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All Journal Media Gizi Mikro Indonesia Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) Journal of Community Empowerment for Health BKM Public Health and Community Medicine JKAP (Jurnal Kebijakan dan Administrasi Publik)
Maria Wigati
Universitas Gadjah Mada
Education Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Other

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THE RELATION BETWEEN GUT MICROBIOTA AND OBESITY AMONG CHILDREN IN WEST LOMBOK, WEST NUSA TENGGARA, INDONESIA Siti Helmyati; Setyo Utami Wisnusanti; Maria Wigati; Endri Yuliati
Media Gizi Mikro Indonesia Vol 11 No 1 (2019): Media Gizi Mikro Indonesia Desember 2019
Publisher : Balai Penelitian dan Pengembangan Kesehatan Magelang

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (325.76 KB) | DOI: 10.22435/mgmi.v11i1.1738

Abstract

Background. Obesity in children makes the higher risk of micronutrients deficiency, increase profile lipid, and promote cell inflammation. Some studies report that gut microbiota may have roles in body metabolism include obesity. Our study aimed to compare the number of Lactobacillus, Bifidobacteria, Escherichia coli, and Enterobacter between obese, normal, and wasted children. Methods. The study was performed in 115 healthy children in West Lombok, West Nusa Tenggara, Indonesia. The total number of bacteria was counted using a culture technique with selective media and total plate count method. Dietary intake assessed to all subjects using a semi-quantitative food frequency questionnaire. Data were analyzed using one-way ANOVA between three groups. Results. The result showed a significant difference in the number of Escherichia coli between obese, normal, and wasted children (p= 0.02), meanwhile there were no significant differences of dietary intake and the number of Lactobacillus, Enterobacter, and Bifidobacteria between the three groups. A potential mechanism by which dysbiosis may cause obesity is its ability to produce short-chain fatty acid (SCFA) by fermentation in the colon. It may increase gut permeability, ghrelin secretion, or bind to toll-like-receptor which leads to enhancement of free fatty acid, cholesterol, and adipose tissue synthesis. Conclusion. Dysbiosis often happened in obese children. Obese children tend to have an imbalance of gut microbiota. However, it needs further study to assess the effects of certain gut microbiota on dietary intake and their effects on obesity cases among children. Keywords: children, dysbiosis, gut microbiota, obesity
Initiation of Sekolah Sadar Gizi by conducting nutritional status assessment and nutritional education to junior high school student Siti Helmyati; Emy Huriyati; Setyo Utami Wisnusanti; Maria Wigati
Journal of Community Empowerment for Health Vol 2, No 2 (2019)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (380.716 KB) | DOI: 10.22146/jcoemph.46265

Abstract

School is a strategic place to form nutrition behaviors of the students, for example, is by initiating Sekolah Sadar Gizi (Nutrition Awareness School). The first step to initiate Sekolah Sadar Gizi is collecting the nutrition situation data of the students. Nutrition education and nutritional status assessment are examples of how the data can be collected. This is a community services program aimed to provide the nutrition situation of the students and to educate the students to initiate Sekolah Sadar Gizi. The activities were conducted in August – October 2017 at Muhammadiyah 3 Junior High School. There were 2 main activities, nutritional status assessment, and nutrition education. The results show that over-nutritional and under-nutritional problem happened in all classes, either class 7, 8, or 9. The highest number of stunted and obese children is in class 8 which was around 7% and 15%. Meanwhile, the number of wasted children was around 5% and obese children were around 20%. From nutrition education which followed by Palang Merah Remaja of the school, the score of 60% of the participants was increasing. Considering the burden of nutritional problems in the school, initiation of Sekolah Sadar Gizi is highly recommended.
Voluntary student based nutrition counseling: sebuah alternatif untuk mengatasi masalah gizi pada mahasiswa Maria Wigati
Berita Kedokteran Masyarakat (BKM) Vol 35, No 4 (2019): Proceedings the 5th UGM Public Health Symposium
Publisher : Fakultas Kedokteran Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1239.464 KB) | DOI: 10.22146/bkm.45114

Abstract

Tujuan: Memberikan usulan  program alternatif untuk mengatasi masalah gizi pada mahasiswa. Masalah gizi yang dimaksud adalah pola makan rendah sayur dan buah, obesitas atau overweight, kurang gizi, dan sindroma metabolik. Isi: Mahasiswa merupakan periode rawan untuk mengalami perubahan perilaku makan menjadi tidak sehat. Program konseling gizi berpotensi sebagai sarana promosi dan prevensi untuk memperbaiki pola makan dan status gizi mahasiswa. Penerapan konseling gizi dilakukan dengan memanfaatkan kegiatan cek kesehatan yang dilakukan setiap penerimaan mahasiswa baru program sarjana atau diploma. Mahasiswa yang mengalami masalah gizi serta penyakit metabolik seperti diabetes dan hipertensi  akan diberikan kewajiban menjalani konseling gizi sepanjang masa perkuliahan dengan frekuensi minimal adalah 1x pertemuan tatap muka setiap semester. Layanan yang akan diberikan kepada klien antara lain konseling gizi, pengukuran berat dan tinggi badan, pemantauan konsumsi makan secara berkala, dan social gathering. Pendaftaran konselor bersifat sukarela (volunteer) dan diutamakan adalah mahasiswa gizi minimal semester 4. Program ini menitikberatkan pada keterlibatan klien sehingga dapat memberikan kepuasan pelayanan. Adapun keberhasilan dapat dinilai berdasarkan persentase keikutsertaan dan drop out serta persentase mahasiswa yang mengalami perbaikan pola makan dan status gizi. Kelemahan dalam program ini adalah belum banyak penelitian yang dilakukan mengenai efektivitas konseling gizi terhadap perbaikan status gizi pada setting mahasiswa. Akan tetapi, penelitian yang dilakukan di luar negeri menyatakan bahwa terdapat perbaikan pengetahuan, asupan makan, penurunan berat badan dan persentase lemak tubuh mahasiswa setelah menjalani konseling.  Lesson learned: Program ini diusulkan sebagai salah satu alternatif untuk memperbaiki pola makan dan status gizi mahasiswa. Selain bagi klien, program ini dapat meningkatkan skill mahasiswa gizi dalam memberikan konseling, serta menjadi kewajiban institusi pendidikan dalam mendukung civitas akademika berperilaku hidup sehat. Sebelum dilaksanakan, studi awal sangat diperlukan untuk mengetahui penerimaan klien dan kesiapan sistem dalam memperikan pelayanan yang optimal.
Policy Triangle Analysis of Stunting Issues in Urban Areas: A Case Study of Yogyakarta City Maria Wigati; Ceria Ciptanurani
JKAP (Jurnal Kebijakan dan Administrasi Publik) Vol 27, No 2 (2023): November
Publisher : Magister Ilmu Administrasi Publik

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkap.86489

Abstract

Stunting reduction is one of Indonesia’s major projects. While one-size-fits-all regulations were no longer promoted, understanding the characteristics of each region imposed a strong policy foundation. Many studies had been conducted in rural areas, but the analysis of urban areas was scarce. A study was conducted in Yogyakarta City to understand the characteristics of stunting intervention, despite the high human development index, education level, and access to health facilities. This made it important to examine the characteristics of stunting reduction efforts, based on the analysis of the contents, contexts, processes, and actors involved, in Yogyakarta City, to help with its ambition for zero stunting. A desk review and focus group discussion were conducted involving four local government staff, consisting of the Regional Planning and Development Agency, Health Office, and Office of Women's Empowerment, Child Protection, and Population Control and Family Planning, which were elaborated with literature following the policy triangle framework. A total of 13 open-access official documents and dashboards were obtained for analysis. Decrees from the local government showed a strong commitment to ending malnutrition. While most intervention packages were similar to those across Indonesia, targeted interventions for specific subjects were needed to support people who were unable to be covered by general services. Furthermore, Yogyakarta City has smaller open spaces than other districts in the province, a contradictory low nutrition awareness despite high school participation, and other factors were cross-linked with its culture in the community, implementer, to the authority levels. Stunting reduction programs were multisectoral, involving not only government offices but also non-government, mass media, community, private sectors, and academia. This study is expected to provide lessons learned for decision-makers, private sectors, academia, and public health practitioners to implement good collaboration in stunting reduction efforts.
Effectivity and cost-effectiveness of oral nutrition supplement on malnourished children: A literature review Siti Helmyati; Maria Wigati; Yuliana Novita Rachmawati; Cut Alima Syarifa; Gifani Rosilia; Renita -
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 2, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(2).%p

Abstract

Background: Child undernutrition has been a global problem that could be potentially treated with the support of food for special medical purposes, including oral nutrition supplements (ONS). This literature review aims to examine the effectiveness of ONS on growth indicators, length of stay, and the occurrence of adverse events and explore the cost-effectiveness of ONS. Methods: This review summarized findings from 16 articles. The articles were experimental, with or without comparison or control group, and examine nutrition status, other outcomes directly or indirectly related to malnutrition, and cost-effectiveness. Articles were collected from electronic database including PubMed, ProQuest, and Google Scholar with additional articles from Google search engine.Results: Some articles reported that ONS administration, good ONS consumption, and higher ONS density resulted in weight and height gain, improvements in nutrition status, and shorter length of stay compared to those who don’t receive ONS, had poor ONS consumption, and had lower ONS density, although several adverse events of ONS consumption such as gastrointestinal symptoms, diarrhea, and vomiting were also recorded. Conclusion: Studies on the cost-effectiveness of ONS are limited, yet available studies suggest ONS might potentially be a cost-effective nutrition intervention in child malnutrition treatment due to its relatively low cost which potentially reduces direct medical costs.
Co-Authors Ceria Ciptanurani Cut Alima Syarifa Emy Huriyati Endri Yuliati Gifani Rosilia Renita - Setyo Utami Wisnusanti Siti Helmyati Siti Helmyati Siti Helmyati Yuliana Novita Rachmawati