Ahmad Husain Asdie
Bagian Penyakit Dalam RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada

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Hubungan pola makan dengan pengendalian kadar glukosa darah pengidap diabetes melitus tipe 2 rawat jalan di RSU Gunung Jati Cirebon Juleka Juleka; Ahmad Husain Asdie; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 2, No 1 (2005): 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.17348

Abstract

Background: Diabetes Mellitus (DM) is a chronic disease which has increasing prevalence today. The result of epidemiological study in Indonesia showed that DM prevalence was 1,5-2,3% to population aging over 15 years. DM disease cannot be cured but can be controlled to slow down the complications. Consumption planning is a major component in DM management. there are 3 main principles applied in the supply of food to diabetics, i. e. number of calories, type of food and meal schedule. Observation result shows that over 50% of diabetics do not follow the suggested consumption planning.Objective: The purpose of the study was to investigate the relationship between eating pattern and control of glucose to type 2 diabetics patients.Methods: The study was an analytic observational type using cross sectional design. Purposively taken samples were diabetic type 2 inpatients at Gunung Jati Hospital, Cirebon. Glucose of type 2 diabetics was determined through examination of glucose during fasting and 2 hours post prandial using enzymatic method gained from medical assessment data, and eating pattern gained from 24 hours recall method for 4 days. To know the relationship between eating pattern and control of glucose to type 2 diabetics, chi square, odds ratio (OR) signifi cance and logistic regression were tested.Results: There was relationship between energy (OR=31.6,CI=5.00-199.76), carbohydrate (OR=12.7,CI=1.30-124.3) and fat (OR=5.20, CI=1.08-24.89) intake with glucose control of type 2 diabetics, there was relationship between sugar consumption and process result (OR=13.1, CI= 2.59-66.2) of vegetables (OR=31.6, CI=3.74-267.6) and fruits (OR=5.16, CI=1.41-18.91) with glucose control, there was no relationship between protein intake and meal schedule with glucose control of type 2 diabetics.
Pengaruh konseling gizi dengan buku saku diet pada pasien hiperurisemia rawat jalan di RSUD Noongan Provinsi Sulawesi Utara Maxie Roudy Reppie; Ahmad Husain Asdie; Herni Astuti
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 | Full PDF (3487.913 KB) | DOI: 10.22146/ijcn.17462

Abstract

Background: The prevalence of hyperuricemia in Minahasa was quite high in Indonesia. This is caused by nutrition/food intake and life style factors. These changes can be handled with nutrition counseling activity in order to change attitude and food behavior by using nutrition counseling equipment that is diet pocket book.Objective: In order to find out the influence of nutrition counseling with diet pocket book toward the control of purine intake and blood uric acid level in hyperuricemia patients who experienced outpatient treatment in Noongan district hospital.Method: This was a quasi-experimental research that used pre and posttest control group design. The subject of the research was hyperuricemia patients who experienced outpatient treatment in Noongan district hospital. The subject was divided into two groups: intervention group (n=28 people) which was given nutrition counseling with diet pocket book and control group (n=28 people) which was given nutrition counseling without diet pocket book. The sample was taken purposively.Result: The decreasing average of uric acid in the beginning and end of the research was 1.62 mg/dL in intervention group and 0.85 mg/dL in control group. There was a significant difference on the decreasing average of blood uric acid between respondent in intervention group and in control group. The result of statistical analysis with t-test showed that p=0.000. The purine intake in the beginning of the research was p=0.105 with insignificant different while the purine intake at the end of the research which was p=0.009 also showed insignificant different. If the comparison was the decreasing average of purine intake in the beginning and end of the re-search, there was a decreasing of purine intake in intervention group of 53.78 while in control group was 35.39. The statistical analysis of p=0.000 showed that there was a significant different on the average of purine intake decreasing between respondent of intervention group with respondent of control group. In the high purine of food ingredient in-take, there was an insignificant different of high purine intake decreasing between intervention group and control group with p=1.38. On the other hand, in the intake of medium purine food ingredient showed significant different in the decreasing of purine food intake in the intervention group and control group with p=0.000.Conclusion: The control of blood uric acid level and control of purine intake of hyperuricemia patients who were given nutrition counseling with diet pocket book was better than nutrition counseling without diet pocket book.
Hubungan kadar serum albumin dengan kejadian morbiditas dan mortalitas pada pasien penyakit ginjal kronik dengan hemodialisis di RS Dr. Sardjito Yogyakarta La Banudi; Ahmad Husain Asdie; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 3, No 2 (2006): November
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.17491

Abstract

Background: Chronic kidney disease is a characterized by decreasing kidney function with creatine clearance test <15 mL/minute. At such condition toxic in the body accumulates so that dialysis is needed to eliminate it. Blood albumin serum level may indicate nutrition status and is closely related to morbidity and mortality of hemodialysis patients.Objective: To find out association between albumin serum level and occurrence of morbidity and mortality among patients of chronic kidney disease with hemodialysis.Method: The study was observational with prospective cohort design. It was conducted at Dialysis Installation of Dr. Sardjito Hospital from August 2004 to December 2005. Population were all patients of hemodialysis. Samples were purposively taken using inclusion criteria with as many as 44 minimal samples. Dependent variables were morbidity and mortality. Independent variables  were albumin serum level, age and long time hemodialysis. Data analysis was done in phases, univariable, and then bivariable.Results: There was association between albumin serum level and morbidity at observation I (p=0.021), observation II (p=0.036), and observation III (p=0.012) which indicated that p<0.05. There was also association between albumin serum level and mortality at observation I (p=0.011), observation II, III and IV (p=0.000) which indicated that p<0.05.Conclusion: There was association between albumin serum level and morbidity and mortality of chronic kidney disease patients with hemodialysis.