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Abstrak :
ABSTRACT
An experimental community trial study was conducted to observe the influence of communication program on weekly iron supplementation in Tanzanian adolescent school girls.

A sample of 237 school-going adolescent girls aged 14 -17 years was randomly recruited from 5 schools in Darus-Salaam and placed into 3 groups. One group received 65 mg elementary iron with 0.25 mg folic acid on a weekly dose along with communication sessions. The second group received the same dose of iron tablets and no communication sessions. No intervention was made to the control group.

A VENN Diagram to assess the most closer person whom the girls would listen to was drawn prior to study. Three Focus Group Discussions at different stages with the adolescents and teachers were conducted. Anthropometrics in-dices were done once at baseline. Supplementation and communication strategies lasted for 8 weeks.

Measurements of Hemoglobin levels to obtain a general picture about the nutritional status of the participants were carried out before and after the intervention. Hemoglobin increased in school 1&2, (iron supplementation plus communication schools), (p<0.001); and anemia dropped significantly (p<0.001). School 3 (iron without communication) had zero anemia decrease; while school 4 (control); had anemia rates unchanged. To the contrary; anemia levels increased significantly in control school 5; (p>0.05).

Knowledge test was carried out before and after intervention; and an in-crease in test scores of school 1&2 was observed (p<0.001). Compliance was checked through stool examination (observed compliance) and iron pill distribution record (reported compliance). The results as indicated by two positive stool tests, were 94% and 75% in school 1 and 2 respectively; in school 3 (iron supplementation only) it was 50%. Reported compliance was 89% for school I&2 each, and 48% for school 3.

It was concluded that, carefully planned communication strategies can influence ingestion of iron supplementation; and, as anemia in adolescents in Tanzania is high, therefore a National Iron Supplementation Program was recommended.

Abstrak :
Penelitian ini bertujuan untuk menilai pengaruh penyuluhan gizi seimbang terhadap status gizi lansia. Desain penelitian menggunakan Pre Eksperimental One Group Pre Post-test. Responden dalam penelitian ini berjumlah 24 orang yang pemilihannya sesuai dengan kriteria pemilihan responden, yaitu berusia >60 tahun, mampu berdiri tegak, memiliki Indeks Massa Tubuh (IMT) >25,00 kg/m2, merupakan peserta aktif posyandu lansia, serta tidak tinggal di panti wredha. Responden diberikan penyuluhan dengan materi gizi seimbang oleh kader di posyandu lansia sebanyak 2 kali. Data karakteristik individu, pengetahuan, sikap, perilaku, dan asupan makan didapatkan melalui wawancara dengan responden menggunakan kuesioner dan formulir FFQ semi kuantitatif sedangkan data antropometri didapatkan melalui pengukuran secara langsung. Pengumpulan data dilakukan pada saat sebelum dan sesudah penyuluhan. Hasil penelitian menunjukkan adanya perubahan status gizi menjadi normal pada 20,8% responden dari gizi lebih sebanyak 100% pada saat sebelum penyuluhan. Untuk penelitian selanjutnya, diperlukan metode penyuluhan yang lebih baik untuk menilai pengaruh penyuluhan gizi seimbang terhadap status gizi lansia secara lebih mendalam. ......The focus of this research was to assess the effect of balance nutrition counseling to elderly nutritional status. The research used Pre Experimental One Group Pre Post-test design. Total respondent was 24 persons who fulfilled the criteria such as age above 60 years, able to stand upright, has Body Mass Index (BMI) >25,00 kg/m2, an active participant in Posyandu Lansia, and not living in institutionalized elderly. Respondents were given counseling twice during research. Data of subject?s characteristics, knowledge, attitudes, practices, and nutrient intakes were collected through interview using questionnaire and FFQ semi quantitative form while data of body mass index were collected with anthropometry measurement. Data were collected before and after counseling. The result showed a change in nutritional status from overweight and obesity into normal in 20,8% respondents. For the next research, better counseling methods are needed to assess the effect of balance nutrition counseling to elderly nutritional status more deeply.

Abstrak :
Perawat mempunyai resiko mengalami status gizi berlebih yang dapat meningkatkan resiko terjadinya gangguan kesehatan serius, seperti penyakit jantung, hipertensi dan diabetes melitus. Intervensi konseling gizi dan diet diduga dapat menurunkan berat badan pada orang dengan status gizi berlebih. Tujuan penelitian ini untuk mengetahui efektifitas Konseling Gizi dan penerapan Diet Rendah Energi Seimbang Teratur (REST) terhadap penurunan berat badan pada perawat dengan status gizi berlebih di rumah sakit. Penelitian dilakukan di RSUD Kesehatan Prov. Jabar dengan subjek penelitian 22 orang perawat yang mempunyai status gizi berlebih, melakukan intervensi Konseling Gizi dan penerapan Diet REST TM serta menggunakan kuesioner Bouchard, kuesioner OSI-RTM dan lembar food record. Rata-rata penurunan berat setelah mendapatkan Konseling Gizi dan melaksanakan Diet RESTM paling besar terjadi pada minggu ke-12 akhir pengamatan sebesar 2,6 kg dengan 95% IK=1,3-3,9 kg. Berdasarkan analisa bivariat didapatkan jenis kelamin memberikan pengaruh yang bermakna terhadap rata-rata penurunan berat badan. Perawat laki-laki memiliki rata-rata penurunan yang lebih besar dibandingkan perempuan (p=0,038). Rata-rata penurunan berat badan perawat laki-laki 3,1 ± 1,7kg dan perawat perempuan 1,6 ± 1,3kg. Sedangkan pengaruh faktor pekerjaan terhadap penurunan berat badan setelah mendapatkan Konseling Gizi dan menjalankan Diet RESTTM tidak menunjukkan pengaruh yang bermakna, yaitu jabatan pekerjaan (p=0,948), jumlah jam kerja (p=0,220), pembagian shift kerja (p=0,692) dan stres kerja (p=0,813). Kesimpulan dari penelitian ini terdapat pengaruh Konseling Gizi dan Diet RESTTM selama 12 minggu terhadap penurunan berat badan pada perawat dengan status gizi berlebih di rumah sakit. ......Nurse has a risk to get an excessive weight nutritional status that can increase the risk of serious health problems, such as heart disease, hypertension and diabetes mellitus. The intervention of nutrition counseling and diet are expected to lose weight in people with excessive nutritional status. Purpose of this study is to determine the effectiveness of nutrition counseling and the implementation of Rendah Energi, Seimbang dan Teratur (REST) diet on weight loss among hospital nurses with excessive weight nutritional status in the hospital. The study was conducted at Occupational Health Hospital of West Java with 22 nurses as study subjects with excessive weight nutritional status, implemented nutrition counseling intervention, a RESTTM Diet and also used the Bouchard questionnaire, OSI-RTM questionnaire and food record sheets. The greatest average weight loss after receiving nutrition counseling and implementing a REST^TM Diet occurred in the 12th week of the last observation. It was 2.6 kg with 95% CI=1.3-3.9 kg. Based on the bivariate test showed gender had a significant effect on the average weight loss. The male nurses had greater average weight loss than female nurses (p=0.038). The average weight loss of male nurses was 3.1 ± 1.7kg and female nurses 1.6 ± 1.3kg. Meanwhile, the effect of occupational factors on weight loss after receiving nutrition counseling and implementing the RESTTM Diet did not show a significant effect, such as job position (p=0.948), the number of working hours (p=0.220), work shift schedule (p=0.692) and work stress (p=0.813). The conclusion of this study is there was an effect of nutrition counseling and a RESTTM Diet in 12 weeks on weight loss among nurses with excessive weight nutritional status in the hospital.

Abstrak :
Latar Belakang. Obesitas pada anak merupakan masalah kesehatan global. Obesitas ditandai dengan akumulasi sel adiposa yang mencetuskan terbentuknya reactive oxygen species (ROS). ROS menginduksi peroksidasi lemak, yang dapat dideteksi dengan kadar malondialdehid (MDA) plasma. Edukasi nutrisi dengan konseling dan kunjungan rumah pada pengasuh dengan anak berisiko obesitas usia < 2 tahun dapat mempengaruhi perilaku ibu, sehingga merubah asupan nutrisi anak. Belum ada rekomendasi nutrisi untuk anak obesitas usia < 2 tahun yang sesuai dengan kebutuhan dan menggunakan bahan makanan lokal. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian konseling optimisasi diet tinggi omega-3 menggunakan linear programming terhadap kadar MDA plasma. Metode. Penelitian ini merupakan uji klinis terbuka, desain paralel, alokasi acak selama 10 minggu pada anak usia 12-24 bulan dengan BMI>+1 Z-score berdasarkan kurva WHO. Subjek diambil secara konsekutif dan dibagi menjadi kelompok dengan konseling optimisasi diet tinggi omega-3 menggunakan linear programming dan kelompok dengan konseling standar. Data yang dikumpulkan meliputi wawancara, pengukuran antropometri, kuesioner perilaku makan, data asupan makanan menggunakan food recall 2x24 jam dan food frequency questionnaire (FFQ) semi kuantitatif. Pemeriksaan laboratorium dilakukan untuk mengetahui kadar malondialdehid plasma menggunakan metode sfektofotometri pada periode sebelum dan sesudah perlakuan. Hasil. Sebanyak total 32 subjek yang ikut serta dalam penelitian ini dialokasikan menjadi 18 subjek pada kelompok intervensi dan 14 subjek pada kelompok control. Rerata usia subjek adalah 18.4±3.7 pada kelompok intervensi dan 18.7±2.8 pada kelompok kontrol. Perbandingan karakteristik demografis anak dan keluarga pada kedua kelompok setara. Tidak terdapat perbedaan bermakna pada perubahan perilaku makan dan asupan PUFA, Asam arakidonat (AA) dan omega-3 antara kedua kelompok. Besarnya rerata penurunan kadar MDA plasma pada kelompok intervensi -0.16 dan pada kelompok control -0.007 dengan p=0.023. Kesimpulan. Pemberian konseling optimalisasi diet tinggi omega-3 menggunakan linear programming dibandingkan dengan konseling standar kepada pengasuh selama 10 minggu dapat menurunkan kadar MDA plasma pada anak dengan risiko overweight, overweight, dan obesitas usia 12-24 bulan di Jakarta Timur.

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Background. Pediatric obesity is a major health concern in the world. Obesity is characterized by accumulation of adipose, triggers formation of reactive oxygen species (ROS). ROS will induce lipid peroxidation, which can be detected by plasma malondialdehyde (MDA). Nutrition education with counseling and home-visits to main caregivers with obese-prone children aged under-two-years can affect child-feeding behavior to revise children intake. There are no convenient nutritional recommendations for these children which suited children requirement and matched with available local food. This study aimed to investigate effect of enhancedcounseling with omega-3 optimization using linear programming compare with general counseling on plasma MDA. Method. This study is an open clinical trial with parallel design and randomized allocation for 10 weeks in children aged 12-24 months with a BMI > +1 WHO Z-score. Subject was taken consecutively and randomly allocated by block randomization with stratification into group enhanced counseling with omega-3 optimization using linear programming compare with general counseling. Data were collected from interviews, anthropometric measurements, eating behavior questionnaires, food recall 2x24 hours and food frequency questionnaire (FFQ) semiquantitative. Laboratory tests are conducted to determine plasma malondialdehyde levels using spectrophotometry methods before and after treatment. Result. A total of 32 subjects participated in this study, 18 subjects were allocated into intervention group and 14 subjects into control group. The mean age of subjects was 18.4 ± 3.7 for the intervention group and 18.7 ± 2.8 for the control group. The demographic characteristics of the children and families in both groups were similar. There were no significant changes in child-feeding behavior and PUFA?s intake, arachidonic acid (AA) and omega-3 between the two groups. The result of reduction of MDA levels in the intervention group is -0.16 and the control group -0.007 with p = 0.023. Conclusion. Enhanced counseling with omega-3 optimization using linear programming, compare with general counseling to main caregivers for 10 weeks, can reduce plasma MDA levels among obese-prone 1-2 years old children in East Jakarta

Abstrak :
Keberhasilan terapi hemodialisis (HD) dapat terhambat dengan adanya malnutrisi atau Protein Energy Wasting (PEW) akibat asupan gizi kurang, abnormalitas metabolisme terutama asam amino, fungsi residual ginjal dan dosis dialisis. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian edukasi dan konseling gizi intensif terhadap pengetahuan, sikap, perilaku kepatuhan diet dan status gizi pasien HD. Lokasi penelitian untuk pengambilan data kelompok perlakuan di Unit Hemodialisis Rumah Sakit Islam Jakarta Cempaka Putih dan untuk kelompok kontrol di Rumah Sakit Islam Jakarta Pondok Kopi. Penelitian menggunakan randomized pretest-posttest control group design dengan sampel 77 pasien (38 orang pria (50.6%) dan 39 orang wanita (49.4%)), rata-rata usia 46.71 ± 9.40 tahun. Didapatkan peningkatan pengetahuan (p=0,0001) dan sikap (p = 0,0001) serta profil perilaku kepatuhan diet lebih baik (p = 0,0001). Intervensi ini efektif meningkatkan asupan energi (p = 0,012) dan lemak (p = 0,0001) serta selisih akhir asupan protein dan asupan karbohidrat lebih tinggi meskipun belum signifikan(p= 0,102 dan 0,091). Peningkatan IMT perlakuan lebih tinggi (0,25 + 0,27 vs 0,18 + 0,18 kg/m2) meskipun tidak signifikan (p = 0,744 & 0,856). Rata-rata LLA cenderung tetap (Δ 0.00 + 0,13 cm, p = 1,000), sementara kelompok kontrol menurun (-0.24 + 0.01cm, p=0,789). Rata-rata trisep skinfold cenderung meningkat sementara kelompok kontrol cenderung menurun (Δ 0.44 + 0.11 mm vs -0.24 + 0.02 mm, p= 0,737, 0,880). Terjadi peningkatan rata-rata persentase lemak total pada kedua kelompok, dan peningkatan pada kelompok kontrol lebih tinggi (0.79 + 1.93% vs 0.23 + 0.87%), meskipun belum signifikan(p=0.913 dan 0,766). Rata-rata massa otot kedua kelompok menurun dan penurunan kelompok kontrol lebih tinggi (-0.36 + 0.30 kg dan -0.31 + 0.66 kg, p=0.894 dan 0,874). Rata-rata persentase cairan tubuh total kelompok perlakuan menurun dan penurunan kelompok perlakuan lebih tinggi (-0.56 + 1.31% vs -0.52 + 4.39%) meskipun belum signifikan (p=0.813 dan 0,644). Status hidrasi pasien sangat fluktuatif dan memungkinkan pengaruh terhadap estimasi komposisi tubuh dalam penelitian ini. Edukasi dan konseling gizi intensif terbukti efektif dalam peningkatan pengetahuan, sikap dan perilaku diet, signifikan terhadap asupan energi dan lemak, profil asupan protein dan karbohidrat yang lebih baik meskipun belum bermakna, profil IMT, LLA dan trisep skinfold serta massa otot dan persentase cairan yang lebih baik dibanding kelompok kontrol meskipun belum signifikan. ......The effectiveness of haemodialysis could inhibited by dietary nonadherence mainly due to lack of protein and energy intake that caused Protein Energy Wasting (PEW). PEW also caused by poor nutrient intake, abnormal nutrient metabolism (amino acids), renal residual function and dialysis dose. We studied impact of education and intensive nutrition counseling on hemodialysis patient's knowledge, attitude, dietary compliance and nutritional status. The study was conducted at Jakarta Islamic Hospital region of Cempaka Putih and Pondok Kopi. The study used random pretest-posttest control group design and of 77 patients, 38 were man (50.6%) and 39 were woman (49.4%), the mean of age was 46.71 ± 9.40 years old. There were increased knowledge (p = 0.0001), increased attitudes (p= 0.0001) and better diet compliance profile (p=0.0001). The intervention was significantly effective on increasing intake of energy (p=0.012), fat (p=0,0001), and higher difference in protein intake and carbohydrate intake but not significant (p=0,102 and 0,091). There was increase but not significant in BMI (0,25 + 0,27 vs 0,18 + 0,18 kg/m2, p = 0,744 and 0,856) and tricep skinfold (Δ 0.44 + 0.11mm vs -0.24 + 0.02 mm, p= 0,737 and 0,880). There was no improvement in MUAC (Δ 0.00 + 0,13 cm, p = 1,000) but decrease in control group (-0.24 + 0.01cm, p=0,789) eventhough not significant. Despite these are not statistically significant, there were improvement on percentage total fat (0.23 + 0.87% + 0.79 + 1.93% vs p=0.913 and 0,766), declining on muscle mass (-0.31 + 0.66 kg -dan 0.36 + 0.30 kg, p=0.894 and 0,874) and declining on percentage body water (-0.56 + 1.31% vs -0.52 + 4.39%, p=0.813 dan 0,644). The patient's hydration status was highly fluctuate and allows an influence on body composition estimates in this study. Education and intensive nutrition counselling was found to be effective in improving knowledge, attitudes, diet compliance behavior profile, significant improving energy and fat intake. In addition the intervention of this study provides a better profile of protein and carbohydrate intake, a better profile of BMI, MUAC, tricep skinfold, muscle mass, and percentage body water although not significant yet.

Abstrak :
Penelitian dengan rancangan pre-post test mengambil subyek dengan riwayat hiperkolesterolemia (yang satu tahun lalu mendapat konseling gizi sebanyak lima kali selama enam minggu). Pada subyek dilakukan wawancara satu kali mengenai asupan status gizi ; nutrisi dan aktivitas fisik, pemeriksaan status gizi (IMT, lingkar pinggang) serta kadar kolesterol LDL serum. Data yang didapat dibandingkan dengan data subyek satu tahun yang lalu. Wawancara asupan nutrisi menggunakan metode food recall 1 x 24 jam dan zat gizi yang dinilai meliputi kalori, protein, karbohidrat, lemak, kolesterol, serat dan fitosterol. Uji statistik yang digunakan adalah uji t berpasangan jika data berdistribusi normal dan Wilcoxon, jika data berdistribusi tidak normal. Tingkat kemaknaan yang digunakan p < 0, 05. 0,26 g menjadi 0,21 ± 0,18 g. Aktivitas fisikjuga meningkat. Dari rata-rata 7, 15 ± 1, 30 menjadi 8, 11 ± 1, 0. Peningkatan total indeks aktivitas fisik ini diduga menyebabkan menjadi tidak signifikan peningkatan nilai rerata IMT,yaitu dari rata-rata 26, 21 ± 4, 34 kg/m menjadi 26, 57± 4, 56 kg/m. Sedangkan pada lingkar pinggang terjadi peningkatan yang bermakna dari rata-rata 85, 37 ± 7, 61 em menjadi 89, 16 ± 6, 68 em. Peningkatan asupan kalori, lemak dan kolesterol menyebabkan meningkatnya kadar kolesterol LDL subyek penelitian sebesar 7,31 %. Dari rata-rata 151, 53 ± 24,81 mg/dl, menjadi 160,45 ± 27, 01 mg/dl. Tapi peningkatan ini tidak signifikan.

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Pre-post test design study to subjects with history of hypercholesterolemia. Subjects was exposed to nutrition counseling for six weeks a year ago. The subject was interviewed one time concerning nutrition intake and physical activity, examination to nutritional status and serum cholesterol LDL JeveL The result is comparing to the subject data one year ago. Interview of nutrient intake using 1x24 hours food recall method, and the nutrient which are significant but increase in carbohydrate> protein, fat, cholesterol and fiber were significant. Phitosteroi is decrease significantly from median 0,26 g to 0.21 ± 0.18 g. Unexpected increase occurred in subjects' total index of physical activity. From average of7.!5 ± 1.30 to 8.11 ± 1.0. This increase in physical activity total index assumed to have been the cause of ineensement IMT average rate to be insignificant, that is from average of26.21 ± 4.34 kg/m to 26.57 ± 4.56 kg!m While on subjects'waist circumference, there was significant increase from average 85.37 ± 7.61 em to 89.16 ± 6.68 em. The increase in calorie, fat, and cholesterol intakes have caused an increase in subjects' LDL cholesterol level 7.21 % from average 15!.53 ± 24.81 mg/d1 to 160.45 ± 27.01 mg/dl. But this increase was not significant.

Abstrak :
Skripsi ini meneliti tingkat literasi gizi fungsional, interaktif dan kritikal yang dapat menggambarkan tingkatan kemampuan individu untuk memperoleh, menerima dan membuat keputusan gizi yang sesuai pada ibu siswa sekolah dasar. Faktor-faktor yang duji beda proporsinya adalah usia ibu, tingkat pendidikan, pendapatan keluarga, dan paritas. Penelitian ini adalah penelitian kuantitatif dengan desain studi cross sectional. Data diambil menggunakan kuesioner dengan metode self administered pada 108 responden yang bersedia berpartisipasi dan tidak mengalami kesulitan membaca dan menulis. Variabel yang memiliki perbedaan proporsi yang signifikan adalah tingkat literasi gizi fungsional dengan usia p value = 0,012 dan tingkat pendapatan keluarga p value = 0,02, literasi gizi interaktif dengan usia p value = 0,024 dan pendidikan p value = 0,035. ......This thesis examines the level of functional, interactive and crticical nutrition literacy that can describe the level of individual ability to obtain, receive, anda make appropriate nutritional decisions on tthe mother of elementary school students. Factors analyzed for different proportions were mother's age, education level, family income and parity. This research is a quantitative research with cross sectional study design. Data were colected using quetionnaires with self administered method on 108 respondents who were willing to participate and had no troubling reading and writing. The variables that have significant difference of the proportion are the functional literacy with age p value 0,012, and family income p value 0,02, the interactive nutritional literacy with age p value 0,024 and education p value 0,035.

Abstrak :
Latar belakang: Edukasi nutrisi dalam bentuk konseling merupakan bagian penting dalam manajemen obesitas anak. Asam Lemak Omega-3 (AL omega-3) merupakan salah satu nutrien esensial yang bermanfaat dalam penanganan obesitas terkait dengan kerjanya yang meningkatkan oksidasi lemak, menurunkan proses adipogenesis, dan memodulasi rasa lapar-kenyang. Sampai saat ini beluan ada rekomendasi nutrisi yang mengikutsertakan optimalisasi AL omega-3 dalam diet pada anak dengan berat badan berlebih dan obesitas. Linear programming merupakan metode untuk membuat rekomendasi makanan yang mempertimbangkan pula ketersediaan makanan, pola makan, dan juga harga makanan dalam proses pembuatannya. Tujuan: Penelitian ini bertujuan untuk melihat pengaruh konseling diet optimalisasi AL omega-3 menggunakan linear programming terhadap kadar asam lemak omega-3 plasma dibandingkan dengan konseling standar. Metode: Penelitian ini dilakukan pada 39 anak berisiko overweight, overweight, dan obes usia 12-24 bulan di Jakarta Timur dengan disain uji klinis acak terkontrol. Hasil: Konseling diet optimalisasi asam lemak omega-3 menyebabkan peningkatan asupan asam linolenat yang bermakna dibandingkan dengan kelompok kontrol (278,011  435,56 vs -44,498  407,785, p=0,035). Tidak terdapat perbedaan perubahan bermakna pada kadar AL omega-3 plasma di antara kelompok perlakuan dan kelompok kontrol. Kesimpulan: Konseling diet optimalisasi asam lemak omega-3 menggunakan linear programming tidak menimbulkan perubahan bermakna pada kadar asam lemak omega-3 plasma, meskipun berhasil meningkatkan variasi bahan makanan sumber asam lemak omega-3.

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Background: Education in the form of counseling is an indespensable part of pediatric obesity management. Omega-3 polyunsaturated fatty acids (PUFA) are beneficial essential nutrients in obesity management, given their effects on lipid homeostasis, specifically by increasing lipid catabolism, decreasing adipogenesis, and modulating appetite. Until now, there is no nutritional recommendation focusing on omega-3 PUFA for overweight and obese children. Linear programming is one method to generate specific nutritional recommendation that also considering the food affordability, availability, and food consumption pattern. Objective: To investigate the differences of plasma omega-3 PUFA changes between group that received omega-3 PUFA optimized using linear programming dietary counseling and control group with standard counseling. Method: This study is an open clinical trial with parallel design, 39 children aged 12-24 months with BMI Z score > +1 based on WHO growth curve were randomly assigned by block randomization with stratification into enhanced counseling with omega-3 optimization using linear programming or general counseling group. Both counseling were conducted once weekly for 10 weeks. At baseline and endline, the following parameters were measured: fat intake, omega-3 intake, ratio of omega-6/omega-3 intake, eating behaviour, plasma concentration of omega-3, and plasma omega-6/omega-3 ratio. Results: After the intervention, α-linolenic acid intake was significantly increased compared to control group (278,011  435,56 vs. -44,498  407,785, p=0,035). There were no significant differences in changes of plasma omega-3 FA between the intervention and control group. Conclusion: Omega-3 FA optimized dietary counseling using linear programming was partially successful in improving thee variation of omega-3 FA food sources, however there were no significant changes in plasma omega-3 FA.

Abstrak :
Konseling dengan pendekatan gaya hidup untuk perubahan perilaku, salah satunya dengan diet penurunan kalori, telah terbukti dapat menangani gizi lebih. Akan tetapi, pemberian intervensi tatap muka memiliki beberapa keterbatasan, antara lain keterbatasan jangkauan intervensi, serta pemberian umpan balik yang tidak tepat waktu. Berbagai studi menunjukkan bahwa konseling gizi dengan menggunakan metode telehealth dapat berperan dalam penanganan gizi lebih. Saat ini penelitian mengenai telehealth dalam bidang gizi di Indonesia masih terbatas. Oleh karena itu, penelitian ini bertujuan untuk melihat pengaruh pendampingan gizi yang meliputi pemberian konseling, edukasi, dan monitoring evaluasi berbasis telehealth terhadap pengetahuan gizi dan asupan zat gizi makro. Desain penelitian yang digunakan adalah kuasi eksperimental dengan pemberian intervensi selama 3 minggu berupa pendampingan gizi pada 21 PNS wanita di Dinas Kesehatan, Dinas Sosial, dan Dinas Pemuda Olahraga Kebudayaan dan Pariwisata Kota Depok (perlakuan) dan edukasi gizi pada 15 PNS wanita Dinas Pendidikan Kota Depok (kontrol) yang mengalami gizi lebih. Penelitian ini menilai perubahan pengetahuan gizi dan asupan gizi makro setelah diberikan intervensi dengan menggunakan uji beda rata-rata. Hasil penelitian menunjukkan adanya peningkatan pengetahuan (p value 0,010), penurunan asupan energi (p value 0,010), protein (p value 0,016), dan karbohidrat (p value 0,001) pada kelompok perlakuan dan adanya penurunan asupan protein (p value 0,012) pada kelompok kontrol setelah diberikan intervensi. Tidak terdapat perbedaan perubahan pengetahuan gizi dan asupan zat gizi makro antar kelompok. ......Counseling with a lifestyle approach to behavior change, such as calorie-decreasing diet, has been shown to be able to handle overnutrition. However, giving face-to-face interventions has several limitations, including limited range of interventions, as well as providing timely feedback. Various studies show that nutritional counseling using the telehealth method can play a role in handling overnutrition. Current research on telehealth nutrition intervention in Indonesia is still limited. Therefore, this study aims to look at the effect of nutritional assistance which includes providing telehealth-based counseling, education, and monitoring evaluation of nutrition knowledge and macronutrient intake. The research design used was quasi-experimental with 3 weeks intervention of nutritional assistance at 21 female civil servants at the Dinas Kesehatan, Dinas Sosial, dan Dinas Pemuda Olahraga Kebudayaan dan Pariwisata Kota Depok (intervention) and nutrition education at 15 female civil servants in Dinas Pendidikan (control) who are overweight or obese. This study assessed changes in knowledge and macronutrient intake after intervention was given using the average difference test. The results showed an increase in knowledge (p value 0.010), decreased energy intake (p value 0.010), protein (p value 0.016), and carbohydrate (p value 0.001) in intervention group and a decrease in protein intake (p value 0.012) in the control group after intervention. There is no difference in changes in nutrition knowledge and macronutrient intake between groups