ABSTRAKModernisasi kota-kota besar di Indonesia terutama Jakarta meningkatkan jumlah
perempuan bekerja dengan pcrubahan terhadap gaya hidup terutama dalam jumlah
dan komposisi asupan makanan. Hal tersebut bila disertai dengan mulai
meourunnya honnon estrogen pada perempuan di awal masa klimakterlum,
dikhawatirkan telah teljadi perubahan profil lipid dan distribusi lemak. Tujuan
pcnalitian ini adalah diketahuinya asupan total energi dan asupan makronutrien
serta profit lipid karyawati di awal rna.- klimakterium yaitu usia 35-45 tahun,
serta hubungannya dengan ukuran lingkar pinggang. Stodi ini adalah studi potong
lingtang yang dilakukan di Poliklinik Departemen Kebudayaan dan Pariwisata RJ.
Sebanyak 66 orang karyawati menandatangani lembar persetujuan menjadi
subyek pcnelitian, dengan 52 orang (78,8%) subyek menyelesaikan studi ini.
Pengumpulan data ditakukan dengan wawancara, pcngukuran antropometri dan
pcaitaian asupan makanan menggunakan merode food record 3x24 jam.
Dilakukan juga pemeriksaan tahoratorium untuk mengukur kadar kolesterol LDL,
HDL dan trigliserida serum. Rerata ulruran lingkar pinggang subyek adalah 84,8 ±
9,42 em dengao sebagian besar subyek (67,3%) tennasuk dalarn kategori lebih.
Rerata asupan total energi subyek penelitian adalah 1571 ± 303,2 kkal, dengan
sebagian besar subyek tennasuk dalarn kategori cukup jika dibandingkan dengan
kebutoba energi total. Rerata asupan makronutrien untuk karbohidrat adalah 213,7
± 40,73 gr (54,7 ± 6,24 o/oE), sera! 11,2 ± 4,52 gr, protein 54,0 ± 13,25 gr (13,7 ±
1,89 %E), lemak 56,0 ± 17,76 gr (31,6 ± 5,62 %E), SAFA 25,8 ± 8,84 gr (14,6 ±
3,44 %E), MUFA 14,1 ± 5,07 gr (8,0 ± 2,02 %E), PUFA 12,3 ± 5,85 gr (6,9 ±
2,84 %E) dan kotesterol 242,2 ± 118,36 mg per hari. Berdesarkan aujuran asupan
oleh PERKENI, asupan kaibohidrat, protein, MUF A dan PUF A sebagian besar
subyek dikategorlkan cukup. Sementara asupan lemak, SAP A dan kotesterol
sebagian besar subyek dikategorikan lebih dan asupan serat kurang. Kadar
kolesterol LDL, HDL dan trigliserida subyek berturut-turut adalah 126,3 ± 29,71
m8fdL, 58,2 ± 9,46 mg/dL dan 84,7 ± 35,81 mg/dL. Kadar ko1esterol LDL dan
trigliserida serum sebagian besar subyek dalam kategori normal. Kader kolesterol
HDL serum seluruh subyek dahun kategori normal. Tidak terdapat hubungan
bermakna antara jumlah asupan energi total dan masing-masing makronutrien
terhadap ukuran lingkar pinggang. Namun terdepat korelasi derajat lemak
antara kadar trigliserida serum dan ukuran lingkar pinggang.
AbstractModernization on some major cities in Indonesia specially Jakarta bas raised the
number of working women from year to year, and alter their !!restyle including
their total nutrition intake and macronutrient composition. Accompanied with
decreasing estrogen level in early climacteric women, there was big concern that
there had been alteration on lipid profile and fat distribution among these women.
The aim of the study was to evaluate daily intake of total energy, macronutrients
and lipid profile among healthy female government employee on early
climacteric phase (aged 35-45 years), and their association with waist
circumference. This cross sectional study took place in Cultural and Tourism
Department of Republic Indonesia. Sixty six women have provided consent,
while 52 subjects (78.8%) have completed the study. Data collection were
conducted from interviews, anthropometric measurements and dietary assessment
using 3 x 24 hours food record. Serum triglyceride, LDL, HDL cholesterol level
were assessed as well. Mean value of waist circumference was 84.8 ± 9.42 em,
and categorized as high, as well as on the majority of subjects (67.3 %).Mean
value and standard deviation of to!al energy intake was 1571 ± 303,2 kcal, and
categorized as moderate. The mean intake value of carbohydrate was 213,7 ±
40,73 g (54,7 ± 6,24 %E), fiber 11,2 ± 4.52 gr, protein 54.0 ± 13.25 g (13.7 ± 1.89
%E), fut 56.0 ± 17.76 g (3L6 ± 5.62 %E), SAFA 25.8 ± 8.84 gr (14.6 ± 3.44
%E), MUFA 14.1 ± 5.o7 gr (8.0 ± 2.02 %E), PUFA 12.3 ± 5.85 gr (6.9 ± 2.M
%E) and cholesterol 242.2 ± 118.36 mg!day. Based on PER.KENI
recommendation for macronutrient intake, majority of subject's intake of
carbohydrate, protein, MUFA and PUF A were categorized as moderate, the intake
of daily fat, SAFA and cholesterol were high, and all subject's intake of fiber was
low. Subject's serum LDL and HDL cholesterol level were 126.3 ± 29.71 mg/dL
and 58.2 ± 9.46 mg/dL respectively, while serum triglyceride level was 84.7 ±
35.81 mg!dL. Majority of subject's lipid profile categorized as normal. No
significant associations were found among total energy as well as macronutrients
with waist circumference. Nevertheless, there was weak significant association
between triglyceride serum level and waist circumference.
