Latar Belakang: Prevalensi hipertensi di Kota Yogyakarta menduduki peringkat kedua. Risiko hipertensi disebabkan beberapa faktor seperti asupan lemak berlebih, asupan serat yang kurang serta mempunyai rasio lingkar pinggang pinggul (RLPP) dalam kategori lebih. Tujuan: Mengetahui hubungan asupan lemak, serat dan RLPP dengan tekanan darah pada pasien hipertensi di Puskesmas Gondokusuman I Yogyakarta. Metode: Jenis penelitian ini adalah observasional analitik dengan rancangan cross sectional. Penelitian dilaksanakan di Puskesmas Gondokusuman I Yogyakarta. Subjek penelitian adalah pasien hipertensi berjumlah 53 pasien. Pengambilan sampel menggunakan purposive sampling. Asupan lemak dan serat diukur dengan menggunakan semi-quantitative food frequency questionaire dan melakukan pengukuran lingkar pinggang pinggul untuk mengetahui RLPP pasien. Data dianalisis menggunakan uji Chi Square dan Fisher’s Exact. Hasil: Ada hubungan asupan lemak, serat dan RLPP dengan tekanan darah pada pasien hipertensi di Puskesmas Gondokusuman I Yogyakarta (p=0,01; p=0,03; p=0,03 secara berurutan). Kesimpulan: Ada hubungan asupan lemak, asupan serat dan RLPP dengan tekanan darah pada pasien hipertensi di Puskesmas Gondokusuman I Yogyakarta.
Latar belakang: Pasien Penyakit Ginjal Kronik (PGK) yang menjalani hemodialis memerlukan monitoring dan evaluasi asupan makan secara rutin. Rendahnya monitoring dan evaluasi pada asupan dapat berpengaruh pada status gizi dan kualitas hidup pasien. Tujuan: Mengetahui gambaran asupan energi, zat gizi makro, dan zat gizi mikro pada pasien hemodialisis di RSUD Panembahan Senopati Bantul. Metode: Penelitian ini merupakan penelitian deskriptif yang dilakukan di Unit Hemodialisis RSUD Panembahan Senopati Bantul. Pemilihan subjek penelitian menggunakan purposive sampling (n=30). Data asupan diambil dengan food recall 24 jam selama 3 hari. Hasil : Rerata asupan pada responden adalah : energi 1149,34±401,09 kcal (23,15±7,39 kcal/kgBB/hari); karbohidrat 143,55±43,46 g, protein 39,38±16,53 g (0,79±0,32 g/kgBB/hari); dan lemak 49,01±26,82 g. Rerata asupan vitamin B1 adalah 0,38±0,14 mg; vitamin B2 0,49±0,24 mg; vitamin B6 0,64±0,25 mg; asam folat 0,68±0,94 mg; vitamin C 24,08±21,01 mg; dan vitamin A 397,31±536,14 μg. Rerata asupan natrium natrium 22,45±220,23 mg; kalium 1714,01±1153,91 mg ( 36,64±27,40 mg/kgBB/hari); kalsium 301,13±173,23 mg; dan fosfor 544,94±193,08 mg. Kesimpulan : Rerata asupan energi, zat gizi makro, dan vitamin pada pasien hemodialis di RSUD Panembahan Senopati Bantul masih kurang dari rekomendasi, sedangkan asupan natrium, kalsium, dan fosfor sesuai dengan rekomendasi Perhimpunan Nefrologi Indonesia.
Factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Tengah Selatan DistrictBackground: The health profile of Indonesia in 2018 indicated only 68,74% of infants were exclusively breastfed. East Nusa Tenggara is one of the provinces with lower exclusive breastfeeding coverage than national data in 2018 with only 52,67%. A survey in Timor Tengah Selatan district showed that exclusive breastfeeding also decreased from 2015 and 2016 which was 63.3% to 59.1%. Several factors have been known to be associated with exclusive breastfeeding practice, such as mother’s education and occupation, household expenditure, antenatal care history, and husband’s support.Objective: To identify factors associated with exclusive breastfeeding practice among infants aged 0-6 months in Timor Selatan District, East Nusa Tenggara province.Methods: An observational study with a cross-sectional design was conducted among 155 lactating mothers of infants aged 0-6 months. The secondary data from "Study on behavioral analysis and food consumption/dietary practices among children under five, elementary school-age children, pregnant and lactating mother in Timor Tengah Selatan District of East Nusa Tenggara Province” were used. Raw data were collected in July 2012 in Amanuban Barat and Kie subdistrict, Timor Tengah Selatan. The data were analyzed in July-December 2014 using Chi-Square and logistic regression test. Results: Household expenditure, antenatal care location, and subdistrict associated with exclusive breastfeeding practice (p<0.05). Lactating mothers who did prenatal care at primary health care/primary health care satellite/hospital were 3.51 times more likely to breastfeed exclusively (OR=3.51; 95%CI: 1.03-11.9). Household expenditure (OR=0.27; 95%CI: 0.09-0.84) and subdistrict (OR=0.19; 95%CI: 0.05-0.71) had protective effect.Conclusions: A significant association was found between exclusive breastfeeding practice and household expenditure, antenatal care location, and the subdistrict in Timor Tengah Selatan district.
Background: Hemodialysis patients often experience hypoalbuminemia complications, which occur mainly due to decreased synthesis due to inflammation, lack of protein intake, the fluid status of patients, and losses from the dialysate. Another problem in hemodialysis is malnutrition, with a prevalence between 23–73% globally. Gastrointestinal disorders such as nausea, vomiting, and decreased appetite also often occur in hemodialysis. Therefore, hemodialysis patients need to get nutritional support, which can be given in the form of catfish abon, one of the local Indonesian food.Objective: To determine the effectiveness of the use of catfish as a source of animal protein to improve the albumin levels of hemodialysis patients.Materials and Methods: This was a quasi-experimental study with a pre-post test design. This study involved 34 hemodialysis patients as subjects, with inclusion criteria, were routinely two times a week, aged >18 years, willing to be the subject and follow the research procedures, have albumin levels ≥3.0 g/dL, and no catfish allergies. Patients with anasarca edema, experiencing complications of diabetes mellitus and malignancy were excluded. The dependent variable was albumin content, while the independent variable was catfish as an animal protein source. Data were analyzed univariate and bivariate by Fisher's Exact test.Results: Fisher's Exact test results on the effectiveness of using catfish as an animal protein source to improve albumin levels of hemodialysis patients showed p-value=0.048.Conclusion: The use of catfish as an effective animal protein source significantly affected on improving albumin levels in hemodialysis patients.
Latar belakang: Hiperurisemia merupakan peningkatan kadar asam urat sebagai hasil akhir dari metabolisme purin dan komponen asam nukleat serta penghasil energi di dalam inti sel. Berat badan yang berlebih sering dihubungkan dengan peningkatan kadar asam urat serum serta diduga menjadi salah satu faktor risiko terjadinya hiperurisemia. Tujuan: Mengetahui hubungan antara obesitas dengan kejadian hiperurisemia di Puskesmas Depok III Sleman, Yogyakarta. Metode: Jenis penelitian adalah observasional dengan desain case control. Responden penelitian berjumlah 70 orang yang terdiri dari 35 kasus (pasien hiperurisemia) dan 35 kontrol (pasien tidak hiperurisemia). Kedua kelompok diukur status gizi menggunakan indeks antropometri IMT. Analisis data menggunakan uji chi square. Hasil: Sebagian besar responden yang hiperurisemia mengalami obesitas (62,2%), sedangkan sebagian responden yang tidak hiperurisemia tidak mengalami obesitas (63,6%). Pada kelompok hiperurisemia ditemukan kejadian obesitas 2,87 kali lebih besar dibandingkan kejadian obesitas pada kelompok tidak hiperurisemia (p=0,031; OR=2,87).
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