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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.
Comparative Analysis of Diet Quality Among Junior High School Students Receiving and Not Receiving Free Nutritious Meals in Bogor City Rahmah; Ikeu Tanziha; Cesilia Meti Dwiriani
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001552

Abstract

Adolescents are a group of people undergoing transitional growth, during which their nutritional needs increase significantly. Based on DQI-A, the diet quality of adolescents aged 13–15 years in Bogor is classified as poor, at only 32.2%. The Free Nutritious Meals (MBG) program aims to ensure that adolescents consistently consume a balanced diet at school. This study aims to analyze the differences in diet quality among junior high school adolescents who are recipients (88 students from SMP PGRI 6) and non-recipients (88 students from SMP PGRI 5) of the free nutritious meals program at school. A cross-sectional comparative design was used involving 176 students selected purposively. Data on individual and family characteristics were collected through structured questionnaires; dietary intake was assessed by two non-consecutive 24-hour recalls conducted by trained interviewers using food photographs and the DQI-A method to measure the quality of the subjects' diets, including dietary quality, dietary diversity, and dietary equilibrium. Data were analyzed using the Mann–Whitney test and the independent-sample t-test. Results showed no significant differences in individual and socioeconomic characteristics between groups (p>0.05). However, significant differences were found in all DQI-A components, including dietary quality, dietary diversity, and dietary equilibrium (p<0.001). The MBG group had a higher average total DQI-A score (49.81%) compared with the non-MBG group (39.15%). These results show that the MBG program helps teens eat better. Recommendations include strengthening the availability and variety of nutritious foods in school meal programs, enhancing nutrition education in schools, and encouraging collaboration among schools, parents, and policymakers. Future researchers are advised to examine the long-term effects of the MBG program on both nutritional status and academic performance.
Peluang Integrasi Gizi Seimbang dalam Proses Pembelajaran di SD Plus Rahmat Kediri Yayuk Farida Baliwati; Akifa Laila Rusyda; Cesilia Meti Dwiriani; Siti Amanah; Resa Ana Dina; Veny Rachmalinda; Jihan Alfira; Prita Dhyani Swamilaksita
Agrokreatif: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 1 (2025): Agrokreatif Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institut Pertanian Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/agrokreatif.11.1.177-186

Abstract

The nutritional status of school children currently still experiences very complex disparities, including severely thin, underweight, overweight, and obesity. The government's initiatives against nutritional problems in school-aged children include, among other things, the delivery of school-based balanced nutritional guidelines. The present activity aims to identify the opportunity for balanced nutritional guideline integration through the learning process in the Merdeka Curriculum at SD Plus Rahmat, Kediri City. This study used mixed methods and a sequential explanatory design through qualitative and quantitative (descriptive) analyses. The activity was carried out from April 20‒May 30, 2024, and was the initial stage of the 2024 Dosen Pulang Kampung multi-activities. The implementation method consisted of observation and focus group discussions (FGD). The subjects were 15 participants, including teachers and Yayasan Taman Pendidikan Rahmat stakeholders. The findings show that six out of seven P5 program contents have been integrated into literacy competency of nutrition, such as the types and functions of food and nutrition. Most FGD participants (±90%) had moderate to high average nutritional knowledge and behavior, namely 75.6 and 84.7, respectively. The results also show that the co-curricular program, namely the Project for Strengthening the Profile of Pancasila Students (P5), is an opportunity for PGS integration. Integrating PGS into literacy and numeracy in P5 still requires ongoing teacher assistance. The assistance is expected to increase teachers' understanding and behavior towards balanced nutritional guidelines, conveying how to shape student character according to balanced nutritional guidelines.implemented with school children to shape the character regarding the Balanced Nutrition Guidelines.
Effectiveness of Innovative TikTok-Based Educational Multimedia for Nutrition Education Among Adolescent Girls Baiq Fitria Rahmiati; Ali Khomsan; Hadi Riyadi; Cesilia Meti Dwiriani
Upgrade : Jurnal Pendidikan Teknologi Informasi Vol 4 No 1 (2026): Agustus 2026 In-Press
Publisher : Universitas Bumigora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30812/upgrade.v4i1.6540

Abstract

Adolescent girls are vulnerable to nutritional problems due to the increasing nutritional requirements during growth and development, while inadequate nutrition knowledge may contribute to unhealthy dietary behaviors. Innovative and engaging educational approaches are needed to improve nutrition knowledge among adolescents. This study aimed to evaluate the effectiveness of innovative TikTok-based educational multimedia for nutrition education among adolescent girls. The method of this research was a quasi-experimental study with a pretest–posttest control group design conducted from July to November 2025 involving 60 adolescent girls from two junior high schools in West Nusa Tenggara, Indonesia. Participants were selected using systematic random sampling and assigned to either an intervention group (n=30) or a control group (n=30). The intervention group received nutrition education through innovative TikTok-based educational multimedia consisting of short educational videos, while the control group received conventional nutrition education. Nutrition knowledge was assessed before and after the 16-week intervention using a validated questionnaire. Data were analyzed using descriptive and inferential statistics with a significance level of p<0.05. The results showed a significant improve ment in nutrition knowledge among participants in the intervention group (p<0.001), whereas no significant change was observed in the control group (p=0.678). Furthermore, a significant difference in post-intervention knowledge scores was found between the intervention and control groups (p=0.001). These findings indicate that TikTok-based educational multimedia is an effective and accessible tool for improving nutrition knowledge among adolescent girls and may serve as an innovative strategy for school-based nutrition education programs.