Jurnal Gizi Klinik Indonesia
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Dietary acid load berhubungan dengan sindrom metabolik dan kesehatan mental pada mahasiswi obesitas
Get PDFThe dietary acid load was associated with metabolic syndrome and mental health among obese college studentsBackground: The prevalence of metabolic syndrome has been increasing every year in the young population. The western diet is one of the causes that makes excess acid in the body called a dietary acid load. On the other hand, the high dietary acid load was associated with decreased mental health status.Objective: To examine the association between dietary acid load and the risk of metabolic syndrome and mental health.Methods: This was a cross-sectional study conducted with 115 female students in Semarang aged 18-22 years. The dietary acid load was evaluated through a potential renal acid load (PRAL), the risk score for metabolic syndrome was calculated by Metabolic syndrome risk score. Mental health status was assessed through levels of self-esteem and levels of anxiety. The level of self-esteem was measured by the Rosenberg Self-Esteem Scale questionnaire, while the level of anxiety was measured by the State Anxiety Inventory questionnaire. Multiple linear regression models with adjustment for a potential cofounding variable were used to evaluate the association between dietary acid load with metabolic syndrome scores, self-esteem scores, and anxiety scores.Results: The mean PRAL score was 6.11 ± 9.72 mEq/day indicated the intake of the subjects was the dietary acid load. 13% of subjects had metabolic syndrome, and 87% had a pre-metabolic syndrome. 36.5% of the subjects have low self-esteem scores. The anxiety level score calculation shows that 59.1% of the subjects are at high risk of anxiety. Pearson test showed that PRAL scores were correlated with anxiety scores (r=0,669; p<0,001). The linear regression test showed that PRAL scores were correlated with metabolic syndrome scores (β=0.899; p<0.001) and self-esteem scores (β =-0.069; p=0.047).Conclusions: High dietary acid load may be a risk factor related to the development of metabolic disorders and decreased mental health status in females with obesity
Pengaruh pendidikan, pantangan makanan, dan citra tubuh pada konsumsi gizi makro ibu nifas
Get PDFImpact of education, food restriction, and body image on postpartum nutrientBackground: The level of nutritional consumption of postpartum mothers increases for the need for tissue repair and the breastfeeding process, but in practice, there are still many postpartum mothers who have not met the recommended level of nutritional consumption due to several factors, including education level, dietary restriction, and body image. Objective: This research seeks to determine the relationship between education level, dietary restriction culture, and body image with the level of macro nutritional consumption. Method: This research implemented an observational analytic method with a cross-sectional design. The sample size was 40 mothers selected using the convenience sampling technique, with data obtained through face-to-face, Google form, and telephone. The independent variables are education level, dietary restriction culture, and body image. The dependent variable is macro nutritional consumption, including energy, carbohydrates, protein, and fat. The instruments used were the Body Shape Questionnaire (BSQ) to measure body image, the food recall questionnaire, and the food frequency questionnaire (FFQ) to measure nutritional consumption. Data analysis was performed using the Chi-Square test. Results: The results showed that most of the mothers had not met their energy, carbohydrate, and protein needs but were able to consume fat that exceeded the nutritional adequacy rate. The analysis results showed no relationship between education level, dietary restriction culture, and body image with consumption of macronutrients (p>0.05). \Conclusion: There is no relationship between education level, dietary restriction culture, body image with the level of nutritional consumption of energy, carbohydrate, protein, and fat
Asupan protein, zink, dan defisiensi zink pada santriwati underweight
Get PDFProtein intake, zinc intake, and zinc deficiency in underweight female students attending Islamic Boarding School in IndonesiaBackground: One of the nutritional issues in Indonesia is underweight. Groups of teenage girls tend to have underweight especially female students (santriwati) who live far from their parents. It happens due to a lack of macronutrients and micronutrients, zinc deficiency. Zinc deficiency impacts are reproductive disorders, stunted growth, fatigue, and loss of appetite. Objective: Analyzing the differences in zinc levels, protein, and zinc intakes between female students with underweight and normal nutritional status. Methods: An analytical observational study with a cross-sectional design in Askhabul Kahfi Islamic Boarding School with 24 underweight female students selected by consecutive sampling and 24 normal nutritional status female students were selected by matching techniques based on age. Data included nutritional status assessed by BMI for age z-score, protein and zinc intakes assessed by Semi-Quantitative Food Frequency Questionnaire, and zinc levels were tested using Atomic Absorption Spectrophotometry. The data analyses used Mann-Whitney test. Results: Underweight female students had lower average protein intake than normal nutritional status female students (52.20±25.06 and 75.52±23.19 grams) as well as zinc intake (4.63±1.22 and 7.51±1.94 grams). Protein and zinc intake were significantly different, but the two groups did not differ in zinc levels. All subjects had a normal zinc level of 100%. Conclusions: There was a difference in protein and zinc intake between underweight and normal nutritional female students (p<0.001), while the zinc levels were not found any differences (p=0.773)
Pengaruh chronotype dan tingkat stres terhadap status gizi dengan mediator perilaku makan pada mahasiswa perkuliahan daring
Get PDFThe effect of chronotype and stress levels on nutritional status mediated by eating behavior in college students with online lectureBackground: College students are a group at risk of experiencing changes in stress levels, changes in eating behavior, and sleep quality. Unhealthy eating behavior, if done continuously, will lead to weight gain.Objective: This study aims to analyze the effect of chronotype and stress levels on nutritional status mediated by the eating behavior of college students with online lectures.Methods: Cross-sectional survey with multistage cluster random sampling on 220 respondents. Chronotype data used by Morningness - Eveningness Questionnaire (MEQ). Stress level data using by Perceived Stress Scale (PSS-10) questionnaire. Eating behavior data was used by Dutch Eating Behavior Questionnaire (DEBQ). Nutritional status data is measured according to body mass index (BMI) by measuring weight (kg) and height (m2). Data were analyzed using Partial Least Square-Structural Equation Model (PLS-SEM) analysis using SmartPLS software.Results: The results showed that there was a significant indirect effect between chronotype (x1) on nutritional status (y2) mediated by eating behavior (p=0.037) with an impact of 0.085 or 8.5%. In comparison, the magnitude of the direct effect without a mediator was 0.193 or 19.3%. Furthermore, there is a significant indirect effect between stress level (x2) on nutritional status (y2) mediated by eating behavior (p=0.017) with an impact of 0.074 or 7.4%. The direct effect without a mediator is 0.217 or 21.7%.Conclusions: There is a significant indirect effect between chronotype and stress level on nutritional status mediated by eating behavior in students with online lectures. During the COVID-19 pandemic, college students should continue to pay attention to healthy eating behavior by preventing emotional eating, setting bedtime earlier, and avoiding stress by increasing physical activity
Korelasi asupan makronutrien dengan indeks massa tubuh, kadar gula darah, dan protein total darah pada pengguna narkoba
Get PDFCorrelation of macronutrient intake with body mass index, blood sugar levels, and total blood protein in drug usersBackground: Random blood sugar level and total blood protein need to be measured among drug users because their macronutrient intakes (carbohydrates, fat, protein, and energy) are not appropriate to the pattern of daily habits before uses drugs. Drug users had decreased appetite during the influence and withdrawal symptoms of drugs with the impacts on their body mass index (BMI). Objective: To analyze the correlation of macronutrient intakes between the random blood sugar level, total blood protein, and BMI drug users.Methods: This research was conducted with a cross-sectional design and observational study. 73 drug users were included in the study with the screening by inclusion criteria. 24-hour food recall was used to collect the macronutrient intakes, random blood sugar levels and total blood protein were monitored by the GOD-PAP method, and BMI was measured by weight and height. Data analysis used Pearson’s correlation test in bivariate and multivariate was carried out by multiple linear regressions. Results: Pearson’s correlation analysis showed that there was a significant correlation between macronutrient intakes (energy, carbohydrate, fat) with random blood sugar level, total blood protein, and BMI. BMI was the most affected by energy (β=0.531), random blood sugar level was the most affected by carbohydrates (β=0.073), and total blood protein was the most affected by protein (β=0.837).Conclusions: Macronutrient intake is significantly related to BMI, random blood sugar levels, and total blood protein in drug users. Community collaboration with related parties such as the public health service and National Narcotics Agency will very quickly detect drug side effects early on eating disorders that will affect the nutritional status of its users
Pengaruh pemberian jelly mengandung glukomanan porang (Amorphophalus oncophyllus) dan inulin sebagai makanan selingan terhadap berat badan, IMT, lemak tubuh, kadar kolesterol total, dan trigliserida pada orang dewasa obesitas
Get PDFEffect of jelly containing of porang (Amorphophalus oncophyllus) glucomannan and inulin as a snack to the body weight, BMI, body fat, total cholesterol, and triglyceride levels in obese adultBackground: Obesity is a major risk factor for noncommunicable diseases, especially cardiovascular disease. Porang glucomannan and inulin are water-soluble fibers that have been widely studied for their health benefits. Jelly products that contain both types of fiber are expected to have the ability to support the diet program in adults with obese nutritional status. Objective: To determine the effect of giving jelly containing a combination of glucomannan porang and inulin on body weight, BMI, body fat, total cholesterol, and triglyceride levels in obese adults.Methods: This research is a randomized controlled trial using a pre and post-test design. A total of 55 subjects who live in the Special Region of Yogyakarta, participated in the study until the end of 8 weeks. Subjects were divided into 3 groups; 18 people in the group who were given jelly containing glucomannan porang and inulin (porang-inulin jelly group), 17 people in the group who were given placebo jelly (placebo jelly group), and 20 people in the negative control group who did not get jelly (negative control group). All subjects received a low-calorie diet intervention of 1,500 kcal in the first month and 1,200 kcal in the second month. Results: There was a significant reduction in body weight and BMI (p0.05). Clinically, there was a significant decrease in body fat percentage in the porang-inulin jelly group, in subjects with the category of an excess fat percent (-0.90 ± 0.49%) and obesity (-1.48 ± 0.83%). A significant decrease in fat percentage also occurred in the porang-inulin jelly group, both in male subjects (-1.42 ± 0.50%) and female (-1.15 ± 0.82%), while in the placebo jelly group and negative control, the decrease did not occur in all categories and genders. There was an increase in total cholesterol levels in the negative control group (p<0.05) after the study (+7.45 ± 13.18 mg/dL). In the porang-inulin jelly group, the increase in cholesterol levels did not occur significantly either in general or based on clinical categories and gender. Conclusion: Consumption of porang-inulin jelly may support weight loss programs, BMI, percent body fat, and inhibit the increase of total cholesterol and triglyceride levels in adults with obese nutritional status
Vitamin C, Vitamin D, dan Olahraga sebagai Faktor Risiko Kejadian Diabetes Melitus Tipe 2 pada Lansia
No full textLatar belakang: Lansia rentan mengalami diabetes melitus tipe 2 yang tidak hanya disebabkan zat gizi makro, tetapi juga kurangnya konsumsi zat gizi mikro dan olahraga. Konsumsi zat gizi memainkan peranan penting dalam kesehatan dan pencegahan penyakit. Vitamin C dan vitamin D yang dikonsumsi dengan baik dapat meningkatkan sensitivitas insulin, mengurangi toksisitas glukosa, dan berkontribusi dalam pencegahan penurunan massa sel beta. Vitamin D yang kurang dapat berisiko 2 kali mengalami kejadian DM tipe 2. Olahraga bagi lansia juga mempengaruhi penderita DM dalam penurunan resistensi insulin serta berat badan sehingga dapat mengendalikan kadar gula darah pada batas normal. Tujuan: Mengetahui konsumsi vitamin C, vitamin D dan olahraga sebagai faktor risiko kejadian diabetes melitus tipe 2 pada lansia. Metode: Penelitian ini menggunakan kuantitatif observasional analitik dengan desain case-control. Penelitian ini dilakukan pada bulan September-Desember 2020 di Puskesmas wilayah Kota Surakarta dengan jumlah sampel sebanyak 120 orang, diantaranya 60 kelompok kasus dan 60 kelompok kontrol. Pengambilan sampel kelompok kasus (DM Tipe 2) dengan metode consecutive sampling dan kelompok kontrol (Non DM tipe 2) dengan metode purposive sampling. Diabetes melitus tipe 2 dinilai berdasarkan nilai kadar gula darah sewaktu (GDS) yang diambil menggunakan alat glucometer. Data konsumsi vitamin C dan vitamin D menggunakan formulir FFQ semi kuantitatif dan recall 24 jam, sedangkan olahraga menggunakan kuesioner CHAMPS. Analisa data menggunakan uji chi-square. Hasil: Vitamin D (OR= 2,1 (95%CI: 1,7-2,5) merupakan faktor risiko kejadian diabetes melitus tipe 2 pada lansia (p<0,05). Simpulan: Vitamin D merupakan faktor risiko kejadian diabetes melitus tipe 2 pada lansia
Edukasi gizi menggunakan media booklet dengan atau tanpa konseling terhadap pengetahuan orangtua dan konsumsi sayur dan buah anak prasekolah di wilayah urban
Get PDFNutrition education using booklet media with and without counseling on parental knowledge, amount and frequency of consumption of vegetables and fruits of preschool children in urban areasBackground: Consumption of vegetables and fruit in preschool children in Indonesia is still less than recommended. Nutrition education through booklets and counseling media will clarify information and understanding of parents about the importance of consuming vegetables and fruit in preschool children, resulting in parental feeding behavior to increase the amount and frequency of consumption of vegetables and fruits in preschool children. Purpose: This study aims to determine the effect of nutrition education using booklet media with counseling and without counseling on parental knowledge, amount, and frequency of consumption of vegetables and fruits of preschool children in urban areas. Methods: This type of research was a quasi-experimental research design with pre and post-test with the control group. The selection of respondents used purposive sampling to select the sub-districts that had the percentage of excess nutrition in Yogyakarta, namely the Danurejan District, and simple random sampling to choose children and preschools (kindergarten). The number of respondents was 56 people consisting of 28 experimental and 28 controls from 4 kindergartens. Nutrition education in the experimental group gave booklets and counseling, once for 30-60 minutes and at each respondent's home. The control group was only assigned a booklet without counseling. The instruments used consisted of booklets, knowledge questionnaires, and SQ-FFQ. The statistical tests used were paired t-test, Wilcoxon, Mann Whitney, independent t-test, and Pearson. Results: This study showed increased parental knowledge before and after nutrition education in the experimental group (p<0.05). In addition, the amount and frequency of consumption of vegetables and fruits of preschool children in the experimental group increased between before and after being given nutrition education (p<0.05). Knowledge, amount, and frequency of consumption of vegetables and fruit also showed differences between the experimental and control groups (p<0.05). Conclusions: Nutrition education using booklets and counseling media affects parents' knowledge and the amount and frequency of consuming vegetables and fruit in preschool children compared to using only booklets without counseling
Kualitas hidup lansia hipertensi dengan overweight dan tidak overweight
Get PDFThe quality of life in elderly hypertension with overweight and non-overweightBackground: Indonesia will enter the period of aging and an increase in several elderlies with chronic diseases. The biggest health problems of the elderly are degenerative diseases, namely hypertension which significantly disrupts the quality of life both in terms of physical and mental health. One of the causal conditions associated with hypertension is overweight and obesity, which is known at this time the prevalence of obesity is growing progressively in old age. However, the results of research related to the influence of obesity on quality of life are still controversial.Objective: To determine differences in quality of life between hypertensive elderly who are overweight and non-overweight.Method: Cross-sectional study conducted in Yogyakarta City in Januari-April 2017 with a subject of 200 elderly people aged 60-74 years. Overweight was determined based on BMI measurements (>23 kg/m2) with an estimation of elderly height using depa length, quality of life of the elderly was measured using WHOQOL-BREF questionnaire, and compared the quality of life by age, gender, education, occupation, income, marital status, comorbidity, and disease history. Data analysis used independent t-test and linear regression.Results: Mean of environmental domain score was significantly higher (p=0,012) in elderly hypertension with overweight (26,69±3,28) compared to elderly hypertension non-overweight (25,44±3,58). Overweight protective effect on the low quality of life of the environment domain because it is influenced by other factors such as marital status, income, and education. Multivariate analysis shows that income and marital status are external factors that consistently influence the quality of life of the elderly both in total scores and per domain. High-income elderly people with married status have a better quality of life score.Conclusions: The mean score of the environmental domain is higher in elderly hypertension with overweight. Quality of life scores will be better in high income elderly and married
Faktor sosial, ekonomi, dan pemanfaatan posyandu dengan kejadian stunting balita keluarga miskin penerima PKH di Palembang
Get PDFSocial, economic factors, and utilization of posyandu towards stunting among toddlers of poor families of PKH recipients in PalembangBackground: Stunting is a nutritional problem caused by chronic malnutrition. Stunting can result in decreased concentration, memory damage, decreased learning, and school performance, decreased cognitive function, impaired motor development, and has a long-term impact on reducing productivity, thus inhibiting economic growth and causing intergenerational poverty. Stunting can be influenced by social, economic, and access to health services factors. Objective: To analyze the correlation of social, economic, and utilization of integrated services post (pos pelayanan terpadu/posyandu) with the incidence of stunting of under-fives in poor families in Palembang. Methods: This study used a quantitative method with a cross-sectional design in March-April 2019. The population was toddlers aged 24-59 months from poor families in Palembang, with the criteria receiving the cash transfer program from the Indonesian Government, called Program Keluarga Harapan (PKH). Samples were 100 people were chosen by proportional sampling. Data were analyzed by using the Chi-Square test and regression logistic test. Results: The proportion of stunting among toddlers in poor families of PKH recipients in Palembang was 29%. Multiple logistic regression test shows 4 (four) independent variables have a significant correlation to the incidence of stunting simultaneously. Those variable are maternal education (p=0.003, OR=7.278, 95% CI: 1.928-27.474), birth order (p=0.013, OR=0.144, 95% CI: 0.031-0.664), number of family members (p=0.013, OR=10.809, 95% CI: 1.639-71.278),irregular utilization of Posyandu (p=0.041, OR=3.524, 95% CI:1.055-11.768), and never using Posyandu (p=0.019, OR=5.282, 95% CI: 1.313-21.239). Low maternal education, huge family members (more than 4), irregularly and never use Posyandu increase risk of stunting 7.2 times, 10.8 times, 3.5, and 5.2 times, otherwise first or second birth order was a protective factor of stunting. Conclusions: Maternal education and utilization of Posyandu are protective factors, meanwhile huge family members (more than 4) and third or more birth order can increase stunting incidence among toddlers of poor families of PKH recipients