Jurnal Gizi Klinik Indonesia
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Hubungan konsumsi makanan dan kadar hemoglobin (Hb) dengan prestasi belajar siswa SLTP Kota Palembang
No full textBackground: Nutrition problems may happen to all groups of ages. A problem at a particular age group may affect nutrition status of the next periodic life cycle (intergenerational impact). Malnourished children may encounter physical growth, mental and intellectual disorder. Someone’s nutrition status may be affected by food consumption supply. Nutrition status can affect children schooling and academic achievement. Children suffering from iron deficiency have lower score in cognitive growth, study and academic achievement.Objective: To identify relationship between food consumption and haemoglobin (Hb) level and academic achievement of junior high school students at Palembang Municipality.Method: The study was an analytical survey with cross sectional design. Population and samples were junior high school students at Palembang Municipality as subject of the study. Samples were chosen with multistage sampling design, the group was randomly selected and samples of each junior high school and grade were chosen using proportional stratified random sampling technique. Data analysis used univariable, bivariable and multivariable techniques. Bivariable statistical test was used to identify relationship between food consumption and academic achievement and between Hb level and academic achievement; whereas regression test was used to identify relationship between food consumption and Hb level. Meanwhile, multivariable analysis used double linear regression. Data of food consumption were processed using NutriSurvey program for Windows. All data were then processed with SPSS program version 10.Result: There was relationship between food consumption (energy, protein, vitamin C, zinc intake) and academic achievement (energy: p=0.001, r=0.372; protein: p=0.046, r=0.209; vitamin C: p=0.009, r=0.273; zinc: p=0.042, r=0.214), and there was relationship between Hb level and academic achievement (p=<0.001, r=0.421). There was relationship between food consumption (energy intake) and Hb level. (p=0.051, r=0.205).Conclusion: The result of multivariable showed that only Hb level had significant relationship with academic achievement (p=<0.001, B=2.077)
Asupan gizi dan status gizi sebagai faktor risiko hipertensi esensial pada lansia di Puskesmas Curup dan Perumnas Kabupaten Rejang Lebong Propinsi Bengkulu
No full textBackground: Hypertension is happened generally at someone who has age more than 40 year. The prevalence of hypertension was tend to increase along with the increasing of amount of the elderly. Changing of nutrition status and unfavorable nutrition intakes like is high fat, sodium and low micronutrients (potassium, calcium, magnesium) have an effect to incidence of essential hypertension. Retreating of biologic accompanying aging process sometimes make the elderly become resistance to get quality of intakes nutrition.Objective: The study was conducted to know relations between nutrition intakes and nutrition status with occurrence on essential hypertension of the elderly in the health center Curup and Perumnas, Rejang Lebong District.Method: The study was observational analytic with case control matched study. Subject of the study was divided into two group i.e. case and control with comparison case and control 1:1 which matched to age and sex. Total subject were 150, taken by simple random method. The cases were essential hypertension patients who had recently diagnosed by doctors. Blood pressure measurements were three times in supine position. Hypertension was defined as average of three times supine systolic/diastolic blood pressures at p >140/ 90 mmHg. Nutrition status was determined by Body Mass Index (BMI). Intake nutrients were collected using Food Frequency Questionnaire (FFQ) in the last 3 months by using food model. χ 2 McNemar were used to bivariate analytic and condition logistic regression to identify risk factors associated with essential hypertension.Result: This study showed that there were 4 variables significantly related with essential hypertension, i.e. intakes of sodium (OR: 3.43; CI 95%:1.09-10.77), potassium (OR: 0.24; CI 95%:0.07-0.84), stress (OR: 3.79; CI 95%:1.18-12.12), and obesity (OR: 4.57; CI 95%:1.49-13.95). The no significant correlation (p>0.05) identified for intakes of fat, calcium, magnesium, coffee consumption, smoking status and family history of essential hypertension.Conclusion: High intake of sodium, stress and obesity were the risk factors on occurrence of essential hypertension. In the other hand, high intake of potassium were reduce the risk on occurrence of essential hypertension (protective factor) in the health center Curup and Perumnas, Rejang Lebong District
Pengaruh pelatihan tenaga gizi puskesmas terhadap program keluarga sadar gizi di Kota Samarinda Provinsi Kalimantan Timur
No full textBackground: Under nutrition remains a major malnutrition problem in Indonesia. In dealing with the problem, the Indonesian government has already implemented strategies including empowering health workers and families. It is very likely that the nutrition problem and the family awareness on nutrition are closely related. Families that practice balanced nutrition are able to recognize and cope with their nutrition problems are defined as nutritionally aware or better known as Kadarzi.Objective: To study the impact of nutrition training on family awareness on nutrition in Samarinda province of East Kalimantan.Method: This observational study was carried out using cross-sectional design. The study population was household with under five years old children in Samarinda. A hundred and thirty two households were drawn from the population with cluster random sampling technique. The data gathered in the study were Kadarzi indicators, achievement program on Kadarzi, and related information that was collected by inter-viewing Head of Primary Health Care Center (puskesmas) and Integrated Health Service Center (posyandu) cadres at the village level.Result: The training on nutrition had an effect to attainment of the family awareness (Kadarzi) in Samarinda (OR=6,9; 95 % CI =1,98 – 23,82). Other variable which playing a part in of the influence was mother education.Conclusion: Nutrition staff who were well trained had an effect to attainment of the family awareness
Pengaruh pemberian MP-ASI program dan MP-ASI komersial terhadap pertumbuhan bayi usia 6-11 bulan di Kabupaten Kampar
No full textBackground: Growth alteration in 6-11 months old baby occurred due to inappropriate practice in complementary food consumption (complementary breastfeeding). Quality and quantity deficit of household complementary breastfeeding products could cause serious problems in baby growth. One of the alternative solution was consuming complementary breastfeeding from industrial products. Consuming complementary breastfeeding blended food (program complementary breastfeeding) for 6-11 months old babies in Medan tended to show no relationship with their nutritional status based on Z-score index weight for age. One of the possible reason was low level acceptance of program complementary breastfeeding in 2003.Objective: To determine the level of acceptance of both program and commercial complementary breastfeeding with their relationship toward 6-11 months old baby growth in sub urban poor families in Kampar Sub District.Method: Quasi experimental design was conducted. Purposive technique sampling was chosen and samples were divided into two groups that received different intervention. The first group that received program complementary breastfeeding consisted of 54 babies and the second group that received commercial complementary breastfeeding consisted of 46 babies of 6-8 months old babies from sub urban poor families. Data obtained was analyzed with univariate, bivariate, and multivariate analysis.Results: Level of acceptance of commercial complementary breastfeeding was higher than program complementary breastfeeding for 6-11 months old babies in sub urban poor families in Kampar Sub District (p=0.038). These babies had a significant additional in weight and after consuming program and commercial complementary breastfeeding (p0.05).Conclusion: Consumption of program and commercial complementary breastfeeding could increase the weight gain and body length significantly
Pola makan dan obesitas sebagai faktor risiko diabetes mellitus tipe 2 di Rumah Sakit Sanglah Denpasar
No full textBackground: Diabetes Mellitus (DM) is a chronic disease with its increasing prevalence worldwide, including in Indonesia and in Bali province especially among adult group. The increasing prevalence of DM is followed by the increasing prevalence of obesity affected by changes in lifestyle and unhealthy dietary patterns.Objective: The study was conducted to investigate relations between dietary patterns and obesity with type 2 DM in Sanglah Hospital, Denpasar.Method: The study was observational analytic with matched case control study. Subject of the study was divided into two groups, i.e. case and control with comparison case and control 1:2 which matched to age and sex. The cases were type 2 DM patients who had recently diagnosed on first visited in Sanglah Hospital. Control 1 was outpatients of non-type 2 DM in Sanglah Hospital and control 2 were taken from the case-neighboring household. Total subject were 147, taken by consecutive method. Collected data were subject identity, dietary patterns, physical activity, weight, height, waist circumference and fasting blood sugar. Dietary patterns were collected using Food Frequency Questionnaire (FFQ), physical activity was collected using modified International Physical Activity Questionnaire (IPAQ), and fasting blood sugar were estimated using biosensor of glucose. Multiple logistic regression models were used to identify risk factors associated with type 2 DM.Result: This study showed that there were 5 variables significantly related with type 2 DM, i.e. interaction of overall obesity with the dietary fiber intake (OR:10.7; 95% CI: 3.5-33.7), family history (OR:5.5, 95% CI: 2.2-13.3), source of high fat animal protein (OR:4.9, 95% CI:1.5-16.1), source of low fat animal protein (OR:0.1, 95% CI: 0-0.5), hypertension (OR:3.7, 95% CI:1.4-9.9)Conclusion: The interaction between overall obesity with dietary fiber intake, family history, source of high fat animal protein, source of low fat animal protein and hypertension were the risk factors of type 2 DM occurrence in Sanglah Hospital, Denpasar
Pengaruh suplementasi besi-folat, vitamin A dan seng terhadap durasi dan frekuensi sakit ISPA pada anak sekolah dasar dengan status gizi kurang di Kabupaten Bantul
No full textBackground: Children in school-age are categorized as sensitive group who are in the second fast growth so that adequate nutrition intake is needed. Under-nourished students tend to have low immune and susceptible to illness. Nutrition with infections disease has reciprocal relation, well-nourished will increase body immunity to infections disease and on the other hand, infection disease may worsen nutritional status condition. The relation between lack of micro-nutrient and the decreasing of body immune to ARI need to be solved; one way to solve such problem is by giving supplementation.Objective: The study was meant to know the influence of iron-folate, vitamin A and zinc supplementation to the duration and frequency of ARI among under-nourished elementary students grade IV – VI in Bantul regency.Method: This was experimental with factorial design. Subjects were divided into four treatment groups: iron-folate supple-mentation group were 38 students, iron-folate and vitamin A supplementation group were 39 students, iron-folate and zinc supplementation group were 40 students, and iron-folate, vitamin A and zinc supplementation group were 37 students. Data collected with recall twice a week during 3 months supplementation.Result: Supplementation did not influence frequency of ARI among 113 elementary students with ARI (p=0.72) among four supplementation groups, while the duration of ARI were: iron-folate, vitamin A, zinc 6.5 days, iron-folate, vitamin A 7.7 days, iron-folate, zinc 8.6 days and iron-folate only 11.2 days. In the average, the duration of ARI from every ARI symptom was the duration of cough, the longest cold was in iron-folate group, while cough symptom, the shortest cold was in iron-folate, zinc and vitamin A group.Conclusion: There were influence differences between iron-folate supplementation with Vitamin A and/or zinc and iron-folate supplementation to ISPA duration, but it did not give smaller influence statistically among frequency of ARI. Students with iron-folate, zinc and vitamin A supplementation had the shortest duration of ARI while students with iron-folate supplementation had the longest duration of ARI
Pengaruh diet rendah protein modifikasi terhadap keseimbangan nitrogen pada pasien penyakit ginjal kronik predialisis di RSU Dr. Soeradji Tirtonegoro
No full textBackground: Chronic kidney disease (CKD) is a decreasing function of kidney chronically, progressive, and irreversible. In this condition, one of the symptom found is uremia where gastrointestinal disturbance such as vomiting and anorexia occurred. This causes less nutrition intake, therefore careful diet is needed in attention. One of important aspect of diet procedures for CKD patients is eating management.Objective: To find out the influence of the modification of low protein diet intake towards nitrogen balance in predialysed CKD patients.Method: This was an experimental research using randomized controlled trial design.The subjects were predialysed CKD patients treated who fulfilled the following criteria: adult patients, obtained a low protein diet therapy, treated for at least two days, and willing to be examined. The treatments were a modification of low protein diet compare with a hospital standard of low protein diet.The twenty patients were devided into two groups namely a-ten-people treatment group and a-ten-people control.Result: The statistical test showed that there were no significant difference (p>0.05) in energy and protein intake, urea nitrogen appearance, and nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients.Conclusion: There were no significant difference in nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients
Hubungan pola makan dengan sindroma metabolik pada karyawan PT.Unocal oil company di offshore Balikpapan Propinsi Kalimantan Timur
No full textBackground: Prevalence of metabolic syndrome has significantly increased in both developed and developing countries. Criteria of metabolic syndrome includes: body mass index of > 27, and male waist circumference of > 102 cm which could be followed by fasting blood glucose level of >110 mg/dl. Other symptoms are blood pressure and triglyceride (of > 130/85 mm Hg and > 150 mg/dl respectively) and decrease in high density lipoprotein to 110% recommended daily allowance (RDA) between case and control group was significantly different (OR= 7.7; 95% CI= 3.1-18.8). This was also true for the case of total carbohydrate > 60%, (OR= 3.98, 95% CI= 1.6-9.8), refined carbohydrate > 5% (OR= 7.4; 95% CI= 2.9-18.7), total protein > 20% (OR= 3.2; 95% CI= 1.2-8.4), and fat > 20% (OR= 5.04; 95% CI= 1.578-16.1). Logistic regressions were performed to determine statistical significant among variables candidate and the result showed it was significant for refined carbohydrate, energy intake and old work in offshore (p<0.05).Conclusion: This study indicate that nutrient intake was higher than of RDA, it was closely related to the incidence of metabolic syndrome: refined carbohydrate, energy intake and old offshore workers employed (p < 0.05)
Pengaruh pelatihan kuliner bagi juru masak terhadap mutu makanan pasien di RSUD Dr. Wahidin Sudirohusodo Makassar
No full textBackground: The main purpose of hospital nutrition service activity is providing qualified food to patient. So far, the efforts to improve food quality in hospital have not been done integrated. Hospital still faces basic problems such as lack of cooks in either quantity or quality. Hospital needs, professional cooks who are able to serve food correctly based on standard, and providing a culinary training for the cooks is needed to improve food quality.Objective: To find out the effect of culinary training for the cook to patient’s food quality.Method: This study was a quasi-experimental with time series design. The subject of study was 30 cooks at Dr. Wahidin Sudirohusodo Hospital Makassar. Data were collected through observation and assessment using questionnaires and check-list. T-test and anova analyses were used to analyze the data on knowledge, attitude, skill of food preparation and food quality.Result: This study showed that there were improvements on scales of knowledge 8.64±2.70 (p<0.05), attitude 20.34±6.32 (p<0.05) and skill 7.89±1.64 (p<0.05) after the training. There were also improvements on food performances (color, texture, size of portion, appearance, and serving) and taste (temperature, flavor, tenderness, maturity, odor).Conclusion: There were improvements of cook’s knowledge, attitude, skill and food quality of patient after culinary training
Hubungan status gizi dengan perkembangan mental dan psikomotor anak usia 12 sampai 24 bulan di daerah endemis GAKI
No full textBackground: Malnutrition is one of major public health problem in Indonesia. Prevalence of malnutrition in Indonesia in 2005 was 23.8% and in the Province of Yogyakarta Special Territory in 2002 was 15%. District of Sleman had prevalence of malnutrition as much as 11.39% and Cangkringan as one of heavy iodine deficiency disorder endemic areas at district level had 12.5% of malnutrition prevalence. Children at iodine deficiency disorder endemic areas might likely have growth and development disorder.Objective: To identify relationship between nutritional status and mental psychomotoric development of children of 12 to 24 months old at iodine deficiency disorder endemic areas.Method: The study was observational with cross sectional design carried out at Subdistrict of Cangkringan, District of Sleman. Subjects of the study were 75 children aged 12–24 months chosen by using consecutive sampling technique. Dependent variables of the study were mental and psychomotoric development, independent variable was nutritional status of children based on anthropometry with length/age indicator. Confounding variables were birth weight, mothers’ iodine status, level of education, job and family economic status. Other independent variable affecting nutritional status of children was mothers’ height. Data were analysed using chi square, Fisher’s exact test, and independent t-test.Results: Prevalence of low nutritional status was 13.33%. Children with normal nutritional status had average mental development index (MDI) 2.49 points and psychomotoric development index (PDI) 5.37 points higher than those with low nutritional status. However, relationship between nutritional status and mental and psychomotoric development was statistically insignificant.Conclusion: Relationship between nutritional status and mental and psychomotoric development of children of 12–24 months old was not statistically significant. Children with normal nutritional status tended to have higher MDI and PDI score than those with low nutritional status