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Jurnal Vol.3 No.3

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ARTIKEL - Maret 2007, Vol.3, No.3

Pengaruh diet rendah protein modifikasi terhadap keseimbangan nitrogen pada pasien penyakit ginjal kronik predialisis di RSU Dr. Soeradji Tirtonegoro

Agus Sunaryo1, Achmad Husein Asdie2, Susetyowati33

ABSTRACT

Background
: Chronic kidney disease (CKD) is a decreasing function of kidney chronically, progressive, and irreversible. In this condition, one of the symptom found is uremia where gastrointestinal disturbance such as vomiting and anorexia occurred. This causes less nutrition intake, therefore careful diet is needed in attention. One of important aspect of diet procedures for CKD patients is eating management.
Objective : To find out the influence of the modification of low protein diet intake towards nitrogen balance in predialysed CKD patients.
Method : This was an experimental research using randomized controlled trial design.The subjects were predialysed CKD patients treated who fulfilled the following criteria: adult patients, obtained a low protein diet therapy, treated for at least two days, and willing to be examined. The treatments were a modification of low protein diet compare with a hospital standard of low protein diet.The twenty patients were devided into two groups namely a-ten-people treatment group and a-ten-people control.
Result : The statistical test showed that there were no significant difference (p>0.05) in energy and protein intake, urea nitrogen appearance, and nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients.
Conclusion : There were no significant difference in nitrogen balance between modification of low protein diet and the hospital standard of low protein diet in predialysed CKD patients.

Key words : modification of low protein diet, nitrogen balance, predialysed chronic kidney disease

1 Dinas Kesehatan Daerah Militer Iskandar Muda, Banda Aceh
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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Status gizi, aktivitas fisik, dan prestasi akademik siswa SMA gakin dan non-gakin di Kota Bitung

Daniel Robert1, Abidillah Mursyid2, Emy Huriyati3

ABSTRACT

Background
: A good nutritional status of students will greatly support their physical activities. Social economic status of a family may affect intake of nutrient, energy, and protein which can bring impact on nutritional status. Good nutritional status is necessary for teenagers to maintain health and support physical activities. Senior high school students from poor and non poor families may have different nutritional status, physical activities, and academic achievement.
Objective : The objectives of the study were to identify differences in nutritional status, physical activities, and academic achievement of students from poor and non poor families at Bitung Municipality and relationship between intake of energy and protein and nutritional status, physical activities, and academic achievement of students from poor and non poor families.
Method : The study was observational with cross sectional design. Population and samples were senior high school students of 16–18 years old (from database) from poor and non poor families. Total samples were 314 students taken using stratified random sampling technique. The study was conducted in September–December 2005. Data were analyzed using chi-square, t-test, and linear regression with significance level 95% and processed using computer software.
Result : There was a significant difference in nutritional status, light physical activity, academic achievement in poor and non poor highschool students (p<0,05), but there was no significant difference in the medium and heavy physical activity (p>0,05). There was also a relationship between confounding variable of energy intake with nutritional status, father’s job with light activity, father’s education and job with medium activity, father and mother’s education, father’s job, and energy intake with academic achievement. There was no relationship between confounding variable with heavy physical activity (p>0,05).
Conclusion : There was differences in nutritional status in light physical activity and academic achievement between students from poor and those from non poor families.

Key words : nutritional status, physical activities, academic achievement, poor families

1Politeknik Kesehatan, Manado.
2Politeknik Kesehatan, Yogyakarta
3Magister Gizi dan Kesehatan UGM, Yogyakarta

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Pengaruh pemberian MP-ASI program dan MP-ASI komersial terhadap pertumbuhan bayi usia 6-11 bulan di Kabupaten Kampar

Dedy Rochyani1, Mohammad Juffrie2, I. Made Alit Gunawan3

ABSTRACT

Background
: Growth alteration in 6-11 months old baby occurred due to inappropriate practice in complementary food consumption (complementary breastfeeding). Quality and quantity deficit of household complementary breastfeeding products could cause serious problems in baby growth. One of the alternative solution was consuming complementary breastfeeding from industrial products. Consuming complementary breastfeeding blended food (program complementary breastfeeding) for 6-11 months old babies in Medan tended to show no relationship with their nutritional status based on Z-score index weight for age. One of the possible reason was low level acceptance of program complementary breastfeeding in 2003.
Objective : To determine the level of acceptance of both program and commercial complementary breastfeeding with their relationship toward 6-11 months old baby growth in sub urban poor families in Kampar Sub District.
Method : Quasi experimental design was conducted. Purposive technique sampling was chosen and samples were divided into two groups that received different intervention. The first group that received program complementary breastfeeding consisted of 54 babies and the second group that received commercial complementary breastfeeding consisted of 46 babies of 6-8 months old babies from sub urban poor families. Data obtained was analyzed with univariate, bivariate, and multivariate analysis.
Result : Level of acceptance of commercial complementary breastfeeding was higher than program complementary breastfeeding for 6-11 months old babies in sub urban poor families in Kampar Sub District (p=0.038). These babies had a significant additional in weight and length after consuming program and commercial complementary breastfeeding (p<0.001). Weight gain for the group that given commercial complementary breastfeeding was higher than that for the group that given program complementary breastfeeding (p<0.001), while body length also added during three months treatment but not significant (p>0.05).
Conclusion : Consumption of program and commercial complementary breastfeeding could increase the weight gain and body length significantly.

Key words: complementary breastfeeding, infant growth, infant feeding

1 Dinas Kesehatan Kabupaten Kampar, Provinsi Riau
1 Bagian Anak RS Dr. Sardjito/ Fakultas Kedokteran UGM, Yogyakarta
2 Jurusan Gizi Politeknik Kesehatan, Yogyakarta

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Pola makan, penyakit infeksi, dan status gizi anak balita pengungsi di Kabupaten Pidie Provinsi Nanggroe Aceh Darussalam

Irwansyah Putra1, Endy P. Prawirohartono2, Madarina Julia3

ABSTRACT

Background
: The declaration of Martial Law in Aceh Province have been held, they evacuate themselves to save from the risks when bombardment happen. In refugee camp, there were problems, like improperly place to live, lack of food, and lack of water. This condition will make the nutritional and health status become worse. It can be signed by the increasing of under nutrition prevalence.
Objective : The objective of this study was to determine the food consumption pattern, breastfeeding pattern, nutritional intake, infection diseases, and nutritional status of infant under five years old in refugee camp.
Method : This was an observational study with cross sectional design. This study was conducted in Keunire refugee camp, Pidie District, Nanggroe Aceh Darussalam Province. Subjects of this study were infants under five years old. Data were collected by interview using open questionnaire, while nutritional intake data were collected by recall method and analyzed using computer. The assesment of nutritional intake was using anthropometry method. Data were analyzed using chi square test and t-test.
Result : General and specific feeding pattern were given by the team of disaster and refugee tackling of Pidie District for Keunire refugee camp. Specific feeding pattern was given to the infant of under five years old as a food supplement. That food supplement should fulfill 15.4-30.5% energy and 28.5%-69.1% protein requirements. Breastfeeding pattern changed into more regular when they were ini refugee camp, because their children were thirsty and crying. Mean of energy and protein intake of refugee infant of under five years old were higher than that of non refugee. The under nutrition prevalences of refugee infant of under five years old were 21.7% (WHZ), 32.5% (WAZ), while that prevalences of non refugee infant were 23.8% (WHZ) and 39.7% (WAZ). Statistically, there were no differences in under nutrition prevalences between both of them. Nutritional status had association with energy intake, protein intake, and infection diseas in refugee camp.
Conclusion : There was changing in breastfeeding pattern in refugee camp. There were also differences in mean of energy and protein intake between refugee and non refugee infant of under five years old, but there was no difference in nutritional status.

Key words : breastfeeding pattern, infant of under five years old, refugee, nutritional status

1 Dinas Kesehatan Kabupaten Pidie
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta

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Pengaruh pelatihan penjamah makanan tentang sistem pengolahan dan penyajian makanan terhadap mutu makanan pasien di RSUD Prof. Dr. Margono Soekarjo Purwokerto

Nurrekta Yuristrianti1, Tjahjono Kuntjoro2, Toto Castro3

ABSTRACT

Background : Special attempts should be done to improve patient’s food quality. One of them is by choosing skillful and professional staff in the food processing and service according to the standard. Patient’s food service unit in Margono Soekarjo Hospital, Purwokerto applying catering system that in its policy should consider some factors including training and educational program.
Objective : To find out the effect of training on food handler and service system for staff dealing with food on patient’s food quality improvement in Margono Soekarjo Hospital, Purwokerto.
Methods : This was a quasi experimental study with a time-series approach. The subjects were 30 staff of food handler and patients in class-II and class-III for more than 2 days and got regular diit. Data were collected through observation and evaluation using questionnaires and visiting records. Evaluation was done on knowledge, attitude, and skills of the staff of food handler; on patient’s food quality and patient’s satisfaction with food quality. Data were analyzed using t-test and anova.
Result : Training affected improvement on knowledge, attitude, and skills of staff food handler. The evaluation of food quality after training showed improvement in the aspects of performance and taste of all kinds of food with good grade in average. Meanwhile the evaluation of patient’s satisfaction after training showed stability in the observation 01 (month 1), 02 (month 2) and 03 (month 3) with satisfaction grade in average. Observation on patient’s food waste showed that in average the food that was not consumed by patients was <25%.
Conclusion : Training on food serving and processing system affected improvement of knowledge, attitude, and skills of the staff of food handler; food quality, and patient’s satisfaction with food quality.

Key words : training, food handler, satisfaction, food quality

1 RSUD Prof.Dr. Margono Soekarjo, Purwokerto
2 Balai Pelatihan Teknis Profesi Kesehatan Provinsi Jawa Tengah
3 Balai Pelatihan Kesehatan Salaman

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Hubungan status gizi dengan perkembangan mental dan psikomotor anak usia 12 sampai 24 bulan di daerah endemis GAKI

Sri Desfita1, Toto Sudargo2, M.G. Adiyanti3

ABSTRACT

Background
: Malnutrition is one of major public health problem in Indonesia. Prevalence of malnutrition in Indonesia in 2005 was 23.8% and in the Province of Yogyakarta Special Territory in 2002 was 15%. District of Sleman had prevalence of malnutrition as much as 11.39% and Cangkringan as one of heavy iodine deficiency disorder endemic areas at district level had 12.5% of malnutrition prevalence. Children at iodine deficiency disorder endemic areas might likely have growth and development disorder.
Objectives : To identify relationship between nutritional status and mental psychomotoric development of children of 12 to 24 months old at iodine deficiency disorder endemic areas.
Methods : The study was observational with cross sectional design carried out at Subdistrict of Cangkringan, District of Sleman. Subjects of the study were 75 children aged 12–24 months chosen by using consecutive sampling technique. Dependent variables of the study were mental and psychomotoric development, independent variable was nutritional status of children based on anthropometry with length/age indicator. Confounding variables were birth weight, mothers’ iodine status, level of education, job and family economic status. Other independent variable affecting nutritional status of children was mothers’ height. Data were analysed using chi square, Fisher’s exact test, and independent t-test.
Results : Prevalence of low nutritional status was 13.33%. Children with normal nutritional status had average mental development index (MDI) 2.49 points and psychomotoric development index (PDI) 5.37 points higher than those with low nutritional status. However, relationship between nutritional status and mental and psychomotoric development was statistically insignificant.
Conclusion : Relationship between nutritional status and mental and psychomotoric development of children of 12–24 months old was not statistically significant. Children with normal nutritional status tended to have higher MDI and PDI score than those with low nutritional status.

Key words : nutritional status, mental development, psychomotoric development, iodine deficiency disorder

1 STIKES Hang Tuah, Pekanbaru
2 Magister Gizi dan Kesehatan UGM, Yogyakarta
3 Fakultas Psikologi UGM, Yogyakarta

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