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Jurnal Vol.2 No.1

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ARTIKEL - Juli 2005, Vol.2, No.1

PENGARUH SUPLEMENTASI TABLET FE DENGAN SUPERVISI SUAMI PADA IBU HAMILTERHADAP UMUR KEHAMILAN DI KABUPATEN BANTUL

Dhuto Widagdo1, Hamam Hadi2, Wiryatun Lestariana3

ABSTRACT
Background :
The high prevalence of anemia pregnant women anemia in Indonesia reaches 50%–70%, and it is caused by many factors. First, it may be caused by low compliance of iron supplementation and second, it may be caused by bad distribution of iron supplementation. This prevalence results some effect: high maternal mortality rate, neonatal mortality rate, anemia in infancy, and low productivity. One solution to overcome this prevalence is by giving iron supplementation to pregnant women with husband’s supervision.
Objective: This study aims to examine the relationship between iron supplementation with compliance, Hb value, average of age gestation under husband’s supervision.

Methods : This was quasi experimental non-equivalent control group design. Subjects were pregnant women aged 20–28 weeks whose hemoglobin level 8 gr/dl to 15 gr/dl. Subject were taken from three sub-districts of Bantul District, Special Teritory of Yogyakarta. Subject were divided into two groups, the first group (n=55) received 60 mg iron supplementation with husband’s supervision and the second group (n=65) received 60 mg iron supplementation without husband’s supervision.
Results : The compliance of first the group was higher than the second group (x2=19,48 p<0,01). In the first group, iron supplementation was effective to increase Hb level it was statistically insignificant (p>0,05). In the second group, iron supplementation was also effective to increase Hb level and it is statistically significant (p<0,05). The difference of Hb level between two groups was insignificant. After the predictor variable was controlled using multivariate regression test, it showed that iron supplementation with husband’s supervision was effective to increased Hb level 0,8 gr/dl and statistically significant (p<0,05). The gestation average of two groups was similar, but after predictor variable was controlled using multivariate test, it showed that iron supplementation with husband’s supervision had one week gestation longer than those group without husband’s supervision.
Conclusion : Iron supplementation with husband’s supervision are effective to lengthen one week age gestation.


Keyword : Pregnant women, iron supplementation, supervision, compliance, age gestation

1 BPP-GAKY Magelang
2 Magister Gizi dan Kesehatan UGM, Yogyakarta
3 Bagian Biokimia Fakultas Kedokteran UGM, Yogyakarta

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HUBUNGAN POLA MAKAN DENGAN PENGENDALIAN KADAR GLUKOSA DARAH PENGIDAP DIABETES MELITUS TIPE 2 RAWAT JALAN DI RSU GUNUNG JATI CIREBON

Juleka1, Ahmad H Asdie2, Susetyowati3

ABSTRACT
Background :
Diabetes Mellitus (DM) is a chronic disease which has increasing prevalence today. The result of epidemiological study in Indonesia showed that DM prevalence was 1,5-2,3% to population aging over 15 years. DM disease cannot be cured but can be controlled to slow down the complications. Consumption planning is a major component in DM management. there are 3 main principles applied in the supply of food to diabetics, i. e. number of calories, type of food and meal schedule. Observation result shows that over 50% of diabetics do not follow the suggested consumption planning.
Objective: The purpose of the study was to investigate the relationship between eating pattern and control of glucose to type 2 diabetics patients.

Methods : The study was an analytic observational type using cross sectional design. Purposively taken samples were diabetic type 2 inpatients at Gunung Jati Hospital, Cirebon. Glucose of type 2 diabetics was determined through examination of glucose during fasting and 2 hours post prandial using enzymatic method gained from medical assessment data, and eating pattern gained from 24 hours recall method for 4 days. To know the relationship between eating pattern and control of glucose to type 2 diabetics, chi square, odds ratio (OR) significance and logistic regression were tested.
Result :There was relationship between energy (OR=31.6,CI= 5.00-199.76), carbohydrate (OR=12.7,CI=1.30-124.3) and fat (OR=5.20, CI=1.08-24.89) intake with glucose control of type 2 diabetics, there was relationship between sugar consumtion and process result (OR=13.1, CI= 2.59-66.2) of vegetables (OR=31.6, CI=3.74-267.6) and fruits (OR=5.16, CI=1.41-18.91) with glucose control, there was no relationship between protein intake and meal schedule with glucose control of type 2 diabetics.

Key words : Eating pattern, diabetic type 2 DM, glucose control

1 RSU Meuraka 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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HUBUNGAN ANTARA POLA KONSUMSI PROTEIN DAN Fe DENGAN DAYA TAHAN JANTUNG PARU ATLET SEPAKBOLA PS SEMEN PADANG TAHUN 2003

Kusumawati M1, BM Wara Kushartanti2, Moch. Noerhadi2

ABSTRACT
Background :
Low cardiorespiratory endurance will decrease the speed and skill in playing soccer. Good cardiorespiratory endurance is important factor in exercise and competition to reach the optimal achievement of the PS. Semen Padang soccer team players. Protein and Fe constitute a supporting factor in forming hemoglobin which is needed for increasing the cardiorespiratory endurance.
Objective : This study was aimed at finding out the correlation between protein and Fe consumption patterns with the cardiorespiratory endurance of Semen Padang soccer team players in 2003.
Method : This was cross-sectional design of 23 PS. Semen Padang soccer team players. The variables were protein and Fe consumption patterns, hemoglobin concentration and cardiorespiratory endurance. The analysis method was regression Chi-square, multiple linier, and partial correlation.
Result : There was no correlation between protein (p=0,683) and Fe (p=0,168) consumption patterns with hemoglobin concentration; there was correlation between hemoglobin concentration with the cardiorespiratory endurance (p=0,022); there was no correlation between protein consumption pattern (p=0,395) with the cardiorespiratory endurance; there was significant correlation between Fe consumption pattern with the cardiorespiratory endurance (p=0,009).
Conclusion : Protein and Fe consumption patterns influenced the cardiorespiratory endurance athlete PS.Semen Padang through hemoglobin rate cause of hemoglobin rate have significant relation with the cardiorespiratory endurance

Key Words : Athlete, Fe, protein, soccer, hemoglobin.

1 Dinas Kesehatan Propinsi Jambi
2 Fakultas Ilmu Keolahragaan Universitas Negeri Yogyakarta

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PERSEPSI CITRA TUBUH DAN KENDALA UNTUK MENURUNKAN BERAT BADAN PADA REMAJA SLTP DI KOTA YOGYAKARTA DAN KABUPATEN BANTUL

Novriani Tarigan1, Hamam Hadi2, Madarina Julia3

ABSTRACT
Background :
The prevalence of obesity in children and adolescents is increasing, both in the developed and developing countries. Obesity has been reported to be related to the impairment of body image, but this association has not been studied among Indonesian adolescents.
Objective : To assess the perception of body image and the obstacles for reducing body weight in obese junior high school adolescents in the District of Yogyakarta and Bantul.
Method : This is a cross sectional study, using both quantitative and qualitative approaches. Body images were assessed using Body Image Assessment for Obesity (BIA-O) with 8 figures. In depth interview were used to assess the perceptions of body images and the obstacles in reducing body weight faced by the obese adolescents.
Result : Obese adolescents had significantly larger dissatisfaction to their body images compared to their non-obese peers, i.e. mean (95%CI) scores of dissatisfaction of 1.89 (1.69 – 2.08) in obese adolescents compared to –0.27 (-0.49 to 0.05) in non-obese adolescents. Most of the obese adolescents had tried to reduce their weight, mostly in order to have a better looks, but failures and hardships in the efforts had made most of them stopped trying.
Conclusion : Obese adolescent were not satisfied with their image. Most of them had tried to reduce body weight but failures had made them stop trying.

Keywords : Adolescent obesity, body image, body dissatisfaction, obstacles in reducing body weight

1 Jurusan Gizi Politeknik Kesehatan Medan
2 Magister Gizi dan Kesehatan Fakultas Kedokteran UGM, Yogyakarta
3 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta

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PENGUKURAN STATUS GIZI PASIEN ANAK MENGGUNAKAN METODE SUBJECTIVE GLOBAL NUTRITION ASSESSMENT (SGNA) SEBAGAI PREDIKTOR LAMA RAWAT INAP, STATUS PULANG DAN KEJADIAN MALNUTRISI DI RUMAH SAKIT

Sri Wahyuni1, Madarina Julia2, R. Dwi Budiningsari3

ABSTRACT
Background :
Malnutrition in hospitalized patients is associated with longer stay, higher risk of complication and mortality. Subjective Global Nutrition Assessment (SGNA) is a recently discovered method to assess nutritional status.
Objective : To assess the association between nutritional statuses of under-five year old patients measured with SGNA and length of inpatient stay, discharge status and occurrence of malnutrition.
Method : Under-five year old patients hospitalized in Pediatric Ward of Pekanbaru Hospital had their nutritional status measured with SGNA on admission. Three groups were identified: exposed to bad nutritional status, i.e. SGNA C (worst) and B (moderate), and not exposed to bad nutritional status (SGNA A). Length of hospital stay, discharge status and occurrence of malnutrition in exposed groups (SGNA B and C) were independently compared to non-exposed group (SGNA A) as the reference. Other variables measured were types of disease and intake of energy and protein.
Result : Children with SGNA C and B had higher risk to stay longer in hospital, i.e. RR (95%CI) of 3.2 (1.7-6.0) and 2.5 (1.3 – 4.9), respectively. They had also higher risk for discharged without complete recovery, i.e. RR (95%CI) of 3.3 (1.8-6.2) and 2.2 (1.1 – 4.3), respectively. Children with SGNA C had higher risk for hospital malnutrition, i.e. RR (95%CI) of 2.8 (1.5-5.2), but not children with SGNA B. Types of disease, energy and protein intake were not important effect modifiers for this association.
Conclusion : Nutritional status on admission was significantly associated with length of hospital stay, discharge status and occurrence of hospital malnutrition.

Keywords : Subjective Global Nutrition Assessment (SGNA), hospital malnutrition, children under-five, length of stay, discharge status.

1 Fakultas Kedokteran Universitas Riau Pekanbaru
2 Bagian Anak RS Dr. Sardjito/Fakultas Kedokteran UGM, Yogyakarta
3 Magister Gizi dan Kesehatan UGM, Yogyakarta

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AKURASI PETUGAS DALAM PENENTUAN SISA MAKANAN PASIEN RAWAT INAP MENGGUNAKAN METODE TAKSIRAN VISUAL SKALA COMSTOCK 6 POIN

Susyani1, Endy P Prawirohartono2, Toto Sudargo3

ABSTRACT
Background :
Observing plate waste is categorized as a simple way but yet still needs evaluation. When many foods are wasted, a dietitian should quickly respond and know the best way how to overcome the matters. There are three accurate ways to determine plate waste: plate waste weighing, visual estimation, and 24 hours recall. The application of each method really depends on its purposes. According to previous researches there are significant and positive correlations between the visual estimation of Comstock Scale and plate waste weighing. Visual estimation, moreover, has more advantages as it is easy to apply, cheap, and less time comsuming. Considering those advantages, visual estimation needs to be socialized and considered as a new accurate method besides weighing methods.
Objective : The objective of this study is to know the medical official accuracy in determining plate waste using visual estimation of 6 point Comstock Scale.
Method : An observational study was conducted using a cross-sectional design. Subjects were nurses and meal servants from hospital wards. Before the meal served to the patient the food is weighed, than the observers officer has to observed portion sized. After the patient having meal, plate waste should be estimated using Comstock Scale by the officer after that the plate waste have to be weight to know the actual weigh. The accuracy difference between two groups in determining plate waste using Comstock Scale were analysed with t-test.
Result : There was significant differences of accuracy (p=0.01) between nurse group and meal servant in estimating wasted rice and wasted meat (p=0.02). The difference were not due to the job factor but the significant of various meal (p=0.0001). The work experience is a significant factor in the accuracy of plate waste (p=0.42). There was no correlation between kind of job and kind of meal (p=0.47), and kind of meal with the work experience (p=0.79).
Conclusion : Visual estimation of 6 point Comstock scale could be used by both nurses and meal servant in determining plate waste.

Keywords : Medical official accuracy, Comstock Scale, food weighing.

1 Jurusan Gizi Politeknik Kesehatan Palembang
2 Bagian Anak RS Dr. Sardjito/ Fakultas Kedokteran UGM, Yogyakarta
3 Magister Gizi Dan Kesehatan Universitas Gadjah Mada Yogyakarta

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