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Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics)
Published by Universitas Alma Ata Yogyakarta
ISSN : 23033045     EISSN : 2503183X     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Public Health Other
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) abbreviated IJND (p-ISSN 2303-3045 and e-ISSN 2503-183X) is a peer-reviewed scientific journal publishing updated research and non-research articles in the area of nutrition and dietetics. This journal is published three times annually (January, May, and September) by Alma Ata University Press in collaboration with Indonesian Nutrition Association (Persatuan Ahli Gizi Indonesia).
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Articles 7 Documents
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Search results for , issue "VOLUME 3, NOMOR 1, JANUARI 2015" : 7 Documents clear
Yoghurt kedelai hitam (black soyghurt) dapat menurunkan kadar LDL tikus hiperkolesterolemia Slamet Riyanto; Hesti Muwarni R
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (175.402 KB) | DOI: 10.21927/ijnd.2015.3(1).1-9

Abstract

ABSTRACTBackground: Hypercholesterolemia is a main risk factor of cardiovascular disease that remains the higher cause of deaths in the world. Black soy bean containing protein, fiber, vitamin, isoflavon, and flavonoid can decrease serum cholesterol level. Yoghurt contains lactic acid bacteria that decrease total and LDL cholesterol, triglyceride, and increase the HDL cholesterol. Processing of black soy bean into black soyghurt can increase its isoflavon’s activity by forming aglicone, which has higher activity to decrease cholesterol.Objectives: To know the effect of black soyghurt feeding to LDL, HDL, and HDL ratio of hypercholesterolemic rats.Methods: This research was true-experimental using post test only with control group design. Subjects were 20 male Sprague dawley rats, 2 months old, inducted hypercholesterolemia, given black soyghurt diet using 2 mL, 3 mL, and 4 mL dosage for 21 days. Serum lipid profile were measured by CHOD-PAPand GPO-PAP methods respectively. Normality of the data were tested by Shapiro Wilks test. Data were analyzed by paired t test and Anova continued by LSD test using computer program.Results: The study revealed that black soyghurt 4 mL/day decreased LDL (p=0.02) at the most significant level. The other doses did not significantly influence the levels of LDL (p>0.05 ). There was also no effect of black soyghurt feeding on serum HDL cholesterol levels (p=0.11) and the ratio of LDL /HDL (p=0.087).Conclusions: The feeding of black soyghurt at the dosage of 4 mL/day to hypercholesterolemic rats could decrease the serum LDL, but could decrease the ratio of LDL / HDL significantly.KEYWORDS: black soyghurt, LDL/HDL ratio, hypercholesterolemicABSTRAKLatar belakang: Hiperkolesterolemia merupakan faktor risiko penyakit kardiovaskuler yang menjadi penyebab kematian utama di dunia. Kedelai hitam mengandung protein, vitamin, serat, isoflavon, dan flavonoid yang mampu menurunkan kadar kolesterol. Yoghurt mengandung bakteri asam laktat yang mampu menurunkan kadar kolesterol total, LDL, dan trigliserida serta meningkatkan HDL. Pengolahan kedelai hitam menjadi black soyghurt meningkatkan aktivitas isoflavon dalam kedelai hitam menjadi aglikon yang lebih tinggi aktivitasnya dalam menurunkan kolesterol.Tujuan: Untuk mengetahui pengaruh pemberian yoghurt kedelai hitam terhadap kadar LDL, HDL, dan rasio LDL/HDL pada tikus hiperkolesterolemia.Metode: Jenis penelitian ini adalah true-experimental dengan post test only with control group design. Subjek penelitian adalah 20 tikus Sprague dawley jantan berusia 2 bulan, diinduksi hiperkolesterolemia, diberi black soyghurt dosis 2 mL, 3 mL, dan 4 mL selama 21 hari. Profil lipid diperiksa dengan metode cholesterol oxidase-peroxidase aminoantipyrine phenol (CHOD-PAP). Normalitas data diuji dengan Shapiro Wilks. Data dianalisis dengan uji t berpasangan dan Anova, dilanjutkan uji least significant difference (LSD) menggunakan program komputer. Hasil: Pemberian black soyghurt dosis 4 mL/hari mampu menurunkan kadar LDL (p=0,002) paling signfikan. Dosis pemberian lain tidak berpengaruh secara signifikan terhadap kadar LDL (p>0,05). Pemberian pakan tersebut juga tidak berpengaruh terhadap kadar kolesterol HDL serum hewan coba (p=0,11), dan rasio LDL/HDL (p=0,087).Kesimpulan: Diet mengandung black soyghurt dosis 4 mL/hari dapat menurunkan LDL, tetapi tidak mampu menurunkan rasio LDL/HDL secara signifikan.KATA KUNCI: black soyghurt, rasio LDL/HDL, hiperkolesterolemia
Stunting berhubungan dengan perkembangan motorik anak di Kecamatan Sedayu, Bantul, Yogyakarta Maria Goreti Pantaleon; Hamam Hadi; Indria Laksmi Gamayanti
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (148.621 KB) | DOI: 10.21927/ijnd.2015.3(1).10-21

Abstract

ABSTRACTBackground: Stunting (short body length) is a body condition that is very short until surpass deficit at 2 SD under median of body length or body height of the population that be an international reference. The cause of stunting is food consumption that is not balanced and infectious disease. Many studies showed the correlation between stunting and poor motoric and mental development in early childhood, and poor cognitive performance and school performance in later childhood. The national prevalence of stunting in 2013 was 37.2%, it increased compared to 2010 (35.6%) and 2007 (36.8%).Objectives: To know the correlation between stunting incidence and the development of 6-23 months old children in Sedayu Subdistrict, Bantul, Yogyakarta.Methods: This was observational study with cross sectional design. The sample size was 100 children, whose aged 6-23 months old. They consisted of 50 stunting children and 50 non-stunting children who were selected by consecutive sampling methods. Data were collected by using structured questionnaire and assisted by psychologist to measure the development of the children. Stunting in 6-23 months old children was measured by indicator of body length for age (WHO 2005) and the measurement of development used method of Bayley Scales of Infant Development III. Data were analyzed using chi-square test and logistic regression test by 95% confidence interval.Results: Statistically, there was signifi cant correlation between stunting and motoric development of the toddler (p=0.002), but there was no significant correlation between stunting and the development of cognitive, language, socio- emotional, and adaptive of the toddler. The result of multivariate showed thatstunting and sex statistically had correlation to the motoric development (p<0.05).Conclusions: Stunting associated with children motoric development in Sedayu Subdistrict, Bantul,YogyakartaKEYWORDS: children development, stuntingABSTRAKLatar belakang: Stunting (tubuh pendek) adalah keadaan tubuh yang sangat pendek hingga melampaui defisit 2 SD di bawah median panjang atau tinggi badan populasi yang menjadi referensi internasional. Penyebab stunting adalah konsumsi makanan yang tidak seimbang dan penyakit infeksi. Sejumlahpenelitian memperlihatkan keterkaitan antara stunting dengan perkembangan motorik dan mental yang buruk dalam usia kanak-kanak dini, serta prestasi kognitif dan prestasi sekolah yang buruk dalam usia kanak-kanak lanjut. Prevalensi stunting secara nasional tahun 2013 adalah 37,2%, yang berarti terjadi peningkatan dibandingkan tahun 2010 (35,6%) dan 2007 (36,8%).Tujuan: Untuk mengetahui hubungan antara kejadian stunting dengan perkembangan anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta.Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross sectional. Sampel penelitian sebanyak 100 anak yang berusia 6-23 bulan, terdiri dari 50 baduta stunting dan 50 baduta tidak stunting, dan dipilih dengan metode consecutive sampling. Pengambilan data menggunakan kuesioner terstruktur dan dibantu oleh tenaga psikolog dalam pengukuran perkembangan anak. Stunting pada anak usia 6-23 bulan diukur menggunakan indikator panjang badan menurut umur dan pengukuran perkembangan anak menggunakan metode Bayley Scales of Infant Development III. Analisis data menggunakan uji chi-square dan regresi logistik dengan 95% confi dent interval.Hasil: Secara statistik, ada hubungan signifikan antara stunting dengan perkembangan motorik baduta (p=0,002), namun tidak terdapat hubungan signifikan antara stunting dengan perkembangan kognitif, bahasa, sosioemosional, dan perkembangan adaptif baduta. Hasil uji multivariat menunjukkan bahwa stunting dan jenis kelamin secara statistik berkaitan dengan perkembangan motorik (p<0,05).Kesimpulan: Ada hubungan signifikan antara stunting dengan perkembangan motorik baduta diKecamatan Sedayu, Bantul, Yogyakarta.KATA KUNCI: perkembangan anak, stunting
Faktor risiko gizi buruk pada balita di Kabupaten Donggala Provinsi Sulawesi Tengah Eka Prasetia Hati Baculu; M Juffrie; Siti Helmyati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (180.465 KB) | DOI: 10.21927/ijnd.2015.3(1).51-59

Abstract

ABSTRACTBackground: Severe malnutrition is a state of severe malnourished condition caused by low consumption of energy and protein in a long time. Severe malnutrition interferes the children growth and development, moreover malnourished children are vulnerable to get infectious diseases, even the death.Objectives: To analyze the risk factors of severe malnutrition among children under five in Donggala, Central of Sulawesi Province.Methods: This study used case-control (observational study). The study was conducted in District Dampelas Donggala on July to September 2014. The population was all children underfive selected by total sampling method. The samples were 64 children aged 0-59 months which separated into 2 groups,case and control group.The independent variables were the level of energy intake of protein, parenting, and infectious diseases, while the dependent variable was the incidence of severe malnutrition among children under five. Data were obtained by direct interview using questionnaire and recall 24 hours to determine the level of energy and protein intake. The data collected were analyzed using univariate analysis (descriptive), bivariate (chi-square), and multivariate (multiple logistic regression).Results: The result of this study based on the bivariate analysis presented that the level of energy intake (OR=9.86, 95% CI:3.49-27.89), infectious disease (OR=2.83, 95% CI:1.10-7.31), and as low birth weight external variables (OR=5.76, 95% CI:1.43-23.20) signifi cantly associated with the incidence of severe malnutrition. There were no significant association between the level of protein intake (OR=1.18, 95% CI:0.47-2.92) and parenting (OR=1.21, 95% CI:0.50-2.92) with the incidence of severe malnutrition. In the other hand, based on multivariate analysis by controlling the variable of low birth weight history, this study’s result presented that the level of energy intake had the strongest association with the risk of incidence of severe malnutrition compared to the other variables.Conclusions: The level of energy intake and infectious disease were the risk factors for the incidence of severe malnutrition among children under five, while the level of protein intake and parenting were not.KEYWORDS: children underfive, energy, infectious disease, parenting, protein, severe malnutritionABSTRAKLatar belakang: Gizi buruk adalah keadaan kurang gizi tingkat berat yang disebabkan oleh rendahnya konsumsi energi dan protein dalam waktu cukup lama. Kekurangan gizi selain mengganggu pertumbuhan dan perkembangan, dapat pula mengakibatkan balita rentan terhadap penyakit infeksi bahkan dapatmenyebabkan kematian.Tujuan: Untuk menganalisis faktor risiko kejadian gizi buruk pada balita di Kabupaten Donggala, Provinsi Sulawesi Tengah.Metode: Jenis penelitian ini observasional dengan rancangan case-control. Penelitian dilakukan di Kecamatan Dampelas, Kabupaten Donggala pada bulan Juli sampai September 2014. Populasi adalah semua balita dan sampel ditentukan dengan metode total sampling. Balita usia 0–59 bulan yang berjumlah 64 dimasukkan pada masing-masing kelompok kasus dan kontrol. Variabel bebas yaitu tingkat asupan energi protein, pola asuh, dan penyakit infeksi sedangkan variabel terikatnya adalah kejadian gizi buruk pada balita. Data diperoleh dengan wawancara langsung menggunakan kuesioner dan recall 24 jam untuk mengetahui tingkat asupan energi dan protein. Data dianalisis dengan analisis univariat (deskriptif), bivariat (chi-square), dan multivariat (regresi logistik berganda).Hasil: Hasil analisis bivariat menunjukkan bahwa tingkat asupan energi (OR=9,86, 95% CI:3,49-27,89), penyakit infeksi (OR=2,83, 95% CI:1,10-7,31), dan variabel luar BBLR (OR=5,76, 95% CI:1,43-23,20) berhubungan signifikan dengan gizi buruk. Tidak ada hubungan yang signifikan antara tingkat asupan protein (OR=1,18, 95%CI:0,47-2,92) dan pola asuh (OR=1,21, 95%CI:0,50-2,92) dengan gizi buruk. Hasil analisis multivariat dengan mengendalikan riwayat BBLR menunjukkan bahwa tingkat asupan energi memiliki hubungan kuat dengan risiko kejadian gizi buruk dibandingkan variabel lainnya.Kesimpulan: Tingkat asupan energi dan penyakit infeksi merupakan faktor risiko kejadian gizi buruk padabalita, sedangkan tingkat asupan protein dan pola asuh bukan merupakan faktor risiko.KATA KUNCI: balita, energi, penyakit infeksi, pola asuh, protein, gizi buruk, gizi
Gangguan depresi berhubungan dengan status gizi pasien psikogeriatri di RSJ DR. Radjiman Wediodiningrat, Malang Wawan Agung Prasetyo; Probosuseno Probosuseno; Sumarni Sumarni
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (158.006 KB) | DOI: 10.21927/ijnd.2015.3(1).22-30

Abstract

ABSTRACTBackground: Nutritional problem in psychogeriatric patients has not got much attention in geriatric psychiatry. However, malnutrition is likely to have a major impact on mental and physical condition of the elderly. In patients with depression, nutritional problems have a major contribution in determining food intake and nutrient of elderly, because depression can cause loss of appetite which impact on the nutritional status of elderly.Objectives: To determine the association between depression with nutritional status of geriatric psychiatry patients at DR. Radjiman Wedioningrat Mental Hospital, Lawang District of Malang.Methods: This was an observational study with cross sectional design. Subjects were geriatric psychiatry inpatients at Radjiman Wediodiningrat Mental Hospital Lawang Distric of Malang. Depression status was assessed using the short form of the geriatric depression scale (GDS-15). Food intake were collected using plate waste (visual comstock methods) and 24 hours food recall methods. Nutritional status was assessed using the mini nutritional assessment-Taiwan version-1 (MNA-T1). The data was analysed by univariat, bivariat, and multivariat.Results: Out of total subject of the study (52 people), 53.9% were depressed and 50% were malnourished. Dominant factor that affect nutritional status was moderate depression (OR=11.14). Bivariat analysis showed that there was a significant association between functional status, energy intake, and protein intake with nutritional status. There was not significantly association between energy intake and protein intake with depression status. There was a significant association between depression status and nutritional status of geriatric psychiatry patients (OR=11.14, 95% CI:1.7-73.14).Conclusions: There was a significant association between depression status and nutritional status.KEYWORDS: depression status, geriatric psychiatric, nutritional statusABSTRAKLatar belakang: Masalah gizi pada pasien psikogeriatri kurang mendapat perhatian dalam penelitian psikiatri geriatri, padahal malnutrisi cenderung memiliki dampak yang besar terhadap kondisi mental dan fisik pada lansia. Pada pasien depresi, masalah gizi mempunyai kontribusi yang besar dalam menentukan asupan makanan dan zat gizi lansia karena depresi dapat menyebabkan kehilangan nafsu makan yang berdampak pada penurunan status gizi lansia.Tujuan: Mengetahui hubungan antara gangguan depresi dengan status gizi pasien psikogeriatri di RSJ Dr. Radjiman Wediodiningrat, Lawang, Malang.Metode: Penelitian ini bersifat observasional dengan rancangan cross sectional. Subjek penelitian ini adalah pasien psikogeriatri di ruang rawat inap psikogeriatri RSJ Dr. Radjiman Wediodiningrat Lawang. Data status depresi diukur dengan geriatric depression scale-15 (GDS-15). Data asupan zat gizi menggunakan metode visual Comstock dan recall 24 jam. Data status gizi ditentukan berdasarkan (MNA-T1). Data dianalisis secara univariat, bivariat, dan multivariat.Hasil: Dari total subjek penelitian (52 orang), sebesar 53,9% mengalami depresi dan sebesar 50% mengalami malnutrisi. Faktor yang paling dominan mempengaruhi status gizi adalah status depresi sedang (OR=11,14). Hasil uji bivariat menunjukkan ada hubungan yang bermakna antara status fungsional,asupan energi, asupan protein, dan status depresi dengan status gizi. Hasil uji multivariat menunjukkan ada hubungan yang signifikan antara status depresi dengan status gizi (OR=11,14, 95% CI:1,7-73,14).Kesimpulan: Ada hubungan signifikan antara status depresi dengan status gizi pada pasien psikogeriatri.KATA KUNCI: status depresi, pasien psikogeriatri, status gizi
Studi ketidakaktifan kader posyandu di Wilayah Kerja Puskesmas Paramasan, Banjar, Kalimantan Selatan Muhammad Ali Akbar; BJ Istiti Kandarina; I Made Alit Gunawan
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (137.082 KB) | DOI: 10.21927/ijnd.2015.3(1).60-67

Abstract

ABSTRACTBackground: Integrated health post is a community empowered health service that also supported by health workers. Cadres are the drive motor of integrated health post. Inactivity of cadres influence the continuity of integrated health post and affect nutritional status early detection of infants and childrenunderfive. Paramasan Primary Health Care is a region in Banjar Regency that has the highest inactivity cadres level (54.5%).Objectives: To examine the knowledge of cadres, comprehensiveness of facilities and infrastructure at integrated health post, head of village and health workers support, incentives and awards, and community participation as the background of integrated health post cadres inactivity in Banjar Regency, SouthKalimantan.Methods: This was a descriptive research with qualitative methods using a case study design. The research was implemented in the Region of Paramasan Primary Health Cares at Banjar Regency, South Kalimantan in April until May 2014. Informants were selected by purposive sampling until get saturateddata. The data collection was done by using 3 methods: in-depth interview of 23 informants, focus group discussion (FGD) of 30 informants, and field observation. Data analysis used in this study was constant comparative method.Results: Cadres had very low knowledge never joined any training, and also illeterate. The facilities and infrastructure in integrated health post were very limited. Head of village support on cadres and integrated health post were also low. Unscheduled and unstable of incentive numbers and awards received bycadres was also a problem. The level of community participation was really depended on the activeness of cadres in reminding the schedule of integrated health post activities.Conclusions: The knowledge of cadres contibuted to the cadres inactivity, such as a poor participation and lack of confidence in attending the activities of the integrated health post.KEYWORDS: cadres, inactivity, integrated health postABSTRAKLatar belakang: Posyandu merupakan wadah pelayanan kesehatan dari, oleh, dan untuk masyarakat dengan dukungan petugas kesehatan. Kader merupakan motor penggerak posyandu. Tidak aktifnya kader menyebabkan ketidaklancaran pelaksanaan posyandu serta tidak terdeteksinya status gizi bayi dan balita sejak dini. Puskesmas Paramasan merupakan salah satu wilayah di Kabupaten Banjar dengan tingkat ketidakaktifan kader tertinggi yaitu sebesar 54,5%.Tujuan: Mengkaji secara mendalam pengetahuan kader, kelengkapan sarana dan prasarana posyandu, dukungan kepala desa dan petugas kesehatan, insentif dan penghargaan kader, serta partisipasi masyarakat ke posyandu sebagai latar belakang ketidakaktifan kader posyandu.Metode: Penelitian ini merupakan penelitian deskriptif dengan metode kualitatif menggunakan rancangan studi kasus. Pelaksanaan penelitian di wilayah kerja Puskesmas Paramasan Kabupaten Banjar Provinsi Kalimantan Selatan pada bulan April hingga Mei 2014. Informan dipilih secara purposive sampling, berlanjut hingga saturasi data. Pengumpulan data dilakukan dengan wawancara mendalam terhadap 23 orang informan, diskusi kelompok terfokus (DKT) terhadap 30 orang informan, dan observasi lapangan. Analisis data menggunakan metode constant comparative method.Hasil: Kader memiliki pengetahuan kurang, tidak pernah mengikuti pelatihan, dan tidak bisa baca tulis. Sarana dan prasarana di posyandu sangat kurang, demikian pula dengan dukungan kepala desa terhadap kader, dan posyandu yang tergolong masih minim. Insentif dan penghargaan yang diterima kader dikategorikan tidak rutin dengan jumlah tidak tetap. Tingkat partisipasi masyarakat ke posyandu masih tergantung pada keaktifan kader dalam mengingatkan tentang hari buka posyandu.Kesimpulan: Pengetahuan kader memberikan kontribusi terhadap ketidakaktifan kader yaitu kurangnya keaktifan dalam menghadiri kegiatan di posyandu.KATA KUNCI: kader, ketidakaktifan, posyandu
Konseling gizi mempengaruhi kualitas diet pasien diabetes mellitus tipe 2 di RSUP Dr.Sardjito Yogyakarta Stefania Widya S; Luthfan Budi P; Martalena Br Purba
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (162.499 KB) | DOI: 10.21927/ijnd.2015.3(1).31-40

Abstract

ABSTRACTBackground: One key factor in diabetes mellitus management is improvement of diet quality. Nutrition counseling is one of medical nutritional therapy that is given to improve dietary pattern and lifestyle in patients with diabetes mellitus.Objectives: To assess the effect of both individual and group counseling to improve diet quality in patient with diabetes mellitus.Methods: This research used quasi-experiment method with non-randomized control group pretest-posttest design. The diet qualities of 54 respondens with diabetes mellitus were explored using semi-quantitative food frequency questionnaire (SQ-FFQ) before converted to diet quality score using healthy eating index (HEI) standard scores. Intervention group were given individual nutrition counseling, then they were formed into a group consists of 2-5 subjects per group to make focus group discussion. Intervention group were monitored via telephone or sms every week. In fourth week, the diet quality of both control and intervention group will be re-evaluated.Results: Proportion of subjects that have adequate diet quality improved in intervention group (p=0.0235) after receiving individual and group counseling. In the other hand, diet quality in control group tended to decrease (p=0.0339) in the end of the research. The effectiveness of nutrition counseling in improvingHEI scores was 73%.Conclusions: The combination of individual and group counseling could improve diet quality in patient with diabetes mellitus.KEYWORDS: diabetes mellitus, diet quality, nutrition counselingABSTRAKLatar belakang: Salah satu faktor kunci dalam penatalaksanaan penyakit diabetes mellitus adalah perbaikan kualitas diet. Konseling gizi merupakan salah satu upaya terapi gizi medis yang diberikan untuk memperbaiki pola makan dan gaya hidup pasien diabetes mellitus.Tujuan: Menguji efek konseling gizi individu dan kelompok untuk memperbaiki kualitas diet pada pasien diabetes mellitus.Metode: Penelitian ini menggunakan metode kuasi eksperimen dengan rancangan non-randomized control group pretest-posttest. Kualitas diet 54 responden yang mengalami diabetes mellitus akan digali menggunakan semi-quantitative food frequency questionnaire (SQ-FFQ) sebelum dikonversikan menjadi skor kualitas diet berdasarkan standar perhitungan skor healthy eating index (HEI). Kelompok perlakuan kemudian akan diberi konseling gizi secara individu. Kemudian pasien dibentuk menjadi kelompok kelompok kecil yang terdiri dari 2 hingga 5 orang untuk melakukan diskusi kelompok terarah. Setiapminggu pasien akan diingatkan tentang dietnya melalui telepon atau pesan singkat. Pada minggu keempat, kualitas diet pasien kelompok kontrol dan kelompok perlakuan akan kembali dievaluasi. Hasil: Proporsi subjek yang memiliki kualitas diet baik meningkat pada kelompok perlakuan sesudah menerima intervensi berupa konseling gizi individu dan kelompok, sedangkan pada kelompok kontrol cenderung mengalami penurunan di akhir penelitian. Tingkat keberhasilan konseling gizi dalammeningkatkan skor HEI sebesar 73%.Kesimpulan: Gabungan konseling gizi secara individu dan kelompok dapat meningkatkan kualitas diet pada pasien diabetes mellitus tipe 2.KATA KUNCI: diabetes mellitus, kualitas diet, konseling gizi
Rendahnya asupan zat besi dan kepatuhan mengonsumsi tablet besi berhubungan dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas I Kembaran, Banyumas Ari Purwoko Widji Utomo; Detty Siti Nurdiati; Retna Siwi Padmawati
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 3, NOMOR 1, JANUARI 2015
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (160.36 KB) | DOI: 10.21927/ijnd.2015.3(1).41-50

Abstract

ABSTRACTBackground: One of the nutritional problems that frequently occur in pregnant women is anemia, which is the biggest problem of micronutrient and the most difficult to overcome in the world. Anemia occurs at all stages of the life cycle, more commonly attacked pregnant women and children. The cause of anemiais iron deficiency which is needed to the formation of a hemoglobin (Hb). Deficiency of iron in the body is due to lack of consumption of food sources of iron and the non-compliance of pregnant women in consuming iron tablets. Supplementation of iron tablets and improvement of nutrient intake especiallygood source of iron is one of anemia prevention that has been done.Objectives: To determine the relationship between nutrient intake and the level of compliance in consuming iron tablets with incidence of anemia in pregnant women at work area of Puskesmas I Kembaran Banyumas.Methods: This was an observational study (survey) with a cross sectional design with 50 subjects of the third trimester pregnant women. The research used both quantitative and qualitative approaches.Results: The percentage of anemia in pregnant women in this study was 56.0%. The results of the multivariable analysis showed that only compliance-related iron tablets consumption significantly had relationship (p=0.001, RP=3.7, 95% CI:2.06-6.82) with the incidence of anemia in pregnant women. The high cost of animal food sources, the limitation of animal food sources diversity, and the dislike animal food sources consumption caused pregnant women choosing plant-based foods that where cheap and easily obtainable.Conclusions: This study proved that the intake of nutrients, especially iron and compliance of pregnant women in consuming iron tablets was still be the cause of anemia in pregnant women. Therefore, it needs to reduce and prevent maternal anemia by increasing the diversity of the consumption of iron foodsources, awareness of pregnant women to consume iron tablets, and the role of husband in encouraging pregnant women to consume iron tablets.KEYWORDS: anemia, compliance in consuming iron tablets, nutrient intakeABSTRAKLatar belakang: Salah satu masalah gizi yang banyak terjadi pada ibu hamil adalah anemia gizi, yang merupakan masalah gizi mikro terbesar dan tersulit diatasi di seluruh dunia. Hasil Riskesdas tahun 2010 menunjukkan 80,7% wanita usia subur (WUS) yang hamil mendapat/membeli tablet besi, namun sebagianbesar diketahui tidak patuh mengonsumsinya. Kekurangan besi dalam tubuh disebabkan kurangnya konsumsi makanan sumber zat besi dan ketidakpatuhan ibu hamil mengonsumsi tablet besi. Suplementasi tablet besi dan perbaikan asupan zat gizi terutama sumber zat besi merupakan upaya penanggulangananemia yang banyak dilakukan.Tujuan: Mengetahui hubungan asupan zat gizi dan tingkat kepatuhan mengonsumsi tablet besi dengan kejadian anemia pada ibu hamil di Wilayah Kerja Puskesmas I Kembaran Kabupaten Banyumas.Metode: Penelitian ini merupakan penelitian observasional (survey) dengan rancangan cross sectional dengan subjek penelitian 50 ibu hamil trimester III. Penelitian menggunakan pendekatan kuantitatif dan kualitatif.Hasil: Persentase anemia pada ibu hamil sebesar 56,0%. Hasil analisis multivariat hanya kepatuhan mengonsumsi tablet besi yang berhubungan bermakna (p=0,001, RP=3,7; 95% CI:2,06-6,82) dengan kejadian anemia pada ibu hamil. Harga sumber makanan hewani yang mahal, keanekaragaman sumber makanan hewani yang terbatas, dan ketidaksukaan mengonsumsi sumber makanan hewani menyebabkan ibu hamil memilih sumber makanan nabati yang murah dan mudah didapat.Kesimpulan: Asupan zat gizi terutama zat besi dan kepatuhan ibu hamil mengonsumsi tablet besi masih menjadi penyebab anemia pada ibu hamil. Oleh sebab itu, perlu dilakukan upaya penanggulangan dan pencegahan anemia ibu hamil dengan cara peningkatan keanekaragaman konsumsi bahan makanan sumber zat besi, kesadaran ibu hamil untuk mengonsumsi tablet besi, dan peran serta suami dalam mendorong ibu hamil mengonsumsi tablet besi.KATA KUNCI: anemia, kepatuhan minum tablet besi, asupan zat gizi

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