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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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Faktor risiko osteoporosis pada wanita usia 40-80 tahun: status menopause dan obesitas Fillah Fithra Dieny; Deny Yudi Fitranti
Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Osteoporosis is a disease of the musculoskeletal system which are common in women. Menopausal status which affects the production of oestrogen and obesity status that describes mass and distribution of body fat have the potential to affect bone density, which in turn may have an impact on the incidence of osteoporosis.Objective: To analyze the menopausal and obesity status as risk factors for osteoporosis in women aged 40-80 years.Method: Cross-sectional study was conducted on 224 women aged 40-80 years in Ngemplak Simongan, Semarang. Status of obesity was determined by percent of body fat, body mass index (BMI), waist circumference, and waist-hip ratio (WHR). Menopausal status was determined based on the occurrence of menstruation in the past one year, and the age was calculated from the difference between date of birth and date of measurement. Bone density was assessed frombone mineral density measurement. Chi-square test and logistic regression were used to determine the relationship and the most influential factors. The risk was expressed in ratio prevalence (RP).Results: The prevalence of low bone density and obesity in each age range, were 43.8% and 57.9% for ages 40-50 years, 67.7% and 58.6% for ages 51-60 years, 84.9% and 49.1% for ages 61-70 year, 86.7% and 66.7% for ages 71-80 years. There were significant relationships between age, menopausal status, BMI, WHR and bone density (p=0.000, p=0.032, p=0.043, p=0.017, respectively). Osteoporosis (13.3%) and osteopenia (58.7%) were most widely experienced by subjects with high WHR and menopause. Percentage of osteopenia in high WHR and non-menopause subjects (60%) was higher than normal WHR and menopause subjects (52.9%). Age 61-80 years, high WHR, and non-obese BMI were the most influenced risk factorsfor the incidence of low bone density (p=0.001, p=0.038, p=0.043). Ratio prevalence of elderly, high WHR and non-obese BMI were 1.448, 1.326, 1.208.Conclusion: High WHR explains the role of android obesity and visceral fat as risk factors for low bone density. Premenopausal women will be more at risk of having low bone density if they have high WHR.

Karakteristik sosial demografi dan konsumsi zat besi pada ibu hamil berdasarkan data Studi Diet Total (SDT) tahun 2014 di Indonesia Safrullah Amir; Susetyowati Susetyowati; Arta Farmawati
Jurnal Gizi Klinik Indonesia Vol 15, No 2 (2018): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Pregnant women are the group most vulnerable to iron deficiency anemia. This occurs as a consequence of a significantly increased demand for iron intake during pregnancy. The efforts of pregnant women to compensate for the increased need of iron depend on various sociodemographic characteristics.Objective: To analyze the relationship between sociodemographic characteristics and iron consumption of pregnant women in Indonesia.Method: This research is observational study design with cross-sectional approach using secondary data of the Total Dietary Study (SDT) year 2014. A total of 644 pregnant women inform the SDT study who met our inclusion and exclusion criteria were assessed for their level of consumption using 24-hour dietary recall method. Data were then processed using Nutrisurvey software and Indonesian Food Composition Table (TKPI) to estimate the consumption of iron. Analysis was conducted using Mann-Whitney and Kruskal-Wallis tests by including various social demographic characteristics in pregnant women.Results: The results of this study found that level of education, employment status, economic status, and residence of pregnant women are significantly related to iron consumption (p<0.05).Conclusion: Pregnant women with high education, working status, middle to upper economic status, and living in urban areas have better iron consumption.

Reticulocyte hemoglobin content (CHr) untuk skrining defisiensi besi pada ibu hamil Bambang Sasangka; Tri Ratnaningsih
Jurnal Gizi Klinik Indonesia Vol 16, No 1 (2019): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Reticulocyte hemoglobin content (CHr) for iron deficiency screening in pregnant womenBackground: Anemia in pregnancy is a major public health problem in developing countries. In Indonesia, such anemia is generally caused by nutritional deficiencies, particularly iron deficiency. Iron deficiency screening is needed to prevent the development of iron-deficiency anemia in pregnant women that may affect the health of the mother and fetus.Objective: The study objective was to determine the diagnostic validity of reticulocyte hemoglobin content (CHr) for iron deficiency screening in pregnant women.Method: This research is analytic observational research with a cross-sectional design. The subjects were 73 pregnant women in Bantul district with various gestational ages. CHr was examined with an Advia 120 automatic hematology analyzer. Examination of ferritin as gold standard uses chemiluminescens method with Elecsys 1010 immunology analyzer. Table 2x2 is used to test several CHr values in the CHr range for women of reproductive age of 28.8 - 34.5 pg.Results: Based on ferritin <15 μg / L as a gold standard, 13 pregnant women were suffered from iron deficiency while others were normal.Conclusion: CHr at 30.7 pg cut off has a sensitivity of 92.31%; negative predictive value (NPV) 96.2%; and likelihood ratio (LR) produce conclusive changes in post-test probability. In this cut-off, CHr can be used as an iron deficiency screening test in pregnant women.

Pola konsumsi minuman es dan kepedulian terhadap keamanan pangan di Kota Bogor Winiati Pudji Rahayu; Siti Nurjanah; Sophia Ekaristi Dharma Gita
Jurnal Gizi Klinik Indonesia Vol 16, No 1 (2019): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Consumption pattern of iced beverages of the consumer in Bogor and their awareness of food safetyBackground: Iced beverage will be potentially contaminated by microbes if it is prepared and handled by a lack of sanitary and hygiene. The level of risk depends on exposure affected by the prevalence and concentration of microorganisms, also the consumption patterns.Objective: The objective of this study was to determine the iced beverages consumption number in Bogor using a semi-quantitative food frequency questionnaire (SQ-FFQ) and to know the level of knowledge and awareness of food safety.Method: The survey used 300 respondents, including males and females, which classified in three groups of age and three groups of income level also the final level of education.Results: Most of the respondents were frequently consumed flavored iced beverages (52%) compared to other types of iced beverages and the average number of daily consumption was 182 mL/person. Based on compare means analysis, the amount of iced beverages consumption was not affected by age and gender but was influenced by income. The level of knowledge and awareness of food safety of consumers in Bogor was good (>80%). Based on Chi-Square analysis, the level of knowledge and awareness of consumers were not affected by age, gender, or final education. However, when viewed from the percentage of correct answers, the main factor of the level of knowledge and awareness of consumers was the final level of education.Conclusion: The amount of iced beverages consumption was not affected by age and gender but influenced by income, and the average consumption was 135 mL/person/day. The level of knowledge and awareness of food safety of consumers in Bogor was good (>80%).

Efek kandungan serat beras analog terhadap ekspresi GLUT4 otot rangka tikus diabetes Azka Darajat; Elly Nurus Sakinah; Hairrudin Hairrudin
Jurnal Gizi Klinik Indonesia Vol 16, No 1 (2019): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Effect of analog rice’s fiber on skeletal muscles GLUT4 expression in diabetic rats Background: Disruption of glucose transportation in skeletal muscle through GLUT4 becomes a problem in diabetes. Analog rice that had been modified by adding dietary fiber could improve the expression of GLUT4.Objective: This study aims to know the effect of dietary fiber toward GLUT4 expression and to know the dietary fiber percentage in analog rice.Method: The research type is true experimental with post-test only group design. The samples consist of 24 male Wistar rats that are group into 4 groups (n=6 each group). Three groups were induced by giving a high-fat diet for 40 days and streptozotocin (STZ) 35 mg/kg BW was given at 33th day and one group was not induced. After the blood glucose level exceeded 135 mg/dl, the treatment was given. After 3 weeks, the rats were terminated and quadriceps femoris muscle tissue was taken for immunohistochemistry examination using rat GLUT4 polyclonal antibody. GLUT4 expression was quantified using an immunoreactive score (IRS-GLUT4). The data were analyzed using the Kruskal-Wallis test and Spearman test.Results: Statistical analyses showed that there were significant differences between groups with a moderate positive correlation (correlation coefficient=0,651; p=0,003).Conclusion: Dietary fiber in analog rice could improve skeletal muscle GLUT4 expression in Wistar rat diabetic model.

Pengetahuan, sikap, motivasi ibu, dan praktik pemberian MP-ASI pada anak usia 6-23 bulan: studi formatif di Aceh Aripin Ahmad; Siti Madanijah; Cesilia Meti Dwiriani; Risatianti Kolopaking
Jurnal Gizi Klinik Indonesia Vol 16, No 1 (2019): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Maternal knowledge, attitude, motivation and complementary feeding practice of children aged 6-23 months: formative study in AcehBackground: Poor knowledge, attitude, and motivation of the mother determine complementary feeding (CF) practice of the child resulting in poor nutrition fulfillment. Objective: This study aimed to analyze maternal knowledge, attitude, motivation, and relationships with the CF practice of children aged 6-23 months.Method: A cross-sectional study and cluster random sampling was applied to select 392 mothers of children aged 6-23 months in Aceh Besar District. Data on maternal knowledge, attitude, and motivation were collected using valid and reliable structured questionnaire. CF practice quality was assessed using indicators of timely introduction to CF, minimum meal frequency, minimum dietary diversity, and minimum acceptable diet according to WHO recommendation. The association of maternal knowledge, attitude, and motivation with CF practice was analyzed using binary logistic regression with a 95% confidence level (α=0.05).Results: There was a small proportion of mothers (20.2%, 8.7%, 33.9%) having good knowledge, attitude, and motivation, respectively. Overall, there was one-fourth (23%) of the children aged 6-23 months receiving CF as recommended by WHO. There were significant correlations between maternal knowledge and attitude (r=0.606, p<0.01) and motivation (r=0.103, p<0.05). Education level and motivation were the risk factors of improper CF practice (OR=4.25; 95% CI: 1.10-16.36; p=0.035and OR=1.83; 95% CI: 1.05-3.16; p=0.031, respectively). Conclusion: Maternal knowledge, attitude, and motivation of children aged 6-23 months in Aceh were still poor, shown by improper CF practice. Therefore, an effort to improve nutrition education, particularly by health personnel and stakeholder, to be specific and targeted is important.

1,25 dihydroxyvitamin D dan kalsium pada akseptor depot medroxyprogesteron asetat (DMPA) berdasarkan lama pemakaian Netti Meilani Simanjuntak; Eti Yerizel; Yusrawati Yusrawati
Jurnal Gizi Klinik Indonesia Vol 15, No 2 (2018): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Long – term usage of depot medroxyprogesterone acetate (DMPA) may suppress estrogen levels causing the body to undergo hypoestrogenic. The hormone estrogen affects the metabolism of calcium and 1,25 dihydroxy vitamin D in the body. Calcium and 1,25 dihydroxy vitamin D are bone-forming vitamin and minerals.Objective: This study aimed to analyze the relationship between 1,25 dihydroxy vitamin D and calcium on the accelerate of DMPA based on long usage.Method: This is an observational study with cross-sectional design. A total of 70 acceporates sample was chosen by consecutive sampling and divided into 2 groups. 35 acceporates received DMPA for 1-2 years (group 1) and 35 acceporates received DMPA for 2-4 years (group 2). Serum 1,25 dihydroxy vitamin D levels examined by enzyme-linked immunoabsorbent assay (ELISA) method and serum calcium was quantified using the Calcium Arsenazo method. The research was conducted in Puskesmas Andalas and Lubuk Buaya Kota Padang between July 2017 and September 2017. The data normality was checked using Kolmogorov Smirnov and then the data were analyzed using the Spearman test.Results: The average of 1,25 dihydroxy vitamin D in group 1 is 351.16 pg/ml and in group 2 is 289.84 pg/ml. The median concentration of calcium on samples in group 1 is 9.30 mg/dl and in Group 2 is 9.13 mg/dl.Conclusion: There were negative significant correlations between 1,25 dihydroxy vitamin D and calcium in group 1 and group 2.

Kadar insulin-like growth factor-1, ghrelin ASI, dan peningkatan berat badan bayi pada ibu menyusui obesitas dan normal Desriati Sinaga; Eny Yantri; Yusrawati Yusrawati
Jurnal Gizi Klinik Indonesia Vol 15, No 1 (2018): 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.34939

Background: Obesity is one of the factors that trigger the incidence of non-communicable diseases and increase morbidity rates in mothers and infants. Ghrelin hormone in breast milk serves to stimulate appetite in infants as well as release factors for growth hormone (GH). Insulin-like growth factor 1 (IGF-1) hormone in breast milk plays a role in increasing the length of bone and muscle mass of infants and mediators of GH work. Obesity can affect baby's weight gain, ghrelin and IGF-1 hormone levels in breast milk.Objective: Analyzes the association of IGF-1 and ghrelin levels of breast milk with baby's weight gain between obese and normal mothers.Method: Observational study with cross sectional design on 40 breastfeeding mothers and their infants in the work area of Andalas Health Center, Ikur Koto Health Center and Puskesmas Lubuk Buaya Padang City with consecutive sampling technique from August to November 2017. The examination of IGF-1 and ghrelin levels was conducted at the University's Biomedical Laboratory Andalas with ELISA method. Weight gain is obtained from first month infant weight loss with infant birth weight. Data analysis used independent t-test and Pearson test.Results: There was a difference in IGF-1 levels in breast milk (p=0.00) between obese and normal mothers. There was no difference in ghrelin levels of breast milk (p=0.90) between obese and normal mothers. There was a difference in weight gain between obese and normal mothers (p=0.02). There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase baby weight gain between obese and normal mothers.Conclusion: There was no significant association between IGF-1 and ghrelin levels of breast milk with an increase baby weight gain between obese and normal mothers.

ASI eksklusif dan berat lahir berpengaruh terhadap stunting pada balita 2-5 tahun di Kabupaten Pesawaran Apri Sulistianingsih; Rita Sari
Jurnal Gizi Klinik Indonesia Vol 15, No 2 (2018): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Stunting cases in infants in Indonesia continue to be a maternal and child health problem. Stunting cases in Pesawaran District increase every year. Some of the factors that influence the incidence of stunting in children include the history of exclusive breastfeeding and low birth weight (LBW) babies.Objective: This study aims to determine the effect of exclusive breastfeeding and birth weight on stunting in children 2-5 years cases in Pesawaran District.Method: This research used observational analytics with a cross-sectional approach. This research was conducted in March-May 2017 in 12 Puskesmas on Pesawaran Lampung District. The number of samples was 385 samples. The variables studied in this study were the incidence of stunting, history of LBW and history of exclusive breastfeeding. Analysis and present data using the Chi-Square test and multiple logistic regression.Results: Children with a history of LBW (OR=12.30; 95% CI:3.663-41.299) and exclusive breastfeeding history (OR=0.122; 95% CI:0.075-0.199) were significantly associated with the incidence of stunting. The multivariate analysis explained the history of exclusive breastfeeding with OR=0.108 (CI 95%: 0.065-0.180) and birth weight with OR=17.063 (CI 95%: 4.892-59.511).Conclusion: Children with exclusively breastfeeding 9.3 times less risk for stunting than children non-exclusive breastfeeding or exclusive breastfeeding provides a protective effect against stunting in toddlers. Children with an LBW history had a risk of 17.063 times greater for stunting than children with normal birth weight.

Asupan zat gizi makro dan kenaikan berat badan selama hamil terhadap luaran kehamilan Imelda Fitri; Rizki Natia Wiji
Jurnal Gizi Klinik Indonesia Vol 15, No 2 (2018): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: Based on neonatal nursing installation data at Arifin Achmad Regional Hospital in Riau Province, newborns with low birth weight have always been the highest cases.Objective: This study aimed to examine the effect of macronutrient status (carbohydrate, protein, fat) and gestational weight gain on pregnancy outcomes.Method: The design used in this study was case-control. The study sample was 74 respondents, the case group was 37 mothers with babies born with low birth weight and the control group was 37 mothers with babies born with normal birth weight. Macronutrient intake was collected with a food frequency questionnaire (FFQ). Data were analyzed by using the Chi-Square test (p<0,05).Results: Intake of low carbohydrate has 3 times risk for low birth weight (OR=3.46; 95%CI:1.25-9.47), intake of low fat has 5 times risk for low birth weight (OR=5.11; 95%CI:1.88-13.93), and intake of low protein has a 12 times risk for low birth weight (OR=12.21; 95%CI:3,97-37,94). A gestational weight gain is not following the IOM recommendations increased the risk of giving birth to a low weight baby (OR=3,96; 95%CI:1,49-10,53).Conclusion: Pregnant women with a low intake of carbohydrates, proteins, fats, and weight gain are not following the recommended increased the risk of giving birth to a low weight baby.

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