardiaria, Martha; Subagio, Hertanto Wahyu; Puruhita, Niken
JNH (Journal of Nutrition and Health) Vol 8, No 1 (2020): JNH (JOURNAL OF NUTRITION AND HEALTH)
Publisher : Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnh.8.1.2020.51-56

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       Program Prinsip Gizi Seimbang dan Pesan Gizi Seimbang yang disingkat PGS merupakan program pemerintah untuk menjaga status gizi masyarakat Indonesia agar tetap seimbang. Program ini menggantikan Program Empat Sehat Lima Sempurna karena Empat Sehat Lima Sempurna dianggap kurang sesuai karena hanya kurang lengkap informasinya.       Program PGS sebenarnya sudah ada sejak 1992, namun hingga sekarang masih banyak masyarakat yang belum mengenal program ini. Hal ini disebabkan sosialisasi PGS yang kurang. Oleh karena itu pengabdian masyarakat ini dilakukan untuk membantu mensosialisikan PGS supaya lebih dikenal dan diterapkan sehingga status gizi masyarakat Indonesia menjadi lebih baik.       Kegiatan pengabdian ini dilakukan di wilayah kelurahan Jomblang kota Semarang pada tahun 2019. Wilayah ini memiliki kepadatan penduduk tinggi. Di wilayah ini terdapat kelompok PKK di setiap RT dan RW yang aktif melakukan berbagai kegiatan. Kelompok PKK beranggotakan ibu-ibu yang dapat menjadi menjadi media untuk memperkenalkan dan mempraktekkan PGS di keluarga.       Hasil kegiatan ini adalah terdapat peningkatan pengetahuan masyarakat tentang gizi dan Pesan Gizi Seimbang di wilayah Kelurahan Jomblang. Dengan adanya peningkatan pengetahuan diharapkan kesadaran dan perilaku masyarakat tentang kesehatan juga mengalami peningkatan.
ASUPAN VITAMIN D DAN PAPARAN SINAR MATAHARI PADA ORANG YANG BEKERJA DI DALAM RUANGAN DAN DI LUAR RUANGAN Rimahardika, Rosita; Subagio, Hertanto Wahyu; Wijayanti, Hartanti Sandi
Journal of Nutrition College Vol 6, No 4 (2017): Oktober 2017
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v6i4.18785

Abstract

Background: The high deficiency of vitamin D were caused by low vitamin D intake which are limited amounts of vitamin D food sources, and sunlight exposure. Indoor workers were likely to be lower sunlight exposure, while outdoor workers were higher of sunlight exposure, but when someone often exposed sunlight used covering clothes and sun protector then the exposure was not enough to complete the needs of vitamin D. The purpose of this study was to compare intake of vitamin D and sunlight exposure between indoor and outdoor workers.Methods: The analytic descriptive study was held in Sayung Subdistrict with 60 sample aged 19-64 years were selected by using consecutive sampling. Vitamin D intakes was measured by SQ-FFQ and analyzed using nutrisurvey. Sunlight exposure were obtained by doing direct interview with questionnaire and sunlight exposure recall 3x24h. The data were analyzed by using descriptive tests and bivariate tests.Results: The indoor worker?s frequency of sunlight exposure was higher (p = 0.001), indoor worker?s body was more closed (p = 0.02), indoor worker?s habit of using sunlight protector was more often (p = 0.001), outdoor worker?s total duration of sunlight exposure was higher (p = 0.001), outdoor workers were more often to use polyester material textile (p= 0.07), and vitamin D intake was higher in outdoor workers than indoor workers (p = 0.79).   Conclusion: Indoor workers were at higher risk of vitamin D deficiency due to low vitamin D intake and sunlight exposure because of often used covering clothes and sunlight  protectors.