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Lampiran 1. Ethical Clearance

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Lampiran 2. Informed consent

JUDUL PENELITIAN :

PERBEDAAN NILAI VITAL CAPACITY, FORCED VITAL CAPACITY DAN FORCED EXPIRATORY VOLUME IN ONE SECOND ANTAR CABANG OLAHRAGA PADA ATLET USIA 6-12 TAHUN.

INSTANSI PELAKSANA : Fakultas Kedokteran Universitas Diponegoro PELAKSANA : Wildan Mubarok

Persetujuan Setelah Penjelasan (INFORMED CONSENT)

Yth. Bapak/Ibu :

Nama saya Wildan Mubarok, saya adalah mahasiswa Program Studi S1 Ilmu Pendidikan Dokter Fakultas Kedokteran UNDIP. Saya melakukan penelitian dengan judul Perbedaan Nilai Vital Capacity, Forced Vital Capacity dan Forced Expiratory Volume In One Second antar Cabang Olahraga Pada Atlet Usia 6-12 Tahun. Tujuan dari penelitian ini adalah untuk mengetahui apakah terdapat perbedaan nilai VC, FVC dan FEV1 pada altet usia 6-12 tahun antara cabang olahraga bola voli, sepak bola, renang dan taekwondo pada di Kota Semarang.

Ada 5 kelompok sampel pada penelitian ini yaitu atlet bola voli, sepak bola, taekwondo, renang dan bukan kelompok atlet. Anak Bapak/Ibu terpilih sebagai peserta penelitian ini. Apabila Bapak/Ibu setuju jika anak Bapak/Ibu sebagai peserta penelitian maka ada beberapa hal yang akan anak Bapak/Ibu alami, yaitu:

- Diminta berbagai informasi mengenai aktivitas sehari-hari melalui

wawancara

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- Pengukuran tinggi badan, berat badan, lingkar dada dan fungsi faal paru menggunakan alat spirometer.

Keuntungan bagi anak Bapak/Ibu ikut dalam penelitian ini adalah untuk mengetahui fungsi paru dan menilai potensi anak Bapak/Ibu dalam cabang olahraga masing-masing. Saya menjamin bahwa penelitian ini tidak akan menimbulkan efek yang merugikan pada anak Bapak/Ibu. Dalam penelitian ini tidak ada intervensi dalam bentuk apapun terhadap anak Bapak/ Ibu. Setiap data pemeriksaan dan penelitian dijamin kerahasiaannya. Sebagai peserta penelitian keikutsertaan ini bersifat sukarela dan tidak dikenakan biaya penelitian. Apabila ada informasi yang belum jelas atau pertanyaan mengenai penelitian ini Bapak/Ibu bisa menghubungi saya (Wildan Mubarok), mahasiswa Program Studi S1 Ilmu Pendidikan Dokter FK UNDIP (HP 085742209263).

Demikian penjelasan saya. Terima kasih atas kerjasama Bapak/ Ibu dalam

penelitian ini.

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Judul Penelitian:

PERBEDAAN NILAI VITAL CAPACITY, FORCED VITAL CAPACITY DAN FORCED EXPIRATORY VOLUME IN ONE SECOND ANTAR CABANG OLAHRAGA PADA ATLET USIA 6-12 TAHUN.

Setelah mendengar dan memahami penjelasan tentang penelitian, dengan ini saya menyatakan:

Nama :..………

Usia :………..

Jenis kelamin : Laki-laki / Perempuan*

Pekerjaan :……….

Alamat :………..

Hubungan dengan pasien :………...

Menyatakan: SETUJU / TIDAK SETUJU*

(Jika setuju)

Untuk mengikutsertakan anak saya sebagai peserta penelitian, atas nama:

Nama :………

Tanggal lahir : ………..

Jenis kelamin : Laki-laki / Perempuan*

Alamat : ………..

Semarang, ……….2015

Peneliti Saya yang membuat pernyataan

( Wildan Mubarok ) ( )

Contact Person: Wildan Mubarok (085742209263)

*coret yang tidak perlu

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Lampiran 3. Identitas subjek penelitian

KUESIONER PENELITIAN Judul Penelitian

PERBEDAAN NILAI VITAL CAPACITY, FORCED VITAL CAPACITY DAN FORCED EXPIRATORY VOLUME IN ONE SECOND ANTAR CABANG OLAHRAGA PADA ATLET USIA 6-12 TAHUN.

No. :

Tanggal pengisian :

A. IDENTITAS RESPONDEN

Nama :

Usia :

Jenis Kelamin : No Telepon : Berat Badan : Tinggi Badan : Lingkar Dada :

B. ANAMNESIS

1. Apakah anak Bapak/Ibu memiliki riwayat penyakit pernapasan?

a. Ya b. Tidak

2. Apakah anak Bapak/Ibu memiliki riwayat penyakit jantung?

a. Ya b. Tidak Untuk atlet

3. Apakah anak Bapak/ Ibu sudah mengikuti latihan selama lebih dari 3 bulan?

a. Ya b. Tidak

4. Apakah anak Bapak/Ibu melakukan latihan rutin?

a. Ya b. Tidak

5. Jika ya, berapa kali seminggu? ...

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Lampiran 4. Hasil penelitian Cabang olahraga Bola Voli

No Nilai VC

Nilai FVC

Nilai

FEV1 Usia Tinggi badan

Berat badan

Lingkar

dada BMI

1 2.41 2.55 2.34 12.00 153.00 45.00 73.00 19.22

2 1.85 1.67 1.58 11.00 135.00 26.00 54.00 14.27

3 2.55 2.67 2.49 12.00 155.00 49.00 74.00 20.40

4 2.39 2.32 2.23 12.00 154.00 45.00 72.00 18.97

5 2.84 2.68 2.65 12.00 160.00 58.00 73.00 22.66

6 1.73 1.57 1.57 10.00 139.00 30.00 59.00 15.53

7 1.98 1.84 1.81 11.00 134.00 29.00 61.00 16.15

8 2.31 2.11 2.08 12.00 146.00 55.00 80.00 25.80

9 2.34 2.08 2.08 11.00 151.00 62.00 86.00 27.19

10 1.42 1.45 1.42 8.00 132.00 39.00 71.00 22.38

11 2.57 2.47 2.38 11.00 152.00 43.00 67.00 18.61

12 4.30 3.11 3.11 12.00 160.00 70.00 85.00 27.34

13 1.88 2.24 2.17 12.00 146.00 36.00 66.00 16.89

14 2.50 2.52 2.23 12.00 155.00 41.00 66.00 17.07

15 1.61 1.59 1.56 10.00 136.00 30.00 60.00 16.22

16 2.21 2.25 1.98 11.00 139.00 34.00 60.00 17.60

17 1.47 1.63 1.51 9.00 128.00 23.00 54.00 14.04

18 1.86 1.74 1.67 12.00 140.00 34.00 62.00 17.35

19 2.37 2.34 2.19 12.00 150.00 42.00 68.00 18.67

20 1.72 1.62 1.52 11.00 136.00 40.00 67.00 21.63

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Cababg olahraga Sepak Bola No Nilai

VC

Nilai FVC

Nilai

FEV1 Usia Tinggi badan

Berat badan

Lingkar

dada BMI

1 1.84 1.71 1.63 10.00 131.00 28.00 62.00 16.32

2 2.41 2.05 1.45 10.00 135.00 29.00 61.00 15.91

3 2.35 2.30 2.25 10.00 141.00 53.00 69.00 26.66

4 1.87 1.78 1.61 10.00 135.00 30.00 63.00 16.46

5 1.59 1.81 1.61 11.00 136.00 36.00 61.00 19.46

6 3.22 1.65 1.65 10.00 136.00 26.00 58.00 14.06

7 2.93 2.00 1.90 10.00 145.00 54.00 83.00 25.68

8 2.88 1.80 1.75 10.00 145.00 34.00 67.00 16.17

9 1.98 1.67 1.63 11.00 137.00 39.00 71.00 20.78

10 1.52 1.52 1.46 10.00 135.00 28.00 60.00 15.36

11 1.56 1.44 1.42 11.00 125.00 26.00 62.00 16.64

12 2.56 2.15 1.88 11.00 135.00 30.00 63.00 16.46

13 2.05 2.03 1.82 10.00 136.00 37.00 68.00 20.00

14 2.48 1.60 1.51 10.00 130.00 31.00 64.00 18.34

15 1.52 1.52 1.46 10.00 135.00 28.00 55.00 15.36

16 1.73 1.70 1.67 10.00 131.00 31.00 65.00 18.06

17 1.34 1.86 1.64 9.00 128.00 25.00 56.00 15.26

18 1.42 1.38 1.31 10.00 136.00 26.00 58.00 14.06

19 1.35 1.90 1.68 8.00 129.00 45.00 76.00 27.04

20 1.48 1.54 1.45 10.00 129.00 28.00 56.00 16.83

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Cabang olahraga Renang No Nilai

VC

Nilai FVC

Nilai

FEV1 Usia Tinggi badan

Berat badan

Lingkar

dada BMI 1 2.15 1.76 1.71 11.00 130.00 28.00 60.00 16.57 2 2.18 1.62 1.59 10.00 127.00 30.00 63.00 18.60 3 2.23 1.78 1.57 11.00 126.00 26.00 60.00 16.38

4 1.84 1.65 1.65 9.00 133.00 38.00 73.00 21.48

5 1.40 1.57 1.40 6.00 121.00 28.00 65.00 19.12

6 3.26 2.75 2.69 12.00 167.00 41.00 66.00 14.70

7 2.44 1.88 1.87 12.00 144.00 36.00 69.00 17.36

8 3.27 2.57 2.53 12.00 151.00 44.00 74.00 19.30

9 2.13 2.03 1.83 12.00 140.00 35.00 66.00 17.86

10 3.08 2.62 2.43 11.00 131.00 43.00 75.00 25.06

11 3.49 2.18 2.15 11.00 143.00 40.00 72.00 19.56

12 2.37 1.79 1.64 9.00 136.00 49.00 84.00 26.49

13 3.25 1.33 1.19 7.00 115.00 25.00 56.00 18.90

14 1.87 2.15 1.88 10.00 135.00 30.00 54.00 16.46

15 1.54 1.78 1.57 9.00 126.00 36.00 60.00 22.68

16 2.06 2.28 2.01 10.00 147.00 50.00 56.00 23.14

17 2.98 2.32 2.29 12.00 165.00 55.00 59.00 20.20

18 2.70 2.57 2.49 12.00 134.00 34.00 57.00 18.94

19 2.46 2.32 2.32 10.00 147.00 50.00 65.00 23.14

20 2.87 2.86 2.51 12.00 151.00 35.00 61.00 15.35

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Cabang olahraga Taekwondo No Nilai

VC

Nilai FVC

Nilai

FEV1 Usia Tinggi badan

Berat badan

Lingkar

dada BMI 1 3.29 3.22 3.29 11.00 163.00 56.00 77.00 21.08 2 2.81 2.75 2.75 10.00 155.00 54.00 82.00 22.48 3 2.81 2.75 2.75 11.00 157.00 53.00 80.00 21.50

4 1.73 1.22 1.18 8.00 126.00 27.00 60.00 17.01

5 1.40 1.78 1.57 7.00 126.00 25.00 60.00 15.75

6 1.30 1.57 1.40 8.00 121.00 24.00 57.00 16.39

7 1.16 1.45 1.29 8.00 118.00 28.00 62.00 20.11

8 1.44 1.46 1.43 8.00 133.00 45.00 77.00 25.44

9 1.77 1.65 1.62 8.00 150.00 42.00 70.00 18.67

10 1.84 1.75 1.70 9.00 136.00 31.00 63.00 16.76

11 1.60 1.63 1.61 9.00 136.00 30.00 62.00 16.22

12 2.22 2.21 2.13 12.00 158.00 42.00 70.00 16.82

13 1.62 1.35 1.35 8.00 136.00 34.00 63.00 18.38

14 1.45 1.08 1.04 9.00 126.00 32.00 62.00 20.16

15 1.36 1.14 1.14 10.00 129.00 23.00 59.00 13.82

16 1.51 1.37 1.37 8.00 133.00 26.00 55.00 14.70

17 1.26 1.30 1.29 6.00 117.00 28.00 58.00 20.45

18 3.09 3.17 3.15 12.00 158.00 65.00 85.00 26.04

19 3.48 2.85 2.85 12.00 162.00 62.00 87.00 23.62

20 3.29 3.22 3.19 12.00 160.00 49.00 79.00 19.14

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Lampiran 5. Analisis hasil penelitian

Nilai VC, FVC dan FEV1

Case Processing Summary

Cabang_olahraga Cases

Valid Missing Total

N Percent N Percent N Percent

Nilai_VC

Renang 20 100.0% 0 0.0% 20 100.0%

Taekwondo 20 100.0% 0 0.0% 20 100.0%

Sepak Bola 20 100.0% 0 0.0% 20 100.0%

Bola Voli 20 100.0% 0 0.0% 20 100.0%

Nilai_FVC

Renang 20 100.0% 0 0.0% 20 100.0%

Taekwondo 20 100.0% 0 0.0% 20 100.0%

Sepak Bola 20 100.0% 0 0.0% 20 100.0%

Bola Voli 20 100.0% 0 0.0% 20 100.0%

Nilai_FEV1

Renang 20 100.0% 0 0.0% 20 100.0%

Taekwondo 20 100.0% 0 0.0% 20 100.0%

Sepak Bola 20 100.0% 0 0.0% 20 100.0%

Bola Voli 20 100.0% 0 0.0% 20 100.0%

Descriptives

Cabang_olahraga Statistic Std. Error

Nilai_VC Renang

Mean 2.4785 .13632

95% Confidence Interval for Mean Lower Bound 2.1932 Upper Bound 2.7638

5% Trimmed Mean 2.4822

Median 2.4050

Variance .372

Std. Deviation .60966

Minimum 1.40

Maximum 3.49

Range 2.09

Interquartile Range .98

Skewness .031 .512

Kurtosis -.983 .992

Taekwondo Mean 2.0215 .17684

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95% Confidence Interval for Mean

Lower Bound 1.6514 Upper Bound 2.3916

Median 1.6750

Variance .625

Minimum 1.16

Maximum 3.48

Range 2.32

Interquartile Range 1.40

Skewness .793 .512

Kurtosis -1.020 .992

Sepak Bola

Mean 2.0040 .12945

Median 1.8550

Variance .335

Minimum 1.34

Maximum 3.22

Range 1.88

Skewness .701 .512

Kurtosis -.675 .992

Bola Voli

Mean 2.2155 .14174

Median 2.2600

Variance .402

Minimum 1.42

Maximum 4.30

Range 2.88

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Skewness 1.815 .512

Kurtosis 5.444 .992

Nilai_FVC

Renang

Mean 2.0905 .09767

Median 2.0900

Variance .191

Minimum 1.33

Maximum 2.86

Range 1.53

Skewness .169 .512

Taekwondo

Mean 1.9460 .16884

Median 1.6400

Variance .570

Minimum 1.08

Maximum 3.22

Range 2.14

Skewness .703 .512

Sepak Bola

Mean 1.7705 .05507

Median 1.7450

Variance .061

Minimum 1.38

Maximum 2.30

Range .92

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Skewness .430 .512

Kurtosis -.394 .992

Bola Voli

Mean 2.1225 .10428

Median 2.1750

Variance .218

Minimum 1.45

Maximum 3.11

Range 1.66

Skewness .267 .512

Kurtosis -.814 .992

Nilai_FEV1

Renang

Mean 1.9660 .09704

Median 1.8750

Variance .188

Minimum 1.19

Maximum 2.69

Range 1.50

Skewness .097 .512

Taekwondo

Mean 1.9050 .17399

Median 1.5900

Variance .605

Minimum 1.04

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Maximum 3.29

Range 2.25

Skewness .766 .512

Sepak Bola

Mean 1.6390 .04751

Median 1.6300

Variance .045

Minimum 1.31

Maximum 2.25

Range .94

Skewness 1.183 .512

Kurtosis 2.401 .992

Bola Voli

Mean 2.0285 .10038

Median 2.0800

Variance .202

Minimum 1.42

Maximum 3.11

Range 1.69

Skewness .555 .512

Kurtosis .053 .992

Tests of Normality

Cabang_olahraga Kolmogorov-Smirnov^a Shapiro-Wilk

Statistic df Sig. Statistic df Sig.

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Nilai_VC

Renang .112 20 .200^* .959 20 .531

Taekwondo .241 20 .004 .836 20 .003

Sepak Bola .163 20 .173 .906 20 .052

Bola Voli .188 20 .062 .840 20 .004

Nilai_FVC

Renang .154 20 .200^* .959 20 .515

Taekwondo .237 20 .004 .849 20 .005

Sepak Bola .097 20 .200^* .975 20 .848

Bola Voli .144 20 .200^* .943 20 .270

Nilai_FEV1

Renang .129 20 .200^* .948 20 .342

Taekwondo .254 20 .002 .832 20 .003

Sepak Bola .173 20 .117 .913 20 .074

Bola Voli .141 20 .200^* .937 20 .210

Test of Homogeneity of Variances

Levene Statistic df1 df2 Sig.

Nilai_VC_trf 2.416 3 76 .073

Nilai_FVC_trf 9.757 3 76 .000

Nilai_FEV1_trf 12.485 3 76 .000

Test Statistics^a,b Nilai_VC Chi-Square 7.959

df 3

Asymp. Sig. .047 Test Statistics^a,b

Nilai_FVC Chi-Square 6.904

df 3

Asymp. Sig. .075 Test Statistics^a,b

Nilai_FEV1 Chi-Square 7.333

df 3

Asymp. Sig. .062

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Karakterstik tubuh (usia, tinggi badan, berat badan, lingkar dada dan BMI)

Descriptives

Cabang_olahraga Statistic Std. Error

Usia

Renang

Mean 10.4500 .35891

Median 11.0000

Variance 2.576

Std. Deviation 1.60509

Minimum 6.00

Maximum 12.00

Range 6.00

Skewness -.918 .512

Kurtosis .134 .992

Taekwondo

Mean 9.3000 .41103

Median 9.0000

Variance 3.379

Minimum 6.00

Maximum 12.00

Range 6.00

Skewness .242 .512

Sepak Bola

Mean 10.0500 .15347

Median 10.0000

Variance .471

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Minimum 8.00

Maximum 12.00

Range 4.00

Skewness -1.148 .512

Kurtosis 3.667 .992

Bola Voli

Mean 11.0500 .32827

Median 11.5000

Variance 2.155

Minimum 8.00

Maximum 12.00

Range 6.00

Skewness -2.424 .512

Kurtosis 7.014 .992

Tinggi_badan

Renang

Mean 138.4500 3.04568

Median 135.5000

Variance 185.524

Minimum 115.00

Maximum 167.00

Range 52.00

Skewness .522 .512

Kurtosis .014 .992

Taekwondo

Mean 140.0000 3.59239

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Median 136.0000

Variance 258.105

Minimum 117.00

Maximum 163.00

Range 46.00

Skewness .164 .512

Sepak Bola

Mean 134.5000 1.16642

Median 135.0000

Variance 27.211

Minimum 125.00

Maximum 145.00

Range 20.00

Skewness .403 .512

Kurtosis .229 .992

Bola Voli

Mean 145.0500 2.20344

Median 146.0000

Variance 97.103

Minimum 128.00

Maximum 160.00

Range 32.00

Skewness -.065 .512

Berat_badan Renang

Mean 37.6500 1.95512

Median 36.0000

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Variance 76.450

Minimum 25.00

Maximum 55.00

Range 30.00

Skewness .395 .512

Kurtosis -.760 .992

Taekwondo

Mean 38.8000 3.04320

Median 33.0000

Variance 185.221

Minimum 23.00

Maximum 65.00

Range 42.00

Skewness .595 .512

Sepak Bola

Mean 33.2000 1.91888

Median 30.0000

Variance 73.642

Minimum 25.00

Maximum 54.00

Range 29.00

Skewness 1.507 .512

Kurtosis 1.492 .992

Bola Voli

Mean 41.5500 2.77439

Median 40.5000

Variance 153.945

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Minimum 23.00

Maximum 70.00

Range 47.00

Skewness .695 .512

Kurtosis .070 .992

Lingkar_dada

Renang

Mean 64.7500 1.73944

Median 64.0000

Variance 60.513

Minimum 54.00

Maximum 84.00

Range 30.00

Skewness .796 .512

Kurtosis .306 .992

Taekwondo

Mean 68.4000 2.31403

Median 63.0000

Variance 107.095

Minimum 55.00

Maximum 87.00

Range 32.00

Skewness .497 .512

Sepak Bola

Mean 63.9000 1.56424

Median 62.5000

Variance 48.937

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Minimum 55.00

Maximum 83.00

Range 28.00

Skewness 1.214 .512

Kurtosis 1.740 .992

Bola Voli

Mean 67.9000 2.02861

Median 67.0000

Variance 82.305

Minimum 54.00

Maximum 86.00

Range 32.00

Skewness .445 .512

Kurtosis -.238 .992

BMI

Renang

Mean 19.5645 .72089

Median 19.0300

Variance 10.394

Minimum 14.70

Maximum 26.49

Range 11.79

Skewness .577 .512

Kurtosis -.308 .992

Taekwondo

Mean 19.2270 .76672

Median 18.9050

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Variance 11.757

Minimum 13.82

Maximum 26.04

Range 12.22

Skewness .454 .512

Kurtosis -.490 .992

Sepak Bola

Mean 18.2455 .88774

Median 16.5500

Variance 15.761

Minimum 14.06

Maximum 27.04

Range 12.98

Skewness 1.348 .512

Kurtosis .831 .992

Bola Voli

Mean 19.3995 .89061

Median 18.6400

Variance 15.864

Minimum 14.04

Maximum 27.34

Range 13.30

Skewness .788 .512

Kurtosis -.207 .992

(29)

Tests of Normality

Cabang_olahraga Kolmogorov-Smirnov^a Shapiro-Wilk Statistic df Sig. Statistic df Sig.

Usia

Renang .184 20 .074 .852 20 .006

Taekwondo .210 20 .021 .900 20 .040

Sepak Bola .371 20 .000 .714 20 .000

Bola Voli .286 20 .000 .677 20 .000

Tinggi_badan

Renang .121 20 .200^* .965 20 .642

Taekwondo .198 20 .038 .890 20 .027

Sepak Bola .188 20 .062 .930 20 .156

Bola Voli .146 20 .200^* .938 20 .218

Berat_badan

Renang .125 20 .200^* .953 20 .421

Taekwondo .191 20 .053 .895 20 .034

Sepak Bola .251 20 .002 .801 20 .001

Bola Voli .140 20 .200^* .956 20 .469

Lingkar_dada

Renang .136 20 .200^* .940 20 .241

Taekwondo .249 20 .002 .891 20 .028

Sepak Bola .151 20 .200^* .912 20 .068

Bola Voli .101 20 .200^* .956 20 .461

BMI

Renang .151 20 .200^* .955 20 .445

Taekwondo .141 20 .200^* .963 20 .607

Sepak Bola .239 20 .004 .814 20 .001

Bola Voli .168 20 .141 .918 20 .092

Test of Homogeneity of Variances Levene Statistic df1 df2 Sig.

Usia 6.690 3 76 .000

Tinggi_badan 11.511 3 76 .000

Berat_badan 3.235 3 76 .027

Lingkar_dada 2.542 3 76 .063

BMI .334 3 76 .801

Test Statistics^a,b

Usia Tinggi_badan Berat_badan Lingkar_dada BMI

Chi-Square 15.305 8.047 5.641 2.930 3.271

df 3 3 3 3 3

Asymp. Sig. .002 .045 .130 .402 .352

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Lampiran 6. Dokumentasi

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Lampiran 7. Biodata mahasiswa

Identitas

Nama : Wildan Mubarok

NIM : 22010111130086

Tempat, tanggal lahir : Brebes, 10 Maret 1993 Jenis Kelamin : Laki-laki

Alamat : Desa Benda RT01 RW02 Kec. Sirampog Kab. Brebes Nomor HP : 085742209263

Email : w.mubarok2@gmail.com

Riwayat Pendidikan Formal

1. SD : SD Negeri 1 Benda Lulus tahun : 2005 2. SMP : SMP Negeri 1 Bumiayu Lulus tahun : 2008 3. SMA : SMA Negeri 1 Tegal Lulus tahun : 2011 4. S1 : Pendidikan Dokter Fakultas Kedokteran