Jurnal Gizi Klinik Indonesia
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Asupan vitamin, mineral, rasio asupan kalsium dan fosfor dan hubungannya dengan kepadatan mineral tulang kalkaneus wanita
Get PDFBackground: The prevalence of osteoporosis as defined by bone mineral density (BMD) > - 2.5 below the average of young women in Indonesia is not yet known; however the risk for the prevalence of osteoporosis is relatively high. Nutrients especially micronutrients have an important role in maintaining bone status. Yet, until today millions of people have micronutrient deficiency in vitamin and mineral such as calcium, zinc and beta-carotene.Objective: To identify the relationship between intake of vitamin A, C and mineral calcium, phosphor, zinc and ratio of intake of calcium and phosphor and BMD.Method: The study was observational with cross sectional design. Subject of the study were young women of 35 – 40 years old at Health Fitness Centre of the Ministry of Health in 2007. There were as many as 102 subjects purposively taken. The dependent variable of the study was BMD and the independent variables were intake of vitamin A, C, and mineral calcium, phosphor, zinc and ratio of calcium and phosphor intake. The confounding variables were nutritional status, exercise, smoking, alcohol consumption, caffeine consumption, genetic, disease and medication factors. Intake data were obtained through blood record and food frequency methods. Data analysis used chi square, Fisher’s exact test and independent t-test.Results: The proportion of BMD of young women was 6,9% osteoporosis, 32,4% osteopenia and 60,8% normal. Young women with good intake of vitamin A and C, calcium, phosphor, zinc had average score of BMD as much as 0,35 point; 0,36 point and 0,97 point; 1,02 point; 1,26 point subsequently higher than those with less intake. Young women with ratio of good calcium and phosphor intake had BMD score as much as 1,13 point lower than those with ratio of poor calcium and phosphor intake. However, the relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant (p>0.05).Conclusion: The relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignifcant. Young women with good intake of vitamin A, C and calcium, phosphor, zinc tended to have higher score of BMD than those with poor intake
Status gizi pasien bedah mayor preoperasi berpengaruh terhadap penyembuhan luka dan lama rawat inap pascaoperasi di RSUP Dr Sardjito Yogyakarta
Get PDFBackground: Severe malnutrition affects morbidity due to disrupted wound healing and decreased endurance against infection. There are some factors that cause malnutrition in surgical patients. Two major factors are lack of food intake and process of inflammation that cause increase of catabolism and decrease of anabolism. The condition can be identified from the decrease of albumin serum and muscle hypothrophy.Objective: The study aimed to identify impact of nutrition status of preoperative major surgical patients based on Nutritional Risk Index (NRI) indicator to wound healing and post operative length of stay.Method: The study was observational with prospective cohort study design. Nutrition screening was undertaken to the group that met inclusion criteria at the preliminary process of hospitalization using NRI indicator to identify nutrition status of surgical patients. Next, the group was split into two, one with undernourished nutrition status and the other with good nutrition status. Assessment of nutrition status of patients was based on NRI obtained from level of serum albumin and current and usual weight ratio within the last 6 months. Weight assessment was made during early hospitalization or weight within the last 6 months.Result: The result of the study showed there was signifiant association between nutrition status and wound healing and post operative length of stay (p 7 days than those with good nutrition status (95% CI:4.701-50.914).Conclusion: There was impact of nutrition status of preoperative major surgical patients based on NRI indicator to wound healing and post operative length of stay
Asupan vitamin B3 (niasin), C, E, dan serat berhubungan dengan dislipidemia pada penyakit jantung koroner di RS DR. Mohammad Hoesin Palembang
No full textBackground: Coronary heart disease is a health problem both in developed and developing countries including Indonesia. The result of household health survey in 1992 and 1995 indicated that coronary heart disease was the first cause of death with the prevalence as much as 16.5% and 19% subsequently. Coronary heart disease is caused by many factors such as hypertension, hyperlipidemia, obesity, smoking and diabetes mellitus. High intake of unsaturated fat for a long time can increase blood lipid level. Efforts to lowering blood cholesterol can be made by managing macro nutrient intake as well as micro nutrient intake such as vitamin B3, C, E, and fibers.Objective: To find out the relationship between intake of vitamin B3 (niacin), C, E and fibers and dyslipidemia in coronary heart disease at dr. Mohammad Hoesin Hospital of Palembang.Method: The study was analytic observational which used cross sectional design. Subject of the study were dyslipidemia patients of coronary heart disease who were newly diagnosed. There were as many as 50 patients who fulfilled inclusion and exclusion criteria and were purposively chosen. The study was carried out at cardiology room from October 2007 to February 2008. Data of intake were obtained from questionnaires of quantitative food frequency and processed using computer. Chi square test was used to identify the relationship between intake and lipid profile; Spearman rho correlation was used to find out the level of relationship; and odds ratio was used to identify the risk.Result: There was significant relationship between intake of vitamin B3, C, E and fibers and total cholesterol (p < α). There was significant relationship between intake of vitamin E and triglyceride (p = 0.015). There was significant relationship between intake of vitamin B3, E and fibers and high density lipoprotein cholesterol (p < α). There was significant relationship between intake of vitamin B3, C, E and fibers and low density lipoprotein cholesterol (p < α).Conclusion: There was relationship between low intake of vitamin B3, C, E and fibers of dyslipidemia patients in coronary heart disease
Analisis sisa makanan dan biaya sisa makanan pasien skizofrenia rawat inap di Rumah Sakit Jiwa Madani Palu
No full textBackground: Food has not only considerable therapeutic but also economic value. The success of food provision is related to leftover that can indicate less optimum food provision in hospitals. Leftover indicates the presence of wasted cost.Objective: To analyze leftover and cost of leftover of schizophrenic inpatients at Madani Mental Hospital Palu.Method: The study used cross sectional method. Subject of the study were schizophrenic inpatients who got ordinary food portion had been mobilized from acute to common room 2 x 24 hours, put in class 3 room, were able to eat food on their own with exclusion criteria the presence of accompanying diseases that could affect appetite and got food from outside the hospital (n = 35). Data were analyzed quantitatively using chi square to find out factors related with the presence of leftover. Data of respondent characteristics and cost of leftover were analyzed descriptively.Result: There was difference in leftover based on sex and portion in particular rice and animal side dish leftover (p <0.05) but there was no significant difference in age, type of schizophrenic disease, duration of hospitalization and previous hospitalization (p ≥ 0.05). Total cost of wasted food a day was Rp 1,529.33.Conclusion: There was difference in leftover based on sex and portion particularly rice and animal side dish leftover. Average amount of leftover varied according to eating time and types of food. Cost of wasted food varied according to types of food
Perbedaan kadar seng serum dan kadar c-reactive protein pada anak balita dengan kadar serum retinol normal dan tidak normal
Get PDFBackground: Vitamin A Defciency (VAD) is one of the major nutritional problem, and many occur in developing countries. VAD occurs when serum retinol concentration 0.05). While there are differences in the frequency of pain and zinc (p <0.05).Conclusion: No difference in zinc levels in both groups, whereas CRP levels did not show different results. It was recommended that further research on the interaction of research results with linear growth as well as environmental factors and personal hygiene to prevent infection that can affect serum retinol
Penambahan agar-agar dan pengaruhnya terhadap kestabilan dan daya terima susu tempe pada mahasiswa Politeknik Kesehatan Jurusan Gizi Yogyakarta
Get PDFBackground: The production of tempeh milk is an effort to diversify tempeh-based food processing potential as functional food. However, as vegetable milk tempeh milk has the disadvantages of tasting bitter and being easily precipitate. The addition of gelatine is potential as stabilizer that is expected to counter the disadvantages and improve the taste of tempeh milk.Objective: To identify the effect of gelatine addition to stability and acceptability of tempeh milk among students of Nutrition Department of Health Polytechnic Yogyakarta.Method: The study was experimental with a completely randomized design, comprising four experiments, i.e. tempeh milk with gelatine addition as much as 2%, 3%, 4% and no gelatine addition as control. Organoleptic test was made by 25 skilled panelist, students of Nutrition Department of Health Polytechnic Yogyakarta, to identify acceptability of tempeh milk. Whereas viscocity test and visual observation through the assessment of tempeh milk precipitation level within 5 hours storage were made to identify emulsion stability. Data analysis used Anova and Duncan advanced test.Result: Stable emulsion could be achieved through gelatine addition of 2% at emulsion consistency 89.10%, viscocity 0.225 poise. Better emulsion stability was achieved through gelatine addition of 3% at emulsion consistency 91.10%, viscocity 0.249 poise. Best emulsion stability was achieved through gelatine addition of 4% at emulsion consistency 95.58%, viscocity 0.254 poise and lowest emulsion stability was found in the control without gelatine addition at emulsion consistency 80.84%, viscocity 0.216 poise. The result of proximate nutrition value of tempeh milk with gelatine addition 4% (most stable) were energy 55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate 7.65%, water 86.23g, ash 0.15% and raw fbre 2.01%.Conclusion: There was no effect of gelatine addition at various concentration to acceptability of tempeh milk. There was effect of gelatine addition at various concentration to stability of tempeh milk. The highest emulsion stability was achieved in tempeh milk with gelatine addition of 4%
Frekuensi konsumsi growol berhubungan dengan angka kejadian diare di Puskesmas Galur II Kecamatan Galur Kabupaten Kulonprogo Provinsi DIY
Get PDFBackground: Diarrhea is a serious health problem in developing countries because 25% of total mortality rate among children in the world is caused by diarrhea and has caused 3-4 million of children to die annually. In Indonesia diarrhea is also a major health problem whereby morbidity rate of diarrhea in 2004 was still relatively high, i.e. 280/1000 population and the second cause of death in underfies. At the working area of Galur II Health Center mortality rate caused by diarrhea in 2007 increased from none to 2 deaths in underfies (3.14/1000) and diarrhea was in the fist rank of 10 major diseases in inpatient service activities. One cause of diarrhea is imbalance of intestinal microbes in the digestive tract. This is due to two groups of bacteria (harmful and useful/probiotic bacteria) that kill each other. Previous studies on the potential of probiotic show that Lactobacillus rhamnosus GG was effective in preventing diarrhea and shortening the duration of diarrhea. Growol contains Lactobacillus case subsp. Rhamnosus TGR 2 that has the potential as probiotic.Objective: To identify association between frequency of growol consumption and the prevalence of diarrhea.Method: The study was observational with cross sectional design carried out at the area of Galur II Health Center, Subdistrict of Galur, District of Kulonprogo, Province of Yogyakarta Special Territory. Population of the study were children of 1-5 years old with criteria willing to be studied, were not malnourished and came for weighing at Posyandu (integrated service post) in November 2008. Data collected were analyzed using linear regression test at significance 95% and descriptively.Result: Out of 472 underfies, 244 (52%) were boys and 228 (48%) girls; 22.4% had diarrhea and 77.54% had never had diarrhea; 160 consumed growol and 12 of them (7.5%) had diarrhea; 312 did not consume growol and 94 of them (30.52%) had diarrhea. Respondents consumed growol in average 3.8 times/week. There was association between frequency of growol consumption and the prevalence of diarrhea according to the equivalent Y=0.474-0.079 X or growol could prevent diarrhea if consumed minimum 6.4 times/week.Conclusion: There was association between frequency signifiant relationship between growol frequency consumption and diarrhea rate
Studi validasi indeks massa tubuh dan rasio lingkar pinggang panggul terhadap profil lipid pada pasien rawat jalan di Poli Jantung RSUP Dr. Sardjito Yogyakarta
Get PDFBackground: Obesity is one of nutrition status categories that can be measured with various methods, just like nutrition status. So far, anthropometric methods such as body mass index (BMI) and Waist-to-Hip Ratio (WHR) are commonly used due to their practicality and inexpensiveness. However, biochemical examination will give more objective result, apart from its ability to make early detection of body changes. Lipid profie is a biochemical method that can be used to predict excess of fat deposit (hyperlipidemia) that causes obesity.Objective: To identify validity of BMI and WHR compared to lipid profie of out-patient at cardiology clinic of Dr. Sardjito Hospital.Method: The study was observational with cross sectional design undertaken at cardiology clinic of Dr. Sardjito Hospital Yogyakarta. Samples were patients of over 40 years old that had blood lipid profie whose height, weight, waist and hip circumference could be measured and were willing to participate. Patients on wheel chair or unable to stand up properly and wearing tight clothes were excluded. Sensitivity and specifiity test was made to assess the validity of BMI and WHR against lipid profile. Result: As many as 52 samples (53.6%) had hypercholesterolimia, 45 (46.4%) had normocholesterolemia. As many as 38 samples (39.2%) had hypertrygliceridemia, 59 (60.8%) had normotrygliceridemia. Based on BMI 76 samples (78.3%) were obese and 21 (21.7%) non obese. Based on WHR as many as 79 samples (81.5%) were of central obese and 18 (18.5%) non obese. Sensitivity of BMI and WHR was good but their specifiity was low.Conclusion: BMI and WHR could be used to detect hypercholesterolemia and hypertrygliceridemia due to their good sensitivity; but they could not be used to predict normocholesterolemia and normotrygliceridemia due to their low specificity
Status stunted dan hubungannya dengan perkembangan anak balita di wilayah pesisir Pantai Utara Kecamatan Lemahwungkuk Kota Cirebon
No full textBackground: The problem of protein energy inadequacy is a major problem among under-fives that affects the process of child growth and development. The prevalence of stunted status among under-fives in developing countries in 2008 was estimated as much as 33%. In Cirebon Municipality the prevalence was 10.27% and in north coastal area of Cirebon Municipality was 11.4%.Objective: To identify the association between stunted status and development of under-fives at north coastal area of sub district of Lemahwungkuk Cirebon Municipality.Method: This was an observational study with a cross sectional design carried out at north coastal area of sub district of Lemahwungkuk Cirebon Municipality from November 2008 to January 2009. Subject of the study consisted of 166 under-fives and the respondents were parents of those children. Samples were chosen purposively. Research instruments consisted of questionnaire, length board, microtoise, forms, and Denver II test. Data analysis used chi square and logistic regression with confidence interval (CI) 95%.Result: There was significant association between stunted status and development of fine motor adaptive, language, and gross motor capacity. There was significant association between education of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between occupation of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between stunted status, education of mothers, and occupation of mothers and child development. The result of multivariate analysis showed that stunted status had greater risk for delayed language development of under-fives than other indicators of child development.Conclusion: There was no association between stunted status and child development; however stunted status had greater risk for delay in language development, and risk factors dominantly affecting child development were occupation and education of mothers
Faktor-faktor yang berhubungan dengan kejadian GAKY pada anak sekolah dasar di pinggiran pantai Kota Palu Provinsi Sulawesi Tengah
Get PDFBackground: Iodine deficiency disorder (IDD) is one of serious health problems considering that it has great impact to survival and quality of human resources. The core problem of IDD is initially caused by lack of iodine in water and soil, then heightened by goitrogenic substances in the food consumed, more pollutants as side effects of industrial waste, the blocking agent which naturally exists in water and soil in the surrounding dwelling places.Objective: The study aimed to identify factors affecting the prevalence of IDD among elementary school children at coastal region.Method: The study was analytic observational with cross sectional design. Population and samples of the study were elementary school children of grade 4-6 proportionally chosen that fulfiled inclusion criteria. Variables observed were consumption pattern, environment (drinking water plumbum), and children’s hemoglobin. Data analysis used computer software at signifiance level p0.05), drinking water plumbum level to the prevalence of IDD (p>0.05).Conclusion: There was signifiant effect of consumption pattern of protein, iodine and hemoglobin level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality. There was no effect of drinking water plumbum level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality