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Jurnal Gizi Klinik Indonesia
Jurnal Gizi Klinik Indonesia merupakan jurnal ilmiah nasional terakreditasi yang memuat artikel penelitian (research article) di bidang gizi dan kesehatan, yang terkait aspek gizi klinis, gizi masyarakat, gizi olahraga, gizi molekular, biokimia gizi, pangan fungsional, serta pelayanan dan manajemen gizi. Jurnal Gizi Klinik Indonesia (JGKI) diterbitkan empat bulan sekali sejak terbit Juli 2004 hingga Maret 2011 (Volume 1-7), kemudian sejak Juli 2011 (Volume 8) JGKI diterbitkan setiap tiga bulan. Jurnal Gizi Klinik Indonesia diterbitkan oleh Minat S2 Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada bekerjasama dengan Persatuan Ahli Gizi Indonesia (PERSAGI) dan Asosiasi Dietisien Indonesia (AsDI).
Articles
253
Articles
Praktik pemberian makan terhadap kejadian kurus pada anak baduta

Puspitasari, Fithia Dyah, Sitaresmi, Mei Neni, Susetyowati, Susetyowati, Barida, Iram, Handayani, Kartika

Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: Wasting is an acute malnutrition form that interrupts immune function, prolong duration of infection and in the end increase mortality risk of children. It is not clear yet which risk factor leading to wasting, simply because wasting-suspected risk factors were also involved in another kind of malnutrition such as stunting and underweight.Objective: To determine whether infant and young child feeding practices is risk factor for wasting in under two year children.Method: This research was mix method research which used matching case control design for quantitative research and focus group discussion to gather information in qualitative research. Case were wasting children age 3-23 months old (z-score WHZ <-2 SD) while control were non-wasting children age 3-23 months old (z-score WHZ ≥-2 SD). This research involved 106 under-two years old children and 14 nutritionist from 14 community health center which randomly chosen. Control group was matched by age and socio economic to case group.Results: Case group had more proportion of inappropriate feeding practices (26.41%% vs 20.75%). More than half respondent failed to meet Indonesian recommended dietary allowance for energy (57.55%). Inappropriate infant and young child feeding practice significantly did not increased risk of wasting in under two children at Yogyakarta (OR=1.4; 95% CI:0.62-3.36; p=0.523). Nutritionist from community health center focused in consultation and counseling in effort to increase infant and young child feeding practice.Conclusion: Feeding practices in under-two children in Yogyakarta was already good. Infant and young child feeding practice was not risk factor for wasting in under two years old children at Yogyakarta.

Aktivitas fisik dengan penyakit jantung koroner di Indonesia

Setyaji, Diyan Yunanto, Prabandari, Yayi Suryo, Gunawan, I Made Alit

Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: Coronary heart disease (CHD) is responsible for a substantial amount of early deaths, reduced quality of life and significant costs to the health and social care system. More than 3/4 CHD cases can prevented by lifestyle changes and focus on earlier risk factors management. Physical activity become a reference for the most important of primary and secondary prevention.Objective: To determine the relationship between physical activity and coronary heart disease in Indonesia.Method: This study used a cross-sectional design. Coronary heart disease’s history, physical activity, age, sex, economic status and consumption of fatty food were obtained from Basic Health Research (Riskesdas) 2013. Riskesdas 2013 used multistage cluster sampling. Subject in this study was 374.506 women and 347.823 men above 15 years old in Indonesia who answered the coronary heart disease questions which was selected purposively. Data was analyzed by using descriptive analysis, Chi-Square and multiple logistic regression.Results: Those who did not perform vigorous-intensity physical activity or who only did it less than 80 minutes per week had a higher prevalence of CHD than those who were more active  [2.63 (2.44-2.86); p=0.00].Conclusion: Physical activity had a significant association with CHD events in people above 15 years old in Indonesia. 

Korelasi persentase lemak tubuh dengan kadar adipsin pada premenopause

Welan, Rahmani, Revilla, Gusti, Desmawati, Desmawati

Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: One of the conditions on premenopausal period is the increase in body fat, among which are caused by levels of the fluctuating estrogen hormone. Increase fat affects the body fat percentage and adipsin levels. Adipsin plays a role in the stimulation of insulin secretion by producing C3a, in which C3AR1 (C3a Receptor 1) fragments interact with beta cells to secrete insulin.Objective: The purpose of this study is to determine correlation of body fat percentage with adipsin levels on premenopause.Design: This was an analytical study with cross-sectional design. Body fat percentage was obtained by examination using Bioelectrical Impedance Analysis (BIA). Venous blood was taken at the mediana cubiti area used for serum adipsin levels. Adipsin levels were analyzed by Enzyme-linked Immunosorbent Assay (ELISA) technique.Results: The mean of body fat percentage on premenopausal was 36,18 ± 8,35%. The mean of adipsin levels on premenopausal was 117,05 ± 87,93 ng/ml. Result of Pearson test analysis got value r = 0,632 and value p = 0.0005 (p <0,05).Conclusions: There is a positive significant correlation between the percentage of body fat with adipsin levels on premenopause.

Kekuatan genggam tangan, skor Child Pugh, dan massa otot pada pasien dengan sirosis hati

Hardigaloeh, Amanda Trixie, Gani, Rino Alvani, Hasan, Irsan, Sulaiman, Andri Sanityoso

Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: Malnutrition is independent factor related to morbidity, mortality and high cost of treatment in liver cirrhosis. Hand grip strength (HGS) is one of the method use for malnutrition detection and prognosis evaluation. The correlation of HGS with liver function (Child Pugh score) and muscle mass is controversial. These important evaluation is not yet avalaible in Indonesia.Objective: Aim of this study is to assess the role of HGS measurement in malnutrition and its correlation with liver function and muscle mass.Method: This is a cross-sectional study in liver cirrhosis patients at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital from February to June 2015. Nutritional status was assessed by HGS. Muscle mass was obtained from bioimpedance. Data were analyzed using Spearman correlation test.Results: There were 115 patients liver cirrhosis at Hepatobiliary Clinic of Cipto Mangunkusumo Hospital, 112 patients who fit the inclusion criteria, consisted of 79 men and 33 women with mean age 54.15±10.55 years, median Child Pugh score 6 (5-13) with median HGS 26 (11-50) kgF, mean muscle mass 44.43±8.12 kg. The median intake of energy 1334.82 (604.75-3023.7) kkal, median protein 45.87 (19-114.5) gram. Prevalence of malnutrition according HGS was 33%. Hand grip strength is not correlated with Child Pugh score (p=0.046; r=-0.19) however it is correlated with muscle mass (p<0.00; r=0.70).Conclusion: There are 33% malnutrition cases based on HGS in out patient liver cirrhosis. There is no correlation between HGS with Child Pugh score however HGS is correlated with muscle mass in liver cirrhosis.

The effect of Sea urchin (Diadema setosum) gonad extract on IgM and IgG antibodies production in BALB/c mice infected by Salmonella typhi

Salma, Wa Ode, Yusuf, Ilyas, Karo, Marni, Banudi, La

Jurnal Gizi Klinik Indonesia Vol 14, No 3 (2018): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: Salmonella typhi infection decreases of the immune system and influences the adaptive antibodies among malnourished children. The gonad of Diadema setosum (D. setosum) is one of food sources from marine biota that contains high-quality nutrients and potentially can be used as a dietary supplement for typhoid fever condition.Objective: This study aimed to determine the effect of gonad D. setosum extract on the production of antibody IgM and IgG in an animal model.Method: This experimental study was used BALB/c mice before and after infected Salmonella typhi through intraperitoneally at 0.2 mL x the unit 103 CFU/mL. The level of IgM and IgG production was measured by Enzyme Linked Immune Sorbent Assay (ELISA). Experimental animals were divided into 2 groups. The control group was only fed with standard diets, while at the intervention group received the extract of D. setosum gonad in two doses (100 and 200 mg/kg body weight).Results: Production of IgM antibodies in the control group significantly increased twofold (p=0.001) whereas the intervention group received the extracts of D. setosum gonad (200 mg/kg body weight) could suppress the increase in IgM antibody production and indicate the highest increase of IgG antibody significantly (p<0.05) at day 7.Conclusion: The gonad of Diadema setosum extracts (200 mg/kg body weight) could suppress the increase in IgM antibody productions and indicate the highest increase of IgG antibody titers in mice infected with Salmonella typhi. The role of anti-microbial substances of the gonad of Diadema setosum, is potential to be utilized as dietary supplement to increase body immune system among patients infected by Salmonella typhi.

Studi komparasi beberapa metode skrining penilaian status gizi pada pasien dewasa rawat inap rumah sakit

Andini, Rizki, Susetyowati, Susetyowati, Sulistyoningrum, Dian Caturini

Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: It is necessary to diagnose level of malnutrition in hospitalized patient to give optimal nutrition support. Many different nutrition screening assessment have been developed. In Indonesia, Simple Nutrition Screening Tool (SNST) that had been used in same hospital and the result was good enough in validity-realibility.Objective: To assessed that SNST were simple and practical nutrition screening tool for detecting level of malnutrition in different type of hospitalized patient.Method: Observational cross-sectional design with total of sampling two hundred and eighty seven adult patients from 2nd and 3rd class of surgical, internal, or neurology ward of RSUD Sleman. Independent variables are SNST, Nutritional Risk Screening (NRS) 2002, Malnutrition Screening Tool (MST), and Malnutrition Universal Screening Tool (MUST). Dependent variables are Subjective Global Assessment (SGA), body mass index (BMI), mid upper arm circumference (MUAC), and hemoglobin (Hb). Receive Operating Curve (ROC) were used for measuring validity of each screening tools. The proportion difference between at-risk group and not at-risk group was assessed by Chi-square test. The mean difference of BMI, MUAC, and Hb between both of group was assessed by independent sample t-test.Results: SNST has highest validity compared to NRS-2002, MST, and MUST with Sensitivity 99,0%, Specificity 84,5 and Area Under Curve (AUC) 0,917. Based on SNST, the proportion difference of at-risk group and not at-risk group between surgical patients and internal-neurology patients was statistically significant (p<0,05); the proportion difference of at-risk group and not at-risk group between young adult, adult, and elderly patients was statistically significant (p<0,05); the mean difference of BMI, MUAC, and Hb between at-risk group and not at-risk group was also statistically significant (p<0,05).Conclusion: All of the nutrition screening tools can be used as predictor of malnutrition in hospitalized patients but, the SNST has the best validity as a nutrition screening to predict malnutrition.

Penentuan titik potong skor sindroma metabolik remaja dan penilaian validitas diagnostik parameter antropometri: analisis Riskesdas 2013

Pratiwi, Zahra Anggita, Hasanbasri, Mubasysyir, Huriyati, Emy

Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: The risk of death caused by non-communicable diseases is related to metabolic syndrome. Metabolic syndrome not only occurs in adults, but also occurs in adolescents. The problem of metabolic syndrome in adolescents shows the importance of early detection and management. Early detection of metabolic syndrome in adolescents can be done through non-invasive approaches such as anthropometric measurements. However, the definition of metabolic syndrome has so far not reached an agreement.Objective: This study aims 1) To know the intersection points of adolescent metabolic syndrome 2) To know the best anthropometry parameters for detecting metabolic syndrome in adolescents.Method: This study used cross sectional design, using Riskesdas 2013 survey data. The sample size of this study was 3273 adolescents aged 15-24 years. The analysis using receiver operating characteristic curve (ROC) indicated the accuracy of the score to diagnose metabolic syndrome, supported by area under the curve (AUC) results. The best parameters were seen from the largest AUC values, taking into account the sensitivity and specificity values.Results: The metabolic syndrome scores in general for Indonesian adolescents=2.21 (sensitivity=83%, specificity=84%). Specific cutoff point for women=2.02 (sensitivity=84%, specificity=85%), and for males=2.40 (sensitivity=86%, specificity=82%). The best anthropometric parameters for detecting metabolic syndrome in adolescents are abdominal circumference (AUC=0.77; sensitivity=71%, specificity=67%).Conclusion: Abdominal circumference has the best validity and can be used for early detection of the risk of metabolic syndrome in adolescents

Erratum

., Erratum

Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Indeks massa tubuh, asupan vitamin D, dan serum 25-hydroxyvitamin D pada pasien kanker payudara

Damayanti, Amilia Yuni, Indarto, Dono, Wasita, Brian, Ardyanto, Tonang Dwi

Jurnal Gizi Klinik Indonesia Vol 14, No 2 (2017): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: Breast cancer is the most common malignancy in women in the world. Vitamin D helps control the majority of gene expression in female reproductive tissues. Body mass index (BMI) influences the bioavailability of vitamin D. Diet is one of the main sources of vitamin D and it is directly converted into 25-hydroxyvitamin D [25 (OH) D] in the liver.Objective: This study aimed to analyze the relationship between BMI and vitamin D intake and 25 (OH)D serum in patients with breast cancer.Method: Analytic observational with cross sectional design was used in this study. A total of 37 breast cancer patient visited Dr. Moewardi Hospital in Surakarta was selected as research subjects using a purposive sampling technique. BMI data was obtained by measuring body weight and height. Vitamin D intake was determined using 1 x 24-hour food recall and semi-quantitative food frequency questionnaire. While, 25(OH)D serum was measured using enzyme-linked immunoabsorbent assay. Data analysis used Spearman correlation test.Results: The averages of BMI, vitamin D intake and 25(OH)D serum of breast cancer patients were 21.96±3.63 kg/m², 3.50±3.30 µg/day and 16.01±14.67 ng/mL respectively. Most breast cancer patients had less vitamin D intake and 25(OH)D serum deficiency. There was a weak relationship between BMI (r=0.188, p=0.266) and vitamin D (r=0.113, p=0.507) and 25 (OH)D serum in breast cancer patients.Conclusion: There were no significant correlations between BMI and vitamin D intake with 25(OH)D serum in breast cancer patients. Further study is required on the effect of chemotherapy regimens on vitamin D metabolism.

Keseimbangan asam-basa tubuh dan kejadian sindrom metabolik pada remaja obesitas

Jauharany, Firdananda Fikri, Widyastuti, Nurmasari

Jurnal Gizi Klinik Indonesia Vol 14, No 1 (2017): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Abstract

Background: The prevalence of metabolic syndrome increased in young population, indicated by the rise in obesity among children and adolescent. The Western dietary pattern was one of the causes. A Western diet rich in animal protein can produce acid during the metabolic process and may cause an acid-excess in the body (dietary acid load). This process was contributed to acid-base balance through the metabolism of sulfur-containing amino acids (cysteine and methionine) which produce H+ ions as well as lowering the pH.Objective: To examine the association between acid-base balance and components of metabolic syndrome among obese adolescent.Method: A cross-sectional study was conducted on 40 obese adolescents in Semarang high school. We measured Potential Renal Acid Load (PRAL) score and pH urine as an acid-base indicator. MetS are defined ≥ 3 following risk factors: waist circumference ≥90th percentile, blood pressure ≥90th percentile, triglycerides ≥110 mg/dl, HDL levels ≤40 mg/dl, and fasting blood glucose levels ≥110 mg/dl. Normality test used the Shapiro-Wilk test (n <50). The bivariate analysis used Pearson test, Rank-Spearman test, and Chi-Square test. The multivariate analysis used Multivariate Linear Regression analysis of Backward.Results: PRAL score was associated with waist circumference (r=0,347; p=0,028), sistolic blood pressure (r=0,590; p=<0,001), diastolic blood pressure (r=0,668; p=<0,001), and triglyceride levels (r=0,362; p=0,022). pH urin was not associated with any risk factors of MetS.Conclusion: High dietary acid load may be a risk factor for the development of MetS.