bluuebunny/crossref_metadata_2025 huggingface dataset:
Asupan protein dan fosfor, rasio fosfor-protein, dan kadar fosfor darah pada pasien gagal ginjal kronis dengan hemodialisis
Authors: Syauqy Ahmad , . Susetyowati , . Suhardi
Published: March 2019

Background: Hyperphosphatemia has become one of the main causes of death in CKD patients on HD. Thus, correction and prevention of hyperphospatemia is a major component in the management of HD patients. High protein diet in HD patients may lead to increased serum phosphate level due to mineral metabolism disorder associated with decreased glomerular filtration rate. In addition, high protein intake often followed by high phosphate intake as high protein foods also contains high phosphate and may cause hyperphosphatemia. Meanwhile, reduction of protein intake to control phosphate level was associated with decreased health and nutritional status in CKD patients. Therefore, appropriate phosphate-protein ratio is essential to provide adequate protein intake and avoid hyperphosphatemia.Objective: To investigate the association between protein and phosphate intake, phosphate-protein ratio and blood phosphate level in CKD patients on routine HD.Method: The study used an analytic observational method with cross sectional design. There were 100 subjects involved in this study. Subject characteristics, protein and phosphate intake, phosphate-protein ratio and intake of phosphate binders were obtained through interview and 3 x24 hour food record. Serum phosphate level was analyzed by inorganic phosphorus quantification method. Food processor was used to analyze the intake of protein and phosphate. Bivariate and multivariate tests with 95% confidence interval were used to analyze the data.Results: Adequate protein intake was observed among 38% subjects, while 46% of them have excess phosphate intake.High phosphate-protein ratio was found in 20% subjects. Most subjects did not take phosphate binders regularly (61%) and have hyperphosphatemia (66%). The average protein intake, phosphate intake, phosphate-protein ratio, and blood phosphate level were 1.1 g/kg/d, 13.5 mg/kg/d, 12.8 mg/g, and 5.6 mg/dl, respectively. Bivariate test showed that there was a significant association between protein intake (p=0.037; RP=2.78), phosphate intake (p=0.005; RP=3.54), phosphate-protein ratio (p=0.045; RP=3.85), and blood phosphate level in CKD patients on routine HD. Multivariate analysis revealed that high phosphate intake and did not consume phosphate binders regularly  were risk factors of hyperphosphatemia (p=0.000; OR=6.543; CI 95%:2.357-18.164 dan p=0.024; OR=3.413; CI 95%:1.179; R2=0.42).Conclusion: Consumtion of low phosphate foods and phosphate binders may reduce the risk of hyperphosphatemia in CKD patients on routine HD.
Efek suplementasi vitamin A pada ibu nifas terhadap pertumbuhan bayi umur 0-4 bulan
Authors: Abdullah Abdullah , Prawirohartono Endy Paryanto , Helmyati Siti
Published: March 2019

Background: Vitamin A deficiency is a nutritional problem in infants since breastmilk insufficiently contains vitamin A. Therefore it is necessary to study the effect of vitamin A supplementation to mothers at parturition period on growth and morbidities of infants at 0-4 months of age.Objective: To identify the effect of vitamin A supplementation to mothers at parturition period on growth and morbidities of infants at 0-4 months of age.Method: We conducted a randomized controlled trial from March-July 2009 at Province of Lampung. We recruited 90 mothers that were grouped into vitamin A supplementation group and socialization about vitamin A group during parturition period. The outcomes of this study were growth in WHZ and morbidities of infants at 0-4 months of age measured as duration of acute diarrhea and upper respiratory infections. Statistical analysis was performed by using Chi-Square and t-test.Results: The growth of infants of 0-4 months from vitamin A supplemented mothers was not significantly different from the socialization group. Duration of diarrhea and acute respiratory tract infection of infants from supplemented mothers at parturition period was significantly shorter than of infants from socialization group.Conclusion: The growth of infant at 0-4 months of age from vitamin A supplemented mothers at parturition period were not significantly different from those who were from education group. Duration of diarrhea and acute respiratory tract infection of infants from vitamin A supplemented mothers at parturition period were shorter than those who were from education group.
Ketahanan pangan rumah tangga, status gizi, dan prestasi belajar siswa sekolah dasar
Authors: Sujai Akhmad , Adiyanti Maria Goretti , Huriyati Emy
Published: March 2019

Background: Poverty and lack of income will cause inability of the family to provide enough and nutritious food for all the family members. Fulfillment of nutritious food will bring direct impact to nutrition status of children. Malnutrition will affect brain development and intelligence that in the long run disrupts academic achievement.Objective: To identify association between food security of the household and nutrition status with academic achievement of elementary school students at Yogyakarta Municipality.Method: The study was observational with cross sectional design. Samples were students of grade V of elementary school at Subdistrict of Gedongtengen, Yogyakarta Municipality. Data of food security of the house were obtained through interview based on questionnaire of Radimer/Cornell, nutritional status data used height for age collected by measurement, and academic achievement through secondary data, i.e. original score of final semester examination. Statistical analysis was performed by using Chi-Square and Fisher’s Exact test.Results: As much as 67.6% of the household were food insecure and 13.3% of students were stunted. Food security of the household was significantly associated with nutrition status (p=0.033) and achievement in mathematics (p=0.045). There was association between nutrition status and achievement in mathematics (p=0.035); Indonesia language (p=0.000); and combined achievement in Mathematics, Indonesia language and science (p=0.004).Conclusion: There was association between food security of the household and nutritional status with academic achievement of student. There was association between food security of the household and nutrition status.
Pengukuran status gizi pasien anak menggunakan metode subjective global nutrition assessment (SGNA) sebagai prediktor lama rawat inap, status pulang dan kejadian malnutrisi di rumah sakit
Authors: Wahyuni Sri , Julia Madarina , Budiningsari R Dwi
Published: March 2019

Background: Malnutrition in hospitalized patients is associated with longer stay, higher risk of complication and mortality.Subjective Global Nutrition Assessment (SGNA) is a recently discovered method to assess nutritional status.Objective: To assess the association between nutritional statuses of under-fi ve year old patients measured with SGNA and length of inpatient stay, discharge status and occurrence of malnutrition.Methods: Under-fi ve year old patients hospitalized in Pediatric Ward of Pekanbaru Hospital had their nutritional status measured with SGNA on admission. Three groups were identifi ed: exposed to bad nutritional status, i.e. SGNA C (worst) and B (moderate), and not exposed to bad nutritional status (SGNA A). Length of hospital stay, discharge status and occurrence of malnutrition in exposed groups (SGNA B and C) were independently compared to non-exposed group (SGNA A) as the reference. Other variables measured were types of diseaseand intake of energy and protein.Results: Children with SGNA C and B had higher risk to stay longer in hospital, i.e. RR (95%CI) of 3.2 (1.7-6.0) and 2.5 (1.3 – 4.9), respectively. They had also higher risk for discharged without complete recovery, i.e. RR (95%CI) of 3.3 (1.8-6.2) and 2.2 (1.1 – 4.3), respectively. Children with SGNA C had higher risk for hospital malnutrition, i.e. RR (95%CI) of 2.8 (1.5-5.2), but not children with SGNA B. Types of disease, energy and protein intake were not important effect modifi ers for this association.Conclusion: Nutritional status on admission was signifi cantly associated with length of hospital stay, discharge status and occurrence of hospital malnutrition.
Analisis zat gizi dan biaya sisa makanan pada pasien dengan makanan biasa
Authors: Djamaluddin Mihir , Prawirohartono Endy Paryanto , Paramastri Ira
Published: March 2019

Background: The quality of food service in a hospital can be assessed from the inpatients’ nutritional status. Food waste is an indicator of food service among inpatients. Besides its therapeutic value, food has a significant economic value. The wasting cost in term of food waste affects the total availability of food costs.Objective: This study analyzes the nutrient quantity and the cost of food waste among inpatients with regular diet at Dr. Sardjito Hospital, Yogyakarta.Method: This was a cross sectional study. The subjects were inpatients aged 17 to 60 years old who got regular diet with length of stay was at least three days, and were willing to take part in this study (n=100). The amount of food waste was measured using the Comstock visual estimation. The cost of food waste was calculated as the proportion of food waste from cost per serving. The quantity of nutrients in food waste was calculated using the Food Processor 2 software. The data were analyzed using Chi-square test.Results: There was a difference of food waste according to gender. Rice waste was found more frequent among female (p<0,005). There was a difference of food waste according to ward class. There were more waste of meat and vegetables among inpatients in class II and the difference was significant (p<0,05). There were more waste of meat and vegetables among patients with length stay of 7 – 14 days and > 15 days (p<0,05). The vegetables and rice waste were more frequent among surgery and cancer inpatients (p<0,05). In average the nutritional value of food waste was 19,85% - 9,33% of a patient’s RDA, while the wasting cost per day was Rp 1265,08 or 10,79% of all food cost per day. The annual wasting cost of food waste was Rp 45.543.120 or 4,4% of the available budget of Rp 1.038.605.333,00.Conclusion: There were differences of food waste according to gender, ward class, length of stay, and kind of disease, especially rice, meat, and vegetables.
Aktivitas fisik pada remaja SLTP Kota Yogyakarta dan Kabupaten Bantul serta hubungannya dengan kejadian obesitas
Authors: Huriyati Emy , Hadi Hamam , Julia Madarina
Published: March 2019

Background: The prevalence of obesity is markedly increasing, both in developed and developing countries. Whether physical activity contributes to the obesity in Indonesian adolescents is still unknown.Objective: To assess whether physical activity is associated with obesity in junior high school adolescents in Yogyakarta. Methods: A case control study was conducted in Yogyakarta Province in 2003. Subjects were 140 obese and 140 non- obese junior high school adolescents in Yogyakarta and Bantul, randomly chosen from an obesity survey performed previously. Pattern and duration of activity were assessed using IPAQ modified questionnaire. The activities were than sorted into light (sedentary), moderate and vigorous activities.Results: There was significant difference in the distribution sedentary activity between adolescents of Yogyakarta and Bantul (p<0.0001). The mean duration of sedentary activity in Yogyakarta was 12.4 hours/day while in Bantul was 11.0 hours/day. Obese adolescents spent longer time in sedentary activity than non-obese adolescents (p=0.002). The odds of being obese in adolescent whose sedentary activity was longer than 13 hours/day were almost doubled.Conclusions: Urban adolescents spent more time for sedentary activities than rural adolescents, so were obese adolescents. The association of sedentary activities to obesity is independent from other factors such as calorie intake and parental obesity status.
Pengaruh suplementasi tablet fe mingguan dan harian terhadap kepatuhan minum tablet Fe dan perubahan kadar hemoglobin pada ibu hamil di Kabupaten Bantul Yogyakarta
Authors: Susetyo Dwi , Hakimi Mohammad , Hadi Hamam
Published: March 2019

Background: In Indonesia, in 1995, 50.9% pregnant women suffer from Iron Deficiency Anemia (IDA).Objective: To compare the effect of weekly iron/folate vs standard daily iron/folate supplementation in pregnant women on compliance and hemoglobin level.Methods: The study was a quasi-experimental, non-equivalent control group design. Pregnant women with 20-28 week gestation were enrolled in this study in Bantul District. They were divided into two groups. One group (n=70), in Pajangan and Sewon Sub District, was given 120 mg iron/0,50 mg folate once a week, and the second group (n=65), in Bambang Lipuro and Pundong Sub District, received 60 mg iron/0,25 mg folate per day. Compliance with supplementation was assessed by the women self-reporting, pill count, and stool test. To measure hemoglobin level, the cyanmethemoglobin method was conducted.Results: Compliance was significantly higher in the weekly group (84.69% compared with 71.94%, p=0,004). A multiple logistic regression analysis indicated odds ratio 6.605, it means that in the weekly group compliance was 6,6 times higher than in the daily group. Hemoglobin level increased in both groups. There was no significant difference between groups for changes in hemoglobin. Initial haemoglobin values for the weekly (m=11.61 g/dl) and daily (m=11.27 g/dl) groups as well as final hemoglobin values (11.99 g/dl and 11.83 g/dl, respectively) did not differ significantly between the two groups.Conclusion: Supplementation on a weekly basis is as effective as daily supplementation in improving iron status in pregnant women. In the weekly group, compliance can be ensured.
Pengetahuan, sikap dan ketrampilan penjamah makanan yang diberi pelatihan keamanan pangan di Instalasi Gizi RS Jantung Harapan Kita
Authors: Prasetyaningsih Ani , Sudargo Toto , Susilo Joko
Published: March 2019

Background: Food poisoning occurrence in Indonesia is increasingly growing. Studies also show that nosocomial infection of digestive tract happens in some hospitals because of bacteria transmission. Lack of knowledge, attitude and skills of food handlers about food safety will lead to high risk of disease occurrence cause by food. To prevent such on occurrence, training on food safety for food handlers at hospitals should be held.Objective: To know knowledge, attitude, and practice of food handlers trained on food safety at nutrition installation of Harapan Kita Heart Cardiovascular Hospital..Methods: The study was a quasi-experiment which used pre test-posttest times series design. Subject of the study were 40 food handlers out of 73 total population. Each subject was trained on food safety and observed 3 times (prior to training, 1 month and 2 months after training). Data were analyzed using SPSS for windows version 10.0.Results: After training on food safety given for 5 days there was significant increase of knowledge, attitude and skill of food handlers with p=0.00 (p<0.05) at the period before up to 1 month after training and at the period before up to 2 months after training, but at the period of 1 month up to 2 months there was significant decrease with p=0.00 (p<0.05). Respondent characteristics consisting of age education and length of work did not have significant relationship (p>0.05) with knowledge, attitude and skills of food handlers.Conclusion: There was increase of knowledge, attitude and skill of food handlers before and after 1 month of training.
Studi kohort prevalensi obesitas siswa siswi sekolah lanjutan tingkat pertama (SLTP) Kota Yogyakarta
Authors: Huriyati Emy
Published: March 2019

Background: The prevalence of obesity is continuously in-creasing both in developed and developing countries. This increasing prevalence of obesity may be associated with the increasing exposure to obesogenic environment.Objective: To know the trend of obesity prevalence among Rural Junior High School in YogyakartaMethod: This cohort study was conducted in Yogyakarta at 2003 from August to October and at 2005 from June to September.Result: The prevalence of obesity in 2003 showed 7.3% and 10.3% in 2005. Thus, it increased 3% during 2 years. But prevalence of obesity was not increased among 1440 students who followed body mass index percentile based on center for chronic disease (CDC) 2000.Conclusion: During 2 years, the change of obesity status had not significantly shown because obesity occurred in a long period. While the increasing obesity prevalence occurred.
Pengaruh pendidikan gizi pada murid sekolah dasar terhadap peningkatan pengetahuan, sikap dan perilaku ibu keluarga mandiri sadar gizi di Kabupaten Indragiri Hilir
Authors: Zulkarnaini Zukarnaini , Castro Toto , Widodo Untung
Published: March 2019

Background: KADARZI could be realized by optimizing the role of family, namely by increasing nutrition knowledge, changing attitude and behavior and developing independent family. The poor knowledge, attitude and behavior of society, especially house wives, to-ward nutrition and health are important factors which influence the realization of KADARZI programme. The evaluation of KADARZI programme in 2002 in Indragiri Hilir resulted 22.41% from the target 80%. One way to increase society’s knowledge, attitude and behavior toward nutrition is by giving nutrition education during early life.Objective: The study was purposed to investigate the influence of nutrition education among elementary school students to KADARZI house wives knowledge, attitude and behavior.Method: This was quasi experimental with non-randomized control group pretest-posttest study. Subjects were elementary students in the fourth, fifth, and sixth class along with their mothers. The place was in Indragiri Hilir district. Subjects were gathered by purposive. The quantity of subjects were determined with sample formulation, knowledge, attitude and behavior data were gathered by interview and observation adjusted in questionnaire list. Characteristic was analyzed with chi square, statistic test with t-test, with significance level of p=0.05.Result: The analysis of age, education, occupation, the number of household members and family income of both group were similar. Pretest analysis of knowledge, attitude and behavior among students and mothers in both groups were also similar in both groups before intervention. Posttest analysis of knowledge, attitude and behavior of treatment group were significantly increased (p<0.05). While in the control group showed insignificant differences (p>0.05). Analysis among mothers whose children got no intervention showed there were no significant differences (p>0.05). While mothers whose children got intervention showed insignificant differences in knowledge and attitude but behavior.Conclusion: Nutrition education about KADARZI on elementary student couldn’t increase mother’s knowledge and attitude but behavior.
Hubungan asupan protein dan lemak dengan status kesehatan mulut anak usia prasekolah di Kecamatan Jetis Kabupaten Bantul D.I. Yogyakarta
Authors: Handijani Jatri , Supartinah Al , Budiningsari R Dwi
Published: March 2019

Background: The main problem of children’s oral cavity are caries and gingivitis. One cause of caries and gingivitis is plaque of which its formation and composition are affected by nutritional factor. Nutrition can be cariogenic or non-cariogenic both of which can bring direct or indirect impact to oral cavity. In the oral cavity both protein and fat are non-cariogenic.Objective: To identify the relationship between protein and fat intake with oral health status (level of caries seriousness, oral cleanliness, gingiva health and saliva acidity) of preschool children in Jetis subdistrict, Bantul District, Yogyakarta Special Territory.Methods: This was an observational study which used a cross sectional design. Subject of study were 100 children of 4-6 years old taken by using propotional random sampling. Data collected consisted of eating pattern, respondent characteristics, level of caries seriousness, oral cleanliness, gingiva health and saliva acidity. Data analysis used Person correlation statistic and linier regression. Data collected consisted of eating pattern, respondent characteristics, level of caries seriousness, oral cleanliness, gingival health status and saliva acidity. Data analysis used Pearson correlation statistic and linear regression tests.Results: Result of the study showed that there was relationship between protein and fat intake with oral cleanliness and saliva acidity (p<0.05) and there was no relationship between protein and fat intake with level of caries seriousness and gingiva health (p>0.05).Conclusion: There was relationship between protein and fat intake with oral health status (oral cleanliness and saliva acidity), but not with oral health status (level of caries serious- ness and gingiva health).
Pengaruh penyuluhan manfaat sayur dan buah terhadap asupan zat gizi remaja obesitas siswa/siswi SLTP di Kota Palembang
Authors: Yulianto Yulianto , Hadi Hamam , Budiningsari R Dwi
Published: March 2019

Background: Indonesia is a tropical country rich in various vegetables and fruits which are necessary for health because they contain lots of vitamins, minerals and fibers. However, Indonesian children and teenagers do not often pay attention to balanced nutrition, particularly vegetables and fruits. They even tend to choose fast food which may lead to occurrence of obesity. Prevalence of obesity among teenagers becomes an important issue because it persists to adulthood. Impact of obesity is a threat to public health and needs serious attention. Considering the important role of vegetables and fruits for health especially among obese teenagers, awareness on the necessity of consuming those needs to be made and built through nutrition counseling.Objective: The objective of the study was to identify the effects of counseling on the advantages of vegetables and fruits consumption to nutrient intake (energy, protein, fat, carbohydrate and fiber) among obese teenage students of junior high school at Palembang Municipality.Method: The study was quantitative with quasi experimental design. Subject of the study were obese teenage students of junior high school at Palembang Municipality aged 12 – 15 years old. There were 72 respondents of intervention group and 72 respondents of control group. Samples were taken using non random sampling technique. T-test was used to find out effects of counseling to consumption of vegetables and fruits and nutrient intake before and after intervention.Result: Delta average value of fruit consumption and nutrient intake (energy, fat, carbohydrate, and fiber) based on t-test analysis showed significant difference in both groups with p<0.05. Meanwhile, delta average value of vegetable consumption and nutrient intake (protein) did not show significant relationship (p>0.05).Conclusion: Counseling on the advantages of vegetables and fruits affect consumption of fruits and nutrient intake (energy, fat, carbohydrate and fiber).
Pengaruh penyuluhan dengan media audio visual terhadap peningkatan pengetahuan, sikap dan perilaku ibu balita gizi kurang dan buruk di Kabupaten Kotawaringin Barat Propinsi Kalimantan Tengah
Authors: Rahmawati Ira , Sudargo Toto , Paramastri Ira
Published: March 2019

Background: The incident of malnutrition, when it is being examined, will caused mortality in 54% children under five years old. Malnutrition in children under five years old based on districts in Indonesia with prevalence of > 40% (very high) is located in 35 districts which one them is West Kotawaringin district (Kobar). The result of nutrition status measurement survey or statistic center survey in Kobar district in the year of 2005 showed that the prevalence of lack nutrition of children under five years old was 13.1 % and malnutrition was 2.3%. Children under five years old who were below the red line from January to May 2006 was 5%, 4%, 4%, 4.1% and 4.6%. The improvement of nutrition condition is necessary to improve health, decrease mortality rate of infants and children under five years old, improve the ability of growth, physical, mental, child social, work productivity as well as academic achievement. One of the approaches that are often used is by conveying message or information through education, teaching and information so that it can be well obtained and understood.Objective: This research was aimed to improve knowledge, attitude and behavior of mother of children under five years old who joint the health information with audiovisual media, module and control as well as to find out the different level of the improvement before and after intervention.Method: This was a quasi-experimental research that used pretest – posttest with control group design (random allocation). The population was allocated in three groups; control, treatment and audiovisual groups with 15 mothers who had mildly and severely malnourished children under five years of age respectively.Result: The improvement of knowledge, attitude and behavior of mothers who had children under five years old who joint the information with audiovisual media was higher than those who joint the information with module and control group. There was a difference on knowledge, attitude and behavior of mother of children under five years old before and after intervention.Conclusion: The result of the research showed that, in general, audiovisual method was better than module method and module method was better than without intervention (control group). Therefore, audiovisual was the best method to be used.
Pertumbuhan dan perkembangan anak gizi buruk masa lalu di Kabupaten Tanggamus Provinsi Lampung
Authors: Suhartono Suhartono , Boediman Drajat , Castro Toto
Published: March 2019

Background: Undernutrition is one of factors that influences growth and development of children and causes lost generation. In Indonesia, 2.4 million of underfives suffered from undernutrition and 7 millions of them suffered from protein energy malnutrition. In Tanggamus Regency, 46% of children suffered from protein energy malnutrition and 81 cases suffered from undernutrition.Objective: To identify the relationship between children’s previous undernutrition and their recent growth and development.Method: The study was observational with cross sectional design. Subjects were all undernutrition cases nursed in Regional Public Hospital of Pringsewu Tanggamus from 1999–2001. Antropometric measurement was done to children’s weight and height. The anthropometric indicators were weight for age z-score (waz), height for age z-score (haz), and weight for height z-score (whz). Raw motoric development was measured using Denver test. Data collected using questionnaire were child internal factors and external factors of family’s characteristics and health service. One variable analysis was done descriptively, while t-test was used to know the relationship between children’s previous undernutrition and their recent growth development.Results: There was relationship between previous undernutrition of children and their recent growth (p<0,05), but there was not relationship between undernutrition and their development (p>0,05). The other factor that had relationship with their development were the achievement of D/S (p<0,05). Factors of nutritionist, midwife, intervention, TBC’s suspect, head of household education, mother education, member of family, children’s parity, social status, salary, scope of D/S, scope of N/D, and scope of vitamin A tablet supplementation did not have the relationship with the growth and development of children (p>0,05).Conclusion: There was relationship between previous undernutrition of children and their recent growth, but there was not with the recent development of children. The achievement of D/S was the other factor that had relationship with the growth of children.
Manajemen distribusi kapsul yodium pada ibu hamil di daerah endemik gangguan akibat kekurangan yodium (GAKY) di Kabupaten Gunung Kidul Provinsi Daerah Istimewa Yogyakarta
Authors: Hasanu Hasrun , Hadi Hamam , Castro Toto
Published: March 2019

Background: Iodine deficiency disorder (IDD) is a public health problem in Indonesia and this is closely related to intelligent and mental development disorder. Bad effect of IDD to pregnant mothers who suffer from serious IDD problem may happen during their second trimester pregnancy, however, such effect may be overcome by giving iodine substance supplement. Risks that may happen to pregnant mothers, especially to fetus and infants are miscarriage, stillbirth, born disabled, birth with low body weight, cretin, psychomotor disorder, and death in infancy. According to the result of IDD mapping, Total Goiter Rate at Gunung Kidul District is 12.6%. Short term effort to overcome IDD is distributing iodine capsule to the target, but there is problem in its implementation especially in the management process and resources.Objectives: To determine relationship between management factor and iodine capsule distribution coverage to pregnant mothers at IDD endemic area, Gunung Kidul District.Methods: The study was observational with cross sectional design which used both quantitative and qualitative approaches. Subjects were all nutrition staff and pregnant mothers at community health centers of IDD endemic areas at Gunung Kidul District.Results: There was significant relationship between iodine capsule intake status and urine iodine level (χ2=23.0 p<0.001). This showed that iodine capsule intake status could increase urine iodine excretion level of pregnant mothers. Management process (planning, implementation, control) had significant relationship with urine iodine excretion level of pregnant mothers subsequently (χ2=5.4, p=0.02, OR=1.86, χ2=16.64, p<0.001, OR=2.98, χ2=8.74, p=0.004, OR=2.23). This meant that good management process could increase iodine capsule intake status. Resources (human resources, facilities, fund) had significant relationship with iodine capsule intake status of pregnant mothers subsequently (χ2=4.65, p=0.043, OR=1.83, χ2=6.04, p=0.019, OR=1.94, χ2=6.04, p=0.019, OR=1.94). This showed that sufficient resources could increase iodine capsule intake status of pregnant mothers. Iodine capsule intake status of pregnant mothers was low, i.e. 86 persons of average 35.5% out of 263 respondents and median of urine iodine excretion of pregnant mothers belonged to IDD endemic category, i.e. 86.58 g/dL.Conclusion: Management process and resources had not functioned well and there was significant relationship between management process (planning, implementation, control); and resources (staff, fund, facilities) with coverage of iodine capsule distribution to pregnant mothers. Iodine capsule intake status of pregnant mothers tended to increase urine iodine excretion level of pregnant mothers.
Status gizi, asupan zat gizi mikro (kalsium, magnesium) hubungannya dengan sindroma premenstruasi pada remaja putri SMU Sejahtera di Surabaya
Authors: Christiany Irine , Hakimi Mohammad , Sudargo Toto
Published: March 2019

Background : Premenstrual syndrome generally known as the interruption the existing hormonal changing during menstrual cycle that will disturb the emotional and physical comfortable. It works on women during the reproductive age. The syndromes are denoted by the amount of signs and symptoms that occurred during fase luteal at the menstruation cycle. Psycho-emotional problems are more than common premenstrual complaint, although physical anxiety more often occurred during menstruation period. Factors of micronutrient intake (calcium, magnesium) greatly affect mood and behavior during premenstrual syndrome.Objective : The study was to identify relationship between nutritional status, micronutrient intake (calcium, magnesium), and premenstrual syndrome among female adolescence.Method : The study was observational or non-experimental which used cross sectional design. The populations were female adolescence of Sejahtera Senior High School at Surabaya. Samples were taken using total sampling technique because the subject had been determined to those aged 16–18 years. As many as 97 people fulfilled inclusion criteria. Data processing and analysis used univariable, bivariable, and multivariable techniques. Statistical test used logistic regression. Result : The result of the study showed that there was no significant relationship between good nutritional status and occurence of premenstrual syndrome (p = 0.086; OR = 2.278; 95% CI = 0.980-5.295), between calcium intake and premenstrual syndrome (p = 0.032; OR = 2.910; 95% CI = 1.176-7.200), between magnesium intake and premenstrual syndrome (p = 0.012; OR = 3.319; 95% CI = 1.369-8.043). There was significant relationship between calcium and magnesium intake and premenstrual syndrome. Conclusion : The result of multivariable analysis showed that nutritional status, intake of calcium and magnesium had significant relationship with premenstrual syndrome.
Ekstrak air daun ceplikan (Ruellia tuberosa L.) serta pengaruhnya terhadap kadar glukosa darah dan gambaran histologis pankreas tikus putih (Rattus norvegicus) diabetes mellitus
Authors: Tandri Taufan Hendra , Lestariana Wiryatun , Nisa Fatma Zuhrotun
Published: March 2019

Background: Effective control of blood glucose and activities of antioxidant are key factors that prevent diabetes mellitus (DM) and its complications. There are lots of herbal plants that have those both effects. Ceplikan leaves (Ruellia tuberosa L.) is a traditional medicine which is empirically used to lower blood glucose level. Instead of antioxidant compound, there is assumed other compound in ceplikan leaves that has side effect to pancreatic beta cells.Objective: To identify the effect of ceplikan leaves extract to blood glucose level and pancreas histology description in white diabetic rats (Rattus norvegicus).Method: Thirty subjects of Wistar strain male white rats of 2-3 months old and of 150-200 grams weight were made diabetic with aloxan and randomly divided into 5 groups. Group I consisted of diabetic rats with aquadest, group II with glibenclamide, and Group III-V were given extract of ceplikan leaves in different concentrations that were 1.6 mg, 3.2 mg, and 6.4mg, respectively. Treatment was given orally per day within 30 days. Level of blood glucose was measured in the day of 0, 3, 4, and 30. Statistical analysis used repeated measures and t-test.Result: The supply of ceplikan leaves extract could reduce level of blood glucose of diabetic rats, although the decrease was insignificant. Average diameter of wider Langerhans island occurred to the group of diabetic rats that were given extract of ceplikan leaves dosage 6.4 mg. There was no significant difference (p > 0.05) in changes of blood glucose level before and after experiment in diabetic rats. Pancreas histological description of rats showed that there was improvement as indicated by greater quantity of Langerhans Island and wider diameter of Langerhans Island.Conclusion: Ceplikan leaves was safe and efficacious, so that self-medication of DM using ceplikan leaves could be sustained through formal approach.
Analisis sisa makanan dan biaya sisa makanan pasien skizofrenia rawat inap di Rumah Sakit Jiwa Madani Palu
Authors: Irawati Irawati , Prawiningdyah Yeni , Budiningsari R Dwi
Published: March 2019

Background: Food has not only considerable therapeutic but also economic value. The success of food provision is related to leftover that can indicate less optimum food provision in hospitals. Leftover indicates the presence of wasted cost.Objective: To analyze leftover and cost of leftover of schizophrenic inpatients at Madani Mental Hospital Palu.Method: The study used cross sectional method. Subject of the study were schizophrenic inpatients who got ordinary food portion had been mobilized from acute to common room 2 x 24 hours, put in class 3 room, were able to eat food on their own with exclusion criteria the presence of accompanying diseases that could affect appetite and got food from outside the hospital (n = 35). Data were analyzed quantitatively using chi square to find out factors related with the presence of leftover. Data of respondent characteristics and cost of leftover were analyzed descriptively.Result: There was difference in leftover based on sex and portion in particular rice and animal side dish leftover (p <0.05) but there was no significant difference in age, type of schizophrenic disease, duration of hospitalization and previous hospitalization (p ≥ 0.05). Total cost of wasted food a day was Rp 1,529.33.Conclusion: There was difference in leftover based on sex and portion particularly rice and animal side dish leftover. Average amount of leftover varied according to eating time and types of food. Cost of wasted food varied according to types of food.
Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi
Authors: Subarda Subarda , Hakimi Mohammad , Helmyati Siti
Published: March 2019

Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.
Persepsi mahasiswa Program Studi Gizi Kesehatan terhadap citra tubuh ahli gizi
Authors: Tejoyuwono Agustina Arundina Triharja , Sudargo Toto , Padmawati Retna Siwi
Published: March 2019

Background: As health professionals, nutritionists are supposed to have good body image, although nutritionists may be overweight or obese. Body image of nutritionists will determine the quality of nutrition service particularly in giving evidence and assurance to the clients. As nutritionist-to-be, nutrition students are expected to have good knowledge and appearance because these will reflect quality of nutritionists in the future.Objective: To identify perception of students of health nutrition study program of the Faculty of Medicine about body image of nutritionists.Method: The study used qualitative descriptive method and case study design. It was carried out in Yogyakarta from October to December 2008. Subject of the study were 23 undergraduate students of Health Nutrition Study Program of Gadjah Mada University of both class A and B. Data were obtained through focus group discussion and in-depth interview. Data validity and reliability used source and method triangulation to 7 lectures of health nutrition Gadjah Mada University.Results: Body image was someone’s physical appearance as viewed by one or others and the effect of mass media in the assessment of body image was relatively significant. Body image of nutritionists was important because it would affect trust of the clients and success in counseling. Nutritionists had responsibility in giving an exemplary healthy life to the community either in physical image or appearance so that nutritionists were supposed to have ideal body posture and good body performance.Conclusion: Good body image for nutritionists would determine quality of counseling and trust of the clients. Nutritionists had responsibility to give an exemplary healthy life to the community. Therefore it was necessary to do monitoring and socialization from the academics as well as related institutions such as association of nutritionists about body image of nutritionists and nutrition students from now on and in the future.
Pelatihan hygiene sanitasi dan poster berpengaruh terhadap pengetahuan, perilaku penjamah makanan, dan kelaiakan hygiene sanitasi di instalasi gizi RSUP Sanglah Denpasar
Authors: Rapiasih Ni Wayan , Prawiningdyah Yeni , Lestari Lily Arsanti
Published: March 2019

Background: The problem of food hygiene sanitation in hospital is closely related to the incidence of nosocomial infection which is estimated to be high considering that the condition of hospitals and health in general is still relatively not very good. A way to transmit nosocomial infection is through food. Staff hygiene is a factor requiring attention in order that the product of nutrition installation is of quality and safe to consume.Objective: To identify the effect of training and posting of food hygiene sanitation to knowledge, healthy behavior of food handlers in efforts to improve food safety and sanitation hygiene appropriateness.Method: This was a time series  quasi experiment with one group pre test and post test design. Samples consisted of 44 people of senior level education in charge of food service to patient in class I, II, and III. Every subject was given training using lecture, discussion and demonstration method for one day. Poster was posted a month after training. Data obtained consisted of sex, age, marital status, duration of occupation, place of work, knowledge, behavior, food safety in food serving utensil for inpatients and sanitation hygiene appropriateness. Assessment was made before, one month and two months after training. Data analysis used paired Sample t-test and chi-square.Results: There was signifcant improvement in knowledge and healthy behavior before and  after training plus poster showed with p<0.001. There was signifcant difference in sex and behavior before training with p=0.045 and a month after training with p<0.001. There was signifcant association between place of work and behavior a month after training with p=0.021. There was signifcant difference in total plate count one month and two months after training with p=0.049. In addition, there was an increased quality of sanitation hygiene appropriateness before and  after training plus poster showed.Conclusion: There was an increasing of knowledge, behavior of food handlers, sanitation hygiene appropriateness, before and after training plus poster. There  was an  improvement in quality food safety one and two months after training.
Penambahan agar-agar dan pengaruhnya terhadap kestabilan dan daya terima susu tempe pada mahasiswa Politeknik Kesehatan Jurusan Gizi Yogyakarta
Authors: Suryani Isti , Santoso Agus , Juffrie Muhammad
Published: March 2019

Background: The production of tempeh milk is an effort to diversify tempeh-based food processing potential as functional food. However, as vegetable milk tempeh milk has the disadvantages of tasting bitter and being easily precipitate. The addition of gelatine is potential as stabilizer that is expected to counter the disadvantages and improve the taste of tempeh milk.Objective: To identify the effect of gelatine addition to stability and acceptability of tempeh milk among students of Nutrition Department of Health Polytechnic Yogyakarta.Method: The study was experimental with a completely randomized design, comprising four experiments, i.e. tempeh milk with gelatine addition as much as 2%, 3%, 4% and no gelatine addition as control. Organoleptic test was made by 25 skilled panelist, students of Nutrition Department of Health Polytechnic Yogyakarta, to identify acceptability of tempeh milk. Whereas viscocity test and visual observation through the assessment of tempeh milk precipitation level within 5 hours storage were made to identify emulsion stability. Data analysis used Anova and Duncan advanced test.Result: Stable emulsion could be achieved through gelatine addition of 2% at emulsion consistency 89.10%, viscocity 0.225 poise. Better emulsion stability was achieved through gelatine  addition of 3% at emulsion consistency 91.10%, viscocity 0.249 poise. Best emulsion stability was achieved through gelatine addition of 4% at emulsion consistency 95.58%, viscocity 0.254 poise and lowest emulsion stability was found in the control without gelatine addition at emulsion consistency 80.84%, viscocity 0.216 poise. The result of proximate nutrition value of tempeh milk with gelatine addition 4% (most stable) were energy 55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate 7.65%, water 86.23g, ash 0.15% and raw fbre 2.01%.Conclusion: There was no effect of gelatine addition at various concentration to acceptability of tempeh milk. There was effect of gelatine addition at various concentration to stability of tempeh milk. The highest emulsion stability was achieved in tempeh milk with gelatine addition of 4%.
Metode persalinan dan hubungannya dengan inisiasi menyusu dini di RSUP Dr. Sardjito Yogyakrta
Authors: Virarisca Sheilla , Dasuki Djaswadi , Sofoewan Sulchan
Published: March 2019

Background: The 2002-2003 IDHS shows that the presentation of breastfeeding within an hour after birth or early initiation in Indonesia is still low (38%). According to some studies, early initiation plays an important role in reducing infant mortality rate, determining the success of exclusive breastfeeding, preventing pre-lactation feeding, creating more intensive bonding between mother and baby. Some earlier studies state that delivery methods are related with early initiation. However, there have been some studies whose results are in contrast with those previous studies.Objective: To study the relationship between delivery methods and early initiation in Dr. Sardjito hospital, Yogyakarta.Method: This was an observational study with a cross-sectional study design through quantitative and qualitative approaches. Samples were postpartum women in Dr. Sardjito hospital as many as 100 respondents. Data were analyzed with univariable analysis using frequency distribution table, bivariable analysis using chi-square, and multivariable analysis using binary regression.Results: The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section (RR=3.1; 95% CI=1.42-6.89). Another factor that was related with early initiation of breastfeding was the support from health providers (RR=2.3; 95% CI=1.36-3.78). Meanwhile, women’s age, knowledge, parity, economic status, and mother’s disease were insignifcantly related with early initiation.Conclusion: The proportion of early initiation of breastfeeding  was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section. Another factor that was related with early initiation of breastfeeding was the support from health providers. Meanwhile, women’s age, knowledge, parity, economic status, and disease were insignifcantly related with early initiation of breastfeeding.