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Jurnal Vol.4 No.1

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ARTIKEL - Juli 2007, Vol.4, No.1

ASUPAN GIZI DAN STATUS GIZI SEBAGAI FAKTOR RISIKO HIPERTENSI ESENSIAL PADA LANSIA DI PUSKESMAS CURUP DAN PERUMNAS KABUPATEN REJANG LEBONG PROPINSI BENGKULU

Agung Riyadi1, P. Wiyono2, R. Dwi Budiningsari3

ABSTRACT

Background
: Hypertension is happened generally at someone which have age more than 40 year. The prevalence of hypertension is tend to increase along with the increasing of amount of the elderly. Changing of nutrition status and unfavourable nutrition intakes like is high fat, natrium and low micronutrients (potassium, calcium, magnesium) have an effect to incidence of essential hypertension. Retreating of biologis accompanying aging process sometimes make the elderly become resistance to get quality of intakes nutrition.
Objective : The study was conducted to know relations between nutrition intakes and nutrition status with occurrence on essential hypertension of the elderly in the health center Curup and Perumnas, Rejang Lebong District.
Method : The study was observasional analytic with case control matched study. Subject of the study was divided into two group i.e. case and control with comparison case and control 1:1 which matched to age and sex. Total subject were 150, taken by simple random method. The case were essential hypertension patients who had recently diagnosed by doctors. Blood pressure measurements were t hree times in supine position. Hypertension was defined as average of three times supine systolic/diastolic blood pressures at p >/140/90 mmHg. Nutrition status were determined by Body Mass Index (BMI). Intake nutrients were collected using Food Frequency Questionnaire (FFQ) in the last 3 months by using food model. x2 McNemar were used to bivariate analytic and condition logistic regression to identify risk factors associated with essential hypertension.
Result : This study showed that there were 4 variables significantly related with essensial hypertension, i.e. intakes of sodium (OR:3.43; CI 95%:1.09-10.77), potassium (OR:0.24; CI 95%:0.07-0.84), stress (OR:3.79; CI 95%:1.18-12.12), and obesity (OR:4.57; CI 95%:1.49-13.95). The nonsignificant correlation (p>0.05) identified for intakes of fat, calsium, magnesium, coffee consumption, smoking status and family history of essensial hypertension.
Conclusion : High intake of sodium, stress and obesity were the risk factors on occurrence of essential hypertension. In the other hand, high intake of potassium were reduce the risk on occurrence of essential hypertension (protective factor) in the health center Curup and Perumnas, Rejang Lebong District.

Key words : nutrition intake, nutrition status, essential hypertension

1 Politeknik Kesehatan Bengkulu
2 Bagian Endocrine RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Magister Gizi dan Kesehatan UGM, Yogyakarta

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HIPNOTERAPI UNTUK PENURUNAN BERAT BADAN PADA INDIVIDU OBES

Hera Nurlita1, Martalena Purba2, Ira Paramastri3

ABSTRACT

Background
: Obesity is a major health problem. There is a dramatic increase in the prevalence of obesity in many countries and in Indonesia. Evidence strongly suggests that dietary intake of high energy, high fatty foods and decrease physical activity are the primary causes of obesity. Obesity has been directly linked with mortality and morbidity from chronic diseases. Treatment for obese person involves multiple techniques and strategies including dietary therapy, physical activity, behavior therapy as well as combination of these strategies. Hypnosis enable someone to change habits, achieve goals to reduce weight and long-term weight loss maintenance.
Objective : This study was conducted to know whether hypnosis have an effect for weight loss in obese people.
Method : The study was a quasy experimental with a pre and post-test control group design. Subjects were divided into two groups ; 11 obese individuals received hypnotherapy and nutrition counseling and another 11 obese individuals received only nutrition counseling. Weight was measured at the beginning of the intervention and thereafter. Food intake were analyzed with computer software. Wilcoxon was used to analyzed the data.
Result : Results of study showed that weight reduction varied between case and control (with hypnotherapy and without hypnotherapy). The average weight loss among the two groups (3.29 kg in case and 0.60 kg in control) were significantly different (p<0.05). The average energy intake among the two groups (1278.4 kcal in case and 1659 kcal in control) were significantly different (p<0.05). Physical activity in case group was higher than the control group.
Conclusion : A combination of hypnotherapy and nutrition counseling leads to a better weight reduction than the one without hypnotherapy.

Key words : hypnotherapy, obesity, weight reduction, nutrition counseling

1 Dinas Kesehatan Kota Jambi
2 Instalasi Gizi RS. Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Magister Perilaku dan Promosi Kesehatan UGM, Yogyakarta

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PENGARUH KONSELING GIZI DENGAN BUKU SAKU DIET PADA PASIEN HIPERURISEMIA RAWAT JALAN DI RSUD NOONGAN PROVINSI SULAWESI UTARA

Maxie Roudy Reppie1, HAH Asdie2, Herni Astuti3

ABSTRACT

Background
: The prevalence of hiperurisemia in Minahasa was quite high in Indonesia. This is caused by nutrition/food intake and life style factors. These changes can be handled with nutrition counseling activity in order tochange attitude and food behavior by using nutrition counseling equipment that is diet pocket book.
Objective : In order to find out the influence of nutrition counseling with diet pocket book toward the control of purin intake and blood uric acid level in hiperurisemia patients who experienced out patient treatment in Noongan district hospital.
Method : This was a quasi experimental research that used pre and post test control group design. The subject of the research was Hiperurisemia patients who experienced out patient treatment in Noongan district hospital. The subject was divided into two groups: intervention group (n=28 people) which was given nutrition counseling with diet pocket book and control group (n=28 people) which was given nutrition counseling without diet pocket book. The sample was taken purposively.
Result : The decreasing average of uric acid in the beginning and end of the research was 1.62 mg/dL in intervention group and 0.85 mg/dL in control group. There was a significant difference on the decreasing average of blood uric acid between respondent in intervention group and in control group. The result of statistic analysis with t-test showed that p=0.000. The purin intake in the beginning of the research was p=0.105 with insignificant different while the purin intake at the end of the research which was p=0.009 also showed insignificant different. If the comparison was the decreasing average of purin intake in the beginning and end of the research, there was a decreasing of purin intake in intervention group of 53.78 while in control group was 35.39. The statistic analysis of p=0.000 showed that there was a significant different on the average of purin intake decreasing between respondent of intervention group with respondent of control group. In the high purin of food ingredient intake, there was an insignificant different of high purin intake decreasing between intervention group and control group with p=1.38. On the other hand, in the intake of medium purin food ingredient showed significant different in the decreasing of purin food intake in the intervention group and control group with p=0.000.
Conclusion : The control of blood uric acid level, and control of purin intake of hiperurisemia patients who were given nutrition counseling with diet pocket book was better than nutrition counseling without diet pocket book.

Key words: Hiperurisemia, purin intake, nutrition counseling, diet pocket book

1 RSUD Noongan, Provinsi Sulawesi Utara
2 Bagian Penyakit Dalam RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Instalasi Gizi RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta

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POLA MAKAN DAN OBESITAS SEBAGAI FAKTOR RISIKO DIABETES MELLITUS TIPE 2 DI RUMAH SAKIT SANGLAH DENPASAR

Ni Komang Wiardani1, Hamam Hadi2, Emy Huriyati2

ABSTRACT

Background
: Diabetes Mellitus (DM) is a chronic disease with its increasing prevalence worldwide, including in Indonesia and in Bali province especially among adult group. The increasing prevalence of DM is followed by the increasing prevalence of obesity affected by changes in lifestyle and unhealthy dietary patterns.
Objective : The study was conducted to investigate relations between dietary patterns and obesity with type 2 DM in Sanglah Hospital, Denpasar.
Method : The study was observational analytic with matched case control study. Subject of the study was divided into two group, i.e. case and control with comparison case and control 1:2 which matched to age and sex. The cases were type 2 DM patients who had recently diagnosed on first visited in Sanglah Hospital. Control 1 were outpatients of non-type 2 DM in Sanglah Hospital and control 2 were taken from the case-neighboring household. Total subject were 147, taken by consecutive method. Collected data were subject identity, dietary patterns, physical activity, weight, height, waist circumference and fasting blood sugar. Dietary patterns were collected using Food Frequency Questionnaire (FFQ), physical activity were colleted using modified International Physical Activity Questionnaire (IPAQ), and fasting blood sugar were estimated using biosensor of glucose. Multiple logistic regression models were used to indentify risk factors associated with type 2 DM.
Result : This study showed that there were 5 variables significantly related with type 2 DM, i.e. interaction of overall obesity with the dietary fiber intake (OR:10.7; 95% CI: 3.5-33.7), family history (OR:5.5, 95% CI: 2.2-13.3), source of high fat animal protein (OR:4.9, 95% CI:1.5-16.1), source of low fat animal protein (OR:0.1, 95% CI: 0-0.5), hypertension (OR:3.7, 95% CI:1.4-9.9)
Conclusion : The interaction between overall obesity with dietary fiber intake, family history, source of high fat animal protein, source of low fat animal protein and hypertension were the risk factors of type 2 DM occurrence in Sanglah Hospital, Denpasar.

Key words : dietary patterns, risk factors, obesity, type 2 DM

1 Politeknik Kesehatan Denpasar
2 Magister Gizi dan Kesehatan UGM, Yogyakarta

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HUBUNGAN KONSUMSI MAKANAN DAN KADAR HEMOGLOBIN (Hb) DENGAN PRESTASI BELAJAR SISWA SLTP KOTA PALEMBANG

Sartono1, Wiryatun Lestariana2, Toto Sudargo3

ABSTRACT

Background : Nutrition problems may happen to all groups of ages. A problem at a particular age group may affect nutrition status of the next periodic life cycle (intergenerational impact). Malnourished children may encounter physical growth, mental and intellectual disorder. Someone’s nutrition status may be affected by food consumption supply. Nutrition status can affect children schooling and academic achievement. Children suffering from iron deficiency have lower score in cognitive growth, study and academic achievement.
Objective : o identify relationship between food consumption and haemoglobin (Hb) level and academic achievement of junior high school students at Palembang Municipality.
Methods : The study was an analytical survey with cross sectional design. Population and samples were junior high school students at Palembang Municipality as subject of the study. Samples were chosen with multistage sampling design, the group was randomly selected and samples of each junior high school and grade were chosen using proportional stratified random sampling technique. Data analysis used univariable, bivariable and multivariable techniques. Bivariable statistical test was used to identify relationship between food consumption and academic achievement, and between Hb level and academic achievement; whereas regression test was used to identify relationship between food consumption and Hb level. Meanwhile, multivariable analysis used double linear regression. Data of food consumption were processed using Nutri Survey program for Windows. All data were then processed with SPSS program version 10.
Result : There was relationship between food consumption (energy, protein, vitamin C, zinc intake) and academic achievement (energy: p=0.001, r=0.372; protein: p=0.046, r=0.209; vitamin C: p=0.009, r=0.273; zinc: p=0.042, r=0.214), and there was relationship between Hb level and academic achievement (p=<0.001, r=0.421). There was relationship between food consumption (energy intake) and Hb level. (p=0.051, r=0.205).
Conclusion : The result of multivariable showed that only Hb level had significant relationship with academic achievement (p=<0.001, B=2.077).

Key words : ood consumption, haemoglobin, academic achievement

1 Politeknik Kesehatan Palembang
2 Bagian Biokimia Fakultas Kedokteran UGM, Yogyakarta
3 Magister Gizi dan Kesehatan UGM, Yogyakarta

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PENGARUH SUPLEMENTASI BESI-FOLAT, VITAMIN A DAN SENG TERHADAP DURASI DAN FREKUENSI SAKIT ISPA PADA ANAK SEKOLAH DASAR DENGAN STATUS GIZI KURANG DI KABUPATEN BANTUL

Sri Mulyati1, Madarina Julia2, Abidillah Mursyid3

ABSTRACT

Background
: Children in school-age are categorized as sensitive group who are in the second fast growth so that adequate nutrition intake are needed. Under-nourished students tend to have low immune and susceptible to illness. Nutrition with infections disease has reciprocal relation, well nourished will increase body immunity to infections disease and on the other hand, infection disease may worsen nutritional status condition. The relation between lack of micronutrient and the decreasing of body immune to ARI need to be solved, one way to solve such problem is by giving supplementation.
Objectives : The study was meant to know the influence of iron-folat, vitamin A and zinc supplementation to the duration and frequency of ARI among under-nourished elementary students grade IV – VI in Bantul regency.
Methods : This was experimental with factorial design. Subjects were divided into four treatment groups: iron-folat supplementation group were 38 students, iron-folat and vitamin A supplementation group were 39 students, iron-folat and zinc supplementation group were 40 students, and iron-folat, vitamin A and zinc supplementation group were 37 students. Data collected with recall twice a week during 3 months supplementation.
Results : Supplementation did not influence frequency of ARI among 113 elementary students with ARI (p=0.72) among four supplementation groups, while the duration of ARI were: iron-folat, vitamin A, zinc 6.5 days, iron-folat, vitamin A 7.7 days, iron-folat, zinc 8.6 days and iron-folat only 11.2 days. In the average, the duration of ARI from every ARI symptom was the duration of cough, the longest cold was in iron-folat group, while cough symptom, the shortest cold was in iron-folat, zinc and vitamin A group.
Conclusion : There were influence differences between iron-folat supplementation with Vitamin A and/or zinc and iron-folat supplementation to ISPA duration, but it did not give smaller influence statistically among frequency of ARI. Students with iron-folat, zinc and vitamin A supplementation had the shortest duration of ARI while students with iron-folat supplementation had the longest duration of ARI.

Key words : supplementation, infection, nutritional status, vitamin A, zinc

1 Instalasi Gizi RS Pekanbaru Riau
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Jurusan Gizi Politeknik Kesehatan Yogyakarta

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