Gambaran Pola Sarapan Pagi, Aktivitas Fisk , dan Prestasi Belajar Mahsiswa Fakultas Kesehatan Masyarakat USU Angkatan 2015

Lampiran 1 :
Kuesioner Wawancara Sarapan Pagi
GAMBARAN POLA KONSUMSI SARAPAN PAGI, AKTIVITAS FISIK,
DAN PRESTASI BELAJAR MAHASISWA FKM USU ANGKATAN 2015
Nama

:

Kelas

:

Jenis Kelamin

:

Tempat/tgl lahir

:

1. Apakah anda biasa sarapan pagi setiap hari?

(a) Ya
(b) Tidak
2. Bila ya, berapa kali anda sarapan dalam seminggu ?
.......... kali (isi antara 1-7 kali)
3. Pada jam berapa anda biasanya sarapan?
Jam ..........
4. Apakah anda biasa sarapan di rumah ?
(a) Ya
(b) Tidak (berikan alasannya...............................................................)

Universitas Sumatera Utara

Lampiran 2:
Formulir Wawancara Sarapan Pagi
GAMBARAN POLA KONSUMSI SARAPAN PAGI, AKTIVITAS FISIK,
DAN PRESTASI BELAJAR MAHASISWA FKM USU ANGKATAN 2015
Hari / tgl

Makanan Sarapan

URT

Gram

Ket :
URT : Ukuran Rumah Tangga, misalnya piring, mangkok, sendok makan, potong,
porsi dan lain-lain.

Universitas Sumatera Utara

Lampiran 3
Aktivitas Fisik
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).

Contoh Pengisian
No.

1.
2.
3.
4.
5.

Waktu
22.00-06.00
06.00-06.15
06.15-06.30
06.30-06.45
06.45-07.15

Kegiatan
Tidur
Mandi
Dandan
Sarapan
Berangkat sekolah

Keterangan

Naik Sepeda Motor

Universitas Sumatera Utara

Daftar aktivitas hari kerja (kuliah)
No.

Waktu

Kegiatan

Keterangan

Universitas Sumatera Utara

No

Nama

JenKe

Umur

FS

AF

JE

AE

AK JP

AP%

A

IP

WB

1

Aulia

1

1

1

1

2072,5

92,1 1

59,5

106,25

1

1

3

2

Ratih

1

2

2

1

1543,2

68,5 1

43

76,785

1

2

3

3

Prenita

1

2

1

1

1952,7

86,7 1

52

92,857

1

2

3

4

Riska

1

1

3

1

1252

55,5 2

39

69,642

2

2

3

5

Fitri

1

1

3

2

2102,7

45,6 2

37

66,071

2

2

3

6

Maulid

1

1

1

1

1876,2

83,3 1

58,1

103,75

1

2

3

a
7

Audri

1

1

1

1

1525

67,7 2

35,1

62,678

2

2

3

8

Junita

1

1

2

1

1650

73,3 2

40,5

72,321

2

2

3

9

Jose

1

1

1

2

1452,0

64,5 2

45,0

80,375

1

2

3

1
10

Wardah

1

1

2

1

1552

68,7 2

43

76,785

2

2

3

11

Aida

1

1

2

1

1785,2

79,3 2

48,2

86,071

1

2

3

12

Fiola

1

1

4

1

0

0 2

0

0

2

2

3

13

Lailan

1

1

4

1

0

0 2

0

0

2

2

3

14

Putri

1

1

4

1

0

0 2

0

0

2

2

3

15

Jamilah

1

1

1

1

1952,1

86,7 1

52,2

93,214

1

2

3

Universitas Sumatera Utara

16

Ade

1

1

1

2

1875,9

83,3 1

48,2

86,071

1

1

3

17

Nagia

1

2

1

2

1966,3

87,3 1

60

107,14

1

1

3

1

1

3

2
18

Yoseva

1

2

1

2

1990

88,4 1

59,2

106,42
8

19

Rulan

1

2

3

1

1233,1

54,8 2

35

62,50

2

1

3

20

Ainun

1

1

2

2

1877,2

83,4 1

48,5

86,607

1

1

3

21

Kartini

1

1

1

1

1955,8

86,9 1

55

98,214

1

1

3

22

Nafsi

1

1

1

1

1825,6

81,1 1

54,2

96,785

1

1

3

23

Veroni

1

1

1

1

1965,8

87,3 1

48,5

86,607

1

1

1

k
a
24

Siti

1

1

2

1

1820,1

80,8 1

40,5

72,324

2

2

1

25

Ayu

1

1

2

1

1456,7

64,7 2

45

80,357

1

2

3

26

Mirna

1

1

3

2

1011

44,9 2

29

51,785

2

2

3

27

Wan

1

1

2

1

1432,5

63,6 2

43

76,785

2

2

3

1

1

2

1

1650,2

73,3 2

45,1

80,535

1

1

3

1

1

1

1

1978

87,9 1

57,2

102,14

1

1

3

n
u
r
28

Magdal
e
n
a

29

Nurhab
i

2

Universitas Sumatera Utara

b
a
h
30

Diana

1

1

1

2

1825,7

81,1 1

57,1

101,96

1

1

3

4
31

Suci

1

1

1

1

1923,4

85,4 1

49

87,50

1

2

3

32

Sela

1

1

3

1

1288,7

57,2 1

40,1

71,607

2

1

1

33

Natshy

1

1

2

2

1764

78,4 2

47

83,928

1

1

1

85,8 1

43,1

76,964

2

2

3

77,7 2

43,2

77,142

2

2

3

81,0 1
44,6 2

40,5
44

72,321
701,96

2
2

1
1

3
3

a
34

Adelia

1

1

1

1

1932,6

35

Riska

1

1

2

1

1748,3
1

36
37

Novita
Stefanu

1
2

1
2

2
3

1
1

1822,5
1216,5

s

7

38

Gary

2

1

2

1

1997,3

73,2 2

48,1

77,580

2

1

3

39

Emilia

1

1

2

1

1654,3

73,5 2

45

80,357

1

1

3

40

Peroim

1

2

2

1

1754,0

77,9 2

49,5

88,392

1

1

3

86,8 1

57,1

101,96

1

2

3

a
41

1

Atikah

1

1

1

1954,2

4
42

Winda

1

1

2

2

1948,3

86,5 1

40,5

72,321

2

1

3

2
43

Muri

2

1

2

1

1764

64,7 2

39,5

63,709

2

1

3

44

Yuki

2

1

4

1

0

0 2

0

0

2

2

3

Universitas Sumatera Utara

45

Yunita

1

1

3

1

1377,2

61,2 2

41

73,214

2

1

3

46

Harnisa

1

1

4

2

0

0 2

0

0

2

1

2

1

1

1

1

1946,9

86,5 1

57

101,78

1

1

2

h
47

Fitria

5
48

Fitri

1

2

1

1

1851,2

82,2 1

49,1

87,678

1

1

2

49
50

Nadila
Nina

1
1

1
1

4
1

1
3

0
1876,5

0 2
83,4 1

0
47,2

0
84,285

2
1

1
1

1
2

51

Riski

1

1

2

1

1952,8

86,7 1

52

92,857

1

1

2

52

Nadia

1

1

1

1

1965,3

87,3 1

54,2

96,785

1

1

1

1

1

4

1

0

0 2

0

0

2

1

1

1

1

1

1

1956,9

86,9 1

58

103,57

1

1

2

.
N
53

Yoland
a

54

Puspa

1
55

Fransik

2

2

3

1

1210,6

44,4 2

44

70,967

2

2

1

2

2

2

2

1951,9

86,7 1

43,1

94,839

1

2

2

86,7 1

44,1

78,767

1

1

2

o
56

Harlen

5
57

Tania

1

1

1

2

1951,9
6

58

Chacha

1

1

3

1

1365,7

60,6 2

40,5

72,321

2

2

2

59

Hersi

1

1

1

1

1892,1

84,0 1

51,2

91,428

1

1

1

60
61

Jennika
Hayatu

1
1

1
1

4
3

1
1

0
1487,2

0 2
66,0 2

0
41,2

0
73,571

2
2

2
2

2
1

n

Universitas Sumatera Utara

62
63

Erdina
Veralik

1
1

1
1

3
4

1
1

1336,5
0

59,4 2
0 2

38,9
0

69,464
0

2
2

2
2

2
2

1

1

4

1

0

0 2

0

0

2

1

2

a
64

Angelik
a

65

Lisa

1

1

2

2

1875,2

83,3 1

42

75

2

1

2

66

Fadilah

1

1

2

1

1948,3

86,5 1

52,1

93,071

1

1

2

2
67

Adelia

1

1

3

1

1388,9

61,7 1

41,5

73,214

2

1

2

54,0 2

45,9

81,964

2

1

2

86,3 1

52,2

93,214

1

1

1

86,9 1

58

103,57

1

1

1

A
68

Listri

1

2

3

1

1217

69

Herlina

1

1

1

2

1943,1
1

70

Nurrah

1

1

1

1

1956,9

m
i
71

Angelin

1

1

1

4

1

0

0 2

0

0

2

1

2

1

1

1

2

1957,1

86,9 1

59,5

106,25

1

2

2

1

1

1

1

1955,9

86,9 1

56

100,0

1

1

2

a
72

Bianca

73

Syahrin
i

74

Nesa

1

1

1

1

1855,9

869, 1

54

96,428

1

1

2

75

Titi

1

1

1

1

1895,1

84,2 1

52,2

93,214

1

1

1

76

Syafiah

1

1

1

1

1874,5

83,3 1

51,1

91,267

1

1

1

2

Universitas Sumatera Utara

77

Selvi

1

1

2

1

1785,9

79,3 2

50,5

90,178

1

2

2

78

Manisy

1

1

1

1

1951,9

86,7 1

52,1

93,071

1

1

2

78,0 2

56,3

100,53

1

1

2

i
f
a
79

Liza

5

1

1

1

1

1756,0
2

5

80

M. afif

2

1

1

2

1874

68,7 2

47

75,806

2

2

3

81

Risda

1

2

3

3

1218

54,1 2

46

82,142

1

1

3

82

Novalin

1

2

3

2

1227

54,5 2

45,2

80,714

1

2

3

1

2

3

2

1216

50,0 1

44

78,571

1

1

3

a
83

Hernita

Universitas Sumatera Utara

Lampiran :
Output tabel frekuensi

wanita
Valid

Frequenc
y
76

lakilaki
Total

19-20

setiap hari
sering
jarang
tidak
pernah
Total

91.6

Valid
Percent
91.6

Cumulative
Percent
91.6

7

8.4

8.4

100.0

83

100.0

100.0

usia mahasiswa
Frequenc Percent
Valid
y
Percent
69
83.1
83.1

Valid 21-22
Total

Valid

sex
Percent

14
83

16.9
100.0

Cumulative
Percent
83.1

16.9
100.0

100.0

frekuensi makan
Frequenc Percent
Valid
Cumulative
y
Percent
Percent
34
41.0
41.0
41.0
22
26.5
26.5
67.5
16
19.3
19.3
86.7
11

13.3

13.3

83

100.0

100.0

100.0

Universitas Sumatera Utara

Lampiran :
Output tabel crosstab

frekuensi makan * sex Crosstabulation
sex
wanita laki-laki

setiap hari

sering
frekuensi
makan

Total

Count
% within frekuensi
makan
% within sex
% of Total
Count
% within frekuensi
makan
% within sex
% of Total

Count
% within frekuensi
makan
jarang
% within sex
% of Total
Count
% within frekuensi
tidak pernah makan
% within sex
% of Total
Count
% within frekuensi
makan
% within sex
% of Total

Total

33

1

34

97.1%

2.9%

100.0%

43.4%
39.8%
19

14.3%
1.2%
3

41.0%
41.0%
22

86.4%

13.6%

100.0%

25.0%
22.9%

42.9%
3.6%

26.5%
26.5%

14

2

16

87.5%

12.5%

100.0%

18.4%
16.9%
10

28.6%
2.4%
1

19.3%
19.3%
11

90.9%

9.1%

100.0%

13.2%

14.3%

13.3%

12.0%
76

1.2%
7

13.3%
83

91.6%

8.4%

100.0%

100.0%
91.6%

100.0%
8.4%

100.0%
100.0%

Universitas Sumatera Utara

Jumlah Energi sarapan
Frequency

Valid

Percent

Valid Percent

baik

42

50.6

50.6

50.6

kurang

41

49.4

49.4

100.0

Total

83

100.0

100.0

JE * sex Crosstabulation
sex
wanita laki-laki
Count
41
1
baik

JE

Total

Cumulative
Percent

% within
AKE%
% within sex
% of Total

Count
% within
kurang AKE%
% within sex
% of Total
Count
% within
AKE%
% within sex
% of Total

baik
Valid kurang
Total

Total
42

97.6%

2.4%

100.0%

53.9%
49.4%

14.3%
1.2%

50.6%
50.6%

35

6

41

85.4%

14.6%

100.0%

46.1%
42.2%
76

85.7%
7.2%
7

49.4%
49.4%
83

91.6%

8.4%

100.0%

100.0%
91.6%

100.0%
8.4%

100.0%
100.0%

Jumlah Protein
Frequenc Percent
Valid
y
Percent
46
55.4
55.4
37
44.6
44.6
83
100.0
100.0

Cumulative
Percent
55.4
100.0

Universitas Sumatera Utara

Jumlah protein * sex Crosstabulation
sex
wanita laki-laki
Count
45
1
% within
97.8%
2.2%
AKP%
baik
% within sex
59.2%
14.3%
JP

Total

46
100.0%
55.4%

% of Total
Count
% within
kurang AKP%
% within sex
% of Total
Count
% within
AKP%

54.2%
31

1.2%
6

55.4%
37

83.8%

16.2%

100.0%

40.8%
37.3%
76

85.7%
7.2%
7

44.6%
44.6%
83

91.6%

8.4%

100.0%

% within sex
% of Total

100.0%
91.6%

100.0%
8.4%

100.0%
100.0%

ringan
AF
sedang

Total

Total

AF * sex Crosstabulation
sex
wanita
laki-laki
Count
47
2
% within AF
95.9%
4.1%

Total
49
100.0%

% within sex
% of Total

61.8%
56.6%

28.6%
2.4%

59.0%
59.0%

Count
% within AF
% within sex
% of Total
Count
% within AF
% within sex
% of Total

29
85.3%
38.2%
34.9%
76
91.6%
100.0%
91.6%

5
14.7%
71.4%
6.0%
7
8.4%
100.0%
8.4%

34
100.0%
41.0%
41.0%
83
100.0%
100.0%
100.0%

Universitas Sumatera Utara

baik
Valid kurang
Total

Frequenc
y
49
34
83

IP
Percent
59.0
41.0
100.0

Valid
Percent
59.0
41.0
100.0

Cumulative
Percent
59.0
100.0

frekuensi makan * IP Crosstabulation
IP
Count
setiap hari

sering
frekuensi
makan
jarang

% within frekuensi
makan
% within IP
% of Total
Count
% within frekuensi
makan
% within IP
% of Total
Count
% within frekuensi
makan
% within IP
% of Total
Count

Total

% within frekuensi
tidak pernah makan
% within IP
% of Total
Count
% within frekuensi
makan
% within IP
% of Total

Total

baik
24

kurang
10

34

70.6%

29.4%

100.0%

49.0%
28.9%

29.4%
12.0%

41.0%
41.0%

11

11

22

50.0%

50.0%

100.0%

22.4%
13.3%
9

32.4%
13.3%
7

26.5%
26.5%
16

56.2%

43.8%

100.0%

18.4%

20.6%

19.3%

10.8%
5

8.4%
6

19.3%
11

45.5%

54.5%

100.0%

10.2%
6.0%
49

17.6%
7.2%
34

13.3%
13.3%
83

59.0%

41.0%

100.0%

100.0%

100.0%

100.0%

59.0%

41.0%

100.0%

Universitas Sumatera Utara

JP * IP Crosstabulation
IP
baik

baik
JE
kurang

Total

Total

Count
% within AKE%
% within IP

32
76.2%
65.3%

kurang
10
23.8%
29.4%

% of Total
Count
% within AKE%
% within IP
% of Total
Count
% within AKE%
% within IP
% of Total

38.6%
17
41.5%
34.7%
20.5%
49
59.0%
100.0%
59.0%

12.0%
24
58.5%
70.6%
28.9%
34
41.0%
100.0%
41.0%

42
100.0%
50.6%
50.6%
41
100.0%
49.4%
49.4%
83
100.0%
100.0%
100.0%

JP * IP Crosstabulation
IP
baik

baik
JP
kurang

Total

Total

Count
% within AKP%
% within IP
% of Total

33
71.7%
67.3%
39.8%

kurang
13
28.3%
38.2%
15.7%

Count
% within AKP%
% within IP
% of Total
Count
% within AKP%
% within IP
% of Total

16
43.2%
32.7%
19.3%
49
59.0%
100.0%
59.0%

21
56.8%
61.8%
25.3%
34
41.0%
100.0%
41.0%

46
100.0%
55.4%
55.4%
37
100.0%
44.6%
44.6%
83
100.0%
100.0%
100.0%

Universitas Sumatera Utara

ringan
AF
sedang

Total

AF * IP Crosstabulation
IP
baik
kurang
Count
28
21
% within AF
57.1%
42.9%
% within IP
57.1%
61.8%
% of Total
33.7%
25.3%
Count
% within AF
% within IP
% of Total
Count
% within AF
% within IP
% of Total

21
61.8%
42.9%
25.3%
49
59.0%
100.0%
59.0%

Total
49
100.0%
59.0%
59.0%

13
38.2%
38.2%
15.7%
34
41.0%
100.0%
41.0%

34
100.0%
41.0%
41.0%
83
100.0%
100.0%
100.0%

JB * IP Crosstabulation
IP
baik
Count

Total
kurang

11

3

14

% within JB

78.6%

21.4%

100.0%

% within IP

22.4%

8.8%

16.9%

% of Total

13.3%

3.6%

16.9%

17

7

24

% within JB

70.8%

29.2%

100.0%

% within IP

34.7%

20.6%

28.9%

% of Total

20.5%

8.4%

28.9%

21

24

45

% within JB

46.7%

53.3%

100.0%

% within IP

42.9%

70.6%

54.2%

% of Total

25.3%

28.9%

54.2%

49

34

83

% within JB

59.0%

41.0%

100.0%

% within IP

100.0%

100.0%

100.0%

% of Total

59.0%

41.0%

100.0%

3-4

Count
JB

5-6

Count
7-8

Count
Total

Universitas Sumatera Utara

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Universitas Sumatera Utara

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