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Jurnal Vol.6, No.3

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ARTIKEL - Maret 2010, Vol.6, No.3

Pola makan berhubungan dengan sindrom metabolik pada lanjut usia di Poliklinik Geriatri RSUP Sanglah Denpasar

I.G.A. Sagung Kusuma Dewi1, I.D.P. Pramantara2, Retno Pangastuti3

ABSTRACT

Background
: Food intake is a factor determining health status and risk for degenerative diseases including metabolic syndrome. The fundamental function of someone’s nutritional status in the process of the emergence of generative disease and metabolic syndrome can be identified through the effect of food to the prevalence of obesity, hypertension, dislipidemia or glucose tolerance disorder.
Objective : To identify the association between eating pattern and the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.
Method : The study was analytic observational with matched case control study design using ratio 1:1. There were 80 samples consisting of 40 as control group and 40 as cases matched by age and gender. Eating pattern was identified through food frequency questionnaire and calculated and compared to the need. Statistical analysis used chi square and risk factors were measured using odds ratio (OR). Multivariate analysis used double logistic regression to find out risk factors dominantly affected metabolic syndrome.
Result : The result of bivariate statistical test showed significant difference in the prevalence of metabolic syndrome (p < 0.05) for energy intake (OR:9.1; CI95%:1.9-43.8), protein (OR:3.8; CI95%:1.5-9.7), fat (OR:3.8; CI95%:1.1-13.2), carbohydrate (OR:11.4; CI95%:2.3-54.2). The result of multivariate analysis showed that the variables having dominant risk and significant difference in the prevalence of metabolic syndrome were carbohydrate consumption (OR:8.1; CI95%:1.29– 50.89), fat consumption (OR:4.9; CI95%:1.17-20.61) and protein consumption (OR:3.9; CI95%:1.27-12.30).
Conclusion : There was difference in eating pattern, i.e. high consumption of carbohydrate, fat and protein which became risk factor for the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.

Key words : metabolic syndrome, elderly, eating pattern, risk factors

1 Instalasi Gizi RSUP Sanglah Denpasar-Bali, Jl. Diponegoro No. 1, Denpasar, Bali, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2Bagian Penyakit Dalam RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta
3 Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta

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Asupan vitamin B3 (niasin), C, E, dan serat berhubungan dengan dislipidemia pada penyakit jantung koroner di RS DR. Mohammad Hoesin Palembang

Muzakar1, Kris Dinarti2, Herni Astuti3

ABSTRACT

Background
To find out the relationship between intake of vitamin B3 (niacine), C, E and fibres and dislipidemia in coronary heart disease at dr. Mohammad Hoesin Hospital of Palembang.
Objective : To find out the relationship between intake of vitamin B3 (niacine), C, E and fibres and dislipidemia in coronary heart disease at dr. Mohammad Hoesin Hospital of Palembang.
Method : The study was analytic observational which used cross sectional design. Subject of the study were dislipidemic patients of coronary heart disease who were newly diagnosed. There were as many as 50 patients who fulfilled inclusion and exclusion criteria and were purposively chosen. The study was carried out at cardiology room from October 2007 to February 2008. Data of intake were obtained from questionnaires of quantitative food frequency and processed using computer. Chi square test was used to identify the relationship between intake and lipid profile; Spearman rho correlation was used to find out the level of relationship; and odds ratio was used to identify the risk.
Result :There was significant relationship between intake of vitamin B3, C, E and fibres and total cholesterol (p < ?). There was significant relationship between intake of vitamin E and triglyceride (p = 0.015). There was significant relationship between intake of vitamin B3, E and fibres and high density lipoprotein cholesterol (p < ?). There was significant relationship between intake of vitamin B3, C, E and fibres and low density lipoprotein cholesterol (p < ?).
Conclusion : There was relationship between low intake of vitamin B3, C, E and fibres of dislipidemia patients in coronary heart disease.

Key words : coronary heart disease, vitamin B3, vitamin C, vitamin E, fibres

1Poltekkes Palembang, Jl. Jenderal Sudirman km. 3 No. 1365, Komplek RSMH, Palembang 30126, Sumatera Selatan, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2Bagian Kardiologi dan Vaskular, Fakultas Kedokteran Universitas Gadjah Mada.
3Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta

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Analisis sisa makanan dan biaya sisa makanan pasien skizofrenia rawat inap di Rumah Sakit Jiwa Madani Palu

Irawati1, Yeni Prawiningdyah2, R. Dwi Budiningsari3

ABSTRACT

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.

Key words: leftover, cost of wasted food, schizophrenic patients

1 Instalasi Gizi Rumah Sakit Jiwa Madani, Jl. Thalua Konci Km 13, Mamboro, Palu, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Instalasi Gizi RSUP Dr. Sardjito, Jl Kesehatan, Yogyakarta
3 Magister Gizi Kesehatan UGM, Jl. Farmako, Sekip Utara, Yogyakarta 55281, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Status stunted dan hubungannya dengan perkembangan anak balita di Wilayah Pesisir Pantai Utara Kecamatan Lemahwungkuk Kota Cirebon

Alina Hizni1, Madarina Julia2, I.L. Gamayanti3

ABSTRACT

Background
: The problem of protein energy inadequacy is a major problem among underfives that affects the process of child growth and development. The prevalence of stunted status among underfives in developing countries in 2008 was estimated as much as 33%. In Cirebon Municipality the prevalence was 10.27% and in north coastal area of Cirebon Municipality was 11.4%.
Objective : To identify the association between stunted status and development of underfives at north coastal area of Subdistrict of Lemahwungkuk Cirebon Municipality.
Method : This was an observational study with a cross sectional design carried out at north coastal area of Subdistrict of Lemahwungkuk Cirebon Municipality from November 2008 to January 2009. Subject of the study consisted of 166 underfives and the respondents were parents of those children. Samples were chosen purposively. Research instruments consisted of questionnaire, length board, microtoice, forms, and Denver II test. Data analysis used chi square and logistic regression with confidence interval (CI) 95%.
Result : There was significant association between stunted status and development of fine motor adaptive, language, and gross motor capacity. There was significant association between education of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between occupation of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between stunted status, education of mothers, and occupation of mothers and child development. The result of multivariate analysis showed that stunted status had greater risk for delayed language development of underfives than other indicators of child development.
Conclusion : There was no association between stunted status and child development; however stunted status had greater risk for delay in language development, and risk factors dominantly affecting child development were occupation and education of mothers.

Key words : stunted, child development, underfives

1 Prodi Keperawatan Cirebon Poltekkes Tasikmalaya, Jl. Pemuda No. 38, Cirebon, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Bagian Anak RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta 55281, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Fakultas Psikologi UGM, Jl. Humaniora No. 1, Bulaksumur, Yogyakarta 55281

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Status stres psikososial dan hubungannya dengan status gizi siswa SMP Stella Duce 1 Yogyakarta

Mutiara Tirta P L K1, Ronny Tri Wirasto2, Emy Huriyati3

ABSTRACT

Background : Adolescent is a transition phase from childhood to adulthood that marked by the change on physical, mental and psychosocial aspect. Adaptation on the change that people met in their life is called psychosocial stress. Stress makes a change on food habit and a disturbance on nutrition’s absorbance. Those circumstances affect people’s nutritional status.
Objective : To identify the correlation between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.
Methods : This study was an observational study which used a cross sectional design. It held by quantitative approach to identify the relationship between psychosocial stress and nutritional status. Subject of the study were 85 students of SMP Stella Duce 1 Yogyakarta. Respondent’s identities were collected by using identity questionnaire. Psychosocial stress’s status was collected by using SRRS questionnaire (social readjustment rating scale) that was modified for adolescent. Respondent’s calories intakes were assessed by using the form food recall 3 x 24 h. Anthropometrics data collected were weight and height. The adjustment of psychosocial stress’s status used SRRS questionnaires. Calories intake were measured by using nutrition software (Fp2). Student’s nutritional status was measured by using Epi 2000 software. Relationship’s analysis among variables uses statistical test of SPSS 12.00, with the correlation or linear regression test.
Result : From this study, 49.4% (42 people) have normal nutritional status, 4.7 % at under nutrition level, 25.9% at risk of obesity, and 20% obesity. From the measurement of psychosocial stress’s score, there were 61.2% (52 people) in a non-tress condition, while the other was on stress at different level. Statistical test showed that there was no relationship between psychosocial stress and nutritional status (p > 0.05).
Conclusion : There was no significant relationship between psychosocial stress and nutritional status among SMP Stella Duce 1 Yogyakarta’s students.

Key words : stress, stressor, psychosocial, adolescent, nutritional status

1 Program Studi Gizi Kesehatan UGM, Jl. Farmako, Sekip Utara, Yogyakarta 55281, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2Bagian Psikiatri RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta
3 Program Studi Gizi Kesehatan UGM, Jl. Farmako, Sekip Utara, Yogyakarta 55281, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Evaluasi program pemberian MP-ASI bubuk instan dan biskuit di Kota Mataram, Kabupaten Lombok Barat, Lombok Timur dan Bengkulu Utara tahun 2007

I Nyoman Adiyasa1, Hamam Hadi2, I Made Alit Gunawan3

ABSTRACT

Background
: Increasing number of poor families leads to higher prevalence of malnourishment and malnutrition. The prevalence of malnutrition in children under five based on weight/age at the Province of Nusa Tenggara Barat and Bengkulu 2005 was above the national target. An effort made by the government to minimize the prevalence of malnourishment/ malnutrition is through the distribution of individual complementary breastfeeding for infants and children of 6-24 months old from poor families. The program had been implemented since 2003-2005 and there were problems of its implementation. In 2007 the program was reimplemented through the program of instant powder and biscuit complementary breastfeeding distribution but its achievement has never been evaluated.
Objectives : To evaluate the achievement of instant powder and biscuit complementary breastfeeding program at Mataram Municipality, District of Lombok Barat, Lombok Timur, and Bengkulu Utara 2007.
Methods : The study was observational with pre and post test design using descriptive, analytical, quantitative, qualitative, and explorative approaches. Subjects were managers of complementary breastfeeding program at provincial, district/ municipal level, health centers, villages/integrated service post and program target. Variables of input, process, output and outcome were obtained through observation, filling in questionnaires, indepth interview, and secondary data recording. Data were analyzed descriptively, analytically, and qualitatively.
Results : In the aspect of input, only human resources that was quantitavely adequate, and so were technical guidline at Lombok Timur, Complementary breastfeeding packages relevant with the quantity proposed at Bengkulu Utara. Budget for sosialization and program guidebook at Bengkulu Utara were not available. Distribution method was relevant with the guidebook. In the aspect of process, planning was irrelevant with the guidebook; storage was 43.8% relevant with the requirement; distribution was 31.3% relevant with the schedule, quantity and types; monitoring was relevant with the schedule of integrated service post. In the aspect of output, the program was 78.8% relevant with target; 32.5% relevant with quantity; 95.6% could improve weight gain (p < 0.05). In the aspect of outcome: the program could overcome and prevent the prevalence of malnutrition, malnourishment and sustain good nutrition status as much as 55.6% and the result of Z-score statistical test was p < 0.05.
Conclusion : Achievement of instant powder and biscuit complementary breastfeeding program in aspect of input was average at three districts/municipality and good at District of Lombok Timur and poor at District of Bengkulu Utara; in aspect of output was poor at three districts/municipality and average at District of Bengkulu Utara; in aspect of outcome was poor at all districts/municipality. There was difference in average weight target before and after the supply of complementary breastfeeding. There was difference in average Z score target before and after the supply of complementary breastfeeding.

Key words : program evaluation, poor families, complementary breastfeeding, infant powder, biscuits, infants, children of 6–24 months

1 Poltekkes Mataram Jurusan Gizi, Jl. Prabu Rangkasari, Dusun Cermen, Cakranegara, NTB, 83232, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Magister Gizi Kesehatan UGM, Jl. Farmako, Sekip Utara, Yogyakarta 55281, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI Yogyakarta, Jl. Tatabumi No. 3 Yogyakarta

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