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ABSTRAK Nama : Syifa Pramudita Faddila Program Studi : Ilmu Kesehatan Masyarakat Judul : Hubungan Aktivitas Fisik dan Konsumsi dengan Kejadian Overweight pada Anak Usia 10-12 Tahun Di Indonesia Tahun 2013 (Analisis Multilevel Data Riskesdas Tahun 2013) Pembimbing : dr.Iwan Ariawan, MSPH Kegiatan aktivitas fisik dan konsumsi makanan yang seimbang adalah upaya untuk menekan angka overweight pada masa anak-anak agar tidak berlanjut menjadi obesitas maupun penyakit degenaratif lainnya. Secara global, sebanyak 42 juta anak mengalami overweight pada tahun 2015 dan angka kegemukan di Indonesia sekitar 10,8% pada tahun 2013. Tujuan penelitian ini adalah untuk mengetahui hubungan aktivitas fisik dan konsumsi dengan kejadian overweight pada anak usia 10-12 tahun di Indonesia tahun 2013. Penelitian ini menggunakan data sekunder Riskesdas 2013 dengan desain studi cross sectional dimana sampel penelitian sebanyak 49.620 anak. Hasil penelitian menunjukkan 14,5% anak mengalami overweight. Hanya aktivitas fisik yang memiliki hubungan bermakna dengan kejadian overweight (p=0,014), sedangkan konsumsi makanan berisiko (p=0,518) serta buah dan sayur (p=0,693) tidak signifikan terhadap kejadian overweight. Anak yang kurang aktif berisiko 1,11 kali (95% CI= 1,02–1,21) untuk menjadi overweight dibandingkan dengan anak yang aktif. Hasil analisis multilevel menunjukkan variasi kejadian overweight antar provinsi lebih besar jika dibandingkan dengan faktor risiko pada level individu (MOR=1,37). Kejadian overweight berhubungan dengan aktivitas fisik yang dilakukan anak-anak, sedangkan konsumsi tidak memiliki hubungan yang bermakna. Dibutuhkan strategi dan sosialisasi aktivitas fisik pada anak dengan melibatkan berbagai sektor dan built environment agar anak lebih aktif untuk mengurangi kejadian overweight. Kata kunci: Overweight, Aktivitas Fisik, Konsumsi
ABSTRACT Name : Syifa Pramudita Faddila Study Program : Public Health Title : Association between Physical Activity and Consumption with Overweight among Children Aged 10-12 Years in Indonesia 2013 (Multilevel Analysis of Riskesdas 2013) Counsellor : dr.Iwan Ariawan, MSPH Physical activity and balanced food consumption is an attempt to reduce overweight in childhood so as not to continue to be obese or other degenerative diseases. Globally, 42 million children are overweight by 2015 and overweight in Indonesia is around 10.8% in 2013. The purpose of this study was to examine the association between physical activity and consumption with overweight among children aged 10-12 years in Indonesia 2013. This study uses secondary data Riskesdas 2013 with a cross sectional study design where the sample of research is 49,620 children. The results showed 14.5% of respondents had overweight. Only physical activity had significant association with overweight (p=0,014), whereas risky food consumption (p=0,518) with fruit and vegetable consumption (p=0,693) was not significant. Less active respondents were at risk 1.11 times (95% CI= 1.02-1.21) to become overweight compared with active respondents. Multilevel analysis results show that variation in overweight between provinces is greater when compared to risk factors at the individual level (MOR=1.37). Overweight are related to the physical activity of children, while consumption is unrelated. It needed strategy and promotion of physical activity in children by involving parents and built environment to make children more active to reduce overweight. Keywords: Overweight, Physical Activity, Consumption
Breastfeeding is one of the interventions of the first 1000 day movement of life with atarget of 2 years, but this target is still far from reality. Globally 74% of children arebreastfed to 1 year of age, in Africa 70% of children are breastfed to 1 year of age, inAmerica 45% of children are breastfed to 2 years of age and in Indonesia 56.7% ofchildren are breastfed until the age of 23 months, while the target is 80% childrenbreastfed to 1 year of age and 60% to 2 years of age. This study aims to determine therelationship of mother's work with the duration of breastfeeding in Indonesia in 2013. Theresearch design is cross-sectional. The sample of the research is the mother who haschildren aged 0-23 months using Riskesdas data in 2013. The data were analyzed withunivariable, bivariable and multivariable survival analysis. Mother not working(65.05%), ideal age (76.95%), married status (99.81%), high school graduated (30.67%),normal (90.38%) and rich ( 22.38%). Bivariat, there were significant relationship betweenmother work (p = 0,023) and birth process (p = 0,004) with duration of breastfeeding inIndonesia year 2013. Multivariable is known not relationship of mother's job with longbreastfeeding after controlled by covariat variable in Indonesia 2013. Recommended tothe Ministry of Health to strengthen the activities of ASI counselors and to train theexisting personnel in the area and to advocate with the labor service. BKKBN to advocatewith local governments to provide information on the importance of breastfeeding as onetype of contraception and subsequent researchers to explore more complex variables.Key words: breastfeeding, occupation, birth process, education, economics.
Currently stroke is the number two killer after ischemic heart disease, and remains theleading cause of death in the world in the last 15 years. In Indonesia the incidence ofstroke increased from 2007 to 2013 ie from 8 per 1000 population to 12 per 1000population and West Java province has 12 prevalence per 1000 population with estimatednumber of stroke patient equal to 17 per 1000 population.Inadequate physical activity is a major risk factor for cardiovascular disease includingstroke. Increased inactive behavior, feared will increase the number of stroke patients. InIndonesia the proportion of population with less active physical activity was 26.1%. WestJava Province has a proportion of less active population of 25.4%. This figure mayincrease in the future by considering that West Java Province in 2013 has a sedentaryfigure above the national rate.The design of the study was cross sectional through the use of data from the Cohortof non-communicable diseases of the Indonesian Ministry of Health Research andDevelopment. The sample in this study is population aged 25 to 65 years found in datacohort study of PTM in subdistrict Bogor Central, Bogor City.The results of this study obtained the prevalence of stroke in subdistrict Bogor Centralby 15 per 1000 population. There is a relationship of physical activity with stroke withdifferent risk in the age group. In the age group less than 45 years, the population withless physical activity will be at risk of stroke by 5.43 times higher than those who haveenough physical activity. In the age group of 45 years or older, people with less physicalactivity would be at risk of stroke 1.18 times higher than those with sufficient physicalactivity.Increased efforts to prevent and control stroke and increase physical activity needs tobe done by the government through health promotion on a wider scale and through variousmedia information. The government needs to facilitate the provision of public open spacesand supporting facilities for the improvement of physical activity. The community shouldadopt a healthy lifestyle, among others, with sufficient physical activity and an active rolein promoting the increase of physical activity through institutions and communityorganizations such as PKK, Karang Taruna, spiritual associations and so forthKeywords:Stroke, physical activity, prevalence, risk.
