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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) Amerta Nutrition
Diana, Rian
Departemen Gizi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga
Health Professions Medicine & Pharmacology Nursing Public Health Other

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Risk Factors of Hypertension among Adult in Rural Indonesia Rian Diana; Naufal Muharam Nurdin; Faisal Anwar; Hadi Riyadi; Ali Khomsan
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.978 KB) | DOI: 10.25182/jgp.2018.13.3.111-116

Abstract

The aim of this study was to analyse the risk factors of hypertension among adult in rural Indonesia. This cross-sectional study included 112 married couples (112 men and 112 women) aged 45-59 years old and was conducted in Cianjur District, West Java, Indonesia. The measurement of body weight and fat composition used Bioelectrical Impedance Analysis (BIA) monitor (OMRON® Karada Scan Body Composition Monitor HBF-358-BW). Body height was measured by stadiometer, meanwhile waist circumference was measured by measuring tape. Data on the blood pressure measured by an automatic blood pressure monitor (OMRON® Automatic Blood Pressure Monitor Model HEM-7200). All measurement were done twice in repetition. Chi-square was used to analysed the association between variables and logistic regression was used to analyse the risk factors. The prevalence of hypertension was 49.1% (women 54.5%; men 43.7%). Women had a higher proportion of overweight, obesity, abdominal obesity, and hypertension stage 2 than men. BMI (p<0.05), waist circumference (p<0.05), total body fat (p<0.05), and visceral fat (p<0.05) were significantly higher in hypertension subject than not hypertension. Nonetheless, only waist circumference became the risk factor for hypertension (OR=4.005; 95%CI:1.47-10.914 for high risk). There is high prevalence of hypertension among adult in rural area. Adult, particularly women need to pay attention on their body fat to reduce the risk of hypertension.
SMOKING HABIT, PHYSICAL ACTIVITY AND HYPERTENSION AMONG MIDDLE AGED MEN[Kebiasaan Merokok, Aktifitas Fisik, dan Hipertensi pada Laki-laki Dewasa] Rian Diana; Ali Khomsan; Naufal Muharam Nurdin; Faisal Anwar; Hadi Riyadi
Media Gizi Indonesia Vol. 13 No. 1 (2018): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.37 KB) | DOI: 10.20473/mgi.v13i1.57-61

Abstract

Hypertension is a global public health problem. Hypertension prevalence increasing with age, particularly in middle aged men. It is important to identify the modifiable risk factors. The aim of this study was to analyse the correlation of smoking habit, physical activity, and hypertension among middle aged men. This study was conducted in Cianjur District, West Java. 112 men aged 45-59 years old were participated in this cross sectional study. Automatic blood pressure (OMRON Model HEM-7200) was used to measure blood pressure. 24-hour physical activity recall was used to assess physical activity (PA). The correlation between smoking habit and hypertension was analyzed by Chi Square.  The correlation between physical activity and hypertension was analyzed by Spearman.  This study found that 83.9% subjects had smoking habit.  More than half of the subjects (57.2%) had heavy PA. Almost half of the subjects (43.7%) were hypertension. Median of systolic 135.0 mmHg and diastolic 85.0 mmHg. There was a significant correlation between smoking habit (p=0.039) and physical activity (p=0.025) with hypertension. Smoking habit and physical activity correlate with hypertension. Having a moderate to vigorous physical activity regularly particularly in smokers among middle aged men are recommend for decreasing the prevalence of hypertension.
KETOGENIC DIET FOR WEIGHT LOSS AND ITS IMPLICATION ON HEALTH: A LITERATURE STUDY Rian Diana; Dominikus Raditya Atmaka
Media Gizi Indonesia Vol. 15 No. 3 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i3.184-193

Abstract

The prevalence of obesity has increased signifi cantly and it has become a public health problem globally. Many strategies were done to overcome obesity. One of them is dietary approach. The popular and widely used weight loss diet is the ketogenic diet. This literature review aimed to discuss the mechanism of ketogenic diet in weight lost as well as its long and short term eff ects on health. Ketogenic diet is a very low-carbohydrate and high-fat diet. This diet restricts the carbohydrate intake up to 50 gram per day. The diet eff ective for losing weight in short term (<6 months), after 6 months there was no signifi cant diff erences compared to other wight-loss diet. Study shows ketogenic diet gives both benefi cial and harmful eff ects in short and long term for ketogenic dieters. This diet is not applicable for anyone, thus people with chronic diseases should receive guidance from dietitian or clinician in implementing this diet. Ketogenic dieters are suggested to replace their carbohydrate intake with complex carbohydrate (whole food-not refi ned), reduce animal-based protein, increasing plant-based protein and polyunsaturated fat, water, fermented foods and beverages.
Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia Rian Diana
Amerta Nutrition Vol. 4 No. 4 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i4.2020.326-334

Abstract

Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously.  Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM.  There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and  social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.
Sugar Intake and Cancer: A Literature Review Nikmah Utami Dewi; Rian Diana
Amerta Nutrition Vol. 5 No. 4 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i4.2021.387-394

Abstract

 ABSTRACTBackground: Cancer is the second leading cause of death after heart disease globally (total death 9.6 million). Cancer prevalence is increasing in Indonesia from 1.4 per 1000 people in 2013 to 1.79 per 1000 people in 2018. Diet is linked with cancer prognosis, particularly carbohydrate intake which stimulates insulin signals that can be potent mitogens.Purpose: This literature review aims to examine sugar intake and cancer incidence.Method: This literature review (traditional review) using the keywords “cancer”,” sugar”, “carbohydrate”, “insulin” and “hyperinsulinemia” in the Sciencedirect database and Google search engine. The inclusion criteria were peer-review articles or documents from credible national and international institutions, the literature uses English or Bahasa (Indonesian Language). The exclusion criteria were that the literature had similar content or redundant with other literature.Result: Sugar increases insulin resistance which enhances the levels of bioactive IGF-I that contribute to raising the risk of cancer. Prolonged hyperinsulinemia reduces the production of growth-promoting factors such as IGFBP-1 and IGFBP-2 which normally bind to and inhibit the action of IGF-I with resultant increases in the levels of free, bio-active IGF-I, and concomitant changes in the cellular environment that favor cancer development, proliferation, and metastatic cancer cells.Conclusion: The mechanism of insulin and IGF-1 stimulate and accelerate cancer cell proliferation may explain the relationship between sugar intake and cancer incidence. Adopting a balanced diet, changing or decreasing sugar intake with healthier food coupled with increased physical activity  reduces the risk of cancer. 
Co-Authors Ali Khomsan Dominikus Raditya Atmaka Faisal Anwar Hadi Riyadi Naufal Muharam Nurdin Nikmah Utami Dewi