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Citra tubuh, asupan makan, dan status gizi wanita usia subur pranikah Yhona Paratmanitya; Hamam Hadi; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 8, No 3 (2012): 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.18208

Abstract

Background: Premarital reproductive age women are prospective mothers whose nutritional status should be monitored, because it can affect the outcome of pregnancy. Premarital period can be interpreted as pre conception period. As the wedding ceremony approaches, women’s concern of their body image is increasing. Negative body image can influence their dietary intake and nutritional status. Research on the effect of pre wedding body image on women’s dietary intake and nutritional status in non-western countries is still limited.Objective: The aim of this research was to describe the relationship between body image, dietary intake and nutritional status of premarital reproductive age women in Yogyakarta city. Method: This research was an observational research with cross-sectional design. The subjects were 157 premarital reproductive age women in Yogyakarta city who came to the office of religious affairs to register their marriage or followed the premarital advisory program. Body image was measured by Body Shape Questionnaire (BSQ-34); dietary intake was measured by Semi-Quantitative Food Frequency Questionnaire (SQFFQ); and nutritional status was classified based on Body Mass Index (BMI). Data were analyzed with Chi-Square test, t-test and multiple logistic regression.Result: Only 12,1% of participant reported dissatisfied of their body image. Dominant factor that affect their body image was environmental influence (OR=14,5). Bivariat analysis showed that there was a significant relationship between body image and nutritional status (p<0,05; OR=15,6), as well as dietary intake and nutritional status (p<0,05). However, body image and dietary intake was not significantly associated (p>0,05). Multiple logistic regression analysis showed that factors associated with nutritional status were body image, carbohydrate intake and environmental influence. Conclusion: Body image was associated with nutritional status. However, body image does not affect dietary intake. Energy, protein, fat and carbohydrate intake were significantly associated with nutritional status.
Pengembangan metode skrining gizi untuk pasien dewasa rawat inap Susetyowati Susetyowati; Hamam Hadi; Muhammad Hakimi; Ahmad Husein Asdie
Jurnal Gizi Klinik Indonesia Vol 8, No 4 (2012): April
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.18217

Abstract

Background: A comprehensive nutrition assessment needs to be done on all hospitalized patients. The accuracy of nutritional assessment are necessary to ensure the provision of optimal nutrition support for the patient to prevent iatrogenic malnutrition and speed up the healing process. The nutrition screening tools has limited ability to be used as a valid indicator for comprehensive nutritional assessment. Thus, it is necessary to develop a new nutrition screening tool.Objective: To develop a simple, quick and valid malnutrition screening tool that can be used to identify adult patients at risk of malnutrition.Methods: This is an observational study with cross sectional design. The subjects were 495 patients admitted to Sardjito General Hospital, excluding paediatric, maternity, and psychiatric patients. All patients were screened using the Nutrition Screening Tool of University Gadjah Mada (NST-UGM). The validity of the NST-UGM will be tested by measuring the sensitivity and specifi city value compared to Subjective Global Assessment (SGA).Result: The newly developed nutrition screening tool consisted of 6 questions with a cut-off of 0-2 classifi ed as not at risk of malnutrition and > 2 classifi ed as at risk of malnutrition. The sensitivity and specifi city value of the new screening tool compared with SGA were 91.28 and 79.78 respectively. Therefore, the convergent and predictive validity of NSTUGM was established. Conclusion: The NST-UGM is a simple, quick and valid tool which can be used to identify patients at risk of malnutrition. 
Hipoalbuminemia praoperasi pasien kanker kolorektal terhadap risiko komplikasi pascaoperasi dan lama rawat inap Yohanes Benny; Teguh Aryandono; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 9, No 4 (2013): April
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.18365

Abstract

Background: Malnutrition is most commonly found in gastrointestinal cancer that affects the result of an operation. Albumin serum is an effective and simple way of assessing risk which is associated with malnutrition intensity so that it is generally used as the prognostic index for the development of the incidence of colorectal cancer postoperative complications.Objective: To identify the effect of preoperative hypoalbumin to the incidence of postoperative complications and length of stay of colorectal cancer in patients.Method: The study used the quantitative approach with a nonconcurrent cohort (retrospective analysis) design. The population was patients diagnosed having colorectal cancer who would undergo an operation at Kasih Ibu, Dr. Oen, and Panti Waluyo Hospital of Surakarta. Data analysis used Chi-Square test and logistic regression.Results: Hypoalbumin, either based on admission or pre-operation, was significant risk factor for the incidence of post operative complications in colorectal cancer patients as well as age and American Society of Anesthesiologist Physical Status Classification (ASA) status. The result of multivariate analysis showed age of 20-59 years (OR=2), hypoalbumin based on admission (2.1 times) and preoperation (1.9 times) were risk factors for the incidence of postoperative complication (infection). ASA status III-IV had risk 2.8 times for the incidence of postoperative sepsis complications and 3.7 times for mortality than ASA status I-II. Status of hypoalbumin did not influence total length of stay or postoperative length of stay but age influenced postoperative length of stay.Conclusion: Hypoalbumin influenced the incidence of postoperative complications in colorectal cancer patients, particularly infection complication; whereas factors of age and ASA status were external factors strongly influenced. Hypoalbumin did not influence length of stay. Age was an external factor that strongly influenced postoperative length of stay.
Asupan makan, status gizi, dan kualitas hidup pasien kanker payudara di RSUP DR Sardjito Yogyakarta Susetyowati Susetyowati; Retno Pangastuti; Sri Retna Dwidanarti; Hanifah Wulandari
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): 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 (191.488 KB) | DOI: 10.22146/ijcn.18392

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Background: Breast cancer is the fifth leading cause of death due to all the type of cancer and the second leading cause of death in developing country after lung cancer. The global incidents of this disease were 43%. The cancer cells have an ability to disturb the nutrients absorbtion in the body and give an effect of decreasing nutritional status, physical performance and quality of life.Objective: To show the relationship between nutrient intake, nutritional status and quality of life, breast cancer patients with radiotherapy at RSUP Dr Sardjito Yogyakarta.Method: This study was an observational study with cross sectional design. Total subject of this study were 85 respondents. Intake of energy, protein, fat and carbohydrate were measured using 1x24 hours food recall. Nutritional status were measured using patient-generated subjective global assessment (PG-SGA) questionnaire. Then the quality of life were measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) questionnaire.Results: There were significant difference in the average intake of energy (p=0.013), protein (p=0.043) and fat (p=0.016) between severe malnourished, moderate malnourished and wellnourished patients, whereas the average intake of carbohydrate was not significant (p=0.070). The lower nutrition intake, the lower nutritional status. There was also significant difference in fat intake (p=0.035) and nutritional status based on PG-SGA (p=0.002) between patients with poor and good quality of life. Patients with poor quality of life had lower nutrition intake and nutritional status.Conclusion: Nutrient intake gave an effect to nutritional status and quality of life in breast cancer patient with radiotherapy.
Perbedaan asupan mikronutrien pada lansia penderita hipertensi esensial yang overweight dan tidak overweight Catur Saptaning Wilujeng; Wasilah Rochmah; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 10, No 1 (2013): 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.18840

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Background: Hypertension in overweight elderly is a crucial problem considering that its pathogenesis, disease pattern and management are not entirely the same with hypertension in young adults. Hypertension in overweight elderly requires particular attention because it is closely associated with overall management (medical and nutritional).Objective: To study different intake of micronutrients, i.e. natrium (Na), potassium (K), calcium (Ca), and magnesium (Mg) in overweight and non overweight elderly with essential hypertension at Griya Sehat Lansia (GSL) Yogyakarta.Method: The study was analytical with case control study design. Samples were as many as 138 elderly of 60-75 years old taken using multistage sampling technique. Data of intake Na, K, Ca, Mg were obtained through semi quantitative food frequency questionnaire (FFQ); essential hypertension through assessment of blood pressure using sphygmomanometer; overweight and non overweight status through body mass index (BMI), BMI for overweight was 23-24.9 kg/m2 and non-overweight was 18.50-22.99 kg/m2. Statistical analysis used paired t test, Chi-Square and logistic regression.Results: There were differences in intake of Na, K, Ca, and Mg between overweight and non overweight elderly (p<0.05). There were significant association (p<0.05) between intake of Na, K, Ca, and Mg of overweight and non overweight elderly with essential hypertension, with OR 5.271; 6.813; 3.398 and 3.444. Intake of Na and K were variables most significantly associated with overweight and non overweight elderly with essential hypertension (p<0.05).Conclusion: There were significant differences in intake of micronutrients (Na, K, Ca, Mg) between overweight and non overweight elderly with essential hypertension at GSL Yogyakarta.
Pelaksanaan proses asuhan gizi terstandar (PAGT) terhadap asupan gizi dan kadar glukosa darah pasien diabetes melitus tipe 2 Yunita Yunita; Ahmad Husein Asdie; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 10, No 2 (2013): Oktober
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.18850

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Background: Food planning is a basis of diabetes mellitus (DM) therapy. Proper diet is essential for effective control of blood glucose level. Diet therapy through the care of nutrition team in a hospital can increase nutrient intake of patients in a hospital. In 2003 the American Diabetes Association recommended a model of standardized nutrition care process (SNCP).Objective: To find out the effect of SNCP implementation to nutrient intake and blood glucose level of DM type 2 inpatients.Method: The study was a quasi-experiment. Nutrient intake variable was measured in post-test and blood glucose level variable was the pre-post test. Samples were divided into two groups; one group was treated with SNCP and the other with conventional nutrition care. The population of the study consisted of all new patients with DM type 2 diagnosis. Samples were those that met inclusion and exclusion criteria. Data were analyzed by using t-test.Results: Average nutrient intake was found high in the group with SNCP. Nutrient intake comprised energy intake (97.8%), protein intake (95.1%), fat intake (95.6%), and carbohydrate intake (94.9%). The result of the statistical test showed that nutrient intake (energy, protein, fat, carbohydrate) in SNCP was higher than that of conventional nutrition care. Decreasing blood glucose level before and after SNCP intervention was 109.4 mg/dL whereas in conventional nutrition care was 105.5 mg/dL. Decreasing blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care but statistically was not significant.Conclusion: Nutrient intake (energy, protein, fat and carbohydrate) of DM type 2 in the patient with SNCP were higher than those with conventional nutrition care. Decreased blood glucose level of DM type 2 in patients with SNCP was higher than those with conventional nutrition care, which was not statistically significant.
Efek pemberian ekstrak teh hijau (Camellia sinesis (L) O. Kuntze) var. Assamica terhadap total lemak tubuh dan profil lipid wanita dewasa overweight dan obesitas Ernawati Hardani; Wiryatun Lestariana; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 10, No 4 (2014): April
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.18874

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Background: Overweight and obesity can cause high body fat total and lipid profile in the blood that brings risk for diseases to the bearer. Some studies on green tea extract supplementation have been undertaken to find out its effect on the fat reduction in children, men, and mice and the result showed a reduction in body fat, weight, appetite, and triglyceride level. This study uses green tea extract supplemented to overweight and obese women. Objective: To find out the reduction of body fat total and lipid profile (total cholesterol, triglyceride, LDL, HDL) in the blood of overweight and obese women personnel of Yogyakarta Municipal Health Office supplemented with green tea extract.Method: The study was randomized double-blinded control trial. The subject of the study was overweight and obese women of 35-55 years old personnel of Yogyakarta Municipal Health Office. Samples were 86 women randomly taken, comprising experiment group and control group, each of which consisting of 43 women. Each group had diet according to individual appetite. Both groups were given capsules of similar form and color but different ingredients: placebo and green tea extract. The experiment took three months. Blood was taken before and after the experiment to identify lipid profile (total cholesterol, triglyceride, LDL, HDL). Body fat total was examined using body fat analyzer. Data analysis used paired t-test.Results: Green tea extract supplementation could significantly reduce body fat total and insignificantly reduce cholesterol level, triglyceride, and LDL, significantly increase HDL in overweight and obese women.Conclusion: Green tea extract supplementation could reduce body fat total and increase HDL (p<0.005).
Penerapan algoritma proses asuhan gizi terstandar berbasis skrining gizi Susetyowati Susetyowati; Hamam Hadi; Ahmad Husein Asdie; Mohammad Hakimi
Jurnal Gizi Klinik Indonesia Vol 11, No 1 (2014): 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.18880

Abstract

Background: Malnutrition is one common problem for hospitalized patient, estimated between 20-60%. American Dietetic Association (ADA) recommends a standardized Nutrition Care Process (SNCP) that ensures services and outcomes in the quality management of nutrition care to all patients based on an individual basis and scientific facts. In Indonesia was developed nutrition screening tool, namely the Simple Nutrition Screening Tool (SNST) which was valid and reliable.Objective: The study was to determine the effect of SNCP based on screening to improve nutrient intake and nutritional status.Method: The method using a 2x2 factorial design, with 4 groups which are: screened with Nutritional Risk Screening (NRS) and get hospital-based SNCP (A1B1); screened with NRS and algorithm SNCP (A1B2); screened with SNST and get hospital-based SNCP (A2B1); screened with the SNST and get algorithm SNCP (A2B2).Results: Nutritional screening interventions using NRS and SNST method can increase the energy and protein intake also Mid-Upper Arm Circumference (MUAC). There is no relationship between algorithm SNCP with nutrient intake and nutritional status, although the average intake of energy, protein, MUAC and albumin was better in the algorithm SNCP than in hospital-based SNCP. The interaction between the SNST and algorithm SNCP have better mean intake of energy, protein and MUAC changes than other groups. The size of the effect of energy intake, protein intake, and MUAC was 129 kcal; 4.6 g; and 0.35 cm, respectively.Conclusion: Interaction between an SNST and algorithm SNCP have a better average intake of energy, protein, and MUAC compared with other groups.
Studi komparasi beberapa metode skrining penilaian status gizi pada pasien dewasa rawat inap rumah sakit Rizki Andini; Susetyowati Susetyowati; Dian Caturini Sulistyoningrum
Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
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.22066

Abstract

Background: It is necessary to diagnose level of malnutrition in hospitalized patient to give optimal nutrition support. Many different nutrition screening assessment have been developed. In Indonesia, Simple Nutrition Screening Tool (SNST) that had been used in same hospital and the result was good enough in validity-realibility.Objective: To assessed that SNST were simple and practical nutrition screening tool for detecting level of malnutrition in different type of hospitalized patient.Method: Observational cross-sectional design with total of sampling two hundred and eighty seven adult patients from 2nd and 3rd class of surgical, internal, or neurology ward of RSUD Sleman. Independent variables are SNST, Nutritional Risk Screening (NRS) 2002, Malnutrition Screening Tool (MST), and Malnutrition Universal Screening Tool (MUST). Dependent variables are Subjective Global Assessment (SGA), body mass index (BMI), mid upper arm circumference (MUAC), and hemoglobin (Hb). Receive Operating Curve (ROC) were used for measuring validity of each screening tools. The proportion difference between at-risk group and not at-risk group was assessed by Chi-square test. The mean difference of BMI, MUAC, and Hb between both of group was assessed by independent sample t-test.Results: SNST has highest validity compared to NRS-2002, MST, and MUST with Sensitivity 99,0%, Specificity 84,5 and Area Under Curve (AUC) 0,917. Based on SNST, the proportion difference of at-risk group and not at-risk group between surgical patients and internal-neurology patients was statistically significant (p<0,05); the proportion difference of at-risk group and not at-risk group between young adult, adult, and elderly patients was statistically significant (p<0,05); the mean difference of BMI, MUAC, and Hb between at-risk group and not at-risk group was also statistically significant (p<0,05).Conclusion: All of the nutrition screening tools can be used as predictor of malnutrition in hospitalized patients but, the SNST has the best validity as a nutrition screening to predict malnutrition.
Pengaruh ekstrak teh hijau (Camellia sinensis) terhadap kadar malondialdehid (MDA) plasma dan kekuatan genggam tangan lanjut usia Fera Nofiartika; Susetyowati Susetyowati; I Dewa Putu Pramantara; Lily Arsanti Lestari
Jurnal Gizi Klinik Indonesia Vol 13, No 2 (2016): Oktober
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.22833

Abstract

Background: Prevalence of Indonesian elderly has now reached 7%, which is considerably high. Physical performance is an important health status indicator in elderly. Declining of physical performance such as hand grip strength in elderly is related to oxidative stress. Furthermore, oxidative stress plays an important role on the decreasing of skeletal muscle function. Plasma malondialdehyde (MDA) is a lipid peroxidation residue that is often used as an oxidative stress biomarker. Meanwhile, tea is the most widely drunk beverage after water. Green tea contains antioxidants that can reduce the damages caused by oxidative stress. Objective: To assess the effect of green tea extract (GTE) on plasma malondialdehyde level and hand grip strength of elderly.Method: This was a double-blind experimental with pre-post test and control group. Fifty-seven elderly people from Balai Pelayanan Social Tresna Wredha (BPSTW) Abiyoso and Budi Luhur who met inclusion and exclusion criteria were divided into 2 groups. During 30 days, the first group was given 2 capsules of GTE a day (±168 mg catechin and 95 mg Epigallocatechin gallate (EGCG) and the second group was given a placebo. MDA was measured by thiobarbituric acid  (TBA)method and hand grip strength was measured by handgrip hand grip dynamometer. Results: There was a significant decreasing MDA (p<0,05) in the GTE group, but not in the placebo group. There was also increasing handgrip strength in the GTE group but not in the placebo group. Conclusion: Green tea extract can prevent increasing MDA and declining physical handgrip strength in elderly.
Co-Authors A Fahmy Arif Tsani Adi Utarini Agus Santosa Agus Sunaryo Agus Sunaryo Agustinus I Wayan Harimawan Ahmad Husain Asdie Ahmad Husain Asdie Ahmad Husein Asdie Ahmad Husein Asdie Ahmad Husein Asdie Ahmad Husein Asdie Ahmad Husein Asdie Ahmad Syauqy Akhmad Makhmudi Amir, Chindy Amir, Safrullah Anak Agung Gede Sugianthara Anggraini, Lusia Arjuna, Tony Arta Farmawati Atma Gunawan Atma Gunawan Aviria Ermamilia Ayuningtyas, Cita Eri Banudi, La Barida, Iram Benny, Yohanes Budi Wikeko Burhan, Fatimah Zahra Catur Saptaning Wilujeng Daud, Zulfitri Azuan Mat Defriani Dwiyanti, Defriani Dewi Renaningtyas Dian Caturini Sulistyoningrum Djoko Agus Purwanto Dwijayanti, Hervina Emy Huriyati Emy Huriyati Emy Huriyati Endy Paryanto Prawirohartono Endy Paryanto Prawirohartono, Endy Paryanto Ernawati Hardani Etik Sulistyowati Eva Nurlindayanti Farah Faza Farah Faza Farah Rizqi Farida Fitriyanti Farida Fitriyanti Fera Nofiartika Fery Lusviana Widiany Fithia Dyah Puspitasari Fithia Dyah Puspitasari, Fithia Dyah Hamam Hadi Hamam Hadi Hamam Hadi Hamam Hadi Hamam Hadi Hamam Hadi Hamam Hadi Handayani, Sri Hanifah Wulandari Hanifah Wulandari Hardani, Ernawati Herni Astuti Hervina Dwijayanti I Dewa Putu Pramantara I Dewa Putu Pramantara I Dewa Putu Pramantara I Gede Agung Kusumayanti IDP Pramantara IDP Pramantara, IDP Ija, Maya Iram Barida Ismail Setyopranoto Jaelani, M Johan Kurnianda Juffrie, Muhammad Juleka Juleka Juleka, Juleka Kartika Handayani Kartika Handayani Kusumayanti, I Gede Agung La Banudi La Supu Larasati, Adisti Qamahadlina Lientje Setyawati Maurits Lily Arsanti Lestari Lusia Anggraini M Jaelani M Ridwan Ansari M Ridwan Ansari, M Ridwan Madarina Julia Madarina Julia Mae Sri Hartati Wahyuningsih MAHDIAH Martalena Br Purba, Martalena Br Maya Ija Mayangsari, Riska Mei Neni Sitaresmi Mochammad Sja’bani Mohammad Hakimi Mohammad Hakimi Muhammad Hakimi Muhammad Hakimi Muhammad Juffrie Muhammad Rivai Nadira D&#039;mas Getare Sanubari Neneng Ratnasari Ninna Rohmawati Ninna Rohmawati Nofiartika, Fera Nur Fitri Widya Astuti Nurmala Nurmala Nurmala Nurmala Probosuseno Probosuseno Probosuseno Probosuseno PUJI LESTARI Puji Lestari R. Dwi Budiningsari Rachmadanty, Ajeng Saskia Sekar Rachmawati, Azizah Isna Rahman, Listhia Hardiati Renaningtyas, Dewi Retno Pangastuti Retno Pangastuti Retno Pangastuti Retno Pangastuti Rizki Andini Rizki Andini Rochadi Rochadi Roselani, Ari Ruth R Wijaya Safrullah Amir Sanubari, Nadira D'mas Getare Sholikhati, Amalia Sarah Sopiyandi Sopiyandi Sopiyandi, Sopiyandi Sri Kadaryati Sri Mulatsih Sri Mulatsih Sri Retna Dwidanarti Sri Sudarminingsih Sudarminingsih, Sri Suhardi . Suhardi . Teguh Aryandono Toto Sudargo Toto Sudargo Untung Widodo Untung Widodo, Untung Vera Utami Waluyo Waluyo Wasilah Rochmah Wasilah Rochmah Weni Kurdanti Weni Kurdanti Wijaya, Ruth R Winarti, Hesti Wiryatun Lestariana Wiryatun Lestariana Wiryatun Lestariana Wiryatun Lestariana, Wiryatun Wulandari, Hanifah Yayi Suryo Prabandari Yayuk Hartriyanti Yeni Prawiningdyah Yenita . Yenita Yenita Yhona Paratmanitya Yhona Paratmanitya Yohanes Benny Yosephin Anandati Pranoto Yunita Yunita Yunita Yunita