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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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Hubungan konsumsi makanan dan kadar hemoglobin (Hb) dengan prestasi belajar siswa SLTP Kota Palembang Sartono Sartono; Wiryatun Lestariana; Toto Sudargo
Jurnal Gizi Klinik Indonesia Vol 4, No 1 (2007): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Nutrition problems may happen to all groups of ages. A problem at a particular age group may affect nutrition status of the next periodic life cycle (intergenerational impact). Malnourished children may encounter physical growth, mental and intellectual disorder. Someone’s nutrition status may be affected by food consumption supply. Nutrition status can affect children schooling and academic achievement. Children suffering from iron deficiency have lower score in cognitive growth, study and academic achievement.Objective: To identify relationship between food consumption and haemoglobin (Hb) level and academic achievement of junior high school students at Palembang Municipality.Method: The study was an analytical survey with cross sectional design. Population and samples were junior high school students at Palembang Municipality as subject of the study. Samples were chosen with multistage sampling design, the group was randomly selected and samples of each junior high school and grade were chosen using proportional stratified random sampling technique. Data analysis used univariable, bivariable and multivariable techniques. Bivariable statistical test was used to identify relationship between food consumption and academic achievement and between Hb level and academic achievement; whereas regression test was used to identify relationship between food consumption and Hb level. Meanwhile, multivariable analysis used double linear regression. Data of food consumption were processed using NutriSurvey program for Windows. All data were then processed with SPSS program version 10.Result: There was relationship between food consumption (energy, protein, vitamin C, zinc intake) and academic achievement (energy: p=0.001, r=0.372; protein: p=0.046, r=0.209; vitamin C: p=0.009, r=0.273; zinc: p=0.042, r=0.214), and there was relationship between Hb level and academic achievement (p=<0.001, r=0.421). There was relationship between food consumption (energy intake) and Hb level. (p=0.051, r=0.205).Conclusion: The result of multivariable showed that only Hb level had significant relationship with academic achievement (p=<0.001, B=2.077).

Pengaruh konseling gizi dengan buku saku diet pada pasien hiperurisemia rawat jalan di RSUD Noongan Provinsi Sulawesi Utara Maxie Roudy Reppie; Ahmad Husain Asdie; Herni Astuti
Jurnal Gizi Klinik Indonesia Vol 4, No 1 (2007): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The prevalence of hyperuricemia in Minahasa was quite high in Indonesia. This is caused by nutrition/food intake and life style factors. These changes can be handled with nutrition counseling activity in order to change attitude and food behavior by using nutrition counseling equipment that is diet pocket book.Objective: In order to find out the influence of nutrition counseling with diet pocket book toward the control of purine intake and blood uric acid level in hyperuricemia patients who experienced outpatient treatment in Noongan district hospital.Method: This was a quasi-experimental research that used pre and posttest control group design. The subject of the research was hyperuricemia patients who experienced outpatient treatment in Noongan district hospital. The subject was divided into two groups: intervention group (n=28 people) which was given nutrition counseling with diet pocket book and control group (n=28 people) which was given nutrition counseling without diet pocket book. The sample was taken purposively.Result: The decreasing average of uric acid in the beginning and end of the research was 1.62 mg/dL in intervention group and 0.85 mg/dL in control group. There was a significant difference on the decreasing average of blood uric acid between respondent in intervention group and in control group. The result of statistical analysis with t-test showed that p=0.000. The purine intake in the beginning of the research was p=0.105 with insignificant different while the purine intake at the end of the research which was p=0.009 also showed insignificant different. If the comparison was the decreasing average of purine intake in the beginning and end of the re-search, there was a decreasing of purine intake in intervention group of 53.78 while in control group was 35.39. The statistical analysis of p=0.000 showed that there was a significant different on the average of purine intake decreasing between respondent of intervention group with respondent of control group. In the high purine of food ingredient in-take, there was an insignificant different of high purine intake decreasing between intervention group and control group with p=1.38. On the other hand, in the intake of medium purine food ingredient showed significant different in the decreasing of purine food intake in the intervention group and control group with p=0.000.Conclusion: The control of blood uric acid level and control of purine intake of hyperuricemia patients who were given nutrition counseling with diet pocket book was better than nutrition counseling without diet pocket book.

Faktor risiko kejadian gizi buruk di Kabupaten Lombok Timur, Provinsi Nusa Tenggara Barat Khaerul Anwar; Muhammad Jufrrie; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 2, No 3 (2006): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Despite numerous interventions, the preva- lence of severe malnutrition in under fives in the District of Lombok Timur during the last 5 years did not changed much and tended to increase.Objective: To assess risk factors for severe malnutrition, considered from points of view of family characteristics, children rearing practice and performance of posyandu, in 12 to 23 month-infants in the district.Methods: This was a case-control study. Cases were 65 severely malnourished children, while controls were a same number of children matched for age.Results: In bivariate analyses, variables identified as risk factors of severe malnutrition are low family income, OR(95%CI) of 5.0 (1.9-13.5), p=0.001; low maternal education, OR(95%CI) of 2.3 (1.1-4.9), p=0.02; low maternal knowledge on growth monitoring, OR(95%CI) of 15.6 (4.4-55.1), p<0.001; not cared by mother, OR(95%CI) of 7.8 (1.7-36.5), p=0.003; low birth weight, OR(95%CI) of 5.7 (1.2-27.3), p=0.02; short duration of exclusive breastfeeding, OR(95%CI) of 2.6 (1.3-5.2), p=0.008; incomplete immunization, OR(95%CI) of 10.3 (2.3-46.9), p<0.001; and the children’s feeding practice, OR(95%CI) of 3.3 (1.5-7.4), p=0.004. In multiple logistic regression, only maternal knowledge on growth monitoring was significantly associated with the risk of severe malnutrition.Conclusion: Family characteristic and children rearing practice were important risk factors of severe malnutrition in Lombok Timur District. Performance of posyandu is not associated with occurrence of severe malnutrition.

Hubungan asupan protein dan lemak dengan status kesehatan mulut anak usia prasekolah di Kecamatan Jetis Kabupaten Bantul D.I. Yogyakarta Jatri Handijani; Al Supartinah; 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

Background: The main problem of children’s oral cavity are caries and gingivitis. One cause of caries and gingivitis is plaque of which its formation and composition are affected by nutritional factor. Nutrition can be cariogenic or non-cariogenic both of which can bring direct or indirect impact to oral cavity. In the oral cavity both protein and fat are non-cariogenic.Objective: To identify the relationship between protein and fat intake with oral health status (level of caries seriousness, oral cleanliness, gingiva health and saliva acidity) of preschool children in Jetis subdistrict, Bantul District, Yogyakarta Special Territory.Methods: This was an observational study which used a cross sectional design. Subject of study were 100 children of 4-6 years old taken by using propotional random sampling. Data collected consisted of eating pattern, respondent characteristics, level of caries seriousness, oral cleanliness, gingiva health and saliva acidity. Data analysis used Person correlation statistic and linier regression. Data collected consisted of eating pattern, respondent characteristics, level of caries seriousness, oral cleanliness, gingival health status and saliva acidity. Data analysis used Pearson correlation statistic and linear regression tests.Results: Result of the study showed that there was relationship between protein and fat intake with oral cleanliness and saliva acidity (p<0.05) and there was no relationship between protein and fat intake with level of caries seriousness and gingiva health (p>0.05).Conclusion: There was relationship between protein and fat intake with oral health status (oral cleanliness and saliva acidity), but not with oral health status (level of caries serious- ness and gingiva health).

Hubungan berat badan lahir, pemberian ASI eksklusif, status gizi dan stimulasi kognitif dengan kecerdasan anak usia 5–6 Tahun Rini Andarwati; Endy Paryanto Prawirohartono; Indira Laksmi Gamayanti
Jurnal Gizi Klinik Indonesia Vol 2, No 3 (2006): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Intellegence is affected by 2 factors, internal (genetics) and external (nutrition intake, infection, toxin, stimu- lation, environmental) factors. Sufficient nutrition is very important during pregnancy. Birth weight and exclusive breastfeeding affect brain growth and development. Malnutrition during infancy results in stunting and impaired cognitive function in children. Lack of stimulation may affect intelligence.Objective: The objective of the study was to find out the relationship among birth weight, exclusive breastfeeding, nutrition status and cognitive stimulation and intelligence.Method: An analytic observational study was conducted with cross sectional design, at kindergarten in Prambanan Subdistrict. Subjects were recruited based on a cluster random sampling technique. There were 50 children and mothers met the inclusion criteria of mothers who knew the child’s background (birth weight, breastfeeding practices) and were willing to be included in this study. Intelligence was assessed using Stanford Binet test. Data were analyzed with chi square and logistic regression tests.Results: The study showed that 76% of children had normal intelligence and 24% of children had abnormal intelligence. Based on multivariable analysis, low cognitive stimulation was a risk factor of getting low IQ score (OR=15.6; CI 95%=1.725– 141.272), whereas birth weight (OR=1.1; CI 95%=0.126– 9.751), exclusive breastfeeding (OR=4.9; CI 95%=0.494– 49.054) and nutrition status did not relate to intelligence.Conclusion: There was significant relationship between cognitive stimulation and intelligence, whereas birth weight, exclusive breastfeeding and nutrition status did not significantly relate with intelligence.

Pengaruh pelatihan asuhan gizi dalam meningkatkan kinerja ahli gizi ruang rawat inap di RSUD DR. Soetomo Surabaya Indrawati Nurlela; Tjahjono Kuntjoro; Toto Castro
Jurnal Gizi Klinik Indonesia Vol 3, No 2 (2006): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Nutrition service department is a part of health care components in a hospital. This department is expected to have better image. Training is needed to improve work performance of dietitians in achieving a professional work.Objective: To find out the influence of nutrition training to work performance of dietitians.Method: This study was pre-experimental with before-after design without control group. Subjects consisted of 15 dietitians and 90 inpatients at Dr. Soetomo Hospital, Surabaya. Data were collected through observation and assessment using questionnaires and check-list, and then analyzed using computer software.Results: There were significant influences of nutrition training to dietitians’ knowledge and attitude (p<0.05). The competence was also significantly improved (p<0.05) with the differentiation points at the first, second, and third month (50.42, 56.16, and 54.11 respectively). Nutrition service output was also significantly improved (p<0.05) with the differentiation points at the first, second, and third month (12.86, 12.40, and 11.06 respectively). There were significant differences in patient satisfaction only when they ate vegetables for lunch, vegetables for dinner, and fruits for lunch (p<0.05).Conclusion: Nutrition training improved work performance of dietitians in providing service for inpatients at Dr. Soetomo Hospital, Surabaya.

Pertumbuhan dan perkembangan anak gizi buruk masa lalu di Kabupaten Tanggamus Provinsi Lampung Suhartono Suhartono; Drajat Boediman; Toto Castro
Jurnal Gizi Klinik Indonesia Vol 5, No 1 (2008): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Undernutrition is one of factors that influences growth and development of children and causes lost generation. In Indonesia, 2.4 million of underfives suffered from undernutrition and 7 millions of them suffered from protein energy malnutrition. In Tanggamus Regency, 46% of children suffered from protein energy malnutrition and 81 cases suffered from undernutrition.Objective: To identify the relationship between children’s previous undernutrition and their recent growth and development.Method: The study was observational with cross sectional design. Subjects were all undernutrition cases nursed in Regional Public Hospital of Pringsewu Tanggamus from 1999–2001. Antropometric measurement was done to children’s weight and height. The anthropometric indicators were weight for age z-score (waz), height for age z-score (haz), and weight for height z-score (whz). Raw motoric development was measured using Denver test. Data collected using questionnaire were child internal factors and external factors of family’s characteristics and health service. One variable analysis was done descriptively, while t-test was used to know the relationship between children’s previous undernutrition and their recent growth development.Results: There was relationship between previous undernutrition of children and their recent growth (p<0,05), but there was not relationship between undernutrition and their development (p>0,05). The other factor that had relationship with their development were the achievement of D/S (p<0,05). Factors of nutritionist, midwife, intervention, TBC’s suspect, head of household education, mother education, member of family, children’s parity, social status, salary, scope of D/S, scope of N/D, and scope of vitamin A tablet supplementation did not have the relationship with the growth and development of children (p>0,05).Conclusion: There was relationship between previous undernutrition of children and their recent growth, but there was not with the recent development of children. The achievement of D/S was the other factor that had relationship with the growth of children.

Pengaruh pemberian MP-ASI program dan MP-ASI komersial terhadap pertumbuhan bayi usia 6-11 bulan di Kabupaten Kampar Dedy Rochyani; Muhammad Juffrie; I Made Alit Gunawan
Jurnal Gizi Klinik Indonesia Vol 3, No 3 (2007): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Growth alteration in 6-11 months old baby occurred due to inappropriate practice in complementary food consumption (complementary breastfeeding). Quality and quantity deficit of household complementary breastfeeding products could cause serious problems in baby growth. One of the alternative solution was consuming complementary breastfeeding from industrial products. Consuming complementary breastfeeding blended food (program complementary breastfeeding) for 6-11 months old babies in Medan tended to show no relationship with their nutritional status based on Z-score index weight for age. One of the possible reason was low level acceptance of program complementary breastfeeding in 2003.Objective: To determine the level of acceptance of both program and commercial complementary breastfeeding with their relationship toward 6-11 months old baby growth in sub urban poor families in Kampar Sub District.Method: Quasi experimental design was conducted. Purposive technique sampling was chosen and samples were divided into two groups that received different intervention. The first group that received program complementary breastfeeding consisted of 54 babies and the second group that received commercial complementary breastfeeding consisted of 46 babies of 6-8 months old babies from sub urban poor families. Data obtained was analyzed with univariate, bivariate, and multivariate analysis.Results: Level of acceptance of commercial complementary breastfeeding was higher than program complementary breastfeeding for 6-11 months old babies in sub urban poor families in Kampar Sub District (p=0.038). These babies had a significant additional in weight and after consuming program and commercial complementary breastfeeding (p<0.001). Weight gain for the group that given commercial complementary breastfeeding was higher than that for the group that given program complementary breastfeeding (p<0.001), while body length also added during three months treatment but not significant (p>0.05).Conclusion: Consumption of program and commercial complementary breastfeeding could increase the weight gain and body length significantly.

Analisis sisa makanan lunak rumah sakit pada penyelenggaraan makanan dengan sistem outsourcing di RSUD Gunung Jati Cirebon M Agus Ariefuddin; Tjahjono Kuntjoro; Yeni Prawiningdyah
Jurnal Gizi Klinik Indonesia Vol 5, No 3 (2009): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: An indicator of success in maintaining quality of service in patient nutrition can be measured from leftovers. In average inpatients got soft food as much as 40.1% and about 20.5% of them have leftovers. One benefit of leftover data is that they can be used to evaluate provision of hospital foods. Leftovers indicate that there is a waste in food cost.Objective: To analyze leftovers of hospital soft food in the provision of food using outsourcing system at Gunung Jati Hospital of Cirebon Municipality.Method: This was an observational study that used cross sectional design. Samples were as many as 93 patients. Data were analyzed quantitatively using chi square to identify in factors correlation the presence of leftovers and correlation in respondents’ satisfaction with the quality of food with the presence of leftovers and to identify correlation of irrelevance with leftovers of hospital soft foods portion served with the presence of leftovers. Characteristics of respondents and cost of foods wasted were analyzed using univariate technique.Result: The result of statistical analysis showed that there was significant correlation in sex, level of education, types of diseases and appetite on the presence of leftovers (p < 0.05) and there was no significant correlation based on age and class of hospitalization (p > 0.05). There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served on the presence of leftovers. Total cost foods wasted was Rp 12.559.12/day.Conclusion: There was correlation in sex, level of education, types of diseases and appetite on the presence of leftovers. There was no significant correlation in respondents’ satisfaction with quality of foods on the presence of leftovers (p > 0.05). There was significant correlation between irrelevances in the amount of soft food portion served with leftovers. The cost of foods wasted based on class of hospitalization served greatly varied.

Kejadian mikropenis pada anak obes Siswanto Basuki; Madarina Julia; Soeroyo Machfudz
Jurnal Gizi Klinik Indonesia Vol 6, No 1 (2009): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background : Obese children are more likely to have less testosterone, which may lead to disorder of penile development.Objectives : To assess the association between obesity in children and the occurrence of micropenis. Methods : TA cross sectional study was carried out in 36 obese and 28 non- obese pubertal male children (10-13 years old) and 49 obese and 36 non-obese prepubertal male children (4-7 years old). Obesity was defined as body mass index (BMI) equivalent to or above the 95th percentile of the CDC 2000 growth reference standard. Length of the penis was measured perpendicular to the surface of the os symphysis pubis to the tip of the glans penis. Skinfold thickness was measured on the area of mons pubis using a caliper. Volume of the testis was measured using an orchidometer. Results : The mean (SD) of penis length in 36 pubertal obese and 28 non-obese children were 5.56 (1.14) cm and 6.05 (1.37) cm, respectively; whereas the mean (SD) of penis length in 49 pre-pubertal obese and 39 non-obese children were 5.09 (0.76) cm and 5.36 (0.56) cm, respectively. There was significant difference in the mean (95% CI) length of penis in pubertal obese and non-obese children (p = 0.04). Fisher's exact test showed that the occurrence of micropenis was not associated with obesity, age, fat thickness on mons pubis, and volume of the testicles.Conclusion : There was no significant difference in the occurrence of micropenis, but there was significant difference in the mean length of penis in obese children and children with normal age-related body mass index.

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