Sri Andarini

3rd International Conference in Nursing (ICON), 20–21 May 2017, Indonesia

The event was hosted in Malang, East Java, Indonesia, by the School of Nursing, Faculty of Medicine, Brawijaya University. Below is a selection of abstracts from among the 70 papers that were presented.

Asupan Serat dan IMT Wanita Usia Subur Suku Madura di Kota Malang

Abstrak Konsumsi serat dapat berdampak positif terhadap kesehatan, salah satunya dapat menurunkan Indeks Massa Tubuh (IMT) melalui penurunan berat badan. IMT yang tinggi yaitu >23,0 kg/ m 2 menunjukkan status gizi berada pada kondisi gizi lebih. Wanita Usia Subur (WUS) dengan kondisi gizi lebih dapat memberikan dampak pada siklus reproduksi wanita seperti infertilitas. Penelitian ini bertujuan untuk mengetahui hubungan antara asupan serat dengan IMT pada WUS suku Madura di Kecamatan Kedungkandang Kota Malang. Penelitian observasional dengan pendekatan cross sectional dilaksanakan pada sampel WUS usia 18-44 tahun suku Madura di Kecamatan Kedungkandang Kota Malang, selama Februari-Juni 2014. Sampel dipilih dengan teknik purposive sampling hingga diperoleh sejumlah 91 responden. Pengukuran tinggi badan dan berat badan dilakukan untuk memperoleh data IMT, sedangkan data asupan serat diperoleh dengan metode weighed food record pada satu hari biasa dan satu hari akhir pekan. Hasil penelitian menunjukkan rata-rata asupan serat sebesar 7,16±3,13 g/ hari. Proporsi status gizi responden yaitu 6,6% gizi kurang, 28,6% normal, 30,8% overweight , dan 31,4% obesitas. Berdasarkan uji korelasi Pearson , diperoleh hubungan positif yang sangat lemah dan tidak signifikan antara asupan serat total dengan nilai IMT (p= 0,255 dan r= 0,121). Kata kunci: asupan serat, indeks massa tubuh, wanita usia subur, suku Madura Abstract Dietary fiber intake can have a positive impact on health, one of which can reduce Body Mass Index (BMI) through weight loss. High BMI (>23.0 kg/m2) indicates overnutrition status. Overnutrition status on women of reproductive age (WRA) can impact the reproductive cycle such as infertility. This study aims to determine the correlation between total dietary fiber intake and BMI among Madurese women of reproductive age in Kedungkandang Malang. This observational research with cross sectional approach was conducted on Madurese women aged 18 to 44 years old in Kedungkandang Malang from February to June 2014. Samples were chosen by purposive sampling technique and obtained 91 respondents. Body height and weight measurements were performed to obtain BMI data, whereas fiber intake data were obtained using weighed food record method on a weekday and one day on weekend. The results showed an average fiber intake of 7.16 ± 3.13 g/day. The nutritional status proportions of respondents were 6.6% malnutrition, 28.6% normal, 30.8% overweight, and 31.4% obesity. The Pearson correlation test showed a very weak and insignificant positive relationship between total fiber intake with BMI value (p=0.255 and r=0.121). Keywords: dietary fiber intake, body mass index, women of reproductive age, Madurese

Pre- and postprandial acylated ghrelin in obese and normal weight men

BACKGROUND AND OBJECTIVES The prevalence of obesity in Indonesia has increasing. We have assessed the relationship between plasma acylated ghrelin hormone and self-reported appetite ratings (hunger and desire to eat) in obese and normal weight men. METHODS AND STUDY DESIGN Thirty-two men participated in an experimental study, where acylated ghrelin and self-reported appetite ratings were compared between a test group of 16 obese men and a control group of 16 men with normal body mass indices. The participants were administered isocaloric mixed meals, and measurements were taken at 0 (before eating), 30, 60, and 120 minutes postprandial. Data were analysed using an independent t test, the Mann-Whitney U test, the Pearson correlation, the Spearman rank-order correlation, trapezoidal rule analysis for the area under the curve, and receiver operating curve analysis to determine the optimal cut-off values, sensitivity, and specificity. RESULTS Acylated ghrelin concentrations were higher in the test group than in the control group at all time points (p<0.01). There were no significant differences in the appetite ratings between the two groups at any time (p>0.05). There was no correlation between the acylated ghrelin concentration and appetite rating. According to the receiver operating curve analysis (sensitivity: 88%; specificity: 100%), the cut-offs for optimal acylated ghrelin immediately before eating and 30 minutes after eating, averaged 2332 pg/mL and 2710 pg/mL, respectively. CONCLUSIONS The effect on obesity will depend on associated changes in deacylated ghrelin. Acylated ghrelin increases in obese individuals pre- and 30, 60, 90 and 120 minutes post prandial.