bluuebunny/crossref_metadata_2025 huggingface dataset:
Pola makan dan obesitas sebagai faktor risiko diabetes mellitus tipe 2 di Rumah Sakit Sanglah Denpasar
Authors: Wiardani Ni Komang , Hadi Hamam , Huriyati Emy
Published: March 2019

Background: 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.
Hubungan konsumsi makanan dan kadar hemoglobin (Hb) dengan prestasi belajar siswa SLTP Kota Palembang
Authors: Sartono Sartono , Lestariana Wiryatun , Sudargo Toto
Published: March 2019

Background: 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
Authors: Riyadi Agung , Wiyono P , Budiningsari R Dwi
Published: March 2019

Background: 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.
Faktor risiko kejadian gizi buruk di Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat
Authors: Anwar Khaerul , Jufrrie Muhammad , Julia Madarina
Published: March 2019

Background: Despite numerous interventions, the preva- lence of severe malnutrition in under fives in the District of Lombok Timur during the last 5 years did not changed much and tended to increase.Objective: To assess risk factors for severe malnutrition, considered from points of view of family characteristics, children rearing practice and performance of posyandu, in 12 to 23 month-infants in the district.Methods: This was a case-control study. Cases were 65 severely malnourished children, while controls were a same number of children matched for age.Results:  In bivariate analyses, variables identified as risk factors of severe malnutrition are low family income, OR(95%CI) of 5.0 (1.9-13.5), p=0.001; low maternal education, OR(95%CI) of 2.3 (1.1-4.9), p=0.02; low maternal knowledge on growth monitoring, OR(95%CI) of 15.6 (4.4-55.1), p<0.001; not cared by mother, OR(95%CI) of 7.8 (1.7-36.5), p=0.003; low birth weight, OR(95%CI) of 5.7 (1.2-27.3), p=0.02; short duration of exclusive breastfeeding, OR(95%CI) of 2.6 (1.3-5.2), p=0.008; incomplete immunization, OR(95%CI) of 10.3 (2.3-46.9), p<0.001; and the children’s feeding practice, OR(95%CI) of 3.3 (1.5-7.4), p=0.004. In multiple logistic regression, only maternal knowledge on growth monitoring was significantly associated with the risk of severe malnutrition.Conclusion: Family characteristic and children rearing practice were important risk factors of severe malnutrition in Lombok Timur District. Performance of posyandu is not associated with occurrence of severe malnutrition.
Hubungan berat badan lahir, pemberian ASI eksklusif, status gizi dan stimulasi kognitif dengan kecerdasan anak usia 5–6 Tahun
Authors: Andarwati Rini , Prawirohartono Endy Paryanto , Gamayanti Indira Laksmi
Published: March 2019

Background: Intellegence is affected by 2 factors, internal (genetics) and external (nutrition intake, infection, toxin, stimu- lation, environmental) factors. Sufficient nutrition is very important during pregnancy. Birth weight and exclusive breastfeeding affect brain growth and development. Malnutrition during infancy results in stunting and impaired cognitive function in children. Lack of stimulation may affect intelligence.Objective: The objective of the study was to find out the relationship among birth weight, exclusive breastfeeding, nutrition status and cognitive stimulation and intelligence.Method: An analytic observational study was conducted with cross sectional design, at kindergarten in Prambanan Subdistrict. Subjects were recruited based on a cluster random sampling technique. There were 50 children and mothers met the inclusion criteria of mothers who knew the child’s background (birth weight, breastfeeding practices) and were willing to be included in this study. Intelligence was assessed using Stanford Binet test. Data were analyzed with chi square and logistic regression tests.Results: The study showed that 76% of children had normal intelligence and 24% of children had abnormal intelligence. Based on multivariable analysis, low cognitive stimulation was a risk factor of getting low IQ score (OR=15.6; CI 95%=1.725– 141.272), whereas birth weight (OR=1.1; CI 95%=0.126– 9.751), exclusive breastfeeding (OR=4.9; CI 95%=0.494– 49.054) and nutrition status did not relate to intelligence.Conclusion: There was significant relationship between cognitive stimulation and intelligence, whereas birth weight, exclusive breastfeeding and nutrition status did not significantly relate with intelligence.
Hubungan keparahan karies gigi dengan konsumsi zat gizi dan status gizi anak sekolah dasar di Kecamatan Lhoknga Kabupaten Aceh Besar
Authors: Junaidi Junaidi , Julia Madarina , Hendratini Julita
Published: March 2019

Background: The prevalence of dental caries in children is high. Caries may prevent children from properly digest food, which is then impair nutritional intake and cause malnutrition.Objectives: To assess the relation between the severity of dental caries with nutritional status and nutrient intake of 8-10 years old school children, in the sub district of Lhoknga, Aceh Besar, Nanggroe Aceh Darussalam.Methods: This was a case-control study of 54 undernourished children as cases compared to 54 well-nourished children matched for age as control. The severity of dental caries was assessed by a dentist using a caries severity index used by the WHO.Results: The prevalence of dental caries in undernourished children was 90.7%, while in well-nourished children was 54.7%. The odds ratio (95% CI) for having dental caries in malnourished children was 7.3 (2.2-26.6), p<0,001. Compared to children without caries, the odds (95% CI) for undernourished in children suffering from severe dental caries was 10.3 (3.2-38.5). Dental caries was associated with lower intake of energy. The relative risk (95% CI) for children with severe caries to have inadequate energy intake was 4.9 (1.7–14.7), p<0.001.Conclusions: Nutritional status was associated with the severity of dental caries. Children with severe dental caries had lower energy intake.
Faktor-faktor yang mempengaruhi tingkat kebugaran lanjut usia penghuni Panti Budi Agung Kupang di Kota Kupang
Authors: Setia Agustina , Pramantara I Dewa Putu , Pangastuti Retno
Published: March 2019

Background: A major physiological change during aging is decreasing need of energy which occurs as a consequence of decreasing lean body mass and physical activity. This process affects absorption level. Nutrition has an important role in improving physical fitness, preventing degenerative diseases, and minimizing dependence. Decreasing fitness among the elderly may be overcome through physical exercise, sufficient nutrient intake, autonomy and mobility in undertaking daily activities.Objective: To find out factors related to fitness of the elderly at Budi Agung Charitable House, Kupang.Method: The study was observational with cross sectional design. Subject of the study based on inclusion criteria were the elderly aged more than 60 years old, could do daily activities, had no acute diseases. Exclusion criteria were those who had heart disease, lung disease, cognitive disorder, and mobility disorder. Data of nutrient intake were obtained from food record processed with computer program. Data of nutrition status were measured with body mass index, haemoglobin level with cyanmethemoglobin, and daily activities with functional independence measurement. Fitness level was measured using 6 minute-walk test. Data were analyzed using Pearson correlation and multiple regression test.Results: The study showed that there were 10 variables significantly related to physical fitness of the elderly, i.e. energy intake (p=0.009, r=0,368), protein intake (p=0.012, r=0.354), carbohydrate intake (p=0.036, r=0.297), vitamin B  intake (p=0.000, r=0.691), vitamin D intake (p=0.001, r=0.455), folic acid intake (p=0.005, r=0.394), iron intake (p=0.000, r=0.540), age (p=0.002, r=-0.428), haemoglobin level (p=0.003, r=0.410), activities of daily living (p=0.000, r=0.800), but intake of  fat and vitamin B  were not. Body mass index statistically had no significant relationship (p>0.05) with elderly fitness level. Multiple regression analysis showed that the most influential variables that made the elderly unfit were protein intake (p=0.012 and B= -3.730), vitamin B  intake (p=0.000 and B=10.352), folic acid intake (p=0.045 and B=7.085), activities of daily living (p=0.000 and B=8.014).Conclusion: High protein intake, vitamin B  intake, folic acid intake, and activities of daily living increased physical fit- ness of the elderly at Budi Agung Charitable House, Kupang.
Pengaruh pijat bayi terhadap kenaikan berat badan bayi umur 4 bulan
Authors: Shoim Mohammad , Prawirohartono Endy Paryanto , Julia Madarina
Published: March 2019

Background: Optimum growth and development reflect the interaction among genetics, environments, attitude factors, and positive stimulations. The positive effect of massage on infant growth has long been recognized, but research on this phenomenon has not much been performed. The growth faltering in children begins at 1-6 months of age in Indonesia.Objective: To identify the effect of massage toward weight gain in infants of 4 months old.Method: The study was quasi-experimental with 2 groups of posttest design. The subjects were infants of 4 months old that were born in two hospitals. Those who were born in one hospital were selected as the control group and the rest were selected as the treatment group. The massage was performed twice a week for four weeks. The data of weight, food intake, illness were collected once a week, whereas the data of mothers’ knowledge and attitude toward breast milk were gathered once during the research period.Results: There was a significant effect of massage on weight gain. The median weight gain of the control group and treatment group were 0.40 kg (Q1=0.35; Q3=0.40) and 0.60 kg (Q1=0.50; Q3=0.70) respectively. The massage also affected the waz (weight for age Z-scores) where the median difference of waz at the beginning and the end of the study of the control group was –0.27 (Q1=-0.34; Q3=-0.23), whereas in the treatment group was -0.03 (Q1=-0.13; Q3=0.09). It meant that control group faced the growth faltering of –0.27 SD waz in a month and treatment group did it for –0.03 SD waz in a month.Conclusion: Infants who got massage treatment had higher weight gain than those who did not.
Efek suplementasi kombinasi zat besi, vitamin C, dan asam folat terhadap peningkatan kadar hemoglobin dan kapasitas VO2 maks pada atlet sepak bola divisi utama dan satu nasional di Daerah Istimewa Yogyakarta
Authors: Abidin Zainal , Woro Woro , Noerhadi Mochammad
Published: March 2019

Background: Excessive endurance exercise of football players may break their blood cells and decrease the level of haemoglobin (Hb). These will influence the aerobic capacity (VO2 max) and make the need for iron (Fe) of an athlete more than that of common people.Objective: To know the influence of Fe, vitamin C (ascorbic acid), and  folic  acid  combined supplementation to the increase of VO2 max capacity  of  the  national  main  and  first division  club football players in Daerah Istimewa Yogyakarta.Method: The study was RCT (Randomized Controlled Trial) experimental with a completely randomized design plan. The subjects were football players of Perserikatan Sepak Bola Indonesia Mataram (PSIM), Perserikatan Sepak Bola Sleman (PSS), and Perserikatan Sepak Bola Bantul (PERSIBA). They were then divided into two groups: treatment group and control group, each of them consisted of 35 players. Treatment group were given combined supplement capsules of 100 mg Fe, 100 mg vitamin C, and 2 mg folic acid three times a week for eight weeks, while the control group were given the placebo capsules. Before and after supplementation, their Hb and VO2  max were measured. However, the physical exercises were done based on the schedule, programmed by the clubs.Results: Combined supplementation of Fe, vitamin C, and folic acid could increase Hb level significantly (p=0.008), but there was no significant difference of VO2  max capacity between treatment group and control group (p=0.062). However, there was significant correlation between the increase of Hb level and VO  max capacity (r=0.712; p<0.001).Conclusion: Combined supplementation of Fe, vitamin C, and folic acid led to the increase of Hb level of main and first division clubs football players in Daerah Istimewa Yogyakarta, but could not influence their VO2 max capacity.
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
Authors: Sulistyowati Etik , Hadi Hamam , Susetyowati Susetyowati , Gunawan Atma
Published: March 2019

Background: 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.
Pemberian diet modifikasi komersial dan pengaruhnya terhadap asupan makanan dan status gizi pasien penyakit ginjal kronik prehemodialisis di RSUP DR. M. Djamil Padang
Authors: Balgis Pitri , Probosuseno Probosuseno , Astuti Herni
Published: March 2019

Background: Chronic kidney disease causes progressive deterioration of kidney function and is commonly irreversible, leading to nausea and vomiting as a consequence of high ureum and creatinine in the blood. This condition results in declining appetite which greatly affects food intake and degrading nutritional status that causes high mortality among chronic kidney patients. Therefore efforts are made on how to increase intake of chronic kidney patients.Objective: To identify the effect of nutrition therapy through commercial diet modification to nutrition intake and status of pre-hemodialysis chronic kidney patients at DR. M. Djamil Hospital, Padang.Method: The study was a quasi experiment which used pre-test and post-test with control group design. Population of the study were all patients of pre-hemodialysis chronic kidney disease hospitalized at DR. M. Djamil Hospital of Padang. Samples were patients of pre-hemodialysis chronic kidney disease at internal medicine ward. The experiment group consisted of 11 patients who got modified diet within 6 days and control group consisted of 11 patients who got hospital standard diet with α = 0.05 and ß = 10%. The study were collected from January-March 2008. Data of intake were analyzed using Nutri Survey program. Statistical t-test and chi-square were used to identify the effect of commercial modified diet to food intake, nutritional status, and increase of ureum and creatinine. Absorption level was measured from the quantity of commercial nutrition used. Perception of the patients about commercial diet was obtained through questionnaires and analyzed to get the score.Results: The group with modified diet had better energy and protein intake than the group with hospital standard diet (p < 0.05). However, there was no significant difference in nutritional status, ureum and creatinine changes between patients who got modified diet and those who got hospital standard diet (p < 0.05). The result of analysis on perception of patients about commercial diet showed that patients could accept commercial diet.Conclusion: Commercial modified diet could increase intake of energy and protein of pre-hemodialysis chronic kidney patients.
Pola makan, asupan zat gizi, dan status gizi anak balita Suku Anak Dalam di Nyogan Kabupaten Muaro Jambi Provinsi Jambi
Authors: Erni Erni , Jufrrie Muhammad , Rialihanto Muhammad Primiaji
Published: March 2019

Background: Anak Dalam Tribal Community lives in an isolated area with meagre living pattern and numerous limitations. This condition affects eating pattern and nutritional status of underfives of Anak Dalam Tribe.Objective: To identify eating pattern, nutrient intake, and nutritional status of underfives of Anak Dalam Tribe at Nyogan, District of Muaro Jambi, Province of Jambi.Method: The study was observational with cross sectional design. Population of the study were underfives of Anak Dalam Tribe aged 24–59 months at Nyogan, District of Muaro Jambi, Province of Jambi. Data obtained consisted of eating pattern, nutrient intake and nutritional status, characteristics of parents and subject as well as general overview of the location of the study. Chi-square test was used to find out the relationship between nutrient intake and nutritional status.Results: As much as 54.2% of children of Anak Dalam Tribe had varied types of foods and 52.1% of them had good eating frequency; 45.8% had incomplete types of foods and 47.9% had poor eating frequency. Average energy and protein intake of underfives of Anak Dalam Tribe were 1,020.93 ± 298.68 kcal/day and 28.49 ± 8.08 g/day. Most of the children had adequate energy and protein intake (> 80% nutrition sufficiency); i.e. 60.4% and 77.1% subsequently. Those who had inadequate energy and protein intake were 39.6% and 22.9% subsequently. Inadequate nutritional status of underfives of Anak Dalam Tribe using indicator of weight/age was 16.7%, height/age was 12.5%, and weight/height was 8.3%.Conclusion: There was significant relationship between nutrient intake (energy and protein) and nutritional status of underfives of Anak Dalam Tribe.
Status gizi, aktivitas fisik, dan prestasi akademik siswa SMA gakin dan non-gakin di Kota Bitung
Authors: Robert Daniel , Mursyid Abidillah , Huriyati Emy
Published: March 2019

Background: A good nutritional status of students will greatly support their physical activities. Social economic status of a family may affect intake of nutrient, energy, and protein which can bring impact on nutritional status. Good nutritional status is necessary for teenagers to maintain health and support physical activities. Senior high school students from poor and non poor families may have different nutritional status, physical activities, and academic achievement.Objectives: The objectives of the study were to identify differences in nutritional status, physical activities, and academic achievement of students from poor and non poor families at Bitung Municipality and relationship between intake of energy and protein and nutritional status, physical activities, and academic achievement of students from poor and non poor families.Methods: The study was observational with cross sectional design. Population and samples were senior high school students of 16–18 years old (from database) from poor and non poor families. Total samples were 314 students taken using stratified random sampling technique. The study was conducted in September–December 2005. Data were analyzed using chi-square, t-test, and linear regression with significance level 95% and processed using computer software.Results: There was a significant difference in nutritional status, light physical activity, academic achievement in poor and non poor highschool students (p<0,05), but there was no significant difference in the medium and heavy physical activity (p>0,05). There was also a relationship between confounding variable of energy intake with nutritional status, father’s job with light activity, father’s education and job with medium activity, father and mother’s education, father’s job, and energy intake with academic achievement. There was no relationship between confounding variable with heavy physical activity (p>0,05).Conclusion: There was differences in nutritional status in light physical activity and academic achievement between students from poor and those from non poor families.
Asupan energi, aktivitas fisik, persepsi orang tua, dan obesitas siswa dan siswi SMP di Kota Yogyakarta
Authors: Pampang Elisabeth , Purba Martalena Br , Huriyati Emy
Published: March 2019

Backgound: Juvenile obesity is becoming a global problem. The high prevalence of juvenile obesity is due to an inadequate physical activity and an imbalance of nutritional intake. The roles of parent are significant in the incidence of obesity; therefore their understanding on the prevention of obesity is necessary. Findings of some studies in Yogyakarta show that 7.9 % of adolescents are approaching obesity.Objective: To assess the relationship between energy intake, physical activities, parental perception, and the status of obesity among students grade 7 to 9.Method: This study used cross sectional design. The samples were students grade 7 to 9 of Yogyakarta Municipal City including those who were obese and non-obese. The respondents were recruited as many as 230 students; chi square (χ²) test and significant level of 95%, were used to analyze the difference between obese and non-obese group.Results: This study found that energy intake correlated with obesity (p < 0.05). Moreover, physical activity significantly correlated with obesity (p < 0.05). Nevertheless, parental perception did not significantly correlate with obesity (p > 0.05).Conclusion: Physical activity and energy intake had an association with obesity status among students grade 7 to 9 in Yogyakarta Municipal City. But parental perception had no association with obesity among the respondence.
Swamedikasi diabetes mellitus dengan daun ceplikan (Ruellia tuberosa L.): kajian kemanfaatan pada profil lipid serum secara praklinik
Authors: Ristanti Ety Yuni , Lestariana Wiryatun , Lestari Lily Arsanti
Published: March 2019

Background: Self-medication by using ceplikan leaves (Ruellia tuberosa L.) has been practiced in society for many times in the after-boiled form. It had been proved that liquid extract of ceplikan leaves (Ruellia tuberosa L.) was able to reduce blood glucose level on diabetic rat. It is also well known among diabetes mellitus patient that it has following effect on increasing triglyceride and reducing HDL-cholesterol level.Objective: This research was aimed to give scientific evidence on the society habit on self-medication by using ceplikan leaves (Ruellia tuberosa L.) by examining its oral administration on serum lipid profile pre-clinically.Method: Two months old Rattus novergicus within average weight of 150-200 g were divided into experimental and control groups. The control group consisted of 6 normal rats; while the experimental group consisted of 24 alloxan induced-diabetic rats. The experimental groups were divided into four groups i.e. non-treatment group and oral administrations of Ruellia tuberosa L. liquid extract with different concentrations that were 1.6 mg, 3.2 mg, and 6.4 mg, respectively. The feeds were given ad libitum. The oral administrations of Ruellia tuberosa L. liquid extract were given everyday for 30 days. In the end of the treatment, all rats were fastened and the blood was taken from the eye and being observed for its serum lipid profile. The data were analyzed statistically by using ANOVA and Tukey’s HSD mean difference tests.Results: The results showed that oral administration of 3.2 mg Ruellia tuberosa L. liquid extract was significantly reduced triglyceride and LDL-cholesterol level (p < 0,05) and increased HDL-cholesterol level (p < 0,05).Conclusion: The 3.2 mg of Ruellia tuberosa L. liquid extract was able to reduce triglyceride and LDL-cholesterol level and increase HDL-cholesterol level. Moreover, ceplikan leaves (Ruellia tuberose L.) could be taken as traditional drugs in a non-formal way with control on dietary intake and regular physical exercise.
Penerapan Hazard Analysis Critical Control Point (HACCP) terhadap penurunan bahaya mikrobiologis pada makanan khusus anak berbasis hewani di Rumah Sakit Umum Daerah Dr. Soedarsono Pontianak
Authors: Puspita Widyana Lakshmi , Prawiningdyah Yenni , Nisa Fatma Zuhrotun
Published: March 2019

Background: One way to improve the quality of food provision in hospitals is by implementing hazard analysis critical control point (HACCP) in food processing.Objective: The study aimed to identify the effect of HACCP implementation to the decrease of microbiological hazards of foods for children in particular at Nutrition Installation of Dr. Soedarso Hospital of Pontianak.Methods: The study was a quasi experiment that use multiple time series design with intervention and cassation of intervention (ABA time series chain). Samples of the study were animal based food for children, cooking utensils used preparation, processing, and distribution of the food, the food providers and food processing containers. Samples were taken 3 times before and after the implementation of HACCP, each within a week duration.Result: Average germ rate in foods and cooking utensils before implementation of HACCP was relatively high. After the implementation of HACCP there was a decrease. The result of statistical analysis showed that there were effects of HACCP implementation to the reduction of microbiological hazards in foods and cooking utensils (p<0.05). Average score of knowledge on sanitation hygiene of food and practice of sanitation hygiene of foods after HACCP implementation increased. There was an increase of average score of knowledge on food sanitation hygiene and practice of food sanitation hygiene of HACCP implementation (p<0.05). Average score of sanitation hygiene of food processing container after HACCP implementation increased.Conclusion: The implementation of HACCP could reduce microbiological hazards (germ rate) of animal based special foods for children.
Frekuensi konsumsi growol berhubungan dengan angka kejadian diare di Puskesmas Galur II Kecamatan Galur Kabupaten Kulonprogo Provinsi DIY
Authors: Eni R Anastasia , Lestari Lily Arsanti , Juffrie Muhammad
Published: March 2019

Background: 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
Authors: Septiana Tenta , Purba Martalena , Hartriyanti Yayuk
Published: March 2019

Background: 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.
Asupan zat gizi, status gizi dan motivasi serta hubungannya dengan produktivitas pekerja perempuan pada bagian pencetakan di Pabrik Bakpia Pathuk 25 Yogyakarta
Authors: Kusriyana Rina , Helmyati Siti , Budiningsari R Dwi
Published: March 2019

Background: Employees’ productivity is closely related with nutritional condition. Nutritional condition can be physically assessed by determining nutrition status. One’s nutrition status is directly influenced by nutrient intake. However, health and nutrition status of an employee in general have not got proper attention that lead to decreasing productivity. Productivity is not only influenced by nutrition status but also by psychological factor that involves motivation.Objectives: To identify association between nutrient intake, nutrition status and motivation and productivity of female workers at production department of Bakpia Pathuk 25 Factory Yogyakarta.Method: The study was a survey that used cross sectional design. Subject of the study were female workers at production department as many as 40 people taken through proportional stratified random sampling technique. Data of subject assessed were nutrient intake (energy, carbohydrate, fat, protein, and Fe), nutrition status, motivation, and productivity. Nutrient intake was assessed using food recall 24 hours within 4 days, nutrition status was specified using anthropometric approach using body mass index (weight/height), motivation was assessed through motivation questionnaire and productivity through quantity of production (raw bakpia) produced by the worker at a time observation (44 minutes for workers at crust production and 1 hour for workers at filing department) within 3 times observation.Result: The result of linear regression analysis showed that association between nutrient intake (energy, carbohydrate, fat, protein and Fe), nutrition status and productivity was r<0.25 and p>0.05 whereas between motivation and productivity was r=0.901; R2= 0.812; and p=0.000 for variables of wages, intake of energy, Fe and motivation and productivity.Conclusion: There was no significant association between nutrient intake (energy, carbohydrate, fat, protein and Fe) and nutrition status and productivity; there was signifiant association between motivation and productivity. Concurrently only motivation had significant association with productivity.
Pengaruh advokasi pelayanan gizi dan penyuluhan terhadap jumlah kunjungan pasien di Poliklinik Gizi Rumah Sakit Umum Raden Mattaher Jambi
Authors: Mawarningsih Mawarningsih , Prabandari Yayi Suryo , Budiningsari R Dwi
Published: March 2019

Background: 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.
Konsumsi sagu keluarga berdasarkan preferensi dan persepsi nilai sosial sagu keluarga di Kabupaten Konawe Provinsi Sulawesi Tenggara
Authors: Imanuddin Imanuddin , Mursyid Abidillah , Susilo Joko
Published: March 2019

Background: Variety of staple foods has an important role in supporting food security of the community. However, more people who used to consume non rice turn to consume rice nowadays. Sago (sinonggi) as one of staple foods is consumed less every year in Sulawesi Tenggara. This may be due to some factors, among others are preferences of the community to sago, perception of the community about social value of sago and sago availability.Objective: To identify the consumption of sago of the family in relation to preferences and perception of the family about social value of sago, availability of sago in the family level and its distribution.Method: The study was observational with cross sectional design. Research location was determined using cluster stratified random sampling technique. Three sub districts represented category of far, medium, and close from district capital. Two villages represented category of close and far from sub district capital. Distribution of 196 households samples were taken with proportionate sampling technique in 6 chosen villages. Variables of the study consisted of preferences to sago, perception about social value of sago, sago consumption and availability of sago in the household. Data were obtained through structured interview using questionnaire and observation. Bivariable analysis used chi-square; whereas multivariable used logistic regression.Results: Sago as complementary food of rice was consumed everyday by 65% of households. Preference level of sago was like (70.4%) and favorite (29.6%). Household perceived social value of sago as low (74.0%) and not low (26.0%). Sago was always available throughout the years at distribution level.Conclusions: There were differences in the consumption of sago based on the family preferences of sago, the family perception of sago social values, and the household availability of sago. Sago availability in the household was the most dominant factor of sago consumption in the household.
Hubungan status pestisida dengan status gangguan akibat kekurangan yodium (GAKY) anak SD pada daerah endemik GAKY Kabupaten Dairi
Authors: Maryanes Maryanes , Lestariana Wiryatun , Widodo Untung S
Published: March 2019

Background: Thyroxin plays important role in the metabolism of carbohydrate, protein and cholesterol, and in the process of growth. Iodine deficiency disorder not only can be caused by lack of iodine substance but also another competition factor, which is a pollutant substance which is goitergenic (pesticide). This goitergenic substance interferes hormonogenesis of thyroid causing enlargement of thyroid gland known as goiter.Objective: This study was aimed at examining the relationship between status of pesticide and status of iodine deficiency disorders (urinary iodine excretion) of elementary school children and the difference between them based on level of their endemic in Dairi District.Methods: This was an observational study using a cross-sectional design. Palpation of thyroid gland was made to determine the level of endemic; concentration of blood cholinesterase was determined using tinto meter kit; urinary iodine excretion was analyzed with the ammonium persulfate digestion method. Data was analyzed with chi square and anova.Results: Chi square test indicated that the relationship between the concentration of blood cholinesterase and urinary iodine excretion was significant (p<0.05) with OR 11.1 and the relationship between concentration of cholinesterase and iodine deficiency disorders (palpation) was not significant (p>0.05) with OR 1.3. Anova test, based on endemic, indicated that there was a significant difference between the concentration of blood cholinesterase and urinary iodine excretion (p<0.05).Conclusion: There was significant relationship between status of pesticide (concentration of blood cholinesterase) and status of iodine deficiency disorder based on urinary iodine excretion and there was no significant relationship between concentration of cholinesterase and iodine deficiency disorders based on the result of palpation. There was a difference in the average status of pesticide and iodine deficiency disorders status among the elementary school children based on their endemic.