Jurnal Gizi Klinik Indonesia
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    Efek pemberian ekstrak teh hijau (Camellia sinesis (L) O. Kuntze) var. Assamica terhadap total lemak tubuh dan profil lipid wanita dewasa overweight dan obesitas

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    Background: Overweight and obesity can cause high body fat total and lipid profile in the blood that brings risk for diseases to the bearer. Some studies on green tea extract supplementation have been undertaken to find out its effect on the fat reduction in children, men, and mice and the result showed a reduction in body fat, weight, appetite, and triglyceride level. This study uses green tea extract supplemented to overweight and obese women. Objective: To find out the reduction of body fat total and lipid profile (total cholesterol, triglyceride, LDL, HDL) in the blood of overweight and obese women personnel of Yogyakarta Municipal Health Office supplemented with green tea extract.Method: The study was randomized double-blinded control trial. The subject of the study was overweight and obese women of 35-55 years old personnel of Yogyakarta Municipal Health Office. Samples were 86 women randomly taken, comprising experiment group and control group, each of which consisting of 43 women. Each group had diet according to individual appetite. Both groups were given capsules of similar form and color but different ingredients: placebo and green tea extract. The experiment took three months. Blood was taken before and after the experiment to identify lipid profile (total cholesterol, triglyceride, LDL, HDL). Body fat total was examined using body fat analyzer. Data analysis used paired t-test.Results: Green tea extract supplementation could significantly reduce body fat total and insignificantly reduce cholesterol level, triglyceride, and LDL, significantly increase HDL in overweight and obese women.Conclusion: Green tea extract supplementation could reduce body fat total and increase HDL (p<0.005)

    Batasan indeks massa tubuh dan lingkar perut diabetesi di Indonesia untuk prediksi abnormalitas kadar HDL-kolesterol dan tekanan darah

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    Background: According to National Basic Health Survey (Riskesdas) 2007 and 2013 in Indonesia, diabetes prevalence had been increasing from 1,1% to 1,5%. Diabetic tends to have obesity related to abnormal blood lipid level and high blood pressure which lead to some complications such as cardiovascular diseases and hypertension. Therefore early prevention of complications is needed.Objective: This study was to identify body mass index (BMI) and waist circumference (WC) cut-off point in Indonesian diabetic as the predictor of lipid profile and high blood pressure abnormality.Method: The Crossectional study using secondary data, Riskesdas 2007. Subjects in this study were 615 diabetics who admitted been diagnosed as diabetes by physicians and/or had oral glucose test result ≥ 200 mg%. Data that had been analyzed were lipid profile (total cholesterol, LDL-chol, HDL-chol) and systolic-diastolic blood pressure, BMI (kg/cm2), WC (cm), lifestyle, and subject’s characteristic. Receiver Operating Characteristic (ROC) is used to identify BMI and WC cut-off point for predicting lipid profile and blood pressure abnormality.Results: On the average, subjects have high blood pressure and dyslipidemia. Both IMT and LP are able to predict high blood pressure and low HDL-chol significantly (AUC ≥ 59; all p>0,05). BMI=23 kg/cm2 can predict low HDl-chol (Se=63,3%; Sp=54,0%; p=0,04), high systolic (Se=68,3%; Sp=60,6%; p=0,000) and diastolic (Se=68,3%; Sp=60,6%; p=0,000) blood pressure in men, whereas in women can predict only low HDL-chol (Se=72,3%; Sp=47,8%; p=0,000). LP=80 cm can screen high systolic (Se=73,8%; Sp=63,6%; p=0,000) and diastolic (Se=72,4%; Sp=55,3%; p=0,000) blood pressure in men and high systolic blood pressure in women (Se=71,5%; Sp=52,6%; p=0,000). However, to predict low HDL-chol in women, cut-off point of LP is 78 cm (Se=74,2%; Sp=41,5%; p=0,003).Conclusion: Although BMI and LP can be used to predict high blood pressure and low HDL-chol, however, both measures have the different function when they are applied to both gender. To predict low HDL-chol in men and women, BMI=23 kg/cm2 can be used, and LP=80 cm can be applied to screen high systolic blood pressure in both genders. Nevertheless, more research is needed to show the consistency of these results, such as using better study design and considering for confounding variables (ethnic, diabetes duration, lifestyle, hypertension, and diabetes medicine)

    Prevalensi kasus dehidrasi pada mahasiswa Universitas Gadjah Mada

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    Background: Involuntary dehydration can lead to body function of disturbances. Orthostatic measurements were performed to determine the involuntary dehydration caused by orthostatic hypotension. Dehydration is also influenced by the high level of activity and ambient temperature without sufficient fluid intake. Students are prone to dehydration due to their activity, they have to be well hydrated to achieve their academic and nonacademic performances.Objective: To determine the prevalence of dehydration among students of Gadjah Mada University.Method: An observational study with the cross-sectional design were conducted and involved 274 students of Gadjah Mada University. Orthostatic measurement and interview of their activity and smoking habit were performed on all subjects.Results: The prevalence of dehydration were 60.9%. Type of activity and smoking habit did not affect the hydration status.Conclusion: Dehydration prevalence rate is still high on the students. As almost all students are dehydrated, then the factors that should be able to distinguish the condition of dehydration such as a type of activity and smoking habit, seems to give no effect in this study

    Pengaruh pemberian pangan antioksidan terhadap kadar malondialdehid plasma mahasiswi penyuka gorengan

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    Background: Antioxidant elements such as vitamin C, vitamin E, lycopene, chlorophyl, polyphenol, and other flavonoid existed on various foods of fruits, vegetable, tea, coffee, and others. The foods are usually consumed in our every single day. Some previous studies had shown that there were various benefits of antioxidant elements for animal and human health. However, the antioxidative effect of the antioxidant elements in combating free radicals in the body is not similar to each other.Objective: This study was aimed to analyze the effect of antioxidant foods (green grass jelly drinks, tomato juice, papaya, and black tea) on blood levels of malondialdehyde (MDA) among college students.Method: The study was designed by pre-post test control study. Subjects were divided into five groups, consisted of four intervention groups and one control group. Every group consisted 6 persons. Each subject was asked to consume one kind of antioxidant foods in a single serving size per day for 21 days.Results: All of the subjects who consumed fried foods had high MDA levels in pre-intervention. The results of this study showed that MDA level in the group of green grass jelly drink decreased significantly (p0,05).Conclusion: The antioxidant foods which can reduce plasma MDA level were green grass jelly drink. However, tomato juice, papaya, and tea can also reduce plasma MDA level, but not statistically significant

    Penerapan algoritma proses asuhan gizi terstandar berbasis skrining gizi

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    Background: Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in the quality management of nutrition care to all patients based on an individual basis and scientific facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.Objective: The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.Method: The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).Results: Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake, and MUAC was 129 kcal; 4.6 g; and 0.35 cm, respectively.Conclusion: Interaction between an SNST and algorithm SNCP have a better average intake of energy, protein, and MUAC compared with other groups

    Pengaruh pemberian makanan tambahan (PMT) pada ibu hamil terhadap berat lahir bayi

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    Background: Anemia causes fetal growth disorders that affect birth weight. Antenatal care (ANC) coverage and provision of high Fe if not followed by a decrease in the incidence of anemia can result indirectly in the risk of low birth weight. Supplementary feeding is expected to resolve the issue.Objective: To assess the effect of supplementary feeding on the third trimester of pregnancy on birth weight.Method: This was a quantitative study with a study design of quasi-experiment and non-equivalent control group. The given intervention was fish-processed feeding for 30 days. The study population was pregnant women in the third trimester in all health centers in the City of Yogyakarta and the samples were 104 pregnant women in some health centers with convenience sampling technique. The subjects were divided into two, namely the treatment group (PMT) and the comparison group (non-PMT). Birth weight was weighed immediately after the baby was born. Statistical analysis used t-test and logistic regression. Results: The mean birth weight of infants in the treatment group and the comparison group was 3248 g and 2974 g, respectively, so that the difference in the mean birth weight of both groups was 274 g (p=0.0002; 95%C:131-416). Thus, supplementary feeding was shown significantly affect the birth weight. The extraneous variables that significantly influenced birth weight were pregnancy interval. Other extraneous variables were age, mid-upper-arm circumference (MUAC), education, occupation, economic status, parity, protein intake, compliance of Fe tablet intake, antenatal care, gestational age at delivery and anemia status were not proven statistically significant to affect birth weight. Conclusion: Supplementary feeding effect on birth weight

    Durasi tidur, asupan energi, dan aktivitas fisik dengan kejadian obesitas pada tenaga kesehatan puskesmas

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    Background: The prevalence of obesity among adults has increased globally in both developed and developing countries, including Indonesia. Obesity occurs because of imbalance of energy intake and output in the long term and it can also be seen by calculating the value of the body mass index (BMI). The main risk factors are the reduction in the duration of sleep that causes increased energy intake and reduced physical activity, in addition to other factors such as gender, income, pregnancy, smoking and alcohol, health conditions, genetics, and psychology.Objective: To determine the relationship between sleep duration, energy intake and physical activity with obesity on health centers’ workers of Pidie Jaya District in Aceh Province.Method: This study was an observational study with a cross-sectional design. The research was conducted on health workers in 11 health centers in Pidie Jaya District of Aceh Province who met inclusion and exclusion criteria. The subjects were 200 people selected using simple random sampling. Obesity was assessed by BMI (weight in kg/height in m). Duration of sleep and physical activity were collected with a form of activity recall and energy intake with a food recall. Data were analyzed by Chi-Square test and multiple logistic regression.Results: There was a relationship between sleep duration and obesity with an OR value of 2.59; there was a relationship between energy intake and obesity (OR=2.55), and there was a relationship between physical activity and obesity (OR=2.47).Conclusions: Lack of sleep duration, high energy intake and low physical activity increased the risk of obesity on health centers’ workers in Pidie Jaya District of Aceh Province

    Sanitasi, infeksi, dan status gizi anak balita di Kecamatan Tenggarong Kabupaten Kutai Kartanegara

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    Background: Malnutrition is a public health problem commonly encountered in developing countries. Almost 50% of 10-11 millions of mortality among children under-fives caused by malnutrition that is preventable. District of Kutai Kartanegara is known as the most wealth of district in Indonesia, yet the wealth cannot automatically solve the problem of its people. Numerous efforts have been made to solve malnutrition problem yet the morbidity rate is still relatively high.Objective: The study aimed to identify an association between sanitation with infection and nutritional status of under five at Subdistrict of Tenggarong, District of Kutai Kartanegara.Method: The study was observational with cross sectional design. Samples consisted of 187 under fives of 7-60 months taken using proportional random sampling technique. Variable of sanitation was obtained from the interview with subjects using questionnaire and direct observation. Variable of infection was obtained from an interview with subjects and cross check at health centers. The dependent variable of nutritional status was based on anthropometric assessment using weight/height index. The bivariate analysis used Chi-Square and multivariate analysis used logistic regression.Results: The result of the statistical test showed there was a significant association between sanitation and infection (acute respiratory tract infection/ARI, diarrhea) of under fives (p<0.05). There was an association between ARI and diarrhea with wasted children (p<0.05).Conclusion: There was the significant association between sanitation, infection and nutritional status of under five at Subdistrict of Tenggarong District of Kutai Kartanegara

    Pemberian jahe instan terhadap kejadian mual muntah dan asupan energi pada ibu hamil trimester pertama

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    Background: Pregnancy causes increased energy metabolism, therefore needs of energy and other nutrients increase during pregnancy. Lack of energy and nutrients could adversely affect the mother and fetus. Nausea and vomiting is a common problem in the first trimester of pregnancy. If not treated the mother and fetus can be at risk of malnutrition due to lack of energy intake. Traditional treatment is an option that is considered safe. Ginger has been used to treat a variety of medical problems including nausea and vomiting. Ginger works in the digestive tract by increasing the gastric and intestinal motility.Objective: This study aimed to determine the effectiveness of instant ginger containing 290 mg ginger juice, to reduced the incidence of nausea and vomiting of pregnancy and increased maternal energy intake during the 24 hours.Method: The study design is experimental, the pre-post control group, involving 101 pregnant women with gestational age less than 15 weeks in RSB Sayang Ibu, puskesmas Klandasan Ilir and Sepinggan in Balikpapan. Research subjects were drawn at random and given the instant ginger or placebo, 2 times a day for a week. All of the subjects were assessed on the level of nausea, vomiting and a 24-hour energy intake during pre and post intervention. The use of drugs or supplementation from the doctor/midwife were recorded and not be stopped.Results: The rate of nausea and vomiting decreased significantly in the ginger group (52%) compared to placebo (17.7%) (p0.05). Instant ginger may increase the average amount of energy intake 24.5 times higher than placebo (p<0.05).Conclusion: Instant ginger effective to reduce nausea and vomiting of pregnancy and increase the amount of energy intake (calories) in pregnant women who experience nausea and vomiting of pregnancy

    Efek hipoglikemik tepung komposit (ubi jalar ungu, jagung kuning, dan kacang tunggak) pada tikus diabetes induksi streptozotocin

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    Background: The composite flour (50% sweet potato, 30% corn, and 20% cowpea) had proven that it could substitute 100% wheat flour for biscuit making. Intake of antioxidants, dietary fiber, and protein, had been known to reduce plasma glucose level. Objective: To evaluate the effect of composite flour diet on plasma glucose levels, body weight and food consumption of streptozotocin (STZ)-diabetic rats.Method: Thirty male Sprague-Dawley rats aged ± 2 months (± 200 grams), were divided into three groups of ten rats. They were (1) non-diabetic standard diet (ND-STD), (2) diabetic (65 mg/kg of body weight by STZ induction) standard diet (D-STD), and (3) diabetic composite flour diet (1,5 g/100 g of body weight/day) (D-CFD), for 4 weeks, 3 days after STZ induction. The plasma glucose obtained from GOD-PAP method were determined before induction, after induction and every week during diet intervention.Results: Plasma glucose levels was significantly lower in D-CFD when compared with D-STD (p<0,05). The weight of D-STD was found to be significantly decreased as compared to ND-STD (p<0,05). There were no changes in food consumption of ND-STD, D-STD and D-CFD (p<0,05).Conclusion: The composite flour could reduce plasma glucose level in diabetic rats and did not give negative effects on body weight and food consumption

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