Jurnal Gizi Klinik Indonesia
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Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin
Background: Underfives from poor communities are susceptible group that will unlikely have suffcient nutrition (micronutrient) meanwhile this micronutrient is essential for growth. Some studies show the supplementation of micronutrient has good effects to child growth. Therefore it is necessary to study the supply of fortified multi-micronutrient and its effect to growth of underfives from poor communities.Objective: To identify the supply of fortifed multi micronutrient and its effect to growth of underfves of 6-59 months from poor communities.Method: The study was a pre-experiment that used a group pre test-post test design. Subject were underfives of 6-59 months from poor communities that got fortifed multi micronutrient. The intervention of fortifed multi micronutrient supply was given once a week (1 sachet/day) within 4 months. Data of family characteristics and identity of the subject were collected at the beginning of the study. Measurement of physical weight and height/length, consumption recall, collection of data on disease infection (acute respiratory tract and diarrhea) were carried out at the beginning and end of the study.Results: The result of statistics test showed there was signifcant increase (p<0.05) in weight, height/length and nutrition status (z-score) to index of weight for height/length, height for age, and that there was signifcant descent to acute respiratory tract infection and diarrhea of underfves of 6-59 months from poor communities after the supply of fortifed micronutrient containing vitamin A, B1, B2, B3, B6, B12, folate acid, vitamin C, D3, E, Fe and zink.Conclusion: The supply of fortifed multi micronutrient could increase weight, height/length and nutrition status (z-score), index of weight for height/length and index of weight for age and decreased of acute respiratory tract infection and diarrhea disease in underfives of 6-59 months from poor communities
Senam bugar lansia berpengaruh terhadap daya tahan jantung paru, status gizi, dan tekanan darah
Background: Aging that happens naturally in human life does not only cause physical dysfunction but also have an impact to mental and social aspects. In the elderly there is a problem of degenerative disease. Hypertension has become a serious health problem and a major challenge of public health worldwide because of either high prevalence or major risk factor for cardiovascular disease. Pharmacological as well as non-pharmacological efforts have been made to prevent and cure the disease; however until today the growing number of hypertensive patients has not been successfully controlled. Consequently behavioral intervention has to be made to cure hypertensive patients. One of the recommended interventions is fitness exercise for the elderly.Objective: The study aimed to identify the effect of fitness exercise to increasing stamina of heart and lung, nutrition status and reduced blood pressure of hypertensive elderly at integrated service post of Sub district of Pahandut, Palangkaraya Municipality.Method: The study was an experiment (before and after) without control group using one group pretest posttest study design. Subject of the study was a group with pre experimental, evaluation, effect of variables and post experimental evaluation. Measurement was made in week two, three and four to blood pressure, heart and lung stamina, nutrition status of hypertensive elderly, discipline in exercise and food recall 24 hours. The interventions made were lecture and fitness exercise package D for the elderly.Results: There was significant association between elderly fitness exercise and systolic blood pressure, heart and lung stamina and nutrition status of hypertensive elderly (p<0.05). Result of Wilcoxon signed ranks test and paired sample test between gymnastic elderly on increase of endure capacity heart lung are significantly associated (p=0,001) and so on nutritional status (p=0,002) and decrease systolic tension (p=0,001) and diastolic tension (p=0,002).Conclusion: There was significant association between elderly fitness exercise and the increase of heart and lung stamina, nutrition status and the decrease of blood pressure in hypertensive elderly
Kemampuan motorik kasar siswa sekolah dasar penderita obesitas
Background: Childhood is the period of rapid growth and development. Various aspects can affect problems in growth and development such as genetics, natural environment, and social economic status of the family, nutrition status, social and cultural environment. Inappropriate food intake can cause malnutrition in children, both undernourishment and over nourishment (obesity). Obesity is not good for the process of child growth and development because it distorts the process of metabolism and bring risks for cardiovascular diseases.Objective: To identify gross motor ability of obese elementary school students at Yogyakarta Municipality and evaluate motor ability of elementary school students based on degree of obesity.Method: The study was observational with cross sectional design. Subject of the study were 158 obese elementary school students at Yogyakarta Municipality. Subjects were screened and tested using fat caliper and their height and weight were measured. If they belonged to obese their gross motor ability was tested comprising throwing with target, flexibility long jump standing, squatting, push up, balance and speed running. Data were analyzed using Spearman correlation at CI95% (p 0,05).Conclusion: Child which progressively obesity will have a lower gross motor ability
Kebiasaan minum dan asupan cairan remaja di perkotaan
Background: Human body requires water for the active and healthy life. Water is actually a nutrient, and there is a tendency that some people neglect its important roles for health. Water requirements can vary depends on physical activity, age groups, body weight, climate, and diet (energy intake).Objective: The study aimed to identify drinking habits and to assess water intake and its adequacy of teenagers in urban.Method: Cross-sectional study was conducted from May to June 2009 in high school SMAN 2 Bogor. The samples were healthy student at grade X and XI. The number of sample was 83 students which calculated based on mean estimation. Food and beverages consumption was assessed with 2 x 24 hours recall during a week-day and a week-end. Meanwhile, the last week drinking habits was collected by interviewed. Statistical analysis used here was independent t-test.Results: The average of water intake was 2582 ± 834 ml, whereas 2939 ± 922 ml for boys and 2250 ± 581 ml for girls. The total water intake was from solid foods (656 ± 265 ml) and beverages (1927 ± 704 ml). The contribution of drinking water to the total water intake was 51% for boys (1495 ml) and 58% for girls (1311 ml). The average water adequacy was 132% for boys and 111% for girls.Conclusion: The average of water intake was consider adequate in teenagers, however there was still 24.1% of them consumed less than 90% of water adequacy
Ekstrak air daun Ceplikan (Ruellia tuberosa L) berpengaruh terhadap kadar SGOT, SGPT dan gambaran histologis hepar tikus DM
Background: Diabetes Mellitus (DM) is a chronic metabolic disorder as indicated by hiperglycemia caused by insulin defciency produced by pancreatic islet ß cell which triggers metabolic disorder of carbohydrate, protein and fat, and tends to cause complications. One of the complications is liver damage caused by DM which is probably due to lipid peroxydation, subsequent to free radical production. The common biochemistry signs of liver damage are increasing activities of some enzym such as transaminase pyruvat glutamate serum in the blood. Ruellia tuberosa L is a traditional plant and used by people as diabetic traditional drug. Flavonoid, saponin, zink as antioxidant can decreased of blood glucose in diabetic.Objective: The study aimed to identify the effect of Ruellia tuberosa L extract on glutamate oxaloacetate and glutamate pyruvat transaminases as well as liver histology of diabetic white mice (Rattus norvegicus).Method: The study was pure experimental that used a pre-post test control group design. The study used 30 male Rattus norvegicus. They were divided into 5 groups, each group consisting of 6 rats. Group I rats served as the normal control. Groups II to V consisted of rats with DM induced with alloxan 170 mg/kgBB subcutaneously. The experiment made was as followed. Group I served as control, group II was DM+aquades, group III was DM+Ruellia tuberosa L extract 1.6 mg/ kgBB/day, group IV was DM+Ruellia tuberosa L extract 3.2 mg/kgBB/day, and group V was DM+Ruellia tuberosa L extract 6.4 mg/kgBB/day. Glutamate oxaloacetate and glutamate pyruvat transaminases was measured before beginning and end of the treatment. The blood was taken from sinus orbitalis. At day 30 (end of the study) the rats were sacrifced for their liver. Data of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum level were analyzed using one way ANOVA. The result of liver histology was analyzed descriptively.Results: The effect of Ruellia tuberosa L extract within 30 days of study could minimize level of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum of DM rats. Maximal decreasing in extract 3,2 mg. Histologically there was no damage of the liver.Conclusion: Ruellia tuberose L extract could minimize level of transaminase oxaloacetat glutamate serum and transaminase pyruvat glutamate serum of DM and liver histology is normal
Tingkat konsumsi garam beryodium dan kaitannya dengan gangguan akibat kekurangan yodium ibu hamil
Background: Iodine deficiency disorders (IDD) is one of main nutrition problems which cannot be eliminated until now in Indonesia. Total goiter rate (TGR) of school children increased from 9.8% in 1998 to 11.1% in 2003. In Gunung Kidul District, TGR of school was 12.2% and of pregnant mothers was 18.4% in 1996. One of efforts to overcome IDD is salt iodization. Result of a national survey of household iodized salt consumption in 2002 showed that only 68.53% of households consumed sufficient level of iodized salt, while salt monitoring at Gunung Kidul District in 2003 showed that only 73.08% of households consumed sufficient level of iodized salt. The low rate of consumption level of iodized salt may be caused by availability of salt with low iodine level (not as high as mentioned in the label), higher price of iodized salt and lack of knowledge about types and benefits of iodized salt among mothers.Objective: To identify consumption level of iodized salt and IDD status of pregnant mothers at IDD endemic area at Gunung Kidul District.Method: The study was an observational type which used cross sectional design with both quantitative and qualitative approaches. Subject of the study were pregnant mothers at their second trimester pregnancy.Results: Availability of iodized salt according to: quality was 81.1% low and 18.9% sufficient; types of salt was 17.6% coorse, 77.8% bricket, and 4.6% fine salt; price was 69.0% high and 31.0% not high; taste was 36.8% bitter and 63.2% not bitter. Analysis result of Pearson Chi-Square with Odds Ratio showed that there was relationship between quality and types of salt with consumption level of iodized salt in the household (p<0.05) with OR=20.50 for quality, and OR=43 for types. There was relationship between salt consumption level of urine iodine excretion with p<0.05 and OR=2.604. Median of urine iodine excretion level was 86.1µg/l which belonged to category of light IDD endemic area and there had been no change of endemic area status since 1996.Conclusion: There was significant relationship between quality and types of salt with consumption level of iodized salt. There was relationship between iodized salt consumption level and IDD. Iodized salt program was not yet effective and supply of iodine capsules should go on until it reached use of good iodized salt
Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi
Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance
Pemberian jus belimbing Demak (Averrhoe carambola I) berpengaruh terhadap penurunan tekanan darah sistolik dan diastolik pada penderita hipertensi
Backgrounds: Hypertension is the main risk factor for cardiovascular disease that is the primer cause of death in the world. Hypertension is associated with food pattern that is high in sodium and low in potassium. Demak’s starfruit is a high potassium food that has negative effect on high blood pressure.Objective: To fnd out the effect of Demak’s starfruit juice for decreasing of systolic and diastolic blood pressure in patient with hypertension.Method: This study was randomized control trial (RCT) design in two groups. The frst group was treated with 500 ml Demak’s starfruit juice derived from 280 grams Demak’s starfruit containing 425 mg of potassium, 11 mg of calcium and 2,8 mg of magnesium for 7 days and the second group was a control with starfruit essence. The subjects in this study 34 persons. The subject had systolic blood pressure 140 – 160 mmHg and diastolic 90 – 100 mmHg. Intake of sodium, potassium, calcium and magnesium during research was observed with 2 x 24 hour food recall method. Statistical analysis used here was Kolmogorov-Smirnov, paired t-test, independent t-test and anakova.Results: There was signifcant decreases in systolic and diastolic blood pressure of 19,71±7,39 and 14,41 ± 8,08 in treatment group with Demak’s starfruit juice, and decrease 4,41 ± 8,64 and 0,88± 6,67 in control group.Conclusion: Demak’s starfruit juice (Averrhoe carambola l) infuence on the decrease of systolic and diastolic blood pressure
Pemulihan gizi buruk rawat jalan dapat memperbaiki asupan energi dan status gizi pada anak usia di bawah tiga tahun
Background: New approaches for the management of severe malnutrition such as outpatient rehabilitation complement the existing WHO inpatient protocols.Objective: The objectives of this study was to assess the improvement of energy intake as well as the nutritional status of severe malnourished children during comprehensive outpatient rehabilitation.Method: This study was conducted among severe malnourished children treated as outpatient rehabilitation at Nutrition Clinic at Center of Food and Nutrition Research and Development (CFNRD) in Bogor Indonesia. The design of the study was one group pretest-posttest design and recruitment of sample was taken from health centers in Bogor District. The criteria of sample was severe acute malnutrition based on weight for height Z score (WHZ) < -3 or, having clinical sign and aged under three years old. During a-six-months-comprehensive rehabilitation, the treatment was performed including: treatment of infectious diseases, nutrition and health education, psychosocial stimulation, formula-milk and supplementary feeding. WHO formula-milk was provided as F-75 and F-100 and supplementary feeding was given such as blended food, biscuit.Results: From a total of 26 severely malnourished children were selected, 24 children included in the analysis, 1 child was died 1 child was dropout. It was found that the average energy intake in baseline was 82 + 15 kcal/kg body weight/day. After 1 month and 3 months intervention, average energy intake increased signifcantly to 121 + 13 kcal/kgBW/day and to 148 + 21 kcal/kg BW/day, respectively (p<0.000). Nutritional status increased from WHZ score of -3.56 + 0.71 at baseline, became -2.35 + 0.69 and -1.87 + 0.85 after 1 month and 3 months intervention. The proportion of normal child based on weight for height category were 50% after 3 months and 73.9% at the end of out patient rehabilitation. Conclusion: The comprehensive outpatient rehabilitation could significantly improve the energy intake and the nutritional status of severe malnourished children under three years of age
Ibu hamil perokok pasif sebagai faktor risiko bayi berat lahir rendah
Background: Low birth weigth babies (LBW) are most likely a cause of the infant mortality and morbidity. Many factors causes LBW babies as maternal health, behavior during pregnancy, environmental as well as fetal and placental factors. Negative behavior during pregnancy such as exposure of cigarette smoke can affect the body’s supply of oxygen from mother to fetus and placenta. Exposure to cigarette smoke may also reduce maternal folic acid level which causes disruption of fetal growth inside the womb.Objective: This study was aimed to fnd out the risk of low birth weight baby in the passive smoker pregnant woman.Method: The study used a case control design. The subject consisted of mothers who delivered at RSU dr. Zainoel Abidin in Banda Aceh municipality. The case group were mothers who delivered babies of less than 2,500 grams and the control group were those who delivered babies of 2,500 grams or more. Each group consisted of 105 mothers (1:1). Sample were taken using non probability with consecutive sampling method. Data analysis used univariable method with frequency distribution, bivariable with chi square and multivariable with logistic regression.Results: Passive smoker pregnant woman exposed the 1-10 cigarettes a day had risk 2,4 times greater of getting low birth weight baby (OR=2,42; 95%CI 1,24-4,71). Pregnant mother exposed to ≥11 cigarettes a day had the risk 3,1 times greates in having LBW infants than those not exposed (OR=3,1; 95%CI 1,50-6,70).Conclusion: Passive smoker of pregnant mother increased the risk of low birth weight babies