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Faktor determinan risiko kardiometabolik pada remaja usia 15-18 tahun Wiboworini, Budiyanti; Shabrina, Amalina; Dewi, Yulia Lanti Retno; Sari, Amelya Augusthina Ayu; Handayani, Sutartinah Sri; Damayanti, Kusmadewi Eka; Azzahrah, Aisyah; Tjung, Vivienne
Jurnal Gizi Klinik Indonesia Vol 21, No 1 (2024): 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.90010

Abstract

Determinant factors of cardiometabolic risk in adolescents aged 15-18 yearsBackground: Cardiometabolic diseases are increasing worldwide, and the risk of developing them starts as early as adolescence. In the long term, they may lead to comorbidities. Evidence suggests the risk factors of cardiometabolic diseases among adolescents are obesity, excessive food intake, socioeconomic status, breakfast habits, and physical activity, among others. Objective: This study aimed to determine the determinants of cardiometabolic risk in adolescents aged 15-18. Methods: This was a cross-sectional study in Al-Abidin High School Surakarta with 146 study subjects. Cardiometabolic risks were classified using Cardiometabolic Disease Staging (CMDS), waist circumference was measured with Medline, physical activity was measured using a Physical Activity Questionnaire for Adolescents (PAQA), and blood pressure was measured with a sphygmomanometer. Socioeconomic, transportation, and breakfast habits were obtained from the general questionnaire. Chi-square, ANOVA, and logistic regression were then performed using SPSS 23. Results: Gender was significantly associated with cardiometabolic risk (p=0.001). A total of 41.3% of boys were at risk of cardiometabolic (OR=3.964). Socioeconomic, breakfast habits, transportation, and physical activity were not associated with cardiometabolic risk (p>0.05).Conclusion: Boys 15 – 18 years were at a higher risk of cardiometabolic, by 3.694 times greater than girls. Socioeconomic status, breakfast habits, transportation, and physical activity were not correlated with cardiometabolic risk among adolescents.
The Effect of Edamame Jelly on Lowering Blood Pressure in Primary Hypertension Patients Valensia, Yualeny; Wiboworini, Budiyanti; Hikmayani, Nur Hafidha
JURNAL INFO KESEHATAN Vol 22 No 2 (2024): JURNAL INFO KESEHATAN
Publisher : Research and Community Service Unit, Poltekkes Kemenkes Kupang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31965/infokes.Vol22.Iss2.1538

Abstract

Hypertension is the cause of death in Indonesia, with 23.8% of the 1.7 million population. Management of primary hypertension is non-pharmacological therapy carried out by modifying lifestyle, namely increasing consumption of nuts that contain bioactive components that are beneficial for sufferers of primary hypertension, such as edamame (Glycine max (L.) Merrill). This study aims to determine how giving edamame jelly reduces blood pressure in primary hypertension patients. This research was quasi-experimental and used a pre-post-test control group design. The study population consisted of outpatients at the Sumbersari Jember Community Health Center who met the inclusion and exclusion criteria, totaling 42 subjects. Subjects were randomly divided into treatment and control groups. The intervention group was given amlodipine 5 mg/day and edamame jelly 150 grams/day. The control group was only assigned 5 mg of amlodipine. Statistical tests use the Paired t-test, Wilcoxon signed-rank test, and Mann-Whitney U-tests. The test results showed a significant difference in systolic and diastolic blood pressure between the control and treatment groups with a p-value <0.001. The median systolic blood pressure of the control group was 147.5 mmHg, and that of the treatment group was 130 mmHg. The median diastolic blood pressure in the control group was 90 mmHg, and the treatment group's was 80 mmHg. The reduction in systolic blood pressure in the treatment group was 17.5 mmHg greater than in the control group. The decrease in diastolic blood pressure in the treatment group was 10 mmHg greater than in the control group. Giving 150 grams of edamame jelly/day for 30 days effectively reduces blood pressure in sufferers of primary hypertension.               
FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN STUNTING PADA ANAK USIA 12-59 BULAN Sinaga, Ruth Dearani; Sukamto, Ika Sumiyarsi; Wiboworini, Budiyanti; Wahidah, Nurul Jannatul; Sari, Atriany Nilam
Jurnal LINK Vol 18 No 2 (2022): NOVEMBER 2022
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Poltekkes Kemenkes Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31983/link.v18i2.8931

Abstract

Stunting menggambarkan status gizi kurang yang bersifat kronik pada masa pertumbuhan dan perkembangan sejak awal kehidupan. Kejadian stunting terbesar di Kota Surakarta terdapat di wilayah Puskesmas Sangkrah yaitu 17,4% dan jumlah anak dengan stunting terbanyak terdapat di Kelurahan Semanggi yaitu 39,1%. Tujuan penelitian untuk mengetahui faktor-fakor yang berhubungan dengan kejadian stunting pada anak usia 12-59 bulan di Kelurahan Semanggi Kota Surakarta. Jenis penelitian ini analitik observasional dengan pendekatan cross sectional. Didapatkan sebanyak 82 ibu yang mempunyai anak usia 12-59 bulan dalam penelitian ini menggunakan teknik simple random sampling. Data dikumpulkan memakai lembar kuesioner, kemudian dianalisis dengan chi square. Hasil penelitian menunjukkan bahwa proporsi stunting sebesar 26,8% dan tidak stunting sebesar 73,2%. Faktor yang berhubungan dengan kejadian stunting adalah berat badan lahir dan riwayat ASI eksklusif (p<0,05). Faktor yang tidak berhubungan dengan kejadian stunting adalah tinggi badan ibu, pendidikan ibu, pekerjaan ibu, riwayat imunisasi, dan riwayat infeksi (p>0,05). Simpulan penelitian ini faktor yang berhubungan dengan kejadian stunting yaitu berat badan lahir dan riwayat ASI eksklusif.
ANALYSIS OF SECONDARY METABOLITE LEVELS AND ANTIOXIDANT ACTIVITY OF THE COMBINED EXTRACT OF RAJA BANANA PEEL AND PONTIANAK SWEET ORANGE PEEL Hasibuan, Wahyu Aulia; Wiboworini, Budiyanti; Susilawati, Tri Nugraha
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 2 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i2.2684

Abstract

Ekstrak kulit pisang raja dan ekstrak kulit jeruk manis Pontianak mengandung senyawa bioaktif, seperti flavonoid dan antosianin, yang berpotensi sebagai sumber senyawa bioaktif dengan aktivitas antioksidan. Kombinasi ekstrak kedua bahan ini belum pernah dianalisis sebelumnya. Penelitian ini bertujuan untuk menganalisis kadar total flavonoid, antosianin, aktivitas antioksidan, fenol dan tanin pada ekstrak kombinasi kulit pisang raja dan kulit jeruk manis. Metode penelitian ini menggunakan pendekatan eksperimen, yang dilakukan di Laboratorium Setia Budi pada bulan Juli tahun 2024, dengan menggunakan pelarut etanol 80 % dengan perbandingan 1:10 melalui remaserasi sebanyak lima kali untuk meningkatkan rendemen dan kualitas senyawa yang dihasilkan. Formulasi ekstrak yang digunakan terdiri dari F1 (15:85%), F2 (25:75%), F3 (50:50%), F4 (75:25%). Kadar flavonoid dan tanin dianalisis dengan spektrofotometri, antosianin dengan metode pH diferensial, serta aktivitas antioksidan dan fenol dengan metode DPPH. Hasil penelitian menunjukkan bahwa formula F1 memiliki kadar flavonoid tertinggi (59,53 mgQE/g), F4 menunjukkan aktivitas antioksidan terbaik (91,47% inhibisi), dan F1 mengandung antosianin (361,45 ppm), fenol (1,80%), dan tanin (0,84%) tertinggi. Penambahan kulit jeruk manis meningkatkan kadar antosianin, fenol, dan tanin dalam ekstrak, sedangkan penambahan ekstrak kulit pisang raja meningkatkan aktivitas antioksidan. Penelitian lebih lanjut diperlukan untuk mengeksplorasi senyawa fitokimia lainnya dan potensi kesehatan dari kombinasi ekstrak ini.
The effects of raja banana (Musa acuminata) peel extract on body weight, body mass index, body fat percentage, and visceral fat mass in male rats with obesity Devina, Kezia Elian; Indarto, Dono; Susilawati, Tri Nugraha; Wiboworini, Budiyanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 2, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(2).115-125

Abstract

Background: Obesity is a risk factor for metabolic syndrome which can increase mortality. Obese sufferers often fail to lose body weight (BW) through non-pharmacological therapy. Obesity synthetic drugs can cause side effects, so natural ingredients are needed as alternative therapies.Objectives: This study aims to determine the effect of raja banana peel extract (RBPE) on BW, body mass index (BMI), body fat percentage (BFP), and visceral fat mass in obese male rats.Methods: The research subjects were 30 male Wistar rats weighing 125-200 g, aged eight weeks. Obesity was induced by being given high-fat high fructose (HFHFr) feed for 28 days. Rats were randomized and divided into five groups: the negative control group (C-) was given standard feed and distilled water, the positive control (C+) was given standard feed and orlistat, treatment 1 (T1), treatment 2 (T2), and treatment 3 (T3). Which were given standard feed and RBPE doses of 200 mg/kgBW/day, 400 mg/kgBW/day, and 800 mg/kgBW/day. Data before and after the induction of obesity were analyzed using paired t-tests. BW, BMI, and visceral fat mass were analyzed using the One-Way Analysis of Variance (ANOVA) and Repeated Measure ANOVA tests. BFP was analyzed using the Kruskal-Wallis test and the Friedman test.Results: RBPE can significantly reduce BW (p=0.026), BMI (p<0.001), and BFP (p<0.001). However, all groups had no significant difference in visceral fat mass (p=0.187). T3 was the group with the lowest average BW, BMI, BFP, and visceral fat mass although the highest weight loss during the intervention period occurred in C+.Conclusions: RBPE has the potential as an alternative therapy for obesity because it can reduce BW, BMI, and BFP. Future studies can investigate the effect of RBPE on other obesity parameters such as lipid profiles.
Analysis of stunting handling indicators based on SSGI 2022 data in Lampung Province: Multilevel analysis Betania, Sakha Ukta; Wiboworini, Budiyanti; Qadrijati, Isna
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 5, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(5).372-386

Abstract

Background: The implementation of specific and sensitive nutrition interventions is an effort to prevent the increasing prevalence of stunting in Indonesia. However, not all target indicators performed optimally in their implementation, which could affect the increase in stunting prevalence.Objectives: Analyze the dominant factors of stunting incidence among toddlers aged 12-13 months from suboptimal handling of stunting in Lampung Province.Methods: This study utilized a cross-sectional design with secondary data from the 2022 Indonesian Nutrition Status Survey. The variables in this study were iron tablet consumption, exclusive breastfeeding, growth monitoring, primary immunization, access to drinking water, access to sanitation, and the incidence of stunting, and considering heterogeneity in subdisctrict and regencies/municipalities. The subjects were 1.929 toddlers aged 12-23 months, selected by purposive sampling. Data were analyzed with a frequency distribution table, a Chi-Square test, and a multilevel binary logistic regression test.Results: Chi-square test showed there was no relationship between iron tablet consumption (p=0.362; OR=1.14), exclusive breastfeeding (p=0.164; OR=0.85), growth monitoring (p=0.807; OR=1.08), and access to sanitation (p=0.431; OR=1.18) with incidence of stunting. However, there was a relationship between primary immunization (p=0.008; OR=1.39) and acces to drinking water (p=0.023; OR=1.35). Multilevel test results showed that there was no effect of non-exclusive breastfeeding (aOR=0,84; p>0,05) not routine growth monitoring (aOR=1,03;p>0,05), inappropriate iron tablet consumption (aOR=1,14; p>0,05), inadequate access to sanitation (aOR=1,10; p>0,05), rural domicile (aOR = 1,03; p>0,05), number of community health centers (aOR=1,00; p>0,05) contour of mountain territory (aOR=0,89; p>0,05), and contour of water territory (aOR=0,83; p>0,05) with incidence of stunting. Household-level variation had the largest effect on stunting incidence, with an ICC of 7,63%.Conclusions: Incomplete primary immunization and inadequate access to drinking water were the dominant factors affecting stunting in toddlers aged 12-23 months in Lampung Province.
Relationship between ultra-processed food consumption with body fat percentage and blood pressure in adolescence Mariestu, Farah Kurnia; Wiboworini, Budiyanti; Budiastuti, Veronika Ika
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 4, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(4).268-275

Abstract

ABSTRAKLatar Belakang: Makanan ultra proses mengandung kadar gula, lemak, dan garam yang tinggi sehingga mengkonsumsinya secara sering dapat meningkatkan lemak tubuh dan berat badan serta dapat menyebabkan hipertensi. Jenis makanan  ini banyak dikonsumsi remaja.  Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara konsumsi makanan ultra proses dengan persen lemak tubuh dan tekanan darah pada remaja di SurakartaMetode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Penelitian dilakukan di lima Sekolah Menengan Atas (SMA) di Surakarta, Indonesia, di lima kecamatan berbeda. Sebanyak 114 siswa diseleksi melalui proportionate random sampling. Data yang diambil pada penelitian ini adalah konsumsi makanan ultra proses, persen lemak tubuh, dan tekanan darah. Konsumsi makanan ultra proses diukur menggunakan Food Frequency Questionnaire (FFQ). Persen lemak tubuh diukur menggunakan Bio Impedance Analysis (BIA) Omron BF-375. Tekanan darah diukur menggunakan sphygmomanometer digital. Hubungan konsumsi makanan ultra proses dengan persen lemak tubuh dan hubungan konsumsi makanan ultra proses dengan tekanan darah dianalisis menggunakan Kendall's Ï„b.Hasil: Makanan ultra proses yang paling sering dikonsumsi oleh responden adalah kerupuk. Hasil penelitian menunjukkan bahwa sebagian besar responden mengkonsumsi makanan ultra proses pada kuartil ke-3 (50%). Secara statistik terdapat hubungan yang signifikan antara konsumsi makanan ultra proses dengan persen lemak tubuh (p-value 0,008). Nilai koefisien korelasi antar variabel dalam analisis tersebut diperoleh 0,216, artinya tingkat keeratan hubungan antar variabel sangat lemah dan memiliki arah hubungan yang positif. Sedangkan hasil analisis antara konsumsi makanan ultra proses dengan tekanan darah pada remaja tidak ditemukan adanya hubungan (p-value 0,135).Kesimpulan: Terdapat hubungan antara konsumsi makanan ultra proses dengan persen lemak tubuh dan tidak terdapat hubungan antara konsumsi makanan ultra proses dengan tekanan darah pada remaja. KATA KUNCI: Lemak tubuh, Makanan ultra proses, Remaja, Tekanan darah  ABSTRACTBackground: Ultra-processed foods (UPFs) are high in sugar, fat, and salt, so consuming them frequently can increase body fat and weight and may also lead to hypertension. This type of food is widely consumed by adolescents.Objectives: The objective of this study was to examine the relationship between the consumption of UPFs, body fat percentage, and blood pressure among adolescents in Surakarta.Methods: This study employed an analytical observational research design utilizing a cross-sectional approach. The research was conducted in five senior high schools located in five distinct subdistricts of Surakarta City, Indonesia. A total of 114 students were selected using proportionate random sampling. The data collected in this study included UPFs consumption, body fat percentage, and blood pressure. Data on the consumption of UPFs were gathered using the Food Frequency Questionnaire (FFQ). Bioelectrical Impedance Analysis (BIA) using the Omron HBF-375 device was employed to assess body fat percentage, while a digital sphygmomanometer was used to measure blood pressure. The relationships between the frequency of UPFs food consumption and blood pressure were analyzed using Kendall’s Ï„b.Results: The UPF's food that respondents most often consume is crackers. The result showed that most respondents consumed UPFs in the third quartile (50%). Statistically, there was a significant relationship between consumption of UPFs and percent body fat (p-value 0.008). The correlation coefficient value between variables in this analysis was obtained at 0.216, which means that the level of correlation closeness between variables is very weak and has a positive correlation direction. Meanwhile, the results of the analysis between consumption of UPFs and blood pressure in adolescents found no correlation (p-value 0.135).Conclusion: An association was found between the consumption of UPFs and body fat percentage in adolescents. However, no correlation was observed between the consumption of UPFs and blood pressure in this group. KEYWORD: adolescence; blood pressure; body fat; ultra-processed food (UPF)
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 AA Subiyanto, AA Adi Prayitno Agustina Indri Hapsari Ali Djamhuri Ari Natalia Probandari Ari Probandari Arum, Wuryan Dewi Miftahtyas Ayu Kusuma Dewi Ayusari, Amelya Aughustina Ayusari, Amelya Augusthina Azzahrah, Aisyah Bambang Purwanto Banun Rohimah, Banun Betania, Sakha Ukta Billah, Muhammad Muayyad Brian Wasita Budiastuti, Veronika Ika Dhoni Akbar Ghozali Didik Gunawan Tamtomo Diffah Hanim Dono Indarto Dwi Rahayu ernawati, ammik Ernawati, Erni Firnanda, Sani Widya Handayani, Sutartinah Sri Hanifah, Rosalinda Abir Hasibuan, Wahyu Aulia Jokomarsono, Elisabet Puspita Kezia Elian Devina khusnul khotimah Kuntari Astriana, Kuntari Kusmadewi Eka Damayanti kusnandar kusnandar Kusumawati, Ratna Kusumawati, Ratna Lilik Retna Kartikasari Lourena, Crysty Mahyaningtyas, Fransisca Pradnya Majestika Septikasari, Majestika Mariestu, Farah Kurnia Maulidya, Rizki Muhammad Akhyar Nilasari, Aprilina Citra Ayu Nur Hafidha Hikmayani Nurgajayanti, Cendi Paramasari Dirgahayu Pasaribu, Sudana Fatahillah Putri, Mahendri Deayu Putri, Yulia Rahmawati Wibowo Qadrijati, Isna Retnowati, Sri Sanjaya, Evan Japutra SANTOSO SANTOSO Sapja Anantanyu, Sapja Sari, Amelya Augusthina Ayu Sari, Atriany Nilam Shabrina, Amalina Shanti Listyawati Sinaga, Ruth Dearani Sogen, Maria Dolorosa P. Sri Mulyani Sugiarto S Sugiarto, S Sukamto, Ika Sumiyarsi Suminah Suminah, Suminah Supriyadi Heri Respati, Supriyadi Heri Tjung, Vivienne Tri Nugraha Susilawati Tri Rejeki Andayani Valensia, Yualeny Wahidah, Nurul Jannatul widardo, Widardo Widyaningsih, Vitri Wrisnijati, Dita Wrisnijati, Dita Wulandari, Anggraini yulia lanti retno dewi Yuniarti, Windy