Obesity is an increasing weight that exceeds the limits of physical and skeletal needs due to the excessive backfilling of body fat. Obesity is a predisposing factor for increasing triglyceride levels (TG) and insulin resistance status. Consumption of fiber, such as Tempeh Gembus can be an alternative treatment to lower TG levels and insulin resistance status. This research was aimed to prove the influence of processed Tempeh Gembus to TG levels and insulin resistance status. This research employed a pre-post randomized control group. The participants of this research are 40 women with pre-menopausal obesity which are divided into two groups: the control group which is given the daily standard diet treatment Isocaloric 30 kcal/kg of BW/day and the treatment group which is given the daily standard diet Isocaloric 30 kcal/kg of BW/day with the addition of processed Tempeh Gembus processed as much as 150 g/day for 28 days. The result show, giving Tempeh Gembus to the treatment group can lower the TG level (p = 0.010) and insulin resistance status (p = 0.000) significantly. The decreased levels of TG in the treatment group (-9.3±9.6 mg/dL) were higher compared to the decline in the control group (-2.90±4.43 mg/dL). Decreased insulin resistance status in the control group (- 0.60±0.51) is lower than the treatment group (-6.90±4.82). Based on the results above, consumption of 150 g/day of processed Tempeh Gembus for 28 days can lower TG levels
Obesity causes chronic inflammatory reaction is characterized by elevated levels of high sensitivity c-reactive protein (hscrp). Hscrp and hdl could be used as an early marker of cardiovascular disease risk. Tempeh gembus contain fiber, unsaturated fatty acids and antioxidants, which can reduce the inflammatory reaction. This study determines the effect of processed Tempeh gembus on hsCRP and HDL in obese women. This study included in experimental studies with randomized post-test only control group design involving 40 obese women aged 20 – 50 years. Subjects were randomized into two groups: a control group was given a standard diet low in calories 30 calories/kg body weight, and the treatment group was given a standard diet low in calories 30 calories/kg body weight and Tempeh gembus for 28 days. hsCRP and HDL levels were measured before and after the intervention, food intake was measured by using a 3 x 24-hour recall and physical activity (IPAQ form). HsCRP levels were measured using the ELISA method, whereas HDL levels were measured using the CHOD-PAP method. Wilcoxon test (hsCRP levels) and paired t-test (HDL levels) used to test differeces before and after intervention each group. Mann Whitney test (hsCRP levels) and independent sample test (HDL levels) used to test differeces before and after intervention between groups. There are differences in hsCRP levels before and after the intervention in the control group (p = 0.00) and the treatment group (p = 0.00). There are differences in HDL levels before and after the intervention in the control group (p = 0.00) and the treatment group (p = 0.00). There are differences in the decrease hsCRP levels between the two groups (p = 0.00). There are differences in the increase in HDL levels between the two groups (p = 0.03). Tempeh gembus 150 grams/day can decrease hsCRP levels and increase HDL levels in women with obesity.
Latar Belakang: Hipertensi atau tekanan darah tinggi merupakan kondisi tekanan darah seseorang berada diatas normal. Dimana hasil pre survey pendahuluan yang telah dilakukan oleh peneliti kepada pihak UPTD Pelayanan Sosial Lanjut Usia Tresna Werdha. didapatkan data lansia penderita hipertensi di UPTD Panti Sosial Tresna Werdha Lampung sebanyak 21 lansia (25,30%). Tujuan Penelitian: Mengetahui hubungan tingkat kecukupan natrium dan kalium dengan hipertensi pada lanjut usia unit pelaksana teknis daerah pelayanan sosial lanjut usia Tresna Werdha Lampung tahun 2021. Metode: Desain yang digunakan dalam penelitian adalah kuantitatif dengan menggunakan desain penelitian cross sectional. Pengambilan sampel dilakukan dengan menggunakan teknik Purposive Sampling. Populasi dalam penelitian ini adalah 80 lansia di Unit Pelaksana Teknis Daerah Pelayanan Sosial Lanjut Usia Tresna Werdha Lampung. Analisis data dalam penelitian ini menggunakan Uji Rank Spearman. Hasil: Hasil penelitian ini diperoleh hipertensi 1 sebanyak 18 orang (85,71%), tingkat kecukupan kalium 21 lansia kurang (100%), dan tingkat kecukupan natrium 21 lansia kurang (100%) Simpulan: tidak ada hubungan tingkat kecukupan kalium dengan hipertensi (p= 0,102) dan tidak ada hubungan tingkat kecukupan natrium dengan hipertensi (p=0,541)
Latar Belakang: Seiring dengan bertambahnya usia, seseorang akan mengalami penurunan massa tulang dan otot yang berpengaruh terhadap perubahan struktur tulang. Proses tersebut dikatakan sebagai penuaan. Tujuan Penelitian: Mengetahui hubungan antara rentang lengan dengan tinggi badan dalam menentukan Indeks Massa Tubuh (IMT) pada lansia di Kabupaten Semarang. Metode: Desain penelitian ini adalah cross sectional. Subjek penelitian adalah lansia di Kelurahan Candigaron Kabupaten Semarang yang berjumlah 60 orang terdiri dari 30 laki-laki dan 30 perempuan. Teknik Sampling yang digunakan adalah purposive random sampling. Tinggi badan diukur menggunakan microtoise, berat badan menggunakan timbangan berat badan digital, dan rentang lengan menggunakan metline. Data yang telah didapatkan kemudian diuji kenormalan dengan uji Kolmogorov-Smirnov yang kemudian dilanjutkan dengan uji korelasi Rank Spearman. Hasil: Berdasarkan uji korelasi Rank Spearman antara tinggi badan dan rentang lengan didapatkan r = 0,921 (perempuan) dan r = 0,819 (laki-laki). Sedangkan pada uji korelasi Rank Spearman antara IMT tinggi badan (IMT TB) dan IMT rentang lengan (IMT RL) didapatkan r = 0,965 (perempuan) dan r = 0,905 (laki-laki). Secara keseluruhan nilai kemaknaan yang diperoleh <0,05. Hal ini menunjukkan bahwa terdapat hubungan yang kuat, berbanding lurus, bermakna antara rentang lengan dan tinggi badan serta IMT TB dan IMT RL. Simpulan: Rentang lengan reliabel sebagai pengganti tinggi badan dalam menentukan indeks massa tubuh pada lansia di Kabupaten Semarang, karena terdapat hubungan yang kuat dan bermakna antara tinggi badan-rentang lengan serta IMT TB – IMT RL.
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