Nutrition Counseling among Patients with Gout

Abstract

Hyperuricemia (high levels of uric acid in the blood) can cause a buildup of monosodium urate crystals. Sudden increase may lead to gout attacks. Consumption of an unbalanced diet, intake of proteins containing high purine is one of the factors that affect gout arthritis. Based on data from medical records at the hospital Mohamad Palembang Hoesin and increase in the number of visits patients with gout, the cumulative incidence of gout reached 22 % after 5 years, the uric acid levels > 9 mg / dL. One of the efforts to help clients change behavior and accelerate the healing process that nutritional counseling is conducted face to face using leaflets media. The purpose of this study was to determine the effectiveness of low-purine diet counseling against uric acid levels in gout patients who were treated at the Hospital dr. AK Gani Palembang. Is a quasi-experimental study design, this study indicated that nutrition counseling with low-purine diet will help to change the behavior of people with gout in the diet to accelerate the reduction in uric acid levels. The average reduction in uric acid levels after being given a lowpurine diet counseling that is equal to 1.6 mg/dL and concluded that giving low-purine diet counseling are effective in lowering uric acid levels in patients with gout. Based on these results, low-purine diet counseling should be offered to patients with gout in an effort to motivate behavior change and reduction in uric acid levels. Nutrition counseling with Low-purine diet in patients with gout can change the eating habits of patients who eventually decreased the levels of uric acid.

Cheap vs healthy: Analyzing McDonald’s menu using linear programming

“…The cheapest McDonald"s menu for a day that satisfies the RNI 2017 is given in Table 3. This is the solution for solving problem (1) while considering the given constraint (2). The suggested menu is 2 Beef burgers, 2 apple pies, 1 Sundae Cone and a Mix&Match set (Cheeseburger and small French Fries).…”

“…However diet requirements are not the same for everyone, they depend on age, ethnic and others. Individuals with a particular disease require different diet compared to normal people [2]. Diet requirements for children are not the same as adults [3].…”

Literatur Review: Peran konseling gizi dan senam ergonomik dalam menurunkan kadar asam urat pada penderita gout

“…Setelah diberikan konseling, dapat dilihat adanya pengaruh yang menyebabkan terjadinya perubahan dalam konsumsi makanan tinggi purin, serta menurunnya kadar asam urat penderita gout. Susyani & Desvianti (2017) dalam hasil penelitiannya menyatakan bahwa untuk mengontrol kadar asam urat dapat dengan mengatur pola konsumsi makanan yaitu dengan tidak mengkonsumsi makanan dengan kadar protein tinggi, goreng-gorengan, dan makanan berbahan santan. Bagi penderita asam urat, sebaiknya hanya mengkonsumsi 15% lemak dari total kebutuhan tubuh.…”