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Abstrak :

Latar belakang: Prevalensi anemia pada balita di Indonesia masih tinggi. Etiologi tersering adalah anemia defisiensi besi. Defisiensi zat besi dapat menyebabkan perkembangan saraf buruk dan gangguan respon imun. Selain malnutrisi zat besi, malnutrisi protein juga dapat menyebabkan anemia. Anemia lebih banyak ditemukan pada kelompok usia 6-23 bulan, disebabkan oleh kebutuhan meningkat. Hubungan zat besi dan protein dengan kadar hemoglobin masih menunjukkan hasil beragam serta belum ada penelitian yang membandingkan hubungan antar kelompok usia.  

Metode: Penelitian ini merupakan penelitian analitik observasional menggunakan data sekunder. Penelitian dilakukan dengan metode potong lintang dengan teknik pengambilan sampel total sampling. Data yang digunakan berasal dari kuesioner sosiodemografis, 24-hour food recall, dan Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). Analisis data dilakukan menggunakan SPSS. Normalitas data didapatkan melalui Kolmogorov-Smirnov. Analisis bivariat dilakukan menggunakan Pearson (bila distribusi data normal) atau Spearman (bila distribusi data tidak normal). Signifikansi didapatkan bila p <0,05.

Hasil: Terdapat 97 subjek untuk kelompok usia 6-23 bulan dan 82 untuk usia 24-36 bulan. Tidak ada perbedaan bermakna karakteristik demografi antara kelompok usia, kecuali untuk kekerapan sakit (p=0,003). Asupan protein dan zat besi lebih tinggi pada kelompok usia 24-36 bulan dibandingkan 6-23 bulan. Asupan protein berkorelasi positif secara signifikan dengan kadar hemoglobin pada kelompok usia 6-23 bulan (r=0,428) dan usia 24-36 bulan (r=0,262). Asupan zat besi berkorelasi positif secara signifikan dengan kadar hemoglobin pada kelompok usia 6-23 bulan (r=0,555) dan usia 24-36 bulan (r=0,253). Perbedaannya bermakna secara statistik.

Kesimpulan: Koefisien korelasi antara asupan zat besi dan Hb serta asupan protein dan Hb pada kelompok usia 6-23 bulan lebih kuat dibandingkan kelompok usia 24-36 bulan. Dibutuhkan intervensi pemberian MPASI yang adekuat dan fokus pemenuhan nutrisi pada anak usia 6-36 bulan, terutama pada kelompok usia 6-23 bulan.

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Introduction: Anemia prevalence among toddlers in Indonesia is still high. The most frequent etiology is iron deficiency anemia. Iron deficiency may cause restrictions in nerve development and immune problems. Other than iron deficiency, protein malnutrition may also cause anemia. The prevalence is higher in 6-23 months age group due to the increase need. However, the correlation between iron and protein intake with hemoglobin levels is still showing different results and the researches do not compare the correlation between different age groups.

Methods: This is an analytic-observational research using secondary data. The research was conducted using cross-sectional method with total sampling technique. The data used were obtained from sociodemographic questionnaire, 24-hour food recall, and Semi Quantitative Food Frequency Questionnaire (SQ-FFQ). The data was analyzed using SPSS. Normal distribution of data was assessed using Kolmogorov-Smirnov. Bivariate analysis was done using Pearson (if the data is distributed normally) or Spearman (data not distributed normally). Significance level is established at p<0,05.

Results: A total of 97 subjects for 6-23 months age group and 82 subjects for 24-36 months age group was recruited. No significant statistical difference was found for the demographic criteria, except for sick frequency (p= 0,003). The protein and iron intake are higher in 24-36 months age group. Protein intake correlates positively with hemoglobin levels in 6-23 months age group (r=0,428) and 24-36 months age group (r=0,262) and the statistical difference is significant. Iron intake correlates positively with hemoglobin levels in 6-23 months age group (r=0,555) and 24-36 months age group (r=0,253) and the statistical difference is significant.

Conclusion: Correlation coefficient between iron intake with hemoglobin levels and protein intake with hemoglobin levels is higher in the 6-23 months age group than 24-36 months age group. Adequate complementary feeding intervention is needed and nutrition fulfilment must be given in children age 6-36 months, especially 6-23 months age group.

 

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Vitamin D dapat mempengaruhi pertumbuhan tulang. Penelitian ini bertujuan untuk mengetahui korelasi kadar vitamin D dengan panjang badan bayi di Jakarta Pusat. Studi cross-sectional dilakukan terhadap 75 subjek yang memenuhi kriteria penelitian. Kadar vitamin D dalam serum diukur dengan metode CLIA (Chemiluminescence Immunoassay), dan panjang badan bayi diukur dengan teknik terstandarisasi dengan ketelitian 1mm oleh tenaga terlatih. Data dianalisis dengan uji Kolmogorov-Smirnov dan uji korelasi Pearson (korelasi bermakna jika p<0,05). Hasil penelitian menunjukkan bahwa mayoritas subjek penelitian (80%) tidak memiliki asupan vitamin D yang cukup. Nilai tengah kadar vitamin D bayi berusia 8-10 bulan di Jakarta Pusat sebesar 26,4 ng/dL, sedangkan nilai tengah panjang badan bayi 70,63 cm. Hasil penelitian menunjukkan tidak terdapat korelasi bermakna antara kadar vitamin D dengan panjang badan bayi 8-10 bulan di Jakarta Pusat (p=0,563).

 

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Vitamin D can influence bone growth. This study aims to determine the correlation between vitamin D levels and body length on 8 to 10 months old infants in Central Jakarta. Cross-sectional study was conducted on 75 infants which met the criteria. Serum vitamin D levels were measured with CLIA (Chemiluminescence Immunoassasy), while body length was measures by antropometric standardized technique by trained personnel. The data was analyzed with Kolmogorov-Smirnov test and Pearson test (significant correlation if p<0,05). The result shows that the majority of subjects (80%) do not have adequate vitamin D intake. The median value of vitamin D levels on 8 to 10 months old infants in Central Jakarta is 26.4 ng/dL, while the median value of body length is 70.63 cm. The result shows that there are no significant correlation between vitamin D levels and body length on 8 to 10 months old infants in Central Jakarta (p=0,563).

 

Abstrak :
Latar belakang: Dampak malnutrisi seperti stunting, wasting, dan underweight pada 1000 hari pertama kehidupan irreversible, namun dapat dicegah dengan makanan pendamping ASI yang berkualitas. Penelitian ini bertujuan untuk mengetahui hubungan ketercapaian minimum dietary diversity (MDD) dengan status gizi anak usia 6-23 bulan di Jakarta Timur pada pandemi COVID-19 tahun 2020. Metode: Studi cross-sectional ini menggunakan data sekunder penelitian di Jakarta Timur, dengan jumlah sampel 102 subjek berusia 6-23 bulan. Data terkait MDD diperoleh melalui food recall 24 jam yang kemudian dimasukkan ke dalam kuesioner MDD. Data terkait usia, jenis kelamin, tingkat pendidikan ibu, dan pendapatan rumah tangga juga dianalisis dalam penelitian ini. Analisis data dilakukan melalui uji chi square dan regresi logistik menggunakan aplikasi SPSS Statistics versi 25. Hasil: Mayoritas subjek penelitian berusia 12-17 bulan (39,2%) dengan proporsi yang sama antara laki-laki dan perempuan. Sebanyak 52% subjek mencapai MDD pada asupan hari sebelumnya. Stunting merupakan status gizi terbanyak (20,6%) dibandingkan dengan wasting (15,7%) dan underweight (12,7%). Tidak ditemukan hubungan signifikan antara ketercapaian MDD dan status gizi subjek, tetapi jenis kelamin dianggap berhubungan dengan stunting (p=0,003; 95% CI=1,81-19,03) dan underweight (p=0,012; 95% CI =1,54-36,73). Kesimpulan: Dalam menganalisis hubungan kualitas asupan dengan status gizi, aspek lain seperti jumlah asupan juga perlu diperhatikan. ......the 1000 first days of life are irreversible, but could be prevented by giving high quality complementary feeding practice. This study aims to examine the relationship between achievement of minimum dietary diversity (MDD) with nutritional status among children aged 6-23 months in East Jakarta during the 2020 COVID-19 pandemic. Method: This cross-sectional study used secondary data from a research in Kampung Melayu Village, East Jakarta, with a total sampling of 102 subjects aged 6-23 months. Data related to MDD was obtained through a 24-hour food recall, which was then entered into the MDD achievement questionnaire. Data related to age, gender, mother's education level, and household income were also analyzed in this study. Data analysis was carried out through the chi square test and logistic regression using SPSS Statistics application version 25. Result: Majority of subjects in the study were 12-17 months (39.2%) and with an equal proportion between male and female. A total of 52% of subjects achieved MDD on the previous day's food intake. Stunting is the most prevalent nutritional status (20.6%) compared to wasting (15.7%) and underweight (12.7%). No significant relationship was found between the achievement of MDD and the nutritional status of the subjects, but gender was considered to be related to stunting (p=0.003; 95% CI=1.81-19.03) and underweight (p=0.012; 95% CI=1.54-36.73). Conclusion: In analyzing the relationship between the quality of intake and nutritional status, other aspects such as the amount of intake also need to be taken into account.

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Latar Belakang: Asupan susu telah direkomendasikan untuk berkontribusi pada pertumbuhan anak di banyak negara, namun hubungan antara asupan susu dan hasil antropometri pada anak di Jakarta belum dipahami secara jelas. Tujuannya untuk mendeskripsikan anak usia 12-36 bulan yang mengkonsumsi produk susu di Jakarta dan mengetahui apakah konsumsi produk susu berhubungan dengan skor WAZ. Metode: Penelitian cross sectional ini berdasarkan data sekunder yang diambil dari anak usia 6-36 bulan September-Oktober 2020. Partisipan penelitian ini adalah anak usia 12- 36 bulan (n=145). Paparan berupa frekuensi konsumsi produk susu dalam hari/minggu dan jenis asupan susu yang dikonsumsi dengan SQ-FFQ. Hasil utamanya adalah skor WAZ. Karakteristik responden adalah jenis kelamin, berat lahir, riwayat ASI eksklusif, pendidikan orang tua, dan pendapatan keluarga. Uji T-Independent digunakan untuk mengetahui hubungan antara asupan susu dan skor WAZ. Hasil: Terdapat perbedaan yang bermakna pada skor WAZ anak usia 1 sampai 3 tahun dengan asupan susu lebih dari 7 hari/minggu dibandingkan dengan anak dengan asupan susu kurang dari 7 hari/minggu (p=0,029). Selain itu, anak dengan jenis kelamin Wanita (p=0,007), memiliki riwayat ASI eksklusif (p=0,006), dan yang mengonsumsi mentega (p=0,013) memiliki skor WAZ yang lebih tinggi dibandingkan dengan anak yang tidak mengonsumsi. Kesimpulan: Frekuensi konsumsi susu berhubungan dengan skor WAZ pada anak usia 1-3 tahun. ......Background: Dairy intake has been recommended to contribute to child growth in many countries, but the relationship between dairy intake and anthropometric results among children in Jakarta is not clearly understood. The aim is to describe children aged 12-36 months who consume dairy products in Jakarta and determine whether consumption of dairy products is associated with the WAZ score. Method: This cross-sectional research is based on secondary data which taken from children aged 6-36 in September-October 2020. Participants of this study were children aged 12-36 months or 1 to 3 years old (n=145). The exposure was frequency consumption of dairy products in days/week and types of dairy intake taken with SQ-FFQ. The main outcome was the WAZ score. The respondents’ characteristics were gender, birth weight, history of exclusive breastfeeding, parents' education, and family income. T-Independent test is used to determine the relationship between dairy intake and WAZ score. Results: There was a significant difference in WAZ score of children aged 1 to 3 years with dairy intake more than 7 days/week compared with those with dairy intake less than 7 days/week (p=0.029). On top of that, children with female gender (p=0.007), have a history of exclusive breastfeeding (p=0.006), and who consumed butter (p=0.013) have higher WAZ score compared with children who did not consume. Conclusion: Frequency of dairy intake consumption is related to WAZ scores in children aged 1-3 years.

Abstrak :
Di Indonesia, defisiensi makronutrien (stunting, wasting, dan underweight) masih menjadi salah satu masalah kesehatan. Salah satu penyebab dari stunting, wasting, dan underweight adalah kurang beragamnya diet yang dikonsumsi, yang dapat diukur dengan indikator dietary diversity score. Penelitian cross- sectional ini meneliti data sekunder, yang melibatkan sebanyak 85 subjek usia 24—36 bulan di kelurahan Kampung Melayu, Jakarta Timur. Riwayat asupan makan didata menggunakan 24-hour recall, yang akan digunakan untuk menghitung dietary diversity score. Status gizi diukur berdasarkan nilai skor Z dari height- for-age, weight-for-age, dan weight-for-height. Pada hasil, didapatkan mayoritas subjek memiliki DDS sedang (54,1%). Prevalensi subjek dengan stunting, underweight, dan wasting, secara berturut-turut adalah 36,5%, 29,4%, dan 7,1%. Tidak terdapat hubungan yang signifikan antara DDS dengan stunting, underweight, ataupun wasting. Melalui analisis multivariat, terdapat dua faktor yang berhubungan secara signifikan dengan stunting, yakni jenis kelamin (p=0,025) dan tingkat pendidikan ibu (p=0,047). Sebagai kesimpulan, selain keragaman pangan, terdapat beberapa faktor lain yang memengaruhi status gizi anak, seperti jenis kelamin dan tingkat pendidikan ibu. Oleh sebab itu, pemberian edukasi kepada ibu terhadap diet anak yang sehat dapat menjadi suatu bentuk tindakan pencegahan terhadap undernutrition. ......In Indonesia, macronutrient deficiency (stunting, wasting, and underweight) is still a health problem. One of the causes of stunting, wasting, and underweight is the lack of variety in the diet consumed, which can be measured by an indicator called dietary diversity score. This cross-sectional study examined a secondary data, involving 85 subjects aged 24—36 months in Kampung Melayu sub-district, East Jakarta. Food intake history was recorded using 24-hour recall, which will be used to calculate the dietary diversity score. Nutritional status was measured based on the Z score of height-for-age, weight-for-age, and weight-for- height. As a result, majority of subjects had medium DDS (54.1%). The prevalence of subjects with stunting, underweight, and wasting was 36.5%, 29.4%, and 7.1%, respectively. There is no significant relationship between DDS and stunting, underweight, or wasting. Through multivariate analysis, there were two factors that were significantly associated to stunting, which are gender (p=0.025) and mother's education level (p=0.047). In conclusion, in addition to food diversity, there are many other factors that influence the nutritional status of children, such as gender and maternal education. Therefore, providing education to mothers about a healthy child's diet can be used as a form of preventive action against undernutrition.

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Kegemukan dan obesitas pada anak sekolah dasar usia 7-12 tahun di Indonesia masih tinggi dari waktu ke waktu dan serat pangan terbukti memiliki fungsi baik pada tubuh dengan cara mengontrol berat badan serta mencegah penyakit tidak menular. Tujuan penelitian ini adalah untuk mendeskripsikan karakteristik subjek, menentukan serat pangan harian subjek, mengetahui skor persentil IMT menurut umur subjek, dan menganalisis hubungan antara serat pangan dengan skor persentil IMT menurut umur sebagai tujuan utama. Subyek yang terpilih sebanyak 153 orang yang mengikuti penelitian SEANUTS II melalui simple random sampling. Penelitian ini menggunakan analisis data sekunder melalui metode cross sectional. Korelasi antara asupan serat pangan terhadap skor persentil IMT menurut umur diharapkan untuk terjadi, sehingga kegemukan, obesitas, dan penyakit tidak menular dapat dicegah pada usia mendatang, akan tetapi faktor lain juga dianalisis terhadap skor persentil IMT untuk usia. Faktor lain terdiri dari umur, jenis kelamin, skor aktivitas fisik, asupan zat gizi makro (karbohidrat, protein, lemak), dan energi. Analisis statistik pada penelitian ini menggunakan uji korelasi one-tailed spearman dengan nilai signifikansi p < 0.05 untuk analisis bivariat, dilanjutkan ke analisis multivariat dengan p < 0.2. Uji Mann-Whitney juga digunakan untuk membandingkan variabel kategorik dan numerik dalam analisis bivariat. Hasil penelitian menunjukkan tidak adanya hubungan antara asupan serat makanan dan skor persentil BMI-untuk-usia pada anak SD usia 7-12 tahun, namun asupan karbohidrat dan jenis kelamin subjek menunjukkan korelasi terhadap skor persentil IMT-untuk-usia pada anak. ......Overweight and obesity in elementary school children aged 7-12 years in Indonesia still remain high from time to time and dietary fiber is proven to have positive functions by controlling weight and preventing non-communicable diseases. The purpose of this study is to describe characteristics of selected subjects, determining daily dietary fiber of subjects, knowing the BMI-for-age percentile score of subjects, and analyzing the correlation between dietary fiber and BMI-for-age percentile score as the main objective. The selected subjects were 153 children who participated in the SEANUTS II study through simple-random sampling. The study used secondary data analysis through a cross sectional method. A correlation between dietary fiber intake towards BMI-for-age percentile score is expected so that overweight, obese, and further non-communicable diseases can be prevented in future time, however other factors are also analysed for BMI- for-age percentile score. Other factors include age, gender, physical activity score, macronutrients intake (carbohydrate, protein, fat), and energy. Statistical analysis used one-tailed Spearman correlation test with significance value p < 0.05 for bivariate analysis, proceeding to multivariate analysis using p < 0.2. Mann-Whitney test is also used to compare categoric and numeric variables in bivariate analysis. Our research shows no correlation between dietary fiber intake and BMI-for-age percentile score in elementary children aged 7-12 years, however carbohydrate intake and gender of subjects showed a significance towards BMI-for-age percentile score.

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Latar belakang: Stunting adalah masalah global yang menyebabkan pertumbuhan anak tidak maksimal. Selain asupan nutrisi, stunting juga dipengaruhi oleh berbagai faktor lain, seperti karakteristik sosioekonomi. Jenis lingkungan tempat tinggal, antara di urban atau rural, dapat memengaruhi faktor-faktor tersebut. Tujuan: Mengetahui hubungan antara lingkungan urban dengan lingkungan rural dan skor-Z TB/U pada balita untuk mencegah stunting. Metode: Penelitian ini adalah penelitian potong lintang komparatif antara populasi balita di lingkungan urban dan rural dengan status stunting dan skor-Z TB/U di Banten, Indonesia. Sebanyak 99 anak di Kota Serang dan 102 anak di Kabupaten Tangerang berusia 6-59 bulan diteliti. Panjang/tinggi anak diolah menggunakan WHO Anthro Survey Analyser untuk mendapatkan skor-Z TB/U. Asupan gizi dicatat menggunakan kuesioner 24-hour recall dan dihitung total konsumsi energi, karbohidrat, protein, dan lemak dalam satu hari. Karakteristik sosioekonomi pekerjaan ayah dan ibu, pendidikan ayah dan ibu, serta pemasukan keluarga per bulan) didapatkan melalui kuesioner. Hasil penelitian diuji menggunakan SPSS v20 dengan uji hipotesis Chi-Square untuk proporsi stunting dan uji T independen untuk skor-Z TB/U. Hasil: Skor-Z TB/U di lingkungan urban -1,05 (±1,42) dan di urban -0,81 (±1,09) (p: 0,183). Sedangkan, proporsi status stunting di lingkungan rural 25,5% dibandingkan di urban 14,1% (p: 0,044). Simpulan: Skor-Z TB/U antara lingkungan urban dan rural tidak berbeda signifikan, namun proporsi stunting lebih tinggi di lingkungan rural secara signifikan ......Background: Stunting is a global problem that affects growth of children. Aside from nutrition intake, stunting is also caused by other factors, for instance socioeconomic characteristics. Differences in living areas between urban and rural can affect these factors. Aim: To find out the relation between urban and rural environment and height-forage Z-score (HAZ) in children to prevent stunting. Methods: A cross-sectional study was held comparing population of children in rural and urban areas with stunting status and HAZ in Banten, Indonesia. The samples were 99 children from Kota Serang and 102 children from Kabupaten Tangerang aged 6-59 months. Length/height was processed using WHO Anthro Survey Analyser to get HAZ. Nutrition intake was recorded using 24-hour recall questionnaire and converted into total energy, carbohydrate, protein, and fat consumption of one day. Sosioeconomic characteristics were recorded using a questionnaire. Results of this study were processed using SPSS v20 with Chi-Square test for stunting difference proportion and independent-T test for HAZ difference. Results: HAZ in rural area is -1,05 (±1,42) whilst in urban area is -0,81 (±1,09) (p: 0,183). Meanwhile, the proportion of stunting in rural area is 25,5% compared to in urban area, which is 14,1% (p: 0,044). Conclusion: There is no significant difference in HAZ between urban and rural areas, but the proportion of stunting is significantly higher in rural area.

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Latar belakang: Status gizi dan kadar vitamin D adalah dua masalah yang menjadi sorotan di dunia karena masih banyak negara dengan kejadian status gizi yang buruk dan defisiensi kadar vitamin D pada anak termasuk negara Indonesia. Anak dengan usia dibawah lima tahun dengan berat badan normal dan pendek dapat mengalami berat badan berlebih di kemudian hari. Kadar vitamin D yang menurun pada BMI lebih tinggi menjadi kemungkinan adanya pengaruh antara kadar vitamin D dengan status gizi. Tujuan: Mengetahui korelasi antara kadar vitamin D dengan status gizi anak Metode: Penelitian ini merupakan penelitian potong lintang. Menggunakan data dari SEANUTS II bulan September 2019 – Maret 2020. Digunakan 132 sampel pada anak usia 6-59 bulan di Indonesia yang memenuhi kriteria penelitian dengan random sampling. Hasil kadar vitamin D dari hasil pemeriksaan lab, asupan vitamin D menggunakan food recall 24 jam, dan status gizi diukur dengan Z-skor BB/TB. Kemudian dilakukan uji normalitas Kolmogorov- Smirnov dan uji korelasi Spearman. Hasil: Status gizi anak usia 6-59 bulan di Indonesia 89,4% memiliki status gizi normal.Sebanyak 88,6% anak kurang mendapatkan asupan vitamin D sesuai dengan rekomendasi AKG. Didapatkan 90,2% anak mengalami defisiensi vitamin D. Ditemukan korelasi bermakna antara asupan vitamin D dan kadar. Vitamin D (r= 0,234, nilai p=0,007). Tidak ada korelasi bermakna antara kadar vitamin D dengan Z skor BB/ TB ( r= -0,016, p=0,854). Simpulan: Tidak terdapat korelasi antara kadar vitamin D dengan Z-skor BB/TB pada anak usia 6-59 bulan di Indonesia. ......Background: Nutritional status and vitamin D levels are two highlighted global problem because there are still many countries with incidence of poor nutritional status and deficiency of vitamin D in children, including Indonesia. Children under five years of age with normal weight and short can develop to overweight later in life if not treated. A decreased vitamin D level at a higher BMI is a possible influence between vitamin D levels and nutritional status. Objective: To determine the correlation between vitamin D levels and children's nutritional status Methods: This research is a cross sectional study. Using data from SEANUTS II collected from September 2019 until March 2020. A total of 132 samples children aged 6-59 months in Indonesia who met the research criteria chosen by random sampling. Vitamin D levels data from lab tests, vitamin D intake record with 24- hour food recall, and nutritional status was measured based on Z-score BW / TB. Then, performed normality test with Kolmogorov- Smirnov and correlation test with Spearman. Results: The nutritional status of children aged 6-59 months in Indonesia 89,4% had normal nutritional status. Most of the children ( 88.6% ) did not get enough vitamin D intake according to the RDA recommendation. It was found that 90.2% of children had vitamin D deficiency. There was a significant correlation between vitamin D intake and levels. Vitamin D (r = 0.234, p value = 0.007). There was no significant correlation between vitamin D levels and Z score BW / TB (r = -0.016, p = 0.854). Conclusion: There was no correlation between vitamin D levels and Z-score Weight/Height in children aged 6-59 months in Indonesia.

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Latar belakang: Anak berusia 2-6 tahun berada pada fase terbaik untuk pertumbuhan dan perkembangan fisik dan otak mereka, sehingga penting untuk memastikan kebutuhan gizi anak tercukupi. Anak dengan perilaku picky eating cenderung menolak makanan baru atau asing dan selektif terhadap makanan, menyebabkan terbatasnya jumlah dan variasi asupan makan anak. Hal ini memunculkan kemungkinan tidak tercukupinya kebutuhan nutrisi anak, yang dapat menyebabkan gangguan pada pertumbuhan dan perkembangan anak. Tujuan: Mengetahui hubungan antara perilaku picky eating dengan status gizi pada anak. Metode: Penelitian ini menggunakan desain potong lintang. 64 subjek merupakan anak berusia 2-6 tahun di wilayah Jakarta yang memenuhi kriteria inklusi. Penggolongan anak sebagai picky eating atau tidak picky eating didapatkan melalui kuesioner Child Eating Behaviour. Status gizi diukur berdasarkan z-skor berat badan per tinggi badan. Data dianalisis menggunakan Uji Fisher (p<0,05). Hasil: Persentase anak picky eating pada populasi anak di wilayah Jakarta adalah 46,9%. Rata-rata skor food fussiness yang digunakan sebagai cut-off adalah 2,75. Prevalensi perilaku picky eating tertinggi di usia 3 tahun sampai usia 4 tahun dengan 4 tahun sebagai puncak (58%). Sebagian besar status gizi subjek populasi adalah normal (90,6%). Terdapat perbedaan proporsi status gizi antara picky eating dan tidak, anak dengan status gizi kurang lebih banyak ditemukan pada anak yang pilih-pilih makanan (6,7% pada kelompok picky eating dan 2,9% pada yang tidak), namun tidak bermakna secara statistik (p>0,05). Simpulan: Tidak ada hubungan perilaku picky eating dengan status gizi pada anak berusia 2-6 tahun. ......Background: Children aged 2-6 years are in the best phase for growth and development of their physical and brain, so it is important to ensure that children's nutritional needs are fulfilled. Children with picky eating tend to refuse new or unfamiliar foods and are selective about food, causing limitation of the quantity and variety of children's food intake. This raises possibility that the child's nutritional needs are not fulfilled, which can cause disruption to the child's growth and development. Aim: To determine the relationship between picky eating behavior and nutritional status in children aged 2-6 Years Old in Jakarta in 2020. Methods: This study used a cross sectional design. 64 subjects were children aged 2-6 years in the Jakarta area who met the inclusion criteria. The classification of children as picky eating or not picky eating is obtained through the Child Eating Behavior Questionnaire. Nutritional status was measured based on weight per height z-score. Data were analyzed using Fisher's Test (p<0,05). Results: The percentage of picky eatings in the child population in DKI Jakarta is 46.9%. The mean food fussiness score which were used as the cut-off was 2.75. The highest prevalence of picky eating behavior occurs at the age of 3 to 4 years with the peak at 4 years (58%). Most of the population has normal nutritional status (90.6%). There is a difference in the proportion of nutritional status between childrens who were picky and those who do not. Children with poor nutritional status are more often found in children who are picky eatings. However, statistics showed that there is no relationship between picky eating behavior and nutritional status (p>0,05). Conclusion: There is no relationship between picky eating behavior and nutritional status in children aged 2-6 years.

Abstrak :
ABSTRAK
Praktik kerja profesi di PT. AstraZeneca Indonesia-Cikarang Site periode bulan Juli-Agustus tahun 2017 bertujuan untuk mengerti peranan, tugas dan tanggung jawab apoteker di industri farmasi dan memahami penerapan Cara Pembuatan Obat yang Baik (CPOB) di Industi Farmasi. Selain itu calon apoteker juga dapat memiliki gambaran nyata tentang permasalahan pekerjaan kefarmasian di industri farmasi, memiliki wawasan, pengetahuan, keterampilan, dan pengalaman praktis untuk melakukan pekerjaan kefarmasian di industri farmasi. Tugas khusus yang diberikan selama praktik kerja profesi yaitu Pembuatan Product Review Pulmicort Turbuhaler Periode Juli 2016 Juni 2017 PT. AstraZeneca Indonesia. Tujuan dari penyusunan tugas khusus ini adalah untuk memahami proses pembuatan Product Review di industri farmasi. Secara umum, PT. AstraZeneca Indonesia- Cikarang Site telah menerapkan 12 aspek CPOB dengan baik dan benar, penulis juga telah mendapatkan kemampuan untuk memahami peran, tugas, wawasan dan tanggung jawab apoteker dan memberikan solusi pada permasalahan di industri farmasi.

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ABSTRACT
Internship at PT. AstraZeneca Indonesia-Cikarang Site period July- August 2017 aims to understand the duties and responsibilities of pharmacists in the pharmaceutical industry and the application of good manufacturing practice (GMP) in the pharmaceutical industry. In addition, the pharmacist candidate can also have the insight, knowledge, skills and practical experience to undertake pharmaceutical work in the pharmaceutical industry. The special assignment given during internship was Product Review of Pulmicort Turbuhaler Period July 2016 - June 2017 in PT. AstraZeneca Indonesia. The purpose of this special assignment is to understand the process of making Product Review in the pharmaceutical industry. In general, PT. AstraZeneca Indonesia Cikarang Site has been applied 12 aspects of GMP well and correctly, the authors also have the ability to understand the roles, duties, insights and responsibilities of pharmacists and provide solutions on problems in the industry pharmacy