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Jurnal Gizi Klinik Indonesia

jgki
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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).

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Articles 437 Documents

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Korelasi persentase lemak tubuh dengan kadar adipsin pada premenopause Rahmani Welan; Gusti Revilla; Desmawati Desmawati
Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): 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.33401

Background: One of the conditions on premenopausal period is the increase in body fat, among which are caused by levels of the fluctuating estrogen hormone. Increase fat affects the body fat percentage and adipsin levels. Adipsin plays a role in the stimulation of insulin secretion by producing C3a, in which C3AR1 (C3a Receptor 1) fragments interact with beta cells to secrete insulin.Objective: The purpose of this study is to determine correlation of body fat percentage with adipsin levels on premenopause.Design: This was an analytical study with cross-sectional design. Body fat percentage was obtained by examination using Bioelectrical Impedance Analysis (BIA). Venous blood was taken at the mediana cubiti area used for serum adipsin levels. Adipsin levels were analyzed by Enzyme-linked Immunosorbent Assay (ELISA) technique.Results: The mean of body fat percentage on premenopausal was 36,18 ± 8,35%. The mean of adipsin levels on premenopausal was 117,05 ± 87,93 ng/ml. Result of Pearson test analysis got value r = 0,632 and value p = 0.0005 (p <0,05).Conclusions: There is a positive significant correlation between the percentage of body fat with adipsin levels on premenopause.

Kekuatan genggam tangan, skor Child Pugh, dan massa otot pada pasien dengan sirosis hati Amanda Trixie Hardigaloeh; Rino Alvani Gani; Irsan Hasan; Andri Sanityoso Sulaiman
Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): 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.34302

Background: Malnutrition is independent factor related to morbidity, mortality and high cost of treatment in liver cirrhosis. Hand grip strength (HGS) is one of the method use for malnutrition detection and prognosis evaluation. The correlation of HGS with liver function (Child Pugh score) and muscle mass is controversial. These important evaluation is not yet avalaible in Indonesia.Objective: Aim of this study is to assess the role of HGS measurement in malnutrition and its correlation with liver function and muscle mass.Method: This is a cross-sectional study in liver cirrhosis patients at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital from February to June 2015. Nutritional status was assessed by HGS. Muscle mass was obtained from bioimpedance. Data were analyzed using Spearman correlation test.Results: There were 115 patients liver cirrhosis at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital, 112 patients who fit the inclusion criteria, consisted of 79 men and 33 women with mean age 54.15±10.55 years, median Child Pugh score 6 (5-13) with median HGS 26 (11-50) kgF, mean muscle mass 44.43±8.12 kg. The median intake of energy 1334.82 (604.75-3023.7) kkal, median protein 45.87 (19-114.5) gram. Prevalence of malnutrition according HGS was 33%. Hand grip strength is not correlated with Child Pugh score (p=0.046; r=-0.19) however it is correlated with muscle mass (p<0.00; r=0.70).Conclusion: There are 33% malnutrition cases based on HGS in out patient liver cirrhosis. There is no correlation between HGS with Child Pugh score however HGS is correlated with muscle mass in liver cirrhosis.

The effect of Sea urchin (Diadema setosum) gonad extract on IgM and IgG antibodies production in BALB/c mice infected by Salmonella typhi Wa Ode Salma; Ilyas Yusuf; Marni Karo; La Banudi
Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): 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.26834

Background: Salmonella typhi infection decreases of the immune system and influences the adaptive antibodies among malnourished children. The gonad of Diadema setosum (D. setosum) is one of food sources from marine biota that contains high-quality nutrients and potentially can be used as a dietary supplement for typhoid fever condition.Objective: This study aimed to determine the effect of gonad D. setosum extract on the production of antibody IgM and IgG in an animal model.Method: This experimental study was used BALB/c mice before and after infected Salmonella typhi through intraperitoneally at 0.2 mL x the unit 103 CFU/mL. The level of IgM and IgG production was measured by Enzyme Linked Immune Sorbent Assay (ELISA). Experimental animals were divided into 2 groups. The control group was only fed with standard diets, while at the intervention group received the extract of D. setosum gonad in two doses (100 and 200 mg/kg body weight).Results: Production of IgM antibodies in the control group significantly increased twofold (p=0.001) whereas the intervention group received the extracts of D. setosum gonad (200 mg/kg body weight) could suppress the increase in IgM antibody production and indicate the highest increase of IgG antibody significantly (p<0.05) at day 7.Conclusion: The gonad of Diadema setosum extracts (200 mg/kg body weight) could suppress the increase in IgM antibody productions and indicate the highest increase of IgG antibody titers in mice infected with Salmonella typhi. The role of anti-microbial substances of the gonad of Diadema setosum, is potential to be utilized as dietary supplement to increase body immune system among patients infected by Salmonella typhi.

Asupan makan, status gizi, dan kualitas hidup pasien kanker payudara di RSUP DR Sardjito Yogyakarta Susetyowati Susetyowati; Retno Pangastuti; Sri Retna Dwidanarti; Hanifah Wulandari
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Breast cancer is the fifth leading cause of death due to all the type of cancer and the second leading cause of death in developing country after lung cancer. The global incidents of this disease were 43%. The cancer cells have an ability to disturb the nutrients absorbtion in the body and give an effect of decreasing nutritional status, physical performance and quality of life.Objective: To show the relationship between nutrient intake, nutritional status and quality of life, breast cancer patients with radiotherapy at RSUP Dr Sardjito Yogyakarta.Method: This study was an observational study with cross sectional design. Total subject of this study were 85 respondents. Intake of energy, protein, fat and carbohydrate were measured using 1x24 hours food recall. Nutritional status were measured using patient-generated subjective global assessment (PG-SGA) questionnaire. Then the quality of life were measured using European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) questionnaire.Results: There were significant difference in the average intake of energy (p=0.013), protein (p=0.043) and fat (p=0.016) between severe malnourished, moderate malnourished and wellnourished patients, whereas the average intake of carbohydrate was not significant (p=0.070). The lower nutrition intake, the lower nutritional status. There was also significant difference in fat intake (p=0.035) and nutritional status based on PG-SGA (p=0.002) between patients with poor and good quality of life. Patients with poor quality of life had lower nutrition intake and nutritional status.Conclusion: Nutrient intake gave an effect to nutritional status and quality of life in breast cancer patient with radiotherapy.

Faktor-faktor yang mempengaruhi kemampuan kognitif pada lansia obesitas di Indonesia Yoseph Leonardo Samodra; Neni Trilusiana Rahmawati; Sumarni Sumarni
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Elderly (>60 years old) population is growing in Indonesia. It is important to prevent degradation of cognitive capacity by risk factor identification and treatment.Objective: To identify the relationship between anthropometric status and cognitive capacity on elderly population.Method: This is an analysis of The Fifth Wave of the Indonesia Family Life Survey (IFLS5) data with cross-sectional design. Anthropometric status is consisted of: body weight, body height, body mass index (BMI), knee height, upper arm length, waist circumference, hip circumference, and waist-hip ratio (WHR). Cognitive capacity is measured by modified telephone survey of cognitive status (TICS). Chi-Square and Mann-Whitney test are used for bivariate analysis, logistic regression is used for multivariate analysis.Results: Variables with significant relationship to cognitive capacity are body weight (p=0.0002), body height (p=0.0001), knee height (p=0.0387), upper arm length (p=0.0114), age (p=0.011), sex (p=0.014), and history of hypercholesterolemia (p=0.003). Logistic regression shows that body height, age, and history of hypercholesterolemia are simultaneously affecting cognitive capacity.Conclusion: There is significant relationship between body height, body weight, upper arm length, knee height, and cognitive capacity on elderly population with obesity.

Efek kombinasi vitamin B1, B6, B12 untuk menurunkan intensitas nyeri pada penderita neuropatik diabetes Rizaldy Taslim Pinzon; Jesisca Jesisca
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Neuropathy diabetic pain are common symptom in patient with diabetic melitus. The combination of vitamin B1, vitamin B6, and vitamin B12 usually used for treatment the pain, the result of previous studies are limited and conflicting.Objective: The aim of the study to measure the convering of intensity of pain in diabetic neuropathy.Method: The method of study using quase experimental design with pre and post treatment patient were selected by conservative sampling method from Bethesda Hospital, Yogyakarta. There are 68 patient diabetic neuropathy to follow in the study. Fact patient received combination of vitamin B1 100 mg, vitamin B6 100 mg, and vitamin B12 5000 mcg once a day for 3 month. Pain intensity measured using visual analog scale (VAS) on the first initial visited after 30th day and 90th day.Results: The 68 patient consist of 27 (39.7%) male and 41 (60.3%) women. The mean age 58.32±6.72 years. The mean duration of Diabetic 4.32±2.86 year. The study showed that the pain intensity lower significantly after received vitamin B (p<0.001). The mean pain intensity in first VAS 43.68±12.32 lower to 20.42±11.24 and in the end of study lower to 12.23±8.39.Conclusion: The combination of vitamin B1, B6, B12 significantly lower pain intensity of patient diabetic neuropathy.

Konsumsi ikan bersifat protektif terhadap diagnosis stroke pada orang yang pernah terdiagnosis hipertensi di Indonesia Arif Rahmat Kurnia; Martalena Br. Purba; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Stroke is a burdensome disease. The prevalence of stroke has increased by 16% over the last 6 years. The biggest risk factor for stroke is hypertension, but consumption of animal products such as meat, fish, eggs, and milk is often associated with the onset of stroke.Objective: To examine the relationship between the frequencies of animal products consumption to the incidence of stroke in 2014/2015 on hypertensive people in 2007/2008.Method: This research was using case control design performed by analyzing longitudinal data derived from Indonesian Family Life Survey (IFLS) 4 and 5 (2007/2008 and 2014/2015). The population of this study was Indonesian aged over 40 years who have been diagnosed with hypertension in IFLS 4.Results: The results of bivariate analysis using Chi Square test and Fisher's exact test found that the variables significantly associated with stroke diagnosis in IFLS 5 were IFLS 5 fish consumption (p=0.027; OR=0.47); IFLS 4 milk consumption (p=0.04; OR=2.97); IFLS 5 hypertension diagnosis (p=0.006; OR=4.03); IFLS 4 diabetes mellitus diagnosis (p=0.033;OR=8.91); and IFLS 5 diabetes mellitus diagnosis (p=0.041; OR=3.73), also IFLS 5 physical activity (p=0.00; OR=0.34).Conclusion: Fish consumption of 2 - 7 days per week and adequate physical activity is associated with a decreased risk of stroke in a population that has been diagnosed with hypertension. Daily milk consumption, hypertension diagnosis, and diabetes mellitus diagnosis may increase the risk of stroke.

Latihan yoga terhadap berat badan, persen lemak tubuh, dan lingkar perut pada wanita dewasa overweight Putri Nur Fatimah; Fillah Fithra Dieny; Etisa Adi Murbawani; Ahmed Fahmy Arif Tsani
Jurnal Gizi Klinik Indonesia Vol 14, No 4 (2018): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Obesity caused diabetes and cardiovascular disease. Yoga considered three aspects, physic, emotion and mental that helped in obesity therapy.Objective: This research aimed to explain the influence of yoga excercise on body weight, percent of body fat, waist circumference and waist to hip ratio (WHR) in overweight women.Method: This research applied quasi experiment design by using pre-post test with control group design. The subjects of research were 31 women aged 19-25 years old and divided into 2 groups, treatment group and control group. Treatment group was prepared to do yoga in 60 minutes for 10 times during 20 days and given nutrition education, whereas control group was given nutrition education only. Data body weight and percentage of body fat were measured by bioimpedance analysis; waist circumference and WHR were measured by tape measures; food intake were assessed by food recall and food frequency questionnaire. Data were analyzed using paired t-test and independent t-test.Results: There was a significant difference of body weight before and after intervention in both groups. The body weight on treatment group decreased by 0.81 ± 1.29 kg (p<0.05), while the body weight on the control group increased. Percentage of body fat and waist circumference decreased on both of groups, however treatment group decreased more than the control group. WHR no significant on both of groups. Yoga excercise resulted no significant influences on body weight, percentage of body fat, waist circumference and WHR in overweight women (p>0.05). Conclusion: Obesity women with 10 times yoga had no significant influences on body weight, percentage of body fat, waist circumference and WHR.

Pengaruh suplementasi zink terhadap parameter hematologi atlet sepatu roda setelah latihan endurance Mirza Hapsari Sakti Titis Penggalih; Mustika Cahya Nirmala Dewinta; Choiri Khumaidah Fikriyah; Noni Kustia; Assyifatu Rahmah Zada; Zaenal Muttaqien Sofro; BJ Istiti Kandarina
Jurnal Gizi Klinik Indonesia Vol 15, No 1 (2018): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: In sports such as roller skates, endurance can lead to increased inflammation and muscle cell damage, free radical formation, and zinc excretion from sweat and urine that affect the increased redistribution of zinc from blood to tissue. This mechanism causes a decrease in blood zinc levels, erythrocyte numbers and hemoglobin concentrations, increased leukocyte counts and the body’s oxidative stress parameters that have an impact on the athlete’s performance decline. Zinc supplementation may be given to maintain the athlete’s hematologic parameters during endurance exercise.Objectives: To examine the effect of zinc supplementation on serum zinc level, hemoglobin concentration, erythrocyte and leukocyte counts, and blood MDA level of skate athletes after endurance exercise.Method: This study was an experimental clinical trial using pre and post-test designs on 8 athletes incorporated in the pre-PON DIY Wheels Team. The study was conducted in two periods, one week of endurance exercise without zinc supplementation and one week of endurance exercise with 30 mg/d of zinc supplementation. Blood sampling was performed on the seventh day of each period, before and after endurance training.Results: There was a decrease in erythrocytes and hemoglobin concentration, and a significant increase in leukocyte count after endurance training in both periods (p<0.05), but no significant difference in serum zinc levels and malondialdehid (MDA) levels after endurance training in both periods (p>0.05). Although there were no significant differences in all athlete hematologic parameters between two treatments (p>0.05), there was an improvement in serum zinc levels, hemoglobin concentrations, erythrocyte, and leukocyte counts.Conclusion: Zinc supplementation 30 mg/day for one week did not have a significant effect on the athlete’s hematology parameters after endurance exercise.

Pengaruh integrasi intervensi gizi dan stimulasi tumbuh kembang terhadap peningkatan berat badan dan perkembangan balita kurus Bunga Astria Paramashanti; Sulistyawati Sulistyawati
Jurnal Gizi Klinik Indonesia Vol 15, No 1 (2018): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Indonesia has faced the problem where double burden malnutrition increasing. On the other hand, malnutrition in children may affect the development both in early childhood and the quality of human capital in later life.Objective: This study aimed to examine the effect of integration of nutrition intervention and development stimulation on weight gain and development of wasted children.Method: Design used in this study was quasi-experimental with pre- and post-test control group. Subjects were 38 children under-five resided in Sedayu Subdistrict. Sampels were selected by using total sampling of children under-five in community feeding center, meanwhile controls were children under-five selected from integrated health posts in another villages with the ratio of 1:1. Interventions given were education, development stimulation and food supplementation package distributed by the community health workers whom were given capacity building. Analysis used were Mann-Whitney U and Wilcoxon Signed Rank tests at the level of significance 0,05.Results: Children in intervention groups gained their weight significantly from before (9.17±1.89) and after (9.27±1.79) intervention (p=0.04). Meanwhile, development impairment score decreased from 1.32±0.75 to 0.42±0.61 significantly (p=0.00).Conclusion: Intervention package containing nutrition and development education, development stimulation and supplementary food through community feeding center (CFC) sucessfully increased body weight and development of wasted children significantly.

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