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Microbiology quality and shelf life analysis of enteral formulas based on tempeh flour and yam flour Annisa, Wahyu Ilmi; Ardiaria, Martha; Rahadiayanti, Ayu; Fitranti, Deny Yudi; Dieny, Fillah Fithra; Afifah, Diana Nur; Nissa, Choirun
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 8, No 2 (2020)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Critically ill patients have an increased risk of developing infection. Enteral formula that given to patients must meet food safety which includes microbiology quality. In powder form, powder formula is a solution to suppress microbial growth, although it is still susceptible to oxidation. Shelf life is useful to determine the oxidation status. Objectives: This study aimed to analyze the value of TPC, Salmonella, E. coli and shelf life of enteral formula.Methods: This study was a completely randomized experimental design of one factor, namely the length of storage for values of TPC, Salmonella and E. coli with variations in storage for 0, 1, 2, and 3 hours at room temperature. Data on the TPC test was analyzed using Kruskal-Wallis. The temperature used for shelf life with TBA based-Arrhenius equation is 250C, 350C, and 450C for 28 days.Results: There was a difference in the length of storage of 0, 1, 2, and 3 hours on the value of TPC. The TPC value at 0 and 1 hour did not exceed the normal limit. The value of Salmonella was negative/25 g and < 3/g for E. coli. The shelf life of enteral formulas was respectively 250C, 350C and 450C for 44.89, 28.26 and 18.32 days.Conclusion: The longer the length of storage, the higher the TPC value. In accordance with the Indonesian standard (SNI), there is no contamination of Salmonella and E. coli in the enteral formula. The longest shelf life is at 250C.

Sugar-sweetened beverages as risk factor of central obesity among women in reproductive age Annisa, Nabila Rifka; Dieny, Fillah Fithra; Nissa, Choirun; Tsani, A. Fahmy Arif
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 8, No 2 (2020)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Several risk factors for central obesity include high Sugar-sweetened Beverages (SSBs) intake, lack of physical activity, and lack of sleep duration. High fructose corn syrup, the sweetener used in SSBs, increase body weight because of the bad effect of insulin secretion and leptin release. The fructose from this beverage can increase visceral adiposity accumulation. Objectives: This study aimed to analyze the intake of Sugar-sweetened Beverages (SSBs), physical activity, and sleep duration as risk factors for central obesity among women in the reproductive AgeMethods: This study used case-control design consists of 38Subjects in case and control groups. All women were in childbearing age (20-29 years) selected using a simple random sampling technique. The data taken were weight, height, waist circumference, and hip circumference. Food intake and sugar-sweetened beverage intake were obtained by using Semi-Quantitative Food Frequency (SQ-FFQ) questionnaire. Physical activity data were obtained using the International Physical Activity Questionnaire (IPAQ) questionnaire. Sleep duration data were obtained using the Pittsburgh Sleep Quality Index (PSQI). Chi-Square test and logistic regression were used to analyze the data.Results: There were a significant relationship between Sugar Sweetened Beverages intake (p = 0.002, OR =5.926), energy intake of SSBs (p = 0.035, OR = 2.979) physical activity (p = 0.035, OR = 0.3111), duration of morning sleep / afternoon (p = 0.000; OR = 9.44) and sleep duration (p = 0.028, OR = 4.42) with central obesity. But there were no significant relationship between energy intake (p = 0.375), carbohydrates (p = 0.1), protein (p = 0.3), fat (p = 0.1) and fibers with central obesity.Conclusion: High intake of sugar-sweetened beverages, short duration of night's sleep and the duration>2 hours/day of a long day sleep are risk factors for increasing the incidence of central obesity among Women in reproductive Age.

Pengembangan formula enteral hepatogomax untuk penyakit hati berbasis tepung kedelai dan tepung susu kambing Rahmadanti, Tia Sofa; Candra, Aryu; Nissa, Choirun
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 1 (2020)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.1.1-10

Background: Patients with chronic liver disease were risk to be malnourished due to malabsorption, hipermetabolic condition, and not receiving adequate nutrients orally. Diet therapy through enteral feeding based on soybean flour and goat milk flour play role as an alternative formula for chronic liver patients since it contains high Branched-Chain Amino Acids (BCAA) and Medium-chain Triglyceride (MCT).Objectives: to analyze viscosity, nutrient content, protein digestibility, and organoleptic properties of enteral feeding using soybean flour and goat milk flour.Methods: An experimental study using 3 distinc formula with ratio soybean flour to goat milk flour was P1(45:55), P2(50:50), P3(55: 45). Â Viscosity, fat, carbohydrate content, and energy density were analyzed using One Way Anova followed by Tukey test while protein content, protein digestibility, and energy density were analyzed using Kruskal Wallis followed by Mann Whitney test. Organoleptic properties were analyzed using Friedman followed by Wilcoxon test.Results:The higher the soybean flour, the higher the formula viscosity (p=0.000) and protein (0.007). In contrast, the higher the got milk flour, the higher the fat (p=0.000), carbohydrate (p=0.000), energy (p=0.000) and energy density (p=0.013). Formula P3 has the highest viscosity (1.93Â±0.039 cP) and protein (9.66Â±0.16%), while P1 has the highest fat (27.33Â±0.15%), carbohydrate (65.97Â±0.23%), energy (1.175Â±3.04 kkal), energy density (1.17Â±0.00 kkal/ml), and protein digestibility (45.90Â±1.49%) among others. However, there is no effect of different formula toward protein digestibility (p=0.116). Organoleptic properties showed that the higher the got milk flour, the higher its acceptance in all aspect including color (p=0.046), flavor (p=0.000), taste (p=0.009) dan texture (p=0.002).Conclusion: P1 was the best formula due to its level of viscosity, fat, energy, protein and energy density that meet requirements according to European Society for Clinical Nutrition and Metabolism (ESPEN). P1 also has the highest protein digestibility, and have the highest score of all organoleptic parameters.

THE EFFECTS OF PAPAYA LEAVES JELLY IN LIPID PROFILE AMONG OVERWEIGHT WOMEN Nissa, Choirun; Pratiwi, Syafira Noor; Majidah, Siti; Rahma, Nadia; Paramastuti, Ratih; Hindarta, Nadhea Alriessyanne; Syauqy, Ahmad; Wijayanti, Hartanti Sandi; Afifah, Diana Nur
Journal of Nutrition College Vol 9, No 4 (2020): Oktober
Publisher : Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v9i4.29160

Background : Insulin resistance that occurred in diabetic state could promote endothelial dysfunction which lead to metabolic disease in obese subjects. Although several studies showed papaya leaves had antidiabetic and antihyperlipidemic agent, the effect of papaya leaves jelly is rarely studied on lipid profiles among overweight women.Objectives : We aimed to examine the effect of papaya leaves jelly on lipid profiles in women with overweight. Methods : This study was a pre-posttest controlled group design with both of the groups were overweight. The treatment group consumed papayq leaves jelly with 24.6 grams papaya leaves jelly that contains 182.4 mg chlorophyll, while the control group consumed 24.6 grams jelly with green dye for 20 days in a row. Three-day recall in three non-consecutive days and physical activity using International Physical Activity (IPAQ) were taken three times. Fasting blood sugar was measured using Glucose Oxidase Phenol 4-Aminophenazone (GODPAP). LDL, HDL, total cholesterol, triglyceride levels were measured using Cholesterol Oxidase Para Aminophenazone (CHOD-PAP). Statistical analysis using Paired t-test was used within group, while Independent t-test and Mann-Whitney were used in between groups. Papaya leaves jelly effects on lipid profiles was analyzed using multiple linear regression after considering energy, protein, fat, and carbohydrate intakes. Results : Triglyceride levels was reduced significantly (p=0.014) in the treatment group despite there were no differences in triglyceride (p= 0.407), LDL (p= 0.923), HDL (p= 0.749) and total cholesterol (p= 0.277) between 2 groups. Conclusion : Papaya leaves jelly consumption could lower triglyceride levels significantly in the treatment group.

Studi Deskriptif Analisis Berpikir Kritis Siswa pada Pembelajaran IPA Secara Daring dengan Menggunakan PBL Materi Peredaran Darah Kelas V SDN Pegangsaan Dua 06 Jakarta Utara Nissa, Choirun; Ramadhani, Sulistyani Puteri
Jurnal Pendidikan Tambusai Vol. 6 No. 1 (2022): April 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (258.182 KB)

Akibat adanya wabah yang disebabkan oleh wabah virus corona yang mewabah di Indonesia maka seluruh sektor pendidikan dilakukan secara pembelajaran jarak jauh. Penelitian ini bertujuan untuk mendeskripsikan sebuah proses pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL, mendeskripsikan berfikir kritis siswa dalam pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL, menjelaskan respon guru dan siswa pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL. Lokasi penelitian ini adalah SDN Pegangsaan Dua 06 Jakarta Utara. Penelitian dengan metode yang digunakan pada penelitian ini ialah penelitian kualitatif deskriptif dengan mengambil sumber data secara primer dan sekunder yang didapatkan melalui tahap pengumpulan data wawancara dan observasi. Teknik analisis data yang digunakan ialah dengan melakukan pengumpulan data yang diperoleh dan ditarik kesimpulan dengan menggunakan teknik pengumpulan data, reduksi data, penyajian data, dan kesimpulan. Hasil penelitian yang didapatkan pada penelitian ini adalah terdapat banyak siswa yang antusias akan pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL walaupun masih ada beberapa siswa yang kurang percaya diri, dan sudah banyak siswa yang baik dalam berfikir seacra kritis pada materi peredaran darah pembelajaran IPA secara daring sehingga banyak siswa yang sudah mengajukan pertanyaan pada guru terkait materi tersebut.

IDENTIFIKASI POTENSI SENYAWA ISOFLAVON DAN QUERCETIN DAN PERBANDINGAN IKATAN TERHADAP ACE (ANGIOTENSIN-CONVERTING ENZYME) MENGGUNAKAN STUDI IN SILICO Nissa, Choirun; Sukma, Guritan Indra; Madjid, Indah Juliana; Sidin, Nur Mariyah; Musyarrofah, Maulidatul
Journal of Nutrition College Vol 11, No 1 (2022): Januari
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v11i1.29500

Prevalensi hipertensi di Indonesia tergolong tinggi, sekitar 29,1% pada laki-laki dan perempuan sebesar 26,6%. Penderita hipertensi di Jawa Timur juga tergolong tinggi, sebanyak 31.789 orang. Solusi alternatif dalam penelitian ini, memanfaatkan isoflavon dan quercetin sebagai antihipertensi. Isolavon dan quercetin merupakan seyawa fenolik yang mampu berikatan dengan Angiotensin Converting Enzyme(ACE) dan mempengaruhi tekanan darah. Penelitian ini mengidentifikasi potensi senyawa isoflavon dan quercetin serta perbandingan ikatan antara isoflavon dan quercetin terhadap ACE dengan menggunakan perangkat lunak Hex 8. Penelitian ini adalah deskriptif kuantitatif dengan penelusuran melalui metode in silico (pengunduhan molekul dan penambatan molekul) secara komputerisasi. Â Softwareatau aplikasi yang digunakan pada penelitian ini adalah pass server dan HEX 8.0. Hasil visualisasi penambatan molekul ditampilkan dengan perangkat lunak Discovery Studio. Hasil penelitian ini menunjukkan bahwa senyawa quercetin dan isoflavone berpotensi sebagai vasoprotektor. Energi penambatan molekul Isoflavon terhadap ACE sebesar -194,66 kkal.mol. Quercetin sebesar -236,47 kkal.mol, Captopril sebesar -494.56 kkal/mol. Energi penambatan ligan isoflavon dan quercetin terhadap ACE (Angiotensin Converting Enzyme) lebih besar daripada penambatan ligan Captopril terhadap ACE (Angiotensin Converting Enzyme). Hasil penelitian ini memberi harapan potensi penggunaan senyawa ligan sebagai antihipertensi namun memerlukan penelitian lebih lanjut.

PENDAMPINGAN KELUARGA UNTUK PENCEGAHAN DAN DETEKSI DINI RISIKO STUNTING: FAMILY ASSISTANCE FOR STUNTING RISK PREVENTION AND EARLY DETECTION Septiasari, Ratih Mega; Mayasari, Dian; Purwanza, Sena Wahyu; Nissa, Choirun
GEMAKES: Jurnal Pengabdian Kepada Masyarakat Vol. 3 No. 1 (2023): GEMAKES: Jurnal Pengabdian Kepada Masyarakat
Publisher : Politeknik Kesehatan Kemenkes RI Jakarta I

Prevalensi stunting di Indonesia berdasarkan Studi Status Gizi Indonesia (SSGI) tahun 2021 sebesar 24,4% sedangkan target prevalensi stunting pada tahun 2024 sebesar 14%. Salah satu penyebab stunting yaitu kurangnya pengetahuan ibu mengenai kesehatan dan gizi sebelum, pada masa kehamilan dan setelah melahirkan. Intervensi yang paling menentukan untuk menurunkan prevalensi stunting adalah pada 1000 Hari Pertama Kehidupan (HPK) dari anak balita. Kegiatan pengabdian masyarakat ini bertujuan untuk pencegahan dan deteksi dini risiko stunting pada 1000 Hari Pertama Kehidupan (HPK). Kegiatan ini dilaksanakan selama 3 bulan sejak bulan Mei-Juli 2022 di Dusun Wunutsari Desa Tegalgondo Kabupaten Malang. Sasaran pengabdian masyarakat ini adalah keluarga yang didalamnya terdapat calon pengantin perempuan, ibu hamil, ibu nifas, bayi dan bayi bawah dua tahun sebanyak 21 orang. Tahapan pengabdian masyarakat dimulai dari melakukan identifikasi, pemberian penyuluhan/edukasi kesehatan, observasi dan evaluasi. Hasil dari kegiatan ini ditemukan 1 orang calon pengantin KEK, 1 ibu hamil KEK dan 1 bayi bawah dua tahun dengan gizi kurang. Hasil kegiatan ini juga didapatkan peningkatan pengetahuan dari sasaran. Pendampingan keluarga pada calon pengantin, ibu hamil, ibu nifas, bayi dan bayi bawah dua tahun merupakan upaya yang efektif dalam pencegahan dan deteksi dini risiko stunting.

ANALISIS KANDUNGAN GIZI DAN VISKOSITAS FORMULA ENTERAL BERBASIS TEPUNG SORGUM DAN TEPUNG KEDELAI UNTUK DIABETES MELLITUS Anggraeni, Gita Devita; Nissa, Choirun; Candra, Aryu; Kurniawati, Dewi Marfu’ah
Journal of Nutrition College Vol 12, No 4 (2023): Oktober
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v12i4.38094

ABSTRACTBackground: Diabetes Mellitus can increase the risk of various comorbidities thus increasing the risk of malnutrition. Administering anti-hyperglycemic enteral formulas based on sorghum flour and soy flour was chosen as an alternative to expensive commercial enteral formulas. The low glycemic index in sorghum and the amino acids arginine, glycine in soybeans are beneficial for controlling blood glucose level.Objective: To analyze and compare the nutritional content and viscosity of the enteral formulas based on sorghum flour and soy flour with commercial enteral formulas.Method: Enteral formula was made from sorghum flour, soy flour, mung bean flour, skim milk, extra virgin olive oil, maltodextrin and sugar. This an experimental study using 3 comparison groups of sorghum flour and soybean flour, namely formula A (3:1), B (7:2), and C (4:1) which were compared with formula D (commercial enteral formula). Carbohydrate, protein, fat, sugar and dietary fiber variables were tested using by by different method, kjehdahl, soxhlet, luff schroll, enzymatic-gravimetric and viscosity was measured using an Ostwald viscometer which was repeated 3 times. Data were analyzed by One Way Anova and Kruskal Wallis tests, except that nutritional content of formula D was not tested.Results: Energy, energy density, and fat formulas A, B and C had significant differences (p<0.001) but formulas A and C had values that were close to formula D. Carbohydrates formulas A, B and C showed significant differences (p<0.05). Dietary fiber cotent of formulas A, B, and C was 46,12 g, 41,54 g, and 73,82 g higher than formula D content of 16 g. Protein enteral formula sorgum flour dan soy flour showed no significant difference (p>0.05) but the levels were lower than formula D. Sugar content of formula A, B C was 4,13%, 5,49%, 5,98% higher than the formula D. The viscosity of enteral formula tepung sorgum dan tepung kedelai was significantly different (p<0.05) with formula D.Conclusion: Formulas A and C are formulas that are similar to commercial enteral formulas based on their energy content, energy density and fat content.Keywords: Diabetes mellitus; enteral formula; sorghum; soybean ABSTRAKLatar belakang: Diabetes Melitus meningkatkan berbagai risiko penyakit komorbid sehingga meningkatkan risiko malnutrisi. Terapi pemberian formula enteral anti hiperglikemia berbasis tepung sorgum dan tepung kedelai dipilih sebagai alternatif pemberian formula enteral komersial yang mahal. Indeks glikemik rendah dalam sorgum serta asam amino arginin, glisin pada kedelai bermanfaat untuk mengontrol kadar glukosa darah.Tujuan: Menganalisis dan membandingkan kandungan gizi dan viskositas formula enteral tepung sorgum dan tepung kedelai dengan formula enteral komersial.Metode: Formula terbuat dari tepung sorgum, tepung kedelai, tepung kacang hijau, susu skim, minyak zaitun ekstra virgin, maltodekstrin dan gula. Penelitian ini merupakan penelitian eksperimental dengan 3 kelompok perbandingan tepung sorgum dan tepung kedelai yang diberi nama formula A (3:1), B (7:2), dan C (4:1) kemudian dibandingkan dengan formula D (formula enteral komersial). Variabel karbohidrat, protein, lemak, gula dan serat pangan diuji menggunakan metode by different, kjeldahl, soxhlet, luff schroll, dan enzimatik-gravimetri serta viskositas diukur menggunakan viskometer ostwald. Data dianalisis dengan uji One Way Anova dan Kruskal Wallis kecuali kandungan gizi formula D tidak diuji.Hasil: Energi, densitas energi, dan lemak formula A, B dan C memiliki perbedaan yang signifikan (p<0,001) namun formula A dan C memiliki nilai yang mendekati formula D. Karbohidrat formula A, B dan C menunjukan perbedaan yang signifikan (p<0,05). Kadar serat pangan formula A, B dan C sebanyak 46,12 g, 41,54 g, dan 73,82 g lebih tinggi dibandingkan formula enteral komersial yaitu 16 g. Protein formula enteral tepung sorgum dan tepung kedelai tidak menunjukan perbedaan yang signifikan (p>0,05) namun kadarnya lebih rendah dibandingkan formula D. Kadar gula formula A, B dan C yaitu 4,13%, 5,49%, 5,98% lebih tinggi dibandingkan formula D.Viskositas formula enteral tepung sorgum dan tepung kedelai berbeda secara signifikan (p<0,05) dengan formula D.Simpulan: Formula A dan C merupakan formula yang memiliki kemiripan dengan formula enteral komersial berdasarkan kandungan energi, densitas energi dan lemaknya.Kata kunci: Diabetes melitus; formula enteral; sorgum; kedelai

Studi Deskriptif Analisis Berpikir Kritis Siswa pada Pembelajaran IPA Secara Daring dengan Menggunakan PBL Materi Peredaran Darah Kelas V SDN Pegangsaan Dua 06 Jakarta Utara Nissa, Choirun; Ramadhani, Sulistyani Puteri
Jurnal Pendidikan Tambusai Vol. 6 No. 1 (2022): 2022
Publisher : LPPM Universitas Pahlawan Tuanku Tambusai, Riau, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jptam.v6i1.2943

Akibat adanya wabah yang disebabkan oleh wabah virus corona yang mewabah di Indonesia maka seluruh sektor pendidikan dilakukan secara pembelajaran jarak jauh. Penelitian ini bertujuan untuk mendeskripsikan sebuah proses pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL, mendeskripsikan berfikir kritis siswa dalam pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL, menjelaskan respon guru dan siswa pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL. Lokasi penelitian ini adalah SDN Pegangsaan Dua 06 Jakarta Utara. Penelitian dengan metode yang digunakan pada penelitian ini ialah penelitian kualitatif deskriptif dengan mengambil sumber data secara primer dan sekunder yang didapatkan melalui tahap pengumpulan data wawancara dan observasi. Teknik analisis data yang digunakan ialah dengan melakukan pengumpulan data yang diperoleh dan ditarik kesimpulan dengan menggunakan teknik pengumpulan data, reduksi data, penyajian data, dan kesimpulan. Hasil penelitian yang didapatkan pada penelitian ini adalah terdapat banyak siswa yang antusias akan pelaksanaan pembelajaran IPA secara daring dengan menggunakan PBL walaupun masih ada beberapa siswa yang kurang percaya diri, dan sudah banyak siswa yang baik dalam berfikir seacra kritis pada materi peredaran darah pembelajaran IPA secara daring sehingga banyak siswa yang sudah mengajukan pertanyaan pada guru terkait materi tersebut.

Perbandingan Jenis Cairan Rehidrasi terhadap Tingkat Dehidrasi dan VO2 Maksimal pada Remaja Putri Peserta Ekstrakurikuler Bola Basket Nissa, Choirun; Madjid, Indah Juliana; Januardo, Ferdian Hapreda
Jurnal Gizi Vol 10, No 2 (2021): Jurnal Gizi UNIMUS
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/jg.10.2.2021.1-9

Indonesia currently tends to have fluctuative achievement in sports, especially in basketball. The sports performance can be affected by several things, which are relatedto the fulfillment of nutritional adequacy. Balance of fluid is one of essential intakes forathletes. This study aimed to analyze the comparison of rehydration fluids type todehydration level and vo2max on female teens of basketball extracurricular participants.This study design was quasy experiment with posttest only group design. Thetreatments in this study were divided into 3 groups, the first is water-given group, thesecond water-CHO 6%-given group and the third is isotonic water-given group. Alltreatments were performed to 8 female teens of basketball extracurricular participantson the different days. The results of Kruskal-Wallis statistical test showed difference in the level ofdehydration in a variety of treatments (p = 0.0001). Based One Way Anova there wereno differences in the various treatments VO2max (p = 0.180). The conclusion of thisresearch was that providing isotonic water could help reach the best level of hydrationfor an athlete during training. Key words: Dehydration Level, VO2max, Rehydration Fluid

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