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Jurnal Gizi Klinik Indonesia
ISSN : 1693900X     EISSN : 25024140     DOI : -
Core Subject : Health,
Jurnal Gizi Klinik Indonesia adalah terbitan berkala nasional terakreditasi yang memuat artikel penelitian (research article) di bidang gizi dan kesehatan. Jurnal Gizi Klinik Indonesia diharapkan dapat menjadi media untuk menyampaikan temuan dan inovasi ilmiah di bidang gizi dan kesehatan kepada para praktisi di bidang gizi, baik yang bergerak di bidang pendidikan gizi maupun yang bergerak di bidang pelayanan gizi di rumah sakit dan puskesmas, serta para praktisi gizi di dinas kesehatan maupun institusi-institusi lain. Jurnal Gizi Klinik Indonesia diterbitkan 4 kali dalam setahun (bulan Januari, April, Juli, dan Oktober) oleh Minat Utama Gizi dan Kesehatan, Prodi S2 Ilmu Kesehatan Masyarakat, Fakultas Kedokteran Universitas Gadjah Mada, bekerjasama dengan Persatuan Ahli Gizi Indonesia (PERSAGI) dan Asosiasi Dietisien Indonesia (AsDI).
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Articles 359 Documents
Pengaruh Asupan Makanan terhadap Kejadian Malnutrisi di Rumah Sakit Dwiyanti, Defriani; Hadi, Hamam; Susetyowati, Susetyowati
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 (38.634 KB) | DOI: 10.22146/ijcn.15354

Abstract

Background: Sufficient food and other nutrient intake are necessary for recovery of hospitalized patients. Insufficient food intake may decrease nutrient metabolism, which in turn may cause malnutrition. Malnutrition in all hospital is categorized as high (about 40-45%). However, the influence of food intake on hospital malnutrition in Indonesia is still unknown.Objective: To assess the influence of nutrient intake on the occurence of hospital malnutrition.Method: This was an observational with prospective cohort study. This study as conducted in Dr. M. Jamil Padang Hospital, Dr. Sardjito Yogyakarta Hospital, and Sanglah Denpasar Hospital. Subjects were 228 adult patients from internal and neurology units in 1st, 2nd, and 3rd class who were hospitalized for six days or more, receiving oral diet, compos mentis, cooperative, non edema, and non ascites. Data of body weight and body height were measured at admission and discharge. Food intake data collected in this study included hospital and non-hospital food. Data analyzed by FP2 programme and STATA software.Results: Among 228 subjects of study, 51,8% had insufficient intake in the first three days of hospitalization. On average, their protein and energy intakes were lower than subjects with sufficient intake. There was a significant correlation between the first three days intake and intake during hospitalization (p<0,05). Subjects with insufficient energy intake were 2,1 times more likely to be malnourished in hospital than subjects with sufficient energy intake. Meanwhile, subjects with insufficient protein intake were 1,56 times more likely to be malnourished than subjects with sufficient protein intake. There was a significant association between energy intake and hospital malnutrition (p<0,05).Conclusions: Patients with insufficient nutrient intakes are more likely to be malnourished than those with sufficient nutrient intakes.
Faktor-faktor yang Mempengaruhi Kejadian Malnutrisi Pasien Dewasa di Ruang Rawat Inap Rumah Sakit Kusumayanti, I Gede Agung; Hadi, Hamam; Susetyowati, Susetyowati
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 (38.968 KB) | DOI: 10.22146/ijcn.15355

Abstract

Background : Nutrient intakes may influence nutritional status of patients during health care. It was reported that nutritional status of 75% of hospitalized patients declined during hospitalization.Objective: The objectives of this study was to assess factors that may influence malnutrition among adult patients in hospital.Methods: This study was done using a nested case control study design. Subjects were inpatients of internal and neurology departments of Sanglah, Sardjito and M. Jamil hospitals. They were all given oral feeding, inconsciousness condition, cooperative, and non-ascites. Data on food consumption were obtained using comstock methods, while nutritional status were measured using Subjective Global Assessment.Results: Low energy intake, length of stay, infection, and special diet were all associated with a higher risk of hospital malnutrition. Patients with low energy intakes were 2.4 (OR=2.4, 95%CI= 1.17-4.92) times more likely to be malnourished than those with sufficient energy intakes. Patients with length of stay >= 7 days were 8 (OR=8.15, 95% CI =1.87-35.51) times more likely to be malnourished than those with length of stay < 7 days. Patients with infectious diseases were 3 (OR= 0.33, 95% CI= 0.17-0.64) times less likely to be malnourished than those with non infectious diseases. Lastly, patients with special diet were 2 (OR=1.96, 95% CI= 1.05-3.68) times more likely to be malnourished than those without special diet.Conclusions: Low energy intake, length of stay, non infectious diseases, and special diet are risk factors of malnutrition in adult hospitalized patients.
Hubungan antara Kadar Serum Albumin Awal dengan Lama Rawat Inap dan Status Pulang Pasien Dewasa di Rumah Sakit Kurdanti, Weni; Hadi, Hamam; Susetyowati, Susetyowati
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 (31.636 KB) | DOI: 10.22146/ijcn.15356

Abstract

Background: Several community studies have reported a relationship between a low serum albumin level and increased risk of hospital death, nosocomial infection, and length of stay. But this kind of study is still lacking in Indonesia.Objective: To assess the relationship between admission serum albumin levels with length of stay and recovery rate among adult hospitalized patients.Methods: This cohort study was done in 2002. Subjects of this study were adults, inpatient of internal and neurological departments of Dr.Sardjito, Dr. M. Jamil and Sanglah hospitals. Serum albumin level, total lymphocyte count (TLC), and hemoglobin from each subject were collected at the admission. Energy intake of each subject was obtained using visual Comstock method. Information of length of stay and recovery status at discharge was obtained from medical records.Results: On average the length of stay (LOS) in patients with normal serum albumin was 9.8 days. In patients with low serum albumin the LOS was 2 days longer (p<0.05) than that in patient with normal serum albumin. LOS was not significantly different by serum albuminlevels among neurological and cancer patients. Neurological patients with low serum albumin had 10 times greater risk for not recover on discharge than non neurological patients with normal serum albumin.Conclusion: Serum albumin level at admission was associated with LOS and recovery status on discharge.
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).
Pengaruh Perubahan Status Gizi Pasien Dewasa terhadap Lama Rawat Inap dan Biaya Rumah Sakit Budiningsari, R Dwi
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 (44.022 KB) | DOI: 10.22146/ijcn.15359

Abstract

Background: The decline in nutritional status of hospitalized patients was reported to be assossiated with longer length of stay and higher hospital charges. However, the effect of changes in nutritional status on hospital outcomes in Indonesia is still unknown.Objective: To determine the effect of changes in nutritional status on length of stay and hospital charge among adult hospitalized patients.Method: A total subjects of 262 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 Subjective Global Assessment (SGA) method. Information on length of stay and hospital charge was collected based on medical records.Results: Subjects with nutritional status declined from normally to moderately, normally to severely, and moderately to severely malnourished were 6,3 (OR=6.32, 95% CI=1,3-29,8); 11,9 (OR=11.94, 95% CI=1,02-139,1); and 6,90 (OR=6.9, 95%CI=1,5-32,0 )times more likely to stay longer than those with nutritional status stayed normal during hospitalitation. They also had 3,3; unlimited; and 1,76 times risk on higher hospital charges than reference group (95% CI=1,123-9,529; unlimited; and 0,590-5,245).Conclusions: The declines of nutritional status from normally to moderately, normally to severely, and moderately to severely malnourished in hospitalized patients influenced to longer length of stay. Normally to moderately and normally to severely malnourished in hospitalized patients influenced to higher hospital charges.
Pengaruh Penggunaan Modifikasi Standar Resep Lauk Nabati Tempe terhadap Daya Terima dan Persepsi Pasien Rawat Inap Renaningtyas, Dewi; Prawirohartono, Endy Paryanto; Susetyowati, Susetyowati
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 | DOI: 10.22146/ijcn.15360

Abstract

Background: Food management is inseparable part of all efforts to cure hospitalized patients. If patient is not able to consume enough food, nutrient deficiency will occur. This condition results in delayed recovery of illness, lengthen length of stay, therefore hospital charges will increase. According to previous observations, there is a significant plate waste due to several reasons. To minimize the negative effect of plate waste on diet therapy, standard of recipes should be applied.Objective: To analyze the influence of the modification of recipes standard of fermented soybean on patient’s acceptance and perception.Methods: We conducted a cross-over design study in Dr. Sardjito Hospital Yogyakarta. The subjects were adults patients who admitted to the Departments of Surgery and Obstetrics and Gynecology. The inclusion criteria were hospitalized more than 4 days, over 15 years old, not in severe illness, got ordinary diet, and signed an informed consent. The food acceptance was measured as plate waste that was weighed using a special scale with accuracy of 10 grams. Food perceptions were measured using a questionnaire. Data were analyzed using chi-square test and Spearman correlation test.Results: Among 132 patients, 112 (84,8%) patients had good acceptance to the modified recipes compared to 20 (15,2%) patients who had poor acceptance, whereas only 66 (50%) patients from standard recipes had good acceptance to standard recipes, and this difference was statistically significant (p=0,006). There were 99 (75%) patients from modified recipes who had good perceptions to modified recipes compared to 18 (13,6%) patients from standard recipes who had good perceptions to standard recipes, and this difference statistically significant (p=0,003).Conclusions: Patients from surgery and obstetric and gynecology wards prefer modified recipes of fermented soybean compared to standard recipes.
Faktor risiko obesitas pada ibu rumah tangga miskin Purwaningrum, Digna Niken; Hadi, Hamam; Gunawan, I Made Alit
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): 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 (170.612 KB) | DOI: 10.22146/ijcn.15361

Abstract

Background: Food insecurity is associated with allocation of income for high energy density food consumption that may cause obesity in poor family. In addition, low physical activity may lead to obesity, particularly in individual living in disadvantaged situation.Objective: To identify risk factors of obesity among poor housewives in Yogyakarta.Method: This was a case control study, case group was obese housewives and the control group was non obese housewives. The locations of the study were Bumijo and Pringgokusuman which have high population density. The samples were taken purposively. Each group consisted of 70 housewives (1:1) and were matched according to age. Mc.Nemar test and conditional logistic regression were used to identify the risk factors of obesity.Results: There was no difference in characteristics between the two groups. Food insecurity reached 91,43% in the control group, proportion of excessive energy intake reached 37.86% in the case group, higher than in control group (24.29%). Excessive fat intake in the case group reached 30% whereas in the control group was 28.57%. Low physical activity reached 40% in the case group, and 10% in the control group. The result of Mc.Nemar test showed that food insecurity, energy and fat intake had no significant association with obesity (p>0.05). While physical activity was associated with obesity (p=0.0001). The result of conditional logistic regression showed physical activity was dominant risk factor for obesity among poor housewives (R2=0.1916).Conclusion: Food security status was not a risk factor for obesity in poor families; energy intake and fat intake contributed to the prevalence of obesity though the influence was smaller than physical activity.
Efek asupan vitamin D terhadap tekanan darah sistolik tikus putih (Rattus norvegicus) Hermawan, Dessy; Kadarsih, Sri; ., Sunarti; Astuti, Indwiani; Agus, Zaenal Arifin Nang
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): 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 (216.68 KB) | DOI: 10.22146/ijcn.15363

Abstract

Background: Hypertension still became potential life threatening disease for human life. The prevalence of hypertension was high and tends to increase. Previous study suggested that there was a linier rise in blood pressure at increasing distances from the equator. More recent study indicated that vitamin D insuffi ciency may be associated with elevated blood pressure.Objective: To investigate the effect of vitamin D intake on blood pressure.Method: This was an experimental study with pre-post test group design. The subjects were 20 male Rattus norvegicus aged 8 weeks. Subjects were divided into 5 groups and each groups received treatment as follow: lived in dark cage and consumed vitamin D free diet for 1 – 13 days, then moved to normal cage (dark-light period) and given vitamin D per-oral of 0.25 μg/kg BW for 1 – 5 days. Data of systolic blood pressure was collected and analyzed with paired t test.Results: The absence of vitamin D in diet caused a signifi cant increase in systolic blood pressure (p=0.01) after 7 days of treatment in dark cage. While oral vitamin D supplementation of 0.25 μg/kg BW caused a signifi cant decline of systolic blood pressure since the fi rst day of vitamin D supplementation and the result appeared stronger after 4 days of treatment (p=0.001).Conclusion: Vitamin D intake had a strong infl uence on systolic blood pressure
Pangan yang difortifikasi zat gizi mikro pada ibu hamil meningkatkan perkembangan motorik bayi Saragih, Bernatal; Syarief, Hidayat; Riyadi, Hadi; Nasoetion, Amini
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): 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 (164.36 KB) | DOI: 10.22146/ijcn.15365

Abstract

Background: Many factors infl uence the growth and development of an infant but nutrition was undeniably one of the most important factors. One way to improve the nutritional status of infants was by providing supplementary foods fortifi ed with multiple micronutrients to mothers during pregnancy. Nutritional interventions during pregnancy provided better nutrient reserves for mothers and fetus.Objective: To analyze the impact of multi micronutrient-fortifi ed supplementary foods provision in pregnant mothers on motor development and anemia status of infants in three sub-districts of Bogor District namely: Leuwiliang, Leuwisadeng and Ciampea.Method: A total of 120 infants were followed up in a prospective cohort study. The subjects were divided into three groups, i.e: 40 infants in fortifi ed group (pregnant mothers received supplementary foods (vermicelli, milk and biscuit) fortifi ed with multi-nutrients i.e. iron, iodine, zinc, folic acid, vitamin C and vitamin A), 40 infants in non-fortifi ed groups (pregnant mothers received non fortifi ed foods) and 40 infants in the control groups (pregnant mothers did not receive any supplementary foods). Motor development was measured by methods developed by the Ministry of Health, Republic of Indonesia. Hb was measured by Cyanmethemoglobin method. Ancova and linear logistic regression were used to analyze the data.Results: Provision of multi micronutrient-fortifi ed supplementary foods in pregnant mothers substantially improves infant’s motor development (77% better than other groups). In addition, supplementation of multi micronutrient-fortifi ed foods in pregnant mothers reduced the rate of hemoglobin and hematocrit decline in infants up to the age of 6 months. There were no infants aged 6 months with Hb < 90 g / L in the fortifi ed group, while in the non-fortifi ed group and control group the prevalence of anemia was 8.3% and 11.11%, respectively.Conclusion: Provision of multi micronutrient-fortifi ed supplementary foods in pregnant mothers improved infant’s motor development.
Efek F100 dan formula tepung tempe terhadap kadar serum Fe dan hemoglobin pada anak gizi kurang Iva, Tsalissavrina; Prawirohartono, Endy Paryanto; Lestari, Lily Arsanti
Jurnal Gizi Klinik Indonesia Vol 9, No 1 (2012): 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 (157.099 KB) | DOI: 10.22146/ijcn.15373

Abstract

Background: Protein energy deficiency is a major public health problem in Indonesia. WHO has recommended F100 made from skim milk for undernourished patient. Alternative formulas have been developed using other nutritious foods that are cheaper, easily accessible and can be used for children with lactose intolerance such as tempe flour.Objective: To investigate the effect of F100 and tempe flour formula supplementation on serum Fe and hemoglobin (Hb) levels of undernourished child.Method: This was an experimental study with randomized controlled clinical trial design and purposive sampling method. Subjects of the study were undernourished patients aged 1-10 years hospitalized at Dr. Saiful Anwar Hospital Malang. Sample consisted of 30 patients divided into 2 groups; group 1 supplemented with F100 and group 2 with tempe flour formula. Hb level was assessed by cyanmethemoglobin and serum Fe level by colorimetric method. Dietary intake data was collected by visual comstock and food recall. Data were analyzed by chi square, unpaired t-test and double linear regression.Results: Statistical analysis showed that there were no significant differences in Hb (p=0.139) and serum Fe levels (p=0.313) between both groups after treatment. Intake data indicated that there was a significant disparity in protein (p=0.019) and Fe intake (p=0.006) between the two groups, whereas energy, fat and carbohydrate intake showed no significant differences. Lastly, the association between energy and nutrient intake with serum Fe and Hb levels was not significant and the correlation was weak (r<1).Conclusion: There were no significant differences in hemoglobin and serum Fe levels between F100 group and tempe flour formula group, but there was a significant difference in protein and Fe intake.

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