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Pasaribu, Merci Monica Br
"ABSTRAK
Stunting merupakan kondisi malnutrisi pada anak yaitu tinggi badan menurut usia lebih dari minus 2 simpang baku. Indonesia menempati urutan kelima di dunia. Stunting berkorelasi dengan asupan makanan terutama protein, IGF-1 dan protein pengikat Insulin like Growth Factor Binding Protein IGFBP-3 , dan Zinc Zn . Kualitas protein dinilai dari profil asam amino bebas plasma Plasma Free Amino Acid = PFAA dan kuantitas dinilai dari jumlah asupan protein harian. Beberapa penelitian menemukan kadar IGF-1 dipengaruhi oleh polimorfisme SNP rs5742612, rs35767 dan rs35766. Penelitian ini bertujuan untuk menganalisis peran profil PFAA, IGF-1, IGFBP-3, polimorfisme IGF-1, Insulin, dan Zn pada anak.Penelitian ini merupakan studi comparative cross sectional dilakukan di RS Cipto Mangunkusumo, Lembaga Biomolekular Eijkman, dan Labkesda DKI Jakarta. Subjek penelitian adalah anak usia 1 ndash;3 tahun berasal dari UPTD Puskesmas Jatinegara dibagi menjadi 2 kelompok yaitu 101 anak stunted dan 101 anak nonstunted.Pada penelitian ini didapatkan kadar 8 dari 9 AA esensial, 2 AA esensial kondisional, dan 2 AA nonesensial lebih rendah bermakna kelompok stunted dibandingkan nonstunted. Profil PFAA yaitu jumlah anak di bawah nilai rujukan berbeda bermakna antara kelompok stunted dan nonstunted. Terdapat korelasi 8 AA esensial, 1 AA esensial kondisional, dan 2 AA nonesensial dengan tinggi badan anak. Pada kelompok anak stunted, IGF-1, IGFBP-3, insulin, Zn, energi total dan protein lebih rendah bermakna dari kelompok anak nonstunted. Terdapat korelasi bermakna AA esensial dengan IGF-1 dan IGFBP-3. Polimorfisme rs35766 genotipe AG kodominan memiliki pengaruh terhadap kadar IGF-1 pada kelompok nonstunted. Faktor yang memengaruhi kejadian stunting adalah energi atau protein, IGF-1 yang berinteraksi dengan genotipe kodominan AG, IGFBP-3, dan Zn.Simpulan: PFAA, IGF-1 yang berinteraksi dengan SNP rs35766 genotipe kodominan AG, memiliki pengaruh terhadap kejadian stunting. Perlu penelitian lebih lanjut mengenai pemberian pola makan yang tepat untuk mencegah dan mengatasi anak stunted. Kata kunci: AA esensial, AA nonesensial, IGFBP-3, insulin, PFAA, stunting, Zn

ABSTRACT
Stunting is a malnourished condition in children defined by height for age is under minus 2 standard deviation. Indonesia ranked fifth in world for this condition. Stunting mainly corelates with low protein intakes, IGF-1 and its binding protein Insulin-like Growth Factor Binding Protein/IGFBP-3 , and zinc Zn . Plasma free amino acid profile PFAA measures quality of protein intake, whilst its quantity measured by daily protein intake records. Previous studies found IGF-1 level affected by single nucleotide polymorphism SNP on rs5742612, rs35767 and rs35766. This study aims to analyze the role of PFAA, IGF-1, IGFBP-3, and IGF-1 polymorphism, insulin, and Zn in children.This study is a comparative cross-sectional study held in Cipto Mangunkusumo National General Hospital, Eijkman Institute for Molecular Biology, and Jakarta Provincial Public Health Laboratory. Subjects were children age 1 ndash;3 years old from Jatinegara Region Public Health Centre divided into two groups of 101 stunted children and 101 non-stunted children.Eight essential AA levels, 2 conditional essential AAs, 2 nonessential AAs were significantly lower in stunted groups than non-stunted. There was significant difference of profile PFAA below normal range between stunted and non-stunted group. Eight essential amino acids, 1 conditional essential amino acid, and 2 non-essential amino acid correlate with children rsquo;s height. IGF-1, IGFBP-3, insulin, Zn, total energy, and protein were significantly lower in stunted children compare to non-stunted children. Significant correlations found for all essential amino acids with IGF-1 and IGFBP-3. The rs35766 AG codominant polymorphism affects IGF-1 level in non-stunted group. Factors affects stunting condition were total energy or protein intake, IGF-1 that interacts with AG codominant genotype, IGFBP-3, and Zn.Conclusion: PFAA and IGF-1 that interacts with SNP rs35766 AG codominant genotype affect stunting. Further study needed to determine appropriate dietary habit for stunting prevention and treatsment. Keywords: Essential amino acid, IGFBP-3, insulin, non-essential amino acid, plasma free amino acid profile, stunting, zinc"
Jakarta: Fakultas Kedokteran Universitas Indonesia, 2018
D-Pdf
UI - Disertasi Membership  Universitas Indonesia Library
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Makhabbah Jamilatun
"Rhizopus oryzae is known to produce lactic acid, protease and lipase, make it potential as a starter in cheese production. However, R. oryzae application in the unripened cheese production has not been elucidated. In this research, microbiology and nutritional status of unripened cheese fermented by R. oryzae was analyzed and compared to that of the cheese made by rennet as a control. total plate count of bacteria in unripened cheese fermented by R. oryzae was 8.1 X 10 cfu/ml in PCA medium and 3.7 X 10 cfu/ml in MRSA. Total count of funig group was conducted using PDA, resulting 1.2 X 10 cfu/ml. Dominant microflora were identified as enterococcus faecalis and bacillus subtilis in MRSA and Aspergillus sp. in PDA. HPLC analysis of the unripened cheese fermented by R. oryzae showed that in had higher essential amino acid content than the control. The essential amino acid found were Threonine (1,15 ppm), L-Methionine (0,47 ppm), L-Valine + L-Tryptophan (0,70 ppm), L-Phenylalanine (0,66 ppm), L-Isoleucine (0,48 ppm), L-Leucine (1,28 ppm), and L-Lycine (1,64 ppm)."
Indonesian Center for Biotechnology and Biodiversity Research and Development (UNS), {s.a.}
JBB 2 (2011) (1)
Artikel Jurnal  Universitas Indonesia Library
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Nanny V. Kosasih
"Ruang Lingkup dan Cara Penelitian : Malnutrisi seringkali terjadi pada penderita Gagal Ginjal kronik (GGK) dengan Hemodialisis (HD), yang disebabkan oleh berbagai faktor termasuk gangguan metabolisme energi dan protein, perubahan hormonal, infeksi, serta asupan makanan. Di samping itu, hemodi alisis sendiri meningkatkan katabolisme protein. Untuk mengatasi keadaan tersebut diperlukan asupan protein lebih besar dari penderita non dialisis. Substitusi analog keto dan asam amino esensial pada penderita GGK dengan HD, dapat diharapkan memperbaiki gangguan metabolisme protein tanpa menambah beban pada ginjal. Di dalam tubuh analog keto mengalami transaminasi membentuk asam amino esensial yang diperlukan untuk sintesa protein, oleh karena itu, suplementasi campuran analog keto dan asam amino esensial dipertimbangkan untuk meningkatkan asupan protein. Di Indonesia belum pernah dilakukan penelitian suplementasi campuran analog keto dan asam amino esensial pada penderita GGK dengan HD, walaupun di negara maju dengan kondisi berbeda sudah pernah dilakukan.
Tujuan penelitian ini adalah untuk menilai pengaruh suplementasi analog keto dan asam amino esensial terhadap status protein penderita GGK dengan HD.Campuran analog keto dan asam amino esensial sebanyak 7,5 g dan vitamin B6 20 mg dalam bentuk-kapsul sebanyak 9 kapsul, diberikan secara peroral setiap hari selama 3 minggu. Penelitian dilakukan secara acak sederhana tersamar tunggal terhadap 39 penderita GGK dengan HD. Penderita GGK dengan HD dibagi dalam 2 kelompok, masing-masing 20 dan 19 orang. Kelompok kontrol diberi kapsul plasebo dan kelompok perlakuan diberikan suplementasi. Data 10 orang masing-masing 5 orang dari tiap kelompok dikeluarkan karena tidak memenuhi persyaratan.
Hasil dan Kesimpulan : Nilai rata-rata(Y) kadar transferin kelompok kontrol dan perlakuan sebelum dilakukan suplementasi adalah berturut-turut (396,73 ± 48,38 mg/dl) dan (406,71t 31,95 mg/dl) Sesudah suplementasi kadar transferin pada kelompok kontrol cenderung penurunan lebih besar ( 390,92 ± 54,92 mg/dl) daripada kelompok perlakuan (387,73 ± 63,88 mg/dl) tetapi hasil uji statistik terhadap perubahan ini tidak bermakna (p > 0,05).
Kesimpulan: Suplementasi campuran analog keto dan asam amino esensial pada penderita GGK dengan HD yang mempunyai status protein baik, agaknya tidak memberi pengaruh terhadap status proteinnya.

The Effects Of Supplementation Of A Mixture Of Ketoanalogues And Essential Amino Acids On The Protein Status Of Chronic Renal Failure Patients On HemodialysisScope and Method of study: Malnutrition often occurs to chronic renal failure (CRF) patients on hemodialysis (HD). This may be a consequence of multiple factors including disturbances in energy and protein metabolism, hormonal derangements, infections and poor food intake. Besides, hemodialysis it self increases protein catabolism. To overcome such cases CRF patients on HD need more protein intake than non dialysis patients. Substituting ketoanalogues (SA)-and essential amino acids (EAA) in CRF patients on HD is hoped to be able to-eliminate the disturbance of protein metabolism without adding more work load to the kidney. In the body ketoanalogues undergo transamination to form EAA needed to synthesize protein. Therefore, supplementation of a mixture of KA and EAA is considered as means to increase protein intake. In Indonesia a study on the supplementation of a mixture of KA and EAA has never been done, whereas in developed countries, some have been done on different conditions.
The aim of this study is to asses the effects of a mixture of KA and EAA on the protein status of CEF patients on HD. A mixture of KA and EAA amounting to 7,5 g and 20 mg of vitamin B6 was put into 9 capsules orally for three weeks. In this study 39 CRF patient on HD were randomly divided into two groups, each consisted of 20 and 19 subjects. The control group was given placebo capsules, and the treatment group was given supplementation. Ten subjects, 5 from each group,were excluded because they didn't participate well in the study.
Findings and Conclusions :
The mean of transferrin level of the control and treatment groups before the supplementation was 396,73 ± 48,38 mg/dl and 406,71 ± 31,95 mg/dl respectively. After the supplementation transferrin level of the control group to decreased (390,92 ± 54,92 mg/dl) more than that of the treatment group (387,73 ± 63,88 mg/dl). However, statistically the change was not significant. It can be concluded that the supplementation of a mixture of KA and EAA to CR patients on HD who had good protein status, presumably, did not affect their protein status."
Depok: Fakultas Kedokteran Universitas Indonesia, 1996
T3715
UI - Tesis Membership  Universitas Indonesia Library
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Dupont, A.
"ABSTRACT
The statement contained in the motto cited above, made as early as the year 1906, still has lost nothing of its value for the present time. Although innumerable investigations have been carried out on proteins, and much insight was gained from this, a lot of problems connected with the proteins, remain to be solved. As is well known, proteins are found in nature in the animal and vegetable kingdoms. The differences between these two groups of proteins are situated in the number and the amount of the various acids present in these proteins.
Up to comparatively recent years, however, the knowledge of the requirement for the amino acids in the diet was limited to in-formation obtained with the young rat. This animal was able to grow when receiving only nine amino acids: namely histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine; and grew significantly better when arginine was also provided. These ten amino acids were called "essential" for the growing rat, the remaining amino acids were called "non essential". However, there was no implication that the dietetically non-essential amino acids are of little or no value. In spite of the cautions issued, there has been a general tendency to assume, that the above classification has a very broad application. The investigations made by Rose et all. (1,2,3,4,5), have revealed that for adult man only eight amino acids are essential, namely, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan and valine. Moreover in these investigations, it was demonstrated, that only foods with sufficient caloric and nitrogen supply and adequate amounts of these eight amino acids simultaneously are able to main﷓ thin a nitrogen balance. This fact is of far reaching importance, because, from this it follows, that the nutritive value of a meal, with respect to the proteins, is determined by the total amount of essential amino acids - in the proper proportions - present in the constituents of the meal. In Indonesia, rice is the most important constituent of a meal. However rice contains such a small amount of some essential amino acids, that even larger use is not sufficient to meet the requirements of man. Therefore, other foods, which complete this shortage, must be used in combination with rice.
In general, in Indonesia, foods containing animal protein are relatively scarce; therefore, it is necessary to replace these with foods containing vegetable protein. An important source of plant protein is found in the soybean. As a general rule, the soybean yields fair crops, without asking too much care. Botanically, the soybean has been referred to as Glycine hispida (Moench) Max. Recent studies indicate that the correct botanical name should be Glycine max (L.) Merril according to international botanical rules (6).
The early history of the soybean, like that of most important food crops, is lost in obscurity. In the Far East story tellers for centuries have related, tales of the remarkable history of the soybean. Ancient Chinese literature reveals that the soybean was extensively cultivated and highly valued as a food. There it is said to be one of the grains planted by one of the gods of agriculture, named Hou Tsi. The first written record of the plant is contained in the books Pen Tsao Kong Mu, a materia medica written by Emperor Sheng Nung in 2838. B.C.
In many of the early writings advice of agricultural experts is given on soil preferences, proper time of planting, methods and rates of planting, the best varieties to plant under different conditions and for different uses, time to harvest, methods of storage, and utilization of the many varieties for different purposes. Some of this expert advice goes as far back as 2207 B.C. The soybean was included in the second class of drugs, and was regarded as having many medicinal virtues; it was regarded as a specific remedy for the propel functioning of the heart, and other organs.
"
1954
D114
UI - Disertasi Membership  Universitas Indonesia Library