Jurnal Gizi Klinik Indonesia
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Pola asuh ibu sebagai faktor risiko kejadian kurang energi protein (KEP) pada anak balita
No full textBackground: Protein energy deficiency (PED) is one of nutrition disorders which happen to children under-five years. According to data of nutritional status examination result 2005 and 2006, the prevalence of PED at the Province of Sulawesi Tengah was 30.61% and 30.84%, whereas at District of Morowali was 11% and 11.6%. Lots of factors cause malnutrition among children under five, among others is imbalanced nutrient intake, infection, and rearing pattern of mothers comprising care and food supply.Objective: To identify rearing pattern of mothers as risk factor for the prevalence of PED in children under five. Method: This was an observational study with case control study design. Population and samples of the study were children under five suffering from PED as indicated from anthropometric standard weight for age according to standard of WHO National Child Health Standard (NCHS), i.e. < -2 elementary school to ≥ -3 elementary school. The controls were children under five who did not suffer from PED. Respondents consisted of mothers of children who had PED and did not have PED that fulfilled inclusion and exclusion criteria. The variables observed were rearing pattern, infection as confounding variable and nutritional status. Nutritional status of children with PED and without PED was processed using index of weight for age against standard of WHO-NCHS. Chi-square and odds ratio were used to identify rearing pattern as risk factor for PED.Results: The result of the study showed that there were 23 mothers (57.5%) practicing poor rearing pattern in children with PED and there were 35 mothers (87.5%) practicing good rearing pattern in children without PED. The result of statistical test showed p < 0.05, i.e. p = 0.001, so there was significant difference in rearing pattern of mothers which consisted of knowledge, attitude and practice in the care and food supply of children under five.Conclusion: Poor rearing pattern of mothers brought greater risk for children with PED than good rearing pattern in the care and food supply of children under-five
Konsumsi karbohidrat dan lemak dan hubungannya dengan daya tahan jantung paru atlet sepak bola PS Semen Padang Divisi Utama PSSI Liga Bank Mandiri IX tahun 2003
No full textBackground: Football is body movement that need energy balanced for maintaining optimum cardiorespiratory endurance. Macronutrient and micronutrient are the most nutrient needed to produce energy so that athletes have maximal performance in each sport activity. Athlete’s menu must be consist of 60-70% carbohydrate and 20-25% fat of total energy.Objective: To find out the correlation between the pattern of carbohydrate and fat intake with cardiorespiratory endurance of football athletes of PS Semen Padang in the top division of PSSI Liga Bank Mandiri in 2003.Method: This research was observational with cross sectional design. The subjects were football athletes of PS Semen Padang in the top division of PSSI Liga Bank Mandiri in 2003. Variables consisted of the pattern of carbohydrate and fat intake, and cardiorespiratory endurance. Data were analysed using univariate, bivariate, and multivariate analysis.Results: There were no significant correlation between carbohydrate (p=0.751) and fat (p=0.297) intake with cardio- respiratory endurance, while BMI (p=0.034), triglyceride (p=0.044) and body fat (p=0.007) had significant correlation with cardiorspiratory endurance. The most influential variable to cardiorespiratory endurance was body fat (OR=12.00).Conclusion: There were significant correlation between BMI, triglyceride, and body fat with cardiorespiratory endurance of football athletes of PS Semen Padang in the top division of PSSI Liga Bank Mandiri in 2003, but there was no correlation between pattern of carbohydrate and fat intake with cardiorespiratory endurance
Pemberian diet ekstra formula komersial dan diet ekstra filtrat ikan gabus intradialisis serta pengaruhnya terhadap kadar serum albumin dan kreatinin pasien dengan hemodialisis di RSU Dr. Saiful Anwar Malang
No full textBackground: Nowadays chronic kidney disease (CKD) is a serious health problem because of its increasing incidence. In Indonesia, approximately there are 100 CKD patients per 1 million people per year. Hemodialysis is one of ways to prolong CKD patient’s life that should be done recurrently and for a long time. However, hemodialysis causes loss of nutrients leading to high prevalence of malnutrition among CKD patients. Until today intradialysis diet therapy which can replace loss of nutrients particularly protein has not been initiated as part of diet therapy in Indonesian hospitals. To improve nutritional status and minimize mortality rate, oral intradialysis diet therapy with proper formula is needed.Objective: To study the effect of the supply of commercial formula and local catfish filtrate extra diet to albumin and creatinine serum level among hemodialysis patients.Method: The study was experimental with randomized control trial design carried out at Dialysis Installation of Dr. Saiful Anwar Hospital, Malang. There were as many as 36 hemodialysis patients divided into 3 groups; 1 group with standard diet, 1 group with commercial formula and standard diet, and 1 group with local catfish filtrate and standard diet. Data were obtained through interview, note taking, and laboratory tests which consisted of subject characteristics in weight, height, albumin and creatinin serum level as well as food intake one day before, during and one day after hemodialysis. Data analysis was done descriptively and inferentially using chi square, anova, and paired t-test. The conclusion was based on significance level (α ) 0.05 or p < 0.05.Results: There was no significant difference in the characteristics of the subject at the beginning of the study with average albumin serum level 3.61 ± 0.48 g/dL and creatinine serum level 9.04 ± 2.73 mg/dL. There was no difference in average energy and protein intake of the subject. At the end of the study average albumin serum level was 3.38 ± 0.42 g/dL, creatinine serum level 8.34 ± 3.6 mg/dL, and there was significant difference in albumin serum level (p = 0.000) of the subject. Although there was an increase of creatinine serum level in the group with local catfish filtrate extra diet, it was statistically insignificant.Conclusion: There was significant effect of the supply of commercial formula and local catfish filtrate extra diet to increase of albumin serum level of the subject and there was no significant effect of the supply of extra diet to creatinine serum level; however, the supply of local catfish filtrate extra diet could maintain creatinine serum level
Pola konsumsi pangan, paritas, dan status gizi ibu pospartum 4 dan 6 bulan
No full textBackground: Breastfed mothers are included in nutritional high-risk group. A the age of 4-6 months after postpartum, their weight start to decrease because of recovery and breastfeeding. Based on Susilo’s research, the prevalence of inadequate food intake of pregnant mothers in Bantul Regency is 28.69%. That high prevalence is caused by the lack of energy and protein intake. The nutritional status of breastfed mothers depend on their food intake during pregnancy. Nevertheless, the nutritional status of breastfed mothers aged 4 and 6 months who have sufficient and insufficient food intake are not known yet.Objective: To know the relationship between food intake pattern, the nutritional status during pregnancy, and parity with nutritional status of breastfed mothers aged 4 and 6 months.Method: This was observational research with cohort combined with concurrent and non-concurrent prospective study. Subjects were mothers who had baby aged 4 months. Data collected were mother’s nutritional status during pregnancy, nutritional status of breastfed mothers aged 4 and 6 months, food intake pattern (variety, quantity, frequency, avoidance of food), and economics social data (family, education, job, income, outcome, and parity). Food intake determined using FFQ. Data was analyzed descriptively and analytically with chi square and logistic examination. Multivariate logistic test was used to control variable that influence nutritional status of breastfed mothers.Results: The result showed that there was no relationship between food intake patterns during pregnancy with nutritional status of breastfed mothers aged 4 and 6 months. There was also no relationship between parity and nutritional status of breastfed mothers aged 4 and 6 months. Yet, there was significant influence between nutritional status during pregnancy with nutritional status of breastfed mothers aged 4 and 6 months (p<0.05). OR nutritional status during pregnancy and breastfeeding aged 4 month was 4.89:95% CI 1.63-14.7 and 6 month was 12:95% CI 2.37-15.81.Conclusion: The food intake pattern of breastfed mothers and parity did not influence nutritional status of breastfed mothers aged 4 and 6 months. However, the better the nutritional status of mothers during pregnancy, the better the nutritional status of breastfed mothers aged 4 and 6 months
Jenis kelamin anak, pendidikan ibu, dan motivasi dari guru serta hubungannya dengan preferensi makanan anak sekolah pada anak prasekolah di TK Universitas Muhammadiyah Purwokerto
No full textBackground: Preference to foods among children is a predictor of food consumption pattern. Therefore good under- standing on food preference of children, factors related to foods most likes and disliked needs to be studied for nutrition education and food supply planning for children.Objective: To find out the relationship between children sex, education of mother, and motivation of teachers with preference to foods available in school among preschool children at Muhammadiyah University of Purwokerto.Methods: The study used cross sectional approach by analyzing data of 60 preschool children. Observation and interview were carry out to identify food preference of the children. The independent variables were children sex, education of mothers, and motivation of teachers whereas the dependent variable was preference to foods available in school.Results: Boys liked jellies and quail egg satay whereas girls liked vegetable filled pastry and cracker fries. The result of chi-square test showed that there was difference in food preference between the girls and boys (p<0.05). Education of mothers was also related to preference to foods among children.Conclusion: There were significant relationship between sex and education of mothers with preference to foods available in school among preschool childre
Pengaruh advokasi pelayanan gizi dan penyuluhan terhadap jumlah kunjungan pasien di Poliklinik Gizi Rumah Sakit Umum Raden Mattaher Jambi
No full textBackground: The number of patients’ visits at nutrition polyclinic is relatively low whereas the need of nutrition consultation at hospital polyclinic is high. Visits at nutrition polyclinic generally come from referrals of doctors at hospital polyclinics. The number of visits greatly depends on doctors referring patients to nutrition polyclinic. Low visit at nutrition polyclinic is due to the absence of socialization of nutrition service. It is necessary to conduct socialization of nutrition service by dissemination of information to outpatients and advocacy to stakeholders, especially doctors, who are expected to refer patients to nutrition polyclinic to increase visit.Objectives: To find out the effect of nutrition service advocacy and socialization to the number of visits at nutrition polyclinic of Raden Mattaher Hospital, Jambi.Methods: The study was a quasi-experimental using one group with pre-test and post-test design. Respondents of the study were doctors working in polyclinics and outpatients. There were 32 respondents of advocacy group and 180 respondents of socialization group. Data obtained were the number of patients’ visits analyzed statistically using Wilcoxon range test. Data of diagnostic types of patients having nutrition consultation were analyzed descriptively.Results: Advocacy of nutrition service to doctors and socialization to patients could increase visits of patients at nutrition polyclinic. There were significant increase of patients’ visits at nutrition polyclinic and visits based on diagnosis (p<0.05). A new type of diagnosis referred to nutrition polyclinic after intervention was found.Conclusion: Advocacy given to respondents who had made referral to nutrition polyclinic and socialization given to patients could increase the number of patients visiting nutrition polyclinic
Pelaksanaan asuhan gizi dengan pendekatan terapi gizi medis (TGM) berpengaruh terhadap asupan gizi pasien di RSUD Kota Bekasi
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 nutrition care team. An indicator of success in nutrition intervention is nutrition intake. Bekasi Municipal Hospital has not implemented integrated nutrition care within a team. The result of monitoring and evaluation during the first quarter of 2006 showed that average patient nutrition intake was only 65-70% (inadequate).Objective: To identify the influence of nutrition care implementation using MNT approach to nutrition intake and length of stay at Bekasi Municipal Hospital.Method: The study was quaci-experimental which used static-group comparison. Samples were patients hospitalized at internal medicine ward of class VIP, 1, 2, and 3. Data obtained consisted of conventional nutrition care and MNT, data of nutrition intake using Comstock visual and 24 hour recall methods. T-test and Mann Whitney statistical test were used to analyze the influence of types of nutrition care to nutrition intake.Results: Average percentage of total nutrition intake of hospital food and outside hospital food sample with MNT nutrition care was better than conventional nutrition care. Total nutrition intake was 91.71% for energy, 92.12% for protein, 111.83% for fat, and 85.41% for carbohydrate. The result was significant for energy intake (p<0.05). Nutrition intake of sample hospital was 86.08% for energy, 88.91% for protein, 108.55% for fat, and 78.91% for carbohydrate. Nutrition intake of outside hospital was 21.94% for energy, 13.77% for protein, 12.22% for fat, and 35.43% for carbohydrate. They were not significant statistically.Conclusion: There was difference in nutrition intake between samples with MNT and conventional nutrition care. Nutrition intake of samples with MNT was better than conventional nutrition care and statistically significant (p<0.05)
Asupan yodium dan asupan goitrogenik hubungannya dengan status gangguan akibat kekurangan yodium (GAKY) pada anak sekolah dasar di Kabupaten Dairi Provinsi Sumatera Utara
No full textBackground: Iodine deficiency disorder (IDD) is a health problem which affects the quality of human resources. IDD is caused by lack of iodine substance. The substance is needed for numerous syntheses and metabolism in the body, particularly thyroid glands. IDD may also be caused by high consumption goitrogenic substance.Objective: The study was meant to identify relationship between iodine and thiocyanate intake and IDD, and to identify differences in iodine and thiocyanate intake based on endemic level.Method: This was an observational study with cross sectional design. Method used were palpation of goiter glands to measure endemic level, food recall, and food frequency questionnaire (FFQ) to measure iodine and thiocyanate intake, ammonium persulfate digestion to measure urine iodine excretion. Data analysis used chi-square, Pearson correlation and anova.Results: The result of chi-square analysis showed that there was no significant relationship between iodine intake and IDD (p > 0.05, CI 95%: 0,34–1,18), but there was significant relationship between iodine intake and urine iodine excretion (p 0.05, CI 95%: 0.48–1.97). The result of Pearson correlation test showed that there was no significant relationship between iodine and thiocyanate FFQ and IDD (p > 0.05); there was no significant relationship (but there was a tendency) between thiocyanate FFQ and IDD (p > 0.05). There were significant differences in iodine intake, thiocyanate intake, iodine FFQ and thiocyanate FFQ based on endemic level (p > 0.05).Conclusion: There was relationship between iodine intake and IDD/non-IDD, but there was relationship between urine iodine excretion and IDD. Children with IDD had higher consumption of thiocyanate than those who did not have IDD. There were differences in all measurements based on endemic level
Pengelolaam data dan informasi status gizi balita dan pengambilan keputusan program gizi di puskesmas se-Kabupaten Majene
No full textBackground: Improved nutritional status is needed throughout the life cycle including children under five. Of age in formulating suitable policies for nutrition improvement program, decision makers require relevant information about nutritional status of the community. The implementation of health information system at District of Majene is not yet optimum. There are some problems such as inaccurate data, inconsistent or unreliable data, delay in data reporting, and processing and presentation of data are rarely made, reporting is done as routine disregarding data quality, there is no feedback from the health office and so on. Decentralization has offered an opportunity for the health center to make its own policy in optimizing nutrition improvement program. However, health centers at District of Majene have never made decisions based on evidence.Objective: The study aimed to get an overview of data and information management of nutritional status of children under five comprising availability, processing, presentation of data, and the decision making of nutrition program at the health centers of District of Majene.Method: This was a descriptive case study with qualitative method. Subjects of the study were nutrition staff of the health centers, head of health centers, and head of nutrition section of district health office with health centers and head of health office as analysis units. Data were obtained through indepth interview, focus group discussion, questionnaire, observation, and documentation.Results: Data and information on nutritional status of children under five years of age were available in all health centers; however format of reporting was unavailable. Data in LB3 accurate, in FIII/gizi and SKDN were inaccurate because there was data manipulation and cadres had limited skills. Data were not valid because there was no signature of head of the health center in the report. Data in FIII/gizi and SKDN reliable, in LB3 not reliable because there was no coordination among staff. Data in SKDN were completed, in FIII/gizi and LB3 incomplete because some of the forms were blank. Data were not provided timely due to less commited cadres, geographical factors, and lack of pressure from the health office. Data were accessible because staff were active in maintaining records. Data were processed manually and presented in the form of narratives, tables and graphs. Decisions made were socialization, counseling, growth monitoring and comple- mentary breastfeeding distribution monitoring. However, they were not based on data so that reports were only made as routine activities.Conclusion: Data and information on nutritional status of children under five years of age were available at the health centers with quality data in every format of reporting of various kinds. Data and information were processed manually and presented in the form of narratives, tables, and graphs. Decisions made were socialization, counseling, growth monitoring, and complementary breastfeeding distribution monitoring. Decisions made were not based on data available
Asupan natrium dan kalium berhubungan dengan frekuensi kekambuhan sindrom dispepsia fungsional
No full textBackground: A high-salt diet is known to cause gastritis, has been associated with a high risk of atrophic gastritis, and is considered a gastric tumor promoter. Excessive NaCl intake enhances Helicobacter pylori colonization in mice and in humans and that chronic salt intake may exacerbate gastritis by increasing Helicobacter pylori colonization. Furthermore, elevated salt intake may potentiate Helicobacter pylori-associated carcinogenesis by inducing proliferation, pit cell hyperplasia, and glandular atrophy.Objective: The aim of this research was to describe the correlation between sodium and potassium intake and relapse frequent functional dyspepsia syndrome in Sardjito Hospital Yogyakarta.Method: This was an observational research with cross sectional design. The subjects of this research were 32 course care patients in Sardjito Hospital Yogyakarta on November 2006–Januari 2007 who met the inclusion criteria. Those were who diagnosed as functional dyspepsia, with or without Helicobacter pylori infection, and above eighteen years old. Data were collected by interviewing and gathered from medical record, then analyzed using Rank-Spearman test.Results: The average of the relapse frequent of dyspepsia syndrome in Sardjito Hospital was 14.38 ±2.93, with the minimum score was 4 and the maximum score was 32. The result showed that sodium intake gave a positive relation and significant for relapse frequent of dyspepsia syndrome (p<0.05). The potassium intake gave a negative relation and significant for relapse frequent of dyspepsia syndrome (p<0.05).Conclusion : There was a positive and significant correlation between sodium intake and relapse frequent of dyspepsia syndrome, but there was a negative and significant correlation between potassium intake and relapse frequent of dyspepsia syndrome