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INDONESIA
Jurnal Gizi Klinik Indonesia
Published by Universitas Gadjah Mada
ISSN : 1693900     EISSN : 25024140     DOI : -
Core Subject : Health, Science,
Biochemistry, Genetics & Molecular Biology Medicine & Pharmacology Nursing Public Health
Jurnal Gizi Klinik Indonesia merupakan jurnal ilmiah nasional terakreditasi yang memuat artikel penelitian (research article) di bidang gizi dan kesehatan, yang terkait aspek gizi klinis, gizi masyarakat, gizi olahraga, gizi molekular, biokimia gizi, pangan fungsional, serta pelayanan dan manajemen gizi. Jurnal Gizi Klinik Indonesia (JGKI) diterbitkan empat bulan sekali sejak terbit Juli 2004 hingga Maret 2011 (Volume 1-7), kemudian sejak Juli 2011 (Volume 8) JGKI diterbitkan setiap tiga bulan. Jurnal Gizi Klinik Indonesia diterbitkan oleh Minat S2 Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada bekerjasama dengan Persatuan Ahli Gizi Indonesia (PERSAGI) dan Asosiasi Dietisien Indonesia (AsDI).
Arjuna Subject : -
Articles 437 Documents
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Peranan kadar nitrit oksida (NO) darah dan asupan lemak pada pasien hipertensi dan tidak hipertensi Pudji Astutik; Bambang Wirjatmadi; Merryana Adriani
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.18847

Abstract

Background: Hypertension is closely related to impaired endothelial dependent vasodilation due to decreasing availability of blood nitric oxide (NO) and high fat intake.Objective: To analyze blood NO and fat intake differences in patients with hypertension andnon hypertension.Method: The study was a cross-sectional design and sampling was carried out in Sidoarjo District Hospital. Subjects of the study were 24 patients aged between 40 to 65 years, which consist of 12 cases and 12 controls. Measurement of blood NO and recall of fat intake were performed.Results: Blood NO in hypertension andnon hypertension patients were 72.333 ± 40.511µM and 116.083 ± 46.962 µM respectively. Fat consumption in hypertension andnon hypertension were 51.52 ± 5.99 g and 41.65 ± 8.32 g respectively. Two independent samples t-test showed meaningful differences in the levels of blood NO (p=0.023) as well as fat intake (p=0.004) between the hypertension andnon hypertension patients.Conclusion: There is a difference in the levels of blood NO and fat intake in patients with hypertension andnon hypertension.
Pemberian diet ekstra formula komersial dan diet ekstra filtrat ikan gabus intradialisis serta pengaruhnya terhadap kadar serum albumin dan kreatinin pasien dengan hemodialisis di RSU Dr. Saiful Anwar Malang Etik Sulistyowati; Hamam Hadi; Susetyowati Susetyowati; Atma Gunawan
Jurnal Gizi Klinik Indonesia Vol 5, No 2 (2008): November
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.17550

Abstract

Background: Nowadays chronic kidney disease (CKD) is a serious health problem because of its increasing incidence. In Indonesia, approximately there are 100 CKD patients per 1 million people per year. Hemodialysis is one of ways to prolong CKD patient’s life that should be done recurrently and for a long time. However, hemodialysis causes loss of nutrients leading to high prevalence of malnutrition among CKD patients. Until today intradialysis diet therapy which can replace loss of nutrients particularly protein has not been initiated as part of diet therapy in Indonesian hospitals. To improve nutritional status and minimize mortality rate, oral intradialysis diet therapy with proper formula is needed.Objective: To study the effect of the supply of commercial formula and local catfish filtrate extra diet to albumin and creatinine serum level among hemodialysis patients.Method: The study was experimental with randomized control trial design carried out at Dialysis Installation of Dr. Saiful Anwar Hospital, Malang. There were as many as 36 hemodialysis patients divided into 3 groups; 1 group with standard diet, 1 group with commercial formula and standard diet, and 1 group with local catfish filtrate and standard diet. Data were obtained through interview, note taking, and laboratory tests which consisted of subject characteristics in weight, height, albumin and creatinin serum level as well as food intake one day before, during and one day after hemodialysis. Data analysis was done descriptively and inferentially using chi square, anova, and paired t-test. The conclusion was based on significance level (α ) 0.05 or p < 0.05.Results: There was no significant difference in the characteristics of the subject at the beginning of the study with average albumin serum level 3.61 ± 0.48 g/dL and creatinine serum level 9.04 ± 2.73 mg/dL. There was no difference in average energy and protein intake of the subject. At the end of the study average albumin serum level was 3.38 ± 0.42 g/dL, creatinine serum level 8.34 ± 3.6 mg/dL, and there was significant difference in albumin serum level (p = 0.000) of the subject. Although there was an increase of creatinine serum level in the group with local catfish filtrate extra diet, it was statistically insignificant.Conclusion: There was significant effect of the supply of commercial formula and local catfish filtrate extra diet to increase of albumin serum level of the subject and there was no significant effect of the supply of extra diet to creatinine serum level; however, the supply of local catfish filtrate extra diet could maintain creatinine serum level.
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. 
Durasi menyusu dan kejadian overweight pada remaja Nurlaili Ramli; Madarina Julia; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 9, No 2 (2012): 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.15379

Abstract

Background: Statistic showed an increasing number of overweight incidences among children in Aceh Province. However, relationship between breastfeeding and risk of overweight and obesity is still controversial due to strong confounding factors. Hence, the relationship between breastfeeding and obesity is unclear. To reduce the confounding factors, siblings analysis can be undertaken as children live in the same environment.Objective: To investigate the influence of siblings overweight status on breastfeeding duration and overweight incidence among adolescents and to explore other environmental and genetic factors related to overweight incidence in adolescents.Method: This was an observational-analytical study with a matched case control design. There were 50 subjects for each group. Subjects in the case group were taken from existing cases, while the control group was selected by purposive sampling by matching in age and gender. Paired t test, McNemar test and conditional logistic regression were performed to analyse the data.Results: Overweight adolescents have shorter breastfeeding duration than non-overweight adolescents. Multiple conditional logistic regression tests on overweight status in siblings showed that breastfeeding duration could reduce overweight incidence among adolescents (OR=0.81; 95%CI:0.69-0.96).Conclusion: Overweight adolescents have shorter duration of breastfeeding than those who were not overweight. Factors that affect the risk of overweight among adolescents in this study were mother’s education, adolescent’s eating behavior, mother’s overweight status and sibling’s overweight status.
Pelayanan antenatal care dalam pengelolaan anemia berhubungan dengan kepatuhan ibu hamil minum tablet besi Subarda Subarda; Mohammad Hakimi; Siti Helmyati
Jurnal Gizi Klinik Indonesia Vol 8, No 1 (2011): 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.17725

Abstract

Background: The prevalence of pregnant women with anemia is still one of nutrition problems in Indonesia. The main cause of this case is low iron supplementation compliance as the effect of lack of antenatal care (ANC) services and lack promotion of anemia prevention and iron tablet benefit.Objective: The study was aimed to know the relationship between ANC services in anemia management with iron supplementation compliance of pregnant women.Method: The study was observational with cross sectional design. Subjects were 202 pregnant women in the II–III trimester period in Asahan District. Sampling interpretation was randomly performed by choosing 3 sub-districts with K4 ≥ 85% and ≤ 85% coverage. Data collection was carried out by interview based on structured questionnaire and KIA literature study while validity of iron supplementation compliance using stool test. Data analyzed using chi-square and logistic regressions test.Results: The result showed that 41.1% of pregnant women were complied. Based on chi-square test, there were four significant variables related to pregnant women’s compliance namely ANC services (ratio prevalence 1.82; CI95%: 1.22-2.70), anemia assessment (ratio prevalence 1.79; CI95%: 1.22-2.64), nutrition consultation (ratio prevalence 1.41; CI95%: 1.12-1.76) and knowledge (ratio prevalence 1.42; CI95%: 1.12-1.79). Meanwhile logistic regressions test showed that the most influencing variable was ANC services (OR 3.125) after controlling knowledge variable.Conclusion: There were positive relationship between ANC services, anemia assessment, and nutrition consultation with iron supplementation compliance.
Estimasi asupan indeks glikemik dan beban glikemik dengan kontrol gula darah pasien diabetes melitus tipe 2 Sinta Mukti Permatasari; Toto Sudargo; Luthfan Budi Purnomo
Jurnal Gizi Klinik Indonesia Vol 12, No 2 (2015): 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.23116

Abstract

Background: Non-infectious disease (NID) has become a public health problem both globally, regionally, nasionally, and locally. One of NID that takes a lot of attention is diabetes mellitus (DM). Risk of complication is higher due to lack of attention to lifestyle including diet. The concept of the glycemic index classifies carbohydrate is considered better in controlling blood sugar. However, some studies say otherwise. Therefore, research needs to be done by combining carbohydrate quantity concept (glycemic load) and glycemic indexObjective: To identify the relationship between estimated dietary glycemic index and glycemic load with blood sugar control, as well as to identify other factors associated with glycemic control of patients with type 2 diabetes mellitusMethod: This is an observational study with cross-sectional design. The population study were all outpatients with type 2 diabetes mellitus in Dr.Sardjito hospital Yogyakarta in 2014. Sampling method using a consecutive sampling with sample size of 79 people. Interviews regarding the identity of the respondents through questionnaires, physical activity (IPAQ), and semi-quantitative food frequency (SQFFQ). Blood sugar control (HbA1C) obtained from respondent’s medical record. The data were processed using univariable analysis (descriptive), bivariate (chi-square), and multivariate (GLM)Results: Most respondents were blood sugar uncontrolled (84,81%). Average of dietary GI and GL was 63,26±3,23 and 127,65±43,02. Bivariate test showed that the dietary GI and GL each has a RP value 1,023 and 1,002, and statistically significant (p<0,05) with HbA1C. The prevalence of uncontrolled blood sugar 4,18 times greater in respondents who doesn’t have appropriate eating schedule. Duration of diabetes, nutritional status, physical activity, and education level did not significantly influence HbA1C (p>0,05)Conclusion: There is a relationship between dietary GI, GL, and eating schedule with blood sugar control (HbA1C), but there was no correlation between duration of diabetes, nutritional status, physical activity, and education level with blood sugar control (HbA1C)
Asupan makan, sindrom metabolik, dan status keseimbangan asam-basa pada lansia Nurmasari Widyastuti; Muhammad Sulchan; Andrew Johan
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.18366

Abstract

Background: Metabolic syndrome prevalence increases with age and obesity. The metabolic syndrome is associated with alterations in renal function. Low urine pH has been described as a renal manifestation of the metabolic syndrome. Urine pH is a simple and inexpensive method for determining acid-base status. Recent studies suggest that acid-base status is associated with dietary intake.Objective: To examine relationship between dietary intake, components of metabolic syndrome and urine pH among the elderly.Method: Subjects of this cross-sectional study consist of 49 elderly that were collected consecutively. Height, weight, waist circumference (WC), dietary intake, blood pressure (BP), fasting blood glucose and urine were obtained. Rank Spearman correlation test was used to examine the correlation of components of metabolic syndrome and dietary intake with urine pH. Mann-Whitney test was used to compare the urine pH of the metabolic syndrome group and the normal group. Chi-Square/fisher test was used to calculate prevalence ratio (PR) of metabolic syndrome components to low urine pH. Multivariate analysis was done by multiple linear regression.Results: The mean urine pH of the metabolic syndrome group was 6,06 and significantly lower than the normal group (6,50). WC was the only component of metabolic syndrome that related to urine pH (r=-0,325; p=0,023). Abdominal obesity significantly increases the risk of low urine pH (RP=1,6; p=0,023; CI=1,005-2,442). Urine pH was negatively associated with protein intake and proportion of protein on diet. In multivariate analysis, WC is the most significant factor that predicted urinary pH.Conclusion: Urine acidification is a characteristic of abdominal obesity and the metabolic syndrome. Protein intake and proportion of protein on diet contribute to urine pH.
Hubungan kadar serum albumin dengan kejadian morbiditas dan mortalitas pada pasien penyakit ginjal kronik dengan hemodialisis di RS Dr. Sardjito Yogyakarta La Banudi; Ahmad Husain Asdie; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 3, No 2 (2006): November
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.17491

Abstract

Background: Chronic kidney disease is a characterized by decreasing kidney function with creatine clearance test <15 mL/minute. At such condition toxic in the body accumulates so that dialysis is needed to eliminate it. Blood albumin serum level may indicate nutrition status and is closely related to morbidity and mortality of hemodialysis patients.Objective: To find out association between albumin serum level and occurrence of morbidity and mortality among patients of chronic kidney disease with hemodialysis.Method: The study was observational with prospective cohort design. It was conducted at Dialysis Installation of Dr. Sardjito Hospital from August 2004 to December 2005. Population were all patients of hemodialysis. Samples were purposively taken using inclusion criteria with as many as 44 minimal samples. Dependent variables were morbidity and mortality. Independent variables  were albumin serum level, age and long time hemodialysis. Data analysis was done in phases, univariable, and then bivariable.Results: There was association between albumin serum level and morbidity at observation I (p=0.021), observation II (p=0.036), and observation III (p=0.012) which indicated that p<0.05. There was also association between albumin serum level and mortality at observation I (p=0.011), observation II, III and IV (p=0.000) which indicated that p<0.05.Conclusion: There was association between albumin serum level and morbidity and mortality of chronic kidney disease patients with hemodialysis.
Frekuensi konsumsi growol berhubungan dengan angka kejadian diare di Puskesmas Galur II Kecamatan Galur Kabupaten Kulonprogo Provinsi DIY Anastasia Eni R; Lily Arsanti Lestari; Muhammad Juffrie
Jurnal Gizi Klinik Indonesia Vol 7, No 1 (2010): 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.17612

Abstract

Background: Diarrhea is a serious health problem in developing countries because 25% of total mortality rate among children in the world is caused by diarrhea and has caused 3-4 million of children to die annually. In Indonesia diarrhea is also a major health problem whereby morbidity rate of diarrhea in 2004 was still relatively high, i.e. 280/1000 population and the second cause of death in underfies. At the working area of Galur II Health Center mortality rate caused by diarrhea in 2007 increased from none to 2 deaths in underfies (3.14/1000) and diarrhea was in the fist rank of 10 major diseases in inpatient service activities. One cause of diarrhea is imbalance of intestinal microbes in the digestive tract. This is due to two groups of bacteria (harmful and useful/probiotic bacteria) that kill each other. Previous studies on the potential of probiotic show that Lactobacillus rhamnosus GG was effective in preventing diarrhea and shortening the duration of diarrhea. Growol contains Lactobacillus case subsp. Rhamnosus TGR 2 that has the potential as probiotic.Objective: To identify association between frequency of growol consumption and the prevalence of diarrhea.Method: The study was observational with cross sectional design carried out at the area of Galur II Health Center, Subdistrict of Galur, District of Kulonprogo, Province of Yogyakarta Special Territory. Population of the study were children of 1-5 years old with criteria willing to be studied, were not malnourished and came for weighing at Posyandu (integrated service post) in November 2008. Data collected were analyzed using linear regression test at significance 95% and descriptively.Result: Out of 472 underfies, 244 (52%) were boys and 228 (48%) girls; 22.4% had diarrhea and 77.54% had never had diarrhea; 160 consumed growol and 12 of them (7.5%) had diarrhea; 312 did not consume growol and 94 of them (30.52%) had diarrhea. Respondents consumed growol in average 3.8 times/week. There was association between frequency of growol consumption and the prevalence of diarrhea according to the equivalent Y=0.474-0.079 X or growol could prevent diarrhea if consumed minimum 6.4 times/week.Conclusion: There was association between frequency signifiant relationship between growol frequency consumption and diarrhea rate.
Suplementasi multi mikronutrien dibandingkan Fe-asam folat terhadap kadar hemoglobin dan berat badan ibu hamil anemia Herta Masthalina; Mohammad Hakimi; Siti Helmyati
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): 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.15375

Abstract

Background: As a part of global strategy to prevent micronutrient deficiency in pregnant mothers, UNICEF recommends the use of multi-micronutrients supplements as an initial program in developing countries. Therefore, it is necessary to investigate the effect of multi-micronutrient supplementation on Hb level and weight gain of anemic pregnant women in Lombok Tengah District.Objective: To investigate the effect of multi-micronutrient compared to Fe – folic acid supplementation on Hb level and weight gain of anemic pregnant mothers.Method: This was a quasi-experimental study with non equivalent control group design. Subjects in the intervention group were given multi-micronutrient supplements provided by UNICEF, whereas subjects in the control group were given Fe – folic acid supplements. The supplements were given daily to the two groups for 91 days. Hb level and weight were measured before and after intervention.Results: Statistical analysis showed no significant differences (p=0.96) in Hb level and weight gain (p=0.454) between the two groups. The increase of Hb level and weight in the intervention group vs control group were 0,53±0,95 g/dL vs 0,89±1,15 g/dL and 4,89±2,71 kg vs 4,32±1,75 kg, respectively.Conclusion: There were no significant differences in Hb level and weight gain between pregnant mothers consuming multi-micronutrient supplements compared to those consuming Fe – folic acid supplements.

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