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PERBEDAAN TINGKAT ASUPAN ENERGI DAN LEMAK SERTA AKTIVITAS FISIK BERDASARKAN STATUS OBESITAS SENTRAL PADA PASIEN RAWAT JALAN DI RSUD WANGAYA, KOTA DENPASAR Ambartana, I Wayan; Andari, Ni WAS
GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v38i1.164

Kejadian obesitas sentral dapat terjadi karena adanya perubahan gaya hidup seperti tingginya konsumsi minuman beralkohol, kebiasaan merokok, tingginya konsumsi makanan berlemak,rendahnya konsumsi sayuran dan buah, dan kurangnya aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui perbedaan tingkat konsumsi energi, lemak dan aktivitas fisik berdasarkan status obesitas sentral pada pasien rawat jalan di RSUD Wangaya. Penelitian ini merupakan penelitian observasional dengan rancangan kasus kontrol. Populasi adalah semua pasien yang berkunjung ke Poliklinik RSUD Wangaya dan sampel adalah pasien laki – laki dan perempuan berumur di atas 20 tahun dan tidak memiliki penyakit komplikasi berat. Data diperoleh dengan metode wawancara dan pencatatan hasil pengukuran. Berdasarkan hasil analisis uji statistik Independent t-test disimpulkan bahwa terdapat perbedaan yang signifikan antara tingkat konsumsi energi (p = 0,019) dan tingkat konsumsi lemak (p = 0,047) berdasarkan status obesitas sentral. Terdapat pula perbedaan yang signifikan antara aktivitas fisik (p = 0,006) berdasarkan status obesitas sentral. Disarankan kepada pasien dengan risiko obesitas sentral untuk menjaga pola makan, gaya hidup dan aktivitas fisik sehingga penyakit degeneratif yang timbul akibat obesitas dapat dihindari.ABSTRACT Differences in Energy and Fat INTAKES, Physical Activitybased on Central Obesity Status in OutpatientsIN Wangaya Hospital, Denpasar CITY Riskesdas 2010 stated that the national prevalence of central obesity reached 18.8 percent for those aged ≥ 15 years and Bali is one of 17 provinces which had a prevalence of central obesity above the national prevalence, it was 22 percent. The purpose of the study was to determine differences in the level of energy and fat intakes, and physical activity by central obesity status in outpatients in Wangaya hospital. This study is an observational study with case-control design. The population was all patients who visited the polyclinic in Wangaya Hospital and the sample was male patients and female aged 20 years and did not have severe complications of disease. Data were obtained by interviewing and recording the measurement’s results. Based on the statistical tests analysis usingIndependent t-test concluded that there were significant differences between the level of energy consumption (p = 0.019) and fat (p=0.047) based on the status of central obesity. There were a significant difference between physical activity (p = 0.006) based on the status of central obesity. It is suggested to patient with the risk of central obesity to maintain good food pattern, good lifestyle and do physical avtivity regularly to avoid degenerative diseases. Keywords: energy intake, fat intake, physical activity, central obesity

PENGARUH KOMPOSISI DIET DAN SENAM AEROBIK TERHADAP PENURUNAN BERAT BADAN Dewantari, Ni Made; Ambartana, I Wayan
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (351.115 KB)

Kemajuan teknologi dan sosial ekonomi pada kelompok masyarakat menyebabkan terjadinya perubahan gaya hidup yaitu perubahan pola diet yang cenderung komposisinya rendah serat, tinggi lemak dan berkurangnya aktivitas fisik. Kondisi tersebut berkontribusi pada meningkatnya prevalensi kegemukan. Penelitian ini bertujuan untuk mengetahui pengaruh komposisi diet dan senam aerobik terhadap penurunan berat badan. Jenis penelitian eksperimental dengan rancanganrandomized pre test-post test control group design. Sampel adalah wanita dewasa di Kota Denpasar, sebanyak 33 orang, umur 30-50 tahun, IMT 25-30 kg/m2. Kelompok 1 menerapkan diet rendah lemak; kelompok 2 diet rendah karbohidrat; kelompok 3 sebagai kontrol. Sebelum dan sesudah intervensi dilakukan pengukuran berat badan. Perubahan berat badan sebelum dan setelah intervensi dianalisis dengan uji paired t-test. Perbedaan rerata penurunan berat badan ketiga kelompok dianalisis dengan uji One Way Anova. Hasil penelitian menunjukkan intervensi diet rendah lemak dan diet rendah karbohidrat dapat menurunkan berat badan secara bermakna (p=0,000). Rerata penurunan berat badan pada diet rendah lemak 3,61 kg dan diet rendah karbohidrat 3,42 kg. Penurunan berat badan pada diet rendah lemak dan diet rendah karbohidrat tidak berbeda bermakna (p=0,547). Penurunan berat badan dapat dilakukan dengan menerapkan diet energi rendah dengan komposisi rendah lemak atau rendah karbohidrat disertai senam aerobik.ABSTRACT The Effect of Diet Composition and Aerobic Exercise on Weight LossAdvances in technology and social economy at particular groups of people, especially in urban communities leads to changes in lifestyle eq. changes in diet that tends composition low in fiber, high in fat and lack physical activity. These conditions contribute to the increasing prevalence of obesity. The research objective was to determine the effect of dietary composition and aerobics to weight decrease. This research is a experimental design with randomized pretest-posttest control group design. Samples are adult women in Denpasar City, as many as 33 people, aged 30-50 years, BMI 25-30 kg/m2. Group 1 apply a low-fat diet; group 2 low-carb diet; group 3 controls. Before and after the intervention measurement of body weight. Changes in body weight before and after the intervention analyzed by paired t-test. The mean differences in weight loss of the three groups were analyzed with One Way Anova. The results showed low-fat diet and low-carbohydrate diets can lose weight is significantly (p=0.000). Mean weight loss on a low-fat diet 3.61 kg and 3.42 kg of low-carbohydrate diets. Weight loss in low-fat diets and low-carbohydrate diets did not differ significantly (p=0.547). Weight loss can be done by applying a low energy diet with low-fat or low-carbohydrate composition with aerobic exercise. Keywords: low-carbohydrate diet, low-fat diet, aerobic exercise, weight

PERBEDAAN TINGKAT ASUPAN ENERGI DAN LEMAK SERTA AKTIVITAS FISIK BERDASARKAN STATUS OBESITAS SENTRAL PADA PASIEN RAWAT JALAN DI RSUD WANGAYA, KOTA DENPASAR Ambartana, I Wayan; Andari, Ni WAS
GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (288.495 KB)

Kejadian obesitas sentral dapat terjadi karena adanya perubahan gaya hidup seperti tingginya konsumsi minuman beralkohol, kebiasaan merokok, tingginya konsumsi makanan berlemak,rendahnya konsumsi sayuran dan buah, dan kurangnya aktivitas fisik. Tujuan penelitian ini adalah untuk mengetahui perbedaan tingkat konsumsi energi, lemak dan aktivitas fisik berdasarkan status obesitas sentral pada pasien rawat jalan di RSUD Wangaya. Penelitian ini merupakan penelitian observasional dengan rancangan kasus kontrol. Populasi adalah semua pasien yang berkunjung ke Poliklinik RSUD Wangaya dan sampel adalah pasien laki – laki dan perempuan berumur di atas 20 tahun dan tidak memiliki penyakit komplikasi berat. Data diperoleh dengan metode wawancara dan pencatatan hasil pengukuran. Berdasarkan hasil analisis uji statistik Independent t-test disimpulkan bahwa terdapat perbedaan yang signifikan antara tingkat konsumsi energi (p = 0,019) dan tingkat konsumsi lemak (p = 0,047) berdasarkan status obesitas sentral. Terdapat pula perbedaan yang signifikan antara aktivitas fisik (p = 0,006) berdasarkan status obesitas sentral. Disarankan kepada pasien dengan risiko obesitas sentral untuk menjaga pola makan, gaya hidup dan aktivitas fisik sehingga penyakit degeneratif yang timbul akibat obesitas dapat dihindari.ABSTRACT Differences in Energy and Fat INTAKES, Physical Activitybased on Central Obesity Status in OutpatientsIN Wangaya Hospital, Denpasar CITY Riskesdas 2010 stated that the national prevalence of central obesity reached 18.8 percent for those aged ≥ 15 years and Bali is one of 17 provinces which had a prevalence of central obesity above the national prevalence, it was 22 percent. The purpose of the study was to determine differences in the level of energy and fat intakes, and physical activity by central obesity status in outpatients in Wangaya hospital. This study is an observational study with case-control design. The population was all patients who visited the polyclinic in Wangaya Hospital and the sample was male patients and female aged > 20 years and did not have severe complications of disease. Data were obtained by interviewing and recording the measurement’s results. Based on the statistical tests analysis usingIndependent t-test concluded that there were significant differences between the level of energy consumption (p = 0.019) and fat (p=0.047) based on the status of central obesity. There were a significant difference between physical activity (p = 0.006) based on the status of central obesity. It is suggested to patient with the risk of central obesity to maintain good food pattern, good lifestyle and do physical avtivity regularly to avoid degenerative diseases. Keywords: energy intake, fat intake, physical activity, central obesity

Sosialisasi Manfaat Makan Sayur dan Buah Serta Manfaat Olahraga untuk Mencegah Obesitas Pada Lansia di Kecamatan Ubud Kabupaten Gianyar I Wayan Ambartana; Hertog Nursanyoto
Jurnal Pengabmas Masyarakat Sehat Vol 1, No 1 (2019): Januari 2019
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v1i1.547

The problem of obesity in the elderly has become a health and nutrition problem in the world community. Obesity does not cause death directly, but causes serious health problems that can lead to cardiovascular, kidney, metabolic, protombic and inflammatory responses. According to WHO (2013) a diet high in energy and fat and lack of movement activity are the main factors causing high rates of obesity throughout the world. Frequent consumption of various types of food that exceeds the need will increase body weight, especially if not accompanied by sufficient body activities such as exercise, obesity will be more easily occur. The results of the 2013 Riskesdas data showed that physical activity lacked the risk of obesity at 1.672 times greater than those who had enough activity. The purpose of this service is to determine the level of understanding the benefits of eating vegetables and fruit and understanding the benefits of physical activity in the elderly. The benefits of socialization are the elderly who understand the benefits of eating vegetables and fruits and the benefits of exercise so they want to consume vegetables and fruits every day and exercise 3 times a week. The target of this service is the elderly. Method: counseling was carried out during the Elderly Posyandu activities. Before counseling, a written Pre-Test / Interview was given. Dedication assisted by several students. After counseling, a post test was conducted. If the elderly are not able to do it themselves, then working on the tets will be guided by the servant.Keywords : Vegetable and Fruit Consumption, Sports Activities, Elderly

Sosialisasi Bahaya Minuman Serbuk Bagi Kesehatan Pada Anak Sekolah Dasar Di Kecamatan Sukawati Kabupaten Gianyar Provinsi Bali I Wayan Ambartana Ambartana; Ni Made Yuni Gumala Yuni Gumala
Jurnal Pengabmas Masyarakat Sehat (JPMS) Vol 2, No 3 (2020): Juli 2020
Publisher : Poltekkes Kemenkes Denpasar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33992/ms.v2i3.1039

ABSTRACT One of the artificial sweeteners used in powdered drinks is cyclamate. Cyclamate is a sodium salt of cyclamic acid with the molecular formula C6H11NHSO3Na. Sodium cyclamate tastes sweet without any unpleasant taste, is very easy to dissolve in water, and the sweetness intensity is about 30 times the sweetness of pure cane sugar.Cyclamate can endanger health, even though it has a high level of sweetness and tastes good (without bitter taste). The level of cyclamate poisoning in experimental mice is 50% of dead experimental animals; by mouth 12.0 g / kg body weight. Cyclamate is carcinogenic (can cause cancer) especially in the bladder.Research conducted by the Food and Drug Inspection Center in November to December shows that cyclamate consumption in primary school children has reached 24% of ADI (Acceptable Daily Intake) or Safe Daily Consumption. The effect of artificial sweeteners on humans did not materialize immediately. Artificial sweeteners will continue to accumulate and will be harvested after children grow up, because it can be said of silent disease.This Community Service was held in August 2019 with the target of grade 5 elementary school students in Ketewel Elementary School Number 6 and Guwang Elementary School Number 1 in Sukawati District, Gianyar Regency, totaling 45 people. Interference is given in the form of counseling. Evaluation is done by assessing the results of the pre test and post test. There was an increase in knowledge of 1.95 points compared to before, there was an increase in skills compared to before. There needs to be supervision of the school canteen manager, socialization of powder drinks by the authorities should be increased.

The Effects Of A Low-Fat Diet And A Low-Carbohydrate Diet With Aerobic Exercise On Changing Of Lipid Profile Ni Made Dewantari; I Wayan Ambartana; I Putu Suiraoka; GA Dewi Kusumayanti; Desak Putu Sukraniti; I Gede Iswara Pranidhana Putra
World Nutrition Journal Vol. 3 No. 2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V03.i2.0007

Lifestyle changes become the foundation in primary and secondary prevention of lipid and lipoprotein disorders. The aim of the study was to know the effectiveness of low fat diet and low carbohydrate diet with aerobic exercise toward lipid profile change. Type of experimental research with pre test-post test control group design. The sample of adult women in the city of Denpasar as many as 33 people, aged 30-50 years, IMT 25-30 kg/m2, allocated to 3 groups. Group 1 applied a low-fat diet, group 2 applied a low-carbohydrate diet and a group of 3 controls. Before and after the intervention a blood lipid profile was measured. Changes in blood lipid profile before and after intervention were analyzed by paired t-test. The difference in mean blood lipid profile in all three groups was analyzed by One Way Anova test. Low-fat diet and low-carbohydrate diet can lower total cholesterol and LDL-C significantly (p <0.05). The average decrease in total cholesterol with low fat diet was 16.82 mg/dL and low carbohydrate diet 14.64 mg/dL. Decreased LDL-C with a low-fat diet of 13.36 mg/dL and low-carbohydrate diet of 7.45 mg/dL. There was no significant difference in lipid profile changes between low fat diets compared to low carbohydrate diets (p>0.05). Thus a low-fat diet is as effective as a low-carb diet to improve lipid profile.Â

Pola Konsumsi Sayur dan Buah, Kebiasaan Olahraga dan Status Gizi Anggota Persatuan Pencak Silat Ranting Bayad Desa Bayad Tegallalang Gianyar Sang Ayu Putu Eka Yanti; I Wayan Ambartana; Ni Made Dewantari
Jurnal Ilmu Gizi : Journal of Nutrition Science Vol 7, No 3 (2018): Agustus 2018
Publisher : Jurusan Gizi, Poltekkes Kemenkes Denpasar dan DPD PERSAGI Bali

Antioxidants are necessary when the amount of free radicals is very excessive, excessive physical activity triggers the increase in free radicals in large numbers. Antioxidants that are coming from outside the body is found in vegetables and fruit, this research aims to know the vegetable and fruit consumption patterns, sports and nutrition status of Ranting Bayad Martial Art Unity Members at Bayad Village Tegalalang Gianyar. This research was carried out in Ranting Bayad Village, Tegallalang on April 2018 with the kind of observational research and draft cross sectional with total sample 40 people aged 11-25 years. The data collected with measurements of nutrition status of height and weight, dietary data collected using SQ-FFQ kuisioner, frequency data collected by sports interview. The results of this study the majority 97.5% of the sample have normal nutritional status. Different types of vegetable consumption 65.0% reasonably vegetable consumption, number of 92.5% less vegetable consumed and frequency of 43.5% quite a while different kinds of fruit consumption 80.0% enough fruit consumption, total 52.5% good and the frequency of eating fruit 57.5%. The frequency of 55.0% sports match. There is no tendency of linkages between different types of nutritional status with vegetable and fruit consumption, nutritional status with a number of vegetable consumption, nutritional status with the frequency of consuming vegetables and fruit, nutritional status with the frequency of sports, and there is a tendency the link between nutritional status with the amount of consumption of the fruit.Kata Kunci: Nutrition Status, Vegetable, Fruit, Sports

PENGARUH KOMPOSISI DIET DAN SENAM AEROBIK TERHADAP PENURUNAN BERAT BADAN Ni Made Dewantari; I Wayan Ambartana
GIZI INDONESIA Vol 40, No 2 (2017): September 2017
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v40i2.239

Kemajuan teknologi dan sosial ekonomi pada kelompok masyarakat menyebabkan terjadinya perubahan gaya hidup yaitu perubahan pola diet yang cenderung komposisinya rendah serat, tinggi lemak dan berkurangnya aktivitas fisik. Kondisi tersebut berkontribusi pada meningkatnya prevalensi kegemukan. Penelitian ini bertujuan untuk mengetahui pengaruh komposisi diet dan senam aerobik terhadap penurunan berat badan. Jenis penelitian eksperimental dengan rancanganrandomized pre test-post test control group design. Sampel adalah wanita dewasa di Kota Denpasar, sebanyak 33 orang, umur 30-50 tahun, IMT 25-30 kg/m2. Kelompok 1 menerapkan diet rendah lemak; kelompok 2 diet rendah karbohidrat; kelompok 3 sebagai kontrol. Sebelum dan sesudah intervensi dilakukan pengukuran berat badan. Perubahan berat badan sebelum dan setelah intervensi dianalisis dengan uji paired t-test. Perbedaan rerata penurunan berat badan ketiga kelompok dianalisis dengan uji One Way Anova. Hasil penelitian menunjukkan intervensi diet rendah lemak dan diet rendah karbohidrat dapat menurunkan berat badan secara bermakna (p=0,000). Rerata penurunan berat badan pada diet rendah lemak 3,61 kg dan diet rendah karbohidrat 3,42 kg. Penurunan berat badan pada diet rendah lemak dan diet rendah karbohidrat tidak berbeda bermakna (p=0,547). Penurunan berat badan dapat dilakukan dengan menerapkan diet energi rendah dengan komposisi rendah lemak atau rendah karbohidrat disertai senam aerobik.ABSTRACT The Effect of Diet Composition and Aerobic Exercise on Weight LossAdvances in technology and social economy at particular groups of people, especially in urban communities leads to changes in lifestyle eq. changes in diet that tends composition low in fiber, high in fat and lack physical activity. These conditions contribute to the increasing prevalence of obesity. The research objective was to determine the effect of dietary composition and aerobics to weight decrease. This research is a experimental design with randomized pretest-posttest control group design. Samples are adult women in Denpasar City, as many as 33 people, aged 30-50 years, BMI 25-30 kg/m2. Group 1 apply a low-fat diet; group 2 low-carb diet; group 3 controls. Before and after the intervention measurement of body weight. Changes in body weight before and after the intervention analyzed by paired t-test. The mean differences in weight loss of the three groups were analyzed with One Way Anova. The results showed low-fat diet and low-carbohydrate diets can lose weight is significantly (p=0.000). Mean weight loss on a low-fat diet 3.61 kg and 3.42 kg of low-carbohydrate diets. Weight loss in low-fat diets and low-carbohydrate diets did not differ significantly (p=0.547). Weight loss can be done by applying a low energy diet with low-fat or low-carbohydrate composition with aerobic exercise. Keywords: low-carbohydrate diet, low-fat diet, aerobic exercise, weight

Sosialisasi Manfaat Makan Sayur dan Buah Serta Manfaat Olahraga untuk Mencegah Obesitas Pada Lansia di Kecamatan Ubud Kabupaten Gianyar I Wayan Ambartana; Hertog Nursanyoto
Jurnal Pengabmas Masyarakat Sehat Vol 1, No 1 (2019): Januari 2019
Publisher : Poltekkes Kemenkes Denpasar

The problem of obesity in the elderly has become a health and nutrition problem in the world community. Obesity does not cause death directly, but causes serious health problems that can lead to cardiovascular, kidney, metabolic, protombic and inflammatory responses. According to WHO (2013) a diet high in energy and fat and lack of movement activity are the main factors causing high rates of obesity throughout the world. Frequent consumption of various types of food that exceeds the need will increase body weight, especially if not accompanied by sufficient body activities such as exercise, obesity will be more easily occur. The results of the 2013 Riskesdas data showed that physical activity lacked the risk of obesity at 1.672 times greater than those who had enough activity. The purpose of this service is to determine the level of understanding the benefits of eating vegetables and fruit and understanding the benefits of physical activity in the elderly. The benefits of socialization are the elderly who understand the benefits of eating vegetables and fruits and the benefits of exercise so they want to consume vegetables and fruits every day and exercise 3 times a week. The target of this service is the elderly. Method: counseling was carried out during the Elderly Posyandu activities. Before counseling, a written Pre-Test / Interview was given. Dedication assisted by several students. After counseling, a post test was conducted. If the elderly are not able to do it themselves, then working on the tets will be guided by the servant.Keywords : Vegetable and Fruit Consumption, Sports Activities, Elderly

Sosialisasi Bahaya Minuman Serbuk Bagi Kesehatan Pada Anak Sekolah Dasar Di Kecamatan Sukawati Kabupaten Gianyar Provinsi Bali I Wayan Ambartana Ambartana; Ni Made Yuni Gumala Yuni Gumala
Jurnal Pengabmas Masyarakat Sehat Vol 2, No 3 (2020): Juli 2020
Publisher : Poltekkes Kemenkes Denpasar

ABSTRACT One of the artificial sweeteners used in powdered drinks is cyclamate. Cyclamate is a sodium salt of cyclamic acid with the molecular formula C6H11NHSO3Na. Sodium cyclamate tastes sweet without any unpleasant taste, is very easy to dissolve in water, and the sweetness intensity is about 30 times the sweetness of pure cane sugar.Cyclamate can endanger health, even though it has a high level of sweetness and tastes good (without bitter taste). The level of cyclamate poisoning in experimental mice is 50% of dead experimental animals; by mouth 12.0 g / kg body weight. Cyclamate is carcinogenic (can cause cancer) especially in the bladder.Research conducted by the Food and Drug Inspection Center in November to December shows that cyclamate consumption in primary school children has reached 24% of ADI (Acceptable Daily Intake) or Safe Daily Consumption. The effect of artificial sweeteners on humans did not materialize immediately. Artificial sweeteners will continue to accumulate and will be harvested after children grow up, because it can be said of silent disease.This Community Service was held in August 2019 with the target of grade 5 elementary school students in Ketewel Elementary School Number 6 and Guwang Elementary School Number 1 in Sukawati District, Gianyar Regency, totaling 45 people. Interference is given in the form of counseling. Evaluation is done by assessing the results of the pre test and post test. There was an increase in knowledge of 1.95 points compared to before, there was an increase in skills compared to before. There needs to be supervision of the school canteen manager, socialization of powder drinks by the authorities should be increased.

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