ABSTRAK Modernisasi kota-kota besar di Indonesia terutama Jakarta meningkatkan jumlahperempuan bekerja dengan pcrubahan terhadap gaya hidup terutama dalam jumlahdan komposisi asupan makanan. Hal tersebut bila disertai dengan mulaimeourunnya honnon estrogen pada perempuan di awal masa klimakterlum,dikhawatirkan telah teljadi perubahan profil lipid dan distribusi lemak. Tujuanpcnalitian ini adalah diketahuinya asupan total energi dan asupan makronutrienserta profit lipid karyawati di awal rna.- klimakterium yaitu usia 35-45 tahun,serta hubungannya dengan ukuran lingkar pinggang. Stodi ini adalah studi potonglingtang yang dilakukan di Poliklinik Departemen Kebudayaan dan Pariwisata RJ.Sebanyak 66 orang karyawati menandatangani lembar persetujuan menjadisubyek pcnelitian, dengan 52 orang (78,8%) subyek menyelesaikan studi ini.Pengumpulan data ditakukan dengan wawancara, pcngukuran antropometri danpcaitaian 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, dengansebagian besar subyek tennasuk dalarn kategori cukup jika dibandingkan dengankebutoba 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 asupanoleh PERKENI, asupan kaibohidrat, protein, MUF A dan PUF A sebagian besarsubyek dikategorlkan cukup. Sementara asupan lemak, SAP A dan kotesterolsebagian besar subyek dikategorikan lebih dan asupan serat kurang. Kadarkolesterol LDL, HDL dan trigliserida subyek berturut-turut adalah 126,3 ± 29,71m8fdL, 58,2 ± 9,46 mg/dL dan 84,7 ± 35,81 mg/dL. Kadar ko1esterol LDL dantrigliserida serum sebagian besar subyek dalam kategori normal. Kader kolesterolHDL serum seluruh subyek dahun kategori normal. Tidak terdapat hubunganbermakna antara jumlah asupan energi total dan masing-masing makronutrienterhadap ukuran lingkar pinggang. Namun terdepat korelasi derajat lemak antara kadar trigliserida serum dan ukuran lingkar pinggang. Abstract Modernization on some major cities in Indonesia specially Jakarta bas raised thenumber of working women from year to year, and alter their !!restyle includingtheir total nutrition intake and macronutrient composition. Accompanied withdecreasing estrogen level in early climacteric women, there was big concern thatthere 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, macronutrientsand lipid profile among healthy female government employee on earlyclimacteric phase (aged 35-45 years), and their association with waistcircumference. This cross sectional study took place in Cultural and TourismDepartment of Republic Indonesia. Sixty six women have provided consent,while 52 subjects (78.8%) have completed the study. Data collection wereconducted from interviews, anthropometric measurements and dietary assessmentusing 3 x 24 hours food record. Serum triglyceride, LDL, HDL cholesterol levelwere 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 %).Meanvalue and standard deviation of to!al energy intake was 1571 ± 303,2 kcal, andcategorized 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.KENIrecommendation for macronutrient intake, majority of subject's intake ofcarbohydrate, protein, MUFA and PUF A were categorized as moderate, the intakeof daily fat, SAFA and cholesterol were high, and all subject's intake of fiber waslow. Subject's serum LDL and HDL cholesterol level were 126.3 ± 29.71 mg/dLand 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. Nosignificant associations were found among total energy as well as macronutrientswith waist circumference. Nevertheless, there was weak significant associationbetween triglyceride serum level and waist circumference. |