Jurnal Gizi Klinik Indonesia
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Kadar insulin-like growth factor-1, ghrelin ASI, dan peningkatan berat badan bayi pada ibu menyusui obesitas dan normal
Get PDFBackground: Obesity is one of the factors that trigger the incidence of non-communicable diseases and increase morbidity rates in mothers and infants. Ghrelin hormone in breast milk serves to stimulate appetite in infants as well as release factors for growth hormone (GH). Insulin-like growth factor 1 (IGF-1) hormone in breast milk plays a role in increasing the length of bone and muscle mass of infants and mediators of GH work. Obesity can affect baby's weight gain, ghrelin and IGF-1 hormone levels in breast milk.Objective: Analyzes the association of IGF-1 and ghrelin levels of breast milk with baby's weight gain between obese and normal mothers.Method: Observational study with cross sectional design on 40 breastfeeding mothers and their infants in the work area of Andalas Health Center, Ikur Koto Health Center and Puskesmas Lubuk Buaya Padang City with consecutive sampling technique from August to November 2017. The examination of IGF-1 and ghrelin levels was conducted at the University's Biomedical Laboratory Andalas with ELISA method. Weight gain is obtained from first month infant weight loss with infant birth weight. Data analysis used independent t-test and Pearson test.Results: There was a difference in IGF-1 levels in breast milk (p=0.00) between obese and normal mothers. There was no difference in ghrelin levels of breast milk (p=0.90) between obese and normal mothers. There was a difference in weight gain between obese and normal mothers (p=0.02). There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase baby weight gain between obese and normal mothers.Conclusion: There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase baby weight gain between obese and normal mothers
Faktor-faktor yang mempengaruhi kemampuan kognitif pada lansia obesitas di Indonesia
Get PDFBackground: Elderly (>60 years old) population is growing in Indonesia. It is important to prevent degradation of cognitive capacity by risk factor identification and treatment.Objective: To identify the relationship between anthropometric status and cognitive capacity on elderly population.Method: This is an analysis of The Fifth Wave of the Indonesia Family Life Survey (IFLS5) data with cross-sectional design. Anthropometric status is consisted of: body weight, body height, body mass index (BMI), knee height, upper arm length, waist circumference, hip circumference, and waist-hip ratio (WHR). Cognitive capacity is measured by modified telephone survey of cognitive status (TICS). Chi-Square and Mann-Whitney test are used for bivariate analysis, logistic regression is used for multivariate analysis.Results: Variables with significant relationship to cognitive capacity are body weight (p=0.0002), body height (p=0.0001), knee height (p=0.0387), upper arm length (p=0.0114), age (p=0.011), sex (p=0.014), and history of hypercholesterolemia (p=0.003). Logistic regression shows that body height, age, and history of hypercholesterolemia are simultaneously affecting cognitive capacity.Conclusion: There is significant relationship between body height, body weight, upper arm length, knee height, and cognitive capacity on elderly population with obesity
Aktivitas fisik dengan penyakit jantung koroner di Indonesia
Get PDFBackground: Coronary heart disease (CHD) is responsible for a substantial amount of early deaths, reduced quality of life and significant costs to the health and social care system. More than 3/4 CHD cases can prevented by lifestyle changes and focus on earlier risk factors management. Physical activity become a reference for the most important of primary and secondary prevention.Objective: To determine the relationship between physical activity and coronary heart disease in Indonesia.Method: This study used a cross-sectional design. Coronary heart disease’s history, physical activity, age, sex, economic status and consumption of fatty food were obtained from Basic Health Research (Riskesdas) 2013. Riskesdas 2013 used multistage cluster sampling. Subject in this study was 374.506 women and 347.823 men above 15 years old in Indonesia who answered the coronary heart disease questions which was selected purposively. Data was analyzed by using descriptive analysis, Chi-Square and multiple logistic regression.Results: Those who did not perform vigorous-intensity physical activity or who only did it less than 80 minutes per week had a higher prevalence of CHD than those who were more active [2.63 (2.44-2.86); p=0.00].Conclusion: Physical activity had a significant association with CHD events in people above 15 years old in Indonesia.
Korelasi persentase lemak tubuh dengan kadar adipsin pada premenopause
Get PDFBackground: One of the conditions on premenopausal period is the increase in body fat, among which are caused by levels of the fluctuating estrogen hormone. Increase fat affects the body fat percentage and adipsin levels. Adipsin plays a role in the stimulation of insulin secretion by producing C3a, in which C3AR1 (C3a Receptor 1) fragments interact with beta cells to secrete insulin.Objective: The purpose of this study is to determine correlation of body fat percentage with adipsin levels on premenopause.Design: This was an analytical study with cross-sectional design. Body fat percentage was obtained by examination using Bioelectrical Impedance Analysis (BIA). Venous blood was taken at the mediana cubiti area used for serum adipsin levels. Adipsin levels were analyzed by Enzyme-linked Immunosorbent Assay (ELISA) technique.Results: The mean of body fat percentage on premenopausal was 36,18 ± 8,35%. The mean of adipsin levels on premenopausal was 117,05 ± 87,93 ng/ml. Result of Pearson test analysis got value r = 0,632 and value p = 0.0005 (p <0,05).Conclusions: There is a positive significant correlation between the percentage of body fat with adipsin levels on premenopause
Faktor individu dan lingkungan dengan citra tubuh pada santri putri di pondok pesantren
Get PDFBackground: Perception and judgment against one’s own body is called body image. Limited studies have been performed on body image of the population living in boarding schools who has relatively homogeneous environmental characteristics and restricted access towards communication media.Objective: To determine the correlation between individual factors and environmental factors with body image of female students at religious boarding school.Methods: A cross-sectional study was conducted in 142 female students aged 15-19 years old in Islamic Centre Bin Baz (ICBB) boarding school Bantul. Individual factors included nutritional status, nutritional knowledge, and self-esteem, respectively measured by using BMI/age that interpreted using manual from Ministry of Health 2010, multiple choice questionnaire, and Rosenberg Self-Esteem Scale (RSE). Environmental factors encompassed culture, social economic status, and social support, respectively measured by using check lists of parent’s ethnics, social economic status questionnaire, Social Support Questionnaire Number (SSQN) and Social Support Questionnaire Satisfaction (SSQS). Body image was measured using CDRS (The Contour Drawing Rating Scale) form. All variables were tested using chi square test and logistic regression.Results: Individual factors that had significant correlations with body image were nutritional status (p<0.05; RP=1.3; 95%CI=2.68-2.83) and self-esteem (p<0.05; OR=21.3; 95%CI=3.97-114.3). Meanwhile, for environmental factors, they were social economic status (p<0.05) and social support satisfaction (p<0.05; 95%CI=0.02-0.95).Conclusion: Individual and environmental factors have correlation with body image of female students at religious boarding school
ASI eksklusif dan berat lahir berpengaruh terhadap stunting pada balita 2-5 tahun di Kabupaten Pesawaran
Get PDFBackground: Stunting cases in infants in Indonesia continue to be a maternal and child health problem. Stunting cases in Pesawaran District increase every year. Some of the factors that influence the incidence of stunting in children include the history of exclusive breastfeeding and low birth weight (LBW) babies.Objective: This study aims to determine the effect of exclusive breastfeeding and birth weight on stunting in children 2-5 years cases in Pesawaran District.Method: This research used observational analytics with a cross-sectional approach. This research was conducted in March-May 2017 in 12 Puskesmas on Pesawaran Lampung District. The number of samples was 385 samples. The variables studied in this study were the incidence of stunting, history of LBW and history of exclusive breastfeeding. Analysis and present data using the Chi-Square test and multiple logistic regression.Results: Children with a history of LBW (OR=12.30; 95% CI:3.663-41.299) and exclusive breastfeeding history (OR=0.122; 95% CI:0.075-0.199) were significantly associated with the incidence of stunting. The multivariate analysis explained the history of exclusive breastfeeding with OR=0.108 (CI 95%: 0.065-0.180) and birth weight with OR=17.063 (CI 95%: 4.892-59.511).Conclusion: Children with exclusively breastfeeding 9.3 times less risk for stunting than children non-exclusive breastfeeding or exclusive breastfeeding provides a protective effect against stunting in toddlers. Children with an LBW history had a risk of 17.063 times greater for stunting than children with normal birth weight
Asupan zat gizi makro dan kenaikan berat badan selama hamil terhadap luaran kehamilan
Get PDFBackground: Based on neonatal nursing installation data at Arifin Achmad Regional Hospital in Riau Province, newborns with low birth weight have always been the highest cases.Objective: This study aimed to examine the effect of macronutrient status (carbohydrate, protein, fat) and gestational weight gain on pregnancy outcomes.Method: The design used in this study was case-control. The study sample was 74 respondents, the case group was 37 mothers with babies born with low birth weight and the control group was 37 mothers with babies born with normal birth weight. Macronutrient intake was collected with a food frequency questionnaire (FFQ). Data were analyzed by using the Chi-Square test (p<0,05).Results: Intake of low carbohydrate has 3 times risk for low birth weight (OR=3.46; 95%CI:1.25-9.47), intake of low fat has 5 times risk for low birth weight (OR=5.11; 95%CI:1.88-13.93), and intake of low protein has a 12 times risk for low birth weight (OR=12.21; 95%CI:3,97-37,94). A gestational weight gain is not following the IOM recommendations increased the risk of giving birth to a low weight baby (OR=3,96; 95%CI:1,49-10,53).Conclusion: Pregnant women with a low intake of carbohydrates, proteins, fats, and weight gain are not following the recommended increased the risk of giving birth to a low weight baby
Persepsi tentang nutrition claims, perilaku makan, dan body image antara mahasiswi kesehatan dan non-kesehatan
Get PDFBackground: Food Marketing Institute survey results showed that 57% of consumers choose products with whole grain claims, 54% high fiber, and 53% low fat. In Indonesia, there is increasing public demand for products of low fat and high fiber. A person with a high level of knowledge, especially in those who have knowledge of health, should have a better understanding. However, it becomes difficult in transition adolescence to early adulthood period. Concern about body image to be the reason which more students choose foods that are believed to maintain the appearance remains interesting, such as on products with nutrition claims.Objective: To determine differences in perception of nutrition claims, food behaviors, and body images on health and non-health students.Method: This type of research is an observational study with cross-sectional design with two groups. The respondents were Gadjah Mada University students aged 19-24 years. Subject selection is based on consecutive sampling technique.Results: Perceptions of nutrition claims between health and non-health students differ significantly (p=0.000). In both groups, the food behavior which includes the consumption of fat (p=0.803) and fiber (p=0.926) did not differ, whether from food or natural products. There is no significantly difference in body image between the two groups (p=0.463).Conclusion: Between health and non-health students have different perceptions of nutrition claims, but there is no difference in food behaviours and body image between the two groups
Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus
Get PDFBackground: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly
Praktik pemberian makan terhadap kejadian kurus pada anak baduta
Get PDFBackground: Wasting is an acute malnutrition form that interrupts immune function, prolong duration of infection and in the end increase mortality risk of children. It is not clear yet which risk factor leading to wasting, simply because wasting-suspected risk factors were also involved in another kind of malnutrition such as stunting and underweight.Objective: To determine whether infant and young child feeding practices is risk factor for wasting in under two year children.Method: This research was mix method research which used matching case control design for quantitative research and focus group discussion to gather information in qualitative research. Case were wasting children age 3-23 months old (z-score WHZ <-2 SD) while control were non-wasting children age 3-23 months old (z-score WHZ ≥-2 SD). This research involved 106 under-two years old children and 14 nutritionist from 14 community health center which randomly chosen. Control group was matched by age and socio economic to case group.Results: Case group had more proportion of inappropriate feeding practices (26.41%% vs 20.75%). More than half respondent failed to meet Indonesian recommended dietary allowance for energy (57.55%). Inappropriate infant and young child feeding practice significantly did not increased risk of wasting in under two children at Yogyakarta (OR=1.4; 95% CI:0.62-3.36; p=0.523). Nutritionist from community health center focused in consultation and counseling in effort to increase infant and young child feeding practice.Conclusion: Feeding practices in under-two children in Yogyakarta was already good. Infant and young child feeding practice was not risk factor for wasting in under two years old children at Yogyakarta