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Jurnal Gizi Klinik Indonesia

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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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Pola asuh, pola makan, asupan zat gizi dan hubungannya dengan status gizi anak balita masyarakat Suku Nuaulu di Kecamatan Amahai Kabupaten Maluku Tengah Provinsi Maluku Muhamad Asrar; Hamam Hadi; Dradjat Boediman
Jurnal Gizi Klinik Indonesia Vol 6, No 2 (2009): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Nomadic life of Nuaulu Tribe results in rearing pattern, eating pattern, and food consumption which affect their nutritional status.Objective: To identify the relationship between rearing pattern, eating pattern, nutrient intake, and nutritional status of under-fives of Nuaulu tribal community at Subdistrict of Amahai, District of Maluku Tengah, Province of Maluku.Method: This was an observational analytical study with cross sectional design. Subjects of the study were 68 under-fives of age 12 to 60 months from Nuaulu Tribal community at Sub district of Amahai. Data of rearing pattern were obtained from interviewing using questionnaire, data of eating pattern from food frequency questionnaire, data of nutrient intake from recall 24 hours, and data of nutritional status from anthropometric measurement. Data analysis used bivariable with chi-square, multivariate with double logistic regression.Results: Most samples had low category of rearing pattern (77.9%) and eating pattern (66.2%); whereas samples intake of energy and protein belonged to adequate category, that were 73.6% and 72.0%, respectively. Nutritional status based on index of weight/age of 20.6% samples belonged to undernourished category and 51.5% samples belonged to stunted category based on index of length/age. There were no significant relationship between rearing pattern and nutritional status based on index of weight/length and weight/age (p > 0.05), but there was relationship between them based on index of length/age (p < 0.05). Eating pattern and nutritional status based on index of weight/length and weight/age had no relationship (p > 0.05), but between eating pattern and nutritional status based on index of length/age had relationship (p < 0,05). There was significant relationship between energy intake and nutritional status based on index of weight/age and length/age (p < 0.05), but there was not based on weight/length index (p > 0.05). There was significant relationship between protein intake and nutritional status based on index of weight/age and length/age (p < 0.05); however the relationship was insignificant based on index of weight/length.Conclusion: There was significant relationship between rearing pattern and nutritional status based on index of length/age and so was between eating pattern and nutritional status based index of length/age. Energy, protein intake and nutritional status based on index of weight/age and length/age also had significant relationship.

Status stunted dan hubungannya dengan perkembangan anak balita di wilayah pesisir Pantai Utara Kecamatan Lemahwungkuk Kota Cirebon Alina Hizni; Madarina Julia; Indria Laksmi Gamayanti
Jurnal Gizi Klinik Indonesia Vol 6, No 3 (2010): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The problem of protein energy inadequacy is a major problem among under-fives that affects the process of child growth and development. The prevalence of stunted status among under-fives in developing countries in 2008 was estimated as much as 33%. In Cirebon Municipality the prevalence was 10.27% and in north coastal area of Cirebon Municipality was 11.4%.Objective: To identify the association between stunted status and development of under-fives at north coastal area of sub district of Lemahwungkuk Cirebon Municipality.Method: This was an observational study with a cross sectional design carried out at north coastal area of sub district of Lemahwungkuk Cirebon Municipality from November 2008 to January 2009. Subject of the study consisted of 166 under-fives and the respondents were parents of those children. Samples were chosen purposively. Research instruments consisted of questionnaire, length board, microtoise, forms, and Denver II test. Data analysis used chi square and logistic regression with confidence interval (CI) 95%.Result: There was significant association between stunted status and development of fine motor adaptive, language, and gross motor capacity. There was significant association between education of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between occupation of mothers and personal social, fine motor adaptive, language and gross motor development. There was significant association between stunted status, education of mothers, and occupation of mothers and child development. The result of multivariate analysis showed that stunted status had greater risk for delayed language development of under-fives than other indicators of child development.Conclusion: There was no association between stunted status and child development; however stunted status had greater risk for delay in language development, and risk factors dominantly affecting child development were occupation and education of mothers.

Tingkat konsumsi garam beryodium dan kaitannya dengan gangguan akibat kekurangan yodium ibu hamil Tri Endang Irawati; Hamam Hadi; Untung Widodo
Jurnal Gizi Klinik Indonesia Vol 8, No 1 (2011): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Iodine deficiency disorders (IDD) is one of main nutrition problems which cannot be eliminated until now in Indonesia. Total goiter rate (TGR) of school children increased from 9.8% in 1998 to 11.1% in 2003. In Gunung Kidul District, TGR of school was 12.2% and of pregnant mothers was 18.4% in 1996. One of efforts to overcome IDD is salt iodization. Result of a national survey of household iodized salt consumption in 2002 showed that only 68.53% of households consumed sufficient level of iodized salt, while salt monitoring at Gunung Kidul District in 2003 showed that only 73.08% of households consumed sufficient level of iodized salt. The low rate of consumption level of iodized salt may be caused by availability of salt with low iodine level (not as high as mentioned in the label), higher price of iodized salt and lack of knowledge about types and benefits of iodized salt among mothers.Objective: To identify consumption level of iodized salt and IDD status of pregnant mothers at IDD endemic area at Gunung Kidul District.Method: The study was an observational type which used cross sectional design with both quantitative and qualitative approaches. Subject of the study were pregnant mothers at their second trimester pregnancy.Results: Availability of iodized salt according to: quality was 81.1% low and 18.9% sufficient; types of salt was 17.6% coorse, 77.8% bricket, and 4.6% fine salt; price was 69.0% high and 31.0% not high; taste was 36.8% bitter and 63.2% not bitter. Analysis result of Pearson Chi-Square with Odds Ratio showed that there was relationship between quality and types of salt with consumption level of iodized salt in the household (p<0.05) with OR=20.50 for quality, and OR=43 for types. There was relationship between salt consumption level of urine iodine excretion with p<0.05 and OR=2.604. Median of urine iodine excretion level was 86.1µg/l which belonged to category of light IDD endemic area and there had been no change of endemic area status since 1996.Conclusion: There was significant relationship between quality and types of salt with consumption level of iodized salt. There was relationship between iodized salt consumption level and IDD. Iodized salt program was not yet effective and supply of iodine capsules should go on until it reached use of good iodized salt.

Pengaruh inisiasi menyusu dini terhadap praktik menyusui 1 bulan pertama Legawati Legawati; Djaswadi Dasuki; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The period of the first month of life is a critical moment for the sustainability of breastfeeding practices. Therefore optimal efforts are needed to maintain the breastfeeding practices. Early initiation of breastfeeding can help increase maternal confidence and support psychological condition of mothers in order to continue breastfeeding practices.Objective: To evaluate the impact of the early initiation of breastfeeding on breastfeeding practices in the first month of infant life.Method: The study was observational with cohort prospective study design using quantitative and qualitative approaches. Samples were 106 pairs of mothers and babies. The group from Pahandut Public Health Center (PHC) consisted of 53 women with early initiation of breastfeeding (exposed group) and the group from Tangkiling PHC consisted of 53 women without early initiation of breastfeeding (non exposed group). In both groups, dissemination on early initiation of complete breastfeeding and exclusive breastfeeding practices followed with one month breastfeeding practices was given. The quantitative data analysis was done in three stages. In addition, qualitative data analysis used exploration of in depth interview.Results: The result of mutivariable analysis with modeling showed that there was a significant relationship between early initiation of breastfeeding and breastfeeding practices in the first month of life (by controlling the variables of the decision to breastfeed, nipple condition, residence and gestational age) that could give contribution as much as 49% for breastfeeding practices in the first month of life. The result of in depth interview showed that breastfeeding practices were highly infuenced by information obtained by the women when checking up their pregnancy so that the decision to breastfeed could be made in advance and the women perceived the beneft of breastfeeding practices for her and her infant’s health. There were some reasons why the mother did not give complete breastfeeding, among others were the abnormal nipple condition and the mother’s fear on her child’s health for preterm baby.Conclusion: Breastfeeding practices in the first month of life occured more in mothers who practiced early initiation of breastfeeding than in those who did not. Mothers with at term delivery, nipple normal condition, breastfeeding decision prior to delivery, and residence in rural areas had greater chance of practicing breastfeeding in the first month of life.

Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin Mursalim Mursalim; Muhammad Juffrie; Nenny Sri Mulyani
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Underfives from poor communities are susceptible group that will unlikely have suffcient nutrition (micronutrient) meanwhile this micronutrient is essential for growth. Some studies show the supplementation of micronutrient has good effects to child growth. Therefore it is necessary to study the supply of fortified multi-micronutrient and its effect to growth of underfives from poor communities.Objective: To identify the supply of fortifed multi micronutrient and its effect to growth of underfves of 6-59 months from poor communities.Method: The study was a pre-experiment that used a group pre test-post test design. Subject were underfives of 6-59 months from poor communities that got fortifed multi micronutrient. The intervention of fortifed multi micronutrient supply was given once a week (1 sachet/day) within 4 months. Data of family characteristics and identity of the subject were collected at the beginning of the study. Measurement of physical weight and height/length, consumption recall, collection of data on disease infection (acute respiratory tract and diarrhea) were carried out at the beginning and end of the study.Results: The result of statistics test showed there was signifcant increase (p<0.05) in weight, height/length and nutrition status (z-score) to index of weight for height/length, height for age, and that there was signifcant descent to acute respiratory tract infection and diarrhea of underfves of 6-59 months from poor communities after the supply of fortifed micronutrient containing vitamin A, B1, B2, B3, B6, B12, folate acid, vitamin C, D3, E, Fe and zink.Conclusion: The supply of fortifed multi micronutrient could increase weight, height/length and nutrition status (z-score), index of weight for height/length and index of weight for age and decreased of acute respiratory tract infection and diarrhea disease in underfives of 6-59 months from poor communities.

Ekstrak air daun Ceplikan (Ruellia tuberosa L) berpengaruh terhadap kadar SGOT, SGPT dan gambaran histologis hepar tikus DM Fitri Ardiani; Wiryatun Lestariana; Emy Huriyati
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Diabetes Mellitus (DM) is a chronic metabolic disorder as indicated by hiperglycemia caused by insulin defciency produced by pancreatic islet ß cell which triggers metabolic disorder of carbohydrate, protein and fat, and tends to cause complications. One of the complications is liver damage caused by DM which is probably due to lipid peroxydation, subsequent to free radical production. The common biochemistry signs of liver damage are increasing activities of some enzym such as transaminase pyruvat glutamate serum in the blood. Ruellia tuberosa L is a traditional plant and used by people as diabetic traditional drug. Flavonoid, saponin, zink as antioxidant can decreased of blood glucose in diabetic.Objective: The study aimed to identify the effect of Ruellia tuberosa L extract on glutamate oxaloacetate and glutamate pyruvat transaminases as well as liver histology of diabetic white mice (Rattus norvegicus).Method: The study was pure experimental that used a pre-post test control group design. The study used 30 male Rattus norvegicus. They were divided into 5 groups, each group consisting of 6 rats. Group I rats served as the normal control. Groups II to V consisted of rats with DM induced with alloxan 170 mg/kgBB subcutaneously. The experiment made was as followed. Group I served as control, group II was DM+aquades, group III was DM+Ruellia tuberosa L extract 1.6 mg/ kgBB/day, group IV was DM+Ruellia tuberosa L extract 3.2 mg/kgBB/day, and group V was DM+Ruellia tuberosa L extract 6.4 mg/kgBB/day. Glutamate oxaloacetate and glutamate pyruvat transaminases was measured before beginning and end of the treatment. The blood was taken from sinus orbitalis. At day 30 (end of the study) the rats were sacrifced for their liver. Data of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum level were analyzed using one way ANOVA. The result of liver histology was analyzed descriptively.Results: The effect of Ruellia tuberosa L extract within 30 days of study could minimize level of transaminase oxaloacetate glutamate serum and transaminase pyruvat glutamate serum of DM rats. Maximal decreasing in extract 3,2 mg. Histologically there was no damage of the liver.Conclusion: Ruellia tuberose L extract could minimize level of transaminase oxaloacetat glutamate serum and transaminase pyruvat glutamate serum of DM and liver histology is normal.

Application of red pitaya powder as a natural food colourant in fruit pastille Low Pinn Yee; Than Chin Ping; Lim Pek Kui; Chan Sook Wah
Jurnal Gizi Klinik Indonesia Vol 13, No 3 (2017): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Confectionary products meet the important consumers’ need states of fun and enjoyment, especially among children. Synthetic colourant had been applied as a colouring agent in confectionery products for decades, however various adverse health effects have been reported after consumption. Hence, usage of natural colourant has increased enormously as it confers functional and nutraceutical benefits. Red pitaya, a common and popular fruit cultivated in South-east Asian countries. It is rich betacyanin content that gives the fruit a red-violet colour. Hence, red pitaya is a potential source of natural colorant as an alternative to the synthetic colorant.Objective: This research was aimed to produce fruit pastille with red pitaya powder applied as a natural colourant.Method: Production of red pitaya powder was achieved through spray drying process. Fruit pastille was prepared and subjected to antioxidant, stability and sensory analysis.Results: The Physicochemical study showed that pastille incorporated with red pitaya powder exhibited significantly (p<0.05) higher antioxidant properties than the blank pastille (control). An eight weeks storage stability study revealed that betacyanin content of pastille incorporated with pitaya powder remained stable for the first four weeks of storage. Besides, no significant change was observed in redness (a*) of pastille throughout the storage study. Sensory study was carried out to assess the consumer preference on pastille incorporated with pitaya powder and synthetic colourant. Colour attribute of pastille incorporated with red pitaya powder has gained significantly (p<0.05) higher liking that the one added with synthetic colour.Conclusion: Red pitaya powder could be a potential natural colourant for gummy confectionery.

Suplementasi vitamin A dan asupan zat gizi dengan serum retinol dan morbiditas anak 1-3 tahun Milliyantri Elvandari; Dodik Briawan; Ikeu Tanziha
Jurnal Gizi Klinik Indonesia Vol 13, No 4 (2017): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Morbidity of infectious diseases in developing countries is a public health concern because the prevalence is still high, particularly for children under five years. Vitamin A intake was one of factors that may affect morbidity.Objective: The objective of this study was to analyze relation between vitamin A supplementation, nutrition intake with vitamin A status and relation between vitamin A supllementation, nutrition intake, vitamin A status with morbidity.Method: The study was an cross-sectional study. This research was conductedin February-March 2016 in Kudus and Grobogan Central Java. Subjectsin this study were children aged 1-3 years(n=140). Retinol serum was collected by taking blood sample through the vein then was analyzed using HPLC, nutrients intake with food recall 2x24jam, and structured interviews with mother children. Data were analyzed with Chi-Square test.Results: The study found that 68 subjects (48.6%) were not took vitamin A supplemantation capsule. Prevalence of childrens had nutrient deficiency (<90% RDA) were relatively high 68.6% energy; 47.1% protein; 70.7% fat; and the prevalence of vitamin A defeciency (<77% RDA) were relatively high 60%. A number of 24.2% subjects had low retinol serum (<20μg/dl). Supplementation vitamin A, fat and vitamin A intake correlated with retinol serum (p<0.05). Supplementation vitamin A, intake of vitamin A, vitamin C, zinc and retinol serum correlated with morbidity (p<0.05).Conclusion: Childrens who were not took vitamin A supplemantation capsule, deficiency intake of vitamin A, vitamin C, zinc and low retinol serum had higher morbidity.

Potensi minuman bubuk kedelai (var. Galunggung) sebagai minuman fungsional: sifat fisikokimia, efek hipoglikemik dan hipokolesterolemik serta status antioksidan Setyaningrum Aviriani; Sri Handajani; Dian Rachmawanti Affandi; Endang Listyaningsih
Jurnal Gizi Klinik Indonesia Vol 8, No 4 (2012): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Powdered soy beverage is one of the functional drink products that grow rapidly in Indonesia. The beverage comes with variety of health claims including lower blood glucose level and improve antioxidant status. Galunggung is one of Indonesian superior soybean varieties that have several advantages, such as leave rust resistant, productivity reached 1,5 tons/ha, can be cultivated in tidal lands, large seeds and sturdy pods.Objective: To determine the potential of powdered soybean (var. Galunggung) beverage as functional drink observed from physicochemical characteristics and effect of intake on glucose and cholesterol levels and antioxidant status of diabetic-hypercholesterolemic rats. Method: The physicochemical characteristics evaluation performed by measuring disperse-ability, nutritional quality (proximate analysis), dietary fi ber and in vitro antioxidant capacity (total phenol content and anti radical DPPH activity). Determination of powdered soybean (var. Galunggung) beverage effectiveness to decrease plasma glucose and cholesterol levels and improve antioxidant status were conducted using 18 Sprague-Dawley male rats aged 3 months with an average body weight of 150 g, divided into three groups: negative control (placebo), positive control (diabetichypercholesterolemia) and treatment (powdered soybean beverage diet) group.Result: Powdered soybean (var. Galunggung) beverage showed comparable physicochemical characteristics to commercial powdered soy beverage. This beverage also showed hypoglycaemic and hypocholesterolemic effects, and improve antioxidant status of diabetic-hypercholesterolemic rats. Plasma glucose level of diabetic-hypercholesterolemic rats decreased from 228.03 + 2.55 mg/dl to 123.33 ± 1.89 mg/dl, plasma cholesterol level reduced from 177.08 ± 4.64 mg/dl to 119.69 ± 2.95 mg/dl and plasma MDA levels declined from 12.01 + 0.41 mmol/l to 5.50 + 0.20 mmol/l after intervention with powdered soybean (var.Galunggung) beverage diet for 2 weeks.Conclusion: Powdered soybean (var. Galunggung) beverage has the potential to be developed as functional drink with several health claims, i.e. reduce glucose and cholesterol levels, and improve antioxidant status.

Intervensi biskuit tempe kurma bagi peningkatan status gizi balita penderita tuberkulosis Fatmah Fatmah
Jurnal Gizi Klinik Indonesia Vol 9, No 4 (2013): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Weight gain as an indicator of nutritional status during tuberculosis drugs management has a significant relationship with the rapid conversion of sputum smear, low incidence of relapse and duration of anti tuberculosis drugs in patients with tuberculosis. Low intake of food in patient suffering from an infectious disease is caused by the emergence of anorexia, nausea, vomiting, and increased body temperature. Inadequate nutrient intake affects the immune system, lower resistance to infection and slow healing resulting progressive tuberculosis (TB).Objective: To assess the effect of tempeh dates biscuit consumption on the change of nutritional status of tuberculosis preschoolers patients.Method: A quasi-experimental design towards 52 under five children with TB status and who were underweight was done in all sub-districts at Depok City. There were three groups participated in the study i.e tempeh dates biscuits as intervention group, and two groups of control (tempeh and placebo biscuits). The nutritional status of subjects was assessed each biweekly by giving daily 50 grams of biscuits within four weeks. Data analysis was using paired t-test and Anova.Results: There was greatest weight gain in a subject who received tempeh dates biscuit by 0.5 kg and largest height improvement in the tempeh biscuits group by 1.8 cm. Weight, height and z-score weight/age had significant differences in the three groups at the end of the study. There were significant differences in carbohydrate intake in the intervention group at pre and post-intervention. The tempeh biscuits group had different levels of mothers’ knowledge on nutrition and TB at the end of the study.Conclusion: Tempeh dates biscuit can be recommended as an alternative supplementation feeding program for TB and non-TB under five children with underweight status.

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