Cesilia Meti Dwiriani
IPB University

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The Relationship between Dietary Acid Load with Kidney Function among Chronic Kidney Disease Patients: HUBUNGAN DIETARY ACID LOAD DENGAN FUNGSI GINJAL PADA PENDERITA GAGAL GINJAL KRONIS Faza Yasira Rusdi; Mira Dewi; Cesilia Meti Dwiriani
Media Gizi Indonesia Vol. 18 No. 2 (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i2.103-114

Abstract

Chronic kidney disease (CKD) affects the structure and function of the kidneys. The burden of disease from CKD is expected to increase as the prevalence of CKD increases from year to year. The quality of the diet plays a role in the management and treatment of CKD. The diet quality of CKD patients is assessed using dietary acid load (DAL) which is estimated based on protein and potassium intake. A high score of DAL can lead to more rapid decline in renal function, rapid decline in GFR, and low-grade subclinical acidosis. This study was aimed to analyze the relationship between dietary acid load and kidney function in CKD patients with hemodialysis at the Bogor City Hospital. This study used a cross sectional design involving 50 subjects with CKD on hemodialysis. Data was collected by interview using a questionnaire for data characteristics and Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) for data intake. There was a significant relationship between DAL and eGFR, urea, and creatinine (p<0,05). The level of DAL plays an important role in the development and severity of CKD. Therefore, dietary recommendations for patients CKD on hemodialysis need to focus to the dietary acid load derived from foods and to the condition of hyperkalemia. Further research is expected to be carried out with an intervention, case control or cohort design, as well as using different equations in estimating DAL such as the net acid excretion (NAE), potential renal acid load (PRAL) equation.
Risk factors of undernutrition among under-two children in West Java (SSGI 2021) Fithriani Batubara; Cesilia Meti Dwiriani; Hadi Riyadi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 1, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.1(1).49-58

Abstract

ABSTRAK Latar Belakang: Jawa Barat merupakan provinsi dengan jumlah populasi balita tertinggi di Indonesia. Permasalahan gizi di Jawa Barat masih tinggi. Berdasarkan Studi Status Gizi Indonesia (SSGI) tahun 2021 prevalensi stunting, wasting dan underweight di Jawa Barat yaitu 20.5%. 5.3% dan 15%. Faktor risiko yang mempengaruhi kekurangan gizi beragam dan berpotensi berubah dari waktu ke waktu. Oleh karena itu, sangat penting untuk menilai arus status gizi untuk meninjau kesenjangan dalam faktor risiko.Tujuan: Penelitian ini dilakukan untuk menganalisis faktor risiko stunting, wasting, dan underweight pada baduta di Jawa Barat. Metode: Penelitian ini menggunakan studi cross sectional menggunakan data sekunder dari Studi Status Gizi Indonesia (SSGI) 2021 yang terdiri dari 1203 subjek baduta usia 6-23 bulan di Jawa Barat. Faktor risiko stunting, wasting, dan underweight dianalisis menggunakan regresi logistik. Hasil: Prevalensi stunting, wasting, dan underweight pada baduta usia 6-23 bulan berturut-turut sebesar 20.5%, 5.7% dan 11.6%. Faktor risiko stunting adalah usia 12-23 bulan (AOR=3.10 CI 95% 2.16-4.45), panjang lahir pendek (AOR=1.85 CI 95% 1.30-2.62), tingkat pendidikan ibu rendah (AOR=1.97 CI 95% 1.45-2.68) dan tidak menyusui (AOR= 0.46 CI 95% 0.31-0.68) sebagai faktor protektif. Faktor risiko wasting adalah tingkat pendidikan Ibu yang rendah (AOR=0.5 CI 95% 0.34-0.94) sebagai faktor protektif. Faktor risiko underweight adalah usia 12-23 bulan (OR=1.92 CI 95% 1.25-2.95) dan tidak ASI eksklusif (AOR=0.54 CI 95% 0.35-0.83) sebagai faktor protektif. Kesimpulan: Faktor yang memengaruhi stunting yaitu usia, panjang lahir, tingkat pendidikan ibu, dan status menyusui. Faktor yang memengaruhi wasting yaitu tingkat pendidikan ibu. Faktor yang memengaruhi underweight yaitu usia dan riwayat ASI eksklusif. KATA KUNCI: baduta; faktor risiko; gizi kurang; Jawa Barat; SSGI ABSTRACTBackground: West Java is the province with the highest under-five population in Indonesia. Nutritional problems in West Java are still high in number. According to the 2021 Indonesian Nutrition Status Study (SSGI) the prevalence of stunting, wasting and underweight in West Java are stated as 20.5%. 5.3% and 15% whereas the risk factors affecting malnutrition are diverse and have the potential to change over time. Therefore, it is very important to assess current nutritional status to review gaps in risk factors. Objectives: This research was conducted to analyze the risk factors for stunting, wasting and underweight in under-two children of West Java. Methods: This research is a cross-sectional study using secondary data from the Indonesian Nutrition Status Study (SSGI) 2021 which consists of 1203 subjects (6-23 months) in West Java. Risk factors of stunting, wasting. and underweight were analyzed using logistic regression. Results: The prevalence of stunting, wasting and underweight among children aged 6-23 months were 20.5%, 5.7% and 11.6%, respectively. The risk factors for stunting are age 12-23 months (AOR=3.10 CI 95% 2.16-4.45), short birth length (AOR=1.85 CI 95% 1.30-2.62), mother’s low education level (AOR=1.97 CI 95% 1.45-2.68) and not breastfeeding (AOR= 0.46 CI 95% 0.31-0.68) as a protective factor for stunting. low maternal education level (AOR=0.5 CI 95% 0.34-0.94) as a protective factor for wasting. The risk factor for underweight is age 12-23 months (OR=1.92 95% CI 1.25 -2.95) and does not have exclusively breastfed (AOR=0.54 CI 95% 0.35-0.83) as a protective factor for underweight. Conclusions: Influential factors to stunting are age, birth length, mother's education level, and breastfeeding status. Factor influences wasting is the education level of the mother. Factors influence underweight are age and history of exclusive breastfeeding. KEYWORDS: risk factors; SSGI; undernutrition; under-two children; West Java