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Asupan lemak dan aktivitas fisik serta hubungannya dengan kejadian hipertensi pada pasien rawat jalan Lusi Ayu Kartika; Effatul Afifah; Isti Suryani
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 4 NOMOR 3, SEPTEMBER 2016
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (186.962 KB) | DOI: 10.21927/ijnd.2016.4(3).139-146

Abstract

ABSTRACTBackground: Hypertension is a great health problem in Indonesia. The cause of hypertension was high fat intake and low physical activity. In Indonesia in 2013, the prevalence of hipertension was 28,5%, and in Yogyakarta was 25,7%. Objectives: To Know the correlation between fat intake and phisical activity and hypertension among outpatients in RSUD Panembahan Senopati Bantul.Methods: This was an observasional study with case-control design. Cases was outpatient aged 30 – 60 years with hypertension. Controls was outpatient aged 30-60 years without hypertension. Data were analyzed by using univariable (descriptive), bivariable (chi-square test), and multivariable anaysis (logistic regression).Results: Bivariat analysis showed that there was significant relationship between fat intake (p =0,009; OR=3,839; CI 95% = 1,357 – 10,861), outpatient aged (p=0,008; OR=3,37; CI=1,340-8,476)   and hypertension. However, no significant relationship between physical activity ( τ = 0,075; p= 0,451), Body mass index (p=0,065; OR=2,155; CI 95%= 0,949–4,893) and hypertension. Multivariate analysis showed that variables most influential against an hypertension is fat intake (p=0,010; OR (CI 95%) = 4,246 (1,418 – 12,721)).Conclusions: There was significant correlation between fat intake, aged, and hypertension. However, physical activity and body mass index  failed to prove the correlation with hypertension.KEYWORDS : Hypertension, Fat Intake, Physical Activity, BMI, Aged ABSTRAKLatar Belakang: Hipertensi masih menjadi permasalahan kesehatan yang besar di Indonesia. Penyebab terjadinya hipertensi diantaranya adalah asupan makanan tinggi lemak dan aktivitas fisik yang rendah. Di Indonesia pada tahun 2013 prevalensi stunting sebanyak 28,5 %, dan di Daerah Istimewa Yogyakarta sebanyak 25,7%. Tujuan: Untuk mengetahui hubungan antara  asupan lemak dan aktivitas fisik dengan Kejadian Hipertensi pada Pasien Rawat Jalan di RSUD Panembahan Senopati Bantul Yogyakarta.Metode: Jenis penelitian observasional dengan rancangan case-control. Kasus adalah pasien rawat jalan usia 30 – 60 tahun dengan diagnosa hipertensi. Kontrol adalah pasien rawat jalan usia 30 – 60 tahun yang tidak hipertensi. Analisis data menggunakan analisis univariat (deskriptif), bivariat (uji chi-square), dan multivariat (uji regresi logistik).Hasil: Analisis bivariat menunjukan asupan lemak ( p =0,009; OR=3,839; CI 95% = 1,357 – 10,861), dan usia (p=0,008; OR=3,37; CI=1,340-8,476) memiliki hubungan yang signifikan dengan kejadian hipertensi. Aktivitas fisik ( τ = 0,075; p= 0,451), dan IMT ( p=0,065; OR=2,155; CI 95%= 0,949–4,893)  tidak memiliki hubungan yang signifikan dengan kejadian hipertensi. Analisis multivariat menunjukan variabel yang paling berpengaruh terhadap terjadinya hipertensi adalah asupan lemak (p=0,010; OR (CI 95%) = 4,246 (1,418 – 12,721)).Kesimpulan: Ada hubungan yang signifikan antara asupan lemak dan usia dengan kejadian hipertensi. Namun aktivitas fisik dan IMT tidak berhasil membuktikan hubungan dengan kejadian hipertensi.KATA KUNCI : Hipertensi, Asupan Lemak, Aktivitas Fisik, IMT, Usia.
Standardized Nutritional Care with a High-Energy, High-Protein Diet in Rectosigmoid Cancer Patients Undergoing Chemotherapy: Case Reports Noviyanti Safitri Rahmat; Tri Siswati; Isti Suryani; Siti Budi Utami; Setyowati Setyowati; Nurhidayat Nurhidayat; Susilo Wirawan
Health Dynamics Vol 3, No 1 (2026): January 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30102

Abstract

Rectosigmoid cancer patients undergoing chemotherapy are at high risk of malnutrition due to metabolic alterations and treatment-related gastrointestinal side effects. Evidence on the implementation of standardized nutritional care in primary healthcare settings remains limited. This study aims to evaluate the provision of standardized nutritional care with a diet high in energy and protein and its impact on the intake, nutritional status, and clinical condition of rectosigmoid cancer patients undergoing chemotherapy. The case was a 50-year-old male with stage III rectosigmoid cancer undergoing chemotherapy, who presented with undernourished status, diarrhea, reduced appetite, dysphagia-related discomfort, and anemia. Nutritional assessment identified inadequate oral intake and increased energy and protein requirements. Standardized nutritional care was implemented using the Nutrition Care Process (NCP) framework, including an individualized high-energy, high-protein (HEHP) diet and nutrition education for the patient and family. Dietary intake was monitored over three consecutive days using 24-hour food recalls. The patient demonstrated improved tolerance to oral intake, increased protein consumption, stabilization of body weight, and no worsening of gastrointestinal symptoms during the intervention period. This case illustrates that standardized nutritional care using a high-energy, high-protein diet can support dietary intake and help maintain nutritional status in rectosigmoid cancer patients undergoing chemotherapy, even in a primary healthcare setting. Early and individualized nutritional intervention may play an important role in preventing further nutritional deterioration and supporting comprehensive cancer care.