A Fahmy Arif Tsani
Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro. Jl. Prof. H. Soedarto, SH. Tembalang, Semarang. Kode Pos: 50275. Telp. (024) 76928010

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Persepsi tentang nutrition claims, perilaku makan, dan body image antara mahasiswi kesehatan dan non-kesehatan Ahmed Fahmy Arif Tsani; Ananda Eka Astirani; Restu Amalia Hermanto; Lisa Indraswari; Okky Lupitasari; Cita Eri Ayuningtyas
Jurnal Gizi Klinik Indonesia Vol 15, No 1 (2018): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (403.957 KB) | DOI: 10.22146/ijcn.44574

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Background: Food Marketing Institute survey results showed that 57% of consumers choose products with whole grain claims, 54% high fiber, and 53% low fat. In Indonesia, there is increasing public demand for products of low fat and high fiber. A person with a high level of knowledge, especially in those who have knowledge of health, should have a better understanding. However, it becomes difficult in transition adolescence to early adulthood period. Concern about body image to be the reason which more students choose foods that are believed to maintain the appearance remains interesting, such as on products with nutrition claims.Objective: To determine differences in perception of nutrition claims, food behaviors, and body images on health and non-health students.Method: This type of research is an observational study with cross-sectional design with two groups. The respondents were Gadjah Mada University students aged 19-24 years. Subject selection is based on consecutive sampling technique.Results: Perceptions of nutrition claims between health and non-health students differ significantly (p=0.000). In both groups, the food behavior which includes the consumption of fat (p=0.803) and fiber (p=0.926) did not differ, whether from food or natural products. There is no significantly difference in body image between the two groups (p=0.463).Conclusion: Between health and non-health students have different perceptions of nutrition claims, but there is no difference in food behaviours and body image between the two groups.
Peningkatan visceral adiposity index berhubungan dengan sindrom metabolik remaja obesitas Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Deny Yudi Fitranti
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.184 KB) | DOI: 10.22146/ijcn.51465

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The increased visceral adiposity index associated with metabolic syndrome in obese adolescentsBackground: Metabolic syndrome is a complex risk factor of cardiovascular disease and diabetes mellitus type II. Metabolic syndrome scores are calculated to describe the severity of the risk of metabolic syndrome. Adipose tissue is an independent risk factor for metabolic changes related to metabolic syndrome. One indicator to calculate the distribution and fat function is through the calculation of the visceral adiposity index (VAI).Objective: Analyzing the correlation of VAI with metabolic syndrome score in adolescents in the City of Semarang.Methods: A cross-sectional study of 95 obese adolescents in Semarang City aged 12-17 years who were selected by consecutive sampling method. The inclusion criteria were students aged 12-17 years; subjects were obese based on BMI for age (BMI/U > 95th percentile CDC 2000 curves); not in chronic pain or the care of a doctor; and not on a certain diet. Data collected were waist circumference (WC), blood pressure, fasting blood sugar levels, triglyceride levels, and high-density lipoprotein (HDL) levels. Metabolic syndrome scores are calculated using metabolic syndrome risk score (cMets). VAI is calculated to measure fat distribution and dysfunction. Correlation of VAI with metabolic syndrome and the component was analyzed with the Spearman test.Results: VAI score has a range of 1.8-14.9 with a greater mean in female subjects. The metabolic syndrome score has a range of -5.9 to 6.3 with a greater mean in male subjects. The Spearman correlation test showed a significant relationship between VAI and HDL levels (r=-0.427), triglyceride levels (r=0.914), and metabolic syndrome scores (r=0.439) in male, and HDL levels (r=-0.427), triglyceride levels (r=0.955), WC (r=0.346), and metabolic syndrome scores (r=0.691) in female.Conclusions: VAI has a significant relationship with the metabolic syndrome score which indicates the body's metabolic profile which is getting worse, so the body's metabolic profile can be described from the magnitude of VAI.
Kepadatan tulang santriwati berhubungan dengan profil antropometri Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Ayu Rahadiyanti
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.52311

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Santriwati’s bone mass density was associated with the anthropometric profileBackground: One group of female adolescents who had nutritional problems was Islamic boarding school students, namely santriwati. Low intake was supported by a poor diet profile that had a risk of developing osteopenia. The problem of osteopenia in adolescents could affect long-term calcium deposits and had an impact on old age and a high risk of osteoporosis.Objective: This study aims to examine the relationship between diet profiles and anthropometric profiles with bone density in female students.Methods: A cross-sectional study of 76 female students who were selected using a simple random sampling technique. Anthropometric profiles measured were body mass index, body fat percent, and waist circumference. Bone density was measured using Dual Energy X-Ray Absorptiometry (DXA). Nutrient intake profiles were obtained based on intake interviews used food recall form 6x24 hours. Data were analyzed using Spearman correlations.Results: Most female students had normal nutritional status, and 14 female students (18.4%) had low bone density. The intake of energy, macronutrients (protein, fat, and carbohydrate), and micronutrients (phosphorus, calcium, and vitamin D) of female students were insufficient. There was a relationship between body mass index (p=0.036; r=0.241) and percent body fat (p=0.027; r=0.254) with bone density. However, the nutrient intake factor has no relationship with bone density (p>0.05).Conclusions: Body mass index and body fat percent are positively correlated with female bone density.
Efek motivational interviewing dan kelas edukasi gizi berbasis instagram terhadap perubahan pengetahuan healthy weight loss dan kualitas diet mahasiswi obesitas Ira Mulyani; Fillah Fithra Dieny; Ayu Rahadiyanti; Deny Yudi Fitranti; A Fahmy Arif Tsani; Etisa Adi Murbawani
Jurnal Gizi Klinik Indonesia Vol 17, No 2 (2020): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.53042

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Effect of motivational interviewing and nutrition education class based on instagram for change healthy weight loss knowledge and diet quality in obese female studentsBackground: Obesity is a health problem that has a serious impact on women. Instagram is one of the media for nutrition education that can present healthy messages effectively and motivational interviewing can improves intrinsic motivation to changes in behavior. Objective: To analyze the effects of motivational interviewing and nutrition education class on changes in healthy weight loss knowledge and diet quality. Methods: This study used a quasi-experimental design with the pre-post test control group. The sample consists of 40 female students obesity were divided into three groups, control group (K); intervention group 1 with motivational interviewing and nutrition education class (P1); intervention group 2 only nutrition education class (P2). The nutrition education class based on instagram was given for thirty days and motivational interviewing was given 4 times with a duration of 15-45 minutes. Changes in healthy weight loss knowledge were assessed by pre-test and post-test questionnaire, while diet quality was assessed by Diet Quality Index-International (DQI-I). Results: There was a significant difference between healthy weight loss knowledge in the three groups. There were significant differences on sub-components of the adequacy of staple food (p=0.026), fiber (p=0.026), protein (p=0.006), total fat intake (p=0.009), saturated fat intake (p=0.024), sodium intake (p=0.016), energy intake (p=0.000), and carbohydrate intake (p=0.002) in the three groups. Conclusions: Motivational interviewing and nutrition education class based on instagram could increase the healthy weight loss knowledge and reduce staple food intake, total fat intake, saturated fat intake, sodium intake, energy intake, and carbohydrate intake in obese women.
Diet Quality, Nutritional Status, and Haemoglobin Level of Female Adolescent Athletes in Endurance and Non Endurance Sports Nisa Nur Isnaini Andari; Fillah Fithra Dieny; A.Fahmy Arif Tsani; Deny Yudi Fitranti; Nurmasari Widyastuti
Amerta Nutrition Vol. 5 No. 2 (2021): 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.v5i2.2021.140-148

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Background: Based on the duration and intensity of the exercise, sports can b classified into two types: endurance and non endurance (strength and power). Endurance sports is a high risk sport with low diet quality, nutritional status (body mass index (BMI) and body fat percentage), and haemoglobin level. Objectives: The aimed of this study is to analyze the differences of diet quality, nutritionl status, and haemoglobin level of female adolescent athletes in endurance  and non endurance sports. Methods: An observational study with a cross-sectional design was conducted on 23 endurance athletes and 21 non endurance athletes in BBLOP Central Java, UNNES swimming and athletic sports club, and Salatiga atlhetic sports club. Subjects were selected by purposive sampling. BMI and body was measured by Bioelectrical Impedance Analysis (Tanita DC-360). Haemoglobin level was assessed by cyanmethemoglobin method. Diet quality was measured by semi quantitative food frequency questionnaire (SQ-FFQ) and diet quality index-international (DQI-I) form. Data was analyzed by independent t-test and Mann-Whitney. Results: The majority of nutritional status based on BMI and perventage body fat in endurance and non endurance athlete were normal. About 9,5% of non endurance athlete had anemia. There were significant difference in diet quality (p=0,029) and variety of protein source, iron, vitamin C, and empty calorie foods intake (p<0,001; p=0,028; p=0,045; p<0,001) of endurance and non endurance athletes, but no significant difference in body fat percentage (p=0,573) and haemoglobin level (p=0,714).  Conclusion: There were significant difference on diet quality, variety of protein source, iron, vitamin C, and empty calorie foods intake between endurance and non endurance athletes.   
Pengaruh Pemberian Diet Isokalori Tinggi Serat terhadap Tingkat Satiety pada Kelompok Usia Dewasa Awal Maura Tirta Nabila; A. Fahmy Arif Tsani; Ayu Rahadiyanti; Fillah Fithra Dieny
Amerta Nutrition Vol. 5 No. 3 (2021): 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.v5i3.2021.237-244

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Latar Belakang: Belum banyak penelitian yang membandingkan pengaruh diet tinggi serat larut air dan diet tinggi serat tidak larut air terhadap tingkat satiety.Tujuan:Menganalisis pengaruh pemberian diet isokalori tinggi serat terhadap tingkat satiety pada kelompok usia dewasa awal status gizi normal.Metode: Penelitian eksperimentaldengan rancangan pre-post group design. Subjek penelitian adalah 16 orang dewasa awal usia 20-23 tahun (10 perempuan dan 6 laki-laki) yang diambil secara consecutive sampling. Semua subjek diberikan 2 jenis diet isokalori dengan rasio serat larut air : serat tidak larut air sebesar 3:2 dan 1:3 dengan masing-masing wash out period selama 1 hari. Energi yang diberikan sebesar 20% dari total kebutuhan masing-masing subjek. Variabel yang diukur adalah tingkat satiety yang terdiri dari tingkat desire to eat, hunger, fullness dan prospective food consumption/PFC menggunakan kuesioner Visual Analogue Scale. Analisis statistik menggunakan paired t-test, wilcoxon, mann-whitney dan independent t-test.Hasil: Diet tinggi serat larut air memiliki efek lebih lama 1 jam dalam menekan hunger dan desire to eat dan memiliki efek lebih lama 30 menit dalam menekan PFC dibandingkan diet tinggi serat tidak larut air, namun kedua diet tersebut sama-sama baik dalam meningkatkan fullness hingga 3 jam setelah intervensi.Kesimpulan: Pemberian diet tinggi serat dapat menekan tingkat desire to eat, hunger, PFC dan meningkatkan fullness. Diet tinggi serat larut air mempunyai efek lebih lama terhadap tingkat satiety dibandingkan diet tinggi serat tidak larut air.
Differences in eating habits and physical activity before and during distance learning Yulia Rizki Maulina; Ani Margawati; Rachma Purwanti; A. Fahmy Arif Tsani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.122-134

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Background: The COVID-19 pandemic has led to the enforcement of distance learning. This may cause negative impacts on adolescents' eating habits and physical activity.Objectives: This study aimed to analyse the differences in eating habits and physical activity before and during distance learning in adolescents.Materials and Methods: A cross-sectional study was conducted on a sample of 95 adolescents aged between 15-18 years. Subjects were selected using a simple random sampling method. Eating habits and physical activity variables were measured using modified Eating Habit and Lifestyle Changes in COVID-19 and Eating Habits Questionnaire. Wilcoxon Signed-Rank and McNemar tests were used to analyse the data.Results: There was an increase in frequency of meals two times/day (9.5%) and snacking three times/day (4.2%) reported during distance learning. There were significant differences in number of meals (p=0.014) and snacking (p=0.034), carbohydrates sources intake (p=0.046), sweet food (p=0.014), snack (p=0.016), exercise (p=0.035), exercise duration (p=0.004), and exercise frequency (p=0.030) before and during distance learning. There were no significant differences in protein-sources intake, vegetable, fruit, sweetened beverages, fried food, processed food, junk food, emotional eating, physiological eating, and ways of obtaining food before and during distance learning (p >0.05).Conclusion: Significant differences were found in eating habits comprised of the number of main meals and snacking, intake of carbohydrates sources, sweet food, snack, and physical activity before and during distance learning
Profile of nutritional status, energy availability, haemoglobin levels and bone density in santriwati (Islamic female student) with chronic energy deficiency risk Fillah Fithra Dieny; A Fahmy Arif Tsani; Umu Faradilla; Ayu Rahadiyanti
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.97-104

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Background: Santriwati (Islamic female student), women of reproductive age, were susceptible to experienced Chronic Energi Deficiency (CED). CED reflects the low energy availability of someone who can risk reducing bone density. Objectives: This study aimed to analyze the differences in body mass index, body fat percentage, hemoglobin levels, energy availability, and bone mineral density of female students who experienced CED risk and not experienced CED risk.Materials and Methods: The research design was a cross-sectional study, with 101 female students as subjects who were selected by random sampling. The research was conducted from February to March 2019 at the Kyai Galang Sewu Islamic Boarding School, Semarang. CED risk data was taken using the upper arm circumference measurement. Percent body fat and BMI data were taken using BIA. Energy availability data is obtained from the difference between energy intake (energy intake) and energy output (energy expenditure through physical activity) divided by Fat-Free Mass (FFM). Energy intake data was taken using the SQ-FFQ questionnaire, and energy expenditure was calculated using the 24-hour activity record form. Anemia data were collected using strip hemoglobin measurements. Bone density data were taken using the Osteosys Sonost 3000 densitometer. Bivariate analysis used the Independent T-Test.Results: A total of 57.2% of subjects experienced anemia. Subjects who had underweight nutritional status were 20.8%. Santriwati experienced osteopenia as much as 13.9%. There was no difference in bone density and hemoglobin levels between female students who were at risk of CED and not CED risk (p> 0.05), but there were differences in energy availability, body fat percentage, BMI between those at risk of CED and not CED risk (p <0.05)Conclusion: subjects at risk of CED (Lila <23.5 cm) had lower energy availability, body fat, and BMI than subjects who were not at risk of CED.
Household food security and diet quality with chronic energy deficiency among preconception women Pradita Putri Ramadhani; Fillah Fithra Dieny; Dewi Kurniawati; Hartanti Sandi; Deny Yudi Fitranti; Ayu Rahadiyanti; A. Fahmy Arif Tsani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.111-122

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Background: Chronic energy deficiency (CED) that occurs at risk preconception women during pregnancy increased low birth weight (LBW) in infants. Household food security and diet quality are factors that cause CED. Therefore, this study aims to determine the relationship between household food security and diet quality with CED preconception women.Materials and Methods: We used a cross-sectional study design. The subject of 70 preconception women aged 16-35 years registered in the religious affairs office in Sumowono and Pringapus Subdistrict were selected by consecutive sampling method. Weight and height were measured to assess body mass index to determine CED. Household food security was measured using the Household Food Security Scale Module (HFSSM). Food intake data were obtained using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) and DQI-I (Diet Quality Index-International) to measure diet quality. Bivariate analyses were tested using Rank Spearman and Pearson Product Moment.Results: The prevalence of subjects with CED risk was 48.6% and subjects with  CED was 15.7%. 38.6% of subjects married at the age of 16-20 years, 75.1% of subjects had low household food security and 80% of subjects had low diet quality. There was no significant relationship between household food security and diet quality with CED, namely (p = 0.537) and (p = 0.711). The components of diet quality, namely variation, adequacy, moderation and balance also did not show a significant relationship with CED, respectively with p-value (p = 0.711), (p = 0.523), (p = 0.412), (p = 0.604 )Conclusions: There was no correlation between household food security and CED, also no correlation between diet quality and CED.
Nutrition Class by Instagram: Interventions to Improve The Diet Quality, Physical Activity and Waist Circumfeence Among Female College Students with Obese Fillah Fithra Dieny; Deny Yudi Fitranti; Firdananda Fikri Jauharany; Suryawati Suryawati; A. Fahmy Arif Tsani; Ayu Rahadiyanti
Jurnal Aisyah : Jurnal Ilmu Kesehatan Vol 6, No 1: March 2021
Publisher : Universitas Aisyah Pringsewu

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (199.39 KB) | DOI: 10.30604/jika.v6i1.360

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Female students are a group of women of childbearing age (WUS) or preconception. Obesity in WUS or the preconception period can interfere with future pregnancies and interfere with metabolism and hormones. Obese women with obesity need to change their behavior so that it needs increased knowledge and motivation as a basis for behavior change. This research objective was to determine the effect of nutrition education and motivation classes on the practice of healthy weight loss in obese women. This quasi-experimental research with pre-posttest control group design on 24 female women who met the inclusion criteria was divided into 2 groups using the simple randomization method. The independent variable is the Instagram Nutrition School program for 1 month, consisting of nutritional counseling with a motivational interviewing strategy and social media-based nutrition education classes on Instagram, while the control group is given education through leaflet media. The dependent variable is knowledge of healthy weight loss, quality of diet and changes in anthropometric profiles, namely body weight, body mass index, waist circumference and percent body fat. Independent T-test and Mann Whitney test were used to assess differences in knowledge scores on healthy weight loss, diet quality, and differences in anthropometric deltas. There was a significant difference in knowledge score (p= 0.002), score of moderation (p= 0.001), total physical activity score (p= 0.002), and moderate physical activity (p less than 0.001), mean waist circumference (p = 0.047), and waist circumference (p= 0.032) after intervention. The Instagram Nutrition School Program has been proven to increase nutritional knowledge, change eating behavior, and increase physical activity. Abstrak: Mahasiswi merupakan kelompok Wanita Usia Subur (WUS) atau prakonsepsi. Obesitas pada WUS atau periode prakonsepsi dapat mengganggu kehamilan di masa depan dan mengganggu metabolisme dan hormonal. WUS obesitas perlu merubah perilaku sehingga dibutuhkan peningkatan pengetahuan dan motivasi sebagai dasar perubahan perilaku. Penelitian ini bertujuan untuk mengetahui pengaruh edukasi gizi dan kelas motivasi terhadap praktik healthy weight loss pada WUS obesitas. Penelitian quasi-experimental with pre-post test control group design pada 24 WUS yang memenuhi kriteria inklusi dibagi menjadi 2 kelompok dengan metode simple randomization. Variabel bebas adalah program Sekolah Gizi Instagram  selama 1 bulan, terdiri dari konseling gizi dengan strategi motivational interviewing dan kelas edukasi gizi berbasis sosial media Instagram, sedangkan kelompok kontrol diberikan edukasi melalui media leaflet. Variabel terikat adalah pengetahuan healthy weight loss, kualitas diet dan perubahan profil antropometri yaitu berat badan, indeks massa tubuh, lingkar pinggang dan persen lemak tubuh. Independent T-test dan Mann Whitney Test digunkaan untuk mengkaji perbedaan skor pengetahuan healthy weight loss, kualitas diet, dan perbedaan delta antropometri. Terdapat perbedaan yang signifikan pada skor pengetahuan (p=0,002), skor moderasi (p=0,001), skor total aktifitas fisik (p=0,002), dan aktifitas fisik sedang (p kurang dari 0,001), rerata lingkar pinggang (p=0,047), dan lingkar pinggang (p=0,032) setelah intervensi. Program Sekolah Gizi Instagram terbukti meningkatkan pengetahuan gizi, merubah perilaku makan, dan meningkatkan aktivitas fisik.