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Pengaruh Intervensi Jus Alpukat Tanpa Gula Selama 14 Hari terhadap Kadar LDL dan HDL pada Dewasa dengan Risiko Hiperkolesterolemia Abdillah , Winda; Setyawan, Yuswanto
Jurnal Ilmiah Kesehatan Vol 17 No 2 (2025): Jurnal Ilmiah Kesehatan
Publisher : Universitas Mohammad Husni Thamrin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37012/jik.v17i2.2825

Abstract

Hiperkolesterolemia masih menjadi masalah kesehatan masyarakat yang signifikan dan merupakan faktor risiko utama penyakit kardiovaskular, terutama di negara-negara berpenghasilan rendah dan menengah. Penelitian ini bertujuan untuk mengevaluasi pengaruh intervensi selama 14 hari menggunakan jus alpukat tanpa gula terhadap kadar kolesterol LDL dan HDL pada orang dewasa dengan risiko hiperkolesterolemia yang meningkat. Penelitian ini merupakan studi analitik kuantitatif dengan desain eksperimen pre–post tanpa kelompok kontrol, melibatkan 176 responden dewasa berusia 25–55 tahun di Surabaya, Indonesia. Partisipan dipilih secara purposive, dan data dikumpulkan melalui kuesioner terstruktur serta pemeriksaan profil lipid puasa pada Hari ke-0 dan Hari ke-15. Intervensi terdiri dari konsumsi harian 200 mL jus alpukat segar tanpa gula yang dibuat dari 100 gram daging alpukat matang. Analisis statistik dilakukan menggunakan uji t berpasangan atau uji Wilcoxon signed-rank, Chi-Square, dan korelasi Spearman. Hasil menunjukkan penurunan signifikan kadar LDL (rata-rata penurunan = 14,2 mg/dL; p < 0,001) dan peningkatan signifikan kadar HDL (rata-rata peningkatan = 4,6 mg/dL; p < 0,001). Analisis Spearman juga menunjukkan korelasi signifikan antara tingkat kepatuhan dengan perubahan LDL (r = –0,423; p < 0,001) dan HDL (r = 0,388; p < 0,001). Tidak ditemukan efek samping serius selama intervensi. Kesimpulannya, konsumsi jus alpukat tanpa gula setiap hari selama 14 hari secara signifikan memperbaiki profil lipid dan berpotensi menjadi strategi alami alternatif untuk pengelolaan kolesterol pada individu dengan risiko tinggi. Kata kunci: Jus alpukat; Kolesterol LDL; Kolesterol HDL; Hiperkolesterolemia; Intervensi diet; Pangan fungsional.
Correlation Between Probiotic Use And Blood Pressure In Hypertensive Adults: A Cross-Sectional Study Sultan, Dharma; Setyawan, Yuswanto
Jurnal Pharmacopoeia Vol 4 No 2 (2025): September 2025
Publisher : Poltekkes Kemenkes Bengkulu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33088/jp.v4i2.1081

Abstract

Hypertension remains a significant global health burden and is closely linked to cardiovascular morbidity. Emerging evidence suggests that gut microbiota plays an essential role in modulating blood pressure, particularly through the use of probiotics and prebiotics. This study investigated the relationship between the frequency of probiotic consumption and blood pressure control in patients with essential hypertension. A total of 100 hypertensive adults participated in this cross-sectional study, and data were collected through structured interviews, food frequency questionnaires, and blood pressure assessments. Statistical analyses included Chi-square and Spearman correlation tests. The results demonstrated a significant association between higher frequency of probiotic intake and better blood pressure control (p = 0.008), with a moderate negative correlation (r = –0.45) observed between intake duration and systolic blood pressure. Additionally, individuals who consumed both probiotics and prebiotic-rich foods exhibited enhanced blood pressure improvement. These findings support the potential of probiotic-prebiotic synergy in modulating gut microbiota to regulate blood pressure. The incorporation of prebiotics is essential, as they serve as substrates that stimulate the growth and activity of beneficial bacteria, thereby optimizing the efficacy of probiotic supplementation. The study highlights the practical implications of dietary interventions targeting the gut environment as a complementary strategy in hypertension management. Keywords: Hypertension, Probiotics, Prebiotics, Gut microbiota, Blood pressure
Gambaran Status Nutrisi pada Pasien Penyakit Ginjal Kronik yang Menjalani Hemodialisis di Kota Surabaya: Description of Nutritional Status in Patients with Chronic Kidney Diseasepatients Undergoing Hemodialysis in the City of Surabaya Laurensia Budi, Stephanie; Setyawan, Yuswanto; Harsa Sekarputri, Cempaka
Jurnal Surya Medika (JSM) Vol. 10 No. 3 (2024): Jurnal Surya Medika (JSM)
Publisher : Institute for Research and Community Services Universitas Muhammadiyah Palangkaraya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33084/jsm.v10i3.6113

Abstract

Penyakit ginjal kronik adalah penurunan bertahap fungsi ginjal, dimana terjadi kerusakan atau laju filtrasi glomerulus (LFG) di bawah 60 mL/menit selama minimal 3 bulan, menyebabkan ketidakmampuan tubuh untuk menjaga keseimbangan elektrolit dan cairan. Kasus gagal ginjal yang telah mencapai kategori stadium akhir serta ginjal yang tidak berfungsi, memerlukan hemodialisis untuk mengeluarkan zat racun yang ada di dalam tubuh. Akan tetapi, selain bisa membuang zat berbahaya dan cairan yang berlebih, hemodialisis juga bisa menghilangkan nutrisi yang sangat masih dibutuhkan oleh tubuh, layaknya glukosa, protein, serta juga vitamin larut air, dan mineral. Tujuan: Mengetahui gambaran dari status nutrisi yang ada pada pasien penyakit ginjal kronik yang sudah menjalani terapi hemodialisis di kota Surabaya. Metode: Penelitian ini merupakan penelitian deskriptif observasional dengan menggunakan metode cross sectional. Penelitian ini dilakukan melalui wawancara menggunakan kuisioner Dialysis Malnutrition Score serta dilakukan pengukuran antropometri pada pasien penyakit ginjal kronik yang menjalani hemodialisis di kota Surabaya. Hasil: pasien penyakit ginjal kronik yang menjalani hemodialisis di kota Surabaya mengalami malnutrisi tahap ringansedang sebanyak 65 orang (68%), sebagian besar memiliki indeks massa tubuh yang normal sebanyak 54 orang (56%), sebagian besar memiliki lingkar lengan atas yang normal sebanyak 60 orang (62%), dan Sebagian besar memiliki lingkar perut yang berlebihan sebanyak 45 orang (47%). Kesimpulan: Jumlah pasien gagal ginjal kronik yang menjalani hemodialisa di kota Surabaya sebagian besar mengalami penurunan status nutrisi pada tahap ringan-sedang dengan jumlah 65 orang atau sebesar 68% dari 96 total responden.
Korelasi Olahraga Renang dan Kejadian Hipotermia pada Anak Setyawan, Yuswanto
Jurnal Kesehatan Jasmani dan Olahraga (KEJAORA) Vol 10 No 2 (2025): Jurnal Kejaora (Kesehatan Jasmani dan Olah Raga)
Publisher : Prodi Pendidikan Jasmani Kesehatan dan Rekreasi, Universitas PGRI Banyuwangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36526/kejaora.v10i2.5194

Abstract

Tujuan penelitian ini yaitu menganalisis korelasi renang dan hipotermia pada anak.  Penelitian ini merupakan cross sectional meggunakan SPSS dan korelasi spearman dengan 100 partisipan yaitu anak yang berenang minimal 1x dalam 1 minggu. Hasilnya olahraga renang dapat meningkatkan kejadian hipotermia sebanyak 57,2% pada anak apabila dilakukan terlalu sering dengan durasi lama dan kondisi tubuh anak yang kurang sehat. . Upaya yang bisa dilakukan adalah melakukan pemanasan dan 30-60 menit sebelumnya bisa mengonsumsi makanan seperti buah, roti atau biscuit.  Untuk penelitian selanjutnya diharapkan bisa melakukan observasi lapangan dengan membandingkan antar 2 kelompok yang mendapat perlakuan serta tidak dapat perlakuan khusus.
Perempuan, Pil KB, dan Batu Empedu: Hubungan Durasi Kontrasepsi dengan Risiko Cholelithiasis Kwando, Feliciana; Setyawan, Yuswanto
BRILIANT: Jurnal Riset dan Konseptual Vol 10 No 4 (2025): Volume 10 Nomor 4, November 2025
Publisher : Universitas Nahdlatul Ulama Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28926/briliant.v10i4.2339

Abstract

The use of oral contraceptive pills (OCPs) is widely recognized as an effective method of birth control among women of reproductive age. However, prolonged exposure to synthetic estrogen and progesterone may pose a risk for gallstone formation (cholelithiasis). This study aimed to investigate the association between the duration of OCP use and the incidence of cholelithiasis in reproductive-age women. Employing a quantitative cross-sectional approach, 100 purposively selected female respondents aged 20–45 years were assessed through structured questionnaires, interviews, and confirmed ultrasonography (USG) results. Statistical analyses using Chi-Square and Spearman’s rank correlation revealed a significant relationship between longer duration of pill use and increased risk of gallstone formation (p < 0.05). These findings underscore the hepatobiliary impact of long-term hormonal contraceptive use, even in asymptomatic users. The novelty of this research lies in highlighting duration as a predictive factor, which has not been emphasized in current family planning policies. This study recommends integrating risk-based contraceptive counseling and early detection protocols into primary health care services, particularly for long-term users. Further longitudinal studies are necessary to confirm causal relationships and expand the applicability of these findings.
Analisis Faktor-Faktor yang Mempengaruhi Konsumsi Mi Instan pada Generasi Muda Abdillah , Winda; Setyawan, Yuswanto
JURNAL KESEHATAN PRIMER Vol 10 No 2 (2025): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v10i2.2103

Abstract

Background:  Instant noodle consumption has become a popular dietary trend among young adults due to its convenience, affordability, and appealing taste. However, frequent intake may contribute to poor nutritional quality and increase long-term health risks. Objectives: To examine the relationship between instant noodle consumption patterns and potential health implications among young adults. Method: A cross-sectional design was applied to 250 respondents using structured questionnaires assessing consumption frequency, portion size, and lifestyle factors. Statistical analyses included chi-square tests and logistic regression to identify significant associations with self-reported health indicators. Results: The results indicated a significant association between high-frequency instant noodle consumption and unhealthy dietary habits, including low intake of fruits and vegetables and higher consumption of sugary drinks (p < 0.05). Spearman correlation showed significant positive relationships between consumption frequency and affordability (ρ = 0.412, p = 0.001), taste preference (ρ = 0.367, p = 0.002), and convenience (ρ = 0.295, p = 0.009), while peer influence was not significant (ρ = 0.158, p = 0.073). Conclusion: The study concludes that frequent consumption of instant noodles is significantly associated with unhealthy dietary patterns among young adults, highlighting the importance of nutrition education, promotion of healthier alternatives, and targeted public health interventions to encourage balanced diets.
Hygiene Behavior And The Risk Of Hepatitis Among Street Food Vendors In Surabaya Alfia, Nur Laili; Setyawan, Yuswanto
JURNAL KESEHATAN PRIMER Vol 10 No 1 (2025): JKP (Jurnal Kesehatan Primer)
Publisher : Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/jkp.v10i1.2104

Abstract

Background:   Street food vendors are a vital part of urban food systems in Indonesia, yet their hygiene practices remain poorly regulated, contributing to the spread of foodborne diseases such as hepatitis. Objective: This study aimed to analyze the relationship between hygiene behavior and the risk of hepatitis among street food vendors in Surabaya. Method: A quantitative analytical method with a cross-sectional design was applied to 120 purposively selected vendors. Data were collected through structured questionnaires assessing hygiene practices and self-reported hepatitis symptoms. Results: Chi-Square and Spearman correlation tests revealed significant associations between handwashing (p = 0.002), glove use (p = 0.011), access to clean water (p = 0.001), and food covering (p = 0.005) with hepatitis risk. The strongest negative correlation was found between clean water access and hepatitis symptoms (ρ = –0.48). These results highlight the critical role of basic hygiene practices in preventing hepatitis transmission in informal food settings. Findings suggest that targeted health education and improved water access can reduce public health risks. This study supports the integration of food safety standards into street food regulation and community-based interventions. Strengthening hygiene behavior among vendors could significantly reduce the burden of hepatitis in high-density urban environments.
Association of Blood Glucose Control with Wound Healing in Patients with Diabetes Mellitus Wiyono, Mohamad; Setyawan, Yuswanto
JURNAL CITRA KEPERAWATAN Vol 13 No 2 (2025): Jurnal Citra Keperawatan Edisi : Desember
Publisher : Poltekkes Kemenkes Banjarmasin

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31964/jck.v13i2.402

Abstract

This study aimed to investigate the relationship between glycemic control and wound healing in patients with diabetes mellitus. A cross-sectional study was conducted at a diabetic wound clinic in Pasuruan from March to May 2025 involving 164 participants. Data were collected on HbA1c levels and wound healing outcomes, and analyzed using both Chi-square and Spearman correlation tests. The results showed a significant association between HbA1c categories and wound healing outcomes, with higher HbA1c levels linked to delayed healing. Spearman analysis confirmed a moderate negative correlation between continuous HbA1c values and wound healing scores, indicating that poor glycemic control impairs tissue repair. These findings highlight the importance of maintaining optimal blood glucose levels to accelerate wound recovery and prevent complications. Clinical recommendations include continuous glucose monitoring, individualized glycemic management, patient education, and structured self-care programs. Future research should employ multi-center designs and objective wound assessment tools to strengthen evidence and generalizability. The study provides essential insights for both clinical practice and public health strategies aimed at improving diabetic wound outcomes.
Blood Glucose and Tingling Sensation in Feet: Chi-Square and Spearman Approach Wijaya , Wilson Gani; Setyawan, Yuswanto
PROMOTOR Vol. 8 No. 6 (2025): DESEMBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v8i6.1793

Abstract

This study aims to investigate the relationship between blood glucose levels and tingling sensation in the feet among individuals with suspected diabetic neuropathy using the Chi-Square and Spearman correlation approach. A cross-sectional design was applied involving 100 participants aged 35–65 years selected through purposive sampling. Data were collected using structured questionnaires and fasting blood glucose tests, followed by statistical analysis using SPSS. Results showed a significant association between elevated blood glucose levels and the presence of tingling sensations (p < 0.05). Spearman's test indicated a strong positive correlation (r = 0.682), suggesting that as glucose levels increase, the likelihood of tingling sensations also rises. These findings support the hypothesis that persistent hyperglycemia contributes to peripheral nerve damage, potentially leading to diabetic neuropathy. This research highlights the importance of early detection and glycemic control as preventive measures. Further longitudinal studies are recommended to explore causal mechanisms and clinical interventions.
Clinical assessment of overuse injury risk in office workers participating in weekend tennis activities Kutanggas, Rivo Christian; Setyawan, Yuswanto
Citius : Jurnal Pendidikan Jasmani, Olahraga, dan Kesehatan Vol. 5 No. 2 (2025): CITIUS : Jurnal Pendidikan Jasmani, Olahraga, dan Kesehatan
Publisher : Pendidikan Jasmani, Kesehatan, dan Rekreasi Universitas Nahdlatul Ulama Sunan Giri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32665/citius.v5i2.5257

Abstract

This study examines the correlation between tennis activity and overuse injury risk among office workers, a population increasingly involved in high-intensity weekend sports despite predominantly sedentary weekday routines. Using a cross-sectional design, data were collected from 112 office workers aged 25–55 years who regularly played tennis. A structured questionnaire and physical assessment were used to evaluate injury incidence, tennis activity patterns, and occupational physical activity levels. The results showed a statistically significant association (p < 0.05) between the frequency and intensity of weekend tennis and the prevalence of overuse injuries, particularly in the shoulder, knee, and elbow. Office workers with low weekday physical activity and inadequate warm-up routines exhibited a higher risk of injury. These findings highlight the mismatch between limited baseline fitness and abrupt physical exertion, contributing to musculoskeletal strain. The study emphasizes the importance of continuous conditioning, proper warm-up routines, and injury-prevention education tailored to recreational athletes in sedentary professions. Future research should explore longitudinal designs, incorporate more detailed biomechanical or clinical assessments, and evaluate intervention-based programs to better understand causal mechanisms and effective prevention strategies for overuse injuries in weekend athletes.