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
Tidak Pernah
1-3x/hari
3-5x/minggu
1-2x/bulan
1
Fried Chicken
Hamburger
Pizza
Spaghetti
French Fries
Mie Instant
Bakso
Gado-gado
Pecal
Gorengan
Minuman Bersoda
Nugget
FORMULIR RECALL SISWA/SISWI SMA NEGERI 1
PADANGSIDIMPUAN
Nama Responden
:
Waktu
Makan
Nama Makanan
Bahan Makanan
Jenis
Banyaknya
URT
Gram
Pagi/jam
Siang /jam
FORMULIR RECALL AKTIVITAS FISIK SISWA/SISWI SMA NEGERI 1
PADANGSIDIMPUAN
Nama
:
Kelas
:
Output Data
Frequencies
Jenis Kelamin
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Frequency Percent Valid Percent
Cumulative Percent
Valid Jarang 46 52.9 52.9 52.9
Sering 41 47.1 47.1 100.0
Total 87 100.0 100.0
Hamburger
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 23 26.4 26.4 26.4
Umur (tahun)
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Jarang 36 41.4 41.4 67.8
Sering 28 32.2 32.2 100.0
Total 87 100.0 100.0
Pizza
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 57 65.5 65.5 65.5
Jarang 30 34.5 34.5 100.0
Total 87 100.0 100.0
Spaghetti
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Total 87 100.0 100.0
French Fries
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 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
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 39 44.8 44.8 44.8
Sering 2 2.3 2.3 100.0
Total 87 100.0 100.0
Bakso
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 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
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 45 51.7 51.7 51.7
Jarang 42 48.3 48.3 100.0
Total 87 100.0 100.0
Pecal
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Total 87 100.0 100.0
Gorengan
Frequency Percent Valid Percent
Cumulative Percent
Valid Jarang 30 34.5 34.5 34.5
Selalu 5 5.7 5.7 100.0
Total 87 100.0 100.0
Minuman soda
Frequency Percent Valid Percent
Cumulative Percent
Valid Tidak Pernah 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
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Total 87 100.0 100.0
Sosis
Frequency Percent Valid Percent
Cumulative Percent
Valid 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
Total 87 100.0 100.0
Kategori Konsumsi Energi
Frequency Percent Valid Percent
Cumulative Percent
Baik 63 72.4 72.4 89.7
Lebih 9 10.3 10.3 100.0
Total 87 100.0 100.0
Kategori Konsumsi Lemak
Frequency Percent Valid Percent Cumulative Percent
Valid 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 Percent Valid Percent Cumulative Percent
Valid 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 Percent Valid Percent Cumulative Percent
Valid Ringan 79 90.8 90.8 90.8
Sedang 8 9.2 9.2 100.0
Total 87 100.0 100.0
Kategori Status Gizi
Frequency Percent Valid Percent Cumulative Percent
Kategori Konsumsi Protein
Frequency Percent Valid Percent Cumulative Percent
Valid Baik 64 73.6 73.6 73.6
Lebih 23 26.4 26.4 100.0
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
Obesitas 2 2.3 2.3 100.0
Total 87 100.0 100.0
Crosstabs
Kategori Konsumsi Energi * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Total
Kurus Normal Gemuk Obesitas
Kategori Konsumsi Energi
Kurang Count 7 8 0 0 15
Expected Count 1.4 6.4 6.9 .3 15.0
% within Kategori Konsumsi
Energi 46.7% 53.3% .0% .0% 100.0%
% within Kategori Status Gizi 87.5% 21.6% .0% .0% 17.2%
% of Total 8.0% 9.2% .0% .0% 17.2%
Baik Count 1 29 33 0 63
Expected Count 5.8 26.8 29.0 1.4 63.0
% within Kategori Konsumsi
Energi 1.6% 46.0% 52.4% .0% 100.0%
% within Kategori Status Gizi 12.5% 78.4% 82.5% .0% 72.4%
% of Total 1.1% 33.3% 37.9% .0% 72.4%
Lebih Count 0 0 7 2 9
Expected Count .8 3.8 4.1 .2 9.0
% within Kategori Konsumsi
Energi .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%
Total Count 8 37 40 2 87
% within Kategori Konsumsi
Energi 9.2% 42.5% 46.0% 2.3% 100.0%
% within Kategori Status Gizi 100.0% 100.0% 100.0% 100.0% 100.0%
% of Total 9.2% 42.5% 46.0% 2.3% 100.0%
Kategori Konsumsi Protein * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Total
Kurus Normal Gemuk Obesitas
Kategori Konsumsi Protein
Baik Count 8 33 23 0 64
Expected Count 5.9 27.2 29.4 1.5 64.0
% within Kategori
Konsumsi Protein 12.5% 51.6% 35.9% .0% 100.0%
% within Kategori Status
Gizi 100.0% 89.2% 57.5% .0% 73.6%
% of Total 9.2% 37.9% 26.4% .0% 73.6%
Lebih Count 0 4 17 2 23
Expected Count 2.1 9.8 10.6 .5 23.0
% within Kategori
Konsumsi Protein .0% 17.4% 73.9% 8.7% 100.0%
% within Kategori Status
Gizi .0% 10.8% 42.5% 100.0% 26.4%
% of Total .0% 4.6% 19.5% 2.3% 26.4%
Total Count 8 37 40 2 87
Expected Count 8.0 37.0 40.0 2.0 87.0
% within Kategori
Konsumsi Protein 9.2% 42.5% 46.0% 2.3% 100.0%
% within Kategori Status
Kategori Konsumsi Protein * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Total
Kurus Normal Gemuk Obesitas
Kategori Konsumsi Protein
Baik Count 8 33 23 0 64
Expected Count 5.9 27.2 29.4 1.5 64.0
% within Kategori
Konsumsi Protein 12.5% 51.6% 35.9% .0% 100.0%
% within Kategori Status
Gizi 100.0% 89.2% 57.5% .0% 73.6%
% of Total 9.2% 37.9% 26.4% .0% 73.6%
Lebih Count 0 4 17 2 23
Expected Count 2.1 9.8 10.6 .5 23.0
% within Kategori
Konsumsi Protein .0% 17.4% 73.9% 8.7% 100.0%
% within Kategori Status
Gizi .0% 10.8% 42.5% 100.0% 26.4%
% of Total .0% 4.6% 19.5% 2.3% 26.4%
Total Count 8 37 40 2 87
Expected Count 8.0 37.0 40.0 2.0 87.0
% within Kategori
Konsumsi Protein 9.2% 42.5% 46.0% 2.3% 100.0%
% within Kategori Status
Gizi 100.0% 100.0% 100.0% 100.0% 100.0%
% of Total 9.2% 42.5% 46.0% 2.3% 100.0%
Kategori Konsumsi Lemak * Kategori Status Gizi Crosstabulation
Kategori Konsumsi Lemak
Kurang Count 6 6 0 0 12
Expected Count 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%
% of Total 6.9% 6.9% .0% .0% 13.8%
Baik Count 2 28 32 0 62
Expected Count 5.7 26.4 28.5 1.4 62.0
% within Kategori Konsumsi Lemak 3.2% 45.2% 51.6% .0% 100.0%
% within Kategori Status Gizi 25.0% 75.7% 80.0% .0% 71.3%
% of Total 2.3% 32.2% 36.8% .0% 71.3%
Lebih Count 0 3 8 2 13
Expected Count 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%
Total Count 8 37 40 2 87
Expected Count 8.0 37.0 40.0 2.0 87.0
% within Kategori Konsumsi Lemak 9.2% 42.5% 46.0% 2.3% 100.0%
% within Kategori Status Gizi 100.0% 100.0% 100.0% 100.0% 100.0%
% of Total 9.2% 42.5% 46.0% 2.3% 100.0%
Aktivitas Fisik Kategori * Kategori Status Gizi Crosstabulation
Kategori Status Gizi
Total
Aktivitas Fisik Kategori
Ringan Count 6 31 40 2 79
Expected Count 7.3 33.6 36.3 1.8 79.0
% within Aktivitas Fisik Kategori 7.6% 39.2% 50.6% 2.5% 100.0%
% within Kategori Status Gizi 75.0% 83.8% 100.0% 100.0% 90.8%
% of Total 6.9% 35.6% 46.0% 2.3% 90.8%
Sedang 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%
% of Total 2.3% 6.9% .0% .0% 9.2%
Total Count 8 37 40 2 87
Expected Count 8.0 37.0 40.0 2.0 87.0
% within Aktivitas Fisik Kategori 9.2% 42.5% 46.0% 2.3% 100.0%
% within Kategori Status Gizi 100.0% 100.0% 100.0% 100.0% 100.0%
% of Total 9.2% 42.5% 46.0% 2.3% 100.0%
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
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
Sumbangan Konsumsi Karbohidrat
(Fastfood) 87 8.80 46.87 28.6132 7.72896
