Jurnal Vol.7, No.

2
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ARTIKEL - November 2010, Vol.7, No.2

Pengendalian status gizi, kadar glukosa darah, dan tekanan darah melalui
terapi gizi medis pada pasien diabetes mellitus (DM) tipe 2 rawat jalan di
RSU Mataram NTB 1
Suhaema 2 , Ahmad Husain Asdie 3 , Retno Pangastuti 4
ABSTRACT
Background : The prevalence of diabetes mellitus (DM) is increasing globally,
including in Indonesia. Studies by Diabetes Control and Complication Trial
(DCCT) and U.K. Prospective Diabetes Study Group (UKPDS) prove the benefit
of medical nutrition therapy (MNT) to glycemic control. Similar studies have not
been done much in Indonesia.
Objective : To identify the effects of MNT to nutrient intake, control of nutrition
status, blood glucose and blood pressure of type 2 DM outpatients.
Method : This was a randomized controlled trial. Subject of the study consisted
of 60 people. The experiment group got MNT; whereas the control group got
conventional nutrition counseling. Data were processed using computer, nutrients
were analyzed using nutrisurvey. Statistical t-test was done to identify the effect
of intervention.
Intake of energy, fat and carbohydrate of the experiment group decreased
significantly close to the necessity at subsequent decrease as much as -14.05
(p= 0. 009), -35.64 (p=0.019) and -19.14 (p=0.035). Body mass index In the
experiment group decreased -0.41kg/m 2 and waist circumference -0.24cm, where
2 and
as the control group -0.23 kg/m
-014cm. Blood glucose level during fasting decreased -23.6 mg/dl in the
experiment group and -14.03 mg/dl in the control group (p=0.036). Systolic and
dyastolic blood pressure of the experiment group decreased -3.33 mmHg
(p=0.035) and -1.67 mmgHg (p=0.895), whereas the control group + 0.5 mmHg
and -1.33 mmHg; the change was insignificant.
Conclusion : Intake of nutrient, nutrition status, blood glucose level and blood
pressure of type 2 DM patients that got MNT was more controllable than of those
that got conventional nutrition counseling.
Key words : MNT, conventional nutrition counseling, type 2 DM, nutrient intake,
nutrition status, blood glucose, blood pressure

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Dipresentasikan pada International Dietetic Update pada tanggal 15-17 Oktober

2009 di Yogyakarta kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal Gizi
Klinik Indonesia, dan Prodi Gizi Kesehatan FK-UGM serta didanai oleh
Pendidikan Tinggi Kementerian Pendidikan Nasional.
2 Poltekkes Kemenkes Mataram, Jurusan Gizi, e-mail: emma_sbw2@yahoo.co
m
3 Bagian Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada
4 Bagian Instalasi Gizi, RSUP Dr. Sardjito, Jl Kesehatan, Yogyakarta, e-mail: ret
nopangastuti@gmail.com
1

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Perbedaan kadar seng serum dan kadar c-reactive protein pada

anak balita dengan kadar serum retinol normal dan tidak normal 1
Kadek Tresna Adhi2, Bambang Wirjatmadi3, Meriyana Adriani3
ABSTRACT
Background Vitamin A Deficiency (VAD) is one of the major
nutritional problem, and many occur in developing countries. VAD
occurs when serum retinol concentration <20 tg / dl (0.07 ?mol / L).
Serum retinol levels will decrease during the acute phase response
(elevated CRP) and also caused by zinc deficiency. This interaction
causes inhibition of linear growth.
Objective : The objective of this research is to study the differences in
levels of serum zinc and CRP levels in infants and children with normal
serum retinol (? 20 tg / dl) and abnormal (? 20 tg / dl) in the Village of
Mojo, District Gubeng, Surabaya.

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Method : Results of the analysis was divided into two categories: 1)

normal serum retinol (? 20 tg / dl), and 2) abnormal levels of serum
retinol (<20 tg / dl). For serum zinc levels, laboratory examination was
performed by AAS method (Atomic Absorption Spectrophotometry).
CRP level was done by agglutination test method (CRP latex) with
results in the form of semi-quantitative analysis. The collection of data
includes the frequency characteristic of children and the sick for a
month with interviews conducted using a questionnaire. Consumption
data using dietetic (2x24-hour recall). Analysis of data using two
independent samples t test.
Result : The results showed that there was no difference in
characteristics, levels of consumption and CRP levels of children under
five (p> 0.05). While there are differences in the frequency of pain and
zinc (p <0.05).
Conclusion : No difference in zinc levels in both groups, whereas
CRP levels did not show different results. It was recommended that
further research on the interaction of research results with linear growth
as well as environmental factors and personal hygiene to prevent
infection that can affect serum retinol.
Key words : serum retinol, kadar seng, c-reactive protein

Dipresentasikan pada International Dietetic Update pada tanggal

15-17 Oktober 2009 di Yogyakarta kerjasama dengan Asosiasi
Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, dan Prodi Gizi
Kesehatan FK-UGM serta didanai oleh Pendidikan Tinggi Kementerian
Pendidikan Nasional.
2 PS. IKM Universitas Udayana. Jl. PB. Sudirman, Denpasar- Bali,
e-mail: kadek_adhi@yahoo.com
3 FKM, Universitas Airlangga. Jl. Mulyorejo, Surabaya, e-mail: anna_b
_wirjatmadi@yahoo.com
1

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Pelatihan hygiene sanitasi dan poster berpengaruh

terhadap pengetahuan, perilaku penjamah makanan, dan
kelaikan hygiene sanitasi di instalasi gizi RSUP Sanglah
Denpasar 1
Ni Wayan Rapiasih2, Yeni Prawiningdyah3, Lily Arsanti Lestari4
ABSTRACT
Background : The problem of food hygiene sanitation in
hospital is closely related to the incidence of nosocomial
infection which is estimated to be high considering that the
condition of hospitals and health in general is still relatively not
very good. A way to transmit nosocomial infection is through
food. Staff hygiene is a factor requiring attention in order that
the product of nutrition installation is of quality and safe to
consume.
Objective : To identify the effect of training and posting of
food hygiene sanitation to knowledge, healthy behavior of food
handlers in efforts to improve food safety and sanitation
hygiene appropriateness.
Method : This was a time series quasi experiment with one
group pre test and post test design. Samples consisted of 44
people of senior level education in charge of food service to
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patient in class I, II, and III. Every subject was given training
using lecture, discussion and demonstration method for one
day. Poster was posted a month after training. Data obtained
consisted of sex, age, marital status, duration of occupation,
place of work, knowledge, behavior, food safety in food serving
utensil for inpatients and sanitation hygiene appropriateness.
Assessment was made before, one month and two months after
training. Data analysis used paired Sample t-test and
chi-square.
Result : There was significant improvement in knowledge and
healthy behavior before and after training plus poster showed
with p<0.001. There was significant difference in sex and
behavior before training with p=0.045 and a month after
training with p<0.001. There was significant association
between place of work and behavior a month after training with
p=0.021. There was significant difference in total plate count
one month and two months after training with p=0.049. In
addition, there was an increased quality of sanitation hygiene
appropriateness before and after training plus poster showed.
Conclusion : There was an increasing of knowledge, behavior
of food handlers, sanitation hygiene appropriateness, before
and after training plus poster. There was an improvement in
quality food safety one and two months after training.
Key words: Training, poster, knowledge, behavior, food safety,
sanitation hygiene appropriateness

Dipresentasikan pada International Dietetic Update pada

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tanggal 15-17 Oktober 2009 di Yogyakarta kerjasama dengan

Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik Indonesia, dan
Prodi Gizi Kesehatan FK-UGM serta didanai oleh Pendidikan
Tinggi Kementerian Pendidikan Nasional.
2 Instalasi Gizi RSUP Sanglah Denpasar, e-mail: asih_yan@y
ahoo.co.id
3 Instalasi Gizi RSUP Dr. Sardjito, Jl. Kesehatan, Yogyakarta
4 Program Gizi dan Kesehatan, Fakultas Kedokteran, UGM, Jl.
Farmako, Sekip Utara, Yogyakarta, e-mail: santi_wap@yaho
o.com

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Dukungan keluarga dan jadwal makan sebelum

edukasi berhubungan dengan kepatuhan jadwal
makan pasien diabetes melitus (DM) tipe 2 rawat
jalan yang mendapat konseling gizi di RSUD Kota
Yogyakarta 1
Martalena Br Purba2, Endah Sri Rahayu3, Hemi Sinorita4
ABSTRACT
Background : Diabetes mellitus (DM) is a clinical
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syndrome with symptoms of hyperglycemia, urinary

glucose excretion and disorder of insulin mechanism.
Approximately 90-95% of diabeteic patients suffer from
type 2 DM. Various studies show that compliance to
treatment of chronic disease in general is low.
Compliance to eating or food frequency amongst DM
patients in hospital in particular is very low. The success
of self management of blood glucose (SMBG) needs
participation of the patient, families, and educator team.
Objective : To study the factors affecting eating
compliance particularly eating schedule among type 2
diabetic out-patient who had nutrition counseling in
RSUD Kota Yogyakarta.
Method : It was an observasional study with cross
sectional design and purposive sampling. Data collection
was done in October 2008 with 98 subjects. The sampel
were type 2 diabetic out-patients according to inclusion
criteria at out-patient clinic in RSUD Kota Yogyakarta.
Statistical test with 95% confidence interval was applied
to investigate factors influenced eating compliance.
Result : There were no correlations between eating
compliance and disease duration (RP= 1,253 and p
=0,403), and also with type of occupation (RP= 1,047
dan p= 1,000). However, it was found that family support
affected eating compliance (RP= 1,723 dan p= 0,025) as
well as eating schedule before nutrition counseling (RP =
2,151 and p= 0,02).
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Conclusion :Duration of disease and type of occupation

did not affect eating compliance. Nevertheless, family
support and eating schedule before nutrition education
affected eating compliance among type 2 DM
out-patients in RSUD Kota Yogyakarta.
Key words : compliance, eating schedule, type 2
diabetes mellitus

Dipresentasikan pada International Dietetic Update

pada tanggal 15-17 Oktober 2009 di Yogyakarta
kerjasama dengan Asosiasi Dietisien Indonesia, Jurnal
Gizi Klinik Indonesia, dan Prodi Gizi Kesehatan FK-UGM
serta didanai oleh Pendidikan Tinggi Kementerian
Pendidikan Nasional
2 Instalasi Gizi RSUP Dr. Sardjito, Jl.Kesehatan,
Yogyakarta, e-mail: martalena_purba@yahoo.com
3 Jurusan Gizi Poltekkes Jayapura, Papua, email: en77
2000@yahoo.com
4 Sub-bagian Endokrin, Bagian Penyakit Dalam Fakultas
Kedokteran, Universitas Gadjah Mada
1

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Status gizi awal berdasarkan Patient Generated

Subjective Global Assessment (PG-SGA)
berhubungan dengan asupan zat gizi dan
perubahan berat badan pada penderita kanker
rawat inap di RSUP DR. Mohammad Hoesin
Palembang 1
Susetyowati2, Yenita3, Johan Kurnianda 4
ABSTRACT
Background : Weight loss is commonly detected
among cancer patients in their early stages. This
presumably happens due to low calory intake and
increasing energy requirements which finally lead to
malnutrition in cancer patients. Early detection to
identify nutrition problems of cancer patients is
through screening so as to maximize nutrient intake
through nutrition therapy and diet modification and
to improve nutrition status as well as quality of life
of cancer patients.
Objective : The study aimed to identify the
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relationship between nutrition status based on

PS-SGA and nutrient intake and weight loss of
cancer patients hospitalized at Dr. M. Hoesin
Hospital of Palembang.
Methods : The study was observational with
prospective cohort study design. In this study the
group that had fulfilled inclusion criteria were
screened during their early hospitalization (within 24
hours) using patient-generated subjective global
assessment score to identify their nutrition problem.
Next, the group was divided into 2 smaller groups
consisting of one group with malnutrition and
another group without malnutrition. Analysis of
nutrient intake obtained from foods provided by the
hospital and outside the hospital was made to the
two groups within 2 weeks of hospitalization using
visual comstock and food record. Anthropometric
measurement was made to find weight loss the
subject of the study.
Result : The results of the study showed that there
was significant relationship between nutrition status
and intake of energy and protein with p=0.000. The
result of logistic regression test to nutrition status
based on weight changes indicated that there was
significant relationship between risk of nutrition and
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weight changes; patients with risk of nutrition had

7.016 times greater probability for weight loss than
those without risk of nutrition (95% C5
2.896-16.997).
Conclusion : There was significant relationship
between nutrition status and nutrient intake among
cancer patients and there was greater probability
for weight loss .
Key words : cancer, nutrient intake, nutrition
status, weight loss

Dipresentasikan pada International Dietetic

Update
pada tanggal 15-17
Oktober 2009 di Yogyakarta kerjasama dengan
Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik
Indonesia, dan Prodi Gizi Kesehatan FK-UGM
serta didanai oleh Pendidikan Tinggi Kementerian
Pendidikan Nasional
2 Program Studi Gizi dan Kesehatan, Jl. Farmako,
Sekip Utara, Yogyakarta, e-mail: susetyowati200
0@yahoo.com
3 Rumah Sakit Umum Dr. Mohammad Hoesin,
1

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Palembang
4 Instalasi Kanker Terpadu RSUP Dr.Sardjito
Yogyakarta

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Penambahan agar-agar dan pengaruhnya

terhadap kestabilan dan daya terima susu
tempe pada mahasiswa Politeknik
Kesehatan Jurusan Gizi Yogyakarta1
Isti Suryani2, Agus Santoso3, M. Juffrie4
ABSTRACT
Background : The production of tempeh milk is an
effort to diversify tempeh-based food processing
potential as functional food. However, as vegetable
milk tempeh milk has the disadvantages of tasting
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bitter and being easily precipitate. The addition of

gelatine is potential as stabilizer that is expected to
counter the disadvantages and improve the taste of
tempeh milk.
Objectives : To identify the effect of gelatine
addition to stability and acceptability of tempeh milk
among students of Nutrition Department of Health
Polytechnic Yogyakarta.
Methods : The study was experimental with a
completely randomized design, comprising four
experiments, i.e. tempeh milk with gelatine addition
as much as 2%, 3%, 4% and no gelatine addition as
control. Organoleptic test was made by 25 skilled
panelist, students of Nutrition Department of Health
Polytechnic Yogyakarta, to identify acceptability of
tempeh milk. Whereas viscocity test and visual
observation through the assessment of tempeh milk
precipitation level within 5 hours storage were
made to identify emulsion stability. Data analysis
used Anova and Duncan advanced test.
Results : Stable emulsion could be achieved
through gelatine addition of 2% at emulsion
consistency 89.10%, viscocity 0.225 poise. Better
emulsion stability was achieved through gelatine
addition of 3% at emulsion consistency 91.10%,
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viscocity 0.249 poise. Best emulsion stability was

achieved through gelatine addition of 4% at
emulsion consistency 95.58%, viscocity 0.254
poise and lowest emulsion stability was found in the
control without gelatine addition at emulsion
consistency 80.84%, viscocity 0.216 poise. The
result of proximate nutrition value of tempeh milk
with gelatine addition 4% (most stable) were energy
55.54 cal, protein 2.14gr, fat 1.82g, carbohydrate
7.65%, water 86.23g, ash 0.15% and raw fibre
2.01%.
Conclusion : There was no effect of gelatine
addition at various concentration to acceptability of
tempeh milk. There was effect of gelatine addition
at various concentration to stability of tempeh milk.
The highest emulsion stability was achieved in
tempeh milk with gelatine addition of 4%.
Key words : emulsion stability, acceptability,
tempeh milk, gelatine

Dipresentasikan pada International Dietetic

Update
pada tanggal 15-17
1

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Oktober 2009 di Yogyakarta kerjasama dengan

Asosiasi Dietisien Indonesia, Jurnal Gizi Klinik
Indonesia, dan Prodi Gizi Kesehatan FK-UGM
serta didanai oleh Pendidikan Tinggi Kementerian
Pendidikan Nasional.
2 Jurusan Gizi Politeknik Kesehatan Kementerian
Kesehatan RI, Jl. Tatabumi No 3 Yogyakarta
3 Instalasi Gizi RSUP Dr. Sardjito Yogyakarta,
e-mail: santosoagus31@yahoo.com
4 Instalasi Kesehatan Anak RSUP Dr. Sardjito
Yogyakarta, Jl.Kesehatan, Yogyakarta, e-mail: juf
frie@indosat.net.id

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Metode persalinan dan hubungannya

dengan inisiasi menyusu dini di RSUP Dr.
Sardjito Yogyakarta

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Sheilla Virarisca1, Djaswadi Dasuki2, Sulchan

2
Sofoewan
ABSTRACT
Background : The 2002-2003 IDHS shows that the
presentation of breastfeeding within an hour after
birth or early initiation in Indonesia is still low (38%).
According to some studies, early initiation plays an
important role in reducing infant mortality rate,
determining the success of exclusive breastfeeding,
preventing pre-lactation feeding, creating more
intensive bonding between mother and baby. Some
earlier studies state that delivery methods are
related with early initiation. However, there have
been some studies whose results are in contrast
with those previous studies.
Objectives :To study the relationship between
delivery methods and early initiation in Dr. Sardjito
hospital, Yogyakarta.
Methods : This was an observational study with a
cross-sectional study design through quantitative
and qualitative approaches. Samples were
postpartum women in Dr. Sardjito hospital as many
as 100 respondents. Data were analyzed with
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univariable analysis using frequency distribution

table, bivariable analysis using chi-square, and
multivariable analysis using binary regression.
Results : The proportion of early initiation of
breastfeeding was three times greater in women
who gave birth with normal delivery methods than
women who gave birth with cesarean section
(RR=3.1; 95% CI=1.42-6.89). Another factor that
was related with early initiation of breastfeding was
the support from health providers (RR=2.3; 95%
CI=1.36-3.78). Meanwhile, womens age,
knowledge, parity, economic status, and mothers
disease were insignificantly related with early
initiation.
Conclusion : The proportion of early initiation of
breastfeeding was three times greater in women
who gave birth with normal delivery methods than
women who gave birth with cesarean section.
Another factor that was related with early initiation
of breastfeeding was the support from health
providers. Meanwhile, womens age, knowledge,
parity, economic status, and disease were
insignificantly related with early initiation of
breastfeeding.

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Key words : early initiation, normal delivery,

cesarean sec

BKKBN Pusat Jakarta, e-mail: dr_celavira@yaho

o.com
2 Bagian Obstetri dan Ginekologi, Fakultas
Kedokteran Universitas Gadjah Mada, Yogyakarta.
1

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