ARTIKEL - Juli 2014, Vol.11, No.01
Pengaruh suplementasi serat Psyllium husk dan diet rendah kalori seimbang terhadap berat badan, kadar kolesterol high-density lipoprotein, dan trigliserida serum pada obes I
Irnawaty Rasyid1, Rachmad Soegih1, Dante Saksono Harbuwono2
Background : The increased prevalence of obesity will bring a great impact in health sector, due to effect of the infl uence of organ in the body such as type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD). Reduced energy diet and exercise are effective for management weight loss. During the restriction diet, an obese person should increase the amount of dietary fi ber up to 20?35 g/day, specifi cally of soluble fi ber, to more effective fat loss and to improve serum high-density lipoprotein (HDL) and triglyceride (TG) cholesterol concentration. Psyllium husk (PH) is a source of natural soluble fi ber obtained from plantago ovata Forssk seed.
Objective : The aim of the study were investigated the change of body weight, serum HDL cholesterol, and TG concentration in obese I after supplemented PH 8.4 g/day and balanced-defi cit calories diet (BDCD) for 4 weeks.
Method : The survey used double blind randomized clinical trial with parallel design. Subjects were randomly divided into two groups; treatment (T) group and plasebo (P) group. The T subjects received psyllium husk (PH) 8.4 g/day and BDCD 1200 kcal/day and the P subjects received placebo and BDCD 1200 kcal/day. The analyzed used independent t-test and Mann-Whitney.
Result : A total 28 subjects (14 subjects in each group) had completed the intervention. There were no serious adverse effects reported during the intervention. Intake of dietary fi ber in T group was 17.2 + 2.8 g/day had signifi cantly higher than P group 8.6 (5.2?15.2) g/day, although supplemented with PH didn’t meet the recommendation of fi ber intake (20-35 g/day). Decrease of body weight was -1,8 + 0,8 kg and triglyceride level was -1,5 (-416?77) in T group that statistically insignifi cant difference (p=0,39 and p=0,84) with P group -1,6 + 0,9 kg and -10,0 + 31,3. Soluble supplementation (P group) increased serum HDL cholesterol concentration was 0,0 + 4,3 mg/dL that statistically insignifi cant difference (p=0,86) with T group -0,4 + 5,9.
Conclusion : PH supplementation 8.4 g/ day and BDCD 1200 kcal/day in obese I can not reduce body weight, serum high-density lipoprotein cholesterol, and triglyceride concentration level in 4 weeks.
Key words : psyllium husk, balanced defi cit calories diet, body weight, high-density lipoprotein cholesterol, triglyceride, obese I
1 Korespondensi : Departemen Ilmu Gizi Fakultas Kedokteran Universitas Indonesia, Jl. Salemba Raya No.6, Jakarta Pusat, DKI Jakarta, Indonesia, e-mail: irna.ak@ gmail.com
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Pola makan, obesitas, dan frekuensi serangan pada pasien artritis gout
Fatimah Az-zahra1, Dedy Nurwahid2, Retno Pangastuti3
Background : Trend of gout arthritis prevalence is increasing every year. Obesity, high purine diet, especially from animal source, are some risk factors for recurrent gout attacks.
Objective : To evaluate the relationship between diet, obesity and frequency of gout fl ares in gout arthritis patients.
Method : This study was a cross-sectional study with patients from RSUP Dr. Sardjito, RSUD Wirosaban, RSUD Panembahan Senopati that ever diagnosed as gout arthritis within February 2010 - February 2012 which can be seen in the medical record and live in Special District of Yogyakarta with full address provided, as the respondents of this study. Home visit was done for dietary assessment, waist circumference measurement, and interviewing the respondent about gout fl ares frequency during the last year.
Result : Vitamin C consumption in the 1st and 2nd tertiles increase the odds to have any gout fl are (OR=5.5; 95% CI: 1.08-27.77 and OR=1.5; 95% CI: 0.29-7.35, respectively). Obesity tend to increase the odds of having any gout fl ares up to 1.4 times (95% CI: 0,38-5,25).
Conclusion : Low consumption of vitamin C is signifi cantly increase the odds of having any gout fl ares. The odds is also higher in patients with obesity, though this relationship is statistically insignifi cant.
Key words : diet, obesity, gout fl are
1 Korespondensi : Politeknik Kesehatan Kementerian Kesehatan Malang, Jl. Besar Ijen No.77 C, Malang, e-mail:
2 Bagian Penyakit Dalam Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Jl. Kesehatan No. 1, Sekip, Yogyakarta 55284
3 Instalasi Gizi Rumah Sakit Umum Pusat (RSUP) Dr. Sardjito, Jl. Kesehatan No. 1, Sekip, Yogyakarta 55284
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Penerapan algoritma proses asuhan gizi terstandar berbasis skrining gizi
Susetyowati1, Hamam Hadi2, Ahmad Husain Asdie3, Mohammad Hakimi4
Background : Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in quality management of nutrition care to all patients based on an individual basis and scientifi c facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.
Objective : The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.
Method : The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).
Result : Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake and MUAC were 129 kcal; 4.6 g; and 0.35 cm, respectively.
Conclusion : Interaction between a SNST and algorithm SNCP have better average intake of energy, protein and MUAC compared with other groups.
Key words : standarized nutrition care process (SNCP), nutritional screening, nutrient intake, nutritional status
1 Korespondensi : Prodi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281, e-mail: susetyowati2000@ yahoo.com
2 Minat Utama Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281
3 Divisi Endokrinologi, Metabolisme, dan Diabetes, Bagian Penyakit Dalam Fakultas Kedokteran Universitas Gadjah Mada / Rumah Sakit Umum Pusat Dr. Sardjito, Yogyakarta
4 Bagian Obstetri dan Ginekologi Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281
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Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan
Darwin Nasution1, Detty Siti Nurdiati2, Emy Huriyati3
Background : Stunting is one of the main problems of malnutrition often found in under-fi ve children. The impacts include delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that infl uence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and large number of family members.
Objective : To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.
Method : This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-fi ve children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.
Result : The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a signifi cant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and number of family members) did not have a signifi cant relationship with the incidence of stunting.
Conclusion : LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality
Key words : stunting, low birth weight, children aged 6-24 months
1 Korespondensi : Dinas Kesehatan Provinsi Sumatera Utara, Jl. Kapt. Sumarsono No. 1 Medan, Sumatera Utara
2 Departemen Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281
3 Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada, Jl. Farmako, Sekip Utara, Yogyakarta 55281
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Pengaruh taburia terhadap status anemia dan status gizi balita gizi kurang
Wahyuni Kunayarti1, Madarina Julia2, Joko Susilo3
Background : Micronutrient defi ciency seriously contributes to child morbidity and mortality. The need for micronutrient can be fulfi lled from food, fortifi ed food, and direct supplementation. Taburia is multivitamin multimineral that is aimed to meet the need for micronutrient of undernourished underfi ves and to prevent the increased prevalence of undernourishment. It is necessary effi cacy and effectiveness study of Taburia to anemia and nutritional status of undernourished underfi ves of 24-55 months.
Objective : To identify the effect of Taburia supplementation to anemia and nutrition status of underfi ves at District of Lombok Timur.
Method : The study was experimental with prospective cohort study design carried out at District of Lombok Timur, Province of Nusa Tenggara Barat. Subject of the study were undernourished underfi ves at the area of Nutrition Improvement Community through Empowerment (NICE) project. The independent variables were Taburia and biscuits; the dependent variables were anemia and nutrition status; and the external variables were intake of energy, protein, vitamin A, vitamin C, Fe and zinc. Data analysis used ANOVA and paired t-test.
Result : There was signifi cant difference in average level of hemoglobin of the subject after intervention, either in taburia group, biscuit group, or taburia+biscuit group (p<0.05). There was difference in average weight after intervention in the three groups (p<0.05). There was no signifi cant difference in average level of hemoglobin and average level of weight between biscuit group and Taburia+biscuit group. There was change in anemia status from anemia to non anemia; the highest was in Taburia group, i.e. 96%; and better nutrition status at the end of the experiment occurred at Taburia+biscuit group from emaciated to normal (100%)
Conclusion : Taburia supplementation could increase anemia status. Micronutrient supplementation was needed to increase nutrition status.
Key words : taburia, anemia status, nutrition status
1 Korespondensi : Dinas Kesehatan Kabupaten Lombok Timur, Jl. A. Yani No. 100 Selong, Lombok Timur, Nusa Tenggara Barat, e-mail:
3 Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta, Jl. Tata Bumi No. 3, Banyuraden Gamping, Sleman, Yogyakarta
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