ADHITYA PRADANA 22010110120064 BAB 8 KTI

66

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LAMPIRAN

Lampiran 1

75

76

Lampiran 2

76

77

Lampiran 3

PERNYATAAN KESEDIAAN MENJADI SUBJEK PENELITIAN
(INFORMED CONSENT)
Yang bertanda tangan di bawah ini, saya :
Nama

:

Umur/TTL

:

Alamat

:

No. Handphone

:

Bersedia dan mau berpartisipasi menjadi subjek penelitian yang berjudul
“Hubungan antara Indeks Massa Tubuh (IMT) dengan Nilai Lemak Viseral (Studi
Kasus pada Mahasiswa Kedokteran Undip )” yang dilakukan oleh:
Nama

:Adhitya Pradana

Instansi

:Program Studi Fakultas
Diponegoro Semarang

Kedokteran

Universitas

Demikian pernyataan ini saya buat dengan sesungguhnya tanpa ada
paksaan dari siapapun.

Mengetahui

Semarang,

Peneliti

2014

Subjek penelitian

(Adhitya Pradana)

(

77

)

78

Lampiran 4

Penjelasan mengenai penelitian dengan judul:
HUBUNGAN ANTARA INDEKS MASSA TUBUH (IMT) DENGAN NILAI
LEMAK VISERAL
(Studi kasus pada mahasiswa kedokteran Undip)

Saya (Adhitya Pradana) sedang melakukan penelitian dengan judul
“Hubungan Antara Indeks Massa Tubuh (IMT) dengan Nilai Lemak Viseral
(Studi kasus pada mahasiswa kedokteran Undip)”, maka saya sebagai peneliti
memohon kesediaan Saudara/Saudari untuk menjadi subjek penelitian dalam
kegiatan penelitian ini. Penelitian ini bertujuan untuk mencari dan menganalisis
hubungan antara IMT dengan nilai lemak viseral pada mahasiswa kedokteran
Undip.
Metode penelitian
Apabila Saudara/Saudari setuju berpartisipasi dalam penelitian ini, saya
akan melakukan beberapa pengukuran diantaranya :
1. Pengisisan data subjek penelitian.
2. Pengukuran lemak viseral menggunakan Tanita BC-601 yang berbasis
metode bioelectrical impedance analysis (BIA).
3. Indeks massa tubuh (IMT) melalui pengukuran berat badan dan tinggi
badan.
4. Pengisian kuesioner meliputi kebiasaan merokok, kebiasaan konsumsi
alkolhol, kebiasaan konsumsi makanan berlemak dan aktifitas
fisik(olahraga).
5. Waktu pemerikssaan kurang lebih 15 menit.

Manfaat yang akan diperoleh adalah dapat mengetahui hubungan antara
IMT dengan nilai lemak viseral, sehingga dapat digunakan sebagai informasi
mengenai IMT sebagai indikator untuk prediktor lemak viseral, serta sebagai
landasan untuk penelitian selanjutnya mengenai lemak viseral. Tidak ada efek
samping dan risiko yang merugikan pada pemeriksaan penelitian ini.

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79

Semua keterangan yang diperoleh dari penelitian ini akan diperlakukan
secara rahasia. Saudara berhak menolak ikut serta dalam penelitian ini dan berhak
mengundurkan diri selama penelitian berlangsung. Selama penelitian Saudara
tidak dibebani biaya apapun, tetapi harus mengisi surat persetujuan mengikuti
penelitian.

Peneliti,

(Adhitya Pradana)

79

80

Lampiran 5
KUESIONER
HUBUNGAN ANTARA INDEKS MASSA TUBUH (IMT) DENGAN NILAI
LEMAK VISERAL
( Studi Kasus Pada Mahasiswa Kedokteran Undip )
Identitas subjek penelitian
1. Nama

:

2. Jenis kelamin

:

3. Umur

:

Data pengukuran Antropometri
1. Tinggi badan

:

2. Berat badan

:

3. IMT

:

4. Nilai lemak viseral

:

Data kelengkapan
1. Apakah anda perokok?

Ya / Tidak

2. Berapa batang rokok sehari yang dihabiskan?

Sebutkan: ...............

3. Apakah rutin melakukan aktivitas seperti olahraga? Ya / Kadang / Tidak
4. Berapa sering olahraga perminggu?
5. Berapa menit setiap kali melakukan olahraga?

Kuesioner Kebiasaan konsumsi alkohol
>1 x
sehari

1x
sehari

Berapa Kali Konsumsi Per
4-6 x /
3x/
1-2 x /
minggu minggu minggu

Alkohol

80

< 1x /
minggu

Tidak
pernah

81

Kuesioner Frekuensi Makan
Makanan
berlemak

>1 x
sehari

1x
sehari

Berapa Kali Konsumsi Per
4-6 x /
3x/
1-2 x /
minggu minggu minggu

Jeroan
(usus,
babat,
paru)
Daging
ayam
dengan
kulit
Telur
ayam
Susu full
cream
Keju
Alpukat
Minyak
goreng
Minyak
ikan
Santan
Minyak
sayur
Mentega/
margarin
Daging
kerbau/
sapi
Daging
kambing
Telur
bebek
Daging
bebek
Lain-lain
.................

81

< 1x /
minggu

Tidak
pernah

82

Lampiran 6
BUKU PETUNJUK INNER SCAN TANITA BC-601
MONITOR LEMAK TUBUH / TIMBANGAN
a. Pemrograman Umum
Alat akan menuntun anda dalam pengaturan. Tampilan akan menunjukkan
menu-menu utama dan alat akan berbunyi tiap kali langkah-langkah telah
dilaksanakan. Gunakan tombol naik atau turun (Up/down) untuk memilih
nomor data pribadi. Gunakan tombol set untuk menyimpan data.
b. Pilih nomor data pribadi
Nomor data pribadi menyimpan data-data pribadi dan gunakan tombol
naik atau turun (up/down) untuk memilih umur. Tekan set.
c. Pilih Pria atau Wanita (Male atau Female)
Pria dan Wanita. Standar atau atlet dewasa (baca definisinya dalam buku
manual)
d. Gunakan tombol naik atau turun (up/down) untuk menentukan tinggi
badan. Tekan set.
e. Alat akan berbunyi dua kali dan layar akan menampilkan data tiga kali
untuk konfirmasi pemrograman. Power kemudian akan mati secara
otomatis.
f. Lakukan pengukuran
Setelah memprogram data pribadi, anda melakukan pengukuran.
Tekan tombol tanda panah “Up” untuk mengaktifkan alat.
Tekan tombol tanda panah “Up”/Down untuk memilih nomor data pribadi.
Tekan tombol set. Alat akan menyala dan naiklah ke atas pijakan.
g. Berat tubuh akan muncul dahulu .Teruskan berdiri di atas timbangan .
Hasil pengukuran akan ditampilkan secara bergantian sebanyak 3 kali.
h. Pahami hasil pengukuran
Monitor lemak tubuh anada secara otomatis membandingkan hasil
pengukuran lemak tubuh dengan batas lemak tubuh sehat.
Peringatan
Jangan gunakan fitur pengukuran kadar lemak tubuh alat ini jika anda
sedang menggunakan alat pemacu jantung atau alat elektronik yang dicangkok
ke dalam tubuh

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83

Lampiran 7
 Hasil crosstabulasi

Indeks Massa Tubuh * Nilai Lemak Viseral
Crosstab
Nilai Lemak Viseral
Berlebih
Indeks Massa
Tubuh

Overweight

Count

Normal

25

2,5

22,5

25,0

75,0%

26,4%

31,3%

2

53

55

5,5

49,5

55,0

25,0%

73,6%

68,8%

8

72

80

8,0

72,0

80,0

100,0%

100,0%

100,0%

Expected Count

Total

Count
Expected Count
% within Nilai
Lemak Viseral

Berlebih
19

Count
% within Nilai
Lemak Viseral

Sehat
6

Expected Count
% within Nilai
Lemak Viseral

Total

Chi-Square Tests

Pearson Chi-Square

1

Asymp. Sig.
(2-sided)
,005

5,818

1

,016

7,276

1

,007

Value
7,919(b)

Continuity
Correction(a)
Likelihood Ratio

df

Exact Sig.
(2-sided)

Fisher's Exact Test

Exact Sig.
(1-sided)

,010

Linear-by-Linear
Association

7,820

N of Valid Cases

80

1

,010

,005

a Computed only for a 2x2 table
b 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,50.
Symmetric Measures

Ordinal by Ordinal
Interval by Interval

Value
,787

Asymp.
Std.
Error(a)
,164

Approx.
T(b)
2,239

Approx. Sig.
,025

Spearman Correlation

,315

,114

2,927

,004(c)

Pearson's R

,315

,114

2,927

,004(c)

Gamma

N of Valid Cases

80
a Not assuming the null hypothesis.
b Using the asymptotic standard error assuming the null hypothesis.
c Based on normal approximation.

83

84

Jenis kelamin * Nilai Lemak Viseral
Crosstab
Nilai Lemak Viseral
Berlebih
Jenis kelamin

Laki-laki

Count

Perempuan

39

45

40,5

45,0

75,0%

54,2%

56,3%

2

33

35

3,5

31,5

35,0

25,0%

45,8%

43,8%

Expected Count

Total

Count

8

72

80

8,0

72,0

80,0

100,0%

100,0%

100,0%

Expected Count
% within Nilai
Lemak Viseral

Berlebih

6

Count
% within Nilai
Lemak Viseral

Sehat

4,5

Expected Count
% within Nilai
Lemak Viseral

Total

Chi-Square Tests

Value
Pearson Chi-Square

Asymp. Sig.
(2-sided)

df

1,270(b)

1

,260

,564

1

,453

1,340

1

,247

Continuity
Correction(a)
Likelihood Ratio

Exact Sig.
(2-sided)

Fisher's Exact Test

Exact Sig.
(1-sided)

,455

Linear-by-Linear
Association

1,254

N of Valid Cases

80

1

,229

,263

a Computed only for a 2x2 table
b 2 cells (50,0%) have expected count less than 5. The minimum expected count is 3,50.
Symmetric Measures

Ordinal by Ordinal
Interval by Interval

Value
,435

Asymp.
Std.
Error(a)
,345

Approx.
T(b)
1,188

Approx. Sig.
,235

Spearman Correlation

,126

,101

1,122

,265(c)

Pearson's R

,126

,101

1,122

,265(c)

Gamma

N of Valid Cases

80
a Not assuming the null hypothesis.
b Using the asymptotic standard error assuming the null hypothesis.
c Based on normal approximation.

84

85

Kebiasaan merokok * Nilai Lemak Viseral
Crosstab
Nilai Lemak Viseral
Berlebih
Kebiasaan
merokok

Merokok

Berlebih

2

3

5

Expected Count

,5

4,5

5,0

25,0%

4,2%

6,3%

Count

6

69

75

7,5

67,5

75,0

75,0%

95,8%

93,8%

Expected Count
% within Nilai
Lemak Viseral
Total

Sehat

Count
% within Nilai
Lemak Viseral

Tidak Merokok

Total

Count

8

72

80

8,0

72,0

80,0

100,0%

100,0%

100,0%

Expected Count
% within Nilai
Lemak Viseral

Chi-Square Tests

Value
Pearson Chi-Square

Asymp. Sig.
(2-sided)

df

5,333(b)

1

,021

2,370

1

,124

3,468

1

,063

Continuity
Correction(a)
Likelihood Ratio

Exact Sig.
(2-sided)

Fisher's Exact Test

Exact Sig.
(1-sided)

,076

Linear-by-Linear
Association

5,267

N of Valid Cases

80

1

,076

,022

a Computed only for a 2x2 table
b 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,50.
Symmetric Measures

Ordinal by Ordinal
Interval by Interval

Value
,769

Asymp.
Std.
Error(a)
,206

Approx.
T(b)
1,248

Approx. Sig.
,212

Spearman Correlation

,258

,177

2,360

,021(c)

Pearson's R

,258

,177

2,360

,021(c)

Gamma

N of Valid Cases

80
a Not assuming the null hypothesis.
b Using the asymptotic standard error assuming the null hypothesis.
c Based on normal approximation.

85

86

Kebiasaan konsumsi makanan berlemak * Nilai Lemak
Viseral
Crosstab
Nilai Lemak Viseral
Berlebih
Kebiasaan konsumsi
makanan berlemak

Sering dikonsumsi

Count
Expected Count
% within Nilai
Lemak Viseral

Jarang dikonsumsi

Sehat

Berlebih

7

70

77

7,7

69,3

77,0

87,5%

97,2%

96,3%

Count

1

2

3

Expected Count

,3

2,7

3,0

12,5%

2,8%

3,8%

% within Nilai
Lemak Viseral
Total

Total

Count
Expected Count
% within Nilai
Lemak Viseral

8

72

80

8,0

72,0

80,0

100,0%

100,0%

100,0%

Chi-Square Tests

Value
Pearson Chi-Square

Asymp. Sig.
(2-sided)

df

1,886(b)

1

,170

,154

1

,695

1,280

1

,258

Continuity
Correction(a)
Likelihood Ratio

Exact Sig.
(2-sided)

Fisher's Exact Test

Exact Sig.
(1-sided)

,274

Linear-by-Linear
Association

1,862

N of Valid Cases

80

1

,274

,172

a Computed only for a 2x2 table
b 2 cells (50,0%) have expected count less than 5. The minimum expected count is ,30.
Symmetric Measures
Asymp.
Std.
Error(a)

Value
Ordinal by Ordinal
Interval by Interval

Approx.
T(b)

Approx. Sig.

Gamma

-,667

,358

-,797

,426

Spearman Correlation

-,154

,175

-1,372

,174(c)

Pearson's R

-,154

,175

-1,372

,174(c)

N of Valid Cases

80

a Not assuming the null hypothesis.
b Using the asymptotic standard error assuming the null hypothesis.
c Based on normal approximation.

86

87

Aktifitas fisik * Nilai Lemak Viseral
Crosstab
Nilai Lemak Viseral
Berlebih
Aktifitas
fisik

Kurang

Count

Cukup

48

52

46,8

52,0

50,0%

66,7%

65,0%

4

24

28

2,8

25,2

28,0

50,0%

33,3%

35,0%

Expected Count

Total

Count

8

72

80

8,0

72,0

80,0

100,0%

100,0%

100,0%

Expected Count
% within Nilai
Lemak Viseral

Berlebih

4

Count
% within Nilai
Lemak Viseral

Sehat

5,2

Expected Count
% within Nilai
Lemak Viseral

Total

Chi-Square Tests

Value
Pearson Chi-Square

Asymp. Sig.
(2-sided)

df

,879(b)

1

,348

,299

1

,584

,843

1

,359

Continuity
Correction(a)
Likelihood Ratio

Exact Sig.
(2-sided)

Fisher's Exact Test

Exact Sig.
(1-sided)

,441

Linear-by-Linear
Association

,868

N of Valid Cases

80

1

,286

,351

a Computed only for a 2x2 table
b 1 cells (25,0%) have expected count less than 5. The minimum expected count is 2,80.
Symmetric Measures

Ordinal by Ordinal
Interval by Interval

Value
-,333

Asymp.
Std.
Error(a)
,333

Approx.
T(b)
-,869

Approx. Sig.
,385

Spearman Correlation

-,105

,117

-,931

,355(c)

Pearson's R

-,105

,117

-,931

,355(c)

Gamma

N of Valid Cases

80
a Not assuming the null hypothesis.
b Using the asymptotic standard error assuming the null hypothesis.
c Based on normal approximation.

87

88

 Diskriptif nilai lemak viseral menurut jenis kelamin
Descriptives

Nilai lemak viseral

JK
Laki-laki

Statistic
5,78

Mean
Median

5,00

Variance

20,586

Std. Deviation

Perempuan

Std. Error
,676

4,537

Minimum

1

Maximum

18

Range

17

Mean

3,40

Median

3,00

Variance

9,424

Std. Deviation

3,070

Minimum

1

Maximum

13

Range

12

,519

 Uji normalitas pada nilai lemak viseral menurut jenis kelamin

Tests of Normality
Kolmogorov-Smirnov(a)
JK
Laki-laki

Statistic

Perempuan

df

Shapiro-Wilk

Sig.

Statistic

df

Sig.

,165

45

,004

,889

45

,000

,238

35

,000

,750

35

,000

a Lilliefors Significance Correction
Test of Homogeneity of Variance
Levene
Statistic
Nilai lemak viseral

df1

df2

Sig.

Based on Mean

6,387

1

78

,014

Based on Median

5,959

1

78

,017

Based on Median and with
adjusted df

5,959

1

74,323

,017

Based on trimmed mean

6,846

1

78

,011

88

89

 Perbedaan Nilai lemak viseral

Uji Mann-Whitney Test
Ranks

Nilai lemak viseral

JK
Laki-laki

N

Mean Rank

Sum of Ranks

45

45,84

2063,00

Perempuan

35

33,63

1177,00

Total

80

Test Statistics(a)
Nilai lemak
viseral
547,000

Mann-Whitney U
Wilcoxon W

1177,000

Z

-2,379

Asymp. Sig. (2-tailed)

,017

a Grouping Variable: JK

Frequencies
Statistics

N

Valid
Missing

Mean
Median

Nilai lemak
viseral
80

Indeks massa
tubuh
80

BR
80

0

0

0

4,74

22,3737

,55

4,00

21,6000

,00

4,115

4,38815

2,894

Minimum

1

16,20

0

Maximum

18

40,60

22

Std. Deviation

89

90

 Uji Multivariat

Logistic Regression
Categorical Variables Codings

Kebiasaan
merokok

Frequency

Parameter
coding

(1)

(1)

Merokok
Tidak Merokok

Indeks Massa
Tubuh

Overweight
Normal

5

1,000

75

,000

25

1,000

55

,000

Classification Table(a,b)
Observed

Predicted
Percentage
Correct

Nilai Lemak Viseral
Berlebih
Step 0

Nilai Lemak Viseral

Sehat

Berlebih

Berlebih

0

8

,0

Sehat

0

72

100,0

Overall Percentage

90,0

a Constant is included in the model.
b The cut value is ,500
Variables in the Equation

Step 0

B
2,197

Constant

S.E.
,373

Wald
34,760

df
1

Sig.
,000

1

Sig.
,005

Variables not in the Equation

Step 0

Variables

IMT(1)

Score
7,919

KM(1)

5,333

1

,021

12,649

2

,002

Overall Statistics

Omnibus Tests of Model Coefficients
Chi-square
Step 1

df

Sig.

Step

10,665

2

,005

Block

10,665

2

,005

Model

10,665

2

,005

90

df

Exp(B)
9,000

91

Model Summary
-2 Log
likelihood

Step
1

Cox & Snell
R Square

Nagelkerke R
Square

41,348(a)
,125
,261
a Estimation terminated at iteration number 6 because parameter estimates changed by less than
,001.
Hosmer and Lemeshow Test
Step
1

Chi-square
,157

Df

Sig.
,692

1

Contingency Table for Hosmer and Lemeshow Test
Nilai Lemak Viseral =
Berlebih
Observed
Step 1

Nilai Lemak Viseral =
Sehat

Expected

Observed

Expected

Total
Observed

1

2

2,000

3

3,000

5

2

5

4,606

18

18,394

23

3

1

1,394

51

50,606

52

Classification Table(a)
Observed

Predicted
Percentage
Correct

Nilai Lemak Viseral
Berlebih
Step 1

Nilai Lemak Viseral

Sehat

Berlebih

Berlebih

1

7

12,5

Sehat

1

71

98,6

Overall Percentage

90,0

a The cut value is ,500
Variables in the Equation
B
Step
1(a)

S.E.

IMT(1)

-2,207

,906

KM(1)

-2,218
3,592

Constant

Wald

df

Sig.

Exp(B)

5,928

1

,015

1,166

3,617

1

,057

,109

,798

20,244

1

,000

36,301

a Variable(s) entered on step 1: IMT, KM.

91

,110

92

Lampiran 8

Pelaksanaan penelitian

Tanita BC-601

92

93

Lampiran 9

Biodata Mahasiswa
Nama

: Adhitya Pradana

NIM

: 22010110120064

Tempat/tanggal lahir : Cilacap / 4 Juli 1992
Jenis kelamin

: Laki-laki

Alamat

: Jl. H Agus Salim 18 Yogyakarta

Nomor Telepon

:-

Nomor HP

: 081392142470

e-mail

: adh1tya064@yahoo.com

Riwayat Pendidikan Formal
1. SD

: SD N NGABEAN I Yogyakarta

2. SMP

: SMP N 8 Yogyakarta

3. SMA

: SMA N 1 Yogyakarta

4. FK UNDIP

: Masuk tahun 2010

93