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PENDIDIKAN KESEHATAN TENTANG ASUPAN DIET RENDAH LEMAK DAN KOLESTEROL DI WILAYAH DI PUSKESMAS GAMBIRSARI SURAKARTA Oktavina Permatasari; Arwin Muhlishoh
INDONESIAN JOURNAL OF COMMUNITY EMPOWERMENT (IJCE) Vol. 2 No. 1 (2020): Indonesian Journal of Community Empowerment Mei Vol.2 No.1
Publisher : UNIVERSITAS NGUDI WALUYO

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (172.051 KB) | DOI: 10.35473/ijce.v2i1.522

Abstract

Kadar kolesterol tinggi atau hiperkolesterolemia adalah kondisi dimana tingkat kolesterol dalam darah melampaui batas normal yang dapat meningkatkan risiko penyakit degeneratif seperti PJK (Penyakit Jantung Koroner) dan penyakit yang berhubungan dengan adanya sumbatan pada pembuluh darah (atherosklerosis). Faktor pemicu peningkatan kadar kolesterol dalam darah antara lain kebiasaan mengonsumsi makanan yang tidak sehat terutama makanan yang mengandung kadar lemak jenuh, tinggi kolesterol, serta kurangnya aktivitas fisik juga dapat menjadi faktor pemicu. Berdasarkan data dari Profil Kesehatan Kota Surakarta  Tahun 2018 tidak terjadi perubahan kasus penderita penyakit jantung dan pembuluh darah dibandingkan dengan data pada Tahun 2017, selain  itu  terdapat pergeseran tren usia pengidap penyakit jantung dan pembuluh darah yang menunjukkan usia yang lebih muda. Berdasarkan keadaan ini, perlu adanya pencegahan dan penanggulangan penyakit jantung dan pembuluh darah dengan memperbaiki pola konsumsi makanan rendah lemak dan kolesterol. Kegiatan ini dilakukan di Wilayah Puskesmas Gambirsari Surakarta untuk meningkatkan pengetahuan diet rendah lemak dan kolesterol sebagai upaya untuk menanggulangi penyakit jantung dan pembuluh darah. Berdasarkan hasil pre-test dan post-test terjadi peningkatan rata-rata nilai dengan selisih 13.2, dengan rata-rata nilai pre-test adalah 62,2 dan rata-rata nilai post-test adalah 75,4. Berdasarkan hasil nilai pre-test dan post-test trerebut dapat disimpulkan jika terdapat peningkatan pemahaman peserta mengenai asupan diet rendah lemak dan kolesterol sebagai upaya pencegahan penyakit jantung dan pembuluh darah serta dapat meningkatkan kesadaran untuk mengurangi asupan lemak dan kolesterol. Kata kunci: Peningkatan kesehatan, diet rendah kolesterol, diet rendah lemak
Kandungan Antioksidan, Beta Karoten dan Organoleptik Cookies dengan Substitusi Puré Labu Kuning dan Tepung Kacang Hijau Myisha Azizah; Arwin Muhlishoh; Nastitie Cinintya Nurzihan
Ghidza: Jurnal Gizi dan Kesehatan Vol 7 No 1 (2023): June
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ghidza.v7i1.545

Abstract

Obesitas dapat mengakibatkan peningkatan produksi radikal bebas yang memicu terjadinya stres oksidatif. Upaya menekan stres oksidatif adalah dengan mengonsumsi makanan yang mengandung tinggi antioksidan, salah satunya beta karoten seperti labu kuning dan kacang hijau. Tujuan dari penelitian ini adalah untuk mengetahui sifat organoleptik, kadar antioksidan, dan kadar beta karoten dari cookies substitusi puré labu kuning dan tepung kacang hijau. Jenis penelitian ini adalah eksperimen dengan metode Rancangan Acak Lengkap (RAL) dengan tiga kali pengulangan. Penelitian ini memiliki empat perlakuan dengan persentase tepung terigu : puré labu kuning : tepung kacang hijau yang berbeda-beda antara lain F0 (100% tepung terigu), F1 (55%:15%:30%), F2 (35%:25%:40%), dan F3 (15%:35%:50%). Analisis yang dilakukan adalah uji organoleptik (uji hedonik dan mutu hedonik), analisis kadar antioksidan menggunakan metode DPPH, dan analisis kadar beta karoten menggunakan metode HPLC. Pada uji hedonik menunjukkan bahwa tidak ada perbedaan yang nyata terhadap semua kelompok perlakuan (p>0,05) sedangkan pada uji mutu hedonik menunjukkan perbedaan nyata (p<0,05) terhadap warna dan tekstur cookies, namun pada rasa, aroma, dan aftertaste tidak memiliki perbedaan yang nyata. Kadar antioksidan setiap formulasi adalah F0 sebesar 33,85%, F1 sebesar 37,57%, F2 sebesar 39,76%, dan F3 sebesar 46,21%. Sedangkan, kadar beta karoten yaitu F0 tidak memiliki kadar beta karoten sama sekali, F1 sebesar 54,12 mg/100 g, F2 sebesar 41,13 mg/100 g, dan F3 sebesar 33,12 mg/100 g. Formulasi cookies F1 merupakan formulasi cookies terpilih dan dapat dijadikan sebagai alternatif pangan untuk remaja obesitas.
Formulasi Brownies Panggang dengan Substitusi Tepung Daun Kelor dan Tepung Kacang Hijau sebagai Alternatif Cemilan Sumber Zat Besi untuk Remaja Putri Anemia Puput Indah Parwati; Bahriyatul Ma'rifah; Arwin Muhlishoh
Ghidza: Jurnal Gizi dan Kesehatan Vol 7 No 2 (2023): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ghidza.v7i2.921

Abstract

Pemanfaatan tepung daun kelor dan tepung kacang hijau yang mengandung protein dan zat besi dapat mencegah terjadinya anemia pada remaja putri. Penelitian ini bertujuan untuk mengetahui pengaruh substitusi tepung daun kelor dan tepung kacang hijau terhadap kandungan gizi dan sifat organoleptik brownies panggang. Jenis penelitian eksperimental dengan Rancangan Acak Lengkap (RAL). Formulasi brownies panggang terdiri dari 3 perbandingan tepung daun kelor dan tepung kacang hijau yaitu : F1 (25% : 50%), F2 (30% : 55%), F3 (35% : 60%). Data kadar abu, lemak, protein, karbohidrat, zat besi dianalisis dengan uji Anova dan uji lanjut Duncan. Data kadar air dan organoleptik dianalisis dengan uji Kruskal Wallis dan uji lanjut Man Whitney. Hasil penelitian menunjukkan bahwa terdapat pengaruh nyata kandungan gizi dan organoleptik (hedonik: warna, tekstur, mouthfeel, aftertaste, dan mutu hedonik: rasa, mouthfeel, aftertaste). Hasil uji kandungan gizi brownies panggang setiap formulasi (F1, F2, F3) secara berurutan yaitu kadar air 20,29%; 21,03%; 21,87%; kadar abu 3,09%; 2,79%; 2,83%; lemak 12,31%; 13,22%; 12,02%; protein 10,91%; 10,42%; 10,81%; karbohidrat 53,39%; 52,52%; 52,63%; dan zat besi 4,45%; 4,31%; 4,09%. Formulasi terpilih F2 mengandung energi per takaran saji (50 g), yaitu 211,42 kkal, lemak 6,61 g, protein 5,21 g, karbohidrat 26,26 g, dan zat besi 2,15 mg. Brownies panggang F2 memiliki warna hijau tua, beraroma langu, tekstur agak keras, rasa agak enak, mouthfeel agak lembut, dan aftertaste sedang dengan penerimaan organoleptik kurang disukai. Produk sudah memenuhi %AKG remaja putri usia 16–18 tahun dan dapat diklaim sebagai sumber zat besi.
EFEKTIFITAS PEMANFAATAN TELEHEALTH NURSING TERHADAP PENINGKATAN SELF-MANAGEMENT DI MASA PANDEMI COVID -19 PADA PASIEN DIABETES MELLITUS POSYANDU SEHAT MANUNGGAL KARTASURA Martini Listrikawati; Intan Maharani Batubara; Arwin Muhlishoh; Heni Nur Kusumawati; Noor Fitriyani
Journal of Advanced Nursing and Health Sciences Vol. 4 No. 1, Januari 2023
Publisher : Universitas Kusuma Husada Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Indonesia is currently facing a triple burden of disease which adds to the problems in society. The problems that arise are not only about the outbreak of new infectious diseases, the outbreak of old infectious diseases and the increase in non-communicable diseases from time to time, but also problems arising from the interaction between the three. The prevalence of Diabetes Mellitus is increasing from year to year and has an impact on the patient's self-management. This study aims to determine the effectiveness of using telehealth nursing to improve Self Management during the COVID-19 pandemic in Diabetes Mellitus patients at Posyandu Sehat Manunggal Kartasura. This research method is a quasi-experimental one group pre test post test. The research instrument used is the DSMQ questionnaire sheet which is used to measure the self-management of diabetes mellitus patients at Kartasura Health Charity Clinic and the provision of telehealth nursing interventions. The data analysis method used in this study was univariate analysis related to patient characteristics data and bivariate analysis using Independent Sample t-test data analysis with p<0.05, which means that there is an effectiveness in using telehealth.
ANALISIS KANDUNGAN GIZI DAN ORGANOLEPTIK MIE KERING SUBSTITUSI TEPUNG KACANG HIJAU DAN TEPUNG DAUN KELOR UNTUK REMAJA GIZI KURANG Pitaloka, Ira Maya; Ma'rifah, Bahriyatul; Muhlishoh, Arwin
Journal of Nutrition College Vol 13, No 2 (2024): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v13i2.41062

Abstract

ABSTRACTBackground : Fulfilment of higher nutrient intake, especially protein, is needed to support the physical growth and development of undernourished adolescents. Mung bean flour and moringa leaf flour which are rich in protein, can be utilized to make dry noodles.Objectives: Knowing the effect of substituting of mung bean flour and moringa flour on the nutritional content and organoleptic properties of dry noodles.Methods : This type of research used an experimental study with a completely randomized design (RAL). Comparison of wheat flour, mung bean flour and moringa flour formulations, namely F1 (65g: 20g: 15g), F2 (60g: 25g: 15g), F3 (55g: 30g: 15g). Nutritional content data were analyzed using ANOVA test and Ducan's further test. Organoleptic test was analyzed using Kruskal Wallis test and Mann Whitney further test.Results : The results showed that the moisture content; ash content; fat; protein; carbohydrates are F1 (6.61%; 5.30%; 5.41%; 22.45%; 60.23%), F2 (5.58%; 4.25%; 4.40%; 22.90%; 62.40%), F3 (6.00%; 5.00%; 3.20%; 25.40%; 60.40%). The average results of the hedonic test are color (somewhat like), taste, aroma, texture, aftertaste, and mouthfeel (less like). The average results of hedonic quality test are color (dark green), taste (moderately bitter), aroma (moderately languorous), texture (moderately chewy), mouthfeel (not chewy), aftertaste (moderately strong). The selected formulation (F1) per serving size (70g) contained 265.58 kcal energy, 15.7g protein, 3.7g fat and 42.1g carbohydrate. F1 already fulfills % of the RDA of adolescents aged 13-15 years and can be claimed as high in protein.Conclusion : Dried noodle products can be used as an alternative high-protein food for undernourished adolescents.Keywords : Adolescents; dry noodles; moringa leaf flour; mung bean flour; underweight. ABSTRAKLatar belakang : Pemenuhan asupan zat gizi yang lebih tinggi terutama protein dibutuhkan untuk menunjang pertumbuhan fisik dan perkembangan remaja gizi kurang. Tepung kacang hijau dan tepung daun kelor yang kaya protein dapat dimanfaatkan dalam pembuatan mie kering.Tujuan : Mengetahui pengaruh substitusi tepung kacang hijau dan tepung daun kelor terhadap kandungan gizi dan organoleptik mie kering.Metode : Jenis penelitian ini menggunakan desain studi eksperimental dengan Rancangan Acak Lengkap (RAL). Perbandingan formulasi tepung terigu, tepung kacang hijau dan tepung daun kelor, yaitu F1 (65g : 20g : 15g), F2 (60g : 25g : 15g), F3 (55g : 30g : 15g). Data kandungan gizi dianalisis menggunakan uji ANOVA dan uji lanjut Duncan. Uji organoleptik dianalisis menggunakan uji Kruskal Wallis dan uji lanjut Mann Whitney. Hasil : Hasil penelitian menunjukkan bahwa kadar air; kadar abu; lemak; protein; karbohidrat yaitu F1 (6,61% ; 5,30% ; 5,41% ; 22,45% ; 60,23%), F2 (5,58% ; 4,25% ; 4,40% ; 22,90% ; 62,40%), F3 (6,00% ; 5,00% ; 3,20% ; 25,40% ; 60,40%). Hasil rata-rata uji hedonik yaitu warna (agak suka), rasa, aroma, tekstur, aftertaste, dan mouthfeel (kurang suka). Hasil rata-rata uji mutu hedonik yaitu warna (hijau tua), rasa (cukup pahit), aroma (cukup langu), tekstur (cukup kenyal), mouthfeel (tidak kenyal), aftertaste (cukup kuat). Formulasi terpilih (F1) pertakaran saji (70g) mengandung energi 265,58 kkal, protein 15,7g, lemak 3,7g dan karbohidrat 42,1g. F1 sudah memenuhi % AKG remaja usia 13-15 tahun dan dapat diklaim sebagai tinggi protein.Simpulan: Produk mie kering dapat digunakan sebagai alternatif makanan tinggi protein untuk remaja gizi kurang.Kata Kunci : Gizi kurang; mie kering; remaja; tepung daun kelor; tepung kacang hijau.
KANDUNGAN GIZI DAN ORGANOLEPTIK BISKUIT SUBSTITUSI TEPUNG IKAN GABUS DAN TEPUNG DAUN KATUK SEBAGAI ALTERNATIF CAMILAN IBU MENYUSUI Nupitasari, Putri; Muhlishoh, Arwin; Ma’rifah, Bahriyatul
Jurnal Gizi dan Pangan Soedirman Vol 7 No 2 (2023): JURNAL GIZI DAN PANGAN SOEDIRMAN
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jgipas.2023.7.2.9289

Abstract

This study aims to determine the effect of substitution of snakehead fish flour and katuk leaf flour on the macronutrient content, iron and organoleptic properties of biscuits. This study used a completely randomized design (CRD) with ratio of snakehead fish flour and katuk leaf flour, namely: F1 (35%:10%), F2(40%:15%), F3 (45%:20%). Organoleptic tests included color, taste, texture, aroma and after taste by observation with 30 panelists. Nutrient content and Fe were analyzed using one way ANOVA and Duncan's further test. While the organoleptic was analyzed using Kruskal Wallis and Mann Whitney advanced test. Based on the test results for the nutritional content of biscuits, it was found that each successive formulation contained 8.63%, 7.12%, 7.77% moisture content, 2.31%, 2.64%, 2.89% ash content, 21.86% protein, 24.20%, 25.10%, 17.59% fat, 17.66%, 17.74%, carbohydrates 49.55%, 43.29%, 46.63%, iron 7.47%, 9.01%, 9.35%. Based on the organoleptic test of taste and after taste the most preferred is F2, the preferred color and taste is F3, while the texture is F1. The selected biscuit formulation is a substitute for snakehead fish and katuk leaf flour, namely F3. F3 meets the 11.5% AKG for protein and iron and can be claimed as a food source of protein and iron for lactating mothers 19-29 years (first trimester).
SNACK BAR TINGGI SERAT DAN ANTIOKSIDAN BERBAHAN DASAR UBI JALAR UNGU DAN BERAS HITAM SEBAGAI ALTERNATIF SELINGAN PENDERITA DIABETES MELITUS Aurelia, Lutvica Cery; Ma'rifah, Bahriyatul; Muhlishoh, Arwin
Jurnal Gizi dan Pangan Soedirman Vol 7 No 2 (2023): JURNAL GIZI DAN PANGAN SOEDIRMAN
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jgipas.2023.7.2.9413

Abstract

Type 2 diabetes mellitus is a metabolic disorder characterized by hyperglycemia due to decreased insulin secretion by pancreatic β-cells that requires dietary regulation to control blood glucose levels. Snack bars based on purple sweet potato flour and black rice flour which have high fiber and antioxidant content can be used as an alternative snack food for people with type 2 diabetes mellitus. The purpose of the study was to determine the nutritional content, dietary fiber content, antioxidants content and organoleptic properties of snack bars. This research was experimental with a completely randomized design (CRD) with three comparisons of formulation purple sweet potato flour: black rice flour and 3 repetitions. The results of the nutritional content were analyzed with the Anova test and continued with the Duncan test. While the organoleptic properties were analyzed by Kruskal Wallis test and continued by Man Whitney test. The selection of the selected formulation for snack bar products using the ratio (50%: 50%) from the results of the nutritional content test and organoleptic test. The results of the study show that F3 (70%:30%) snack bar is the selected formulation with nutritional content 100 g, namely energy 425 kcal, protein 13.80 g, fat 21.38 g, carbohydrates 44.23 g, dietary fiber 11.81 g and antioxidants 52.28% with less favorable organoleptic acceptance. The selected snack bar can be claimed as high dietary fiber and antioxidants food.
Kandungan Antioksidan Dan Serat Pangan Total Pada Bakso Daging Sapi Dengan Penambahan Serbuk Pegagan Bestina, Afrida Arayani; Muhlishoh, Arwin; N, Nastitie Cinintya
Media Gizi Ilmiah Indonesia Vol 1 No 1 (2023): FEBRUARI 2023
Publisher : Kabar Gizi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62358/mgii.v1i1.10

Abstract

An increase in free radicals that is not accompanied by an increase in antioxidant intake will cause oxidative stress. Foods that contain lots of antioxidants and high fiber are recommended for people with type 2 DM because they can improve blood glucose control. Gotu kola powder is an herbal plant that has an active substance in the form of asiatic acid as an antioxidant and a source of dietary fiber. This study aims to determine effect of adding various formulations of gotu kola powder on antioxidant substance and total dietary fiber in beef meatballs as an alternative food for type 2 DM. This type of research is quantitative with experimental design. The research design used was a Completely Randomized Design (CRD) with a concentration of gotu kola powder in making beef meatballs, those were F0 (0%), F1 (5%), F2 (10%), and F3 (15%). This study found that the addition of gotu kola powder to beef meatballs had a significant effect on antioxidant content, insoluble dietary fiber, soluble dietary fiber, total dietary fiber, and organoleptic with p value = 0.000. Meanwhile, the hedonic quality with the aftertaste attribute had no significant effect (p=0.414). Selected product is F3 which has an antioxidant content of 27.19% and contains 3.96 in 100 g of beef meatballs. Selected product fulfills 26.4% of fiber requirement per one meal in the general group. There was a significant effect with the addition of gotu kola powder on the antioxidant content and total dietary fiber in beef meatballs.
Hubungan Asupan Lemak, Asupan Serat dan Aktivitas Fisik dengan Kadar Trigliserida pada Penderita Diabetes Melitus Tipe 2 di Puskesmas Grogol, Sukoharjo: Association between Fat Intake, Dietary Fiber Intake, Physical Activity with Triglyceride Levels among Type 2 Diabetes Mellitus Patients at Grogol Health Center, Sukoharjo Safitri, Anisa Nur; Kusumawati, Dewi; Muhlishoh, Arwin; Avianty, Selma
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.55-60

Abstract

Background: Hyperlipidemia is closely associated with dietary intake and physical activity. Excessive dietary fat intake, inadequate dietary fiber, and low physical activity will increase the risk of obesity and lipid profile disorder among type 2 diabetics. Objectives: This study aimed to identify the association between fat intake, dietary fiber intake, and physical activity with triglyceride levels among type 2 diabetics. Methods: A cross-sectional study was conducted using Sequential Random Sampling on 31 patients with type 2 diabetes with dyslipidemia from Grogol Community Health Center, Sukoharjo, in March 2023. The 3x24-hour food recall nonconsecutive days was used to collect data on fat and fiber intake, the International Physical Activity Questionnaire-Short Form (IPAQ-SF) was employed to obtain physical activity data, and the patient's medical record for the last month was utilized to obtain fasting blood sugar and triglyceride levels. The statistical test was carried out using the Spearman Rank correlation test. Results: Around 54.8% of subjects had excessive fat intake (60.90 g/day); 96.8% of subjects had severe deficit fiber intake (9.74 g/day); 51.6% of subjects had low physical activity (894.74 METs/minute/week). A statistically significant association exists between fat intake and level of triglyceride (p=0.005; r=0.493), but there was no significant association between dietary fiber intake and triglyceride levels (p=0.897; r=0.024), and there was no significant association between physical activity and level of triglyceride (p=0.394; r=-0.159). Conclusions: There is a significant association between fat intake and the level of triglyceride. As such, it is necessary to decrease intakes of saturated fat and trans fatty acids; replacing them with unsaturated fatty acids could be beneficial in lowering triglyceride levels.
Synbiotic Soygurt Tempe Extract as A Functional Beverage Harti, Agnes Sri; Irdianty, Mellia Silvy; Muhlishoh, Arwin; Sutanto, Yusup Subagio
International Journal of Public Health Excellence (IJPHE) Vol. 4 No. 1 (2024): June-December
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v4i1.1124

Abstract

Synbiotic tempeh extract soyghurt is a Krenova (creative and innovative) food product because it is novelty and unique as healthy and safe food, functional food, fun for diet and one for all. The result of probiotic fermentation of Lactic Acid Bacteria (LAB) and based on synbiotic tempeh extract (rice bran and chitosan) which has multifunctional anti-hyperglycemia and anti-hypercholesterolemia properties. Research objective: to analyze the effectiveness of synbiotic tempeh soyghurt as a functional drink. The research method analyzes the nutritional content and quality of synbiotic tempeh soygurt products which refer to SNI 7552:2009 concerning flavored fermented milk. Data analysis used bivariate and multivariate Anova tests. The Hedonic test results showed a semi-solid texture, white color, synbiotic tempeh extract aroma, sour taste in the formulation with the addition of 15% skim milk, 1% chitosan, 1:1 ratio LAB starter mix and 5% inoculum. The results of physical chemical and mycobiological quality tests show that the synbiotic tempeh extract meets the quality test as a functional drink.