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I Dewa Putu Pramantara
Bagian Penyakit Dalam RSUP Dr. Sardjito Yogyakarta/Fakultas Kedokteran Universitas Gadjah Mada
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health

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Asupan gizi sebagai faktor risiko penyakit infark miokard akut di Rumah Sakit Sanglah Denpasar PP Sri Sugiani; Hamam Hadi; I Dewa Putu Pramantara
Jurnal Gizi Klinik Indonesia Vol 1, No 2 (2004): 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.17396

Abstract

Background: Coronary heart disease especially acute myocardial infarction (AMI) is one of the main causes of death even in the developing countries. Coronary heart disease has been reported to be associated with high intakes of some nutrients.Objective: The study conducted to understand the role of nutrient intake as risk factors of AMI in Sanglah Hospital, Denpasar.Methods: A case control study was conducted in district of Denpasar in 2003. Cases were people who had AMI and hospitalized in Sanglah Hospital. Each case had two controls one of which was hospitalized patient with no AMI and the second was taken from the case-neighboring household. Controls were sex-and-age matched with cases. Data on nutrient intakes of cases and controls were collected using food frequency questionnaire (FFQ). Data of lipids profile were collected by a chemical analyst. Data on nutrient intakes were analyzed using food processor II (FP II). Multiple logistic regression models were used to examine whether nutrient intakes were risk factors of AMIResults: this study showed that people who had energy intake from fat more than 30% of the total energy were 12 times (OR=12, 95 % CI: 2,71 – 53) more likely to have AMI than those with energy intake < 30%. People with high sodium intake were 9 times (OR=9, 95% CI= 1.8-43.4) more likely to have AMI than those with low sodium intake. People with LDL/HDL ratio more than 3 were 7 times (OR=7, 95% CI= 1.4 – 3.7) more likely to have AMI than those with LDL/HDL ratio less than 3.Conclusion: High fat and sodium intakes and high LDL/ HDL ratio appeared to be risk factors of AMI.
Pengaruh pemberian diet rendah karbohidrat tinggi lemak terhadap penurunan CO2 darah dan perbaikan respirasi pada pasien penyakit paru obstruktif kronik di Rumah Sakit Immanuel Bandung Ruth R Wijaya; I Dewa Putu Pramantara; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 2, No 2 (2005): 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.17403

Abstract

Background: Lung diseases are one of the main health problems in Indonesia. Among the lung diseases, Chronic Obstructive Pulmonary Disease (COPD) is the 7th leading causes of death in Indonesia. The prevalence COPD tends to increase due to increasing smoking habit, industrialization, air pollution, and more elderly people. Diet regulation for COPD patients were mainly for energy consumption, and accurate proportion of carbohydrate and fat. Excessive carbohydrate intake will increase blood CO2.Objective: To evaluate the influence of low carbohydrate and high fat diet on the decrease of CO2 concentration and improving respiration in acute exacerbation of COPD.Methods: This is an experiment study, with pre and posttest design. The subjects were COPD patients who hospitalized due to acute exacerbation. The subjects must be conscious, no left heart failure, no coronary heart disease, no acute respiratory failure that need ventilator and  hospitalized for minimum 7 days and could take oral diet.Results: Women, younger, and no smoking COPD patients had decreased blood CO2 offer low carbohydrate high fatty diet. All patients with this diet experience had improvement in their respiratory symptoms.Conclusion: Low carbohydrate high fat diet decreases blood CO2 in new acute exacerbation of COPD patients, no smoking women and younger patients. However, this diet improved respiratory symptoms for all patients who receive it.
Hubungan antara asupan energi, asupan lemak, dan obesitas pada remaja siswa-siswi SLTP di Kota Yogyakarta dan di Kabupaten Bantul Ana Medawati; Hamam Hadi; I Dewa Putu Pramantara
Jurnal Gizi Klinik Indonesia Vol 1, No 3 (2005): 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.17467

Abstract

Background: The prevalence of obesity in young children and adolescents has been increasing very dramatically during the last two decades, especially in big cities. High intake of energy and fat may have contributed to obesity.Objective: To examine the relationship between energy intake, fat intake and obesity among adolescents.Method: A Case Control Study was conducted in 2003. Subjects were Junior High School students, age 10–15 years, living in the city of Jogjakarta and Bantul Regency were included in the study. Data on  nutrition intake were collected by using Food Frequency Questionnaires from 140 obese and 140 non obese junior high school students.Results: On average, the energy intake among cases and controls from the city of Jogjakarta were 2818,32 ± 618,05 kcal/day and 2210,42 ± 329,81 kcal/day respectively. Whereas total average of energy intake among  cases and controls from Bantul were 2416,99 ± 673,52 kcal/day and 1778,09 ± 312,03 kcal/day respectively. Obesity was significantly associated (p < 0.05) with total energy and fat intakes in both city Jogjakarta and Bantul.Conclusion: Obesity was associated with total energy and fat intakes in Junior High School Students.
Faktor-faktor yang mempengaruhi tingkat kebugaran lanjut usia penghuni Panti Budi Agung Kupang di Kota Kupang Agustina Setia; I Dewa Putu Pramantara; Retno Pangastuti
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.17488

Abstract

Background: A major physiological change during aging is decreasing need of energy which occurs as a consequence of decreasing lean body mass and physical activity. This process affects absorption level. Nutrition has an important role in improving physical fitness, preventing degenerative diseases, and minimizing dependence. Decreasing fitness among the elderly may be overcome through physical exercise, sufficient nutrient intake, autonomy and mobility in undertaking daily activities.Objective: To find out factors related to fitness of the elderly at Budi Agung Charitable House, Kupang.Method: The study was observational with cross sectional design. Subject of the study based on inclusion criteria were the elderly aged more than 60 years old, could do daily activities, had no acute diseases. Exclusion criteria were those who had heart disease, lung disease, cognitive disorder, and mobility disorder. Data of nutrient intake were obtained from food record processed with computer program. Data of nutrition status were measured with body mass index, haemoglobin level with cyanmethemoglobin, and daily activities with functional independence measurement. Fitness level was measured using 6 minute-walk test. Data were analyzed using Pearson correlation and multiple regression test.Results: The study showed that there were 10 variables significantly related to physical fitness of the elderly, i.e. energy intake (p=0.009, r=0,368), protein intake (p=0.012, r=0.354), carbohydrate intake (p=0.036, r=0.297), vitamin B  intake (p=0.000, r=0.691), vitamin D intake (p=0.001, r=0.455), folic acid intake (p=0.005, r=0.394), iron intake (p=0.000, r=0.540), age (p=0.002, r=-0.428), haemoglobin level (p=0.003, r=0.410), activities of daily living (p=0.000, r=0.800), but intake of  fat and vitamin B  were not. Body mass index statistically had no significant relationship (p>0.05) with elderly fitness level. Multiple regression analysis showed that the most influential variables that made the elderly unfit were protein intake (p=0.012 and B= -3.730), vitamin B  intake (p=0.000 and B=10.352), folic acid intake (p=0.045 and B=7.085), activities of daily living (p=0.000 and B=8.014).Conclusion: High protein intake, vitamin B  intake, folic acid intake, and activities of daily living increased physical fit- ness of the elderly at Budi Agung Charitable House, Kupang.
Co-Authors Agustina Setia Ana Medawati, Ana Hamam Hadi PP Sri Sugiani Retno Pangastuti Ruth R Wijaya Susetyowati