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All Journal International Journal of Public Health Science (IJPHS) Jurnal Gizi dan Pangan Jurnal Kesehatan Masyarakat Indonesia MEDIA MEDIKA INDONESIANA Media Kesehatan Masyarakat Indonesia JURNAL GIZI INDONESIA Jurnal Kesehatan Lingkungan indonesia JURNAL PROMOSI KESEHATAN INDONESIA Jurnal Kesehatan Masyarakat Journal of Nutrition College Disease Prevention and Public Health Journal Jurnal Kesehatan Masyarakat Jurnal Keolahragaan Berkala Ilmu Kesehatan Kulit dan Kelamin ODONTO Dental Journal Jurnal Kebidanan Jurnal Manajemen Kesehatan Indonesia Jurnal Ilmiah Mahasiswa Journal of Health Education JST ( Jurnal Sains Terapan ) GIZI INDONESIA Jurnal Penelitian Pendidikan IPA (JPPIPA) AcTion: Aceh Nutrition Journal Jurnal Aplikasi Teknologi Pangan Journal of Applied Food Technology Journal of Public Health for Tropical and Coastal Region Journal of Maternal and Child Health Proceedings of the International Conference on Applied Science and Health Amerta Nutrition Jurnal Kreativitas PKM Unnes Journal of Public Health Jurnal Formil (Forum Ilmiah) Kesmas Respati Medical Technology and Public Health Journal Medical and Health Science Journal AVICENNA Jurnal Ilmiah Kesehatan Ar-Rum Salatiga PREPOTIF : Jurnal Kesehatan Masyarakat Journal of Telenursing (JOTING) Jurnal Aisyah : Jurnal Ilmu Kesehatan Indonesian Journal of Global Health research Budapest International Research and Critics Institute-Journal (BIRCI-Journal): Humanities and Social Sciences Narra J Proceedings of the International Conference on Nursing and Health Sciences Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Journal of Social Research Odonto dental journal Jurnal Bidan Cerdas Media Penelitian dan Pengembangan Kesehatan Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)

Mohammad Zen Rahfiludin

Departemen Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Diponegoro, Semarang

Author-ID : 475540

Religion Agriculture, Biological Sciences & Forestry Arts Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary Other

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Pengaruh asupan energi dan protein terhadap perubahan status gizi pasien anak selama dirawat di RSUP Dr. Kariadi Semarang Bandawati, Bandawati; Mexitalia, Maria; Rahfiludin, M. Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 4, No 2 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : Adequate energy andÂ proteinÂ intakeÂ forÂ childrenÂ patients is required as efforts to prevent decline in nutritional status during hospitalization. Nutritional support is a part of therapy which has an important role in the recovery.Objective : To analyze the effect of energy and protein intake on changes of nutritional status in children patients during hospitalized.Method : Observational study with cohort prospective design, from March to April 2014. Subjects were 52 children, 2-14 years old from pediatrics unit in Dr. Kariadi Central General Hospital Semarang. Sampling were choosen by consecutive sampling, hospitalized for >7 days and according inclusion criteria. Body weight and height data were measured at admission and discharge. Nutritional status determined using weight for height Z Score, according to WHO 2005 child Growth Standards. Food intake data collected by Comstock Methode and recall 24 hours. Data analyzed by chi-square and fisher test.Result : There were 48,1% subjects with insufficient energy and 53,9% with insufficient protein intakes. 48,1% subjectsÂ were declining in nutritional status after hospitalization. There was correlation between energy (p=0,003) and protein (p= 0,003) intakes on changes of nutritional status in children patients during hospitalized. Â Subjects with insufficient energy intakes were 26 times at risk (95% CI 3,31-291,09) of declining of BW/BH Z Score than sufficient subjects. Subjects with insufficient protein intake were 20 times at risk (95% CI 4,24-230,52) of declining of weight for height Z Score than sufficient subjects.Conclusion : Insufficient energy and protein intakes can decline nutritional status in children during hospitalized.

Tidak ada perbedaan respon imun perokok berat dan perokok ringan karena asupan mikronutrien Rahfiludin, Mohammad Zen; Ginandjar, Praba
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 2, No 1 (2013)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Smoking may affect cytokine levels, including IFN-Î³, IL-6, and IL-10. Objectives: This study aimed to analyze the difference in levels of cytokines (IFN-Î³, IL-6 and IL-10) based on the degree of smoking, and how the daily intake of nutrient influence the relationship of smoking with cytokines level.Method: This was a cross sectional study. Study subject consisted of 23 adult, healthy, smoker men. Ethical clearance was issued by Commission of Ethics of Medical and Public Health Research, Faculty of Public Health Diponegoro University. Smoking variabel was obtained from questions. Level of cytokines examined consists of IFN-Î³, IL-6 and IL-10 was measured using ELISA (pg/dl). Nutritional intake was measured by method of 2x24-hour recall. The difference of level of IFN-Î³, IL-6, IL-10 and daily nutrient intake based on smoking degree was analyzed with Mann Whitney (Î± 0,05). Result: The result showed no difference in level of IFN-Î³, IL-6 and IL-10 found between group of light and heavy smokers. In the group of heavy smokers, daily nutrient intake was higher compare to light smokers. However, the significant difference only found in vitamin C (p = 0.042). Conclusion: Immune response, as measured by level of interferon gamma, interleukin 6 and interleukin 10, do not differ betwen light and heavy smokers due to micronutrient intakeÂ Keywords: heavy smoker, light smoker, interferon gamma, interleukin 6, interleukin 10

Pengaruh suplementasi seng dan vitamin B6 terhadap kadar hemoglobin, hematokrit dan indeks eritrosit pasien malaria vivax yang anemia Sofiyetti, Sofiyetti; Dharmana, Edi; Rahfiludin, M. Zen; W, Nyoman Suci; Afifah, Diana Nur
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Zinc supplementation decrease the risk of malaria parasitaemia, increasing ferritin serum level and hemoglobin in patients with malaria. Zinc influence the activity of aminolevulinic acid dehydratase (ALAD) an enzymes that catalizes heme synthesize. Vitamin B6 in pyridoxal 5-phosphate (PLP) from has a role in alpha-aminolevulinic acid (ALA) formation, which is the precursor of heme in hemoglobin. PLP also inhibit the growth of the malaria parasite.Objective: The objective was to analyze the effect of zinc and vitamin B6 supplementation on hemoglobin level, hematocrit and erythrocyte indexs (MCV, MCH and MCHC) of anemic Plasmodium vivax malaria patients.Methods: Double Blind Randomised Controlled Trial with pre and post test design. 30 subjects were divided into two groups: the suplementation group were given zinc 1x10 mg/day with vitamin B6 1x5 mg/day and the control group were given a placebo for 30 days. Data analysis by paired t-test, independent t-test and Mann Whitney.Results: There was an increase in Hb levels in the suplementation group (p=0.0001), the control group (p=0.001) and there was a significant difference on the increase between the two groups (p=0.020). Hematocrit significant increase only in the suplementation group (p=0.0001). There were no differences on erythrocyte index parameter in both groups.Conclusion: Zinc and vitamin B6 supplementation of for 30 days increase the hemoglobin level, hematocrit and there were no effect on erythrocyte indexs of anemic Plasmodium vivax malaria patients.

Faktor risiko stunting pada anak umur 12-24 bulan Wellina, Wiwien Fitrie; Kartasurya, Martha Irene; Rahfiludin, M. Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : In 2013, the prevalence of stunting and severe stunting in Brebes reached 26.9 % and 16.8 %. These prevalences of stunting were higher than the stunting prevlence in Central Java Province (11.0%). This study aimed to determine risk factors of stunting among children aged 12-24 months in Brebes District.Methods: This research was conducted with a case-control design on 77 cases (stunting) and 77 controls (normal) in Brebes Subdistrict. Data on birth weight, birth length, infection history, pesticide exposure were obtained through interviews, using structured questionnaires. The analysis was conducted by calculating Odd Ratios and logistic regressions.Results : Multivariate results showed that the risk factors of stunting in children aged 12-24 months in Brebes Â subdistrict were low energy adequacy levels (OR =7.71; 95%CI: 3.63-16.3; p=0.001), low protein adequacy levels (OR=7.65 ; 95%CI:3.67-15.9, p=0.001); low zinc adequacy levels (OR=8.78; 95%CI:3.53-21.5, p=0,001); low birth weight (OR=3.63; 95%CI:1.65-7.96; p=0.002) and high exposure to pesticides (OR=8.48; 95%CI:3.93-18.28; p=0,001). These three variables are contributing to stunting of 45 %. Low compliance of vitamin A capsule consumption, the frequencies of diarrhea respiratory infection were not the risk factors for stunting in this study.Conclusions: The risk factors of stunting among children aged 12-24 months were low energy adequacy levels, low protein adequacy levels, low zinc adequacy levels, low birth weight and high exposure to pesticides. The highest risk was the high pesticide exposure.

Efek ekstrak daun sirsak (Annona muricata Linn) terhadap profil lipid tikus putih jantan (Rattus Norvegicus) Wurdianing, Indrawati; Nugraheni, SA; Rahfiludin, Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 3, No 1 (2014)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Lipid profile effects is a risk factor for Coronary Heart Disease. Soursop leaves (Annona muricata L) isa traditional medicine plant containing metabolic compounds that contribute to the improvement of the lipid profile.Objective: To determine the effects of soursop leaves extract on lipid profile (total cholesterol, LDL cholesterol, HDLcholesterol and triglyceride).Methods: An experimental study using randomized pre-posttest with control group design. Sample consisted of 28 maleWistar rats, were divided into four groups. The control group (K) was only given High Fat High Cholesterol (HFHC)diet and treatment groups (P1, P2, P3) were given a HFHC diet plus Annona muricata L extract with doses of 100, 200and 300 mg/kgBB per day for 28 days respectively. Data were analyzed by Wilcoxon test, Kruskal-Wallis and MannWhitney.Results: The mean total cholesterol level significantly decreased in the treatment group P1 (p = 0.028) from 60.7 mg/dl(47.6-75.3) to 45.5 mg/dl (38.4-62.4). Mean HDL cholesterol level significantly increased in the treatment group P2(p=0.043) from 26.0 mg/dl (19.7-35.3) to 27.9 mg/dl (18.8-38.0). The mean levels of LDL cholesterol and triglyceridedecreased but not significantly.Conclusion: The administration of Annona muricata L extract can decrease total cholesterol and increase HDLcholesterol significantly.

Faktor risiko stunting pada anak umur 6-24 bulan di kecamatan Penanggalan kota Subulussalam provinsi Aceh Lestari, Wanda; Margawati, Ani; Rahfiludin, Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 3, No 1 (2014)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : Aceh is one of the province in Indonesia with high prevalence of stunting that is 39% compared withnational 35,6%. Subulussalam has a highly proportion of stunting.Objective : This study was aimed to analyze the risk factors for stunting among children between 6-24 months old.Methods : The design was case-control study, the subjects were children between 6-24 months with 55 stunted and 55normal. The subjects chosen by consecutive sampling. The risk factors were education levels and employment of parent,family income, suffering from diarrhea and URTI, energy and protein intake, height of the parent, birth weight,exclusive breastfeeding, the time of complementary feeding, parenting style and source of clean water. Data analysisusing the odds ratio with 95% confidence interval and regression analysis.Results : The risk factors for stunting were low income of family (OR=8,5, 95%CI: 2,68-26,89), suffering from diarrhea(OR=5,04, 95%CI: 1,84-13,81) and URTI (OR=5,71, 95%CI: 1,95-16,67), inadequate of energy (OR=3,09, 95%CI:1,02-9,39) and protein intake (OR=5,54, 95%CI: 2,43-12,63), short stature of the parent (OR=11,13, 95%CI: 4,37-28,3), low birth weight (OR=3,26, 95%CI: 1,46-7,31), not exclusively breastfeeding (OR=6,54, 95%CI: 2,84-15,06),giving complementary feeding too early (OR=6,54, 95%CI: 2,84-15,06), and poor parenting style of feeding practices(OR=4,59, 95%CI: 2,05-10,25), child hygiene practices (OR=3,26, 95%CI: 1,46-7,31) and treatment of childrenpractices (OR=2,46, 95%CI: 1,13-5,34). Regression analysis showed that the dominant risk factor for stunting wasshort stature of the parent (OR=13,16, 95%CI: 3,72-46,52).Conclusions : The dominant risk factor for stunting was short stature of the parent.

The effect of whey protein on malondialdehyde, aerobic capacity, and leg muscle explosive power in basketball athletes Novia Arista; M Zen Rahfiludin; Ali Rosidi
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 1 (2021): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.1.1-5

Background: High-physical activity, including aerobic capacity and leg muscle explosive power, can cause stress oxidative and decrease the performance of athletes. Whey protein contains essential amino acids that were beneficial to decreased malondialdehyde (MDA) levels.Objective: To analyze the effect of whey protein on MDA level, aerobic capacity, and leg muscle explosive power in basketball athletes.Materials and Methods: Randomized controlled trial using pre- and post-test design was conducted on 12 male athletes aged 16-18 years at PPLOP Central Java Basketball Club. The treatment group received 30 grams of whey protein, and the control group received 30 grams of chocolate powder as a placebo for 28 days. MDA levels were measured through Elisa methods. Aerobic capacity was measured by 20 meters sprint. Leg muscle explosive power was measured by vertical jump. Data were analyzed by an independent t-test.Results: The mean MDA levels before intervention in the whey protein group were 182.36 (±59.05), and the mean after the intervention was 171.83 (±5.46). The mean before the aerobic intervention capacity was 36.95 (±5.84), and the mean after the intervention was 49.75 (±3.53). The mean leg muscle explosive was 83.50 (±21.58), and the mean after the intervention was 87.33 (±16.68). There were no effect of whey protein on MDA levels (p>0,05), aerobic capacity (p>0,05) and leg muscle explosive power (p>0,05).Conclusion: Whey protein for 28 days had no effect on MDA levels, aerobic capacity, and leg muscle explosive power

The implementation of nutrition improvement programs for underweight children, wasting and stunting in the Department of Health, Central Buton district, Southeast Sulawesi Nur Wulandari; Ani Margawati; Zen Rahfiludin
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.86-96

Background: Health status can affect the Human Development Index (HDI) of a country. To improve the quality of human resources, the Indonesian Government has applied various policies, such as the nutrition improvement program, since there are still lots of toddlers suffering from underweight, wasting dan stunting. Even one out of three toddlers in Indonesia were detected stunting.Objectives: This study described the implementation of a nutrition improvement program for toddlers in the Central Buton District Health Office.Materials and Method: This was a qualitative study that involved ten informants. Three of those informants are nutritionists in the District Health Office, Head of Public Health Department, Head of NutritionDepartement. Also, two nutrition workers in primary healthcare centers and two mothers of malnourished toddlers.Results: These findings showed that in terms of input, trained human resources on nutrition were lacking, and the budget for the nutrition improvement program was inadequate. While, in the process, all implementors had done very well, although they still had no collaboration across sectors. In the output aspect, the health status of underweight, wasting, and stunting toddlers improved. Also, monitoring and evaluation were conducted on toddlers registered at the integrated service posts in 2018.Conclusions: There were still constraints on the input, process, and output aspects, even though there was an increase in the nutritional status of children under five, but nutrition problems for children under five in Central Buton Regency were still high.

Co-Authors Adlinsyah, Diva' Noeriza Aredya Adriyan Pramono Ahmad Syauqy Aisyah Aisyah Aisyiah, Aisyiah Alfi Fairuz Asna Ali Rosidi Ali Rosidi Ali Rosidi Anggraeni, Neni Ani Margawati Ani Margawati Ani Margawati Anies Anies Anisatul Khofidzoh Anita Sulistyorini Anjani, Gemala Apoina Kartini Aprilliyani Pepi Lusita Aredya, Diva' Noeriza Arti, Dwi Windu Kinanti ARUBEN, RONY Arulita Ika Fibriana Arum, Rzky Arviyani, Tiffany Nisa Astutik Astutik Aulia Annisa Ayuningtyas Ayuningtyas Bagoes Widjanarko Bandawati, Bandawati Bekti Putri Harwijayanti Binar Panunggal BUDIYONO Budiyono Budiyono Cahya Tri Pumami Camelia Nurjannah Cecep Kusmana Christin Hiyana Tunggadewi Daru Lestantyo Debby Rizky Amelia Devi sari Devy Aulia Juniar Devy Noviandhita Anggarani, Devy Dewi Ratnasari Dharminto Dharminto Dhea Salisa, Merisha Diah Krisnansari Diah Ratnasari Dian Isti Cahyani Dian Nursanti Diana Nur Afifah, Diana Nur Dina Rahayuning Pangestuti, Dina Distrika Philani Dita Kartika, Dita Dwi Astuti Dwi Ayu Novitasari, Dwi Dwi Kurnia Yulia Ratnasari Dwi Sutiningsih Edi Dharmana Elisa Henny Ella Febriana Emiyanti, Emiyanti Endang Mahati Endang Mahati Eni Kurniawati Erni Gustina Eros Rosmiati Etika Ratna Noer Etika Ratna Noor Fadhila, Akbar Kholish Fannisa Mahastuti Farid Agushybana Febriyanti, Tiara Amidhea Fitri Khoiriyah P. Fitri, Annisa Aulia Fitri, Reza Kartika Fitriyani Wijayanti Hapsari, Qori Chairunisa Hardhono Susanto Hardhono Susanto Henry Setyawan Susanto Henry Setyawan Susanto Herliana Endang Supriyatini Hertanto Wahyu Subagio Hidayanti, Lilik Himma Sahulika Idroes, Syarifah Zahwana Tasya Al Ihda Nur Kasyifa Ikhtiarti, Wulandari Imas Rini Indah Budiastutik Indrawati Wurdianing, Indrawati Indrianto, Gunawan Sapto Izzatul Arifah Jatu Safitri Cahyahati Juwita Pramodya Wardhani, Juwita Pramodya Karinta Ariani Setiaputri Khasanah, Dwi Puji Khikmah Wati Kholidah, Nur Laksmi Widajanti Laksmi Widajanti Linda Meliati Lintang Dian Saraswati Livia Nur Ghassani Mardiah Nur Arlita Nasution, Mardiah Nur Maria Mexitalia Martha IK Martha Irene Kartasurya Martini Martini Meidiana Dwidiyanti Merry Wenda Meylda Intantiyana Mia Afritia Misrina Ulil Aziza Muhammad Azinar Mursid Raharjo Nadyah Ayu Ginanti Naintina Lisnawati Nia Dhesti Arindita, Nia Nisa, Alfiana Ainun Nova Adiani Priastari Novia Arista Novia Luthviatin Nughraheni, S. A. Nugraheni, SA. Nur Amin Nur Amin, Nur Nur Asiah Rahmi Nur Wulandari Nurani Hari Murti Nuril Nikmawati Nurul Aindina Madaliana Nurul Fadhilah Nyoman Suci W, Nyoman Suci Oktiyani Puspita Sari Onny Setiani Permatasari, Claudia Praba Ginandjar Pradipta Kurniasanti Prananingrum Kinasih Puji Sri Rahayunigtyas Pusaka, Semerdanta Pusporini, Anggraeni Dyah Rahmah, Farida Noor rahmuniyati, merita eka Ratnawati Ratnawati Ratnawati Ratnawati Refky Dermawan Ria Yuniati Riezky Aulia Yulandani Rita Kartika Syarif Ronny Aruben S.Pd. M Kes I Ketut Sudiana . SA Nugraheni SA Nugraheni, SA SA. Nugraheni Santi Mutiara Purnama Asri Santi Rahayu Saputri, Ulfa Ayu Selvina Arum Dewanti SETIAPUTRI, KARINTA ARIANI Setyaningsih, Rini Indah Setyatama, Ike Putri Sholahuddin, Irfan Sholekhah, Nur Khamilatusy Siti Fatimah SITI FATIMAH Siti Fatimah Pradigdo Sofiyetti, Sofiyetti Sonya Hayu Indraswari Sri Achadi Nugraheni Sri Madinah Sri Winarni Suci Musvita Ayu Suhartono SULISTIYANI SULISTIYANI Sulistyawati Sulistyawati Sumarah Sumarah Surip Surip Suroto Suroto Suroto suroto Sutopo Patria Jati Suyatno Suyatno Suyatno Suyatno Syamsul Arifin Syamsulhuda BM Talitha Rahma Nur Aini Tamalla, Putri Nur Temi Chintia Risva Tias Larasati Tiffany Nisa Arviyani Tinuk . Istiarti Titin Prihatin Triana Sri Hardjanti, Triana Sri Triwahyuningsih, Ria Y. Umaroh Umaroh, Umaroh Virnanda Adani Vita Rizky Pradani Sugiyanto Wanda Lestari, Wanda Wellina, Wiwien Fitrie Wijayanti, Deti Wulan Ayu Kusumanngtyas Wulansari - Yudhy Dharmawan Yugharyanti, Tsamara Putri Yuliana, Aniestia Yuliani Setyaningsih Yuliarti Yuliarti Yuliarti, Yuliarti Yuliarti Yuni Atika Sari

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