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Journal : Jurnal Gizi Klinik Indonesia

Keseimbangan asam-basa tubuh dan kejadian sindrom metabolik pada remaja obesitas Firdananda Fikri Jauharany; Nurmasari Widyastuti
Jurnal Gizi Klinik Indonesia Vol 14, No 1 (2017): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.24811

Abstract

Background: The prevalence of metabolic syndrome increased in young population, indicated by the rise in obesity among children and adolescent. The Western dietary pattern was one of the causes. A Western diet rich in animal protein can produce acid during the metabolic process and may cause an acid-excess in the body (dietary acid load). This process was contributed to acid-base balance through the metabolism of sulfur-containing amino acids (cysteine and methionine) which produce H+ ions as well as lowering the pH.Objective: To examine the association between acid-base balance and components of metabolic syndrome among obese adolescent.Method: A cross-sectional study was conducted on 40 obese adolescents in Semarang high school. We measured Potential Renal Acid Load (PRAL) score and pH urine as an acid-base indicator. MetS are defined ≥ 3 following risk factors: waist circumference ≥90th percentile, blood pressure ≥90th percentile, triglycerides ≥110 mg/dl, HDL levels ≤40 mg/dl, and fasting blood glucose levels ≥110 mg/dl. Normality test used the Shapiro-Wilk test (n <50). The bivariate analysis used Pearson test, Rank-Spearman test, and Chi-Square test. The multivariate analysis used Multivariate Linear Regression analysis of Backward.Results: PRAL score was associated with waist circumference (r=0,347; p=0,028), sistolic blood pressure (r=0,590; p=<0,001), diastolic blood pressure (r=0,668; p=<0,001), and triglyceride levels (r=0,362; p=0,022). pH urin was not associated with any risk factors of MetS.Conclusion: High dietary acid load may be a risk factor for the development of MetS.
Peningkatan visceral adiposity index berhubungan dengan sindrom metabolik remaja obesitas Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Deny Yudi Fitranti
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (529.184 KB) | DOI: 10.22146/ijcn.51465

Abstract

The increased visceral adiposity index associated with metabolic syndrome in obese adolescentsBackground: Metabolic syndrome is a complex risk factor of cardiovascular disease and diabetes mellitus type II. Metabolic syndrome scores are calculated to describe the severity of the risk of metabolic syndrome. Adipose tissue is an independent risk factor for metabolic changes related to metabolic syndrome. One indicator to calculate the distribution and fat function is through the calculation of the visceral adiposity index (VAI).Objective: Analyzing the correlation of VAI with metabolic syndrome score in adolescents in the City of Semarang.Methods: A cross-sectional study of 95 obese adolescents in Semarang City aged 12-17 years who were selected by consecutive sampling method. The inclusion criteria were students aged 12-17 years; subjects were obese based on BMI for age (BMI/U > 95th percentile CDC 2000 curves); not in chronic pain or the care of a doctor; and not on a certain diet. Data collected were waist circumference (WC), blood pressure, fasting blood sugar levels, triglyceride levels, and high-density lipoprotein (HDL) levels. Metabolic syndrome scores are calculated using metabolic syndrome risk score (cMets). VAI is calculated to measure fat distribution and dysfunction. Correlation of VAI with metabolic syndrome and the component was analyzed with the Spearman test.Results: VAI score has a range of 1.8-14.9 with a greater mean in female subjects. The metabolic syndrome score has a range of -5.9 to 6.3 with a greater mean in male subjects. The Spearman correlation test showed a significant relationship between VAI and HDL levels (r=-0.427), triglyceride levels (r=0.914), and metabolic syndrome scores (r=0.439) in male, and HDL levels (r=-0.427), triglyceride levels (r=0.955), WC (r=0.346), and metabolic syndrome scores (r=0.691) in female.Conclusions: VAI has a significant relationship with the metabolic syndrome score which indicates the body's metabolic profile which is getting worse, so the body's metabolic profile can be described from the magnitude of VAI.
Kepadatan tulang santriwati berhubungan dengan profil antropometri Fillah Fithra Dieny; Firdananda Fikri Jauharany; A Fahmy Arif Tsani; Ayu Rahadiyanti
Jurnal Gizi Klinik Indonesia Vol 17, No 1 (2020): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.52311

Abstract

Santriwati’s bone mass density was associated with the anthropometric profileBackground: One group of female adolescents who had nutritional problems was Islamic boarding school students, namely santriwati. Low intake was supported by a poor diet profile that had a risk of developing osteopenia. The problem of osteopenia in adolescents could affect long-term calcium deposits and had an impact on old age and a high risk of osteoporosis.Objective: This study aims to examine the relationship between diet profiles and anthropometric profiles with bone density in female students.Methods: A cross-sectional study of 76 female students who were selected using a simple random sampling technique. Anthropometric profiles measured were body mass index, body fat percent, and waist circumference. Bone density was measured using Dual Energy X-Ray Absorptiometry (DXA). Nutrient intake profiles were obtained based on intake interviews used food recall form 6x24 hours. Data were analyzed using Spearman correlations.Results: Most female students had normal nutritional status, and 14 female students (18.4%) had low bone density. The intake of energy, macronutrients (protein, fat, and carbohydrate), and micronutrients (phosphorus, calcium, and vitamin D) of female students were insufficient. There was a relationship between body mass index (p=0.036; r=0.241) and percent body fat (p=0.027; r=0.254) with bone density. However, the nutrient intake factor has no relationship with bone density (p>0.05).Conclusions: Body mass index and body fat percent are positively correlated with female bone density.
Dietary acid load berhubungan dengan sindrom metabolik dan kesehatan mental pada mahasiswi obesitas Firdananda Fikri Jauharany; Martha Irene Kartasurya; Apoina Kartini; Fillah Fithra Dieny; Dian Ratna Sawitri; Etika Ratna Noer
Jurnal Gizi Klinik Indonesia Vol 17, No 3 (2021): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.59033

Abstract

The dietary acid load was associated with metabolic syndrome and mental health among obese college studentsBackground: The prevalence of metabolic syndrome has been increasing every year in the young population. The western diet is one of the causes that makes excess acid in the body called a dietary acid load. On the other hand, the high dietary acid load was associated with decreased mental health status.Objective: To examine the association between dietary acid load and the risk of metabolic syndrome and mental health.Methods: This was a cross-sectional study conducted with 115 female students in Semarang aged 18-22 years. The dietary acid load was evaluated through a potential renal acid load (PRAL), the risk score for metabolic syndrome was calculated by Metabolic syndrome risk score. Mental health status was assessed through levels of self-esteem and levels of anxiety. The level of self-esteem was measured by the Rosenberg Self-Esteem Scale questionnaire, while the level of anxiety was measured by the State Anxiety Inventory questionnaire. Multiple linear regression models with adjustment for a potential cofounding variable were used to evaluate the association between dietary acid load with metabolic syndrome scores, self-esteem scores, and anxiety scores.Results: The mean PRAL score was 6.11 ± 9.72 mEq/day indicated the intake of the subjects was the dietary acid load. 13% of subjects had metabolic syndrome, and 87% had a pre-metabolic syndrome. 36.5% of the subjects have low self-esteem scores. The anxiety level score calculation shows that 59.1% of the subjects are at high risk of anxiety. Pearson test showed that PRAL scores were correlated with anxiety scores (r=0,669; p<0,001). The linear regression test showed that PRAL scores were correlated with metabolic syndrome scores (β=0.899; p<0.001) and self-esteem scores (β =-0.069; p=0.047).Conclusions: High dietary acid load may be a risk factor related to the development of metabolic disorders and decreased mental health status in females with obesity.