Edarni Zebua
Institut Kesehatan Medistra Lubuk Pakam

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EFFECTS OF SODIUM INTAKE AND SMOKING HABITS ON THE BLOOD PRESSURE OF CORONARY HEART PATIENTS AT GRANDMED LUBUK PAKAM HOSPITAL Panjaitan, Raini; Reni Novia; Andreais Boffil Cholilluloh; Adelina Sri Dewi Karo-Karo; Edarni Zebua
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 1 (2023): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i1.1951

Abstract

Coronary heart disease (CHD) is a type of degenerative disease that causes death. The risk factor for CHD is high blood pressure which causes the workload of the heart pump to become heavy. The incidence of increased blood pressure is a factor of sodium intake and smoking habits. The aim of this research is to determine the relationship between sodium intake and smoking habits on the blood pressure of coronary heart patients in hospitals. Granmed Lubuk Pakam. The type of research used is quantitative research with a cross sectional design. The population in this study were patients suffering from coronary heart disease at Grandmed Lubuk Pakam Hospital. The sample used in this research was 47 respondents. The results show that the distribution based on the age category is the majority aged 38-48 years (44.7%), the gender category of CHD patients is the majority male (70.2%), the majority education category is high school graduates (55.3%), the pressure category The majority of patients' blood levels were pre-hypertensive and grade 1 hypertension (27.7%), respondents' sodium intake was high (55.3%), respondents had moderate smoking habits (42.6%). Based on the results of statistical analysis, it was found that there was a significant relationship between sodium intake and the blood pressure of CHD patients (p-value = 0.003) as well as the relationship between smoking habits (p-value = 0.030) and the blood pressure of coronary heart patients.ing habits (P-value = 0.030) with blood pressure in coronary heart patients.
Relationship of Stress Factors and Nutritional Status With Random Blood Glucose Levels In Pre-Elderly Type II Diabetes Patients at Grandmed Hospital Lubuk Pakam zebua, edarni; Riska Rani Duita Simarmata; Salmi Angraini; Dian Novita
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/eeh3hj34

Abstract

Type II diabetes mellitus is one of the chronic metabolic diseases that remains a major cause of morbidity and mortality worldwide. Its steadily increasing prevalence each year poses significant challenges to public health systems. This study aims to analyze the relationship between stress levels and nutritional status with random blood glucose levels among pre-elderly patients with type II diabetes mellitus who were hospitalized at Grandmed Hospital, Lubuk Pakam. This quantitative study employed a correlational design. A total of 53 respondents were selected using purposive sampling based on inclusion criteria. Stress levels were measured using the Diabetes Distress Scale (DDS) questionnaire, while nutritional status was determined using the Body Mass Index (BMI). Random blood glucose data were obtained from laboratory test results and analyzed using the Spearman correlation test with a significance level of p<0.05 The analysis revealed a significant relationship between stress factors and random blood glucose levels (p=0.035), as well as between nutritional status and random blood glucose levels (p=0.026). Patients experiencing higher stress levels and excessive nutritional status tended to have higher random blood glucose levels compared to other respondents. Stress levels and nutritional status are significantly associated with random blood glucose levels among pre-elderly patients with type II diabetes mellitus. Therefore, effective stress management and proper nutritional regulation should be integral components of blood glucose control strategies to prevent long-term complications in older individuals
Relationship BetweenoMothers' Knowledge1of Balanced Nutrition and the NutritionalKStatus ofKToddlers at the Sialang Bangun Purba Community Health Center Angraini, Salmi; Lindra Cahaya Putri Waruwu; Edarni Zebua; Dian Novita; Wira Maria Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/waqs1v11

Abstract

The nutritional status of toddlers reflects their future health. Mothers' understanding of balanced nutrition plays a role in determining and providing appropriate food intake for toddlers. The purpose of this study was to determine the relationship between mothers' knowledge of balanced nutrition and the nutritional status of toddlers in the working area of the Sialang Bangun Purba Community Health Center. This study used a cross-sectional design with a quantitative approach. The sample consisted of 60 mothers with toddlers aged 0-5 years, selected using purposive sampling. Mothers' knowledge was obtained through questionnaires, while the nutritional status of toddlers was measured using anthropometry with weight-for-age as an indicator. Data analysis was performed using the Chi-Square test. The results showed that most mothers had a good level of knowledge (53.3%), and the majority of toddlers also had good nutritional status (53.3%). Based on the statistical test results, a p-value of 0.000 (p<0.05) was obtained, indicating a significant relationship between mothers' knowledge and toddlers' nutritional status. Thus, if mothers have a good understanding of balanced nutrition, their children's nutritional status will also be better. Therefore, nutrition education for mothers is essential to encourage the implementation of healthy eating patterns and prevent nutritional problems in toddlers.
The Relationship Between Fast Food Consumption Habits and Physical Activity with the Incidence of Obesity Among Pharmacy Students at the Medistra Institute of Health, Lubuk Pakam Novita, Dian; Nabilah Bilqis; Salmi Angraini; Edarni Zebua; Desri Meriahta Br Girsang
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 1 (2025): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/2ketj113

Abstract

Obesity is a growing public health issue, particularly among young adults such as university students. Lifestyle changes characterized by high consumption of fast food and low levels of physical activity are major contributing factors to the increasing prevalence of obesity. This study aimed to examine the relationship between fast food consumption habits and physical activity levels with the incidence of obesity among students of the Pharmacy Study Program at Medistra Health Institute, Lubuk Pakam. This research employed an analytical observational design with a cross-sectional approach. The sample consisted of 59 students, selected using a simple random sampling technique. Data were collected using a Food Frequency Questionnaire (FFQ) to assess fast food consumption habits, physical activity questionnaires to determine activity levels, and waist circumference measurements as an indicator of central obesity. Data were analyzed using the Spearman rho correlation test with a significance level of p < 0.05. The results showed a significant relationship between fast food consumption habits (r = 0.596; p < 0.05) and physical activity (r = 0.389; p < 0.05) with obesity incidence among students. The findings indicate that students who frequently consume fast food and engage in low levels of physical activity are at a higher risk of developing obesity. In conclusion, unhealthy eating patterns and sedentary lifestyles are key factors contributing to obesity among young adults; therefore, preventive efforts through nutrition education and the promotion of regular physical activity are necessary within the university environment.
Effects of fermentation duration on α-glucosidase activity and vitamin C in temu mangga kombucha Zebua, Edarni; Maharani, Nani; Anjani, Gemala; Rustanti, Ninik; Al-Baari, Ahmad Ni’matullah
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 6, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.0(0).%p

Abstract

ABSTRAKLatar Belakang: Diabetes Mellitus Tipe 2 (DMT2) merupakan gangguan metabolik yang semakin meningkat di Indonesia, ditandai dengan tingginya kadar gula darah akibat gangguan fungsi sel β pankreas. Pangan fungsional yang memiliki sifat antioksidan dan kemampuan menghambat enzim pencernaan karbohidrat, seperti kombucha, berpotensi mendukung pengelolaan DMT2.  Tujuan: Menganalisis aktivitas inhibisi enzim α-glukosidase dan kadar vitamin C pada kombucha temu mangga.  Metode: Penelitian eksperimental dilakukan di UPT Laboratorium Terpadu, Universitas Diponegoro, Semarang, mulai Agustus sampai November 2024, menggunakan rancangan acak lengkap dengan empat lama fermentasi (5, 7, 10, dan 14 hari), masing-masing diulang tiga kali. Aktivitas penghambatan enzim α-glukosidase dan kadar vitamin C dianalisis menggunakan spektrofotometri UV-Vis pada panjang gelombang 540 nm dan 265 nm. Data aktivitas inhibisi α-glukosidase dan kadar vitamin C dianalisis dengan ANOVA, jika hasil uji menunjukkan perbedaan signifikan (p<0,05) dilanjutkan uji Post Hoc Tukey untuk menentukan kelompok yang berbeda dan Kruskal Wallis digunakan jika data tidak berdistribusi normal.Hasil: Aktivitas penghambatan enzim α-glukosidase tertinggi diperoleh pada hari ke-14 fermentasi (75,84 ± 1,46%), menunjukkan penurunan signifikan dibandingkan kontrol (87,42 ± 0,96%). Kandungan vitamin C tertinggi ditemukan pada hari ke-5 fermentasi (2,06 ± 0,06 mg/100 mL), kemudian menurun seiring waktu fermentasi. Kesimpulan: Kombucha temu mangga menunjukkan potensi sebagai minuman fungsional yang mampu menghambat enzim α-glukosidase secara in vitro dan mengandung antioksidan yang relevan. Penelitian lanjutan diperlukan untuk menguji efektivitas dan keamanannya secara klinis pada manusia. KATA KUNCI : diabetes melitus; enzim α-glukosidase; kombucha; temu mangga (curcuma mangga); vitamin c  ABSTRACTBackground: Type 2 Diabetes Mellitus (T2DM) is a growing metabolic disorder in Indonesia, associated with impaired pancreatic β-cell function and elevated blood glucose levels. Functional foods with antioxidant and enzyme-inhibitory properties, like kombucha, may support T2DM management.Objective: To analyze the inhibition activity of the α-glucosidase enzyme and the vitamin C content in temu mangga kombucha.Methods: An experimental study was conducted in UPT Laboratory, Diponegoro University, Semarang, from August to November 2024., using a completely randomized design with four fermentation durations (5, 7, 10, and 14 days), each in triplicate. α-Glucosidase inhibition and vitamin C levels were assessed using UV-Vis spectrophotometry at wavelengths of 540 nm and 265 nm. The inhibition activity data of α-glucosidase and vitamin C levels were analyzed using ANOVA. If the test results showed significant differences (p<0.05), a Tukey Post Hoc test was conducted to determine the different groups, and Kruskal-Wallis was used if the data were not normally distributed.Results: The highest α-glucosidase inhibitory activity was observed on day 14 (75.84 ± 1.46%), showing a significant reduction compared to the control (87.42 ± 0.96%). The highest vitamin C content (2.06 ± 0.06 mg/100 mL) was detected on day 5, followed by a gradual decline with prolonged fermentation.Conclusion: Temu mangga kombucha exhibits promising in vitro α-glucosidase inhibitory potential and relevant antioxidant content. These findings suggest its potential as a dietary adjunct for T2DM management. However, in vivo studies are warranted to confirm its efficacy and safety in human subjects. KEYWORDS : α-glucosidase enzyme; diabetes mellitus; kombucha; temu mangga (curcuma mangga); vitamin cArticle submitted on January 31, 2025; Articles revised on February 20, 2025; Articles received on June 12, 2025; Articles available online on November 28, 2025