bluuebunny/crossref_metadata_2025 huggingface dataset:
Pengaruh suplementasi tablet Fe dengan supervisi suami pada ibu hamil terhadap umur kehamilan di Kabupaten Bantul
Authors: Widagdo Dhuto , Hadi Hamam , Lestariana Wiryatun
Published: March 2019

Background: The high prevalence of anemia pregnant women anemia in Indonesia reaches 50%–70%, and it is caused by many factors. First, it may be caused by low compliance of iron supplementation and second, it may be caused by bad distribution of iron supplementation. This prevalence results some effect: high maternal mortality rate, neonatal mortality rate, anemia in infancy, and low productivity. One solution to overcome this prevalence is by giving iron supplementation to pregnant women with husband’s supervision.Objective: This study aims to examine the relationship between iron supplementation with compliance, Hb value, and average of age gestation under husband’s supervision.Methods: This was quasi experimental non-equivalent control group design. Subjects were pregnant women aged 20–28 weeks whose hemoglobin level 8 gr/dl to 15 gr/dl. Subject were taken from three sub-districts of Bantul District, Special Teritory of Yogyakarta. Subject were divided into two groups, the first group (n=55) received 60 mg iron supplementation with husband’s supervision and the second group (n=65) received 60 mg iron supplementation without husband’s supervision.Results: The compliance of first the group was higher than the second group (x2=19,48 p<0,01). In the first group, iron supplementation was effective to increase Hb level it was statistically insignificant (p>0,05). In the second group, iron supplementation was also effective to increase Hb level and it is statistically significant (p<0,05). The difference of Hb level between two groups was insignifi cant. After the predictor variable was controlled using multivariate regression test, it showed that iron supplementation with husband’s supervision was effective to increased Hb level 0,8 gr/dl and statistically signifi cant (p<0,05). The gestation average of two groups was similar, but after predictor variable was controlled using multivariate test, it showed that iron supplementation with husband’s supervision had one week gestation longer than those group without husband’s supervision.Conclusion: Iron supplementation with husband’s supervision are effective to lengthen one week age gestation.
Gizi lebih sebagai tantangan baru dan implikasinya terhadap kebijakan pembangunan kesehatan nasional
Authors: Hadi Hamam
Published: March 2019

Sebagai negara yang sedang berkembang dan sedang membangun, bangsa Indonesia masih memiliki beberapa ketertinggalan dan kekurangan jika dibandingkan negara lain yang sudah lebih maju. Di bidang kesehatan, bangsa Indonesia masih harus berjuang memerangi berbagai macam penyakit infeksi dan kurang gizi yang saling berinteraksi satu sama lain menjadikan tingkat kesehatan masyarakat Indonesia tidak kunjung meningkat secara signifikan. Ironisnya, di beberapa daerah lain atau pada sekelompok masyarakat Indonesia yang lain terutama di kota-kota besar, masalah kesehatan masyarakat utama justru dipicu dengan adanya kelebihan gizi; meledaknya kejadian obesitas di beberapa daerah di Indonesia akan mendatangkan masalah baru yang mempunyai konsekuensi- konsekuensi serius bagi pembangunan bangsa Indonesia khususnya di bidang kesehatan. Pendek kata, masih tingginya prevalensi kurang gizi di beberapa daerah dan meningkatnya prevalensi obesitas yang dramatis di beberapa daerah yang lain akan menambah beban yang lebih kompleks dan harus dibayar mahal oleh bangsa Indonesia dalam upaya pembangunan bidang kesehatan, sumber daya manusia dan ekonomi.
Prevalensi obesitas dan hubungan konsumsi fast food dengan kejadian obesitas pada remaja SLTP kota dan desa di Daerah Istimewa Yogyakarta
Authors: Mahdiah Mahdiah , Hadi Hamam , Susetyowati Susetyowati
Published: March 2019

Background: The improvement in socioeconomic status has led to sedentary life style and more fast food consumption. Whether fast food consumption contributes to obesity in Indonesian adolescents remains unclear.Objective: The study was conducted to estimate the prevalence of obesity and to assess the association between fast food consumption and obesity in junior high school students.Methods: A cross-sectional survey was conducted in 2003 to estimate the prevalence of obesity in adolescent students of Yogyakarta Special Province. Subjects of this survey were junior high school students from urban (n= 4747) and rural areas (n=4602) were included in this survey. To further analyze the association between food consumption and obesity, a sample of 140 obese (of 460 obese students) and 140 non obese students (of 8889 non obese students) was randomly selected. Data on fast food consumption were collected using Food Frequency Questionnaire (FFQ) method from the selected obese and non-obese sample.Results: The prevalence of obesity among adolescent students was 7.9% in urban and 2% in rural areas. There was a significant difference in variety, quantity, and frequency of fast food consumption per month and hereby energy intake from fast food between obese and non-obese adolescent students (p<0.05).Conclusions: The prevalence of obesity in urban area was much higher than that in rural area. Obese students consumed fast food more frequently and more variably than non-obese students.
Hubungan pola makan pendamping ASI dengan pertumbuhan dan perkembangan gerak motorik kasar bayi 6 – 12 bulan di Kecamatan Bermani Ulu Kabupaten Rejang Lebong
Authors: Herwan Antoni , Castro Toto , Paramastri Ita
Published: March 2019

Background: The main problem facing Indonesian people today is nutrition deficiency which brings effect to low quality of human resources. Infants aging 6 – 12 months are at high risk of having growth and development disorder. Complementary breastfeeding pattern is one of factors causing gross motoric movement growth and development disorder.Objective: This study was meant to know the relationship be-tween complementary breastfeeding pattern and gross motoric movement growth and development of infants aging 6 – 12 months at Bermani Ulu Sub district, Rejang Lebong District.Method: This was observational type of research which used cohort design. The samples consisted of 87 infants of 6 – 12 months selected through simple random sampling. Complementary breastfeeding pattern data were collected using interview and food call methods, growth data using anthropometry measurement, gross motoric movement data using motoric guideline of infants aging 3 – 18 months. Analysis of data used chi-square, anova, logistic linier and logistic regression.Results: The result of the study showed there was no significant relationship (p>0.05) between complementary breastfeeding pattern and gross motoric movement growth and development. There was significant relationship (p<0.05) between energy intake and protein intake and growth, with energy intake and protein intake. There was significant relationship (p<0.05) between energy intake and protein intake and development, with energy intake and protein intake. Result of multivariate analysis showed there were 2 variables as growth predictor i.e. energy intake (B=0.096) and protein intake (B=0.351) with (24.7) R square and there were 2 variables as gross motoric movement development predictor i.e. energy intake and protein intake (p<0.05).Conclusions: 1) Complementary breastfeeding were not related to gross motoric movement growth and development, 2) energy and protein intake of complementary breastfeeding were related to gross motoric movement growth and development, 3) energy and protein intake were dominant factor which were related to gross motoric movement growth and development.
Pengaruh pemberian diet rendah karbohidrat tinggi lemak terhadap penurunan CO2 darah dan perbaikan respirasi pada pasien penyakit paru obstruktif kronik di Rumah Sakit Immanuel Bandung
Authors: Wijaya Ruth R , Pramantara I Dewa Putu , Susetyowati Susetyowati
Published: March 2019

Background: Lung diseases are one of the main health problems in Indonesia. Among the lung diseases, Chronic Obstructive Pulmonary Disease (COPD) is the 7th leading causes of death in Indonesia. The prevalence COPD tends to increase due to increasing smoking habit, industrialization, air pollution, and more elderly people. Diet regulation for COPD patients were mainly for energy consumption, and accurate proportion of carbohydrate and fat. Excessive carbohydrate intake will increase blood CO2.Objective: To evaluate the influence of low carbohydrate and high fat diet on the decrease of CO2 concentration and improving respiration in acute exacerbation of COPD.Methods: This is an experiment study, with pre and posttest design. The subjects were COPD patients who hospitalized due to acute exacerbation. The subjects must be conscious, no left heart failure, no coronary heart disease, no acute respiratory failure that need ventilator and  hospitalized for minimum 7 days and could take oral diet.Results: Women, younger, and no smoking COPD patients had decreased blood CO2 offer low carbohydrate high fatty diet. All patients with this diet experience had improvement in their respiratory symptoms.Conclusion: Low carbohydrate high fat diet decreases blood CO2 in new acute exacerbation of COPD patients, no smoking women and younger patients. However, this diet improved respiratory symptoms for all patients who receive it.
Analisis biaya pelayanan gizi keluarga miskin di Kabupaten Indragiri Hulu
Authors: Julinarti Elis , Hadi Hamam , Raymond Tubagus
Published: March 2019

Background: The health cost from both government and non-government sectors in the year of 2000 was Rp1.470/ capita/year. The cost for nutrition programs in the year 2003 was Rp200/ capita/ year, while in Indragiri Hulu, the cost for nutrition service was allocated 0.55% of regional budget of Health Department.Objective: To estimate the real cost and demand of cost of nutrition service for poor family and to explore the perception of regional government, regional parliament and private sectors about the cost of nutrition service.Method: This study was a qualitative study. In-depth interview method was used to collect data from regional government officers, regional parliament members and private sectors.Results: The cost of nutrition service for poor family on average was Rp12.053.000, in the year 2003 and Rp8.763.000, in the year 2004. In fact, the demand cost was Rp79.022.541, for rural primary health care and Rp144.073.000, for urban primary health care.Conclusion: The cost of nutrition service for poor family in Indragiri Hulu on average was Rp645/ capita/ year in the year 2003 and Rp355, in the year 2004 which was much smaller than the demand cost which was Rp14.290.
Perbedaan asupan energi, zat gizi makro dan mikro pada mahasiswa S2 IKM reguler yang stress
Authors: Puri Ice Yolanda , Dahlan Pernodjo , Paramastri Ita
Published: March 2019

Background: In general, sufferers of stress lose appetite, although sometimes some of them eat more than usual. If they lose appetite, there will be energy and protein deficiency. This condition will disrupt antibody so that they can get easily infected. Stress causes nutrition absorption disorder and then reduces antibody. Emotional and environmental stress will lose vitamin C as much as 2500 mg within a short period. Another bad impact is reducing supply of vitamin B12, vitamin C, calcium and zinc.Objective: To identify differences of energy, macronutrient (carbohydrate, protein, and fat) and micronutrient (vitamin C, vitamin B12, calcium and zinc) intake among postgraduate students of public health sciences (Health Policy Management and Service, Health Nutrition and Mother and Child Health Reproduction) with low, middle and high stress.Method: The study was an observational type which used a nested case control design. It used a quantitative approach to analyze stress and intake of energy, macronutrient (carbohydrate, protein and fat) and micronutrient (vitamin C, B12, calcium and zinc). Subject of the study were as many as 34 postgraduate students of public health sciences of Gadjah Mada University of academic year 2004/2005. Data of respondents’ identity, intake of protein, macronutrient and micronutrient and stress were achieved directly through questionnaires. Intake data were taken from food record form with multiple record 4 x 24 methods which were collected for a month to represent all days. Anthropometric data used was body weight. Data of stress were collected using stress questionnaires. Intake data analysis used NutriSurvey program. Anova test were used to identify differences of aver-age consumption of macro and micro nutrients.Result: There was no difference of macronutrient and micro-nutrient intake with low, middle and high stress. Result of Anova analysis showed that there was no significant difference be-tween intake of macronutrient and micronutrient and level of stress.Conclusion: There was no significant difference of macronutrient and micronutrient intake with low, middle and high level of stress among postgraduate students of public health sciences of academic year 2004/2005.
Analisis potensi pengembangan instalasi gizi Rumah Sakit Umum Banyumas menjadi profit center
Authors: Wahyanto Wahyanto , Hadi Hamam , Riyarto Sigit
Published: March 2019

Background: A hospital is supposed to be self-financed. Nutrition installation as one of units in the hospital is categorized as a cost center unit. It may be changed into a profit center unit if it is developed by providing foods for staff, students and patients’ families.Objectives: To know feasibility of nutrition department development potential of Banyumas Hospital through provision of food service for staff, students and patients’ families in order to contribute for hospital income.Methods: Primary data were collected through questionnaires to know: willingness to pay for from staff, students and patients’ families and commitment of nutrition installation staff; and through focus group discussion to know the commitment of hospital management. Secondary data were obtained from non-experiment observation at nutrition installation and hospital secretariat. Nutrition service development feasibility was viewed from market, commitment of staff and hospital management, and technical aspects.Results: Result of the study showed than potential of nutrition department development to become a profit center by serving foods for staff, students and patients’ families was feasible to implement viewed from: market aspect, there was definite potential market, willingness and capacity to pay, high interest to become customers and marketing mix control; Investment criteria, Net Present value was as much as Rp166,333,504.04, Internal Rate of Return Value was 81.9%, Pay Back Period was 9 months, and Break Even Point was 2 years 10 months and 24 days; Nutrition Installation staff and hospital management commitment was high; Technical aspect, location, raw material resources, manpower, production capacity and facilities were justified.Conclusion: Nutrition department development was feasibly potential to be implemented.
Penilaian gizi sederhana: alat penilaian praktis untuk menentukan status gizi pasien rawat inap di rumah sakit
Authors: Mardalena Ida , Suprapto Bambang , Widarto Widarto , Murti Bhisma
Published: March 2019

Background: Absence of effective and efficient screening tool for assessment of nutritional status have lead to high incidence of malnutrition among hospitalized patients.Objective: To develope practical screening tool for assessing nutritional status of hospitalized patients.Method: A simple method of nutritional assessment, called The Simple Nutritional Assessment, was compared to albumin serum as the gold standard. This study involved 50 nurses and 50 hospitalized patients in Dr. Moewardi General Hospital, Surakarta.Result: There was significant concordance of nutritional status assessed by the Simple Nutritional Assessment and the level of albumin serum (k=0,92). Sensitivity, specificity, and likelihood ratio of the Simple Nutritional Assessment compared to serum albumin were 92%, 67–75%, and 3.8, respectively. Internal consistence of the Simple Nutritional ssessment is high (Alpha=0.80). Average time required for doing the assessment was only 5 minutes.Conclusion: The Simple Nutritional Assessment can be used for quick screening of nutritional status of hospitalized patients with high sensitivity and reliability.
Perbedaan PaCO2 darah pada pasien kritis yang mendapat diet makanan enteral komersial dengan diet makanan enteral kombinasi di rumah sakit Dr. Sardjito Yogyakarta
Authors: Jaelani M , Widodo Untung , Susetyowati Susetyowati
Published: March 2019

Background: Malnutrition often occurs in a critical patient caused by various things such as decreasing function of gastrointestinal tract, high process of catabolism and homeostatie destruction. Other problem that may occur when nutrition is given with high total calories could be dangerous because it could cause hiperglikemia, the production improvement of CO blood and worsen the homeostasis destruction.Objective: To find out the difference of PaCO blood in critical patients who obtain commercial enteral food diet or combined enteral food diet.Methods: This was an experimental study using randomized controlled trial with pretest-posttest control group design. The subjects were critical patients who were given care in the intensive installation Dr. Sardjito hospital Yogyakarta who met the criteria: adult patient, using ventilator and receiving enteral food diet.Results: There was no difference between PaCO blood in critical patient who obtained commercial enteral diet and com- bined enteral food diet. There was a change difference of PaCO with <80% from total energy (p=0.03) and there was a different on change of PaCO in carbohydrate intake between criteria >55% compared with <55% from energy total (p=0.03).Conclusion: The improvement of PaCO was not caused by the type of enteral formula given, cause of the high intake of energy and carbohydrate.
Pengaruh status gizi ibu menyusui terhadap eksklusivitas pemberian ASI dan pertumbuhan bayi di RSUD Prof. Dr. WZ. Johannes Kupang
Authors: Soi Beatrix , Julia Madarina , Budiningsari R Dwi
Published: March 2019

Background : Numerous research have been made to find out contributive factors of the exclusive breastfeeding.Objective: The objective of this study was to find out whether mothers’ nutritional status had any influence on the exclusivity of breastfeeding and  on the growth of their babies up to 4 months.Methods: This observational study was carried out with a prospective cohort design and lasted from November 2004 to May 2005. The subjects were 80 pairs of mother and baby treated at the Obstetric and Gynecology Unit (UPF) of Local Public Hospital (RSUD) Prof. Dr. W.Z. Johannes at Kupang – NTT. The subjects were divided into two groups namely Undernutrition status group marked by <23,5 cm mid arm-circumference, and control group comprised 46 mothers of well- nutrition  status who had bigger mid arm-circumference >23,5 cm. Observed babies were those of normal or spontaneous delivery, non twin with >2500 g birth weight. Follow up observations were made at family home and the data on breastfeeding characteristics were collected by interview, babies weight were measured by Secca baby scale with 0,01 kg level of accuracy mid arm-circumference was measured by means of LILA tape, and body length was measured using length-board. Tools measure with 0,1 cm level of accuracy. Some statistical tests were used namely Chi-Square; student’s t-test; and while Kaplan Meier log-rank test as needed.Results: More than 50% of under-nutrition mothers were under 25 years old. Chi-Square test shows that significant difference between mother’s age was (p=0,04). More than 50% of the KEK group gave birth for the first time or ‘primipara’ (p=0,25). Kaplan Meier analysis showed that  there was no difference between survival median of breastfeeding be- tween the both group (p=0,53). t-test showed that there were significant differences of the babies body weight of the both KEK and non KEK mothers, namely pd”0,01, p=0.01, and p=0.03 in the first, second, third, and the fourth month respectively. In terms of the average babies body length, the t-test also showed significant differences between both groups with p=0.02 and p=0.01 in the third and the fourth month respectively.Conclusion: I can be concluded that mother’ nutrition status did not have any influence on the exclusivity of breastfeeding, however, it did significantly influence babies growth from 0- 4 month.
Pengaruh konseling gizi dengan buku saku diet pada pasien hiperurisemia rawat jalan di RSUD Noongan Provinsi Sulawesi Utara
Authors: Reppie Maxie Roudy , Asdie Ahmad Husain , Astuti Herni
Published: March 2019

Background: The prevalence of hyperuricemia in Minahasa was quite high in Indonesia. This is caused by nutrition/food intake and life style factors. These changes can be handled with nutrition counseling activity in order to change attitude and food behavior by using nutrition counseling equipment that is diet pocket book.Objective: In order to find out the influence of nutrition counseling with diet pocket book toward the control of purine intake and blood uric acid level in hyperuricemia patients who experienced outpatient treatment in Noongan district hospital.Method: This was a quasi-experimental research that used pre and posttest control group design. The subject of the research was hyperuricemia patients who experienced outpatient treatment in Noongan district hospital. The subject was divided into two groups: intervention group (n=28 people) which was given nutrition counseling with diet pocket book and control group (n=28 people) which was given nutrition counseling without diet pocket book. The sample was taken purposively.Result: The decreasing average of uric acid in the beginning and end of the research was 1.62 mg/dL in intervention group and 0.85 mg/dL in control group. There was a significant difference on the decreasing average of blood uric acid between respondent in intervention group and in control group. The result of statistical analysis with t-test showed that p=0.000. The purine intake in the beginning of the research was p=0.105 with insignificant different while the purine intake at the end of the research which was p=0.009 also showed insignificant different. If the comparison was the decreasing average of purine intake in the beginning and end of the re-search, there was a decreasing of purine intake in intervention group of 53.78 while in control group was 35.39. The statistical analysis of p=0.000 showed that there was a significant different on the average of purine intake decreasing between respondent of intervention group with respondent of control group. In the high purine of food ingredient in-take, there was an insignificant different of high purine intake decreasing between intervention group and control group with p=1.38. On the other hand, in the intake of medium purine food ingredient showed significant different in the decreasing of purine food intake in the intervention group and control group with p=0.000.Conclusion: The control of blood uric acid level and control of purine intake of hyperuricemia patients who were given nutrition counseling with diet pocket book was better than nutrition counseling without diet pocket book.
Hubungan antara asupan energi, asupan lemak, dan obesitas pada remaja siswa-siswi SLTP di Kota Yogyakarta dan di Kabupaten Bantul
Authors: Medawati Ana , Hadi Hamam , Pramantara I Dewa Putu
Published: March 2019

Background: The prevalence of obesity in young children and adolescents has been increasing very dramatically during the last two decades, especially in big cities. High intake of energy and fat may have contributed to obesity.Objective: To examine the relationship between energy intake, fat intake and obesity among adolescents.Method: A Case Control Study was conducted in 2003. Subjects were Junior High School students, age 10–15 years, living in the city of Jogjakarta and Bantul Regency were included in the study. Data on  nutrition intake were collected by using Food Frequency Questionnaires from 140 obese and 140 non obese junior high school students.Results: On average, the energy intake among cases and controls from the city of Jogjakarta were 2818,32 ± 618,05 kcal/day and 2210,42 ± 329,81 kcal/day respectively. Whereas total average of energy intake among  cases and controls from Bantul were 2416,99 ± 673,52 kcal/day and 1778,09 ± 312,03 kcal/day respectively. Obesity was significantly associated (p < 0.05) with total energy and fat intakes in both city Jogjakarta and Bantul.Conclusion: Obesity was associated with total energy and fat intakes in Junior High School Students.
Pengaruh suplementasi Fe dan Zn terhadap kadar hemoglobin dan kesegaran jasmani pada lansia anemia di Kabupaten Bantul
Authors: Pamungkasiwi Endang , Lestariana Wiryatun , Pangastuti Retno
Published: March 2019

Background: Province of Yogyakarta Special Territory is a province of “elderly” structure population, as viewed from the number of elderly which is 15% of total population. Anemia is one of nutrition problems of elderly which reaches as high as 50%. This is caused by low intake of iron and other substances related to iron metabolism process in forming hemoglobin. Low hemoglobin concentration can be one of causes of elderly declining physical fitness. Efforts to overcome anemic problems can be done through the supply of iron and zinc for the elderly twice a week.Objective: To know effect of iron and zinc supply to hemoglobin concentration and physical fitness for anemic elderly at Bantul District, Province of Yogyakarta Special Territory.Methods: The study was a randomized double blind controlled trial design. Subject of the study were anemic elderly that fulfilled inclusion criteria. The supply of iron, combination of iron and zinc to trial group was given twice a week on different days, supply of iron was given on Monday and Thursday, while supply of zinc was given on Tuesday and Saturday. Laboratory and physical fitness examination to both group were done prior and after treatment. Nutrition intake data were achieved through food record. Next, to know effect of iron, iron and zinc supply to elderly hemoglobin concentration and physical fitness, covariant analysis was done.Results: The result of the study showed that after 3 months’ treatment, there was significant difference of hemoglobin concentration caused by different treatment of group with iron supply, iron and zinc combination supply and control group (p=0.012) although iron and combined iron and zinc supply had equal effectiveness in increasing hemoglobin concentration (p=0.404). There was no significant relationship between elderly hemoglobin concentration and physical fitness (p=0.448). This showed that treatment given affected increase of hemoglobin concentration but the supply and  increase of  hemoglobin concentration did not affect increase of elderly physical fitness.Conclusion: The supply of iron and combined iron and zinc increase hemoglobin concentration, but the supply and in- crease of hemoglobin concentration did not increase the elderly physical fitness.
Hubungan pola makan dengan sindroma metabolik pada karyawan PT.Unocal oil company di offshore Balikpapan Propinsi Kalimantan Timur
Authors: Sudarminingsih Sri , Lestariana Wiryatun , Susetyowati Susetyowati
Published: March 2019

Background: 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 < 40 mg/dl.Objective: This research was aimed to explore the extent to which food habit relates with metabolic syndrome among offshore workers employed by Unocal Oil Company Ltd. Located in Balikpapan.Method: The study which was an observational-analytical was then carried out using case-control design, with comparison 1:1 (matched case control). Nutrients intake measured using the 3 x 24 hours recall method. Chi squares, t- test, odd ratios, and logistic regressions were performed to determine statistical significant among variables.Result: The study showed that energy intake > 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
Authors: Fatimah Siti , Kuncoro Tjahjono , Castro Toto
Published: March 2019

Background: 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.
Pola konsumsi makanan di luar rumah sebagai faktor risiko terjadinya obesitas pada remaja SMP di Kota Palembang
Authors: Podojoyo Podojoyo , Hadi Hamam , Huriyati Emy
Published: March 2019

Background: Teenagers nutriture are complicated because teenagers often ignore meal time, have snacks and do not eat regularly so that eating out such as having fast foods becomes a favorite choice. Prevalence of obesity among teenagers in Yogyakarta is 7.8%, Tangerang 5.01% and Surabaya 6.5%. Changes of eating pattern in the family and habit of eating out at restaurants or food courts are presumed as factors that increase prevalence of obesity at Palembang Municipality.Objectives: To explore  prevalence of obesity and identify relationship of eating out pattern among obese and non obese junior high school teenagers at Palembang Municipality.Method: First, a survey was done to 1,300 junior high school teenagers at Palembang Municipality to find out prevalence of obesity using cross sectional design with cluster random sampling technique. Next, to find out relationship between eating out consumption pattern and obesity, case control study with simple random sampling technique was used. Total number of samples in case control design was as many as 174 people, matched with age, sex, and grade. The study was conducted in July–December 2005. Data were analyzed using univariable, bivariable, and multivariable techniques.Results: Prevalence of obesity among junior high school teenagers at Palembang Municipality was 6.62%. There was no significant relationship (p>0.05) between eating out fre- quency, consumption of energy, protein, fat and carbohydrate, and occurence of obesity. There was significant relationship  (p<0.05) between total consumption of energy, fat, carbohydrate, frequency of eating in, obese status of parents, social economic status of the family, education of fathers and mothers, and occurence of obesity. Conclusions: Factors related to occurence of obesity were frequency of eating in, total consumption of energy, obese status of parents and education of fathers. The factor most dominantly related to obesity was frequency of eating in.
Pengaruh pelatihan asuhan gizi dalam meningkatkan kinerja ahli gizi ruang rawat inap di RSUD DR. Soetomo Surabaya
Authors: Nurlela Indrawati , Kuntjoro Tjahjono , Castro Toto
Published: March 2019

Background: Nutrition service department is a part of health care components in a hospital. This department is expected to have better image. Training is needed to improve work performance of dietitians in achieving a professional work.Objective: To find out the influence of nutrition training to work performance of dietitians.Method: This study was pre-experimental with before-after design without control group. Subjects consisted of 15 dietitians and 90 inpatients at Dr. Soetomo Hospital, Surabaya. Data were collected through observation and assessment using questionnaires and check-list, and then analyzed using computer software.Results: There were significant influences of nutrition training to dietitians’ knowledge and attitude (p<0.05). The competence was also significantly improved (p<0.05) with the differentiation points at the first, second, and third month (50.42, 56.16, and 54.11 respectively). Nutrition service output was also significantly improved (p<0.05) with the differentiation points at the first, second, and third month (12.86, 12.40, and 11.06 respectively). There were significant differences in patient satisfaction only when they ate vegetables for lunch, vegetables for dinner, and fruits for lunch (p<0.05).Conclusion: Nutrition training improved work performance of dietitians in providing service for inpatients at Dr. Soetomo Hospital, Surabaya.
Pelaksanaan asuhan gizi dengan pendekatan terapi gizi medis (TGM) berpengaruh terhadap asupan gizi pasien di RSUD Kota Bekasi
Authors: Yuliati C Ika , Gunawan I Made Alit , Budinigsari R Dwi
Published: March 2019

Background: 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).
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
Authors: Ferry Ferry , Kushartanti Woro , Noerhadi Mochammad
Published: March 2019

Background: 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.
Usia penyapihan dan hubungannya dengan intelegensi pada siswa TK
Authors: Purwandari Hesti , Prawirohartono Endy Paryanto , Hartati Sri
Published: March 2019

Background: Nutrition is the important aspect in improving quality of human being resources. Malnutrition is still a problem in Indonesia. This problem is caused by some factors, those are direct and indirect factors. Direct factors consist of dietary intake and infection disease. Dietary intake is a combination of breast milk and complementary foods. Indirect factors consist of food supply at home, treatment of pregnant mother and children, and health service. Early weaning will generate malnutrition at young age if it is not complemented with sufficient feeding. Malnutrition at young age can affect brain function permanently, because the development of brain will be optimum before two years old. This condition can influence the development of chidren’s intelligence.Objective: The objective of the study was to find out the relationship between weaning age and intelligence.Method: This was a cross sectional study, at kindergarten in Mlati Sub-district. Subjects were recruited based on a simple random sampling technique. There were 194 children and mothers who met the inclusion criteria and the exclusion criteria. Those were who had chronic disease and never got breastfeeding. Instruments in this study were questionnaire, microtoise, and Standford-Binet test. Data were analysed with chi square test.Results: The study showed that 52.6% of children had the age of weaning <2 years and 47.4% had weaning at >2 years. Out of 194 children, 79.9% were normal and 20.1% of them were stunted. There were 97.7% of children who had good intelligence, whereas 2.1% of them had low intelligence. There was no significant relationship between nutritional status and intelligence (p=0.181), but there was significant relationship between cognitive stimulation and intelligence (p=0.037). There was no significant relationship between weaning age and nutritional status (p=0.209), and neither was relationship between weaning age and intelligence (p=1.000).Conclusion: There was no significant relationship between nutritional status and intelligence.
Asupan yodium dan asupan goitrogenik hubungannya dengan status gangguan akibat kekurangan yodium (GAKY) pada anak sekolah dasar di Kabupaten Dairi Provinsi Sumatera Utara
Authors: Sitohang Urbanus , Sudargo Toto , Widagdo Dhuto
Published: March 2019

Background: 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%: 2.2–7.2) with OR 3.9. There was significant relationship between IDD and thiocyanate intake (p < 0.05, CI 95%: 3.0–11.3) with OR 5.9, but there was no significant relationship between thiocyanate 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.
Jenis kelamin anak, pendidikan ibu, dan motivasi dari guru serta hubungannya dengan preferensi makanan anak sekolah pada anak prasekolah di TK Universitas Muhammadiyah Purwokerto
Authors: Proverawati Atikah , Prawirohartono Endy Paryanto , Kuntjoro Tjahjono
Published: March 2019

Background: 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 children
Pemberian suplemen seng sulfat dan pengaruhnya terhadap kadar seng serum dan jumlah CD4+ pada wanita usia lanjut sehat
Authors: Sari Yang Rusfinda , Juffrie Muhammad , Pramantara I Dewa Putu
Published: March 2019

Background: Aging is a natural process which happens to all living creatures. Aging is followed by declining physiological function. Elderly is a risk factor of micronutrient deficiency including zinc which has an important role in the immune system. This condition causes declining cellular immunity functions through reduced amount of CD4 .Objective: To identify the effect of zinc sulphate supply to serum zinc level and amount of CD4  among the elderly.Method: The study used clinical test research design, one group pre-post test design (before and after trial). Subject of the study were “healthy” elderly individuals of more than 60 years old, willing to be studied. Assessment on nutritional status, physical examination and zinc level were made to the subjects. Next, subjects were supplied with 15 mg of zinc supplement once a day for 28 days. Then, re-examination was made to identify zinc level and the amount of CD4  lymphocyte. Statistical analysis used paired t-test.Results: Average age of the elderly observed (n = 30) was 64.43 ± 3.10 years. Average zinc level before the study was 5.85 ± 1.95 μmol/L, as many as 26 subjects (86%) had zinc under normal level, 4 subjects (14%) had normal zinc level + + + and no subject had zinc above normal level. Zinc level at the end of the study increased in as many as 27 subjects (90%) with average as 4.54 ± 3.84 μmol/L (p < 0.001). The amount of CD4  lymphocyte increased in 11 subjects (36%) with + average increase 26.83 ± 137.46 (/mm) (p = 0.29). Factors affecting increase of CD4 lymphocyte were age, weight, score of mini nutritional assessment and upper arm circle, and preliminary zinc level.Conclusion: The supply of 15 mg zinc for 28 days among the elderly could elevate serum zinc level significantly and could increase the amount of CD4  lymphocyte only in 11 subjects (36%).