Edukasi gizi menggunakan media booklet dengan atau tanpa konseling terhadap pengetahuan orangtua dan konsumsi sayur dan buah anak prasekolah di wilayah urban

https://doi.org/10.22146/ijcn.63338

Herni Dwi Herawati(1*), Azhari Silvia Novita Anggraeni(2), Nurul Pebriani(3), Arantika Meidya Pratiwi(4), Tri Siswati(5)

(1) Program Studi S1 Gizi, Fakultas Ilmu Kesehatan, Universitas Alma Ata Yogyakarta
(2) Program Studi S1 Gizi, Fakultas Ilmu Kesehatan, Universitas Alma Ata Yogyakarta
(3) Program Studi S1 Gizi, Fakultas Ilmu Kesehatan, Universitas Alma Ata Yogyakarta
(4) Program Studi D3 Kebidanan, Fakultas Ilmu Kesehatan, Universitas Alma Ata Yogyakarta
(5) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Nutrition education using booklet media with and without counseling on parental knowledge, amount and frequency of consumption of vegetables and fruits of preschool children in urban areas

Background: Consumption of vegetables and fruit in preschool children in Indonesia is still less than recommended. Nutrition education through booklets and counseling media will clarify information and understanding of parents about the importance of consuming vegetables and fruit in preschool children, resulting in parental feeding behavior to increase the amount and frequency of consumption of vegetables and fruits in preschool children.

Purpose: This study aims to determine the effect of nutrition education using booklet media with counseling and without counseling on parental knowledge, amount, and frequency of consumption of vegetables and fruits of preschool children in urban areas.

Methods: This type of research was a quasi-experimental research design with pre and post-test with the control group. The selection of respondents used purposive sampling to select the sub-districts that had the percentage of excess nutrition in Yogyakarta, namely the Danurejan District, and simple random sampling to choose children and preschools (kindergarten). The number of respondents was 56 people consisting of 28 experimental and 28 controls from 4 kindergartens. Nutrition education in the experimental group gave booklets and counseling, once for 30-60 minutes and at each respondent's home. The control group was only assigned a booklet without counseling. The instruments used consisted of booklets, knowledge questionnaires, and SQ-FFQ. The statistical tests used were paired t-test, Wilcoxon, Mann Whitney, independent t-test, and Pearson.

Results: This study showed increased parental knowledge before and after nutrition education in the experimental group (p<0.05). In addition, the amount and frequency of consumption of vegetables and fruits of preschool children in the experimental group increased between before and after being given nutrition education (p<0.05). Knowledge, amount, and frequency of consumption of vegetables and fruit also showed differences between the experimental and control groups (p<0.05).

Conclusions: Nutrition education using booklets and counseling media affects parents' knowledge and the amount and frequency of consuming vegetables and fruit in preschool children compared to using only booklets without counseling.


Keywords


booklet; counseling; fruit; nutrition education; preschool children; vegetable

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References

  1. Kemenkes RI. Pedoman gizi seimbang. Jakarta: Bina Gizi dan KIA; 2014.
  2. Dauchet L, Amouyel P, Hercberg S, Dallongeville J. Fruit and vegetable consumption and risk of coronary heart disease : a meta-analysis of cohort studies 1. J Nutr. 2006;136(10):2588–93. doi: 10.1093/jn/136.10.2588
  3. Gibson EL. Fruit and vegetable consumption, nutritional knowledge and beliefs in mothers and children. Appetite. 1998;31(2):205–28. doi: 10.1006/appe.1998.0180
  4. Rasmussen M, Krølner R, Klepp K, Lytle L, Brug J, Bere E, et al. Determinants of fruit and vegetable consumption among children and adolescents : a review of the literature. Part I : Quantitative studies. Int J Behav Nutr Phys Act. 2006;3(22):1–19. doi: 10.1186/1479-5868-3-22
  5. Manilet, Irma, Asttiti, Dewi, Herawati HD. Hubungan pengetahuan ibu dan waktu pengenalan sayur dengan kebiasaan konsumsi sayur pada anak prasekolah (3-5 tahun) di Kota Yogyakarta [Skripsi]. Yogyakarta: Universitas Alma Ata; 2018.
  6. Mennella JA, Trabulsi JC. Complementary foods and flavor experiences: setting the foundation. Ann Nutr Metab. 2012;60(2):40–50. doi: 10.1159/000335337
  7. Jones LR, Steer CD, Rogers IS, Emmett PM. Influences on child fruit and vegetable intake: sociodemographic, parental and child factors in a longitudinal cohort study. Public Health Nutr. 2010;13(7):1122–30. doi: 10.1017/S1368980010000133
  8. Galloway AT, Lee Y, Birch LL. Predictors and consequences of food neophobia and pickiness in young girls. J Am Diet Assoc. 2003;103(6):692–8. doi: 10.1053/jada.2003.50134
  9. Patrick H, Nicklas TA. A review of family and social determinants of children’s eating patterns and diet quality. J Am Coll Nutr. 2005;24(2):83–92. doi: 10.1080/07315724.2005.10719448
  10. Kapti, Rinik Eko, Rustina, Yeni W. Efektifitas audiovisual, sebagai media penyuluhan kesehatan terhadap peningkatan pengetahuan dan sikap ibu dalam tatalaksana balita dengan diare di dua rumah sakit di Kota Malang. J Ilmu keperawatan. 2013;1(1):53–60.
  11. Maulana M. Mengenal diabetes mellitus: panduan praktis menangani penyakit kencing manis. Yogyakarta: Kata Hati; 2009.
  12. Supariasa IDN. Pendidikan dan konsultasi gizi. Jakarta: EGC; 2016.
  13. Said I, Hadi AJ, Manggabarani, Saskiyanto, Tampubolon, Ferusgel A, et al. The effectivity of nutrition education booklet on knowledge , fast-food consumption, calorie intake, and body mass index in adolescents. J Heal Promot Behav. 2020;5(1):11–7. doi: 10.26911/thejhpb.2020.05.01.02
  14. Diba NF, Pudjirahaju A, Komalyna INT. Pengaruh penyuluhan gizi seimbang dengan media booklet terhadap pengetahuan, sikap, pola makan, aktifitas fisik dan berat badan remaja overweight SMPN 1 Malang. J Nutr. 2020;1(1):33–52.
  15. Asmuniati L, Herawati DMD, Djais JTB. The impact of nutritional counseling to nutritional knowledge and energy intake among obese children in junior high school. Althea Med J. 2019;6(3):107–9. doi: 10.15850/amj.v6n3.1645
  16. Mistry SK, Hossain B, Arora A. Maternal nutrition counselling is associated with reduced stunting prevalence and improved feeding practices in early childhood : a post-program comparison study. Nutr J. 2019;18(47):1–9. doi: 10.1186/s12937-019-0473-z
  17. Herawati DH, Gamayanti IL, Tsani, FA, Gunawan I. Perilaku makan berlebih dan hubungannya dengan kegemukan pada anak prasekolah. J Gizi dan Diet Indones. 2016;4(3):161–9.
  18. Herawati HD, Gamayanti IL, Tsani AFA, Gunawan IMA. Perilaku ‘food approach’ pada anak prasekolah: studi kualitatif. J Nutr. 2016;18(1):17–21.
  19. Schrempft S, van Jaarsveld CHM, Fisher A, Wardle J. The obesogenic quality of the home environment: associations with diet, physical activity, TV viewing, and BMI in preschool children. PLoS One. 2015;10(8): e0134490. doi: 10.1371/journal.pone.0134490
  20. Dinas Kesehatan Kabupaten Bantul. Data sekunder pertumbuhan balita Dinkes Bantul tahun 2019. Yogyakarta; Dinkes Bantul; 2019.
  21. Sediaoetama A. Ilmu gizi untuk mahasiswa dan profesi jilid I. Jakarta: Dian Rakyat; 2008.
  22. Machfoedz, Ircham, Suryani E. Pendidikan kesehatan bagian dari promosi kesehatan. Yogyakarta: Fitramaya; 2009.
  23. Zulaekah. Pendidik gizi dengan media booklet terhadap pengetahuan gizi. Jurnal Kesehatan Masyarakat. 2012;7(2):127–33.
  24. Notoatmojo S. Promosi kesehatan teori dan aplikasi. Jakarta: Rineka Cipta; 2010.
  25. He Z, Cheng Z, Shao T, Liu C, Shao P, Bishwajit G, et al. Factors influencing health knowledge and behaviors among the elderly in rural China. Int J Environ Res Public Health. 2016;13(10):975. doi: 10.3390/ijerph13100975
  26. Notoatmojo S. Promosi kesehatan teori dan aplikasinya. Jakarta: Rineka Cipta; 2010.
  27. Lui CK, Chung PJ, Wallace SP, Aneshensel CS. Social status attainment during the transition to adulthood. J Youth Adolesc. 2014;43(7):1134–50. doi: 10.1007/s10964-013-0030-6
  28. Febrianto ID, Rismayanthi C. Hubungan tingkat penghasilan, tingkat pendidikan, dan tingkat pengetahuan orangtua tentang makanan bergizi dengan status gizi. Medikora. 2014;XIII(1).
  29. Yung TKC, Lee A, Ho MM, Keung VMW, Lee JCK. Maternal influences on fruit and vegetable consumption of schoolchildren: case study in Hong Kong. Matern Child Nutr. 2010;6(2):190–8. doi: 10.1111/j.1740-8709.2009.00198.x
  30. Yabancı N, Kısaç İ, Karakuş SŞ. The effects of mother’s nutritional knowledge on attitudes and behaviors of children about nutrition. Procedia - Soc Behav Sci. 2014;116:4477–81. doi: 10.1016/j.sbspro.2014.01.970
  31. Putri GA, Lestari P, Herawati DH. Pengaruh edukasi gizi terhadap perilaku orangtua dalam memberikan sayur dan buah pada anak prasekolah di PAUD Kota Yogyakarta [Skripsi]. Yogyakarta: Universitas Alma Ata; 2019.
  32. Purnamasari Y, Herawati DH, Rialihanto MP. Nutrition education using booklets increases the availability of vegetables and fruit in preschool children’s home. In: The abstrract of submitted papers in international nutrition and health symposium “Evidence based nutrition in the prevention and management of chronic disease” Yogyakarta, November 9th-10th 2019. Yogyakarta: Department of Nutrition and Health, FKKMK, UGM; 2019.
  33. Grutzmacher, Stephanie, Gross S. Household food security and fruit and vegetable intake among low-income fourth-graders. J Nutr Educ Behav. 2011;43(6):455–63. doi: 10.1016/j.jneb.2010.10.004
  34. Wyse R, Campbell E, Nathan N, Wolfenden L. Associations between characteristics of the home food environment and fruit and vegetable intake in preschool children: a cross-sectional study. BMC Public Health. 2011;11(1):1–10. doi: 10.1186/1471-2458-11-938
  35. Nekitsing C, Hetherington MM, Blundell-Birtill P. Developing healthy food preferences in preschool children through taste exposure, sensory learning, and nutrition education. Curr Obes Rep. 2018;7(1):60–7. doi: 10.1007/s13679-018-0297-8
  36. Nepper MJ, Chai W. Parental views of promoting fruit and vegetable intake among overweight preschoolers and school-aged children. Glob Qual Nurs Res. 2017;4. doi: 10.1177/2333393617692085
  37. Pearson N, Biddle SJH, Gorely T. Family correlates of fruit and vegetable consumption in children and adolescents: a systematic review. Public Health Nutr. 2009;12(2):267–83. doi: 10.1017/S1368980008002589
  38. Birch LL, Fisher JO. Mothers’ child-feeding practices influence daughters’ eating and weight. Am J Clin Nutr. 2000;71(5):1054–61. doi: 10.1093/ajcn/71.5.1054
  39. Hingle MD, O’Connor TM, Dave JM, Baranowski T. Parental involvement in interventions to improve child dietary intake: a systematic review. Prev Med. 2010;51(2):103–11. doi: 10.1016/j.ypmed.2010.04.014
  40. Helsel BC, Liang J, Williams JE, Griffin SF, Spitler H. Family and friend influences on fruit and vegetable intake in elementary aged children. J Community Health. 2019;44(5):932–40. doi: 10.1007/s10900-019-00640-x
  41. Haryana NR, Kustiyah L, Madanijah S. Pengaruh intervensi gizi multikomponen pada guru, orangtua, dan siswa sekolah dasar terhadap pengetahuan, sikap, dan ketersediaan buah sayur di rumah. Media Gizi Indones. 2019;14(1):44–55. doi: 10.20473/mgi.v14i1.44-55
  42. Lally, Phillippa, Jaarsveld, CHM, Potts, HWW, Wardle J. How are habits formed: modelling habit formation in the real world. Eur J Soc Psychol. 2010;40(6):998–1009. doi: 10.1002/ejsp.674



DOI: https://doi.org/10.22146/ijcn.63338

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