Jurnal Gizi Klinik Indonesia
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Pengaruh inisiasi menyusu dini terhadap praktik menyusui 1 bulan pertama
No full textBackground: The period of the first month of life is a critical moment for the sustainability of breastfeeding practices. Therefore optimal efforts are needed to maintain the breastfeeding practices. Early initiation of breastfeeding can help increase maternal confidence and support psychological condition of mothers in order to continue breastfeeding practices.Objective: To evaluate the impact of the early initiation of breastfeeding on breastfeeding practices in the first month of infant life.Method: The study was observational with cohort prospective study design using quantitative and qualitative approaches. Samples were 106 pairs of mothers and babies. The group from Pahandut Public Health Center (PHC) consisted of 53 women with early initiation of breastfeeding (exposed group) and the group from Tangkiling PHC consisted of 53 women without early initiation of breastfeeding (non exposed group). In both groups, dissemination on early initiation of complete breastfeeding and exclusive breastfeeding practices followed with one month breastfeeding practices was given. The quantitative data analysis was done in three stages. In addition, qualitative data analysis used exploration of in depth interview.Results: The result of mutivariable analysis with modeling showed that there was a significant relationship between early initiation of breastfeeding and breastfeeding practices in the first month of life (by controlling the variables of the decision to breastfeed, nipple condition, residence and gestational age) that could give contribution as much as 49% for breastfeeding practices in the first month of life. The result of in depth interview showed that breastfeeding practices were highly infuenced by information obtained by the women when checking up their pregnancy so that the decision to breastfeed could be made in advance and the women perceived the beneft of breastfeeding practices for her and her infant’s health. There were some reasons why the mother did not give complete breastfeeding, among others were the abnormal nipple condition and the mother’s fear on her child’s health for preterm baby.Conclusion: Breastfeeding practices in the first month of life occured more in mothers who practiced early initiation of breastfeeding than in those who did not. Mothers with at term delivery, nipple normal condition, breastfeeding decision prior to delivery, and residence in rural areas had greater chance of practicing breastfeeding in the first month of life
Senam aerobik dan konsumsi zat gizi serta pengaruhnya terhadap kadar kolesterol total darah wanita
Get PDFBackground: Hypercholesterolemia is a condition in which levels of cholesterol in the blood above normal levels (≥ 240 mg/dl). Physical exercises done regularly useful in the regulation of cholesterol, is total cholesterol, LDL cholesterol and triglycerides in the blood decreased, while HDL cholesterol increased. Food has an important role in association with the incident hypercholesterolemia.Objective: The purpose of this study was to determine the effect of aerobic exercise on blood total cholesterol level of adult women in the city of Semarang.Method: This research was explanatory research with cross sectional study. Subject was women aged 20-49 years gymnastic participants, as a comparison group was a housewife who was not doing gymnastics. Twenty three samples for group2 by matching on nutritional status and age and with the sampling purposive sampling. Adequacy levels of carbohydrates, proteins, fats, and also vitamins A and C were obtained through 2x24-hour recall was not a sequence, and processed using NutriSurvey. Results of independent t-test used to determine the effect of cholesterol levels between groups, and chi square test was used to determine association with nutrient adequacy levels of total cholesterol.Results: The results showed no significant difference in mean total cholesterol level between groups of gymnastic participants (201.2 g/dl) with housewife group (208.3 g/dl). Housewife group was belonging to hypercholesterolemia by 52.2%, while in group of exercise participants at 43.5%. Sufficiency level of protein showed a role in the total cholesterol level of adult women.Conclusion: The aerobic gymnastics did not affect total cholesterol. Moderate level of protein adequacy contributes to the total cholesterol level of adult women
Persepsi mahasiswa Program Studi Gizi Kesehatan terhadap citra tubuh ahli gizi
Get PDFBackground: As health professionals, nutritionists are supposed to have good body image, although nutritionists may be overweight or obese. Body image of nutritionists will determine the quality of nutrition service particularly in giving evidence and assurance to the clients. As nutritionist-to-be, nutrition students are expected to have good knowledge and appearance because these will reflect quality of nutritionists in the future.Objective: To identify perception of students of health nutrition study program of the Faculty of Medicine about body image of nutritionists.Method: The study used qualitative descriptive method and case study design. It was carried out in Yogyakarta from October to December 2008. Subject of the study were 23 undergraduate students of Health Nutrition Study Program of Gadjah Mada University of both class A and B. Data were obtained through focus group discussion and in-depth interview. Data validity and reliability used source and method triangulation to 7 lectures of health nutrition Gadjah Mada University.Results: Body image was someone’s physical appearance as viewed by one or others and the effect of mass media in the assessment of body image was relatively significant. Body image of nutritionists was important because it would affect trust of the clients and success in counseling. Nutritionists had responsibility in giving an exemplary healthy life to the community either in physical image or appearance so that nutritionists were supposed to have ideal body posture and good body performance.Conclusion: Good body image for nutritionists would determine quality of counseling and trust of the clients. Nutritionists had responsibility to give an exemplary healthy life to the community. Therefore it was necessary to do monitoring and socialization from the academics as well as related institutions such as association of nutritionists about body image of nutritionists and nutrition students from now on and in the future
Menu pilihan diit nasi yang disajikan berpengaruh terhadap tingkat kepuasan pasien VIP di Rumah Sakit Umum Daerah Provinsi Sulawesi Tenggara
Get PDFBackground: The provision of foods in hospitals often becomes a public concern, particularly in relation to patient satisfaction. This may be due to not only the psychological effect of sick ill people but also because foods as output of food provision does not often give satisfaction to the patient.Objective: To find out the effect of rice diet selective menu to satisfaction of VIP inpatients at local hospital of the Province of Sulawesi Tenggara.Method: A cross sectional study was conducted. Population of the study were VIP inpatiens; samples were patients that fulfilled inclusion and exclusion criteria in September-December 2008. Samples were purposively taken. Data analysis used bivariate with chi square and multivariate with logistic regression test.Result: Out of 49 patients that got selected menu and standard menu in aspect of food appearance as many as 45 (91.8%) were satisfied in selected menu and 31 (63.3%) were satisfied in standard menu; in aspect of food taste 44 (89.8%) were satisfied in selected menu and 23 (46.9%) were satisfied in standard menu; in aspect of food serving 47 (95.9%) were satisfied in selected menu and 40 (81.6%) were satisfied in standard menu.Conclusion: In aspect of appearance, color, shape and portion of foods significantly affected patient satisfaction whereas texture did not affect patient satisfaction. In aspect of taste, all variables affected patient satisfaction. In aspect of food serving all variables did not affect patient satisfaction
Pelaksanaan asuhan gizi terapi gizi medis (TGM) berpengaruh terhadap lama rawat inap
No full textBackground: Medical Nutrition Therapy (MNT) is one of nutrition care models which focuses on integrated patient management involving active participation of doctors, nutritionists, nurses and other professions within the hospital nutrition care team. One benefit of MNT is the reducing of patients’ length of stay (LOS) as an indicator of hospital service quality. Bekasi Municipal Hospital has not implemented integrated nutrition care within a team. The result of monitoring and evaluation during the frst quarter of 2006 showed the average of LOS for degenerative diseases patients was 5.97 days.Objective: To identify the influence of nutrition care implementation by using MNT approach to LOS at Bekasi Municipal Hospital.Method: The study was quaci-experimental which uses static-group comparison. Samples were patients hospitalized at internal medicine wards of (class) VIP, 1 , 2 and 3 class. Datas were obtained consisted of conventional nutrition standard care (CNC), MNT, and data of LOS. T-test and Mann Whitney statistical test were used to analyze the influence of types of nutrition care to LOS.Results: LOS of patients with MNT care was 5.80 days. This was shorter than CNC and statistically significant (p<0.05).Conclusion: There was a difference between LOS of samples with MNT and CNC. LOS of samples with MNT was shorter than CNC and statistically significant (p<0.05)
Sarapan dan jajan berhubungan dengan kemampuan konsentrasi pada remaja
Get PDFBackground: Adolescence is a phase that a human has to pass through in life to become an adult. Bureau of Statistical Centre (1999) reported that total number of adolescent people from 10-19 years old group in Indonesia is about 22% of its total population. High school adolescent often does not have breakfast due to many different reasons such as being in a hurry when going to the school. Breakfast is able to provide carbohydrate for increasing blood glucose supply. In a normal blood glucose supply, passion and concentration as a student would be better so that it makes positive impact to raise productivity.Objective: This study aimed to define correlation between breakfast and have snack at break time habit with concentration capability on high school adolescent in Palangka Raya city.Method: This study was an observational research in cross sectional design. The number of research subject for prevalence test were 106 students for not breakfast group which in screening result were not in anemic condition, while for hypothesis test the mean difference for the two independent groups the total number of subject were 80 persons that consist of 40 subjects for breakfast group and 40 subjects for not breakfast group. Data collection was obtained from body weight and height measurement to explore nutritional status; food recall method to give information of breakfast and have snack at break time, energy, carbohydrate, protein and fat intake; digit symbol and digit span test to explore concentration capability to visual and audio information. The data was processed and analyzed in analytic descriptive way using Spearman correlation test and t-test.Results: This study indicated that 37.7% - 38.8% adolescent in SMAN 1 Pahandut Palangka Raya did not have breakfast. Analytical statistic result showing adolescent who has breakfast has significantly higher concentration capability (using digit symbol and digit span test) than adolescent group who did not have breakfast (p<0.05). Having snack at break time adolescent group had significantly higher concentration capability by using digit symbol test than adolescent group who did not have snack at break time (p<0.05).Conclusion: There was correlation between breakfast and have snack at break time with concentration capability on high school adolescent
Obesitas dan hubungannya dengan polimorfisme gena promoter 5-HT2A, tekanan darah, profil lipid, kadar glukosa, dan malondialdehid
No full textBackground: Obesity among adults has risen significantly in the world-cutting across all ages, racial and ethnic groups and gender. The 5-HT 2A receptor is crucially involved in regulation of body weight and the appetite. Disturbances in the distribution and or gene regulation of the postsynaptic 5-HT2A receptor are implicated in the pathophysiology of conditions such as obesity, coronary heart disease, high blood pressure, diabetes, stroke dan some cancers.Objective: To test the association between obesity with polymorphism of promoter -1438G→A 5-HT2A receptors gene, blood pressure, lipid profiles, levels of blood glucose and malondialdehyde (MDA).Method: This cross-sectional study included thirty six unrelated obese young people (BMI ≥ 30) recruited from populations in Yogyakarta and 36 controls with age matched with BMI ≤ 25. Statistical differences between blood pressure, lipid profiles, glucose and MDA levels were assessed by t-test and genotypes by Chi square test.Results: There were no significant difference in blood pressure lipid profile, level of glucose and MDA in obese group compared with control (p>0,05). Allele A and G frequency in obese group 25% and 75% respectively, and controls 22.2% and 77.8% respectively, and no significant difference in all two groups, but G allele had higher risk to obese than A allele.Conclusion: These data indicated G allele was mild risk factor for obesity
Perubahan kadar hemoglobin akibat terapi kurkuminoid ekstrak rimpang kunyit dibandingkan natrium diklofenak pada penderita osteoartritis
Get PDFBackground: In general, patients with osteoarthritis require long live treatments, especially anti-infammatory drugs. Non steroidal anti infammatory drugs are mostly follow by some side effects such as dyspepsia and gastrointestinal bleeding. The use of natural medicine for rheumatic diseases have commonly been practiced worldwide.Objectives: To learn the changes of hemoglobin level due to treatment with curcuminoid from Curcuma domestica Val. rhizome extract compared to diclofenac sodium as anti-infammatory agent for the treatment of osteoarthritis.Methods: This research is a prospective randomized open end blinded evaluations (PROBE). Patients treated with 30 mg curcuminoid from Curcuma domestica Val. rhizome extract or 25 mg diclofenac sodium three times daily for 4 weeks respectively.The hemoglobin level was checked before and after treatment. Results: A total of 80 patients with knee osteoarthritis participated in this study. There was no signifcant difference in the frequency of sex, educational level, duration of suffering, percentage of co-morbidities in both groups. There was no signifcant different of hemoglobin level before treatment between both treatment group. The hemoglobin level was increase signifcantly in curcuminoid treatment groups while no signifcant change in diclofenac group. Treatment with curcuminoid increasing the hemoglobin level signifcantly compare to diclofenac sodium (p=0.03).Conclusion: Treatment with curcuminoid from Curcuma domestica Val. rhizome increasing the hemoglobin level signifcantly compare to diclofenac sodium treatment for osteoarthritis
Kajian metode Subjective Global Assessment (SGA) dan Nutrition Services Screening Assesment (NSSA) sebagai status gizi awal pasien dewasa sebagai prediktor lama rawat inap dan status pulang
No full textBackground: Assessment of nutrition status of newly hospitalized patients is an initial stage of nutrition intervention which will bring effects to the duration of stay and the history of patients' diseases during hospitalization. Appropriate nutrition intervention as part of patients' care can be used as an indicator of the quality of hospital service.Objective: The study aimed to identify preliminary nutrition status of newly hospitalized adult patients using SGA method, its effects to length of stay and status of discharge and compare the capacity of SGA and NSSA indicators in predicting length of stay and status of discharge of adult patients.Method: This observational study used prospective cohort study design. It was carried out at Anuntaloko Hospital of Parigi, District of Parigi Moutong, Sulawesi Tengah from July to September 2008. Subject consisted of 162 people comprising 82 undernourished people and 80 people with good nutrition status based on assessment using SGA method. Data analysis used bivariable and multivariable, receiver operating characteristics (ROC) curve and diagnostic methods using computer program.Result: The majority of newly hospitalized patients were undernourished (50.6%); preliminary status of patients assessed using SGA method could affect length of stay, relative risk (RR)=3.67 but not status of discharge (RR=0.97). The capacity of SGA indicator, area under the curve (AUC)=0.81 and maximum sum of sensitivity and specifcity (MSS) =1.57 was better than NSSA indicator (AUC=0.76 and MSS 1.43) in predicting length of stay. The capacity of SGA indicator (AUC=0.50 and MSS=1.01) was better than NSSA indicator (AUC=0.49 and MSS=0.98) in predicting discharge status of the patient.Conclusion: SGA and NSSA indicators could be implemented in assessing preliminary nutrition status of newly hospitalized adult patients; SGA indicator had better capacity than NSSA indicator
Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar
Get PDFBackground: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.Objective: The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city.Method: The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.Result: The study showed that means of syndrome metabolic component in case higher than control (p25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).Conclusion: There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City