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All Journal Jurnal Gizi dan Pangan PROSIDING SEMINAR NASIONAL GIZI INDONESIA Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Indonesian Journal of Medicine Journal of Maternal and Child Health Wellness And Healthy Magazine Indonesian Journal of Global Health research Nusantara Science and Technology Proceedings Media Penelitian dan Pengembangan Kesehatan
Didik Gunawan Tamtomo
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Meta-Analysis the Effect of Aquatic Therapy on Functional Ability in Patients with Knee Osteoarthritis Puspita, Wita Hana; Tamtomo, Didik Gunawan; Prasetya, Hanung
Indonesian Journal of Medicine Vol. 7 No. 2 (2022)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.486 KB) | DOI: 10.26911/theijmed.2022.7.2.531

Abstract

Background: Knee OA can affect mobility in the elderly causing pain and impaired functional ability. This study aims to analyze the effect of aquatic therapy on functional ability in knee osteo­arthritis patients based on the results of a number of previous primary studies..Subject and Method: This study was conducted using a meta-analysis method with articles searched using the search keywords "knee osteoarthritis" OR "osteoarthritis genu" AND "aquatic therapy" OR "hydrotherapy" OR "water exercise" AND "functional ability" OR "WOMAC" AND "Randomized Controlled Trial” OR “RCT” from PubMed, google scholar and science direct and processed using RevMan 5.3.Results: 9 RCT articles that fit into the inclusion criteria, with a total of 573 samples. Knee OA patients receiving aquatic therapy had a mean WOMAC score of 1.22 units lower than those without aquatic therapy, and the effect was statistically significant (SMD = -1.22; 95% CI -2.03 to -0.41; p = 0.003). In other words, aquatic therapy is effective in improving functional ability in knee OA patients.Conclusion: Aquatic therapy has an effect on increasing functional ability in knee osteoarthritis patients.Keywords: Osteoarthritis, aquatic therapy, WOMAC indexCorrespondence: Wita Hana Puspita. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: wita.tj0408@gmail.com. Mobile: +628164837959.Indonesian Journal of Medicine (2022), 07(02): 138-149https://doi.org/10.26911/theijmed.2022.07.02.03
Correlation between the Characteristics of Chronic Kidney Disease Patients Undergoing Hemodialysis and Erythropoietin Stimulating Agent Therapy and Hemoglobin Levels Zainal, Dwi Trisnawati; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.2.715

Abstract

Background: Chronic Kidney Disease is one of the deadliest diseases in the world with a high prevalence. Hemodialysis is believed to increase the survival of chronic kidney disease patients. This study aims to analyze the relationship between condition factors in patients with chronic kidney disease undergoing hemodialysis and erythropoietin stimulating agent therapy with hemoglobin levels. Subjects and Method: This research is a quantitative study with a cross-sectional study design carried out at the Madiun City Regional Hospital. Data was taken from June 1, 2022 to June 30, 2022. The population in this study were patients who received hemodialysis services and erythropoietin stimulating agent therapy. The sample was 101 patients with total sampling technique. The independent variables in this study are age, gender, duration of hemodialysis, while the dependent variable is hemoglobin level. Data collection techniques were carried out using patient medical record data. Data analysis used multiple linear regression with Stata 17. Results: The results of multiple linear regression analysis of the relationship between duration of hemodialysis, gender, age, hemoglobin levels before and hemoglobin levels after chronic kidney disease patients undergoing hemodialysis with erythropoietin stimulating agent therapy show that every 1 month increase in hemodialysis will be followed by an increase in hemoglobin of 0.02g/dL (b =0.02 CI95% 0.01 to 0.03 p=0.018). Every 1g/dL increase in hemoglobin levels before hemodialysis will be followed by hemoglobin levels after hemodialysis of 0.7 g/dL (b=0.7 CI 95% 0.6 to 0.8 p<0.001). Gender (b=-0.06 CI 95% -0.7 to 0.6 p=0.857). Age (b=-0.01 CI 95% -0.03 to 0.03 p=0.833). Conclusion: There is a positive relationship between the duration of hemodialysis and hemoglobin levels after chronic kidney disease patients undergo hemodialysis with erythropoietin stimulating agent therapy. There is no statistically significant difference between men and women, age in hemoglobin levels after undergoing hemodialysis with erythropoietin stimulating agent therapy in patients with chronic renal failure. Keywords: chronic kidney disease, hemodialysis, erythropoietin stimulating agent, hemoglobin
Determinants of Socio-Demographic and Environmental Factors in Helicobacter Pylori Infection Hanif, Ihsan; Tamtomo, Didik Gunawan; Murti, Bhisma
Indonesian Journal of Medicine Vol. 9 No. 2 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.2.721

Abstract

Background: Helicobacter pylori (H. pylori) infection ranks as one of most frequent human infections in the world. This study aimed to investigate the determinants of H. pylori infection in patients at Universitas Sebelas Maret Hospital. Sebjects and Method: This was an analytic observational with a cross-sectional design. The study was conducted at Universitas Sebelas Maret Hospital, Sukoharjo, Central Java, from November to Desember 2023. A sample of 199 patients was selected for  this  study  by  fixed  disease  sampling.  The  dependent  variable  was H. pylori infection. The independent variables were number of household members, source of water, toilet type, education level, family income, eating habits, smoking status, region type, and waste disposal.  The  data  were  taken  via surveys with questionairre.  Multiple logistic regression was employed for data analysis. Results: The risk of H. pylori infection increased with number of households member ≥5 (AOR= 4.52; 95% CI= 1.78 to 11.45; p = 0.001), water source from well (AOR= 3.74; 95% CI= 1.54 to 9.08; p = 0.003), habits of eating by bare hand (AOR= 4.71; 95% CI= 1.98 to 11.20; p= 0 < 0.001), smoking (AOR= 2.68; 95% CI= 1.11 to 6.49; p = 0.028), and living in urban area (AOR= 2.94; 95% CI= 1.10 to 7.80; p = 0.030). Meanwhile, it also decreased with having education level ≥ high school (AOR= 0.24; 95% CI= 0.10 to 0.57; p < 0.001), having family income ≥ 2,200,000 (AOR= 0.15; 95% CI= 0.06 to 0.37; p < 0.001), and implementing waste disposal system with collected by staff (AOR= 0.26; 95% CI= 0.10 to 0.65; p = 0.004). Conclusion: The risk of H. pylori infection is determined by number of household members, source of water, education level, family income, eating habits, smoking status, region type, and waste disposal. Keywords: determinants, environmental, helicobacter pylori, socio-demographic
Meta-Analysis: Effect of Hyperbaric Oxygen Therapy on Diabetic Foot Ulcer Recuperation Faried, Faried Effendi Surono; Tamtomo, Didik Gunawan
Indonesian Journal of Medicine Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2024.9.1.723

Abstract

Background: Diabetes mellitus (DM) is a global phenomenon due to the high morbidity and mortality, especially in developing countries such as Indonesia. An ulcer is a wound and is usually found in patients who experience increased blood sugar and can cause peripheral blood vessel disorders, blood vessel disorders will result in peripheral neuropathy or a combination of both, diabetic ulcers are a condition often experienced by diabetes sufferers. Hyperbaric Oxygen Therapy (HBOT) is a therapy that is considered effective in healing diabetic ulcers and has been proven by many studies conducted. This study aims to analyze the effect of HBO therapy on the improvement of diabetic ulcer wounds. Subjects and Method: This was a systematic review and meta-analysis of primary studies. Article searches were carried out based on the PICO model. Population: diabetic ulcer patients. Intervention: Hyperbaric Oxygen Therapy. Comparison: placebo. Outcome: diabetic ulcers con­dition. Article searches were carried out from Google Scholar, MEDLINE/PubMed, Science Direct, Scopus, Hindawi, BMC, and Spinger Link databases. Keywords used "diabetic foot ulcers" AND "hyperbaric oxygen therapy". The inclusion criteria were full paper, RCT, and reporting risk ratio (RR). Selected studies were analyzed using the RevMan 5.3. Results: 9 RCTs from China, Canada, the Netherlands, Sweden, Egypt, Taiwan, England, and Turkey were selected for meta-analysis. HBO therapy increased diabetic ulcers condition (RR= 1.91; 95% CI= 1.17 to 3.12; p= 0.01). Conclusion: HBO therapy improves diabetic ulcers condition. Keywords: hyperbaric oxygen, diabetic foot ulcer, meta analisis.
Study of Cholesterol Intake, Proportion of Fat in the Diet to Body Fat in Adolescents Lourena, Crysty; Tamtomo, Didik Gunawan; Wiboworini, Budiyanti
Indonesian Journal of Global Health Research Vol 6 No S5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS5.4543

Abstract

The increase of body fat over students is caused by changes in lifestyle, especially diet, where adolescents often consume high-energy foods sourced from fat. High consumption of saturated fats can increase cholesterol and inflammation in the body, leading to fat storage disorders. To prevent this increase in excess, it is necessary to increase the intake unsaturated fat, like MUFA and PUFA which are known as one of the anti-inflammatory substances that can reduce fat in the body. Therefore, when consuming fats, a larger proportion of PUFA and MUFA is needed compared to the proportion of saturated fats. Objective: To analyze the relationship between cholesterol intake and the proportion of fat intake with percent body fat. Method: This study used a cross-sectional design with multistage random sampling involving 161 adolescents aged 15-18 years who attended high schools and vocational schools in Surakarta. Food intake data was collected using food frequency questionnaire (SQFFQ). Percent body fat was measured using Bioelectrical Impendence Analysis (BIA) Omron HBF -375 Karada scan. Bivariate data analysis using spearman rank. Results: The results of the analysis showed no relationship between cholesterol intake and percent body fat (p=0.531), proportion of saturated fat (p=0.332), proportion of MUFA (p=0.269), proportion of PUFA (p=0.213) Conclusions: It can be concluded that cholesterol intake and proportion of saturated fat, PUFA, and MUFA are not associated with percent body fat.
Pumpkin Soygurt Improves Blood Glucose Homeostasis in Diabetes Mellitus Rats Model Avelia, Annisa; Tamtomo, Didik Gunawan; Sari, Yulia
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.Supp.1.93-95

Abstract

The study aimed to analyze the effect of pumpkin yogurt on insulin resistance in a rat model. The experiment employed 30 male Wistar rats divided into six groups: three control groups (healthy, negative, and positive) and three treatment groups (metformin+PS 1 mL, 1.5 mL, 2 mL). The experiments were conducted for four weeks. Blood glucose homeostasis was measured by fasting blood glucose, insulin, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR), and Quantitative Insulin-Sensitivity Check Index (QUICKI). Administrating a combination of metformin and pumpkin soygurt can control blood glucose homeostasis with an effective dose of 1 mL. Further research should be done on the hormone incretin, which plays a role in insulin secretion.
The role of dietary inflammatory index and fruit–vegetable variety in body fat accumulation among adolescents Lourena, Crysty; Tamtomo, Didik Gunawan; Wiboworini, Budiyanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 5, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(5).343-351

Abstract

ABSTRAK Latar Belakang: Pada tahun 2023, sebanyak 8,8% remaja Indonesia mengalami overweight dan 2,9% mengalami obesitas. Hal itu dapat terjadi karena pola makan tidak sehat, terutama makanan yang memiliki potensi inflamasi tinggi sehingga mempengaruhi lemak tubuh. Dietary Inflammatory Index (DII) merupakan cara untuk mengetahui tingkat potensi inflamasi makanan. Besarnya nilai potensi inflamasi makanan serta bervariasinya konsumsi buah dan sayur dapat mempengaruhi komposisi lemak tubuh remaja.Tujuan: Mengetahui hubungan skor inflamasi makanan dan variasi konsumsi buah sayur terhadap lemak tubuh pada remaja.Metode: Penelitian menggunakan observasional analitik dengan desain cross-sectional. Sampel dipilih menggunakan metode multistage random sampling dan terpilih 150 remaja berusia 15-18 tahun. Pengambilan data lemak tubuh menggunakan Bio Impedance Analysis (BIA) dan data asupan makan menggunakan Semi Quantitative Questionnaire (SQ FFQ). Penelitian dilakukan di Surakarta pada bulan Mei-Juni 2024. Hasil: Variasi buah sayur pada remaja memiliki rentang skor 0-18 dan skor Dietary Inflammatory Index DII -1,91 hingga 2,39. Hasil uji Spearman menunjukkan hubungan yang signifikan antara skor inflamasi makanan dengan persen lemak tubuh tubuh (r = 0,18, p=0,026), namun tidak ditemukan hubungan yang signifikan antara konsumsi variasi buah sayur dengan persen lemak tubuh (r= 0,006, p=0,941).Kesimpulan: Tingginya potensi inflamasi makanan berhubungan dengan peningkatan lemak tubuh remaja, namun sayur buah tidak berhubungan dengan lemak tubuh remaja.KATA KUNCI: asupan sayur buah; asupan sayur buah; dietary inflammatory index; lemak tubuh; remajaABSTRACTBackground: In 2023, 8.8% of Indonesian teenagers were overweight, while 2.9% were obese. Many teens are overweight or obese because they eat unhealthy, inflammation-causing foods that increase body fat. The Dietary Inflammatory Index (DII) is a method used to determine the level of inflammatory potential in food. The level of the inflammatory potential value in food and the variation in fruit and vegetable consumption can affect the body fat composition of adolescents.Objective: To determine the relationship between the inflammatory score of food and the variation in fruit and vegetable consumption on adolescent body fat.Method: This study used an analytical observational method with a cross-sectional design. The sample of 150 adolescents aged 15-18 was selected using multistage random sampling. Adolescents’ body fat was measured using Bio-Impedance Analysis (BIA) and their dietary intake was assessed using the Semi-Quantitative Questionnaire (SQ-FFQ). The research was conducted in Surakarta from May to June 2024. Results: The variation of fruits and vegetables in adolescents has a score range of 0-18 and a DII score of -1.91 to 2.39. Spearman correlation showed that the DII score positively correlates with body fat percentage (r = 0.18, p = 0.026). However, no significant effect was found between fruit and vegetable variety consumption on body fat percentage (r =0.006 p=0.941). Conclusion: Foods with high inflammatory potential may increase body fat in adolescents, while fruit and vegetable variety does not. The health department should offer guidelines to help the community, especially adolescents, choose non-inflammatory foods and avoid high-inflammatory ones.KEYWORDS: dietary inflammatory index; fruit and vegetable intake; body fat; adolescents
Co-Authors Adji Suwandono Afniratri, Atika Ahadiyati, Dyah Mubarokah Aisyah Nooratisya Aktif Cahyaning Tyas Alifiyanti Muharramah Amalia, Rizky Nur Aprilianti Ammutammima, Ummu Fatihah Anasulfalah, Hakim Angga Ferdianto Annisa Avelia Arief Suryono Avelia, Annisa Bhisma Murti Budiyanti Wiboworini Budiyono, Joko Burhannudin Ichsan Cahyo Setiawan Danang Ardiyanto Dewi, Novita Herlita Diffah Hanim Diffah Hanim Eka Miftakhul Jannah, Eka Miftakhul Endang Sutisna Sulaeman Eni Nur Rahmawati Faried, Faried Effendi Surono Fatony, Riska Fajar Fitriah Fitriah Haliza, Afifah Nur Hanida, Amin Nur Hanif, Ihsan Indriyati Oktaviano Rahayuningrum Islami, Dian Dini Karlinda Karlinda Khairiyyah, Alimah Ulfah Khairunissa, Khairunissa Khairunnisa Kun'ain, Utin Ilma Agni Kurnianingsih, Widya Larsiani, Lisa Safaah Novia Livia, Wardhatul Lourena, Crysty Maki Zamzam Marlina, Devi Muchsin Doewes Mufidah, Naili Zahrotun Nabilla, Jihan NADIA FARAH DIBA Novian Anindito Santosa Novianto, Fajar Novika, Revi Gama Hatta Nurvitasari, Rahsunji Intan Pamilih, Ayu Trisni Permata, Annissa Devi Prasetya, Hanung Pratiwi, Danies Tunjung Pratiwi, Yeocelin Mega Prawito . Puspita, Wita Hana Puspitasari, Ratih Febrinasari Pusporini Rahardjo, Setyo Sri Rahayu, Putu Sri Rahmatika Nur Aini Ratih Puspita Febrinasari Ratna Dewi Kumalasari, Ratna Dewi RB. Soemanto Rita Adriani Benya Adriani Rofana Aghniya Rohmah, Isna Nur Rohmani, Alfiana Nur Sapja Anantanyu, Sapja Shinta Shinta Shinta Sholihah, Anisa Asri Siti Munawaroh Soemanto, RB Suciati, Ony Sukandriani Utami Sumardiyono Sumardiyono Sutanto, Alfiani Vivi Syamsiar, Syamsiar Tri Puji Pangesti Uki Retno Budihastuti Uliyanti Uliyanti, Uliyanti Vitri Widyaningsih Wahyudi, Anwar Wicaksono, Emirza Nur Widayati, Anis Nur Widyarahma, Amanda Yohan Yuanta, Yohan yulia lanti retno dewi Yulia Sari Zainal, Dwi Trisnawati