Basic Health Research Research Articles

Evaluation of the Success of Dental Health Counseling for Students of Elementary School No. 44 Sungai Lareh Lubuk Minturun

Introduction. The World Health Organization (2014) states that globally, there are 2 billion individuals suffering from caries in permanent teeth and 514 million children suffering from caries in primary teeth. Basic Health Research (2018) states that the prevalence of caries in Indonesia is more than 80%. Furthermore, the initial examination of the state of dental health in students of SDN No.44 Lubuk Minturun showed unsatisfactory numbers, so it is necessary to make preventive efforts from an early age to improve the dental health status of the students. Objective. The purpose of this paper is to determine changes in knowledge, attitudes, and behavior to maintain oral hygiene after dental health counseling for elementary school students 44 in Lubuk Minturun, West Sumatra. Methods. Data from 105 students regarding knowledge, attitudes, and behavior of maintaining dental health before and after counseling were obtained from questionnaires filled out by students. The sampling technique of this study was total sampling, while the inclusion criteria of the subjects were students aged 9-12 years, filling out the questionnaire completely and being cooperative. The descriptive-analytic study was conducted with the Wilcoxon sign rank. Results. There was a significant difference in the change of knowledge, attitude, and behavior in children of SDN 44 Lubuk Minturun (p<0.005) with the Wilcoxon test. Conclusion. Promotive activities of dental health counseling can improve knowledge, attitudes, and behavior in maintaining dental health

Lifestyle As a Factor for Overweight in Adolescents

Background: Overweight prevalence in Indonesia is 16.5% in late teens. Lifestyle is a risk factor for overweight teenagers, especially those who live in urban areas. Objectives: To analyze the relationship between lifestyle and eating patterns on the incidence of overweight in teenagers living in urban areas. Methods: This research was an observational study with a cross-sectional design. The population of teenagers in Jakarta aged 15 - 18 was 996, based on Ministry of Health Basic Health Research 2018 data. The sample number were 372 using the research criteria of simple random sampling. Research instruments include questionnaires, digital weight scales, and stadiometers. The statistical test used Chi Square to determine the risk factors for overweight. Results: The number of overweight teenagers was 0.12%; the majority were in their late teens (55.6%), female (52.7%), rarely consumed sweet foods (62.9%), often consumed sweet drinks (58.9%), rarely consume fatty/fried foods (61.0%), often consume vegetables and fruit (65.1%), do not drink alcohol (98.4%), moderate sport activity (41.9%), and not smoking (77.7%). Overweight risk factors are consuming sweet drinks (p=0.044; OR=1.582; CI=1.010-2.477) and education (p=0.040; OR=1.847; CI=1.059 – 3.220). Adolescents with frequent sweet drinks consumption have a 1.58 risk of being overweight compared to those who do not consume sweet drinks. Adolescents with higher education are at risk of being overweight by 1.84 compared to those with lower education. Conclusions: Risk factors for overweight Jakarta teenagers are frequent consumption of sweet drinks and advanced education.

Determinant of Hypertension among Adults in West Java, Indonesia: Analysis of National Basic Health Research Data 2018

Background: Hypertension is a serious health problem worldwide. Many studies on the determinants of hypertension have been done, however studies in West Java are still very minimal. This study aimed to determine the risk factors for hypertension among adults in West Java, Indonesia.Methods: This study used a cross-sectional method with a quantitative approach using secondary data from the National Basic Health Research 2018. The final number of individuals sampled was 46,186 people. Data analysis was performed using simple logistic regression and multiple logistic regression methods.Results: The mean age of the sample was 42.97 years (SD=15.37), and females were the predominant (52.95%). The majority of samples consumed sweet beverages (31.06%) and salty foods more than once a day (29.22%), did not smoke (59.17%), had a normal body mass index (BMI) (53.78 %), and had experienced gum disease and dental problems in the last year (56.75 %). Physical activity in metabolic equivalent task (MET) was 5,917.79 minute. There was a significant positive association between age and hypertension, with an odds ratio (OR) of 1.06 and a 95% confidence interval (CI) of 1.05-1.06. Furthermore, the analysis found a significant negative correlation between physical activity and hypertension, with an OR of 0.999 and a 95% CI of 0.9999874-0.9999962.Conclusion: Hypertension is significantly associated with age, whereas physical exercise is negatively associated. Priority should be given to elderly individuals and people with a high BMI for interventions such as routine blood pressure monitoring and education.

Analysis of influencing factors in chronic kidney disease incidence in Indonesia

Background: The incidence of chronic kidney disease (CKD) continues to increase from year to year. There was an increase in CKD rates in the 2013 and 2018 basic health research or Riset kesehatan dasar (Riskesdas). Several provinces in Indonesia show a high incidence of CKD and require hemodialysis. As the incidence of CKD increases, it is important to investigate the influencing factors.Objective: To identify the influencing factors of CKD incidence in Indonesia.Methods: Data from 11 provinces with the highest incidence of CKD and hemodialysis were obtained from the Indonesian Ministry of Health through the Riskesdas 2018 survey. For comparison, the incidence of hemodialysis patients in 2020 at Immanuel Hospital Bandung was included in the investigation. All data were analysed using a Python software program, and a decision tree was determined. The results of the decision tree were analysed using Chi-square. Subject profiles were descriptively analysed for some Riskesdas 2018 data and medical records at Immanuel Hospital. Results: The total data from Riskesdas was 130,787 subjects, among those, there were 610 people with CKD/hemodialysis, meanwhile data of 79 people with hemodialysis were obtained from Immanuel Hospital. The odds ratios of diabetes mellitus was 4.54 (p=0.000), hypertension was 3.00 (p=0.000), salty food was 2.26 (p=0.000), waist circumference (WC) was 1.35 (p=0.025), and body mass index (BMI) was 1.06 (p=0.605). Conclusion: Diabetes, hypertension, salty foods, WC and BMI are the five most important factors influencing the incidence of CKD in Indonesia. These variables need to be managed properly to reduce the incidence of CKD.

HUBUNGAN SCREEN TIME, KEBIASAAN MAKAN JUNK FOOD, AKTIVITAS FISIK DENGAN KEJADIAN OBESITAS PADA REMAJA DI MAN 14 JAKARTA TIMUR

Based on the results of the 2018 Basic Health Research, the prevalence of adolescents aged 15 years who have central obesity is 31.0%. Obesity occurs due to the income of certain population groups, and eating habits that have begun to shift to disproportionate foods such as low carbohydrate, high fat and low fiber foods, as well as less physical activity caused by busyness and screen time. The aim of this study was to analyze the relationship between screen time, junk food eating habits and physical activity with obesity in teenagers at MAN 14 East Jakarta. The research was conducted in May 2023 at Madrasah Aliyah Negeri 14 East Jakarta with a sample size of 57 respondents aged 16 - 17 years. The sampling technique uses simple random sampling. This research uses quantitative research methods with a cross sectional design. Data were collected using a screen time questionnaire, for junk food eating habits using the FFQ and physical activity using the physical activity level (PAL), then the data was analyzed using the chisquare test. The results of the study showed that there was a relationship between screen time (p= 0.000), junk food eating habits (p= 0.000), and physical activity (p= 0.032) with the incidence of obesity in adolescents. It is hoped that MAN 14 East Jakarta students can increase physical activity and reduce screen time habits and consumption of junk foodKeywords physical activity, Junk food, Screen Time, Obesity

Correlation between Family Support and Health Professional Education on Tuberculosis Patient Compliance at Public Health Centers Tasikmalaya

Tuberculosis prevalence in Indonesia is still high, as 824,000 people are infected with Tuberculosis (Indonesia Basic Health Research 2022). This shows that Tuberculosis is still difficult to control due to various factors, including patient compliance. Patient compliance can be influenced by family support and health professional’s education about Tuberculosis therapy, which plays an important role in increasing knowledge of correct therapy for patients and families. This study examines the influence of family support and health professional education on tuberculosis patient compliance. This is a descriptive study with the cross-sectional method. Data was collected from 52 Tuberculosis patients who met the inclusion criteria using a questionnaire. The result shows that family support and health professional education had very good scores (84.6% and 46.2%) on Tuberculosis patients. This affects patient compliance is very good (82.7%). Based on correlation results, it shows that there is a direct influence of family support (p-value<0.05). At the same time, there is an indirect influence of health professional education on patient compliance (p-value>0.05). This shows that family support has a greater direct influence than health professional education on tuberculosis patients’ compliance. However, health professionals still play an important role because the patient's family also receives education from health professionals.

Prenatal Attachment Relationship with Pregnant Women’s Compliance in Carrying Out Antenatal Care Visits

Yogyakarta's 2022 health profile shows that MMR in 2021 is 580.34 from 2757 live births. Data from Basic Health Research (Riskesdas) conducted by the Ministry of Health of the Republic of Indonesia shows that 2017 K4 coverage nationally was 74.1%. This figure shows that mothers who receive the first visit do not continue the ANC according to the minimum standard of four visits. Antenatal care visits are an effort to reduce maternal and infant mortality. High maternal prenatal attachment is believed to be able to make a close emotional connection and encourage mothers to do positive things to improve their health. This study analyzed the relationship between prenatal attachment and pregnant women's compliance in the third-trimester antenatal care visit at Puskesmas Kasihan 1. The method used in this study is quantitative research with a cross-sectional approach. The sample used was 45 third-trimester pregnant women with uses purposive sampling technique. Data analysis using the Chi-Square Test. Chi-Square Test results obtain a p-value of 0.003 <0.05. This means that there is a significant relationship between prenatal attachment and the compliance of pregnant women with carrying out antenatal care. It can be concluded that there is a significant relationship between prenatal attachment and antenatal care compliance in pregnant women. A high level of prenatal attachment between mother and baby will affect the mother's compliance with antenatal care visits. The results of this study are expected to provide additional information to pregnant women about the importance of prenatal attachment in dealing with pregnancy.

The Effectiveness of Video-Based Education on the Knowledge of Oral Health Maintenance and Tooth-Brushing Behavior Among the Students of the STM IX in Lurah Jambi

Adolescents are one of the groups with health problems. Based on the results of the Basic Health Research of the Ministry of Health (Riskesdas) in 2018, based on the presence of dental and oral health problems in the age group 15-24 (51.9%) and only those handled by health workers (8.7%), the data also shows, The prevalence of caries in the age group 15-24 years was (75.3%) with caries and (61.1%) with root caries. Video-based counseling can increase students' knowledge of dental and oral health maintenance. This study aimed to determine the effectiveness of video media on dental and oral health knowledge and tooth brushing behavior in students of STM IX Lurah Jambi in 2022.The type of research was Quasi-Experimental with a one-group pre-test and post-test design—research measuring instrument using a questionnaire. The sample is class XI STM IX Lurah Jambi. The sampling technique used the total sampling method with the number of respondents 20 people. This study uses the paired t-test hypothesis test.The results showed that the level of knowledge of dental and oral health maintenance before counseling had low criteria (10%), moderate (80%), and (10%) high, and after counseling had high criteria (100%). At the same time, the level of tooth brushing behavior before counseling had low criteria. (5%), moderate (85%) and (10%) high, and after counseling, the criteria were high (100%). There is a significant difference between the level of knowledge of dental and oral health maintenance and tooth brushing behavior before and after being given counseling using video media with a p-value of 0.001 (p < 0.05). 
 Keywords: Video, Knowledge, Behavior, Brushing teeth

The The Influence Of Early Children's Dental Health Monitoring Books On Parents' Knowledge In Az-Zahra Islamic Kindergarten, Jambi City

Background: The results of the 2018 Basic Health Research (Riskesdas) show that the prevalence of caries in the 3-4 year age group is 81.5% and the caries prevalence in the 5-9 year age group is 92.6%. The average def-t for the age group 3-4 years was 6.2 and the average def-t for the 5-year age group was 8.1. Research conducted on all kindergarten students in Malalayang District showed that the prevalence of primary tooth caries was 90% with an average index def-t = 6.99.Method: The design in this study used a pre-experimental one group pre-test posttest. There were 30 samples in the study that met the inclusion and exclusion criteria. Results: The statistical test output shows that the p-value of knowledge is 0.000. Because the value 0.000 < 0.05, the hypothesis is accepted, which means there is a difference between the dental health knowledge scores for the pre-test and post-test.Conclusion: Monitoring books can increase parents' knowledge in Az-Zahra Islamic Kindergarten, Jambi City

The use of antihypertension in hypertension patients with chronic kidney failure at the Universitas Gadjah Mada (UGM) Academic Hospital, Yogyakarta

According to the 2018 Indonesian Basic Health Research data, the prevalence of hypertension in the Yogyakarta Special Region (11.0%) is higher than the national average of 8.8%. Hypertension with chronic kidney failure is currently a prevalent and increasing issue. This study aimed to investigate the pattern and rationality of antihypertensive use in hypertension patients with chronic kidney failure (CKF) participating in the National Health Insurance (Jaminan Kesehatan Nasional/JKN) program at Universitas Gadjah Mada (UGM) Academic Hospital period of 2020 to 2022. The study was conducted using quantitative descriptive non-experimental methods. Data collection was carried out retrospectively through medical records of patients diagnosed with hypertension with CKF (ICD I12.0). Samples were selected using purposive techniques and analyzed by comparing the suitability of drug selection with standard hypertension therapy with CKF based on JNC 8 and NKF-K/DOQI, including the rationality of their use. A total of 68 patients over the age of 18 were used as samples. The The majority of drug groupsresults showed that a combination of 2 drugs is more dominant (52.9%) compared to monotherapy (29.4%) and a combination of 3 drugs (17.6%). The majority of drug groups used were angiotensin receptor blockers (ARBs), especially candesartan (45%). ARB and calcium channel blockers (CCB), especially candesartan+amlodipin (50%), and ARB +CCB+diuretic, especially andesartan +amlodipine + furosemide (33%).. The rationality of drug use showed that 66.2% in the right indications, 89.7% the right drugs, 100% in the right patients and 85% the right doses. Therefore, health workers still need to make efforts to encourage rational drug use.

Metabolit Profilling and Antibacterial Activity of Ethanol Extract of the Unripe Fruit Peel of Kayu Banana (Musa paradisiaca L. Var. Kayu)

According to Basic Health Research data in Indonesia in 2020 shows that the diarrhea morbidity rate in Indonesia is still high. In Indonesia, the unripe fruit of the Kayu banana (Musa paradisiaca L. var. Kayu) is a drug that is often used empirically by the people of Senduro village, Lumajang, East Java, Indonesia, to treat diarrhea. This study was conducted to investigate the antibacterial activity of unripe fruit peel, unripe fruit flesh and unripe fruit. A disc diffusion test was selected to assess the sensitivity of each sample to Escherichia coli. The disc dilution was used to determine the value of MIC and MBC in Escherichia coli. Total phenolic content to determine phenolic levels in samples that are suspected of providing antibacterial activity. Analysis of secondary metabolite profiles using the UPLC-Q-TOF/MS instrument. Unripe fruit peel extract shows more optimal antibacterial activity compared to other extracts. The diameter value of the inhibitory zone of the unripe fruit peel extract is 17 mm and the yield of a large ΔOD is –1.3620 at a concentration of 10 % w/v. Based on the calculation results from the regression equation, TPC fruit extract was obtained by 8.6 %, TPC flesh extracts by 6.1 % and TPC from bark extract by 10.8 %. Based on the data from the interpretation of compound content analysis using UPLC-QToFMS, it can be seen that there are 25 mayor compounds. These results suggest that the unripe fruit peel extract of banana Kayu has the potential to be antibacterial against Escherichia coli. The application of this research is as a reference for the development of antidiarrheal standardized herbal medicines and the implication of this research is to support the independence of national medicinal raw materials in Indonesia. HIGHLIGHTS Unripe fruit peel extract of Kayu banana (Musa paradisiaca var. Kayu) has the potential to be antibacterial against Escherichia coli. The results of this study showed that the peel extract of the unripe fruit of banana Kayu has an inhibitory zone diameter of 17 mm and there is a decrease in absorbance with a large ΔOD, which is 1.3620 with a total phenol content of 107.8 mg of gallic acid equivalent per gram of unripe fruit peel extract GRAPHICAL ABSTRACT

PENGGUNAAN MEDIA VIDEO TERHADAP KEBERHASILAN MENYUSUI DI KELURAHAN PACCERAKKANG

Exclusive breast milk can reduce infant morbidity and mortality. Exclusive breastfeeding coverage based basic health research in indonesia 2018 data has only reached 37.3%. One of the factors that influences breastfeeding is the mother's success in breastfeeding. Media use influences the success of health education. The aim of this research was to determine the effect of using video media on breastfeeding success and the type of breastfeeding (completely breast milk or a combination of breast milk and formula milk). This type of research is pre-experimental with a posttest only design. In this design, the data collected is the effect of education after the intervention. Population of breastfeeding mothers in the Paccerakkang Community Health Center working area. The research sample was breastfeeding mothers with babies 0-1 months old and willing to be given breastfeeding education obtained using the purposive sampling method. The research results showed that 81.3% of mothers from the intervention group were successful and able to breastfeed their babies well and in the control group 100% of mothers were successful and able to breastfeed their babies well. The Mann Whitney test results showed p=0.105 (p>0.05). The conclusion of this study is that there is no significant difference in the success and provision of breast milk in the intervention group and the control group.

Relationship between Child Nutritional Status and Parental Knowledge with the Incidence of Dental Caries among Children at Kemala Bhayangkari 94 Kindergarten of Semarang

ABSTRACTBackground: An indicator for determining a person's dental and oral health status is the presence/absence of diseases in the oral cavity, one of which is dental caries. According to the 2018 Basic Health Research, the prevalence of dental caries in Indonesia was 88.8% with root caries of 56.5%. The incidence of dental caries among children aged 3-4 years and 5-9 years were 81.5% and 92.6%, respectively. Objective: To determine the relationship between child nutritional status and parental knowledge with the incidence of dental caries among children at Kemala Bhayangkari 94 Kindergarten of Semarang. Methods: This was a quantitative study with cross sectional design. The samples consisted of 48 children and 48 parents at Kemala Bhayangkari 94 Kindergarten. Results: There was a relationship between child nutritional status and the incidence of dental caries (p value = 0.003), and there was a relationship between parental knowledge and the incidence of dental caries among children (p value = 0.000). Conclusion: There was a relationship between child nutritional status and parental knowledge with the incidence of caries among children at Kemala Bhayangkari 94 Kindergarten of Semarang.Keywords: Dental caries, Child nutritional status, parental knowledge

Relations Between Stress Level And The Occurrence Of Constipation To Students Of 2016 In The Faculty Of Medicine

Stress can be experienced by anyone. The number of events is increasing every year. This is evidenced from the results of Basic Health Research in 2013 and 2018, namely an increase in the prevalence of mental emotional disorders in Indonesian population aged ≥ 15 years from 6 percent to 9.8 percent. Stress can have a negative impact on the human body both physically and psychologically. One of the effects of stress on the body is constipation. Unfortunately not much literature discusses stress and constipation in more detail. This study aims to determine whether there is a relationship between stress levels and constipation in the seventh semester students of the 2016 Faculty of Medicine and Health Sciences at UKRIDA. This research uses analytic study method with cross-sectional approach. Sampling is done by consecutive sampling method. The study was conducted in December 2019 at the UKRIDA’s Medical Campus. 150 out of 206 students of 2016 from UKRIDA Faculty of Medicine and Health Sciences who are in their seventh semester, are included in the inclusion criteria. The research material is primary data in the form of a Constipation Scoring System questionnaire and Perceived Stress Scale. The results showed a relationship between stress levels and constipation. This was obtained from the Chi Square test calculation which was calculated using the SPSS computer program, where the p value was 0.01 (p <0.05).

Reproductive Health Training Program to Strengthen Private Midwifery Practice in The Context of Covid-19 Pandemic in Indonesia –an Emergency Response

The COVID-19 pandemic has had impact on reproductive health services. Based on data from Basic Health Research in 2018, more than 50% reproductive health services provided by midwives in private midwifery practices. As private midwifery practice was first choice for women to fulfil essential need in reproductive health, it is important to strengthen its quality. Cross-sector collaboration led by Knowledge Hub for Reproductive Health Indonesia has carried out training on reproductive health services during COVID-19 pandemic. The aim of the training is building capacity to offer high-quality reproductive health services while at the same time minimizing the risk of COVID-19 transmission.

Determinants of Anemia in Adolescent Women at Makassar

Background: Anemia is one of the most common nutritional deficiency disorders which is a serious global public health problem, especially in developing countries, which is estimated to reach 30%. Anemia is especially prevalent among adolescent girls. The prevalence of anemia according to the World Health Organization (WHO), 2017 ranges from 40-88%. The results of Basic Health Research (Riskesdas) data in 2018 indicate that the prevalence of anemia increased from 37.1% in Riskesdas 2013 to 48.9% in 2018. The purpose of the study was to assess the determinants of anemia in adolescent girls aged 14-17 years at State High School (SMAN) 9 Makassar, Indonesia. Methods: The study was conducted at a State Senior High School in Makassar. With cross-sectional design. A total of 211 adolescent girls were selected by proportional random sampling.

EFFECTIVENESS OF STUNTING PREVENTION PROGRAM AT BAJA HEALTH CENTER IN TANGERANG CITY

Stunting is a form of growth and developmental failure that causes linear growth disorders in toddlers due to the accumulation of nutritional deficiencies over a long period, starting from pregnancy to 24 months of age. The problem of malnutrition in Indonesia is a health issue that has not been fully addressed by the government. This can be seen from survey and research data such as the Basic Health Research (2018), which states that the prevalence of stunting (very short) in Indonesia is 19.3%, higher than in 2013 (19.2%) and 2007 (18%). Although many stunting prevention programs have been implemented by various parties and the health sector, these efforts have not effectively reduced the target number of stunting cases at the national level, posing a challenge for the health sector in preventing stunting cases. This research adopts a descriptive qualitative study design, where researchers aim to assess the effectiveness of the stunting prevention program in the working area of Baja Tangerang Health Center with three informants. Data collection techniques include interviewing related parties, observation, and documentation, with data analyzed by combining information from various existing sources. Health Center Baja has handled 2 children with malnutrition and 7 children with stunting. The results indicate that preventive measures must continue to be improved by meeting nutritional needs during pregnancy, monitoring child growth and development, and maintaining environmental hygiene. Integrated and multisectoral programs are needed to increase family income and prevent premature births (babies born not full term) to overcome the incidence of stunting in toddlers.

FACTORS RELATED TO THE INCIDENCE OF EYE FATIGUE TO COMPUTER EXPOSURE IN WORKERS AT PT. A. W FABER-CASTELL INDONESIA BEKASI IN 2022

The use of computers is useful as a communication tool, facilitating work. Excessive use of computers can cause eye disease, body, or head. Globally, around 45-70 million people spend time watching videos. basic health research in 2018, the proportion of eye injuries caused by an event or accident in the productive age of 15-45 years was 2.6%. As for the type of employee work, eye injuries have a proportion of 0.5 %. The purpose of this study was to determine the factors associated with the incidence of eye fatigue due to computer exposure among workers at PT. AW Faber-Castell Indonesia Bekasi Year 2022. This type of research uses analytic research with a cross-sectional approach with a total sample of 50 workers at PT. AW Faber-Castell Indonesia. The sampling technique uses the Total Population. Data were analyzed univariately and bivariately with the Chi Square test. The results of this study indicate workers who experience eye fatigue (74%). The most common types of eye fatigue are blurred vision (42%), sore eyes (32%), and difficulty focusing to see (30%). In this study, there were no variables that had a significant relationship, namely the distance on the monitor screen with a p-value = 0.303, eye rest P- value = 0.886 (p-value>0.05) OR = 0.735 (95% CI = 0.202-2.674), duration of computer uses p-value = 1000, work period p -value = 0.707, lighting p -value = 1000. There were many complaints of eye fatigue and duration of computer use that exceeded 4 hours/day. So, it is recommended to pay attention to the risk of eye fatigue by stretching to rest the eyes work with lighting appropriate to the type of work object, and carry out maintenance.

The Correlation Between Nutritional Status and The Incidence of Hypertension in Productive Age

Hypertension is when blood vessels have high blood pressure, systolic blood pressure ≥140 mmHg or diastolic blood pressure ≥90 mmHg. The prevalence of hypertension globally is 22% of the total world population. Basic health research 2018 reported that the incidence of hypertension was 34.1%. The Jambi City Health Office reported the number of hypertension cases at 25,846 cases, and data from the Simpang IV Sipin Health Center in Jambi City showed the number of people with hypertension in January-March as many 652 cases. This study aims to determine the factors associated with the incidence of hypertension in productive age at the Simpang IV Sipin Health Center in Jambi City. The design used in this study is a quantitative research with a cross sectional approach. This research was conducted at the Simpang IV Sipin Health Center in January-June 2023. The population in this study is patients who visited the Simpang IV Sipin Health Center, with a total of 96 people in January-March 2023. The sample amounted to 53 respondents. The sampling technique is accidental sampling. The data analysis used was univariate and bivariate analysis using chi-square statistical test. The results of this study are that there is a relationship between nutritional status (0.022) with the incidence of hypertension in productive age at the Simpang IV Sipin Health Center. In this study, it can be concluded that there is a relationship between nutritional status and the incidence of hypertension at productive age, so the researchers recommend that the Simpang IV Sipin Health Center in Jambi City provide health education to hypertension sufferers with the theme "Ideal body weight as a first step in preventing and treatment of hypertension”.

Composite Index of Anthropometric Failure and Early Childhood Cognitive Development Based on the 2018 Indonesian Basic Health Research Data

Delays in early childhood cognitive development may have profound long-term implications on health and life expectancy. Optimal nutrition supports early life development, including a child's cognitive development. This study aimed to determine the association between the Composite Index of Anthropometric Failure and early childhood cognitive development among children aged 36-59 months in Indonesia. This cross-sectional study utilized data from the 2018 Indonesian Basic Health Research that involved 18,027 participants aged 36-59 months. This study outcome demonstrated that children who were stunted-underweight were potentially susceptible to delayed cognitive development compared to those with normal nutritional status (aOR = 1.30; 95% CI 1.12-1.51) after controlling for child’s age, sex, vitamin A supplementation, antenatal care visits, gestational age, access to drinking water and sanitation (combined risk), maternal education and mental health (combined risk), maternal occupation and number of household members (combined risk). In summary, malnourished children are vulnerable to impaired physical growth and potential delays inearly cognitive development.