Jurnal Gizi Klinik Indonesia
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    Kadar kolesistokinin laki-laki dewasa dengan konsumsi makanan siap saji khas Indonesia dan internasional

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    Background: Fast food comes to a meal that is prepared fast and identically high in energy and fat contents since fast food is prepared using oil and fats. Excessive eating of fast food which is Indonesian typical fast foods and international fast foods will deliver obesity risk. Satiety and hunger are known as the two main keys to obesity prevention. Furthermore, Cholecystokinin (CCK) hormone is the one of bio-indicator that can indicate both satiety and hunger.Objective: The aim of this study is to determine the difference between CCK plasma level of Indonesian and international fast food.Method: A post-test only group design was done at 16 male adult subjects. This research measured CCK plasma of adult subjects with normal nutritional status whether consumed Indonesian typical fast foods and international fast foods. CCK plasma was measured by Enzyme-linked Immunosorbent Assay (ELISA) between 0-120 minutes.Results: Subjects who consumed Indonesian typical fast foods had significantly lower CCK plasma at 30,60 and 120 minutes measurement than that counterpart (p = 0.000).Conclusion: There is a different level of CCK after consuming Indonesian typical fast food and International fast food.

    Perbandingan kandungan iodium dalam urin antara sampel urin 24 jam dan on spot pada anak usia sekolah

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    Background: Urine Iodine Concentration (UIC) is the indicator to assess iodine status. UIC from 24-hour urine collection appropriate to used as a direct measure of the iodine status and helps to validate the estimates intake of iodine. 24-hours urine collection is not practical in large studies and epidemiological surveys because it is quite difficult to complete and accurate collection. WHO/UNICEF/ICCIDD recommend the use of on spot urine collection.Objective: The aim of this study was to compare of 24-hour urine collection and spot urine collection for the assessment UIC in children.Method: The cross-sectional study was applied in Bogor. UIC was measured in 24-hour urine and parallel collected three spot urine namely on spot 1 collected morning, on spot 2 collected afternoon, and on spot 3 collected evening, sample urine collected from 44 healthy children age 10-13 years. UIC of 24-hour urine and one spot urine analyzed in the laboratory GAKY FK UNDIP using acid digestion method.Results: The average UIC from 24-hour urine collection was 179.77 ± 56.4 µg/l and UIC from on spot urine collection were on spot morning 145.30 ± 63.6 µg/l, on spot afternoon 159.95 ± 64.5 µg/l, and on spot evening 167.50 ± 66.1 µg/l. However, UIC correlation between UIC from on spot afternoon and UIC 24-hour (r = 0.456) with 66.67 % sensitivity and 75.61 % specificity.Conclusion: UIC urine samples from lunch to dinner more accurately reflects the UIC 24 hours to categorize the iodine status of the population. UIC from spot urine samples collected on the afternoon can be used as an alternative to evaluate the iodine status of school-age children

    Penatalaksanaan perdarahan saluran cerna bagian atas dengan nutrisi enteral dini terhadap kadar albumin

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    Background: Patients with upper gastrointestinal bleeding generally were decreased nutritional status that hypoalbuminemia because of increased albumin excretion from hemorrhage and patients fasted indefinitely until the bleeding stops. Enteral nutrition in patients with bleeding should be given to prevent malnutrition and reduce mortality.Objective: To identify the differences in levels of albumin serum in the early enteral nutrition without waiting for the results of gastric lavage is clear (without fasting) and after 2-3 times the clear gastric lavage (fasted).Method: The study used pre-experimental research design by static group comparison design. The study was conducted in RS Aisyiyah Bojonegoro in March to June 2015. The sample was 30 patients divided into 2 groups by Random Allocation, there was the treatment group I that fasted (15 patients), and treatment group II without fasted (15 patients). Analysis of data using Wilcoxon test Signed Ranks Test.Results: The research found that there were differences in the provision of early enteral nutrition to albumin. Results showed that albumin level in patients who fasted lower than that without fasted. Results Statistics by Wilcoxon Signed Rank test with a 0.05 significance level values obtained 0,046, its means that H1 was accepted.Conclusion: Patients with upper gastrointestinal bleeding can be given early enteral nutrition without waiting for the results gastric lavage clear rinse

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    Kondisi lingkungan fisik dan lama waktu bermain di luar rumah dengan kegemukan pada anak prasekolah

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    Background: The prevalence of childhood obesity in Yogyakarta Municipality has increased in recent years. The built environment of which are not designed properly may limit the time for children's outdoor activity.Objective: This study tried to investigate the links between parents perceptions of their built environment with outdoor playing time and obesity among preschool children in Yogyakarta Municipality.Method: This is a case-control study. Cases were identified as obese preschoolers (Z score based on W / H> 2 SD) and controls were children who were not obese (Z score based on W / H ≤ 2 SD) and matched by sex and age. Data were collected in the Yogyakarta Municipality. Samples were selected using multistage sampling method. The sample of cases and controls were 101 people (1: 1), respectively. conditional logistic regression statistical tests were performed to identify the risk factors for preschool obesity.Results: Children who did not play outdoors enough time were at higher risk of becoming obese (OR = 2,27, CI (1,14-4,62)); Built environment seems to be a modifier for outdoor playing time that will impact the odds of obesity among preschool children. Conclusion: Preschool children who played outdoor less than 2 hours had a higher risk of becoming obese. Outdoor playing time was associated with built environment

    Pola konsumsi pangan dan tingkat ketahanan pangan rumah tangga di Kabupaten Kampar Provinsi Riau

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    Background: Food consumption is a major factor to fulfill the nutritional needs of a person. Food consumption is influenced by several factors, such as the level of income, food availability, public awareness toward nutrition, and socio-cultural factors. Riau Province is one of the provinces that the food consumption is still relatively low and Kampar Regency occupies a very high position in the food insecurity index and hunger vulnerability index. There is 49.21% of the population that could potentially be food shortages. This is supported by the occurrence of nutritional problems in communities associated with the availability of food, low purchasing power and the inability to gain access to nutritious food.Objective: To identify the patterns of food consumption and family food security in Kampar regency in Riau province.Method: The study was an observational research with cross sectional design. Samples are a family in Kampar regency as many as 105 families selected by using cluster sampling conducted in August-September 2015. Statistical analysis was performed by chi-square test and logistic regression.Results: The statistical analysis shows that the majority of respondents had food consumption patterns with the category of unfulfilled as 64.77% and for the category of food security as 60.96% was in the category of food insecure. The results of chi-square statistical test showed that there was a significant correlation between food consumption patterns to family food security in Kampar regency Riau Province (p0,000). The results of the bivariate analysis it is known that there was a significant correlation between the variables of the number of family member, food access, food expenses, energy consumption and protein consumption to the level of family food security in Kampar regency of Riau province indicated by a value of p <0.05.Conclusion: There is a significant correlation between the patterns of food consumption toward family food security in Kampar regency Riau province. There is a significant correlation between the external variables and family food security level in Kampar regency Riau Province

    Indeks massa tubuh dan aktivitas fisik dengan tekanan darah pada pelajar SMA

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    Background:  A trend towards in increase of hypertension in adults and children. If criteria of hypertension according to JNC VII 2003 applied to the population aged 15-17 years in Indonesia, the prevalence of hypertension in adolescents was obtained 5.3% nationally. Examination of blood pressure and factors related to blood pressure are of particular importance in children due to the decline in physical activity and weight changes contributing to blood pressure elevations that occur at this point in maturation. Blood pressure levels begin to increase as children approach adolescence. Weight control and physical activity regularly are recommended to prevent blood pressure elevations in both adult and youth.Objective: Determine the relationship between body mass index and physical activity with blood pressure in high school students in Pekanbaru.Method: This is an analytic observational study with cross sectional design. This study was involved 353 high school students in Pekanbaru who meets inclusion and exclusion criteria through cluster sampling technique. Data collected by direct measurements such as weight, height and blood pressure whereas physical activity and characteristic of the subject was collected by questionnaire. The results of the data collection were analyzed using univariate, bivariate and multivariate analysis.Results: There is a correlation between body mass index with systolic (p=0.000; r=0.238) and diastolic blood pressure (p=0.010; r=0.136). Each increase in 1 kg/m2 body mass index was linked with an increase of 2.339 mmHg systolic blood pressure and 0.979 mmHg diastolic blood pressure. However, there is no correlation between physical activity with systolic (p=0.829) nor diastolic blood pressure (p=0,643). Multivariate analysis showed that sex and screen time activity were factors most dominantly affecting blood pressure.Conclusion: There is a correlation between body mass index with blood pressure. However, there is no correlation between physical activity with blood pressure

    Asupan lemak jenuh dan serat pada remaja obesitas kaitannya dengan sindrom metabolik

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    Background: There is an emerging global increase of metabolic syndrome prevalence due to increasing of obesity. Obesity and metabolic syndrome beginning in childhood progressing into adulthood.  Dietary saturated fat and fiber intake play a role in etiology in obesity.Objective: This study was to examine the associations between dietary saturated fat intake, fiber intake and components of metabolic syndrome among obese adolescents.Method: A cross-sectional study was conducted to 57 obese students aged 13-15 years old of SMP Nasima and SMP Kesatrian 2 Semarang, based on body mass index for ages. Subjects of this study were collected consecutively. Data were collected through waist circumference and blood pressure measurements, fasting biochemical serum analysis and dietary intake assessment.  Rank Spearman and Pearson correlation test was used to examine the associations between of dietary saturated fat and fiber intake to components of metabolic syndrome.Results: There were 46 subjects (80,7 %) had metabolic syndrome and 11 subjects (19,3 %) had the pre-metabolic syndrome. There was no association between dietary saturated fat intake and waist circumference, HDL cholesterol, triglyceride, fasting blood glucose levels and blood pressure. Fiber intake was negatively associated with blood triglyceride levels (r = -0.340; p = 0.01).Conclusion: There was no association between dietary saturated fat intake and components of metabolic syndrome. There was an association between dietary fiber intake with blood triglyceride levels. Dietary fiber intake has an important role in lipid metabolism

    Pencegahan hipertensi dan penebalan dinding aorta dengan pemberian kecambah kacang hijau (Phaseolus radiatus (L)) pada tikus putih Sprague Dawley

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    Background: Lifestyle changes with high-fat food consumption is one of the factors the risks of cardiovascular diseases like of coronary heart disease and atherosclerosis. A healthy diet and a balanced diet and consume foods that contain lots of antioxidants is one of the effective ways to prevent hyperlipidemia. Mung bean sprouts have properties that neutralize free radicals cause Hyperlipidemia and cardiovascular diseases because it is an antioxidant compound.Objective: The aim of this study was to determinate the effect of mung bean sprouts (Phaseolus radiatus (L)) to blood pressure and histopathology aorta of Sprague-Dawley male rats.Method: The type of study was experimental research using pre-post test controlled group design for blood pressure variable and post test only controlled group design histopathology aorta. The thirty-five of Sprague-Dawley male rats was eight weeks divided into 5 groups. The first group was given standard diet, group 2 was given a hight fat diet, the third group was given a high-fat diet and mung bean sprout 0,67 gram, group 4 was given a high-fat diet and mung bean 1,34 gram, and group 5 was given a high-fat diet and vitamin E doses of 23 IU.Results: Result of this study showed that after 4 weeks of treatment, increased in blood pressure systole in the given of  high fat diet higher than group who were given a high fat diet and mung bean sprout and also on group who were given high fat diet and vitamin E, but there is no difference effect a decrease in blood pressure between the provision of mung bean sprouts and vitamin E (p>0,05). Statistical analysis to thick the wall the aorta show the similarity meaningful in all the treatment group, it can be said that overall thick the wall the aorta in this research is not different.Conclusion: A dose of mung bean sprout 0,67 g is optimal doses in preventing a rise in blood pressure and prevent alterations histopathology Sprague-Dawley male rats

    Pengaruh pemberian kecambah kacang hijau (Phaseolus radiatus (L.)) terhadap kadar malondealdehid (MDA) plasma dan jaringan hati tikus Sprague Dawley yang diberi pakan lemak tinggi

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    Background: High-fat diet increases the levels of fat, especially cholesterol and triglycerides that cause hyperlipidemia. Polyunsaturated fatty acids are very easily oxidized by free radicals reactive oxygens species (ROS) called lipid peroxidation, to produce compounds that malondialdehyde (MDA), is toxic and can damage plasma membrane and liver tissue. Mung bean sprouts are known to contain antioxidants which act to inhibit lipid peroxidation process.Objective: Determine the effect of mung bean sprouts to the level of plasma MDA and liver tissue of rats with high-fat diets.Method: This research is an experimental study with an only post-test design with the control group. Thirty-five male Sprague-Dawley rats were divided into 5 groups. Group K1 received fed standard; K2 received high-fat diet without mung bean sprouts. Group P1 received high-fat diet and mung bean sprouts dose of  0.5 mL/gBW. Group P2 received high-fat diet and mung bean sprouts dose of 1 mL/gBW. Group P3 received high-fat diet and vitamin E doses of 23 IU. All group were treated for 28 days. Analysis of MDA plasma and liver tissue performed after treatment.Results: Group K1 has plasma MDA levels of 1.17 ± 0.14 nmol/mL Mean MDA plasma level in the group K1 Group of K1 Mean MDA plasma level in the group K2 (39.7±0.19 nmol/mL) was higher than the group of K1 (1,17±0,14 nmol/mL), group P1 (2.94±0.09 nmol/mL), group P2 (1.73±0.08 nmol/mL) and group P3 (1.53±0.07 nmol/mL). Group K1 has liver tissue MDA Levels of 1,64±0,11 nmol/g. Mean MDA liver tissue level in the group of K2 (4.90±0.29 nmol/g) was higher than the group of P1 (3.68±0.45 nmol/g), group P2 (2.27±0.10 nmol/g), and group P3 (2.01±0.11 nmol/g).Conclusion: Level of MDA plasma and liver tissue of rat in group P1 and P2 was lower than a level of MDA plasma and liver tissue of rat in group K1, but higher than the level of MDA plasma and liver tissue of rat in group P3. There was a very strong correlation between the level of MDA plasma and liver tissue of rat was given the mung bean sprouts and high-fat diet

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