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Abstrak :
Penelitian dengan rancangan pre-post test mengambil subyek dengan riwayat hiperkolesterolemia (yang satu tahun lalu mendapat konseling gizi sebanyak lima kali selama enam minggu). Pada subyek dilakukan wawancara satu kali mengenai asupan status gizi ; nutrisi dan aktivitas fisik, pemeriksaan status gizi (IMT, lingkar pinggang) serta kadar kolesterol LDL serum. Data yang didapat dibandingkan dengan data subyek satu tahun yang lalu. Wawancara asupan nutrisi menggunakan metode food recall 1 x 24 jam dan zat gizi yang dinilai meliputi kalori, protein, karbohidrat, lemak, kolesterol, serat dan fitosterol. Uji statistik yang digunakan adalah uji t berpasangan jika data berdistribusi normal dan Wilcoxon, jika data berdistribusi tidak normal. Tingkat kemaknaan yang digunakan p < 0, 05. 0,26 g menjadi 0,21 ± 0,18 g. Aktivitas fisikjuga meningkat. Dari rata-rata 7, 15 ± 1, 30 menjadi 8, 11 ± 1, 0. Peningkatan total indeks aktivitas fisik ini diduga menyebabkan menjadi tidak signifikan peningkatan nilai rerata IMT,yaitu dari rata-rata 26, 21 ± 4, 34 kg/m menjadi 26, 57± 4, 56 kg/m. Sedangkan pada lingkar pinggang terjadi peningkatan yang bermakna dari rata-rata 85, 37 ± 7, 61 em menjadi 89, 16 ± 6, 68 em. Peningkatan asupan kalori, lemak dan kolesterol menyebabkan meningkatnya kadar kolesterol LDL subyek penelitian sebesar 7,31 %. Dari rata-rata 151, 53 ± 24,81 mg/dl, menjadi 160,45 ± 27, 01 mg/dl. Tapi peningkatan ini tidak signifikan.

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Pre-post test design study to subjects with history of hypercholesterolemia. Subjects was exposed to nutrition counseling for six weeks a year ago. The subject was interviewed one time concerning nutrition intake and physical activity, examination to nutritional status and serum cholesterol LDL JeveL The result is comparing to the subject data one year ago. Interview of nutrient intake using 1x24 hours food recall method, and the nutrient which are significant but increase in carbohydrate> protein, fat, cholesterol and fiber were significant. Phitosteroi is decrease significantly from median 0,26 g to 0.21 ± 0.18 g. Unexpected increase occurred in subjects' total index of physical activity. From average of7.!5 ± 1.30 to 8.11 ± 1.0. This increase in physical activity total index assumed to have been the cause of ineensement IMT average rate to be insignificant, that is from average of26.21 ± 4.34 kg/m to 26.57 ± 4.56 kg!m While on subjects'waist circumference, there was significant increase from average 85.37 ± 7.61 em to 89.16 ± 6.68 em. The increase in calorie, fat, and cholesterol intakes have caused an increase in subjects' LDL cholesterol level 7.21 % from average 15!.53 ± 24.81 mg/d1 to 160.45 ± 27.01 mg/dl. But this increase was not significant.

Abstrak :
[ABSTRAK
LATAR BELAKANG: Katiadaan instrumen penilaian kompetensi yang valid menyulitkan penilaian praktik konseling terhadap tenaga gizi desa (Barangay Nutrition Scholars, BNS) yang mendapat pelatihan konseling pemberian makanan pada bayi dan anak (infant and young child feeding, IYCF). Studi ini dirancang untuk mengembangkan dan memvalidasi instrumen penilaian kompetensi BNS dalam memberikan konseling IYCF. METODE: Desain penelitian metodologi digunakan untuk mengembangkan dan validasi instrumen pengukur kompetensi konseling IYCF meliputi pengetahuan, sikap, dan keterampilan, berdasarkan frekuensi, intensitas, dan aktivitas. Instrumen ini ditujukan penggunaanya oleh BNS, supervisor, maupun klien. Uji coba dan revisi berdasarkan hasil analisis item dilakukan pada 320 BNS dan dilanjutkan dengan uji lapangan terhadap 280 BNS. Validitas isi (content validity) dikaji oleh beberapa pakar, sedangkan konsistensi internal (internal consistency) dan validitas konstruk (construct validity) diuji dengan Cronbach?s alpha dan, exploratory dan confirmatory factor analysis. Distribusi bobot pengetahuan, sikap dan keterampilan dan nilai titik potong kompetensi untuk tiap construct dan instrumen ditetapkan berdasarkan sensitivitas dan spesifisitas menggunakan ROC Curve. HASIL: Instrumen yang valid terdiri dari: 1) 28 item terkait pengetahuan BNS dengan tipe memilih benar atau salah suatu pertanyaan, pertanyaan dengan jawaban singkat, dan pilihan ganda; 2) 10 item terkait sikap BNS dengan Likert scale untuk menilai pandangan pribadi, sikap terhadap implementasi, dan hambatan yang dirasakan saat konseling IYCF; 3) 18 item menggunakan 5 skala frekuensi penilaian BNS dalam mendengarkan, memberikan support, dan praktik penilaian dan keterampilan; 4) 18 item dengan 4 skala nilai untuk atasan BNS menilai intensitas proses konseling, penilaian dan penggunaan materi IYCF; dan 5) 17 item berupa daftar tilik kegiatan untuk klien menilai pemberian support, penilaian, dan praktik keterampilan. Gabungan item masing-masing menjadi instrumen penilaian kompetensi KAS-WOR, KAS-SUP, KAS-MOM dan KAS-COM dengan nilai titik potong masing-masing yaitu 75%, 50%, 80% dan 65%. Berdasarkan pembobotan 20% untuk pengetahuan, 10% sikap, dan 70% keterampilan diperoleh 30% BNS yang kompeten dalam konseling IYCF. KESIMPULAN: Hasil pengembangan instrumen penilaian kompetensi BNS melakukan konseling IYCF memiliki konsistensi internal dan tingkat validitas yang sedang sampai tinggi.

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ABSTRACT
BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been trained to do infant and young child feeding (IYCF) counseling but the absence of a validated competency instruments constrained the assessment of their competency to do IYCF counseling to their client. This study was designed to develop and validate the instruments to assess the competency of BNS on IYCF counseling and answer the question: how valid and reliable were the developed instrument to measure the competency of trained BNS on IYCF counseling? METHODS: Methodological research design were used to develop and validate the instruments to measure IYCF counseling competency based on knowledge, attitude and skills in terms of frequency, intensity and activity designed for the BNS, supervisor and client, respectively. The instruments were pilot-tested to assess 320 BNS. Item analyses results were used for revisions prior to field test to 280 BNS. Experts checked the content validity; internal consistency and construct validity were assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis, respectively. The weighting distribution for knowledge, attitude and skills and cut-off score for each construct and instrument were established based on sensitivity and specificity using ROC Curve to calculate the score and to identify competent BNS. RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS attitude test with four scale Likert scale to assess personal view, attitude towards implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale frequency instrument for BNS to assess listening, giving support, assessment and action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the intensity in doing the counseling process, assessment and use of IYCF materials; and 5) 17-item activity checklist designed for client to assess giving support, assessment and actions skills. These constructs were combined into competency assessment instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%, 80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for knowledge-attitude-skills competent BNS on IYCF counseling was about 30%. CONCLUSIONS: The assessment instruments developed to measure the IYCF counseling competency of BNS had relatively moderate to high internal consistency and validity. This assures that the results of the tests can be relied upon for making dependable judgments and interpretations.;BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been trained to do infant and young child feeding (IYCF) counseling but the absence of a validated competency instruments constrained the assessment of their competency to do IYCF counseling to their client. This study was designed to develop and validate the instruments to assess the competency of BNS on IYCF counseling and answer the question: how valid and reliable were the developed instrument to measure the competency of trained BNS on IYCF counseling? METHODS: Methodological research design were used to develop and validate the instruments to measure IYCF counseling competency based on knowledge, attitude and skills in terms of frequency, intensity and activity designed for the BNS, supervisor and client, respectively. The instruments were pilot-tested to assess 320 BNS. Item analyses results were used for revisions prior to field test to 280 BNS. Experts checked the content validity; internal consistency and construct validity were assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis, respectively. The weighting distribution for knowledge, attitude and skills and cut-off score for each construct and instrument were established based on sensitivity and specificity using ROC Curve to calculate the score and to identify competent BNS. RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS attitude test with four scale Likert scale to assess personal view, attitude towards implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale frequency instrument for BNS to assess listening, giving support, assessment and action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the intensity in doing the counseling process, assessment and use of IYCF materials; and 5) 17-item activity checklist designed for client to assess giving support, assessment and actions skills. These constructs were combined into competency assessment instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%, 80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for knowledge-attitude-skills competent BNS on IYCF counseling was about 30%. CONCLUSIONS: The assessment instruments developed to measure the IYCF counseling competency of BNS had relatively moderate to high internal consistency and validity. This assures that the results of the tests can be relied upon for making dependable judgments and interpretations.;BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been trained to do infant and young child feeding (IYCF) counseling but the absence of a validated competency instruments constrained the assessment of their competency to do IYCF counseling to their client. This study was designed to develop and validate the instruments to assess the competency of BNS on IYCF counseling and answer the question: how valid and reliable were the developed instrument to measure the competency of trained BNS on IYCF counseling? METHODS: Methodological research design were used to develop and validate the instruments to measure IYCF counseling competency based on knowledge, attitude and skills in terms of frequency, intensity and activity designed for the BNS, supervisor and client, respectively. The instruments were pilot-tested to assess 320 BNS. Item analyses results were used for revisions prior to field test to 280 BNS. Experts checked the content validity; internal consistency and construct validity were assessed using Cronbach?s alpha and exploratory and confirmatory factor analysis, respectively. The weighting distribution for knowledge, attitude and skills and cut-off score for each construct and instrument were established based on sensitivity and specificity using ROC Curve to calculate the score and to identify competent BNS. RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS attitude test with four scale Likert scale to assess personal view, attitude towards implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale frequency instrument for BNS to assess listening, giving support, assessment and action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the intensity in doing the counseling process, assessment and use of IYCF materials; and 5) 17-item activity checklist designed for client to assess giving support, assessment and actions skills. These constructs were combined into competency assessment instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%, 80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for knowledge-attitude-skills competent BNS on IYCF counseling was about 30%. CONCLUSIONS: The assessment instruments developed to measure the IYCF counseling competency of BNS had relatively moderate to high internal consistency and validity. This assures that the results of the tests can be relied upon for making dependable judgments and interpretations., BACKGROUND: The Barangay (Village) Nutrition Scholars (BNS) has been trained to do infant and young child feeding (IYCF) counseling but the absence of a validated competency instruments constrained the assessment of their competency to do IYCF counseling to their client. This study was designed to develop and validate the instruments to assess the competency of BNS on IYCF counseling and answer the question: how valid and reliable were the developed instrument to measure the competency of trained BNS on IYCF counseling? METHODS: Methodological research design were used to develop and validate the instruments to measure IYCF counseling competency based on knowledge, attitude and skills in terms of frequency, intensity and activity designed for the BNS, supervisor and client, respectively. The instruments were pilot-tested to assess 320 BNS. Item analyses results were used for revisions prior to field test to 280 BNS. Experts checked the content validity; internal consistency and construct validity were assessed using Cronbach’s alpha and exploratory and confirmatory factor analysis, respectively. The weighting distribution for knowledge, attitude and skills and cut-off score for each construct and instrument were established based on sensitivity and specificity using ROC Curve to calculate the score and to identify competent BNS. RESULTS: The validated instruments included: 1) 28 items for BNS knowledge test with true or false, fill-in-the-blanks and multiple-choice formats; 2) 10 items for BNS attitude test with four scale Likert scale to assess personal view, attitude towards implementation, and perceived barriers on IYCF counseling; 3) 18 items of five-scale frequency instrument for BNS to assess listening, giving support, assessment and action skills; 4) 18-item four-scale instrument for BNS supervisor to assess the intensity in doing the counseling process, assessment and use of IYCF materials; and 5) 17-item activity checklist designed for client to assess giving support, assessment and actions skills. These constructs were combined into competency assessment instruments KAS-WOR, KAS-SUP, KAS-MOM and KAS-COM with 75%, 50%, 80% and 65% as cut-off score. Based on the 20-10-70 weighting distributions for knowledge-attitude-skills competent BNS on IYCF counseling was about 30%. CONCLUSIONS: The assessment instruments developed to measure the IYCF counseling competency of BNS had relatively moderate to high internal consistency and validity. This assures that the results of the tests can be relied upon for making dependable judgments and interpretations.]

Abstrak :
Tujuan penelitian adalah diketahuinya kolerasi antara IMT dan kadar kolesterol LDL serum pada subyek dengan hiperkolesterolemia Penelitian ini menggunakan disain pre post test, pada penderita hiperkolesterolemia yang mernenuhi kriteria penerimaan dan tidak memenuhi kriteria penolakan, Serta telah mengikuti penelitian yang telah diselenggarakan di Departernen Ilmu Gizi Fakultas Kedokteran Universitas Indonesia satu tahun lalu yang beijudul ?Pengaruh Pemberian Fitosterol dan Serat terhadap Profil Lipid dan [3 Karoten pada usia 20 tahun atau lebih?. Data yang diambil meliputi, karaktcristik demografi, asupan makanan., aktivitas fisik, IMT, dan kadar kolesterol LDL serum. Jumlah subyek adalah 38 orang berusia rata-rata 43,26 ;l: 8,08 tahun dan 68,42% subyek adalah perempuan dan 44,'74% berpendidikan tinggi. Rerata pola asupan: pola asupan kalori 1388,ll i- 274,08 kkal; pola asupan 1-carbohidrat 166,13 =I= 41,39 g, pola asupan lcmak 61,76 i 17,76 g; pola asupan kolestcrol 169,31 i 71,83 mg dan pola asupan serat 7,5 i 2,22 g; Rerata asupan: asupan kalori l4l3,07 i 482,71 kkal atau 77,30 i 28,00% KKT; asupan karbohidrat 182,01 J; 67,87 g atau 34,93 4: l0,34% KKT; asupan lernak 51,58 i 26,36 g atau 17,15 3; 8,64% KKT; asupan kolesterol 145,86 i 120,44 mg dan asupan serat 16,82 t 11,38 g. Rerata Indeks aktivitas fisik 8,05 i 1,12 dan 100% subyek penelitian memiliki aktivitas tergolong scdang dan tinggi. Rerata IMT 26,84 i 4,84 kg/m2 dengan 89,5% tergolong obes sekarang. Rerata kadar kolesterol LDL 160,24 4; 27,06 mg/dL dengan 4'/,37% memiliki kadar kolesterol LDL tinggi dan sangat tinggi sekarang. Tidak terdapat korelasi antara IMT dan kadar kolesterol LDL serum.

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To determine the correlation of BMI and LDL Cholesterol Serum in hypercholesterolemia subject Research with pre post rest design in hypercholesterolernia subject that fulfill the inclusion criteria and not in exclusion criteria, and has joined last year research executed by Department of Nutrition of Medical Faculty, University of Indonesia with title ? The Effect of Phytosterol and Fibre toward Lipid Profile and [3 Karoten at the age of 20 years old or upper ?. Data taken include demographic characteristic, nutrition intake, physical activity, BMI, and LDL cholesterol scrum level. Number of subject is 38 people within average of 43,26 i 8,08 years old, 68,42% are women and 44,74% are graduated. The average intake pattern : calory intake l388,ll i 274,08 kkal; carbohydrate intake 166,13 i 41,39 g, fat intake 61,76 i 17,76 g; cholesterol intake 169,31 i 71,83 mg and fibre intake 7,5 1 2,22 g. Intake average 1 calory intake 1413,ov e 422,71 mal or 77,30 1 28,00% KKT; carbohydrate intake 182,01 :te 67,87 g or 34,93 :iz l0,34% KKT; fat intake 51,58 i 26,36 g or 17,15 :t 8,64% KKT; cholesterol intake l45,86 i 120,44 mg and fibre intake 16,82 i 11,38 g. Average of the physical activity index 8,05 i 1,12 and l00%. Research subject have middle and high activities. Average BMI 26,84 i 4,84 kg/m2 with 89,5% in obese. The average of LDL cholesterol serum 160,24 i 27,06 mg/dL with 47,37% have high and highest LDL cholesterol level. There is no correlation between BMI and LDL cholesterol serum.

Abstrak :
Konseling dengan pendekatan gaya hidup untuk perubahan perilaku, salah satunya dengan diet penurunan kalori, telah terbukti dapat menangani gizi lebih. Akan tetapi, pemberian intervensi tatap muka memiliki beberapa keterbatasan, antara lain keterbatasan jangkauan intervensi, serta pemberian umpan balik yang tidak tepat waktu. Berbagai studi menunjukkan bahwa konseling gizi dengan menggunakan metode telehealth dapat berperan dalam penanganan gizi lebih. Saat ini penelitian mengenai telehealth dalam bidang gizi di Indonesia masih terbatas. Oleh karena itu, penelitian ini bertujuan untuk melihat pengaruh pendampingan gizi yang meliputi pemberian konseling, edukasi, dan monitoring evaluasi berbasis telehealth terhadap pengetahuan gizi dan asupan zat gizi makro. Desain penelitian yang digunakan adalah kuasi eksperimental dengan pemberian intervensi selama 3 minggu berupa pendampingan gizi pada 21 PNS wanita di Dinas Kesehatan, Dinas Sosial, dan Dinas Pemuda Olahraga Kebudayaan dan Pariwisata Kota Depok (perlakuan) dan edukasi gizi pada 15 PNS wanita Dinas Pendidikan Kota Depok (kontrol) yang mengalami gizi lebih. Penelitian ini menilai perubahan pengetahuan gizi dan asupan gizi makro setelah diberikan intervensi dengan menggunakan uji beda rata-rata. Hasil penelitian menunjukkan adanya peningkatan pengetahuan (p value 0,010), penurunan asupan energi (p value 0,010), protein (p value 0,016), dan karbohidrat (p value 0,001) pada kelompok perlakuan dan adanya penurunan asupan protein (p value 0,012) pada kelompok kontrol setelah diberikan intervensi. Tidak terdapat perbedaan perubahan pengetahuan gizi dan asupan zat gizi makro antar kelompok. ......Counseling with a lifestyle approach to behavior change, such as calorie-decreasing diet, has been shown to be able to handle overnutrition. However, giving face-to-face interventions has several limitations, including limited range of interventions, as well as providing timely feedback. Various studies show that nutritional counseling using the telehealth method can play a role in handling overnutrition. Current research on telehealth nutrition intervention in Indonesia is still limited. Therefore, this study aims to look at the effect of nutritional assistance which includes providing telehealth-based counseling, education, and monitoring evaluation of nutrition knowledge and macronutrient intake. The research design used was quasi-experimental with 3 weeks intervention of nutritional assistance at 21 female civil servants at the Dinas Kesehatan, Dinas Sosial, dan Dinas Pemuda Olahraga Kebudayaan dan Pariwisata Kota Depok (intervention) and nutrition education at 15 female civil servants in Dinas Pendidikan (control) who are overweight or obese. This study assessed changes in knowledge and macronutrient intake after intervention was given using the average difference test. The results showed an increase in knowledge (p value 0.010), decreased energy intake (p value 0.010), protein (p value 0.016), and carbohydrate (p value 0.001) in intervention group and a decrease in protein intake (p value 0.012) in the control group after intervention. There is no difference in changes in nutrition knowledge and macronutrient intake between groups

Abstrak :
Perawat mempunyai resiko mengalami status gizi berlebih yang dapat meningkatkan resiko terjadinya gangguan kesehatan serius, seperti penyakit jantung, hipertensi dan diabetes melitus. Intervensi konseling gizi dan diet diduga dapat menurunkan berat badan pada orang dengan status gizi berlebih. Tujuan penelitian ini untuk mengetahui efektifitas Konseling Gizi dan penerapan Diet Rendah Energi Seimbang Teratur (REST) terhadap penurunan berat badan pada perawat dengan status gizi berlebih di rumah sakit. Penelitian dilakukan di RSUD Kesehatan Prov. Jabar dengan subjek penelitian 22 orang perawat yang mempunyai status gizi berlebih, melakukan intervensi Konseling Gizi dan penerapan Diet REST TM serta menggunakan kuesioner Bouchard, kuesioner OSI-RTM dan lembar food record. Rata-rata penurunan berat setelah mendapatkan Konseling Gizi dan melaksanakan Diet RESTM paling besar terjadi pada minggu ke-12 akhir pengamatan sebesar 2,6 kg dengan 95% IK=1,3-3,9 kg. Berdasarkan analisa bivariat didapatkan jenis kelamin memberikan pengaruh yang bermakna terhadap rata-rata penurunan berat badan. Perawat laki-laki memiliki rata-rata penurunan yang lebih besar dibandingkan perempuan (p=0,038). Rata-rata penurunan berat badan perawat laki-laki 3,1 ± 1,7kg dan perawat perempuan 1,6 ± 1,3kg. Sedangkan pengaruh faktor pekerjaan terhadap penurunan berat badan setelah mendapatkan Konseling Gizi dan menjalankan Diet RESTTM tidak menunjukkan pengaruh yang bermakna, yaitu jabatan pekerjaan (p=0,948), jumlah jam kerja (p=0,220), pembagian shift kerja (p=0,692) dan stres kerja (p=0,813). Kesimpulan dari penelitian ini terdapat pengaruh Konseling Gizi dan Diet RESTTM selama 12 minggu terhadap penurunan berat badan pada perawat dengan status gizi berlebih di rumah sakit. ......Nurse has a risk to get an excessive weight nutritional status that can increase the risk of serious health problems, such as heart disease, hypertension and diabetes mellitus. The intervention of nutrition counseling and diet are expected to lose weight in people with excessive nutritional status. Purpose of this study is to determine the effectiveness of nutrition counseling and the implementation of Rendah Energi, Seimbang dan Teratur (REST) diet on weight loss among hospital nurses with excessive weight nutritional status in the hospital. The study was conducted at Occupational Health Hospital of West Java with 22 nurses as study subjects with excessive weight nutritional status, implemented nutrition counseling intervention, a RESTTM Diet and also used the Bouchard questionnaire, OSI-RTM questionnaire and food record sheets. The greatest average weight loss after receiving nutrition counseling and implementing a REST^TM Diet occurred in the 12th week of the last observation. It was 2.6 kg with 95% CI=1.3-3.9 kg. Based on the bivariate test showed gender had a significant effect on the average weight loss. The male nurses had greater average weight loss than female nurses (p=0.038). The average weight loss of male nurses was 3.1 ± 1.7kg and female nurses 1.6 ± 1.3kg. Meanwhile, the effect of occupational factors on weight loss after receiving nutrition counseling and implementing the RESTTM Diet did not show a significant effect, such as job position (p=0.948), the number of working hours (p=0.220), work shift schedule (p=0.692) and work stress (p=0.813). The conclusion of this study is there was an effect of nutrition counseling and a RESTTM Diet in 12 weeks on weight loss among nurses with excessive weight nutritional status in the hospital.

Abstrak :
ABSTRAK
Hubungan gizi dengan HIV sangatlah erat, dimana pada kondisi ODHA telah terkena penyakit infeksi dan jatuh sakit maka kebutuhan gizi akan meningkat tetapi di sisi lain sering kali adanya kegagalan asupan yang adekuat sehingga penyakit infeksinya akan semakin buruk. Begitu seterus hubungannya apabila asupan gizi tidak adekuat. Masalah gizi pada ODHA dapat juga berupa kelebihan gizi yang berdampak pada penyakit degeneratif. Edukasi gizi merupakan langkah yang baik untuk membentuk perilaku, dimana ODHA diharapkan mengkonsumsi makanan dan minuman dengan gizi yang cukup dan aman. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi dan konseling gizi terhadap pengetahuan, sikap, perilaku dan berat badan ODHA di UPT HIV RSUPN Dr. Cipto Mangunkusumo Jakarta. Desain penelitian yang digunakan adalah kuasi eksperimental yang dilakukan kepada 54 pasien HIV/AIDS dengan menilai pengetahuan, sikap, perilaku dan pengukuran berat badan sebelum dan setelah diberikan intervensi. Uji statistik yang digunakan adalah uji beda meandan uji multivariat logistik linear. Hasil penelitian menunjukkan adanya perbedaan pengetahuan (p value 0,000) dan perilaku (p value 0,048) untuk kelompok perlakuan. Peningkatan berat badan ratarata setelah intervensi adalah 0,6 kg (p value 0,170). Variabel yang paling dominan terhadap perilaku adalah dukungan keluarga/peer group (p value 0,012).

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ABSTRAK
A closely relation between HIV and nutrition, where the condition of people living with HIV/AIDS (PLWHA) has been exposed to infectious diseases and easy to falling ill, nutritional needs will increase but on the other hand is often a failure of adequate intake so that the infection will get worse disease. So onwards to do when nutritional intake is inadequate. Nutritional problems in PLWHA can also be excess nutrients that have an impact on degenerative diseases. Nutrition education is a good step for shaping behavior, where PLWHA are expected to consume foods and beverages with adequate nutrition and safe. This study aims to determine the effect of nutrition education and counseling on knowledge, attitudes, behaviors and body weight PLWHA. The design study is quasi experimental conducted to 54 patients with HIV / AIDS to assess the knowledge, attitude, behavior and body weight measurements before and after intervention. The results showed differences in knowledge (p value 0.000) and behavior (p value 0.048) for the treatment group. The increase in the average weight gain was 0.6 kg after intervention (p value 0.170). The most dominant variable is the behavior of family support / peer group (p value 0.012).

Abstrak :
Telah dilakukan penelitian tentang gambaran pengobatan pasien diabetes melitus (OM) di Rumah Sakit Umum Pendidikan (RSUP) Fatmawati Jakarta. Analisis data terhadap pasien OM RSUP Fatmawati belum pernah dilakukan kembali sejak 10 tahun terakhir, sehingga perlu dilakukan penelitian untuk meningkatkan pengelolaan pasien OM. Tujuan penelitian untuk mendapat gambaran tipe OM dan gambaran pengobatan pasien OM rawat jalan. Manfaat penelitian adalah dapat mengamati indikasi ketidakpatuhan berobat pasien OM sebagai bahan masukan untuk rumah sakit. Penelitian dilakukan secara cross sectional cleskriptif selama kurun waktu Januari 2004 - Mei 2004 terhadap data sekunder Februari 2002 - Februari 2004 (n = 315), serta pengisian angket dan pemeriksaan hemoglobin glikosilasi (HbA1c) (n = 257). Indikator yang dipakai adalah angka proporsi. Hasil penelitian menunjukkan bahwa : proporsi OM tipe 2 adalah 99,05%; ratarata nilai HbA1c adalah 7,25; proporsi HbA1c (menurut kriteria PERKENI 2002) : baik 32,29% (HbA1c < 6,5), sedang 41,64% (HbA1c 6,5 - 8) dan buruk 26,07% (HbA1c > 8). Proporsi obat-obat anti diabetes adalah sulfonilurea (generasi 1, 2, 3) 24,12%, biguanid 22,96%, kombinasi sulfonilurea dan biguanid 30,35%, insulin 13,23%, kombinasi oral dan insulin 5,84%; proporsi keadaan tanpa obat oral 13,01%, suntikan 2,22%. Proprosi efek samping : hipoglikemia 21,6%, gastritis 6,62%; proporsi : edukasi 66,70%, konseling gizi 95,34% dan konseling obat 26,46%.