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Jurnal Vol 7. No.3

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ARTIKEL - Maret 2011, Vol.7, No.3

Kajian Metode Subjective Global Assessment (SGA) dan Nutrition Services Screening Assessment (NSSA) sebagai status gizi awal pasien dewasa sebagai prediktor lama rawat inap dan status pulang1

Agustinus I Wayan Harimawan2, Hamam Hadi3, Susetyowati4

ABSTRACT

Background
: Assessment of nutrition status of newly hospitalized patients is an initial stage of nutrition intervention which will bring effects to the duration of stay and the history of patients' diseases during hospitalization. Appropriate nutrition intervention as part of patients' care can bThe study aimed to identify preliminary nutrition status of newly hospitalized adult patients using SGA method, its effects to length of stay and status of discharge and compare the capacity of SGA and NSSA indicators in predicting length of stay and status of discharge of adult patients.
Method : This observational study used prospective cohort study design. It was carried out at Anuntaloko Hospital of Parigi, District of Parigi Moutong, Sulawesi Tengah from July to September 2008. Subject consisted of 162 people comprising 82 undernourished people and 80 people with good nutrition status based on assessment using SGA method. Data analysis used bivariable and multivariable, receiver operating characteristics (ROC) curve and diagnostic methods using computer program.
Result : The majority of newly hospitalized patients were undernourished (50.6%); preliminary status of patients assessed using SGA method could affect length of stay, relative risk (RR)=3.67 but not status of discharge (RR=0.97). The capacity of SGA indicator, area under the curve (AUC)=0.81 and maximum sum of sensitivity and specificity (MSS) =1.57 was better than NSSA indicator (AUC=0.76 and MSS 1.43) in predicting length of stay. The capacity of SGA indicator (AUC=0.50 and MSS=1.01) was better than NSSA indicator (AUC=0.49 and MSS=0.98) in predicting discharge status of the patient.
Conclusion : SGA and NSSA indicators could be implemented in assessing preliminary nutrition status of newly hospitalized adult patients; SGA indicator had better capacity than NSSA indicator.

Key words : nutrition status, length of stay, discharge status, Subjective Global Assessment (SGA), Nutrition Services Screening Assessment (NSSA)

1 Dipresentasikan pada...
2 Dinas Kesehatan, Kabupaten Parigi Moutong, Sulawesi Tengah
3 Minat Utama Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako Sekip Utara, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
4 Minat Utama Gizi dan Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako Sekip Utara, e-mail: susetyowati2000@ yahoo.com

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Pemulihan gizi buruk rawat jalan dapat memperbaiki asupan energi dan status gizi pada anak usia di bawah tiga tahun1

Arnelia2, Astuti Lamid2, Rika Rachmawati2

ABSTRACT

Background
New approaches for the management of severe malnutrition such as outpatient rehabilitation complement the existing WHO inpatient protocols.
Objective : The objectives of this study was to assess the improvement of energy intake as well as the nutritional status of severe malnourished children during comprehensive outpatient rehabilitation.
Method : This study was conducted among severe malnourished children treated as outpatient rehabilitation at Nutrition Clinic at Center of Food and Nutrition Research and Development (CFNRD) in Bogor Indonesia. The design of the study was one group pretest-posttest design and recruitment of sample was taken from health centers in Bogor District. The criteria of sample was severe acute malnutrition based on weight for height Z score (WHZ) < -3 or, having clinical sign and aged under three years old. During a-six-months-comprehensive rehabilitation, the treatment was performed including: treatment of infectious diseases, nutrition and health education, psychosocial stimulation, formula-milk and supplementary feeding. WHO formula-milk was provided as F-75 and F-100 and supplementary feeding was given such as blended food, biscuit.
Result : From a total of 26 severely malnourished children were selected, 24 children included in the analysis, 1 child was died 1 child was dropout. It was found that the average energy intake in baseline was 82 + 15 kcal/kg body weight/day. After 1 month and 3 months intervention, average energy intake increased significantly to 121 + 13 kcal/kgBW/day and to 148 + 21 kcal/kg BW/day, respectively (p<0.000). Nutritional status increased from WHZ score of -3.56 + 0.71 at baseline, became -2.35 + 0.69 and -1.87 + 0.85 after 1 month and 3 months intervention. The proportion of normal child based on weight for height category were 50% after 3 months and 73.9% at the end of out patient rehabilitation.
Conclusion : The comprehensive outpatient rehabilitation could significantly improve the energy intake and the nutritional status of severe malnourished children under three years of age.

Key words : severe malnourished, outpatient, energy intake, WHO formula

1 Dipresentasikan pada International Dietetic Update pada tanggal 15- 17 Oktober 2009 di Yogyakarta kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, dan Prodi Gizi Kesehatan FKUGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Puslitbang Gizi dan Makanan (P3GM), Badan Litbangkes Depkes RI , Jl. Sumeru no. 63, Bogor Indonesia

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Pemberian jus belimbing Demak (Averrhoe carambola l) berpengaruh terhadap penurunan tekanan darah sistolik dan diastolik pada penderita hipertensi1

Heri Sulistiyono2, M.Isnawati2

ABSTRACT

Background
: Hypertension is the main risk factor for cardiovascular disease that is the primer cause of death in the world. Hypertension is associated with food pattern that is high in sodium and low in potassium. Demak’s starfruit is a high potassium food that has negative effect on high blood pressure.
Objective : To find out the effect of Demak’s starfruit juice for decreasing of systolic and diastolic blood pressure in patient with hypertension.
Method : This study was randomized control trial (RCT) design in two groups. The first group was treated with 500 ml Demak’s starfruit juice derived from 280 grams Demak’s starfruit containing 425 mg of potassium, 11 mg of calcium and 2,8 mg of magnesium for 7 days and the second group was a control with starfruit essence. The subjects in this study 34 persons. The subject had systolic blood pressure 140 – 160 mmHg and diastolic 90 – 100 mmHg. Intake of sodium, potassium, calcium and magnesium during research was observed with 2 x 24 hour food recall method. Statistical analysis used here was Kolmogorov-Smirnov, paired t-test, independent t-test and anakova.
Result : There was significant decreases in systolic and diastolic blood pressure of 19,71 + 7,39 and 14,41 + 8,08 in treatment group with Demak’s starfruit juice, and decrease 4,41 + 8,64 and 0,88+ 6,67 in control group.
Conclusion : Demak’s starfruit juice (Averrhoe carambola l) influence on the decrease of systolic and diastolic blood pressure.

Key words: hypertension, Demak’s starfruit, pottasium

1 Dipresentasikan pada International Dietetic Update pada tanggal 15- 17 Oktober 2009 di Yogyakarta kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, dan Prodi Gizi Kesehatan FKUGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Program Studi Ilmu Gizi Fakultas Kedokteran Universitas Diponegoro

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Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar1

Ni Komang Wiardani2, Pande Putu Sri Sugiani2, Ni Made Yuni Gumala2

ABSTRACT

Background
: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.
Objective : The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city
Method : The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.
Result : The study showed that means of syndrome metabolic component in case higher than control (p<0.05). Waist circumference in case was 97.23 cm, blood pressure was 141.4/93.3 mmHg, fasting blood glucose was 132 mg/dl. There were significant difference between intake fat total, cholesterol, saturated fatty acid (SAFA) and frequency of intake in case and control (p<0.05). Intake fat on cases were fat total 85.5% >25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).
Conclusion :There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City.

Key words : fat consumption, metabolic syndrome

1 Dipresentasikan pada ..
2 Jurusan Gizi Poltekkes Denpasar, Jalan Gemitir no 72 Denpasar (Telp 0361 465232)

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Perubahan kadar hemoglobin akibat terapi kurkuminoid ekstrak rimpang kunyit dibandingkan natrium diklofenak pada penderita osteoartritis

Nyoman Kertia1, Ahmad Husain Asdie2, Wasilah Rochmah 3, Marsetyawan4

ABSTRACT

Background
: In general, patients with osteoarthritis require long live treatments, especially anti-inflammatory drugs. Non steroidal anti inflammatory drugs are mostly follow by some side effects such as dyspepsia and gastrointestinal bleeding. The use of natural medicine for rheumatic diseases have commonly been practiced worldwide.
Objective : To learn the changes of hemoglobin level due to treatment with curcuminoid from Curcuma domestica Val. rhizome extract compared to diclofenac sodium as anti-inflammatory agent for the treatment of osteoarthritis.
Methods : This research is a prospective randomized open end blinded evaluations (PROBE). Patients treated with 30 mg curcuminoid from Curcuma domestica Val. rhizome extract or 25 mg diclofenac sodium three times daily for 4 weeks respectively.The hemoglobin level was checked before and after treatment.
Result : A total of 80 patients with knee osteoarthritis participated in this study. There was no significant difference in the frequency of sex, educational level, duration of suffering, percentage of co-morbidities in both groups. There was no significant different of hemoglobin level before treatment between both treatment group. The hemoglobin level was increase significantly in curcuminoid treatment groups while no significant change in diclofenac group. Treatment with curcuminoid increasing the hemoglobin level significantly compare to diclofenac sodium (p=0.03).
Conclusion : TTreatment with curcuminoid from Curcuma domestica Val. rhizome increasing the hemoglobin level significantly compare to diclofenac sodium treatment for osteoarthritis.

Key words : change of hemoglobin concentration, curcuminoid, diclofenac sodium, osteoarthritis

1 Divisi Rematologi, Bagian Penyakit Dalam Fakultas Kedoktreran UGM/ RSUP Dr. Sardjito, Daerah Istimewa Yogyakarta, e-mail: nyomankertia@ yahoo.com
2 Divisi Endokrinologi, Metabolisme, dan Diabetes, Bagian Penyakit Dalam Fakultas Kedoktreran UGM/RSUP Dr. Sardjito, Daerah Istimewa Yogyakarta
3Divisi Geriatri, Bagian Penyakit Dalam Fakultas Kedoktreran UGM/ RSUP Dr. Sardjito, Daerah Istimewa Yogyakarta
4Bagian Histologi dan Biologi Sel, Fakultas Kedokteran UGM, Daerah Istimewa Yogyakarta

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Asupan vitamin, mineral, rasio asupan kalsium dan fosfor dan hubungannya dengan kepadatan mineral tulang kalkaneus wanita

Rita Ramayulis1, Dewa Pramantara2, Retno Pangastuti3

ABSTRACT

Background
: The prevalence of osteoporosis as defined by bone mineral density (BMD) > - 2.5 below the average of young women in Indonesia is not yet known; however the risk for the prevalence of osteoporosis is relatively high. Nutrients especially micronutrients have an important role in maintaining bone status. Yet, until today millions of people have micronutrient deficiency in vitamin and mineral such as calcium, zinc and beta-carotene.
Objectives : To identify the relationship between intake of vitamin A, C and mineral calcium, phosphor, zinc and ratio of intake of calcium and phosphor and BMD.
Methods : The study was observational with cross sectional design. Subject of the study were young women of 35 – 40 years old at Health Fitness Centre of the Ministry of Health in 2007. There were as many as 102 subjects purposively taken. The dependent variable of the study was BMD and the independent variables were intake of vitamin A, C, and mineral calcium, phosphor, zinc and ratio of calcium and phosphor intake. The confounding variables were nutritional status, exercise, smoking, alcohol consumption, caffeine consumption, genetic, disease and medication factors. Intake data were obtained through blood record and food frequency methods. Data analysis used chi square, Fisher’s exact test and independent t-test.
Results : The proportion of BMD of young women was 6,9% osteoporosis, 32,4% osteopenia and 60,8% normal. Young women with good intake of vitamin A and C, calcium, phosphor, zinc had average score of BMD as much as 0,35 point; 0,36 point and 0,97 point; 1,02 point; 1,26 point subsequently higher than those with less intake. Young women with ratio of good calcium and phosphor intake had BMD score as much as 1,13 point lower than those with ratio of poor calcium and phosphor intake. However, the relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant (p>0.05)
Conclusion : The relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant. Young women with good intake of vitamin A, C and calcium, phosphor, zinc tended to have higher score of BMD than those with poor intake.

Key words : vitamin A, vitamin C, calcium, phosphor, zinc, bone mineral density

1 Jurusan Gizi Politeknik Kesehatan Departemen Kesehatan RI, Jakarta
2 Bagian Penyakit Dalam RS Dr. Sardjito, Yogyakarta
3 Instalasi Gizi RS Dr. Sardjito/ Fakultas Kedokteran UGM, Yogyakarta

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Menu pilihan diit nasi yang disajikan berpengaruh terhadap tingkat kepuasan pasien VIP di Rumah Sakit Umum Daerah Provinsi Sulawesi Tenggara1

Sri Yunanci Gobel2, Yeni Prawiningdyah3, R. Dwi Budiningsari4

ABSTRACT

Background
: The provision of foods in hospitals often becomes a public concern, particularly in relation to patient satisfaction. This may be due to not only the psychological effect of sick ill people but also because foods as output of food provision does not often give satisfaction to the patient.
Objectives : To find out the effect of rice diet selective menu to satisfaction of VIP inpatients at local hospital of the Province of Sulawesi Tenggara.
Methods : A cross sectional study was conducted. Population of the study were VIP inpatiens; samples were patients that fulfilled inclusion and exclusion criteria in September-December 2008. Samples were purposively taken. Data analysis used bivariate with chi square and multivariate with logistic regression test.
Results : Out of 49 patients that got selected menu and standard menu in aspect of food appearance as many as 45 (91.8%) were satisfied in selected menu and 31 (63.3%) were satisfied in standard menu; in aspect of food taste 44 (89.8%) were satisfied in selected menu and 23 (46.9%) were satisfied in standard menu; in aspect of food serving 47 (95.9%) were satisfied in selected menu and 40 (81.6%) were satisfied in standard menu.
Conclusion : In aspect of appearance, color, shape and portion of foods significantly affected patient satisfaction whereas texture did not affect patient satisfaction. In aspect of taste, all variables affected patient satisfaction. In aspect of food serving all variables did not affect patient satisfaction.

Key words : selected menu, standard menu, patient satisfaction

1 Dipresentasikan pada International Dietetic Update pada tanggal 15- 17 Oktober 2009 di Yogyakarta kerjasama dengan Asosiasi Dietesien Indonesia, Jurnal Gizi Klinik Indonesia, dan Prodi Gizi Kesehatan FKUGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Politeknik Kesehatan Kemenkes Kendari, e-mail: sri_yunanci@yahoo. co.id
3Instalasi Gizi RSUP Dr. Sardjito, Jl Kesehatan, Yogyakarta
4Magister 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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