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Pichit Wonnakom; Yanin Opatpatanakit; Buaream Maneewon; Narin
"The experiment was carried out to determine the chemical composition and digestibility of pond snail meal (PSM) in Thai native chicken (TNC) feed. Twenty-eight Thai native cocks. 25 weeks old (Paduhangdum Chiang Mai strain) were used. Three types of pond snail preparations were used to find the nutritive value of the pond snails. The treatments were 1- snail meat (without shell), 2. cooked dried (whole snail), and 3. raw dried (whole snail)- Nutrients digestibility were divided into 7 treatment groups (control, 5, 10 and 15% of cooked and snail meal) with 4 replications of one cock each. It was found that pond snail meat has the higher CP and EE than cooked and raw whole pond snail, but pond snail meat has lower CF, ash and Ca. The nutrients digestibility had no significant difference (p > 0.05) in DM and CP» EE and NFE; however, DM and NFE digestibility were the highest in 5% cooked pond snails. Whereas 10% cooked pond snail had the highest digestibility of CP and Ca and 15% raw pond snail had the highest EE digestibility. Pond snail meat has high protein but whole snail has high Ca. Levels at 10% cooked pond snail meal may be suitable for Thai native chicken feed."
Thammasat Printing House, 2017
03-18-969339879
Artikel Jurnal  Universitas Indonesia Library
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Sihombing, Geertruida
"Gnetum gnemon LINN., also called tulip tree, is found throughout the islands of the Indonesian archipelago. Locally, this tree is known as melinjo tree, and its young stems and leaves, young and ripe fruits are used in a traditional dish. The seeds of the ripe fruits are eaten after roasting. The seeds may also be processed in household-food industries into flattened and dried flakes called "owing melinjo". Prior to consumption, emping melinjo is usually fried in coconut fat which renders it crispy with a specific bitter taste. Emping melinjo is also exported to Middle East countries and the Netherlands (Departemen Perindustrian, 1988).
The nutritional value of emping melinjo has not yet been studied in detail. A feeding trial using rats fed emping melinjo as the sole source of protein showed a low protein efficiency ratio when compared with skim milk (Oey, 1979). Budiarso and Sihombing (1989) reported that livers of rats fed diets containing melinjo seeds as major ingredient had perilobular necrosis. These studies suggest that emping melinjo has low nutritional value and may even contain toxic substances. However, the diets used consisted of emping melinjo as sole source of protein supplemented with vitamin and mineral mixtures. This is very different from the situation in Indonesians who consume emping melinjo as a snack, side dish or as a component of the rice menu. Thus, a study was performed with rats fed nutritionally adequate diets with varying levels of emping melinjo, either in dried/unfried or dried/fried form. The nutritional value of emping melinjo was assessed on the basis of growth performance, histology of selected organs, selected blood measures, nitrogen digestibility, and mineral absorption.
In the first experiment, purified diets were used containing either 0, 10, 20 or 40 % (w/w) of dried/unfried emping melinjo. The control diet (without emping melinjo) contained casein as sole source of protein and was formulated according to the recommendations of the National Research Council: it contained 5 % of fat. The four experimental diets were balanced for nitrogen, fat, calcium, magnesium and phosphorus. There were 8 male rats per dietary group; the experimental period lasted 14 days. The rats had free access to food and demineralized water.
Feed intake and weight gain were not significantly affected by emping melinjo in the diet. Cecum weight, including contents, was raised markedly after feeding emping melinjo. Feces production rose after consumption of emping in a dose-dependent fashion, but dry matter content fell. Histological examination showed that liver and jejunum were unaffected by the feeding of emping, but nephrocalcinosis was induced.
The amount of emping melinjo in the diet did not affect hematocrit values and blood hemoglobin concentrations. Plasma triglyceride and cholesterol concentrations were significantly lowered by emping melinjo in a dose-dependent fashion. Apparent nitrogen digestibility was gradually decreased with increasing emping melinjo concentrations in the diet. The highest dietary concentration of emping used, i.e. 40 %, significantly reduced the apparent absorption of calcium, magnesium and phosphorus.
As a component of the human diet, melinjo is not consumed in its dry form but after frying in coconut fat. It could be suggested that dried/fried melinjo does not negatively affect mineral and nitrogen absorption because eiher possible anti-nutritional factors are denaturated by frying or the nutrients in emping become more accessible to digestive processes. The second experiment was carried out to test this suggestion. In addition, the solubility of minerals in the ileal lumen was determined to obtain clues as to the mechanism underlying the inhibitory effectof emping on mineral absorption. Soluble minerals in the ileal lumen are considered to be available for absorption as opposed to insoluble minerals.
There were three experimental diets: a control diet, a diet containing 40 % dried/unfried emping and a diet containing 40 % dried/fried emping ( corrected for the fat taken up while frying). The high-fat diets (15 % fat) were carefully balanced for nitrogen, fat, calcium, magnesium and phosphorus. There were 12 male rats per dietary group, which had free access to food and demineralized water; the experimental period lasted 14 days.
Feed intake did not differ significantly between the three experimental groups, but weight gain was some what depressed by both dried/unfried and dried/fried emping. The two emping preparations raised cecum weight and feces production, while the dry matter content of feces dropped.
As was observed in experiment 1, the feeding of dried/unfried emping at a level of 40 % of the diet significantly reduced the apparent absorption of nitrogen, calcium, magnesium and phosphorus. Frying of emping caused disappearance of the inhibitory effect on calcium and magnesium absorption whereas nitrogen and phosphorus absorption were still reduced, albeit to a lower extent.
Dried/unfried and dried/fried emping in the diet raised both the amount of solid and liquid phase in the ileum. The concentrations of soluble calcium and magnesium were decreased by dried/unfried as well as dried/fried emping. The concentration of phosphorus in the liquid phase of the ileal lumen was lowered by dried/unfried but not by dried/fried emping.
The addition of dried/unfried emping melinjo to the diet of rats at the expense of isonitrogenous amounts of nitrogen caused a lowering of the absorption of nitrogen, calcium, magnesium and phosphorus. This effect is either completely or partly abolished by frying of the emping melinjo Frying of dried/emping did not increase the concentrations of calcium and magnesium in the liquid phase of the ileum so that its stimulatory effect on calcium and magnesium absorption remains obscure. Frying of emping did raise the ileal solubility of phosphorus. Frying of emping did raise the ileal solubility of phosphorus.
The still some what reduced absorption of phosphorus as seen after the feeding of fried emping is probably the result of unavailable phosphorus as phytate in the emping. The reduced absorption of nitrogen in rats fed either dried/fried or fried emping could relate to the presence of poorly digestible material in the intestine as evidenced by the increased weight of solid phase in the ileal lumen. This undigestible material probably represents polysaccharides which raise microbial activity in the cecum leading to the formation of fatty acids and thereby elevating the water content of feces. The undigestible polysaccharides in emping melinjo, if and when present, could also be responsible for its cholesterol lowering activity."
Jakarta: Fakultas Kedokteran Universitas Indonesia, 1992
D313
UI - Disertasi Membership  Universitas Indonesia Library
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"Latar belakang: Defisiensi vitamin B12dan asam folat dapat menyebabkan anemia yang selanjutnya dapat mempengaruhi tumbuh kembang anak. Penelitian ini bertujuan untuk mengetahui kadar folat serum bayi usia 6-8 bulan dan korelasinya terhadap indikator status gizi bayi dan pengetahuan-sikap-perilaku ibu tentang pola makan bayi.
Metode: Rancangan penelitian potong lintang dilakukan pada 55 bayi usia 6-8 bulan yang memenuhi kriteria penelitian dan ibunya sebagai responden. Data yang dikumpulkan meliputi usia, jenis kelamin, panjang badan, berat badan, asupan kalori, protein dan folat (menggunakan metoda food frequency questionnaire semiâ??kuantitatif dan recall 24 jam), sedangkan pada responden meliputi usia, tingkat pendidikan, penghasilan keluarga, status bekerja dan pengetahuan, sikap, perilaku terkait pemberian makan bayi (ASI dan MPASI).
Hasil: Penelitian ini mendapatkan median kadar folat serum adalah 43,05 nmol/L dengan kadar terendah 19,92 nmol/L dan kadar tertinggi 104,24 nmol/L. Diantara faktor-faktor terkait yang diteliti, didapatkan korelasi positif bermakna antara kadar folat serum dengan asupan protein dan asupan folat.
Kesimpulan: Disarankan agar bayi sejak usia 6 bulan mendapatkan makanan pendamping ASI yang kaya akan protein folat sehingga diharapkan dapat mempertahankan kadar normal folat serum. (Med J Indones 2011; 20:138-42).

Abstract
Background: Vitamin B12 and folate defi ciency can cause anemia which may lead growth and development impairments. This study was aimed to determine serum folate levels among infants aged 6-8 months and the relation to infants' nutritional indicators and maternal knowledge-attitude-practice about infant feeding.
Methods: A cross sectional design was implemented in infants aged 6â??8 months and their mothers as respondents who met the study criteria. Data collected among the infants included sex, age, length, weight, intake of energy, protein and folate (based on a one month semi quantitative FFQ and a 24â??hour food recall), serum folate and hemoglobin levels. Data collected among the mothers included age, education level, income based on average minimum monthly wage, knowledge, attitude and behavior concerning infants feeding, i.e. breast milk and complementary feeding practices.
Results: This study found that the median of serum folate levels was 43.05 nmol/L with values ranging from 19.92 nmol/L to 104.24 nmol/L. Serum folate level had a strong positive correlation with its related factors, protein and folate intake.
Conclusions: Protein-folate-rich complementay food should be provided to infants aged 6 months and over to maintain serum folate level. (Med J Indones 2011; 20:138-42)."
[Fakultas Kedokteran Universitas Indonesia, Fakultas Kedokteran Universitas Indonesia], 2011
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Artikel Jurnal  Universitas Indonesia Library
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Karina Maharani Pramudya
"Pola asupan makanan yang tidak seimbang banyak dijalani kaum remaja saat ini. Hal tersebut menyebabkan ancaman status gizi berlebih semakin mengintai para remaja. Status gizi remaja dapat tercermin melalui pengukuran Indeks Massa Tubuh (IMT). Tujuan penelitian ini ialah mengetahui hubungan antara asupan energi dan komposisi makronutrien dengan IMT pada remaja usia 15-18 tahun. Penelitian menggunakan desain penelitian potong lintang analitik. Pengambilan data dilaksanakan di Jakarta terhadap 75 mahasiswa kedokteran, laki-laki (n=31) dan perempuan (n=44), tingkat 1 tahun 2012 yang diminta untuk menjawab wawancara mengenai asupan hariannya memakai kuisioner Food Frequency Questionnaires (FFQ) semikuantitatif dan menjalani pemeriksaan fisik, berupa tinggi dan berat badan.
Dari penelitian ini, hasilnya, yakni sebaran subjek berdasarkan asupan energi , yaitu kurang (24%), cukup (30,7%), lebih (45,3%). Untuk asupan karbohidrat ialah kurang (10,7%), cukup (77,3%), dan lebih (12%). Sementara itu, asupan lemak yang kurang ada 24%, cukup sebanyak 44%, dan lebih sebesar 32%. Terakhir, sebaran subjek berdasarkan asupan protein, yakni kurang (1,3%) dan cukup (98,7%). Tidak ada responden yang asupan proteinnya lebih. Distribusi subjek berdasarkan IMT, yaitu pada laki-laki 9,7% kurang, 61,3% normal, dan 29% lebih sedangkan pada perempuan 90,9% normal dan 9,1% lebih. Kesimpulan pada penelitian ini ialah tidak terdapat adanya hubungan (p>0,05) antara asupan energi dan komposisi makronutrien dengan IMT pada remaja usia 15-18 tahun.

Unbalance pattern of food intake become trend for many young people at this time. This causes overweight and obesity risk threaten the teens. Adolescent nutritonal status can be defined by Body Mass Index (BMI) measurement. The purpose of this study is to determine the relationship between energy intake and macronutrient composition with BMI in adolescents aged 15-18 years old. Study used cross-sectional analytical study design. Data collection was conducted in Jakarta on 75 first grade medical students, boys (n=31) and girls (n=41), in 2012 who were asked to answer the interview about her daily intake using Food Frequency Questionnaires (FFQ) semiquantitative and underwent a physical examination, such as height and weight.
The results from this study were the respondent distributions of energy intake were less (24%), adequate (30,7%), over normal (45,3%). For carbohydrate intake were less (10,7%), adequate (77,3%), and over normal (12%). Meanwhile, there were 24% respondents with less intake of fat, 44% adequate. and 32% over normal. Last, the distributions of protein intake were less (1,3%) and adequate (98,7%). No respondent with over normal protein intake. Subject distributions of BMI, were in boys 9,7% less, 61,3% normal, and 29% over normal while in girls, 90,9% normal and 9,1% over normal. The conclusion of this study is there is no relationship (p>0,05) between energy intake and macronutrient composition with BMI in adolescents aged 15-18 years old.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2013
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UI - Skripsi Membership  Universitas Indonesia Library
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Henry Riyanto
"[ABSTRAK
Latar Belakang. Obat Anti Epilepsi (OAE) generasi lama banyak digunakan di Rumah Sakit sebagai terapi epilepsi. Beberapa studi terdahulu telah mengonfirmasi bahwa terapi OAE generasi lama terasosiasi dengan penurunan rerata kadar serum asam folat. Penurunan kadar serum asam folat ini berhubungan dengan anemia, defisit kognitif, penyakit vaskular, kanker, gangguan psikiatri, aborsi spontan dan malformasi kongenital. Oleh karena itu, maka dilakukan penelitian mengenai kadar serum folat pada ODE yang menggunakan OAE generasi lama di Indonesia. Metode. Desain penelitian adalah potong lintang untuk mengetahui gambaran kadar serum asam folat ODE pengguna OAE generasi lama (fenitoin, fenobarbital, karbamazepin dan asam valproat) jika dibandingkan dengan populasi normal serta kaitan dengan asupan. Subyek penelitian sejumlah 75 orang didapatkan di poli rawat jalan RSUPN Cipto Mangunkusumo dan Yayasan Epilepsi Indonesia yang dibandingkan dengan 76 orang populasi normal. Dilakukan wawancara pola makan melalui metode food recall, pemeriksaan laboratorium kadar folat. Hasil. Didapatkan kadar rerata serum asam folat sebesar 9.95 + 3.61 ng/mL pada ODE pengguna OAE generasi lama. Populasi normal didapatkan kadar rerata 4.59 + 2.4 ng/mL (p=<0.001). Rerata asupan diet setara folat kelompok studi 119.7 (28.4-340) microgram, kelompok kontrol 104.65 (38-510) microgram (p=0.095). Simpulan. Rerata kadar serum asam folat ODE yang menggunakan OAE generasi lama lebih tinggi dari rerata kadar serum asam folat populasi normal secara bermakna. Hanya terdapat 2,7% ODE dengan kadar asam folat rendah secara bermakna. Tidak ada perbedaan bermakna antara jumlah asupan diet folat dengan klasifikasi kadar serum asam folat pada ODE.

ABSTRACT
Background. Antiepileptic drugs (AEDs) are frequently used in the treatment of epilepsy, psychiatric diseases, and pain syndromes. Studies have established that chronic anticonvulsant therapy can lead to folate deficiency. Anti-convulsant-induced folate deficiency has been associated with megaloblastic anemia, cognitive decline, vascular diseases, cancer, psychiatric comorbidity, spontaneous abortion and teratogenesis. Thus, patients with epilepsy are a suitable population to investigate the association of AED treatment with folate serum levels in comparison with normal population. Method. This is comparative cross-sectional study focusing on the level and intake of folate in relation with AED (phenytoin, phenobarbital, carbamazepine, valproic acid) in epileptic patients in outpatient clinic of Neurology Cipto Mangunkusumo General Hospital and Indonesia Epilepsy Foundation, with comparison to normal population. Seventy five epileptic patients and seventy six healthy people were recruited with food recall interview and their serum folate were measured. Results. The mean folate serum of study group were 9.95 + 3.61 ng/mL and the mean folate serum of control group were 4.59 + 2.4 ng/mL (p=<0.001). The mean dietary folate of study group were 119.7 (28.4-340) microgram and the mean dietary folate of control group 104.65 (38-510) microgram (p=0.095). Conclusion. The mean folate serum in study group were significant much more higher compare with the control group. As many as 2.7% of study group with significantly low folate serum level. There were no any significant association of dietary folate with folate serum classification of study group. ;Background.. Antiepileptic drugs (AEDs) are frequently used in the treatment of epilepsy, psychiatric diseases, and pain syndromes. Studies have established that chronic anticonvulsant therapy can lead to folate deficiency. Anti-convulsant-induced folate deficiency has been associated with megaloblastic anemia, cognitive decline, vascular diseases, cancer, psychiatric comorbidity, spontaneous abortion and teratogenesis. Thus, patients with epilepsy are a suitable population to investigate the association of AED treatment with folate serum levels in comparison with normal population. Method. This is comparative cross-sectional study focusing on the level and intake of folate in relation with AED (phenytoin, phenobarbital, carbamazepine, valproic acid) in epileptic patients in outpatient clinic of Neurology Cipto Mangunkusumo General Hospital and Indonesia Epilepsy Foundation, with comparison to normal population. Seventy five epileptic patients and seventy six healthy people were recruited with food recall interview and their serum folate were measured. Results. The mean folate serum of study group were 9.95 + 3.61 ng/mL and the mean folate serum of control group were 4.59 + 2.4 ng/mL (p=<0.001). The mean dietary folate of study group were 119.7 (28.4 ? 340) microgram and the mean dietary folate of control group 104.65 (38-510) microgram (p=0.095). Conclusion. The mean folate serum in study group were significant much more higher compare with the control group. As many as 2.7% of study group with significantly low folate serum level. There were no any significant association of dietary folate with folate serum classification of study group. , Background.. Antiepileptic drugs (AEDs) are frequently used in the treatment of epilepsy, psychiatric diseases, and pain syndromes. Studies have established that chronic anticonvulsant therapy can lead to folate deficiency. Anti-convulsant-induced folate deficiency has been associated with megaloblastic anemia, cognitive decline, vascular diseases, cancer, psychiatric comorbidity, spontaneous abortion and teratogenesis. Thus, patients with epilepsy are a suitable population to investigate the association of AED treatment with folate serum levels in comparison with normal population. Method. This is comparative cross-sectional study focusing on the level and intake of folate in relation with AED (phenytoin, phenobarbital, carbamazepine, valproic acid) in epileptic patients in outpatient clinic of Neurology Cipto Mangunkusumo General Hospital and Indonesia Epilepsy Foundation, with comparison to normal population. Seventy five epileptic patients and seventy six healthy people were recruited with food recall interview and their serum folate were measured. Results. The mean folate serum of study group were 9.95 + 3.61 ng/mL and the mean folate serum of control group were 4.59 + 2.4 ng/mL (p=<0.001). The mean dietary folate of study group were 119.7 (28.4 – 340) microgram and the mean dietary folate of control group 104.65 (38-510) microgram (p=0.095). Conclusion. The mean folate serum in study group were significant much more higher compare with the control group. As many as 2.7% of study group with significantly low folate serum level. There were no any significant association of dietary folate with folate serum classification of study group. ]"
Fakultas Kedokteran Universitas Indonesia, 2015
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UI - Tugas Akhir  Universitas Indonesia Library
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R. Yuliana Kusaeri
"Tujuan: Mengetahui efek pemberian nutrisi enteral dua jam pra sectio caesarea terhadap perubahan kadar hsIL-6 pasca sectio caesarea
Metode: Penelitian ini merupakan uji klik paralel, yang subyek penelitiannya dipilih secara consecutive sampling, yang dibagi menjadi dua kelompok melalui randomisasi blok masing-masing terdiri dari 10 orang subyek. Data karakteristik awal penelitian meliputi usia, indikasi SC, status gizi berdasarkan KMS ibu hamil dan LiLA, asupan energi dan protein pra SC, lama operasi, jumlah perdarahan, dan hsIL-6 prabedah adalah homogen. Untuk melihat perbedaaan perubahan kadar hsIL-6 dilakukan pemeriksaan hsIL-6 setelah 6 jam pasca insisi. Analisis data dilakukan dengan menggunakan uji t. Batas kemaknaan 5%.
Hasil: Peningkatan rerata dan simpang baku kadar hsIL-6 meningkat pada kedua Kelompok. Peningkatan kadar hsIL-6 ( p <0,05) dan perubahan kadar hsIL-6 lebih besar bermakna pada kelompok kontrol dibandingkan kelompok perlakuan (p <0,05).
Simpulan: Pemberian nutrisi enteral dua jam pra secfio caesarea dapat menekan peningkatan kadar hsIL-6.

Objective: To investigate the effect of enteral nutrition that given two hour before caesarean section on changes hsIL-6 levels after caesarean section.
Methods: The design study was a parallel clinical trial, in which the subject were selected by consecutive sampling, each proup consisted of ten subjects. The subject were divided into two groups using block randomization. Data collected including age, indication of CS, nutritional status based on MUAC and KMS chart in pregnancy, energy and protein intakes, duration of surgery, amount of blood loss during surgery, and hsIL-6 serum preoperative, were matched at baseline. To investigated the changes of hsIL-6 levels, the concentrations to assessed six hours post CS. Statistical analysis was measured by t-test. The significance levcl was 5%.
Results: There was a significant increasc of hsIL-6 levels (p = 0,001) in both groups. The increased and changes of hsIL-6 levels in the control group was significantly higher than in the treatment group. (p<0.05, and p <0,05 respectively).
Conclusion: Enteral nutrition that was given two hour before caesarean section can suppress the increased of hsIL-6 levels.
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Jakarta: Fakultas Kedokteran Universitas Indonesia, 2009
T32873
UI - Tesis Open  Universitas Indonesia Library
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Putri Fiqriyarizqi
"Kejadian gizi kurang pada balita di Indonesia cukup tinggi. Terdapat beberapa faktor yang mempengaruhi status gizi pada balita yaitu jenis pangan yang dikonsumsi, pola asuh keluarga, penyakit infeksi, status ekonomi, sosial budaya, pendidikan, dan lingkungan. Salah satu upaya yang dapat dilakukan untuk mengatasi masalah gizi kurang pada balita yaitu dengan memenuhi asupan nutrisi balita sesuai dengan pedoman gizi seimbang. Pemenuhan asupan nutrisi balita harus memperhatikan keanekaragaman jenis pangan, porsi makan, dan jadwal makan yang teratur. Intervensi keperawatan unggulan yang diberikan kepada keluarga untuk mengatasi masalah gizi kurang pada balita yaitu dengan penyusunan jadwal makan dan menu makan gizi seimbang. Hasil dari intervensi yang dilakukan selama 3 minggu menunjukkan bahwa terdapat peningkatan berat badan pada balita yang mengalami gizi kurang sebanyak 0,3 kg. Hasil praktik ini merekomendasikan agar praktik selanjutnya dapat menggali intervensi keperawatan lainnya yang dapat dilakukan guna mengatasi masalah gizi kurang pada balita. Selain itu, praktik ini juga merekomendasikan kepada keluarga untuk memberikan makan anak secara teratur sesuai dengan jadwal serta mengandung makanan dengan gizi yang seimbang.

The incidence of malnutrition in children under five in Indonesia is quite high. There are several factors that influence the nutritional status of toddlers which are the type of food consumed, family parenting patterns, infectious diseases, economic status, socio-culture, education, and the environment. One of the efforts that can be done to overcome the problem of malnutrition in toddlers is to fulfill the nutritional intake of toddlers in accordance with balanced nutrition guidelines. Fulfillment of nutritional intake of toddlers must pay attention to the diversity of food types, meal portions, and regular eating schedules. The leading nursing intervention given to families to overcome the problem of undernutrition in toddlers is by compiling a meal schedule and a balanced nutritional diet. The results of the intervention carried out for 3 weeks showed that there was an increase in body weight in undernourished toddlers as much as 0.3 kg. The results of this practice recommend that further practice can explore other nursing interventions that can be done to overcome the problem of malnutrition in toddlers. In addition, this practice also recommends families to feed their children regularly according to a schedule and contain foods with balanced nutrition."
Depok: Fakultas Ilmu Keperawatan Universitas Indonesia, 2022
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UI - Tugas Akhir  Universitas Indonesia Library
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Sihombing, Geertruida
"Emping melinjo adalah produk dari biji melinjo bagian dalam yang pembuatannya dilakukan dengan merebus, kemudian dipipihkan dan dikeringkan dibawah sinar matahari.
Hingga saat ini belum banyak dilakukan penelitian mengenai nilai gizi emping melinjo. Karena emping melinjo umum dikonsumsi masyarakat Indonesia bahkan sudah merupakan komoditi eksport, maka dipandang perlu untuk mengetahui sejauh mana keuntungan dan kerugian bahan makanan tersebut terhadap kesehatan.
Untuk mendapatkan jawaban dilakukan penelitian berupa percobaan eksperimental dengan menggunakan tikus putih. Penelitian terdiri dari 2 tahap yakni :
1. Penelitian pendahuluan untuk mengetahui mutu protein dengan menggunakan metode Net Protein Utilization (NPU) dan Protein Efficiency Ratio (PER).
2. Penelitian tentang daya cerna nitrogen dan apsorpsi mineral dengan memperhatikan problematik yang didapatkan pada penelitian tahap 1. Pada penelitian tahap pertama yang diperhatikan hanya segi kuantitas dari protein {10%), lemak (10%) dan energy 400 kal. dengan penambahan vitamin dan mineral tanpa perhitungan yang akurat.
Sebaliknya, pada penelitian tahap ke-2, semua zat-zat gizi dalam ransum diperhitungkan dengan cermat, sehingga bernilai gizi adekuat dalam anti mengandung zat-zat gizi lengkap dan dalam jumlah cukup sesuai kebutuhan tikus percobaan seperti yang dianjurkan oleh National Research Council of the U.S.A.
Pada penelitian tahap ke-2 kegiatan meliputi :
a. Pemberian ransum dengan komponen emping melinjo mentah dalam 4 konsentrasi (0 %, 10 %, 20 %, 40 %).
b. Pemberian ransum dengan komponen emping melinjo mentah dibandingkan dengan emping melinjo goreng dengan konsentrasi sama (40 %).
Kelompok kontrol (0 %) adalah kasein
pada a. kadar protein 15 % (N + 6.25), lemak 5 %, kalsium 0.5 % magnesium 0.04 % phosphor 0.52 %,
pada b. kadar protein 15 %, lemak 15 %, kalsium 0.4 % magnesium 0.04 % phosphor 0.52 % lama penelitian 14 hart dengan hasil aebagai berikut
Pada percobaan tahap - 1
I. kimiawai : - Protein t 10 %
- Komposisi asam amino menyerupai asam amino telur
- Tidak ada asam amino pembatas
Percobaan dengan tikus
- NPU rendah
- PER rendah
- Angka kematian tinggi
- Hepatotoksik
II. Kimiawi:
- Tidak dapat dideteksi adanya penghambat tripsin
- Tidak dapat dideteksi adanya hemaglutinin Percobaan dengan tikus ;
- Semua tikus tumbuh dengan subur sama dengan kontrol, secara umum absorpsi nitrogen, Ca, Mg, P, back, hanya pada kelompok emping melinjo (40 %) menunjukkan absorpsi P rendah. Namun retensi baik.
- Pemeriksaan mikroskopik pada organ-organ vital tidak ditemukan kelainan.
- Kadar kolesterol dan trigliserida plasma darah lebih rendah dibanding kelompok kontrol.
Kesimpulan
1. Emping melinjo tidak dapat digunakan sebagai sumber protein tunggal pada tikus percobaan.
2. Protein emping melinjo mengandung susunan asam amino yang lengkap sehingga memungkinkan tikus tumbuh baik, bila diberikan bersama protein lain yang bermutu baik seperti kasein di dalam ransum yang bernilai gizi adekuat.
3. Kalau emping melinjo digunakan sebagai komponen ransum yang bernilai gizi adekuat tidak dapat dideteksi adanya efek negatif seperti keracunan pangan.
4. Kalau emping melinjo digunakan sebagai komponen ransum yang bernilai gizi adekuat, tidak terlihat adanya efek merugikan tikus percobaan mengenai pertumbuhan, daya cerna nitrogen, absorpsi mineral dan tidak menyebabkan tanda-tanda kelainan pathologis jaringan organ-organ tertentu.
5. Emping melinjo kering dapat digunakan sebagai konponen ransum tikus yang bernilai gizi adekuat, sampai pada kadar 40 g per 100 g makanan.
6. Seandainya hasil dari penelitian emping melinjo pada tikus, dapat diekstrapolasikan kepada manusia, kerugian kesehatan tidak diantisipasi jikalau dikonsumsi dalam jumlah yang umum dilakukan.
Emping melinjo kering dapat menurunkan kadar kolesterol dan trigiliserida dalam plasma. Saran:
1. Penggunaan emping melinjo sebagai bahan makanan manusia masih perlu diteliti lebih lanjut, diantaranya sebagai hasil olah dengan cara merebus, menggoreng dan sangan.
2. Perlu diteliti lebih lanjut kemampuan emping melinjo menurunkan plasma cholesterol dan trigliseida yang dikaitkan dengan penelitian epidemiologis diantara konsumen emping melinjo dan mereka yang tidak mengkonsumsinya.

Gnetum gnemon LINN., also called tulip tree, is found throughout the islands of the Indonesian archipelago. Locally, this tree is known as melinjo tree, and its young stems and leaves, young and ripe fruits are used in a traditional dish.
The seeds of the ripe fruits are eaten after roasting. The seeds may also be processed in household-food industries into flattened and dried flakes called "emping melinjo". Prior to consumption, emping melinjo is usually fried in coconut fat which renders it crispy with a specific bitter taste. Emping melinjo is also exported to Middle East countries and the Netherlands (Departemen Perindustrian, 1988).
The nutritional value of emping melinjo has not yet been studied in detail. A feeding trial using rats fed emping melinjo as the sole source of protein showed a low protein efficiency ratio when compared with skim milk (Oey, 1979). Budiarso and Sihombing (1989) reported that livers of rats fed diets containing melinjo seeds as major ingredient had perilobular necrosis.
These studies suggest that emping melinjo has low nutritional value and may even contain toxic substances. However, the diets used consisted of emping melinjo as sole source of protein supplemented with vitamin and mineral mixtures.
This is very different from the situation in Indonesians who consume emping melinjo as a snack, side dish or as a component of the rice menu. Thus, a study was performed with rats fed nutritionally adequate diets with varying levels of emping melinjo, either in dried/unfried or dried/fried form. The nutritional value of emping melinjo was assessed on the basis of growth performance, histology of selected organs, selected blood measures, nitrogen digestibility, and mineral absorption.
In the first experiment, purified diets were used containing 0, 10, 20 or 40 % (w/w) of dried/unfried emping melinjo. The control diet (without emping melinjo) contained casein as sole source of protein and was formulated according to the recommendations of the National Research Council: it contained 5 % of fat. The four experimental diets were balanced for nitrogen, fat, calcium, magnesium and phosphorus. There were 8 male rats per dietary group; the experimental period lasted 14 days. The rats had free access to food and demineralized water.
Feed intake and weight gain were not significantly affected by emping melinjo in the diet. Cecum weight, including contents, was raised markedly after feeding emping melinjo. Feces production rose after consumption of emping in a dose-dependent fashion, but dry matter content fell. Histological examination showed that liver and jejunum were unaffected' by the feeding of emping, but nephrocalcinosis was induced.
The amount of emping melinjo in the diet did not affect hematocrit values and blood hemoglobin concentrations. Plasma triglyceride and cholesterol concentrations were significantly lowered by emping melinjo in a dose-dependent fashion.
Apparent nitrogen digestibility was gradually decreased with increasing emping melinjo concentrations in the diet. The highest dietary concentration of emping used, i.e. 40 %, significantly reduced the apparent absorption of calcium, magnesium and phosphorus.
As a component of the human diet, melinjo is not consumed in its dry form but after frying in coconut fat. It could be suggested that dried/fried melinjo does not negatively affect mineral and nitrogen absorption because eiher possible anti-nutritional factors are denaturated by frying or the nutrients in emping become more accessible to digestive processes. The second experiment was carried out to test this suggestion. In addition, the solubility of minerals in the ileal lumen was determined to obtain clues as to the mechanism underlying the inhibitory effect of emping on mineral absorption. Soluble minerals in the ideal lumen are considered to be available for absorption as opposed to insoluble minerals.
There were three experimental diets: a control diet, a diet containing 40 % dried/unfried emping and a diet containing 40 % dried/fried emping (corrected for the fat taken up while frying). The high-fat diets (15 % fat) were carefully balanced for nitrogen, fat, calcium, magnesium and phosphorus. There were 12 male rats per dietary group, which had free access to food and demi ne ral i zed water; the experimental period lasted 14 days.
Feed intake did not differ significantly between the three experimental groups, but weight gain was some what depressed by both dried/unfried and dried/fried emping. The two emping preparations raised cecum weight and feces production, while the dry matter content of feces dropped.
As was observed in experiment 1, the feeding of dried/unfried emping at a level of 40 % of the diet significantly reduced the apparent absorption of nitrogen, calcium, magnesium and phosphorus. Frying of emping caused disappearance of the inhibitory effect on calcium and magnesium absorption whereas nitrogen and phosphorus absorption were still reduced, albeit to a lower extent.
Dried/unfried and dried/fried emping in the diet raised both the amount of solid and liquid phase in the ileum. The concentrations of soluble calcium and magnesium were decreased by dried/unfried as well as dried/fried emping. The concentration of phosphorus in the liquid phase of the ileal lumen was lowered by dried/unfried but not by dried/fried emping.
The addition of dried/unfried emping melinjo to the diet of rats at the expense of isonitrogenous amounts of nitrogen caused a lowering of the absorption of nitrogen, calcium, magnesium and phosphorus. This effect is either completely or partly abolished by frying of the emping melinjo Frying of dried/emping did not increase the concentrations of calcium and magnesium in the liquid phase of the ileum so that its stimulatory effect on calcium and magnesium absorption remains obscure. Frying of emping did raise the ileal solubility of phosphorus. Frying of emping did raise the Meal solubility of phosphorus. The still some what reduced absorption of phosphorus as seen after the feeding of fried emping is probably the result of unavailable phosphorus as phytate in the emping. The reduced absorption of nitrogen in rats fed either dried/fried or fried emping could relate to the presence of poorly digestible material in the intestine as evidenced by the increased weight of solid phase in the deal lumen. This undigestible material probably represents polysaccharides which raise microbial activity in the cecum leading to the formation of fatty acids and thereby elevating the water content of feces. The undigestible polysaccharides in emping melinjo, if and when present, could also be responsible for its cholesterol lowering activity."
1992
D309
UI - Disertasi Membership  Universitas Indonesia Library
cover
Wanda Lasepa
"Anemia adalah kondisi dimana kadar hemoglobin dalam tubuh di bawah normal sehingga berkurangnya kadar kualitas dan kuantitas sel darah merah. Perempuan merupakan golongan yang rentan terkena anemia karena mengalami menstruasi setiap bulan. Penelitian ini bertujuan untuk mengetahui hubungan asupan zat gizi, sosial ekonomi, pengetahuan dan faktor lainnya dengan kejadian anemia pada mahasiswi RIK UI angkatan 2014. Variabel independen yang diteliti adalah sosial ekonomi (status tempat tinggal, pendidikan Ibu, pekerjaan orang tua, uang saku), menstruasi, pengetahuan anemia, prilaku konsumsi protein hewani, buah dan sayuran, prilaku konsumsi kopi dan teh serta asupan zat gizi (zat besi, vitamin C dan serat) dan status gizi. Desain studi penelitian yaitu cross sectional dengan analisis chi square. Penelitian ini dilakukan pada 136 responden dan pada bulan April 2014. Hasil penelitian menunjukkan 41.18% penderita anemia (anemia ringan (19.12%) dan anemia sedang (22.06%)). Variabel yang memiliki perbedaan proporsi yang bermakna dengan kejadian anemia adalah tempat tinggal, uang saku, pengetahuan tentang anemia, konsumsi protein hewani, konsumsi buah dan asupan zat gizi.

Anemia is a condition as a low level of hemoglobin in the blood, so that the quality and quantity of red blood cells is reduced. Women are included to a group who are susceptible to suffer anemia because of monthly menstruation. The objective of this study is to identify association between intake of nutritents, social economy and other factors among female college students of Health Sciences Program Batch 2014. The independent variables studied were social economy (residence status, mother?s education, parents? occupation, allowance), menstruation, knowledge of anemia, consumption of animal protein, fruits and vegetables, consumption of tea and coffee, the intake of nutrients (iron, vitamin C and fiber) and nutritional status. This study used cross sectional design with a chi square analysis. This study conducted on 136 respondents, on April 2015. This study showed that 41.18% respondents suffered anemia (mild anemia (19.12%) and moderate anemia (22.06%)). Variables that had significant differences in Anemia, Intake of Nutrients, Social Economy, Female College Students.
"
Depok: Fakultas Kesehatan Masyarakat Universitas Indonesia, 2015
S60453
UI - Skripsi Membership  Universitas Indonesia Library
cover
Ari Fadiati
"ABSTRAK
Sebagian beaar keglatan pembangunan adalah mengolah Biuaber alam dan mengubah lingkungan. Menurut Sallm (1990:28), perubahan lingkxmgan dapat memutuskan mata rantai dalam berbagai elklue yang hldup dalam ekosistem, eehingga mengganggu keeelarasan hubungan manusla dengan lingkungannya. Karena itu eangatlah penting agar proses pembangunan dllakukan dengan memelihara keutuhan berfungsinya berbagai siklue yang hidup dalam ekosistem ini. Sehubiuigan dengan hal tersebut, maka sasaran pembangionan diutamakan pada peningkatan kualitaa hldup. Dengan demikian diharapkan 4 akan lahir manuaia-manusia yang berkualitae yang dapat mengisi kegiatan pembangunan dengan bijaksana, arif dan bertanggung j awab, sehingga pembangunan dapat terus berlanjut. Anak adalah generasi penerus bangsa dan modal dalam pembangunan yang akan memelihara, mempertahankan,
melaksanakan, dan mengembangkan hasil pembangunan serta yang akan melanjutkan upaya dalam menjaga keseimbangan lingkungan hidup. Untuk memenuhi fungsi tersebut diperlukan kesehatan fisik dan mental. Kesehatan fisik berhubungan erat dengan kondisi gizi seseorang. Namun kenyataannya, kondisi gizi anak dewasa ini sangat memprihatinkan. Laporan UNICEF menyebutkan 1/4 jut a anak di dunia meninggal eetiap minggu, dan jutaan lagi hanya mampu bertahan hidup selama setengah masa kehidupan mereka, karena menderita kekurangan gizi dan keaehatan yang buruk (Grant, 1992:5). Padahal menurut Salim (1988:12), salah satu cara meningkatkan kualitas hidup adalah meningkatkan kualitas diri manusia secara fisik dan nonfisik. Bersifat fieik antara lain adalah gizi. Sehubungan hal tereebut, Strong dalam pidato di Konferenei Lingkungan dan Pembangunan Sedunia tahun 1992, mengatakan upaya mengurangi keeakitan dan kekurangan gizi pada anak sangat penting, bukan hanya untuk kepentingan sendiri tetapi juga*sebagai sarana untuk membantu mengurangi tekanan penduduk dan
memungkinkan pembangunan lingkungan dapat berkelanjutan dalam abad ke-21 dan setelah itu (Strong dalam Grant, 1992:21).
Banyak faktor yang berhubungan dengan statue gizi seorang anak. Pengetahuan glzl yang dimiliki ibu mempunyai hubungan erat dengan status gizi anaknya. Dalam teori saluran dari Lewin disebutkan bahwa ibu rumah tangga atau anggota keluarga lain yang mengendalikan arus makanan mempunyai peranan yang penting dalam pengelolaan makanan keluarga (Lewin dalam Khumaidi, 1986:36). Mar'at (1981:13) mengatakan, pengetahuan dan perasaan yang merupakan kluster dalam sikap akan menghasilkan tingkah laku tertentu. Selain itu Suriasumantri (1990:42), menambahkan semakin tinggi tingkat pengetahuannya maka semakin tinggi pula tingkat penalarannya.
Faktor lain yang berhubungan dengan status gizi adalah konsumsi sehari-hari. (Khumaidi, 1989:84) mengatakan, konsumsi makanan merupakan kebutuhan pokok yang harus dipenuhi untuk dapat mempertahankan dan melaksanakan kewajiban hidup. Jumlah yang diperlukan hanya secukupnya, bila kurang atau lebih dari kebutuhan akan berdampak buruk bagi kesehatan. Selain itu Syarief (1992:5)"
1995
T-Pdf
UI - Tesis Membership  Universitas Indonesia Library
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