The Correlation between Nutrition Status and Gross Motor Development: A Case in Banten, Indonesia

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1 International Journal of Public Health and Epidemiology Research Vol. 5(1), PP , March, ISSN: X Research Article The Correlation between Nutrition Status and Gross Motor Development: A Case in Banten, Indonesia * 1 Tricahyani Endah Yuniarti, 2 Atin Fatimah, 3 Fajar Nureni 1,2,3 University of Sultan Ageng Tirtayasa, Untirta, Jalan Raya Jakarta km.4 Pakupatan Serang Banten, Indonesia The aim of this research was to find out the correlation of nutritional status with the gross motor development of 4-5 years old child in Serang and the influence of nutritional status toward the children's gross motor development. This research used correlation study with cross sectional approach. The technique used multi stage sampling which were cluster, proportional, and random sampling technique with samples of 54 children aged 4-5 years. The data collection technique was using measurement and direct observation. The nutrition status variable was using weight measurement/body weight and gross motor development variable using observation guidance instrument. The data analysis technique used Spearman Rank bivariate analysis (rs). The results showed the correlation between nutritional statuses with gross motor development of (rs) The result of the data obtained t count equal to 8.352>t table of 2,00665 and obtained the coefficient of determination of So, it can be concluded that there was a positive and significant relationship between nutritional status and gross motor development of children aged 4-5 years in Serang. The big influence which given the nutritional status of gross motor development reaches 57.3%. Keywords: nutritional status, gross motor development, children aged 4-5 years, cross sectional approach, Spearman Rank bivariate INTRODUCTION Early childhood is an individual in the age group of 0-6 years who is undergoing a process of rapid growth and development which very important for the next life. Child growth is followed by growth of the brain, skeleton, muscle, nervous system, and personality development. Skeletal and muscle systems greatly affect the motor skills of children in performing activities. It has the differences motor developments of each individual. There are children who have excellent motor development, but some also have late motor development. Motor development is one of the most important factors in the development of the individual as a whole. Motor skill of children can grow and develop well if child have experience of motion of various kind. It is supported by Mahendra and Saputra (2006) states motor development greatly influenced by nutrition, health status, and motion treatment according to the period of its development. Nutrition is a substance needed by the body to function. These nutrients are obtained from food consumed. Food consumption will affect a person's nutritional status. A good nutritional status will occur if the body obtains adequate intake of nutrients and according to the needs of the body. Gross motor activity of toddlers needs to get stimulation from parents and the preschool education environment. Based on the observations made by researchers in the environment of early childhood education institutions, there are some children of the same age but look different body size, there is a normal look there is also a thin and even look fat. In early observations were also found when they performed some gross motor activity tasks from teachers such as jumping, walking straight and running, found some children need teacher assistance to perform such abusive motor activities, even some children cannot perform the task given. These children mostly have smaller body size and larger than other children. Children gain a variety of motion experiences requiring nutritional intake. A healthy child will demonstrate optimal motor abilities, requiring adequate nutrition both in quality and quantity. Consumption of nutrition greatly affects the nutritional status of children. Incorrect nutritional intake, then the nutritional status of children can be more or less. The child's nutritional intake should be appropriate to the child's needs with regard to age, sex, weight, and physical activity. *Corresponding Author: Tricahyani Endah Yuniarti, University of Sultan Ageng Tirtayasa, Jalan Raya Jakarta km.4 Pakupatan Serang Banten, Indonesia. Tricahyani.Ey@untirta.ac.id; Tel: Co-Authors 2 Atin Fatimah fatimah.79@untirta.ac.id Tel: ; 3 Fajar Nureni fajarnureni@yahoo.co.id Tel:

2 Yuniarti et al. 092 Various studies have shown that malnutrition can decrease muscle strength that makes work productivity inefficient. This is because the ability of a person's work is greatly influenced by the amount of energy available, where energy is obtained from the daily diet and if the daily amount of food does not meet the needs of the body and does not contain enough nutrients necessary, this situation will cause changes in metabolism in the brain resulted in the inability to function normally. Nutritional deficiencies lead to impaired body growth, smaller body followed by the small number of brain cell growth which will affect the motor development of children. In fact, based on data of Indonesia Health Profile Year 2015 by the Directorate General of Public Health, 2016, among eight cities in Banten Province, there are five districts in serious category, and two districts / municipalities that fall into the critical category. Thus, this study seeks to answer: 1) Is there any relationship between nutritional status and gross motor development of 4-5 years old in Serang district? 2) How much contribution the influence of nutritional status with the development of gross motor aged 4-5 years in Serang district? The Nature of Nutrition Status of Early Childhood The nutritional status of children showed the nutritional adequacy of children as a parameter to assess the growth and development of children and assess the health of children. Suparisa et al cited in Istiany and Rusilanti (2014: 5), mentioned that the state of nutrition or nutritional status is an expression of a state of equilibrium in the form of a particular variable or the embodiment of a nutriture in the form of a particular variable. It was that the nutritional status of the child is shown through the physical state of the child's body as a result of the nutrients or foods consumed by the child daily. A healthy physical condition will affect the child in the activity.. Another opinion is strengthened by Manaf in Hasdianah, Siyoto, and Peristyowati (2014: 6), said that nutritional status is the nutritional health of the community depends on the level of consumption and is required by the body in the composition of food and its comparison with others. In other words, the child's nutritional status is characterized by the level of food consumption the body needs with the child's physical state. A normal physical state is characterized by a healthy child body and optimal physical growth of the child, so that a child consuming a healthy diet will show good physical condition. Based on the understanding of some opinions above, it can be concluded that the child's nutritional status is characterized by the physical state of the child's body due to the level of consumption of food consumed by the child every day. Foods consumed by children as a nutritional intake that affects the development of children. The child's nutritional status will reflect the balance of physical growth patterns of the child. Nutritional status can be measured by index Weight / Height Body has 4 categories that is very thin, thin, normal, and fat (Kementrian Kesehatan RI, 2011). Nutritional status is divided into two types: normal nutritional status and malnutrition. Normal nutritional status is a state of the body that reflects the balance between consumption and the use of nutrition by the body (adequate). Meanwhile, malnutrition is a condition due to deficiency or excess relative or absolute one or more nutrients. There are four forms of malnutrition including under nutrition (less of food consumption relative or absolute for a certain period), specific deficiency (less of certain nutrients, for example iodine deficiency and Fe, over nutrition (excess consumption of food for a certain period, imbalance (state disproportion of nutrients, such as high cholesterol because it does not equal the levels of LDL, HDL, and VDL (Hasdianah, Siyoto, and Peristyowati, 2014: 32-33). The Nature of Gross Motor Development of 4-5 Years Old The terms of motor were confirmed by Zulkifli in Samsudin (2008: 11), said the meaning by motor skill is anything that has to do with body movements. So, it can be said that any physical activity performed by the child will be related to the body movement produced by the motor ability of the child. Children aged 4-5 years are able to perform agile motor movements, as said by Roberton & Halverson in Desmita (2012: 129), stated that children aged 4.5 to 5 years can do the balancing on one leg, running far, swimming, cutting, drawing, imitating numbers and letters, and making plaid arrangements. Based on the above opinion it can be concluded that each child has a basis for doing motor movement on the physical activities of children involving the body muscles to produce body movements according to the ability of the child's age. The motor development of children should get the right stimulation in order to develop well as expected. In general, children aged 4-5 years are able to perform motor movements such as standing, walking, running, jumping, jumping, manipulating, drawing, cutting and writing or imitating numbers and letters. Healthy children have adequate motor and coordinated motion so that children become skilled and active person. So, development and motor were interrelated in the span of life. As explained by Hurlock (Suyadi, 2010: 67), that motor development is a physical development through nerve center activities, nerves, and muscles are coordinated. The movement comes from the development of reflexes and activities that have existed since birth. In other words that every child has an innate motor development that keeps on coordinating so as to produce body movements to perform activities. The motor development of children run gradually until the child achieved the ability to live skillfully. Achieving life skills of children requires encouragement and adult guidance.

3 Int. J. Public Health Epidemiol. Res. 093 Based on the above opinion can be said that early childhood motor development was done through physical activity involving the coordination of muscles that complicate resulting in body movements. Focused body coordination helped the child to engage in activities within the child's life span. At the age of 4-5 years the child is able to perform the movement accurately on fine motor development and gross motor skills. Aim of the Present Study This study aimed to find out the relationship of nutritional status with gross motor development aged 4-5 years in Serang district and to find out the contribution of the influence of nutritional status with the development rough motor aged 4-5 years in Serang district. More, specifically, the researchers hypothesized that: 1) Ho: ρ 0 = There is no significant relationship between nutritional status and gross motor development in children aged 4-5 years in Serang district. 2) Ha: ρ> 0 = there is a significant relationship between nutritional status and gross motor development in children aged 4-5 years in Serang distrcit. RESEARCH METHOD Research Design This research was used quantitative data. This research also used survey method with cross sectional approach they were research data collected and observed at the same time. In this research, there were two variables those are variable X (nutritional status) and variable Y (child's gross motor development). This study was used the score of two variables then calculate the correlation of both variables. The participants of this research were all ages of 4-5 years old of PAUD BKB Package IQRO, PAUD Al- Muhajirin, PAUD Ass-Syarif, PAUD Nurul Hidayah, PAUD Al-Ikhlas and TK Aisyiah 1 Serang, in Serang Sub-district, Banten Province. There were 54 participants. The technique used in sampling in this research (institutional selection) using area sampling technique based on population area that is District of Serang which consisted of 12 urban villages. According to Surakhmad in Riduwan (2013: 65), argued that if the population size is less than 100, then sampling is at least 50% of the population size. The researcher assigned sample 50% from 12 villages at random that is as much as 6 villages or 6 PAUD institute to represent every village to be participants. Research Instrument The research instrument used in this research was the type of observation guidance, manual body weight, microtoise and anthropometry standard. The designation of this research instrument to the variables studied were as follows: 1. Independent Variable (Nutritional Status) Instrument in this research used weight index instrument according to height (BB / TB) which can be used to know the nutritional status of children aged 4-5 years by calculating body weight and height value then view category of nutritional status with anthropometry standard. The assessment of nutritional status based on anthropometric standards as follows; Table 2: The Measurement of Child Nutrition Status Index Category Threshold Score Weight Loss Based Very Thin < -3 rd grade of Elementary School 1 on Height Thin - 3 rd grade of Elementary School until <-- 2 nd grade of Elementary School 2 (BB / TB) Normal - 2 nd grade of Elementary School until 2 nd grade of Elementary School 3 (0-60 Months) Fat > 2 SD 4 2. Dependent Variables (Gross Motor Development) To measure children's gross motor development, instruments used to measure movement ability in general children 4-5 years old are used. In this study to measure the gross motor development of children aged 4-5 years using the technique of observation directly. Data collection of gross motor development with a tool of observation guideline of children aged 4-5 years in District Serang In the preparation of this research instrument to categorize gross motor skill of children aged 4-5 years using the following assessment categories; Tabel 3: The Category of Gross Motor Assessment of Child Development Aged 4-5 Years old Alternative Response Categories 4 Developing very well 3 Developing as expectations 2 Starting develop 1 Undeveloped

4 Yuniarti et al. 094 Data Collecting Technique Validity Test In this study to test the validity of Nutrition Instrument variable instrument used standardized instrument that was weight scales with 0.5 kg accuracy to measure child weight and microtoise with accuracy of 0.5 cm to measure height. Meanwhile, to test the validity of the instrument of variable gross motor development is by analyzing the instrument grain and compare t arithmetic with t table. The number of items used was 12 items. Testing validity of each item was using the Pearson formula with Microsoft Exel Application. Criteria testing can be accepted if t arithmetic> t table at a significant level of 0.05, then the item was declared valid (accepted). Conversely, if t arithmetic <t table at a significant level of 0.05, then the item was declared invalid (drop / rejected). Result of Validity Test Instrument To test the instrument validity of rough motor development variable that was by analyzing instrument grain and compare t count with t table. The result of test of validity of gross motor development instrument (Y variable) was obtained 10 items of valid instrument. Item consists of valid items that are 1, 2, 3, 4, 5, 6, 7, 9, 11, and 12. Meanwhile, the item which was invalid consists of 2 items that are 8 and 10. Invalid items will be dropped / dropped, while the valid items will be researched in PAUD BKB Pack IQRA, PAUD Al-Muhajirin, PAUD Ass-Syarif, Nurul Hidayah PAUD, PAUD Al-Ikhlas, and TK Aisyiah 1 Serang Sub-district. Result of Reliability Test Instrument Table 4: The Result of Reliability Analysis of Gross Motor Development Instrument Reliability Statistics Cronbach's Alpha Cronbach's Alpha Based on Standardized Items N of Items,829, Based on the calculation results showed that obtained r_11 = 0.829, because the value of reliability coefficient r> 0.80 then the degree of reliability of high gross motor development instrument. Retnawati (2016, 85), mentioned that the reliability test is generally expressed numerically in terms of coefficients of magnitude ρ + 1,00. High coefficients show high reliability. Conversely, if the coefficient of a test score was low then the test reliability was low. If reliability was perfect, then the reliability coefficient was Table 5: Instrument Reliability Criteria Interpretation Reliability Coefficient 0,80 r High reliability degree 0,40 r < 0,80 Middle reliability degree r < 0,40 Low reliability degree (Arikunto, 2006) Normality Test Normality test aims to determine whether the research data is normally distributed or not. Data or samples of more than 30 digits (n> 30), can already be assumed to be normally distributed. But in statistics it is necessary to test the data normality. Normality test data in this study was conducted by using statistical test Shapiro Wilk. The basic decision-making in the Shapiro Wilk normality test, if significant value> 0.05, then the data is said normally distributed. Conversely, if the value is significant <0.05, then the data is said not distributed normally. Research Instrument Try Out In this study used to collect data about the nutritional status of children aged 4-5 years to measure the weight and height of the child with a standard instrument tool that is the weight and height (microtoise). While the data of gross motor development of children aged 4-5 years using the instrument in the form of observation guidelines that contain 12 questions with 4 (four) alternative answers that is Very Good Developing with a score of 4, Developing Expectant Hope with a score of 3, Start Developing with a score of 2, and not yet Develops a score of 1 for each answer. After the observation instrument is prepared and in consultation with the expert, then the instrument is conducted by using research instrument try out. Furthermore, it is necessary to do a trial analysis consisting of analysis of instrument validity and instrument reliability. Data Analysis Technique Data analysis in this study using IBM SPSS Statistics 22 software. Data analysis related to the calculation answer the problem formulation and hypothesis testing proposed. Data analysis in this research were univariate and bivariate analysis. Univariate Analysis The analysis was conducted to find out the distribution, frequency, and percentage of each dependent variable and the independent variables studied were the analysis of nutritional status variables and rough motor development variable of 4-5 years old children in Serang District. Bivariate Analysis Bivariate analysis was conducted to see the correlation between independent variable that is nutrition status and rough motor development variable of

5 Int. J. Public Health Epidemiol. Res years old child in Serang District. In this study using Spearman Rank correlation analysis. The Spearman Rank correlation was denoted (r s ) with the provision that the (r s ) value is no more than the price (-1 (r s ) +1). If the value of (r s ) = -1, meaning the correlation between the negative variable is perfect, (r s ) = 0, meaning no correlation, and r_s = 1 means the correlation between variables is very strong. While the meaning of price (r s ) will be consulted with interpretation table r value in Sugiyono (2012:) as follows: Tabel 6: Interpretasi Koefisien Korelasi Nilai r Coefficient Interval Interpretation 0,00 0,199 Very low 0,20 0,399 Low 0,40 0,599 Adequate 0,60 0,799 Strong 0,80 1,000 Very Strong Meanwhile, to state the size of the contribution of variable X to Y can be determined by the formula coefficient determine as follows: Which: KD = The magnitude of the coefficient of determination R = Correlation coefficient Furthermore, the significance test is calculated by t-test with the formula as follows r xy n 2 t count = (1 r xy 2 ) Which: t = value t-count r = correlation coefficient of r result (r XY) n = total of respondents Test rules: If t arithmetic t table, then significant If t arithmetic t table, then not significant Terms of error rate (ɑ) = 0.05 with the formula degrees of freedom (db) = n-2, so it can be concluded the correlation results of both variables. FINDING Data Collecting Technique Normality Test Normality test data in this study was conducted by using statistical test Shapiro Wilk. Based on the results of statistical analysis Shapiro Wilk normality test obtained significant value for gross motor development in nutritional status is very thin at 0.272, gross motor development on nutritional status of 0,094 thin, the gross motor development at normal nutrient status of 0.056, and significant value of motor development coarse on nutrient status was very fat at Because the value of the four categories has a significantly greater value> 0.05, it can be concluded that the gross motor development data is normally distributed. Descriptive Analysis of Research Data Descriptive of Child Gender This research was conducted at PAUD institution located in Serang Sub-district with sample of 54 children. Here's an overview of children by gender. Tabel 9:Gender Frequency Distribution of Children Gender Frequency Percentage Male 25 46,3 Female 29 53,7 Total Based on table above, it can be seen that children aged 4-5 years in the Serang Sub-district was dominated by female gender as much as 29 children with a percentage of 53.7%. While children with male gender counted 25 children with percentage of 46,3%. Descriptive of Nutritional Status Nutrition status was denoted by X. The calculation results obtained a maximum score of 4 and a minimum score of 1. The average score obtained by 2.61, standard deviation obtained by 0.738, mode of 3 and median of Based on the research data above, the classification / category of nutritional status of children aged 4-5 years in Serang district based on body weight index by height (BB / TB), can be seen in the table below: Tabel 9: Frequency Distribution of Child Nutrition Status Category Score Category Frequency Percentage 1 Very thin 4 7,4 2 Thin 17 31,5 3 Normal 29 53,7 4 Fat 4 7,4 Total , From the table above, it can be seen that most nutritional status of children aged 4-5 years is normal as many as 29 children (53.7%), but still obtained children with nutritional status is very thin and fat with the same number of children (7.4 %). When presented in diagram form, here is a diagram of the nutritional status variables: Descriptive of Gross Motor Development Gross motor development was denoted by Y. A maximum score of 38 is obtained and a minimum score of 20. The average score is 30.13, the standard deviation is obtained at 6.265, the mode of 35 and the median of Furthermore, data was arranged in motor frequency distribution of motor ability as follows:

6 Yuniarti et al. 096 Table 10: Frequency Distribution of Gross Motor Child Development Interval Class Frequency Percentage 20,00 22, ,8 22,58 25, ,1 25,16 27,73 2 3,7 27,74 30,30 1 1,9 30,31 32, ,88 35, ,6 35,46 38, ,9 Total ,0 17 So, Good 62,5% Low < 62,5% Individual Score = result score highest score x 100% So, the value of gross motor development of children with the following frequencies: Diagram of Gross Motor Child Development Values From the table above showed that the development of the most gross motor child with interval class of 32,88-35,45 counted 16 children with percentage of 29,6%, whereas at least the interval class value 27,74-30,3 as much as 1 child with percentage of 1.9%. The data of gross motor development score of 4-5 years old in Serang Sub-district, if presented in the form of diagram is as follows: Diagram of the Gross Motor Development Result Scores. Based on the data above, gross motor development of children aged 4-5 years in Serang district can be classified in the following table: Table 11: Interpretation of Gross Motor Development Score Scoring Categories Frequency Percentage 62,5% Good 37 68,4 % < 62,5% Low 17 31,6 % ,00 % 2017 A scoring and scoring guide using the Likert scale approach. Where the number of alternative answer options that is 4 with the highest score is 4 and the lowest score is 1, and the number of indicators is 10. The guide determination assessment and scoring are as follows: Lowest score = lowest answer option x number of indicators = 1 x 10 = 10 Highest score = highest answer option x number of indicators = 4 x 10 = 40 Lowest Score Lowest Score = x 100% Highest Score = 10 x 100% = 25% Highest Score = 40 Highest Score Highest Score = x 100% x 100% = 100% Range = Highest Score Lowest Score = 100% - 25% = 75% Category (K) = 2 (Good and Less) Interval (I) = Range (R) / Category (C) = 75% / 2 =37,5% Based on the table above, the category of gross motor development of children aged 4-5 years in Serang Subdistrict as objects in this study were 37 children have a gross motor development with a good percentage of 68.4%, but still found as many as 17 children with low of gross motor development with a percentage of 31.6%. DISCUSSION AND CONCLUSION The result of tabulation between nutritional status and gross motor development of 4-5 years old in Serang Subdistrict with the number of 54 children generally obtained good or normal nutritional status with good gross motor development as much as 29 children (53,7%). This was supported by Almatsier (2013), stated that children who have good nutritional status will experience growth and good development as well. Good nutritional status can occur when the body obtains sufficient nutrient intake so as to enable the creation of physical growth, brain development, and optimal health.

7 Int. J. Public Health Epidemiol. Res. 097 In the results of the study also found less nutritional status or underweight with less rough motor development amounted to as many as 4 children (8.8%). Children who have less or underweight nutrition status will lead to stunted growth and development. The occurrence of imbalance between the nutrients consumed by the use of nutrients by the body, so that growth and development become disrupted as a result of physical growth becomes slower and brain development becomes not optimal. These results were supported by research conducted by Humaira, et al (2014), entitled "the relationship of nutritional status and psychomotor development in infants in Lapai Padang". The result of the research showed that children with psychomotor development were higher in normal nutritional status (87,6%) than the abnormal nutritional status (52,9%). Analysis of the relationship between two variables obtained p value = Statistically there was a significant relationship between nutritional status with psychomotor development of toddlers. So that required more attention, especially from parents to keep the nutritional needs of toddlers to be fulfilled and add insight about the development of toddlers in order to develop according to age of children. From result of data analysis that ρ-value showing 0,000 indicates existence of correlation of nutritional status with gross motor development of child aged 4-5 years and correlation coefficient value (r s ) equal to 0,757. Based on the interpretation table r value in Sugiyono (2012) the level of relationship between nutritional status with the development of gross motor development of children is in the coefficient interval between 0.60 to 0.799, so it has a strong relationship level. Based on the results of data analysis and discussion that have been described, it can be drawn the conclusion according to the purpose in this research that: 1. There was a positive and significant correlation between nutritional status with gross motor development of children aged 4-5 years in Serang district. The analysis of the calculated correlation coefficient (r s ) is (positive sign) with strong relation rate and has a significant value of less than significant The contribution of the influence given by the variable of nutritional status toward the gross motor development variable of 4-5 years old in Serang district is 57,3%, while 42,7% is the contribution given by other factors not examined. The results of this study provided information that nutritional status played an important role in the development of gross motor child. So that teachers and parents can synergized in the care of children with attention to the nutritional status of children and improve the gross motor development of children with various stimulation. REFERENCES Almatsier, Sunita Prinsip Dasar Ilmu Gizi. Jakarta:Gramedia Pustaka Utama. Desmita Psikologi Perkembangan. Bandung: Remaja Rosdakarya. Dewi, Rosmala Berbagai Masalah Anak Taman Kanak-Kanak. Jakarta: Departemen Pendidikan Nasional. Hari Soetjiningsih, Christiana Seri Psikologi Perkembangan Perkembangan Anak Sejak Pembuahan Sampai dengan Kanak-Kanak Akhir. Jakarta: Prenada Media Group. Hasdianah, et al Gizi Pemanfaatan Gizi, Diet, dan Obesitas. Yogyakarta: Nuha Medika. Humaira, Hamdini, Dianne Jurnalis,Yusri, dan Edison Hubungan Status Gizi dengan Perkembangan Psikomotorik Balita di Wilayah Kerja Puskesmas Lapai Padang Tahun Jurnal Kesehatan Andalas, Vol. 5, (2), Irianti, Sri, et al Kementerian Kesehatan RI, Pokok- Pokok Hasil Riskesdas Provinsi Banten Tahun Jakarta; Lembaga Penerbitan Badan Litbangkes. Istiany, Ari, dan Rusilanti Gizi Terapan. Bandung: Remaja Rosdakarya. Jamhari Hubungan Status Gizi dengan Kemampuan Motorik Siswa Kelas Bawah di SD Negeri Gumulan Kecamatan Pandak Kabupaten Bantul. Skripsi pada Program Studi PGSD FIK Universitas Negeri Yogyakarta: diterbitkan. Kementerian Kesehatan RI Keputusan Menteri Kesehatan Republik Indonesia Nomor: 1995/MENKES/ SK/XII/2010 tentang Standar Antropometri Penilaian Status Gizi Anak. Jakarta: Direktorat Bina Gizi. Mahendra, Agus dan Saputra, Yudha M, 2006, Perkembangan dan Belajar Motorik, Jakarta: Departemen Pendidikan Nasional: Universitas Terbuka Moehji Ilmu Gizi 1. Jakarta: Bhratara Niaga Media. Muchtadi, Deddy Pengantar Ilmu Gizi. Bandung: ALFABETA. Nurlinda, Andi Gizi Dalam Siklus Daur Kehidupan Seri Baduta (Untuk Anak 1-2 Tahun). Yogyakarta: CV. Andi Offset. Retnawati, Heri Analisis Kuantitatif Instrumen Penelitian (Panduan Peneliti, Mahasiswa, dan Psikometrian. Yogyakarta: Paraba Publising.. Riduwan Belajar Mudah Penelitian untuk Guru- Karyawan dan Peneliti Pemula. Bandung: Alfabeta. Samsudin Pembelajaran Motorik Di Taman Kanak- Kanak. Jakarta: Prenada Media Group. Santoso, Soegeng, dan Ranti, Anne Lies Kesehatan dan Gizi. Jakarta: Rineka Cipta. Sekretariat Jenderal Kementerian Kesehatan RI Profil Kesehatan Indonesia Tahun Jakarta: Kementerian Kesehatan RI. Soetjiningsih Tumbuh Kembang Anak. Jakarta: Buku Kedokteran EGC. Sugiyono Metode Penelitian Kombinasi (Mixed Methods). Bandung: Alfabeta.

8 Yuniarti et al. 098 Sutrisno, Mohammad Yogie Hubungan Status Gizi dengan Status Perkembangan Motorik Kasar (Gross Motor) pada Anak Usia 6 Bulan sampai 24 Bulan di Posyandu (Pos Pelayanan Terpadu) Desa Pari Kecamatan Mandalawangi Kabupaten Pandeglang Provinsi Banten. Skripsi pada Program Studi Kesehatan Masyarakat FKIK Universitas Islam Negeri Syarif Hidayatullah: diterbitkan. Suyadi Psikologi Belajar Pendidikan Anak Usia Dini. Yogyakarta: Pedagogia. Syafiq, et al Gizi dan Kesehatan Masyarakat.Jakarta: Rajawali Pers. Wahyudin, Uyu, dan Agustin, Mubair Penilaian Perkembangan Anak Usia Dini: Panduan untuk Guru, Tutor, Fasilitator dan Pengelola Pendidikan Anak Usia Dini. Bandung: Refika Aditama. Wantika Sari, Desmika, Nur W, Endang, dan Purwanto, Setyo Hubungan Antara Status Gizi dengan Perkembangan Motorik Kasar 1-5 Tahun di Posyandu Buah Hati Ketelan Banjarsari Surakarta. Jurnal Kesehatan, Vol. 5, No. 2, Wiarto, Giri Ilmu Gizi Dalam Olahraga. Yogyakarta: Gosyen Publishing. Widiani, Esti, dan Candrawati, Erlisa Hubungan Status Gizi dengan Perkembangan Anak Usia 1-3 Tahun di Posyandu Melati RW 02 Kelurahan Tlogomas Malang. Jurnal CARE, Vol. 1, No. 3, Accepted 4 March 2019 Citation: Yuniarti TE, Atin F, Nureni F (2019). The Correlation between Nutrition Status and Gross Motor Development: A Case in Banten, Indonesia. International Journal of Public Health and Epidemiology Research, 5(1): Copyright: 2019 Yuniarti et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are cited.

9 APPENDIX Int. J. Public Health Epidemiol. Res. 099 THE DATA TABULATION OF NUTRITION STATUS AGED 4-5 YEARS OLD SERANG DISTRICT, SERANG CITY 2017 NO NAMA JK BB (kg) TB (cm) Z-Score KATEGORI 1 AF L SD - <-2SD 2 2 ACP P SD - 2SD 3 3 HF P SD - 2SD 3 4 AN L ,5 <-3SD 1 5 HSN P 13,5 106,5-3SD - <-2SD 2 6 IMP P ,5-2SD - 2SD 3 7 MRF L ,5-2SD - 2SD 3 8 MS P ,5-3SD - <-2SD 2 9 AFC P ,5-2SD - 2SD 3 10 AR P ,5-2SD - 2SD 3 11 AN P SD - 2SD 3 12 MAA L 12, SD - <-2SD 2 13 ADC L >2SD 4 14 ZH P SD - 2SD 3 15 KJA P SD - 2SD 3 16 NK P 14, SD - <-2SD 2 17 MKF L SD - 2SD 3 18 MMA L ,5-2SD - 2SD 3 19 YFR P SD - <-2SD 2 20 MDG P SD - 2SD 3 21 INA L 12, SD - <-2SD 2 22 TAA L SD - 2SD 3 23 FRR P <-3SD 1 24 KRA L SD - 2SD 3 25 RAN P 14, SD - <-2SD 2 26 SF L SD - 2SD 3 27 AZN L SD - <-2SD 2 28 ALS P SD - 2SD 3 29 ASS P SD - 2SD 3 30 DFP L SD - 2SD 3 31 GFI P SD - <-2SD 2 32 MAA L SD - 2SD 3 33 KAT L SD - 2SD 3 34 MFH L SD - <-2SD 2 35 LL P SD - 2SD 3 36 MK L SD - <2SD 2 37 FN P 12, SD - <-2SD 2 38 MRN P SD - 2SD 1 39 PG P SD - 2SD 3 40 HPC P SD - 2SD 3 41 SAN P SD - <-2SD 2 42 MRA L ,5-2SD - 2SD 3 43 MR L SD - 2SD 3 44 AP L <-3SD 1 45 MEA P >2SD 4 46 AA P SD - 2SD 3 47 KL P SD - <-2SD 2 48 AIS L >2SD 4 49 RZ L ,5-2SD - 2SD 3 50 HB L SD - 2SD 3 51 KS P 18, SD - 2SD 3 52 EG L SD - <-2SD 2 53 NZ P SD - <-2SD 2 54 FZ L >2SD 4