HUBUNGAN ASUPAN KARBOHIDRAT, PROTEIN DAN LEMAK DENGAN KEJADIAN OBESITAS DAN KADAR HEMOGLOBIN PADA GURU WANITA USIA SUBUR

N, NASTITIE CININTYA (2018) HUBUNGAN ASUPAN KARBOHIDRAT, PROTEIN DAN LEMAK DENGAN KEJADIAN OBESITAS DAN KADAR HEMOGLOBIN PADA GURU WANITA USIA SUBUR. Masters thesis, Universitas Sebelas Maret.

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    Abstract

    Nastitie Cinintya Nurzihan. S531508034. 2017. HUBUNGAN ASUPAN KARBOHIDRAT, PROTEIN DAN LEMAK DENGAN KEJADIAN OBESITAS DAN KADAR HEMOGLOBIN PADA GURU WANITA USIA SUBUR. TESIS. Pembimbing I : Prof. Dr. Hartono, dr., M.Si. Pembimbing II : Dr. Risya Cilmiaty A.R., drg., M.Si, Sp.KG. Program Studi Ilmu Gizi. Program Pascasarjana Universitas Sebelas Maret Surakarta. ABSTRAK Latar Belakang : Obesitas telah menjadi epidemi diseluruh dunia dan prevalensinya terus meningkat di semua kelompok usia. Beberapa studi yang meneliti hubungan antara indeks massa tubuh (IMT), lingkar pinggang dan lemak tubuh dengan komposisi makanan makronutrien menunjukkan bahwa komposisi makanan dapat berperan penting dalam kelebihan berat badan / obesitas. Seseorang dengan kegemukan mungkin juga berisiko tinggi mengalami kekurang zat besi serta menyebabkan kadar hemoglobin di dalam darah menurun dan juga protein dapat berperan dalam transportasi zat besi. Pada kalangan wanita usia subur, kejadian tersebut dapat menimbulkan berbagai masalah kesehatan. Metode Penelitian : Jenis penelitian adalah survei analitik dengan rancangan cross sectional. Lokasi penelitian di UPT Pendidikan Jebres, Surakarta, Jawa Tengah. Populasi penelitian adalah seluruh guru sekolah dasar yang menenuhi kriteria tertentu. Besar sampel penelitian adalan 110 orang dan anggota populasi yang memenuhi kriteria tersebut diambil sampel penelitian dengan teknik probability sampling yakni simple random sampling. Kadar hemoglobin diukur menggunakan spektrophotometer dan data asupan karbohidrat, protein dan lemak diperoleh dengan food recall 2x24 jam dan FFQ semi kuantitatif. Pada penelitian ini selain dilakukan analisis univariat dan bivariat, dilakukan juga analisis jalur (path analysis) untuk mengetahui pola hubungan sebab akibat pada beberapa variabel yang diteliti. Hasil : Pada penelitian ini diketahui bahwa subjek penelitian yang obesitas dengan IMT ≥ 25 kg/m2 adalah 34.5% dan subjek penelitian yang obesitas disertai dengan anemia sebanyak 26.4%. Analisis bivariat menunjukkan asupan karbohidrat, protein dan lemak secara signifikan dan hubungan searah terkait dengan kejadian obesitas (p>0,05) untuk kadar hemoglobin signifikan terkait dengan kejadian obesitas dan memiliki hubungan berlawanan, semakin meningkatnya obesitas maka kadar hemoglobin menurun (r= -0,578). Pada analisis jalur diketahui bahwa asupan karbohidrat, protein dan lemak secara tidak langsung dapat mempengaruhi kadar hemoglobin melalui kejadian obesitas. Kesimpulan : Terdapat hubungan asupan karbohidrat, protein dan lemak dengan kejadian obesitas, serta obesitas mempunyai hubungan yang berlawanan dengan kadar hemoglobin. Asupan karbohidrat, protein dan lemak secara tidak langsung mempengaruhi kadar hemoglobin melalui kejadian obesitas. Kata Kunci : obesitas, asupan kabohidrat, asupan protein, asupan lemak, kadar hemoglobin, wanita usia subur Nastitie Cinintya Nurzihan. S531508034. 2017. THE RELATIONSHIP OF CARBOHYDRATE, PROTEIN AND FAT INTAKE WITH OBESITY AND HEMOGLOBIN LEVEL IN TEACHER WOMEN OF CHILDBEARING AGE . THESIS. First Consultant : Prof. Dr. Hartono, dr., M.Si. Second Consultant : Dr. Risya Cilmiaty A.R., drg., M.Si, Sp.KG. Nutrition Science Program. Postgraduate of Sebelas Maret University Surakarta ABSTRACT Background : Obesity has become a worldwide epidemic problem and its prevalence has increased across all ages. Several studies investigating the relationship among body mass index (BMI), waist circumference and body fat with macronutrient composition of the diet showed that dietary composition played an important role toward overweight/obesity. A person with obesity may be at high risk of iron deficiency and was cause hemoglobin levels in the blood to decrease as well as proteins may play a role in the transport of iron. Among women of childbearing age, such as can lead to various health problems. Method : This was an analytical survey with cross sectional design. Research location was in UPT Pendidikan Jebres, Surakarta, Central Java.The population of study were all elementary school teachers has specific criteria. Sampels were 110 people and population member has specific criteria selected sampels by using technique of probability sampling with simple random sampling. Hemoglobin levels was measured by spektrophotometer and data on dietary carbohydrate, protein and fat were collected using food recall 2 x 24 h and semi-quantitative food frequency questionnaire (FFQ). This studies was univariate and bivariate analysis, path analysis is also conducted to determine the pattern of causal relationships on several variables studied. Results : In this study it was found that obese subjects with BMI ≥ 25 kg/m2 were 34.5% and obese subjects were accompanied by anemia as much as 26.4%. Bivariate analysis showed that carbohydrate, protein and fat intake was significantly and direct associated with obesity (p>0,05) for hemoglobin levels was significantly associated with obesity and has the opposite relationship (r= -0,578). In the path analysis is known that the intake of carbohydrates, proteins and fats can indirectly affect hemoglobin levels through of obesity. Conclusion : There was association carbohydrate, protein and fat intake with obesity, and obesity has a relationship that us opposite to hemoglobin levels. Intake of carbohydrates, proteins and fats indirectly affect hemoglobin levels through of obesity. Key Words : obesity, carbohydrate intake, protein intake, fat intake, hemoglobin levels, women childbearing age

    Item Type: Thesis (Masters)
    Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
    Divisions: Pascasarjana
    Pascasarjana > Magister
    Pascasarjana > Magister > Ilmu Gizi
    Depositing User: Wahyu Trianingsih
    Date Deposited: 05 Jan 2018 21:56
    Last Modified: 05 Jan 2018 21:56
    URI: https://eprints.uns.ac.id/id/eprint/39018

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