Background: Riskesdas 2013 data shows the prevalence of chronic kidney disease in Central Java and Yogyakarta 0.3%, which is higher than the average prevalence across Indonesia which is only 0.2%. The results of the author’s study previously showed that the intake of energy, protein, sodium hemodialysis patients on average are not sufficient, while the average fluid intake exceeds the dietary recommendation. There are several factors that can affect dietary compliance of the hemodialysis patients, such as knowledge, family support, attitudes, and behavior.Objective: To examine the factors that affect dietary compliance of the hemodialysis patients.Method: This is an observational study with cross-sectional design, conducted in the hemodialysis unit of Dr. Soeradji Tirtonegoro Hospital, Klaten on March - October 2016, involving 60 respondents. The dependent variable is dietary compliance, while the independent variables are knowledge, family support, attitudes, and behavior. Data were analyzed using univariate and bivariate with Chi-Square test.Results: Chi-Square test results of knowledge with dietary compliance showed the p-value = 0.027; family support with dietary compliance showed the p-value = 0.045; attitude with dietary compliance showed the p-value = 0.045; and behavior with dietary compliance showed the p-value = 0.002.Conclusion: Knowledge, family support, attitude, and behavior affect dietary compliance of the hemodialysis patients.

In Indonesia, there has been an increase in the percentage of elderly groups compared to other age groups which have been quite rapid since 2013. As a result of population projection of 2010-2035, Indonesia will enter the aging period, whereas 10% of the population will be 60 years or older. With increasing age, physiological functions decline due to the aging process so that non-communicable diseases appear in the elderly. In Demangan Gunungan hamlet, Pleret, Bantul, elderly integrated service post activities were carried out in the form of weight measurements, blood pressure checks, and elderly gymnastics. However, there has never been a gout examination in the elderly because of limited access to health services, limited costs, and lack of information regarding the importance of routine laboratory examinations. So it is necessary to do community service activities in the form of uric acid examination and nutrition counseling to the elderly in the hamlet. Community engagement activities carried out in Demangan Gunungan hamlet, Pleret, Bantul in the form of uric acid examination in the elderly and providing nutrition counseling related to a good diet in anticipating and overcoming health problems, especially gout (hyperuricemia). The activity was attended by 40 people, consisting of 34 elderly people and 6 cadres. The results of uric acid examination showed that there were more elderly people in Demangan Gunungan hamlet, Pleret, Bantul (55%) than those who did not experience hyperuricemia (45%). This community engagement activities achieved results according to the target based on the attendance of participants and program evaluation. It was expected that there would be a decrease in the number of elderly health problems and a decrease in the number of gout sufferers (hyperuricemia) in Demangan Gunungan, Pleret, Bantul.Keywords: elderly, health check, gout (hyperuricemia), nutrition counseling, elderly integrated service post.

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: Penyakit jantung koroner (PJK) merupakan penyakit kardiovaskular dengan prevalensi tertinggi di Indonesia. Salah satu faktor yang mempengaruhi terjadinya penyakit jantung koroner adalah kadar kolesterol dalam darah. Upaya untuk menurunkan kadar kolesterol dalam darah diantaranya dengan mengendalikan kebiasaan makan dan melakukan latihan aerobik. Tujuan: Untuk mengetahui hubungan aktivitas olahraga dengan kadar kolesterol pada pasien PJK. Metode: Penelitian ini merupakan penelitian observasional dengan rancangan cross-sectional. Penelitian melibatkan 79 responden yang diambil dengan teknik accidental sampling. Kriteria inklusi meliputi pasien penyakit jantung koroner rawat jalan yang bersedia menjadi responden, laki-laki berusia ≥ 45 tahun dan perempuan berusia ≥ 55 tahun. Kriteria eksklusi adalah pasien PJK yang mengonsumsi herbal atau ramuan dari luar rumah sakit untuk menurunkan kadar kolesterol. Data dianalisis dengan software statistik menggunakan uji Fisher’s Exact. Hasil: Sebagian besar responden yang tidak beraktivitas olahraga mempunyai kadar kolesterol normal (70,9%). Ada hubungan antara aktivitas olahraga dengan kadar koleterol (p=0,051) dengan α=10%. Kesimpulan: Terdapat hubungan antara aktivitas olahraga dengan kadar kolesterol pada pasien PJK di Poliklinik Jantung RSUD Panembahan Senopati Bantul.

The content of dietary fiber in wet noodle is lower than the dietary fiber requirement, so we need to add the local food which is high in dietary fiber content, that is green okra (Abelmuschus esculentum L). This study was to determine the effect of green okra flour mixing in wet noodle on organoleptic characteristics and dietary fiber content. This was an experimental study with complete random design. The independent variable was substitution of greenokra flour on wet noodle, while the dependent variables were organoleptic characteristics and dietary fiber content. There were four variations of wet noodles i.e. 0%, 10%, 15%, 20%. Data were analyzed using Kruskal-wallis, Mann Whitney and Anova. The result showed wet noodle 10% was whitish green, typical flavour of wet noodle, and chewy. The highest level of dietary fiber content was in wet noodle 20% as many as 9,92 grams. In conclusion, there were any significant differences in organoleptic test result based on aroma and taste, but no difference based on color and texture. There were significant differences in dietary fiber content from the four experiment variations. The higher percentage of green okra flour makes the higher content of dietary fiber content in wet noodles.Keywords : Wet noodle; Green okra (Abelmuschus esculentum L.) flour; organoleptic characteristic; Dietary fiber content.