jurnal-vol7-no2-.pdf

Jurnal Vol.7, No.2

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ARTIKEL - November 2010, Vol.7, No.2 Pengendalian status gizi, kadar glukosa darah, dan tekanan darah melaluiterapi gizi medis pada pasien diabetes mellitus (DM) tipe 2 rawat jalan diRSU Mataram NTB 1

Suhaema2, Ahmad Husain Asdie3, Retno Pangastuti4

ABSTRACT

Background : The prevalence of diabetes mellitus (DM) is increasing globally,including in Indonesia. Studies by Diabetes Control and Complication Trial(DCCT) and U.K. Prospective Diabetes Study Group (UKPDS) prove the benefitof medical nutrition therapy (MNT) to glycemic control. Similar studies have notbeen done much in Indonesia. Objective : To identify the effects of MNT to nutrient intake, control of nutrition

status, blood glucose and blood pressure of type 2 DM outpatients. Method : This was a randomized controlled trial. Subject of the study consisted

of 60 people. The experiment group got MNT; whereas the control group gotconventional nutrition counseling. Data were processed using computer, nutrientswere analyzed using nutrisurvey. Statistical t-test was done to identify the effectof intervention. Intake of energy, fat and carbohydrate of the experiment group decreased significantly close to the necessity at subsequent decrease as much as -14.05(p= 0. 009), -35.64 (p=0.019) and -19.14 (p=0.035). Body mass index In theexperiment group decreased -0.41kg/m2 and waist circumference -0.24cm, whereas the control group -0.23 kg/m 2 and-014cm. Blood glucose level during fasting decreased -23.6 mg/dl in theexperiment group and -14.03 mg/dl in the control group (p=0.036). Systolic anddyastolic blood pressure of the experiment group decreased -3.33 mmHg(p=0.035) and -1.67 mmgHg (p=0.895), whereas the control group + 0.5 mmHgand -1.33 mmHg; the change was insignificant. Conclusion : Intake of nutrient, nutrition status, blood glucose level and blood

pressure of type 2 DM patients that got MNT was more controllable than of thosethat got conventional nutrition counseling.

Key words : MNT, conventional nutrition counseling, type 2 DM, nutrient intake,nutrition status, blood glucose, blood pressure

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1 Dipresentasikan pada International Dietetic Update pada tanggal 15-17 Oktober2009 di Yogyakarta kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal GiziKlinik Indonesia, dan Prodi Gizi Kesehatan FK-UGM serta didanai olehPendidikan Tinggi Kementerian Pendidikan Nasional.2 Poltekkes Kemenkes Mataram, Jurusan Gizi, e-mail: [email protected] Bagian Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada4 Bagian Instalasi Gizi, RSUP Dr. Sardjito, Jl Kesehatan, Yogyakarta, e-mail: [email protected]

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Perbedaan kadar seng serum dan kadar c-reactive protein padaanak balita dengan kadar serum retinol normal dan tidak normal 1

Kadek Tresna Adhi2, Bambang Wirjatmadi3, Meriyana Adriani3

ABSTRACT

Background Vitamin A Deficiency (VAD) is one of the major nutritional problem, and many occur in developing countries. VADoccurs when serum retinol concentration <20 tg / dl (0.07 ?mol / L).Serum retinol levels will decrease during the acute phase response(elevated CRP) and also caused by zinc deficiency. This interactioncauses inhibition of linear growth.Objective : The objective of this research is to study the differences in

levels of serum zinc and CRP levels in infants and children with normalserum retinol (? 20 tg / dl) and abnormal (? 20 tg / dl) in the Village ofMojo, District Gubeng, Surabaya.

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Method : Results of the analysis was divided into two categories: 1)normal serum retinol (? 20 tg / dl), and 2) abnormal levels of serum retinol (<20 tg / dl). For serum zinc levels, laboratory examination wasperformed by AAS method (Atomic Absorption Spectrophotometry).CRP level was done by agglutination test method (CRP latex) withresults in the form of semi-quantitative analysis. The collection of dataincludes the frequency characteristic of children and the sick for amonth with interviews conducted using a questionnaire. Consumptiondata using dietetic (2x24-hour recall). Analysis of data using twoindependent samples t test.Result : The results showed that there was no difference in

characteristics, levels of consumption and CRP levels of children under five (p> 0.05). While there are differences in the frequency of pain andzinc (p <0.05). Conclusion : No difference in zinc levels in both groups, whereas

CRP levels did not show different results. It was recommended that further research on the interaction of research results with linear growthas well as environmental factors and personal hygiene to prevent infection that can affect serum retinol.

Key words : serum retinol, kadar seng, c-reactive protein

1 Dipresentasikan pada International Dietetic Update pada tanggal15-17 Oktober 2009 di Yogyakarta kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, dan Prodi Gizi Kesehatan FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.2 PS. IKM Universitas Udayana. Jl. PB. Sudirman, Denpasar- Bali,

e-mail: [email protected] FKM, Universitas Airlangga. Jl. Mulyorejo, Surabaya, e-mail: [email protected]

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Pelatihan hygiene sanitasi dan poster berpengaruh terhadap pengetahuan, perilaku penjamah makanan, dankelaikan hygiene sanitasi di instalasi gizi RSUP SanglahDenpasar 1

Ni Wayan Rapiasih2, Yeni Prawiningdyah3, Lily Arsanti Lestari4

ABSTRACT

Background : The problem of food hygiene sanitation in hospital is closely related to the incidence of nosocomialinfection which is estimated to be high considering that thecondition of hospitals and health in general is still relatively notvery good. A way to transmit nosocomial infection is throughfood. Staff hygiene is a factor requiring attention in order thatthe product of nutrition installation is of quality and safe toconsume.Objective : To identify the effect of training and posting of food hygiene sanitation to knowledge, healthy behavior of foodhandlers in efforts to improve food safety and sanitationhygiene appropriateness.Method : This was a time series quasi experiment with onegroup pre test and post test design. Samples consisted of 44people of senior level education in charge of food service to

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patient in class I, II, and III. Every subject was given trainingusing lecture, discussion and demonstration method for oneday. Poster was posted a month after training. Data obtainedconsisted of sex, age, marital status, duration of occupation,place of work, knowledge, behavior, food safety in food servingutensil for inpatients and sanitation hygiene appropriateness. Assessment was made before, one month and two months aftertraining. Data analysis used paired Sample t-test andchi-square. Result : There was significant improvement in knowledge and healthy behavior before and after training plus poster showedwith p<0.001. There was significant difference in sex andbehavior before training with p=0.045 and a month aftertraining with p<0.001. There was significant associationbetween place of work and behavior a month after training withp=0.021. There was significant difference in total plate countone month and two months after training with p=0.049. In addition, there was an increased quality of sanitation hygiene appropriateness before and after training plus poster showed. Conclusion : There was an increasing of knowledge, behaviorof food handlers, sanitation hygiene appropriateness, beforeand after training plus poster. There was an improvement inquality food safety one and two months after training.

Key words: Training, poster, knowledge, behavior, food safety,sanitation hygiene appropriateness

1 Dipresentasikan pada International Dietetic Update pada

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tanggal 15-17 Oktober 2009 di Yogyakarta kerjasama denganAsosiasi Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, danProdi Gizi Kesehatan FK-UGM serta didanai oleh PendidikanTinggi Kementerian Pendidikan Nasional.2 Instalasi Gizi RSUP Sanglah Denpasar, e-mail: [email protected] Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta4 Program Gizi dan Kesehatan, Fakultas Kedokteran, UGM, Jl.Farmako, Sekip Utara, Yogyakarta, e-mail: [email protected]


Dukungan keluarga dan jadwal makan sebelumedukasi berhubungan dengan kepatuhan jadwalmakan pasien diabetes melitus (DM) tipe 2 rawatjalan yang mendapat konseling gizi di RSUD KotaYogyakarta 1

Martalena Br Purba2, Endah Sri Rahayu3, Hemi Sinorita4

ABSTRACT

Background : Diabetes mellitus (DM) is a clinical

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syndrome with symptoms of hyperglycemia, urinaryglucose excretion and disorder of insulin mechanism.Approximately 90-95% of diabeteic patients suffer fromtype 2 DM. Various studies show that compliance totreatment of chronic disease in general is low.Compliance to eating or food frequency amongst DMpatients in hospital in particular is very low. The successof self management of blood glucose (SMBG) needsparticipation of the patient, families, and educator team.Objective : To study the factors affecting eating

compliance particularly eating schedule among type 2diabetic out-patient who had nutrition counseling inRSUD Kota Yogyakarta.Method : It was an observasional study with cross

sectional design and purposive sampling. Data collectionwas done in October 2008 with 98 subjects. The sampelwere type 2 diabetic out-patients according to inclusioncriteria at out-patient clinic in RSUD Kota Yogyakarta. Statistical test with 95% confidence interval was appliedto investigate factors influenced eating compliance.Result : There were no correlations between eating

compliance and disease duration (RP= 1,253 and p=0,403), and also with type of occupation (RP= 1,047dan p= 1,000). However, it was found that family supportaffected eating compliance (RP= 1,723 dan p= 0,025) aswell as eating schedule before nutrition counseling (RP =2,151 and p= 0,02).

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Conclusion :Duration of disease and type of occupationdid not affect eating compliance. Nevertheless, familysupport and eating schedule before nutrition educationaffected eating compliance among type 2 DMout-patients in RSUD Kota Yogyakarta.

Key words : compliance, eating schedule, type 2diabetes mellitus

1 Dipresentasikan pada International Dietetic Updatepada tanggal 15-17 Oktober 2009 di Yogyakartakerjasama dengan Asosiasi Dietisien Indonesia, JurnalGizi Klinik Indonesia, dan Prodi Gizi Kesehatan FK-UGMserta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional2 Instalasi Gizi RSUP Dr. Sardjito, Jl.Kesehatan,

Yogyakarta, e-mail: [email protected] Jurusan Gizi Poltekkes Jayapura, Papua, email: [email protected] 4 Sub-bagian Endokrin, Bagian Penyakit Dalam FakultasKedokteran, Universitas Gadjah Mada


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Status gizi awal berdasarkan Patient Generated Subjective Global Assessment (PG-SGA)berhubungan dengan asupan zat gizi danperubahan berat badan pada penderita kankerrawat inap di RSUP DR. Mohammad HoesinPalembang 1

Susetyowati2, Yenita3, Johan Kurnianda 4

ABSTRACT

Background : Weight loss is commonly detectedamong cancer patients in their early stages. Thispresumably happens due to low calory intake andincreasing energy requirements which finally lead to malnutrition in cancer patients. Early detection toidentify nutrition problems of cancer patients isthrough screening so as to maximize nutrient intakethrough nutrition therapy and diet modification andto improve nutrition status as well as quality of lifeof cancer patients. Objective : The study aimed to identify the

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relationship between nutrition status based onPS-SGA and nutrient intake and weight loss of cancer patients hospitalized at Dr. M. HoesinHospital of Palembang. Methods : The study was observational with

prospective cohort study design. In this study thegroup that had fulfilled inclusion criteria werescreened during their early hospitalization (within 24 hours) using patient-generated subjective globalassessment score to identify their nutrition problem.Next, the group was divided into 2 smaller groupsconsisting of one group with malnutrition andanother group without malnutrition. Analysis ofnutrient intake obtained from foods provided by thehospital and outside the hospital was made to the two groups within 2 weeks of hospitalization usingvisual comstock and food record. Anthropometricmeasurement was made to find weight loss the subject of the study. Result : The results of the study showed that there

was significant relationship between nutrition statusand intake of energy and protein with p=0.000. Theresult of logistic regression test to nutrition statusbased on weight changes indicated that there was significant relationship between risk of nutrition and

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weight changes; patients with risk of nutrition had7.016 times greater probability for weight loss thanthose without risk of nutrition (95% C52.896-16.997).Conclusion : There was significant relationship

between nutrition status and nutrient intake amongcancer patients and there was greater probabilityfor weight loss .

Key words : cancer, nutrient intake, nutritionstatus, weight loss

1 Dipresentasikan pada International DieteticUpdate pada tanggal 15-17Oktober 2009 di Yogyakarta kerjasama denganAsosiasi Dietisien Indonesia, Jurnal Gizi KlinikIndonesia, dan Prodi Gizi Kesehatan FK-UGMserta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional2 Program Studi Gizi dan Kesehatan, Jl. Farmako,

Sekip Utara, Yogyakarta, e-mail: [email protected] Rumah Sakit Umum Dr. Mohammad Hoesin,

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Palembang4 Instalasi Kanker Terpadu RSUP Dr.Sardjito

Yogyakarta


Penambahan agar-agar dan pengaruhnyaterhadap kestabilan dan daya terima susutempe pada mahasiswa Politeknik Kesehatan Jurusan Gizi Yogyakarta1

Isti Suryani2, Agus Santoso3, M. Juffrie4

ABSTRACT

Background : The production of tempeh milk is aneffort to diversify tempeh-based food processingpotential as functional food. However, as vegetablemilk tempeh milk has the disadvantages of tasting

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bitter and being easily precipitate. The addition ofgelatine is potential as stabilizer that is expected tocounter the disadvantages and improve the taste oftempeh milk.Objectives : To identify the effect of gelatine

addition to stability and acceptability of tempeh milkamong students of Nutrition Department of HealthPolytechnic Yogyakarta.Methods : The study was experimental with a

completely randomized design, comprising fourexperiments, i.e. tempeh milk with gelatine additionas much as 2%, 3%, 4% and no gelatine addition ascontrol. Organoleptic test was made by 25 skilledpanelist, students of Nutrition Department of HealthPolytechnic Yogyakarta, to identify acceptability oftempeh milk. Whereas viscocity test and visualobservation through the assessment of tempeh milkprecipitation level within 5 hours storage weremade to identify emulsion stability. Data analysisused Anova and Duncan advanced test.Results : Stable emulsion could be achieved

through gelatine addition of 2% at emulsionconsistency 89.10%, viscocity 0.225 poise. Betteremulsion stability was achieved through gelatineaddition of 3% at emulsion consistency 91.10%,

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viscocity 0.249 poise. Best emulsion stability wasachieved through gelatine addition of 4% atemulsion consistency 95.58%, viscocity 0.254poise and lowest emulsion stability was found in thecontrol without gelatine addition at emulsion consistency 80.84%, viscocity 0.216 poise. Theresult of proximate nutrition value of tempeh milkwith gelatine addition 4% (most stable) were energy55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate7.65%, water 86.23g, ash 0.15% and raw fibre2.01%.Conclusion : There was no effect of gelatine

addition at various concentration to acceptability oftempeh milk. There was effect of gelatine additionat various concentration to stability of tempeh milk. The highest emulsion stability was achieved intempeh milk with gelatine addition of 4%.

Key words : emulsion stability, acceptability,tempeh milk, gelatine

1 Dipresentasikan pada International DieteticUpdate pada tanggal 15-17

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Oktober 2009 di Yogyakarta kerjasama denganAsosiasi Dietisien Indonesia, Jurnal Gizi KlinikIndonesia, dan Prodi Gizi Kesehatan FK-UGMserta didanai oleh Pendidikan Tinggi Kementerian Pendidikan Nasional.2 Jurusan Gizi Politeknik Kesehatan Kementerian

Kesehatan RI, Jl. Tatabumi No 3 Yogyakarta3 Instalasi Gizi RSUP Dr. Sardjito Yogyakarta,

e-mail: [email protected] Instalasi Kesehatan Anak RSUP Dr. Sardjito

Yogyakarta, Jl.Kesehatan, Yogyakarta, e-mail: [email protected]


Metode persalinan dan hubungannyadengan inisiasi menyusu dini di RSUP Dr.Sardjito Yogyakarta

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Sheilla Virarisca1, Djaswadi Dasuki2, SulchanSofoewan 2

ABSTRACT

Background : The 2002-2003 IDHS shows that the presentation of breastfeeding within an hour afterbirth or early initiation in Indonesia is still low (38%).According to some studies, early initiation plays animportant role in reducing infant mortality rate,determining the success of exclusive breastfeeding,preventing pre-lactation feeding, creating moreintensive bonding between mother and baby. Someearlier studies state that delivery methods arerelated with early initiation. However, there havebeen some studies whose results are in contrastwith those previous studies.Objectives :To study the relationship between

delivery methods and early initiation in Dr. Sardjitohospital, Yogyakarta.Methods : This was an observational study with a

cross-sectional study design through quantitativeand qualitative approaches. Samples werepostpartum women in Dr. Sardjito hospital as manyas 100 respondents. Data were analyzed with

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univariable analysis using frequency distributiontable, bivariable analysis using chi-square, and multivariable analysis using binary regression.Results : The proportion of early initiation of

breastfeeding was three times greater in womenwho gave birth with normal delivery methods thanwomen who gave birth with cesarean section(RR=3.1; 95% CI=1.42-6.89). Another factor thatwas related with early initiation of breastfeding wasthe support from health providers (RR=2.3; 95% CI=1.36-3.78). Meanwhile, women’s age,knowledge, parity, economic status, and mother’sdisease were insignificantly related with early initiation.Conclusion : The proportion of early initiation of

breastfeeding was three times greater in womenwho gave birth with normal delivery methods thanwomen who gave birth with cesarean section.Another factor that was related with early initiationof breastfeeding was the support from healthproviders. Meanwhile, women’s age, knowledge,parity, economic status, and disease wereinsignificantly related with early initiation ofbreastfeeding.

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Key words : early initiation, normal delivery,cesarean sec

1 BKKBN Pusat Jakarta, e-mail: [email protected] Bagian Obstetri dan Ginekologi, Fakultas

Kedokteran Universitas Gadjah Mada, Yogyakarta.


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