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Journal : Amerta Nutrition

Diet dan Sindrom Metabolik pada Remaja Obesitas Rendi Aji Prihaningtyas; Nur Aisiyah Widjaja; Meta Herdiana Hanindita; Roedi Irawan
Amerta Nutrition Vol. 4 No. 3 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i3.2020.191-197

Abstract

ABSTRACTBackground : The prevalence of obesity in adolescents is increasing and causes metabolic syndrome at a young age. Metabolic syndrome results from the interaction of environmental, genetic, and dietary factors. The purpose of this study was to determine the diet profile of obese adolescents suffering from metabolic syndrome.Methods: This study was a cross-sectional study of obese adolescents who visited the Pediatric Nutrition and Metabolic Disease in Dr. Soetomo General Hospital, Surabaya. The anthropometry examination (weight, height and waist circumference), blood pressure, and blood tests (HDL cholesterol, triglycerides and blood glucose levels) were measured. The diagnosis of metabolic syndrome was based on the International Diabetes Federation. Food consumption data was obtained through direct interviews using data collection sheets. Analysis of dietary differences in obese adolescents suffering from metabolic syndrome was performed by chi square using SPSS.Results and Discussions: A total of 59 obese adolescents aged 13-16 years were involved in this study. A total of 27 subjects (45.8%) suffered from metabolic syndrome and 32 subjects (54.2%) did not suffer from metabolic syndrome. The level of the consumption of fish, vegetables, and fruit in obese adolescents were still low. There was no significant difference in the diet profile between obese adolescents who suffer from metabolic syndrome or not.Conclusion: Prevention strategies through food consumption patterns are needed in obese adolescents to control metabolic stress processes and prevent metabolic syndrome in the future. Diet knowledge in obese adolescents needs to be given early to prevent further complications. Increasing foods that contain anti-oxidants, such as fruits and vegetables, is one of the strategies to prevent metabolic syndrome in obese adolescents.ABSTRAKLatar Belakang : Prevalensi obesitas pada remaja semakin meningkat dan menyebabkan sindrom metabolik di usia muda. Sindrom metabolik terjadi akibat interaksi faktor lingkungan, genetik, dan diet. Tujuan dari penelitian ini adalah mengetahui profil diet pada remaja obesitas yang menderita sindrom metabolik.Metode : Penelitian ini merupakan penelitian potong lintang pada remaja obesitas yang berkunjung di Poli Nutrisi dan Penyakit Metabolik Anak di RSUD Dr. Soetomo, Surabaya. Pada subyek dilakukan pemeriksaan antropometri (berat badan, tinggi badan, dan lingkar pinggang), pemeriksaan tekanan darah, dan pemeriksaan darah (kolesterol HDL, trigliserida, dan kadar glukosa darah). Diagnosis sindrom metabolik ditegakkan berdasarkan International Diabetes Federation. Data konsumsi makanan didapatkan melalui wawancara langsung dengan menggunakan lembar pengumpul data. Analisis perbedaan diet pada remaja obesitas yang menderita sindrom metabolik dilakukan dengan chi square menggunakan SPSS.Hasil dan Pembahasan : Sebanyak 59 remaja obesitas yang berusia 13-16 tahun terlibat dalam penelitian ini. Sebanyak 27 subyek (45,8%) menderita sindrom metabolik dan sebanyak 32 subyek (54,2%) tidak menderita sindrom metabolik. Tingkat konsumsi ikan, sayur, dan buah pada remaja obesitas masih rendah. Tidak ada perbedaan yang bermakna pada profil diet antara remaja obesitas yang menderita sindrom metabolik maupun tidak.Kesimpulan : Strategi pencegahan melalui pola konsumsi makanan diperlukan pada remaja obesitas untuk mengontrol proses stres metabolik sehingga dapat mencegah sindrom metabolik di masa datang. Pengetahuan diet pada remaja obesitas perlu diberikan sejak dini untuk mencegah komplikasi lebih lanjut. Memperbanyak makanan yang mengandung anti-oksidan, seperti buah dan sayur merupakan salah satu strategi mencegah sindrom metabolik pada remaja obesitas.
Oral Nutrition Supplements: Regulasi dan Distribusi di Indonesia - Studi di Rumah Sakit Swasta di Surabaya: Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya Azzahra', Lama'ah; Widjaja, Nur Aisiyah; Nurfirdaus, Yasmine; Ardianah, Eva; Hermanto, Edi; Adha, Aziza Zahrotul
Amerta Nutrition Vol. 8 No. 4 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i4.2024.611-618

Abstract

Background: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achievement. Objectives: To describe the regulations and distributions of ONS as a strategy to reach the optimal catch-up growth in children under 5 years-old in private hospital in Surabaya based on the Minister of Health Regulation No. 29 year 2019. Also to determine the effect of ONS on insulin-like growth factor-1 (IGF-1) as a growth marker and lymphocytes as immune cells involved in immune response. Methods: A quasi-experiment with pre-post design involving children aged 12-60 months old. The subjects received 400 ml of ONS (~400 kcal/day with estimated nutritional requirement of 1000 kcal/day) under the provision of the pediatrician as an adjuvant to cover their nutrients deficits. Results: ONS intervention along with dietary counselling for nutritional therapy and medication improved the children’s growths parameters, including body weight (from 10.38±2.28kg at day-0 to 11.27±2.38 at day-90, p-value=0.000) and body length/height significantly (from 82.94±9.58cm to 85.75±8.93 at day-90, p-value=0.000). ONS also improved IGF-1 in children with growth failure. Conclusions: ONS intervention was proved to improve the IGF-1 levels, but not with the number of lymphocyte cells. The regulation of ONS must be under professional provision as it has the effect to increase body weight rapidly and must be stopped when the children receive the prescription reached their catch-up growth.
Defisiensi Vitamin B1 dan B6, Asupan Gizi, serta Kadar IGF-1 sebagai Faktor Risiko Stunting pada Anak Usia 24-60 Bulan: Vitamin B1 and B6 Deficiency, Nutrient Intake, and IGF-1 Levels as Risk Factors for Stunting in Children Aged 24-60 Months Senudin, Putriatri Krimasusini; Irwanto, Irwanto; Widjaja, Nur Aisiyah; Sulistiawati, Sulistiawati
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.212-217

Abstract

Background: Stunted growth in height, caused by chronic malnutrition, is most prevalent among children in Indonesia, with the highest rates observed in the province of East Nusa Tenggara. The balance of macronutrients and micronutrients plays a crucial role in regulating IGF-1, which is essential for height growth. Objectives: This study aims to analyze the differences in macronutrient and micronutrient levels, as well as IGF-1, between stunted and normal children, and to examine their impact on the incidence of stunting. Methods: The research was conducted in Langke Rembong District, Manggarai Regency, from October to December 2024. This case-control study involved 80 respondents, comprising 40 children in the stunted group and 40 in the normal group. Nutritional intake was assessed using a 24-hour food recall and analyzed with the Nutrisurvey 2007 application, with results compared to the Recommended Dietary Allowances (RDA). IGF-1 levels were measured from serum using the ELISA test. Univariate statistical tests and the Mann-Whitney U test were used to analyze the differences in macro and micronutrient as well as IGF-1 between the two groups and their impact on the incidence of stunting. Results: There were significant differences in the intake of macronutrients, including carbohydrates, protein, and fat (p-value<0.001); micronutrients, including vitamin A, B1, B2, B6, magnesium, iron, zinc, and phosphorus (p-value<0.001), as well as vitamin C (p-value=0.018) and calcium (p-value=0.007); and in IGF-1 levels (p-value=0.030) between stunted and normal children. Children aged 24-60 months had a stunting risk of 38.07 and 25.38 when deficient in vitamin B1 and vitamin B6, respectively. Conclusions: To combat and prevent stunting, it is crucial to monitor micronutrient intake, particularly vitamins B1 and B6.
Co-Authors Adha, Aziza Zahrotul Alexander Leonard Caesar Josediputra Alexander, Yoppi Yeremia Alpha Fardah Athiyyah Amer Siddiq Amer Nordin Anggie Lorenza Ardianah, Eva Ardina Maharani, Putri Ariandi Setiawan Arief Wibowo Arifani, Rizka Azzahra', Lama'ah Bahmid, Moh Bahmid, Moh. Boerhan Hidayat Boerhan Hidayat, Boerhan Cahyanti, Ika Yuniar Christine Florens Christine Florens Claudia Felisia Magdalena Kurube Dewi Retno Suminar Diah Indriani Dina Angelika Dwi Lestari Avianti Eddy Bagus Wasito Febrina Mustika Santoso Fitriari, Tutfah Razzak Hafiza Amadhin Rusti Hanindita, Meta Herdiana Hanindita, Meta Herdiana Hardiani, Kartika Hari Basuki Notobroto Harits, Muhammad Hendrayani, Ayu Ekanita HERMANTO, EDI Iitdrie Iitdrie, Iitdrie Indriati, Ataillah Azizah Inner Beauty Bilqis, Tiber Raniar Irawan, Nur Roedi Irwanto Irwanto Keya , Rino Tryanto Keya, Rino Tryanto Khadijah Rizky Sumitro Khadijah Rizky Sumitro KUNTORO Meity Ardiana Mochammad Bagus Qomaruddin Muthmainnah Muthmainnah Naoval Diza Ananda Notopuro, Paulus Budiono Noviyanti, Tausiyah Rohmah Noviyanti, Tausyiah Rohmah Nurfidaus, Yasmine Nurfirdaus, Yasmine Pebriaini, Prisma Andita Putri Ardina Maharani Rachmah Indawati Rafi Alfian Razan Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Rendi Aji Prihaningtyas Ria Puspitasari Roedi Irawan Rusti, Hafiza Amadhin Santoso, Febrina Mustika Senudin, Putriatri Krimasusini Setiawan, Ariandi Shrimarti Rukmini Devy Sigit Ari Saputro SITI NURUL HIDAYATI Soenarnatalina Melaniani Soenarnatalina, Melaniani Sri Widati Stanpo, Gwyneth Trixie Sulistiawati Sulistiawati Sulistiawati Vianca Samara Andhary Windhu Purnomo