Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics)

Journal Information
ISSN / EISSN : 2303-3045 / 2503-183X
Current Publisher: Alma Ata University Press (10.21927)
Total articles ≅ 135
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Dhuha Itsnanisa Adi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 61-67; doi: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; doi: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; doi: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.
Anto J. Hadi, Syamsopyan Ishak, Matius Rantesalu
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 54-60; doi: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; doi: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; doi: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
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; doi:10.21927/ijnd.2020.8(1).39-44

Abstract:
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
Niken Widyastuti Hariati, Rijanti Abdurrachim
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 45-53; doi:10.21927/ijnd.2020.8(1).45-53

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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
Tri Siswati, Trynke Hookstra, Hari Kusnanto
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics), Volume 8, pp 1-8; doi:10.21927/ijnd.2020.8(1).1-8

Abstract:
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; doi:10.21927/ijnd.2020.8(1).22-29

Abstract:
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
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