Jurnal Gizi Klinik Indonesia
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Malnutrisi rumah sakit dan asuhan nutrisi pediatrik di Rumah Sakit Hasan Sadikin Bandung
Get PDFHospital malnutrition and pediatric nutrition care in Hasan Sadikin Hospital BandungBackground: Malnutrition during hospitalization delays the recovery of children with acute or chronic illnesses. The Pediatric Nutrition Care (PNC) can improve nutritional support and reduce the prevalence of hospital malnutrition.Objectives: This study was done to find evidence of hospital malnutrition and to evaluate the nutrition care in the pediatric ward of Dr. Hasan Sadikin Hospital, Bandung. Methods: We evaluated malnutrition by comparing body weight change between the first day of admission and at hospital discharge to the length of hospitalization. Screening for malnutrition risk was done using modified Pediatric Yorkhill Malnutrition Screening (mPYMS). Score≥2 was determined as high risk. The PNC process was evaluated by a focused group discussion with PNC-associated pediatric ward personnel.Results: From February-March 2016, 760 patients were admitted to the pediatric ward, of which 111(14.6%) were included in the study. An mPYMS score of ≥2 was found in 69(62.2%) of the patients. During hospitalization, body weight decreased in 23(20.7%) patients, 10(9.0%) of whom were defined as hospital malnutrition. Among these, seven had an mPYMS score≥2. PNC was performed in patients with an mPYMS score≥2 by dietitians who also provided a standardized nutrition care process following American Dietetic Association recommendation. However, a dedicated multidisciplinary PNC team was absent and the nutrition and metabolic disease division was consulted only in a few cases. Performing consistent monitoring and evaluation of PNC was also found to be difficult. Conclusions: Hospital malnutrition may be prevalent among pediatric patients in Dr. Hasan Sadikin Hospital, Bandung. Improving PNC services may reduce this prevalence
Identifikasi risiko malnutrisi dan evaluasi status nutrisi pasien kanker anak dengan pengobatan kemoterapi
Get PDFIdentification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p2% (p 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization
Pola konsumsi minuman es dan kepedulian terhadap keamanan pangan di Kota Bogor
Get PDFConsumption pattern of iced beverages of the consumer in Bogor and their awareness of food safetyBackground: Iced beverage will be potentially contaminated by microbes if it is prepared and handled by a lack of sanitary and hygiene. The level of risk depends on exposure affected by the prevalence and concentration of microorganisms, also the consumption patterns.Objective: The objective of this study was to determine the iced beverages consumption number in Bogor using a semi-quantitative food frequency questionnaire (SQ-FFQ) and to know the level of knowledge and awareness of food safety.Method: The survey used 300 respondents, including males and females, which classified in three groups of age and three groups of income level also the final level of education.Results: Most of the respondents were frequently consumed flavored iced beverages (52%) compared to other types of iced beverages and the average number of daily consumption was 182 mL/person. Based on compare means analysis, the amount of iced beverages consumption was not affected by age and gender but was influenced by income. The level of knowledge and awareness of food safety of consumers in Bogor was good (>80%). Based on Chi-Square analysis, the level of knowledge and awareness of consumers were not affected by age, gender, or final education. However, when viewed from the percentage of correct answers, the main factor of the level of knowledge and awareness of consumers was the final level of education.Conclusion: The amount of iced beverages consumption was not affected by age and gender but influenced by income, and the average consumption was 135 mL/person/day. The level of knowledge and awareness of food safety of consumers in Bogor was good (>80%)
Tipe tubuh (somatotype) dengan sindrom metabolik pada wanita dewasa non-obesitas usia 25 – 40 tahun
Get PDFBody type (somatotype) with metabolic syndrome among non-obese woman aged 25-40 years oldBackground: The prevalence of central obesity was found high in women, not only in obese individuals but also occur in non-obese individuals or metabolically obese normal weight (MONW). Endomorph marked by higher fat mass, which will lead to metabolic disorders.Objective: This study aimed to describe the correlation of somatotype with metabolic syndrome in a non-obese woman.Methods: Cross-sectional observational study, subjects were selected using purposive sampling involving 46 women 25-40 years old with BMI 18.5-24.9 kg/m2 in several offices in the City of Semarang, consist of Balai Besar Teknologi Pencegahan dan Pencemaran Industri, Dinas Pekerjaan Umum, and Dinas Perindustrian dan Perdagangan Central Java. Somatotype data is measured in three components, namely endomorph, mesomorph, and ectomorph. The resulting value of each component is calculated using the Heath-Carter formula. Triglycerides, HDL, and fasting blood glucose measured by enzymatic colorimetric methods. Blood pressure measured by aneroid sphygmomanometer. Syndrome metabolic was defined as metabolic syndrome risk score (cMetS). Data were analyzed by Rank Spearman and Pearson.Results: The subject's body type is endomorph as much as 91.3% and ectomorph-endomorph (8.7%). Central obesity (50%), low HDL levels (28%), hypertriglyceridemia (2%), normal GDP levels (100%), hypertension (15%), metabolic syndrome (13%), and metabolic pre-syndromes (47, 8%) found in the subject of this study. There were correlation between endomorph (p=0.005; r=0.4) and ectomorph (p=0.000; r=-0.53) with waist circumference. There was a significant correlation between endomorph with metabolic syndrome risk score (p=0.05; r=0.129).Conclusions: Endomorph was associated with a metabolic syndrome risk score. Higher endomorph tends to have higher metabolic syndrome risk scores
Aplikasi self-organizing mapping sebagai alat deteksi anemia pada citra sel darah merah
Get PDFApplication of self-organizing mapping as anemia detection using an image of red blood cellsBackground: Anemia is a nutritional problem characterized by changes in blood cell size, especially in microcytic or macrocytic anemia. Iron deficiency anemia is included in hypochromic microcytic anemia because it has a smaller than normal size red blood cell and has a lower than normal hemoglobin (Hb) arising from reduced supply of iron for erythropoiesis (cell maturation process red blood). Analysis based on red blood cell image is a tool to detect anemia using technology applications. Self-organizing mapping (SOM) is one of the artificial neural networks by dividing the input pattern into several groups, so the network output is in the form of groups that are most similar to the input.Objective: To measure the accuracy of SOM for detecting the size of red blood cells in anemia condition.Methods: The type of research was an observational laboratory. The study was conducted at the Electrobiomedical Laboratory of Universitas Respati Yogyakarta from January to August 2018. The sample consisted of anemia and non-anemia red blood cells which had been tested in a laboratory of 92 blood preparations. Stage of measuring red blood cells consisted of pre-processing (cropping, gray scaling, contrast enhancement, and screening), segmentation, feature extraction, and image identification with SOM. The image identification results were concluded by calculating the accuracy of the anemia detection system based on laboratory examination results.Results: The characteristic that distinguishes anemia and non-anemia was in the size of red blood cells. Anemic red blood cells had different pixel intensities than non-anemic red blood cells. The image of non-anemia red blood cells had a full round or oval image. From as many as 92 detections of blood images, five blood images were not by the target results of laboratory tests. The accuracy achieved by the system was 94.57%.Conclusions: The accuracy value of anemia detection using SOM can be used to identify the type of anemia based on red blood cell size
Pengaruh intervensi buah jambu biji terhadap kadar profil lipid pada orang dewasa dislipidemia
No full textBackground: Disease patterns originally dominated by infectious diseases and infections now change to those of degenerative disease, such as dyslipidemia, one of the risk factors forcoronary heart disease. In addition, excessive and unhealthy diet gives an effect on the lipidprofile. Fruits containing soluble fiber (pectin) and high vitamin C such as guavacan be use material for hypercolesterol amicin tervention. On the other hand,mild-moderate exercisealso hasa clear influenceon thedecrease of blood lipid profile.Objective: The aim of this research is to know the influence of guava (Psidium guajava) and sportson the lipid profileindyslipidemia in Kendari.Method: Type of of the research was quasi experimental design. Intervention group were given guava juice and exercise and exercise was only given in control groups. Subjects consume guava juice at a dose of 400 mg once daily with a volume of 250 ml each administration, performed for 30 days. Before interventions, blood samples for lipid profile have analyzed. The number of subjects for each group is 33 people (1:1). The data taken in the study are observations of the amountof blood lipid levels(mg/dl) such as high-densitylipoprotein (HDL), low density lipoprotein (LDL), triglycerides (TG) and total cholesterol (TC) using a standard method. Then, data were analyzed by using tests ofi Chi Square correlation and Wilcoxon Matched-pairs Signed-rank Test.Results: After 4 weeks oftreatment, the intervention significantly increased the levels of LDL 1 times higher (p<0.05) in the intervention group than that in the control group. The decrease of HDL in the intervention group was higher than that in the control group but it is not significantly different. In triglycerides and total cholesterol, the level decreased significantly higher in the intervention group compared to that of the control group (p <0.05)Conclusion: The guava juice is proven to be able to decrease LDL, triglycerides, total cholesterol, and LDL andincrease HDL levels
Intervensi penatalaksanaan gizi dalam meningkatkan kadar hemoglobin dan tumbuh kembang balita stunting
Get PDFThe intervention of nutrition management can increase hemoglobin levels and development on stunting toddlerBackground: The prevalence of stunting remains high in Indonesia. Stunting has serious effects on children such as increased morbidity, mortality, and decreasing physical and cognitive capability. Objectives: To analyze the effect of the nutrition care process on nutritional status, hemoglobin, and development on stunting children. Methods: This quasi-experimental study used a non-randomized pre and post-test with a control group design. Fortyfour children under five were divided into 2 groups; the intervention group received the nutrition care process for 3 months, while a control group received a leaflet. Nutritional status was determined by body weight for age, hemoglobin concentration using finger test stick, and development using a questionnaire. Results: There were significant differences (p<0.05) in weight for age between the two groups, both before and after the intervention. However, the differences of weight for an age before and after intervention in each group were not significant (p=0.184 and p=0.130). The increase of hemoglobin concentration between before and after intervention in the intervention group was statistically significant (p=0.008). On the other hand, there was a significant decrease in hemoglobin concentration in a control group (p=0.003). There was an increase of subjects having accordance development, from 9 to 15 subjects in the intervention group. The development between before and after the intervention was significantly different (p=0.03), but not in the control group (p=0.78). Conclusions: The nutrition care process could accelerate the improvement of hemoglobin concentration and development, but not on the nutritional status of stunting children
Faktor-faktor yang berhubungan dengan praktik pemberian ASI eksklusif pada bayi usia 0-6 bulan di Kabupaten Timor Tengah Selatan
Get PDFFactors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Tengah Selatan DistrictBackground: The health profile of Indonesia in 2018 indicated only 68,74% of infants were exclusively breastfed. East Nusa Tenggara is one of the provinces with lower exclusive breastfeeding coverage than national data in 2018 with only 52,67%. A survey in Timor Tengah Selatan district showed that exclusive breastfeeding also decreased from 2015 and 2016 which was 63.3% to 59.1%. Several factors have been known to be associated with exclusive breastfeeding practice, such as mother’s education and occupation, household expenditure, antenatal care history, and husband’s support.Objective: To identify factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Selatan District, East Nusa Tenggara province.Methods: An observational study with a cross-sectional design was conducted among 155 lactating mothers of infants aged 0-6 months. The secondary data from "Study on behavioral analysis and food consumption/dietary practices among children under five, elementary school-age children, pregnant and lactating mother in Timor Tengah Selatan District of East Nusa Tenggara Province” were used. Raw data were collected in July 2012 in Amanuban Barat and Kie subdistrict, Timor Tengah Selatan. The data were analyzed in July-December 2014 using Chi-Square and logistic regression test. Results: Household expenditure, antenatal care location, and subdistrict associated with exclusive breastfeeding practice (p<0.05). Lactating mothers who did prenatal care at primary health care/primary health care satellite/hospital were 3.51 times more likely to breastfeed exclusively (OR=3.51; 95%CI: 1.03-11.9). Household expenditure (OR=0.27; 95%CI: 0.09-0.84) and subdistrict (OR=0.19; 95%CI: 0.05-0.71) had protective effect.Conclusions: A significant association was found between exclusive breastfeeding practice and household expenditure, antenatal care location, and the subdistrict in Timor Tengah Selatan district
Efek integrated nutrition programme terhadap profil lipid dan komposisi tubuh pada remaja obes
Get PDFThe effect of integrated nutrition programme on lipid profile and body composition among adolescent obesityBackground: Obesity is a serious public health issue increasingly in the adolescent. Obesity in adolescence will continue into adulthood and lead to later health problems. The adolescent has high food dense calories which high fat and low in fiber that can trigger obesity. Integrated Nutrition Programme (INP) is an intervention model for obesity with an emphasis on a low-calorie diet, low fat, high fiber, moderate physical activity, and nutrition counseling.Objective: This study aimed to evaluate the effect of INP on lipid profile and body composition in obese adolescents.Methods: Quasi-experimental study pre-post trial design with a total of subjects 18 obese adolescents. Duration of intervention in subjects for four weeks with a hypocaloric diet, low fat, high fiber, and prepared by a dietician. Moderate exercise and dietary counseling were conducted on the subject regularly. Bodyweight (BW) and waist circumference (WC) were monitored once a week. Food record intake is done before and during the intervention.Results: The mean weight loss of 1.55 kg. There is a difference in mean BW, WC, and BMI (p<0.01), whereas there were no significant differences in lipid profiles and body composition between before and after the intervention.Conclusions: INP can significantly affect weight loss, BMI, and WC as well as a significant increase in physical activity
Efek kandungan serat beras analog terhadap ekspresi GLUT4 otot rangka tikus diabetes
Get PDFEffect of analog rice’s fiber on skeletal muscles GLUT4 expression in diabetic rats Background: Disruption of glucose transportation in skeletal muscle through GLUT4 becomes a problem in diabetes. Analog rice that had been modified by adding dietary fiber could improve the expression of GLUT4.Objective: This study aims to know the effect of dietary fiber toward GLUT4 expression and to know the dietary fiber percentage in analog rice.Method: The research type is true experimental with post-test only group design. The samples consist of 24 male Wistar rats that are group into 4 groups (n=6 each group). Three groups were induced by giving a high-fat diet for 40 days and streptozotocin (STZ) 35 mg/kg BW was given at 33th day and one group was not induced. After the blood glucose level exceeded 135 mg/dl, the treatment was given. After 3 weeks, the rats were terminated and quadriceps femoris muscle tissue was taken for immunohistochemistry examination using rat GLUT4 polyclonal antibody. GLUT4 expression was quantified using an immunoreactive score (IRS-GLUT4). The data were analyzed using the Kruskal-Wallis test and Spearman test.Results: Statistical analyses showed that there were significant differences between groups with a moderate positive correlation (correlation coefficient=0,651; p=0,003).Conclusion: Dietary fiber in analog rice could improve skeletal muscle GLUT4 expression in Wistar rat diabetic model