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Pengaruh suplementasi Fe dan Zn terhadap kadar hemoglobin dan kesegaran jasmani pada lansia anemia di Kabupaten Bantul Endang Pamungkasiwi; Wiryatun Lestariana; Retno Pangastuti
Jurnal Gizi Klinik Indonesia Vol 2, No 3 (2006): 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.17470

Abstract

Background: Province of Yogyakarta Special Territory is a province of “elderly” structure population, as viewed from the number of elderly which is 15% of total population. Anemia is one of nutrition problems of elderly which reaches as high as 50%. This is caused by low intake of iron and other substances related to iron metabolism process in forming hemoglobin. Low hemoglobin concentration can be one of causes of elderly declining physical fitness. Efforts to overcome anemic problems can be done through the supply of iron and zinc for the elderly twice a week.Objective: To know effect of iron and zinc supply to hemoglobin concentration and physical fitness for anemic elderly at Bantul District, Province of Yogyakarta Special Territory.Methods: The study was a randomized double blind controlled trial design. Subject of the study were anemic elderly that fulfilled inclusion criteria. The supply of iron, combination of iron and zinc to trial group was given twice a week on different days, supply of iron was given on Monday and Thursday, while supply of zinc was given on Tuesday and Saturday. Laboratory and physical fitness examination to both group were done prior and after treatment. Nutrition intake data were achieved through food record. Next, to know effect of iron, iron and zinc supply to elderly hemoglobin concentration and physical fitness, covariant analysis was done.Results: The result of the study showed that after 3 months’ treatment, there was significant difference of hemoglobin concentration caused by different treatment of group with iron supply, iron and zinc combination supply and control group (p=0.012) although iron and combined iron and zinc supply had equal effectiveness in increasing hemoglobin concentration (p=0.404). There was no significant relationship between elderly hemoglobin concentration and physical fitness (p=0.448). This showed that treatment given affected increase of hemoglobin concentration but the supply and  increase of  hemoglobin concentration did not affect increase of elderly physical fitness.Conclusion: The supply of iron and combined iron and zinc increase hemoglobin concentration, but the supply and in- crease of hemoglobin concentration did not increase the elderly physical fitness.
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.
Asupan kalsium, vitamin D, kafein, merokok, indeks massa tubuh dan hubungannya dengan kejadian osteoporosis pada pria di Kecamatan Duren Sawit, Jakarta Timur Eka Susanti; I Dewa Putu Pramantara; Retno Pangastuti
Jurnal Gizi Klinik Indonesia Vol 6, No 2 (2009): 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.17710

Abstract

Background: Osteoporosis can cause public health problem because both man and woman have high risk factor for osteoporosis. This is related to high morbidity and mortality of man. The increase of elderly population intensifies the frequency of the prevalence of osteoporosis, which limits activities of the patients.Objective: To identify the relationship between calcium, vitamin D, and caffeine intake, smoking, and mass body index with osteoporosis among elderly men.Method: This study was analytical observational which used cross sectional design. Subject of the study were men of 55– 65 years old purposively chosen. The study was carried out at Sub district of Duren Sawit, Jakarta Timur.Result: There was no significant relationship between calcium intake and bone mass density (p > 0.05). There was no significant relationship between vitamin D intake and bone mass density (p > 0.05), smoking and bone mass density (p > 0.05), and caffeine consumption and bone mass density (p > 0.05). There was a significant relationship between body mass index and osteoporosis (p < 0.05).Conclusion: The relationship between calcium and vitamin D intake, smoking, caffeine consumption, and osteoporosis was insignificant. The relationship between body mass index and osteoporosis was significant.
Pola makan berhubungan dengan sindrom metabolik pada lanjut usia di Poliklinik Geriatri RSUP Sanglah Denpasar IGA Sagung Kusuma Dewi; I Dewa Putu Pramantara; Retno Pangastuti
Jurnal Gizi Klinik Indonesia Vol 6, No 3 (2010): 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.17718

Abstract

Background: Food intake is a factor determining health status and risk for degenerative diseases including metabolic syndrome. The fundamental function of someone’s nutritional status in the process of the emergence of generative disease and metabolic syndrome can be identified through the effect of food to the prevalence of obesity, hypertension, dyslipidemia or glucose tolerance disorder.Objective: To identify the association between eating pattern and the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.Method: The study was analytic observational with matched case control study design using ratio 1:1. There were 80 samples consisting of 40 as control group and 40 as cases matched by age and gender. Eating pattern was identified through food frequency questionnaire and calculated and compared to the need. Statistical analysis used chi square and risk factors were measured using odds ratio (OR). Multivariate analysis used double logistic regression to find out risk factors dominantly affected metabolic syndrome.Result: The result of bivariate statistical test showed significant difference in the prevalence of metabolic syndrome (p < 0.05) for energy intake (OR: 9.1; CI95%: 1.9-43.8), protein (OR: 3.8; CI95%: 1.5-9.7), fat (OR: 3.8; CI95%: 1.1-13.2), carbohydrate (OR:11.4; CI95%: 2.3-54.2). The result of multivariate analysis showed that the variables having dominant risk and significant difference in the prevalence of metabolic syndrome were carbohydrate consumption (OR: 8.1; CI95%: 1.29–50.89), fat consumption (OR: 4.9; CI95%: 1.17-20.61) and protein consumption (OR: 3.9; CI95%: 1.27-12.30).Conclusion: There was difference in eating pattern, i.e. high consumption of carbohydrate, fat and protein which became risk factor for the prevalence of metabolic syndrome among the elderly at Geriatric Polyclinic of Sanglah Hospital Denpasar.
Co-Authors Agustina Setia Eka Susanti Endang Pamungkasiwi I Dewa Putu Pramantara I Dewa Putu Pramantara IGA Sagung Kusuma Dewi Wiryatun Lestariana