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Nutrition Counseling, Lipid Profile Improvement and Weight Loss in Obese Patients with Dyslipidemia Salman, Salman; Hadi, Novian Swasono; Ntau, Liean A.; Olii, Nancy; Astuti, Siti Choirul Dwi
JURNAL INFO KESEHATAN Vol 21 No 4 (2023): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol21.Iss4.1407

Abstract

Obesity with dyslipidemia is a serious problem because it risks various degenerative and metabolic diseases. The prevalence of obesity in Indonesia continues to increase every year, currently in the adult population reaching 21.8%. To prevent the onset of degenerative diseases and metabolic disorders, it is important to control obesity with dyslipidemia through weight loss and lipid profile improvement. This study aims to determine the effect of nutritional counseling in losing weight and improving lipid profiles in obese patients with dyslipidemia. This is a pseudo-experimental study with One group Pre and Post Test Design. The initial stage was the identification of obesity and lipid profile. In 100 respondents identified as obese, total cholesterol, LDL and triglycerides were examined. 40 obese respondents with dyslipidemia were determined as samples. The second stage was nutrition counseling intervention. The third stage of evaluation is the re-measurement of body weight and lipid profile. The research result is only 30 respondents participated in the evaluation. Average initial body weight was 75.11 kg and final body weight was 73.14 kg. Average weight loss was 1.97 kg. Average initial cholesterol 233.20 mg/dL and final cholesterol 224.70 mg/dL. Average cholesterol reduction of 8.5 mg/dL. Average initial LDL 152.37 mg/dL and final LDL 139.47 mg/dL. Average decrease in LDL 12.9 mg/dL Average initial triglycerides 161.23 mg/dL and final triglycerides 143.97 mg/dL. The average decrease in triglycerides is 17.26 mg/dL. The statistical test results showed a p-value = 0.000. There is an effect of nutritional counseling on weight loss and improvement of lipid profiles of obese patients with dyslipidemia.
Hemorrhoid Degrees of Pregnant Women in the Use of Suppository Phaleria macrocarpa Astuti, Siti Choirul Dwi; Mohamad, Selvi; Nurlaily Z, Sri; Damiti, Sukmawati A.; Mashar, Harlyanti Muthmai’nnah
JURNAL INFO KESEHATAN Vol 22 No 4 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss4.1664

Abstract

Increased progesterone levels during pregnancy can lead to haemorrhoids, which require proper management to minimize risks to both the mother and fetus. Since haemorrhoidectomy is not a suitable option for pregnant women, alternative treatments with minimal side effects are needed. This study aimed to evaluate the effectiveness of Phaleria macrocarpa suppositories in reducing the degree of haemorrhoids in pregnant women. This study employed a true experimental design with a cross-sectional approach. The study population consisted of pregnant women selected through purposive sampling. Data were collected using observation sheets and analyzed using the Wilcoxon test. The results study show that among pregnant women who used standard suppositories, 23 participants (71.8%) showed no change in the degree of haemorrhoids, while 9 participants (28.8%) experienced a reduction in severity. In contrast, all 32 participants (100%) who used Phaleria macrocarpa suppositories experienced a decrease in haemorrhoid severity. Statistical analysis showed a significant difference (p < 0.05) between the two groups, with a p-value of 0.0013, indicating that Phaleria macrocarpa suppositories were significantly more effective in reducing haemorrhoids compared to standard suppositories. The conclusion is Phaleria macrocarpa suppositories effectively reduce the severity of haemorrhoids in pregnant women and may serve as a safer alternative to conventional treatments. Further research with larger sample sizes and long-term follow-ups is recommended to validate these findings and explore the potential mechanisms of Phaleria macrocarpa in haemorrhoid treatment.
Diet Preferences and Motivations of Female Adolescents: A Descriptive Study in Gorontalo City Tompunuh, Magdalena M.; Astuti, Siti Choirul Dwi
Ahmar Metastasis Health Journal Vol. 5 No. 2 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i2.597

Abstract

The increasing awareness of the ideal body shape among adolescents, driven by the influence of social media and social pressure, has led many teenage girls to follow specific diet trends despite lacking a thorough understanding of their nutritional needs and the long-term health implications. This study aims to identify the preferred diet trends among teenage girls and to examine their dietary patterns and motivations for dieting, with a focus on female students at SMPN 11 Gorontalo. The research employs a descriptive quantitative approach, with data collected through closed-ended questionnaires distributed to 30 female students in grades VIII and IX who reported having been on or currently being on a diet. The data were analyzed descriptively using percentages and presented in tables and graphs. The results show that the most commonly chosen diet among respondents is the low-carbohydrate diet (36.7%), followed by intermittent fasting (26.7%), portion reduction diets (20%), and vegetarian/vegan diets (10%). Their dietary patterns generally tend to restrict staple food intake and replace it with high-protein foods or fruits. However, this is not always accompanied by an understanding of balanced nutrition. The primary motivations for dieting were the desire to lose weight (43.3%), the influence of social media (30%), and peer encouragement (16.7%). Most respondents obtained their diet-related information from social media, while only a small proportion received information from parents or teachers. These findings suggest that external factors have a greater influence on adolescents' diet preferences than rational health considerations. Therefore, more structured and contextually relevant nutrition education efforts are needed within the school environment to help teenage girls develop healthy, balanced eating habits appropriate to their stage of growth.
ADAPTIVE BREASTFEEDING SUPPORT TECHNIQUES FOR MOTHERS WITH DISABILITIES Astuti, Siti Choirul Dwi; Magdalena M. Tompunuh; Puspita Sukmawaty Rasyid
Journal of Applied Health Management and Technology Vol. 7 No. 1 (2025): (April 2025)
Publisher : Postgraduate Program , Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/jahmt.v7i1.12795

Abstract

Breastfeeding is recommended because of its many benefits for both mother and baby. For mothers who have limitations breastfeeding, breastfeeding is difficult to do but also not impossible to do. The purpose of this study is to identify breastfeeding techniques used by mothers who have physical limitations based on existing literature. Literature search methods were conducted on scientific sites such as ScienceDirect, Pubmed, Elsiver, NCBI, DOAJ, Proquest, Microsoft Academic, Sage Journal, Oxford Academic, LIPI, ResearceGate, JSTOR and Scrib.id using the keywords breastfeeding and disability.  The search results obtained 234 articles but only 7 articles were used and described breastfeeding techniques for mothers with disabilities and other articles that were eliminated were not used because they did not describe breastfeeding techniques for mothers with disabilities. This article presents a literature review on breastfeeding techniques in mothers with disabilities. Breastfeeding is one of the best ways to provide nutrition to babies, but mothers with disabilities often face additional challenges that can affect their ability to breastfeed effectively. In this article, various relevant studies and research are analyzed to identify the challenges, needs, as well as solutions that have been developed to support mothers with disabilities in the breastfeeding process. The main focus of this review is on specific techniques that can make it easier for mothers with physical or cognitive disabilities to breastfeed, including the use of assistive devices, modification of breastfeeding positions, and the role of social and medical support. These findings demonstrate the importance of an inclusive and personalized approach to providing support to mothers with disabilities, as well as the need for more responsive health policies to ensure equal access to maternal health services. This article also underlines the need for further research to develop practical guidelines that can be applied in a variety of contexts.
The Effect of Adding Ginger Extra to Dragon Fruit Juice to Increase Hemoglobin Levels in Pregnant Women at the Kabila Health Center, Bone Bolango Regency Mohammad, Selvi; Astuti, Siti Choirul Dwi; Nurfaiza, Nurfaiza
Health Information : Jurnal Penelitian Vol 17 No 3 (2025): September-Desember
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i3.1643

Abstract

Abstrak: Latar Belakang: Prevalensi anemia pada kehamilan di Indonesia mencapai 48,9% sehingga diperlukan pendekatan pangan fungsional yang mudah diakses. Buah naga merah dan jahe dipilih karena kandungan vitamin C, zat besi, serta efek hematopoietik yang saling melengkapi. Tujuan: Mengevaluasi pengaruh penambahan ekstrak jahe pada jus buah naga merah terhadap kadar hemoglobin ibu hamil dengan anemia ringan. Metode: Penelitian kuasi-eksperimental pretest-posttest control group selama 10 hari di Puskesmas Kabupaten Bone Bolango melibatkan 60 ibu hamil trimester kedua dengan anemia ringan. Kelompok intervensi menerima 150 mL jus buah naga merah dengan 2 g ekstrak jahe per hari, sedangkan kontrol menerima jus tanpa jahe. Kadar hemoglobin diukur menggunakan Hemocue Hb 201+. Data dianalisis menggunakan paired t-test dan independent t-test (p<0,05). Hasil: Peningkatan hemoglobin pada kelompok intervensi (1,3±0,4 g/dL) lebih tinggi dibanding kontrol (0,7±0,3 g/dL; p=0,008; 95% CI=0,18-0,97). Simpulan: Penambahan ekstrak jahe meningkatkan hemoglobin lebih efektif dibanding jus buah naga merah saja. Saran: Kombinasi ini berpotensi diterapkan sebagai intervensi pangan lokal untuk pencegahan anemia pada ibu hamil.
Preventive and Therapeutic Strategies for Gestational Diabetes: A Literature Review Apryanti, Yohana Putri; Astuti, Siti Choirul Dwi
Ahmar Metastasis Health Journal Vol. 5 No. 3 (2025): Ahmar Metastasis Health Journal
Publisher : Yayasan Ahmad Mansyur Nasirah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53770/amhj.v5i3.612

Abstract

Gestational diabetes is a glucose intolerance disorder that arises during pregnancy and is one of the most common obstetric complications globally. Its increasing prevalence is closely linked to high rates of obesity, unhealthy dietary patterns, physical inactivity, and advanced maternal age, particularly in developing countries like Indonesia, which still face limitations in screening and maternal healthcare services. This condition has both short-term and long-term impacts, including an increased risk of type 2 diabetes in both mothers and their children. This article presents a systematic literature review of preventive and therapeutic strategies for managing gestational diabetes, evaluating their effectiveness and potential for implementation. The method employed is a qualitative descriptive literature review, based on scientific articles from the past decade, obtained from databases such as PubMed, Scopus, and Garuda. The review findings indicate that the most effective preventive strategy is lifestyle modification, such as adopting a healthy diet and engaging in light physical activity, especially when implemented early in pregnancy or even before conception, which can reduce the risk of gestational diabetes by up to 25%. Therapeutic strategies include medical nutrition therapy, the use of insulin or metformin, self-monitoring of blood glucose, as well as education and psychosocial support. The use of digital technologies, including mobile applications and telehealth services, has also been shown to improve patient adherence and engagement. A holistic approach that integrates both preventive and therapeutic efforts continuously is considered the most effective in reducing complications and long-term risks. However, challenges such as limited access to healthcare services, low health literacy, and a shortage of trained healthcare personnel remain obstacles in Indonesia. Therefore, cross-sector collaboration among healthcare professionals, families, and policymakers is crucial to optimize the contextual and sustainable management of gestational diabetes.