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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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Efektivitas penurunan jumlah angka kuman alat makan dan efisiensi biaya yang digunakan pada metode pencucian alat makan di Rumah Sakit Kota Surakarta Annisa Andriyani; I Made Alit Gunawan; Joko Susilo
Jurnal Gizi Klinik Indonesia Vol 6, No 1 (2009): 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.17687

Abstract

Background : Proper process of dishwashing has an important role in the prevention of disease transmission because unclean dishes that contain microorganism can transmit diseases through foods. Therefore, the process of dishwashing has to fulfill the standard of health. Currently, there are three methods of dishwashing in the hospital; electronic dishwashing, three compartment sink (TCS), and conventional method. They have the same purpose, i.e. cleaning dishes. To find out effectiveness and efficiency of those three methods, it is necessary to know the germ rate and cost spent. Objective : To identify the effectiveness of germ rate reduction and cost efficiency of electronic dishwashing, TCS, and conventional method of dishwashing at hospitals in Surakarta Municipality. Method : This experiment used randomized design trial. Populations were all dishes at hospitals of Surakarta Municipality with certain criteria. Hospitals that fulfilled the criteria were Dr. Moewardi Hospital, Prof. Dr. R. Soeharso Orthopedic Hospital, and Banjarsari Hospital. There were six items of samples consisting of two plates, two drinking glasses, and two spoons. The number of experiment units in the study were 3 experiments x 3 times repeating x 6 items of dishes x 2 evaluations totaling 108 units of experiment. Analysis used t-test, ANOVA, and cost effectiveness.Result : Washing process used electronic dishwashing, TCS, and simple method could reduce the different numbers of germs, those amounted to 84 colony/cm2, 1,276.38 colony/cm2, and 321.27 colony/cm2, respectively. TCS was the most effective and efficient method in reducing the number of germ. The cost only Rp 1,00 to reduce 15.56 colony/cm2 using TCS method. Conclusion : There were different reductions of germ rate after dishwashing used electronic dishwashing, TCS, and conventional methods. Among them, TCS was the most effective and efficient method in reducing germ rate.
Pengaruh asupan Fe, vitamin A, vitamin B12, dan vitamin C terhadap kadar hemoglobin pada remaja vegan Damayanti Siallagan; Prita Dhyani Swamilaksita; Dudung Angkasa
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.22921

Abstract

Background: Vegan has become a diet that started to be many people's choice. Low intake of iron and vitamin B12 is factors that can cause anemia in vegan. On the other side vegans often consume vegetables and fruits that contained high of vitamin A and vitamin C which helps the absorption of iron, that can help prevent anemia.Objective: The purpose of the research know the effect of the intake of iron, vitamin A, vitamin B12, vitamin C on hemoglobin (Hb)levels in young Buddhist vegan Pusdiklat Maitreyawira.Method: This research uses cross-sectional design. The population in this study are all adolescent vegan in the Buddhist Pusdiklat Maitreyawira. Samples in this study were 31 peoples. Independent variable is an intake of iron, vitamin A, vitamin B12, and vitamin C was obtained by SQ-FFQ, while the dependent variable was Hb with hemoglobin testing system quick-check set. Analysis of the data in this study using Pearson correlation and multiple linear regression.Results: There is a relationship intake of iron (p=0,000), vitamin B12 (p=0,037), and vitamin C (p=0,000) to Hb level of adolescent vegan in Buddhist Pusdiklat Maitreyawira, there is no relationship intake of vitamin A with a Hb level of adolescent vegan (p=0,220). The result of multivariate analysis using multiple regression analysis of the variables that most influence haemoglobin levels of adolescent vegan are the intake of iron and vitamin C. Each increase of 1 mg Fe intake will increase the Hb concentration as much as 0.013 g/dl and increase of 1 mg of vitamin C intake will increase Hb levels as much as 0.002 g/dl.Conclusion: Iron and vitamin C intake is the most influence factors to hemoglobin levels of adolescent vegan in Buddhist Pusdiklat Maitreyawira.
Asupan vitamin, mineral, rasio asupan kalsium dan fosfor dan hubungannya dengan kepadatan mineral tulang kalkaneus wanita Rita Ramayulis; I Dewa Pramantara; Retno Pangastuti
Jurnal Gizi Klinik Indonesia Vol 7, No 3 (2011): 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.17752

Abstract

Background: The prevalence of osteoporosis as defined by bone mineral density (BMD) > - 2.5 below the average of young women in Indonesia is not yet known; however the risk for the prevalence of osteoporosis is relatively high. Nutrients especially micronutrients have an important role in maintaining bone status. Yet, until today millions of people have micronutrient deficiency in vitamin and mineral such as calcium, zinc and beta-carotene.Objective: To identify the relationship between intake of vitamin A, C and mineral calcium, phosphor, zinc and ratio of intake of calcium and phosphor and BMD.Method: The study was observational with cross sectional design. Subject of the study were young women of 35 – 40 years old at Health Fitness Centre of the Ministry of Health in 2007.  There were as many as 102 subjects purposively taken. The dependent variable of the study was BMD and the independent variables were intake of vitamin A, C, and mineral calcium, phosphor, zinc and ratio of calcium and phosphor intake. The confounding variables were nutritional status, exercise, smoking, alcohol consumption, caffeine consumption, genetic, disease and medication factors. Intake data were obtained through blood record and food frequency methods. Data analysis used chi square, Fisher’s exact test and independent t-test.Results: The proportion of BMD of young women was 6,9% osteoporosis, 32,4% osteopenia and 60,8% normal. Young women with good intake of vitamin A and C, calcium, phosphor, zinc had average score of BMD as much as 0,35 point; 0,36 point and 0,97 point; 1,02 point; 1,26 point subsequently higher than those with less intake. Young women with ratio of good calcium and phosphor intake had BMD score as much as 1,13 point lower than those with ratio of poor calcium and phosphor intake. However, the relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignificant (p>0.05).Conclusion: The relationship between intake of vitamin A, C, calcium, phosphor, zinc and ratio of calcium and phosphor intake and BMD was statistically insignifcant. Young women with good intake of vitamin A, C and calcium, phosphor, zinc tended to have higher score of BMD than those with poor intake.
Pola makanan pendamping air susu ibu dan status gizi bayi 0-12 bulan di Kecamatan Lhoknga Kabupaten Aceh Besar Aripin Ahmad; Dradjat Boediman; Endy Paryanto Prawirohartono
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.17419

Abstract

Background: The prevalence of malnutrition in Indonesia is still high. One of potential factor contributing to the high prevalence of malnutrition is improper complementary feeding pattern and breast feeding practices. In the community there are three complementary feeding patterns; those are traditional feeding, industries feeding and combination.Objective: This study was conducted to analyze the association between complementary feeding, energy and protein intake, and breast feeding status with nutritional status of infants 0-12 month old.Method: This study used a cross sectional design. Subjects were 151 infants 0-12 month old. Complementary feeding pattern and breast feeding status were collected using interview methods. Energy and protein intakes were collected using food recall methods. Nutritional status was measured using weight for length (WHZ). The chi square test was used to analyze the data.Result: There wasn’t any association between complementary feeding pattern and nutritional status of infants 0-6 m.o. old (p=0.04) and 6-12 month (p=0.62). There wasn’t any association between energy intake and nutritional status of infants 0-6 month old (p=0.40), but there was any association in infants 6-12 month old (p=0.01). Protein intake associated with nutritional status of infants 0-6 m.o. old and 6-12 month old (p=0.033 and p=0.04). Breast feeding status didn’t associated with nutritional status of infants 0-6 month old and 6-12 month old (p=0.689 and p=0.10).Conclusion: Complementary pattern and breast feeding status were not associated with nutritional status. Energy intake was associated with nutritional status of infants 6-12 month old. Protein intake associated with nutritional status of infants 0-6 month old and 6-12 month old.
Keefektifan ekstra putih telur terhadap peningkatan albumin dan penurunan IL-1β pada pasien tuberkulosis dengan hipoalbuminemia Agus Prastowo; Wiryatun Lestariana; Siti Nurdjanah; Retno Sutomo
Jurnal Gizi Klinik Indonesia Vol 10, No 3 (2014): 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.18857

Abstract

Background: Tuberculosis (TB) is world health problem which still needs attention. Recently, Indonesia ranks the third in TB prevalence after India and China. Research revealed that albumin decreases significantly in TB patients, due to lack of nutritious intakes such as low-calorie intake, anorexia, increased catabolism, enteropathy and acute protein reaction. Low albumin was associated with increased IL-1β and cytokines inflammation in TB patient. Albumin had a very important role in the body and white egg known as a good quality source of protein.Objective: To assess the effect of white egg supplementation in TB patient towards the level of albumin and the level of IL-1β.Method: A single-blind randomized controlled trial was conducted with 75 patient selected for the study and divided to 37 patient as the study group and 38 as a control group. Both groups received high energy high protein diet, while the study group received, additionally, an oral egg white-based on formula calculation Baxter for 14 days. Control group received, additionally, an extra soybean curd and mungbean powder. Albumin and IL-1β were checked before and after the intervention. Data is analyzed by using Mann-Whitney.Results: Research results show that average albumin pre-intervention in the study group was 2.82 g/dL and control group was 2.85 g/dL. Average albumin difference in the study group was 3.47 g/dL and control group was 2.81 g/dL. Bivariate analysis results show significant of increasing albumin between study group and control group (p<0.05). Research results show average IL-1β pre-intervention difference in study group (0.9 pg/mL) and control group (0.67 pg/mL). The average IL-1β difference in the study group was -0.39 pg/mL and control group was 0.76 pg/mL. Bivariate analysis results show a significant difference of IL-1β depletion between study group and control group (p<0.05).Conclusion: Egg white increase albumin level and IL-1β depletion in tuberculosis patients effectively.
Pemberian suplemen seng sulfat dan pengaruhnya terhadap kadar seng serum dan jumlah CD4+ pada wanita usia lanjut sehat Yang Rusfinda Sari; Muhammad Juffrie; I Dewa Putu Pramantara
Jurnal Gizi Klinik Indonesia Vol 5, No 3 (2009): 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.17558

Abstract

Background: Aging is a natural process which happens to all living creatures. Aging is followed by declining physiological function. Elderly is a risk factor of micronutrient deficiency including zinc which has an important role in the immune system. This condition causes declining cellular immunity functions through reduced amount of CD4 .Objective: To identify the effect of zinc sulphate supply to serum zinc level and amount of CD4  among the elderly.Method: The study used clinical test research design, one group pre-post test design (before and after trial). Subject of the study were “healthy” elderly individuals of more than 60 years old, willing to be studied. Assessment on nutritional status, physical examination and zinc level were made to the subjects. Next, subjects were supplied with 15 mg of zinc supplement once a day for 28 days. Then, re-examination was made to identify zinc level and the amount of CD4  lymphocyte. Statistical analysis used paired t-test.Results: Average age of the elderly observed (n = 30) was 64.43 ± 3.10 years. Average zinc level before the study was 5.85 ± 1.95 μmol/L, as many as 26 subjects (86%) had zinc under normal level, 4 subjects (14%) had normal zinc level + + + and no subject had zinc above normal level. Zinc level at the end of the study increased in as many as 27 subjects (90%) with average as 4.54 ± 3.84 μmol/L (p < 0.001). The amount of CD4  lymphocyte increased in 11 subjects (36%) with + average increase 26.83 ± 137.46 (/mm) (p = 0.29). Factors affecting increase of CD4 lymphocyte were age, weight, score of mini nutritional assessment and upper arm circle, and preliminary zinc level.Conclusion: The supply of 15 mg zinc for 28 days among the elderly could elevate serum zinc level significantly and could increase the amount of CD4  lymphocyte only in 11 subjects (36%).
Batasan indeks massa tubuh dan lingkar perut diabetesi di Indonesia untuk prediksi abnormalitas kadar HDL-kolesterol dan tekanan darah Nazarina Nazarina; Sri Prihartini; Rika Rachmawati
Jurnal Gizi Klinik Indonesia Vol 11, No 2 (2014): 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.18993

Abstract

Background: According to National Basic Health Survey (Riskesdas) 2007 and 2013 in Indonesia, diabetes prevalence had been increasing from 1,1% to 1,5%. Diabetic tends to have obesity related to abnormal blood lipid level and high blood pressure which lead to some complications such as cardiovascular diseases and hypertension. Therefore early prevention of complications is needed.Objective: This study was to identify body mass index (BMI) and waist circumference (WC) cut-off point in Indonesian diabetic as the predictor of lipid profile and high blood pressure abnormality.Method: The Crossectional study using secondary data, Riskesdas 2007. Subjects in this study were 615 diabetics who admitted been diagnosed as diabetes by physicians and/or had oral glucose test result ≥ 200 mg%. Data that had been analyzed were lipid profile (total cholesterol, LDL-chol, HDL-chol) and systolic-diastolic blood pressure, BMI (kg/cm2), WC (cm), lifestyle, and subject’s characteristic. Receiver Operating Characteristic (ROC) is used to identify BMI and WC cut-off point for predicting lipid profile and blood pressure abnormality.Results: On the average, subjects have high blood pressure and dyslipidemia. Both IMT and LP are able to predict high blood pressure and low HDL-chol significantly (AUC ≥ 59; all p>0,05). BMI=23 kg/cm2 can predict low HDl-chol (Se=63,3%; Sp=54,0%; p=0,04), high systolic (Se=68,3%; Sp=60,6%; p=0,000) and diastolic (Se=68,3%; Sp=60,6%; p=0,000) blood pressure in men, whereas in women can predict only low HDL-chol (Se=72,3%; Sp=47,8%; p=0,000). LP=80 cm can screen high systolic (Se=73,8%; Sp=63,6%; p=0,000) and diastolic (Se=72,4%; Sp=55,3%; p=0,000) blood pressure in men and high systolic blood pressure in women (Se=71,5%; Sp=52,6%; p=0,000). However, to predict low HDL-chol in women, cut-off point of LP is 78 cm (Se=74,2%; Sp=41,5%; p=0,003).Conclusion: Although BMI and LP can be used to predict high blood pressure and low HDL-chol, however, both measures have the different function when they are applied to both gender. To predict low HDL-chol in men and women, BMI=23 kg/cm2 can be used, and LP=80 cm can be applied to screen high systolic blood pressure in both genders. Nevertheless, more research is needed to show the consistency of these results, such as using better study design and considering for confounding variables (ethnic, diabetes duration, lifestyle, hypertension, and diabetes medicine).
Efek suplementasi vitamin A pada ibu nifas terhadap pertumbuhan bayi umur 0-4 bulan Abdullah Abdullah; Endy Paryanto Prawirohartono; Siti Helmyati
Jurnal Gizi Klinik Indonesia Vol 9, No 3 (2013): 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.15440

Abstract

Background: Vitamin A deficiency is a nutritional problem in infants since breastmilk insufficiently contains vitamin A. Therefore it is necessary to study the effect of vitamin A supplementation to mothers at parturition period on growth and morbidities of infants at 0-4 months of age.Objective: To identify the effect of vitamin A supplementation to mothers at parturition period on growth and morbidities of infants at 0-4 months of age.Method: We conducted a randomized controlled trial from March-July 2009 at Province of Lampung. We recruited 90 mothers that were grouped into vitamin A supplementation group and socialization about vitamin A group during parturition period. The outcomes of this study were growth in WHZ and morbidities of infants at 0-4 months of age measured as duration of acute diarrhea and upper respiratory infections. Statistical analysis was performed by using Chi-Square and t-test.Results: The growth of infants of 0-4 months from vitamin A supplemented mothers was not significantly different from the socialization group. Duration of diarrhea and acute respiratory tract infection of infants from supplemented mothers at parturition period was significantly shorter than of infants from socialization group.Conclusion: The growth of infant at 0-4 months of age from vitamin A supplemented mothers at parturition period were not significantly different from those who were from education group. Duration of diarrhea and acute respiratory tract infection of infants from vitamin A supplemented mothers at parturition period were shorter than those who were from education group.
Penatalaksanaan perdarahan saluran cerna bagian atas dengan nutrisi enteral dini terhadap kadar albumin Virgianti Nur Faridah; Farida Farida
Jurnal Gizi Klinik Indonesia Vol 13, No 4 (2017): 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.22652

Abstract

Background: Patients with upper gastrointestinal bleeding generally were decreased nutritional status that hypoalbuminemia because of increased albumin excretion from hemorrhage and patients fasted indefinitely until the bleeding stops. Enteral nutrition in patients with bleeding should be given to prevent malnutrition and reduce mortality.Objective: To identify the differences in levels of albumin serum in the early enteral nutrition without waiting for the results of gastric lavage is clear (without fasting) and after 2-3 times the clear gastric lavage (fasted).Method: The study used pre-experimental research design by static group comparison design. The study was conducted in RS Aisyiyah Bojonegoro in March to June 2015. The sample was 30 patients divided into 2 groups by Random Allocation, there was the treatment group I that fasted (15 patients), and treatment group II without fasted (15 patients). Analysis of data using Wilcoxon test Signed Ranks Test.Results: The research found that there were differences in the provision of early enteral nutrition to albumin. Results showed that albumin level in patients who fasted lower than that without fasted. Results Statistics by Wilcoxon Signed Rank test with a 0.05 significance level values obtained 0,046, its means that H1 was accepted.Conclusion: Patients with upper gastrointestinal bleeding can be given early enteral nutrition without waiting for the results gastric lavage clear rinse.
Pengaruh suplementasi zink (Zn) terhadap diare pada penderita umur 6-36 bulan yang dirawat di RSUD Dr. Soedarso Pontianak, Kalimantan Barat Jurianto Gambir; Madarina Julia; Muhammad Jufrrie
Jurnal Gizi Klinik Indonesia Vol 1, No 3 (2005): 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.17427

Abstract

Background: Diarrhoea is one of the major causes of infants and childhood death in Indonesia. Malnutrition and zinc deficiency in diarrhoea may lead to impaired immunity.Objective: To assess the influence of zinc supplementation on the duration of diarrhoea and the frequency of watery stools in under-three-year-old childrenMethod: This was a double-blind randomized controlled clinical trial, with 31 children in the supplemented group and 33 children in the placebo group. All children had acute watery diarrhea and were given supplementation within 24 hours of admission. Daily supplementation of 20 mg zinc was given to the experimental group.Results: The supplemented group had a shorter hospitalization compared to the placebo. Beginning from the second day of supplementation, the frequency of watery stools in the supplemented group was significantly less than in the placebo group (p<0.001). While there was a significant decrease in the concentration of zinc in the serum of the placebo group, there was a slight increase in the supplemented group.Conclusion: Zinc supplementation can shorten hospitalization and reduce the frequency of watery stools in children with diarrhoea.

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