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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.