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PENERAPAN ANJURAN DIET DASH DIBANDINGKAN DIET RENDAH GARAM BERDASARKAN KONSELING GIZI TERHADAP PENURUNAN TEKANAN DARAH PADA PASIEN HIPERTENSI DI PUSKESMAS LARANGAN UTARA Agustina Pungki Astuti; Didit Damayanti; Iskari Ngadiarti
GIZI INDONESIA Vol 44, No 1 (2021): Maret 2021
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v44i1.559

Abstract

The low sodium and Diet Approaches to Stop Hypertension (DASH) are diets for reducing high blood pressure. This study aimed to analyze the effect of nutrition counseling on the DASH diet compared to low sodium diet on blood pressure in hypertensive patients. The study design was an experimental study that randomly allocated 34 respondents to DASH diet and 35 respondents to low sodium diet. The ages of respondents were 43 to 76 years and women were 74.3 percent. Nutrition counseling was conducted by researchers to respondents who visited health center or Posbindu Larangan Utara. Nutritional counseling was conducted for an average of 20 minutes using existing brochures. Low sodium diet emphasizes reducing sodium intake while DASH diet emphasis more on consuming lots of vegetables, fruit, nuts and low-fat products. Variables collected were the characteristics of respondent, disease, drugs taken and nutritional status, while blood pressure using a sphygmomanometer, food intake including sodium were measured before and 2 weeks after nutritional counseling. Results showed that there was a significant difference in diastolic blood pressure after patients were given DASH diet compared to low sodium diet (p 0.05) and there was a significant difference in delta of systolic and diastolic reduction in DASH diet compared to low sodium diet. Test also showed a significant reduction in systolic, diastolic blood pressure and sodium intake (p 0.001) in both diet groups after receiving counseling. It concluded that DASH diet can be recommended to decrease blood pressure in hypertensive patients with consider nutritional status. ABSTRAK  Diet Rendah Garam (RG) dan Diet Approaches to Stop Hypertension (DASH) adalah diet untuk menurunkan tekanan darah tinggi. Penelitian ini bertujuan untuk menganalisa pengaruh konseling gizi diet DASH dibandingkan diet RG terhadap tekanan darah pasien hipertensi. Rancangan penelitian adalah eksperimen yang secara acak mengalokasi diet DASH kepada 34 orang dan diet RG kepada 35 orang responden. Usia responden antara 43 hingga 76 tahun dan sebagian besar perempuan (74,3%). Konseling gizi dilakukan oleh tim peneliti kepada pasien hipertensi yang memeriksakan diri ke puskesmas atau posbindu Larangan Utara. Konseling gizi dilakukan rata-rata 20 menit menggunakan brosur yang sudah ada. Diet RG menekankan pengurangan asupan natrium sedangkan diet DASH lebih menekankan ke banyak konsumsi sayur, buah, kacang-kacangan dan produk rendah lemak. Variabel yang dikumpulkan adalah karakteristik responden, penyakit dan obat yang diminum serta status gizi sedangkan tekanan darah menggunakan sfigmomanometer, asupan makanan, zat gizi termasuk natrium diukur sebelum dan 2 minggu setelah konseling gizi dilakukan. Hasil menunjukkan adanya perbedaan yang bermakna pada tekanan darah diastolik setelah pasien diberi diet DASH dibandingkan dengan pasien yang diberi diet RG (p0,05) dan terdapat perbedaan delta penurunan sistolik dan diastolik bermakna pada diet DASH dibanding diet RG. Analisa juga menunjukkan adanya penurunan tekanan darah sistolik, diastolik dan asupan natrium  yang bermakna (p0.001) pada kedua kelompok diet setelah mendapat konseling diet DASH dan diet RG. Disimpulkan diet DASH dapat direkomendasikan untuk membantu menurunkan tekanan darah pada pasien hipertensi dengan memperhatikan status gizi. Kata kunci: hipertensi, tekanan darah, diet rendah garam, diet DASH
Pengaruh pemberian minuman campuran daun katuk, daun pepaya, dan kacang hijau terhadap produksi ASI dan berat badan bayi mencit Iskari Ngadiarti; Muntikah Muntikah; Didit Damayanti
AcTion: Aceh Nutrition Journal Vol 6, No 2 (2021): November
Publisher : Jurusan Gizi Politeknik Kesehatan Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v6i2.512

Abstract

Foodstuffs rich in lactogogum are very useful in increasing milk production, especially in postpartum mothers. This study studied the effect of a mixed drink of katuk leaves, papaya leaves, and green beans on increasing breast milk production and weight growth of baby mice. This type of research is an experimental RAL with four treatments and three repetitions on female mice of the DDY strain aged 2,5–3 months, a total of 32 mice with six mice each. Mice were divided into four groups, two treatment groups and two control groups. Its treatment for 12 days postpartum. Data analysis used ANOVA and continued with the Duncan test at a 5% confidence interval. The study results found that there was a significant difference in the average milk production of the mother mice in the four groups (p= 0,003); there was no difference in the average total weight gain of mice during the four groups (p= 0,187). In conclusion, giving a functional drink a mixture of katuk leaves, papaya leaves, and green beans has the same potential as commercial katuk leaf extract but has not increased breast milk production in mice. Suggestion, further research is needed to measure prolactin hormone levels and milk quality
Development Of Educational Material For Nutrition And Hypertension Didit Damayanti; Antonius Sri Hartono; Nils Aria Zulfianto; Mimin Aminah
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 8 No 1 (2017): SANITAS Volume 8 Nomor 1 Tahun 2017
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2017.7

Abstract

High prevalence of hypertension in Indonesia (25.8%) should be prevented because it affects the onset of disease complications, reduced productivity and increased health care costs. Until now, there has not found the media developed specifically to prevent and treat hypertension. The study aims was developed and assessed the use of nutrition and hypertension media for counseling. The research started with the development of educational media. The study design was post test using nutrition and hypertension media by intervention group compared to the control group using hypertension leaflet. Age, duration of working respondents did not differ significantly (p> 0.05) among 17 respondents from intervention group and 14 respondents from control group. The study showed the score usage of media was 3.16 higher among intervention group than the control group 2.99. However, Mann-Whitney test showed no significant differences (p> 0.05). From fourteen aspects result showed significant scores differences (p <0.05) on the aspects of appearance of image and colors. The used of key pieces of media seemed helpful (52.94% - 76.47%) and very helpful (23.53% - 47.06%) for majority of respondents during counseling. It suggested that educational media of nutrition and hypertension can be reproduce and use in the primary health care.
Comparing The Effect Between Energy Reducing Diet And Food Combining On Body Weight Change Among Overweight Adult Didit Damayanti; Pritasari Pritasari; Nanang Prayitno; Iskari Ngadiarti; Nils Aria Zulfianto
SANITAS: Jurnal Teknologi dan Seni Kesehatan Vol 11 No 1 (2020): SANITAS Volume 11 Nomor 1 Tahun 2020
Publisher : Politeknik Kesehatan Kemenkes Jakarta II

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36525/sanitas.2020.1

Abstract

Few years ago, food combining a popular weight reducing diet has been promoted and practiced by the public in Indonesia. The objective of this study was to compare the effect of food combining on change in body weight with a calorie reducing diet. We used a crossover experiment study design where 12 healthy free-living subjects (10 women, 2 men), age range 18-21 years old and BMI > 25 kg/m2 were randomly allocated into each groups. Participants were prescribed two diets for 3 consecutive weeks with a 6 week washout period when subjects were instructed free to eat. Diet of 1200 kcal/day for women and 1500 kcal/day for men were prescribed for respondents, whereas the food combining intervention included fruits in the morning and a combination of protein foods with vegetables or carbohydrate foods and vegetables for the other meals. The body weight and nutrients intake were measured before and after each intervention. The result analyzed using a linear mixed model and it showed there was no significant difference (p=0.235) in change in body weight after treatment with the food combining (65.8 kg, CI 95%: 59.7, 71.8) as compared to the calorie restricted diet (66.5 kg, CI: 95%: 60.4, 72.5) at F (1, 10) =1.59. The risk inadequate intake of protein, vitamin B-2, folate, calcium, iron and zinc after followed food combining compared to calorie restricted diet should taking into consideration. The food combining as well as energy reducing diet showed a similar effect on reduction in body weight.