Juffrie, Muhammad
Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, Fakultas Kedokteran UGM

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Pemberian suplemen seng sulfat dan pengaruhnya terhadap kadar seng serum dan jumlah CD4+ pada wanita usia lanjut sehat Sari, Yang Rusfinda; Juffrie, Muhammad; Pramantara, I Dewa Putu
Jurnal Gizi Klinik Indonesia Vol 5, No 3 (2009): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (424.801 KB) | DOI: 10.22146/ijcn.17558

Abstract

Background: Aging is a natural process which happens to all living creatures. Aging is followed by declining physiological function. Elderly is a risk factor of micronutrient deficiency including zinc which has an important role in the immune system. This condition causes declining cellular immunity functions through reduced amount of CD4 .Objective: To identify the effect of zinc sulphate supply to serum zinc level and amount of CD4  among the elderly.Method: The study used clinical test research design, one group pre-post test design (before and after trial). Subject of the study were “healthy” elderly individuals of more than 60 years old, willing to be studied. Assessment on nutritional status, physical examination and zinc level were made to the subjects. Next, subjects were supplied with 15 mg of zinc supplement once a day for 28 days. Then, re-examination was made to identify zinc level and the amount of CD4  lymphocyte. Statistical analysis used paired t-test.Results: Average age of the elderly observed (n = 30) was 64.43 ± 3.10 years. Average zinc level before the study was 5.85 ± 1.95 μmol/L, as many as 26 subjects (86%) had zinc under normal level, 4 subjects (14%) had normal zinc level + + + and no subject had zinc above normal level. Zinc level at the end of the study increased in as many as 27 subjects (90%) with average as 4.54 ± 3.84 μmol/L (p < 0.001). The amount of CD4  lymphocyte increased in 11 subjects (36%) with + average increase 26.83 ± 137.46 (/mm) (p = 0.29). Factors affecting increase of CD4 lymphocyte were age, weight, score of mini nutritional assessment and upper arm circle, and preliminary zinc level.Conclusion: The supply of 15 mg zinc for 28 days among the elderly could elevate serum zinc level significantly and could increase the amount of CD4  lymphocyte only in 11 subjects (36%).
Penambahan agar-agar dan pengaruhnya terhadap kestabilan dan daya terima susu tempe pada mahasiswa Politeknik Kesehatan Jurusan Gizi Yogyakarta Suryani, Isti; Santoso, Agus; Juffrie, Muhammad
Jurnal Gizi Klinik Indonesia Vol 7, No 2 (2010): November
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (570.954 KB) | DOI: 10.22146/ijcn.17742

Abstract

Background: The production of tempeh milk is an effort to diversify tempeh-based food processing potential as functional food. However, as vegetable milk tempeh milk has the disadvantages of tasting bitter and being easily precipitate. The addition of gelatine is potential as stabilizer that is expected to counter the disadvantages and improve the taste of tempeh milk.Objective: To identify the effect of gelatine addition to stability and acceptability of tempeh milk among students of Nutrition Department of Health Polytechnic Yogyakarta.Method: The study was experimental with a completely randomized design, comprising four experiments, i.e. tempeh milk with gelatine addition as much as 2%, 3%, 4% and no gelatine addition as control. Organoleptic test was made by 25 skilled panelist, students of Nutrition Department of Health Polytechnic Yogyakarta, to identify acceptability of tempeh milk. Whereas viscocity test and visual observation through the assessment of tempeh milk precipitation level within 5 hours storage were made to identify emulsion stability. Data analysis used Anova and Duncan advanced test.Result: Stable emulsion could be achieved through gelatine addition of 2% at emulsion consistency 89.10%, viscocity 0.225 poise. Better emulsion stability was achieved through gelatine  addition of 3% at emulsion consistency 91.10%, viscocity 0.249 poise. Best emulsion stability was achieved through gelatine addition of 4% at emulsion consistency 95.58%, viscocity 0.254 poise and lowest emulsion stability was found in the control without gelatine addition at emulsion consistency 80.84%, viscocity 0.216 poise. The result of proximate nutrition value of tempeh milk with gelatine addition 4% (most stable) were energy 55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate 7.65%, water 86.23g, ash 0.15% and raw fbre 2.01%.Conclusion: There was no effect of gelatine addition at various concentration to acceptability of tempeh milk. There was effect of gelatine addition at various concentration to stability of tempeh milk. The highest emulsion stability was achieved in tempeh milk with gelatine addition of 4%.
Hubungan antara Status Gizi Awal dengan Status Pulang dan Lama Rawat Inap Pasien Dewasa di Rumah Sakit Syamsiatun, Nurul Huda; Hadi, Hamam; Juffrie, Muhammad
Jurnal Gizi Klinik Indonesia Vol 1, No 1 (2004): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (126.615 KB) | DOI: 10.22146/ijcn.15358

Abstract

Background: Hospital malnutrition is reported to be prevalent in Indonesia. Wether nutritional status at admission is associated with nutritional status at discharge and length of stay remains unclear.Objective: To assess the association between nutritional status at the admission and nutritional status at discharge and length of stay in adult hospitalized patients.Methods: A total subjects of 293 adult patients who were admitted to internal and neurology departments of Dr. Sardjito, Dr.M.Jamil, and Sanglah hospitals were included in this study. Nutritional status of each patient was assessed using Body Mass Index (BMI) measured at admission and on discharge. Information on length of stay and hospital charge was collected based on medical records.Results: Low energy intake was associated with worse outcome (OR 1,2 95%CI 1,74-11,94). Non infection diseases were also found to be associated with worse outcome (OR 6,91 95%CI 4,03-11,85) and length of stay (OR 1,83 95%CI 1,10-3,05). Prehospitalized and class of hospitalized were associated with length of stay (OR 2,34 95%CI 1,36-8,57).Conclusion: Low nutritional status on admission and low energy intake were associated with higher risk of worse outcome (OR 2,34 95%CI 1,05-5,24) and (OR 3,41 95%CI 1,36-8,57).
Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin Mursalim, Mursalim; Juffrie, Muhammad; Mulyani, Nenny Sri
Jurnal Gizi Klinik Indonesia Vol 8, No 2 (2011): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (271.03 KB) | DOI: 10.22146/ijcn.17771

Abstract

Background: Underfives from poor communities are susceptible group that will unlikely have suffcient nutrition (micronutrient) meanwhile this micronutrient is essential for growth. Some studies show the supplementation of micronutrient has good effects to child growth. Therefore it is necessary to study the supply of fortified multi-micronutrient and its effect to growth of underfives from poor communities.Objective: To identify the supply of fortifed multi micronutrient and its effect to growth of underfves of 6-59 months from poor communities.Method: The study was a pre-experiment that used a group pre test-post test design. Subject were underfives of 6-59 months from poor communities that got fortifed multi micronutrient. The intervention of fortifed multi micronutrient supply was given once a week (1 sachet/day) within 4 months. Data of family characteristics and identity of the subject were collected at the beginning of the study. Measurement of physical weight and height/length, consumption recall, collection of data on disease infection (acute respiratory tract and diarrhea) were carried out at the beginning and end of the study.Results: The result of statistics test showed there was signifcant increase (p<0.05) in weight, height/length and nutrition status (z-score) to index of weight for height/length, height for age, and that there was signifcant descent to acute respiratory tract infection and diarrhea of underfves of  6-59 months from poor communities after the supply of fortifed micronutrient containing vitamin A, B1, B2, B3, B6, B12, folate acid, vitamin C, D3, E, Fe and zink.Conclusion: The supply of fortifed multi micronutrient could increase weight, height/length and nutrition status (z-score), index of weight for height/length and index of weight for age and decreased of acute respiratory tract infection and diarrhea disease in underfives of 6-59 months from poor communities.
Pengaruh pemberian MP-ASI program dan MP-ASI komersial terhadap pertumbuhan bayi usia 6-11 bulan di Kabupaten Kampar Rochyani, Dedy; Juffrie, Muhammad; Gunawan, I Made Alit
Jurnal Gizi Klinik Indonesia Vol 3, No 3 (2007): Maret
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (3977.338 KB) | DOI: 10.22146/ijcn.17561

Abstract

Background: Growth alteration in 6-11 months old baby occurred due to inappropriate practice in complementary food consumption (complementary breastfeeding). Quality and quantity deficit of household complementary breastfeeding products could cause serious problems in baby growth. One of the alternative solution was consuming complementary breastfeeding from industrial products. Consuming complementary breastfeeding blended food (program complementary breastfeeding) for 6-11 months old babies in Medan tended to show no relationship with their nutritional status based on Z-score index weight for age. One of the possible reason was low level acceptance of program complementary breastfeeding in 2003.Objective: To determine the level of acceptance of both program and commercial complementary breastfeeding with their relationship toward 6-11 months old baby growth in sub urban poor families in Kampar Sub District.Method: Quasi experimental design was conducted. Purposive technique sampling was chosen and samples were divided into two groups that received different intervention. The first group that received program complementary breastfeeding consisted of 54 babies and the second group that received commercial complementary breastfeeding consisted of 46 babies of 6-8 months old babies from sub urban poor families. Data obtained was analyzed with univariate, bivariate, and multivariate analysis.Results: Level of acceptance of commercial complementary breastfeeding was higher than program complementary breastfeeding for 6-11 months old babies in sub urban poor families in Kampar Sub District (p=0.038). These babies had a significant additional in weight and  after consuming program and commercial complementary breastfeeding (p<0.001). Weight gain for the group that given commercial complementary breastfeeding was higher than that for the group that given program complementary breastfeeding (p<0.001), while body length also added during three months treatment but not significant (p>0.05).Conclusion: Consumption of program and commercial complementary breastfeeding could increase the weight gain and body length significantly.
Pemberian taburia (sprinkle) berpengaruh terhadap lama dan frekuensi diare akut anak Sopiyandi, Sopiyandi; Juffrie, Muhammad; Susetyowati, Susetyowati
Jurnal Gizi Klinik Indonesia Vol 9, No 3 (2013): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (139.564 KB) | DOI: 10.22146/ijcn.15444

Abstract

Background: Major causes of mortality in children are diarrhea and pneumonia (25.2% and 15.5%). “Five steps of diarrhea management” is an integrated approach in the management of diarrhea comprising the supplementation of oral rehydration, zinc within 10 days subsequently, breastfeeding and food, selective antibiotics and advice for the mother/family. Zinc supplementation combined with vitamin A and micronutrient on children with the diarrhea had been researchead that result can minimize morbidity, duration and frequency of diarrhea, and the incidence of recurrent diarrhea.Objective: To find out the effect of taburia supplementation (sprinkle) on duration and frequency of diarrhea.Method: The study was randomized controlled trial (RCT) with parallel design. Subject consisted of two groups, the first got therapy of taburia (sprinkle) 1 sachet/day and the second was the control group. Each group got standard diarrhea medication at the health center. Samples consisted of 30 children of 1-5 years old per group and they were obtained by using simple randomization technique. Statistical analysis was performed by using Chi-Square and t-test.Results: Duration of diarrhea of the experiment group was 33.25 ± 18.08 hours (95% CI: 26.49 - 40.00) and the control group was 43.7 ± 19.25 hours (95% CI: 36,50 - 50,89). Frequency of diarrhea of the experiment group was 4.93 ± 3.41 times/day (95% CI: 3,41-3,65) and the control group was 6.33 ± 3.20 times/day (95% CI: 5.13-7.53). The result of statistic test showed that there was effect of taburia supplementation to duration and frequency of diarrhea (p<0.05).Conclusion: Supplementation of taburia (sprinkle) in the standard therapy of diarrhea shortened the duration and minimized the frequency of diarrhea.
Frekuensi konsumsi growol berhubungan dengan angka kejadian diare di Puskesmas Galur II Kecamatan Galur Kabupaten Kulonprogo Provinsi DIY Eni R, Anastasia; Lestari, Lily Arsanti; Juffrie, Muhammad
Jurnal Gizi Klinik Indonesia Vol 7, No 1 (2010): Juli
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (273.376 KB) | DOI: 10.22146/ijcn.17612

Abstract

Background: Diarrhea is a serious health problem in developing countries because 25% of total mortality rate among children in the world is caused by diarrhea and has caused 3-4 million of children to die annually. In Indonesia diarrhea is also a major health problem whereby morbidity rate of diarrhea in 2004 was still relatively high, i.e. 280/1000 population and the second cause of death in underfies. At the working area of Galur II Health Center mortality rate caused by diarrhea in 2007 increased from none to 2 deaths in underfies (3.14/1000) and diarrhea was in the fist rank of 10 major diseases in inpatient service activities. One cause of diarrhea is imbalance of intestinal microbes in the digestive tract. This is due to two groups of bacteria (harmful and useful/probiotic bacteria) that kill each other. Previous studies on the potential of probiotic show that Lactobacillus rhamnosus GG was effective in preventing diarrhea and shortening the duration of diarrhea. Growol contains Lactobacillus case subsp. Rhamnosus TGR 2 that has the potential as probiotic.Objective: To identify association between frequency of growol consumption and the prevalence of diarrhea.Method: The study was observational with cross sectional design carried out at the area of Galur II Health Center, Subdistrict of Galur, District of Kulonprogo, Province of Yogyakarta Special Territory. Population of the study were children of 1-5 years old with criteria willing to be studied, were not malnourished and came for weighing at Posyandu (integrated service post) in November 2008. Data collected were analyzed using linear regression test at significance 95% and descriptively.Result: Out of 472 underfies, 244 (52%) were boys and 228 (48%) girls; 22.4% had diarrhea and 77.54% had never had diarrhea; 160 consumed growol and 12 of them (7.5%) had diarrhea; 312 did not consume growol and 94 of them (30.52%) had diarrhea. Respondents consumed growol in average 3.8 times/week. There was association between frequency of growol consumption and the prevalence of diarrhea according to the equivalent Y=0.474-0.079 X or growol could prevent diarrhea if consumed minimum 6.4 times/week.Conclusion: There was association between frequency signifiant relationship between growol frequency consumption and diarrhea rate.