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Jurnal Vol.5, No.3

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ARTIKEL - Maret 2009, Vol.5, No.3

Pemberian suplemen seng sulfat dan pengaruhnya terhadap kadar seng serum dan jumlah CD4+ pada wanita usia lanjut sehat

Yang Rusfinda Sari1, M. Juffrie2, I.D.P. Pramantara3

ABSTRACT

Background
: Aging is a natural process which happens to all living creatures. Aging is followed by declining physiological function. Elderly is a risk factor of micronutrient deficiency including zinc which has an important role in the immune system. This condition causes declining cellular immunity functions through reduced amount of CD4+.
Objective :To identify the effect of zinc sulphate supply to serum zinc level and amount of CD4+ among the elderly.
Method : The study used clinical test research design, one group pre-post test design (before and after trial). Subject of the study were “healthy” elderly individuals of more than 60 years old, willing to be studied. Assessment on nutritional status, physical examination and zinc level were made to the subjects. Next, subjects were supplied with 15 mg of zinc supplement once a day for 28 days. Then, re-examination was made to identify zinc level and the amount of CD4+ lymphocyte. Statistical analysis used paired t-test.
Result : Average age of the elderly observed (n = 30) was 64.43 ± 3.10 years. Average zinc level before the study was 5.85 ± 1.95 mmol/L, as many as 26 subjects (86%) had zinc under normal level, 4 subjects (14%) had normal zinc level and no subject had zinc above normal level. Zinc level at the end of the study increased in as many as 27 subjects (90%) with average as 4.54 ± 3.84 mmol/L (p < 0.001). The amount of CD4+ lymphocyte increased in 11 subjects (36%) with average increase 26.83 ± 137.46 (/mm3) (p = 0.29). Factors affecting increase of CD4+ lymphocyte were age, weight, score of mini nutritional assessment and upper arm circle, and preliminary zinc level.
Conclusion : The supply of 15 mg zinc for 28 days among the elderly could elevate serum zinc level significantly and could increase the amount of CD4+ lymphocyte only in 11 subjects (36%).

Key words : zinc sulphate, supplementation, CD4+ count, elderly

1 Klinik Badan Pemeriksa Keuangan R.I., Jl. HOS Cokroaminoto No. 52, Yogyakarta
2Bagian Anak RS Dr. Sardjito, Jl. Kesehatan, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Bagian Penyakit Dalam RS Dr. Sardjito, Jl. Kesehatan, Yogyakarta

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Asupan energi, aktivitas fisik, persepsi orang tua, dan obesitas siswa dan siswi SMP di Kota Yogyakarta

Elisabeth Pampang1, Martalena Br. Purba2, Emy Huriyati3

ABSTRACT

Background
Juvenile obesity is becoming a global problem. The high prevalence of juvenile obesity is due to an inadequate physical activity and an imbalance of nutritional intake. The roles of parent are significant in the incidence of obesity; therefore their understanding on the prevention of obesity is necessary. Findings of some studies in Yogyakarta show that 7.9 % of adolescents are approaching obesity.
Objective : To assess the relationship between energy intake, physical activities, parental perception, and the status of obesity among students grade 7 to 9.
Method : This study used cross sectional design. The samples were students grade 7 to 9 of Yogyakarta Municipal City including those who were obese and non-obese. The respondents were recruited as many as 230 students; chi square (x²) test and significant level of 95%, were used to analyze the difference between obese and non-obese group.
Result : This study found that energy intake correlated with obesity (p < 0.05). Moreover, physical activity significantly correlated with obesity (p < 0.05). Nevertheless, parental perception did not significantly correlate with obesity (p > 0.05).
Conclusion : Physical activity and energy intake had an association with obesity status among students grade 7 to 9 in Yogyakarta Municipal City. But parental perception had no association with obesity among the respondence.

Key words : juvenile obesity, energy intake, physical activity, parental perception

1Jl. Sanggoledo No. 71, Bengkayang, Kalimantan Barat
2Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3Program 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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Status GAKY, anemia, EYU, dan kesegaran jasmani anak sekolah dasar di Kabupaten Dairi, Sumatra Utara

Joner Lumban Toruan1, B.M. Wara Kushartanti2, Untung S. Widodo3

ABSTRACT

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 (x2) was used to identify the relationship between independent variable and dependent variable, and ANOVA test (F test) was used to find out differences in physical fitness based on endemic level.
Result : 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.

Key words: iodine deficiency disorder, anemia, physical fitness

1Dinas Kesehatan Kota Binjai, Jl. Gatot Subroto No. 191 Kota Binjai, Sumatra Utara
2 Fakultas Ilmu Keolahragaan UNY, Jl. Kolombo Baru, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 BP GAKY Magelang, Kavling Jayen Borobudur, Magelang, Jawa Tengah

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Kecacingan, malaria, dan status besi ibu hamil di Kabupaten Batang Hari Provinsi Jambi

Helfiyan1, Hamam Hadi2, Siti Helmyati3

ABSTRACT

Background
: Anemia among pregnant women may increase abortion, premature, low birth weight and even mortality before and after delivery. Factors causing anemia in Indonesia are lack of Fe, inadequate intake, demanding needs, and lack of nutrient facilitating Fe absorption. Besides, infection such as worm and malaria may cause anemia as well. Result of household health survey 2001 stated that prevalence of pregnant women with anemia was 40% in Indonesia. In Jambi Province, it was 39% in 2003 and 42.3% for Batang Hari Regency while infection of malaria was 50.0% in all age groups and many other districts that its environment were woods, humid, and wasted that may increase infection of hookworm.
Objective : The study was proposed to know the correlation of hookworm, malaria with anemia among pregnant women by analyzing correlation of hookworm, malaria, and anemia and correlation of hookworm, malaria and Fe status among pregnant women.
Method : This was cross sectional study. It held from September until December 2005 in Batang Hari Regency, Jambi Province. Subjects were 132 pregnant women. Examination of blood for Hb, malaria and ferritin were taken together while feces were later.
Result : There were no significant correlation of Ascaris lumbricoides infection with anemia (p = 0.36; OR = 2.43), Trichiuris thrichiura infection with anemia (p = 0.30), 2 kinds of worm Ascaris lumbricoides + Trichiuris trichiura with anemia (p = 0.08; OR = 4.87), and infection of Ascaris lumbricoides + Necator americanus with anemia (p = 0.30). There was significant correlation of 3 kinds of worm Ascaris lumbricoides + Trichiuris trichiura + Necator americanus with anemia (p = 0.018; OR = 7.3). There were no significant correlation of Ascaris lumbricoides with ferritin (p = 0.17; OR = 3.23) and Trichiuris trichiura with ferritin (p = 0.25). There was significant correlation of 2 kinds of worm Ascaris lumbricoides + Trichiuris trichiura with ferritin (p = 0.04; OR = 6.4). There was no significant correlation of Ascaris lumbricoides + Necator americanus with ferritin p = 0.25. There were significant correlation of 3 kinds of worm (Ascaris lumbricoides + Trichiuris trichiura + Necator americanus) with ferritin p = 0.007; OR = 9.69 and ferritin with anemia p = 0.0001; OR = 17.45.
Conclusion : There was no significant correlation of hookworms Ascaris lumbricoides, Trichiuris trichiura, Ascaris lumbricoides + Trichius trichiura, Ascaris lumbricoides + Necator americanus with anemia. There were significant correlation of infection of Ascaris lumbricoides + Trichiuris trichiura + Necator americanus with anemia and malaria with anemia. There was no correlation of hookworms Ascaris lumbricoides, Trichiuris trichiura, Ascaris lumbricoides + Necator americanus with anemia. There were correlation of infection Ascaris lumbricoides + Trichiuris trichiura and Ascaris lumbricoides + Trichiuris trichiuris + Necator americanus with ferritin, malaria with ferritin, and ferritin with anemia.

Key words : hookworm, malaria, ferritin, anemia

1 Dinas Kesehatan Provinsi Jambi, Jl. RM Noer Atmadibrata No 8, Telanaipura, Jambi
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 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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Swamedikasi diabetes mellitus dengan daun ceplikan (Ruellia tuberosa L.) : kajian kemanfaatan pada profil lipid serum secara praklinik

Ety Yuni Ristanti1, Wiryatun Lestariana2, Lily Arsanti Lestari3

ABSTRACT

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

Key words : self-medication, liquid extract of ceplikan leaves (Ruellia tuberosa L.), triglyceride, total cholesterol, LDL-cholesterol, HDL-cholesterol, diabetes mellitus

1 Politeknik Kesehatan Departemen Kesehatan R.I. Maluku Jurusan Gizi, Jl. Laksdya Wattimena Negeri Lama, Ambon, e-mai: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Bagian Biokima Fakultas Kedokteran UGM, Jl Farmako, Sekip Utara, Yogyakarta 55281
3 Program Studi Gizi Kesehatan UGM, Jl. Farmako Sekip Utara, Yogyakarta 55281, email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Analisis sisa makanan lunak rumah sakit pada penyelenggaraan makanan dengan sistem outsourcing di RSUD Gunung Jati Cirebon

M. Agus Ariefuddin1, Tjahjono Kuntjoro2, Yeni Prawiningdyah3

ABSTRACT

Background
: An indicator of success in maintaining quality of service in patient nutrition can be measured from leftovers. In average inpatients got soft food as much as 40.1% and about 20.5% of them have leftovers. One benefit of leftover data is that they can be used to evaluate provision of hospital foods. Leftovers indicate that there is a waste in food cost.
Objectives : To analyze leftovers of hospital soft food in the provision of food using outsourcing system at Gunung Jati Hospital of Cirebon Municipality.
Methods :This was an observational study that used cross sectional design. Samples were as many as 93 patients. Data were analyzed quantitatively using chi square to identify in factors correlation the presence of leftovers and correlation in respondents’ satisfaction with the quality of food with the presence of leftovers and to identify correlation of irrelevance with leftovers of hospital soft foods portion served with the presence of leftovers. Characteristics of respondents and cost of foods wasted were analyzed using univariate technique.
Results : The result of statistical analysis showed that there was significant correlation in sex, level of education, types of diseases and appetite on the presence of leftovers (p < 0.05) and there was no significant correlation based on age and class of hospitalization (p > 0.05). There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served on the presence of leftovers. Total cost foods wasted was Rp 12.559.12/day.
Conclusion : There was correlation in sex, level of education, types of diseases and appetite on the presence of leftovers. There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served with leftovers. The cost of foods wasted based on class of hospitalization served greatly varied.

Key words : standard of soft food portion served, leftovers, cost of foods wasted, outsourcing

1 RSUD Gunung Jati Kota Cirebon, Jl. Kesambi No. 56 Kota Cirebon
2 Bapelkes Gombong, Jl. Wilis No. 1, Gombong, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan Yogyakarta

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Faktor-faktor yang berhubungan dengan tingkat kepuasan pasien rawat inap terhadap pelaksanaan konsultasi gizi ruangan di Rumah Sakit Umum Mataram

Siti Utami Sulasty1, R.Dwi Budiningsari2, Setyowati3

ABSTRACT

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.
Objectives : To determine factors that associate with the rate of hospitalized patients’ satisfaction towards nutrition counseling in Mataram Hospital.
Methods : 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 (R2 = 0,086 p = 0,027; R2 = 0,099 p = 0,017; R2 = 0,108 p = 0,013; R2 = 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.

Key words : the rate of patients’ satisfaction, nutrition counseling factors

1 Rumah Sakit Umum Mataram, Jl. Pejanggik No. 6 Mataram, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Magister Gizi dan 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 Politeknik Kesehatan Departemen Kesehatan R.I., Jl. Tatabumi No. 3, Yogyakarta

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