bluuebunny/crossref_metadata_2025 huggingface dataset:
Status GAKY, anemia, EYU, dan kesegaran jasmani anak sekolah dasar di Kabupaten Dairi, Sumatra Utara
Authors: Toruan Joner Lumban , Kushartanti Wara , Widodo Untung
Published: March 2019

Background: Iodine deficiency disorder (IDD) and anemia are major health problems in Indonesia. Prevalence of TGR according to the result of IDD survey 2003 in District of Dairi is 33,9%. Prevalence of anemia according to Household Health Survey 2001 is 47% for children of 0–5 years old; 26.5% for school children; and 40% for eligible women. The result of a survey in Jakarta capital city special territory 2004 shows that prevalence of anemia is 26.5% for children under five and 43.5% for pregnant mothers. Thyroid hormone regulates metabolism and plays an important role in calorie production, whereas haemoglobin in the blood may distort metabolism of energy in the muscles leading to fatique.Objective: The objective of the study was to identify the relationship between IDD, anemia, and physical fitness and to assess differences in physical fitness according to endemic level.Method: The study was observational with cross sectional design. Location of the study was District of Dairi, Sumatra Utara. Palpation was used to identify endemic level. Three elementary schools were chosen according to endemic level. Number of samples per district and elementary school was determined using quota, and samples were selected from grade 4–6 using systematic random sampling technique. Data analysis used univariable, bivariable, and multivariable techniques. Chi square (χ2) was used to identify the relationship between independent variable and dependent variable, 2 and ANOVA test (F test) was used to find out differences in physical fitness based on endemic level.Results: The result of statistical test showed that the relationship between IDD and physical fitness was p = 0.675 with OR 0.8 (95% CI: 0.499–1.498). The relationship between anemia and physical fitness was p = 0.003 with OR 2.29 (95% CI: 1.33–3.95). There were differences in physical fitness according to endemic level with p < 0.001.Conclusion: There was no relationship between IDD and physical fitness, but there was relationship between anemia and physical fitness and there was difference in physical fitness according to endemic level.
Faktor-faktor yang berhubungan dengan tingkat kepuasan pasien rawat inap terhadap pelaksanaan konsultasi gizi ruangan di Rumah Sakit Umum Mataram
Authors: Sulasty Siti Utami , Budiningsari R Dwi , Setyowati Setyowati
Published: March 2019

Background:  Nutrition counseling is one of the nutrition services successful indicators in hospitals.  The quality of nutrition counseling will improve the effectiveness and efficiency of resources utility and furthermore, it will improve patients’ satisfaction.  The quality of nutrition counseling services effect directly on internal and external customers’ satisfaction. Evaluation about nutrition counseling services in hospital ward and its association with patients’ satisfaction was needed to determine priority aspects to be improved.Objective:  To determine factors that associate with the rate of hospitalized patients’ satisfaction towards nutrition counseling in Mataram Hospital.Method:  A total 38 hospitalized adult patients included in this observational study with cross sectional design. Proportional stratified sampling was conducted to determine subjects of study. Data collections included the description of nutrition counseling factors consisted of counselors, materials, methods, media, time, place, and visitation frequency of dietitians based on questionnaires completed directly by hospitalized adult patients. Spearman rank correlation and linear regression analysis were used to determine the association between nutrition counseling factors with the rate of hospitalized patients’ satisfaction, completely by multiple linear regressions to analyze all of nutrition counseling factors in the same time.Results: This study showed that counselors, time, place, and dietitians’ nutrition counseling visitation were the significant factors associated with the rate of hospitalized adult patients’ satisfaction (R = 0,086 p = 0,027; R = 0,099 p = 0,017; R = 0,108 p = 0,013; R = 0,166 p = 0,002, respectively).  The most dominant factors among all of associated factors were visitation frequency of dietitians (p = 0,035).Conclusion: There was a significant association between counselors, time, place, and dietitians’ nutrition counseling visitation frequency with the rate of hospitalized patients’ satisfaction.  The most dominant factors among all of associated factors were visitation frequency of dietitians.
Status gizi dan hubungannya dengan kejadian diare pada anak diare akut di ruang rawat inap RSUP Dr. Sardjito Yogyakarta
Authors: Palupi Astya , Hadi Hamam , Soenarto Sri Suparyati
Published: March 2019

Background: in Indonesia diarrhea is still a major cause of morbidity and mortality among children especially those under five years of age. The Household Health Survey 2000 and 2003 shows an increase of diarrhea morbidity rate from 300 to 374 per 1,000 people. At the inpatient ward of Dr. Sardjito Hospital in 2005, diarrhea was found as the major cause of patients being hospitalized. One of the causes of high diarrhea morbidity rate is poor nutritional status. In 2002, the prevalence of undernourished children in Indonesia was 27.3% and in the Province of Yogyakarta Special Territory was 11.39%. Ultimately, nutritional status and diarrhea are related to each other, which lead to very famous "vicious cycle", diarrhea causes malnutrition and malnutrition causes diarrhea. Objective: To identify relationship between nutritional status and the duration of diarrhea. Method: This observational study was conducted with retrospective cohort design using the data of medical records and surveillance of diarrhea at Dr. Sardjito Hospital from September 2005 to September 2006. Subject of the study were 138 children of 6 months to 5 years old suffering from acute diarrhea. Data analysis used Fisher's exact test and one way ANOVA.Result: The average duration of diarrhea among undernourished children was 101.0 + 28.28 hours, wasted children was 96.31 + 16.69 hours, normal nourished children was 65.06 + 6.90 hours, and well nourished children was 64.52 + 11.70 hours. There was a significant relationship between nutritional status and the duration of diarrhea (p < 0.05). Conclusion: There was a significant relationship between nutritional status and the duration of diarrhea. This means that children with poor nutritional status would likely suffer longer from diarrhea.
Konseling gizi dan pengaruhnya terhadap asupan zat gizi dan tekanan darah pada pasien hipertensi rawat jalan di Rumah Sakit Umum Daerah Provinsi Sulawesi Tenggara
Authors: Suwarni Suwarni , Asdie Ahmad Husein , Astuti Herni
Published: March 2019

Background : Hypertension is one of the most common worldwide diseases that can be an important public health challenge. The causes of hypertension are high consumption of salt and fat, obesity, stress, age, sex, family history, smoking, and consumption of alcoholic drinks. The prevalence of hypertension in the world, Asia, and Indonesia are 15-20%, 8-18%, and 1,8-28,6%, respectively. The solution to this problem is not only depend on drugs but also counseling through leaflet as the process of assisting clients in facing the problem of hypertension.Objectives : To know the effect of nutrition counseling on nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi. Methods : The study was quasi experimental with pre- and post-control design. Samples were divided into 2 groups; intervention group was given nutrition counseling and leaflet and the second (control) was only given leaflet. Samples were hypertension outpatients who fulfilled inclusions and exclusions criteria, and there were 25 samples per group. Data of nutrient intake were processed using Nutrisurvey. Chi-square test was used to identify the difference between the intervention group and the control group; whereas t-test was used to identify independent as well as dependent variables.Results : There were no significant differences in intake of fat, natrium, potassium, and magnesium between the intervention group and control group (p > 0.05); but there were differences between them at the end of study (p < 0.05). Blood pressures of both of them were also not different (p > 0.05); however, at the end of study there was difference between them (p < 0.05).Conclusion : Nutrition counseling could improve nutrition intake and blood pressure of hypertension outpatients at local hospital of the Province of Southeast Sulawesi.
Efektivitas penurunan jumlah angka kuman alat makan dan efisiensi biaya yang digunakan pada metode pencucian alat makan di Rumah Sakit Kota Surakarta
Authors: Andriyani Annisa , Gunawan I Made Alit , Susilo Joko
Published: March 2019

Background : Proper process of dishwashing has an important role in the prevention of disease transmission because unclean dishes that contain microorganism can transmit diseases through foods. Therefore, the process of dishwashing has to fulfill the standard of health. Currently, there are three methods of dishwashing in the hospital; electronic dishwashing, three compartment sink (TCS), and conventional method. They have the same purpose, i.e. cleaning dishes. To find out effectiveness and efficiency of those three methods, it is necessary to know the germ rate and cost spent. Objective : To identify the effectiveness of germ rate reduction and cost efficiency of electronic dishwashing, TCS, and conventional method of dishwashing at hospitals in Surakarta Municipality. Method : This experiment used randomized design trial. Populations were all dishes at hospitals of Surakarta Municipality with certain criteria. Hospitals that fulfilled the criteria were Dr. Moewardi Hospital, Prof. Dr. R. Soeharso Orthopedic Hospital, and Banjarsari Hospital. There were six items of samples consisting of two plates, two drinking glasses, and two spoons. The number of experiment units in the study were 3 experiments x 3 times repeating x 6 items of dishes x 2 evaluations totaling 108 units of experiment. Analysis used t-test, ANOVA, and cost effectiveness.Result : Washing process used electronic dishwashing, TCS, and simple method could reduce the different numbers of germs, those amounted to 84 colony/cm2, 1,276.38 colony/cm2, and 321.27 colony/cm2, respectively. TCS was the most effective and efficient method in reducing the number of germ. The cost only Rp 1,00 to reduce 15.56 colony/cm2 using TCS method. Conclusion : There were different reductions of germ rate after dishwashing used electronic dishwashing, TCS, and conventional methods. Among them, TCS was the most effective and efficient method in reducing germ rate.
Senam aerobik dan konsumsi zat gizi serta pengaruhnya terhadap kadar kolesterol total darah wanita
Authors: Fatimah Siti , Kartini Apoina
Published: March 2019

Background: Hypercholesterolemia is a condition in which levels of cholesterol in the blood above normal levels (≥ 240 mg/dl). Physical exercises done regularly useful in the regulation of cholesterol, is total cholesterol, LDL cholesterol and triglycerides in the blood decreased, while HDL cholesterol increased. Food has an important role in association with the incident hypercholesterolemia.Objective: The purpose of this study was to determine the effect of aerobic exercise on blood total cholesterol level of adult women in the city of Semarang.Method: This research was explanatory research with cross sectional study. Subject was women aged 20-49 years gymnastic participants, as a comparison group was a housewife who was not doing gymnastics. Twenty three samples for group2 by matching on nutritional status and age and with the sampling purposive sampling. Adequacy levels of carbohydrates, proteins, fats, and also vitamins A and C were obtained through 2x24-hour recall was not a sequence, and processed using NutriSurvey. Results of independent t-test used to determine the effect of cholesterol levels between groups, and chi square test was used to determine association with nutrient adequacy levels of total cholesterol.Results: The results showed no significant difference in mean total cholesterol level between groups of gymnastic participants (201.2 g/dl) with housewife group (208.3 g/dl). Housewife group was belonging to hypercholesterolemia by 52.2%, while in group of exercise participants at 43.5%. Sufficiency level of protein showed a role in the total cholesterol level of adult women.Conclusion: The aerobic gymnastics did not affect total cholesterol. Moderate level of protein adequacy contributes to the total cholesterol level of adult women.
Pengendalian status gizi, kadar glukosa darah, dan tekanan darah melalui terapi gizi medis pada pasien diabetes mellitus (DM) tipe 2 rawat jalan di RSU Mataram NTB
Authors: Suhaema Suhaema , Asdie Ahmad Husain , Pangastuti Retno
Published: March 2019

Background: The prevalence of diabetes mellitus (DM) is increasing globally, including in Indonesia. Studies by Diabetes Control and Complication Trial (DCCT) and U.K. Prospective Diabetes Study Group (UKPDS) prove the benefit of medical nutrition therapy (MNT) to glycemic control. Similar studies have not been done much in Indonesia.Objective: To identify the effects of MNT to nutrient intake, control of nutrition status, blood glucose and blood pressure of type 2 DM outpatients.Method: This was a randomized controlled trial. Subject of the study consisted of 60 people. The experiment group got MNT; whereas the control group got conventional nutrition counseling. Data were processed using computer, nutrients were analyzed using nutrisurvey. Statistical t-test was done to identify the effect of intervention.Result: Intake of energy, fat and carbohydrate of the experiment group decreased signifcantly close to the necessity at subsequent decrease as much as -14.05 (p= 0. 009), -35.64 (p=0.019) and -19.14 (p=0.035). Body mass index In the experiment group decreased -0.41kg/m  and waist circumference -0.24cm, where as the control group -0.23 kg/m  and -014cm. Blood glucose level during fasting decreased -23.6 mg/dl in the experiment group and -14.03 mg/dl in the control group (p=0.036). Systolic and dyastolic blood pressure of the experiment group decreased -3.33 mmHg (p=0.035) and 2 2 -1.67 mmgHg (p=0.895), whereas the control group + 0.5 mmHg  and -1.33 mmHg; the change was insignificant.Conclusion: Intake of nutrient, nutrition status, blood glucose level and blood pressure of type 2 DM patients that got MNT was more controllable than of those that got conventional nutrition counseling.
Dukungan keluarga dan jadwal makan dan sebelum edukasi berhubungan dengan kepatuhan jadwal makan pasien diabetes melitus (DM) tipe 2 rawat jalan yang mendapat konseling gizi di RSUD Kota Yogyakarta
Authors: Purba Martalena Br , Rahayu Endah Sri , Sinorita Hemi
Published: March 2019

Background: Diabetes mellitus (DM) is a clinical syndrome with symptoms of hyperglycemia, urinary glucose excretion and disorder of insulin mechanism. Approximately 90-95% of diabetic patients suffer from type 2 DM. Various studies show that compliance to treatment of chronic disease in general is low. Compliance to eating or food frequency amongst DM patients in hospital in particular is very low. The success of self management of blood glucose (SMBG) needs participation of the patient, families, and educator team.Objective: To study the factors affecting eating compliance particularly eating schedule among type 2 diabetic out-patient who had nutrition counseling in RSUD Kota Yogyakarta.Method: It was an observasional study with cross sectional design and purposive sampling. Data collection was done in October 2008 with 98 subjects. The sampel were type 2 diabetic out-patients according to inclusion criteria at out- patient clinic in RSUD Kota Yogyakarta. Statistical test with 95% confidence interval was applied to investigate factors infuenced eating compliance.Results: There were no correlations between eating compliance and disease duration (RP=  1,253 and p =0,403), and also with type of occupation (RP= 1,047 dan p= 1,000). However, it was found that family support affected eating compliance (RP= 1,723 dan p= 0,025) as well as eating schedule before nutrition counseling (RP = 2,151 and p= 0,02).Conclusion: Duration of disease and type of occupation did not affect eating compliance. Nevertheless, family support and eating schedule before nutrition education affected eating compliance among type 2 DM out-patients in RSUD Kota Yogyakarta.
Status gizi awal berdasarkan Patient Generated Subjective Global Assessment (PG-SGA) berhubungan dnegan asupan zat gizi dan perubahan berat badan pada penderita kanker rawat inap di RSUP Dr. Mohammad Hosein Palembang
Authors: Susetyowati Susetyowati , Yenita Yenita , Kurnianda Johan
Published: March 2019

Background: Weight loss is commonly detected among cancer patients in their early stages. This presumably happens due to low calory intake and increasing energy requirements which finally lead to malnutrition in cancer patients. Early detection to identify nutrition problems of cancer patients is through screening so as to maximize nutrient intake through nutrition therapy and diet modification and to improve nutrition status as well as quality of life of cancer patients.Objective: The study aimed to identify the relationship between nutrition status based on PS-SGA and nutrient intake and weight loss of cancer patients hospitalized at Dr. M. Hoesin Hospital of Palembang.Methods: The study was observational with prospective cohort study design. In this study the group that had fulfilled inclusion criteria were screened during their early hospitalization (within 24 hours) using patient-generated subjective global assessment score to identify their nutrition problem. Next, the group was divided into 2 smaller groups consisting of one group with malnutrition and another group without malnutrition. Analysis of nutrient intake obtained from foods provided by the hospital and outside the hospital was made to the two groups within 2 weeks of hospitalization using visual comstock and food record. Anthropometric measurement was made to find weight loss the subject of the study.Results: The results of the study showed that there was significant relationship between nutrition status and intake of energy and protein with p=0.000. The result of logistic regression test to nutrition status based on weight changes indicated that there was significant relationship between risk of nutrition and weight changes; patients with risk of nutrition had 7.016 times greater probability for weight loss than those without risk of nutrition (95% C5  2.896-16.997).Conclusion: There was significant relationship between nutrition status and nutrient intake among cancer patients and there was greater probability for weight loss.
Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar
Authors: Wiardani Ni Komang , Sugiani Pande Putu Sri , Gumala Ni Made Yuni
Published: March 2019

Background: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.Objective: The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city.Method: The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.Result: The study showed that means of syndrome metabolic component in case higher than control (p<0.05). Waist circumference in case was 97.23 cm, blood pressure was 141.4/93.3 mmHg, fasting blood glucose was 132 mg/dl. There were significant difference between intake fat total, cholesterol, saturated fatty acid (SAFA) and frequency of intake in case and control (p<0.05). Intake fat on cases were fat total 85.5% >25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).Conclusion: There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City.
Asupan vitamin, mineral, rasio asupan kalsium dan fosfor dan hubungannya dengan kepadatan mineral tulang kalkaneus wanita
Authors: Ramayulis Rita , Pramantara I Dewa , Pangastuti Retno
Published: March 2019

Background: The prevalence of osteoporosis as defined by bone mineral density (BMD) > - 2.5 below the average of young women in Indonesia is not yet known; however the risk for the prevalence of osteoporosis is relatively high. Nutrients especially micronutrients have an important role in maintaining bone status. Yet, until today millions of people have micronutrient deficiency in vitamin and mineral such as calcium, zinc and beta-carotene.Objective: To identify the relationship between intake of vitamin A, C and mineral calcium, phosphor, zinc and ratio of intake of calcium and phosphor and BMD.Method: The study was observational with cross sectional design. Subject of the study were young women of 35 – 40 years old at Health Fitness Centre of the Ministry of Health in 2007.  There were as many as 102 subjects purposively taken. The dependent variable of the study was BMD and the independent variables were intake of vitamin A, C, and mineral calcium, phosphor, zinc and ratio of calcium and phosphor intake. The confounding variables were nutritional status, exercise, smoking, alcohol consumption, caffeine consumption, genetic, disease and medication factors. Intake data were obtained through blood record and food frequency methods. Data analysis used chi square, Fisher’s exact test and independent t-test.Results: The proportion of BMD of young women was 6,9% osteoporosis, 32,4% osteopenia and 60,8% normal. Young women with good intake of vitamin A and C, calcium, phosphor, zinc had average score of BMD as much as 0,35 point; 0,36 point and 0,97 point; 1,02 point; 1,26 point subsequently higher than those with less intake. Young women with ratio of good calcium and phosphor intake had BMD score as much as 1,13 point lower than those with ratio of poor calcium and phosphor intake. However, the relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant (p>0.05).Conclusion: The relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignifcant. Young women with good intake of vitamin A, C and calcium, phosphor, zinc tended to have higher score of BMD than those with poor intake.
Pemulihan gizi buruk rawat jalan dapat memperbaiki asupan energi dan status gizi pada anak usia di bawah tiga tahun
Authors: Arnelia Arnelia , Lamid Astuti , Rachmawati Rika
Published: March 2019

Background: New approaches for the management of severe malnutrition such as outpatient rehabilitation complement the existing WHO inpatient protocols.Objective: The objectives of this study was to assess the improvement of energy intake as well as the nutritional status of severe malnourished children during comprehensive outpatient rehabilitation.Method: This study was conducted among severe malnourished children treated as outpatient rehabilitation at Nutrition Clinic at Center of Food and Nutrition Research and Development (CFNRD) in Bogor Indonesia. The design of the study was one group pretest-posttest design and recruitment of sample was taken from health centers in Bogor District. The criteria of sample was severe acute malnutrition based on weight for height Z score (WHZ) < -3 or, having clinical sign and aged under three years old. During a-six-months-comprehensive rehabilitation, the treatment was performed including: treatment of infectious diseases, nutrition and health education, psychosocial stimulation, formula-milk and supplementary feeding. WHO formula-milk was provided as F-75 and F-100 and supplementary feeding was given such as blended food, biscuit.Results: From a total of 26 severely malnourished children were selected, 24 children included in the analysis, 1 child was died 1 child was dropout. It was found that the average energy intake in baseline was 82 + 15 kcal/kg body weight/day.  After 1 month and 3 months intervention, average energy intake increased signifcantly to 121 + 13 kcal/kgBW/day and to 148 + 21 kcal/kg BW/day, respectively (p<0.000). Nutritional status increased from WHZ score of -3.56 + 0.71 at baseline, became -2.35 + 0.69 and -1.87 + 0.85 after 1 month and 3 months intervention. The proportion of normal child based on weight for height category were 50% after 3 months and 73.9% at the end of out patient rehabilitation. Conclusion: The comprehensive outpatient rehabilitation could significantly improve the energy intake and the nutritional status of severe malnourished children under three years of age.
Perubahan kadar hemoglobin akibat terapi kurkuminoid ekstrak rimpang kunyit dibandingkan natrium diklofenak pada penderita osteoartritis
Authors: Kertia Nyoman , Asdie Ahmad Husain , Rochmah Wasilah , Marsetyawan Marsetyawan
Published: March 2019

Background: In general, patients with osteoarthritis require long live treatments, especially anti-infammatory drugs. Non steroidal anti infammatory drugs are mostly follow by some side effects such as dyspepsia and gastrointestinal bleeding. The use of natural medicine for rheumatic diseases have commonly been practiced worldwide.Objectives: To learn the changes of hemoglobin level due to treatment with curcuminoid from Curcuma domestica Val. rhizome extract compared to diclofenac sodium as anti-infammatory agent for the treatment of osteoarthritis.Methods: This research is a prospective randomized open end blinded evaluations (PROBE). Patients treated with 30 mg curcuminoid from Curcuma domestica Val. rhizome extract or 25 mg diclofenac sodium three times daily for 4 weeks respectively.The hemoglobin level was checked before and after treatment. Results: A total of 80 patients with knee osteoarthritis participated in this study. There was no signifcant difference in the frequency of sex, educational level, duration of suffering, percentage of co-morbidities in both groups. There was no signifcant different of hemoglobin level before treatment between both treatment group. The hemoglobin level was increase signifcantly in curcuminoid treatment groups while no signifcant change in diclofenac group. Treatment with curcuminoid increasing the hemoglobin level signifcantly compare to diclofenac sodium (p=0.03).Conclusion: Treatment with curcuminoid from Curcuma domestica Val. rhizome increasing the hemoglobin level signifcantly compare to diclofenac sodium treatment for osteoarthritis.
Pengaruh inisiasi menyusu dini terhadap praktik menyusui 1 bulan pertama
Authors: Legawati Legawati , Dasuki Djaswadi , Julia Madarina
Published: March 2019

Background: The period of the first month of life is a critical moment for the sustainability of breastfeeding practices. Therefore optimal efforts are needed to maintain the breastfeeding practices. Early initiation of breastfeeding can help increase maternal confidence and support psychological condition of mothers in order to continue breastfeeding practices.Objective: To evaluate the impact of the early initiation of breastfeeding on breastfeeding practices in the first month of infant life.Method: The study was observational with cohort prospective study design using quantitative and qualitative approaches. Samples were 106 pairs of mothers and babies. The group from Pahandut Public Health Center (PHC) consisted of 53 women with early initiation of breastfeeding (exposed group) and the group from Tangkiling PHC consisted of 53 women without early initiation of breastfeeding (non exposed group). In both groups, dissemination on early initiation of complete breastfeeding and exclusive breastfeeding practices followed with one month breastfeeding practices was given. The quantitative data analysis was done in three stages. In addition, qualitative data analysis used exploration of in depth interview.Results: The result of mutivariable analysis with modeling showed that there was a significant relationship between early initiation of breastfeeding and breastfeeding practices in the first month of life (by controlling the variables of the decision to breastfeed, nipple condition, residence and gestational age) that could give contribution as much as 49% for breastfeeding practices in the first month of life. The result of in depth interview showed that breastfeeding practices were highly infuenced by information obtained by the women when checking up their pregnancy so that the decision to breastfeed could be made in advance and the women perceived the beneft of breastfeeding practices for her and her infant’s health. There were some reasons why the mother did not give complete breastfeeding, among others were the abnormal nipple condition and the mother’s fear on her child’s health for preterm baby.Conclusion: Breastfeeding practices in the first month of life occured more in mothers who practiced early initiation of breastfeeding than in those who did not. Mothers with at term delivery, nipple normal condition, breastfeeding decision prior to delivery, and residence in rural areas had greater chance of practicing breastfeeding in the first month of life.
Ekstrak air daun Ceplikan (Ruellia tuberosa L) berpengaruh terhadap kadar SGOT, SGPT dan gambaran histologis hepar tikus DM
Authors: Ardiani Fitri , Lestariana Wiryatun , Huriyati Emy
Published: March 2019

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder as indicated by hiperglycemia caused by insulin defciency produced by pancreatic islet ß cell which triggers metabolic disorder of carbohydrate, protein and fat, and tends to cause complications. One of the complications is liver damage caused by DM which is probably due to lipid peroxydation, subsequent to free radical production. The common biochemistry signs of liver damage are increasing activities of some enzym such as transaminase pyruvat glutamate serum in the blood. Ruellia tuberosa L is a traditional plant and used by people as diabetic traditional drug. Flavonoid, saponin, zink as antioxidant can decreased of blood glucose in diabetic.Objective: The study aimed to identify the effect of Ruellia tuberosa L extract on glutamate oxaloacetate and glutamate pyruvat transaminases as well as liver histology of diabetic white mice (Rattus norvegicus).Method: The study was pure experimental that used a pre-post test control group design. The study used 30 male Rattus norvegicus. They were divided into 5 groups, each group consisting of 6 rats. Group I rats served as the normal control. Groups II to V consisted of rats with DM induced with alloxan 170 mg/kgBB subcutaneously. The experiment made was as followed. Group I served as control, group II was DM+aquades, group III was DM+Ruellia tuberosa L extract 1.6 mg/ kgBB/day, group IV was DM+Ruellia tuberosa L extract 3.2 mg/kgBB/day, and group V was DM+Ruellia tuberosa L extract 6.4 mg/kgBB/day. Glutamate oxaloacetate and glutamate pyruvat transaminases was measured before beginning and end of the treatment. The blood was taken from sinus orbitalis. At day 30 (end of the study) the rats were sacrifced for their liver. Data of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum level were analyzed using one way ANOVA. The result of liver histology was analyzed descriptively.Results: The effect of Ruellia tuberosa L extract within 30 days of study could minimize level of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum of DM rats. Maximal decreasing in extract 3,2 mg. Histologically there was no damage of the liver.Conclusion: Ruellia tuberose L extract could minimize level of transaminase oxaloacetat glutamate serum and transaminase pyruvat glutamate serum of DM and liver histology is normal.
Faktor ibu dalam pemberian suplemen pada anak prasekolah
Authors: Tabita Ineka Andi , Sudargo Toto , Nisa Fatma Zuhrotun
Published: March 2019

Background: Most children already meet their daily nutrient needs through food intake. However, many of them still consume food supplement. Supplement use becomes popular, but the pattern of supplement provision amongst preschool children has never been investigated. As the supplement use increases, there is an increased risk of over consumption of several micronutrients. Objective: To evaluate the predictors of preschooler’s supplement intake related to mother’s socio-demographic and lifestyle characteristics and to compare dietary pattern and nutritional status of preschool children who consume and did not consume supplements.Method: This is an observational study with case control design. The subjects were preschool children enrolled at Bandar Lampung Kindergarten and their mothers. The case and control group consisted of 79 mothers, respectively. Sociodemographic information and frequency of dietary supplement consumption were collected via parental questionnaires, including a 24-hour food recall.Result: Most children consume multivitamin supplement once a day (65.45%).The most infl uential factor for mothers to give food supplement to their child is media exposure. Mothers from families with higher income, lower educated, consume supplement and highly motivated were signifi cantly more likely to give food supplement to their child than their counterparts. Excluding nutrient intake from supplement, there were no differences in nutrient intake between supplement consumers and non-consumers. There were also no differences in nutritional status between supplement consumers and non-consumers.Conclusion: The most infl uential factor for mothers to give supplement to their child is media exposure. There were no differences in nutritional status and nutrient intake between supplement consumers and non-consumers.
Asupan zat gizi mikro dengan fungsi kognitif pada lanjut usia
Authors: Rahmawati Ade , Pramantara I Dewa Putu , Purba Martalena
Published: March 2019

Background: The elderly population in Indonesia increased signifi cantly in the last two decades as the life expectancy increase from 66.7 years to 70.5 years with impact to the emergence of diseases in the elderly. One of them is degradation of cognitive function that may disrupt productivity, daily activities, and quality of life of the elderly. Adequate micronutrients intake may help in maintaining cognitive function.Objectives: To identify association between intake of micronutrients (vitamin B6, folate, vitamin C, and vitamin E) and cognitive function of the elderly at Among Yuswa Club of Banteng Baru, District of Sleman.Methods: This was an observational study with cross sectional design. Subjects were elderly people at Among Yuswa Club of Banteng Baru, District of Sleman. Data on cognitive function was obtained using the Mini Mental State Examination (MMSE) and intake of micronutrients were collected using Semi Qualitative Food Frequency Questionnaire (SQFFQ). The data was analysed by chi square and logistic regression tests.Results: The result showed statistically signifi cant association between cognitive function and intake of vitamin B6 (p=0.010; RP=2.514; 95%CI=1.133-5.575), vitamin C intake (p=0.011; RP=3.039; 95%CI=1.454-6.353) and vitamin E intake (p=0.021; RP=1.266; 95%CI=1.057-1.516); meanwhile folate intake has no signifi cant association with cognitive function (p>0.05).Conclusion: There were signifi cant associations between intake of vitamin B6, vitamin C and vitamin E with cognitive function. There was no signifi cant association found between intake of folate and cognitive function in the elderly.
Status kesehatan mulut dan asupan makan sebagai faktor risiko underweight pada lansia
Authors: Angraini Dian Isti , Supartinah Al , Wachid Deddy Nur
Published: March 2019

Background: Oral health status and dietary intake contribute to nutritional status in elderly. Missing teeth cause chewing disorder that reduces quality and quantity of food intake, which finally makes the elderly have underweight nutritional status.Objective: To determine the risk factors for underweight in the elderly at Yogyakarta Municipality.Method: The study was observational with case control design on elderly at Yogyakarta Municipality. Subjects consisted of 210 elderly matched in age and gender. Sampling was done by multistage random sampling. Oral health status was assessed through dental health status (index of missing teeth) and periodontal status (gingival index, periodontal index and oral hygiene index), dietary intake was collected by using semi quantitative food frequency questionnaire (SQ-FFQ) and underweight nutritional status was based on body mass armspan (BMA). Data were analyzed by using tests of X2 Mc.Nemar, X2 Stuart Maxwell, and conditional logistic regression.Results: Bivariate analysis showed the number of missing teeth ≥ 21 (OR=3.67, p<0.05) and 16-20 (OR=3.53, p<0.05) as risk factors of underweight, whereas the gingival index, periodontal index and oral hygiene index were not. Less intake of energy (OR=6.3), protein (OR=7.83), fat (OR=5.67) and carbohydrates (OR=7.5) were risk factors of underweight (p<0.01). Income less than Rp 808.000,00 was also risk factor for underweight (OR=4.5; p<0.01). Multivariate analysis showed the significant risk factors for underweight were the missing teeth ≥ 21 (OR=8.76) and 16-20 (OR=6.04) which increased by income less than Rp 808.000,00 (OR=5.94), less fat intake (OR=4.88), and less carbohydrate intake (OR=5.48). Income was confounding factor in the risk of missing teeth and protein intake for becoming underweight.Conclusion: Significant risk factors of underweight in elderly were missing teeth ≥ 16, less intake of fat and carbohydrate, and income less than Rp 808.000,00.
Pemberian makanan enteral berformulasi bahan pangan lokal terhadap kadar zat besi dan hemoglobin pada tikus putih (Rattus norvegicus)
Authors: Ariani Dini , Angwar Mukhamad , Khasanah Yuniar , Ratnayani Ratnayani , Nuraeni Titin
Published: March 2019

Background: Enteral nutrition is nutrition used to fulfill the needs of nutrition entirely and as the supplement for malnutrition patient. In a certain condition of a patient, this nutrition is usually given in the form of liquid. Local material foods such as tempeh, rice, mung bean, and ganyong have adequate nutrition, therefore they are suitable for being used as main raw materials in the making of enteral nutrition.Objective: To know the influence of feeding enteral nutrition formulated with local food material toward malnutrition white rats (Rattus norvegicus) of which the parameters are iron (Fe), hemoglobin (Hb) level and weight.Method: This research used Completely Random Design (CRD). Twenty-seven of malnutrition male white rats were divided into 3 groups of treatment with 9 repetitions for each group of the treatment. Group A was given enteral nutrition diet of formula A (tempeh, rice, and mung bean as the main raw material), group B was given enteral nutrition diet of formula B (tempeh, rice, mung bean, and ganyong as the main raw material), and group C (as the positive control) was given commercial enteral nutrition. The daily giving of enteral nutrition is 20 g/day during 30 days. The analysis of Fe and Hb level and the measurement of weight firstly were done before the treatment is given. The next measurement was conducted in 15th day and 31st day. Statistical analysis used ANOVA test dan DMRT of significance 5%.Results: The result showed that the treatment of the enteral nutrition feeding of formula B was more optimal than formula A in terms of the way to increase the level of Hb and Fe. Those two components will give positive effect toward the increasing of the weight of malnutrition white rats (Rattus norvegicus).Conclusion: The enteral nutrition of formula B is more proper to be developed as the main material of making enteral food in order to treat the malnutrition.
Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2
Authors: Yunita Yunita , Asdie Ahmad Husein , Susetyowati Susetyowati
Published: March 2019

Background: Food planning is a basis of diabetes mellitus (DM) therapy. Proper diet is essential for effective control of blood glucose level. Diet therapy through the care of nutrition team in a hospital can increase nutrient intake of patients in a hospital. In 2003 the American Diabetes Association recommended a model of standardized nutrition care process (SNCP).Objective: To find out the effect of SNCP implementation to nutrient intake and blood glucose level of DM type 2 inpatients.Method: The study was a quasi-experiment. Nutrient intake variable was measured in post-test and blood glucose level variable was the pre-post test. Samples were divided into two groups; one group was treated with SNCP and the other with conventional nutrition care. The population of the study consisted of all new patients with DM type 2 diagnosis. Samples were those that met inclusion and exclusion criteria. Data were analyzed by using t-test.Results: Average nutrient intake was found high in the group with SNCP. Nutrient intake comprised energy intake (97.8%), protein intake (95.1%), fat intake (95.6%), and carbohydrate intake (94.9%). The result of the statistical test showed that nutrient intake (energy, protein, fat, carbohydrate) in SNCP was higher than that of conventional nutrition care. Decreasing blood glucose level before and after SNCP intervention was 109.4 mg/dL whereas in conventional nutrition care was 105.5 mg/dL. Decreasing blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care but statistically was not significant.Conclusion: Nutrient intake (energy, protein, fat and carbohydrate) of DM type 2 in the patient with SNCP were higher than those with conventional nutrition care. Decreased blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care, which was not statistically significant.
Konflik peran kerja-keluarga pada ibu bekerja terhadap perilaku obesogenis anak sekolah dasar
Authors: Sitasari Almira , Julia Madarina , Sudargo Toto
Published: March 2019

Background: Childbearing pattern of parents greatly affects the healthy lifestyle of children including behaviors preventing children from obesity. Working mothers with a dual role at work and the family face challenges in doing so.Objective: To identify the effect of work-family conflict in working mothers to obesogenic behaviors of elementary school children at Yogyakarta Municipality.Method: This was a quantitative study with cross sectional design. Obesogenic behaviors were assessed using questionnaire of Family Health Behavior Scale. Role conflict was assessed using questionnaire of Work-Family Conflict filled by working mothers. Nutrition status of children was assessed using a parameter of body mass index by age with the standard of WHO 2007.Results: The result of the study showed 47.73% of working mothers had high role conflict and 45.26% of children had high obesogenic behaviors. There was no effect of work-family conflict in working mothers to obesogenic behaviors of elementary school children at Yogyakarta. The influencing factors were family income (p<0.001); position/job type (p<0.001); gender (p<0.05); and nutrition status (p<0.05).Conclusion: Work-family conflict in working mothers had no effect to obesogenic behaviors of elementary school children at Yogyakarta Municipality.
Efek pemberian ekstrak teh hijau (Camellia sinesis (L) O. Kuntze) var. Assamica terhadap total lemak tubuh dan profil lipid wanita dewasa overweight dan obesitas
Authors: Hardani Ernawati , Lestariana Wiryatun , Susetyowati Susetyowati
Published: March 2019

Background: Overweight and obesity can cause high body fat total and lipid profile in the blood that brings risk for diseases to the bearer. Some studies on green tea extract supplementation have been undertaken to find out its effect on the fat reduction in children, men, and mice and the result showed a reduction in body fat, weight, appetite, and triglyceride level. This study uses green tea extract supplemented to overweight and obese women. Objective: To find out the reduction of body fat total and lipid profile (total cholesterol, triglyceride, LDL, HDL) in the blood of overweight and obese women personnel of Yogyakarta Municipal Health Office supplemented with green tea extract.Method: The study was randomized double-blinded control trial. The subject of the study was overweight and obese women of 35-55 years old personnel of Yogyakarta Municipal Health Office. Samples were 86 women randomly taken, comprising experiment group and control group, each of which consisting of 43 women. Each group had diet according to individual appetite. Both groups were given capsules of similar form and color but different ingredients: placebo and green tea extract. The experiment took three months. Blood was taken before and after the experiment to identify lipid profile (total cholesterol, triglyceride, LDL, HDL). Body fat total was examined using body fat analyzer. Data analysis used paired t-test.Results: Green tea extract supplementation could significantly reduce body fat total and insignificantly reduce cholesterol level, triglyceride, and LDL, significantly increase HDL in overweight and obese women.Conclusion: Green tea extract supplementation could reduce body fat total and increase HDL (p<0.005).
Pola makan, obesitas, dan frekuensi serangan pada pasien artritis gout
Authors: Az-zahra Fatimah , Nurwahid Dedy , Pangastuti Retno
Published: March 2019

Background: Trend of gout arthritis prevalence is increasing every year. Obesity, high purine diet, especially from an animal source, are some risk factors for recurrent gout attacks.Objective: To evaluate the relationship between diet, obesity, and frequency of gout flares in gout arthritis patients.Method: This study was a cross-sectional study with patients from RSUP Dr. Sardjito, RSUD Wirosaban, RSUD Panembahan Senopati that ever diagnosed as gout arthritis within February 2010 - February 2012 which can be seen in the medical record and live in Special District of Yogyakarta with the full address provided, as the respondents of this study. The home visit was done for dietary assessment, waist circumference measurement, and interviewing the respondent about gout flares frequency during the last year.Results: Vitamin C consumption in the 1st and 2nd tertiles increase the odds to have any gout flare (OR=5.5; 95% CI: 1.08-27.77 and OR=1.5; 95% CI: 0.29-7.35, respectively). Obesity tends to increase the odds of having any gout flares up to 1.4 times (95% CI: 0,38-5,25).Conclusion: Low consumption of vitamin C significantly increases the odds of having any gout flares. The odds is also higher in patients with obesity, though this relationship is statistically insignificant.