Jurnal Poltekkes Kemenkes Aceh
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    Analisis kandungan energi dan zat gizi makro pada formula enteral non susu berbasis kacang merah (Phaseolus vulgaris) untuk pasien diabetes mellitus tipe II

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    Background: Individuals at the age of 40 years face a 6-fold higher risk of developing Type II diabetes. Modification of enteral nutrition is necessary to address nutritional needs in patients with eating difficulties. Nutritional therapy for Type II diabetes patients should focus on controlling blood glucose levels by selecting foods with low glycemic index and high fiber content. Red beans, rich in protein, carbohydrates, and fiber, offer potential benefits in blood glucose control and as a dairy substitute for individuals with cow's milk allergies, making them a viable candidate for hospital-based enteral nutrition.Objectives: This study aims to determine the macronutrient content, flow test, food cost, and organoleptic test of non-dairy liquid food based on local ingredients. The study uses a completely randomized design.Methods: A complete randomized design was employed for this research. Product development activities were conducted in June 2022 at the Nutritional Kitchen of Jantung dan Pembuluh Darah Harapan Kita Hospital. Preparation of non-dairy liquid food using red beans as a base, proximate analysis of nutritional content, flow test through an NGT tube, food cost calculation, and organoleptic assessment involving ten respondents were carried out.Results: Proximate analysis of the formula yielded the following composition: water content 85,88%, ash 0,25%, protein 1,95%, fat 2,343%, carbohydrates 9,60%, and fiber 1,38%. The flow test for the red bean formula through the Fr 16 NGT tube demonstrated a rate of 50cc/31,90 seconds. The calculated food cost for one recipe of red bean formula was Rp. 8,734.00. Organoleptic evaluation results indicated that the majority of respondents favored the aroma (80%), taste (60%), color (100%), and texture (90%).Conclusion: The red bean formula meets the protein and carbohydrate requirements of the diabetes mellitus diet standards, while the fat and fiber content do not yet meet the diabetes mellitus diet standards

    Adequate fruit and vegetable consumption and its association with overnutrition among primary school-aged children

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    Overnutrition among school-aged children increases substantially over the last decade. Among the direct causes of overweight/obesity is inadequate intake of fruit and vegetable. Prior studies have shown that fruit and vegetable (FV) is not merely the main source of vitamins andminerals, but also playing role on preventing weight gain through satiety regulation. This study aims to determine the association of FV consumption adequacy among 5-12 years schoolers and their overnutrition status. This cross-sectional study was conducted in Jakarta and Depok, carried out on 57 children who filled out an online questionnaire survey. Respondents’ characteristics were obtained through the self-administered online questionnaire. BMI for age z-score (BAZ) was calculated from the self-reported recall of body weight and height. The FV consumption was evaluated using the WHO STEP-wise questionnaire. Respondent’s characteristics were presented in frequency and percentage, while association test was done using Fisher Exact test (CI 95%). In this study, 40,4% of children were overweight and most children did not consume adequate portions of fruit and vegetable (73,7% and 57,9%, respectively). There are no significant association between FV consumption and children’s overnutrition (p= 0,171 and p= 0,788, respectively; CI 95%). Overall, a high proportion of children overnutrition was observed. However, there is no significant association was found between fruit and vegetable consumption and children’s overnutrition. There is a need for specific regulations and practices that may engage children in consuming fruit and vegetable on the daily basis

    Athlete and coach’s perspectives on sports nutritionists’ role in enhancing sports performance in Indonesia Sports Training Centers

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    The role of a nutritionist as a sportsman was a legal mandate listed on Law No. 3 of 2005 in Article 63 concerning the National Sports System, stated that nutritionists are one of the sports personnel. However, the implementation of the nutritionist's role in the athlete training center was still lacking. The importance of nutritionist existence ought to be assessed to explore the perception of athletes and coaches.  Qualitative approach was used to analyze focus group discussions on 15 athletes and 10 coaches located in 3 cities in Indonesia (Jakarta, Yogyakarta, Malang). Results, the acceptance of the food in the training center are satisfactory even though some still eat out. More knowledge concerning nutrition, performance, and posture are obtained from in-class education, brochure, personal counselling, and small talk by the presence of nutritionists. Conclusion,  athletes and coaches perceive that nutritionists are urgently necessary for optimum nutrition support to enhance sports performance

    The content of proximate, beta carotene, and organoleptic pumpkin mooncake as a snack to improve the immune system in the elderly

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    The elderly population continues to increase, so it is necessary to provide healthy foods that can boost their immune system, one of which is pumpkin. Pumpkin contains β-carotene, an antioxidant and anti-inflammatory to boost the immune system. This study aimed to develop pumpkin mooncakes for the elderly and analyze their proximate, beta-carotene, and organoleptic values. Research design uses the research and development (R&D) method with a 4D design, namely, defining, designing, developing, and disseminating. The study was conducted in Surakarta City in December 2021. Eighty older adults participated in the organoleptic test. Mooncake products were subjected to organoleptic examination and proximate analysis using the ANOVA test with a significance level of 95%. The results of the proximate analysis consisted of water content (38,91%), ash (0,74%), fat (5,80%), protein (2,20%), and carbohydrates (53,24%). The β-carotene content of the pumpkin mooncake increased by 28,42% compared to that of the reference product. The average liking was 4,69, and there was a difference in the level of panelists' liking for development and reference products (p= 0,020). In conclusion, pumpkin mooncake is a beneficial ingredient that supports the immune system. However, further research is needed to compare it with other healthy foods in the context of improving immunity in the elderly population

    Physical activity, intake of iron and folic acid with the risk of preeclampsia

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    Preeclampsia (PE) is a health problem that often occurs during pregnancy. Pregnant women with preeclampsia are at risk for premature delivery, babies born with LBW, and increased maternal and infant mortality. This study aimed to measure the effect of physical activity and iron and folic acid intake on the risk of preeclampsia in pregnant women. A cross-sectional study was conducted in the Tangerang Regency in July 2022. 130 pregnant women aged ≥ 20 weeks were obtained using multistage sampling. Data were collected using the SQ-FFQ (the Semi-quantitative Food Frequency) Questionnaire (SQ-FFQ) and Physical Activity using a validated PAL (physical activity level) questionnaire. Data analysis was performed using Spearman’s rank and Multiple Linear Regression tests. Results: There was an association between iron and folic acid micronutrient intake and preeclampsia incidence in pregnant women (p<0,05). Furthermore, simultaneous physical activity and iron and folic acid intake increased the risk of preeclampsia in pregnant women (p<0,05) by 10,7%. In conclusion, lack of physical activity and consumption of nutritious foods, especially those containing iron and folic acid, can increase the risk of preeclampsia during pregnancy

    The relationship between menarche and nutritional status in Junior High School students in Aceh Besar. A study from 30 years of armed conflict area, Aceh, Indonesia

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    Age at menarche is strongly associated with adolescents' nutritional status. Food insecurity is one of the factors that cause nutritional disorders. Communities living in areas of armed conflict often experience food insecurity and low levels of parental knowledge, leading to being underweight and stunting. Aceh had been plagued by armed conflict for almost three decades, which ended 23 years ago. This study aimed to measure the relationship between menarche and the nutritional status of adolescents in Aceh Besar, Aceh Province. This analytical research method used a cross-sectional survey approach. The sample consisted of 278 Junior High School (JHS) students, taken by stratified random sampling at ten of the JHS in Aceh Besar in 2021-2022. Data were collected through interviews, using questionnaires, anthropometric measurements (Weight and Height), and observations. Statistical analysis used the Chi-square test at CI 95%. 79,1% of the students' menarche was normal, and 64,7% had normal nutritional status. There was a significant relationship between age at menarche and nutritional status (p<0,05). In conclusion, menarche's age is related to adolescent girls' nutritional status at Junior High School in Aceh Besar.

    Pengaruh metode akupuntur terhadap penurunan kekeringan dan kemerahan kulit pada pasien xerosis

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    Background: Xerosis, or dehydrated skin, significantly impacts comfort. Severely dry skin can cause severe itching, irritation, and physical discomfort. It can disrupt sleep, concentration, and daily performance of individuals. Although several studies have evaluated the impact of acupuncture on skin health, strong scientific evidence regarding its effectiveness in treating xerosis is still limited.Objectives: This study aimed to evaluate the influence of acupuncture on reducing skin dryness and redness in patients with xerosis.Methods: This research collected data from 30 patients with xerosis who underwent acupuncture sessions. Skin dryness and redness scores were measured before and after the acupuncture session. The collected data were then analyzed using descriptive statistics and paired samples t-tests.Results: The results of the study showed that acupuncture significantly influenced reducing skin dryness scores by 7,36% and skin redness scores by 15,2% in patients with xerosis after the acupuncture session. This indicates that acupuncture effectively addresses the symptoms of xerosis by reducing skin dryness and redness. This research provides evidence supporting the use of acupuncture as an effective alternative therapy in managing xerosis and improving the quality of life for patients.Conclusion: In this study, acupuncture has been proven to reduce skin dryness and redness in patients with xerosis significantly. These findings suggest that acupuncture can be an effective therapeutic option in addressing the symptoms of xerosis, such as skin dryness and redness. The use of acupuncture as a non-invasive and safe alternative therapy can enhance the quality of life for patients experiencing xerosis

    Perbandingan parasetamol dan petidin sebagai profilaksis menggigil pada pasien dengan anestesi spinal

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    Background: Shivering is a frequent complication in patients undergoing surgery under neuraxial anesthesia. Shivering can increase oxygen consumption and lead to hypothermia, so it must be prevented.Objectives: This study aims to determine the difference between intravenous paracetamol and pethidine to prevent shivering after spinal anesthesia.Methods: This research is a double-blind, randomized, controlled clinical trial. This research was conducted at Haji Adam Malik General Hospital, Medan. This research was done in August 2022. The research sample was patients with spinal anesthesia at the Haji Adam Malik General Hospital Medan who met the research criteria. The Modified Crossley and Mahajan Scale (1-4) measured the degree of shivering. The subjects who met the inclusion criteria were 34 patients, with 17 patients in the group receiving pethidine and 17 receiving paracetamol. The data that will be collected is analyzed with the bivariate test using the Chi-square test CI 95% to compare categorical variables. Of the 34 patients, 17 patients in the group received pethidine, and 17 patients in the group received paracetamol. Furthermore, both groups were randomized to obtain a balanced group of 17 patients in each group.Results: In this study, the degree of shivering in the paracetamol and pethidine groups did not show a statistically significant difference with the value (p= 0,450). However, the highest degree of shivering was found in the paracetamol group with a score of 2 (significant tremor in the chest muscles), about 17,6%. While in the pethidine group, most scores suffer shivering, the highest score being 1 (intermittent and mild tremors in the jaw and neck muscles).Conclusion: There is no difference in the effect of paracetamol and pethidine as shivering prophylaxis in preventing post-spinal anesthesia shivering

    Effectiveness of the Rumoh Gizi Gampong (RGG) program to increase coverage of specific and sensitive indicators for accelerating stunting reduction in Aceh

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    Aceh is the province with the fifth-highest prevalence of stunting in Indonesia by 2022, which could be due to the low coverage of specific and sensitive intervention programs. This research aims to determine the effectiveness of the Rumoh Gizi Gampong (RGG) program in increasing the coverage of specific and sensitive indicators for reducing stunting in Aceh. A cross-sectional design was carried out in Aceh Province from February to September 2023. The input, process, and output variables for RGG implementation were collected using interview methods with 21 RGG program managers and 23 people in charge of district nutrition programs. Specific and sensitive indicator achievements were collected using secondary data from district reports for the years 2020 and 2021. Data analysis was performed using a Dependent T-test at a confidence level of 95%. The results showed that there was an increase in the average percentage coverage of specific and sensitive indicators after the RGG program was implemented, and only the immunization coverage indicator was implemented using the yard. The results of the statistical analysis showed a significant increase in the percentage of coverage of the health insurance service coverage indicator (p= 0,006). In conclusion, the Rumoh Gizi Gampong program can increase the coverage of indicators to accelerate stunting reduction, so that villages can make RGG an alternative intervention to accelerate stunting reduction

    The potency of combination of tomato juice and sweet orange on blood pressure in pre-hypertensive people

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    Hypertension, if left untreated, causes complications in important organs such as the heart, eyes, kidneys, and brain. Tomatoes and sweet oranges have benefits in lowering blood pressure, but these two food ingredients have not been combined to be used as food ingredients in lowering blood pressure. The purpose of this study was to determine the effect of a combination of tomato and sweet orange juice on blood pressure in employees at the office of the PT Agri Andalas Seluma Regency. The research design was a pre-experiment with pre-and post-test designs. The subjects were employees at PT Agri Andalas, totaling 15 people, conducted by purposive sampling. The treatment was given a combination of juice in the form of 150 g of tomatoes and sweet orange juice as much as 50 ml then given, and water was added as much as 50 ml so as to produce a combination of tomato and sweet orange juice as much as 250 ml. The intervention was performed for 7 days. Results: The systolic blood pressure from136,1 mmHg decreased from 131,4 mmHg. Likewise in diastolic blood pressure, there was a change from 86,3 mmHg to 81,8 mmHg. There was a difference in systolic (p= 0,001) and diastolic (p= 0,001) blood pressure before and after treatment with a combination of tomato and sweet orange juice.  In conclusion, the combination of tomatoes and sweet orange juice lowered blood pressure. The juice combination can be used as a functional food as an alternative for lowering blood pressure

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    Jurnal Poltekkes Kemenkes Aceh
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