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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 434 Documents

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Malnutrisi rumah sakit dan asuhan nutrisi pediatrik di Rumah Sakit Hasan Sadikin Bandung Tisnasari Hafsah; Titis Prawitasari; Julistio Tryoga Budhiawan Djais
Jurnal Gizi Klinik Indonesia Vol 16, No 2 (2019): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Hospital malnutrition and pediatric nutrition care in Hasan Sadikin Hospital BandungBackground: Malnutrition during hospitalization delays the recovery of children with acute or chronic illnesses. The Pediatric Nutrition Care (PNC) can improve nutritional support and reduce the prevalence of hospital malnutrition.Objectives: This study was done to find evidence of hospital malnutrition and to evaluate the nutrition care in the pediatric ward of Dr. Hasan Sadikin Hospital, Bandung. Methods: We evaluated malnutrition by comparing body weight change between the first day of admission and at hospital discharge to the length of hospitalization. Screening for malnutrition risk was done using modified Pediatric Yorkhill Malnutrition Screening (mPYMS). Score≥2 was determined as high risk. The PNC process was evaluated by a focused group discussion with PNC-associated pediatric ward personnel.Results: From February-March 2016, 760 patients were admitted to the pediatric ward, of which 111(14.6%) were included in the study. An mPYMS score of ≥2 was found in 69(62.2%) of the patients. During hospitalization, body weight decreased in 23(20.7%) patients, 10(9.0%) of whom were defined as hospital malnutrition. Among these, seven had an mPYMS score≥2. PNC was performed in patients with an mPYMS score≥2 by dietitians who also provided a standardized nutrition care process following American Dietetic Association recommendation. However, a dedicated multidisciplinary PNC team was absent and the nutrition and metabolic disease division was consulted only in a few cases. Performing consistent monitoring and evaluation of PNC was also found to be difficult. Conclusions: Hospital malnutrition may be prevalent among pediatric patients in Dr. Hasan Sadikin Hospital, Bandung. Improving PNC services may reduce this prevalence.

Pemberian minuman secang (Caesalpinia sappan l.) terhadap kadar malondialdehid plasma dan kebugaran jasmani pada pegawai penderita prehipertensi Farida Fitriyanti; Susetyowati Susetyowati; Mae Sri Hartati Wahyuningsih
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Effect of Secang (Caesalpinia sappan L.) drink toward plasma-malondialdehyde level and physical fitness in prehypertensive government office workerBackground: Prehypertension is associated with a higher risk of hypertension and cardiovascular disease. A government office worker has lower physical activity, thus increasing the risk of hypertension, low physical fitness, and a higher level of oxidative stress. Free radical which is the product of oxidative stress can be reduced by antioxidants. Secang (Caesalpinia sappan L.) is one of the ingredients in a traditional herbal drink (jamu) and a natural source of antioxidants in the form of polyphenol.Objective: The purpose of this study is to discover the effect of secang drink supplementation, and efficacy towards plasma MDA level and physical fitness on a government office worker.Methods: This study conducted with true experimental by pre and post-test control group design. The subject is 35 prehypertensive government office workers aged between 25-45 years old in Yogyakarta, divided into treatment and control groups. Secang is given in 3.8g teabag which brewed in 200cc hot water, consumed for 4 weeks. Plasma MDA level is measured using TBARS, and physical fitness is measured using the Harvard step test. Results are analyzed using student paired t-test, Pearson and Spearman correlation test, regression test, and ANOVA.Results: There’s insignificant decrease of plasma MDA level between intervention group (from 4,28±3,16 to 3,66±1,21) and control group (4,85±2,35 to 3,65±1,33). There’s difference on Harvard step test results, intervention group increase from 35,54±20,18 to 48,09±21,86 in male, while 11,56±4,94 to 13,87±6,25 in female. In control group, male subject increase 29,20±10,06 to 38,18±23,62, but decrease 13,30±7,12 to 13,26±2,92 in female.Conclusions: 4 weeks drinks of 3.8 g Secang drink brewed in 200ml hot water, shows no evidence of lowering oxidative stress (MDA) in plasma, but it may increase physical fitness.

Metode pemberian ASI eksklusif memengaruhi status gizi Windy Yuniarti; Budiyanti Wiboworini; Yulia Lanti Retno Dewi; Widardo Widardo
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): 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.33650

Exclusive feeding methods and their effect on nutritional statusBackground: Exclusive feeding could be given by human milk expression or direct breastfeeding methods. Recent studies indicate expressed human milk given by bottle in early infancy could lead to excess weight on the next stage of life. Objective: Determine the differences in nutritional status between exclusively fed infants with direct breastfeeding methods and a combination of breast pumping. Methods: An analytical observational study with the cross-sectional approach, conducted in Puskesmas Jalan Emas, Tangerang Regency, Banten. The subjects consisted of 68 infants from direct breastfeeding (DB) and the combination of breast pumping (KBP) groups, were selected by purposive sampling. The data obtained from the measurement of nutritional status and infants’ feeding history. Results: In WAZ, HAZ, and WHZ in DB were -0.48±0.7; -1.47±1.2; and 0.64±1.19 respectively. In WAZ, HAZ, and WHZ in KBP were 0.06±0.75; -1.66±0.85; and 1.23±1.05 respectively. The T-independent analytical test showed significant score (p) in WAZ, HAZ and WHZ indicators were 0.003; 0.470; and 0.035 respectively. Conclusions: In WAZ and WHZ indicators show significant differences between infants in DB and KBP groups. Meanwhile, in the HAZ indicator, there’s no significant difference between infants in DB and KBP groups.

Pengaruh pemberian jus jamur tiram terhadap kadar kolesterol, trigliserida, dan malondialdehid penderita hiperkolesterolemia Fera Nofiartika; Yunita Indah Prasetyaningrum
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

The effect of white oyster mushroom juice (Pleurotus ostreatus) to total cholesterol, triglyceride, and malondialdehyde (MDA) levels in patients with hypercholesterolemiaBackground: The high incidence of hypercholesterolemia due to the wrong diet is a health problem that needs to be addressed immediately. One food ingredient that is being cultivated and believed to have a hypocholesterolemic effect is a white oyster mushroom (Pleurotus ostreatus). These foods contain water-soluble fiber (β glucans) and lovastatin which are useful for improving lipid profiles. Objective: To determine the effect of white oyster mushroom juice (Pleurotus ostreatus) to total cholesterol, triglyceride, and malondialdehyde (MDA) levels in patients with hypercholesterolemia. Methods: This is a quasi-experimental study with a pretest and posttest design. This study was conducted by giving white oyster mushroom juice (Pleurotus ostreatus) for 14 days and then measured its effect on total cholesterol, triglyceride, and MDA levels. The location of the study in Pisangan Tridadi Sleman and the respondent was adults aged 18-55 years who had hypercholesterolemia. Data collection of lipid profiles was taken from venous plasma blood after 12 hours of fasting. While MDA levels were measured by using the thiobarbituric acid (TBA) method. The changes in cholesterol, triglycerides, and MDA levels after administration of white oyster mushroom juice analyzed using paired-t-test and Wilcoxon signed-rank test. Results: The oyster mushroom juice affected decreasing triglyceride levels (2.27 mg/dL; p=0.023). There was no difference in the mean total cholesterol and MDA levels between before and after the intervention. Conclusions: Consumption of white oyster mushroom juice for 14 days significantly reduce triglyceride levels in patients with hypercholesterolemia.

Konsumsi zat gizi dan parameter lemak tubuh pada wanita umur lebih dari 40 tahun Kadek Tresna Adhi; Ni Ketut Sutiari; Dinar SM Lubis; Ni Putu Widarini; I Gusti Ngurah Edi Putra
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Food intake and body fat parameter among women older than 40 years old in DenpasarBackground: The prevalence of obesity in Indonesia tends to increase, particularly among women older than 40 years old.Objective: This study aimed to identify the associations between nutrient consumption and parameters of body fat among women in Denpasar.Methods: This was an observational analytic study with a cross-sectional approach. The population was women aged older than 40 years old in Denpasar with sampled population were members Dharma Wanita PDAM Kota Denpasar. Eighty out of 200 women were selected through systematic random sampling method. Variables collected in this study included women’s characteristics, nutrient consumption, and body fat parameters: body mass index (BMI), waist circumference (WC), and waist to hip ratio (WHR). Analysis of the relationship between nutrient consumption and body fat parameters using the Spearman Rank correlation.Results: This study found that the majority aged 41-50 years (83.8%), were Balinese (95.0%), have married (98.8%), did not use contraception (65.0%), completed higher education (63.8%), worked in informal sector (60.0%), had low income (65.0%), had no history of obesity (80.0%) and no family with degenerative diseases (73.8%). Based on the body fat parameters, most of the women were obese based on BMI (52.5%), WC (70.0%), and WHR (57.5%) categories. There was a significant association between fiber consumption and waist circumference (p=0.021).Conclusions: There was an association between fiber consumption and waist circumference, thus having a balanced and varied diet is recommended to prevent obesity and reduce risk factors for degenerative diseases.

Perbedaan status gizi bayi usia 6-9 bulan yang diberi MPASI buatan pabrik dan rumah Erizvina Marisa Anggraeni; Dewi Marhaeni Diah Herawati; Viramitha Kusnandi Rusmil; Tisnasari Hafsah
Jurnal Gizi Klinik Indonesia Vol 16, No 3 (2020): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

The differences of nutritional status of 6-9 months old infant given factory-made and homemade complementary foodsBackground: The nutritional status of 6-9 months old babies depend on the amount of nutrition acquired from breastmilk and complementary food. The incorrect feeding of complementary food may contribute to poor nutritional status. Objective: This study aims to illustrate the nutritional status of factory-made and homemade complementary food, and analyze the difference in the nutritional status of infants given factory-made and homemade complementary food.Methods: This is an analytic, observational, and cross-sectional study, conducted in seven villages within the scope of Puskesmas Jatinangor, Jatinangor Sub-district, Sumedang Regency in August-October 2018. The samples were 102 babies 6-9 months old obtained through total sampling. The variables of this study include the type of complementary food, and infant nutritional status with weight for age, length for age, and weight for height index.Results: Complementary food consumption is dominated by factory-made type (69.6%). Macronutrients which are energy and protein and micronutrients which are vitamins from both types of complementary food already fulfill the daily recommended dietary allowances for babies, except for minerals which are calcium, iron, and zinc. Chi-Square test results showed an insignificant difference in the nutritional status of babies (p=0,881 for BW/A; p=0.194 for BH/A; and p=0,599 for BW/BH) based on the type of complementary food given.Conclusions: Nutritional contents of macro and micronutrients from both types of complementary food have fulfilled the recommended dietary allowances for complementary food, except for the minerals calcium, iron, and zinc. There wasn’t a considerable difference in nutritional status between those acquired through factory-made and homemade complementary food.

The effect of lesser yam based cookies on fasting glucagon-like peptide 1, appetite, and dietary intake in overweight/obese with ad libitum diet Harry Freitag Luglio Muhammad; Annisa Lailatul Fitria; Dewi Ayu Kusumawardhani; Rinta Amalia; Desy Dwi Hapsari; Rina Susilowati; Sunarti Sunarti
Jurnal Gizi Klinik Indonesia Vol 15, No 3 (2019): 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.51762

Background: Appetite and dietary intake have been associated with obesity and successfulness of weight loss in obese individuals. Glucagon-like peptide 1 is a gut-derived neuropeptide that is produced as a response to dietary intake and associated with appetite. It has been investigated that prebiotic can induce GLP-1 production in animal models and humans. Objectives: This study aimed to investigate the effect of lesser yam based cookies on fasting GLP-1 plasma, appetite, and dietary intake. Methods: An experimental study was conducted on 15 overweight/obese individuals using cookies made with lesser yam flour for 6 weeks. Fasting GLP-1 level, dietary intake, and appetite were measured before and after the intervention. Dietary intake was recorded using a semi-quantitative food frequency questionnaire and appetite was measured using a visual analog scale. Results: After the intervention, the dietary intake includes total energy (p=0,013), protein (p=0,004) and carbohydrate (p=0,02) were significantly reduced. Based on paired t-test that was done in each time point, after the intervention subjects had lower hunger feeling and higher satiety especially at 4 (p=0,039) and 3 (p=0,039) hours after breakfast, respectively. Fasting GLP-1 plasma level was not changed after the intervention (p>0,05). There is no correlation between GLP-1 and dietary intake as well as appetite. Conclusions: We concluded that lesser yam based cookies were able to reduce dietary intake and hunger as well as increase fullness. The fasting GLP-1 concentration did not change after the intervention this was not associated with changes in satiety, fullness, desire to eat, or energy intake.

Capaian standar pelayanan minimal gizi di Rumah Sakit Umum Daerah (RSUD) Manokwari Papua Barat Nurhasanah Mardianingsih; Fasty Arum Utami; Ika Ratna Palupi
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Achievement of the nutrition minimum service standard at Manokwari District Hospital in West PapuaBackground: There are three indicators of nutrition services that are regulated in the hospital Minimum Service Standards (MSS), namely the timeliness of food distribution, patient's plate waste, and the accuracy of the patient’s diet. The achievement of minimum service standards as the indicator of quality for nutrition services at Manokwari District Hospital has not yet been known.Objective: To find out the implementation of minimum service standards for nutrition services,i.e. the promptness of food distribution, the proportion of plate waste, and accuracy of the patient’s diet at Manokwari District Hospital. Methods: This was a mixed-method study conducted at Manokwari District Hospital, West Papua, from January until March of 2018. A quantitative approach with patient samples was carried out to quantify the achievement of MSS for nutrition service. Punctuality of food distribution and accuracy of the diet was measured using observational sheets while the patient’s plate waste was determined using food weighing. A qualitative approach through in-depth interviews with patients, nutritionists, cooks, food service workers, and nurses was performed to explore the influencing factors. Results: The percentage of timeliness of patient food distribution was only 37.1%, the waste of patients’ food reached 34.5% and the accuracy of the patient's diet was only 83.87%. These were affected by poor human resource management, inadequate hospital facilities, and foods brought from outside of the hospital. Conclusions: Promptness of patient’s food distribution, plate waste and diet accuracy in Manokwari District Hospital has not reached the minimum service standard for nutrition service.

Faktor dominan kejadian konstipasi fungsional pada remaja di Jakarta Felicia Thea; Trini Sudiarti; Kusharisupeni Djokosujono
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Dominant factors of functional constipation among adolescent in JakartaBackground: The impact of functional constipation, including the quality of life decreases, increase the additional health costs that must be incurred, and reduce productivity. Previous research in various places in Indonesia shows that functional constipation is experienced among adolescents, percentages between 24.6-68.5%.Objective: Determine the relationship and dominant factor between gender, fiber intake, fluids intake, consumption of probiotic drinks, physical activity, nutritional status, stress, and nutritional knowledge on the incidence of functional constipation.Methods: The study design was cross-sectional. The number of respondents studied was 150 high-school students from class X and XI. The sample selected by using a total sampling system. Data collected using the Roma III questionnaire of functional constipation, physical activity using the Physical Activity Questionnaire for Adolescent, and stress level using the Holmes and Rahe Stress Scale for students. Nutritional knowledge was obtained by filling out a questionnaire. Food recall 2x24 hours to assess fiber intake, fluid, and probiotic drinks. Measure body weight and height of students to determine nutritional status. Data analyzed using univariate, Chi-Square test for bivariate, and multiple logistic regression tests for multivariate.Results: 75.3% of students had functional constipation, 64.0% less fiber intake,54.0% less fluid intake, 91.3% less physical activity, 62.0% did not consume probiotic drinks, 38.7% were obese and 30.0% lacking in nutrition knowledge. Dominant factor of functional constipation was physical activity (p-value 0.035; OR 3.57; CI 1.09-11.66).Conclusions: Low physical activity can increase the incidence of functional constipation in adolescents at Jakarta.

Source of energy intake of Papuan and non-Papuan high-school students in Jayapura: their association with risk for overweight/ obesity Endah Sri Rahayu; Bernadette Josephine Istiti Kandarina; Madarina Julia
Jurnal Gizi Klinik Indonesia Vol 16, No 4 (2020): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Background: The worldwide prevalence of obesity is increasing. Obesity is associated with many factors, including the consumption pattern of energy-producing food, i.e. carbohydrate and fat, which is, most likely associated with ethnicity. In Riskesdas 2007, Jayapura held the highest prevalence of obesity in adults in Indonesia. Jayapura lived the Papuan and Non-Papuan descents population. Objective: To determine the association between energy intake, the contribution of carbohydrate and fat to energy intake in overweight/ obesity in Papuan and non-Papuan high-school students. Methods: This cross-sectional study involved 150 Papuan and 150 non-Papuan students from three high schools in the district. Body mass index (BMI) derived from the measurement of body weight and height were grouped into overweight/obesity and not-overweight/ obesity. Source of energy was estimated using 3 (three) days non-consecutive 24 hours of food recall questionnaire. Energy intake and the contribution of carbohydrate and fat to energy intake were analyzed with an independent t-test and Chi-Square test. Results: The prevalence of overweight/ obesity was similar between Papuan and non-Papuan students (22.0 vs. 23.0%). The two groups had a similar amount of energy intake, however, the contribution of carbohydrate and fat to the total energy intake was significantly different. Obese/ overweight students had a significantly higher intake of energy, however, within the same ethnic group, the contribution of carbohydrate and fat in obese/ overweight students did not significantly differ. Conclusions: High energy intake was associated with overweight/obesity in both groups. The contribution of carbohydrates to total energy intake was higher in Papuan. However, the contribution of carbohydrate and fat to energy intake was not associated with overweight/ obesity in both groups.

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