Dewi Marfu'ah Kurniawati’s research while affiliated with Fakultas Kedokteran Universitas Muslim Indonesia and other places

Excessive weight gain during pregnancy is a risk factor, which can be modified to prevent pregnancy and postpartum complications. Gestational weight gain (GWG) is also influenced by the regulation of nutritional intake and physical activity, especially during the COVID-19 pandemic. This study aimed to analyze the relationship between nutritional intake and physical activity in overweight pregnant women with gestational weight gain. This cross-sectional study was conducted in May and November 2022. A total of 66 overweight/obese pregnant women aged 20 – 40 years at the Public Health Center in Semarang were recruited using a consecutive sampling technique. Data were collected using interviews, questionnaires, and anthropometric measurements. Data analysis was performed using the Pearson’s correlation, Spearman’s correlation, and linear regression. Pregnant women who were overweight or obese gained an average of 0,42 kg of weight each week, with the bulk of this gain deemed improper (68,2%). Parity (p=0,011; r=-0,309) and sufficient protein consumption (p=0,031; r=-0,266) were associated with GWG. The conclusion is that there will be less weight gain during pregnancy if the protein intake is high.

Differences in nutrient intake, anemia knowledge, and adherence to blood supplement tablet consumption between adolescent girls in Islamic boarding schools and non-Islamic boarding schoolsBackground: Anemia is a nutritional problem that often occurs in adolescent girls, especially in Islamic boarding schools, where the prevalence of anemia in adolescent girls reaches >40%. Factors causing anemia in adolescent girls include a lack of iron, protein, and folate intake, low knowledge of anemia, and a lack of consumption of blood supplement tablets.Objective: This study aimed to analyze the differences in nutrient intake, knowledge of anemia, and adherence to blood supplement tablet consumption between adolescent girls in boarding schools and non-boarding schools.Methods: This study was observational-analytic with a cross-sectional design. The subjects were 24 adolescent girls at PP Al-Uswah (an Islamic boarding school group) and 24 at SMAN 12 Semarang (a non-Islamic boarding school group). The study variables were nutrient intake, anemia knowledge, and adherence to blood supplement tablets. Statistical analysis used an independent sample t-test of normally distributed and a Mann-Whitney test if not normally distributed.Results: There were significant differences in the knowledge of anemia (p<0.001) and protein intake (p = 0.003) from both groups. The non-boarding school group had higher anemia knowledge and protein intake than the boarding school group. Iron intake, folate intake, and adherence to blood supplement tablet consumption in both groups showed no significant difference (p > 0.005).Conclusions: Adolescent girls in boarding and non-boarding schools significantly differed in protein intake and knowledge of anemia. There was no significant difference in adherence to blood supplement tablet consumption between them.

Modified Physical Exercise Program (MPEP) is necessary for people with rheumatoid arthritis (RA). This study aims to investigate the effects of MPEP on the Rheumatoid Factor (RF), C-Reactive Protein (CRP), and Erythrocyte Sedimentation Rate (ESR); to evaluate the correlation between CRP-ESR. This is a quasi-experimental study. Ten RA women who were recommended by the Dukuhseti PHC have participated. The procedure is ethically approved. The venous blood samples were used to measure the dependent variables. Eight-teen sessions of MPEP were done. A two-tailed paired t-test to elucidate the differences in pre-post data; the bivariate Pearson correlation test for CRP-ESR. The RF increased significantly (pre: 19,40±2,46 and post: 22,40±2,41). CRP increased (pre: 0,30±0,07 and post: 0,37±0,06; p 0,05). The change in ESR is not significant. There is a strong-positive, significant correlation (r: 0,831) between CRP-ESR. We concluded that MPEP is not able to lower the RA parameters, and there is a positive feedback correlation between CRP-ESR.

Background: Sex is a recognized factor influencing physiological and biochemical changes in response to physical activity and nutrient intake. Dietary intake may impact athletic performance, including aerobic power. However, these effects may be sex-dependent. Aims: to evaluate pattern and adequacy of macronutrient intake; to evaluate predicted VO2max, and investigate potential correlations between macronutrients and aerobic power, stratified by sex. Subjects and Methods: A correlational design was employed, targeting recreational athletes. Participants (n = 52) were recruited using purposive sampling (aerobic dancers n = 15, runners n = 18, pesilat n = 10, badminton players n = 9). Three-day food records were collected and analyzed using the NutriSurvey application to determine dietary intake and macronutrient composition. Predicted VO2max was assessed via the Beep Test. The study protocol was approved by the Institutional Health Research Ethics Commission. Bivariate correlation analysis was conducted to explore associations between macronutrients and aerobic power. Results: Mean daily energy intake was 1,417.19 ± 56.12 kcal/day distributed as carbohydrate (46%), fat (40%), and protein (14%). The majority of participants (57.69%, n=30) demonstrated average VO2max, while the remaining 42.31% (n = 22) exhibited below-average values. Interestingly, a significant negative moderate correlation (r -.565 as p < 0.05) was observed between fat intake and predicted VO2max in females only. No significant correlations were identified between carbohydrate or protein intake and predicted VO2max for either sex. Conclusion: Despite consuming a low-carbohydrate, high-fat (LCHF) diet, participants maintained adequate energy intake. Notably, fat intake in females displayed a strong negative association with predicted VO2max. Keywords: Sports for all, public health nutrition, cardiorespiratory endurance, physical fitness.

Latar Belakang: Beban ganda masalah gizi dapat terjadi pada tingkat individu, rumah tangga maupun di masyarakat. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan praktik responsive feeding dengan kejadian SCOM (Stunted Children and Obese/Overweight Mothers) sebagai salah satu bentuk beban ganda masalah gizi di tingkat rumah tangga. Metode: Penelitian observasional analitik dengan desain case control dilakukan di Kota Semarang selama bulan Mei – Oktober Tahun 2022. Subjek penelitian ini adalah pasangan ibu dan anak usia < 3 tahun (batita) dengan kondisi SCOM dan non SCOM di Kota Semarang. Kriteria inklusi subjek penelitian ini adalah ibu dan anak usia < 3 tahun (batita) dalam kondisi sehat (ibu tidak memiliki penyakit yang memerlukan diet khusus dan anak dalam kondisi sehat saat penelitian berlangsung), dan ibu tidak merokok serta tidak minum minuman beralkohol. Perbandingan kelompok SCOM dan non SCOM sebesar 1:2. Data status gizi ibu diukur menggunakan indikator Indeks Massa Tubuh (IMT). Klasifikasi stunting (PB/U atau TB/U) menggunakan WHO anthro software version 1.03. Analisis data menggunakan uji chi square, korelasi pearson, dan multiple logistic regression. Hasil: Praktik responsive feeding yang kurang baik terjadi pada 95,8% keluarga SCOM. Terdapat hubungan antara tingkat pendidikan ibu dan ayah dengan praktik responsive feeding. Terdapat hubungan sikap dan praktik responsive feeding dengan SCOM. Setelah dikontrol dengan karakteristik sosiodemografi, praktik responsive feeding merupakan prediktor dari SCOM dengan Odd Ratio (OR) sebesar 0,012 (0,001-0,191). Praktik responsive feeding bersifat protektif dari kejadian SCOM. Kesimpulan: Sebagian besar keluarga SCOM mempraktikkan responsive feeding dalam kategori kurang baik. Praktik responsive feeding berhubungan dengan kejadian SCOM.

Background: Diabetes Mellitus can increase the risk of various comorbidities thus increasing the risk of malnutrition. Administering anti-hyperglycemic enteral formulas based on sorghum flour and soy flour was chosen as an alternative to expensive commercial enteral formulas. The low glycemic index in sorghum and the amino acids arginine, glycine in soybeans are beneficial for controlling blood glucose level.Objective: To analyze and compare the nutritional content and viscosity of the enteral formulas based on sorghum flour and soy flour with commercial enteral formulas.Method: Enteral formula was made from sorghum flour, soy flour, mung bean flour, skim milk, extra virgin olive oil, maltodextrin and sugar. This an experimental study using 3 comparison groups of sorghum flour and soybean flour, namely formula A (3:1), B (7:2), and C (4:1) which were compared with formula D (commercial enteral formula). Carbohydrate, protein, fat, sugar and dietary fiber variables were tested using by by different method, kjehdahl, soxhlet, luff schroll, enzymatic-gravimetric and viscosity was measured using an Ostwald viscometer which was repeated 3 times. Data were analyzed by One Way Anova and Kruskal Wallis tests, except that nutritional content of formula D was not tested.Results: Energy, energy density, and fat formulas A, B and C had significant differences (p<0.001) but formulas A and C had values that were close to formula D. Carbohydrates formulas A, B and C showed significant differences (p<0.05). Dietary fiber cotent of formulas A, B, and C was 46,12 g, 41,54 g, and 73,82 g higher than formula D content of 16 g. Protein enteral formula sorgum flour dan soy flour showed no significant difference (p>0.05) but the levels were lower than formula D. Sugar content of formula A, B C was 4,13%, 5,49%, 5,98% higher than the formula D. The viscosity of enteral formula tepung sorgum dan tepung kedelai was significantly different (p<0.05) with formula D.Conclusion: Formulas A and C are formulas that are similar to commercial enteral formulas based on their energy content, energy density and fat content.Keywords: Diabetes mellitus; enteral formula; sorghum; soybean ABSTRAKLatar belakang: Diabetes Melitus meningkatkan berbagai risiko penyakit komorbid sehingga meningkatkan risiko malnutrisi. Terapi pemberian formula enteral anti hiperglikemia berbasis tepung sorgum dan tepung kedelai dipilih sebagai alternatif pemberian formula enteral komersial yang mahal. Indeks glikemik rendah dalam sorgum serta asam amino arginin, glisin pada kedelai bermanfaat untuk mengontrol kadar glukosa darah.Tujuan: Menganalisis dan membandingkan kandungan gizi dan viskositas formula enteral tepung sorgum dan tepung kedelai dengan formula enteral komersial.Metode: Formula terbuat dari tepung sorgum, tepung kedelai, tepung kacang hijau, susu skim, minyak zaitun ekstra virgin, maltodekstrin dan gula. Penelitian ini merupakan penelitian eksperimental dengan 3 kelompok perbandingan tepung sorgum dan tepung kedelai yang diberi nama formula A (3:1), B (7:2), dan C (4:1) kemudian dibandingkan dengan formula D (formula enteral komersial). Variabel karbohidrat, protein, lemak, gula dan serat pangan diuji menggunakan metode by different, kjeldahl, soxhlet, luff schroll, dan enzimatik-gravimetri serta viskositas diukur menggunakan viskometer ostwald. Data dianalisis dengan uji One Way Anova dan Kruskal Wallis kecuali kandungan gizi formula D tidak diuji.Hasil: Energi, densitas energi, dan lemak formula A, B dan C memiliki perbedaan yang signifikan (p<0,001) namun formula A dan C memiliki nilai yang mendekati formula D. Karbohidrat formula A, B dan C menunjukan perbedaan yang signifikan (p<0,05). Kadar serat pangan formula A, B dan C sebanyak 46,12 g, 41,54 g, dan 73,82 g lebih tinggi dibandingkan formula enteral komersial yaitu 16 g. Protein formula enteral tepung sorgum dan tepung kedelai tidak menunjukan perbedaan yang signifikan (p>0,05) namun kadarnya lebih rendah dibandingkan formula D. Kadar gula formula A, B dan C yaitu 4,13%, 5,49%, 5,98% lebih tinggi dibandingkan formula D.Viskositas formula enteral tepung sorgum dan tepung kedelai berbeda secara signifikan (p<0,05) dengan formula D.Simpulan: Formula A dan C merupakan formula yang memiliki kemiripan dengan formula enteral komersial berdasarkan kandungan energi, densitas energi dan lemaknya.Kata kunci: Diabetes melitus; formula enteral; sorgum; kedelai

Penelitian ini bertujuan untuk mengetahui apakah ada perbedaan pengaruh dari Program Rehabilitasi Olahraga (PRO) terhadap derajat nyeri laki-laki penderita Nyeri Punggung Bawah (NPB) miogenik dan diskogenik. Jenis Penelitian kuantitatif cross sectional dengan pendekatan two group pre-test post-test design. Sampel ditetapkan menggunakan metode proportional random sampling (Miogenik n= 12 Diskogenik n=12). PRO yang diberikan meliputi terapi modalitas, terapi manual dan terapi latihan. PRO diberikan sebanyak 5 kali. Instrumen yang digunakan adalah Visual Analogue Scale (VAS). Uji normalitas (Shapiro Wilk) dilakukan sebagai uji prasyarat, kemudian uji beda menggunakan Uji Wilcoxon dan Uji Mann Whitney. Hasil dari penelitian ini derajat nyeri penderita NPB miogenik turun pasca terapi (p<0.05), begitupula pada penderita NPB diskogenik (p < 0.05). Namun, tidak ada perbedaan yang bermakna paska terapi pada kedua kelompok miogenik dan diskogenik (p>0.05). Sehingga dapat disimpulkan PRO secara signifikan menurunkan derajat nyeri pada laki-laki dengan NPB miogenik dan diskogenik, dan tidak ada perbedaan yang bermakna.

Gangguan menstruasi banyak terjadi pada atlet daripada populasi umum. Hal tersebut dapat dipengaruhi oleh zat gizi makro dan persen lemak tubuh. Siklus menstruasi yang tidak teratur dapat mengganggu performa atlet. Penelitian dilakukan tahun 2022 di GOR Tri Lomba Juang Semarang dan GOR Gemilang Magelang dengan desain cross-sectional. Sebanyak 60 atlet remaja putri usia 15-19 tahun dari beberapa cabang olahraga menjadi subjek penelitian. Pengambilan data kecukupan gizi menggunakan form Semi-Quantitative Food Frequency (SQ-FFQ). Persen lemak tubuh diukur dengan Bioelectrical Impedance Analysis (BIA). Analisis statistik menggunakan uji Chi-Square. Sejumlah 5% atlet memiliki persen lemak tubuh rendah dan 16,7% tinggi. Selain itu 1,7% atlet mengalami polimenorea dan 23,3% mengalami oligomenorea. Kecukupan karbohidrat berhubungan dengan siklus menstruasi pada atlet putri (p = 0,001). Namun, tidak terdapat hubungan antara kecukupan protein (p = 0,261), lemak (p = 0,821) dan persen lemak tubuh (p = 0,836) dengan siklus menstruasi atlet putri. Kecukupan karbohidrat berpengaruh pada siklus menstruasi atlet putri

\Personel pemadam kebakaran (Damkar) dituntut memiliki level kebugaran jasmani di atas rata-rata, untuk menunjang performa di lapangan serta meminimalisir terjadinya cedera. Salah satu komponen kebugaran jasmani yang penting untuk personel pemadam kebakaran adalah daya tahan core muscle. Tujuan penelitian untuk mengetahui ada efektivitas program latihan core stability (PLCS) terhadap peningkatan daya tahan core muscle pada personel damkar. Metode penelitian Quasi Experimental: One Group Pre-test Post-test Design. Teknik sampling yang digunakan adalah purposive. Program latihan core stability (PLCS) terdiri dari full plank, side plank alternate, dan single leg bridge diberikan sebanyak 30 sesi latihan, dilakukan 5 kali per minggu, dengan intensitas 65% s.d. 85% dari Denyut Nadi Maksimal, prinsip latihan progressive overload, instrumen penelitian plank test. Penelitian menghasilkan peningkatan daya tahan core muscle menunjukkan kenaikan rata-rata nilai tes Δ149,5 detik, nilai t hitung -4,699, dan signifikansi 2-tailed 0,002 < 0,05. Simpulan penelitian ini program latihan core stability (PLCS) mampu meningkatkan daya tahan core muscle pada personel damkar.