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Hubungan Asupan Lemak dan Serat dengan Kadar Kolesterol pada Penderita DM Tipe 2 Wiardani, Ni Komang; Dewantari, Ni Made; Ima Purnami, Kadek; Prasanti, P.A.Gita
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 7, No 2 (2018): Mei 2018
Publisher : Jurusan Gizi, Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

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Regulation of fat and fiber intake plays an important role on blood cholesterol levels for patients with DM. Excessive intake of fats especially saturated fat with low fiber intake can increase cholesterol levels in people with type 2 diabetes that trigger the occurrence of cardiovascular complication disease. The aim of this study to know the correlation between fat and fiber intake with blood cholesterol level of DM type 2 patient. The study was an observational study with cross sectional design with subjects of outpatient type 2 diabetes mellitus RSUP Sanglah Denpasar amounted to 97 people. The data collected included total fat intake, saturated fat and fiber with 1 x 24 hour recall method and total cholesterol level using enzymatic method using multichek parameter. The results showed that 52.6% of the subjects were female and 47.4% male. The average total fat intake was 52.1 g / day, saturated fat 15.0 g / har, fiber 22, 5 g / gari and mean cholesterol levels 210.4 mg / dl. Fat intake found in subjects exceeded the recommended requirement of total fat 77.4% and saturated fat 55.7%, while fiber intake 55.7% less than recommended. A total of 56.7% subjects had high cholesterol levels (> 200 mg / dl). There was a significant relationship between fat and fiber intake with cholesterol levels in the subjects (p <0.05, ÃÂ± = 0.05)Keywords: fat intake, fiber, cholesterol level, type 2 DM

ASUPAN LEMAK, OBESITAS SENTRAL DAN HIPERKOLESTEROLEMIA PADA APARATUR SIPIL NEGARA (ASN) PEMERINTAH DAERAH PROVINSI BALI Wiardani, Ni Komang; Kusumajaya, A.A. Ngurah
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Central obesity is a type of obesity that is closely related to elevated cholesterol levels as one indicator of metabolic syndrome. Central obesity is found in many communities including ASN (government employee) along with changes in diet and community work patterns. The objective of this study was to investigate the relationship between fat intake, central obesity and cholesterol levels among government employee of the ProvincialOffice of Bali. This was an observational study with a cross-sectional design. The number of the subjects involved were 210 people, determined by multistage random sampling. The data collected were food intake, waist circumference and blood cholesterol level.Results showed that 58.1 percent were female and 41.9 percent male with age average of 43.6 years. The average total fat intake was 63.7 g, saturated fat was 25.7 g, cholesterol was 283.3 mg, waist circumference was 84.8 cm and total cholesterol was 183. 6 mg/dl. About 38.6 percent fat intakes were above adequacy, 44.8 percent subjects had central obesity and 34.3 percent of them had cholesterol level above normal (hypercholesterolemia). There was a significant correlation between total fat intake, saturated fat, cholesterol and central obesity with hypercholesterolemia status (p <0.05) and central obesity was the main determinant of Hypercholesterolemia (p< 0.05). It was concluded that central obesity related to hypercholesterolemia among the employee of Bali Provincial Office. ABSTRAK Obesitas sentral merupakan jenis obesitas yang sangat erat hubungannya dengan peningkatan kadar kolesterol sebagai salah satu indikator sindroma metabolik. Obesitas sentral banyak ditemukan di masyarakat termasuk ASN seiring dengan adanya perubahan pada pola makan dan pola kerja masyarakat. Penelitian bertujuan mengetahui hubungan antara asupan lemak, obesitas sentral dan dengan kadar kolesterol pada Aparatur Sipil Negara Pemda Provinsi Bali. Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Subjek penelitian adalah Aparatur Sipil Negara di lingkungan Pemda Provinsi Bali berjumlah 210 orang, yang ditentukan secara multi stage random sampling. Data yang dikumpulkan meliputi asupan makanan, berat badan dan tinggi badan, lingkar pinggang dan kolesterol darah. Data yang dikumpulkan diolah dan dianalisis dengan analisis bivariat dan multivariat. Hasil penelitian menunjukkan sebanyak 58,1 persen sampel berjenis kelamin perempuan dan 41,9 persen laki laki dengan umur rata rata 43,6 tahun. Rata rata asupan lemak total sehari 63,7 g, lemak jenuh 25,7 g, kolesterol 283,3 mg, lingkar pinggang 84,8 cm dan kadar kolesterol total 183,6 mg/dl. Sebanyak 38,6 persen asupan lemak di atas kecukupan, 44,8 persen sampel mengalami obesitas sentral dan 34,3 persen mengalami hiperkolesterolemi dengan kadar kolesterol > 200 mg/dl. Terdapat hubungan signifikan antara asupan lemak total, lemak jenuh, kolesterol dan obesitas sentral dengan status hiperkolesterolemia pada ASN Pemda Provinsi Bali ( p< 0,05) dan analisis mulitivariat menunjukkan obesitas sentral merupakan determinan utama hiperkolesterolemia (p < 0,05). Dapat disimpulkan bahwa obesitas sentral merupakan determinan utama hiperkoleterolemia pada ASN Pemda Provinsi Bali. Kata kunci: asupan lemak, Lingkar pinggang, hiperkolesterolemia, ASN

ASUPAN LEMAK, OBESITAS SENTRAL DAN HIPERKOLESTEROLEMIA PADA APARATUR SIPIL NEGARA (ASN) PEMERINTAH DAERAH PROVINSI BALI Wiardani, Ni Komang; Kusumajaya, A.A. Ngurah
GIZI INDONESIA Vol 41, No 2 (2018): September 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v41i2.272

Central obesity is a type of obesity that is closely related to elevated cholesterol levels as one indicator of metabolic syndrome. Central obesity is found in many communities including ASN (government employee) along with changes in diet and community work patterns. The objective of this study was to investigate the relationship between fat intake, central obesity and cholesterol levels among government employee of the ProvincialOffice of Bali. This was an observational study with a cross-sectional design. The number of the subjects involved were 210 people, determined by multistage random sampling. The data collected were food intake, waist circumference and blood cholesterol level.Results showed that 58.1 percent were female and 41.9 percent male with age average of 43.6 years. The average total fat intake was 63.7 g, saturated fat was 25.7 g, cholesterol was 283.3 mg, waist circumference was 84.8 cm and total cholesterol was 183. 6 mg/dl. About 38.6 percent fat intakes were above adequacy, 44.8 percent subjects had central obesity and 34.3 percent of them had cholesterol level above normal (hypercholesterolemia). There was a significant correlation between total fat intake, saturated fat, cholesterol and central obesity with hypercholesterolemia status (p 0.05) and central obesity was the main determinant of Hypercholesterolemia (p 0.05). It was concluded that central obesity related to hypercholesterolemia among the employee of Bali Provincial Office.

STATUS GIZI, ASUPAN SERAT DAN NATRIUM PADA PASIEN HIPERTENSI RAWAT JALAN DI RSUP SANGLAH DENPASAR Desak Made Mentari Dewi Riesha; Pande Putu Sri Sugiani; Ni Komang Wiardani
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 7, No 1 (2018): Februari 2018
Publisher : Jurusan Gizi, Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Abstract. Dietary fiber intake which appropriate with recommended allowance can depend hypertension by decrease cholesterol utilisation in intestinal. So, the buildup of cholesterol in blood vessel as the caution of hypertension can be avoid. On the other side, the high sodium intake cause the increase of sodium concentration in extracelluler liquid and the volume of blood is increase too.The aimed of study is to determine the nutritional status, the dietary fiber and sodium intake in hypertension outpatients at Sanglah hospital.The type of research is observational and cross-sectional design. Data were collected by measure the weight and height directly to determine the nutritional status of the patients. Dietary fiber and sodium intake were determine by using Semi Quantitative Food Frequency Questioner (SQ-FFQ). Based on analysis data of 43 samples, there were three samples (6,98%) had overweight, seven samples (16,27%) had obesity and thirty three samples had normal weight. Mainly samples amount 37 samples (86,05%) had dietary fiber intake which not appropriate with recommended allowance. There were 23 samples (53,49 %) had a high sodium intake. Based on analysis data between nutritional status and hypertension, indicated that nutritional status were not giving a big effect with the level of hypertension cause there are the others factor such as excessive alcohol consumption, physical activity, stress and smoking which also give an impact to hypertension.Keyword: dietary fiber, hypertension, nutritional status, sodium

HUBUNGAN ADEKUASI HEMODIALISIS DAN STATUS GIZI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIK YANG MENJALANI HEMODIALISIS DI RSUP SANGLAH DENPASAR Putu Eka Mahayundhari; Ni Komang Wiardani; Lely Cintari
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 7, No 4 (2018): November 2018
Publisher : Jurusan Gizi, Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/jig.v7i4.359

Chronic Kidney Disease (CKD) is a disorder of renal function that is progressive and irreversible. One treatment of patients CKD is hemodialysis therapy. Hemodialysis patients are susceptible to malnutrition. If hemodialysis is inadequate and malnourished, it will decrease the patient's quality of life. The purpose of this study was to determine the relationship between adequation hemodialysis and nutritional status with the quality of life of patients CKD who undergoing hemodialysis at Sanglah Hospital. Type of observational research with cross sectional design. The sample of the study was 43 people who were consecutively. Data collected include sample, hemodialysis frequency, hemodialysis adequacy, nutritional status and quality of life. Data collected by interview and medical record data. A total of 35 samples (81.4%) of hemodialysis adequate were in adequate category, 33 samples (77%) nutritional status was in good category and 37 samples (86%) of quality survived in good category. From Spearman test, it is found that there is correlation between variable of hemodialysis adequation and nutritional status with quality of life of sample (p 0,05) which is strong and unidirectional. The conclusion of this research is there is relationship between adequation of hemodialysis and nutritional status with quality of life of PGK patients undergoing hemodialysis at Sanglah Hospital.Keyword: Chronic Kidney Disease, Hemodialysis Adequacy, Nutritional Status, Quality of Life

Hubungan Asupan Lemak dan Serat dengan Kadar Kolesterol pada Penderita Diabetes Mellitus Tipe 2 Ni Komang Wiardani; Ni Made Dewantari; Kadek Ima Purnami; P.A.Gita Prasanti
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 7, No 2 (2018): Mei 2018
Publisher : Jurusan Gizi, Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

The regulation of fat and fiber intake plays an important role in the blood cholesterol level of diabetes mellitus patients (DM). Excessive intake of fat, especially saturated fat with low fiber intake in patients with type 2 diabetes can increase cholesterol levels. This triggers cardiovascular complications. The study aimed to determine the relationship between fat and fiber intake with blood cholesterol levels of type 2 DM patients. The study was an observational study with cross sectional design. The subjects of the study were outpatients at Sanglah Hospital, Denpasar, who were diagnosed with type 2 diabetes as many as 97 people. Data included total fat intake, saturated fat and fiber with a 1x24 hour recall method and total cholesterol levels using enzymatic methods using multicheck parameters. The results showed that 52.6% of the subjects were female and 47.4% were male. The average total fat intake was 52.1 g / day, saturated fat 15.0 g / day, fiber 22.5 g / day and an average cholesterol level of 210.4 mg / dl. Subjects with fat intake exceeded the recommended requirements of 77.4% total fat and 55.7% saturated fat. As many as 55.7% of research subjects with less fiber intake than recommended. Subjects with highcholesterollevels ( 200 mg / dl) were 56.7%. There was a significant relationship between fat and fiber intaketocholesterol levels (p 0.05, ? = 0.05).Keywords: fat intake, fiber intake, cholesterol level, type 2 DM

PENGGUNAAN ALAT METRONOM DINGKLIK (METRODINK) PADA LATIHAN FISIK SENAM DINGKLIK MENURUNKAN BERAT BADAN DAN MENINGKATKAN KEBUGARAN FISIKPADA KEGEMUKAN I Wayan Juniarsana; Ni Komang Wiardani
JURNAL SANGKAREANG MATARAM Vol. 3 No. 2 (2017): Juni 2017
Publisher : SANGKAREANG

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Background. The prevalence of obesity increased sharply every year due to less of physical activities and food consumption pattern tends to high energy and highfat. The prevalence of overweight and obesity for adult above of 18 years old about 11,7% (Riskesdas, 2010). The study aims to know the effect of metronomedingklikaerobic with low energy diet towards for decreasing of body weight and increasing of physical fitness for obesity women. Methods: The study was experimental design with randomized pre test-post test control group design. Subject was women whose a member of PKK in Denpasar city with criteria age was 30–45 years old, body mass index are 25–29,9. The subject was divided into three groups with randomized e.q Group I was given metronome dingklik gymnastics including low energy diet, Group II was given dingklikgymnastics without metronome including low energy diet and Group III was given only low energy diet.Results: According to bivariat analysis shown that body weight significantly and physical fitness increase significantly by metronome dingklik gymnastics with low energy diet intervention (group I) but there was no significant bydingklikgymnastics without metronome with low energy diet (group II) and only low energy diet treatment (group III). Analysis by one way anova (within group) shows that all of treatment. But according to two group intervention shows that metronomedingklikgymnastics with low energy diet was the most effectively way for decreasing weight and increasing physical fitness for obesity women.

Pola makan dan obesitas sebagai faktor risiko diabetes mellitus tipe 2 di Rumah Sakit Sanglah Denpasar Ni Komang Wiardani; Hamam Hadi; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 4, No 1 (2007): 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.17456

Background: Diabetes Mellitus (DM) is a chronic disease with its increasing prevalence worldwide, including in Indonesia and in Bali province especially among adult group. The increasing prevalence of DM is followed by the increasing prevalence of obesity affected by changes in lifestyle and unhealthy dietary patterns.Objective: The study was conducted to investigate relations between dietary patterns and obesity with type 2 DM in Sanglah Hospital, Denpasar.Method: The study was observational analytic with matched case control study. Subject of the study was divided into two groups, i.e. case and control with comparison case and control 1:2 which matched to age and sex. The cases were type 2 DM patients who had recently diagnosed on first visited in Sanglah Hospital. Control 1 was outpatients of non-type 2 DM in Sanglah Hospital and control 2 were taken from the case-neighboring household. Total subject were 147, taken by consecutive method. Collected data were subject identity, dietary patterns, physical activity, weight, height, waist circumference and fasting blood sugar. Dietary patterns were collected using Food Frequency Questionnaire (FFQ), physical activity was collected using modified International Physical Activity Questionnaire (IPAQ), and fasting blood sugar were estimated using biosensor of glucose. Multiple logistic regression models were used to identify risk factors associated with type 2 DM.Result: This study showed that there were 5 variables significantly related with type 2 DM, i.e. interaction of overall obesity with the dietary fiber intake (OR:10.7; 95% CI: 3.5-33.7), family history (OR:5.5, 95% CI: 2.2-13.3), source of high fat animal protein (OR:4.9, 95% CI:1.5-16.1), source of low fat animal protein (OR:0.1, 95% CI: 0-0.5), hypertension (OR:3.7, 95% CI:1.4-9.9)Conclusion: The interaction between overall obesity with dietary fiber intake, family history, source of high fat animal protein, source of low fat animal protein and hypertension were the risk factors of type 2 DM occurrence in Sanglah Hospital, Denpasar.

Konsumsi lemak total, lemak jenuh, dan kolesterol sebagai faktor risiko sindroma metabolik pada masyarakat perkotaan di Denpasar Ni Komang Wiardani; Pande Putu Sri Sugiani; Ni Made Yuni Gumala
Jurnal Gizi Klinik Indonesia Vol 7, No 3 (2011): Maret
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.17751

Background: Metabolic syndrome is a health problem with its prevalence increasing in the worldwide. It is characterized by a group metabolic factor including abdominal obesity, dyslipidemia, elevated blood pressure and insulin resistance. Metabolic syndrome affected by changes in lifestyle and unhealthy dietary patterns with high cholesterol, saturated fatty acid and trans fatty acid.Objective: The study conducted to know relationship between fat consumption with metabolic syndrome among adult people in Denpasar city.Method: The case control study designed was applied. The cases were adult people who had metabolic syndrome, and the control was healthy people from the case-neighboring household. Total subject were 130, taken by consecutive sampling: 65 cases and 65 controls. The subject identity, fat intake, waist circumference, blood pressure and fasting blood sugar were collected. The food frequency questionnaire (FFQ) was used to measure fat consumption and blood glucose test meter for measuring fasting blood sugar. Mantel Haenzel statistic analysis were used to test the association of fat intake with metabolic syndrome.Result: The study showed that means of syndrome metabolic component in case higher than control (p<0.05). Waist circumference in case was 97.23 cm, blood pressure was 141.4/93.3 mmHg, fasting blood glucose was 132 mg/dl. There were significant difference between intake fat total, cholesterol, saturated fatty acid (SAFA) and frequency of intake in case and control (p<0.05). Intake fat on cases were fat total 85.5% >25% energy total/day, SAFA 90.8% >10%, cholesterol 55.4% >300 mg/day. Odd Ratio Mantel Haenzel analysis showed that fat consumption (fat total, cholesterol and frequency consumption of fat were risk factor to metabolic syndrome (OR >1)).Conclusion: There was significant relations between fat consumption (fat total cholesterol, SAFA, frequency of fat consumption) with metabolic syndrome among adult people for Denpasar City.

POLA KONSUMSI DAN STATUS OBESITAS PADA PEMANDU WISATA DI KABUPATEN BADUNG, PROPINSI BALI Ni Komang Wiardani; A.A. Ngurah Kusumajaya
JURNAL NUTRISIA Vol 20 No 1 (2018): Vol 20 No 1 (2018): Maret 2018
Publisher : Poltekkes Kemenkes Yogyakarta

Tour guides working to serve foreign tourists are particularly vulnerable to obesity and non-communicable diseases. They are exposed every day to the lifestyle and diet of the western tourists who are served that tend to be high energy, fat and cholesterol. Lifestyle tour guides should follow the lifestyle of tourists who more activity and banquets, especially at night until the early hours which must also be followed by the tour guide.The study aims to determine the relationship of consumption pattern and obesity status on the tour guide. The study was conducted in Badung Bali Province with the goal of the research is the work Travel guide Travel agency foreign tourists. The samples were carried out by multistage random sampling, with a sample size of 109 people. Data collected from a sample identity, waist circumference, body mass index. Food consumption patterns include the number, type and frequency of consumption of foodstuffs with Semi quantitative method frequeny Food Questionnaire (SQ-FFQ). It showed the number of subjects as many as 109 people with 73.4% male and 26.6% female. About 21,1 % subject have over all obesity and 37,6% have central obesity. Food consumption patterns seen on the amount that exceeds the adequacy of that energy and fat 48.6%, protein 57.8%. The type of foods frequently consumed are chicken, eggs, shrimp, squid is a food consumed regularly >2 times a week. The analysis showed a significant correlation between the pattern of food consumption with obesity status (p <0.05) and exceeds consumption adequacy, have a higher risk of the obesity status than lower concumption (RP > 1,00 ; CI >1). The study showed a significant correlation between consumption pattern with obesity status tour guide in the district of Bali province Badung. Keywords: Consumption pattern, obesity status , tour guide

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