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Pemberian jus buah vitamin C dan madu menurunkan disfungsi rongga mulut pada anak akibat kemoterapi Hariani, Gusti Ayu Nyoman; Sulistyadewi, Ni Putu Eny; Kusumawati, I Gusti Ayu Wita
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : Dysfunction of the oral cavity is a common side effect of chemotherapy that occurs in children who are undergoing chemotherapy. To prevent a decline in quality of life of children with cancer, immediate treatment by maintaining nutritional balance is needed. This study aimed to determine the effect of vitamin C fruit juice to dysfunction of the oral cavity in children undergoing chemotherapy at Sanglah Hospital.Methods : This was a quasi-experimental study with nonrandomized pre and posttest with control group design. Samples were taken using total sampling method, consisted of 26 children aged 3-12 years. Vitamin C intake rated by evaluation of vitamin C juice residue and dysfunction of the oral cavity were assayed by Beck Oral Assessment Scale (BOAS). The entire samples were given vitamin C fruit juice in accordance with BOAS score for 5 days. Normality test of pre-test, post-test and the difference between pre and post test data with Shapiro Wilk test showed that data were normally distributed (Î±> 0.05) so that data was analyzed using parametric test paired independent sample - test with a score of 0.001 and 95% level of significance. Results : Results of analysis showed differences of oral cavity dysfunction score before and after fruit juice vitamin C treatment. Before treatment, mean of oral cavity dysfunction score in control group was 13.1 Â± 2.1 and 12.8 Â± 0.9 in treatment group. Mean of oral cavity dysfunction score after administration of oral vitamin C fruit juice in the control group and treatment group was 10.8 Â± 1.8 and 8.2 Â± 1.4, respectively. Conclusion : There were an effect of vitamin C fruit juice and honey decrese of oral cavity dysfunction in children aged 3-12 years who were undergoing chemotherapy

Hubungan status besi dan ioidum ibu hamil trimester III terhadap berat badan dan lingkar kepala bayi lahir didaerah endemik GAKI Novitasari, Sherly; Hadisaputro, Soeharyo; SS, Darmono; Rachmawati, Banundari; Pemayun, Tjokorda Gde Dalem
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Iodine and iron were micronutrient that highly related with formation of thyroid hormone. Iodine and iron deficiency during pregnancy, will affect fetal development. Weight and born babyâ€™s head circumference were early indicator of infant development, because it describe the result of interaction of several factors for fetus during pregnancy. Objectives: To determine correlation between iodine and iron status of pregnant women in third trimester with born babyâ€™s weight and head circumference. Methods: Cross sectional study with 49 pregnant women on third trimester and their baby born. Measurement of iron status used sTfR level by ELISA and iodine status used EIU. Meanwhile for the born baby, measurement was taken place on the babyâ€™s weight and head circumference. Results: The average of iron status is 22,15 nmol/L, meanwhile average of iodine status is 168,63 Î¼g/L with urine median value 165 Î¼g/L. Statistical analysis with multiple correlation test showed no significant relationship between iron and iodine status of third trimester pregnant women to birth weight (r = 0,286; p = 0,141) as well as the babies head circumference (r = 0,195; p = 0,412).Conclusion: Iron and iodine status of third trimester pregnant women have low correlation to the born babies weight or head circumference in endemic area.

Pengaruh suplementasi taburia (sprinkle) terhadap kadar hemoglobin balita gizi kurang usia 3-5 tahun di Kecamatan Lewimunding Kabupaten Majalengka Budiana, Teguh Akbar; Kartasurya, Martha Irene; Judiono, Judiono
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Anemia is the most common nutritional problem found in the world, whichal sooccurred in under five children. Anemia is one of themain nutritional problems in Indonesia. Anemia treatment by iron (Fe) supplementation the community level were not successfull yet. This research aimed to investigate the effect of sprinkle supplementation on hemoglobin level of malnourished children aged 3-5 years.Method: Randomized pretest - posttest control group design was implemented on 66 anemic malnourished children aged 3-5 years. Study was conducted in Lewimunding subdistrict. Subjects were divided into two groups, treatment and control groups. Sprinkle supplementation and nurition education were given to treatment group for 2 months, while control group were only recieved nutrition education. All subjects treated by 400 mg Albendazol before supplementation. Data were nutrient intake collected by 24 hour Recall method. Hb was measured by Cyamethaemoglobin. Data were analyzed by Mann-Whitney,Â Independent Sample Test, Wilcoxon Signed Ranks, Paired Test and linear regression method.Result: There was no difference in energy, protein, iron, vitamin B6, vitamin B12 and vitamin C on both treatment and control groups. There is no difference in hemoglobin levels between the groups before supplementation (p=0.290). Hemoglobin increased on treatment group from (11.14Â±0.85 mg/dl) to (12.31Â±0.55 mg/dl) with p=0.001. Hemoglobin also increased from (10,95 Â± 0,71 mg/dl) to (11,81 Â±0,53 mg/dl) in the control group (p=0.001). SprinkleÂ supplementation increased by hemoglobin levelÂ 0.69 mg/dl higher than the control group (p=0.001). Multivariate analysis that hemoglobin level increased byÂ 0.66 mg/dl higher compared to the control group after controlled by initial hemoglobin.Conclusion: Sprinkle supplementation for two months increase hemoglobin level of anemic malnourished children.

Pengaruh pemberian rumput laut sargassum sp terhadap kadar hemoglobin dan feritin serum Yuniarti, Anita; Hadisaputro, Soeharyo; W, Nyoman Suci
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : Anemia is a global phenomenon involving developing countries. Fifty percent of anemia cases is caused by iron deficiency. Indonesia is a tropical country that is rich in various kinds of marine plants and still not used optimally.Sargassum sp is one of high iron contains seaweed but still less utilized. Objectives: the aim of this study was to analyze the influence of Sargassum sp on hemoglobin and serum ferritin level. Methods : a simple randomized with pre and posttest control group design was used in this study. Sixteen Wistar male rats were divided into 2 groups (1) control (2) treatment and fed with Sargassum sp 0,49 g for 14 days. During the treatment pre and post hemoglobin and serum ferritin was measured. Results : : iron level in Sargassum sp was 122,37mg/g and Pb level was 0,00009%. In the treatment group hemoglobin level was significantly increased 5,24 mg/dl (p<0,05) and serum ferritin was increased 4,20 Âµg/ml (p>0,05). Conclusion : sargassum sp increased hemoglobin level on anemic wistar rat but not in serum ferritin significantly.Â

Pengaruh substitusi tepung terigu dengan tepung porang (amorphophallus oncopphyllus) terhadap kadar protein, serat pangan, lemak, dan tingkat penerimaan biskuit Mahirdini, Silmi; Afifah, Diana Nur
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : It is associated with a healthy lifestyle in the prevention of cardiovascular disease risk with consumption of low-fat foods and increased consumption of dietary fiber, which can be obtained from porang flour. One of processed food products consumed by many people is a biscuit. This study aims to determine the effect of different substitution of wheat flour with porang flour on protein content, dietary fiber content, fat content, and acceptance level of biscuits.Methods : Experimental research with a completely randomized design with 4 variations of flour and porang flour substitution each 0: 100%, 30: 70%, 60: 40%, and 100: 0%. Statistical analysis of protein levels using the Kruskal-Wallis test, while statistical analysis of levels of dietary fiber, and fat using One Way ANOVA 95% with Tukey test for further analysis. The results of organoleptic test used Friedman test and Wilcoxon test for further analysis.Results : Highest protein content contained in a biscuit with substitution of 100% flour porang and 0% flour, levels of dietary fiber soluble and insoluble highest in substitution of 40% of porang flour and 60% wheat flour and fat content was lowest for the biscuits with the substitution of 100% 0% porang flour and wheat flour. Based on the results of acceptance level, the closest biscuits are biscuits with a control group of 40% substitution porang flour and 60% wheat flour.Conclusion : Substitution porang flour and wheat flour in making of biscuits to give effect to the levels of soluble dietary fiber and insoluble, fat content, and the level of acceptance.

Pengaruh status gizi & asupan gizi ibu terhadap berat bayi lahir rendah pada kehamilan usia remaja Retni, Retni; Margawati, Ani; Widjanarko, Bagoes
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Introduction. Teenage pregnancy at risk of having a baby with low birth weight (LBW). This happens because of the condition of the mother is still in the growth, physical development is not perfect so it can be detrimental to the health of mother and fetus. The research objective is to analyze the effect of nutritional status and nutrient intake of mothers of low birth weight in pregnancy adolescence.Methods:Â The study design was observational with prospective cohort approach.The subject is the population of third trimester pregnant women aged 16-19 years amounted to 27 people. The nutritional status measured by antropometry. Nutrient intake was measured by 24-hour food recall method. Data were analyzed by calculating the relative riskResults: 66,7% had a protein energy malnutrition, 51,9% had less weight gain during pregnancy, and 59,3% are anemic. The mean intake of energy, protein, folic acid, iron, zinc, vitamin A and C are in not enough categories. The relative risk test showed that less weight gain during pregnancy (RR= 3,71;95% CI 1,34-10,25, low energy intake (RR =6.03; 95% CI 5,68-898,64), low protein (RR= 13,00;95% CI 1,97-85,45), low folic acid (RR = 13,00;95% CI 1,97-85,45), low iron (RR= 4,00;95% CI 1,71-9,34) at risk of having low birth weight. Conclusions: Pregnant women-adolescence with less weight gain during pregnancy, energy protein malnutrition and low energy, protein, folic acid and iron intake at risk of having low birth weight.

Karakteristik keluarga yang berhubungan dengan status gizi balita umur 6- 59 bulan Purwanti, Rachma; Wati, Erna Kusuma; Rahardjo, Setiyowati
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Nutrition is a factor that most determines the quality of human resources. Lack of nutrition during infancy can lead delayed in physical growth, motor development and impaired cognitive development. Family characteristics holds an important role to solve nutrition problems.Objective: to determine the family characteristics associated with nutritional status of children at the Community Health Centers of Sumbang II, Banyumas Regency. Methods: This type of study is a case - control. Sample cases were children aged 6-59 months who have undernutrition status, while the controls were well nourished children aged 6-59 months. Sample of cases and controls each of 46. Data was analyzed using univariate, bivariate, and multivariate methods. Result: Based on this research, it is known that the characteristics of the families studied, which are associated with nutritional status of children in the Community Health Center II Sumbang, Banyumas Regency is the level of motherâ€™s nutritional knowledge with a p value=0.002 and OR=3.875. Other variable of family characteristics, namely large families, health care utilization, and environmental sanitation were not associated with nutritional status of children (p=0.921; p=0.173; p=0.204). Conclusion: Level of motherâ€™s nutritional knowledge was associated with nutritional status. As a suggestion, to improve nutritional status on children at the Community Health Centers of Sumbang II it need to increase knowledge of mothers by training and counseling, better supervision and monitoring of nutritional status of children, and increase roles of an integrated services post.

Pengaruh suplementasi seng dan vitamin B6 terhadap kadar hemoglobin, hematokrit dan indeks eritrosit pasien malaria vivax yang anemia Sofiyetti, Sofiyetti; Dharmana, Edi; Rahfiludin, M. Zen; W, Nyoman Suci; Afifah, Diana Nur
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Zinc supplementation decrease the risk of malaria parasitaemia, increasing ferritin serum level and hemoglobin in patients with malaria. Zinc influence the activity of aminolevulinic acid dehydratase (ALAD) an enzymes that catalizes heme synthesize. Vitamin B6 in pyridoxal 5-phosphate (PLP) from has a role in alpha-aminolevulinic acid (ALA) formation, which is the precursor of heme in hemoglobin. PLP also inhibit the growth of the malaria parasite.Objective: The objective was to analyze the effect of zinc and vitamin B6 supplementation on hemoglobin level, hematocrit and erythrocyte indexs (MCV, MCH and MCHC) of anemic Plasmodium vivax malaria patients.Methods: Double Blind Randomised Controlled Trial with pre and post test design. 30 subjects were divided into two groups: the suplementation group were given zinc 1x10 mg/day with vitamin B6 1x5 mg/day and the control group were given a placebo for 30 days. Data analysis by paired t-test, independent t-test and Mann Whitney.Results: There was an increase in Hb levels in the suplementation group (p=0.0001), the control group (p=0.001) and there was a significant difference on the increase between the two groups (p=0.020). Hematocrit significant increase only in the suplementation group (p=0.0001). There were no differences on erythrocyte index parameter in both groups.Conclusion: Zinc and vitamin B6 supplementation of for 30 days increase the hemoglobin level, hematocrit and there were no effect on erythrocyte indexs of anemic Plasmodium vivax malaria patients.

Faktor risiko stunting pada anak umur 12-24 bulan Wellina, Wiwien Fitrie; Kartasurya, Martha Irene; Rahfiludin, M. Zen
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : In 2013, the prevalence of stunting and severe stunting in Brebes reached 26.9 % and 16.8 %. These prevalences of stunting were higher than the stunting prevlence in Central Java Province (11.0%). This study aimed to determine risk factors of stunting among children aged 12-24 months in Brebes District.Methods: This research was conducted with a case-control design on 77 cases (stunting) and 77 controls (normal) in Brebes Subdistrict. Data on birth weight, birth length, infection history, pesticide exposure were obtained through interviews, using structured questionnaires. The analysis was conducted by calculating Odd Ratios and logistic regressions.Results : Multivariate results showed that the risk factors of stunting in children aged 12-24 months in Brebes Â subdistrict were low energy adequacy levels (OR =7.71; 95%CI: 3.63-16.3; p=0.001), low protein adequacy levels (OR=7.65 ; 95%CI:3.67-15.9, p=0.001); low zinc adequacy levels (OR=8.78; 95%CI:3.53-21.5, p=0,001); low birth weight (OR=3.63; 95%CI:1.65-7.96; p=0.002) and high exposure to pesticides (OR=8.48; 95%CI:3.93-18.28; p=0,001). These three variables are contributing to stunting of 45 %. Low compliance of vitamin A capsule consumption, the frequencies of diarrhea respiratory infection were not the risk factors for stunting in this study.Conclusions: The risk factors of stunting among children aged 12-24 months were low energy adequacy levels, low protein adequacy levels, low zinc adequacy levels, low birth weight and high exposure to pesticides. The highest risk was the high pesticide exposure.

Peran modul MP-ASI dalam perilaku pemberian MP-ASI pada ibu anak bawah dua tahun (BADUTA) SP, Sri Hapsari; Margawati, Ani; Nugraheni, SA.
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 5, No 1 (2016)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

BackgroundÂ :Â LackÂ ofÂ complementary feeding behavior is one of the problems in Indonesia. Nutrition education about complementary feeding among mother from infants aged 6-24 months should be carried out to support compelementary feeding behavior. Module with an easily language punctuated by images and can be learned at home is expected to incerase complementary feeding behavior among mothers from child under two years old.Method : The design of this research was quasi-experimental with non-randomized pre-test and post-testÂ controlÂ groupÂ design. Training of complementary feedings module were given for four meetings. The annalyze were conducted by SPSS program.Â ResultÂ : This study found that the median age of subjects between two group are adults. The median duration of education are 9 years. There was no difference of Financial families outcome in the both of groups is low. Nutrition education with module can increase complementary feeding behavior at intervention group Â and the improvement of this scores better than control group. Complementary feeding behavior retention increased significantÂ among 2 weeks and 1 month after intervention.Conclusion : Nutrition education with module contribute to improve complementary feeding behavior among mothers from child under two years old.

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