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Jurnal Vol.10 No.2

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ARTIKEL - Oktober 2013, Vol.10, No.02

Peranan kadar nitrit oksida (NO) darah dan asupan lemak pada pasien hipertensi dan tidak hipertensi

Pudji Astutik1, Bambang Wirjatmadi2, Merryana Adriani2

ABSTRACT

Background
: Hypertension is closely related to impaired endothelial dependent vasodilation due to decreasing availability of blood nitric oxide (NO) and high fat intake.
Objective : To analyze blood NO and fat intake differences in patients with hypertension and non hypertension.
Method : The study was a cross-sectional design and sampling was carried out in Sidoarjo District Hospital. Subjects of the study were 24 patients aged between 40 to 65 years, which consist of 12 cases and 12 controls. Measurement of blood NO and recall of fat intake were performed.
Result : Blood NO in hypertension and non hypertension patients were 72.333 + 40.511?M and 116.083 + 46.962 ?M respectively. Fat consumption in hypertension and non hypertension were 51.52 + 5.99 g and 41.65 + 8.32 g respectively. Two independent samples t-test showed meaningful differences in the levels of blood NO (p=0.023) as well as fat intake (p=0.004) between the hypertension and non hypertension patients.
Conclusion : There is a difference in the levels of blood NO and fat intake in patients with hypertension and non hypertension.

Key words : hypertension, nitric oxide, fat consumption level

1 Korespondensi : Program Magister Fakultas Kesehatan Masyarakat Universitas Airlangga Surabaya, Kampus C Mulyorejo 60115, e-mail: pudjiastutik51@ yahoo.com
2Fakultas Kesehatan Masyarakat Universitas Airlangga Surabaya, Kampus C Mulyorejo 60115, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Pertanyaan dan nasihat dokter untuk konsumsi sayur dan buah: penelitian potong lintang pada 10 puskesmas di Yogyakarta dan Sleman

Yayi Suryo Prabandari1, Bagas Suryo Bintoro2, Indira Utami Yusuf2

ABSTRACT

Background
: Mortality caused by noncommunicable disease (NCD) has increased in the last ten years in Indonesia in line with the elevation of NCD prevalence. The NCD mortality and prevalence can be prevented by practicing healthy life style. One of healthy life style is adequate vegetable and fruit consumption that unfortunately was still far from expectation in the Basic Health Survey 2007 and 2010. Puskesmas as primary health care should anticipate the problem by encouraging doctor to routinely ask and educate on health life style.
Objective : This study aimed to assess physician ask and advice on vegetable and fruit consumption based on patient and physician report.
Method : Two hundred and fi fty one patients from primary health care (Puskesmas) in Yogyakarta City and Sleman District participated in this cross-sectional survey. Subsequently, a survey on 57 physicians was conducted. Data were collected by structured questionnaires and exit interviews. We analyzed the data using Chi-Square test and logistic regression.
Result : The results showed that patients have been asked and adviced about vegetable and fruit consumption. However, the proportion of physician report was higher than the proportion of patient’s report. Patient who had gastrointestinal disorder, had body weight problem, suffered from diabetics and cardiovascular diseases were more being asked and educated about vegetable and fruit consumption than other sypmtoms or diseases. Patients who were female, not married and did not eat vegetable and fruit everyday reported more being asked and adviced by doctor on fruit and vegetable consumption than patients who were male, married and did not regularly eat fruit and vegetable. There was no difference of patient’ s perception on the relation between their disease and fruit and vegetables consumption based on characteristics, symptoms, disease and the frequency of eating fruit and vegetable.
Conclusion : Primary health care physician has asked and adviced patient about vegetable and fruit consumption although did not routinely practice it. Delivering advice as part of patient education on high fi ber diet should be included in the national insurance scheme, so that physician will routinely educate patient.

Key words : vegetable and fruit consumption, physician ask and advice, patient, primary health care

1 Korespondensi: Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada/Rumah Sakit Umum Pusat Dr. Sardjito, Jl. Kesehatan no 1, Sekip, Sleman, Daerah Istimewa Yogyakarta 55284, e-mail: pradjatmo@ yahoo.com
2Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Pemanfaatan internet untuk edukasi gizi bagi penyandang diabetes mellitus

Emyr Reisha Isaura1, Probosuseno2, Muhammad Primiaji Rialihanto3

ABSTRACT

The pattern of disease incidence has changed nowadays as indicated from epidemiological transition, from infection to non infection diseases or non communicable diseases. Quantity of diabetes mellitus (DM) patients in Indonesia is increasing every year. Integrated management of DM requires synergy from different parties. According to Act No. 36/2009 on Health, article 17 paragraph 1 states that the government is responsible for availability of access to information, education, and health facilities to improve and maintain highest health status.
Objective : The study aimed to analyze the utilization of internet or online media in the dissemination of recommended eating pattern and physical activities of DM patients as prevention against complication.
Method : The study used cross-sectional design and was carried out in January 2013 at Surabaya Municipality. It used e-survey, with secondary data from hospitals at Surabaya Municipality. Samples were DM patients of 20-50 years old registered in hospitals and agrred with informed consent. Samples were taken purposively involving 66 respondents.
Result : There was difference in eating pattern between DM patients utilizing online and those using non online media (OR=3.33; CI 95%=1.06-10.43; p=0.03); and in physical activities (OR=0.09; CI 95%=0.01-0.75; p=0.008).
Conclusion : The utilization of online media affected eating pattern and physical activity pattern in DM patient as much as 3.33 times and 0.09 times greater than in those not using online media in looking for communication, information, and education resources in supporting prevention against DM complication. Thus online media could be one of effective and effi cient methods in the delivery of communication, information, and education for DM patients by health staff.

Key words: eating pattern, physical activities, DM patients, internet, online media, nutrition education

1 Korespondensi: Jl. Terusan Cikampek No. 9A, Malang, Jawa Timur, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2Bagian Penyakit Dalam, Rumah Sakit Umum Pusat Dr. Sardjito, Jl. Kesehatan No.1, Yogyakarta 55281
3Politeknik Kesehatan Kementerian Kesehatan Yogyakarta Jurusan Gizi, Jl. Tata Bumi No.3 Banyuraden, Gamping, Sleman Yogyakarta 55293

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Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2

Yunita1, Ahmad Husein Asdie2, Susetyowati3

ABSTRACT

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 hospital can increase nutrient intake of patients in hospital. In 2003 the American Diabetes Association recommended a model of standardized nutrition care process (SNCP).
Objective : To fi nd 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 pre-post test. Samples were divided into two groups; one group was treated with SNCP and the other with conventional nutrition care. 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.
Result : 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 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 wheareas 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 signifi cant.
Conclusion : Nutrient intake (energy, protein, fat and carbohydrate) of DM type 2 in 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 stastically signifi cant.

Key words : standardized nutrition care process, nutrient intake, blood glucose

1 Korespondensi: Rumah Sakit Pusat Angkatan Darat (RSPAD) Gatot Soebroto Direktorat Kesehatan Angkatan Darat (Ditkesad), Jl. Abdurrahman Saleh No.24, Jakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Bagian Penyakit Dalam, Rumah Sakit Umum Pusat Dr. Sardjito, Jl. Kesehatan No.1, Yogyakarta 55281
3 Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Pemberian makanan F100 dengan bahan substitusi tepung tempe terhadap status protein pasien anak dengan gizi kurang

Diniyah Kholidah1, Endy Paryanto Prawirohartono2, Fatma Zuhrotun Nisa3

ABSTRACT

Background
: Much effort has been made to counter the weaknesses of F100 through the development of milk powder substituted with ingredients that have a high content of protein and energy, high bioavailability and relatively low cost.
Objective : To analyze effect of F100 supplementation using substitute tempeh fl our on protein status (total protein serum and serum albumin) among undernourished pediatric patients.
Methods : Experimental research with randomized clinical control trial among 30 undernourished children consisting of open clinical trial in two experiment groups, supplemented with F100 or substitute F100 (isoenergetic and isoprotein diet) within 14 days. The study was undertaken in April-August 2010 at pediatric inpatient room of Dr. Saiful Anwar Hospital Malang. Data of food intake were obtained through visual comstock and 24 hour food recall; data of total serum protein through biuret method; serum albumin (Alb) through cellulose acetate electrophoresis method. Data analysis was using Pearson Chi-Square test and unpaired t-test.
Result : The result of unpaired t-test on average intake of energy, protein, fat and carbohydrate showed there was no signifi cant difference in each experimental groups (p>0.05). The test result of total serum protein level and serum Alb level showed there was no signifi cant difference in each experiment (p=0.240 and p=0.774). The result of correlation coeffi cient test showed there was no signifi cant association between intake of energy and nutrient and total serum level and serum Alb level (p>0.05) and degree of association showed a weak association (r>0.25).
Conclusion : Formula of F100 substitute as complementary food could be used as an alternative food in diet therapy of malnourished children on rehabilitation phase.

Key words : malnutrition, F100, substitute F100, total serum protein, serum albumin

1 Korespondensi : Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Malang, Jl. Besar Ijen 77 C Malang, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 lmu Kesehatan Anak, Rumah Sakit Umum Pusat Dr. Sardjito, Jl. Kesehatan No.1, 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, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281

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Paparan iklan televisi terhadap pemilihan makanan dan asupan energi pada anak

Yovita Puri Subardjo1, Toto Sudargo2, Madarina Julia3

ABSTRACT

Background
: Obesity in school children is the problem of world epidemics of which its prevalence increases sharply. Food marketing through television is presumed to be one of the causing factors.
Objectives : To fi nd out whether exposure to food and beverage ads through television infl uenced food choice and intake in children and whether its effect varied in different nutrition status.
Methods : The study was an experiment involving 2 experiment groups. The fi rst group was exposed to fi lm with food and beverage ads; the second with ads excluding foods and beverages. The children were given 8 advertised foods and drinks and 4 natural foods. Assessment was then made on energy intake and food choice. Population of the study was elementary school children at Yogyakarta Municipality and samples were selected through multi-stage random sampling. Data were analyzed descriptively and through correlation analysis.
Results : Children exposed to food and beverage television ads had higher energy intake (262.7+99.7 kcal) from those on ads than children not exposed to ads (233.7+103.3 kcal), and chose more from those on ads (4.7+1.7) than children not exposed to ads (4.2+1.7). Children with normal nutrition status were infl uenced more by food and beverage television ads than children with over nourished and undernourished nutrition status.
Conclusion : Exposure to food and beverage television ads infl uenced food choice and energy intake in children.

Key words television ads, food choice, energy intake

1 Korespondensi : Program Studi Ilmu Gizi, Fakultas Ilmu-ilmu Kesehatan Universitas Jenderal Soedirman, Jl. dr. Soeparno, Karangwangkal, Purwokerto 53123, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, 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 Bagian Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada, Jl. Kesehatan No 1 Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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