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Jurnal Vol.7, No.2

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ARTIKEL - November 2010, Vol.7, No.2

Pengendalian status gizi, kadar glukosa darah, dan tekanan darah melalui terapi gizi medis pada pasien diabetes mellitus (DM) tipe 2 rawat jalan di RSU Mataram NTB1

Suhaema2, Ahmad Husain Asdie3, Retno Pangastuti4

ABSTRACT

Background
: The prevalence of diabetes mellitus (DM) is increasing globally, including in Indonesia. Studies by Diabetes Control and Complication Trial (DCCT) and U.K. Prospective Diabetes Study Group (UKPDS) prove the benefit of medical nutrition therapy (MNT) to glycemic control. Similar studies have not been done much in Indonesia.
Objective : To identify the effects of MNT to nutrient intake, control of nutrition status, blood glucose and blood pressure of type 2 DM outpatients.
Method : This was a randomized controlled trial. Subject of the study consisted of 60 people. The experiment group got MNT; whereas the control group got conventional nutrition counseling. Data were processed using computer, nutrients were analyzed using nutrisurvey. Statistical t-test was done to identify the effect of intervention.
Intake of energy, fat and carbohydrate of the experiment group decreased significantly close to the necessity at subsequent decrease as much as -14.05 (p= 0. 009), -35.64 (p=0.019) and -19.14 (p=0.035). Body mass index In the experiment group decreased -0.41kg/m2 and waist circumference -0.24cm, where as the control group -0.23 kg/m2 and -014cm. Blood glucose level during fasting decreased -23.6 mg/dl in the experiment group and -14.03 mg/dl in the control group (p=0.036). Systolic and dyastolic blood pressure of the experiment group decreased -3.33 mmHg (p=0.035) and -1.67 mmgHg (p=0.895), whereas the control group + 0.5 mmHg and -1.33 mmHg; the change was insignificant.
Conclusion : Intake of nutrient, nutrition status, blood glucose level and blood pressure of type 2 DM patients that got MNT was more controllable than of those that got conventional nutrition counseling.

Key words : MNT, conventional nutrition counseling, type 2 DM, nutrient intake, nutrition status, blood glucose, blood pressure

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Poltekkes Kemenkes Mataram, Jurusan Gizi, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Bagian Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada
4 Bagian Instalasi Gizi, RSUP Dr. Sardjito, Jl Kesehatan, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Perbedaan kadar seng serum dan kadar c-reactive protein pada anak balita dengan kadar serum retinol normal dan tidak normal1

Kadek Tresna Adhi2, Bambang Wirjatmadi3, Meriyana Adriani3

ABSTRACT

Background
Vitamin A Deficiency (VAD) is one of the major nutritional problem, and many occur in developing countries. VAD occurs when serum retinol concentration <20 tg / dl (0.07 ?mol / L). Serum retinol levels will decrease during the acute phase response (elevated CRP) and also caused by zinc deficiency. This interaction causes inhibition of linear growth.
Objective : The objective of this research is to study the differences in levels of serum zinc and CRP levels in infants and children with normal serum retinol (? 20 tg / dl) and abnormal (? 20 tg / dl) in the Village of Mojo, District Gubeng, Surabaya.
Method : Results of the analysis was divided into two categories: 1) normal serum retinol (? 20 tg / dl), and 2) abnormal levels of serum retinol (<20 tg / dl). For serum zinc levels, laboratory examination was performed by AAS method (Atomic Absorption Spectrophotometry). CRP level was done by agglutination test method (CRP latex) with results in the form of semi-quantitative analysis. The collection of data includes the frequency characteristic of children and the sick for a month with interviews conducted using a questionnaire. Consumption data using dietetic (2x24-hour recall). Analysis of data using two independent samples t test.
Result : The results showed that there was no difference in characteristics, levels of consumption and CRP levels of children under five (p> 0.05). While there are differences in the frequency of pain and zinc (p <0.05).
Conclusion : No difference in zinc levels in both groups, whereas CRP levels did not show different results. It was recommended that further research on the interaction of research results with linear growth as well as environmental factors and personal hygiene to prevent infection that can affect serum retinol.

Key words : serum retinol, kadar seng, c-reactive protein

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 PS. IKM Universitas Udayana. Jl. PB. Sudirman, Denpasar- Bali, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 FKM, Universitas Airlangga. Jl. Mulyorejo, Surabaya, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Pelatihan hygiene sanitasi dan poster berpengaruh terhadap pengetahuan, perilaku penjamah makanan, dan kelaikan hygiene sanitasi di instalasi gizi RSUP Sanglah Denpasar1

Ni Wayan Rapiasih2, Yeni Prawiningdyah3, Lily Arsanti Lestari4

ABSTRACT

Background
: The problem of food hygiene sanitation in hospital is closely related to the incidence of nosocomial infection which is estimated to be high considering that the condition of hospitals and health in general is still relatively not very good. A way to transmit nosocomial infection is through food. Staff hygiene is a factor requiring attention in order that the product of nutrition installation is of quality and safe to consume.
Objective : To identify the effect of training and posting of food hygiene sanitation to knowledge, healthy behavior of food handlers in efforts to improve food safety and sanitation hygiene appropriateness.
Method : This was a time series quasi experiment with one group pre test and post test design. Samples consisted of 44 people of senior level education in charge of food service to patient in class I, II, and III. Every subject was given training using lecture, discussion and demonstration method for one day. Poster was posted a month after training. Data obtained consisted of sex, age, marital status, duration of occupation, place of work, knowledge, behavior, food safety in food serving utensil for inpatients and sanitation hygiene appropriateness. Assessment was made before, one month and two months after training. Data analysis used paired Sample t-test and chi-square.
Result : There was significant improvement in knowledge and healthy behavior before and after training plus poster showed with p<0.001. There was significant difference in sex and behavior before training with p=0.045 and a month after training with p<0.001. There was significant association between place of work and behavior a month after training with p=0.021. There was significant difference in total plate count one month and two months after training with p=0.049. In addition, there was an increased quality of sanitation hygiene appropriateness before and after training plus poster showed.
Conclusion : There was an increasing of knowledge, behavior of food handlers, sanitation hygiene appropriateness, before and after training plus poster. There was an improvement in quality food safety one and two months after training.

Key words: Training, poster, knowledge, behavior, food safety, sanitation hygiene appropriateness

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Instalasi Gizi RSUP Sanglah Denpasar, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta
4 Program Gizi dan Kesehatan, Fakultas Kedokteran, UGM, Jl. Farmako, Sekip Utara, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Dukungan keluarga dan jadwal makan sebelum edukasi berhubungan dengan kepatuhan jadwal makan pasien diabetes melitus (DM) tipe 2 rawat jalan yang mendapat konseling gizi di RSUD Kota Yogyakarta1

Martalena Br Purba2, Endah Sri Rahayu3, Hemi Sinorita4

ABSTRACT

Background
: Diabetes mellitus (DM) is a clinical syndrome with symptoms of hyperglycemia, urinary glucose excretion and disorder of insulin mechanism. Approximately 90-95% of diabeteic patients suffer from type 2 DM. Various studies show that compliance to treatment of chronic disease in general is low. Compliance to eating or food frequency amongst DM patients in hospital in particular is very low. The success of self management of blood glucose (SMBG) needs participation of the patient, families, and educator team.
Objective : To study the factors affecting eating compliance particularly eating schedule among type 2 diabetic out-patient who had nutrition counseling in RSUD Kota Yogyakarta.
Method : It was an observasional study with cross sectional design and purposive sampling. Data collection was done in October 2008 with 98 subjects. The sampel were type 2 diabetic out-patients according to inclusion criteria at out-patient clinic in RSUD Kota Yogyakarta. Statistical test with 95% confidence interval was applied to investigate factors influenced eating compliance.
Result : There were no correlations between eating compliance and disease duration (RP= 1,253 and p =0,403), and also with type of occupation (RP= 1,047 dan p= 1,000). However, it was found that family support affected eating compliance (RP= 1,723 dan p= 0,025) as well as eating schedule before nutrition counseling (RP = 2,151 and p= 0,02).
Conclusion :Duration of disease and type of occupation did not affect eating compliance. Nevertheless, family support and eating schedule before nutrition education affected eating compliance among type 2 DM out-patients in RSUD Kota Yogyakarta.

Key words : compliance, eating schedule, type 2 diabetes mellitus

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional
2 Instalasi Gizi RSUP Dr. Sardjito, Jl.Kesehatan, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Jurusan Gizi Poltekkes Jayapura, Papua, email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
4 Sub-bagian Endokrin, Bagian Penyakit Dalam Fakultas Kedokteran, Universitas Gadjah Mada

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Status gizi awal berdasarkan Patient Generated Subjective Global Assessment (PG-SGA) berhubungan dengan asupan zat gizi dan perubahan berat badan pada penderita kanker rawat inap di RSUP DR. Mohammad Hoesin Palembang1

Susetyowati2, Yenita3, Johan Kurnianda 4

ABSTRACT

Background
: Weight loss is commonly detected among cancer patients in their early stages. This presumably happens due to low calory intake and increasing energy requirements which finally lead to malnutrition in cancer patients. Early detection to identify nutrition problems of cancer patients is through screening so as to maximize nutrient intake through nutrition therapy and diet modification and to improve nutrition status as well as quality of life of cancer patients.
Objective : The study aimed to identify the relationship between nutrition status based on PS-SGA and nutrient intake and weight loss of cancer patients hospitalized at Dr. M. Hoesin Hospital of Palembang.
Methods : The study was observational with prospective cohort study design. In this study the group that had fulfilled inclusion criteria were screened during their early hospitalization (within 24 hours) using patient-generated subjective global assessment score to identify their nutrition problem. Next, the group was divided into 2 smaller groups consisting of one group with malnutrition and another group without malnutrition. Analysis of nutrient intake obtained from foods provided by the hospital and outside the hospital was made to the two groups within 2 weeks of hospitalization using visual comstock and food record. Anthropometric measurement was made to find weight loss the subject of the study.
Result : The results of the study showed that there was significant relationship between nutrition status and intake of energy and protein with p=0.000. The result of logistic regression test to nutrition status based on weight changes indicated that there was significant relationship between risk of nutrition and weight changes; patients with risk of nutrition had 7.016 times greater probability for weight loss than those without risk of nutrition (95% C5 2.896-16.997).
Conclusion : There was significant relationship between nutrition status and nutrient intake among cancer patients and there was greater probability for weight loss .

Key words : cancer, nutrient intake, nutrition status, weight loss

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional
2 Program Studi Gizi dan Kesehatan, Jl. Farmako, Sekip Utara, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
3 Rumah Sakit Umum Dr. Mohammad Hoesin, Palembang
4 Instalasi Kanker Terpadu RSUP Dr.Sardjito Yogyakarta

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Penambahan agar-agar dan pengaruhnya terhadap kestabilan dan daya terima susu tempe pada mahasiswa Politeknik Kesehatan Jurusan Gizi Yogyakarta1

Isti Suryani2, Agus Santoso3, M. Juffrie4

ABSTRACT

Background
: The production of tempeh milk is an effort to diversify tempeh-based food processing potential as functional food. However, as vegetable milk tempeh milk has the disadvantages of tasting bitter and being easily precipitate. The addition of gelatine is potential as stabilizer that is expected to counter the disadvantages and improve the taste of tempeh milk.
Objectives : To identify the effect of gelatine addition to stability and acceptability of tempeh milk among students of Nutrition Department of Health Polytechnic Yogyakarta.
Methods : The study was experimental with a completely randomized design, comprising four experiments, i.e. tempeh milk with gelatine addition as much as 2%, 3%, 4% and no gelatine addition as control. Organoleptic test was made by 25 skilled panelist, students of Nutrition Department of Health Polytechnic Yogyakarta, to identify acceptability of tempeh milk. Whereas viscocity test and visual observation through the assessment of tempeh milk precipitation level within 5 hours storage were made to identify emulsion stability. Data analysis used Anova and Duncan advanced test.
Results : Stable emulsion could be achieved through gelatine addition of 2% at emulsion consistency 89.10%, viscocity 0.225 poise. Better emulsion stability was achieved through gelatine addition of 3% at emulsion consistency 91.10%, viscocity 0.249 poise. Best emulsion stability was achieved through gelatine addition of 4% at emulsion consistency 95.58%, viscocity 0.254 poise and lowest emulsion stability was found in the control without gelatine addition at emulsion consistency 80.84%, viscocity 0.216 poise. The result of proximate nutrition value of tempeh milk with gelatine addition 4% (most stable) were energy 55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate 7.65%, water 86.23g, ash 0.15% and raw fibre 2.01%.
Conclusion : There was no effect of gelatine addition at various concentration to acceptability of tempeh milk. There was effect of gelatine addition at various concentration to stability of tempeh milk. The highest emulsion stability was achieved in tempeh milk with gelatine addition of 4%.

Key words : emulsion stability, acceptability, tempeh milk, gelatine

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 FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan RI, Jl. Tatabumi No 3 Yogyakarta
3 Instalasi Gizi RSUP Dr. Sardjito Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
4 Instalasi Kesehatan Anak RSUP Dr. Sardjito Yogyakarta, Jl.Kesehatan, Yogyakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it

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Metode persalinan dan hubungannya dengan inisiasi menyusu dini di RSUP Dr. Sardjito Yogyakarta

Sheilla Virarisca1, Djaswadi Dasuki2, Sulchan Sofoewan2

ABSTRACT

Background
: The 2002-2003 IDHS shows that the presentation of breastfeeding within an hour after birth or early initiation in Indonesia is still low (38%). According to some studies, early initiation plays an important role in reducing infant mortality rate, determining the success of exclusive breastfeeding, preventing pre-lactation feeding, creating more intensive bonding between mother and baby. Some earlier studies state that delivery methods are related with early initiation. However, there have been some studies whose results are in contrast with those previous studies.
Objectives :To study the relationship between delivery methods and early initiation in Dr. Sardjito hospital, Yogyakarta.
Methods : This was an observational study with a cross-sectional study design through quantitative and qualitative approaches. Samples were postpartum women in Dr. Sardjito hospital as many as 100 respondents. Data were analyzed with univariable analysis using frequency distribution table, bivariable analysis using chi-square, and multivariable analysis using binary regression.
Results : The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section (RR=3.1; 95% CI=1.42-6.89). Another factor that was related with early initiation of breastfeding was the support from health providers (RR=2.3; 95% CI=1.36-3.78). Meanwhile, women’s age, knowledge, parity, economic status, and mother’s disease were insignificantly related with early initiation.
Conclusion : The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section. Another factor that was related with early initiation of breastfeeding was the support from health providers. Meanwhile, women’s age, knowledge, parity, economic status, and disease were insignificantly related with early initiation of breastfeeding.

Key words : early initiation, normal delivery, cesarean sec

1 BKKBN Pusat Jakarta, e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
2 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada, Yogyakarta.

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