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INDONESIA
Jurnal Gizi Klinik Indonesia
ISSN : 1693900     EISSN : 25024140     DOI : -
Core Subject : Health, Science,
Jurnal Gizi Klinik Indonesia merupakan jurnal ilmiah nasional terakreditasi yang memuat artikel penelitian (research article) di bidang gizi dan kesehatan, yang terkait aspek gizi klinis, gizi masyarakat, gizi olahraga, gizi molekular, biokimia gizi, pangan fungsional, serta pelayanan dan manajemen gizi. Jurnal Gizi Klinik Indonesia (JGKI) diterbitkan empat bulan sekali sejak terbit Juli 2004 hingga Maret 2011 (Volume 1-7), kemudian sejak Juli 2011 (Volume 8) JGKI diterbitkan setiap tiga bulan. Jurnal Gizi Klinik Indonesia diterbitkan oleh Minat S2 Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada bekerjasama dengan Persatuan Ahli Gizi Indonesia (PERSAGI) dan Asosiasi Dietisien Indonesia (AsDI).
Arjuna Subject : -
Articles 331 Documents
MALNUTRISI RUMAH SAKIT DAN ASUHAN NUTRISI PEDIATRIK DI RUMAH SAKIT HASAN SADIKIN BANDUNG Hafsah, Tisnasari; Prawitasari, Titis; Djais, Julistio Tryoga Budhiawan
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (702.225 KB) | DOI: 10.22146/ijcn.43090

Abstract

Hospital malnutrition and pediatric nutrition care in Hasan Sadikin Hospital BandungBackground: Malnutrition during hospitalization delays the recovery of children with acute or chronic illnesses. The Pediatric Nutrition Care (PNC) can improve nutritional support and reduce the prevalence of hospital malnutrition.Objectives: This study was done to find evidence of hospital malnutrition and to evaluate the nutrition care in the pediatric ward of Dr. Hasan Sadikin Hospital, Bandung. Methods: We evaluated malnutrition by comparing body weight change between the first day of admission and at hospital discharge to the length of hospitalization. Screening for malnutrition risk was done using modified Pediatric Yorkhill Malnutrition Screening (mPYMS). Score?2 was determined as high risk. The PNC process was evaluated by a focused group discussion with PNC-associated pediatric ward personnel.Results: From February-March 2016, 760 patients were admitted to the pediatric ward, of which 111(14.6%) were included in the study. An mPYMS score of ?2 was found in 69(62.2%) of the patients. During hospitalization, body weight decreased in 23(20.7%) patients, 10(9.0%) of whom were defined as hospital malnutrition. Among these, seven had an mPYMS score?2. PNC was performed in patients with an mPYMS score?2 by dietitians who also provided a standardized nutrition care process following American Dietetic Association recommendation. However, a dedicated multidisciplinary PNC team was absent and the nutrition and metabolic disease division was consulted only in a few cases. Performing consistent monitoring and evaluation of PNC was also found to be difficult. Conclusions: Hospital malnutrition may be prevalent among pediatric patients in Dr. Hasan Sadikin Hospital, Bandung. Improving PNC services may reduce this prevalence.
TIPE TUBUH (SOMATOTYPE) DENGAN SINDROM METABOLIK PADA WANITA DEWASA NON-OBESITAS USIA 25 – 40 TAHUN Kusumaningnastiti, Betsi; Probosari, Enny; Dieny, Fillah Fithra; Fitranti, Deny Yudi
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (244.638 KB) | DOI: 10.22146/ijcn.42345

Abstract

Body type (somatotype) with metabolic syndrome among non-obese woman aged 25-40 years oldBackground: The prevalence of central obesity was found high in women, not only in obese individuals but also occur in non-obese individuals or metabolically obese normal weight (MONW). Endomorph marked by higher fat mass, which will lead to metabolic disorders.Objective: This study aimed to describe the correlation of somatotype with metabolic syndrome in a non-obese woman.Methods: Cross-sectional observational study, subjects were selected using purposive sampling involving 46 women 25-40 years old with BMI 18.5-24.9 kg/m2 in several offices in the City of Semarang, consist of Balai Besar Teknologi Pencegahan dan Pencemaran Industri, Dinas Pekerjaan Umum, and Dinas Perindustrian dan Perdagangan Central Java. Somatotype data is measured in three components, namely endomorph, mesomorph, and ectomorph. The resulting value of each component is calculated using the Heath-Carter formula. Triglycerides, HDL, and fasting blood glucose measured by enzymatic colorimetric methods. Blood pressure measured by aneroid sphygmomanometer. Syndrome metabolic was defined as metabolic syndrome risk score (cMetS). Data were analyzed by Rank Spearman and Pearson.Results: The subject's body type is endomorph as much as 91.3% and ectomorph-endomorph (8.7%). Central obesity (50%), low HDL levels (28%), hypertriglyceridemia (2%), normal GDP levels (100%), hypertension (15%), metabolic syndrome (13%), and metabolic pre-syndromes (47, 8%) found in the subject of this study. There were correlation between endomorph (p=0.005; r=0.4) and ectomorph (p=0.000; r=-0.53) with waist circumference. There was a significant correlation between endomorph with metabolic syndrome risk score (p=0.05; r=0.129).Conclusions: Endomorph was associated with a metabolic syndrome risk score. Higher endomorph tends to have higher metabolic syndrome risk scores.
PEMANTAUAN GIZI DENGAN SMS REMINDER EFEKTIF MENINGKATKAN KEPATUHAN DIET PASIEN HEMODIALISIS Widiany, Fery Lusviana; Afriani, Yuni
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.22255

Abstract

Nutritional monitoring with SMS reminder is effective to increase the dietary compliance of hemodialysis patientsBackground: Patients with routine hemodialysis are at risk of malnutrition, inadequate intake of protein, hypoalbuminemia, gastrointestinal disorders. One of the factors affecting dietary compliance is knowledge so that education and nutrition monitoring on an ongoing basis is necessary. Objective: To determine the effectiveness of nutrition monitoring with SMS reminders on dietary compliance of hemodialysis patients.Methods: This was a quasi-experimental study that involved 30 regular hemodialysis patients, divided into two groups. The inclusion criteria were aged> 18 years, willing to become respondent and following the procedure, have a handphone, able to read and write. Patients with anasarca edema and complications of malignancy disease were excluded. The independent variable is nutritional monitoring with SMS reminders, while the dependent variable is dietary compliance. Data were statistically analyzed using univariate, bivariate using Chi-square test, and multivariate using multiple logistic regression test. Results: Statistical analysis showed that nutritional monitoring with SMS reminder effectively influence the compliance on consumption of energy (p-value = 0,011; RR = 2,750), fluid (p-value = 0,014; RR = 2,000), and potassium (p-value = 0,011; RR = 2,750). The compliance on consumption of fluid is the most dominant factor affected by nutrition monitoring with SMS reminder given (B = 3,676, p-value = 0,02). Conclusions: Nutritional monitoring with SMS reminders is effective to increase the dietary compliance of hemodialysis patients. 
KEPATUHAN KONSUMSI SUPLEMEN MIKRONUTRIEN TIDAK TERPENGARUH OLEH BENTUK SUPLEMEN Fauzia, Faurina Risca; Farmawati, Arta; Lestari, Lily Arsanti
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (27.526 KB) | DOI: 10.22146/ijcn.27617

Abstract

Compliance of micronutrients supplement consumption was not affected by supplements formBackground: Taburia is micronutrient sprinkle produced by Ministry of Health Indonesia to overcome malnutrition problem in Indonesia. Compliance of Taburia consumption is an important indicator for the success of the supplementation program. Taburia?s compliance in some regions is low (<80%). Gummy candies are children?s favorable food product.Objective: To evaluate the compliance of micronutrient consumption in the form of sprinkle and gummy candies in children. Methods: This study was a quasi-experimental study with randomizedcontrol group design.Respondents are mother and children aged 36-59 months in Yogyakarta District. The children received supplementation of Taburia sprinkle or fortified gummy candies for 30 days.Results: The compliance of Taburia sprinkle and fortified gummy candies were 85.39% and 80.32% respectively, however it was not significantly different (p>0.05). Several factors affected the compliance level such as mother?s employment status, gender of the children, and age of the children. Conclusions: The compliance level of Taburia sprinkle and fortified gummy candies was similar. Hence fortified gummy candies could be used as an alternative of micronutrient supplement to overcome nutrition problem in Indonesia.
EFEK INTEGRATED NUTRITION PROGRAMME TERHADAP PROFIL LIPID DAN KOMPOSISI TUBUH PADA REMAJA OBES Ardiaria, Martha; Kustanti, Erin Ratna; Sulistiani, Ria Purnawian; Noer, Etika Ratna
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.31594

Abstract

The effect of integrated nutrition programme on lipid profile and body composition among adolescent obesityBackground: Obesity is a serious public health issue increasingly in an adolescent. Obesity in adolescence will continue into adulthood and lead to later health problems. The adolescent has high food dense calories which high fat and low in fiber that can trigger obesity. Integrated Nutrition Programme (INP) is an intervention model for obesity with an emphasis on a low-calorie diet, low fat, high fiber, moderate exercise, and nutrition counseling.Objective: This study aimed to evaluate the effect of INP on lipid profile and body composition in obese adolescents.Methods: Quasi-experimental study pre-post trial design with a total of subjects 18 obese adolescents. Duration of intervention in subjects for four weeks with a hypocaloric diet, low fat, high fiber, and prepared by a dietician. Moderate exercise and dietary counseling were conducted on the subject regularly. Bodyweight (BW) and waist circumference (WC) were monitored once a week. Food record intake is done before and during the intervention.Results: The mean weight loss of 1.55 kg. There is a difference in mean BW, WC, and BMI (p<0.01), whereas there were no significant differences in lipid profiles between before and after the intervention.Conclusions: INP can significantly affect BMI and WC.
EFEK ASAM ALFA LIPOAT TERHADAP INSULITIS PADA TIKUS DIABETES MELITUS TIPE 2 Ismawati, Ismawati; Mukhyarjon, Mukhyarjon; Romus, Ilhami; Paramitha, Sonia Dinda
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (261.465 KB) | DOI: 10.22146/ijcn.31701

Abstract

Effect of alpha lipoic acid on insulitis in type 2 diabetic ratBackground: The damaging of ? cell causes hyperglycemia. ? cell damaged as insulitis happens because of the increase of free radical and the decrease of endogen antioxidant that caused oxidative stress.Objective: The goal of this research was to find out the effect of alpha lipoic acid (ALA) on pancreas Langerhans island?s histopathology in type 2 diabetic rats.Methods: This was an experimental laboratory study with post test only design. Fifteen adult male rats of  Wistar strain were segregated into three groups (n=5) labeled as control, type 2 diabetes (DM), and DM+ALA. The experiment was designed for 3 weeks. The measured parameter was insulitis level on pancreas Langerhans island of groups labeled.Results: The statistical test result showed there was the significant difference between control and type 2 diabetes group (p=0,005), but there was no significant difference between DM and DM+ ALA group (p=0,549).Conclusions: Although not statistically significant, giving ALA 60 mg/kg body weight for 3 weeks decreased the degree of insulitis in diabetic rats.
LINGKAR PINGGANG DAN LINGKAR LEHER DENGAN KADAR KOLESTEROL TOTAL PADA WANITA USIA SUBUR OBESITAS Manik, Rifial Ramadhan; Widyastuti, Nurmasari; Nissa, Choirun
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.38171

Abstract

Waist circumference, and neck circumference correlated to total cholesterol among reproductive-age women with obesityBackground: Dyslipidemia is a metabolic disorder condition that is closely related to cholesterol and obesity. The prevalence of obesity in reproductive-age women (>18 years) in Indonesia increased dramatically from 14.85% (2007) to 32.9% (2013). Reproductive age women with obesity are at greater risk of hypercholesterolemia compared with non-obese. Waist circumference (WC), mid-upper arm circumference (MUAC), and neck circumference (NC) can be used as a marker of higher or low cholesterol levels.Objective: This study aimed to determine the relationship between WC, MUAC, and neck circumference with total cholesterol.Methods: The study design was cross-sectional with several subjects were 54 women of reproductive-aged 18-29 years. Subject with obese category (BMI ?25kg/m2) was measured the WC, MUAC, and NC as the independent variable and total cholesterol as the dependent variable, and dietary intake (total fat, cholesterol, and saturated fat) as confounding variables. The bivariate analysis used the Pearson correlation test. Multivariate analysis used multivariate linear regression.Results: Bivariate analysis showed there was a significant relationship between WC and NC to total cholesterol (p=0.006 and p=0.001), but not on MUAC to total cholesterol (p=0.063). In multivariate analysis, NC is the most significantly related to total cholesterol (?=0.367; p=0.004; Adjusted R Square 24%) than WC.Conclusions: There is a significant relationship between WC and NC to the total cholesterol in women of reproductive age obesity. Neck circumference more significantly related to total cholesterol.
APLIKASI SELF-ORGANIZING MAPPING SEBAGAI ALAT DETEKSI ANEMIA PADA CITRA SEL DARAH MERAH Utari, Evrita Lusiana; Listyalina, Latifah; Puspaningtyas, Desty Ervira
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (391.044 KB) | DOI: 10.22146/ijcn.39560

Abstract

Application of self-organizing mapping as anemia detection using an image of red blood cellsBackground: Anemia is a nutritional problem characterized by changes in blood cell size, especially in microcytic or macrocytic anemia. Iron deficiency anemia is included in hypochromic microcytic anemia because it has a smaller than normal size red blood cell and has a lower than normal hemoglobin (Hb) arising from reduced supply of iron for erythropoiesis (cell maturation process red blood). Analysis based on red blood cell image is a tool to detect anemia using technology applications. Self-organizing mapping (SOM) is one of the artificial neural networks by dividing the input pattern into several groups, so the network output is in the form of groups that are most similar to the input.Objective: To measure the accuracy of SOM for detecting the size of red blood cells in anemia condition.Methods: The type of research was an observational laboratory. The study was conducted at the Electrobiomedical Laboratory of Universitas Respati Yogyakarta from January to August 2018. The sample consisted of anemia and non-anemia red blood cells which had been tested in a laboratory of 92 blood preparations. Stage of measuring red blood cells consisted of pre-processing (cropping, gray scaling, contrast enhancement, and screening), segmentation, feature extraction, and image identification with SOM. The image identification results were concluded by calculating the accuracy of the anemia detection system based on laboratory examination results.Results: The characteristic that distinguishes anemia and non-anemia was in the size of red blood cells. Anemic red blood cells had different pixel intensities than non-anemic red blood cells. The image of non-anemia red blood cells had a full round or oval image. From as many as 92 detections of blood images, five blood images were not by the target results of laboratory tests. The accuracy achieved by the system was 94.57%.Conclusions: The accuracy value of anemia detection using SOM can be used to identify the type of anemia based on red blood cell size.
Peningkatan aktivitas fagositosis dan produksi nitrit oksida pada makrofag peritoneum tikus Sprague Dawley yang diberi Lactobacillus plantarum Mut7 dan ekstrak serat ubi jalar Lestari, Lily Arsanti; Soesatyo, Marsetyawan Heparis Nur Ekandaru; Iravati, Susi; Harmayani, Eni
Jurnal Gizi Klinik Indonesia Vol 9, No 2 (2012): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.15381

Abstract

Background: Macrophages play an important role as part of the innate immune response in the gut and they represent one of the first lines of nonspecific defense against bacterial invasion. Previous studies indicated that probiotics and prebiotics may act as an immunomodulator agents. Nevertheless, research on the immunomodulatory effect of local materials has never been performed.Objective: To study the effects of Lactobacillus plantarum Mut7 and sweet potato fiber on the activity and Nitric Oxide (NO) production of peritoneal macrophages of Sprague Dawley rats.Method: Ninety six Sprague Dawley rats aged 8 weeks were divided into two groups; A (not infected with Salmonella typhimurium) and B (infected with S. typhimurium). Each group was divided into 4 subgroups and assigned to standard AIN-93M diet (KON), 109 CFU/ml of L. plantarum Mut7 (PRO), modified AIN-93M diet with sweet potato fiber (PRE), and both component (SIN). After 3 weeks of treatment, 6 rats of each subgroup were sacrificed and the peritoneal macrophages were isolated and analysed for its activity and NO production. The rest of the rats continued the treatments for another 2 weeks. At the end of the experiment, they were sacrificed and the peritoneal macrophage were isolated and analysed for its activity and NO production.Results: Oral administration of  L. plantarum Mut7, sweet potato fiber, or both improve phagocytic activity of peritoneal macrophage which was indicated by an increase in the percentage of macrophages that phagocyte latex particles (p<0.05) and an increase in the number of latex particles engulfed by macrophages either after 3 or 5 weeks of treatment (p<0.05). Oral administration of L. plantarum Mut7, sweet potato fiber, or both were unable to increase the nitric oxide production after 3 weeks of treatment (p>0.05), but after 5 weeks of treatment the production of NO was significantly increased (p<0.05).Conclusion: L. plantarum Mut7, sweet potato fiber, or both increase the non specific immune response as they could improve the activity and NO production of peritoneal macrophages.
Senam aerobik dan konsumsi zat gizi serta pengaruhnya terhadap kadar kolesterol total darah wanita Fatimah, Siti; Kartini, Apoina
Jurnal Gizi Klinik Indonesia Vol 8, No 1 (2011): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.17727

Abstract

Background: Hypercholesterolemia is a condition in which levels of cholesterol in the blood above normal levels (≥ 240 mg/dl). Physical exercises done regularly useful in the regulation of cholesterol, is total cholesterol, LDL cholesterol and triglycerides in the blood decreased, while HDL cholesterol increased. Food has an important role in association with the incident hypercholesterolemia.Objective: The purpose of this study was to determine the effect of aerobic exercise on blood total cholesterol level of adult women in the city of Semarang.Method: This research was explanatory research with cross sectional study. Subject was women aged 20-49 years gymnastic participants, as a comparison group was a housewife who was not doing gymnastics. Twenty three samples for group2 by matching on nutritional status and age and with the sampling purposive sampling. Adequacy levels of carbohydrates, proteins, fats, and also vitamins A and C were obtained through 2x24-hour recall was not a sequence, and processed using NutriSurvey. Results of independent t-test used to determine the effect of cholesterol levels between groups, and chi square test was used to determine association with nutrient adequacy levels of total cholesterol.Results: The results showed no significant difference in mean total cholesterol level between groups of gymnastic participants (201.2 g/dl) with housewife group (208.3 g/dl). Housewife group was belonging to hypercholesterolemia by 52.2%, while in group of exercise participants at 43.5%. Sufficiency level of protein showed a role in the total cholesterol level of adult women.Conclusion: The aerobic gymnastics did not affect total cholesterol. Moderate level of protein adequacy contributes to the total cholesterol level of adult women.

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