Gambaran Kebiasaan Konsumsi Makanan Cepat Saji (Fast Food), Aktivitas Fisik dan Status Gizi Pada Remaja SMA Negeri 1 Padangsidimpuan

KUISIONER
Gambaran Kebiasaan Konsumsi Makanan Cepat Saji (Fast Food), Aktivitas
Fisik dan Status Gizi pada Remaja di SMA Negeri 1 Padangsidimpuan
1. Identitas Responden:

Nama
Kelas
Jenis Kelamin
Tanggal Lahir
Berat Badan
Tinggi Badan

:
:
:
:
:
:

FORMULIR FOOD FREQUENCY MAKANAN CEPAT SAJI
SISWA/SISWI SMA NEGERI 1 PADANGSIDIMPUAN

Berilah tanda checklist (√) pada jenis makanan dan frekuensi kosumsi makanan
tersebut.
No

Nama Makanan

1
2
3
4
5
6
7
8
9
10
11
12
13


Fried Chicken
Hamburger
Pizza
Spaghetti
French Fries
Mie Instant
Bakso
Gado-gado
Pecal
Gorengan
Minuman Bersoda
Nugget
Sosis

Tidak Pernah

1-3x/hari

3-5x/minggu


1-2x/bulan

Universitas Sumatera Utara

FORMULIR RECALL SISWA/SISWI SMA NEGERI 1
PADANGSIDIMPUAN
Nama Responden

:

Bahan Makanan
Waktu
Makan

Nama Makanan

Banyaknya
Jenis
URT


Gram

Pagi/jam

Siang /jam

Malam/jam

Universitas Sumatera Utara

FORMULIR RECALL AKTIVITAS FISIK SISWA/SISWI SMA NEGERI 1
PADANGSIDIMPUAN
Nama

:

Kelas

:


No

Aktivitas Fisik

Waktu (lama)

Universitas Sumatera Utara

Universitas Sumatera Utara

Universitas Sumatera Utara

Universitas Sumatera Utara

Output Data

Frequencies
Umur (tahun)
Cumulative
Frequency

Valid

Percent

Valid Percent

Percent

15

26

29.9

29.9

29.9

16


40

46.0

46.0

75.9

17

18

20.7

20.7

96.6

18


3

3.4

3.4

100.0

87

100.0

100.0

Total

Jenis Kelamin
Cumulative
Frequency
Valid


Percent

Valid Percent

Percent

Laki-laki

48

55.2

55.2

55.2

Perempuan

39


44.8

44.8

100.0

Total

87

100.0

100.0

Fried Chicken
Cumulative
Frequency
Valid


Percent

Valid Percent

Percent

Jarang

46

52.9

52.9

52.9

Sering

41

47.1

47.1

100.0

Total

87

100.0

100.0

Hamburger
Cumulative
Frequency
Valid

Tidak Pernah

23

Percent
26.4

Valid Percent
26.4

Percent
26.4

Universitas Sumatera Utara

Jarang

36

41.4

41.4

67.8

Sering

28

32.2

32.2

100.0

Total

87

100.0

100.0

Pizza
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

57

65.5

65.5

65.5

Jarang

30

34.5

34.5

100.0

Total

87

100.0

100.0

Spaghetti
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

48

55.2

55.2

55.2

Jarang

36

41.4

41.4

96.6

Sering

3

3.4

3.4

100.0

87

100.0

100.0

Total

French Fries
Cumulative
Frequency
Valid

Tidak Pernah

Percent

Valid Percent

Percent

6

6.9

6.9

6.9

Jarang

51

58.6

58.6

65.5

Sering

30

34.5

34.5

100.0

Total

87

100.0

100.0

Mie Instant
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

39

44.8

44.8

44.8

Jarang

46

52.9

52.9

97.7

Universitas Sumatera Utara

Sering
Total

2

2.3

2.3

87

100.0

100.0

100.0

Bakso
Cumulative
Frequency
Valid

Tidak Pernah

Percent

Valid Percent

Percent

5

5.7

5.7

5.7

Jarang

40

46.0

46.0

51.7

Sering

42

48.3

48.3

100.0

Total

87

100.0

100.0

Gado-gado
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

45

51.7

51.7

51.7

Jarang

42

48.3

48.3

100.0

Total

87

100.0

100.0

Pecal
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

21

24.1

24.1

24.1

Jarang

64

73.6

73.6

97.7

Sering

2

2.3

2.3

100.0

87

100.0

100.0

Total

Gorengan
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Jarang

30

34.5

34.5

34.5

Sering

52

59.8

59.8

94.3

Universitas Sumatera Utara

Selalu

5

5.7

5.7

Total

87

100.0

100.0

100.0

Minuman soda
Cumulative
Frequency
Valid

Tidak Pernah

Percent

Valid Percent

Percent

3

3.4

3.4

3.4

Jarang

45

51.7

51.7

55.2

Sering

39

44.8

44.8

100.0

Total

87

100.0

100.0

Nugget
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

51

58.6

58.6

58.6

Jarang

27

31.0

31.0

89.7

Sering

9

10.3

10.3

100.0

87

100.0

100.0

Total

Sosis
Cumulative
Frequency
Valid

Percent

Valid Percent

Percent

Tidak Pernah

50

57.5

57.5

57.5

Jarang

32

36.8

36.8

94.3

Sering

5

5.7

5.7

100.0

87

100.0

100.0

Total

Kategori Konsumsi Energi
Cumulative
Frequency
Valid

Kurang

15

Percent
17.2

Valid Percent
17.2

Percent
17.2

Universitas Sumatera Utara

Baik

63

72.4

72.4

89.7

Lebih

9

10.3

10.3

100.0

Total

87

100.0

100.0

Kategori Konsumsi Protein
Frequency
Valid

Percent

Valid Percent

Cumulative Percent

Baik

64

73.6

73.6

73.6

Lebih

23

26.4

26.4

100.0

Total

87

100.0

100.0

Kategori Konsumsi Lemak
Frequency
Valid

Percent

Valid Percent

Cumulative Percent

Kurang

12

13.8

13.8

13.8

Baik

62

71.3

71.3

85.1

Lebih

13

14.9

14.9

100.0

Total

87

100.0

100.0

Kategori Konsumsi Karbohidrat
Frequency
Valid

Percent

Valid Percent

Cumulative Percent

Kurang

24

27.6

27.6

27.6

Baik

56

64.4

64.4

92.0

Lebih

7

8.0

8.0

100.0

Total

87

100.0

100.0

Aktivitas Fisik Kategori
Frequency
Valid

Percent

Valid Percent

Cumulative Percent

Ringan

79

90.8

90.8

90.8

Sedang

8

9.2

9.2

100.0

87

100.0

100.0

Total

Kategori Status Gizi
Frequency

Percent

Valid Percent

Cumulative Percent

Universitas Sumatera Utara

Valid

Kurus

8

9.2

9.2

9.2

Normal

37

42.5

42.5

51.7

Gemuk

40

46.0

46.0

97.7

2

2.3

2.3

100.0

87

100.0

100.0

Obesitas
Total

Crosstabs
Kategori Konsumsi Energi * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Kurus
Kategori

Kurang Count

Konsumsi

Normal

Gemuk

Obesitas

Total

7

8

0

0

15

1.4

6.4

6.9

.3

15.0

46.7%

53.3%

.0%

.0%

100.0%

87.5%

21.6%

.0%

.0%

17.2%

8.0%

9.2%

.0%

.0%

17.2%

1

29

33

0

63

5.8

26.8

29.0

1.4

63.0

1.6%

46.0%

52.4%

.0%

100.0%

12.5%

78.4%

82.5%

.0%

72.4%

1.1%

33.3%

37.9%

.0%

72.4%

Count

0

0

7

2

9

Expected Count

.8

3.8

4.1

.2

9.0

.0%

.0%

77.8%

22.2%

100.0%

% within Kategori Status Gizi

.0%

.0%

17.5%

100.0%

10.3%

% of Total

.0%

.0%

8.0%

2.3%

10.3%

8

37

40

2

87

8.0

37.0

40.0

2.0

87.0

Expected Count

Energi
% within Kategori Konsumsi
Energi
% within Kategori Status Gizi
% of Total
Baik

Count
Expected Count
% within Kategori Konsumsi
Energi
% within Kategori Status Gizi
% of Total

Lebih

% within Kategori Konsumsi
Energi

Total

Count
Expected Count

Universitas Sumatera Utara

% within Kategori Konsumsi

9.2%

42.5%

46.0%

2.3%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

9.2%

42.5%

46.0%

2.3%

100.0%

Energi
% within Kategori Status Gizi
% of Total

Kategori Konsumsi Protein * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Kurus
Kategori

Baik

Konsumsi

Count
Expected Count

Normal

Gemuk

Obesitas

Total

8

33

23

0

64

5.9

27.2

29.4

1.5

64.0

12.5%

51.6%

35.9%

.0%

100.0%

100.0%

89.2%

57.5%

.0%

73.6%

9.2%

37.9%

26.4%

.0%

73.6%

0

4

17

2

23

2.1

9.8

10.6

.5

23.0

.0%

17.4%

73.9%

8.7%

100.0%

.0%

10.8%

42.5%

100.0%

26.4%

.0%

4.6%

19.5%

2.3%

26.4%

8

37

40

2

87

8.0

37.0

40.0

2.0

87.0

9.2%

42.5%

46.0%

2.3%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

Protein
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi
% of Total
Lebih

Count
Expected Count
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi
% of Total

Total

Count
Expected Count
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi

Universitas Sumatera Utara

Kategori Konsumsi Protein * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Kurus
Kategori

Baik

Konsumsi

Count
Expected Count

Normal

Gemuk

Obesitas

Total

8

33

23

0

64

5.9

27.2

29.4

1.5

64.0

12.5%

51.6%

35.9%

.0%

100.0%

100.0%

89.2%

57.5%

.0%

73.6%

9.2%

37.9%

26.4%

.0%

73.6%

0

4

17

2

23

2.1

9.8

10.6

.5

23.0

.0%

17.4%

73.9%

8.7%

100.0%

.0%

10.8%

42.5%

100.0%

26.4%

.0%

4.6%

19.5%

2.3%

26.4%

8

37

40

2

87

8.0

37.0

40.0

2.0

87.0

9.2%

42.5%

46.0%

2.3%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

9.2%

42.5%

46.0%

2.3%

100.0%

Protein
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi
% of Total
Lebih

Count
Expected Count
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi
% of Total

Total

Count
Expected Count
% within Kategori
Konsumsi Protein
% within Kategori Status
Gizi
% of Total

Kategori Konsumsi Lemak * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Kurus

Normal

Gemuk

Obesitas

Universitas Sumatera Utara

Total

Kategori

Kurang Count

Konsumsi

6

6

0

0

12

1.1

5.1

5.5

.3

12.0

% within Kategori Konsumsi Lemak

50.0%

50.0%

.0%

.0%

100.0%

% within Kategori Status Gizi

75.0%

16.2%

.0%

.0%

13.8%

6.9%

6.9%

.0%

.0%

13.8%

2

28

32

0

62

5.7

26.4

28.5

1.4

62.0

3.2%

45.2%

51.6%

.0%

100.0%

25.0%

75.7%

80.0%

.0%

71.3%

2.3%

32.2%

36.8%

.0%

71.3%

0

3

8

2

13

1.2

5.5

6.0

.3

13.0

% within Kategori Konsumsi Lemak

.0%

23.1%

61.5%

15.4%

100.0%

% within Kategori Status Gizi

.0%

8.1%

20.0%

100.0%

14.9%

% of Total

.0%

3.4%

9.2%

2.3%

14.9%

8

37

40

2

87

8.0

37.0

40.0

2.0

87.0

9.2%

42.5%

46.0%

2.3%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

9.2%

42.5%

46.0%

2.3%

100.0%

Expected Count

Lemak

% of Total
Baik

Count
Expected Count
% within Kategori Konsumsi Lemak
% within Kategori Status Gizi
% of Total

Lebih

Count
Expected Count

Total

Count
Expected Count
% within Kategori Konsumsi Lemak
% within Kategori Status Gizi
% of Total

Aktivitas Fisik Kategori * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Kurus

Normal

Gemuk

Obesitas

Universitas Sumatera Utara

Total

Aktivitas Fisik Ringan
Kategori

Count

6

31

40

2

79

7.3

33.6

36.3

1.8

79.0

7.6%

39.2%

50.6%

2.5%

100.0%

75.0%

83.8%

100.0%

100.0%

90.8%

6.9%

35.6%

46.0%

2.3%

90.8%

Count

2

6

0

0

8

Expected Count

.7

3.4

3.7

.2

8.0

% within Aktivitas Fisik Kategori

25.0%

75.0%

.0%

.0%

100.0%

% within Kategori Status Gizi

25.0%

16.2%

.0%

.0%

9.2%

2.3%

6.9%

.0%

.0%

9.2%

8

37

40

2

87

8.0

37.0

40.0

2.0

87.0

9.2%

42.5%

46.0%

2.3%

100.0%

100.0%

100.0%

100.0%

100.0%

100.0%

9.2%

42.5%

46.0%

2.3%

100.0%

Expected Count
% within Aktivitas Fisik Kategori
% within Kategori Status Gizi
% of Total
Sedang

% of Total
Total

Count
Expected Count
% within Aktivitas Fisik Kategori
% within Kategori Status Gizi
% of Total

Descriptive Statistics
N

Minimum

Maximum

Mean

Std. Deviation

energio

87

168.93

1062.92

6.3598E2

178.14714

proteino

87

8.11

63.39

21.4651

9.00033

lemako

87

11.99

80.06

40.3176

14.58952

karbohidrato

87

23.95

127.57

77.8677

21.02983

Valid N (listwise)

87

Descriptive Statistics

N
Sumbangan Konsumsi Energi (Fastfood)

Minimum
87

8.05

Maximum
50.65

Mean
30.3056

Std. Deviation
8.48901

Universitas Sumatera Utara

Sumbangan Konsumsi Protein (Fastfood)

87

10.67

83.40

28.0892

11.59834

Sumbangan Konsumsi Lemak (Fastfood)

87

14.63

97.65

49.1808

17.79442

87

8.80

46.87

28.6132

7.72896

Sumbangan Konsumsi Karbohidrat
(Fastfood)
Valid N (listwise)

87

Universitas Sumatera Utara