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Hubungan jenis kelamin, status gizi, konsumsi susu dan olahannya dengan kadar asam urat pada lansia Novianti, Anugrah; Ulfi, Eriliyabuduni; Hartati, Lilik Sri
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: The prevalence of gout increased based on age, highest at age 70-79 years 9.3%, age 60-69 years 8%, age 50-59 years 3.7%, and age 40-49 years 3.3%. Meanwhile, based on gender, the prevalence of gout diagnosed with health workers was higher in women at 13.4% compared to men 10.3%. Overweight and obesity can trigger an increase in uric acid levels, so it is one of a risk factor for hyperuricemia. Various high protein and purine foods have long been considered a risk factor for gout. Similarly, the possibility that consumption of dairy products especially cow's milk has a role in protecting the risk of gout based on the results of metabolic studies.Objective: To determined the relationship of sex, body mass index (BMI), dairy products consumption and uric acid levels of the elderly in Cipondoh Sub-District Tangerang.Methods: This study used a cross-sectional design. Research participants were collected by using purposive sampling. Primary data consisted of respondent characteristics, dairy products consumption, BMI, and uric acid levels.Results: The results of this research have shown there was a correlation between BMI and uric acid level p = 0.007, dairy products consumption and uric acid level p = 0.0001, but there was no correlation between sex and uric acid level p = 0.204 in the elderly at Cipondoh Sub-District Tangerang.Conclusion: There was a correlation between BMI, dairy products consumption with uric acid levels of the elderly in Cipondoh Sub-District Tangerang.

Riwayat paparan pestisida dan kekurangan asupan zat gizi sebagai faktor risiko kejadian anemia pada ibu hamil di daerah pertanian Sulistyawati, Sulistyawati; Margawati, Ani; Rosidi, Ali; Suhartono, Suhartono
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Anemia in pregnant women in Brebes Regency, Central Java in 2016 was still high at 60.7%. Brebes Regency is an area of onion farming with a high intensity of pesticide use. Objectives: This study aimed to prove the history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area. Methods: Case control study with 41 cases (anemia) and 41 controls (non-anemia) as study subjects. The subjects were selected using purposive sampling method. Pesticide exposure history included the involvement of pregnant women in agricultural activities, frequency of exposure and length of exposure was measured by interview using structured questionnaire. Anemia data were obtained by measuring hemoglobin levels. Other independent variables measured were nutritional intake (protein, iron, and vitamin C) using semi-quantitative food frequency questionnaire (SQ-FFQ) method to determine the level of nutrient adequacy in pregnant women. Data were analyzed using chi-square test and logistic regression.Result: Hemoglobin levels in the case ranged from 7.2 g/dl to 10.9 g/dl. The results of multivariate logistic regression showed that pesticide exposure history (OR= 4.9, 95% CI:1.75-13.67), level of iron adequacy (OR = 2.9, 95% CI:1.06â€“ 8.29) and level of vitamin C adequacy (OR = 3.4, 95% CI:1.10â€“ 10.28) as risk factors for the incidence of anemia in pregnant women in agricultural area.Conclusion: The history of pesticide exposure and lack of nutrient intake (iron and vitamin C) was risk factor for the incidence of anemia in pregnant women in agricultural area.

Status hidrasi, tingkat kebugaran jasmani dan daya konsentrasi anak sekolah dasar Sudrajat, Agus; Mexitalia, Maria; Rosidi, Ali
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: The dehydration correlated with physical fitness and the cognition. The cardiorespiratory fitness correlated with brain ability and working performance too. Objectives: The purpose of this study is to assess the correlation of dehydration status and cardiorespiratory fitness with the concentration of primary school children.Methods: Correlational study is done to the students aged 10-12 years old. The dehydration status is measured by urine specific gravity. The cardiorespiratory fitness is measured by harvard step test and digit symbol test is used to measure concentration. The analysis of the data using product moment to bivariate analysis and partial correlation to multivariate analysis.Results: The result showed that the average of subjects have a mild (Usg 1020.20Â±6.99 g/dl). The average of the subjects have a less cardiorespiratory fitness (31.27Â±8.00). The results of concentration ability measurement showed about of 35Â±12.27. The correlation analysis showed a significant correlation between dehydration status with cardiorespiratory fitness( r=-0.29, p=0.04 ), between dehydration status with concentration (r=-0.29, p=0.036) and between cardiorespiratory fitness with concentration (r=0.295, p=0.03). Partial correlation analysis showed the persistence of a significant correlation between dehydration status and cardiorespiratory fitness (p=0.02), between dehydration status and concentration (p=0.02) and between cardiorespiratory fitness and concentration (p=0.002).Conclusion: There is a significant correlation between dehydration status and cardiorespiratory fitness. There is a significant correlation between dehydration status and the concentration. There is a significant correlation between cardiorespiratory fitness and the concentration.Â

Status antioksidan dan oksidatif laki-laki yang mengalami kegemukan dengan pemberian minuman rosela ungu Sriyanti, Sriyanti; Damayanthi, Evy; Anwar, Faisal
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background : Rosela (Hibiscus sabdariffa L.) is an anthocyanin-rich plant that has good antioxidant capacity. However, the utilization was limited to red roselle, while previous studies showed that anthocyanin content was found to be higher in the thick roselle.therefore, this is an opportunity to develop purple roselle products as a preventive effort for degenerative diseases in men with fatness. Subjects in this study were male by considering the effect of estrogen on women which could play a role in suppressing oxidative stress.Objectives : This study aimed to analyze antioxidant (SOD/Superoxide dismutase) and oxidative status (MDA/malondialdehyde) level in obese adult men after administration of purple rosela drinks.Â Methods : This study was quasi-experimental with pre-post test. Eighteen obese subjects in the security unit were divided into two groups, namely the intervention group and control group. Intervention group (n = 9) was given purple rosela drinkin the amount of 480 mL/day, while the control group (n = 9) was given an equivalent amount of purple rosela drink without rosela. The subjects were daily administered for 6 weeks. Characteristic, anthropometric, food consumption and blood sample data were collected at the beginning and end of the intervention. Data analysis was performed by descriptively, paired t-test, independent t-test, ANCOVA.Results : The analysis showed that purple rosela drink tend to increase SOD levels (0.45 Â± 0.14; 1.35 Â± 0.71; p-value = 0.008) but this value was not significantly different from the control group (p-value = 0.128). MDA levels did not significantly different between the intervention and control groups (0.025 Â± 0.083;-0.125 Â± 0.60; p-value = 0.473).Conclusion : These results showed that administering 480 ml of purple rosela drink did not improve antioxidant and oxidative status in obese adult men.

Pengaruh pemberian nano daun kelor (moringa oleifera) terhadap kadar mineral serum dan tulang pada tikus sprague dawley jantan tumbuh Syahrial, Syahrial; Rimbawan, Rimbawan; Damayanthi, Evy; Astuti, Dewi Apri; Suptijah, Pipih
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: One of the important minerals for growth is calcium to build new bone. Moringa oleifera has been known as high nutritional content and bioactive compound tree that could act as antioxidant and improved several diseases like diabetes, arthritis, cardiovascular. Phytochemical analyses have shown that Moringa oleifera contain of high macro minerals like calcium, potasium, magnesium, and phosphor. Several previous studies have shown that mineral nanoparticle have higher bioavailability than natural compounds.. Objectives: The purpose of this study was to analyze the effect of moringa oleifera nanoparticle leaf on mineral serum and bone at growth stage of Sprague Dawley male rats. Methods: In this study, the pre and post controlled group design and complete random design was used. The subjects were 27 growing male Sprague dawley rats aged 2 month were devided into three group which received standard feed contain CaCO3 (control group), intervention feed contained 450nm and 750nm nano Moringa oleifera for 60 days. The data of the experiment was analyzed by paired T-test and Duncan test at 95% confidence level.Results: The result showed that there was no significance different for both of intervention group for mineral serum and fermur bone. While for the tibia bone, the result showed that the calcium, phosphor and magnesium were significantly increase (p<0.05). The intervention group received 450nm showed more effective improvement of magnesium level (p<0.05) than intervention group received 750nm.Conclusion: The intervention of moringa oleifera nanoparticle leaf had a positive effect in decreasing serum and bone mineral levels in male rats. There were significant increased at magnesium level measured in tibia bones after intervention, with higher increasing at group received 450nm nanoparticle.

Pengaruh pemberian susu almond terhadap glukosa darah puasa pada tikus diabetes Ningsih, Ryta Ristantia; Probosari, Enny; Panunggal, Binar
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Type 2 Diabetes Mellitus is a group of metabolic diseases with characteristic hyperglycemia that occurs due to abnormalities in insulin secretion and insulin action. Diet plus high fiber can help control glucose levels. Almond contains fiber, vitamin E, and magnesium that contributes to the fasting blood glucose levels. This study aimed to analyze the effect of almond milk to the fasting blood glucose diabetic rats.Method: This study used an experimental design with pre-post test control group design. The sample were Rattus norvegicus Wistar which were divided into 4 groups: K (-), K (+), A1 and A2. Almond milk was given in the group treatmeant for 14 days with a dose of 4.32 ml and 8.64 ml. Fasting blood glucose measurement taken before and after treatment used Oxidase Glucose - Peroxidase Aminoantypirin (GOD PAP). Analysis of data used paired t-test, ANOVA and Post Hoc.Results: The fasting blood glucose levels decreased significantly (p = 0.01) in the treatment group which were intervened with almond milk. A decrease in fasting blood glucose levels in a dose treatment group 1 for 116.96 Â± 4.45 (p = 0:01), whereas in the group treated at a dose of 2 for 155.53 Â± 3.15 (p = 0.01). There were a significant difference in decreased of the fasting blood glucose levels between the two treatment groups (p = 0.01).Conclusion:Â Giving a dose almond milk 4.32 ml and 8.64 ml for 14 days can lower the fasting blood glucose levels significantly.

Sensitivitas dan spesifisitas lingkar pergelangan tangan sebagai prediktor obesitas dan resistensi insulin pada remaja akhir Fitriyanti, Addina Rizky; Tjahjono, Kusmiyati; Sulchan, Mohammad; Sunarto, Sunarto
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Obesity is one of the risk factors for insulin resistance. Insulin resistance plays an important role in the pathogenesis of cardiovascular disease. Wrist circumference has the potential for predicting obesity and insulin resistance.Objectives:. To evaluate the sensitivity and specificity of wrist circumference against obesity and insulin resistance in late adolescents.Methods: The design of this study is a crossectional study with a sample of 85 students at Diponegoro University Semarang. Data collected consisted of anthropometric measurements (body weight, height, wrist circumference, neck circumference, waist circumference and pelvic girth) and blood vein sampling (fasting blood glucose and fasting insulin). Statistical analyses used in this study were Pearson or R Spearman correlation test.Results: Wrist circumference was positively correlated with all biochemical parameters and anthropometric measurements except the waist hip ratio. Wrist circumference correlates positively and significantly with fasting insulin and HOMA-IR in male adolescents. The results of the ROC curve analysis showed that the AUC value of wrist circumference in male adolescents had better performance in predicting obesity (88% (95% CI, 76% - 100%)) than insulin resistance (81% (95% CI, 51% -100%)).Conclusion: Wrist circumference is one of the anthropometric measurements that can be used for predicting obesity and insulin resistance in late adolescents.

Kebiasaan konsumsi kopi teratur dan pengaruhnya terhadap resorpsi tulang: C-telopeptida dan kalsium serum pada olahragawan Yusni, Yusni; Rahman, Safrizal
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Coffee is believed and predicted as one of the risk factors for osteoporosis in sedentary and athletes. Long term regular consumption of coffee can lead to hypocalcemia, increase bone resorption and risk of osteoporosis.Objectives: The aim of the study was to analyze the effect of regular coffee consumption on bone resorption, thus predicting the risk of osteoporosis in athletes. The assessment risk of osteoporosis was done by measuring the biomarkers of bone resorption, namely: C-telopeptide (CTx) and serum calcium levels.Methods: The design of this study was a cross-sectional study. The subjects were athletes with regular exercise (aerobic exercise 2 times a week, for 50-60 minutes each training session). The total of samples were 50 people (male = 37; non-coffee=21 and coffee=16 and female=13; non-coffee=7 and coffee=6). Non-coffee is a group that does not consume coffee. Coffee drinkers are a group who regularly consume coffee daily at a dose of 1-2 cups per day (150-200 ml / cup). Coffee consumption habits were obtained from questionnaire interviews. The sampling technique was a total sampling. Examination of serum CTx levels was carried out by the Electro Chemiluminescence Assay method and serum calcium levels were examined using the O-cresolphthalein complexone method. Data were analyzed using the normality test (Kolmogorov-Smirnov), homogeneity (Levene's test) and independent sample t-test, with a significant degree of 95% (p<0.05).Results: The results showed that there was no difference between CTx in male and also female non-coffee (0.415 ng/mL vs. 0.586 ng/mL; p=0.09) and coffee drinkers (0.380 ng/mL vs. 0.512 ng/mL; p=0.35). The normal CTx level is 0.016-0.584 ng/mL. Calcium levels in male (9.70 mg/dL vs. 9.30 mg/dL; p=0.61) and female (9.28 mg/dL vs. 9.23 mg/dL; p=0.72) non-coffee and coffee drinkers were not significantly different. The normal Calcium levels is 9.2-11.0 mg/dL.Conclusion: Regular consumption of coffee does not cause increased CTx and decreased calcium in athletes. Coffee does not cause increased bone resorption, triggers hypocalcemia, therefore regular coffee consumption in physiological doses (1-2 cups/day) is not at risk for early osteoporosis in young athletes.

Estimasi potensi kerugian ekonomi akibat wasting pada balita di indonesia Renyoet, Brigitte Sarah; Nai, Hildagardis Meliyani Erista
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Wasting cases for children under five are currently increasing, the high risk of malnutrition continues to increase so that it has an effect on increasing the prevalence of nutritional problems which results in decreased productivity.Objectives: To estimate the economic potential lost due to wasting in children under five.Methods: Descriptive research, by processing data from various related agencies which are all in the form of secondary data. Calculate using the Konig (1995) formula and a correction factor from Horton's (1999) study. The research activities are carried out starting July 2018 until September 2018.Results: Nationally based on the prevalence of wasting in children under five in 2013 amounting to IDR 1.042 billion - IDR 4.687 billion or 0.01% - 0.06% of the total GDP of Indonesia.Conclusion: The prevalence of high wasting problems can increase the potential for economic losses and affect the economy of a country especially in developing countries and one of them is Indonesia.

Studi kualitatif faktor yang mempengaruhi orang tua dalam pemberian makan anak autis Camelia, Rusda; Wijayanti, Hartanti Sandi; Nissa, Choirun
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Background: Children with Autism Spectrum Disorder (ASD) have problem in metabolism which makes them have limited food intake. The implementation of the diet is influenced by eating behaviors in children with ASD and parents in feeding children.Objective: This study was to analyze eating behaviors and factors influencing parents on childâ€™s feeding.Methods: This quallitative study was using in-dept interviews to parents as informants. Observations related to children's eating habits and behaviors also conducted in this study. FFQ was also conducted to measure gluten and casein consumptions. The retrieval of subjects through purposive sampling based on inclusion criteria, there was 8 children with ASD aged 6-14 years old with their care taker as informans who were willing to join this study. Results: Children with ASD have unique food preferention and able to expres hunger and satiety amid the limitatins of social interaction. Gluten intake is more often consumed (26,63 times/week) than casein (5,25 times/week). 25% parents are implementating the diet and based on knowledges, obey the doctor or terapies, improve childrenâ€™s behavioral experiences after diet, motivation, skills in processing food diets, purchasing power, and family supports. Parents are not implementating the diet because of childrenâ€™s responses, informantâ€™s worries, sibling behaviors who offer non-dietary food, limited dietary food in arround, and limited time to process dietary food.Conclusion: Eating behaviorsâ€™s subject is related to parentâ€™s feeding. Feeding by informants are influenced by childrenâ€™s responses, knowledges, attitudes, experiences and motivations, skills, purchasing power, availability of food, sibling behaviors, time, and family supports. Knowledges, motivations, and family support were the most important factors in feeding children with autism.

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