Jurnal Gizi Klinik Indonesia
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The effect of snakehead fish (Channa striata) snacks on nutrition outcomes of adolescence female at risk of chronic energy deficiency
Get PDFBackground: Chronic energy deficiency (CED) is still prevalent in Indonesia, affecting 36.3% adolescent females. The high protein content in snakehead fish presents a promising solution to address the problem.Objectives: This study was aimed to determine the effect of snacks developed using snakehead fish on nutrition outcomes of adolescence females.Methods: The study was conducted using a quasi-experimental quantitative design with a one-group pre-test and post-test approach. Three types of snakehead fish-based snacks —Ekado, Soymay, and Nuggets —were developed and administered to female senior high school students at risk of CED. The snacks were provided twice a week for a period of two months. Nutrient intakes, mid-upper arm circumference (MUAC), and body mass index (BMI) were measured at the commencement and conclusion of the study. The results were then compared to examine the snacks effects.Results: Before the study, most subjects were deficient in energy and macro nutrients. The subjects well accepted the developed snacks. The administration of the snacks significantly increased (p < 0.05) the intake of energy from 61.06 to 73.01 percent of their recommended daily allowance. The treatment also significantly (p < 0.05) reduces the number of subjects at risk of CED from 93.94% to 60.61% and those who are very thin from 42.42% to 24.24%.Conclusions: The administration of snakehead fish-based snacks appears to be a successful strategy in promoting the consumption of macronutrients, MUAC, and BMI of female adolescents at risk of CED
Korelasi antara asupan cairan, kalium, natrium dengan interdialytic weight gain pada pasien hemodialisis rutin
Get PDFCorrelation between fluid intake, potassium, sodium, and interdialytic weight gain (IDWG) in routine hemodialysis patientsBackground: Chronic kidney failure patients undergo hemodialysis regularly to help kidney function. One of the problems that often occurs in patients with chronic kidney failure when undergoing hemodialysis is an increase in interdialytic weight gain (IDWG).Objective: This study aims to determine the correlation between fluid, potassium, and sodium intake with IDWG in hemodialysis patients at RSUP Dr. Mohammad Husein Palembang.Method: This study employs a quantitative approach with a cross-sectional design. The sampling technique used was purposive sampling, resulting in 62 respondents who met the inclusion and exclusion criteria. The data collected included the characteristics of the respondents, as assessed through a questionnaire. Additionally, data on fluid, potassium, and sodium intake were collected using a 2x24-hour food recall form. Body weight data were measured before and after hemodialysis using digital scales. Bivariate analysis was carried out using the Spearman correlation test.Results: There was a significant correlation between fluid intake (p-value = 0.022) and sodium intake (p-value = 0.049) with IDWG, with a positive correlation direction, indicating a relationship in the same direction. The correlation was sufficient for fluids with IDWG, but weaker for sodium with IDWG. There was no relationship between potassium intake (p-value = 0.062) and IDWG.Conclusions: The unexpected increase in IDWG in hemodialysis patients is related to fluid and sodium intake; therefore, the higher the sodium and fluid intake, the greater the increase in IDWG
Sisa makanan dan faktor determinan yang memengaruhi pasien rawat inap di Rumah Sakit Islam PKU Muhammadiyah Tegal
Get PDFHospital food waste and its determinant factor among inpatients at PKU Muhammadiyah Tegal HospitalBackground: The amount of food waste reflects patients’ acceptance of the food served in the hospital and is used to assess food service quality. Patient satisfaction and compliance with the hospital’s food therapy will speed up the patient’s recovery and prevent malnutrition.Objective: This study aims to assess the level of food waste as well as the factors that influence food waste among patients at PKU Muhammadiyah Hospital Tegal.Methods: A descriptive cross-sectional research design was employed, involving 68 respondents purposively selected from PKU Muhammadiyah Hospital in October 2024. The percentage of food waste was estimated using visual comstock observation with six standards over 3 days of the menu cycle at the hospital. Ten aspects of food service satisfaction data were collected through interviews using standard questionnaires. Descriptive data analysis and an independent t-test were used to determine the difference in satisfaction levels between groups of patients with low food waste (25%).Results: The average food waste rate was determined at 27%. Patients in the internal medicine ward contributed the greatest to food waste, accounting for 46.7% compared to other wards. Vegetable meals account for 35.5% of all food waste. Patients with low food waste reported considerably higher satisfaction scores than patients with high food waste, particularly in terms of meal appearance, cleanliness of dining utensils, and staff appearance.Conclusions: The aspects of food appearance, cleanliness of dining utensils, and staff appearance significantly influence the leftover food served by the hospital
Macronutrient intake and triglyceride levels in overweight late adolescents in an Islamic boarding school
Get PDFBackground: Being overweight has become an epidemic health problem worldwide. The prevalence of overweight and obesity in the Islamic boarding school was 20.92%. It occurs due to an imbalance in food intake that affects the body's metabolism, resulting in the accumulation of fat in the blood and an increase in triglyceride levels.Objective: This study aimed to determine the relationship between macronutrient intake and triglyceride levels in overweight adolescents in an Islamic boarding school.Methods: This type of research employed observational analysis using a cross-sectional design. The research was conducted at Universitas Darussalam Gontor from November 2022 to February 2023. The study included 50 female students aged 17 to 25 years. BMI of overweight measurements using digital weight scales of the GEA medical brand type EB 9360 and microtoise types of portable stadiometer brands. Macronutrient intake was determined using the 24-hour food recall method, and triglyceride levels were measured using Pictus 400 with Wiener brand reagent for laboratory tests. The statistical test used was the gamma test.Results: The majority of respondents were found to have a lower macronutrient intake, while 44% had more than adequate intake, and 38% had a higher carbohydrate intake. For protein intake, most respondents (90%) were categorized as having excessive intake. Similarly, for fat intake, some respondents (88%) were also categorized as having excessive intake. The results of examining triglyceride levels in the respondents' bodies showed that 88% had normal triglyceride levels and 12% had abnormal levels. The gamma test showed that the p-value of carbohydrate intake with triglyceride levels was p = 0.166, for protein intake with triglyceride levels, p = 0.051, and for fat intake with triglyceride levels, p = 0.037.Conclusions: A relationship was found between fat intake and triglyceride levels. But, there was no significant relationship between carbohydrate and protein intake and triglyceride levels
Ketahanan pangan keluarga dan kualitas konsumsi pangan sebagai faktor penentu kejadian stunting pada balita
Get PDFHousehold food security and children's dietary quality as determinants of stuntingBackground: Nutritional status is determined by dietary intake, which reflects the dietary quality. Poor dietary quality directly contributes to dietary problems in toddlers and is strongly associated with household food security.Objective: This study aims to determine the correlation of family food security and dietary quality with stunting among toddlers.Methods: A cross-sectional study involving 104 toddlers aged 2-5 years who reside in the working area of Pleret Community Health Center, Bantul. Family food security was measured using the United States Household Food Security Survey Module (US-HFSSM) questionnaire. Diet quality scores were assessed using a three-level Balanced Nutrition Index (IGS3-60) based on the type of food and portions adjusted to the portions for toddlers according to the Balanced Nutrition Guidelines (PGS). Data analysis used the Chi-Square test.Results: More than half of toddlers (51%) live in food-insecure households. According to the IGS3-60, most toddlers (93.3%) show poor dietary quality. The average daily portion sizes and IGS3-60 scores for all food components are below the recommended standards of the PGS, except for animal protein, which meets the standard of three portions per day with an IGS3-60 score of 8.3 ± 3.0. Vegetables were the least consumed food group, as shown by both the average daily portions and IGS3-60 scores. Correlation analysis showed that milk consumption portions were the only dietary factor significantly associated with stunting, based on the height-for-age Z-score (p = 0.032).Conclusions: Household food security and children’s dietary quality were not associated with stunting. However, the daily portion of milk is associated with stunting.
Rasio lingkar pinggang pinggul dan rasio lingkar pinggang tinggi badan pada penderita hipertensi
Get PDFWaist-hip ratio (WHR) and waist-height ratio (WHtR) in hypertension patientsBackground: Hypertension is a health problem characterized by systolic blood pressure ≥140 mmHg and/or diastolic pressure ≥90 mmHg. One risk factor for hypertension is central obesity, which can be indicated by the Waist-Hip Ratio (WHR) and Waist-Height Ratio (WHtR). Objective: This study aimed to determine WHR and WHtR in hypertensive patients. Methods: This research is a descriptive observational study with a cross-sectional approach, cross-tabulation, and Spearman analysis using secondary data in the form of hypertension patient data from the cardiometabolic working group study from January 2022 to July 2023 in Cibeber Village, which includes data on systolic and diastolic blood pressure, waist circumference, hip circumference, and body height. Consecutive sampling was used to obtain 173 subjects aged 46-65 years, comprising 116 women and 57 men. Results: Stage 1 hypertension was the most common category (38.7%). The average WHR is 0.90 (men) and 0.89 (women), while the average WHtR is 0.54 (men) and 0.59 (women). There are 134 subjects (77,5%) with high WHR and 147 subjects (85%) with high WHtR. The higher WHR and WHtR category was more frequently found in subjects with stage I hypertension. Conclusions: WHR and WHtR values above the cut-off are more common in subjects with hypertension
Faktor predisposisi dan dukungan suami dalam praktik pemberian makanan pendamping ASI (MP-ASI) pada bayi usia 6-12 bulan
Get PDFPredisposing factors and husband’s support in the practice of feeding weaning food infants aged 6-12 monthsBackground: Nutritional problems are caused by several factors, one of which is weaning food feeding. Objective: This research aims to analyze the predisposing factors and the husband's support for feeding weaning food to infants aged 6-12 months. Methods: This observational analytic study, using a cross-sectional approach, was conducted in the working area of Kemuningsari Kidul Public Health Center in Jember Regency. Eighty mothers of infants aged 6-12 months were chosen as the sample, and the sample selection was done using a simple random sampling technique. Meanwhile, the Chi-Square test and multiple logistic regression were used for the statistical analysis. Results: The research showed that most respondents were 26-35 years old, and their latest education was junior high school/equivalent. They were unemployed, had good knowledge, a positive attitude, family support, and no cultural influence. Fifty-four people (67,5%) had appropriate behavior in feeding weaning food, while the other 26 people (32.5%) had not. Besides, based on the results of the bivariate analysis, there was a relationship between occupation (p=0.007), knowledge (p=0.023), attitude (p=0.004), culture (p=0.000), and husband's support (p=0.008) with the practice of feeding weaning food. The results of the multivariate analysis indicated that culture was the dominant factor in feeding weaning food. Conclusions: Factors related to feeding weaning food to infants aged 6-12 months include work, knowledge, attitudes, culture, and husband's support. Culture is the most dominant factor
Faktor yang berhubungan dengan kadar hemoglobin ibu hamil: studi kasus kontrol di Puskesmas Pitu Kabupaten Ngawi
Get PDFFactors related to hemoglobin levels among pregnant women: case control study at the Pitu District Health Center, Ngawi RegencyBackground: Hemoglobin is an indicator of iron availability in the body, and its levels can be affected by iron deficiency. A decrease in hemoglobin levels can lead to anemia, which increases the risk of maternal mortality during childbirth.Objective: This study aimed to analyze factors related to hemoglobin levels, such as nutritional status and Eating patterns, among pregnant women at the Pitu District Health Center, Ngawi Regency.Methods: A case-control study involving 76 pregnant mothers (18-42 years old) from the Pitu Community Health Center area in Ngawi Regency was conducted using purposive sampling. The study needed 38 people per group. This study uses a 1:1 comparison of cases and controls. The modified semi-quantitative food frequency questionnaire was used to collect data on pregnant women’s dietary patterns. Anthropometric data measured MUAC (Upper Arm Circumference) using standard measurements. The obtained data were analyzed by using the Chi-Square test.Results: The similarities in both the case and control groups are that the majority of mothers are of non-risk age for childbirth, have low socioeconomic status, are housewives, and have inadequate iron intake. However, in the case group, inadequate vitamin C intake was also found. There is a significant relationship between nutritional status (p=0.049; OR=0.255) and feeding frequency (p=0.001; OR=5.385) with hemoglobin levels. Type and amount of feedings had no relationship with hemoglobin levels (p=0.818: OR=0.810).Conclusions: The study reveals an inverse relationship between nutritional status and feeding frequency and hemoglobin levels, but not for the type and amount of feedings among pregnant women at the Pitu District Health Center, Ngawi Regency
Kejadian stunting ditinjau dari sosial demografi dan konsumsi ikan pada balita
Get PDFA review of the socio-demographic characteristics and children fish consumption on stunting incidenceBackground: Social demographics and protein intake are widely known to be related to stunting incidence. Fish, a source of complete and high-quality protein, contains essential amino acids and high digestibility protein so the body can absorb high amounts of protein. Fish contains nutrients that are very important for the growth and development of toddlers.Objective: This research aims to determine the socio-demographic characteristics and consumption of fish and its processed products related to the stunting incidence in children aged 12-59 months. Methods: This cross-sectional study was conducted from August to September 2022 at three health centers in Palembang City. A total of 120 toddlers aged 12-59 months, with 51.7% male and 48.3% female, were selected by purposive sampling. The variables of this study were toddler characteristics (age, gender, and nutritional status), family characteristics (mother's education, mother's occupation, number of family members, and family income), family fish consumption (type of fish product, portion size, frequency of fish consumption). The study was conducted by interviews using a questionnaire and anthropometric measurements of toddlers. Data were analyzed using the Chi-Square test with a 95% confidence interval and p<0.05 significance level. Results: Lower education of mothers, working mothers, large families, high family incomes, consuming processed fish with less large portions, and often consuming fish had a higher percentage of stunting incidence. On the other hand, it was found that all variables were not significantly correlated to stunting in toddlers.Conclusions: This study showed that socio-demographic variables and fish consumption were not significantly associated with stunting in children under five
Determinan keragaman pangan pada remaja putri di Kota Tasikmalaya
Get PDFDeterminants of dietary diversity among female adolescents in Tasikmalaya CityBackground: Poor diet quality is the root cause of nutritional problems in adolescent girls, and dietary diversity is a determinant of diet quality.Objective: This study aimed to analyze the determinants of dietary diversity among female adolescents, encompassing individual, parental, and family factors.Methods: The research design employed a cross-sectional approach. Seven (30%) public junior high schools in Tasikmalaya City were randomly selected as research locations. Of the 391 female students selected as research subjects using proportional random sampling, 367 successfully participated in the research and completed the data analysis. The food diversity variable was measured using the Individual Dietary Diversity Score (IDDS) instrument, based on the results of two 24-hour non-consecutive recall methods. Determinants were measured using a structured questionnaire. Bivariate analysis employed Spearman's rank and chi-squared tests, while multivariate analysis utilized logistic regression modeling.Results: Most participants had a non-diverse diet (78.8%). Green, leafy vegetables and vitamin A-rich fruits were food groups consumed by fewer than a third of the subjects. The results of statistical tests revealed that variables such as pocket money, screen time duration, maternal education, maternal employment status, and family income were significantly related to the dietary diversity of adolescent girls (p < 0.05).Conclusions: The length of time female adolescents spent in front of screens (screen time) was the most significant variable influencing the dietary diversity of female adolescents. Therefore, it is necessary to promote healthy snacks made from vegetables and fruit that can be consumed while engaging in activities in front of the screen