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Gambaran Pola Asuh terhadap Kepatuhan Diet Anak dan Remaja dengan Diabetes Mellitus: Studi Kasus Inggita Kusumastuty; Della Martha Halimatussa’diah; Catur Saptaning Wilujeng; Fajar Ari Nugroho
Indonesian Journal of Human Nutrition Vol. 9 No. 2 (2022)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2022.009.02.6

Abstract

Diet merupakan salah satu pilar penatalaksanaan pasien Diabetes Mellitus. Kepatuhan diet pasien penting untuk mengendalikan glukosa darah. Penderita DM tipe 1 yang umumnya menyerang anak-anak dan remaja menghadapi tantangan dalam pengaturan asupan makanan. Orang tua memiliki peran penting dalam membimbing anak-anak mereka untuk mematuhi rekomendasi diet. Penelitian ini bertujuan untuk mengetahui gambaran pola asuh terhadap kepatuhan diet pasien diabetes tipe 1. Penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus. Penelitian ini melibatkan empat responden kunci yang diambil sesuai dengan kriteria inklusi yang telah ditentukan. Data dikumpulkan melalui teknik wawancara mendalam. Hasil analisis menunjukkan sebagian besar orang tua menerapkan pola asuh demokratis sedangkan sisanya menerapkan pola asuh otoriter. Tipe orang tua demokratis terlibat dalam mengarahkan, mengingatkan, dan mengawasi sehingga hasilnya adalah pujian yang lebih baik dari pasien. Sedangkan pada tipe orang tua otoriter, pasien cenderung tidak patuh dengan pola makan. Penelitian ini menyimpulkan bahwa pendampingan orang tua dapat menjadi penting dalam mendukung kepatuhan diet pasien DM tipe 1.  
Desain, Pengembangan, dan Evaluasi Aplikasi Pengkajian Asupan Makan ‘Rekasku’ (Rekaman Asupanku) Inggita Kusumastuty; Dian Handayani; Fajar Ari Nugroho
Jurnal Kesehatan Vokasional Vol 8, No 3 (2023): August
Publisher : Sekolah Vokasi Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkesvo.80014

Abstract

Latar Belakang: Ahli gizi melakukan pengkajian asupan makan dalam pelaksanaan Proses Asuhan Gizi Terstandar (PAGT). Pelaksanan secara manual telah terbukti memakan waktu yang menghasilkan data yang terfragmentasi dan tidak lengkap, sehingga penggunaan teknologi dibutuhkan untuk menjawab kebutuhan dalam pengembangan instrumen pengkajian asupan makan.Tujuan: Mendeskripsikan desain, pengembangan, dan evaluasi dari instrumen pengkajian asupan makan 24 hour recall “Rekasku” berbasis android.Metode: Metode yang digunakan dalam pengembangan instrumen adalah Participatory Action Research (PAR). Rancangan penelitian untuk mengevaluasi instrumen adalah Quasy Experimental dengan pendekatan pre and posttest Design. Responden penelitian adalah 30 ahli gizi. Pengukuran dilakukan untuk menilai efisiensi dan efektivitas aplikasi Rekasku menggunakan skala 1 hingga 4. Selain itu, penelitian ini juga mengevaluasi waktu pengkajian asupan yang dibutuhkan oleh aplikasi Rekasku dan metode 24 hour recall secara manual.Hasil: Nilai rata-rata pengukuran efisiensi adalah 3,5 ± 0,3 dan efektifitas adalah 3,2 ± 0,3. Hasil analisis uji beda antara pelaksaaan manual dan Rekasku menunjukkan perbedaan secara signifikan (p<0.05, wilcoxon).Kesimpulan: Aplikasi Rekasku efisien dan efektif untuk digunakan sebagai instrumen pengkajian asupan makan.
Pengaruh Pemberian Snack Puding Dadih Susu Kerbau dan Edamame Terhadap Kadar Glukosa Darah Puasa dan Profil Lipid pada Pasien Diabetes Mellitus: Pengaruh Pemberian Snack Puding Dadih Susu Kerbau dan Edamame terhadap Kadar Glukosa Darah Puasa dan Profil Lipid pada Pasien Diabetes Mellitus Liri Sisca Wulandari; Inggita Kusumastuty; Anggun Rindang Cempaka; Fajar Ari Nugroho
Amerta Nutrition Vol. 7 No. 4 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i4.2023.583-588

Abstract

Background: Buffalo milk curd, a native probiotic source from Indonesia, is dominated by live indigenous Lactic Acid Bacteria known for their ability to lower blood glucose levels. Edamame contains amino acid arginine, chromium, antioxidants, and fibre, aiding in blood glucose control and lipid profile reduction. Objectives: This study aimed to assess the effects of buffalo milk curd and edamame-based pudding snacks on fasting blood glucose levels and lipid profiles in Type 2 diabetes mellitus (T2DM) patients. Methods: This study used a True Experiment Design with Pretest-Posttest Control Group Design. The study involved 32 patients divided into treatment and control groups. During the study, the treatment group received 250 g of snacks in the morning and evening for one week. Blood glucose levels and lipid profiles were measured using the enzymatic colourimetry method. Results: The results showed decreased fasting blood glucose levels before and after treatment in both control (-17.06 ± 40.17) and treatment (-48.38 ± 40.27 mg/dl) groups (p=0.036). Total cholesterol levels also decreased in control (-15.87 ± 23) and treatment (-41.4 ± 19 mg/dl) groups (p=0.001). There were decreased LDL levels in control (-6.81 ± 29.09) and treatment (-27.3 ± 25.09 mg/dl) groups (p=0.04). However, HDL and TG levels showed no differences at the end of the study. Conclusions: Buffalo curd milk-edamame pudding snacks can reduce fasting blood glucose levels and lipid profiles, particularly total cholesterol and LDL levels, in Type 2 DM patients.
How electronic emergency and disaster system can reduce nursing workload? Mesa, Nofita Dewi Kok; Wihastuti, Titin Andri; Nugroho, Fajar Ari; Supriyadi, Muchamad
International Journal of Public Health Science (IJPHS) Vol 12, No 4: December 2023
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v12i4.22872

Abstract

Prehospital care is an emergency medical service (EMS) administered outside of the hospital. Time-consuming documentation of medical records is one of the tasks that prehospital nurses have to complete. It requires the development of innovations to improve prehospital care. To enhance prehospital treatment, innovations must be created. The purpose of this study is to ascertain whether the emergency and disaster electronic handling system application (SPEED) decreases the time nurses spend recording patient records. A total of 54 samples will be randomly separated into two groups as part of the study's true experimental design with crossed over method. Each of the three study sessions lasts for three weeks to finish. Group B received the first period of the paper-based intervention, whereas group A received the SPEED intervention. Group B will get the SPEED intervention following the washout period (second period), whereas group A will receive a paper-based intervention (third period). The independent t-test showed that the SPEED application was more efficient than paper-based using a mean difference value of 25.22 and a sig (2-tailed) value of 0.00. The SPEED application can make nurses' jobs easier and lighten their prehospital nurses' mental, physical, and time demands.
EFEK PEMBERIAN SUSU SAPI BUBUK TERHADAP KADAR SERUM HDL (HIGH DENSITY LIPOPROTEIN) PADA TIKUS PUTIH (Rattus norvegicus) GALUR WISTAR MODEL DIABETES MELITUS TIPE 2 Umami, Zakia; Nurdiana, Nurdiana; Nugroho, Fajar Ari
Jurnal Gizi dan Pangan Vol. 10 No. 1 (2015)
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 | Full PDF (328.01 KB) | DOI: 10.25182/jgp.2015.10.1.%p

Abstract

ABSTRACTThe purpose of this study was to determine the cow’s milk powder to increased serum levels of High Density Lipoprotein (HDL) of white male rat model with diabetes mellitus type 2. The design of this study was a post-test control group study conducted in 30 male rats which randomly divided into five groups. Negative control group was the group of rats which fed normally, the positive control group was induced by streptozotocin (STZ) without given cow’s milk, group P1, P2, P3 were given a normal diet and cow’s milk 0.9; 1.8, and 2.7 g orally every day. The results of this study were the levels of HDL in K(-)=44.22 mg/dl, K(+)=47.45 mg/dl, P1=56.56 mg/dl, P2=51.82 mg/dl, and P3=59.45 mg/dl. The conclusion was the milk powder was not significantly increase levels of HDL (p>0.05). More longer intervention was suggested for further research to get more significant of HDL level on type 2 diabetes mellitus.Keywords: HDL serum level, high fat diet, milk powder, streptozotocinABSTRAKTujuan penelitian ini adalah menganalisis pengaruh pemberian susu sapi bubuk terhadap peningkatan kadar serum High Density Lipoprotein (HDL) tikus putih (Rattus norvegicus) berjenis kelamin jantan model diabetes melitus (DM) tipe 2. Penelitian ini menggunakan desain penelitian post test control group dengan 30 ekor tikus dibagi secara acak menjadi lima kelompok. Kelompok K(-) adalah tikus yang diberi pakan normal, kelompok K(+) diinduksi dengan streptozotocin (STZ) tanpa diberi susu, kelompok P1 sampai P3 diberi diet normal dan susu 0,9; 1,8, dan 2,7 g secara oral setiap hari. Hasil penelitian menunjukkan kadar HDL pada K(-)=44,22 mg/dl, K(+)=47,45 mg/dl, P1=56,56 mg/dl, P2=51,82 mg/dl, dan P3=59,45 mg/dl. Susu sapi bubuk mampu meningkatkan kadar HDL tikus model DM tipe 2 akan tetapi tidak signifikan (p>0,05). Perlu dilakukan penelitian lebih lanjut dengan waktu lama penelitian yang berbeda sehingga bisa berdampak yang lebih signifikan untuk kadar HDL pada DM tipe 2.Kata kunci: diet tinggi lemak, kadar HDL serum, streptozotocin, susu sapi bubuk
Hubungan Antara Indeks Massa Tubuh dan Persen Lemak Tubuh dengan Kebiasaan Makan pada Mahasiswa di Malang: Relationship between Body Mass Index, Body Fat Percentage, and Eating Habits among University Students in Malang Kusumastuty, Inggita; Maulia, Putri Hersya; Dewi, Diva Regita; Oktania, Rizkyah; Nugroho, Fajar Ari; Handayani, Dian
Amerta Nutrition Vol. 9 No. 3 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i3.2025.419-429

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Background: In 2023, obesity prevalence in Indonesia was reported at 15.7% in men and 31.2% in women. Eating out has become increasingly common among university students in major cities like Malang due to busy schedules, easy access to food accessibility, and lifestyle changes. Objectives: This study aims to examine the relationship between Body Mass Index (BMI), body fat percentage, and eating habits among university students. Methods: This cross-sectional observational study was conducted at Universitas Brawijaya, Malang, involving 385 respondents. The measured variables included BMI, body fat percentage, and eating habits. Eating habits were assessed using a questionnaire covering five indicators: Takeaway food consumption, eating at home, dining at restaurants, consuming supermarket food, and consuming traditional market snacks. Data were analyzed using the Chi-square test and Logistic Regression. Results: Most respondents were female, lived in dormitories or rented housing, and had a family income below five million rupiahs per month. Among the five eating habit indicators, only restaurant dining showed a significant correlation with BMI and body fat percentage (p-value<0.05), while takeaway food consumption, eating at home, consuming supermarket food, and consuming traditional market snacks were not significantly related (p-value>0.05). Conclusions: Eating habits, in general, showed no significant relationship with BMI and body fat percentage, except for restaurant dining, which was significantly correlated with increased body fat percentage.
Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus Nugroho, Fajar Ari; Chandra, Rico Budhiarta; Laila, Nike; Rukia, Sera; Kusumastuty, Inggita; Cempaka, Anggun Rindang; Istifiani, Lola Ayu; Latif, Atifa Nafia Hasantie
Nurse Media Journal of Nursing Vol 14, No 1 (2024): (April 2024)
Publisher : Department of Nursing, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/nmjn.v14i1.61605

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Background: Type-2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which in turn affects the management of the condition. Men and women experiencing stress and adopting distinct coping strategies. However, research focusing specifically on T2DM in men is still limited.Purpose: The present study intends to investigate the distress and coping strategies adopted by male T2DM outpatients in Malang, East Java, Indonesia.Methods: This study employed a qualitative research design and conducted in-depth interviews to 24 male T2DM outpatients. The interview guidelines were formulated using the Indonesian version of the Diabetes Distress Scale (DDS17) questionnaire, which comprised four domains: physician distress, emotional burden, regimen distress, and interpersonal distress. A thematic analysis was performed to analyze the results gathered during the research and compile them into a final report.Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of both diabetes and healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Of these, the most effective strategy was receiving support from family members, followed by acceptance, self management, positive attitude, understanding of their illness, joining the diabetes community, spirituality, and getting more information about T2DM.Conclusion: The findings of this study indicated that men experience eight distinct types of stress and utilise comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients.
The Application of GENRE KIT Snakes and Ladders to Enhance Adolescent Reproductive Health Knowledge: Quasi-Experimental Design Darmayani, Ckristy Diana; Kumboyono, Kumboyono; Nugroho, Fajar Ari
Journal of Applied Nursing and Health Vol. 7 No. 2 (2025): Journal of Applied Nursing and Health
Publisher : Chakra Brahmanda Lentera Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55018/janh.v7i2.360

Abstract

Background: Adolescents constitute a significant portion of the global population and fall within the age range of 10–19 years. During adolescence, individuals undergo various physical, social, emotional, and hormonal changes. A lack of knowledge regarding reproductive health among adolescents is partly attributed to limited access to accurate and comprehensive information. This study aims to evaluate the effectiveness of the GenRe KIT Snakes and Ladders as an interactive educational tool to improve adolescents' knowledge about reproductive health. Methods: The research design used was a quasi-experimental design, with two groups, pre-test and posttest. The population consisted of adolescents, with a sample of 72 participants selected through simple random sampling. The inclusion criteria were adolescents 14-19 years old. A pretest was conducted before the intervention, followed by a posttest after the intervention. The instrument used was a modified Tentang Kita module by BKKBN, consisting of 21 knowledge and 13 attitude items related to reproductive health. Validity was confirmed with Pearson correlation values (r = 0.364–0.807), and reliability was high, with Cronbach’s alpha of 0.889 for knowledge and 0.745 for attitude. Results: The pre-test score in the intervention group was 13.11 (SD = 1.75) and improved significantly to 19.86 (SD = 1.33) after the intervention (p< 0.001). Post-intervention, the intervention group’s knowledge score remained substantially higher than the control group’s (p < 0.001). The between-group effect size (Cohen’s d = 3.48) indicated a very large effect, confirming the GenRe KIT Snakes and Ladders game's superior effectiveness in enhancing adolescents’ reproductive health knowledge compared to traditional lecture-based methods. Conclusion: GenRe KIT Snakes and Ladders game is effective in increasing adolescents' reproductive health knowledge and shows potential as an engaging educational tool in schools and community-based programs. Despite limitations related to study design, sample scope, and short intervention duration, the findings support further research using larger, more diverse populations and randomized designs to assess long-term impacts and behavioral outcomes.
ASUPAN PROTEIN NABATI DAN KEJADIAN ANEMIA WANITA USIA SUBUR VEGAN Nugroho, Fajar Ari; Handayani, Dian; Apriani, Yosi
Jurnal Gizi dan Pangan Vol. 10 No. 3 (2015)
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 | Full PDF (269.89 KB) | DOI: 10.25182/jgp.2015.10.3.%p

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ABSTRACTThe purpose of this study was to determined the role of vegetable protein intake and anaemia incidence among vegan reproductive aged women. This study was observational research with cross-sectional study design. Sixty-five subjects were selected by simple random sampling method. Data collection for intake was done by 24-hours recall technique, and haemoglobin levels was measured by cyanmethemogloblin method. The results showed that 26.1% from 31-anaemia vegan subjects classified as less vegetable protein intake individuals, and 43% from 34-non anaemia vegan subjects known as enough vegetable protein intake individuals. Chi-square test authenticate that there was a significant relationship between the vegetable protein intakes with anaemia incidence among vegan reproductive aged women (p=0.002). The conclusion showed that vegetable protein intake has a role to the risk of anaemia incidence among vegan reproductive aged women.Keywords: anaemia, reproductive aged women, vegan, vegetable proteinABSTRAKTujuan penelitian ini adalah mengetahui peran asupan protein nabati terhadap kejadian anemia pada wanita usia subur (WUS) vegan. Penelitian yang dilakukan adalah penelitian observasional dengan desain cross sectional. Sebanyak 65 subjek WUS dipilih menggunakan metode simple random sampling. Pengambilan data asupan dilakukan menggunakan metode 24-hours recall, sedangkan kadar hemoglobin dianalisis menggunakan metode cyanmethemoglobin. Hasil penelitian menunjukkan 31 WUS vegan yang anemia sebesar 26,1% diantaranya menunjukkan memiliki asupan protein kurang, sedangkan 34 WUS vegan yang tidak anemia (43%), memiliki asupan protein nabati cukup. Analisis chi square menunjukkan bahwa terdapat hubungan yang signifikan antara asupan protein nabati dengan kejadian anemia (p=0,002). Kesimpulan penelitian ini adalah asupan protein nabati berperan terhadap risiko anemia pada WUS vegan.Kata kunci: anemia, protein nabati, vegan, WUS
ASSOCIATION BETWEEN SWEETENED BEVERAGES CONSUMPTION WITH THE INCIDENCE OF TYPE 2 DIABETES AND CARDIOVASCULAR DISEASE: A SYSTEMATIC REVIEW Komar, Devi Nur Na'syifa; Nugroho, Fajar Ari; Kurniasari, Fuadiyah Nila
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 4 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i4.3281

Abstract

Konsumsi minuman berpemanis gula (SSB) dan pemanis buatan (ASB) telah dikaitkan dengan peningkatan risiko diabetes mellitus tipe 2 (DMT2) dan penyakit kardiovaskular (PKV). Namun, bukti mengenai dampak jangka panjang dari kedua jenis minuman ini masih bervariasi. Studi ini merupakan kajian sistematis yang dilakukan sesuai dengan pedoman PRISMA. Sebanyak 18 artikel dari studi kohort dan potong lintang yang dipublikasikan antara tahun 2015 hingga 2025, dengan subjek penelitian orang dewasa untuk menganalisis hubungan antara konsumsi SSB dan ASB dengan DMT2 dan PKV. Penilaian kualitas dilakukan menggunakan Newcastle-Ottawa Scale (NOS). Konsumsi SSB dan ASB secara konsisten dikaitkan dengan peningkatan risiko DMT2 dan CVD dengan risiko relatif (HR/OR) berkisar antara 1,06 hingga 2,40 untuk DMT2 dan 1,09 hingga 2,44 untuk CVD. Oleh karena itu, strategi kesehatan masyarakat sebaiknya tidak hanya mengalihkan konsumsi dari SSB ke ASB, melainkan menekankan pada pembatasan konsumsi keduanya secara menyeluruh melalui kebijakan regulatif, edukatif, dan fiskal.
Co-Authors Adi Lukas Kurniawan Adys Werestandina, Adys Agustiana Dwi Indiah Ventyaningsih, Agustiana Dwi Indiah Amukti, Redy Anggun Rindang Cempaka Apriani, Yosi Aryanti, Shabrina Dessy Avicena, Rizki Satria Ayuningtyas Dian Ariestiningsih Bambang Prijadi Barakatun Nisak Mohd Yusof Catur Saptaning Wilujeng Chandra, Rico Budhiarta Darmayani, Ckristy Diana Deananta, Senja Deananta Debby Amalia Briliansari, Debby Amalia Della Martha Halimatussa’diah Devi puspitasari, Devi Dewi, Diva Regita Dian Handayani Dian Handayani Dian Handayani Dian Handayani Dini, Cleonara Yanuar Dwia Ridhanti Eriza Fadhilah, Eriza Fuadiyah Nila Kurniasari Hidayatullah, Apriliawan Ida, Brigitta Ilmia Fahmi, Ilmia Inggita Kusumastuty Inggita Kusumastuty Inke Triana Arysanthi, Inke Triana Intan Yusuf Habibie Kawitantri, Orchidara Herning Komar, Devi Nur Na'syifa Kumboyono Kumboyono Kusumawardani, Septya Ayu Laila, Nike Latif, Atifa Nafia Hasantie Leni Budhi Harti, Leni Budhi Leny Budhi Harti Liri Sisca Wulandari Lola Ayu Istifiani Maulia, Putri Hersya Median Rolando, Median Nia Novita Wirawan, Nia Novita Nofita Dewi Kok Mesa Novita Sari Nurdiana Nurdiana Oktania, Rizkyah Olivia Anggraeny Olivia Anggraeny, Olivia Prasetyo Adi Putri, Oktaviana Manda Reswari, Ardhana Kusuma Rizka Mayang Saputri Ginting, Rizka Mayang Saputri Rizkyana, Okky Rukia, Sera Sabila, Maulida Septia Sari Dewi, Septia Sari Septiana, Pipit Soemardini Soemardini, Soemardini Supriyadi, Muchamad Tatit Nurseta Titin Andri Wihastuti Widya Rahmawati Yuseva Sariati, Yuseva Zakia Umami Zunita Puri Prihandini