Hasil Pencarian  ::  Simpan CSV :: Kembali

Hasil Pencarian

Ditemukan 20 dokumen yang sesuai dengan query
cover
Laga Patriantoro
"

Minuman ringan berpemanis adalah minuman ringan yang diberi tambahan gula sederhana yang dapat menambah kandungan energi. Trigliserida merupakan salah satu bentuk simpanan lemak di dalam tubuh. Konsumsi minuman ringan berpemanis dapat meningkatkan kadar trigliserida melalui peningkatan lipogenesis de novo.  Lemak viseral adalah lemak yang terdapat pada rongga abdomen yang diketahui merupakan faktor risiko tinggi untuk penyakit metabolik di kemudian hari. Penelitian ini bertujuan untuk mengetahui korelasi antara frekuensi konsumsi minuman ringan berpemanis dengan kadar trigliserida dan visceral fat rating pada remaja putri. Penelitian ini menggunakan disain potong lintang dengan melibatkan 47 subjek yang direkrut melalui metode consecutive sampling. Frekuensi minuman ringan berpemanis diambil dengan metode FFQ. Sampel kadar trigliserida diambil dari darah tanpa puasa dan diukur menggunakan metode enzymatic colorimetric. Visceral fat rating diukur menggunakan BIA. Uji statistik menggunakan uji korelasi Pearson dan Spearman dengan SPSS. Subjek rata-rata mengonsumsi minuman ringan berpemanis sebanyak 8,91 + 4,71 kali/minggu. Nilai rata-rata kadar trigliserida subjek adalah 110,49 + 41,49 mg/dL. Nilai tengah visceral fat rating subjek adalah 3 (1 – 11) termasuk dalam kategori sehat. Pada penelitian ini didapatkan hasil korelasi positif bermakna dengan derajat sangat kuat (p = <0,001, r = 0,88) antara frekuensi konsumsi minuman ringan berpemanis dengan kadar trigliserida dan korelasi positif bermakna dengan derajat sedang (p = 0,003, r = 0,426) antara frekuensi konsumsi minuman ringan berpemanis dengan visceral fat rating.


Sugar sweetened beverages are beverages that are given an addition of simple sugar so they can add energy content. Triglycerides are one form of fat deposits in the body. Consumption of sugar sweetened beverages can increase triglyceride levels through increasing de novo lipogenesis. Visceral fat, which is located in the abdominal cavity, is known to be a high risk factor for metabolic diseases in the future. This study aims to determine the correlation between consumption frequency of sugar sweetened beverages with triglyceride levels and visceral fat rating in female adolescence.  This study used a cross-sectional design involving 47 subjects recruited through a consecutive sampling method. The frequency of sugar sweetened beverages is taken by FFQ method. Triglyceride levels were taken from blood without fasting and measured using enzymatic colorimetric method. Visceral fat rating measured using BIA. Statistical test using Pearson and Spearman correlation test with SPSS. The average of subject that consumed sweetened soft drinks as much as 8.91 + 4,71 times / week. The average subject triglyceride levels 110,49 + 41,49 mg / dL. The median of the subject's visceral fat rating are 3 (1 - 11) is included in the healthy range. In this study a significant positive correlation was strongly found (p = <0.001, r = 0.88) between the consumption frequency of sweetened soft drinks and triglyceride levels and a positive correlation with moderate degrees (p = 0.003, r = 0.426) between consumption frequency of sugar sweetened beverages and visceral fat rating.

"
Depok: Fakultas Kedokteran Universitas Indonesia, 2019
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Hilna Khairunisa Shalihat
"Latar Belakang. Obesitas pada anak merupakan masalah kesehatan global. Obesitas ditandai dengan akumulasi sel adiposa yang mencetuskan terbentuknya reactive oxygen species (ROS). ROS menginduksi peroksidasi lemak, yang dapat dideteksi dengan kadar malondialdehid (MDA) plasma. Edukasi nutrisi dengan konseling dan kunjungan rumah pada pengasuh dengan anak berisiko obesitas usia < 2 tahun dapat mempengaruhi perilaku ibu, sehingga merubah asupan nutrisi anak. Belum ada rekomendasi nutrisi untuk anak obesitas usia < 2 tahun yang sesuai dengan kebutuhan dan menggunakan bahan makanan lokal. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian konseling optimisasi diet tinggi omega-3 menggunakan linear programming terhadap kadar MDA plasma.
Metode. Penelitian ini merupakan uji klinis terbuka, desain paralel, alokasi acak selama 10 minggu pada anak usia 12-24 bulan dengan BMI>+1 Z-score berdasarkan kurva WHO. Subjek diambil secara konsekutif dan dibagi menjadi kelompok dengan konseling optimisasi diet tinggi omega-3 menggunakan linear programming dan kelompok dengan konseling standar. Data yang dikumpulkan meliputi wawancara, pengukuran antropometri, kuesioner perilaku makan, data asupan makanan menggunakan food recall 2x24 jam dan food frequency questionnaire (FFQ) semi kuantitatif. Pemeriksaan laboratorium dilakukan untuk mengetahui kadar malondialdehid plasma menggunakan metode sfektofotometri pada periode sebelum dan sesudah perlakuan.
Hasil. Sebanyak total 32 subjek yang ikut serta dalam penelitian ini dialokasikan menjadi 18 subjek pada kelompok intervensi dan 14 subjek pada kelompok control. Rerata usia subjek adalah 18.4±3.7 pada kelompok intervensi dan 18.7±2.8 pada kelompok kontrol. Perbandingan karakteristik demografis anak dan keluarga pada kedua kelompok setara. Tidak terdapat perbedaan bermakna pada perubahan perilaku makan dan asupan PUFA, Asam arakidonat (AA) dan omega-3 antara kedua kelompok. Besarnya rerata penurunan kadar MDA plasma pada kelompok intervensi -0.16 dan pada kelompok control -0.007 dengan p=0.023.
Kesimpulan. Pemberian konseling optimalisasi diet tinggi omega-3 menggunakan linear programming dibandingkan dengan konseling standar kepada pengasuh selama 10 minggu dapat menurunkan kadar MDA plasma pada anak dengan risiko overweight, overweight, dan obesitas usia 12-24 bulan di Jakarta Timur.

Background. Pediatric obesity is a major health concern in the world. Obesity is characterized by accumulation of adipose, triggers formation of reactive oxygen species (ROS). ROS will induce lipid peroxidation, which can be detected by plasma malondialdehyde (MDA). Nutrition education with counseling and home-visits to main caregivers with obese-prone children aged under-two-years can affect child-feeding behavior to revise children intake. There are no convenient nutritional recommendations for these children which suited children requirement and matched with available local food. This study aimed to investigate effect of enhancedcounseling with omega-3 optimization using linear programming compare with general counseling on plasma MDA.
Method. This study is an open clinical trial with parallel design and randomized allocation for 10 weeks in children aged 12-24 months with a BMI > +1 WHO Z-score. Subject was taken consecutively and randomly allocated by block randomization with stratification into group enhanced counseling with omega-3 optimization using linear programming compare with general counseling. Data were collected from interviews, anthropometric measurements, eating behavior questionnaires, food recall 2x24 hours and food frequency questionnaire (FFQ) semiquantitative. Laboratory tests are conducted to determine plasma malondialdehyde levels using spectrophotometry methods before and after treatment.
Result. A total of 32 subjects participated in this study, 18 subjects were allocated into intervention group and 14 subjects into control group. The mean age of subjects was 18.4 ± 3.7 for the intervention group and 18.7 ± 2.8 for the control group. The demographic characteristics of the children and families in both groups were similar. There were no significant changes in child-feeding behavior and PUFA?s intake, arachidonic acid (AA) and omega-3 between the two groups. The result of reduction of MDA levels in the intervention group is -0.16 and the control group -0.007 with p = 0.023.
Conclusion. Enhanced counseling with omega-3 optimization using linear programming, compare with general counseling to main caregivers for 10 weeks, can reduce plasma MDA levels among obese-prone 1-2 years old children in East Jakarta
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Nice Rachmawati Masnadi
"Anak yang dirawat di rumah sakit mempunyai risiko mengalami malnutrisi selama dirawat. Skrining nutrisi pediatrik membantu mengidentifikasi anak dengan risiko malnutrisi malnutrisi rumah sakit MRS .Tujuan: untuk mengetahui prevalens MRS dan skor risiko malnutrisi pada anak yang dirawat di RSUP Dr.M. Djamil. Metode: Penelitian kohort prospektif dilaksanakan dari November 2013 sampai Januari 2014 pada pasien rawat inap di Bagian Anak RS Dr. M. Djamil Padang. Penentuan status gizi, skor risiko malnutrisi, dan pelaksanaan asuhan nutrisi dilakukan pada semua subyek, sedangkan penilaian prevalens MRS dilakukan pada subyek yang dirawat ge;7 hari dan dinilai hubungan MRS dengan jenis kelamin, umur, status gizi, penyakit dasar dan jumlah diagnosis. Hasil: Subyek berjumlah 113 orang, 45,1 dengan status gizi kurang-buruk, median umur 36 bulan 1-168 bulan, median lama rawat 7 hari 3-47 hari dimana 52,2 subyek dirawat ge-7 hari. Berdasarkan STRONG-kids dimodifikasi didapatkan anak dengan risiko ringan 23,9, risiko sedang 61,9, dan dengan risiko tinggi 14,2. Prevalens MRS pada penelitian ini adalah 25,4. Faktor umur dan jumlah diagnosis berhubungan bermakna dengan prevalens MRS. Kesimpulan: Prevalens malnutrisi rumah sakit di Bagian Anak RSUP Dr. M. Djamil Padang cukup tinggi, perlu dilakukan upaya untuk menurunkannya dimulai dari skrining risiko malnutrisi.

Abstract Background Children requiring hospitalization are at higher risk for hospital malnutrition. Pediatric nutrition screening helps to promptly identify children who are at risk of malnutrition. Objective To identify the risk and the prevalence of hospital malnutrition and in Department of Child Health Dr. M. Djamil Hospital, Padang.Methods A prospective cohort study was conducted in children who were hospitalized in Department of Child Health Dr. M. Djamil Hospital. We performed anthropometric measurement and nutritional status evaluation, determined nutritional screening, and practiced pediatric nutrition care to all children. We assessed the prevalence of hospital malnutrition at patient who hospitalized ge 7 days and its relationship with several factors.Results One hundred and thirteen children were hospitalized between November 2013 and January 2014 at our pediatric hospital, 45,1 were malnourished. Their median age was 36 months range 1 168 months, median length of stay was 7 days range 1 47 days and 52.2 were hospitalized for ge 7 days. According to the modified STRONG kids, 23.9 children were at low risk, 61.9 at moderate risk and 14,2 at high risk. Infectious disease is the most common 49.6 cause of hospitalization. Prevalence of hospital malnutrition was 25.4. Age and multiple diagnose have a significant relationship with the prevalence of hospital malnutrition. Conclusion The prevalence of hospital malnutrition in children at Dr. M. Djamil hospital Padang was high, and the need to lower that rate which began with nutrition screening."
Depok: Fakultas Kedokteran Universitas Indonesia, 2016
T-pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Selvi Aprianty Mardiana
"Tujuan dari penelitian ini adalah untuk menemukan hubungan Index Massa Tubuh IMT dan di kalangan remaja di Jakarta. Peningkatan IMT terkait dengan praktik makanan dapat membentuk persepsi rasa seseorang. Terdapat lima rasa dasar yang diakui, di mana rasa umami kontroversial dalam paradigma orang Indonesia. Sementara itu, studi terkait dengan umami di Indonesia masih terbatas. Sejauh mana sensitivitas rasa umami dapat mempengaruhi dalam konsumsi makanan dan indeks massa tubuh dianalisis dalam penelitian ini.. Terdapat 43 remaja Non-Overweight-Obese Group NOOG dan 79 remaja Overweight-Obese Group OOG yang berusia 10-16 tahun terlibat dalam studi cross-sectional kuantitatif ini. Studi ini menemukan bahwa usia secara signifikan terkait dengan BMI p

The goal of this study was to determine Body Mass Index BMI and its associations among adolescents in Jakarta. Increasing BMI is related to food practice that may shaped people taste perception. Some studies have showed that there are any interplay associations between taste and body mass. Five basic tastes are acknowledged nowadays, in which umami taste is the latest found and controversial in Indonesia. Meanwhile, study related with umami in Indonesia is still far behind. To what extend could umami taste sensitivity mediate in dietary experience and body mass index were analyzed in this study. There are 43 Non Overweight Obese Group NOOG and 79 Overweight Obese Group OOG students aged 10 16 years were involved in this quantitative cross sectional study. Body Mass Index BMI for age, Best Estimation Threshold BET test, Semi Quantitative Food Frequency Questionnaires SQFFQ and developed structures questionnaires were assessed and analyzed in this study. All data presented in categorical to be used in bivariate and regression model. Result of the study was found that age significantly associated with BMI p"
2018
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Dian Ayuningtyas
"ABSTRAK
Latar belakang : Prevalens terjadinya malnutrisi bervariasi pada berbagai siklus kemoterapi LLA. Penelitian di Malaysia mendapatkan anak LLA pasca-kemoterapi fase induksi cenderung mengalami obesitas atau status gizi lebih. Penyebab malnutrisi pada anak LLA dapat dipengaruhi oleh berbagai faktor. Perubahan status gizi selama kemoterapi dapat memengaruhi luaran kemoterapi.
Tujuan: mengetahui faktor-faktor yang memengaruhi perbaikan status gizi anak LLA setelah kemoterapi fase konsolidasi, serta pengaruhnya terhadap luaran kemoterapi, sehingga dapat dipakai sebagai masukan untuk upaya mengatasi malnutrisi pada anak LLA.
Metode : Penelitian ini dengan uji retrospektif, di Rumah sakit Cipto Mangunkusumo, selama tahun 2016-2018. Total sampling pada pasien leukemia limfoblastik akut yang terdiagnosis, dan menjalani kemoterapi di RSCM hingga fase konsolidasi.
Hasil : Seratus empat puluh satu subyek pasien anak LLA diikutsertakan dalam penelitian ini. Terdapat 69,5% subyek mengalami perbaikan status gizi, dan 30,5% mengalami perburukan status gizi, dengan 60% perburukan ke arah overnutrition pasca-kemoterapi fase konsolidasi. Faktor risiko independen terhadap terjadinya perbaikan status gizi pasca-kemoterapi fase konsolidasi ialah tidak timbulnya efek samping kemoterapi (RR 1,36, 95% IK 1,02 - 1,81). Jenis makanan dan cara pemberian makan tidak memengaruhi perubahan status gizi anak LLA pasca-fase konsolidasi. Terdapat hubungan antara perbaikan status gizi anak LLA pasca-fase konsolidasi dengan kejadian remisi (RR 1,24, 95% IK 1,03 - 1,5).
Simpulan : Status gizi pasca-kemoterapi fase konsolidasi mengalami perbaikan dibandingkan sebelum kemoterapi, sedangkan yang mengalami perburukan status gizi cenderung mengalami overnutrition. Perbaikan status gizi anak LLA pasca-kemoterapi fase konsolidasi dipengaruhi oleh tidak timbulnya efek samping kemoterapi. Terdapat hubungan antara perbaikan status gizi anak LLA pasca-kemoterapi fase konsolidasi dengan kejadian remisi.

ABSTRACT
Background: Acute lymphoblastic leukemia (ALL) is the most common malignancy in childhood. The prevalence of malnutrition varies in phase of ALL chemotherapy. Study in Malaysia showed ALL children after induction phase of chemotherapy tended to be obese or overweight. The causes of malnutrition in ALL children can be influenced by various factors. Changes in nutritional status during chemotherapy can affect the outcome of chemotherapy.
Aim: To investigate factors that influence nutritional status improvement of ALL children after consolidation phase, as well as the effect on the outcomes of chemotherapy, so it can be used as an input to overcome malnutrition in ALL children.
Method: A retrospective design was performed in Cipto Mangunkusumo Hospital from 2016 until 2018. Total sampling in patients with acute lymphoblastic leukemia who was diagnosed and started chemotherapy at Cipto Mangunkusumo Hospital until the consolidation phase.
Result: A total of 141 subjects were included in this study. After consolidation phase, 69.5% of subjects experienced nutritional status improvements, and 30.5% worsened, of which 60% become over nutrition post-consolidation phase. Independent risk factor for the improvement of nutritional status after consolidation phase was the absence of chemotherapy side effects (RR 1.36, 95% CI 1.02 - 1.81). There were no association between type of food and route of feeding with nutritional status improvement of ALL children after consolidation phase. There was association between improvement in nutritional status of ALL children after consolidation phase with the incidence of remission (RR 1.24, 95% CI 1.03 - 1.5).
Conclusion: Nutritional status at post-consolidation phase has improved compared to pre- chemotherapy, while those who worsening nutritional status tend to overnutrition. The absence of chemotherapy side effects affects nutritional status improvement of ALL children after consolidation phase. There is a relationship between nutritional status improvement of ALL children after consolidation phase with the incidence of remission."
Depok: Fakultas Kedokteran Universitas Indonesia, 2019
T55513
UI - Tesis Membership  Universitas Indonesia Library
cover
Maretha Primariayu
"Insulin-like growth factor (IGF)-1 adalah salah satu hormon yang berperan pada pertumbuhan remaja perempuan. Kadarnya akan meningkat pada masa pubertas dan mulai menurun saat akhir pubertas. Kadar IGF-1 yang tinggi saat dewasa berhubungan dengan kejadian kanker payudara. Penelitian ini bertujuan untuk mengetahui korelasi antara IGF-1 dengan indeks massa tubuh (IMT) pada remaja perempuan usia 13-15 tahun di Jakarta. Studi potong lintang ini dilakukan sejak bulan April?Mei 2016 dengan menggunakan data primer dari serum darah tersimpan berupa kadar IGF-1 yang diperiksa dengan metode ELISA dan data sekunder dari penelitian berjudul ?Faktor Determinan Kadar Estradiol, IGF-1, dan Menarche Dini pada Remaja Putri Usia 13?15 tahun di Jakarta: Studi Epidemiologi Gizi Terkait Faktor Risiko Kanker Payudara? berupa data antropometri, asupan makanan, dan aktivitas fisik dari 178 subjek yang didapat dengan metode total population sampling. Indeks massa tubuh pada remaja perempuan usia 13?15 tahun diukur dengan menggunakan kurva WHO 2007 dan CDC 2000. Tidak didapatkan korelasi antara IGF-1 dengan IMT pada remaja perempuan, namun terdapat kecenderungan nilai IGF-1 akan meningkat pada status gizi overweight dan menurun pada obesitas. Hendaknya para remaja perempuan menjaga status gizi dengan menjaga pola makan, memilih jenis makanan yang tepat dan seimbang, serta meningkatkan aktivitas fisik.

The insulin-like growth factor (IGF)-1 is one of hormone that plays a role in the growth of adolescent girls. Its level will rise at puberty and begin to decline at the end of puberty. High IGF-1 levels in adult associated with the incidence of breast cancer. This study aimed to determine the correlation between IGF-1 and body mass index (BMI) in 13-15-years-old girls in Jakarta. This cross-sectional study was conducted in April-May 2016 by using primary data from stored blood serum to measure IGF-1 level byELISA method and secondary data from a study entitled "Determinant Factors of Levels of Estradiol, IGF-1, and Early Menarche in Adolescents Girls Aged 13-15 in Jakarta: Nutritional Epidemiology Study Related to Breast Cancer Risk Factors" such as anthropometric data, dietary intake, and physical activity were obtained from 178 subjects with a total population sampling method. Body mass index in girls aged 13-15 years were measured using WHO 2007 and CDC 2000 curves. There were no correlation between IGF-1 with a BMI in adolescent girls, however, there is a tendency value of IGF-1 will increase in overweight and decrease in obesity. Thus adolescent girls should maintain their nutritional status by maintain a diet, choose the right and balanced foods, as well as increased physical activity.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
cover
Beatrice Anggono
"Latar belakang: Edukasi nutrisi dalam bentuk konseling merupakan bagian penting dalam manajemen obesitas anak. Asam Lemak Omega-3 (AL omega-3) merupakan salah satu nutrien esensial yang bermanfaat dalam penanganan obesitas terkait dengan kerjanya yang meningkatkan oksidasi lemak, menurunkan proses adipogenesis, dan memodulasi rasa lapar-kenyang. Sampai saat ini beluan ada rekomendasi nutrisi yang mengikutsertakan optimalisasi AL omega-3 dalam diet pada anak dengan berat badan berlebih dan obesitas. Linear programming merupakan metode untuk membuat rekomendasi makanan yang mempertimbangkan pula ketersediaan makanan, pola makan, dan juga harga makanan dalam proses pembuatannya.
Tujuan: Penelitian ini bertujuan untuk melihat pengaruh konseling diet optimalisasi AL omega-3 menggunakan linear programming terhadap kadar asam lemak omega-3 plasma dibandingkan dengan konseling standar.
Metode: Penelitian ini dilakukan pada 39 anak berisiko overweight, overweight, dan obes usia 12-24 bulan di Jakarta Timur dengan disain uji klinis acak terkontrol.
Hasil: Konseling diet optimalisasi asam lemak omega-3 menyebabkan peningkatan asupan asam linolenat yang bermakna dibandingkan dengan kelompok kontrol (278,011  435,56 vs -44,498  407,785, p=0,035). Tidak terdapat perbedaan perubahan bermakna pada kadar AL omega-3 plasma di antara kelompok perlakuan dan kelompok kontrol.
Kesimpulan: Konseling diet optimalisasi asam lemak omega-3 menggunakan linear programming tidak menimbulkan perubahan bermakna pada kadar asam lemak omega-3 plasma, meskipun berhasil meningkatkan variasi bahan makanan sumber asam lemak omega-3.

Background: Education in the form of counseling is an indespensable part of pediatric obesity management. Omega-3 polyunsaturated fatty acids (PUFA) are beneficial essential nutrients in obesity management, given their effects on lipid homeostasis, specifically by increasing lipid catabolism, decreasing adipogenesis, and modulating appetite. Until now, there is no nutritional recommendation focusing on omega-3 PUFA for overweight and obese children. Linear programming is one method to generate specific nutritional recommendation that also considering the food affordability, availability, and food consumption pattern.
Objective: To investigate the differences of plasma omega-3 PUFA changes between group that received omega-3 PUFA optimized using linear programming dietary counseling and control group with standard counseling.
Method: This study is an open clinical trial with parallel design, 39 children aged 12-24 months with BMI Z score > +1 based on WHO growth curve were randomly assigned by block randomization with stratification into enhanced counseling with omega-3 optimization using linear programming or general counseling group. Both counseling were conducted once weekly for 10 weeks. At baseline and endline, the following parameters were measured: fat intake, omega-3 intake, ratio of omega-6/omega-3 intake, eating behaviour, plasma concentration of omega-3, and plasma omega-6/omega-3 ratio.
Results: After the intervention, α-linolenic acid intake was significantly increased compared to control group (278,011  435,56 vs. -44,498  407,785, p=0,035). There were no significant differences in changes of plasma omega-3 FA between the intervention and control group.
Conclusion: Omega-3 FA optimized dietary counseling using linear programming was partially successful in improving thee variation of omega-3 FA food sources, however there were no significant changes in plasma omega-3 FA.
"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2016
T58756
UI - Tesis Membership  Universitas Indonesia Library
cover
Serra Avilia Nawangwulan
"ABSTRAK
Latar belakang : Sebanyak 70% dari anemia pada anak merupakan anemia
mikrositik hipokrom, dan yang terbanyak adalah anemia defisiensi besi (ADB).
Anemia defisiensi besi pada anak sekolah berkaitan dengan penurunan prestasi
belajar. Anak dengan masalah nutrisi berisiko mengalami defisiensi besi. Asupan
zat besi, pemacu dan penghambat absorpsi besi memengaruhi kadar besi. Sekolah
dasar (SD) Pegangsaan 01 Jakarta Pusat merupakan sekolah negeri dengan
mayoritas siswa berasal dari sosial ekonomi rendah.
Tujuan : Mengetahui status besi pada anak usia 6-12 tahun serta hubungannya
dengan status gizi dan asupan diet.
Metode : Studi potong lintang dilakukan di SD Negeri Pegangsaan 01, Jakarta
Pusat antara bulan Maret-April 2016. Asupan pemacu absorpsi zat besi (vitamin
C) dan penghambat (fitat, teh, kopi, susu) dinilai dengan food record selama tiga
hari, diolah dengan NutriSurvey®. Darah tepi lengkap, feritin, besi serum, total
iron binding capacity (TIBC), saturasi transferin, dan high sensitivity C-reactive
protein (hs-CRP) diperiksakan di laboratorium.
Hasil : Terdapat 115 subyek berpartisipasi dalam penelitian. Prevalens deplesi
besi sebesar 4,3%, defisiensi besi tanpa anemia sebesar 14,8%, ADB sebesar
1,7%. Tidak terbukti ada hubungan antara status gizi kurang dengan status besi
[p=0,094; OR=2,29(0,86-6,10)], gizi lebih dan obesitas dengan status besi
[p=0,050; OR=0,30(0,09-1,00)], asupan besi total dengan status besi (p=0,260),
vitamin C dengan status besi (p=0,740), fitat dengan status besi (p=0,901), teh
dengan status besi (p=0,931), kopi dengan status besi (p=0,624), dan susu dengan
status besi (p=0,277).
Simpulan : Prevalens deplesi besi, defisiensi besi tanpa anemia, dan ADB pada
anak usia 6-12 tahun berturut-turut adalah 4,3%, 14,8%, dan 1,7%. Tidak terbukti
ada hubungan antara status gizi, asupan zat besi, vitamin C, fitat, teh, kopi, dan susu dengan status besi pada anak usia 6-12 tahun.

ABSTRACT
Background : Prevalence of anemia in Indonesian school-age children is high.
Approximately 70% cases are microcytic hypochromic anemia which iron
deficiency anemia (IDA) are the most frequent. Iron deficiency anemia associated
with decreased learning achievement. Children with nutritional problems at risk
for iron deficiency. Intake of enhancer and inhibitor of iron absorption affects iron
body level. Pegangsaan 01 Public School is primary school in Central Jakarta,
which most of the students come from low socioeconomic family.
Objective: To measure iron status in children aged 6-12 years and its relationship
with nutritional status and dietary intake.
Methods: A cross-sectional study was conducted in Pegangsaan 01 Primary
School, Central Jakarta, on March-April 2016. Dietary iron enhancer (vitamin C)
and inhibitor (phytate, tea, coffee, milk) were obtained using a 3-days food record
and analyzed with NutriSurvey®. Complete blood count, ferritin, serum iron, total
iron binding capacity, transferrin saturation and high sensitivity C-reactive protein
were examined.
Results: A total of 115 children were studied. Prevalence of iron depletion, iron
deficiency without anemia, and iron deficiency anemia were 4,3%, 14,8%, and
1,7% respectively. No evidence of relationship between undernourished and iron
status (p=0,094), overweight-obesity and iron status (p=0,050), iron intake and
iron status (p=0,260), vitamin C and iron status (p=0,740), phytate and iron status
(p=0,901), tea and iron status (p=0,931), coffee and iron status (p=0,624), milk
and iron status (p=0,277).
Conclusion: Prevalence of iron depletion, iron deficiency without anemia and
iron deficiency anemia in children aged 6-12 years were 4,3%, 14,8%, and 1,7%
respectively. No evidence of relationship between nutritional status, dietary intake and iron status"
2016
SP-Pdf
UI - Tugas Akhir  Universitas Indonesia Library
cover
Khalida Fauzia
"

Melewatkan makan adalah praktik diet yang tidak sehat di kalangan remaja yang sering terjadi di negara maju dan berkembang. Ini mungkin menyebabkan remaja kekurangan nutrisi untuk pertumbuhan secara optimal. Penelitian ini bertujuan untuk mengidentifikasi melewatkan makan terkait dengan kualitas diet dan status gizi di kalangan siswa sekolah menengah di Depok, Jawa Barat. Studi potong lintang dilakukan di antara siswa sekolah menengah swasta dan negeri di Depok, Jawa Barat, pada bulan Agustus - Desember 2018 menggunakan sampling acak bertahap. Sebanyak 283 subjek, 113 laki-laki dan 170 perempuan berusia 15-18 tahun, terpilih secara acak dari sekolah. Karakteristik sosial ekonomi, pengetahuan gizi, dan konsumsi makanan dikumpulkan dengan wawancara terstruktur. Asupan makanan diperoleh dengan menggunakan pengulangan 3 hari 24-hour recall. Kualitas diet diukur menggunakan Indeks Kualitas Diet-Internasional (DQI-I) yang berfokus pada empat aspek utama dari diet berkualitas (variasi, kecukupan, moderasi, dan keseimbangan keseluruhan). Status gizi dikategorikan sebagai, normal, overweight, dan obesitas menggunakan cut-off WHO. Multivariat logistik-regresi dilakukan untuk mengidentifikasi hubungan antara melewatkan makan dan kualitas diet, dianggap signifikan jika p-value <0,05. Uji Mann-Whitney digunakan untuk menemukan perbedaan kualitas diet antara dua kelompok status gizi (kelompok obesitas tidak kelebihan berat badan dan kelebihan berat badan). Ada 86,9% siswa sekolah menengah yang melewatkan makan setiap harinya; sarapan dan makan malam adalah makan yang paling sering mereka lewatkan. Siswa laki-laki memiliki risiko yang lebih kecil untuk melewatkan makan daripada perempuan (OR = 0,35, p = 0,005). Skor rata-rata populasi untuk DQI-I adalah 46,00 dari skor yang mungkin (100). Aspek keseimbangan keseluruhan adalah skor terendah, 2,00 dari skor yang mungkin (10,00). Rendahnya pengetahuan gizi (Penyesuaian OR = 1,71;  p = 0,038) dan melewatkan makan (OR = 3,06; p = 0,006) berhubungan dengan skor DQI-I yang lebih rendah setelah dilakukan penyesuaian dengan jenis kelamin, usia, status pekerjaan ibu, dan uang saku. Sebagai indikator dari melewatkan makan, konsumsi sarapan yang tak teratur (Penyesuaian OR = 3,09; p = 0,007 untuk yang “tidak pernah” konsumsi; penyesuaian OR = 2,48; p = 0,001 untuk konsumsi “kadang”) juga berhubungan terhadap skor DQI-I yang lebih rendah. Siswa dengan status gizi normal memiliki skor median variasi yang lebih tinggi daripada siswa kelebihan berat badan-obesitas. Mengonsumsi sarapan secara teratur dan meningkatkan pengetahuan gizi penting untuk meningkatkan kualitas diet dan status gizi siswa sekolah menengah.


Skipping meals were unhealthy practice of diet among adolescents that often occurs in both developed and developing countries. It might lead the adolescents lack nutrients for growth optimally. This study aimed to identify skipping meals related to diet quality and nutritional status among high school students in Depok, West Java. A cross-sectional study was conducted among private and public high school students in Depok, West Java, in August – December 2018 using stratified random sampling. A total of 283 respondents, 113 males and 170 females aged 15-18 years, were selected randomly from the schools. Socioeconomic characteristics, nutritional knowledge, and meals consumption were collected by structured interview. Dietary intake was obtained using 3-days repeated 24-hour recall. Diet quality was measured using Diet Quality Index-International (DQI-I) that focused on four major aspects of quality diet (variety, adequacy, moderation and overall balance). Nutritional status was categorized as thinness, normal, overweight, obese using WHO cut-off. Multivariate logistic-regression was carried out to identify the association between skipping meals and diet quality, considered significant if p-value <0.05. Mann-Whitney test was used to find the diet quality difference between two groups of nutritional status (normal and overweight obese group). There were 86.9% of high school students who skipped any meals; breakfast and dinner were the most meals occasion that skipped by them. Male students had less risk of skipped meals than females (OR = 0.35, p = 0.005). Median score of the population for DQI-I was 46.00 of possible score (100). Overall balance aspect was the lowest score, 2.00 of possible score (10.00). Poor nutritional knowledge (Adjusted OR = 1.71, p = 0.038) and skipping any meals (OR = 3.06, p = 0.006) had significant association with lower score DQI-I after adjusted with sex, age, mothers’ employment, and weekly pocket money. In term as skipping meals indicator, irregular breakfast consumption (Adjusted OR = 3.06, p = 0.007 for never consumption; adjusted OR = 2.54, p = 0.001 for sometimes consumption) were also associated to had lower DQI-I score after adjustment. Students with normal nutritional status had higher median score of variety component than overweight obese students. Therefore, having regular breakfast consumption and improving nutrition knowledge should be highlighted in order to increase diet quality and nutritional status of the high school students.

"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2019
T55516
UI - Tesis Membership  Universitas Indonesia Library
cover
Resita Sehati
"Latar belakang: Obesitas dan sindrom metabolik (SM) yang terjadi pada usia dini akan menjadi faktor risiko diabetes melitus tipe 2 dan penyakit jantung koroner. Prevalens SM meningkat secara paralel dengan peningkatan obesitas. Penelitian mengenai SM pada anak dan remaja sangat terbatas.
Tujuan: Mengetahui prevalens SM pada remaja obes usia 12-16 tahun dan faktor-faktor yang memengaruhinya.
Metode: Sebuah penelitian potong lintang pada tiga sekolah menengah pertama negeri di Jakarta yang dipilih secara purposive sampling (remaja dan obes). Dilakukan pengukuran antropometri, tekanan darah dan pemeriksaan laboratorium darah. Diagnosis SM ditentukan sesuai kriteria International Diabetes Federation (IDF), yaitu lingkar pinggang > persentil 90 menurut usia dan jenis kelamin, dan memenuhi > 2 kriteria sebagai berikut: trigliserida > 150 mg/dl, HDL > 40 mg/dl, glukosa darah puasa > 100 mg/dl atau terdiagnosis diabetes melitus tipe 2 (DMT2), tekanan darah > 130/85 mmHg. Penyakit kardiovaskular atau DMT2 orangtua, riwayat diabetes pada ibu selama kehamilan, bayi berat lahir rendah (BBLR), pola makan tinggi lemak dan gula, aktivitas sedentari, orangtua obes, dan pajanan asap rokok diduga meningkatkan kejadian SM. Data diolah dengan tes Pearson atau Fisher untuk menentukan faktor-faktor yang memengaruhi dan angka kejadian SM ditampilkan dalam prevalens.
Hasil: Prevalens obes pada penelitian ini adalah 5,9%. Penelitian dilakukan pada 95 subyek obes usia 12-16 tahun. Sebanyak 35,8% subyek memiliki IMT >p95-p97 dan 64,2% memiliki IMT >p97, semuanya telah mengalami pubertas. Prevalens SM adalah 15,8% dan meningkat hingga 21,3% pada kelompok super-obes. Terdapat perbedaan bermakna prevalens SM pada kedua kelompok IMT (p=0,048). Hipertrigliseridemia dan kadar HDL rendah adalah kriteria diagnosis terbanyak pada remaja obes dengan SM. Tidak ditemukan hubungan yang bermakna antara faktor-faktor yang memengaruhi terhadap kejadian SM. Simpulan: Prevalens SM pada penelitian ini 15,8% dan meningkat hingga 21,3% pada remaja super-obes. Tidak ditemukan hubungan yang bermakna antara faktor-faktor yang memengaruhi dengan kejadian SM. Dislipidemia adalah perubahan metabolik yang paling sering dijumpai pada remaja obes dengan SM.

Background: Obesity and metabolic syndrome (MS) beginning in childhood lead to a substansial risk for type 2 diabetes mellitus and coronary heart disease. Prevalence of MS increases accordingly with the incidence of obesity. The study of the MS among children and adolescents were limited.
Aim: The purpose of this study is to define the prevalence and factors that affect the incidence of MS among obese adolescents.
Methods: A cross-sectional study selected by purposive sampling was conducted on three junior high school in Jakarta. The anthropometric, blood pressure, lipid profile, and glucose serum level from venous blood sample were taken. The definition of MS was made according to criteria of IDF. Parental history of cardiovascular disease or type 2 diabetes mellitus, history of maternal diabetes during pregnancy, low birth weight, high-fat and sugar diet, sedentary lifestyle, obese parents, and cigarette smoke expossure are considered as the factors affected the incidence of MS. Pearson or Fisher test was used to determine the factors that affect MS and the prevalence of MS were described as descriptive data.
Results: Prevalence of obese were 5.9%. A total of 95 subjects with median age 12-16 years, were enrolled into the study. All subjects were obese, and 64.3% of them were superobese (BMI >p97 for age and sex). The prevalence of MS was 15.8% and increased to 21.3% among superobese group. There was a significant difference in the prevalence of MS in obese and super-obese (p = 0.048). Hypertriglyceridemia and low HDL levels are the diagnostic criteria found the most in MS subjects. There was no significant association between factors affecting MS.
Conclusion: The prevalence of MS was 15.8% and increased to 21.3% among superobese. There was no significant association between factors affecting MS in adolescents. Dyslipidemia is the most common metabolic change in obese adolescents with MS."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
SP-pdf
UI - Tugas Akhir  Universitas Indonesia Library
<<   1 2   >>