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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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Pemberian minuman formula kacang merah, kacang tanah, dan kacang kedelai terhadap status gizi ibu hamil kurang energi kronis (KEK) Nendhi Wahyunia Utami; Tita Husnitawati Majid; Dewi Marhaeni Diah Herawati
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.22424

Abstract

Background: The prevalence of malnutrition in pregnant women DIY reached 22.69%, while at Sleman amounted to 11.72%. The study has been developed drinks formula derived from beans that contain the nutrient according to the needs of pregnant women.Objective: This study aimed to analyze the influence of red beans, peanuts and soybeans drink formula against the nutritional status of pregnant women.Method: The study design is randomized controlled trial (RCT). The inclusion criteria are pregnant women with chronic energy deficiency and gestational age between 14-28 weeks. The research locations in 8 health centers in Sleman with total sample of 84 people. Data obtained by measuring LILA and pregnant women weight before and after being given a drink formula. Data analysis using Chi-Square, paired t-test and Wilcoxon.Results: There was differences between the increase of weight and LILA pregnant women in the treatment group was higher than controls (p<0.005). Increase of BB and LILA on the three groups there is a difference (p<0.001). Based on measurements of nutritional status of pregnant women showed that significant effect giving peanuts formula compared to red beans and soy bean formula that does not significantly (p<0.001). Groups of pregnant women who get peanuts formula showed increased protein intake above the standard of 67 g and a total energy of 2260 calorie.Conclusion: Nutritional status of pregnant women who get the peanut formula higher than by red beans, soy beans, and formula for pregnant women. Pregnant women who received peanuts formula have higher energy and protein intake than the other formulas.
Pengaruh status gizi ibu menyusui terhadap eksklusivitas pemberian ASI dan pertumbuhan bayi di RSUD Prof. Dr. WZ. Johannes Kupang Beatrix Soi; Madarina Julia; R Dwi Budiningsari
Jurnal Gizi Klinik Indonesia Vol 2, No 3 (2006): Maret
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.17431

Abstract

Background : Numerous research have been made to find out contributive factors of the exclusive breastfeeding.Objective: The objective of this study was to find out whether mothers’ nutritional status had any influence on the exclusivity of breastfeeding and  on the growth of their babies up to 4 months.Methods: This observational study was carried out with a prospective cohort design and lasted from November 2004 to May 2005. The subjects were 80 pairs of mother and baby treated at the Obstetric and Gynecology Unit (UPF) of Local Public Hospital (RSUD) Prof. Dr. W.Z. Johannes at Kupang – NTT. The subjects were divided into two groups namely Undernutrition status group marked by <23,5 cm mid arm-circumference, and control group comprised 46 mothers of well- nutrition  status who had bigger mid arm-circumference >23,5 cm. Observed babies were those of normal or spontaneous delivery, non twin with >2500 g birth weight. Follow up observations were made at family home and the data on breastfeeding characteristics were collected by interview, babies weight were measured by Secca baby scale with 0,01 kg level of accuracy mid arm-circumference was measured by means of LILA tape, and body length was measured using length-board. Tools measure with 0,1 cm level of accuracy. Some statistical tests were used namely Chi-Square; student’s t-test; and while Kaplan Meier log-rank test as needed.Results: More than 50% of under-nutrition mothers were under 25 years old. Chi-Square test shows that significant difference between mother’s age was (p=0,04). More than 50% of the KEK group gave birth for the first time or ‘primipara’ (p=0,25). Kaplan Meier analysis showed that  there was no difference between survival median of breastfeeding be- tween the both group (p=0,53). t-test showed that there were significant differences of the babies body weight of the both KEK and non KEK mothers, namely pd”0,01, p=0.01, and p=0.03 in the first, second, third, and the fourth month respectively. In terms of the average babies body length, the t-test also showed significant differences between both groups with p=0.02 and p=0.01 in the third and the fourth month respectively.Conclusion: I can be concluded that mother’ nutrition status did not have any influence on the exclusivity of breastfeeding, however, it did significantly influence babies growth from 0- 4 month.
Pertanyaan dan nasihat dokter untuk konsumsi sayur dan buah: penelitian potong lintang pada 10 puskesmas di Yogyakarta dan Sleman Yayi Suryo Prabandari; Bagas Suryo Bintoro; Indira Utami Yusuf
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.18848

Abstract

Background: Mortality caused by noncommunicable disease (NCD) has increased in the last ten years in Indonesia in line with the elevation of NCD prevalence. The NCD mortality and prevalence can be prevented by practicing a healthy lifestyle. One of a healthy lifestyle is adequate vegetable and fruit consumption that unfortunately was still far from expectation in the Basic Health Survey 2007 and 2010. Puskesmas as primary health care should anticipate the problem by encouraging doctor to routinely ask and educate on a healthy lifestyle.Objective: This study aimed to assess physician ask and advice on vegetable and fruit consumption based on patient and physician report.Method: Two hundred and fifty-one patients from primary health care (Puskesmas) in Yogyakarta City and Sleman District participated in this cross-sectional survey. Subsequently, a survey of 57 physicians was conducted. Data were collected by structured questionnaires and exit interviews. We analyzed the data using Chi-Square test and logistic regression.Results: The results showed that patients have been asked and advice about vegetable and fruit consumption. However, the proportion of physician report was higher than the proportion of patient’s report. Patient who had gastrointestinal disorder, had body weight problem, suffered from diabetics and cardiovascular diseases were more being asked and educated about vegetable and fruit consumption than other symptoms or diseases. Patients who were female, not married and did not eat vegetable and fruit everyday reported more being asked and advised by doctor on fruit and vegetable consumption than patients who were male, married and did not regularly eat fruit and vegetable. There was no difference of patient’ s perception of the relation between their disease and fruit and vegetables consumption based on characteristics, symptoms, disease and the frequency of eating fruit and vegetable.Conclusion: Primary health care physician has asked and advised patient about vegetable and fruit consumption although did not routinely practice it. Delivering advice as part of patient education on high fiber diet should be included in the national insurance scheme, so that physician will routinely educate patient.
Asupan yodium dan asupan goitrogenik hubungannya dengan status gangguan akibat kekurangan yodium (GAKY) pada anak sekolah dasar di Kabupaten Dairi Provinsi Sumatera Utara Urbanus Sitohang; Toto Sudargo; Dhuto Widagdo
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.17551

Abstract

Background: Iodine deficiency disorder (IDD) is a health problem which affects the quality of human resources. IDD is caused by lack of iodine substance. The substance is needed for numerous syntheses and metabolism in the body, particularly thyroid glands. IDD may also be caused by high consumption goitrogenic substance.Objective: The study was meant to identify relationship between iodine and thiocyanate intake and IDD, and to identify differences in iodine and thiocyanate intake based on endemic level.Method: This was an observational study with cross sectional design. Method used were palpation of goiter glands to measure endemic level, food recall, and food frequency questionnaire (FFQ) to measure iodine and thiocyanate intake, ammonium persulfate digestion to measure urine iodine excretion. Data analysis used chi-square, Pearson correlation and anova.Results: The result of chi-square analysis showed that there was no significant relationship between iodine intake and IDD (p > 0.05, CI 95%: 0,34–1,18), but there was significant relationship between iodine intake and urine iodine excretion (p < 0.05, CI 95%: 2.2–7.2) with OR 3.9. There was significant relationship between IDD and thiocyanate intake (p < 0.05, CI 95%: 3.0–11.3) with OR 5.9, but there was no significant relationship between thiocyanate intake and urine iodine excretion (p > 0.05, CI 95%: 0.48–1.97). The result of Pearson correlation test showed that there was no significant relationship between iodine and thiocyanate FFQ and IDD (p > 0.05); there was no significant relationship (but there was a tendency) between thiocyanate FFQ and IDD (p > 0.05). There were significant differences in iodine intake, thiocyanate intake,  iodine FFQ and thiocyanate FFQ based on endemic level (p > 0.05).Conclusion: There was relationship between iodine intake and IDD/non-IDD, but there was relationship between urine iodine excretion and IDD. Children with IDD had higher consumption of thiocyanate than those who did not have IDD. There were differences in all measurements based on endemic level.
Faktor-faktor yang Mempengaruhi Kejadian Malnutrisi Pasien Dewasa di Ruang Rawat Inap Rumah Sakit I Gede Agung Kusumayanti; Hamam Hadi; Susetyowati Susetyowati
Jurnal Gizi Klinik Indonesia Vol 1, No 1 (2004): 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.15355

Abstract

Background : Nutrient intakes may influence nutritional status of patients during health care. It was reported that nutritional status of 75% of hospitalized patients declined during hospitalization.Objective: The objectives of this study was to assess factors that may influence malnutrition among adult patients in hospital.Methods: This study was done using a nested case control study design. Subjects were inpatients of internal and neurology departments of Sanglah, Sardjito and M. Jamil hospitals. They were all given oral feeding, inconsciousness condition, cooperative, and non-ascites. Data on food consumption were obtained using comstock methods, while nutritional status were measured using Subjective Global Assessment.Results: Low energy intake, length of stay, infection, and special diet were all associated with a higher risk of hospital malnutrition. Patients with low energy intakes were 2.4 (OR=2.4, 95%CI= 1.17-4.92) times more likely to be malnourished than those with sufficient energy intakes. Patients with length of stay >= 7 days were 8 (OR=8.15, 95% CI =1.87-35.51) times more likely to be malnourished than those with length of stay < 7 days. Patients with infectious diseases were 3 (OR= 0.33, 95% CI= 0.17-0.64) times less likely to be malnourished than those with non infectious diseases. Lastly, patients with special diet were 2 (OR=1.96, 95% CI= 1.05-3.68) times more likely to be malnourished than those without special diet.Conclusions: Low energy intake, length of stay, non infectious diseases, and special diet are risk factors of malnutrition in adult hospitalized patients.
Asupan protein dan fosfor, rasio fosfor-protein, dan kadar fosfor darah pada pasien gagal ginjal kronis dengan hemodialisis Ahmad Syauqy; Susetyowati .; Suhardi .
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.15380

Abstract

Background: Hyperphosphatemia has become one of the main causes of death in CKD patients on HD. Thus, correction and prevention of hyperphospatemia is a major component in the management of HD patients. High protein diet in HD patients may lead to increased serum phosphate level due to mineral metabolism disorder associated with decreased glomerular filtration rate. In addition, high protein intake often followed by high phosphate intake as high protein foods also contains high phosphate and may cause hyperphosphatemia. Meanwhile, reduction of protein intake to control phosphate level was associated with decreased health and nutritional status in CKD patients. Therefore, appropriate phosphate-protein ratio is essential to provide adequate protein intake and avoid hyperphosphatemia.Objective: To investigate the association between protein and phosphate intake, phosphate-protein ratio and blood phosphate level in CKD patients on routine HD.Method: The study used an analytic observational method with cross sectional design. There were 100 subjects involved in this study. Subject characteristics, protein and phosphate intake, phosphate-protein ratio and intake of phosphate binders were obtained through interview and 3 x24 hour food record. Serum phosphate level was analyzed by inorganic phosphorus quantification method. Food processor was used to analyze the intake of protein and phosphate. Bivariate and multivariate tests with 95% confidence interval were used to analyze the data.Results: Adequate protein intake was observed among 38% subjects, while 46% of them have excess phosphate intake.High phosphate-protein ratio was found in 20% subjects. Most subjects did not take phosphate binders regularly (61%) and have hyperphosphatemia (66%). The average protein intake, phosphate intake, phosphate-protein ratio, and blood phosphate level were 1.1 g/kg/d, 13.5 mg/kg/d, 12.8 mg/g, and 5.6 mg/dl, respectively. Bivariate test showed that there was a significant association between protein intake (p=0.037; RP=2.78), phosphate intake (p=0.005; RP=3.54), phosphate-protein ratio (p=0.045; RP=3.85), and blood phosphate level in CKD patients on routine HD. Multivariate analysis revealed that high phosphate intake and did not consume phosphate binders regularly  were risk factors of hyperphosphatemia (p=0.000; OR=6.543; CI 95%:2.357-18.164 dan p=0.024; OR=3.413; CI 95%:1.179; R2=0.42).Conclusion: Consumtion of low phosphate foods and phosphate binders may reduce the risk of hyperphosphatemia in CKD patients on routine HD.
Senam bugar lansia berpengaruh terhadap daya tahan jantung paru, status gizi, dan tekanan darah Sri Thristyaningsih; Probosuseno Probosuseno; Herni Astuti
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.17726

Abstract

Background: Aging that happens naturally in human life does not only cause physical dysfunction but also have an impact to mental and social aspects. In the elderly there is a problem of degenerative disease. Hypertension has become a serious health problem and a major challenge of public health worldwide because of either high prevalence or major risk factor for cardiovascular disease. Pharmacological as well as non-pharmacological efforts have been made to prevent and cure the disease; however until today the growing number of hypertensive patients has not been successfully controlled. Consequently behavioral intervention has to be made to cure hypertensive patients. One of the recommended interventions is fitness exercise for the elderly.Objective: The study aimed to identify the effect of fitness exercise to increasing stamina of heart and lung, nutrition status and reduced blood pressure of hypertensive elderly at integrated service post of Sub district of Pahandut, Palangkaraya Municipality.Method: The study was an experiment (before and after) without control group using one group pretest posttest study design. Subject of the study was a group with pre experimental, evaluation, effect of variables and post experimental evaluation. Measurement was made in week two, three and four to blood pressure, heart and lung stamina, nutrition status of hypertensive elderly, discipline in exercise and food recall 24 hours. The interventions made were lecture and fitness exercise package D for the elderly.Results: There was significant association between elderly fitness exercise and systolic blood pressure, heart and lung stamina and nutrition status of hypertensive elderly (p<0.05). Result of Wilcoxon signed ranks test and paired sample test between gymnastic elderly on increase of endure capacity heart lung are significantly associated (p=0,001) and so on nutritional status (p=0,002) and decrease systolic tension (p=0,001) and diastolic tension (p=0,002).Conclusion: There was significant association between elderly fitness exercise and the increase of heart and lung stamina, nutrition status and the decrease of blood pressure in hypertensive elderly.
Konsumsi fast food dan soft drink sebagai faktor risiko obesitas pada remaja Ayu Rafiony; Martalena Br Purba; I Dewa Putu Pramantara
Jurnal Gizi Klinik Indonesia Vol 11, No 4 (2015): 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.23311

Abstract

Background: Recently, obesity has become health problem which was frequently associated with an increased occurrence of non-communicable diseases. The prevalence of obesity has been increasing in both developed and developing countries. The increasing prevalence of obesity was marked by a shift in eating pattern composition containing high fat, cholesterol, but low in fiber such as consumption of fast food and soft drinks. The imbalance of nutrient intake was one of the risk factors for the emergence of obesity in adolescents. Obesity in adolescents at risk of becoming obese in adulthood and potentially can lead to cardiovascular and metabolic diseasesObjective: This study aimed to find out the prevalence of obesity and to investigate risk factors for energy intake and frequency of consumption of fast food and soft drinks on the incidence of obesity in high school students in Pontianak.Method: This research was an observational study which involves case-control design. The samples in this study are 160 students consisting of 80 obese high school teenagers and 80 non-obese high school teenagers. The choice for a subject of research used proportional stratified random sampling. Measurement of obesity status subject was taken by the measurement of weight and height based on the reference standard WHO / NCHS. It also involves data intake of fast food and soft drinks based on interviews with SQFFQ. Data were analyzed by chi-square test, t-test, and logistic regression.Results: The prevalence of obesity in high school teenagers in Pontianak was 9.29%. The bivariate test result showed no association  between total  energy intake of fast food and obesity (p<0.05; OR=2.27; 95% CI: 1.12-4.64). The relationship between the consumption of modern energy intake of fast food, fast food and soft drink with the local obesity was not statistically significant (p>0.05). There was a relationship between the frequency of total  fast food and of the local fast food consumption with obesity (p<0.05; OR=2.03; 95% CI: 1.03-4.00), (p<0.05; OR=2.63; 95% CI: 1.33-5.25). The relationship between the frequency of fast food consumption in total modern fast food and soft drinks and obesity was not statistically significant (p>0.05). Multivariable analysis showed that the total energy intake was the most dominant factor to the onset of obesity (p<0.05; OR=5.27; 95% CI: 1.64-16.97).Conclusion: Consumption of fast food was a risk factor for obesity in high school teenagers in Pontianak. On the other hand,  soft drink consumption did not become the risk factor for obesity in teens high school in Pontianak.
Sistem distribusi dan cakupan suplementasi tablet besi ibu hamil pascabencana tsunami 2004 di Kabupaten Aceh Besar Provinsi Nanggroe Aceh Darussalam Maryani Maryani; I Made Alit Gunawan; Siti Helmyati
Jurnal Gizi Klinik Indonesia Vol 3, No 1 (2006): 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.17420

Abstract

Background: The prevalence of anemia is one of indicators applied to determine pregnant woman nutrition status. The coverage of iron supplementation is still low due to poor iron distribution. In Aceh Besar regency, the prevalence of anemia in 2003 was 18.71% and become 45.5% in 2005 (report of Rapid Nutrition Assessment in Tsunami Affected Districts in NAD, February-March 2005).Objective: The study was meant to explore the distribution system and iron supplementation coverage post tsunami in Aceh Besar regency, NAD Province.Method: This was a qualitative naturalistic study; the design was investigative exploration study, and the data was collected by indepth interview. The analysis unit was health department, primary health care and villages in Aceh Besar regency. Subjects were stakeholders and pregnant women taken by purposive sampling and showed descriptively.Result: Poor health service and unreadiness of health staff affected the stagnation of iron distribution program. The un-available of guidance book and lack of nutrition staff and midwife development become so crucial. Indeed, they could not understand their jobs description in expanding iron distribution network. Furthermore, the distribution of iron tablet was done passively of pregnant woman visiting health service place. The policy of iron distribution by health department of Aceh Besar regency post tsunami 2004 were collecting data and pregnant woman ANC service held by mid-wife using iron program. The achievement of iron supple-mentation coverage was still low, though the attitude of pregnant woman has changed.Conclusion: The stagnation of basic health service and lack of health staff empowerment affected poor iron distribution for pregnant woman.
Status kesehatan mulut dan asupan makan sebagai faktor risiko underweight pada lansia Dian Isti Angraini; Al Supartinah; Deddy Nur Wachid
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.18367

Abstract

Background: Oral health status and dietary intake contribute to nutritional status in elderly. Missing teeth cause chewing disorder that reduces quality and quantity of food intake, which finally makes the elderly have underweight nutritional status.Objective: To determine the risk factors for underweight in the elderly at Yogyakarta Municipality.Method: The study was observational with case control design on elderly at Yogyakarta Municipality. Subjects consisted of 210 elderly matched in age and gender. Sampling was done by multistage random sampling. Oral health status was assessed through dental health status (index of missing teeth) and periodontal status (gingival index, periodontal index and oral hygiene index), dietary intake was collected by using semi quantitative food frequency questionnaire (SQ-FFQ) and underweight nutritional status was based on body mass armspan (BMA). Data were analyzed by using tests of X2 Mc.Nemar, X2 Stuart Maxwell, and conditional logistic regression.Results: Bivariate analysis showed the number of missing teeth ≥ 21 (OR=3.67, p<0.05) and 16-20 (OR=3.53, p<0.05) as risk factors of underweight, whereas the gingival index, periodontal index and oral hygiene index were not. Less intake of energy (OR=6.3), protein (OR=7.83), fat (OR=5.67) and carbohydrates (OR=7.5) were risk factors of underweight (p<0.01). Income less than Rp 808.000,00 was also risk factor for underweight (OR=4.5; p<0.01). Multivariate analysis showed the significant risk factors for underweight were the missing teeth ≥ 21 (OR=8.76) and 16-20 (OR=6.04) which increased by income less than Rp 808.000,00 (OR=5.94), less fat intake (OR=4.88), and less carbohydrate intake (OR=5.48). Income was confounding factor in the risk of missing teeth and protein intake for becoming underweight.Conclusion: Significant risk factors of underweight in elderly were missing teeth ≥ 16, less intake of fat and carbohydrate, and income less than Rp 808.000,00.

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