Gambaran Kebiasaan Makan, Aktivitas Fisik,Body Image Dan Status Gizi Remaja Putri Di Smk Negeri 2 Sibolga

83

Lampiran 1
KUESIONER PENELITIAN

GAMBARAN KEBIASAAN MAKAN, AKTIVITAS FISIK, BODY
IMAGE, DAN STATUS GIZI REMAJA PUTRI DI SMK NEGERI 2
SIBOLGA
Penelitian ini dilaksanakan untuk mengumpulkan data dan
informasi secara langsung dari siswa putri di SMK Negeri 2 Sibolga.
Demi kelancaran penelitian ini peneliti sangat mengharapkan bantuan
dan dukungan dari Anda.

Nama Siswi
Kelas
No. HP
Alamat asal
Enumerator
Tanggal Wawancara

FAKULTAS KESEHATAN MASYARAKAT

UNIVERSITAS SUMATERA UTARA
MEDAN
2017

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A. Identitas Responden
Identitas Siswi

Keterangan

Nama
Umur
Tanggal lahir

Tgl

/

Bln/

Thn

B. Data Antropometri
-

Berat Badan
Tinggi badan
IMT
Status Gizi

kg
cm
kg/m2

C. Persepsi body image (Berikan tanda silang “X” pada satu jawaban yang
Anda pilih dan isilah titik-titik sesuai dengan pertanyaan yang diberikan)

Gunakan Gambar untuk menjawab pertanyaan no 2-4
1. Menurut Anda, bentuk tubuh yang ideal bagi remaja ada pada no ......
2. Bentuk tubuh yang Anda harapkan ada pada no .....
3. Menurut Anda, bentuk tubuh Anda saat ini ada pada no .....

D. Aktivitas Fisik dan Olahraga
Petunjuk Pengisian
Daftar aktivitas fisik ini adalah perincian seluruh aktivitas yang dilakukan
dalam 24 jam. Hal ini dirincikan pada satu hari kerja (saat Anda di sekolah).
Kolom yang diisi adalah kolom lama (dalam satuan jam) dan keterangan (bila
ada).

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Contoh Pengisian
No.
Waktu
Kegiatan

1.
22.00-06.00
Tidur
2.
06.00-06.15
Mandi
3.
06.15-06.30
Dandan
4.
06.30-06.45
Sarapan
5.
06.45-07.15
Berangkat sekolah

No.

Waktu

Keterangan

Naik Sepeda Motor

Daftar aktivitas hari kerja (sekolah)
Keterangan
Kegiatan

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E. Kebiasaan Makan Responden
1. Kapan Anda mengkonsumsi makanan lengkap?
1. Pagi, siang, dan malam
2. Siang dan malam

3. Pagi dan siang
2. Apakah ada makanan pantangan untuk Anda?
1. Tidak
2. Kadang-kadang
3. Ada
3. Berapa kali frekuensi makan Anda dalam sehari?
1. 3 kali
2. 2 kali
3. 1 kali
4. Siapa yang berperan dalam menentukan makanan dirumah?
1. Ibu
2. Bapak
3. Pembantu
5. Untuk memenuhi kebutuhan gizi, apa sajakah yang Anda makan setiap
kali Anda makan?
1. Makanan pokok, sayur, lauk, dan buah
2. Makanan pokok, sayur, dan lauk
3. Makanan pokok dan sayur
6. Berapa gelas air putih yang Anda minum setiap hari?
1. 6-8 gelas

2. 4-5 gelas
3. 1-2 gelas

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F. Kuesioner Frekuensi Makan
1. Apakah setiap waktu makan Anda mengonsumsi ikan, tempe/tahu, dan
sayuran?
1. Selalu
2. Sering
3. Jarang
4. Tidak pernah
2. Apakah Anda selalu mengonsumsi buah-buahan?
1. Selalu
2. Sering
3. Jarang
4. Tidak pernah
3. Apakah Anda menyediakan makanan selingan/snack?

1. Selalu
2. Sering
3. Jarang
4. Tidak pernah
4. Apakah setiap pagi Anda sarapan?
1. Selalu
2. Sering
3. Jarang
4. Tidak pernah
Keterangan:
Selalu
: 1-3 kali/hari
Sering
: 3-5 kali/minggu
Jarang
: 1-2 kali/bulan

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LEMBAR FOOD RECALL
Tanggal recall:

Waktu

Nama
Makanan

Bahan
Makanan

Jumlah (URT)

Berat (gr)

Pagi/jam

Selingan/jam

Siang/jam

Malam/jam

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Lampiran 2
Master Data
Nama
Ahyuni Pasaribu
Derita Sinaga
Eva Sihombing
Frischa Sitompu
Hotria Sihombin
Indah Simanjuntak
Khairani Hutabarat
Krityn Purba
Lasmaida Sianturi
Lela Sinaga

Mayanti Munthe
Melisa Siburian
Novriani P
Pesta Hutajulu
Putri Sihombing
Putri Talaembanua
Renni Sihombing
Resiska Hutabarat
Shelly Situmeang
Wulan Sari
Yulia Sari Devi
Astuti Sriyani
Azizah Sriyani
Cintiya Pratiwi
Cintia Rosario
Epri Untung
Ernita Tambunan

Umur
17
16
16
15
15
16
15
15
16
18
16
15
16
16
15
16
17
17
15
15
15
15
16
15
15
16
16

BB
54
49
44
44
47
50
45
53
48
40
62
60
48
44
60
54
46
62
59
54
40
45
50
37
46
45
33

TB
150.5
152.0
148.5
150.0
155.0
157.0
153.0
157.5
151.0
144.0
163.0
153.0
156.0
151.0
159.0
144.0
145.5
160.0
152.0
159.5
147.5
145.5
149.5
138.0
155.5
158.0
143.5

IMT
.7
.7
.4
.4
.4
.2
.4
.6
.1
-.5
.7
1.5
.4
.4
1.1
1.4
.1
.8
1.4
.2
.6
.2
.4
.4
.6
-1.1
-2.8

IMTk
2
2
2
2
2
2
2
2
2
2
2
3
2
2
3
3
2
2
3
2
2
2
2
2
2
2
1

BI
2
1
2
1
2
2
1
2
1
2
1
2
2
2
1
2
2
1
1
2
1
2
2
2
1
1
1

TA

4
2
3
2
3
3
2
4
2
2
5
6
3
3
4
5
4
5
4
4
2
3
3
3
2
2
3

TI
4
2
3
3
3
2
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
2
2
3
5
2

HT
3
2
3
3
3
2
3
3
2
2
3
4
2
3
2
3
2
2
3
3
3
2
3
3
3
4
2

PAR
1.53
1.79
1.66
1.46
1.52
1.78
1.45
1.82
1.88
1.45
1.87
2.20
1.65
1.56
1.73
1.42
1.78
1.46
1.41
1.42
1.55
1.57
1.45
1.46
1.53
1.41
1.82

PARk
1
2
1
1
1
2
1
2
2
1
2
3
1
1
2
1
2
1
1
1
1
1
1
1
1
1
2

KE
2238.0
1590.0
1914.0
1459.5
1597.1
1384.6
1817.6
1289.2
1118.8
2193.5
1589.3
2059.8
1325.9
1482.2
1821.0
1220.2
1705.5
1823.3
1179.3
1617.5
1872.6
1199.2
1104.0
1461.6
1670.5
1741.4
1539.3

KP
90.1
97.5
117.7
92.2
93.6
86.6
116.9
66.0
103.6
126.5
53.7
109.2
86.4
88.7
98.5
75.5
101.6
109.5
73.8
96.8
99.0
148.4
54.0
93.8
97.9
60.8
43.4

KL
72.8
48.5
84.5
77.7
74.8
54.4
65.0
67.5
82.8
66.3
58.6
93.7
68.2
76.7
79.9
110.9
87.3
89.0
98.8
70.5
90.2
72.5
75.1
74.9
85.9
77.1
57.1

KK
288.8
231.0
328.5
235.2
213.3
227.6
286.2
237.5
227.1
311.7
232.8
301.7
254.8
287.2
288.8
320.4
261.1
238.5
301.1
245.6
260.4
278.3
269.4
208.8
316.7
246.5
232.2

PE
105.32
74.82
90.07
68.68
75.16
65.16
85.53
60.67
52.65
103.22
74.79
96.93
62.40
69.75
85.69
57.42
80.26
85.80
55.50
76.12
88.12
56.43
51.95
68.78
78.61
81.95
72.44

PP
152.71
165.25
199.44
156.27
158.64
146.78
198.14
111.86
175.59
214.41
90.97
185.08
146.44
150.34
166.95
127.97
172.20
185.59
125.08
164.07
167.80
251.53
91.53
158.98
165.93
103.05
73.56

PL
102.54
68.31
119.04
109.44
105.35
76.62
91.55
95.07
116.62
93.38
82.54
131.97
96.06
108.03
112.54
156.20
122.96
125.35
139.15
99.30
127.04
102.11
105.77
105.49
120.99
108.59
80.42

PK
98.90
79.11
112.51
80.55
73.05
77.95
98.01
81.34
77.77
106.75
79.73
103.32
87.26
98.36
98.90
109.73
89.42
81.68
103.12
84.11
89.18
95.31
92.26
71.51
108.46
84.42
79.52

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Lampiran 2
Master Data
Friska Yanti
Irma Hutasoit
Kristina Ayu
Lasmida Sianturi
Desi Puspita
Lenta Wa'a
Lina Yanti
Melati Lhut
Meriam Febrita
Rahayu Andini
Riris Hutabarat
Risti Hutagalung
Riswenti
Riski Oktaviani
Silfia Andini
Ruth
Susanti Novalina
Fransiska
Mangaraja
Faleria Nurina
Yosephin Sitohang
Riani Gultom
Naomi Sirait
Sumiati
Tampubolon
Desi Manalu
Santa Perika
Yulia Purba

16
15
16
15
15
17
17
16
19
18
17
17
16
17
15
16
18

50
48
50
50
49
39
39
55
40
45
48
56
54
65
69
56
58

151.0
151.0
160.0
150.5
158.0
152.5
144.0
153.5
150.5
151.5
150.0
149.5
160.0
148.0
150.5
148.5
143.5

.3
.1
.4
.4
-.4
-1.6
-.8
.7
-1.4
-.6
.0
1.1
.0
2.4
3.1
1.3
2.1

2
2
2
2
2
2
2
2
2
2
2
3
2
4
4
3
4

2
2
1
1
1
2
2
2
1
2
2
1
1
1
1
2
1

3
3
2
2
5
1
2
3
2
3
3
3
2
4
5
4
6

2
3
2
3
3
2
2
3
4
1
3
2
2
2
3
2
3

2
3
2
2
3
3
3
2
4
2
2
2
2
3
3
3
2

1.64
2.12
1.58
1.47
1.76
1.55
1.48
1.72
1.68
1.46
1.42
2.02
1.43
1.50
1.68
1.66
1.41

1
3
1
1
2
1
1
2
1
1
1
3
1
1
1
1
1

1867.3
1443.7
1793.7
1599.5
1674.3
1202.8
1735.4
1746.8
1577.5
2138.0
1693.1
2188.4
1982.2
2078.2
2260.6
1978.1
2388.9

60.6
60.6
45.8
78.5
84.7
45.9
86.1
88.7
52.5
39.1
54.3
58.0
59.9
86.4
98.6
94.2
121.6

71.5
77.3
82.2
63.8
58.0
42.8
133.9
75.8
58.5
79.9
74.3
90.1
95.3
111.8
98.2
72.0
106.6

293.2
248.5
300.5
284.5
299.0
298.8
362.0
280.1
280.2
309.1
286.2
331.4
305.6
331.4
388.6
308.3
355.1

87.87
67.94
84.41
75.27
78.79
56.60
81.67
82.20
74.24
100.61
79.68
102.98
93.28
97.80
106.38
93.09
112.42

102.71
102.71
77.63
133.05
143.56
77.80
145.93
150.34
88.98
66.27
92.03
98.31
101.53
146.44
167.12
159.66
206.10

100.70
108.87
115.77
89.86
81.69
60.28
188.59
106.76
82.39
112.54
104.65
126.90
134.23
157.46
138.31
101.41
150.14

100.41
85.10
102.91
97.43
102.40
102.33
123.97
95.92
95.96
105.86
98.01
113.49
104.66
113.49
133.08
105.58
121.61

17

46

148.0

-.1

2

2

3

2

2

1.45

1

1924.3

79.6

130.3

314.1

90.56

134.92

183.52

107.57

18
16
19
16

60
43
38
60

159.0
154.0
143.5
148.5

1.1
-1.0
-2.1
1.8

3
2
1
3

1
1
2
1

3
2
1
4

2
2
3
3

3
2
2
3

1.64
1.82
1.41
1.48

1
2
1
1

2106.1
1476.4
1341.5
2086.2

102.4
65.6
78.1
110.4

74.2
77.5
76.4
85.3

326.6
312.1
187.8
255.5

99.11
69.48
63.13
98.17

173.56
111.19
132.37
187.12

104.51
109.15
107.61
120.14

111.85
106.88
64.32
87.50

16

41

154.5

-1.4

2

1

2

3

3

1.41

1

1520.3

83.5

58.6

298.1

71.54

141.53

82.54

102.09

17
17
17

58
49
45

153.0
149.5
149.0

1.0
.2
.2

2
2
2

1
2
1

3
3
2

2
3
2

2
3
2

1.45
1.46
1.48

1
1
1

1960.7
1595.2
1808.3

88.3
61.9
61.6

57.4
79.2
86.5

302.8
294.7
297.4

92.27
75.07
85.10

149.66
104.92
104.41

80.85
111.55
121.83

103.70
100.92
101.85

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Lampiran 2
Master Data
Asi Marliana
Putri Simanjuntak
Sri Wati
Elfride Hutabarat
Elena Yulia
Hotdewi Pasaribu
Ussy Putri Sandi
Yustika Hutagalung
Ega Aprilia
Irma Megawati
Siti Fahria
Bella Muliani
Lauren
Simanungkalit
Ruby Sigalingging
Minaria Gea
Widiartika
Sipahutar
Juniar Melinda
Sara Hutauruk
Irma Yanti Pardede
Veronika Hutapea
Ewin
Marianti
Zebua
Elfriana Daya
Sisilia
Widia Wandasari
Ade Siregar
Gresia Sihotang

17
16
16
16
17
18
16
17
17
17
17
18

53
69
44
58
50
46
46
45
49
62
47
47

155.5
150.5
149.5
146.5
163.0
149.5
150.0
148.0
152.0
157.0
154.5
154.5

.2
2.8
.4
1.7
-.8
.2
.2
-.2
.0
1.1
-.1
-.5

2
4
2
3
2
2
2
2
2
3
2
2

2
1
1
1
1
1
1
2
2
2
1
1

3
4
2
4
2
2
2
3
3
3
2
4

2
3
3
3
3
2
1
3
2
2
2
3

2
3
3
3
3
2
1
3
2
2
2
5

1.41
2.17
1.52
1.67
1.41
1.45
1.88
1.43
1.51
1.46
1.41
1.72

1
3
1
1
1
1
2
1
1
1
1
2

1588.3
2543.9
1555.5
2395.2
1663.6
1863.5
1360.6
3034.2
1758.9
2187.6
2311.1
1741.8

96.9
100.5
79.8
80.5
75.7
64.1
87.6
72.8
61.9
101.1
108.5
53.0

101.4
73.8
50.5
59.9
64.8
56.6
61.3
85.5
88.4
84.0
86.9
85.1

298.5
300.3
253.1
366.1
275.7
284.4
306.5
545.8
285.7
298.4
296.4
293.8

74.74
119.71
73.20
112.72
78.29
87.69
64.03
142.79
82.77
102.95
108.76
81.97

164.24
170.34
135.25
136.44
128.31
108.64
148.47
123.39
104.92
171.36
183.90
89.83

142.82
103.94
71.13
84.37
91.27
79.72
86.34
120.42
124.51
118.31
122.39
119.86

102.23
102.84
86.68
125.38
94.42
97.40
104.97
186.92
97.84
102.19
101.51
100.62

18

58

152.5

1.1

3

1

3

2

2

1.42

1

2130.1

77.0

70.5

273.3

100.24

130.51

99.30

93.60

19
19

66
37

156.5
150.0

1.5
-2.1

3
1

1
2

5
2

2
4

3
3

1.41
1.60

1
1

2381.6
1187.5

87.2
31.3

78.2
59.1

310.5
276.2

112.08
55.88

147.80
53.05

110.14
83.24

106.34
94.59

17

42

151.0

-1.0

2

1

1

2

2

1.57

1

2074.1

60.2

90.1

311.7

97.60

102.03

126.90

106.75

16
18
18
18

47
44
49
45

146.0
152.5
146.5
152.0

.3
-.9
.4
-.6

2
2
2
2

2
2
2
1

3
3
3
2

2
4
3
2

2
3
3
2

1.41
1.72
2.04
1.46

1
2
3
1

2627.7
1191.2
1812.5
1928.5

79.3
55.8
57.4
100.3

139.5
77.9
58.5
73.2

277.4
290.4
288.6
295.1

123.66
56.06
85.29
90.75

134.41
94.58
97.29
170.00

196.48
109.72
82.39
103.10

95.00
99.45
98.84
101.06

17

45

146.0

-.6

2

2

3

2

3

1.53

1

1780.9

65.2

53.9

263.8

83.81

110.51

75.92

90.34

19
19
18
17
17

44
52
34
42
45

147.0
144.5
146.0
156.0
154.0

-.7
1.0
-2.1
-.6
-.7

2
2
1
2
2

1
1
1
1
1

5
2
3
2
2

2
1
3
2
2

3
3
5
2
2

1.85
1.45
1.46
1.46
1.57

2
1
1
1
1

1915.2
2023.8
1895.5
1503.3
1582.6

89.5
108.4
90.0
69.7
62.6

59.2
70.0
82.0
75.0
57.2

246.4
274.8
292.0
202.0
251.9

90.13
95.24
89.20
70.74
74.48

151.69
183.73
152.54
118.14
106.10

83.38
98.59
115.49
105.63
80.56

84.38
94.11
100.00
69.18
86.27

Universitas Sumatera Utara

93
Lampiran 2
Master Data
Cindi Cristiani
Wenda Simamora
Nursaifa Sinaga
Pani Afrida
Juli Siti
Ayu Lestari
Rina Andryana
Esperenza Sianturi
Rani Jambak
Masyati
Farida Nainggolan

17
17
17
18
18
19
17
17
19
18
18

41
65
42
47
57
54
41
55
49
36
45

Keterangan:
Umurk : Umur Kategori
BB
: Berat Badan
TB
: Tinggi Badan
IMT
: Indeks Massa Tubuh
IMTk : Indeks Massa Tubuh kategori
1 = kurus
2 = normal
3 = gemuk
4 = obesitas
TA
: Tubuh Aktual
1. Gambar 1
2. Gambar 2
3. Gambar 3
4. Gambar 4
5. Gambar 5
6. Gambar 6

149.0
147.5
150.0
156.0
145.5
152.5
154.5
162.5
159.0
151.0
152.5

BI

TI

-.9
2.4
-.9
-.7
1.6
.5
-1.4
.0
-.7
-2.2
-.7

2
4
2
2
3
2
2
2
2
1
2

1
1
1
1
1
2
1
1
2
2
2

: Body Image
1. Negatif
2. Positif
: Tubuh Ideal
1. Gambar 1
2. Gambar 2
3. Gambar 3
4. Gambar 4
5. Gambar 5

2
4
2
1
3
3
1
2
4
2
4

HT

PAR

4
2
2
2
2
2
2
2
3
3
3

4
2
2
2
2
2
2
2
3
3
3

1.55
1.46
1.68
1.42
1.48
1.66
1.56
1.42
1.44
1.49
1.45

: Harapan Tubuh
1. Gambar 1
2. Gambar 2
3. Gambar 3
4. Gambar 4
5. Gambar 5
: Physiscal Activity
Ratio

1
1
1
1
1
1
1
1
1
1
1

1777.8
2677.5
1916.5
1675.2
1955.0
1994.0
2330.8
1569.1
1945.7
1578.9
1649.2

PARk

KE
KP
KL
KK

89.0
116.9
79.6
101.1
96.1
92.1
90.9
90.1
68.2
67.8
78.6

72.7
113.5
77.6
66.7
67.6
69.0
99.1
79.7
55.1
63.4
45.0

: Physical Activity Ratio
1 = Ringan
2 = Sedang
3 = Berat
: Konsumsi Energi
: Konsumsi Protein
: Konsumsi Lemak
: Konsumsi Karbohidrat

286.6
343.5
299.0
324.6
330.5
298.0
362.6
285.6
290.8
205.5
270.1

83.66
126.00
90.19
78.83
92.00
93.84
109.68
73.84
91.56
74.30
77.61

PE
PP
PL
PK

150.85
198.14
134.92
171.36
162.88
156.10
154.07
152.71
115.59
114.92
133.22

102.39
159.86
109.30
93.94
95.21
97.18
139.58
112.25
77.61
89.30
63.38

98.15
117.64
102.40
111.16
113.18
102.05
124.18
97.81
99.59
70.38
92.50

: Perhitungan Energi
: Perhitungan Protein
: Perhitungan Lemak
: Perhitungan Karbohidrat

Universitas Sumatera Utara

94
Lampiran 2
Master Data
Nama

Ahyuni Pasaribu
Derita Sinaga
Eva Sihombing
Frischa Sitompu
Hotria Sihombin
Indah Simanjuntak
Khairani Hutabarat
Krityn Purba
Lasmaida Sianturi
Lela Sinaga
Mayanti Munthe
Melisa Siburian
Novriani Pandiangan
Pesta Hutajulu
Putri Sihombing
Putri Talaembanua
Renni Sihombing
Resiska Hutabarat
Shelly Situmeang
Wulan Sari
Yulia Sari Devi
Astuti Sriyani
Azizah Sriyani
Cintiya Pratiwi
Cintia Rosario
Epri Untung
Ernita Tambunan

Keb1

Keb2

Keb3

Keb4

Keb5

Keb6

Frek1

Frek2

Frek3

Frek4

JM

EK

PK

LK

PK

Total

Kebiasaan

2
3
2
2
3
2
3
3
3
1
3
2
1
2
2
2
2
2
2
2
3
2
3
3
3
3
3

1
1
3
1
2
2
1
1
3
1
2
3
3
3
3
3
1
3
1
2
3
3
3
3
2
3
2

3
3
2
1
3
2
3
3
1
3
2
2
1
3
1
3
2
3
3
1
3
3
3
2
3
3
2

3
3
3
2
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

3
2
2
1
2
2
3
3
2
3
3
2
3
2
2
2
2
2
3
3
2
3
3
2
3
3
1

2
3
2
3
1
2
2
2
2
2
2
2
1
3
2
2
3
3
3
2
2
3
3
3
3
2
3

2
3
2
2
2
2
2
3
2
3
2
2
2
2
2
2
3
3
2
2
2
3
3
3
2
3
2

2
2
2
1
2
2
2
2
2
3
3
2
2
2
2
2
2
2
2
2
2
2
3
2
2
2
2

2
1
2
1
1
2
2
2
2
1
0
2
2
2
2
1
2
2
2
1
2
2
1
3
2
2
2

2
2
2
0
2
2
2
3
2
2
2
1
2
2
2
2
2
2
3
2
2
3
3
0
2
2
2

2
2
2
1
2
1
1
2
1
2
1
1
2
1
1
1
1
2
1
1
2
1
1
1
1
2
1

2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

1
2
1
1
1
1
1
1
1
1
1
2
1
1
2
1
2
2
1
1
2
1
1
1
2
2
1

1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
2
1
1
2
1
1
1
1
1
1

2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

30.00
30.00
28.00
19.00
29.00
26.00
28.00
31.00
27.00
28.00
27.00
28.00
26.00
29.00
27.00
27.00
28.00
33.00
29.00
25.00
32.00
32.00
33.00
29.00
31.00
33.00
27.00

1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

Universitas Sumatera Utara

95
Lampiran 2
Master Data
Friska Yanti
Irma Hutasoit
Kristina Ayu
Lasmida Sianturi
Desi Puspita
Lenta Wa'a
Lina Yanti
Melati Lhut
Meriam Febrita
Rahayu Andini
Riris Hutabarat
Risti Hutagalung
Riswenti
Riski Oktaviani
Silfia Andini
Ruth
Susanti Novalina
Fransiska Mangaraja
Faleria Nurina
Yosephin Sitohang
Riani Gultom
Naomi Sirait
Sumiati Tampubolon
Desi Manalu
Santa Perika
Yulia Purba
Asi Marliana
Putri Simanjuntak

2
2
3
3
3
2
2
2
1
1
3
1
2
3
2
2
3
3
3
2
3
3
2
2
3
3
3
3

3
3
3
3
3
1
3
3
2
1
3
3
3
3
2
2
3
2
3
3
3
3
3
3
1
3
3
3

3
3
3
3
3
2
2
3
3
2
2
2
2
3
3
3
3
1
3
2
3
3
3
2
3
3
1
1

3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
2

2
3
3
2
3
2
2
3
2
2
3
2
2
3
2
2
2
3
2
3
2
2
3
2
2
3
2
2

2
3
2
3
2
3
1
3
2
3
2
2
3
2
2
2
2
2
2
3
2
2
2
3
3
2
2
3

2
2
2
2
3
2
2
3
2
2
2
2
2
3
2
2
3
2
2
2
2
3
3
2
3
3
3
2

2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
2
2
2
2
2
2
2
2

3
3
3
2
1
3
3
2
2
2
2
3
2
2
2
2
2
2
2
2
2
2
2
2
0
2
2
2

3
2
3
2
2
2
2
3
2
1
2
0
2
3
2
3
2
2
2
2
2
3
1
2
3
3
2
2

1
2
1
1
1
1
1
1
1
2
1
2
1
1
2
1
1
1
1
1
2
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1

2
2
1
1
1
1
1
1
2
1
2
1
2
1
2
1
1
1
2
1
1
2
1
1
2
1
1
2

1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
2
1
2
2
2
1
1
1
1
1
1
1

1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1

31.00
33.00
32.00
30.00
30.00
27.00
27.00
32.00
27.00
26.00
30.00
26.00
29.00
32.00
30.00
28.00
31.00
27.00
31.00
30.00
31.00
33.00
29.00
28.00
29.00
32.00
28.00
28.00

Universitas Sumatera Utara

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

96
Lampiran 2
Master Data
Sri Wati
Elfride Hutabarat
Elena Yulia
Hotdewi Pasaribu
Ussy Putri Sandi
Yustika Hutagalung
Ega Aprilia
Irma Megawati
Siti Fahria
Bella Muliani
Lauren Simanungkalit
Ruby Sigalingging
Minaria Gea
Widiartika Sipahutar
Juniar Melinda
Sara Hutauruk
Irma Yanti Pardede
Veronika Hutapea
Ewin Marianti Zebua
Elfriana Daya
Sisilia
Widia Wandasari
Ade Siregar
Gresia Sihotang
Cindi Cristiani
Wenda Simamora
Nursaifa Sinaga
Pani Afrida

2
3
3
2
1
3
3
3
2
2
2
1
1
2
2
2
3
2
2
2
1
3
1
3
2
3
3
2

3
1
3
1
1
1
3
1
3
2
3
3
1
3
3
2
3
3
2
1
1
3
1
3
1
3
3
3

3
3
3
3
2
3
3
1
2
2
3
3
2
3
3
2
3
3
2
2
1
3
1
3
3
2
3
3

2
3
3
3
3
3
3
3
3
3
3
2
1
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3

2
3
2
3
2
3
2
2
3
3
2
3
2
3
3
3
2
2
2
2
2
2
3
2
3
2
2
3

2
2
2
3
1
3
3
3
3
3
3
2
1
3
3
2
1
3
2
2
2
2
3
2
3
2
3
2

2
3
2
2
1
3
2
2
2
3
2
2
2
2
2
2
3
2
2
2
2
2
2
2
3
2
2
3

2
2
2
2
2
2
2
2
2
2
2
2
1
2
2
3
2
2
2
2
2
2
2
2
3
2
2
3

2
2
2
2
3
3
2
2
2
2
2
2
1
2
2
2
2
2
2
2
1
2
2
2
2
0
3
3

3
2
2
2
2
2
2
2
2
2
2
3
1
2
3
2
3
2
2
2
2
2
3
2
2
1
3
3

1
1
2
2
1
1
1
2
2
2
1
1
1
2
1
2
2
1
1
2
2
1
2
1
2
1
2
1

1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1

1
1
1
2
1
1
2
1
1
2
1
1
1
2
1
1
1
1
2
1
1
1
2
2
1
1
1
1

1
1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
2
1
1
1
1
1
2
1

1
1
1
1
1
1
1
1
1
1
1
2
1
1
2
1
2
1
1
1
2
1
1
1
1
1
1
1

28.00
29.00
30.00
30.00
23.00
31.00
31.00
27.00
30.00
31.00
29.00
29.00
19.00
33.00
32.00
29.00
32.00
29.00
27.00
26.00
25.00
30.00
28.00
30.00
31.00
25.00
34.00
33.00

Universitas Sumatera Utara

1
1
1
1
1
1
1
1
1
1
1
1
2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1

97
Lampiran 2
Master Data
Juli Siti
Ayu Lestari
Rina Andryana
Esperenza Sianturi
Rani Jambak
Masyati
Farida Nainggolan
Keterangan
:
Keb1 : Soal Kebiasaan 1
Total Skor Kebiasaan Makan
Keb2 : Soal Kebiasaan 2
Kebiasaan: Kebiasaan Makan
Keb3 : Soal Kebiasaan 3
Baik
Keb4 : Soal Kebiasaan 4
Kurang Baik
Keb5 : Soal Kebiasaan 5
Keb6 : Soal Kebiasaan 6

2
2
2
3
2
2
2

1
1
1
2
3
1
2

1
3
1
3
2
3
1

3
3
3
3
3
3
3

2
2
1
3
3
2
2

EK

3
3
2
3
3
2
2

2
3
2
2
2
3
2

2
2
2
2
2
2
2

: Energi Kategori

2
3
2
2
2
2
2

2
3
2
2
2
2
2

2
1
2
2
2
1
1

1
1
2
1
1
1
1

LK

: Lemak Kategori

1
1
1
1
2
1
1

Frek1

: Soal Frekuensi 1

Frek2

: Soal Frekuensi 2

1. Tidak Sesuai AKG

1. Tidak Sesuai AKG

Frek3

: Soal Frekuensi 3

2. Sesuai AKG

2. Sesuai AKG

Frek4

: Soal Frekuensi 4

JM

: Jenis Makanan
1. Tidak Beragam
2. Beragam

1
1
1
1
1
1
1

Total

1
1
2
1
1
1
1

26.00
30.00
26.00
31.00
31.00
27.00
25.00

:

1.
2.

PK

: Protein Kategori
1. Tidak Sesuai AKG
2. Sesuai AKG

KK

: Karbohidrat Kategori
1. Tidak Sesuai AKG
2. Sesuai AKG

Universitas Sumatera Utara

1
1
1
1
1
1
1

98

Lampiran 3
OUTPUT TABEL FREKUENSI
Umur

Valid

Missing
Total

14-16 Tahun
17-19 Tahun
Total
System

Frequency
40
50
90
2
92

Valid
Percent
44.4
55.6
100.0

Percent
43.5
54.3
97.8
2.2
100.0

Cumulative
Percent
44.4
100.0

Kebiasaan Makan

Valid

Missing
Total

Baik
Tidak Baik
Total
System

Frequency
87
2
89
3
92

Percent
94.6
2.2
96.7
3.3
100.0

Valid
Percent
97.8
2.2
100.0

Cumulative
Percent
97.8
100.0

Energi

Valid

Missing
Total

Tidak Sesuai AKG
Sesuai AKG
Total
System

Frequency
86
4
90
2
92

Percent
93.5
4.3
97.8
2.2
100.0

Valid
Percent
95.6
4.4
100.0

Cumulative
Percent
95.6
100.0

Valid
Percent
71.1
28.9
100.0

Cumulative
Percent
71.1
100.0

Protein

Valid

Missing
Total

Tidak Sesuai AKG
Sesuai AKG
Total
System

Frequency
64
26
90
2
92

Percent
69.6
28.3
97.8
2.2
100.0

Universitas Sumatera Utara

99

Lemak

Valid

Missing
Total

Tidak Sesuai AKG
Sesuai AKG
Total
System

Frequency
79
11
90
2
92

Percent
85.9
12.0
97.8
2.2
100.0

Valid
Percent
87.8
12.2
100.0

Cumulative
Percent
87.8
100.0

Karbohidrat

Valid

Missing
Total

Frequenc
y
Tidak Sesuai AKG 82
Sesuai AKG
8
Total
90
System
2
92

Percent
89.1
8.7
97.8
2.2
100.0

Valid
Percent
91.1
8.9
100.0

Cumulative
Percent
91.1
100.0

Aktivitas Fisik

Valid

Aktivitas
Ringan
Aktivitas
Sedang
Aktivitas Berat
Total
Missing System
Total

Frequenc
y

Percent

Valid
Percent

Cumulative
Percent

70

76.1

77.8

77.8

15

16.3

16.7

94.4

5
90
2
92

5.4
97.8
2.2
100.0

5.6
100.0

100.0

Universitas Sumatera Utara

100

Persepsi Tubuh

Valid

Missing
Total

1
2
3
4
5
6
Total
System

Frequency
5
30
31
15
7
2
90
2
92

Percent
5.4
32.6
33.7
16.3
7.6
2.2
97.8
2.2
100.0

Valid Percent
5.6
33.3
34.4
16.7
7.8
2.2
100.0

Cumulative
Percent
5.6
38.9
73.3
90.0
97.8
100.0

Body Image

Valid

Missing
Total

Negatif
Positif
Total
System

Frequency
51
39
90
2
92

Percent
55.4
42.4
97.8
2.2
100.0

Valid
Percent
56.7
43.3
100.0

Cumulative
Percent
56.7
100.0

Tubuh Ideal

Valid

Missing
Total

Gambar 1
Gambar 2
Gambar 3
Gambar 4
Gambar 5
Total
System

Frequency
3
39
42
5
1
90
2
92

Percent
3.3
42.4
45.7
5.4
1.1
97.8
2.2
100.0

Valid
Percent
3.3
43.3
46.7
5.6
1.1
100.0

Cumulative
Percent
3.3
46.7
93.3
98.9
100.0

Universitas Sumatera Utara

101

Status Gizi

Valid

Missing
Total

Kurus
Normal
Gemuk
Obesitas
Total
System

Frequency
5
67
13
5
90
2
92

Percent
5.4
72.8
14.1
5.4
97.8
2.2
100.0

Valid
Percent
5.6
74.4
14.4
5.6
100.0

Cumulative
Percent
5.6
80.0
94.4
100.0

Harapan Tubuh

Valid

Missing
Total

Gambar 1
Gambar 2
Gambar 3
Gambar 4
Gambar 5
Total
System

Frequency
1
42
41
4
2
90
2
92

Percent
1.1
45.7
44.6
4.3
2.2
97.8
2.2
100.0

Valid
Percent
1.1
46.7
45.6
4.4
2.2
100.0

Cumulative
Percent
1.1
47.8
93.3
97.8
100.0

Jenis Makanan

Valid

Missing
Total

Tidak Beragam
Beragam
Total
System

Frequency
58
32
90
2
92

Percent
63.0
34.8
97.8
2.2
100.0

Valid
Percent
64.4
35.6
100.0

Cumulative
Percent
64.4
100.0

Universitas Sumatera Utara

102

OUTPUT TABULASI SILANG ANTAR VARIABEL
Body Image * Kebiasaan Makan Crosstabulation

Body Image

Negatif

Count
% within BodyImage
% within TotalK
% of Total
Count
% within BodyImage
% within TotalK
% of Total
Count
% within BodyImage
% within TotalK
% of Total

Positif

Total

Kebiasaan Makan
Kurang Baik
Baik (>- 23,5) (23,5)
51
100.0%
56.7%
56.7%
39
100.0%
43.3%
43.3%
90
100.0%
100.0%
100.0%

Chi-Square Tests

Value
.037(b)

df
1

Asymp. Sig.
(2-sided)
.847

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Pearson Chi-Square
Continuity
.000
1
1.000
Correction(a)
Likelihood Ratio
.037
1
.848
Fisher's Exact Test
1.000
.682
Linear-by-Linear
.037
1
.848
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 2 cells (50.0%) have expected count less than 5. The minimum expected count is .87.

Universitas Sumatera Utara

103

Body Image * Jenis Makanan Crosstabulation

Body Image

Negatif

Positif

Total

Count
% within BodyImage
% within JM
% of Total
Count
% within BodyImage
% within JM
% of Total
Count
% within BodyImage
% within JM
% of Total

Jenis Makanan
Tidak
Beragam
Beragam
32
19
62.7%
37.3%
55.2%
59.4%
35.6%
21.1%
26
13
66.7%
33.3%
44.8%
40.6%
28.9%
14.4%
58
32
64.4%
35.6%
100.0%
100.0%
64.4%
35.6%

Total
Tidak
Beragam
51
100.0%
56.7%
56.7%
39
100.0%
43.3%
43.3%
90
100.0%
100.0%
100.0%

Chi-Square Tests

Value
.148(b)

df
1

Asymp. Sig.
(2-sided)
.700

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Pearson Chi-Square
Continuity
.027
1
.871
Correction(a)
Likelihood Ratio
.149
1
.700
Fisher's Exact Test
.825
.436
Linear-by-Linear
.147
1
.702
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 0 cells (.0%) have expected count less than 5. The minimum expected count is 13.87.

Universitas Sumatera Utara

104

Body Image * Konsumsi Energi Crosstabulation

BodyImage Negatif Count
Expected Count
% within
BodyImage
% within Ekategori
% of Total
Positif Count
Expected Count
% within
BodyImage
% within Ekategori
% of Total
Total
Count
Expected Count
% within
BodyImage
% within Ekategori
% of Total

Ekategori
Tidak Sesuai
AKG
Sesuai AKG
49
2
48.7
2.3

Total
Tidak Sesuai
AKG
51
51.0

96.1%

3.9%

100.0%

57.0%
54.4%
37
37.3

50.0%
2.2%
2
1.7

56.7%
56.7%
39
39.0

94.9%

5.1%

100.0%

43.0%
41.1%
86
86.0

50.0%
2.2%
4
4.0

43.3%
43.3%
90
90.0

95.6%

4.4%

100.0%

100.0%
95.6%

100.0%
4.4%

100.0%
100.0%

Chi-Square Tests

Value
.076(b)

df
1

Asymp. Sig.
(2-sided)
.783

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Pearson Chi-Square
Continuity
.000
1
1.000
Correction(a)
Likelihood Ratio
.075
1
.784
Fisher's Exact Test
1.000
.584
Linear-by-Linear
.075
1
.784
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 2 cells (50.0%) have expected count less than 5. The minimum expected count is 1.73.

Body Image * Konsumsi Protein Crosstabulation

Universitas Sumatera Utara

105

Crosstab

BodyImage Negatif Count
Expected Count
% within
BodyImage
% within Pkategori
% of Total
Positif Count
Expected Count
% within
BodyImage
% within Pkategori
% of Total
Total
Count
Expected Count
% within
BodyImage
% within Pkategori
% of Total

Pkategori
Tidak Sesuai
AKG
Sesuai AKG
34
17
36.3
14.7

Total
Tidak Sesuai
AKG
51
51.0

66.7%

33.3%

100.0%

53.1%
37.8%
30
27.7

65.4%
18.9%
9
11.3

56.7%
56.7%
39
39.0

76.9%

23.1%

100.0%

46.9%
33.3%
64
64.0

34.6%
10.0%
26
26.0

43.3%
43.3%
90
90.0

71.1%

28.9%

100.0%

100.0%
71.1%

100.0%
28.9%

100.0%
100.0%

Chi-Square Tests

Value

df

Asymp. Sig.
(2-sided)

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Pearson Chi1.132(b) 1
.287
Square
Continuity
.687
1
.407
Correction(a)
Likelihood Ratio
1.147
1
.284
Fisher's Exact Test
.351
.204
Linear-by-Linear
1.119
1
.290
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 0 cells (.0%) have expected count less than 5. The minimum expected count is 11.27.

Universitas Sumatera Utara

106

Body Image * Konsumsi Lemak Crosstabulation
Crosstab

BodyImage Negatif Count
Expected Count
% within
BodyImage
% within Lkategori
% of Total
Positif Count
Expected Count
% within
BodyImage
% within Lkategori
% of Total
Total
Count
Expected Count
% within
BodyImage
% within Lkategori
% of Total

Lkategori
Tidak Sesuai
AKG
Sesuai AKG
42
9
44.8
6.2

Total
Tidak Sesuai
AKG
51
51.0

82.4%

17.6%

100.0%

53.2%
46.7%
37
34.2

81.8%
10.0%
2
4.8

56.7%
56.7%
39
39.0

94.9%

5.1%

100.0%

46.8%
41.1%
79
79.0

18.2%
2.2%
11
11.0

43.3%
43.3%
90
90.0

87.8%

12.2%

100.0%

100.0%
87.8%

100.0%
12.2%

100.0%
100.0%

Chi-Square Tests
Asymp. Sig.
(2-sided)
.072

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Value
df
Pearson Chi-Square 3.228(b) 1
Continuity
2.167
1
.141
Correction(a)
Likelihood Ratio
3.530
1
.060
Fisher's Exact Test
.105
.067
Linear-by-Linear
3.193
1
.074
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 1 cells (25.0%) have expected count less than 5. The minimum expected count is 4.77.

Universitas Sumatera Utara

107

Body Image * Konsumsi Karbohidrat Crosstabulation
Crosstab

BodyImage Negatif Count
Expected Count
% within
BodyImage
% within Kkategori
% of Total
Positif Count
Expected Count
% within
BodyImage
% within Kkategori
% of Total
Total
Count
Expected Count
% within
BodyImage
% within Kkategori
% of Total

Kkategori
Tidak Sesuai
AKG
Sesuai AKG
47
4
46.5
4.5

Total
Tidak Sesuai
AKG
51
51.0

92.2%

7.8%

100.0%

57.3%
52.2%
35
35.5

50.0%
4.4%
4
3.5

56.7%
56.7%
39
39.0

89.7%

10.3%

100.0%

42.7%
38.9%
82
82.0

50.0%
4.4%
8
8.0

43.3%
43.3%
90
90.0

91.1%

8.9%

100.0%

100.0%
91.1%

100.0%
8.9%

100.0%
100.0%

Chi-Square Tests
Asymp. Sig.
(2-sided)
.690

Exact Sig.
(2-sided)

Exact Sig.
(1-sided)

Value
df
Pearson Chi-Square .159(b)
1
Continuity
.001
1
.980
Correction(a)
Likelihood Ratio
.158
1
.691
Fisher's Exact Test
.723
.484
Linear-by-Linear
.157
1
.692
Association
N of Valid Cases
90
a Computed only for a 2x2 table
b 2 cells (50.0%) have expected count less than 5. The minimum expected count is 3.47.

Universitas Sumatera Utara

108

Body Image * Aktivitas Fisik Crosstabulation
Count

Body Image

Negatif
Positif

Total

Aktivitas Fisik
Aktivitas
Ringan
39
31
70

Aktivitas
Sedang
10
5
15

Total
Aktivitas
Ringan
51
39
90

Aktivitas Berat
2
3
5

Chi-Square Tests

Pearson Chi-Square
Likelihood Ratio
Linear-by-Linear
Association
N of Valid Cases

Value
1.202(a)
1.212

df
2
2

Asymp. Sig.
(2-sided)
.548
.546

.004

1

.950

90

a 2 cells (33.3%) have expected count less than 5. The minimum expected count is 2.17.

Kebiasaan Makan * Status Gizi Crosstabulation

Kebiasaan
Makan

Baik (>- 22)

Kurang Baik
(