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"ABSTRAKObesitas menjadi masalah kesehatan masyarakat sejak meningkatnya prevalensi obesitas pada lima tahun terakhir. Penelitian bertujuan untuk menggali variabel lingkungan obesogenic di Indonesia. data didapatkan dari Podes 2014, Riskesdas 2013 dan penutupan lahan 2013. Terdapat asosiasi antara lingkungan obesogenic dan prevalensi obesitas. Komposit total skor lingkungan obesogenic dapat menjeaskan obesitas sebesar 42.5%. Pada level individu, orang yang tinggal di klaster 3 memiliki kemungkin 28.4% untuk menjadi obesitas dibanding orang yang tinggal di klaster 1 (OR=1.34, p= <0.001, CI:95%). Berdasarkan temuan, lingkungan berpotensi mempengaruhi kejadian obesitas di Indonesia.

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ABSTRACTObesity consider as public health problem since there was increase prevalence in last five years. The study was objectively explore obesogenic environment variable in Indonesia. Data were collected from Podes 2014, Riskedas 2013 and land covering 2013. There were association between obesogenic environment and obesity prevalence. Composite total score of obesogenic environment can explain 42.5% obesity prevalence. At the individual level, people who lives in cluster 3 were have 28.4% probability to become obese than people who lives in cluster 1 (OR=1.34, p= <0.001, CI:95%). Based on finding, environment was could potentially influence obesity occurence in Indonesia."

"ABSTRAKMalnutrisi akut merupakan risiko tinggi kematian pada anak usia dibawah limatahun. Vietnam memerlukan penelitian lebih lanjut untuk menentukan ambangbatas optimal ukuran Lingkar-Lengan-Atas (LILA) guna meningkatkan akurasiindikator LILA pada screening anak kurus usia 6-59 bulan. Survei telah dilakukandi 16 kecamatan pada empat provinsi Midlands Utara dan daerah pegunungan.Data dari 4764 subjek anak menunjukkan bahwa ambang batas LILA optimaladalah 13,5 cm. Hal ini memungkinkan masuknya 65% anak-anak dengan skor-Zberat-untuk-tinggi (WHZ) kurang dari -3SD. LILA kurang dari 13,5 cm perludipertimbangkan untuk menentukan anak kurus selain ukuran berat-untuk-tinggi(WHZ) kurang dari -3SD.

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ABSTRACTAcute malnutrition remains extreme risk of mortality among children under five. Vietnamneeds further study to establish the optimal Mid-Upper-Arm Circumference (MUAC) cutoffto improve the accuracy of MUAC indicator in screening wasting children aged 6-59months. A survey was conducted at all 16 sub-districts across four provinces in Northernmidlands and mountainous area. The data of 4764 children showed that the optimalMUAC cut-off 13.5 cm would allow inclusion of 65% of children with a Weight-for-Height z-score (WHZ) less than -3SD. MUAC less than 13.5 cm should be considered tomeasure in parallel an in addition to WHZ less than -3SD"

"ABSTRACTThe social impact of the crisis in Indonesia, both monetary and natural disaster had been investigated by some studies. There is empirical evidence at national level that suggests the crisis impact is very heterogeneous both between urban and rural areas and across regions. It is also found that there is little connection between initial poverty levels and the extent to which an area had been hit by the crisis. The main objective of this study was to investigate the influence of the recent economic crisis and the benefit of the Social Safety Net Program for the nutritional status of under-five children during the economic crisis in selected poor areas of Indonesia. A cross sectional study to get information on the nutritional status of children and its determinants in urban poor area of Jakarta, and rural areas of Banggai in Central Sulawesi, and Alor-Rote in East Nusa Tenggara was followed by another cross sectional study in one selected poor urban area of Cilincing sub-district, Jakarta to see the changes of key determinant(s) of the under-five children's nutritional status after receiving the Social Safety Net intervention program for 1 year period. Two-stage cluster sampling was used to get 1078 households with under-five children in the urban poor area of Jakarta, and 262 and 631 households with under-five children each for the rural areas of Banggai and Alor-Rote, respectively as the subjects of the cross-sectional study-1; and 587 households with under-five children for the cross sectional study-2 in poor urban area of Cilincing sub-district. For both studies, general socio-demographic characteristics, socio-economic, health and nutritional status, and child feeding practices data were collected through interview and observation methods using structured questionnaires. Anthropometrical assessments (of weight, stature, and arm-circumference) were done both for children and their mothers in both studies. Hemoglobin assessment was done for sub-samples of approximately 50% of the total under-five children in both studies. Quality control procedures were performed during the course of the study. Data collection for both studies was performed from January 1999 to January 2001. It revealed that 34% of fathers in the study area of Jakarta had finished junior high school and even less for mothers (22%). More than 70% of the fathers had no regular income and 7% of the sample households had both the fathers and mothers work regularly. About 42 % of the sample households was classified as having sufficient purchasing power and less that 60% of sample households was classified as having appropriate luxury goods (mostly of electronic goods). For the study area in Banggai, 23% of fathers had finished junior high school and even only 10% for mothers. Approximately 14% of the fathers had no regular income and 24% of the sample households was classified as having appropriate employment status. About 45% of the sample households was classified as having sufficient food production/purchasing power in this study and less than 50% of the sample households was classified as having appropriate luxury goods (mostly of cultivated land). For the study area in Alor-Rote, 23% of fathers had finished junior high school and even only 10.9% for mothers. Approximately 21% of the fathers had no regular income and 47% of the sample households had both the fathers and mothers work regularly. About 48% of the sample households was classified as having sufficient food production/ purchasing power in this study and 26% of sample household was classified as having appropriate luxury goods (mostly of cultivated land). Besides having a high severity of anemia (>40%), under-five children in the urban poor area of Jakarta had a very high severity of wasting (>15%) as compared to the medium severity of stunting condition (20-29%). Similar findings were found for the rural area of Banggai. Different findings for the rural area of Alor-Rote were only for its very high severity in stunting condition (>40%). By multivariate and path analyses, it was shown that Jakarta as the study site contributed significantly to the variation of wasting indicator (WHZ value) as the recent-type of malnutrition, and Alor-Rote as the study site contributed significantly to the variation of stunting indicator (HAZ value) as the longterm-type of malnutrition. For hemoglobin value, both Jakarta and Alor-Rote as the study sites contributed to its variation. High prevalence of infectious diseases in all study areas were significantly related to the higher prevalence of wasting in the study areas of Jakarta and Banggai, and also significantly related to the higher prevalence of stunting and anemia in the study area of Alor-Rote. For Jakarta, besides infectious diseases, BMI status of mothers and the possession of motorcycle used for income earning were also significantly related to the prevalence of wasting. On the other hand, for Alor-Rote, besides infectious diseases, possession of luxury goods (access to electricity, possession of transportation facility and electronic goods), environmental sanitation (housing conditions), maternal nutritional knowledge and access to complete immunization were also significantly related to the prevalence of stunting. And, infectious diseases and households' employment status contributed to the variation of stunting (HAZ value). Furthermore, for anemia, access to health services (for complete immunization) was the only key determinant which contributed significantly to the variation of hemoglobin value in Jakarta. For Alor-Rote, besides infectious diseases, formal education of the parents, employment status (especially working mothers), environmental sanitation (especially access to safe drinking water), maternal nutritional knowledge and access to health services were also significantly associated with the prevalence of anemia. And, infectious diseases, environmental sanitation, access to health services and households' employment status contributed significantly to the variation of hemoglobin value in Alor-Rote. The Social Safety Net Intervention Program in the urban poor area of Cilincing sub-district, Jakarta resulted in significant improvement in the prevalence of wasting and anemia among under-five children but not for the prevalence of stunting. It was also found that maternal and childcare, access to health services and hemoglobin were still retained as determinants of child malnutrition besides households' employment status and variety of food intake. There is a need to improve the nutritional and health status of under-five children and their mothers through the existing health care system providing basic health services and improving the capacity of health staffs across Indonesia as part of the decentralization process. Besides, the private sector and communities may support the local government in the form of informal Social Safety Net intervention programs. The significant association found between mother's BMI and wasting status of their under-five children found in this study can be used to prioritize the appropriate type of intervention needed by the poor households. Furthermore, since anemia was highly prevalent, besides iron supplementation, chronic diseases such as tuberculosis and malaria, and the prevalence of thalasemic-trait should also be considered. Further operational and academic research in the area of health and nutrition are needed to be able to construct a model that provides indicators used to predict the nutritional condition in each community setting across Indonesia during any crisis. "

"ABSTRACTUnder nutrition among Vietnamese children is still a serious health problem. Growth retardation starts as early as 4 to 6 months of life and the prevalence of stunting has remained high (46.9% in 1994). It is documented that growth retardation during early childhood works through in adolescence and is rarely made up; it could also affect cognitive development of children, which eventually influence economic and human development. A longitudinal study on growth and development of Vietnamese children in Hanoi from birth to 17 years old was carried out from 1981 up to 1999.Objectives: To investigate the physical growth, maturation age and academic performance of Vietnamese children on a longitudinal basis from birth to 17 years old and observe their secular trends.Study design: A longitudinal observational study with 2 main cohorts: cohort A and cohort B.Subjects of the study:- Cohort A: 300 newborns, who fulfilled the selection criteria (gestational age from 38 to 42 weeks, birth weight 2500g, normal singleton birth without physical abnormalities, "Kish" ethnic group. mother's age: 20 to 35 years, and apparently healthy parents were randomly recruited and followed-up from birth to 17 years old (1981-1999).- Cohort B. 200 children, who fulfilled above-mentioned criteria, were randomly selected and followed-up, from birth to 12 months; and 200 children were followed-up, from 12 to 24 months (1997-1999).Monitoring of physical growth: Weight, height, feeding practices and diseases were recorded monthly from birth w 12 months, three monthly from 12 to 36 months, six monthly from 36 to 72 months, and annually thereafter until 17 years of age.Results: Mean body weight and height of children from both cohorts at birth were lower than the NCHS reference. Then their weight and height during the first 3-4 months (cohort A) and 5-6 months (cohort B) were comparable to NCHS reference data. However, these trends were going down on subjects' aged above 6 months onwards. Physical growth of the children in cohort B, who have been in better living conditions, health care and more appropriate feeding practices, was better than the other counterparts (cohort A) comparable to French Vietnamese in Paris (1986).The most intense period of growth retardation was observed in children aged 12 10 24 months. Children who were stunted during early childhood were still shorter than those non-stunted ones over observed period from birth to 17 years of age; the children who were stunted during childhood matured later and had lower academic performance than the well-nourished ones.Birth weight, diarrhea and ARI were found to be the main determinants /or nutritional status of the children. Nutritional status of the parents in cohort B was also better compared to that of cohort A, - and the nutritional status of the children, whose mothers were undernourished, was worse than that those of well nourished mothers. Long term effect of exclusive breast feeding on nutritional status of children leas observed in cohort A, however, it was correlated with WAZ of the children in cohort B only during the first 3 months of age.Conclusions: There was a positive secular trend in growth of Vietnamese children over the last 2 decades. There was a partial catch-up growth among the snorted children during adolescence. Birth weight, diarrhea and ARI were the main determinants for nutritional status of the young children. Exclusive breast-feeding determined nutritional status of children in cohort A over the period from birth to 24 months old, however, it was correlated with WAZ of the children in cohort B only during the first 3 months (Ore. Nutritional status of both children and mothers can he used as an indicator for quality of life. The stunted children at preschool age matured later and had lower academic performance than the non-stunted ones."

"Anemia is the main micronutrient deficiency problem among adolescent school girls in Indonesia. Anemia due to iron deficiency often coexists with zine deficiency. Iron and zinc have anlagonistic interaction. Therefore, it was appropriate ratio of iron-zinc supplementation.ObjectiveThe study was aimed to investigate the different ratios of iron-zinc supplementation Fe: Zn = 2: 1 and Fe: Zn = 4: 1 on improving the iron and zinc status and eventually reduction of the morbidity of anemic adolescent school girls compared to iron supplementation alone.MethodologyA randomized, double blind community trial was conducted among anemic adolescent school girls (10-12 years old). Selection of subjects was conduted in two steps. Firstly, 238 girls (out of 1358 girls), with hemoglobin concentration level < 115 g/L using Hemocue were recruited and given antihelminthic drug (500 mg mebendazole as a single dose). Secondly, those who had hemoglobin concentration < 120 g/L using Cell Dyn from venous blood one week after deworming (n+133) were enrolled into the study.The 133 subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks with: Group 1 (n=45): iron (60 mg/day), Group 2 (n=45): iron and zinc (30 mg and 15 mg/day) or group 3 (n=43): iron and zinc (60 mg and 15 mg/day).Supplement intake was supervised at base line, weight and height were measured and the available iron and zinc intake from diet was estimated using a model modified from WHO/FAO and Murphy, based on the data 24-hour Food Recall and Food Frequency Questionnare. Iron (hemoglobin/Hb, serum ferritin/SF, serum transferrin receptor/TfR, zinc protoporphyrin/ZPP, Mean Corpuscular Volume/MCV, Red-cell Distribution Width/RDW, body iron/BI) and zinc (serum zinc/SZ) status and supplementation. Morbidity status of diarrhea and Acule Respiratory Infection (ARI) were recorded weekly. The phagocytes cell and Cell-Mediated Immunity were measured only for 50% of the subjects.Results and DiscussionBy the end of the supplementation, most indicators of iron status were increased significantly in all subjects both they took iron supplementation with or without zinc, and the proportion of iron deficiency anemia reduced. Iron supplementation alone or iron-zinc improved zinc status. The proportion of zinc deficiency was sinificantly reduced only among subjects who took iron-zinc supplementation with the ratio of Fe: Zn =2: 1. which was significantly lower compared to the other two groups at the end of supplementation. In iron/zinc 2 : 1 group, no subject had iron deficiency anemia and zinc deficiency after 12 weeks of supplementation, which suggested that iron-zinc supplementation with the ration of Fe: Zn = 2 : 1 had reduced both iron deficiency anemia and zinc deficiency.In this study, iron deficiency among anemic school girls was due to insufficiency of iron in red blood cell, and iron or iron-zinc supplementation for 12 weeks had less benefit to increase iron status. The possibility; of hemoglobinopathies such as thalassemia trait affecting adolescent girls in this study should be considered as several studies indicated that the prevalence of tlinlassemia trait among the same population in Indonesia is high.Iron deficiency also occurred at the storage level, which increased and reached the normal value with iron or iron-zinc supplementation. At the end of supplementation, the mean value of most indicators of iron status in all groups did not reach the normal value (such as Hb < 120 g/L, ZPP > 40 umol/mol heme, MCV <2 80 fL, RDW > l4%), perhaps the 12-weeks of iron supplementation was not long enough to fulfill iron for the 120 erythrocyte life cycle.lt seems, that the competition between iron and zinc occurred both at the storage level and the erythrocyte formation, and iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction as the improvement of both iron and zinc status was higher compared to the other groups. Most anemic adolescent school girls in this study had low available iron and zinc intake from the diet, with low intake of enhancers and high intake of inhibitors, which is not enough to promote either iron or zinc absorption from the supplements.The reduction of the proportion ol' subjects suffering from ARI was the highest among subjects who took either iron alone (3l.1% to 6.7%) compared to those who took iron- zinc supplement with ratio 2: 1 (1 7.3% to l1.l%) or iron-zinc supplement with ratio 4: 1(16.3 % to l4%), indicating that iron alone reduced morbidity status in tenn of Acute Respiratory Infection (ARI). However, adding zinc to iron supplements with ratio 2: 1 scents to improve the specific immune response of anemic adolescent school girls, as shown that the ratio of CD-4/CD-S was slightly increased among subjects who took iron-zinc supplement with the ratio of Fe: Zn= 2: 1.Conclusions and Recommendationslt was concluded, that both iron deficiency anemia (22%) and zinc deficiency (15.8%) were problems in the study area. Iron deficiency and hemoglobinopathies such as that assemia trait might be the causes of anemia among adolescent school girls. A daily 30 mg iron and 15 mg zinc supplementation among anemic adolescent schools girls for 12 weeks improved iron and zinc status and reduced iron deficiency anemia and zinc deficiency. Iron supplementation alone increased iron status, while adding zinc to iron supplementation protected the adverse effect of iron on decreasing zinc status.The competition between iron and zinc might occur in the role of both nutrients for erythrocytes formation as well-as at storage level, and supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction on improving bot.h iron and zinc status. As most of the anemic adolescent school girls had inadequate iron and zinc intake from the diet, the deficiencies of other micronutrients such as; vitamin A, folic acid and vitamin B12 should also be considered as the causes of anemia.Combined iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 was appropriate on reducing the risk of anemic adolescent school girls suffering from Acute Respiratory Infection, however the mechanism of both iron and zinc on enhancing immune system could not clearly be shown from the results of this study.It is recommended to establish an iron-zinc supplementation program with ratio of 2: 1 through the existing channel of school health program to alleviate iron de iciency anemia and zinc deficiency 'among adolescent girls. Research cum action prioritized is to explain the contribution of bioavailability iron and zinc intake from the diet including increase the enhancers and minimize the inhibitors to the absorption of iron-zinc supplementation with ratio of Fe: Zn = 2: 1. The possibility of hemoglobinopathies such as thalassemia trait, as the cause of anemia needs further investigations."

"Anemia is the main micronutrient deficiency problem among adolescent school girls in Indonesia. Anemia due to iron deficiency often coexists with zine deficiency. Iron and zinc have anlagonistic interaction. Therefore, it was appropriate ratio of iron-zinc supplementation. Objective The study was aimed to investigate the different ratios of iron-zinc supplementation Fe: Zn = 2: 1 and Fe: Zn = 4: 1 on improving the iron and zinc status and eventually reduction of the morbidity of anemic adolescent school girls compared to iron supplementation alone. Methodology randomized, double blind community trial was conducted among anemic adolescent school girls (10-12 years old). Selection of subjects was conduted in two steps. Firstly, 238 girls (out of 1358 girls), with hemoglobin concentration level < 115 g/L using Hemocue were recruited and given antihelminthic drug (500 mg mebendazole as a single dose). Secondly, those who had hemoglobin concentration < 120 g/L using Cell Dyn from venous blood one week after deworming (n+133) were enrolled into the study. The 133 subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks with: Group 1 (n=45): iron (60 mg/day), Group 2 (n=45): iron and zinc (30 mg and 15 mg/day) or group 3 (n=43): iron and zinc (60 mg and 15 mg/day).Supplement intake was supervised at base line, weight and height were measured and the available iron and zinc intake from diet was estimated using a model modified from WHO/FAO and Murphy, based on the data 24-hour Food Recall and Food Frequency Questionnare. Iron (hemoglobin/Hb, serum ferritin/SF, serum transferrin receptor/TfR, zinc protoporphyrin/ZPP, Mean Corpuscular Volume/MCV, Red-cell Distribution Width/RDW, body iron/BI) and zinc (serum zinc/SZ) status and supplementation. Morbidity status of diarrhea and Acule Respiratory Infection (ARI) were recorded weekly. The phagocytes cell and Cell-Mediated Immunity were measured only for 50% of the subjects. Results and Discussion By the end of the supplementation, most indicators of iron status were increased significantly in all subjects both they took iron supplementation with or without zinc, and the proportion of iron deficiency anemia reduced. Iron supplementation alone or iron-zinc improved zinc status. The proportion of zinc deficiency was sinificantly reduced only among subjects who took iron-zinc supplementation with the ratio of Fe: Zn =2: 1. which was significantly lower compared to the other two groups at the end of supplementation. In iron/zinc 2 : 1 group, no subject had iron deficiency anemia and zinc deficiency after 12 weeks of supplementation, which suggested that iron-zinc supplementation with the ration of Fe: Zn = 2 : 1 had reduced both iron deficiency anemia and zinc deficiency. In this study, iron deficiency among anemic school girls was due to insufficiency of iron in red blood cell, and iron or iron-zinc supplementation for 12 weeks had less benefit to increase iron status. The possibility; of hemoglobinopathies such as thalassemia trait affecting adolescent girls in this study should be considered as several studies indicated that the prevalence of tlinlassemia trait among the same population in Indonesia is high. Iron deficiency also occurred at the storage level, which increased and reached the normal value with iron or iron-zinc supplementation. At the end of supplementation, the mean value of most indicators of iron status in all groups did not reach the normal value (such as Hb < 120 g/L, ZPP > 40 umol/mol heme, MCV <2 80 fL, RDW > l4%), perhaps the 12-weeks of iron supplementation was not long enough to fulfill iron for the 120 erythrocyte life cycle. lt seems, that the competition between iron and zinc occurred both at the storage level and the erythrocyte formation, and iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction as the improvement of both iron and zinc status was higher compared to the other groups. Most anemic adolescent school girls in this study had low available iron and zinc intake from the diet, with low intake of enhancers and high intake of inhibitors, which is not enough to promote either iron or zinc absorption from the supplements. The reduction of the proportion ol' subjects suffering from ARI was the highest among subjects who took either iron alone (3l.1% to 6.7%) compared to those who took iron- zinc supplement with ratio 2: 1 (1 7.3% to l1.l%) or iron-zinc supplement with ratio 4: 1(16.3 % to l4%), indicating that iron alone reduced morbidity status in tenn of Acute Respiratory Infection (ARI). However, adding zinc to iron supplements with ratio 2: 1 scents to improve the specific immune response of anemic adolescent school girls, as shown that the ratio of CD-4/CD-S was slightly increased among subjects who took iron- zinc supplement with the ratio of Fe: Zn= 2: 1 Conclusions and Recommendations lt was concluded, that both iron deficiency anemia (22%) and zinc deficiency (15.8%) were problems in the study area. Iron deficiency and hemoglobinopathies such as that assemia trait might be the causes of anemia among adolescent school girls. A daily 30 mg iron and 15 mg zinc supplementation among anemic adolescent schools girls for 12 weeks improved iron and zinc status and reduced iron deficiency anemia and zinc deficiency. Iron supplementation alone increased iron status, while adding zinc to iron supplementation protected the adverse effect of iron on decreasing zinc status. The competition between iron and zinc might occur in the role of both nutrients for erythrocytes formation as well-as at storage level, and supplementation with the ratio of Fe: Zn = 2: 1 had minimal interaction on improving bot.h iron and zinc status. As most of the anemic adolescent school girls had inadequate iron and zinc intake from the diet, the deficiencies of other micronutrients such as; vitamin A, folic acid and vitamin B12 should also be considered as the causes of anemia. Combined iron-zinc supplementation with the ratio of Fe: Zn = 2: 1 was appropriate on reducing the risk of anemic adolescent school girls suffering from Acute Respiratory Infection, however the mechanism of both iron and zinc on enhancing immune system could not clearly be shown from the results of this study. It is recommended to establish an iron-zinc supplementation program with ratio of 2: 1 through the existing channel of school health program to alleviate iron de iciency anemia and zinc deficiency 'among adolescent girls. Research cum action prioritized is to explain the contribution of bioavailability iron and zinc intake from the diet including increase the enhancers and minimize the inhibitors to the absorption of iron-zinc supplementation with ratio of Fe: Zn = 2: 1. The possibility of hemoglobinopathies such as thalassemia trait, as the cause of anemia needs further investigations."

"Salah satu transisi gaya hidup yang terjadi adalah perubahan perilaku makan.Diet yang dilakukan seringkali tidak sesuai dengan kaidah kesehatan dan gizi yangdapat menjurus ke arah penyimpangan perilaku makan PPM. Untuk jangka panjang,penyimpangan perilaku makan memberikan dampak yang cukup serius yaituKurang Energi Kronis KEK, dimana remaja putri sebagai calon ibu yang akanmenentukan kualitas hidup generasi yang akan datang. Untuk mengatasi maslaahini perlu dilakukan suatu upaya salah satunya denga memberikan edukasi gizi melaluimedia yang bisa dipahami oleh remaja.Studi ini bertujuan untuk melihat pengaruh keterpajanan media gizi seimbangterhadap perubahan kecenderungan penyimpangan perilaku makan pada siswi SMAdi Jakarta. Media yang diberikan yaitu berupa poster banner dan leaflet booklet.Studi dengan desain quasi eksperimen dilakukan pada 7 sekolah terpilih di DKIJakarta yang dibagi dalam tiga kelompok yaitu kelompok kontrol, kelompokposter banner dan kelompok leaflet booklet. Sejumlah 504 siswi SMA dijadikansampel dalam penelitian yang, yang dilakukan selama 7 bulan.Dari sebanyak 504 responden yang disaring. maka di dapatkan jumlah siswiSMA yang mengalami kecenderungan PPM pada kelompok kontrol sebesar 90.1 .pada kelompok dengan poster dan banner sebesar 95.9 dan kelompok denganleaflet dan booklet sebesar 97.1. Faktor personal yang mempunyai hubungansignifikan dengan perubahan skor PPM, yaitu riwayat diet post intervensi pvalue=0.001, citra tubuh post intervensi p value=0.016, konsumsi protein hewani p value=0.045, konsumsi protein hewani p value=0.019, skor PPM pre intervensi p value=0.000, skor sikap post intervensi p value=0.009, skor pengetahuan postintervensi 0.000. Faktor lingkungan yang mempunyai hubungan signifikan denganperubahan skor PPM, yaitu kritik dari orang tua p value=0.011, ejekan pvalue=0.011, dan pengaruh media massa untuk memulai olahraga p value=0.008.Hasil uji menunjukkan ada pengaruh intervensi media terhadap perubahanskor PPM p value=0.007. Variabel yang paling mempengaruhi perubahan skorPPM adalah skor PPM pre intervensi p value=0.000, yang memberikansumbangan terhadap perubahan skor PPM sebesar 0.355. Terdapat perbedaan yangsignifikan dari intervensi media pada kelompok kontrol dengan kelompokleaflet booklet dan intervensi media pada kelompok poster banner dengankelompok leaflet booklet. Rata-rata perubahan skor PPM setelah pada kelompokleflet booklet yaitu sebesar 2.43 poin, pada kelompok poster banner yaitu sebesarxiii Universitas Indonesia1.61 poin dan kelompok kontrol sebesar 1.24 poin. Secara keseluruhan mediabooklet leaflet lebih efektif menurunkan skor gejala kecenderungan PPM sebesar41 dibandingkan media poster banner. Perkembangan teknologi yang menyebabkan terjadinya PPM pada remaja,maka perlu segera dilakukan penanganan dalam hal pencegahan. Dari hasil penelitianini dapat dimanfaatkan booklet dan leaflet untuk bahan edukasi, sebagai salah satucara untuk menangkal efek yang lebih buruk dari akibat perkembangan teknologi,terutama dalam industri makanan.Kata kunci : intervensi media, edukasi gizi, penyimpangan perilaku makan, giziremaja

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One of the lifestyle transition which occurred is a change in behavior. Adiet that often do not correspond to the rules of health and nutrition that can lead toeating disorders ED. For the long term, eating disorders give a pretty serious impactapplies less energy chronic KEK, which young women as potential mothers whowill determine the quality of life of generations to come will be. For it can make thistagline affairs carried out an attempt by a radical way of providing nutrition educationthrough the media that can be understood by teenagers.The aims of this study is knowing the influence of balanced nutritionmedia to changes in eating disorders tendency on high school students in Jakarta.Applies the given media in the form of poster banner, brochure booklet. Quasiexperimental design with studies done on 7 selected schools in Jakarta are divided inthree groups apply the control group, the group 39 s poster banner, the group`s brochure booklet.A number of 504 students high school made the samples in the study,conducted over the past 7 months. From 504 respondents are filtered out, then get thenumber of high school students who experience the tendency of PPM in the controlgroup amounted to 90.1, in the group with posters and banners of 95.9 and withleaflets and booklets of 97.1. Personal factors that have a significant relationshipwith the change score PPM, diet history post intervention p value 0.001, bodyimage post intervention p 0.016, consumption of animal protein p value 0045, consumption of vegetable protein p value 0.019, score PPM pre intervention pvalue 0000, score the attitude of post intervention p 0.009, score of knowledgepost intervention 0000. Environmental factors that have a significant relationshipwith the change score PPM, valid criticism from parents value of p 0,011, ridicule value of p 0,011, and the influence of the mass media to start sports value p 0.008.Test results showed there is the influence of media on intervention changesscore PPM p 0.007. The variables most influence the change score PPM is scorePPM pre intervention p value 0000, which contribute to the change score PPM of0.355 poin. There is a significant difference from the intervention of the media in thecontrol group with the group of brochure booklet and intervention of media group ofposter banner with the group brochure booklet. The average score on the group afterthe change of PPM, the group of brochure booklet applies of 2.43 points, on a groupof poster banner applies of 1.61 points and a control group of 1.24 points. Overallxv Universitas Indonesiamedia brochure booklet more effectively lowers the score symptoms tendency of41 compared to PPM media poster banner.Technological developments that led to the PPM on teenagers, then thetagline immediately done handling in terms of prevention. From the results of thisresearch can be utilized booklet and brochure for educational materials, as one way toward off the effect worse than the development of technology, especially theauthenticity in the food industry."