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Journal of Nutrition College
Published by Universitas Diponegoro
ISSN : 23376236     EISSN : 2622884X     DOI : -
Core Subject : Health, Social,
Environmental Science Health Professions Medicine & Pharmacology
Journal of Nutrition College (P-ISSN : 2337-6236; E-ISSN : 2622-884X) diterbitkan oleh Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro sebagai media publikasi artikel-artikel ilmiah dalam biang Ilmu Gizi dengan skala terbit 4 kali dalam setahun, yaitu pada Januari, April, Juli, dan Oktober.
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PERAN PROTEIN ENERGY WASTING DALAM PROGRESIVITAS PENYAKIT GINJAL KRONIS : A NARRATIVE LITERATURE REVIEW Rochma, Syafrida Nur; Firda Amaliya, Shafitri
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.49390

Abstract

ABSTRACTBackground: Chronic kidney disease is a growing global health concern. A common complication in chronic kidney disease patients is Protein Energy Wasting, a malnutrition condition leading to muscle mass loss and a decline in nutritional status. Protein Energy Wasting accelerates chronic kidney disease progression, increases comorbidities, and reduces quality of life.Objective: This study explores the role of Protein Energy Wasting in chronic kidney disease progression and evaluates nutritional strategies to mitigate its effects.Methods: A narrative literature review was conducted using PubMed, Science Direct, and Google Scholar. Articles were selected based on inclusion and exclusion criteria, focusing on studies from the last five years (2021-2025) discussing Protein Energy Wasting and chronic kidney disease.Results: Protein Energy Wasting in chronic kidney disease patients is driven by chronic inflammation, metabolic disorders, and hormonal imbalances, leading to faster kidney function decline and increased health risks. Effective management requires a multidisciplinary approach, including a low-protein diet with specialized renal nutrition, anti-inflammatory therapy, and adequate protein and energy intake to maintain muscle mass.Conclusion: Protein Energy Wasting significantly contributes to chronic kidney disease progression and increases morbidity and mortality. Proper nutritional interventions, such as tailored diets and renal-specific supplements, help preserve nutritional status and slow disease progression. Further research is needed to refine strategies for managing Protein Energy Wasting and improving patient outcomes.Keywords: Chronic kidney disease; protein energy wasting; malnutrition ABSTRAKLatar Belakang: Penyakit ginjal kronis merupakan masalah kesehatan global yang terus meningkat. Salah satu komplikasi umum pada pasien penyakit ginjal kronis adalah Protein Energy Wasting, yaitu kondisi malnutrisi yang menyebabkan kehilangan massa otot dan penurunan status gizi. Protein Energy Wasting mempercepat progresi penyakit ginjal kronis, meningkatkan risiko komorbiditas, dan menurunkan kualitas hidup pasien.Tujuan: Studi ini mengeksplorasi peran Protein Energy Wasting dalam progresi penyakit ginjal kronis serta mengevaluasi strategi gizi untuk mengurangi dampaknya.Metode: Kajian pustaka dengan pendekatan naratif dilakukan menggunakan database PubMed, Science Direct, dan Google Scholar. Artikel dipilih berdasarkan kriteria inklusi dan eksklusi, dengan fokus pada penelitian lima tahun terakhir (2021-2025) yang membahas hubungan antara Protein Energy Wasting dan penyakit ginjal kronis.Hasil: Protein Energy Wasting pada pasien penyakit ginjal kronis disebabkan oleh inflamasi kronis, gangguan metabolik, dan ketidakseimbangan hormonal, yang mempercepat penurunan fungsi ginjal serta meningkatkan risiko komplikasi kesehatan. Penanganan Protein Energy Wasting memerlukan pendekatan multidisiplin, seperti diet rendah protein dengan gizi khusus penyakit ginjal, terapi antiinflamasi, serta asupan cukup protein dan energi untuk menjaga massa otot.Kesimpulan: Protein Energy Wasting berperan penting dalam progresi penyakit ginjal kronis dan berhubungan erat dengan meningkatnya angka morbiditas dan mortalitas. Intervensi gizi yang tepat, seperti diet yang disesuaikan dan suplementasi khusus ginjal, dapat membantu mempertahankan status gizi serta memperlambat perkembangan penyakit. penelitian lebih lanjut diperlukan untuk mengembangkan strategi optimal dalam menangani Protein Energy Wasting pada pasien penyakit ginjal kronis guna meningkatkan kualitas hidup mereka.Kata kunci: Penyakit ginjal kronis; protein energy wasting; malnutrisi
LITERATUR REVIEW : HUBUNGAN RIWAYAT PENYAKIT INFEKSI ISPA DAN DIARE DENGAN KEJADIAN UNDERWEIGHT PADA USIA 0-23 BULAN DI INDONESIA Aliyah, Any Rovikotul; Anjani, Gemala; Syauqi, Ahmad
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.49357

Abstract

ABSTRACTBackground: The prevalence of underweight in children aged 0-23 months in Indonesia has increased from 16.3% to 17% based on data from the 2021 Indonesian Nutritional Status Study (SSGI). Underweight is a nutritional problem identified using the BB/U indicator (comparing the child's relative weight to age). The direct cause of underweight is infectious diseases (ARI, diarrhea, measles, pulmonary TB)Objective: To determine the relationship between infectious diseases and the occurrence of underweight in children aged 0-23 months in Indonesia.Method: The research method used in this study is a literature review. This research was conducted by collecting and analyzing data from written sources such as scientific journals, books, articles, and other documents related to the research topic.Results: This literature review study shows that several infectious diseases that often occur in toddlers such as ARI and diarrhea, result in underweight if not handled quickly and appropriately. Factors that influence the occurrence of ARI and diarrhea are the availability of drinking water sources, types of feces disposal and waste disposal that do not meet requirements and are far from being adequate or dirty.Conclusion: The results of the entire literature review indicate that there is a relationship between a history of ARI and diarrhea and the incidence of underweight in toddlers aged 0-23 months. Toddlers aged 0-23 months are more likely to be underweight than children who do not have a history of infectious diseases in the last three months.Keywords: infectious diseases, underweight, toddlers ABSTRAKLatar belakang: Prevalensi underweight pada usia 0 – 23 bulan di Indonesia mengalami peningkatan dari 16,3% menjadi 17% berdasarkan dari data Studi Status Gizi Indonesia (SSGI) tahun 2021. Underweight merupakan permasalahan gizi yang diidentifikasi dengan menggunakan indikator BB/U (membandingkan berat badan relatif anak terhadap usia). Penyebab langsung underweight yaitu penyakit infeksi (ISPA, diare, campak, TB paru). Tujuan: Mengetahui hubungan penyakit infeksi dengan adanya kejadian underweight pada anak usia 0-23 bulan di Indonesia.  Metode: Metode penelitian yang digunakan dalam penelitian ini adalah berupa tinjauan literature review. Penelitian ini dilakukan dengan cara mengumpulkan dan menganalisis data dari sumber-sumber tertulis seperti jurnal ilmiah, buku, artikel, dan dokumen lainnya yang terkait dengan topik penelitian.  Penelitian ini merupakan literature review yang dilakukan melalui pencarian artikel pada basis data PubMed, Google Scholar, dan ScienceDirect. Artikel yang digunakan dipilih menggunakan kriteria inklusi tahun penelitian 2020-2025, populasi anak usia 0-23 bulan di Indonesia dan memiliki variabel infeksi berupa ISPA dan diare, serta status gizi underweight. Sebanyak 11 artikel memenuhi kriteria dan dianalisis secara tematik untuk mendapatkan kesimpulan yang relevan.Hasil: Penelitian literatur review ini menunjukkan bahwa beberapa penyakit infeksi yang sering terjadi pada balita seperti ISPA dan diare, mengakibatkan underweight jika tidak cepat dan tepat cara menanganinya. Faktor yang berpengaruh terjadinya ISPA dan diare yaitu ketersediaan sumber air minum, jenis tempat pembuangan tinja dan pembuangan sampah tidak memenuhi syarat dan jauh dari kata layak ataupun kotor.Simpulan; Penelitian menunjukkan adanya hubungan antara riwayat penyakit ISPA dan diare terhadap kejadian underweight pada balita usia 0-23 bulan. Balita usia 0-23 bulan memiliki kemungkinan lebih besar mengalami underweight dibandingkan anak yang tidak mempunyai riwayat penyakit infeksi dalam kurun waktu tiga bulan terakhir.Kata kunci: Penyakit infeksi; underweight; balita
SENSITIVITAS DAN SPESIFISITAS MODEL PREDIKSI PERSEN LEMAK TUBUH UNTUK PENENTUAN STATUS GIZI DEWASA Kristisanthy, Akwilina Dwi; Wiboworini, Budiyanti
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.50935

Abstract

ABSTRACTBackground: Measurement of body fat percentage with BIA (Bio Impedance Analyzer) is an accurate standard for obesity. Another alternative is using an equation (model) predicting body fat percentage with simpler anthropometric indicators. This prediction model refers to foreign references that need to be tested for validity for use in Indonesia.Objectives: This study aims to test the Deurenberg prediction model and the Relative Fat Mass Index (RFM) as a predictor of fat mass Methods: This is a preliminary research, with a case study on students of Master of Nutrition Science in Human Nutrition, Sebelas Maret University. Primary data on body weight, height, waist circumference were then calculated using the Deurenberg formula and Relative Fat Mass Index (RFM) to obtain body fat results, then compared with the results of BIA measurements as a standard. Data analysis is presented with descriptive analysis followed by validity test.Results The validity test results show that the Deurenberg prediction model has a sensitivity value of 94.7%, specificity of 50%, PPV 81.8% and NVP 80%, while RFM has a sensitivity value of 66.7%, specificity of 66.5%, PPV 80% and NVP 45.5%.Conclusion: The Deurenberg body fat percentage prediction model has a better validity value than the RFM prediction model and can be recommended for wider testing in the adult age group.Keywords : Deurenber; percent body fat; RFM, sensitivity; specificity ABSTRAKLatar belakang: Pengukuran persen lemak tubuh dengan BIA (Bio Impedance Analyzer) menjadi standar yang akurat untuk obesitas.  Alternatif lain menggunakan persamaan (model) prediksi persen lemak tubuh dengan indikator antropometri yang lebih sederhana. Model prediksi ini mengacu pada referensi luar negeri yang perlu diuji validitasnya untuk digunakan di Indonesia.Tujuan: Penelitian ini bertujuan menguji model prediksi Deurenberg dan Relative Fat Mass Index (RFM) sebagai prediktor massa lemak.Metode: merupakan penelitian pendahuluan, dengan studi kasus pada mahasiswa Magister Ilmu Gizi Human Nutrition Universitas Sebelas Maret. Data primer berat badan, tingggi badan, lingkar pinggang kemudian dihitung dengan rumus Deurenberg dan Relative Fat Mass Index (RFM) untuk mendapatkan hasil lemak tubuh, Selanjutnya dibandingkan dengan hasil pengukuran BIA sebagai standar.Hasil: Analisis data disajikan dengan analisis deskriptif dilanjutkan uji validitas. Hasil uji validitas menunjukan bahwa model prediksi Deurenberg memiliki nilai sensitivitas 94,7%, spesifisitas 50%, PPV 81,8% dan NVP 80%, sedangkan RFM  nilai sensitivitas 66,7%, spesifisitas 66,5%, PPV 80% dan NVP 45,5%. Simpulan: Model prediksi persentase lemak tubuh Deurenberg memiliki nilai validitas yang lebih baik dibandingkan model prediksi RFM dan dapat direkomendasikan untuk pengujian yang lebih luas pada kelompok usia dewasaKata Kunci : Deurenberg; persen lemak tubuh; RFM; sensitivitas; spesifisitas
PENGARUH JUMLAH DAN FREKUENSI ASUPAN CAIRAN TERHADAP OSMOLALITAS URIN SERTA HUBUNGANNYA DENGAN KINERJA KOGNITIF Soeparto, Angieda; Sulistyo Rini, Sri Lestari; Dewi Puspita, Ratna
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.53792

Abstract

ABSTRACTBackground: Water play a vital role in physiological functions, including fluid balance and cognitive performance. Mild dehydration can impair cognitive function; however, evidence regarding the impact of volume and frequency fluid intake on hydration status and cognitive performance remains limited, particularly in non-athletic populations.Objectives: To explore the effect of volume and frequency fluid intake on urinary osmolality and its correlation with cognitive performance.Methods: Quasi-experimental study involved three measurements (baseline, pre-test, post-test). Total of 32 participants were divided into four groups: control (CO, n=8), intervention 1 (IN1, 1 L of water consumed within 15 minutes, n=8), intervention 2 (IN2, 250 mL every 30 minutes, 4 times, n=8), and intervention 3 (IN3, 500 mL every 30 minutes, 2 times, n=8). After 12-hour fluid fasting period, urinary osmolality and cognitive performance (Trail Making Test [TMT], Digit Symbol Substitution Test [DSST], and Stroop Test) were measured pre- and post-intervention.Results: IN1 showed the most significant reduction in urinary osmolality (p=0.000). IN3 yielded the best cognitive performance outcomes, with reductions in completion times for TMT-A (p=0.012) and TMT-B (p=0.025), increased DSST scores (p=0.001), and shorter Stroop Test times (p=0.021). A strong positive correlation was found between urinary osmolality and Stroop Test completion time in the IN1 group (p=0.020).Conclusion: A large volume of water consumed at once is effective in reducing urinary osmolality. The combination of fluid intake volume and frequency plays an important role in supporting cognitive performance.Keywords: hydration status; fluid intake behavior; cognitive performance; urinary osmolality. ABSTRAKLatar belakang: Air berperan penting dalam fungsi fisiologis tubuh, termasuk menjaga keseimbangan cairan dan fungsi kognitif. Dehidrasi ringan dapat menurunkan performa kognitif, namun bukti mengenai pengaruh jumlah dan frekuensi asupan cairan terhadap status hidrasi dan fungsi kognitif masih terbatas, terutama pada populasi non-atletik.Tujuan: mengeksplorasi pengaruh jumlah dan frekuensi asupan cairan terhadap osmolalitas urin dan korelasinya dengan kinerja kognitif.Metode: Penelitian menggunakan desain quasi-experimental dengan tiga kali pengukuran (baseline, pre-test, post-test). Sebanyak 32 subjek dibagi menjadi empat kelompok: kontrol (KO, n=8), intervensi 1 (IN1, 1 L air mineral dalam 15 menit, n=8), intervensi 2 (IN2, 250 mL tiap 30 menit sebanyak 4x, n=8), dan intervensi 3 (IN3, 500 mL tiap 30 menit sebanyak 2x, n=8). Setelah puasa cairan 12 jam, dilakukan pengukuran osmolalitas urin dan kinerja kognitif (Trail Making Test, Digit Symbol Substitution Test, Stroop Test) pre dan post intervensi.Hasil: IN1 menunjukkan penurunan osmolalitas urin paling signifikan (p=0,000). IN3 memberikan hasil terbaik pada kinerja kognitif dengan penurunan waktu pengerjaan TMT A (p=0,012) dan TMT B (p=0,025), peningkatan skor DSST (p=0,001), serta penurunan waktu Stroop Test (p=0,021). Terdapat korelasi positif kuat antara osmolalitas urin dan waktu Stroop Test pada IN1 (p=0,020).Simpulan: Volume cairan yang besar dalam satu waktu efektif menurunkan osmolalitas urin. Kombinasi jumlah dan frekuensi asupan cairan berperan penting dalam mendukung fungsi kognitif.Kata Kunci: status hidrasi; perilaku asupan cairan; kinerja kognitif; osmolalitas urin.
THE LIPID ACCUMULATION PRODUCT INDEX AS AN ALTERNATIVE BIOMARKER FOR EARLY DETECTION OF METABOLIC SYNDROME: A NARRATIVE REVIEW Alvitananda, Alya Ayu; Pramono, Adriyan; Noer, Etika Ratna
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.52752

Abstract

ABSTRACTBackground: Metabolic syndrome (MetS) is a cluster of metabolic disorders that increases the risk of cardiovascular disease and type 2 diabetes. Early detection is crucial, especially in developing countries with limited healthcare services and infrastructure. The lipid accumulation product (LAP) index offers a simple, affordable, and accurate alternative biomarker because it reflects visceral fat accumulation as a significant risk factor for MetS.Objective: This review aims to evaluate the potential of the LAP index as an alternative biomarker for MetS screening through a narrative review of various global epidemiological studies.Methods: This study employs a narrative review approach, incorporating theoretical analysis and data from international articles. The search was conducted across several databases, including PubMed, ScienceDirect, and Google Scholar. Data were searched from peer-reviewed articles published between 2016 and 2025 using several selected keywords, including lipid accumulation product, metabolic syndrome, biomarkers, visceral fat, and insulin resistance.Results: A review of 10 studies showed that the LAP index had an area under the curve (AUC) value > 0.850 in most studies, with sensitivity (Sn) and specificity (Sp) generally exceeding 80%. The LAP index also demonstrated better or comparable diagnostic performance to other biomarkers. In addition to its good statistical validity, this index also excels in terms of physiology and practicality.Conclusion: The LAP index has the potential to serve as an efficient, affordable, and applicable biomarker for screening MetS based on various global epidemiological studies, and supports more targeted prevention and lifestyle interventions in at-risk individuals.Keywords: Lipid accumulation product; metabolic syndrome; biomarker; visceral fat; insulin resistance
DIETARY EXPOSURE TO ANTIMICROBIAL RESISTANCE GENES (ARGs) FROM LIVESTOCK PRODUCTS AND ITS IMPLICATIONS FOR GUT HEALTH IN CHILDREN – A REVIEW Sinthika, Euodia; Rustanti, Ninik; Sri Lestari, Endang
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.51238

Abstract

ABSTRACTBackground: ARGs found in animal-derived foods represent a significant route of antimicrobial resistance transmission beyond clinical antibiotic use. Livestock products such as meat, milk, eggs, and fish from animals exposed to antibiotics frequently contain diverse ARGs. Because the gut microbiota of infants and young children is still forming, dietary exposure to ARGs may have amplified biological effects during early development.Objective: This review aims to synthesize current evidence the presence of ARGs in livestock-based foods, evaluates how dietary intake may contribute to ARG exposure in children, and describes the mechanisms through which these genes may influence gut microbiota development and child health.Methods: A comprehensive literature search were conducted in PubMed, MEDLINE, Web of Science, and Google Scholar. English-language studies involving human or animal subjects were included if they examined ARGs in animal-source foods or their implications for gut microbiota and pediatric health. Findings from cohort studies, randomized controlled trials, and mechanistic research were integrated narratively.Results: Studies report ARGs such as blaCTX-M, mecA, tetM, sul1, and gyrA in poultry, beef, milk, eggs, and fish. Following ingestion, ARGs may interact with the pediatric gut through horizontal gene transfer—via conjugation, transformation, or transduction—promoting dysbiosis, increasing susceptibility to infection, reducing antibiotic effectiveness, and influencing immune function during early life.Conclusion: Dietary exposure to ARGs from animal-source foods may contribute to early establishment of the gut resistome in children and alter microbiota-related functions. Strengthened control of ARGs along the food production chain is essential to reduce exposure and protect child health.Keywords: Antimicrobial Resistance Genes (ARGs); gut microbiota; diet; children
KORELASI KUALITAS DIET DENGAN KUALITAS HIDUP PADA PENYINTAS COVID-19 DI KABUPATEN BANYUMAS Kinasih, Baiti; Margawati, Ani; Ediati, Annastasia
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.50902

Abstract

ABSTRACTBackground: The COVID-19 pandemic has had a significant impact on the global population and various aspects of life. Although the infection can be cured, COVID-19 may cause long-term effects on the health of patients who have been declared virus-free. The quality of life of COVID-19 survivors has been reported to remain relatively low. Nutritional factors could play a role in the recovery process.Objectives: evaluating the correlation between diet quality and quality of life in COVID-19 survivors.Methods: a cross-sectional study involving 96 COVID-19 survivors aged over 18 years was conducted in Banyumas Regency, Central Java. Data collection took place two years following the post-infection phase. Quality of life was assessed using the Indonesian version of the WHOQOL-BREF. Diet quality was measured using the Diet Quality Index-International (DQI-I). We evaluated dietary intake using SQ-FFQ and analyzed it with NutriSurvey software. Pearson and Spearman correlation tests were applied to analyze the data, using IBM Statistic SPSS version 23.Results The physical and psychological domains of quality of life among COVID-19 survivors had lower median scores compared to the social and environmental domains. Most of survivors (83.3%) had poor diet quality. Intake of vegetables, fiber, and calcium was below daily recommendations, while fat intake was excessive, resulting in an imbalance in macronutrient and micronutrient ratios. There was a positive correlation between overall diet quality scores, including dietary diversity, nutrient adequacy (particularly fruit and fiber intake), and nutrient balance. Conversely, intake of total fat, saturated fat, cholesterol, and empty calorie foods showed a negative correlation with quality of life.Conclusion: Nutrient intake plays a contributory role in the rehabilitation process of COVID-19 survivors. Greater attention should be given to the dietary patterns and types of foods consumed by this population.Keywords : diet quality; nutrition; quality of life; COVID-19 survivor. ABSTRAKLatar belakang: pandemi COVID-19 berdampak besar terhadap populasi dunia dan berbagai aspek kehidupan. Meskipun bisa disembuhkan, infeksi COVID-19 dapat menimbulkan efek jangka panjang pada kesehatan pasien yang dinyatakan terbebas dari virus. Kualitas hidup penyintas COVID-19 dilaporkan masih tergolong rendah. Faktor gizi mungkin berperan dalam proses penyembuhan penyakit. Tujuan: mengevaluasi korelasi kualitas diet dengan kualitas hidup pada penyintas COVID-19.Metode: studi potong lintang yang melibatkan 96 partisipan berusia >18 tahun. Penelitian dilakukan di Kabupaten Banyumas, Jawa Tengah, pada penyintas COVID-19 pascainfeksi 2 tahun. Kualitas hidup dinilai dengan WHOQOL-BREF versi Indonesia. Kualitas diet diukur dengan Diet Quality Index International (DQI-I). Asupan makanan dihitung dengan instrumen SQ-FFQ dengan bantuan software nutrisurvey. Uji korelasi pearson dan spearman digunakan untuk analisis data, dengan bantuan software IBM Statistic SPSS 23.Hasil: kualitas hidup penyintas COVID-19 pada domain fisik dan psikis memiliki median yang lebih rendah dari domain sosial dan lingkungan. Kualitas diet penyintas COVID-19 sebagian besar (83,3%) tergolong rendah. Asupan sayur, serat, dan kalsium kurang dari rekomendasi harian. Asupan lemak responden tinggi, sehingga rasio asupan makronutrien dan mikronutrien tidak seimbang. Terdapat korelasi positif antara skor total kualitas diet, keragaman pangan, kecukupan asupan zat gizi yang berasal dari asupan buah dan serat, dan keseimbangan zat gizi, dengan kualitas hidup penyintas COVID-19. Sebaliknya, asupan lemak total, lemak jenuh, kolesterol, dan makanan rendah gizi, berkorelasi negatif dengan kualitas hidup.Simpulan: asupan zat gizi terbukti berkontribusi terhadap proses rehabilitasi penyintas COVID-19. Perlu adanya perhatian lebih pada pola makan dan jenis asupan yang dikonsumsi penyintas COVID-19.Kata Kunci : Kualitas diet; gizi; kualitas hidup; penyintas COVID-19
DINAMIKA DAN DISPARITAS AKSES PANGAN PADA REMAJA DALAM KONTEKS LINGKUNGAN OBESOGENIK: TINJAUAN NARATIF TENTANG DETERMINAN SOSIO-EKONOMI DAN STRUKTURAL Widyastuti, Paula Agung; Noer, Etika Ratna; Nuryanto, Nuryanto
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.53292

Abstract

ABSTRACTBackground:. Adolescent obesity has risen significantly in developing countries alongside socio-economic changes, urbanization, and nutrition transition. Inequities in food access, both in availability and quality, contribute to dietary shifts among adolescents toward high-energy, nutrient-poor foods.Objective: To identify the dynamics and disparities in food access among adolescents in obesogenic environments by examining the role of socio-economic and structural determinants influencing dietary behaviors.Methods: This narrative review involved literature searches in PubMed, ScienceDirect, and Google Scholar, covering publications from 2015 to 2025. Keywords were applied in both English and Indonesian, focusing on adolescent food access, obesogenic environments, and socio-economic determinants.Results: Household income, educational level, and social norms influence food affordability and preferences, whereas food outlet distribution, school policies, and food prices determine the availability of healthy options. These determinants interact to reinforce obesogenic cycles, particularly among low-income groups facing both economic and environmental barriers.Conclusion: Preventing adolescent obesity demands coordinated policies that enhance food access and nutrition education. This review highlights the role of structural inequities in shaping adolescent diets and the need for systemic responses.Keywords: Adolescent obesity; eating behavior; food access; obesogenic environment; socio economic ABSTRAKLatar Belakang: Obesitas remaja meningkat secara signifikan di negara berkembang seiring perubahan sosial ekonomi, urbanisasi, dan transisi gizi. Ketimpangan akses pangan dari segi ketersediaan, maupun kualitas berkontribusi pada pergeseran pola makan remaja menuju konsumsi makanan tinggi energi dan rendah gizi.Tujuan: Mengidentifikasi dinamika dan ketimpangan akses pangan pada remaja di lingkungan obesogenik dengan menelaah peran determinan sosial-ekonomi dan struktural yang memengaruhi perilaku konsumsi pangan.Metode: Tinjauan naratif dilakukan melalui pencarian literatur pada PubMed, ScienceDirect, dan Google Scholar, mencakup publikasi tahun 2015–2025. Kata kunci digunakan dalam bahasa Inggris dan Indonesia terkait akses pangan remaja, lingkungan obesogenik, dan determinan sosial ekonomi.Hasil: Pendapatan keluarga, pendidikan, dan norma sosial memengaruhi keterjangkauan serta preferensi pangan sedangkan variasi outlet, kebijakan sekolah, dan harga pangan menentukan ketersediaan pilihan sehat. Kedua faktor ini berinteraksi menciptakan siklus obesogenik, terutama pada kelompok sosial ekonomi rendah yang menghadapi hambatan ekonomi dan lingkungan.Kesimpulan: Pencegahan obesitas remaja membutuhkan pendekatan multi-level melalui kebijakan distribusi pangan, intervensi komunitas, regulasi pemasaran, dan edukasi gizi untuk memastikan akses pangan yang merata dan berkelanjutan. Kajian ini memberikan kontribusi memahami ketidaksetaraan struktural membentuk pola makan remaja dan menyoroti perlunya kebijakan yang bersifat sistemik.Kata kunci: Akses pangan; lingkungan obesogenik; obesitas remaja; perilaku makan; sosial ekonomi
HUBUNGAN ANTARA STATUS GIZI DENGAN KUALITAS HIDUP PASIEN GAGAL GINJAL KRONIS DENGAN HEMODIALISA DI RSUP DR. MOHAMMAD HOESIN Munthe, Rahmi Yulia; Ramadhani, Ira Dewi; Indah Fajar Ningsih, Windi; Septa Prautami, Erike
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.53185

Abstract

ABSTRACTBackground: Chronic Kidney Disease (CKD) is a non-communicable disease with increasing prevalence in Indonesia and globally. Hemodialysis therapy for end-stage CKD can prolong life expectancy, but it impacts patients' quality of life. Nutritional status is known to influence the quality of life of hemodialysis patients, but previous research has shown discrepancies.Objectives: This study aims to analyze the relationship between nutritional status and quality of life of CKD patients undergoing hemodialysis at Mohammad Hoesin Central General Hospital.Methods: This study used a cross-sectional design with 49 respondents selected through purposive sampling. Data were collected through body mass index (BMI) measurements and the KDQOL-SF 1.3 questionnaire. Nutritional status was categorized as good and malnourished, while quality of life was classified as good and poor. Bivariate analysis used Chi-Square test.Results: The majority of respondents were female, unemployed, had undergone hemodialysis for >1 year, were on hemodialysis twice a week for more than >4 hours, had a good nutritional status (71,4%), and a good quality of life (73,5%). There was a significant relationship between nutritional status and quality of life (p = 0,004), with a PR value of 2,000 (95% CI: 1,076–3,717), indicating that patients with good nutritional status were twice as likely to have a good quality of life compared to malnourished patients.Conclusion: Nutritional status is significantly associated with the quality of life of patients with Chronic Kidney Disease (CKD) on hemodialysis. Optimal nutritional management is a crucial aspect in improving the quality of life of hemodialysis patients.Keywords: Chronic kidney disease; hemodialysis; quality of life; nutritional status ABSTRAKLatar belakang: Gagal Ginjal Kronis (GGK) merupakan salah satu penyakit tidak menular yang prevalensinya meningkat di Indonesia dan dunia. Terapi hemodialisa sebagai penanganan GGK stadium akhir dapat memperpanjang harapan hidup, namun berdampak pada kualitas hidup pasien. Status gizi diketahui berpengaruh terhadap kualitas hidup pasien hemodialisa, tetapi hasil penelitian sebelumnya masih menunjukkan kesenjangan.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi dengan kualitas hidup pasien GGK dengan hemodialisa di RSUP Dr. Mohammad Hoesin.Metode: Penelitian ini menggunakan desain cross-sectional dengan jumlah responden sebanyak 49 orang yang dipilih melalui teknik purposive sampling. Data dikumpulkan melalui pengukuran indeks massa tubuh (IMT) dan kuesioner KDQOL-SF 1.3. Status gizi dikategorikan menjadi normal dan malnutrisi, sedangkan kualitas hidup dikategorikan menjadi baik dan buruk. Analisis bivariat menggunakan uji Chi-Square.Hasil: Mayoritas responden berjenis kelamin perempuan, tidak bekerja, sudah melakukan hemodialisa >1 tahun, melakukan hemodialisa 2 kali seminggu dengan durasi >4 jam, memiliki status gizi normal (71,4%) dan kualitas hidup baik (73,5%). Terdapat hubungan yang signifikan antara status gizi dengan kualitas hidup (p = 0,004), dengan nilai PR = 2,000 (CI 95%: 1,076–3,717), menunjukkan bahwa pasien dengan status gizi normal berpeluang dua kali lebih besar untuk memiliki kualitas hidup yang baik dibandingkan pasien malnutrisi.Simpulan: Status gizi berhubungan signifikan dengan kualitas hidup pasien GGK yang menjalani hemodialisa. Manajemen gizi yang optimal menjadi aspek penting dalam meningkatkan kualitas hidup pasien hemodialisa.Kata Kunci : Gagal ginjal kronis; hemodialisa; kualitas hidup; status gizi
HUBUNGAN INDEKS MASSA TUBUH (IMT) DAN POLA KONSUMSI ASAM LEMAK OMEGA-3 TERHADAP KADAR KOLESTEROL TOTAL PADA PEGAWAI DI YOGYAKARTA Nur'aini, Alfi; Fayasari, Adhila
Journal of Nutrition College Vol 15, No 2 (2026): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i2.52951

Abstract

ABSTRACTBackground: Office workers with a sedentary lifestyle are at risk of elevated total cholesterol levels. Excess Body Mass Index (BMI) and low omega-3 intake have the potential to affect lipid balance in the blood. Omega-3 intake plays an important role in maintaining normal lipid profiles and reducing the risk of cardiovascular diseases. Objectives: This study aimed to determine the relationship between Body Mass Index (BMI) and omega-3 fatty acid intake patterns with total cholesterol levels among employees in Yogyakarta. Methods: This research employed a cross-sectional design with a total of 158 respondents selected through purposive sampling. Data were collected using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), height and weight measurements, and cholesterol level examination using a cholesterol meter. Statistical analyses used were the Spearman rank test and Chi-square test. Results: The majority of respondents had high total cholesterol levels (63.9%), excessive BMI (70.3%), and low omega-3 intake (78.5%). There was no significant relationship between BMI and total cholesterol levels (p=0.560). However, there was a significant relationship between omega-3 intake and total cholesterol levels (p=0.024; OR=2.25), indicating that respondents with low omega-3 intake had a 2.25 times higher risk of having high cholesterol levels. Conclusion: There was no significant relationship between BMI and total cholesterol levels among employees in Yogyakarta. However, there was a significant relationship between omega-3 intake and total cholesterol levels. These findings highlight the importance of increasing omega-3 intake as a preventive measure against dyslipidemia in office workers.Keywords : BMI; omega-3; office workers; total cholesterol ABSTRAKLatar belakang: Pegawai perkantoran dengan gaya hidup sedentari berisiko mengalami peningkatan kadar kolesterol total dalam darah. Indeks Massa Tubuh (IMT) yang berlebih dan pola konsumsi omega-3 yang rendah berpotensi dapat mempengaruhi keseimbangan kadar lipid dalam darah. Asupan omega-3 berperan penting dalam menjaga profil lipid tetap normal dan menurunkan risiko penyakit kardiovaskular. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan antara Indeks Massa Tubuh (IMT) dan pola konsumsi asam lemak omega-3 terhadap kadar kolesterol total pada pegawai di Yogyakarta. Metode: Penelitian ini menggunakan desain cross sectional dengan jumlah responden 158 orang yang dipilih secara purposive sampling. Data dikumpulkan menggunakan kuesioner Semi Quantitative Food Frequency Questionnaire (SQ-FFQ), pengukuran tinggi badan dan berat badan, serta pemeriksaan kolesterol dengan alat cholesterol meter. Analisis statistik yang digunakan yaitu uji spearman-rank dan chi-square. Hasil: Sebagian besar responden memiliki kadar kolesterol total tinggi (63,9%), IMT berlebih (70,3%), dan pola konsumsi omega-3 rendah (78.5%). Tidak terdapat hubungan yang signifikan antara IMT dan kadar kolesterol total (p=0,560). Terdapat hubungan yang signifikan antara pola konsumsi omega-3  dan kadar kolesterol total (p=0,024; OR=2,25), menunjukkan bahwa responden dengan asupan omega-3 yang kurang memiliki risiko 2,25 kali lebih besar memiliki kolesterol tinggi. Simpulan: Tidak terdapat hubungan antara IMT dan kadar kolesterol total pada pegawai di Yogyakarta. Terdapat hubungan antara pola konsumsi omega-3 dan kadar kolesterol total pada pegawai di Yogyakarta. Hasil ini menunjukkan pentingnya peningkatan konsumsi omega-3 sebagai upaya pencegahan terhadap dislipidemia pada pegawai kantoran.Kata Kunci : IMT; kolesterol total; omega-3; pegawai kantoran

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