Jurnal Gizi Klinik Indonesia
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    Konsumsi fast food dan soft drink sebagai faktor risiko obesitas pada remaja

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    Background: Recently, obesity has become health problem which was frequently associated with an increased occurrence of non-communicable diseases. The prevalence of obesity has been increasing in both developed and developing countries. The increasing prevalence of obesity was marked by a shift in eating pattern composition containing high fat, cholesterol, but low in fiber such as consumption of fast food and soft drinks. The imbalance of nutrient intake was one of the risk factors for the emergence of obesity in adolescents. Obesity in adolescents at risk of becoming obese in adulthood and potentially can lead to cardiovascular and metabolic diseasesObjective: This study aimed to find out the prevalence of obesity and to investigate risk factors for energy intake and frequency of consumption of fast food and soft drinks on the incidence of obesity in high school students in Pontianak.Method: This research was an observational study which involves case-control design. The samples in this study are 160 students consisting of 80 obese high school teenagers and 80 non-obese high school teenagers. The choice for a subject of research used proportional stratified random sampling. Measurement of obesity status subject was taken by the measurement of weight and height based on the reference standard WHO / NCHS. It also involves data intake of fast food and soft drinks based on interviews with SQFFQ. Data were analyzed by chi-square test, t-test, and logistic regression.Results: The prevalence of obesity in high school teenagers in Pontianak was 9.29%. The bivariate test result showed no association  between total  energy intake of fast food and obesity (p0.05). There was a relationship between the frequency of total  fast food and of the local fast food consumption with obesity (p0.05). Multivariable analysis showed that the total energy intake was the most dominant factor to the onset of obesity (p<0.05; OR=5.27; 95% CI: 1.64-16.97).Conclusion: Consumption of fast food was a risk factor for obesity in high school teenagers in Pontianak. On the other hand,  soft drink consumption did not become the risk factor for obesity in teens high school in Pontianak

    Obesitas, body image, dan perasaan stres pada mahasiswa di Daerah Istimewa Yogyakarta

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    Background: Obesity can lead to various health problems including psychosocial problems. Obesity also relates to body image which may affect psychosocial health.Objective: To examine the relationship between obesity, body image, and perceived stress among college students in Yogyakarta Province.Method: This study is a cross-sectional design in 150 college students (75 boys and 75 girls) at Universitas Gadjah Mada and Universitas Technology Yogyakarta. Perceived stress was measured using 10 items of the Perceived Stress Scale (PSS-10), body image was evaluated using 16 items of the Body Shape Questionnaire (BSQ-16) and obesity was estimated using the percentage of body fat calculated from anthropometric measurements. Chi-square test, Spearman correlation analysis, and odds ratio were used to test the hypotheses.Results: There was significant correlation between obesity and body image in male (r= 0.32, p<0,01) and female students (r= 0.23, p<0,05). Obese male students were 7 times likely to have negative body image than non-obese male students. While no significant relationship was found between obesity and perceived stress,  non-obese students had almost two times likely to perceive stress. Similarly, body image was not significantly related to perceived stress in male and female students, however, it was likely that students with negative body image had about 1,5 times to feel stress than those with positive body image.Conclusion: Obesity was significantly associated with body image among male and female college students in Yogyakarta Province. However, no significant relationship was found between obesity and perceived stress as well as between body image and perceived stress among the students.

    Efek minuman kombinasi maltodekstrin dan vitamin C terhadap VO2maks atlet sepak bola

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    Background: VO2max is one of win determiner in a game. Athletes receive training to improve technical skills, tactical skills, and physiology functions that can support the improvement of VO2max, so they can improve their achievement. Maltodextrin and vitamin C can be used as an ingredient for beverage products which can improve VO2max.Objective: To assess the effect of maltodextrin and vitamin C combination drink on VO2max in soccer athletes.Method: Type of this study was experimental design with the same subject design. The study was conducted from January 2014 until June 2014 at Culinary Laboratory Universitas Gadjah Mada (UGM) and Stadium of Universitas Negeri Yogyakarta (UNY). Subjects of this study were 14 soccer players coming from Universitas Negeri Yogyakarta (UNY). Every subject had to fulfill the inclusion and exclusion criteria, and the subjects were chosen by purposive sampling. In the first treatment, subjects received the combination drink―a drink with a composition 15% of maltodextrin and 250 mg of vitamin C in 300 mL. After 6 days washout period, subjects received 300 mL plain water. Drinks were given 30 minutes before VO2max test. VO2max test method used in this study was yo-yo intermittent recovery test level 2 (IR-2).Results: VO2max when subjects consumed maltodextrin and vitamin C combination drink was significantly lower than VO2max when athletes consumed plain water (p=0,0000).Conclusion: Maltodextrin and vitamin C combination drink was less effective than plain water to enhance VO2max

    Persepsi ibu tentang makanan obesogenis sebagai faktor risiko obesitas pada anak sekolah dasar

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    Background: Prevalence of children with over nutrition is a global problem that continues to increase every year. Obesity in children have  an obese risk in adulthood. The high prevalence of obesity in children due to poor nutrition. Parents, especially mothers have a great role in determining the chilrdren nutritional intake so mothers understanding to the type of food that causes obesity is very important.Objective: To determine the mother's perception of obesogenic food and its relation to the risk of obesity in elementary school children of Yogyakarta and Bantul.Method: This study was a case-control study. Mothers who have an obese child  (≥ 95 th percentile) as a case and mothers of children with nonobese (0.05). Children of mothers who have a wrong perception about sweet drinks have a obesity risk 1.85 times greater than children of mothers who have a right perception to sweet drinks. So did for the children of mothers who have a wrong perception of fast food have an obesity risk 1.76 times greater than children who had mothers with the correct perception of the traditional fast food. Then the children of mothers who had a wrong perception of full cream milk and other dairy products have a risk of obesity 3.3 times smaller than the mother who has the correct perception to the full cream milk and other dairy products. Mother's perception about obesogenic foods as risk factor of obesity in children is not influenced by the level of education, household expenditure and maternal work status (p>0.05).Conclusion: Perception mother of obesogenic foods can not be used as a predictor for the occurrence of obesity in children (p>0.05). The level of maternal education, maternal work status and household expenses rather than as a factor does not affect the mother's perception of the food obesogenis

    Pengaruh pendidikan gizi dalam upaya meningkatkan kepatuhan konsumsi zat besi melalui kelas ibu hamil

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    Background: Iron deficiency anemia contributed to a number of 50% in anemia and caused mortality of 841,000 every year in the world. Nutrition education before iron supplementation is needed because of low compliance in pregnant women. Gatak Sub District that is located in Sukoharjo Regency had the highest risk in pregnant women by 20.02%.Objective: This research aimed to know the effect of nutrition education in an effort to increase compliance of  iron consumption through prenatal classes in Gatak Sub district Sukoharjo Regency.Method: The method of this research was quasi experiment with pre test-post test with non equivalent control group design. The samples of this research were 70 pregnant women who fulfilled inclusion and exclusion criteria. A number of 33 pregnant women were in treatment group and 37 pregnant women were in control group. Treatment group received a nutrition education through anemia booklet and iron supplementation which contained 60 mg sulfas ferosus and 400 µg folic acid on a daily basis in prenatal classes for 3 months. Control group did not receive a nutrition education, but still received a daily iron supplementation for 3 months. Independent t-test and paired t-test were used to analyze data.Results: The knowledge level (higher 12.59), compliance of iron consumption (15.16%), food intakes including energy (higher 9.24%), protein (higher 10.98%), and Fe (higher 6.68%), although those food intakes were still below the RDA, and hemoglobin level (higher 0.44 g/dl), in treatment group compared with control (p0.05).Conclusion: The nutrition education affected the increase in compliance of iron consumption through prenatal classes in Gatak Sub District Sukoharjo Regency

    Gerakan sarapan sehat anak sekolah (sarasehan) untuk peningkatan pengetahuan ibu tentang sarapan sehat anak sekolah

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    Background:  Breakfast can meet energy requirement of school children to conduct their daily activity all day. But, in reality, there are many school children who do not behave in a healthy breakfast that can meet the needs of 30% of energy. One of reason is a lack of knowledge and practice of the mother in preparing a healthy breakfast for their children.Objective: To assess the influence of media outreach breakfast (booklets, flipchart, and short films) on the mothers' knowledge of healthy breakfast schoolchildren.Method: Design of quasi-experimental one group pre-post test used in the study towards 186 mothers from ten the selected elementary school at Depok City. Mother's knowledge was measured through a questionnaire pre-post test.Results: There was increased in knowledge of mothers at the end of the study with correct answers given by the mother on the question of the type of food that should be avoided at breakfast. Increased knowledge of the mother before and after the study was differed significantly according to age groups (p <0.05). Older age of mother has better knowledge than younger.Conclusion: Knowledge of mothers on healthy breakfast can be improved through counseling using flipcharts, booklets, and short film

    Perbedaan proporsi stunting pada anak usia 12-24 bulan berdasarkan pemanfaatan pelayanan posyandu di Kabupaten Jayapura, Papua

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    Background: Stunting according to World Health Organization’s standard is a linear growth failure identified by the Z-score value of proportioned height by age (Body Height/Age) that less than -2 of standard deviation. Indonesia has the fifth largest number of stunted children in the world right after India, Nigeria, Pakistan and China. Posyandu service utilization is one of stunting determinants. A number of visits and the activity of infants in using Posyandu services will help the observation of children’s health and nutrition status. Through thoroughly observation chronically malnourished and stunting could be earlier identified, thus the growth failure could be prevented.Objective: to identify the stunting proportion difference of 12-24 months children according to Posyandu services use.Method: Study was conducted by using an observational method and cross-sectional research design. Subjects of study are 12-24 month children in Jayapura Regency. Cluster random sampling method was used to identify 313 children as samples. Observation data was analyzed by using chi-square test and fisher exact test due to a not normally distributed population.Results: There are 19.8% samples identified as stunted children. Chi-square test and fisher exact test showed that there is no significant difference in stunting proportion according to Posyandu service utilization (p>0.05). Meanwhile, there is a significant difference between a number of stunting and number of ISPA (p=0.017) and mothers nutrition knowledge (p=0.025).Conclusion: There is not any difference in stunting number proportion according to Posyandu services utilization

    Pemberian ekstra jus putih telur terhadap kadar albumin dan Hb pada penderita hipoalbuminemia

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    Background: Hospitals malnutrition has been reported to occur in almost 40% of patients hospitalized. Hypoalbuminemia is one of sign of malnutrition. Hypoalbuminemia can be resolved with intravenous albumin and a high albumin diet can be done by administering an extra egg white (albumin) on diet. By feeding in the form of a refreshing juice will hopefully can increase the food intake, which is expected to help improve albumin and hemoglobin (Hb) in blood level.Objective: The aim of this research is knowing the effect of egg white juice of the albumin and Hb levels in patients hipoalbumin.Method: This type of research is experimental approach with pretest-posttest control group design. While the treatment effect assessed from differences in measurement results (albumin and Hb level) between the 2 groups. The study was conducted in Sardjito and P. Senopati Bantul Hospital. The  treatment group will be given a hospital standard diet and given extra egg white juice 3x/day for 7 consecutive days. The control group was given a hospital standard diet and extra egg white as a side dish. Data were analyzed using t-test with 95% CI.Results: The mean of albumin increase in the treatment group was higher (0.5215 ± 1.6852) than the control group (0.007 ± 0.4522) (p=0.001). The mean of Hb increase in treatment group (1.685 ± 1.5898) was higher than the control group (0.929 ± 2.3169), but not statistically significant (p=0.163).Conclusion: Giving extra egg white juice 3x/day for 7 days it can be used as an alternative to high-protein diets, they are inexpensive (low cost) and easily administered to the patient, and can increase in albumin levels

    Pengaruh pendidikan kesehatan melalui short message service (sms) dan booklet tentang obesitas pada remaja overweight dan obesitas

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    Background: Adolescent is an important period to be considered because it is a transition period between children and adult. Nutrition problem in an adolescent is while the decline of physical activity, teenage generally have a big appetite, hence, they often look for additional food. The majority of diet that teenage like are an energy dense, sweet, and high-fat foods, which could have a risk of causing overweight and obesity if consumed excessively. Therefore, one of the efforts to overcome the nutrition problem is given a health education to teenage.Objective: To seek for the effect of health education by short message service (SMS) and a booklet about obesity on knowledge and body mass index (BMI) in an overweight and obese adolescent.Method: This study used a quasi-experiment with pre-test and post-test design. The subject were 105 respondents of overweight and obese senior high school students. The data were analyze used a paired t-test and ANOVA with p=0.05 and CI=95%.Results: Health education by SMS, booklet and the combination of SMS and booklet had a significant effect statistically (p0.05) to reduce BMI in an overweight and obese adolescent.Conclusion: Health education by SMS, booklet, and combination of SMS and booklet have an effect on increasing the knowledge in overweight and obese adolescent, whereas on BMI, only SMS and booklet have an effect on reducing BMI

    Asupan gizi dan status gizi vegetarian pada komunitas vegetarian di Yogyakarta

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    Background: Vegetarian diet has become a popular diet among people. The information about the benefits of going plant-based as opposed to the risks of degenerative illnesses is widespread and publicly eligible. However, the diet is known to cause the lack of some nutrients such as protein, iron, and B12, which has the implication on one's nutritional status.Objective: The study is aimed at identifying nutrient intake and nutritional status vegetarians and the influential factors among vegetarians in Yogyakarta.Method: The study is an observational one with a cross sectional design. It is conducted on vegetarians living in Yogyakarta, which, as methodologically required, involves 102 respondents. The nutritional intake is measured through Food Frequency Questionnaire (FFQ), and the nutritional status through the Body Mass Index status, ferritin serum level, protein serum level and hemoglobin level. The data are analysed using chi square and multiple logistic regression.Results: The mean intake of energy, fat, zinc, vitamin B6, and vitamin B12 is higher in lactoovo vegetarian while vegan is the higher intake of carbohydrates, protein, iron, folic acid, and vitamin C. Some nutritional intake of less than 80% of AKG is the intake of energy, carbohydrates, zinc, folic acid, and vitamin B12. There are significant differences of the intakes of vitamin B12 between both groups. The vegan’s IMT is lower than lactoovo vegetarian. Lactoovo vegetarian’s protein serum levels are higher, however serum levels of vegan’s ferritin and hemoglobin are higher. There are significant differences in serum levels of protein and hemoglobin levels in both groups. There is a significant relation between the intake of iron and hemoglobin levels in vegetarians.Conclusion: Lactoovo vegetarian diet and vegan diet can fulfill the nutritional adequacy, but the things that need to keep in mind are the quality and quantity of food and a good diet plan in order to comply all the nutritional adequacy especially food sources of zinc, folic acid, and vitamin B12

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