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Results in Journal Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics): 136

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Anto J. Hadi, Syamsopyan Ishak, Matius Rantesalu
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 54-60; https://doi.org/10.21927/ijnd.2020.8(2).54-60

Abstract:
ABSTRAKLatar Belakang: Banyaknya berbagai jenis jajan saat ini yang beredar tidak aman dikonsumsi anak usia sekolah dasar di lingkungan sekolah maupun dirumah. Makanan jajanan yang ditawarkan penjual belum tentu menyehatkan dan hal yang disukai anak-anak sekolah dasar tetapi sayangnya tidak semuanya aman dikonsumsi oleh anak.Tujuan : Untuk menilai pengaruh media penyuluhan gizi terhadap perilaku jajan siswa di SD Negeri 107422 Pagar Jati Kabupaten Deli Serdang.Metode: Penelitian ini adalah quasi experiment dengan desain pretest-posttest group. Penelitian dilaksanakan di SD Negeri 107422 Pagar Jati dan dilakukan pada bulan September dan Oktober 2019. Populasi sebanyak 60 siswa dan sampel terbagi menjadi 2 kelompok dengan jumlah masing-masing sebanyak 30 siswa dan pengambilan sampel secara proportional random sampling. Analisis data dengan menggunakan uji paired sample t-test.Hasil: Ada pengaruh media penyuluhan gizi terhadap sikap dan tindakan konsumsi makanan jajanan pada siswa sekolah dasar baik dengan menggunakan powerpoint (p=0,000) maupun leaflet (p=0,000). Skor rata-rata sikap dan tindakan siswa meningkat dari pretest ke posttest dan lebih tinggi peningkatannya pada penggunaan media powerpoint.Kesimpulan: Terdapat pengaruh positif media penyuluhan gizi terhadap sikap dan tindakan siswa dengan perilaku jajan siswa. Bagi siswa diharapkan selalu memilih makanan sehat dan tidak memilih jajanan yang kurang sehat.KATA KUNCI: media penyuluhan gizi; perilaku ngemil sehat ABSTRACTBackground: Various types of snacks currently existed in the market are not safe for consumption by elementary school-aged children at school or home environment. Snack food offered by the seller is not necessarily healthy yet the children like. But unfortunately there are several snacks that are not safe for children consumption.Objectives: This study aims to assess the effect of nutrition counseling media on student snack behavior in SD Negeri 107422 Pagar Jati, Deli Serdang Regency.Methods: This study was a quasi-experimental approach using pretest and post-test group design. The study was conducted at SD Negeri 107422 Pagar Jati, Deli Serdang Regency in September to October 2019. The population were 60 students. Samples were then divided into 2 groups with a total of 30 students using proportional random sampling. Data analysis used was paired sample t-test.Results: There was an influence of nutrition counseling media on the attitudes and actions of snacking behavior for elementary school students using either powerpoint (p = 0.000) or leaflets (p = 0.000).Conclusion: The average score of students' snacking attitudes and actions increases from pretest to post-test and higher increases in the use of powerpoint media. Students are expected to always choose healthy foods and not to choose snacks that are less healthy.KEYWORDS: nutrition counseling media; healthy sacking behavior
Aspiyani Aspiyani, Putri Ronitawati, Prita Dhyani Swamilaksita, Rachmanida Nuzrina, Mertien Sa'Pang
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 80-86; https://doi.org/10.21927/ijnd.2020.8(2).80-86

Abstract:
Background: The most important thing in giving food to the elderly is that the food served must meet the nutritional needs, the food served is given regularly in small portions but often, the food must be gradual and varied so as not to cause boredom, the food must be according to doctor's instructions for certain elderly and food must be soft. The elderly who live in the Werdha Nursing Home are faced with a different situation than before they lived in an orphanage. This causes the elderly to make adjustments so that their needs can be fulfilled. Health conditions in the elderly stage are largely determined by the quality and quantity of nutritional intake.Objective: This study aims to determine the analysis of menu planning, the relationship of energy consumption density and food waste to the nutritional status of the elderly at the Social Home Method: This study was an observational study of cross-sectional study design. Sampling was done by purposive sampling technique with a total of 50 elderly respondents. Bivariate analysis using Chi-Square statistical tests. Results: Planning the menu at the Social Home is carried out once a year with a seven-day menu cycle compiled by a Puskesmas Nutritionist and has a menu structure consisting of the frequency of feeding 3 main meals and 2 interludes. The application in feeding has not been adjusted to the menu made by a Nutritionist. Most respondents were aged 60-74 years (elderly). Correlation test results showed that there was no relationship between energy consumption density with the nutritional status of the elderly ( p = 0.589 ) (p> 0.05) and there was a relationship between food waste and the nutritional status of the elderly (p = 0.010 ) (p <0.05). Conclusion: Some menu planning at the Social Institution was carried out and some did not meet the factors that influenced menu planning at the institution. There is a relationship between food waste with the nutritional status of the elderly, the main factor affecting nutritional status is food intake. This is because not only because of the small amount of food left (<20%) which causes the risk of malnutrition, but there are other factors based on the questions and the results of the MNA score.
Jurianto Gambir, Iman Jaladri, Endah Mayang Sari, Yulinda Kurniasari
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 87-92; https://doi.org/10.21927/ijnd.2020.8(2).87-92

Abstract:
ABSTRAKLatar Belakang: Edukasi gizi yang tepat dapat merubah remaja putri untuk berperilaku hidup sehat. Inovasi program edukasi yang dapat memotivasi remaja putri dalam mencari dan mengkonsumsi tablet zat besi secara teratur sangat dibutuhkan sehingga dapat menurunkan prevalensi anemia di Indonesia.Tujuan: Mengetahui pengaruh edukasi melalui buku diary gizi terhadap pengetahuan gizi, minat mencari tablet zat besi dan kepatuhan remaja putri dalam mengkonsumsi tablet zat besi (Fe).Metode: Quasi experimental (Non-Randomized group pre–post test) study dengan 50 subyek penelitian yang terbagi menjadi dua kelompok perlakuan. Subjek penelitian adalah siswi remaja putri di SMA di Kota Pontianak, dengan kriteria umur 14-16 tahun sudah haid dan bersedia menjadi subjek penelitian. Intervensi berlangsung selama dua bulan efektif. Kelompok intervensi diberikan tablet zat besi (Fe) + buku Diary Gizi dan kelompok kontrol tanpa buku Diary Gizi. Tablet zat besi (Fe) yang diberikan mengandung 60 mg Fe elemental dan 20 mg asam folat. Data dianalisis menggunakan software komputer dan disajikan dalam bentuk tekstular dan table, dengan uji statistik Chi square dan t test. Hasil: Hasil penelitian program suplementasi zat besi (Fe) dikalangan remaja putri belum popular. Tingkat pengetahuan siswi yang mendapatkan edukasi gizi dengan Buku Diary lebih baik dibandingkan dengan siswi yang mendapatkan edukasi melalui penyuluhan (p<0,05). Siswi dari kelompok buku Diary Gizi lebih patuh dalam mengkonsumsi tablet zat besi (p<0,05). Kesimpulan: Pemberian dan aktivitas dengan catatan harian buku Diary Gizi dapat digunakan dalam meningkatkan pengetahuan dan meningkatkan kepatuhan remaja putri dalam mengkonsumsi tablet zat besi (Fe). Penggunaan Buku Diary Gizi dapat dipertimbangkan dalam mensukseskan program suplementasi zat besi (Fe) pada remaja putri KATA KUNCI: buku diary gizi; kepatuhan; konsumsi; pengetahuan; remaja putri; tablet zat besi (Fe) ABSTRACTBackground: Proper education about nutrition can change adolescent females to have a healthy lifestyle. Innovation of education programs which can motivate female adolescents in finding and consuming iron tablets regularly is highly necessary, so that it can decrease the prevalence of anemia in Indonesia.Objectives: To find out the effect of Nutrition Diary-Book education on nutritional knowledge, effort to find iron tablets and consuming iron tablets in adolescence.Methods: A quasi experimental study (non-randomized group pre–post test) was conducted with 50 subjects divided into two groups. The age of the subjects were 14-16 years old, already had menstruation and were willing to be research subjects for 2 months. Iron tablets and nutrition diary-books were administered to intervention group and were administered to control group without nutrition diary-books. The results were analyzed using chi square and t-test.Results: The level of knowledge who get education about nutrition by having nutrition diary-books is better compared to female students who get the education through elucidation (p<0.05). The female students from the intervention group were proven to be more obedient in consuming iron tablets (p<0.05).Conclusion: The administration of nutrition diary-book and activity of writing nutrition diary-book can be used to increase knowledge and adherence in consuming iron tablets among adolescent female students.KEYWORDS: adherence; adolescent; iron tablet; knowledge; nutrition diary-book
Dhuha Itsnanisa Adi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 61-67; https://doi.org/10.21927/ijnd.2020.8(2).61-67

Abstract:
ABSTRAKLatar Belakang: Rasio LDL terhadap HDL menggambarkan profil kolesterol LDL dan HDL dalam darah dan merupakan salah satu komponen penting sebagai indikator risiko penyakit kardiovaskular. Kandungan serat yang tinggi terutama pektin (serat larut air) pada kulit markisa kuning dapat mencegah penyerapan karbohidrat, menurunkan absorpsi lemak dan kolesterol darah sehingga dapat mengontrol kadar lipid dalam darah.Tujuan: Penelitian ini bertujuan menilai pengaruh jus kulit markisa kuning terhadap rasio kolesterol LDL:HDL pada pasien diabetes mellitus sebagai prediktor penyakit kardiovaskuler di wilayah kerja puskesmas Teppo Kabupaten Pinrang.Metode: Jenis penelitian ini adalah quasi eksperimen dengan rancangan non-randomized pre-test dan post-test with control group. Cara pemilihan sampel dengan metode purposive sampling sebanyak 40 orang yang dibagi dalam 2 kelompok. Kelompok perlakuan diberikan jus kulit markisa kuning sebanyak 250 ml/hari dan edukasi selama 15 hari sedangkan kelompok kontrol hanya diberikan edukasi.Hasil: Hasil penelitian ini menunjukkan bahwa rasio kolesterol LDL: HDL pada kelompok intervensi mengalami penurunan dengan rerata penurunan sebesar 0,56 sedangkan pada kelompok kontrol mengalami peningkatan dengan rerata peningkatan sebesar 0,25. Secara statistik menunjukkan adanya perbedaan antara kelompok intervensi dan kelompok control (p< 0,05).Kesimpulan: Dengan demikian terdapat perbedaan yang signifikan rerata selisih rasio kolesterol LDL:HDL antara kelompok intervensi dan kelompok kontrol setelah pemberian jus kulit markisa kuning pada penderita diabetes mellitus.KATA KUNCI: kulit markisa kuning; rasio LDL:HDL; prediktor penyakit kardiovaskulerABSTRACTBackground: The ratio of LDL to HDL illustrates the profile of LDL and HDL cholesterol in the blood and it is one of the important components as an indicator of risk for cardiovascular disease. High fiber content, especially pectin (water-soluble fiber) on the skin of yellow passion fruit can prevent the absorption of carbohydrates, reduce the absorption of fat and blood cholesterol so that it can control blood lipid levels.Objectives: To assess the effect of fruit peel juice on LDL to HDL cholesterol ratio in patients with diabetes mellitus as predictors of cardiovascular disease in the working area of Teppo Health Center, Pinrang Regency.Methods: This study was a quasi-experimental design with a non-randomized pre-test and post-test with the control group. The method of selecting samples with a purposive sampling method of 40 people divided into 2 groups. The treatment group was given 250 ml of yellow passion fruit peel juice /day and education for 15 days while the control group was given education only.Results: The result showed that LDL to HDL cholesterol ratio in the intervention group decreased about 0.56 while in contrast LDL to HDL cholesterol ratio in the control group increased about 0.25 and statistically, the change was the difference (p> 0.05).Conclussion: Thus there is a significant difference in the mean LDL to HDL cholesterol ratio between the intervention group and the control group after administration of yellow passion fruit skin juice in people with diabetes mellitus.KEYWORDS: Yellow passion fruit peel juice; LDL to HDL cholesterol ratio; predictor of cardiovascular disease
Rijanti Abdurrachim, Nana Chairunnisa
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 93-100; https://doi.org/10.21927/ijnd.2020.8(2).93-100

Abstract:
Background : Congestive Heart Failure (CHF) is the inability of the heart to pump blood to meet the needs of oxygen and nutrients to the body's tissues. The most common symptom of recurrence is shortness of breath. One of the dietary management of CHF patients is the limitation of sodium and fluid. The aim of the study was to determine the role of sodium intake and fluid balance in the occurrence of shortness of breath based on Respiration Rate (RR) in Congestive Heart Failure (CHF) patients in Cardiac Hospitalization at H. Moch. Ansari Saleh Banjarmasin. Method: This type of determination is an observational analytic with a prospective approach. The population was all CHF patients who were hospitalized in the Diamond Room and Kumala Room 3rd Floor RSUD H. Moch. Ansari Saleh Banjarmasin from April 16 to May 6, 2018. Samples were 12 people taken based on inclusion and exclusion criteria. How to collect data using a 1x24 hour food recall form, a liquid form and a Respiration Rate form . Data Analyst is using the Spearman rank correlation test with a 95% confidence level. Results : 12 respondents obtained 58.3% aged 56-65 years, 66.7% male sex, and 50% with junior and senior high school education or equivalent. The nutritional assessment of CHF patients is reduced breathlessness, decreased blood pressure, normal laboratory data, and no changes in dietary material were given . A sufficient sodium intake (75%), a negative fluid balance level of 66.7%, occurrence of shortness of breath based on normal RR (50%) and tachypnea (50%). Conclusion : There is a correlation between sodium intake (p = 0.049) and fluid balance (p = 0.01) to the occurrence of shortness of breath based on the RR value of CHF patients in the Cardiovascular Inpatient Hospital Dr.H.Moch.Ansari Saleh Banjarmasin.Adjusting sodium intake and fluid balance is useful to reduce symptoms of shortness of breath in CHF patients.
Yhona Paratmanitya, Siti Helmyati, Detty S Nurdiati, Emma C Lewis, Hamam Hadi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 68-79; https://doi.org/10.21927/ijnd.2020.8(2).68-79

Abstract:
ABSTRAK Latar Belakang: Pemenuhan gizi pada masa prakonsepsi merupakan hal yang penting untuk memastikan kehamilan yang sehat, namun banyak wanita di negara-negara berkembang yang belum menyadari pentingnya hal tersebut. Informasi tentang kesiapan gizi prakonsepsi pada wanita usia subur, khususnya di negara berkembang, masih terbatas.Tujuan: Untuk mengetahui kesiapan gizi prakonsepsi pada calon pengantin wanita di IndonesiaMetode: Penelitian ini merupakan bagian dari studi cluster randomized trial untuk meningkatkan status besi ibu hamil di Kabupaten Bantul, Yogyakarta, yang melibatkan 173 calon pengantin wanita. Data antropometri, asupan makan, dan pengetahuan tentang gizi prakonsepsi dikumpulkan oleh enumerator yang terlatih, yaitu mahasiswa di Fakultas Kesehatan, Universitas Alma Ata, dengan melakukan kunjungan ke rumah responden. Data kadar Hemoglobin (Hb) diperoleh melalui kuesioner. Kesiapan gizi prakonsepsi diukur menggunakan 10 indikator, yang meliput: (1) Indeks Massa Tubuh (IMT); (2) Lingkar Lengan Atas (LILA); (3) kadar Hb; (4) asupan energi; (5) asupan protein; (6) asupan kalsium; (7) asupan zat besi; (8) asupan folat; (9) pengetahuan tentang gizi prakonsepsi; dan (10) konsumsi suplemen zat besi dan/atau asam folat. Skor kesiapan akan berkisar antara 0-10.Hasil: Tidak ada satupun responden yang dapat memenuhi seluruh indikator kesiapan gizi prakonsepsi. Sebanyak 26% responden dapat memenuhi 2 indikator, dan median skor-nya adalah 3 (2.0-4.0). Kadar Hb, IMT, dan LILA merupakan 3 indikator terbanyak yang dapat dipenuhi, sementara asupan kalsium, zat besi, dan folat merupakan 3 indikator yang paling sedikit dapat dipenuhi oleh responden.Kesimpulan: Peningkatan kesadaran akan pentingnya mempersiapkan gizi prakonsepsi pada calon ibu merupakan hal yang sangat diperlukan. Program intervensi gizi kedepannya sebaiknya sudah dimulai sejak masa prakonsepsi, bukan hanya fokus pada kehamilan. KATA KUNCI: Indeks Massa Tubuh; asupan makan; prakonsepsi; wanita usia subur ABSTRACTBackground: Proper nutrition during preconception is essential to ensuring a healthy pregnancy, however, women in developing countries may not be aware of its importance. Information is limited regarding nutrition readiness prior to conception among women of reproductive age in these settings.Objectives: To examine nutrition readiness prior to conception among premarital women living in Indonesia.Methods: This study was part of a cluster randomized trial which aimed to improve the iron status of pregnant women in Bantul District, Yogyakarta, Indonesia. A total of 173 premarital women were included in the study. Data were collected on anthropometry, dietary intake, and knowledge about preconception nutrition by trained nutrition students of the University of Alma Ata, and taking place in the participant’s home. Hemoglobin level data were obtained based on answers to a questionnaire. Preconception nutrition readiness for pregnancy was determined based on 10 indicators, including: (1) body mass index (BMI); (2) mid-upper arm circumference (MUAC); (3) hemoglobin (Hb) level; average daily intakes for (4) energy, (5) protein, (6) calcium, (7) iron, and (8) folic acid; (9) level of knowledge about preconception nutrition; and (10) folic acid and/or iron supplement consumption. Preconception nutrition readiness scores ranged from 0-10.Results: No study participants met all 10 indicators for preconception nutrition readiness. One-quarter (26.0%) of participants could only meet 2 indicators, and the median score was 3.0 (2.0-4.0). Hb level, BMI, and MUAC were the 3 indicators met most by participants, while iron, folic acid, and calcium intake were the least met indicators.Conclusion: Raising awareness about preconception nutritional preparation among women of reproductive age is urgent. Future nutrition intervention programs should target the preconception period. KEYWORDS: Body mass index; dietary intake; preconception; women of reproductive age.
Waisaktini Maragareth, Eviyani Margaretha Manungkalit, Nia Kurniati, Utih Arupah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 30-38; https://doi.org/10.21927/ijnd.2020.8(1).30-38

Abstract:
ABSTRAKLatar Belakang: HIV adalah masalah kesehatan yang signifi kan di Indonesia. satu kota di DKI Jakarta yang memiliki perkiraan jumlah kasus HIV tertinggi yang ditularkan melalui pria ke wanita. Beberapa penelitian menyatakan bahwa anak-anak dengan HIV memiliki asupan energi dan protein yang kurang, dan anemia. Oleh karena itu, pentingnya meningkatkan pengetahuan gizi seimbang pada orangtua yang memiliki anak HIV sehingga adanya peningkatan perilaku yang baik terhadap asupan makanan pada anaknya.Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh pemberian pedoman nutrisi seimbang pada asupan gizi (energi dan protein) dan kadar hemoglobin pada anak-anak HIV Metode: Desain penelitian adalah studi pra-eksperimental desain One Group Pre-Post Test. Penelitian ini adalah desain pre-post test kelompok kontrol non acak. Penelitian dilakukan di RSUPN dr Cipto Mangunkusumo dari Agustus hingga Oktober 2019. Sampel diambil secara purposive dengan kriteria inklusi dan eksklusi. Data dianalisis dengan menggunakan paired t-test.Hasil: Hasil penelitian menunjukkan bahwa ada perbedaan yang signifi kan antara asupan energi rata-rata sebelum konseling dan setelah konseling (p = 0,013) tetapi tidak ada perbedaan yang signifi kan antara asupan protein rata-rata sebelum dan sesudah konseling (p = 0,934). Ada perbedaan yang signifi kan antara level Hb sebelum dan setelah konseling (p = 0,000).Kesimpulan: Ada pengaruh konseling gizi terhadap asupan energi tetapi tidak ada pengaruh terhadap kadar HbKATA KUNCI: energi; protein; Hb; HIV; anakABSTRACTBackground: HIV is a signifi cant health problem in Indonesia. There were an estimated 242.699 persons living with HIV. Central Jakarta is one of the cities in DKI Jakarta that has the highest estimated number of HIV cases transmitted through men to women. Thus means that there is a possibility that the number of HIV children in Central Jakarta wil also increase. Some studies suggest that children with HIV have less energy and protein intake, and anemia. Because of this, the importance of increasing the knowledge of balanced nutrition in parents who have HIV children so that there is an increase in good behavior towards food intake in children. Objectives: The study aimed to analyze the effect of providing balanced nutrition guidelines on nutritional intake (energy and protein) and hemoglobin levels in HIV children. Methods: The research design was a pre-expreimental study of the One Group Pre-Post Test design. study was experimental non randomized control group pre-post test design. The study was carried out at RSUPN dr Cipto Mangunkusumo from August to October 2019. The sample were taken purposively with inclusion and exclusion criteria. Data were analyzed by using paired t-test.Results:The results showed that there was a signifi cant difference between the mean energy intake before counseling and after counseling (p = 0.013) but there was no signifi cant difference between the average protein intake before and after counseling (p = 0.934). There was a signifi cant difference between the level Hb before and atter counseling (p = 0.000).Conclusions: The provision of counseling on nutrition guidelines provide a signifi cant difference between the average energy intake and the levels of Hb.KEYWORDS: energy; protein; Hb; HIV; children
Nuryani Nuryani, Yeni Paramata
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 9-21; https://doi.org/10.21927/ijnd.2020.8(1).9-21

Abstract:
ABSTRAKLatar Belakang: Remaja merupakan kelompok usia yang rentang mengalami malnutrisi baik gizi lebih maupun gizi kurang yang disebabkan oleh pertumbuhan fi sik yang cepat, perubahan hormonal untuk system reproduksi dan perubahan psikosial. Tujuan: Tujuan penelitian ini untuk mengkaji sejumlah faktor yang mempengaruhi kejadian malnutrisi pada remaja. Metode: Desain penelitian cross sectional study yang diselenggarakan di MTS Negeri Model 1 Limboto. Pengambilan sampel menggunakan tekhnik accidental sampling sejumlah 251 remaja. Variabel penelitian berupa status gizi remaja, status sosial ekonomi, pengetahuan, sikap dan perilaku gizi pada remaja. Analisis hubungan antara variabel menggunakan uji chi square test dengan nilai α = 0.05. Hasil: Hasil penelitian menunjukkan sebanyak 10,0% remaja mengalami stunting, 23,5% remaja mengalami obesitas, 72,5% pengetahuan gizi kurang, 41,8% sikap gizi seimbang negative dan 45,4% perilaku gizi seimbang yang tidak baik. Analisis uji chi square menunjukkan pendidikan ayah berhubungan dengan kejadian stunting pada remaja (p = 0,001), namun analisis hubungan social ekonomi dengan kejadian stunting dan obesitas remaja berturut – turut pendidikan ibu (p=0,051 dan p=0,647), pekerjaan ibu (p = 0,385 dan p = 0,206), pendapatan keluarga (p = 1,000 dan p=0,061), riwayat pengasuhan (p = 0,496 dan p = 0,525), jumlah saudara (p = 0,131 dan p = 0,903), jenis kelamin (p = 0,298 dan p = 1,000), pengetahuan (p = 0,767 dan p = 0,447), sikap (p = 0,656 dan p = 0,805) dan perilaku gizi (p = 1,000 dan p = 0,268) tidak berhubungan dengan kejadian stunting dan obesitas pada remaja. Kesimpulan: faktor social ekonomi yakni pendidikan ayah berhubungan signifi kan dengan kejadian stunting pada remaja.KATA KUNCI: malnutrisi, pengetahuan, perilaku, sikap, sosialekonomiABSTRACTBackgrounds: Adolescents are an age group that vulnerable experiencing of malnutrition both over nutrition and undernutrition caused by rapid physical growth, hormonal changes to the reproductive system and psychosocial changes. Objectives: The purpose of this study was to examine the socioeconomic factors that infl uenced the incidence of malnutrition in adolescents. Methods: The design study was cross sectional study conducted in MTS Model 1 Limboto State. Sampling was used an accidental sampling technique with 251 adolescents. Research variables were included nutritional status, socioeconomic status, knowledge, attitudes, and nutritional behavior. Analysis of the association between variables using the chi square test with a value α = 0.05. The results showed as many as 10.0% of adolescents were stunted, 23.5% of adolescents were obese, 72.5% low nutritional knowledge, 41.8% negative balanced nutrition attitudes and 45.4% poor balanced nutrition behavior. Analysis chi square test was showed the father education related to the incidence of stunting in adolescents (p = 0.001) , but analysis of social economy with the incidence of stunting and obesity in adolescent respectively maternal education (p = 0.051 and p=0.647), mother occupation (p = 0.385 and p = 0.206), family income (p = 1,000 and p = 0.061), caregivers (p = 0.496 and p = 0.525), number of siblings (p = 0.131 and p = 0.903), gender (p = 0.298 and p = 1,000), nutrition knowledge (p = 0.767 and p = 0.447), attitudes (p = 0.656 and p = 0.805) and nutrition behavior (p = 1,000 and p = 0.268) were not related to the incidence of stunting and obesity in adolescents. Conclusion: It was concluded that socioeconomic factors namely father education were signifi cantly related to the incidence of stunting in adolescents.KEYWORDS: attitude, behavior, knowledge, malnutrition, social economy
Niken Widyastuti Hariati, Rijanti Abdurrachim
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 45-53; https://doi.org/10.21927/ijnd.2020.8(1).45-53

Abstract:
ABSTRAKLatar belakang: Lansia merupakan kelompok usia yang sangat rentan menderita hipertensi atau tekanan darah tinggi. Selain dengan obat, tekanan darah bisa dikontrol dengan pengelolaan pola makan. Beberapa buah dan sayuran yang dipercaya dapat membantu menurunkan tekanan darah seperti semangka, mentimun, tomat, sawi hijau, papaya dan pisang Ambon. Kandungan yang berperan antara lain kandungan air, serat, kalsium, kalium dan magnesium. Tujuan: Penelitian ini bertujuan melihat efektifi tas formulasi jus sayur dan buah terhadap pengendalian tekanan darah pada lansia hipertensi. Metode: Metode penelitian secara Quasi Experiment dengan rancangan penelitian analisis varians satu arah berdasarkan Kruskal-Wallis dengan taraf signifi kan 5% (α = 0.05) dan tingkat kepercayaan 95%. Kelompok perlakuan diberikan intervensi berupa pemberian jus sayur dan buah dengan pengendalian standar makanan untuk menghasilkan standarisasi jus sayur dan buah yang efektif dalam pengendalian tekanan darah. Penelitian dilakukan di Panti Sosial Tresna Werdha Budi Sejahtera. Populasi penelitian adalah seluruh lansia hipertensi di Panti Tresna Werdha Budi Sejahtera sebanyak 108 orang dengan sampel penelitian menggunakan teknik purposive sampling sebanyak 81 orang dimana terdapat 27 kombinasi formula jus (9 kombinasi formula A, 9 kombinasi formula B, 9 kombinasi formula C). Pemberian tiap kombinasi diberi jeda satu hari dengan melihat perubahan tekanan darah 6 jam sebelum dan sesudah intervensi. Hasil: Hasil penelitian didapatkan formula jus sayur dan buah yang paling efektif dalam pengendalian tekanan darah sistolik lansia yaitu kelompok formula B31 (tomat, sawi dan semangka) dan B32 (tomat, sawi dan pisang ambon) dengan p= 0.046 atau tingkat kepercayaan >95%. Kesimpulan: Perlu dilakukan uji lebih lanjut dengan jumlah sampel yang lebih besar terhadap kedua formula jus sayur dan buah ini untuk melihat seberapa jauh efektifi tas penurunan tekanan darah yang dihasilkan. Hasil penelitian ini bisa menjadi bahan pertimbangan dalam pengaturan menu diet pada lansia dengan hipertensi.KATA KUNCI: hipertensi, jus buah, lansia, sayuranABSTRACTBackgrounds: The elderly is an age group that is very vulnerable to suffer from hypertension. In addition to drugs, blood pressure can also be controlled by managing diet. Some fruits and vegetables that are believed to reduce blood pressure are watermelons, cucumbers, tomatoes, mustard greens, papaya and Ambonese bananas. Ingredients that play a role include mineral potassium, calcium and magnesium. Objectives: This study aims to look at the effectiveness of vegetable and fruit juice formulations on controlling blood pressure in elderly hypertension. Methods: The research method is a Quasi Experiment with a one-way analysis of variance analysis design based on Kruskal-Wallis with a signifi cance level of 5% (α = 0.05) and a confidence level of 95%. The treatment group was given intervention in the form of giving vegetable and fruit juices by controlling food standards to produce an effective standardization of vegetable and fruit juices in controlling blood pressure. The study was conducted at Tresna Werdha Budi Sejahtera Social Home. The study population was all elderly hypertension at Tresna Werdha Budi Sejahtera Orphanage as many as 108 people with the study sample using purposive sampling techniques as many as 81 people where there were 27 juice formula combinations (9 combinations of formula A, 9 combinations of formula B, 9 combinations of formula C). Giving each combination given a pause one day to see changes in blood pressure 6 hours before and after the intervention. Results: The results showed that the most effective formulas of vegetable and fruit juices in controlling systolic blood pressure in the elderly were the formula group B31 (tomatoes, mustard greens and watermelons) and B32 (tomatoes, mustards and ambon bananas) with p = 0.046 or a confi dence level>95% (α=0,05). Conclusion: Further tests need to be carried out with a larger number of samples of these two vegetable and fruit juice formulas to see how far the effectiveness of blood pressure reduction is produced and the results of this study can be taken into consideration in the regulation of diet menus in the elderly with hypertension.KEYWORDS: elderly, fruit juices, hypertension, vegetable
Muhammad Nur Hasan Syah, Rani Dian Miranti, Noerfitri Noerfitri, Andi Imam Arundhana Thahir
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 39-44; https://doi.org/10.21927/ijnd.2020.8(1).39-44

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ABSTRAKLatar belakang: Prevalensi kelebihan berat badan dan obesitas pada remaja (13 - 15 tahun) meningkat secara signifi kan dari 7,3% pada 2013 menjadi 13,5% pada 2018. Ketersediaan restoran cepat saji yang semakin banyak, baik lokal maupun komersial, di sekitar sekolah semakin meningkatkan jumlah anak remaja usia sekolah yang terpapar makanan tidak sehat, terlebih bagi mereka yang tinggal di daerah perkotaan. Tujuan: Penelitian ini menguji dampak camilan lokal yang tersedia di sekolah terhadap kejadian obesitas pada remaja. Metode: Penelitian Ini menggunakan disain cross-sectional yang dilakukan di lima Sekolah Menengah Kejuruan (SMK) di Bekasi, Indonesia. Sebanyak 225 siswa berusia 16-18 tahun diamati status gizi dan konsumsi makanan ringan mereka. Indeks massa tubuh menurut usia (IMT/U) digunakan untuk menentukan status obesitas remaja. Diklasifi kasikan sebagai obesitas apabila nilai z score > 2SD sesuai dengan usia dan jenis kelamin mereka, menggunakan grafi k referensi WHO 2007. Siswa ditanya tentang konsumsi makanan mereka menggunakan kuesioner frekuensi makan (FFQ) semi kuantitatif. Odds ratio (OR) dihitung untuk setiap jenis makanan ringan dan nilai p<0,05 sebagai nilai signifi kan secara statistik. Hasil: Temuan penelitian ini menunjukkan bahwa 32,4% siswa mengalami obesitas. Konsumsi makanan ringan lokal yang terkait dengan obesitas termasuk makanan berlemak (OR, 2.18; 95% CI, 0.68 - 7.01; p = 0.19), makanan manis (1OR, 1.28; 95% CI, 0.70 – 2.35)), dan makanan asin (OR, 1,04; 95% CI, 0,40 - 2,71; p = 0,92). Tiga makanan dan minuman lokal teratas yang dikonsumsi oleh para siswa adalah Cireng (makanan goreng lokal yang terbuat dari tepung), teh, dan pizza (masing-masing dengan frekuensi 0,561, 0,429, 0,245 /hari). Kesimpulan: Konsumsi makanan ringan lokal yang dijual di SMK di Kota Bekasi tidak memiliki hubungan yang signifi kan terhadapt kejadian obesitas.KATA KUNCI: kebiasaan mengemil; obesitas pada remaja; konsumsi makananABSTRACT Background: Prevalence of overweight and obesity in adolescents (13 – 15 years) significantly increased from 7.3% in 2013 to 13.5% in 2018. The availability of many fast-food restaurants, both local and commercial, nearby the school increases the number of young people exposed to unhealthy food, especially those living in urban areas. Objectives: This study examined the impact of local unhealthy snacks available in the school on adolescent obesity. Methods: This was a cross-sectional study conducted in the fi ve Secondary Vocational School in Bekasi, Indonesia. A total of 225 students aged 16-18 years were observed for their nutritional status and snack consumption. Body mass index for age indices was used to determine the obesity status of adolescents, classifi ed as obese (>2SD) with respect to their age and sex using 2007 WHO reference charts. Students were asked about their food consumption using a semi-quantitative questionnaire. Odds ratios (ORs) was calculated for each type of snacks and p<0.05 was considered statistically signifi cant. Results: Finding of this study shows that 32.4% of students were obese. The consumption of local snacks associated with obesity included fatty food (OR, 2.18; 95% CI, 0.68–7.01; p=0.19), sweet food (OR, 6.98; 95% CI, 3.00 – 16.25; p<0.001), and salty food (OR, 1.04; 95% CI, 0.40 – 2.71; p=0.92). The top three of local foods and beverages consumed by the students were Cireng (a local fried food made from starch), tea, and pizza (with frequency/day 0.561, 0.429, 0.245, respectively). Conclusion: Local snacks on sale in the vocational schools in Bekasi City was not signifi cant associated with obesity.KEYWORDS: snacking behavior; obesity in adolescence; food consumption
Tri Siswati, Trynke Hookstra, Hari Kusnanto
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 1-8; https://doi.org/10.21927/ijnd.2020.8(1).1-8

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ABSTRAKLatar Belakang: Stunting adalah malnutrisi kronis yang dapat terjadi pada semua balita termasuk balita di daerah perkotaan. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor risiko stunting pada anak-anak 0-59 bulan di perkotaan di Indonesia.Metode: Penelitian ini merupakan penelitian cross sectional dengan menggunakan data sekunder berdasarkan Riskesdas tahun 2013. Sampel berjumlah 13.248 anak usia 0-59 bulan dari 33 provinsi, yang tinggal di daerah perkotaan, lahir tunggal (37 minggu), usia ≥37 minggu kehamilan, skor TB/U -5,99 hingga TB/U 5,99 SD, dan data yang diobservasi lengkap. Variabel bebas adalah karakteristik anak (usia, jenis kelamin, berat dan panjang lahir); dan karakteristik rumah tangga (usia orang tua, tinggi badan orang tua, pendidikan, pekerjaan, tingkat ekonomi), sedangkan variabel terikat adalah stunting. Analisis dilakukan dengan regresi logistik multivariat menggunakan Stata13.Hasil: Faktor yang berhubungan dengan terjadinya stunting balita di perkotaan adalah BBLR (AOR 1,2 CI 95% 1,09-1,32); dan bayi lahir pendek (AOR 1,16 CI95%: 1,99-1,23) dan karakteristik rumah tangga seperti ayah pendek (AOR 1,24, CI95% 1,18-1,31); ibu pendek (AOR 1,23, CI95% 1,17-1,29); ibu berpendidikan rendah (AOR 1,14, CI 95% 1,02-1,23); ayah berpendidikan rendah (AOR 1,13, CI95% 1,02-1,23), dan tingkat ekonomi menengah dan rendah (AOR 1,12, CI 95% 1,06-1,19; AOR 1,24, CI95% 1,15-1,33). Kesimpulan: Faktor yang berhubungan dengan stunting balita di perkotaan adalah BBLR dan tinggi badan orang tua.KATA KUNCI: balita; determinan; Indonesia; perkotaan; stuntingABSTRACTBackground:Childhood stunting is a form of chronic malnutrition, including among children in the urban area.Objectives: This research was to determine the risk factors of 0-59 months stunting children in urban Indonesia.Methods: This was a cross sectional study using secondary data based Indonesia’s Basic Health Research 2013. Samples were a total of 13,248 children aged 0-59 months from 33 provinces, urban residency, singleton, ≥37 weeks gestation, and HAZ score -5.99 to 5.99 SD. Independent variables were children characteristics (age, sex, size of birth); and household characteristics (parental age, high, education, employment, economic level), while the dependent variable was stunting. Multivariate logistic regression analysis was performed using Stata 13.Results: Children characteristics such as low birth weight (AOR 1.2 CI 95% 1.09-1.32); and short newborn length (AOR 1.16 CI95%:1.99-1.23) and stature father (AOR 1.24, CI95% 1.18-1.31) and mother (AOR 1.23, CI95% 1.17-1.29); maternal low education (AOR 1.14, CI 95% 1.02-1.23); paternal low education(AOR 1.13, CI95% 1.02-1.23), low middle economic level (AOR 1.12, CI 95% 1.06-1.19; AOR 1.24, CI95% 1.15-1.33) were factors associated with urban stunting children.Conclusion: Low birth weight and short stature were dominant factors associated with stunting children in Indonesian urban areas.KEYWORDS: children, determinant, Indonesian, urban, stunting
Nor Eka Noviani, Bj Istiti Kandarina, Fatma Zuhrotun Nisa
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 22-29; https://doi.org/10.21927/ijnd.2020.8(1).22-29

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ABSTRAKLatar Belakang: Ketahanan pangan adalah kondisi terpenuhinya pangan bagi negara sampai dengan perseorangan, yang tercermin dari tersedianya pangan yang cukup, baik jumlah maupun mutunya, aman, beragam, bergizi, merata, dan terjangkau serta tidak bertentangan dengan agama, keyakinan, dan budaya masyarakat, untuk dapat hidup sehat, aktif, dan produktif secara berkelanjutan. Ketika kondisi pangan bagi negara sampai dengan perorangan tidak terpenuhi, maka kondisi yang terjadi adalah tidak tahan pangan. Tidak tahan pangan berhubungan dengan penyakit kronis diabetes melitus tipe 2. Tujuan: Tujuan penelitian ini adalah untuk mengidentifi kasi ketahanan pangan dan faktor lain yang berhubungan dengan DM2 di Kulon Progo, Yogyakarta, Indonesia. Metode: Penelitian ini adalah penelitian obeservasi dengan desain case control, dimana kasus adalah pasien diabetes melitus tipe 2 yang terdaftar di 4 kecamatan di Kabupaten Kulon Progo. Sedangkan kontrol adalah subyek bukan penyandang DM2. Penentuan sampel menggunakan metode purposive yang kemudian dilakukan penyetaraan terhadap umur dan tempat tinggal. Uji statistik chi-square, Mc. Nemar dan regresi logistik dilakukan untuk mengidentifi kasi variabel yang merupakan faktor risiko. Hasil: Uji chi square menunjukkan bahwa riwayat keluarga memiliki hubungan yang bermakna dengan DM2 (p<0,05). Status tidak tahan pangan lebih banyak terjadi pada kelompok kontrol (79,36%). Banyak responden memiliki skor kualitas diet yang kurang yakni 60,32% di kedua kelompok. Banyak responden tidak mengalami obesitas (>50%). Obesitas sentral terjadi pada 65,08% kasus dan 52,38% kontrol. Uji Mc. Nemar menunjukkan tidak ada variabel yang signifi kan (p>0,05; OR >1). Obesitas sentral berisiko terjadinya DM2 sebesar 61%. Uji regresi logistik menyimpulkan bahwa riwayat keluarga memberikan kontribusi besar berkembangnya DM2. Kesimpulan: Ketahanan pangan rumah tangga bukan faktor risiko terjadinya DM2 di Kulon Progo. Obesitas sentral berpeluang terjadinya DM2. Faktor genetik sebagai faktor dominan terjadinya DM2 di Kulon Progo.KATA KUNCI: diabetes melitus tipe 2, ketahanan pangan; kualitas diet; obesitas; obesitas sentral; faktor risikoABSTRACTBackground: Food security refl ects a situation when individual at all times has physical, social, and economic access to suffi cient, diversifi ed, safe and nutrious food that meets their dietary needs, food preference and religious believes for an active and healthy life. When the condition of individual is not adequate, it will contribute to food insecurity. Food insecurity has association with chronic diseases like type 2 diabetic mellitus (DM2). Objectives: To identify whether food security and other cofactors being the risk of DM2 in Kulon Progo Regency, Yogyakarta, Indonesia.Methods: This is an observational study with case control design. The case group was diabetic patients registered in Community Health Center in 4 subdistrics in Kulon Progo Regency whereas the control group was non diabetic patients. Respondents were selected purposively in accordance with inclusive and exclusive criterion, equivalently matching with age, gender and neighborhood. Chi square test, Mc. Nemar and logistic regression were used to identify risk factor. Results: The characteristic of two group revealed that family history had signifi cant association in development of DM2 (p<0.05). Food insecurity more commonly occured in control group (79.36%). Low quality diet was faced by the two group. Half of them had no obesity. Based on Mc. Nemar no variables statistically became risk factor of diabetic mellitus type 2 (p>0.05). But central obesity can be risk for DM. Genetic factor contributed to be DM2. Conclusion: Food security was not risk factor of developing DM2. Central obesity might be the risk of DM2. Parent history was the dominant factor of DM2.KEYWORDS: diabetic mellitus, food security; quality diet; obesity; risk factor
Arif Sabta Aji, Yusrawati Yusrawati, Safarina G Malik, Nur Indrawaty Lipoeto
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 97-106; https://doi.org/10.21927/ijnd.2019.7(3).97-106

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ABSTRAKLatar belakang: Anemia kehamilan masih menjadi masalah kesehatan masyarakat di negara berkembang yang berkontribusi terhadap risiko tinggi komplikasi kehamilan. Indonesia sebagai negara berkembang memiliki risiko anemia yang lebih tinggi yang bisa disebabkan oleh kekurangan asupan zat gizi mikro, infeksi, atau faktor sosial-demografis lainnya.Tujuan: Identifikasi prevalensi dan faktor risiko anemia pada ibu hamil yang tinggal di Sumatera Barat, Indonesia.Metode: Penelitian ini adalah analisis data sekunder dari studi kohort prospektif yaitu "“Vitamin D Pregnant Mother (VDPM) di Sumatera Barat". Subyek ibu hamil trimester diperoleh dari Puskesmas di Provinsi Sumatera Barat. Waktu penelitian dilakukan pada Januari-Maret 2017. Data demografi, sosial ekonomi, antropometri, dan Riwayat kesehatan ibu diteliti. Regresi logistik biner multivariatdigunakan untuk menentukan faktor-faktor terkait anemia. Dalam semua kasus, nilai p kurang dari 0,05 dianggap signifikan secara statistik.Hasil: 176 ibu hamil yang memenuhi kriteria inklusi diambil dalam penelitian ini. Prevalensi anemia ditemukan sebesar 61,90%. Rerata konsentrasi hemoglobin adalah 10,56 ± 1,41 g / dL. Prevalensi anemia sedang dan ringan masing-masing adalah 34% dan 27%. Status anemia ibu hamil trimester ketiga berhubungan dengan wanita yang memiliki <upah minimum/bulan (AOR: 5.15; 95% CI: 1.30-20.47), pengetahuan gizi ibu yang rendah (AOR: 15.88; 95% CI: 3.82- 66.02), IMT sebelum kehamilan <25 kg/m2 (AOR: 11.82; 95% CI: 2.70-51.69), dan tidak patuh konsumsi suplemen zat besi (AOR: 29.69; 95% CI: 6.58-133.91).Kesimpulan: Terdapat masih tingginya prevalensi anemia pada wanita hamil di Sumatera Barat. Oleh karena itu, meningkatkan kesadaran akan suplementasi zat besi dan kesehatan yang berkaitan dengan nutrisi selama kehamilan perlu dipertimbangkan untuk meningkatkan status kesehatan ibu untuk mengurangi anemia. Namun, penelitian lebih lanjut diperlukan dengan ukuran sampel yang besar untuk mengkonfirmasi temuan ini.KATA KUNCI: anemia; faktor risiko; kehamilan; trimester ketiga; Sumatra Barat ABSTRACTBackground: Anemia during pregnancy remain to be a public health problem in developing countries which contributes to the high risk of adverse pregnancy outcomes. Indonesia as developing country has a higher risk of anemia that could be due to high of deficiencies of micronutrients intake, infection, or other socio-demographic factors.Objectives: The aim of this study was to determine the prevalence and risk factors anemia among pregnant women living in West Sumatra, Indonesia.Methods: The study is a secondary data analysis of prospective cohort study named “Vitamin D Pregnant Mother (VDPM) study in West Sumatra”. The third trimester pregnant women were enrolled from the public health centers in West Sumatra Province from January to March 2017. Structured questionnaires were used to collect data of demographic, socio-economic, anthropometry, and maternal health from all the study subjects. A multivariate binary logistic regression had been used to determine the associated factors of anemia. In all cases, P value less than 0.05 was considered statistically significant.Results: 176 pregnant women who fulfilled the inclusion criteria were enrolled this study. The prevalence of anemia was 61.90%. The mean of hemoglobin concentration was 10.56±1.41 g/dL. Moderate and mild anemia prevalence were 34% and 27%, respectively. The third trimester of pregnant women anemia status were associated with women who had <minimum wage/month (AOR: 5.15; 95%CI: 1.30-20.47), low-moderate maternal nutrition knowledge (AOR: 15.88; 95%CI: 3.82-66.02), pre-pregnancy BMI <25 kg/m2 (AOR: 11.82; 95%CI: 2.70-51.69), and no adherence iron supplement intake status (AOR: 29.69; 95%CI: 6.58-133.91).Conclusions: There was a high prevalence of anemia status in the third pregnant women in West Sumatra. Therefore, raise awareness of iron supplementation and health related to nutrition during pregnancy need to be considered to improve maternal health status to reduce anemia. However, further studies required with large sample size to confirm this finding.KEYWORDS: anemia; risk factors; third trimester; pregnancy; West Sumatra
Rahma Micho Widyanto, Rifanty Meydiana Rachmawati Putri, Fuadiyah Nila Kurniasari, Yunimar Yunimar, Budi Utomo
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 51-57; https://doi.org/10.21927/ijnd.2019.7(2).51-57

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ABSTRAKLatar belakang: Kanker serviks merupakan penyakit yang menduduki posisi kedua penyebab kematian pada wanita. Berbagai terapi pendukung mulai dikembangkan, seperti melalui bahan makanan yang dipercaya memiliki efek anti-kanker. Buah sirsak disebut memiliki kandungan fitokimia seperti Annonaceous acetogenin, flavonoid dan fenol yang bermanfaat sebagai anti-kanker. Tujuan: Penelitian ini dilakukan untuk mengetahui potensi anti-oksidan dan sitotoksisitas dari sari buah sirsak pada sel HeLa secara in vitro. Metode: Penelitian ini dilakukan dengan membuat sari buah sirsak dengan cara diblender kemudian dikeringkan dengan metode freeze-drying, yang kemudian dilanjutkan dengan uji 2,2-diphenyl-1-picrylhydrazyl (DPPH) untuk mengetahui potensi penghambatan radikal bebas, dan potensi sitotoksisitas melalui uji MTT (3-(4,5-dimetiltiazol-2-il)-2,5-difenitetrazolium bromide) assay pada sel kanker serviks HeLa. Hasil: Hasil uji aktivitas anti-oksidan menunjukkan persamaan regresi linier (y=0,0149x – 2,8812) dan nilai perhitungan IC50 sari buah sirsak sebesar 3549 μg/mL dan hasil uji sitotoksisitas menunjukkan persamaan regresi linier (y=0,0197x + 0,3101) dan nilai perhitungan IC50 sari buah sirsak pada sel HeLa sebesar 2522,33 μg/mL.Kesimpulan: Sari buah sirsak memiliki aktivitas anti-oksidan yang sangat rendah dan tidak berpotensi sebagai anti-kanker terhadap sel HeLa secara in vitro. KATA KUNCI : Annona muricata Linn, anti-oksidan, kanker, sitotoksisitas ABSTRACTBackground: Cervical cancer is the second leading cause of death in women. Various supporting therapies have been developed, such as through food ingredients which are believed to have anti-cancer effects. Soursop is known to be high phytochemical content such as Annonaceous acetogenin, flavonoid and phenols which are useful as anti-cancer. Objectives: This research was conducted to determine the antioxidant and cytotoxic activity of soursop juice on HeLa cell lines.Methods: This study started by making the soursop fruit extract by blending then dried with freeze-drying method, and then proceed with 2.2-diphenyl-1-picrylhydrazyl (DPPH) assay to determine the potential free radical scavenging activity, cytotoxic potential activity in vitro through MTT (3-(4,5-dimethylthiazol-2-il)-2,5-difenitetrazolium bromide) assay on HeLa cell lines.Results: The IC50 antioxidant activity of soursop fruit extract is 3549 μg/mL with linear regression equation (y=0.0149x – 2.8812) and the IC50 cytotoxicity test of soursop fruit extracton HeLa was 2522,33 μg/mL with linier regression equation (y=0.0197x + 0.3101). Conclusion: The conclusion in this study is that soursop fruit extract has very low antioxidant activity and has no in vitro potential effect as an anti-cancer on HeLa cell lines. KEYWORDS : Annona muricata Linn, antioxidant, cancer, cytotoxic
Mustakim Mustakim, Kusharisupeni Djokosujono
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 41-50; https://doi.org/10.21927/ijnd.2019.7(2).41-50

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ABSTRAK Latar Belakang: Kelompok lanjut usia mengalami perkembangan yang pesat di masa mendatang. Kebugaran menjadi salah satu prediktor dalam menentukan kesakitan dan kematian pada kelompok lansia.Tujuan: Penelitian ini memiliki tujuan untuk membahas karakteristik, komposisi tubuh, gaya hidup dan asupan gizi dengan kebugaran yang diukur melalui serangkaian tes kebugaran pada wanita pralansia di Kecamatan Pancoran Mas kota Depok.Metode: Penelitian menggunakan desain studi cross-sectional dan dilakukan pada 134 orang wanita pralansia di Kecamatan Pancoran Mas kota Depok.Hasil: Hasil penelitian menunjukkan bahwa 72,4 persen wanita pralansia berada pada kondisi tidak bugar. Variabel paling berhubungan dengan kebugaran adalah aktivitas fisik setelah dikontrol dengan IMT, persen lemak tubuh, status merokok dan asupan vitamin B12.Kesimpulan: Akivitas fisik merupakan faktor paling berpengaruh terhadap kebugaran non kardiorespiratori pada wanita pralansia. Oleh karena itu, wanita pralansia wajib menjaga aktivitas fisiknya secara rutin melalui jalan kaki, senam ataupun kegiatan fisik lainnya.KATA KUNCI: wanita pra lansia, kebugaran non kardiorespiratori, aktivitas fisik ABSTRACTBackgrounds: Fitness was found as an indicator of morbidity and mortality to the elderly. A person who have low physical fitness level is often associated with a lack of regular physical activities and causes of degenerative diseases and premature death. Besides, fitness will have an inluenfce to his body composition (reduced fat levels in the abdomen), increase lipid profile (reduced triglyceride levels, increased HDL), reduce LDL, and reduce blood pressure.Objectives: This study focused on the physical fitness of middle-aged women in Pancoran Mas, Depok. The purpose of this study was to look at the relationship between lifestyle, body composition and nutritional intake and physical fitness. In addition, this study also determined the dominant factor related to physical fitness.Methods: This study used a cross-sectional design and the data were collected from 134 middle-aged women. Physical Fitness was measured by fitness test using handgrip test, sit and reach test, and chair sit and stand the test. Data on body composition will be collected through a series of anthropometric measurements. Meanwhile, nutrition intake was collected using an interview questionnaire on a 2-day 24-hour dietary recall and lifestyle were collected by using Physical Activity Scele for Elderly (PASE Questionnaire).Results: The result showed that 72.4 percent of respondents had a low category level condition. This study showed that there is a significant relationship between physical activities and non-cardiorespiratory fitness in middle-aged women. The dominant factor related to determining fitness was physical activities with OR 2.382 after being measured by a percentage of body fat, body mass index (BMI), smoking status and vitamin B12 intake.Conclusions: The most influential variable was physical activities after adjusted by BMI (Body Mass Index), the percentage of body fat, smoking status, and vitamin B12 intake.middle aged women should keep their physical activity in active level. They can use walking or aerobic dance to maintain their physical activity.KEYWORDS: Middle-aged women; non-cardiorespiratory fitness; physical activity
Pramesti Retno Hapsari, Retno Pangastuti, Fery Lusviana Widiany
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 58-64; https://doi.org/10.21927/ijnd.2019.7(2).58-64

Abstract:
ABSTRAKLatar belakang: Asuhan gizi rumah sakit diberikan kepada pasien berdasarkan hasil asesmen, termasuk kondisi klinis. Salah satu faktor yang mendukung kepatuhan diet pasien di rumah sakit adalah edukasi gizi. Stiker pesan diet dapat digunakan sebagai alat bantu untuk pemberian edukasi terhadap pasien. Tujuan: Untuk menganalisis pengaruh pemberian stiker pesan diet terhadap sisa makanan pasien rawat inap. Metode: Penelitian ini merupakan penelitian eksperimental dengan desain perbandingan kelompok statis. Sebanyak 220 responden diambil secara acak, dibagi menjadi kelompok kontrol (tanpa stiker diet) dan kelompok intervensi (diberi diet stiker). Stiker pesan diet diberikan kepada kelompok intervensi selama 1 hari dalam siklus menu ke-8. Stiker pesan diet ditempelkan di plato dan materinya disesuaikan dengan diet yang diberikan oleh ahli gizi rumah sakit. Sisa makanan diketahui menggunakan metode Visual Comstock berskala 6 poin. Data dianalisis univariat dan bivariat menggunakan uji-T independen. Hasil: Rata-rata sisa makanan pada kelompok intervensi berdasarkan masing-masing komponen makanan adalah 28,62 ± 28,62% pada buah, 23,24 ± 23,24% pada sayuran, 22,38 ± 20,87% pada makanan pokok, 22,30 ± 22,69% pada lauk nabati, dan 20,75 ± 22,38% pada lauk hewani. Sedangkan rata-rata sisa makanan pada kelompok kontrol adalah 44,89 ± 44,89% pada buah, 33,32 ± 33,32% pada sayuran, 39,83 ± 29,33% pada makanan pokok, 31,67 ± 31,67% pada lauk nabati, dan 36,20 ± 31,76% pada lauk hewani. Hasil uji-T independen untuk menganalisis pengaruh pemberian stiker diet terhadap sisa makanan menunjukkan nilai p=0,000 (p<0,05) untuk semua kelompok komponen makanan. Kesimpulan: Modifikasi konseling gizi dengan menggunakan stiker pesan diet berpengaruh terhadap sisa makanan pasien rawat inap. KATA KUNCI: intervensi gizi, metode visual Comstock, pasien rawat inap, sisa makanan, stiker pesan diet ABSTRACTBackground: Nutrition care in hospital was provided to the patient based on nutritional assessment result, including clinical state. One of the factors supporting the dietary compliance of inpatients is a nutritional education. Diet message sticker could be used as a tool to educate patients. Objective: To analyze the effect of diet message sticker on food waste of inpatients. Methods: This was an experimental study with static group comparison design. As many as 220 respondents were randomly divided into control group (without diet sticker) and intervention group (given sticker diet). Diet message stickers were given to the intervention group for 1 day in the 8th menu cycle. Diet message sticker was attached on the plateau and the material was adjusted to the diet provided by the dietitian. Food waste was obtained by the Visual Comstock method with 6 point scale. Data was analyzed univariate and bivariate using independent T-test. Results: The average food waste in the intervention group which based on each food component were 28.62±28.62% in fruit, 23.24 ± 23.24% in vegetable, 22.38 ± 20.87% in staple food, 22.30 ± 22.69% in vegetable side dish, and 20.75 ± 22.38% in animal side dish respectively. While the average food waste in the control group were 44.89 ± 44.89% in fruit, 33.32 ± 33.32% in vegetable, 39.83 ± 29.33% in staple food, 31.67 ± 31.67% in vegetable side dish, and 36.20 ± 31.76% in animal side dish respectively. The result of the independent T-test to analyze the effect of applying diet message stickers to food waste showed p-value=0.000 (p<0.05) for all food component groups. Conclusion: Modification of nutritional counseling by using diet message sticker affects on food waste of inpatients. KEYWORDS: diet message sticker; dietary intervention; food waste; inpatient; visual comstock method.
Eka Nurhayati, Sandra Fikawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 65-73; https://doi.org/10.21927/ijnd.2019.7(2).65-73

Abstract:
ABSTRAK Latar Belakang: Persepsi Ketidakcukupan ASI (PKA) adalah pikiran atau perasaan ibu terhadap kondisi ketiadaan atau berkurangnya produksi ASI sehingga ibu merasa bahwa ASI-nya tidak cukup untuk memenuhi kebutuhan bayinya. PKA menjadi alasan utama ibu berhenti menyusui secara dini dan alasan untuk memberikan makanan tambahan lebih awal pada bayinya. Prevalensi PKA belum diketahui secara pasti, diperkirakan antara 30-80% dari ibu yang menyusui mempunyai PKA. Tujuan : untuk mengetahui faktor paling dominan dalam PKA.Metode: Desain penelitian ini menggunakan Cross Sectional. Jumlah sampel dalam penelitian ini sebanyak 71 sampel ibu yang memiliki bayi 0-6 bulan yang gagal menyusui secara eksklusif dikarenakan mengalami PKA. Hasil: Hasil analisis didapatkan sebanyak 59 (83,1%) ibu memiliki PKA dengan ASI yang cukup. Ada hubungan yang bermakna konseling ASI saat Antenatal Care (ANC) dengan PKA yang mempunyai ASI cukup, ibu yang tidak mendapatkan konseling saat ANC berpeluang 19,7 kali mempunyai PKA, p=0,012; OR=19,746 (CI 95% 1,926-202,456). Kesimpulan: Konseling ASI pada saat ANC yang berkualitas merupakan hal yang sangat penting dilaksanakan oleh petugas kesehatan untuk persiapan menyusui. Pemanfaatan “Temu wicara” dalam konsep 10 T dalam ANC perlu diefektifkan untuk membahas persiapan laktasi. KATA KUNCI: persepsi ketidakcukupan ASI, konseling ASI ABSTRACTBackground: Perceptions of Insufficient Milk Supply (PIM) is the mother's thoughts or feelings about the condition of the absence or reduction in milk production. She felt that her breast milk is not enough to satisfy the needs of the baby. PIM was the main reason mothers stop breastfeeding early and a reason to give extra food early on the baby. Prevalence of PIM is not certain, it is estimated between 30-80% of breastfeeding mothers has PIM. Objectives: This study aimed to find out the most dominant factors related to PIM.Methods: Design of this study using cross-sectional. The numbers of samples in this study were 71 samples of mothers with babies’ 0-6 months exclusive breastfeeding failure due to experiencing PIM. Results: Found as many as 59 (83.1%) mothers had PIM with enough milk. There is a significant correlation counseling exclusive breastfeeding during Antenatal Care (ANC) by PIM that has enough milk, mothers who did not receive counseling when the ANC likely to have 19.7 times PIM, p = 0.012; OR = 19.746 (95% CI 1.926 to 202.456). Conclusion: Exclusive Breastfeeding counseling during ANC quality does health personnel in preparation for breastfeeding implement a very important thing. Utilization of “Gathering of speech” in the concept of 10 T in the ANC should be effected to discuss preparation for lactation. KEYWORDS: exclusive breastfeeding, perceptions of insufficient milk supply
Olvi Ariyani, Fatma Zuhrotun Nisa, Mulono Apriyanto, Veriani Aprilia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 37-40; https://doi.org/10.21927/ijnd.2019.7(2).37-40

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ABSTRAKLatar Belakang: Bekatul merupakan salah satu produk pertanian Indonesia yang kaya akan zat bioaktif, terutama senyawa fenolik dan fitokimia. Senyawa fenolik sulit diekstraksi karena seratnya tidak larut air. Salah satu cara untuk mengekstraksinya yaitu dengan fermentasi. Yogurt merupakan salah satu produk fermentasi susu. Adanya penambahan bekatul ke dalam yogurt dapat meningkatkan efek fungsionalnya, tidak hanya efek kesehatan saluran cerna, tetapi juga efek antioksidatifnya.Tujuan: Untuk mengetahui pengaruh proses fermentasi terhadap aktivitas antioksidan dan total fenol yogurt dengan adanya penambahan bekatul.Metode: Penelitian ini merupakan penelitian eksperimental menggunakan rancangan acak lengkap. Ada 4 formula yogurt yang berbeda pada jumlah bekatul yang ditambahkan, antara lain: 0%, 5%, 10%, dan 15%. Total fenol dianalisis menggunakan metode Follin-Ciocalteu dan aktivitas antioksidan dianalisis dengan metode DPPH. Data kemudian dianalisis statistika menggunakan one-way ANOVA dan dilanjutkan dengan uji beda nyata Duncan.Hasil: Penambahan bekatul pada konsentrasi yang lebih tinggi memengaruhi persentase total fenol yang makin tinggi juga, antara lain 0,03±0,00; 0,04±0,00; 0,06±0,00; dan 0,07±0,00% untuk penambahan konsentasi bekatul 0, 5, 10, dan 15%. Aktivitas antioksidan juga meningkat secara signifikan dari 25,77±0,14% untuk sampel tanpa penambahan bekatul menjadi 47,43±0,29% untuk sampel dengan penambahan bekatul 15%.Kesimpulan: Penambahan bekatul memiliki efek yang signifikan terhadap peningkatan total fenol dan aktivitas antioksidan yogurt. KATA KUNCI: bekatul, yogurt, aktivitas antioksidan, total phenol ABSTRACTBackground: Rice bran is one of Indonesia agricultural product that is high in bioactives, especially phenolic and phytochemical compounds. Phenolic compunds are difficult to extract because the fiber can not solute in water. An alternative way to extract is by fermentation. Yogurt is one of dairy fermentation product. The addition of rice bran into the yogurt will improve its functional effect, not only provides the gastrointestinal health effects but also antioxidant activity. Objectives: To investigate the influence of fermentation process on the antioxidant activity and total phenol of yogurt with the addition of rice bran.Methods: This was an experimental study using completely randomized design. There were 4 formulation of yogurts with different amount of rice bran, i.e. 0%, 5%, 10%, and 15%. Total phenol was measured by Follin-Ciocalteu methods and the antioxidant activity was analyzed by DPPH. Data were analyzed statistically by one-way ANOVA and continued to Duncan’s multiple range test.Results: The addition of rice bran in higher concentration showed higher percentage of total phenol, those were 0.03±0.00; 0.04±0.00; 0.06±0.00; and 0.07±0.00 respectively for the addition of 0, 5, 10, and 15% of rice bran. The antioxidant activities were also increased significantly from 25.77±0.14% for sample without rice bran to 47.43±0.29% for sample with the addition of 15% rice bran. Conclusions: The addition of rice bran gave the significant effect on total phenol and antioxidant activity of yogurt. KEYWORDS: rice bran, yogurt, antioxidant activity, total phenol
Dian Nur Khalifah, Alfi Fairuz Asna, Afrinia Eka Sari
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 9-15; https://doi.org/10.21927/ijnd.2019.7(1).9-15

Abstract:
ABSTRAK Latar belakang: Kegemukan terjadi akibat dari asupan energi yang lebih tinggi dibandingkan dengan pengeluaran energi. Faktor-faktor yang dapat menyebabkan kegemukan sering diabaikan oleh masyarakat seperti kebiasaan sarapan yang kurang baik dan rendahnya aktivitas fisik yang dilakukan oleh anak sekolah dasar.Tujuan: Tujuan penelitian ini untuk mengetahui hubungan antara kebiasaan konsumsi sarapan dan aktivitas fisik dengan kejadian kegemukan pada anak sekolah dasar.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional dengan 130 subjek dan menggunakan uji chi square pada tingkat kemaknaan 95% (α=0,05).Pengambian data kebiasaan sarapan menggunakan kuesioner ang sudah divalidasi, pengambilan data aktivitas fisik menggunakan kuesioner PAQ-C (Physical Activity Questionaire for Children) dan data status gizi diambil dengan melakukan penimbangan serta pengukuran tinggi badan kemudian diklasifikasikan menggunakan indikator IMT/U.Hasil: Hasil analisis menggunakan uji chi square menunjukkan terdapat hubungan antara kebiasaan konsumsi sarapan dengan kegemukan pada subjek (p=0,009) dan terdapat hubungan antara aktivitas fisik dengan kegemukan pada subjek (p=0,000).Kesimpulan: Kesimpulan penelitian ini adalah terdapat hubungan yang bermakna antara kebiasaan konsumsi sarapan dan aktivitas fisik dengan kegemukan pada anak usia sekolah dasar.KATA KUNCI: aktivitas fisik; kebiasaan sarapan; kegemukanABSTRACTBackground: Overweight occurs as a result of higher energy intake compared to energy expenditure. Many people often underestimate about factors that can lead to overweight, such as bad breakfast habits and low physical activity in elementary school children.Objectives: The purpose of this study is to determine a correlation between breakfast habits and physical activity of students in elementary school with overweight.Methods: This study was an observational study with a cross-sectional design with 130 of the students and tests of the significance level of 95% (α=0.05). Breakfast habits data obtained using a validated questionnaire, physical activity data collection using the PAQ-C (Physical Activity Questionnaire for Children) and nutritional status data were taken by weighing and measuring height then classified using BMI/U indicators.Results: The result of the analysis using a chi-square test showed that there was a correlation between breakfast habits and overweight (p=0,009) and there was a correlation between physical activity with overweight (p=0.000).Conclusions: The conclusion, there are correlations between breakfast habits and physical activity with overweight among primary school children.KEYWORDS: physical activity, breakfast habits, overweight
Siti Helmyati, Setyo Utami Wisnusanti, Dominikus Raditya Atmaka
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 1-8; https://doi.org/10.21927/ijnd.2019.7(1).1-8

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ABSTRAKLatar belakang: Proporsi balita gizi lebih dan gizi kurang masih cukup tinggi di Indonesia. Penanggulangan masalah gizi sangat penting dilakukan karena memiliki dampak kesehatan jangka panjang. Penyelesaian masalah gizi buruk dan gizi lebih di Indonesia terkendala dengan kurangnya efektivitas program intervensi dan pola asuh yang diberikan orang tua kepada anak. Salah satu hal yang mempengaruhi keberhasilan penanggulangan masalah gizi adalah persepsi orang tua terhadap status gizi balita.Tujuan: Penelitian ini bertujuan untuk menilai persepsi orang tua terhadap status gizi balita yang dikelompokkan antara berat badan atau tinggi badan menurut umur.Metode: Penelitian menggunakan desain potonglintang dengan memberikan kuesioner penilaian persepsi kepada orangtua yang memiliki anak balita dan datang ke posyandu di 11 Padukuhan di Kecamatan Seyegan, DI Yogyakarta. Penelitian berfokus pada penilaian persepsi orang tua terhadap berat badan dan tinggi badan anak menurut umur dan apakah orang tua mengalami underestimasi atau overestimasi terhadap status gizi anak-anaknya.Hasil: Terdapat 89 responden yang bersedia mengikuti penelitian ini. Dari jumlah tersebut, 27 orang tua (30%) memiliki overestimasi bahwa anaknya gemuk atau normal, padahal apabila menurut kurva z-skor, anak tergolong kurus. Terdapat 10 orang tua (11,2%) underestimasi terhadap tinggi badan anak yang sebenarnya normal atau tinggi namun dianggap pendek. Sebaliknya, 5 orang tua (5,6%) mengalami overestimasi dengan menganggap tinggi badan anaknya normal atau tinggi padahal sebenarnya tergolong pendek menurut kurva z-skor.Kesimpulan: Masih terdapat kesalahan persepsi orang tua terhadap status gizi anaknya. Penelitian lebih lanjut diperlukan untuk mendalami faktor-faktor yang mempengaruhi persepsi dan bagaimana cara mengubahnya sehingga pola asuh orang tua dan penerimaan terhadap program perbaikan gizi menjadi lebih baik.KATA KUNCI: persepsi; berat badan; tinggi badan; balita; status giziABSTRACT Background: The proportion of over- and under-nutrition is still high in Indonesia. Overcoming the nutritional problems is important since it can lead to long term health impacts. However, there are some problems that inhibit the intervention program such as low effectiveness and inappropriate parenting. One thing that affects the success of the program is about parents’ perception of the nutritional status of their children.Objectives: The study aimed to identify the perception of the parents towards the nutritional status of their children, which is categorized as body weight and height to age.Methods: The research use cross-sectional design by giving the questionnaire to the parents who have children under-five and go to Posyandu in 11 villages in Seyegan, DI Yogyakarta. The study focused on the judgment of the parents towards the height and weight to the age of their children and whether the parents under- or overestimate the nutritional status of their children. Results: There were 89 respondents following the study. From the number, there were 27 parents (30%) who overestimate their children by assuming the children to be overweight while according to z-score they was categorized as wasted. There were 10 parents (11.2%) who underestimate the height of their children by assuming that their children was stunted while they was not. On the other hand, 5 parents (5.6%) overestimate the height of their children by saying they had normal height while the fact they were stunted.Conclusion: There is still misperception among the parents about the nutritional status of their children. Further study is needed to identify what factors affecting the perception and how to change it so that the nutritional intervention program and parenting can be better.KEYWORDS: perception; body weight; body height; children under-five; nutritional status
Yeri Amranitalia Putri, Eni Yusniati, Diana Nurrohima, Herviana Herviana, Desty Ervira Puspaningtyas, Yuni Afriani
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 23-30; https://doi.org/10.21927/ijnd.2019.7(1).23-30

Abstract:
ABSTRAK Latar Belakang: Daya tahan kardiorespirasi merupakan salah satu unsur penting dalam melakukan latihan fisik. Daya tahan kardiorespiratori dapat diketahui dengan mengukur konsumsi atau volume oksigen maksimal (ṼO2maks). Suplementasi buah dan sayur tertentu telah dibuktikan dapat berperan terhadap daya tahan atlet. Buah dan sayur diduga mempengaruhi daya tahan dengan menunda kelelahan disebabkan zat gizi yang terkandung seperti karbohidrat, vitamin, mineral, dan zat fitokimia. Penelitian sebelumnya menyatakan buah-buahan sumber karbohidrat diketahui dapat memperbaiki ṼO2maks. Beta carotene dan vitamin C telah teruji dapat meningkatkan daya tahan. Buah wortel dan jeruk merupakan buah-buahan dengan kandungan beta carotene dan vitamin C yang tinggi. Buah wortel dan jeruk juga mengandung mineral yang tinggi yaitu kalium. Kalium merupakan mineral utama yang sangat dibutuhkan pada latihan yang membutuhkan daya tahan (endurance) dan kalium diketahui juga berperan dalam metabolisme karbohidrat untuk mengubah glukosa menjadi glikogen yang disimpan dalam hati untuk energi. Efek dari kombinasi beta carotene, vitamin C dan kalium pada jus wortel dan jeruk terhadap daya tahan kardiorespirasi pada atlit perlu analisis lebih lanjut.Tujuan: Penelitian ini bertujuan mengetahui pengaruh pemberian jus wortel-jeruk terhadap nilai ṼO2maks pada atlet sepak bola.Metode: Penelitian ini merupakan penelitian quasi eksperimental dengan rancangan pre-post test without control group. Jumlah subjek penelitian adalah sembilan atlet sepak bola yang memenuhi kriteria inklusi di Unit Kegiatan Mahasiswa (UKM) Sepak Bola Universitas Ahmad Dahlan Yogyakarta. Subjek penelitian menerima intervensi pemberian 250 ml jus wortel-jeruk selama 13 hari. Nilai ṼO2maks diukur menggunakan yoyo intermittent recovery test I sebelum dan setelah intervensi. Perbedaan nilai ṼO2maks sebelum dan setelah intervensi dianalisis menggunakan uji paired t-test.Hasil: Hasil pengukuran nilai ṼO2maks sebelum pemberian jus wortel-jeruk (44,02 ± 2,66) ml /kg /menit dan setelah pemberian jus wortel-jeruk (45,88±3,11) ml/kg/menit. Terdapat perbedaan ṼO2maks yang signifikan setelah pemberian jus wortel-jeruk pada atlet sepak bola (p= 0.003).Kesimpulan: Pemberian jus wortel-jeruk efektif meningkatkan nilai ṼO2maks atlet sepak bola.KATA KUNCI: jeruk; sepak bola; ṼO2maks; wortel; yoyo intermittent recovery test I ABSTRACT Background: Cardiorespiratory endurance is one of the main factors for exercising. Cardiorespiratory endurance can be known by measuring ṼO2max. Fruits and vegetables intake can give beneficial impact for endurance athletes. Fruits and vegetables are thought to affect endurance by delaying fatigue caused by nutrients contained such as carbohydrates, vitamins, minerals, and phytochemicals. Previous studies stated that fruit sources of carbohydrates are known to improve ṼO2maks. Beta carotene and vitamin C have been proven to increase endurance. Carrots and oranges are high in beta carotene and vitamin C. Carrot and orange also contain a high level of potassium. Potassium is one of the main mineral which is needed for endurance exercise and it also has the potential to help carbohydrates metabolism in converting glucose to glycogen which later saved by the liver as an energy source. The effect of the combination of beta carotene, vitamin C and potassium on carrot and orange juice on cardiorespiratory endurance in athletes requires further analysis.Objectives: The purpose of this study was to assess the effect of carrot-orange juice on ṼO2max in soccer players.Methods: This study was a quasi-experimental with pre-post test without control group design. There were nine soccer players from Universitas Ahmad Dahlan Yogyakarta that were taken by using purposive sampling which is match with criteria. The subject had been given 250 ml of carrot-orange juice for 13 days. ṼO2max was measured by using a yoyo intermittent recovery test I. All data were analyzed by paired T-test.Results: The mean of ṼO2max in soccer players before consuming carrot-orange juice is 44.02±2.66 ml /kg /min and after consuming carrot-orange juice is 45.88±3.11 66 ml /kg /min. There was significant ṼO2max difference after carrot-orange (p=0.003).Conclusion: Consumption of carrot-orange juice for 13 days effectively increase ṼO2max level of soccer players.KEYWORDS: carrot; orange; soccer; ṼO2max; yoyo intermittent recovery test I
Fithri Hidayati, Rosma Fyki Kamala, Eka Nurhayati, Hamam Hadi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 16-22; https://doi.org/10.21927/ijnd.2019.7(1).16-22

Abstract:
ABSTRAKLatar belakang: ASI eksklusif adalah pemberian ASI tanpa makanan dan minuman tambahan lain pada bayi selama enam bulan. Pemberian ASI eksklusif dapat memberikan banyak manfaat bagi ibu maupun bayi. Pemerintah Indonesia menargetkan cakupan pemberian ASI eksklusif sekitar 80%, tetapi berdasarkan data dari profil kesehatan Indonesia tahun 2014 menunjukkan cakupan ASI eksklusif baru mencapai 52,3%. Beberapa kendala yang muncul dalam upaya pemberian ASI eksklusif salah satunya adalah banyaknya ibu menyusui yang harus kembali bekerja. Faktor ini terkait karena kurangnya motivasi pada ibu bekerja untuk menyusui bayinya secara eksklusif.Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan motivasi dengan riwayat pemberian ASI eksklusif pada ibu yang bekerja di perusahaan wilayah Kabupaten Bantul.Metode: Penelitian ini bersifat observasional analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah ibu yang memiliki anak usia 6-12 bulan yang bekerja di perusahaan wilayah Kabupaten Bantul. Pengumpulan data dilakukan dengan metode wawancara menggunakan alat ukur berupa kuesioner. Hasil penelitian diuji dengan uji statistik uji chi square dengan program SPSS.Hasil: Hasil penelitian ini didapatkan sebagian besar ibu memiliki motivasi yang baik dalam memberikan ASI eksklusif sebesar 61,4% Hasil uji chi square diperoleh nilai p=0,011 dengan nilai signifikan P<0,05 sehingga terdapat hubungan antara dengan riwayat pemberian ASI eksklusif pada Ibu yang bekerja di wilayah perusahaan Kabupaten BantulKesimpulan: Ada hubungan motivasi dengan riwayat pemberian ASI eksklusif pada ibu bekerja yang bekerja di perusahaan wilayah Kabupaten Bantul KATA KUNCI: asi eksklusif, ibu bekerja, motivasi ABSTRACT Background: Exclusive breastfeeding is breastfeeding without another additional food and drinks given to babies for six months. Exclusive breastfeeding can provide many benefits both for the mother and the baby. The Indonesian government is targeting coverage of exclusive breastfeeding for about 80%. However, based on the data taken from the Indonesian health profile in 2014, it shows that the coverage of exclusive breastfeeding only reached 52.3%. Some problems were encountered in the effort of giving exclusive breastfeeding, one of which is that many breastfeeding mothers have to go back to work. This factor is associated due to the lack of motivation for working mothers to exclusively breastfeed their infants.Objectives: This research aims to determine the relationship between motivation and the practice of exclusive breastfeeding mothers who work in companies in the Bantul Regency.Methods: This cross-sectional study recruited working mothers employed in medium and large companies in Bantul District, Daerah Istimewa Yogyakarta, Indonesia. The study participants were 158 working mothers whose children were aged 6-12 months, and they were selected using the probability proportional to size technique. The data were analyzed using descriptive statistics and chi-square tests.Results: the majority of mothers have good motivation in providing exclusive breastfeeding, precisely reaching 61.4%. The result of the chi-square test shows that p=0.011 with a significant value of p<0.05. Therefore, there is a relationship between motivation and the practice of exclusive breastfeeding given by mothers who work in companies of Bantul Regency.Conclusion: There is a relationship between motivation and the practice of exclusive breastfeeding given by mothers who work in companies located in Bantul Regency. KEYWORDS: exclusive breastfeeding, motivation, working mothers
Fitri Handayani, Fatimah Fatimah, Yulinda Kurniasari, Lia Dian Ayuningrum
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 7, pp 31-36; https://doi.org/10.21927/ijnd.2019.7(1).31-36

Abstract:
Background: In the world maternal mortality as many as 830 women died due to complications in childbirth. In 2015, 303.000 women died during pregnancy and after pregnancy. Target Sustainable Development Goals (SDGs) year 2030 lowers MATERNAL MORTALITY RATE under 70 per 100.000 live births. Pregnancy complications can cause bleeding before or after childbirth, preeclampsia, eclampsia, infections, and others. Maternal death case in Kab. Bantul in 2015 is 9 cases. Research Data in the Panembahan Senopati Hospital in the year 2017 the incidence of childbirth with complications of 1068 people. The prevalence of preeclampsia in expectant mothers is 176 people by 16.47%.Objectives: This research aims to know the relationship of sodium and calcium consumption in the mother of Nifas with preeclampsia during pregnancy in the Panembahan Senopati Hospital. Number of Samples were 54 postpartum women in Panembahan Senopati Bantul. Processing and analysis of data using the Chi-square test.Methods: This type of research is an analytical observational, with a research design using a cross-sectional.Results: Characteristics of most respondents in the age category of 20-35 years as many as 38 people (70.4%), education graduated of senior high school 28 people (51.9%), history of not hypertension as many as 51 people (94.4%) and has no preeclampsia history as much as 50 people (92.6%). Statistical test results of Chi-square and p-value sodium was 0.564 (> 0.05) and P-value calcium was 1.000 (> 0.05).Conclusion: There is no relationship between sodium and calcium consumption of postpartum women with preeclampsia problem during pregnancy at Panembahan Senopati Hospital.KEYWORDS: calcium, preeclampsia, sodium
Ernawati Ernawati, Veriani Aprilia, Retno Pangastuti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6, pp 113-121; https://doi.org/10.21927/ijnd.2018.6(3).113-121

Abstract:
ABSTRAKLatar belakang: Umbi Porang (Amorphophallus oncophyllus) meru[akan umbi asli Indonesia yang mengandung glucomannan. Glukomanan digunakan sebagai bahan tambahan makanan dan suplemen makanan bagi penderita diabetes, tekanan darah tinggi, konstipasi dan penurunan berat badan. Namun, umbi porang mengandung kalsium oksalat yang menyebabkan gatal jika dikonsumsi oleh karena itu kesiapan persiapan yang tepat. Perendaman dari S. crispa in vivo elah terbukti menurunkan kadar kalsium oksalat. Namun, kelebihan konsumsi kalsium oksalat dapat menyebabkan gangguan fungsi ginjal, terutama pada laju flomerasi glomerulus (GFR) dan mempengaruhi kerja ginjal, yaitu penyerapan dan kreatinin fltrasi.Tujuan: Untuk mengetahui pengaruh porang orang dengan S. crispa (keji beling) terhadap kreatinin darah dan histopatologi lambung tikus (Rattus norvegicus) Wistar pada uji toksisitas akut. Metode: Penelitian ini menggunakan experimental with one test group, without control group. Subjek 20 tikus Wistar betina putih (Rattus norvegicus) dengan berat 110-180 gram, usia 8 - 12 minggu, sehat, dan normal. Kelompok tikus dibagi menjadi Tepung Porang Murni (TPM) dan Tepung Porang dengan ekstrak etanol S. crispa (TPK). Setiap kelompok menggunakan dosis 2000 mg / kg berat badan (BW) dan 5000 mg / kgBB. Data kadar kreatinin dikumpulkan pada 24 dan 72 jam setelah makan juga dikonfirmasikan oleh tikus lambung. Analisis data menggunakan One-Way analysis of ariance (ANOVA).Hasil: Jenis larutan dan frekuensi perendaman tidak berpengaruh pada kadar kalsium oksalat padatepung porang, sedangkan lama perendaman tidak memberi efek. Kadar kreatinin darah tikus meningkat setelah pemberian pakan Tepung Porang urni (TPM) dan Tepung Porang dengan Ekstraksi Keji Beling (TPK) dengan dosis 5000 mg/kgBB.Kesimpulan: Pemberian tepung porang dengan perlakuan ekstrak S. crispa aman sampai dosis 5000 mg/kgBW. Ini terbukti dengan normalitas waktu di tingkat kadar kreatinin. KATA KUNCI: porang umbi, kalsium oksalat, rongga, kreatinin, uji toksisitas akut. ABSTRACTBackground: Porang (Amorphophallus oncophyllus) tuber is the original Indonesian tuber containing glucomannan. Glucomannan is utilized as food additives and food supplements for people who have problems with diabetes, high blood pressure, constipation and weight loss. However, it contains calcium oxalate which causes itchy if it is consumed therefore itness appropriate preparation. Soaking of S. crispa in vivo has proven lowering the levels of calcium oxalate. However, the excess consumption of oxalate calcium can cause renal function disorders, especially at the glomerular filtration rate (GFR) and affects the kidneys work, ie absorption and filtration creatinine.Objectives: The objective of this study is to know the influence of the porang flour with S. crispa (keji beling) on the level of blood creatinine and gastric histopathology of rats (Rattus norvegicus) Wistar on acute toxicity test.Methods: This research used experimental with one test group, without control group design. The subjects were 20 white female Wistar rats (Rattus norvegicus) with the weight of 110-180 grams, ages of 8 - 12 weeks, healthy, and normal. Rats were divided into. Native porang flour (TPM) and porang flour treated with ethanol extracts of S. crispa (TPK) groups. Each of groups used dosage of 2000 mg / kg body weight (BW) and 5000 mg/kgBW. Data of creatininee levels were collected at 24th and 72nd hours after feeding was also confirmed by gastric rats. The data analysis was used One-Way analysis of variance (ANOVA) .Results: The type of solution and the frequency of soaking had no effect on calcium oxalate levels in the Porang, whereas the length of soaking is not giving an effect. Blood levels of creatinine rats enhanced after feeding of TPM and TPK. At the dosage of 5000 mg/kgBW.Conclusions: The feeding of porang flour treated with S. crispa was safe until the dosage of 5000 mg/kgBW. It was proven by time normality in creatinine levels. KEYWORDS: porang tuber, calcium oxalate, cavity, creatinine, acute toxicity test.
Riska Mayangsari, Madarina Julia, Susetyowati Susetyowati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).51-57

Abstract:
ABSTRAKLatar belakang: Persentase balita kurus di Kabupaten Muna sebesar 11,8% dan balita sangat kurus sebanyak 6,3%. Sesuai rekomendasi World Health Organization (WHO), perbaikan status gizi balita gizi buruk dilakukan dengan memperbaiki asupan zat gizi dengan memberikan formula terapi berupa pemberian Formula 100 (F-100), dimana F-100 merupakan makanan yang berbahan dasar susu yang diberikan pada fase transisi dan fase rehabilitasi Tujuan:Mengetahui daya terima F-100 oleh balita gizi buruk dan mengetahui hubungan daya terima F-100 balita gizi buruk dengan perubahan status gizi.Metode:Jenis penelitian ini merupakan penelitian observasional yang menggunakan rancangan kohort prospektif. Sampel penelitian adalah seluruh balita umur 12-24 bulan yang mengalami gizi buruk berjumlah 73 balita yang telah memenuhi criteria inklusi dan eksklusi.Sampel penelitian mendapatkan F-100 selama 5 minggu.Analisis data yang digunakan adalah univariat dan bivariat. Hasil:Sebagian besar subjek (63,08%) termasuk dalam kategori daya terima baik dengan menghabiskan F-100 yang diberikan dan sisanya (36,92%) termasuk dalam kategori daya terima kurang dengan tidak menghabiskan F-100 yang diberikan. Hasil uji Chi Square menunjukan ada hubungan antara daya terima F-100 dengan perubahan status gizi (p=0,02) (RR=2,7, 95% CI=1,07-7,21). Kesimpulan :Terdapat hubungan yang signifikan antara daya terima F-100 denganperubahan status gizibalita (p<0,05). KATA KUNCI: evaluasi, status gizi, F-100ABSTRACTBackground: The total percentage of underweight children in Muna District was 11.8% and the percentage of severe wasted children was 6.3%. As recommended by World Health Organization (WHO),improvement in nutritional status of malnourished children is conductedby improving food supplementation. Giving therapeutic formula 100 (F-100), where F-100 is the food made from dairy products which given in transition and rehabilitation phase. Objectives:To figure out the admission of F-100 by malnourished children and to find out the correlation between F-100 admission from malnourished children and the changing of nutritional status. Methods: This research is an observational study using the design of prospective cohort study. The sample were the whole children aged 12-24 months who suffered malnutrition with the total number up to 73 children who have fulfilled the criteria of inclusion and exclusion. The study sample had received F-100 for 5 weeks. The data analysis used is univariate and bivariate.Results: Most of the subjects are included in the category of well admission (63.08%) by spending given F-100 and the rests are included in the category of less admission (36.92%) by not spending the given F-100. The result of Chi Square Test shows that there is correlation between the admission of F-100 andthe changing of nutritional status (p=0.02) (RR=2.7, 95% CI=1.07-2).Conclusions: There is significant correlation between the admission of F-100 and the changing of children’s...
Hesti Permata Sari, Yovita Puri Subardjo, Ibnu Zaki
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6, pp 107-112; https://doi.org/10.21927/ijnd.2018.6(3).107-112

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ABSTRAKLatar belakang: anemia merupakan masalah gizi utama yang ditemukan pada remaja putri. Jejak prevalensinya semakin meningkat. Anemia pada remaja putri yang tidak tertangani akan berlanjut hingga masa kehamilan dan berakibat pada tingginya ibu hamil anemia. Suplementasi tablet besi cukup efektif dalam penanganan masalah anemia namun kurangnya pengetahuan terhadap anemia menurunkan tingkat kepatuhan konsumsi tablet besi sehingga pengetahuan dan sikap remaja memegang peranan penting dalam keberhasilan menurunkan prevalensi anemia.Tujuan: menganalisis efektifitas edukasi gizi terhadap kadar hemoglobin dan skor pengetahuan dalam upaya penanganan anemia gizi remaja putri.Metode: Penelitian menggunakan desain True experimental dengan randomized pretest-posttest control group design. Intervensi menggunakan edukasi gizi di laksanakan sebanyak enam kali selama 1,5 bulan dengan satu kali pertemuan setiap minggu. Jumlah subjek sebanyak 70 orang terdiri dari 31 orang kelompok perlakuan dan 39 orang kelompok kontrol. Uji T berpasangan digunakan untuk menganalisis perbedaan kadar hemoglobin dan skor pengetahuan sebelum dan sesudah pemberian edukasi gizi.Hasil : Hasil analisis statistik menunjukan terdapat perbedaan rerata kadar hemoglobin pada kelompok perlakuan antara sebelum dan sesudah edukasi gizi dari 12.17 g/dL meningkat menjadi 12.68 g/dL (p= 0,001). Skor pengetahuan subjek meningkat dari 16.03±2.30 menjadi 20.09±2.21 (p= 0,000).Kesimpulan: Pemberian edukasi gizi efektif meningkatkan kadar hemoglobin dan skor pengetahuan remaja putri. KATA KUNCI: Remaja putri; kadar hemoglobin; skor pengetahuan; pendidikan gizi ABSTRACTBackground: Anemia is a major nutritional problem found in adolescent girls. The prevalence trend is increasing. Anemia in untreated adolescent girls will continue until pregnancy and result in anemia of anemic pregnant women. Iron supplementation is quite effective in handling anemia problem but lack of knowledge to anemia decrease compliance level of iron tablet consumption so that knowledge and attitude of adolescent plays an important role in the success of decreasing prevalence of anemia.Objectives: to analyze the effectiveness of nutritional education on hemoglobin level and knowledge score in the effort of anemia treatment in adolescent girls.Methods: This research used true experimental with randomized pretest-posttest control group design. Intervention using nutritional education was conducted in six sessions for 1.5 months once every week. Total participants of this study were 70 people consisted of 31 treatment groups and 39 controls. Paired T test is used to analyze the difference of hemoglobin level and score of knowledge before and after nutrition education.Results:The statistical test showed that there was a difference of mean hemoglobin level in treatment group between before and after nutrient education from 12.17 g / dL increased to 12.68 g / dL (p = 0,001). The subject knowledge score increased from 16.03 ± 2.30 to 20.09 ± 2.21 (p = 0,000). Conclusion: Effective nutrition education raises the hemoglobin level and the girls' knowledge score. KEYWORDS: adolescent girls; hemoglobin levels; knowledge scores; nutrition education
Eva Nurinda, Hamam Hadi, Anggun Putri Lestari
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).64-69

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ABSTRAKLatar belakang: Hiperkolesterolemia merupakan komplikasi pada DM yang ditandai dengan meningkatnya kadar kolesterol total. Prevalensi hiperkolesterolemia pada DM mencapai 20%-90%. Beberapa penelitian menyebutkan bahwa glukomanan dalam tepung porang yang merupakan serat dapat menurunkan kadar kolesterol.Tujuan: Mengetahui efek tepung porang (Amorphophallus oncophyllus) dengan maserasi keji beling (Strobilanthes crispa) terhadap kadar kolesterol total pada tikus wistar jantan (Rattus norvegicus) DM tipeMetode: Penelitian ini bersifat eksperimen murni dengan rancangan pre post with control group design. Subjek penelitian adalah 35 ekor tikus yang dibagi dalam 5 kelompok yaitu kontrol negatif, kontrol positif, pembanding, tepung porang murni, dan porang dengan ekstrak Strobilanthes crispa. Serum darah semua tikus diambil setelah 14 hari perlakuan untuk diukur kadar kolesterol total. Kemudian hasil dianalisis menggunakan ANOVA yang dilanjutkan dengan uji beda nyata (Duncan). Hasil : Pemberian tepung porang ekstrak Strobilanthes crispa dapat menurunkan kadar kolesterol total lebih baik sebesar 28,76% dibandingkan tepung porang murni yang dapat menurunkan kadar kolesterol total sebesar 15,35% (p=0,05). Kadar air feses hari ke-1 dan hari ke-14 tidak berbeda nyapada semua kelompok. Kesimpulan : Dari hasil penelitian dapat disimpulkan bahwa pemberian tepung porang dengan maserasi ekstrak Strobilanthes crispa dapat menurunkan kadar kolesterol total lebih baik dibandingkan tepung porang murni. KATA KUNCI: diabetes melitus, keji beling, Strobilanthes crispa, kolesterol total, tepung porang,ABSTRACTBackground: Hypercholesterolemia is a complication in DM characterized by increased of total cholesterol levels. Prevalence of hypercholesterolemia in DM reached 20% -90%. Several studies stated that glucomannan in porang flour which is a fiber may lower cholesterol levels. Objective: To understand the effect of porang flour (Amorphophallus oncophyllus) with keji beling (Strobilanthes crispa) maceration of total cholesterol levels in male wistar rats (Rattus norvegicus) DM type 2. Methods: This study used on experimental with pre post with control group design. The subjects were 35 rats divided into 5 groups: negative control, positive control, comparison, pure porang intervention, and porang flour with Strobilanthes crispa extract. The blood serum of all rats was taken after 14 days of treatment to measure total cholesterol levels. Then the results were analyzed using ANOVA followed by real difference test (Duncan). Results: Porang flour with Strobilanthes crispa maceration decreased total cholesterol level by 28.76% compared to pure porang flour which only reduced total cholesterol level equal to 15.35% (p=0.05).Conclusions: From the results of this study it can be concluded that the provision porang flour with Strobilanthes crispa maceration can lower total cholesterol level better than pure porang flour. KEYWORDS: diabetes mellitus, keji beling,...
Waisaktini Maragareth, Soeharyo Hadisaputro, Ani Margawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).70-75

Abstract:
ABSTRAKLatar Belakang: Peningkatan infeksi HIV anak di Indonesia searah dengan peningkatan presentase penularan AIDS dari ibu ke anaknya dari 3% (2013) menjadi 4,6% (2015). HIV anak menjalani terapi antiretroviral (ARV) untuk meningkatkan jumlah sel T-CD4+. Stadium klinis berat pada HIV anak menurunkan jumlah CD4+. Pemberian suplementasi zat gizi makro dan mikro dapat meningkatkan status gizi HIV anak yang menjalani ARV.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan asupan energi, protein, dan lemak terhadap status gizi berdasarkan berat badan dan jumlah CD4+ pada HIV anak di Kota dan Kabupaten Semarang. Metode: Penelitian ini menggunakan desain cross-sectional. Subjek yaitu anak usia 1-14 tahun sebanyak 31 subjek. Data dikumpulkan meliputi tinggi badan (TB), berat badan (BB), asupan zat gizi diperoleh dengan metode food recall 2x24 jam. Jumlah CD4+ melalui pemeriksaan darah subjek. Data dianalisis menggunakan uji Chi-square dan Regresi Logistik untuk menghitung Prevalence Rasio (PR). Hasil: Asupan protein memberikan risiko bermakna terhadap rendahnya jumlah CD4+ (PR=2,8; p=0,018; CI=1,331-5,891). Kesimpulan: Asupan gizi (energi, protein, lemak) tidak terkait dengan berat badan rendah (BB/U) dan stunting (TB/U). Asupan zat gizi yang berhubungan bermakna dengan jumlah CD4+ yang rendah (<500 sel/mm3) hanya asupan protein. Asupan protein yang kurang pada HIV anak berisiko mengalami suppresi berat (jumlah CD4+ <500 sel/mm3) sebesar 3,036 kali KATA KUNCI: asupan gizi, HIV anak , jumlah CD4 +, stunting ABSTRACTBackground: The increase in HIV-infected children in Indonesia in line with the increase percentage of HIV positive children from mother to child transmission from 3% (2013) to 4.6% (2015). HIV-infected children using antiretroviral therapy (ARV) to increase the T-cells CD4+ count in HIV-infected children patients. Clinical stage heavily on lowering the CD4+ count for HIV-infected children. Supplementation of macro and micronutrients can improve the nutritional status of children using antiretroviral HIV. Objectives. The study aimed to analyze the relationship of intake of energy, protein, fat and clinical stage of nutritional status and CD4 counts for HIV-infected children in the regional district and the city of Semarang.Methods: A cross-sectional study in The Regional District and the City of Semarang. The subject of 31 HIV-infected children aged 1-14 years. Data collected included height, body weight, nutrient intake obtained by the method of Food Recall 2x24 hours. The number of CD4+ through blood test subjects. Data were analyzed using the Chi-Square test. Results: The intake of protein significantly increase the of low CD4+ count (PR = 3.036; p = 0.021; CI = 1.211 to 7.608 and PR = 2.8; p = 0.018; CI = 1.331 to 5.891). Conclusions: Nutrient intake (energy, protein, fat) is not associated with low body weight (WAZ), stunting (HAZ) and nutrient intake (energy, protein, fat) is not associated with low CD4 + incidence...
Carissa Cerdasari, Theresia Puspita, Rany Adelina
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).43-50

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ABSTRAKLatar belakang: Masalah sulit makan pada anak dapat berakibat jangka panjang pada pertumbuhan dan perkembangan, terutama dikaitkan dengan kejadian underweight. Underweight akan berdampak pada gangguan perkembangan kecerdasan dan proses belajar, lebih rentan terhadap infeksi, meningkatkan keparahan penyakit, hingga meningkatkan mortalitas. Salah satu penyebab sulit makan pada anak karena penampilan makanan yang tidak menarik. Tujuan: Penelitian ini bertujuan untuk mengetahui perbedaan pengetahuan ibu terkait gizi dan kesulitan makan pada anak, keterampilan ibu dalam pembuatan bekal, dan tingkat kesulitan makan pada anak sebelum dengan setelah pelatihan pembuatan “bento”. Metode: Pada penelitian one-group pretest-posttest design ini, ibu (n=20) dari anak prasekolah usia 3-6.5 tahun direkrut dari KB/TK Al-Ghoniya, Malang. Variabel yang diteliti diukur sebelum dan setelah pelatihan pembuatan Bento. Kesulitan makan pada anak ditentukan dengan menggunakan Child Eating Behavior Questionnaire (CEBQ) versi Indonesia. Pengetahuan ibu diukur menggunakan pertanyaan pilihan ganda sebanyak 20 butir, dan keterampilan pembuatan bekal dinilai menurut 5 aspek, yaitu kesesuaian porsi, variasi menu, cita rasa, dan penampilan. Uji wilcoxon dan uji t berpasangan digunakan untuk menilai perbedaan pengetahuan dan keterampilan ibu, serta tingkat kesulitan makan pada anak sebelum dengan sesudah pelatihan.Hasil: Terdapat perbedaan pengetahuan dan keterampilan ibu, serta nilai kerewelan pada anak (p 0.05). Meskipun tidak ada perbedaan secara statistik, namun terdapat kecenderungan penurunan nilai peka terhadap kenyang dan lambannya makan sebelum dengan setelah pelatihan. Kesimpulan: peningkatan penampilan pada makanan melalui bento dapat dijadikan alternatif untuk mengatasi kesulitan makan pada anak prasekolah. KATA KUNCI: bento; kesulitan makan; anak prasekolah ABSTRACTBackground: Picky eating in children may have long-term consequences for growth and development, especially related to underweight. Underweight results on developmental disorder, increase infection susceptibility, disease severity and mortality. One of the causes of picky eating in children is the unattractive of food appearance.Objectives: To analize the effectiveness of the bento making training, including: Mother’s knowledge related to nutrition and feeding difficulty in children; mother’s skill in food preparation; and level of eating difficulty in children before and after bento making.Methods: This study used pretest-posttest design one-group study, mothers (n= 20) of preschool-aged 3-6.5 years were recruited from Al-Ghoniya Playgroup and Kindergarten School, Malang. Picky eating in children was determined by Child Eating Behavior Questionnaire (CEBQ) Indonesian version. Studied variables were mother’s knowledge and skills, children’s satiety responsiveness, slowness in eating,...
Sunarto Tetes Lugito, Dono Indarto, Diffah Hanim
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6, pp 122-132; https://doi.org/10.21927/ijnd.2018.6(3).122-132

Abstract:
ABSTRAKLatar belakang: Menstruasi adalah salah satu proses fisiologis dalam pertumbuhan dan perkembangan sistem reproduksi remaja putri yang membutuhkan asupan zat gizi yang memadai. Zinc digunakan sebagai kofaktor pada reseptor estrogen dan progestron sedangkan vitamin D belum diketahui fungsinya dalam mengatur siklus menstruasi. Tujuan: Untuk menganalisis hubungan antara asupan vitamin D dan zinc dan durasi menstruasi pada remaja putri. Metode: Sebanyak 154 remaja putri kelas X dan XI dari dua SMA di Kabupaten Sukoharjo, Jawa Tengah berpartisipasi dalam studi cross-sectional ini. Subjek penelitian dipilih menggunakan teknik purposive sampling dengan kriteria inklusi: usia 15-18 tahun dan tidak sedang menstruasi. Data antropometri dikumpulkan dengan pengukuran berat badan (kg) dan tinggi badan(m) sedangkan asupan vitamin D dan zinc diperoleh menggunakan kuesioner food recall 24 jam dalam 3 hari bergantian. Uji chi-square dan regresi logistik ganda digunakan untuk menganalisis variabel penelitian dengan nilai signifikansi <0,05. Hasil: Semua remaja putri memiliki asupan vitamin D yang tidak adekuat dan 89% diantaranya memiliki asupan zinc yang tidak adekuat. Durasi menstruasi yang panjang terjadi pada 8,4 % remaja putri. Asupan vitamin D yang kurang (OR=4,57; 95% CI = 0,943-22,154; p=0,059) memperpanjang durasi menstruasi sedangkan dan asupan zinc yang kurang (OR=0,247; 95% CI=0,073-0,835; p=0,024) memperpendek durasi menstruasi, dibandingkan dengan asupan vitamin D dan zinc yang cukup pada remaja putri. Kesimpulan: Asupan vitamin D yang kurang meningkatkan durasi menstruasi tetapi asupan zinc yang kurang justru menurunkan durasi menstruasi remaja putri SMA di Kabupaten Sukoharjo. Edukasi gizi di perlukan untuk meningkatkan asupan mikronutrien untuk mempertahankan durasi menstruasi. KATA KUNCI : asupan vitamin D, asupan zinc, menstruasi, remaja putri.ABSTRACTBackground: Menstruation is one of the physiological processes on growth and development of the reproductive system in adolescent girls who need adequate nutrient intake. Zinc is used as a cofactor for estrogen and progestron receptors, while vitamin D has not been known to regulate the menstrual cycle. Insufficient food intake can interfere with the duration of menstruation. Objectives: To analyse the relationship between the intakes of vitamin D and zinc and the menstrual periods of the adolescent girls.Methods: A total of 154 tenth- and eleventh-grade girl students from two senior high schools in Sukoharjo Regency, Central Java participated in this cross-sectional study. They were chosen using purposive-sampling technique with the following inclusion criteria: age of 15-18 years and not menstruating. The anthropometric data were collected by the measurement of Body Weight(kg) and Body Height (m) while the data of vitamin D and zinc intakes were obtained using a 24-hour-food-recall questionnaire in 3 alternating days. Chi-square test and multiple logistic regression were used to analyse the research variables with the significance value of < 0.05. Results: All adolescent girls had inadequate vitamin D intake and 89% of them had inadequate zinc intake. Long menstrual duration occurred in 8.4% of the adolescent girls. The deficient intake of vitamin D (OR = 4.57. 95% CI = 0.943-22.154; p = 0.059) lengthened the menstrual period whereas deficient zinc intake, (OR = 0.247. 95% CI = 0.073-0.835; p = 0.024) shortened it compared with adequate vitamin D and zinc intakes in adolescent girls.Conclusions: The deficient intake of vitamin D increases the menstrual duration, but the deficient intake of zinc actually lowers the menstrual period of high-school girls in Sukoharjo Regency. Nutritional education is needed to increase micro-nutrient intakes to maintain menstrual duration. KEYWORDS: adolescent girls, menstruation, vitamin D intake, zinc intake.
Kusuma Yati Alim, Ali Rosidi, Suhartono Suhartono
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(3).89-98

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ABSTRAK Latar Belakang: Berdasarkan data PSG Kementrian Kesehatan Tahun 2017 perevalensi stunting di Indonesia 29,6% (pendek 19,8% dan sangat pendek 9,8%) dan prevalensi stunting di Kabupaten Banjarnegara sebesar 30,1% Prevalensi stunting di Kecamatan Wanayasa mencapai 23,7%. Rendahnya asupan gizi, faktor genetik dan paparan pestisida merupakan salah satu faktor yang berpengaruh terhadap kejadian stunting. Paparan pestisida sendiri dapat mengakibatkan gangguan metabolisme, pertumbuhan dan perkembangan anak. Kecamatan Wanayasa merupakan salah satu daerah pertanian di Indonesia, terdapat area pertanian kentang dan sayuran dengan intensitas penggunaan pestisida yang tinggi dalam pengolahan lahannya.Tujuan: Menganalisis faktor risiko stunting pada anak usia 2-5 tahun di daerah pertanianMetode : Desain penelitian yang digunakan adalah case control dengan jumlah sampel 47 kasus (stunting) dan 47 kontrol (tidak stunting). Pemilihan subjek secara purposive sampling dengan matching umur dan jenis kelamin. Data diperoleh melalui pengukuran tinggi badan ,berat badan serta wawancara terstruktur dan untuk asupan gizi dengan menanyakan frekuensi penggunaan bahan makanan responden dalam ukuran rumah tangga dan mengkonversinya dalam ukuran berat (gram). Data dianalisis menggunakan uji chi-square, menghitung Odds Rasio (OR) dan metode regresi logistik.Hasil: Nilai skor Z TB/U terendah pada kelompok kasus adalah -5.4SD dan tertinggi -2.55SD, umur balita terendah pada kelompok kasus 24 bulan dan pada kelompok kontrol 27 bulan. Sebagian besar pekerjaan ibu baik pada kelompok kasus (51.1%) maupun pada kelompok kontrol (57.4%) adalah sebagai petani. Pada analisis bivariat riwayat penyakit kehamilan ibu, tingkat kecukupan gizi (kalsium,zink, protein), riwayat paparan pestisida bumil tidak berhubungan secara bermakna dengan kejadian stunting.Tinggi badan ibu < 150 cm (OR=10.07; 95%CI: 3.57-28.38), panjang badan lahir (OR=11.04; 95%CI: 4.19-29.06), dan riwayat paparan pestisida pada anak (OR=4.21; 95%CI : 1.77-10.04) sebagai faktor risiko stunting. Simpulan: Panjang badan lahir, tinggi badan ibu dan paparan pestisida merupakan faktor risiko stunting pada anak usia 2-5 tahun. Kata Kunci: anak usia 2-5 tahun, daerah pertanian, stunting ABSTRACTBackground: According to Nutritional Status Monitoring 2017, stunting prevalence in Indonesia was 29.6% and stunting prevalence in Banjarnegara District was 30.1%.The prevalence of stunting in Wanayasa Subdistrict was 23.7%. Low nutritional intake, genetic factors and exposure from pesticides are among the factors that influence stunting. Exposure from pesticides can lead to metabolic disorders, growth and development of children. Wanayasa Subdistrict is one of an agricultural area in Indonesia, there is a potato and vegetable farming area with high intensity of pesticide use in the processing of its land.Objectives: This study aims was to analyze the risk factors for stunting among children age 2-5 years living in an agricultural area.Methods: The research design was case control measured 47 children as cases and 47 children as controls. Subject selected by purposive sampling with matching age and gender. Data was collected by measurement of height, weight and structured interviews and for nutritional intake with asking the frequency of food intake in household size and converted in weight (gram) method. Data were analyzed using chi-square test, calculating Odds Ratio (OR) and logistic regression method.Results: The lowest in the case group were -5.4 SD and the highest were -2.55 SD,the lowest age of children was the 24-month in case group and the 27-month in control group. Most of mothers work in case group (51.1%) and control group (57.4%) were farmers. In multivariate analysis of mother's height below 150 cm (OR=10.07; 95%CI: 3.57-28.38), length of birth (OR=11.04; 95%CI: 4.19-29.06), and history of pesticide exposure in children (OR=4.21; 95%CI: 1.77-10.04) are risk factors for stunting.Conclusion: Birth length, maternal height and pesticide exposure were risk factor for stunting in children age 2-5 years. KEYWORDS: children aged 2-5 years, agricultural area, stunting
Wahyuningsih Wahyuningsih, Nimas Arum Setyaningtyas
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).58-63

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ABSTRAKLatar belakang: Menarche adalah periode menstruasi pertama pada seseorang yang terjadi sekitar usia 11-13 tahun. Rata-rata usia menarche kini menurun mendekati usia normal. Hal ini disebabkan oleh beberapa faktor seperti, menarche ibu, aktivitas olahraga, paparan media massa dewasa, status gizi, dan pendapatan orang tua. Ini akan berdampak pada kehidupan selanjutnya.Tujuan: Untuk mengetahui faktor-faktor dominan yang berhubungan dengan usia menarche pada remaja putri di SMPN 01 Jumapolo Kabupaten Karanganyar tahun 2016.Metode: Jenis penelitian yang digunakan adalah metode penelitian kuantitatif dengan pendekatan cross sectional, dengan 97 remaja putri sebagai sampel menggunakan teknik total sampling. Data dikumpulkan menggunakan kuesioner dan dianalisis menggunakan uji korelasi rank spearman dan uji regresi linier.Hasil: Penelitian ini menunjukkan bahwa ada hubungan antara usia menarche remaja putri dan status gizi (BMI) (p-value 0,032) dan usia menarche remaja putri dan dengan pendapatan orang tua (p-value 0,018) .Usia menarche ibu, kebiasaan olahraga dan frekuensi menonton program favorit tidak memiliki hubungan dengan usia menarche remaja perempuan. Analisis multivariat menunjukkan bahwa faktor status gizi (BMI) merupakan faktor yang paling dominan terkait dengan kekuatan hubungan (B) -0,94.Kesimpulan: Status gizi merupakan faktor yang paling dominan yang terkait dengan usia menarke, oleh karena itu diharapkan dapat memberikan pendidikan kesehatan bagi remaja putri untuk meningkatkan gizi pada rentang usia 9-13 tahun.KATA KUNCI: usia menarche, status nutrisi, remajaABSTRACTBackground: Menarche is the first period of menstruation in a person occuring around the age of 11-13 years.The average age of menarche is now decreasing approaching normal age. This is due to several factors such as, maternal menarche, sports activity, adult mass media exposure, nutritional status, andparent income. This will have an impact on the next life. Objectives:To determine the dominant factors associated with the age of enarche in female teenager in SMPN 01 JumapoloKaranganyarRegency in 2016.Methods: The type of research used was quantitative study method with cross sectional approach, with 97 female teenagers as samples using total sampling technique.Data were collected using questionnaire and analyzed using Spearman rank correlation test and linear regression test. Results:This research showed that there is a relationship between age of menarche of female teenagers and nutritional status (BMI) (p-value 0.032) and age of menarche of female teenagers and with parent income (p-value 0,018).The age of maternal menarche, exercise habits and frequency of favourite programme watching has no relationship with the age of menarche of female teenagers. Multivariate analysis showed that nutritional status factor (BMI) was the most dominant factor related to strength of relationship (B) -0.94. Conclusion: Nutrition status is the most dominant factor associated...
Chori Elsera
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(2).76-82

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Background: The infant mortality rate in Indonesia is still very high at around 32 per 1,000 live births. This number is still very far from the MDGs by 2015 that is 23 per 1,000 live births. Indonesia ranks 10 out of 18 countries in ASEAN. Coverage of exclusive breastfeeding in Indonesia is still low and decreasing every year. It is inversely proportional to the scope of neonates visits to 90% more. Activities carried out during the visit of neonates among other vital signs checks, counseling and exclusive breastfeeding infant care, vaccination, treatment and referral of cases.Objectives: To determine the influence of neonatal visits to exclusive breastfeeding, evaluate the relationship of education, knowledge, work, place and birth attendants, gestational age and birth weight, family support exclusive breastfeeding.Methods: An observational study and case-control design were used with a quantitative approach. The samples in this study were mothers with babies aged 6 to 9 months at the time of the study that met the inclusion criteria. The total sample were 158 respondents, that were divided into 2 groups, 79 in the case group and 79 in the control group. The sampling technique with simple random sampling. Data was collected by was conducted interviews with questionnaires and secondary data. Analysis of the data used univariate analysis with frequency distribution table, with Chi-square bivariate and multivariate logistic regression.Results: The result of this study showed 76.6% of respondents were worker, 90.5%, 63.95 had higher education history. There was a significant relationship between neonatal visit with exclusive breastfeeding with p = 0.026 (OR 0.488, 95% CI 0.259 to 0.92). External variables that most influence on exclusive breastfeeding was working with a value of p = 0.016 (OR 2.878, 95% CI 1.217 to 6.805).Conclusions: Visits neonates influencedexclusive breastfeeding in Klaten. Employment is the most influential factor for exclusive breastfeeding.KEYWORDS: exclusive breastfeeding, neonates, visits neonates
Prasetya Lestari, Yhona Paratmanitya, Siti Suliyah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6, pp 99-106; https://doi.org/10.21927/ijnd.2017.5(3(s2)).66-73

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Background: One of the most frequent nutritional problems in Indonesia occurs is anemia due to iron deficiency. Forty-nine point one percent of women of childbearing age in Indonesia are anemic. Especially on groups of women of childbearing age are usually preparing themselves for married and will become a mother. Factors causing anemia among others insufficient iron intake and high absorption of Fe inhibitors (tannin, phytate, and oxalic acid). If the bride is married to status anemia will affect the birth of a less qualified generation.Objectives: To know the relationship between iron intake and Fe inhibitor with the incidence of anemia in the bride in the District Area Bantul Yogyakarta. type of research conducted was observational research using a cross sectional design. Number of study subjects as many as 68 respondents in the bride with the picking technique the sample uses quota sampling that meets the inclusion criteria and exclusion. Data collected were data of iron intake and Fe Inhibitors. The data were obtained by interview using SQFFQ. Statistic test used were Mann Whitney and Chi Square test with level of 90% confidence.Results: The incidence of anemia was 44.1%. Based on the results there was no significant difference between the mean intake of Fe anemia group with anemia not with (p = 0.387). There is no Tanin intake differences were significant between the anemia group and the not anemia with (p = 0.512). There was no difference in intake of Fitat was significant between the anemia group and the non-anemic with (p = 0.335). There was no significant difference in intake of xalates between groups of anemia with no anemia with (p = 0.537). Based on Chi Square Test as well it was known that there is no significant relationship between intake of Fe and Fe inhibitor with anemia incidence (p> 0.05)Conclusions: There was no significant relationship between intake of Fe and Fe inhibitor with anemia incidenceKEYWORDS: anemia, iron intake, inhibitor Fe, prospective bride
Choirun Nisa, Veriani Aprilia, Lana Santika Nadia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2017.5(3(s2)).62-65

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ABSTRAKLatar Bekalang: Indonesia dikenal sebagai negara agraris, beras merupakan makanan pokok warganya, dengan setiap tahun mampu memproduksi beras yakni 32 juta ton. Bekatul beras merupakan limbah hasil penggilingan padi yang biasanya digunakan sebagai pakan hewan, sebagai pangan fungsional mengandung banyak zat gizi yaitu protein, lemak, karbohidrat, serat kasar dan vitamin B1, namun konsumsinya masih rendah karena kandungan lemak yang tinggi menyebabkan mudah rusak, kurang tahan lama dan berbau tengik, sehingga perlu dilakukan versivikasi pangan guna meningkatkan konsumsi bekatul salah satunya dengan ditambahkan ke yogurt. Yogurt merupakan produk fermentasi susu dengan bakteri Lactobacillus bulgaricus dan Streptococcus thermophiles berikut manfaatnya yaitu sebagai sumber kalsium, anti bakteri, untuk mengurangi kolesterol, dan penderita obesitas.Tujuan: Untuk mengetahui pengaruh substitusi tepung bekatul terhadap sifat organoleptik dan nilai zat gizi pada produk yogurt bekatul. Metode: Jenis penelitian adalah eksperimental dengan menggunakan RAL (Racangan Acak Lengkap) dengan 4 perlakuan dan 2 kali ulangan. Sampel dalam penelitian ini adalah yogurt bekatul dengan formula yaitu P0 (175 g susu UHT: 0% bekatul), P1 (165 g susu UHT: 5% bekatul), P2 (155 g susu UHT: 10% bekatul), P3 (145 g susu UHT: 15% bekatul). Pada sifat organoleptik (uji kesukaan) yaitu dari rasa, aroma, tekstur, warna dan keseluruhan. Pada analisis nilai gizi yang diukur meliputi kadar air, abu, protein, lemak, karbohidrat, serat, gula reduksi, dan gula total.Hasil: Berdasarkan pengujian sifat organoleptik atau uji kesukaan yogurt substitusi tepung bekatul pada atribut warna, rasa, aroma dan keseluruhan, yogurt bekatul P1 (165 g susu UHT: 5% tepung bekatul) paling disukai panelis. Dari hasil pengujian nilai gizi yogurt bekatul P3 (145 g susu UHT: 15% bekatul) memiliki kadar abu, protein, lemak dan serat, gula total paling tinggi. Namun kadar air, karbohidrat, dan gula reduksi paling rendah. Kesimpulan: Makin banyak substitusi tepung bekatul, maka makin tinggi nilai gizi yogurt bekatul. Namun kesukaan panelis terhadap yogurt bekatul makin rendah.KATA KUNCI: yogurt bekatul, sifat organoleptik, nilai giziABSTRACTBackground: Indonesia is known as an agricultural country, rice is the staple food of citizens, each year capable of producing 32 million tons of rice. Rice bran was a waste of rice mill which is usually used as animal feed, as functional food contains many nutrients such as protein; fat; carbohydrate; crude fiber; and vitamin B1, but the consumption is still low because the high fat content causes easily damaged, less durable, and rancid smell. So, it is necessary to do food diversification to increase bran consumption, such as by addition to yogurt. Yogurt is a fermented milk product from Lactobacillus bulgaricus bacteria and Streptococcus thermophilus along with its benefits as a source of calcium, anti-bacterial, reducing cholesterol, and lowering of body...
Yulinda Kurniasari, Siti Madanijah, Mira Dewi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(1).7-13

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ABSTRAKLatar belakang: Usia balita merupakan periode emas (golden periods) dalam proses tumbuh kembang sehingga asupan zat gizi makro dan zat gizi mikro sangat dibutuhkan. Taburia merupakan bubuk multivitamin dan multimineral yang dimaksudkan untuk memenuhi kebutuhan zat gizi mikro anak dan mengatasi permasalahan kekurangan gizi mikro.Tujuan: Untuk menganalisis pengaruh pemberian Taburia terhadap perubahan asupan energi dan zat gizi anak usia 1-3 tahun.Metode: Desain penelitian adalah quasi experimental study dengan pretest postest control group design, dilakukan pada bulan Januari–Juli 2012 di wilayah Puskesmas Banjar Serasan Kecamatan Pontianak Timur sebagai wilayah intervensi dan di wilayah Puskesmas Tambelan Sampit Kecamatan Pontianak Timur sebagai wilayah kontrol. Pengumpulan data dilakukan pada 85 anak, terdiri dari 45 sampel dalam kelompok intervensi dan 40 sampel dalam kelompok kontrol yang dipilih secara purposive sampling. Uji beda pada karakteristik dianalisis dengan chi-square. Uji beda rata-rata perubahan asupan energi dan zat gizi antara kelompok intervensi dan kelompok kontrol dengan uji independent samples t-test. Asupan energi dan zat gizi pretest dan post test dalam satu kelompok dianalisis menggunakan paired samples t-test.Hasil: Hasil uji t-test terhadap rata-rata asupan energi dan zat gizi antara kedua kelompok menunjukkan adanya perbedaan secara bermakna, kecuali vitamin B12 (p<0,05). Rata-rata asupan energi dan zat gizi pretest dan post test setelah dua bulan intervensi menunjukkan adanya peningkatan yang signifikan(p<0,05).Kesimpulan: Pemberian Taburia menghasilkan pengaruh positif berupa peningkatan rata-rata asupan energi dan zat gizi. Peningkatan asupan energi secara statistik menunjukkan ada perbedaan yang bermakna antara kedua kelompok.KATA KUNCI: anak usia 1-3 tahun, zat gizi mikro, sprinkle, suplementasi, TaburiaABSTRACTBackground: Children under-five is the golden period in the process of child growth, therefore the macronutrient and micronutrient intake are needed. Taburia is a multiple micronutrients supplementation (sprinkles) that is intended to supply the multiple micronutrients needs of the child and resolve the micronutrient deficiencies problems of children.Objectives: To analyze the effect of Taburia intervention on the energy and nutrient intake of children under three years old.Methods: A quasi-experimental design was used to examine children’s energy and nutrient intake at baseline, one month, and two months after the Taburia supplementation. The study was carried out from January-July 2012 at community Health Centers Banjar Serasan as an intervention area and Community Health Centers of Tambelan Sampit as a control area. Data was collected on 85 children, consisting of 45 subjects of the intervention group and 40 subjects of the control group, selected by purposive sampling. Characteristic variables were analyzed by chi-square. Intake of energy and nutrients between the intervention...
Arwin Muhlishoh, Brian Wasita, Adi Magna Patriado Nuhriawangsa
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(1).14-22

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ABSTRAKLatar belakang: Pegagan (Centella asiatica) telah digunakan untuk pengobatan diabetes mellitus. Namun dosis efek anti diabetes ini belum diteliti.Tujuan: Untuk menguji pengaruh variasi dosis ekstrak pegagan (seluruh bagian tanaman) terhadap kadar gula darah, asupan makanan, dan berat badan pada tikus model diabetes mellitus yang diinduksi Streptozotocin Nicotinamide.Metode: Tiga puluh enam tikus Wistar jantan dibagi menjadi enam kelompok perlakuan berbeda: kontrol negatif, kontrol positif, kontrol obat (metformin 45 mg/KgBB/hari), ekstrak pegagan 300 mg/KgBB/hari, 600 mg/KgBB/hari, 1200 mg / KgBB / hari. Pemberian ekstrak pegagan (seluruh bagian tanaman) dan metformin dilakukan selama 28 hari. Kadar gula darah dianalisis menggunakan Glucose Oxidase Phenol Aminoantipyrina Peroxidase (GOD-PAP) sebelum dan sesudah perlakuan. Berat badan dan asupan makanan diukur setiap satu minggu. Data dianalisis menggunakan One Way ANOVA dengan tingkat kepercayaan 95%.Hasil: Pemberian variasi dosis ekstrak pegagan dan metformin secara signifikan menurunkan kadar gula darah, meningkatkan berat badan dan memperbaiki asupan makanan (p = 0,00). Kadar gula darah dan asupan makanan pada kelompok ekstrak pegagan (seluruh bagian tanaman) dosis tinggi (1200 mg / KgBB / hari) lebih baik dibanding kelompok dosis rendah (300 mg / KgBB / hari) dan kelompok dosis sedang (600 mg / hari), dan memiliki efek yang sama dengan tikus yang diobati dengan metformin 45 mg / KgBB / hari.Kesimpulan: Dosis tinggi ekstrak pegagan (1200 mg/KgBB/hari) memiliki efek anti-diabetes yang lebih baik dibanding dosis lain, dan memiliki efek yang sama dengan kontrol obat.KATA KUNCI: gula darah, diabetes, pegagan, Streptozotocin nicotinamideABSTRACT Background: Centella asiatica has been used for healing diabetes mellitus. The dosage of this anti diabetic effect was yet to be explored.Objectives: To examine the effect of the variation in the dosage of C. asiatica extract (whole plant) on blood glucose levels, food intake, and body weight in Streptozotocin Nicotinamide induced diabetic rats.Methods: Thirty-six male Wistar rat were divided into six different groups of treatments: negative control, positive control, medication control (metformin 45 mg/KgBW/day), extract of C. asiatica 300 mg/KgBW/day, 600 mg/KgBW/day, 1200 mg/KgBW/day. Treatments of C. asiatica extract (whole plant) and metformin was done for 28 days. Blood glucose was analyzed using the Glucose Oxidase Phenol Aminoantipyrina Peroxidase (GOD-PAP) before and after treatment. Body weight and food intake were measured every one week. The data were analyzed using One Way ANOVA with 95% confidence level.Results: The administration of the variation in the dosage of C. asiatica extract and metformin significantly decrease blood glucose levels, increase body weight and improve food intake (p =0.00). Blood glucose level and food intake among high dosage of C. asiatica extract (whole plant) group (1200 mg/KgBW/day) is better than the...
Putri Aulia Arza, Necia Anggela
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(1).28-32

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ABSTRAK Latar belakang: Substitusi tepung tulang lele dan bubuk jamur tiram dalam pembuatan wafel dapat meningkatkan kadar kalsium pada waffel.Tujuan: Menganalisis substitusi tepung tulang ikan patin dan bubuk jamur tiram terhadap karakteristik sensorik dan kandungan kalsium wafel.Metode: Jenis penelitian ini adalah eksperimental dengan menggunakan RAL. Sampel adalah wafel tepung tulang ikan patin dengan 4 variasi substitusi , yaitu waffle dengan formula standar yaitu 77% tepung terigu, 33% tepung tulang ikan patin tanpa penambahan bubuk jamur (A), waffel dengan pengurangan tepung terigu dengan substitusi tepung tulang ikan patin 33% dan bubuk jamur 17% (B), waffle dengan substitusi tepung tulang ikan patin 33% dan 25% bubuk jamur (C), wafel dengan substitusi tepung tulang ikan patin 33% dan 34% bubuk jamur. Waffle diuji daya terima meliputi warna, aroma, rasa dan tekstur serta kadar kalsium.Hasil: Hasil dari evaluasi sensorik menunjukkan semua kategori hedonic yaitu aroma, rasa dan tekstur kecuali warna tidak berbeda nyata pada p>0,05. Formulasi terbaik diperoleh pada perlakuan B yaitu penambahan tepung tulang ikan patin dan bubuk jamur tiram masing-masing sebanyak 33% dan 17%. Penambahan tepung tulang ikan patin dan bubuk jamur meningkatkan kadar kalsium pada wafel yaitu masing-masing 12,53% dan 16,19% pada penambahan 33% tepung tulang ikan patin (control) dan 33% tepung tulang ikan patin: 17% atau bubuk jamur (formulasi terbaik) ecara berurutan.Kesimpulan: Substitusi tepung tulang lele dan bubuk jamur tiram dalam pembuatan wafel menurunkan daya terima waffle, tetapi meningkatkan kadar kalsium dari waffle. KATA KUNCI: tepung tulang ikan patin; bubuk jamur tiram; evaluasi sensorik; kandungan kalsium ABSTRACTBackground: The substitution of catfish bone flour and oyster mushroom powder to make the waffles have the function in increasing calcium on food.Objectives: To analyze the effects of catfish bone flour and oyster mushroom powder on sensory characteristics and calcium content of waffles.Methods: This was experimental study using random complete design. Samples were waffle of catfish bone flour with 4 different formula, those were 77% wheat flour and 33% of catfish bone flour (control), waffles with the decrease of wheat flour with 33% of catfish bone flour and 17% of oyster mushroom powder © and waffles with the decrease of wheat flour with 33% of catfish bone flour and 34% of oyster mushroom powder (D). Waffles were then evaluated for their hedonic evaluation and the content of calcium.Results: sensory evaluation showed all categories except color were not significantly different at p>0.05. The obtained results indicated that the addition of catfish bone flour and mushroom powder led to a pronounced increase calcium contents in the supplemented of waffles 12.53% and 16.19% at 33% of catfish bone flour (control) and 33% of catfish bone flour: 17% of mushroom powder (best formulation), respectively. Conclusion: The substitution of...
I Gusti Ayu Wita Kusumawati, I Nengah Reyunika, Ida Bagus Agung Yogeswara, I Gede Mustika, I Made Wisnu Adi Putra, Umar Santoso, Yustinus Marsono
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(1).1-6

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ABSTRAK Latar belakang: Loloh sembung (Blumea balsamifera) adalah minuman tradisional masyarakat Bali yang digunakan untuk mengobati penyakit. Perbedaan kematangan daun sembung akan mempengaruhi aktivitas antioksidan loloh sembung.Tujuan: Penelitian ini bertujuan untuk menentukan aktivitas antioksidan loloh sembung yang dibuat dari berbagai jenis kematangan daun sembung yang diekstrak dengan menggunakan pelarut air.Metode: Serbuk daun sembung pada tingkat kematangan yang berbeda (muda, dewasa dan tua) direbus untuk menghasilkan loloh sembung. Analisis kandungan antioksidan meliputi analisis total fenolik, total kandungan flavonoid dan aktivitas antioksidan ferric reducing antioxidant power (FRAP).Hasil: Hasil analisis menunjukkan bahwa daun sembung dengan tingkat kematangan tua menunjukkan kandungan total fenolik dan aktivitas antioksidan yang tinggi dibandingkan dengan daun dewasa dan muda, yaitu masing-masing sebesar 0,85±0,005 GAE/g dan 0,66 ±0,003 mmol Fe2+/g sampel. Sedangkan, daun dengan tingkat kematangan dewasa menunjukkan total flavonoid yang tinggi, yaitu sebesar 0,39±0,006 QE/g. Berdasarkan korelasi Pearson, perbedaan tingkat kematangan daun menunjukkan korelasi positif dengan kandungan total fenolik, total flavonoid dan aktivitas antioksidan (FRAP).Kesimpulan: Perbedaan tingkat kematangan daun sembung menunjukkan korelasi positif dengan kandungan total fenolik, total flavonoid dan aktivitas antioksidan (FRAP). Penelitian ini menunjukkan bahwa loloh sembung berpotensi sebagai minuman fungsional yang memanfaatkan kearifan lokal. KATA KUNCI: tingkat kematangan daun, total fenolik, total flavonoid, FRAP ABSTRACT Background: A Loloh sembung (Blumea balsamifera) is a traditional herbal drink from Bali and widely used to treat several diseases by Balinese people. Sembung leaf at different maturity stages would affect antioxidant activity of loloh sembung.Objectives: The objective of the research was determined antioxidant activity of loloh sembung prepare from different maturity stages of sembung leaf and extracted using water.Methods: Sembung leaves powder at different maturity stages (young, mature and old) was boiled to produce loloh sembung. The analyses of antioxidant activity of loloh sembung included total phenolic content (TPC), total flavonoid content (TFC) and ferric reducing antioxidant power (FRAP).Results: The results showed that old leaves were significantly higher in TPC and FRAP values compare to mature and young leaves, i.e 0.8575±0.005 GAE/g and 0.6625±0.003 mmol Fe2+/g sample respectively. However, the mature leaves revealed significantly high TFC, i.e 0.3972±0.006 QE/g. Based on Pearson’s correlation coefficient, the difference of maturity stage exhibited positive correlation with TPC, TFC and FRAP.Conclusion: The different of maturity stage exhibite showed positive correlation with TPC, TFC and FRAP. This study suggested that loloh sembung had a promising prospect as functional drink based on local wisdom.KEYWORDS: leaf maturity stage, loloh sembung, total flavonoids, total phenolic (italic)
Mirza Hapsari Sakti Titis Penggalih, Mustika C N Dewinta, Kurnia M Solichah, Diana Pratiwi, Ibtidau Niamilah, Almira Nadila, Marina D Kusumawati, Christofer M Siagian, Rora Asyulia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6; https://doi.org/10.21927/ijnd.2018.6(1).33-41

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ABSTRAK Latar belakang: Kajian status gizi pada atlet renang merupakan hal yang fundamental karena berperan dalam menunjang performa. Sementara itu atlet difabel memiliki beberapa karakteristik yang berbeda dengan atlet biasa, sehingga perlu memperoleh perhatian tersendiri. Studi mengenai kajian status gizi pada atlet difabel di Indonesia belum pernah dilakukan, sehingga penulis mencoba mengkaji status gizi atlet difabel cabang olahraga renang dari aspek antropometri serta asupan makanan dan cairan.Tujuan: Mengkaji status gizi atlet renang difabel dari segi antropometri serta asupan makanan dan cairan.Metode: Subjek yang terlibat adalah atlet difabel renang sebanyak 18 orang (16 laki-laki dan 2 perempuan) berusia 15-34 tahun yang sedang menjalani masa karantina untuk persiapan ASEAN Para Games 2017 di Malaysia. Pengukuran antropometri meliputi komponen berat badan, tinggi badan, persen lemak, dan somatotype. Penentuan status gizi berdasarkan Indeks Massa Tubuh (IMT) dan Lingkar Lengan Atas (LLA). Kajian asupan makanan dan cairan dilakukan dengan wawancara recall 24-hours yang menanyakan asupan makan dalam satu hari terakhir dan Semi Quantitative Fluid Frequency yang menanyakan asupan cairan selama satu minggu terakhir. Seluruh data dianalisa secara deskriptif serta ditampilkan dalam bentuk rata-rata dan nilai simpang baku (SD).Hasil: Sebanyak 11 dari 18 atlet memiliki status gizi normal, sementara sisanya memiliki status gizi berlebih atau overweight. Hasil pengukuran persen lemak adalah 16% pada atlet laki-laki dan 29% pada atlet perempuan, lebih tinggi dari persen lemak atlet renang profesional (13% dan 26%). Somatotype atlet renang difabel didominasi kategori ectomorphic mesomorph. Asupan energi zat gizi makro dan mikro masih tergolong kurang dengan pemenuhan di bawah 80% dari kebutuhan yang direkomendasikan. Kesimpulan: Beberapa aspek antropometri belum sesuai dengan standar atlet profesional, dan pemenuhan asupan makanan serta cairan belum optimal sesuai dengan kebutuhan. Diperlukan pemberian diet dan latihan yang tepat untuk mencapai perawakan fisik terbaik dan meningkatkan asupan makanan.KATA KUNCI : difabel, renang, antropometri, asupan makan, status giziABSTRACTBackgrounds: In the strategy of fostering athletes’ performance, examining their nutrition status is essential as the guide to plan the proper diet and physical training. However, physical impairment in disabled athletes gives extra challenge in assessing the nutrition profile, particularly on anthropometric measurements.Objectives: To identify the nutrition status based on anthropometry value, food and fluid intake of disabled swimming athletes.Methods: Descriptive quantitative design was used in this study. Subjects participated in the study were 18 disabled swimmers in national training camp for 2017 ASEAN Para-Games. Anthropometry measurement consists of body weight, height, %body fat, and somatotype. Nutrition status was identified according to BMI and MUAC. Food and...
Saktya Yudha Ardhi Utama
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 6, pp 133-138; https://doi.org/10.21927/ijnd.2018.6(3).133-138

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ABSTRAKLatar belakang: Trombositopenia merupakan suatu keadaan jumlah trombosit di bawah 150.000/mm3, hal ini dapat menyebabkan perdarahan yang apabila tidak ditangani dengan baik dapat berujung pada kematian. Beberapa tindakan yang dapat dilakukan untuk mengatasi trombositopenia, salah satunya adalah dengan tanaman daun pepaya.Tujuan: untuk menganalisis pengaruh pemberian ekstrak daun pepaya terhadap bleeding time (waktu perdarahan).Metode : Desain penelitian ini menggunakan true experimental dengan rancangan post test only control group design. Sampel dalam penelitian ini sejumlah 30 ekor mencit jantan (Mus musculus) yang dibagi menjadi lima kelompok. Kelompok pertama sebagai kelompok kontrol negatif (CMC Na 0,5%), kelompok kedua sebagai kontrol positif (CMC Na 0,5%)[a1] [A2] , kelompok ketiga diberi esktrak etanol 96% daun pepaya dosis 0,5g/kgBB, kelompok keempat diberi esktrak etanol 96% daun pepaya dosis 1g/kgBB, kelompok kelima diberi esktrak etanol 96% daun pepaya dosis 2g/kgBB. Pengumpulan data menggunakan lembar pengukuran bleeding time, yang dianalisa dengan uji ANOVA.Hasil: Hasil penelitian ini menunjukkan bahwa didapatkan nilai p<0.0001 dengan rerata waktu paling cepat antara kelompok perlakuan yaitu kelompok perlakuan dengan dosis 2g/kgBB (2.74±0.14). Hal ini menunjukkan bahwa terdapat perbedaan signifikan antar semua kelompok. [a3] [A4] Kesimpulan: Kesimpulan dari penelitian ini adalah pemberian ekstrak daun pepaya (Carica papaya L.) dapat mempercepat bleeding time (waktu perdarahan).KATA KUNCI: daun pepaya; bleeding time, trombositopenia ABSTRACTBackground: Thrombocytopenia is a condition of platelet counts below 150,000/mm3, this may cause bleeding which, if not handled properly, may lead to death. Some actions that can be done to overcome thrombocytopenia, one of which is with papaya leaf.Objectives: This study aims to analyze the effect of giving papaya leaf extract to bleeding time.Methods: This research design uses true experimental with design of post-test only control group design. The sample in this study were 30 male mice (Mus musculus) divided into five groups. The first group as the negative control group (CMC Na 0.5%), the second group as the positive control (CMC Na 0.5%), the third group was given ethanol 96% extract papaya leaf dose 0.5g/kgBW, the fourth group was given ethanol 96% extract papaya leaf dose 1g/kgBW, the fifth group was given ethanol 96% extract papaya leaf dose 2g/kgBW. Data collection using measurement sheet of bleeding time which were analyzed by ANOVA test.Results: The results of this study showed that p<0.0001 the fastest mean time occur between treatment groups that is treatment group with dose 2g/kgBW (2.74±0.14). In the bleeding time variables p<0.0001 the fastest mean time occur between treatment groups that is treatment group with dose 2g/kgBW (2.74±0.14). This result shows that there are significant differences between every groups.Conclusion: The conclusion of this research is giving papaya leaf extract can increase bleeding time. KEYWORDS: leaf of papaya, bleeding time, thrombocytopenia.
Umi Hasanah, Effatul Afifah, Esti Nurwanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5; https://doi.org/10.21927/ijnd.2017.5(3).119-126

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Background : Hypertension still has been a great health problem in indonesia. In Indonesia, the prevalence of hypertension in 2013 was as many as 28.5 %, and in The Yogyakarta special was as many as 25,7 %. Several factors that can affect hypertension, some unavoidable as aging and sex, but some can as lifestyle very closely related to nutrition as deficiency intake calcium and magnesium[LAL1] . Calcium may affect blood pressure because it inhibits the effects of the intake of salt naci high on blood pressure. And if less magnesium it can increase levels of sodium intracellular and sent down the potassium intracellular. [LAL2] Objectives : To know the relationship between calcium and magnesium intake with the genesis hypertension in outpatients at RSUD Panembahan Senopati Bantul Yogyakarta.Methods : The research was observational with case-control[LAL3] design. Research was carried out in February 2016 and population research was outpatients RSUD Panembahan Senopati Bantul Yogyakarta. Sample case was outpatients the age of 30-60 years with the diagnosis hypertension. Control is outpatients with the age of 30-60 years who do not hypertension. The sample of the 45 patients with comparison cases control 1: 1, so the total sample was 90 patients with 45 patients hypertension and 45 a patient was not hypertension .Sampling method was by purposive sampling. Variable dependent was hypertension and independent variable was calcium and magnesium intake.[LAL4] An instrument was form food frequency questionary (FFQ) form that was taken by means of interview. Data analysis using analysis univariate ( descriptive with the spss version 19 and bivariat (test chi-square).Result : Bivariat analysis showed that calcium intake (p = 0.827; or = 0.909; el 95 % = 0.385 – 2.143) no significant relationship with the occurrence of hypertension .While intake of magnesium (p = 0.035; or = 2.471; el 95%= 1.058 - 5.768) had significant relationship with the occurrence of hypertension.Conclusion : A significant relation was between magnesium and the genesis hypertension. Was proven but intake calcium did not prove the relationship with the genesis hypertension[LAL5] . KEYWORDS : hypertension, calcium and magnesium intake
Anafrin Yugistyowati, Maulia Marza
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5; https://doi.org/10.21927/ijnd.2017.5(3).106-112

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Background: Complementary Feeding is an additional food or drink containing nutrients, given to infants or children aged 6-24 months to meet nutritional needs other than breast milk. Provision of Complementary Feeding was given from age 6 to 24 months as the age increase, and children then need more nutrients grow.Objectives: To know the relationship between education level and mother’s type of work with the practice of giving of baby milk at 6-24 months in Sedayu Bantul, Yogyakarta.Methods: This was an observational research using analytical survey method with cross-sectional approach. Research subjects were mothers who have babies aged 6-24 months. Sampling technique using stratified random sampling with a number of respondents 287 under 2 years children in Sedayu I and II Bantul Yogyakarta. Data collection was using questionnaires and checklist sheets.Results: The result of statistical test using Chi-Square showed that there was a correlation between maternal education level and the practice of giving was breast milk in Sedayu I and II Bantul Health Center, with result p = 0,000 <0,05. There was a relationship between the type of mother’s work with the practice of giving the Complementary Feeding at Sedayu I and II Bantul Health Center, with result p = 0,003 <0,05. The closeness of the relationship between the level of education and the type of work of the mother with the practice of giving the Complementary Feeding is categorized as low with the value of 0.282 and 0.199.Conclusions: There was a correlation between the level of education and the type of work of the mother with the practice of giving Complementary Feeding in Sedayu I and II Bantul Yogyakarta.KEYWORDS: education level, job type, practice of complementary feeding
Ratna Dwi Astuti, Agus Prastowo, Veriani Aprilia
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5; https://doi.org/10.21927/ijnd.2017.5(3).93-97

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Background: The porang tuber (Amorphophallus oncophyllus) is a functional food containing glucomannan that has many advantages in health. However, porang flour can not be consumed, because the high content of calcium oxalate that have the risk on kidney disease. It can be reduced by physical or chemical treatment. Keji beling (Strobilanthes crispa L. Blume) has been proved for its function in dissolving the calcium oxalate, but its uses in decreasing of calcium oxalate has not been studied yet.Objectives: To evaluate the effect of porang flour on ureum levels of wistar rat blood in acute toxicity test.Methods: The research was experimental with pre and post without control group design. The samples were 20 female Wistar rats, aged 8-10 weeks with body weight of 100-180 grams. Rats were divided into 4 groups of treatment those were native porang with the dose of 2000, 5000 mg/kg of body weight, porang flour with soaking of extract at the dose 2000 and 5000 mg/kg of body weight. Porang was incorporated orally into the mouth of rats after 18 hours of adaptation. At the 24th and 72nd hours after treatment, the bloods were collected and analyzed for their ureum levels.Results: The statistical test showed that there was an effect of porang flour with and without soaking of keji beling extract before and after treatment on ureum level at the dose of 2000 and 5000 mg/kg body weight, however there was no significant difference ureum level of the same dose at 24th or 72nd hours, except on the dose of 2000 mg / kg weight at the 72nd hour. Results of observation between the 24th hour compared to the 72nd hour showed that there was no significant difference of urea value (p> 0.05). Increased levels of ureum was influenced by the calcium oxalate content contained in porang flour. In TPM, ureum level was higher than that in TPK.Conclusions : The increase in urea levels was still in normal range, therefore porang flour is still safe for consumption.KEYWORDS: acute toxicity, porang flour, urea, keji beling
Adityas Afifah Hidayati, I Made Alit Gunawan, Bunga Astria Paramashanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5; https://doi.org/10.21927/ijnd.2017.5(3).113-118

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Background: Stunting was associated with cognitive development, morbidity and productivity in later life. Several studies and analysis also showed that stunting was related to overweight. In Indonesia, prevalence of stunted-overweight in children was 7.4% in 2007, then increased to 7.6% in 2010.Objective: To understand the relationship between stunting and overweight among children aged 24-59 months.Methods: Cross-sectional design was used in this study. Study location was Sedayu Subdistrict, Bantul District. Participants were a total of 185 children selected by probability proportional to size (PPS) sampling technique. Main variables included nutritional status of stunting, overweight, and energy, protein and fat intakes. Analysis used was chi-square test with the level of significance 0.05.Results: The prevalence of stunting was 30.8%, whereas overweight prevalence was 10.3%. Bivariate analysis indicated that there was no significant relationship between stunting and overweight among children aged 24-59 months (OR= 1.3; 95%CI: 0.5-3.6). Energy, protein and fats intakes were not confounding variables, but effect modifier in the association between stunting and overweight.Conclusion: There was no relationship between stunting and overweight in children aged 24-59 months.KEYWORDS: stunting, overweight, children
Afrida Nur Hidayati, Hamam Hadi, Dewi Astiti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5; https://doi.org/10.21927/ijnd.2017.5(3).98-105

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Background: Riskesdas 2013 stated that 15 provinces had a prevalences of Diabetes Melitus disease above national prevalence. DIY province is one province with high prevalence of DM disease as many as 3,0%. Hyperglicemia is a sign of DM disease. Physical activity is one of the management programs in hyperglycemia patients. Physical activity plays a role in controlling the body’s blood glucose by turning glucose into energy.Objectives: To know the correlation between physical activity and hyperglikemia on Kyai and teacher in Islamic Boarding School in Special Region Yogyakarta (DIY).Methods: The study was an observational analytic study with Cross Sectional design. Population in this research was Kyai and teacher at Islamic Boarding School of DIY which amount 579 people. The minimum number of samples obtained was 184 respondents with probability proportional to size (PPS) sampling technique. Bllod Glucose data using Easy Touch and physical activity data using International Physical Activity Questionaire (IPAQ) questionnaire. Data analysis in the form of frequency distribution, mean different test (T-test) and Chi Square test is done by using SPSS software.Results: Based on T-test showed that there was a difference of blood glucose between group of physical activity less with group activity enought but the difference was not significant with t-value = 0,446, p-value = 0,656, and mean different = 3,127, and result of Chi Square test showed no significant correlation between physical activity and hyperglycemia with p-value = 0,969.Conclusions: There was no correlation between physical activity and hiperglikemia.KEYWORDS: hyperglicemia, Islamic Boarding School, Kyai, physical activity teacher
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5, pp 23-30; https://doi.org/10.21927/ijnd.2017.5(1).23-30

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Background: Stunting is a growth impairment resulting from chronic malnutrition condition or prolonged infectious diseases. It may cause growth retardation, low endurance, lack of intelligence and productivity. Stunting prevalence in Indonesia reached 37.2% where Special Region of Yogyakarta reached 27% and Bantul District was 18.08%. Low birth weight babies have a life chance, however, when they survive they are still vulnerable to diseases, growth retardation, and developmental disorders. Statistics showed that 90% low birth weight cases found in developing countries and the mortality rate was 35 times higher in infants with low birth weight compared to infants with normal birth weight. Objectives: To understand the relationship between weight low birth (BBLR) and stunting in children 6-23 month in Sedayu District Bantul Yogyakarta.Methods: This study used observational research with cross-sectional design. The population in this study were parents and children from 6-23 months which were 1217 subjects. The sample used in this study as many as 190 subjects were selected by using proportional probability to size techniques. Data were analyzed by using chi-square test. Results: Bivariate analysis showed that low birth weight infants was significantly related with stunting (OR= 6.16; 95% CI: 3.007-12.656). In other words, children born with low birth weight status had a chance 6.16 times greater to become stunting than the children who birth weight normal Conclusion: There was a relationship between low birth weight infants and stunting in children 6-23 months in Sedayu Subdistrict, Bantul District, Yogyakarta. KEYWORDS: low birth weight, stunting, children aged 6-23 months ABSTRAKLatar belakang: Stunting adalah gangguan pertumbuhan yang terjadi akibat kondisi kekurangan gizi kronis atau penyakit infeksi kronis. Dampak yang ditimbulkan antara lain lambatnya pertumbuhan anak, daya tahan tubuh yang rendah, kurang kecerdasan dan produktivitas yang rendah. Prevalensi balita stunting di Indonesia mencapai 37,2%, sementara di Provinsi Daerah Istimewa Yogyakarta (DIY) sebesar 27%, di Kabupaten Bantul sebesar 18,08%. Bayi BBLR memiliki kesempatan hidup dan ketika bertahan mereka mudah terkena penyakit, retardasi pertumbuhan dan gangguan perkembangan mental. Statistik menunjukan bahwa 90% dari kejadian BBLR didapatkan di negara berkembang dan angka kematian 35 kali lebih tinggi dibandingkan pada bayi dengan bayi berat badan lahir lebih dari 2.500 gram. Tujuan: Untuk mengetahui hubungan antara BBLR dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu Kabupaten Bantul Yogyakarta. Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Populasi dalam penelitian ini adalah orang tua dan anak yang berumur 6-23 bulan yang berjumlah 1217 responden. Sampel dalam penelitian ini berjumlah 190 yang diambil dengan teknik proporsional probability to size yaitu prosedur penarikan sampel dimana peluang...
, Rujiah Rujiah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5, pp 1-8; https://doi.org/10.21927/ijnd.2017.5(1).1-8

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Background: Farmers mostly produced dry beans without fermentation. Attempts to get dry cocoa beans that have a typical cocoa flavor precursors can be done if there is still a substrate which can be fermented by microbes involved in the fermentation of fresh cocoa beans with the appropriate process conditions.Objectives: To evaluate the effect of variety of techniques fermentation of cocoa beans randomly to quality parameters of fermented cocoa beans, and evaluate the precursors of flavor and volatile compounds produced after roasting.Methods: Stages of the research were as follows: fermentation technique was done 3 variations of fermentation technique that were the first, treatment without the addition of inoculum (control), second, treatment with inoculum of S. cerevisiae (FNCC 3056), L. lactis (FNC 0086) and A. aceti (FNCC 0016), about 108 cfu / g of microbes at the beginning of fermentation (IA). Third, yeast inoculum at the start of fermentation, lactic acid bacteria on the hour of 24 and acetic acid bacteria at 48 hours, with the same mount of microbial population with the second treatment (IB). Fermentation was conducted during 120 hours. Temperature was adjusted during fermentation, that were 35° C the first (24 hours), 45° C (the second 24 hours), 55° C (the third 24 hours) and 35° C (the fourth 24 hours). At the end of stage, fermented cocoa beans were roasted and analyzed for its volatile compound.Results: The results showed that total plyphenols decrease in all treatments during fermentation. It have been to produce hydrophobic amino acids, that were: alanine, tyrosine, valine, phenilalanin, isoleucine and methionin as precursors of flavor with a total of hydrophobic amino acids were owned all treatment.Conclusions: Parameter testing, like aroma precursors and volatile compounds in the treatment shown the highest increase gradually inoculum. KEYWORDS: cocoa beans, fermentation, inoculum, poliphenol, and amino acidABSTRAK Latar belakang: Biji kakao kering ditingkat petani sebagian besar dihasilkan tanpa fermentasi tidak menghasilkan prekursor flavour khas kakao. Upaya untuk mendapatkan biji kakao kering yang memiliki prekursor flavour khas kakao dapat dilakukan apabila terdapat subtrat yang dapat difermentasi oleh mikrobia yang terlibat dalam fermentasi biji kakao segar dengan kondisi proses yang sesuaiTujuan: Mengetahui pengaruh variasi teknik fermentasi biji kakao asalan terhadap parameter mutu biji kakao asalan hasil fermentasi, dan mengevaluasi prekursor flavour dan senyawa volatil yang dihasilkan biji kakao hasil fermentasi pasca sangrai.Metode: Tahapan penelitian yang dilakukan adalah 3 variasi teknik fermentasi yaitu pertama perlakuan tanpa penambahan inokulum (kontrol), kedua menggunakan inokulum S. cerevisiae (FNCC 3056), L. lactis (FNC 0086) dan A. aceti (FNCC 0016), masing-masing sekitar 108 cfu/g diberikan serentak di awal fermentasi (IA). Ketiga, pemberian inokulum secara bertahap yeast di awal fermentasi, bakteri asam laktat pada jam ke-24, dan bakteri asam asetat pada jam ke 48 dengan populasi mikrobia sama dengan perlakuan kedua (IB). Fermentasi dilaksanakan selama 120 jam. Suhu diatur selama fermentasi, berturut-turut 35oC (24 jam pertama), 45oC (24 jam kedua), 55oC (24 jam ketiga) dan 35oC (48 jam terakhir), Tahap ketiga, biji kakao hasil fermentasi dari tiga perlakuan tersebut disangrai dan dianalisis senyawa volatilnya.Hasil: Hasil penelitian menunjukkan bahwa selama fermentasi biji kakao asalan menunjukan total polifenol turun pada ketiga perlakuan. Biji kakao asalan pasca fermentasi menghasilkan asam amino hidrofobik yaitu alanin, tirosin, valin, phenilalanin, isoleusin dan methionin sebagai prekursor flavor dengan total asam amino hidrofobik dimiliki oleh perlakuan penambahan inokulum secara serentak.Kesimpulan: Rehidrasi pulp biji kakao asalan dapat memperbaiki komposisi pulp sebagai subtrat fermentasi. Parameter pengujian, prekursor aroma dan senyawa volatil tertinggi ditunjukkan pada perlakuan penambahan inokulum secara bertahap. KATA KUNCI: biji kakao asalan, fermentasi, inokulum, polifenol dan asam amino hidrofobik.
Dwi Risti, Veriani Aprilia, Fatma Zuhrotun Nisa
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5, pp 9-16; https://doi.org/10.21927/ijnd.2017.5(1).9-16

Abstract:
Background: Cardiovascular disease related wth the excess of cholesterol consumption is the leading cause of death in the world. Dietary management of high fi ber could decrease the risk of the disease. Nugget is one of favorites meat product. The substitution of fi ber within the nugget has the function in lowering the cholesterol. Glucomannan from porang (Amorphophallus oncophyllus) includes in soluble fi ber anconsist of mannose and glucose. Nugget substituted with glucomannan shall be the alternative of nutritious food. Objectives: To evaluate the infl uence of glucomannan substitution on the physical properties, fi ber content, and the acceptability of chicken nugget. Methods: This was experimental study using random completely design. Samples were chicken nuggets with 5 diferent formula, those were standard (NFS), nugget with the decrease of chicken with porang glucomannan substitution in the percentage of 0% (NGP0), 1% (NGP1), 3% (NGP3), 5% (NGP5). Nugget with the substitution of 3% konjac glucomannan was used as comparator. Nuggets were then evaluated for their physical properties(chewiness and water holding capacity/WHC), the content of fi ber, and acceptability (organoleptic properties).Results: The substitution of glucomannan increased the chewiness and WHC, but fi ber content was not infl uenced. Organoleptic results showed that maximum glucomannan concentration that could be added was 1%. Conclusions: The substitution of glucomannan increased chewines and WHC, but it did not infl uence the fi ber. There was also the decrease its acceptability.Conclusions: The substitution of glucomannan increased chewines and WHC, but it did not influence the fiber. There was also the decrease its acceptability. KEYWORDS: glucomannan, fiber content, physical properties, acceptabilityABSTRAK Latar belakang: Penyakit kardiovaskuler merupakan penyebab utama kematian di dunia karena konsumsi kolesterol berlebih. Pengaturan pola makan tinggi serat dapat mengurangi risiko penyakit ini. Naget merupakan produk olahan daging yang banyak digemari masyarakat. Substitusi serat ke dalam naget memiliki fungsi sebagai penurunan kolesterol. Glukomanan porang merupakan serat larut yang merupakan polimer dari mannosa dan glukosa yang diekstraksi dari umbi porang (Amporphophallus oncophyllus). Naget yang disubstitusi glukomanan sebagai serat dapat menjadi alternatif lauk yang bergizi. Tujuan: Mengetahui pengaruh substitusi glukomanan terhadap sifat fi sik (kekenyalan dan water holding capacity/WHC), kadar serat kasar, dan daya terima naget ayam. Metode: Jenis penelitian ini adalah eksperimental dengan menggunakan RAL. Sampel adalah naget ayam dengan 5 variasi substitusi glukomanan, yaitu naget dengan formula standar (NFS), naget dengan pengurangan daging ayam tanpa substitusi glukomanan porang (NGP0), naget dengan substitusi glukomanan porang 1% (NGP1), 3% (NGP3), 5% (NGP5), dan sebagai pembanding menggunakan substitusi glukomanan konjak 3% (NGK3)....
, , Fransiska M. Santoso Putri, Puji Astuti, Ike Listiyowati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 5, pp 31-43; https://doi.org/10.21927/ijnd.2017.5(1).31-43

Abstract:
Background : Patients who are undergoing hemodialysis therapy must know which foods that may be consumed including foods containing animal protein, low potassium, and low salt. The role of nutritionists is needed to provide nutritional counseling related to dietary adjustment. Studies that have been conducted by previous researchers are about diet from hemodialysis patients and the various factors that affect dietary compliance of patients, but no one has been studying the relation related to nutritional status, hemoglobin, ureum, and creatinine levels before and after doing a counseling that also has a relationship with diet and dietary compliance for hemodialysis patients.Objectives : To analyze the relationship of nutritional status, hemoglobin, ureum, and creatinine levels of hemodialysis patients before and after doing nutritional counseling in RSUD Ungaran. Methods : The study used a descriptive quantitaive method with one group pretest posttest design with cross sectional approach. The research was conducted in Hemodialysis Unit of RSUD Ungaran with a total sampling of 30 hemodialysis patient. Primary data were obtained from respondent’s data entry and FFQ, observation, and interviews. Secondary data were obtained from respondent’s medical records include the level of hemoglobin, urea, and cretinine. Data were analyzed using SPSS programme with Paired t Test. Results : The results of SPSS analysis showed that probability value from urea men 0,016 < 0,05 and urea women – hemoglobin men and women – creatinin men and women overall 0,000 < 0,05, which means that the average levels of those components before and after doing a nutritional counseling is different.Conclusions : A nutritional counseling indicate any change in the nutritional status of the entire hemodialysis patients, based on hemoglobin levels increased, while urea and creatinine levels decreased; but all those components are not in the normal category. Levels of hemoglobin, urea, and creatinine is changed within a period of one month after the implementation of individual nutritional counseling. It indicates that nutritional counseling efforts were given has a positive benefit for the patients to gain knowledge about dietary adjustments and implement the recommended diet in order to optimize the work of renal function excessively.KEYWORDS : nutritional status, hemodialysis, eating behavior, nutritional counseling
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