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Improvement of Students and Snack Vendors Behavior After Received Health Promotion Program from UKS’s Cadres Rina Doriana Pasaribu; Oslida Marthony; Sri Supriyantini; Dwi Nastiti Iswarawanti
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.189-199

Background: School Health Program or UKS aims to improve students learning achievement by improving their health status including the fulfillment of nutrition so that they can grow and develop optimally. The nutritional problems of school-age children in Indonesia, according to Riskesdas 2018 data, are children with the short/stunting category reaching 30.7%, while those who are obese are 8% and anemic 26%. Nutritional problems in school children will affect the quality of human resources in the future. Objectives: This study examined the effect of promoting healthy and safe snacks by UKS’s cadres on increasing knowledge, attitudes, behavior of students and snack sellers.Materials and Methods: The first stage of research was training elementary school students UKS’s cadres who will become educators on promoting healthy and safe food consumption behavior. The second stage was assessed to 360 randomly selected students and 94 school vendors in 12 different schools. The intervention schools received a package of promotions delivered by UKS’s cadres while the comparison group received the poster. Data on knowledge, attitudes, behavior of students and food sellers were collected using a questionnaire instrument. The data were collected by the researchers assisted by 12 enumerators, 6 research field assistants and 12 teachers in charge of the research field. Bivariate analysis using t-test, Wilcoxon test, and Mann Whitney test were used to assess the differences between the groups. Results: After intervention by UKS.s cadres, there was a change in students' knowledge of 51.1% for knowledge of healthy snacks, 52.8% about safe snacks, 82.8% about formalin, 62.8% about borax, and 75.6% about Rhodamine B. Changes in the behavior of snack sellers, the highest percentage of changes in holding food with tools is 62.5% and not holding food after holding money is 54.2%. Increased change were significantly higher in the intervention groups than the comparison group (p <0.05).Conclusion: The UKS’s cadres as trained peer-educators could significantly improve safe and healthy food behavior of students as well as knowledge of snack school vendors. UKS’s cadres as promoters of healthy and safe snacks can be used as a mandatory UKS program in school to achieve food safety for school children

Effect of Moringa (Moringa oleifera) Leaf Flour Supplementation on Total Antioxidant Content of Sprague Dawley Rat Serum Given High-Fat Diet Sherlin Regina Jami; Siti Fatimah-Muis; Ahmad Syauqy; Kusmiyati Tjahjono; Gemala Anjani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.141-149

Background: Moringa oleifera leaf is high in quercetin which can be a source of exogenous antioxidants. Together with endogenous antioxidants, both the antioxidants will be able to counteract oxidative stress conditions.Objectives: To analyze the effect of Moringa leaves flour supplementation on Total Antioxidants Content (TAC) of Sprague Dawley (SD) rat serum given a high-fat diet (HFD). Materials and Methods: A randomized control group post-test design was used on 24 SD rats which were divided into 4 groups, namely healthy control (K1), HFD (K2), supplementation with Moringa leaf flour at a dose of 100 mg/100 g BW/day (K3), and a dose of 200 mg/100 g BW/day (K4). After 28 days of supplementation, serum TAC was analyzed using the ELISA method. Data analysis used Paired-T Test, One Way ANOVA, and Post-Hoc Bonferroni follow-up test.Results: The results showed that the TAC of groups K1, K2, K3, and K4 respectively were 4.806 ± 0.239, 1.323 ± 0.292, 4.020 ± 0.239, and 5.123 ± 0.695. There was a significant difference in serum TAC (p=0.000) between supplementation groups. Significant differences in serum TAC were also found in the supplementation group compared to the HFD control group.Conclusion: Moringa leaves flour supplementation for 28 days at a dose of 200 mg/100 g BW/day increases serum total antioxidant content higher than at a dose of 100 mg/100 g BW/day.

Provision of Local Food-Based Formula Using Pila Ampullacea, Tempeh, and Moringa Oleifera Leaves to the Acceptability and Nutrition Intake in Hemodialysis Patients Fery Lusviana Widiany; Mochammad Sja’bani; Susetyowati Susetyowati; Emy Huriyati
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.95-102

Background: One of the actions that can be taken to overcome malnutrition in hemodialysis is to improve nutrient intake. It is necessary to provide local food-based formula using Pila ampullacea, tempeh with local soybean, and Moringa oleifera leaves for hemodialysis patients.Objective: To analyze the effect of local food-based formula using Pila ampullacea, tempeh, and Moringa oleifera leaves to the acceptability and nutrition intake in hemodialysis patients.Materials and Methods: This study was carried out in Dr. Sardjito Hospital, Yogyakarta, Indonesia from February to March 2020. Subjects were 54 maintenance hemodialysis patients who met the criteria of study. The independent variable was the provision of local food-based formula, while the dependent variable were the acceptability and nutrition intake.Results: As many as 42.59% of subjects were able to consume all the formula given for three days and 50% of subjects have good acceptance of the local food-based formula. The effect of formula intake to the total intake of energy, carbohydrates, fiber, water, calcium, phosphorus, iron showed p-value <0.05, but p-value ≥0.05 for protein, fat, sodium, and potassium. The effect of the non-formula intake to the total intake for all nutrients showed p-value <0.05.Conclusion: Most of the subjects have a good acceptance of the local food-based formula. Formula intake affects total intake of energy, carbohydrates, fiber, water, calcium, phosphorus, and iron, but does not affect total intake of protein, fat, sodium, and potassium. The total intake for all nutrients was affected by the subject's intake of non-formula sources.

The Evaluation Study of Nutritional Knowledge from Sports Practitioners in The Quadrennial National Sports Competition 2021 Mohammad Arif Ali; Gustiana Mega Anggita; Said Junaidi; Sugiarto Sugiarto; Siti Baitul Mukarromah; Dewi Marfu'ah Kurniawati; Etika Ratna Noer; Zainudin Amali; Donny Wira Yudha Kusuma; Leo Nacion Santillana; Anggit Wicaksono; Adiska Rani Ditya Candra
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.200-205

Background: Nutritional program is another influencing factor of athletic performance after the physical training program, and psychological training program. However, Indonesian sports practitioners somehow still neglect the important role of sports nutrition to achieve the best athletic performance.Objectives: To examine the level of basic nutritional and sports nutritional knowledge among the sport’s practitioners who participated in the quadrennial national sports competition 2021.Materials and Methods: This evaluation study has conducted with a descriptive quantitative approach. Thirty-eight sports practitioners (24 males and 14 females), were represented from five provinces such as Central Java, Western Java, Eastern Java, Southern Sumatera, and Bali. Their status during the sports events are athletes, referees, officials, coaches, and judges. The incidental technique sampling was used to attract the respondents. Nutritional Knowledge Questionnaires (NKQ) developed by Rosi et al, was used in this study. Data was analyzed with the frequencies distribution technique, and displayed using the percentage.Results: More than half of the total respondents (81%) have good, very good, and excellent knowledge in general nutrition (21%, 34%, 26%) respectively. Similarly, it is also happened in the evaluation of their knowledge for basic nutrition good (5%), very good (29%), excellent (40%), as well as in their knowledge levels for sports nutrition, good 18% and excellent 53%. However, based on the evaluation of their sports nutritional knowledge, we found that there are 8% (n=3) of the respondent were failed as the score <50 points.Conclusion: Overall, the nutritional knowledge for general, basic and sports in sports practitioners evaluated good. However, the sports nutritional knowledge is not well understood evenly by them. At last, this study can be used as a reference to make a better decision on how sports nutrition must be promoted to maximize the athletic performance.

The CIPP Model of Stunting Management Program During Covid-19 Pandemic in Semarang City Firmansyah Kholiq Pradana PH; Ayun Sriatmi; Apoina Kartini
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.150-160

Background: Semarang City has successfully reduced in reducing the stunting rate by 2.7% in 2018 and 2.5% in 2019. With the Covid-19 pandemic, the stunting prevention program in Semarang City faces problems that have the potential to increase the prevalence risk of stunting. The problem are limited access of intervention and decline of the stunting program quality in work area of the Puskesmas in Semarang City. In addition, it is still unknown how the stunting program was implemented at the puskesmas during the Covid-19 pandemic.Objectives: The purpose of this research was to identify and evaluate the implementation of the stunting prevention program in Semarang City during the Covid-19 pandemic by using the CIPP model.Materials and Methods: This research used a survey research with a qualitative approach. This research was carried out from August to October 2021. The informants for this study consisted of 5 main informants: nutritionists at the puskesmas, 15 triangulation informants, the head of the puskesmas, posyandu cadres, and mothers who had stunted children in five health centers in Semarang City, namely Bandarharjo Health Center, Lamper Tengah Health Center, Tlogosari Wetan Health Center, Gunungpati Health Center, and Pegandan Health Center. Determination of informants using a purposive technique based on the geographic location of the Public Health Center. In-depth interviews used prepared guidelines. Data analysis used content analysis.Results: The results showed that the in the context component, the nutritionists had understood goals and targets of the stunting program. The input component showed that Human Resources was not optimal because they helped in succeed in the Covid-19 program. Funding was disrupted because there were still no technical guidelines for funding during the Covid, infrastructures were not optimal due to a lack of training for posyandu cadres. The process components included: a monitoring program that was carried out door to door, no administration of PMT F100, ineffective online counseling, fewer mothers who were participated in nutrition consultations, no monitoring related to vitamin A administration.Conclusion: The stunting prevention program in the work area of the puskesmas during the Covid-19 pandemic has not been able to be implemented well during the Covid-19 pandemic.

Unhealthy Diets among Adult Populations in Sleman Districts, Yogyakarta: Pattern and Related Sociodemographic Determinants, Findings from Sleman HDSS Septi Kurnia Lestari; Yayuk Hartriyanti; Ratri Kusuma Wardani
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.103-113

Background: In Yogyakarta Province, the Sleman Regency has the second-highest life expectancy at birth and a high prevalence of non-communicable diseases (NCDs). One of the common NCD risk factors is an unhealthy diet. Thus, it is important to understand the factors that influence an unhealthy diet.Objective: This study aimed to determine sociodemographic factors associated with an unhealthy diet intake in the Sleman Regency population.Materials and Methods: Cross-sectional data from 4,963 adult respondents of the Sleman Health and Demographic Surveillance System was analyzed. A Descriptive test was done to measure the consumption frequency of sweet food and beverages, salty food, high-fat food, and food with monosodium glutamate (MSG). Generalized logistic regression was used to determine socioeconomic factors (residential area, age, gender, education level, marital status, and household wealth) that were associated with a higher frequency of unhealthy food consumption.Results: The majority of respondents reported frequent consumption of sweet food and beverages (82.4%), food that contains high fat (62%), and MSG (75.5%). About 46% of respondents reported frequent consumption of salty food.Conclusion: Education level, sex, age, household wealth status, and residential area are important determinants of a healthy diet.

Differences in Development and Diet of Stunting and Non-Stunting Children in the Rowosari Health Center Work Area, Semarang, Indonesia Avionita Latuihamallo; Ani Margawati; Maria Mexitalia; Annastasia Ediati; Ahmad Syauqy
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.161-167

Background: Stunting in children aged 36-59 months is caused by the intake of energy and protein below the average RDA recommendation. This low consumption has an impact on different growth and development disorders.Objectives: This study aimed to determine the differences in the development and diet of stunted and non-stunted children aged 36-59 months.Materials and Methods: This was an observational study with a cross-sectional approach, which was carried out at the work area of the Rowosari Health Center. The sample population consisted of 67 children aged 36-59 months, which were selected using the simple random sampling technique. The characteristics of the subjects and mothers were then collected using a questionnaire. Meanwhile, data on the diet and child development were obtained with the 24-hour recall method and Developmental Pre-Screening Questionnaire (KPSP), respectively.Results: The results showed that there were differences in the development as well as energy and protein adequacy level of stunted and non-stunted children with a p-value <0.05.Conclusion: There were several deviant developments in non-stunted toddlers due to the lack of nutritional intake, stimulation, interaction with the environment as well as the low knowledge of mothers about child care patterns.

Prevalence of Anemia and Correlation with Knowledge, Nutritional Status, Dietary Habits among Adolescent Girls at Islamic Boarding School Aras Utami; Ani Margawati; Dodik Pramono; Diah Rahayu Wulandari
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.114-121

Background: Anemia is a globally public health problem, including in Indonesia (22.2%) and it has negative health impacts. Adolescent girls have high risk of anemia. Previous studies reported that adolescent girls at islamic boarding school had low food intake and poor knowledge about nutrition in preventing anemia. Objectives: To assess the prevalence of anemia and to analyze association between knowledge, nutritional status, and dietary habits and anemia in adolescent girls. Materials and Methods: A cross-sectional study was conducted in November 2020 among adolescent girls at islamic boarding school in Semarang. A total of 162 respondents were selected by cluster sampling. Anemia was determined by measuring the hemoglobin level in the blood by Cyanmethemoglobin method. Knowledge and dietary habits were collected through questionnaires. Nutritional status was assessed by measuring weight and height, then classified by body mass index for age using WHO Anthro. Bivariate and multivariate logistic analysis were used to test hypothesis and it was significant if p<0.05. Results: The prevalence of anemia was found to be 17.3%. In the bivariate analysis, overweight was more likely to have anemia (p=0.044). There was no association between father’s education, mother’s education, knowledge, frequency of staple food, breakfast habits, consumption of animal side dishes, consumption of vegetable side dishes, consumption of sweet tea and anemia. Mulitvariate model showed that overweight (OR=3.658; 95%CI=1.224-10.932; p=0.020) and good knowledge (OR=3.652; 95%CI=1.221-10.922; p=0.020) were significant associated with the anemia.Conclusion: Nutritional status and knowledge were significantly associated with anemia among adolescent girls.

SMALL DENSE LOW-DENSITY LIPOPROTEIN CHOLESTEROL AND CENTRAL OBESITY ASSOCIATED WITH DIABETES MELLITUS AMONG INDONESIAN ADULTS Yeni Rohmaeni; Hardinsyah Hardinsyah; Ikeu Tanziha
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 11, No 2 (2023): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.11.2.95-109

ABSTRACTBackground: Small dense low-density lipoprotein (sdLDL-C) is an atherogenic lipoprotein. Increased sdLDL-C concentration was hypothesized to be associated with obesity and diabetes mellitus (DM).Objectives: The study aimed to determine the association between sdLDL-C, central obesity, and DM among Indonesian adults, controlled by personal and clinical parameters.Materials and Methods: This study used secondary data from Basic Health Research 2013 of the Ministry of Health, which applied a cross-sectional study design. For this purpose, 30,548 subjects aged 19-79 were analyzed. The sdLDL-C was performed by using Sampson Formula derived from conventional lipid panels. As investigated by Sampson, the formula referred to cLDL-C (calculated LDL-C) and ElbLDL-C (estimated large buoyant LDL-C).Results: There was a positive association between sdLDL-C and central obesity (OR: 3.94; 95% CI: 3.13-3.89), as well as sdLDL-C and DM status (OR: 1.98; 95% CI; 1.43-2.75) after adjusting the personal and clinical parameters.Conclusion: This study demonstrated that the increment of sdLDL-C level and central obesity affected DM status in Indonesian adults. It implies that the sdLDL-C was a potential biomarker to assess the risk of DM.Keywords: Central obesity, Diabetes mellitus, Hypertension, Indonesian adult, sdLDL-C

STUDY OF VITAMIN D3-FORTIFIED GOAT KEFIR ON PLASMA FIBRINOGEN LEVELS OF DIABETIC RATTUS NORVEGICUS RATS Tania Masha; Astika Widy Utomo; Martha Ardiaria; Ahmad Syauqy; Ayu Rahadiyanti; Choirun Nissa; Mutiara Irma Maharani; Fairuz Zulfa; Binar Panunggal
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 11, No 2 (2023): June
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.11.2.77-84

ABSTRACTBackground: Diabetes mellitus is often associated with the occurrence of complications. Haemostatic factors, especially hyperfibrinogenaemia, is a common cause of the complication. Goat kefir and vitamin D3 may act as an antioxidant and anti-inflammation agent which can repair pancreatic beta cells.Objectives: This study aimed to analyse the effect of vitamin D3-fortified goat milk and plasma fibrinogen levels in diabetic rats. Materials and Methods: This study was an experimental study with pre-post only group design. The samples were 21 male rats divided into four groups; negative control (K-), positive control (K +), treated with unfortified goat kefir (P1), and treated with vitamin D3-fortified goat kefir (P2). The 35-day intervention was conducted, the goat kefir dose was 2 ml/200 g BW/day and the vitamin D dose 600 IU. Fasting blood glucose and plasma fibrinogen were assessed pre- and post-intervention. Blood glucose level was evaluated by GOD-PAP method, while plasma fibrinogen was assessed by Enzyme-Linked Immunosorbent Assay (ELISA) method. The data were analysed with paired t-test and One-Way ANOVA. Results: There were not significant difference levels of fibrinogen between groups. The intervention groups both showed an insignificant decrease of plasma fibrinogen. The plasma fibrinogen of group treated with vitamin D3-fortified goat kefir went down to 13.47 mg/dl from 16.49 mg/dl (p = 0.49). Meanwhile, the group treated with unfortified goat kefir showed a decrease from 26.81 mg/dl to 24.94 mg/dl (p=0.83). On the other hand, there was a significant decrease in fasting blood glucose in the group treated with vitamin D3-fortified goat kefir from 181.75 mg/dl to 116.25 mg/dl (p=0.03).Conclusion Our results demonstrate that administration of vitamin D3-fortified goat kefir can decrease fasting blood glucose but not in plasma fibrinogen. Keywords : Diabetes Mellitus; Fastin blood glucose; Fibrinogen; Goat kefir; Vitamin D3 Fortification

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