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GHIDZA: Jurnal Gizi dan Kesehatan
Published by Universitas Tadulako
ISSN : 26152851     EISSN : 26227622     DOI : -
Core Subject : Health,
Medicine & Pharmacology Nursing Public Health
GHIDZA: Jurnal Gizi dan Kesehatan adalah jurnal semi-tahunan yang diterbitkan pada bulan Juli dan Desember. GHIDZA dikelola oleh Fakultas Kesehatan Masyarakat dan diterbitkan oleh Universitas Tadulako. GHIDZA menyediakan forum untuk dosen, akademisi, peneliti, praktisi, dan mahasiswa untuk menyampaikan dan berbagi pengetahuan dalam bentuk artikel penelitian empiris dan teoritis dibidang gizi dan kesehatan.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 208 Documents
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Pengembangan Formulasi Enteral Blenderized Tinggi BCAA Berbasis Bahan Pangan Lokal Labu Kuning, Tempe dan Ikan Gabus (LUTEKA) Sari, Junjung Adita; Widyastuti, Endang Nur; Mustikaningrum, Fitriana
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/dtmf5109

Abstract

Patient with liver cirrhosis experience metabolic changes in their bodies, including hypermetabolism and gluconeogenesis. These conditions lead to an increased need for nutrients, particularly albumin and Branched-Chain Amino Acids (BCAAs), which consist of isoleucine, leucine, and valine. Local foods can serve as raw materials for making enteral blenderized products for liver cirrhosis patients, such as tempeh and snakehead fish. This study aims to develop an enteral blenderized product, including formulation, viscosity testing, osmolality testing, flowability testing, sedimentation testing, and organoleptic testing, based on local foods like pumpkin, tempeh, and snakehead fish for liver cirrhosis. The study is an experimental research with two treatments, namely variations in the ratio of tempeh to snakehead fish, F1 (30:20) and F2 (25:25). Viscosity testing was conducted using a viscometer, osmolality testing with an Osmotech device, flowability testing with a 14 French catheter, sedimentation testing for 12 hours, and organoleptic testing using a 1–5 scale evaluated by 15 panelists. Viscosity analysis used the t-Independent test, and organoleptic test analysis used the Kruskal-Wallis test. There were differences in viscosity between F1 and F2 with a p-value < 0.05, osmolality of F2 was lower compared to F1, flowability of F2 was faster than F1, and F2 had no sedimentation after 3 hours. The results of the organoleptic test showed no difference between F1 and F2 with a p-value > 0.05. F2 is the selected formulation which is better than each test.  
Pengembangan Makanan Enteral Tinggi Energi Tinggi Protein Berbasis Telur Bebek, Labu Kuning, dan Tempe (BELATE) Rahmawati, Seruni; Mustikaningrum, Fitriana
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/23grzq98

Abstract

High-energy high-protein (HEHP) diets are essential to support the recovery of patients at risk of malnutrition. However, lactose-reduced HEHP enteral formulas are still rarely available in hospitals, despite the fact that many patients experience lactose intolerance. This condition can lead to digestive discomfort when consuming milk-based formulas. To address this issue, researchers developed a blenderized enteral formula using local ingredients—pumpkin, tempeh, and duck eggs—called BELATE, which is naturally low in lactose. This study aims to describe the physical quality, estimated nutritional content, flow rate, and viscosity of the BELATE formula, as well as assess its sensory acceptability. Methods: This was an experimental study with a descriptive approach. The BELATE formula was analyzed for its estimated nutritional composition, viscosity, energy density, flow rate, and production cost. Sensory evaluation was conducted using a paired t-test. In 1000 ml, the BELATE formula provides 1036.3 kcal with 31.5 g of protein (12.2%), 42.5 g of fat (36.9%), and 133.3 g of carbohydrates (51.5%), resulting in an energy density of 1.03 kcal/ml. The viscosity was measured at 23.43 cP, with osmolality of 352 mOsm/kg. Flow rate tests showed 1.13 ml/sec using a 12 Fr tube and 1.78 ml/sec with a 14 Fr tube. Overall, the BELATE formula was well accepted, with an average organoleptic score of 3.87 ± 0.64. The BELATE enteral formula, made from duck eggs, pumpkin, and tempeh, meets the recommended standards for HEHP enteral nutrition in terms of viscosity, osmolality, and energy density, and it is well received by panelists.
Gambaran Mutu Blenderized Tube Feeding dengan Bahan Lokal Tinggi BCAA Berbasis Labu Kuning, Telur Ayam, dan Susu Kedelai (BUTESLA) Rasyidah, Amira Farah; Mustikaningrum, Fitriana
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/8y434k59

Abstract

Liver cirrhosis is a chronic condition that often leads to malnutrition due to impaired intake, absorption, and metabolism. Malnutrition worsens disease progression and increases the risk of complications and mortality. Enteral nutrition is a key strategy to meet the nutritional needs of these patients; however, the high cost of commercial enteral formulas limits accessibility, especially in resource-constrained settings. This study aimed to develop and evaluate a locally sourced, high Branched-Chain Amino Acid (BCAA) enteral formula as a more affordable alternative for patients with liver cirrhosis. An experimental design was employed, and the study was conducted at the Nutrition Laboratory of Universitas Muhammadiyah Surakarta in May 2025. The formula was developed using pumpkin, chicken eggs, soy milk, and either tempeh (F1) or tuna (F2), and compared to a commercial enteral formula (FEK). Nutritional content was analyzed using Nutrisurvey 2007, osmolality with an Advanced Instruments osmometer, viscosity with a BrookField D-11+Pro viscometer, and flow rate using a 14 French nasogastric tube. Organoleptic tests were conducted using a hedonic scale and analyzed with Kruskal-Wallis and Mann-Whitney tests via SPSS 22.0. Formula F1 provided 1305.6 kcal of energy, 49 g of protein, 38.3 g of fat, 196.2 g of carbohydrates, and 9.3 g of BCAA, with an energy density of 1.3 kcal/cc. F1 showed an osmolality of 368 mOsm/kg, viscosity of 50.34 cP, and a flow rate of 1.00 cc/second, all meeting recommended standards. Sensory evaluation indicated that F1 was significantly preferred over F2 and FEK in terms of color, aroma, taste, texture, and overall acceptability (p < 0.05). The formula also offers a more affordable option without compromising nutritional quality. F1 is a promising alternative enteral formula based on local food ingredients for patients with liver cirrhosis, offering good nutritional value, excellent acceptability, and greater affordability.
Pengembangan dan Penerapan Media Audiovisual dalam Peningkatan Pengetahuan Ibu Balita Mengenai Kenaikan Berat Badan pada Balita Hastuti, Agnia Winda; Muwakhidah, Muwakhidah
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/f696nv19

Abstract

Nutritional problems remain a major challenge in Indonesia, especially among children under the age of five. One of the most common issues is malnutrition and insufficient weight gain in young children. This is often caused by a lack of knowledge among parents—particularly mothers—about how to properly monitor their child’s growth. Engaging and easy-to-understand educational tools, such as audiovisual media, are believed to be effective in improving awareness and understanding of the importance of tracking a child’s weight gain. This study aims to develop and implement audiovisual media as an educational tool to enhance mothers’ knowledge regarding weight gain in children under five years old. The study employed a Research and Development (R&D) approach, which included stages of analysis, planning, development, and implementation. The validation process involved material experts, media experts, and the target users—mothers of young children. The main focus of this research was the development of an educational audiovisual video. Validation results showed that the developed media was considered feasible, with an average expert rating of 3.9. The Content Validity Index (CVI) reached a perfect score of 1.0, indicating unanimous agreement among experts on the relevance of the material. Implementation of the media demonstrated an increase in participants’ knowledge, with the average score improving from 54.6 on the pre-test to 88 on the post-test. The developed audiovisual media proved to be effective in enhancing mothers’ understanding of weight gain in young children. This type of media can serve as an engaging and accessible alternative for nutrition education.
Analisis Perbedaan Kadar Lemak, Total Padatan dan Kecepatan Leleh Es Krim Buah Naga Merah (Hylocereus Polyrhizus) dari Bahan Krimmer yang Berbeda Fadhila, Jihan; Kurnia, Pramudya; Sofyan, Aan
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/k0fjwj20

Abstract

Ice cream quality is determined by the fat content, total salids and melting speed which mutally affect the texture, softness and stability of the product. Fat acts as a texture former and air stabilizer, while high total solids can improve the structure and slow down the melting process. The use of vegetable creamer based on dietary fiber such as inulin can maintein the viscosity and stability of the emulsion without increasing the fat content significantly. The cremaer ingredients used in this study were fiber crème, coconut milk and UHT (Ultra High Temperature) milk as a control. The purpose of this study was to copare the composition of differences in fat content, total solids and melting speed of ice cream from different main ingredients. This study is an experimental study using a Completely Randomized Design (CRD) with 3 formulas and 2 replications. The average results of the fat content analysis in coconut milk (6.32%), UHT milk (2.53%) and fiber crème (8.74%). The average results pf total solids analysis in coconut milk (54.76%), UHT milk (53.63%) and fiber crème (54.57%). The results of the analysis on the melting speed of ice cream melted perfectly for 30 minutes. The fat content was analyzed using the Mojonnier modification method, showing that the highest fat content was found in fiber crème with a value that had met the Indonesian National Standard (SNI) namely the minimum limit of 5% with the resultd of the analysis p = 0.018 incadicating a difference in a fat content in the creamer variants. The resultd of total solids and melting speed of dragon fruit ice cream showed a p value >0.05, which means there was no sinificant difference between the variations in the use of creamer ingredients. The conlusion of the ingredients for fat content, total slids and melting speed of ice cream that meets SNI standards is fiber crème.
Optimalisasi Kandungan Lemak dan Serat Pangan pada Snack Bar Berbasis Tempe dan Kacang Merah: Sumber Energi Tinggi untuk Atlet Wahida, Difia Addini Nur; Kurnia, Pramudya; Mustikaningrum, Fitriana
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/23jnwy86

Abstract

Due to the intensity of physical activity performed, athletes have higher energy and nutrient requirements than the general public. Snack bars are one option to help athletes meet their high energy needs. This Snack bar is made from main ingredients such as tempeh, red beans, crispy rice, and honey. This study aims to identify the content of dietary fiber and fat in snack bars made from tempeh and red beans. The experimental study was conducted using three formulations of snack bars, namely formulation a: tempe 34.69%: red beans 26.53% (tempe 85 g, red beans 65 g, rice crispy 25 g), formulation B: tempe 30.61%: red beans 30.61% (tempe 75 g, red beans 75 g, rice crispy 25 g), formulation C: tempe 26.53%: red beans 34.69% (tempe 65 g, red beans 85 g, crispy rice 25 g). The results of this study the highest fat content in the snack bar substitution of tempeh and red beans is formula A with a yield of 13.37% and the highest total dietary fiber content in formula C with a yield of 7.09%. There is an effect of tempe and red bean substitution on fat content with one Way ANOVA test results p=0.000. The effect of tempe and red bean substitution on total dietary fiber content with one Way ANOVA test value p=0.000. The highest fat content is formula A with a yield of 13.37% and the highest dietary fiber content in formula C with a yield of 7.09%.
Hubungan Sosial Ekonomi dan Perilaku Food Waste Rumah Tangga dengan Kejadian Stunting pada Balita di Desa Blimbing Kecamatan Gatak Kabupaten Sukoharjo Nansha, Aisyah Sekar Widya; Mustikaningrum, Fitriana; Firmansyah, Firmansyah
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/x8mrv354

Abstract

Stunting is categorized as one of the most common undernutrition problems experienced by the toddler population. Various factors, such as socioeconomic factors including education level, type of employment, and parental income as well as household food waste behavior, have a close relationship with stunting cases in toddlers. The purpose of this study was to determine the relationship between socioeconomic factors and household food waste behavior with stunting cases in toddlers in Blimbing Village, Gatak District, Sukoharjo Regency. This study used a cross-sectional research design with 63 respondents based on Lemeshow calculations taken through a simple random sampling method. Socioeconomic data including education, employment, and income were collected through questionnaires filled out directly by respondents. Data on household food waste behavior and Z-Score data were collected to measure the score and nutritional status based on height/age in toddlers. Data analysis will be conducted using the Chi-Square test, followed by the Fisher Exact Test will be applied as an alternative test. The results of the bivariate analysis between socioeconomic variables (mother's/father's education, mother's/father's occupation, income) with the incidence of stunting showed p-values ​​(p=0.177), (p=1.000), (p=0.522), (p=1.000) and (p=0.260) and household food waste behavior obtained a value (p=1.000). The conclusion in this study is that there is no relationship between socioeconomic and household food waste behavior with the incidence of stunting in toddlers in Blimbing Village, Gatak District, Sukoharjo Regency.
Pengembangan Formula Enteral Tinggi Branched-Chain Amino Acid Berbasis Ikan Gabus, Putih Telur Bebek, dan Labu Kuning (GAPULA) Gondosari, Misykat Huda Kesumo Rohmat Putri; Mustikaningrum, Fitriana; Kelimari, Rewinta Putri Denaru; Alfadila, Tsania Izza; Alam, Regita Shalsabillah Dhita; Swastikaningrum, Alifia Divana Ayu
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/8yqd8884

Abstract

Liver cirrhosis is a disease of the liver organ that remains a concern in global health. Patients with cirrhosis and malnutrition can experience a higher incidence of complications compared to non-malnourished patients. To prevent the severity of malnutrition due to insufficient nutrient intake through oral food, the use of enteral nutrition high in Branched-Chain Amino Acids (BCAA) can be considered. The objective of this research is to determine the quality of a high BCAA enteral formula based on snakehead fish, duck egg whites, and pumpkin (GAPULA) in terms of nutritional content, osmolality, flow rate, viscosity, and formula acceptability. This research method employs an experimental design using two treatments with variations in the ratio of duck egg whites and snakehead fish in formula 1 at 1:1 and in formula 2 at 1:2. The results of this study indicate that there are differences in viscosity, osmolality, flow rate, and hedonic properties between formula 1 and formula 2. The best viscosity and flow rate were found in formula 2, which had a viscosity of 642.4 cP (P<0.05) and a flow rate of 0.7 cc/second. Meanwhile, the best osmolality was found in formula 1, which had an osmolality of 472 mOsmol/kg. The recommended formula is formula 2, which has a lower viscosity and an osmolality value that is not significantly different from formula 1.
Efektivitas Program Pemberian Makanan Tambahan (PMT) Lokal Terhadap Peningkatan Berat Badan Balita Underweight dan Wasting Wijayanti, Amanda Dwi; Zulaekah, Siti; Sudaryanto, Ruli
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/gazaqy98

Abstract

Children under five in underdeveloped nations continue to suffer from nutritional issues brought on by nutritional inadequacies, such as underweight and wasting. The goal of Local Supplementary Feeding (PMT), a type of nutrient-rich food supplementation, is to improve the nutritional status of children between the ages of 6 and 59 months. This study aims to assess how well local supplemental feeding (PMT) programs raise the weight of toddlers who are underweight and wasting. One group was used in this quasi-experimental study's pretest-posttest design. Purposive sampling was used to choose 35 children between the ages of 12 and 59 months, 18 of whom had underweight issues and 17 of whom had wasting issues. Each toddler received a local PMT for 28 days to measure weight gain. The Paired Sample T-Test was used for statistical analysis because the data fit the normal distribution. Local PMT significantly raised body weight in both the underweight group (p = 0.002) and the wasting group (p = 0.005), according to paired sample t-test analysis. However, using an independent sample t-test to compare the effectiveness between the groups with the value of change (Δ) in body weight, the results were p = 0.108 (p > 0.05). This implies that the two groups' weight growth did not differ much. Local PMT administration for 28 days was shown to significantly increase body weight in underweight and wasting toddlers. However, comparative analysis of weight change between groups showed no statistically significant difference (p > 0.05), so the effectiveness of PMT can be considered similar in both nutritional conditions.
Pemberian Makanan Tambahan (PMT) Berbahan Pangan Lokal Terhadap Kenaikan Berat Badan pada Balita Gizi Kurang : Studi Kasus Puskesmas Grogol Kabupaten Sukoharjo Ningtyas, Puput Fitria Erli; Muwakhidah, Muwakhidah; Nugrahani, Asti
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/frqeay08

Abstract

Undernutrition in toddlers remains a pressing issue in improving public health. One potential and contextually relevant intervention is the provision of supplementary feeding (PMT) using locally sourced foods. This case study aimed to evaluate changes in the nutritional status of an undernourished toddler following a 14-day intervention with local food-based PMT. The study involved a 15-month-old toddler diagnosed with underweight and stunting. The intervention consisted of high-energy and high-protein snacks made from local ingredients, provided twice daily. Monitoring was conducted on body weight and height on day 0, day 7, and day 14. In addition, nutrition education and counseling were given to the toddler's parents. The results showed an increase in body weight from 6.6 kg to 6.95 kg, while height remained unchanged at 69 cm. The weight gain reflects a positive response to the short-term local PMT intervention. Conversely, the static height suggests that longer intervention periods are needed to support improvements in linear growth. Parental education played an important role in enhancing understanding of balanced nutrition practices. This study highlights the importance of comprehensive nutritional interventions that go beyond food provision, integrating family education and environmental improvements to achieve sustainable and optimal outcomes.

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