Kepatuhan Diet Berbasis Beras Coklat terhadap Glukosa Darah dan Lemak Tubuh Pasien Diabetes Mellitus

Authors

  • Inggita Kusumastuty Jurusan Gizi FK Universitas Brawijaya
  • Dian Handayani Jurusan Gizi FK Universitas Brawijaya
  • Yeni Intan Kusuma Dewi Affandy Jurusan Gizi FK Universitas Brawijaya
  • Nora Attamimi Jurusan Gizi FK Universitas Brawijaya
  • Alma Maghfirotun Innayah Program Studi Magister Ilmu Biomedik FK Universitas Brawijaya
  • Diah Ayu Puspitasari Jurusan Gizi FK Universitas Brawijaya

DOI:

https://doi.org/10.21776/ub.ijhn.2021.008.02.9

Keywords:

Diabetes Melitus Tipe 2, Beras Coklat, Glukosa Darah Puasa, Lemak Tubuh, Lemak Visceral

Abstract

Beras coklat memiliki kandungan magnesium, serat lebih tinggi dan indeks glikemik lebih rendah dari beras putih, diduga dapat mencegah kenaikan glukosa darah dan menurunkan lemak tubuh. Tujuan penelitian ini untuk mengetahui hubungan antara kepatuhan diet berbasis beras coklat dengan kadar glukosa darah puasa dan komposisi lemak tubuh pada pasien Diabetes Mellitus (DM) Tipe 2. Penelitian ini merupakan penelitian quasi experimental dengan rancangan one group pre test and post test design pada 18 pasien DM Tipe 2 yang memenuhi kriteria inklusi. Responden penelitian diberikan intervensi selama 3 bulan berturut. Pemeriksaan glukosa darah puasa dan komposisi lemak tubuh dilakukan sebelum dan setelah intervensi diberikan. Selama pemberian intervensi diet, 94.4% responden patuh diet. Setelah intervensi diberikan terjadi penurunan kontrol glukosa darah dari kategori buruk sebesar 27.7%, persentase lemak tubuh kategori tinggi sebesar 22.2% dan indeks lemak viseral kategori tinggi sebesar 22.2%, namun tidak terdapat hubungan antara kepatuhan diet dengan glukosa darah puasa, total lemak tubuh dan lemak visceral (p=0.339, p= 0.496, p=0.551, spearman). Kesimpulan dari penelitian ini bahwa pemberian diet berbasis beras coklat pada pasien DM Tipe 2 dapat menurunkan kadar glukosa darah puasa dan komposisi lemak tubuh namun tidak terdapat hubungan antara kepatuhan diet dengan ketiga parameter tersebut.


References

  • Juliano, B. O. & Tuaño, A. P. P. 2 - Gross structure and composition of the rice grain. in Rice (Fourth Edition) (ed. Bao, J.) 31–53 (AACC International Press, 2019). doi:10.1016/B978-0-12-811508-4.00002-2.
  • Sulistyowati, E., Rudijanto, A., Soeharto, S. & Handayani, D. The Identification of Characteristic Macro- and Micronutrients and the Bioactive Components of Indonesian Local Brown Rice as a Functional Feed in Obesity Nutrition Therapy. Curr. Nutr. Food Sci. 16, 494–500 (2020).
  • Sun, Q. et al. White rice, brown rice, and risk of type 2 diabetes in US men and women. Arch. Intern. Med. 170, 961–969 (2010).
  • Nuryani. Potensi Substitusi Beras Putih dengan Beras Merah sebagai Makanan Pokok untuk Perlindungan Diabetes Melitus. Media Gizi Masy. Indones. 3, 157–168 (2013).
  • Hernawan, E. & Meylani, V. ANALISIS KARAKTERISTIK FISIKOKIMIA BERAS PUTIH, BERAS MERAH, DAN BERAS HITAM (Oryza sativa L., Oryza nivara dan Oryza sativa L. indica). J. Kesehat. Bakti Tunas Husada J. Ilmu-Ilmu Keperawatan Anal. Kesehat. Dan Farm. 15, 79–91 (2016).
  • Mohan, V. et al. Effect of Brown Rice, White Rice, and Brown Rice with Legumes on Blood Glucose and Insulin Responses in Overweight Asian Indians: A Randomized Controlled Trial. Diabetes Technol. Ther. 16, 317–325 (2014).
  • Idris, A., Jafar, N. & Indriasari, R. POLA MAKAN DENGAN KADAR GULA DARAH PASIEN DM TIPE 2 | Media Kesehatan Masyarakat Indonesia. https://journal.unhas.ac.id/index.php/mkmi/article/view/502 (2014).
  • Gustina, Suratun & Heryati. FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEPATUHAN DIET DIABETES MELLITUS PADA PASIEN DM (Factors Associated with Compliance Diet of Diabetes Mellitus). https://docplayer.info/52686704-Faktor-faktor-yang-berhubungan-dengan-kepatuhan-diet-diabetes-mellitus-pada-pasien-dm-factors-associated-with-compliance-diet-of-diabetes-mellitus.html (2014).
  • Sudrajat, A. S. & Sinaga, T. ANALISIS BIAYA MAKAN TERHADAP KETERSEDIAAN MAKANAN SERTA TINGKAT KECUKUPAN GIZI SANTRI DI PONDOK PESANTREN DARUL ARQAM GARUT. GIZI Indones. 39, 115–124 (2017).
  • Rachmawati, N. & Kusumaningrum, N. S. D. GAMBARAN KONTROL DAN KADAR GULA DARAH PADA PASIEN DIABETES MELITUS DI POLIKLINIK PENYAKIT DALAM RSJ PROF. Dr. SOEROJO MAGELANG. (Universitas Diponegoro, 2017).
  • Isnaeni, F. N., Risti, K. N., Mayawati, H. & Arsy, M. TINGKAT PENDIDIKAN, PENGETAHUAN GIZI DAN KEPATUHAN DIET PADA PASIEN DIABETES MELLITUS (DM) RAWAT JALAN DI RSUD KARANGANYAR | Isnaeni | MPPKI (Media Publikasi Promosi Kesehatan Indonesia): The Indonesian Journal of Health Promotion. https://jurnal.unismuhpalu.ac.id/index.php/MPPKI/article/view/116 (2018).
  • Widiyoga, R. C. & Andiana, O. Hubungan Tingkat Pengetahuan tentang Penyakit Diabetes Melitus pada Penderita terhadap Pengaturan Pola Makan dan Physical Activity. 2, 10 (2020).
  • Kemenkes RI. Laporan Nasional Riskesdas 2018. (2019).
  • Risti, K. N. & Isnaeni, F. N. Hubungan Motivasi Diri dan Pengetahuan Gizi terhadap Kepatuhan Diet DM pada Pasien Diabetes Mellitus Tipe II Rawat Jalan di RSUD Karanganyar. J. Kesehat. 10, 94–102 (2017).
  • Wiardani, N. K. & Moviana, Y. HUBUNGAN ANTARA TINGKAT KEPATUHAN DIET DENGAN KADAR GLUKOSA DAN KOLESTEROL DARAH PADA PENDERITA DM TIPE 2 DI RSUP SANGLAH DENPASAR. 6, 7 (2015).
  • Haryono, S., Suryati, E. S. & Maryam, R. S. Pendidikan Kesehatan Tentang Diet Terhadap Kepatuhan Pasien Diabetes Mellitus. J. Ris. Kesehat. 7, 91–96 (2018).
  • Hestiana, D. W. Faktor-Faktor Yang Berhubungan Dengan Kepatuhan Dalam Pengelolaan Diet Pada Pasien Rawat Jalan Diabetes Mellitus Tipe 2 Di Kota Semarang. J. Health Educ. 2, 137–145 (2017).
  • Puspita, F. A. & Rakhma, L. R. Hubungan Lama Kepesertaan Prolanis dengan Tingkat Pengetahuan Gizi dan Kepatuhan Diet Pasien Diabetes Mellitus di Puskesmas Gilingan Surakarta. J. Dunia Gizi 1, 101–111 (2018).
  • Ilmah, F. & Rochmah, T. N. Kepatuhan Pasien Rawat Inap Diet Diabetes Mellitus Berdasarkan Teori Kepatuhan Niven. J. Adm. Kesehat. Indones. 3, 60–69 (2015).
  • Sutanto, T. Diabetes Deteksi, Pencegahan, Pengobatan. (Buku Pintar, 2013).
  • Masuzaki, H. et al. Safety and efficacy of nanoparticulated brown rice germ extract on reduction of body fat mass and improvement of fuel metabolism in both pre-obese and mild obese subjects without excess of visceral fat accumulation. 12 (2021).
  • Kozuka, C. et al. Natural food science based novel approach toward prevention and treatment of obesity and type 2 diabetes: Recent studies on brown rice and γ-oryzanol. Obes. Res. Clin. Pract. 7, e165–e172 (2013).
  • Kondo, K. et al. Fiber-rich diet with brown rice improves endothelial function in type 2 diabetes mellitus: A randomized controlled trial. PLOS ONE 12, e0179869 (2017).
  • PigÅ‚owska, M. et al. Body composition, nutritional status, and endothelial function in physically active men without metabolic syndrome – a 25 year cohort study. Lipids Health Dis. 15, 84 (2016).
  • Kurniawan, L. B., Bahrun, U., Hatta, M. & Arif, M. Body Mass, Total Body Fat Percentage, and Visceral Fat Level Predict Insulin Resistance Better Than Waist Circumference and Body Mass Index in Healthy Young Male Adults in Indonesia. J. Clin. Med. 7, 96 (2018).
  • Fec, R., Bukova, A. & Brtkova, M. Relationship between diet and body fat percentage in female undergraduates. ResearchGate https://www.researchgate.net/publication/281426464_Relationship_between_diet_and_body_fat_percentage_in_female_undergraduates (2015).
  • Nurul-Fadhilah, A., Teo, P. S., Huybrechts, I. & Foo, L. H. Infrequent Breakfast Consumption Is Associated with Higher Body Adiposity and Abdominal Obesity in Malaysian School-Aged Adolescents. PLOS ONE 8, e59297 (2013).
  • O’Connor, L., Brage, S., Griffin, S. J., Wareham, N. J. & Forouhi, N. G. The cross-sectional association between snacking behaviour and measures of adiposity: the Fenland Study, UK. Br. J. Nutr. 114, 1286–1293 (2015).
  • McRae, M. P. Dietary Fiber Intake and Type 2 Diabetes Mellitus: An Umbrella Review of Meta-analyses. J. Chiropr. Med. 17, 44–53 (2018).
  • Graff, S. K., Mário, F. M., Alves, B. C. & Spritzer, P. M. Dietary glycemic index is associated with less favorable anthropometric and metabolic profiles in polycystic ovary syndrome women with different phenotypes. Fertil. Steril. 100, 1081–1088 (2013).
  • Becker, G. F., Passos, E. P. & Moulin, C. C. Short-term effects of a hypocaloric diet with low glycemic index and low glycemic load on body adiposity, metabolic variables, ghrelin, leptin, and pregnancy rate in overweight and obese infertile women: a randomized controlled trial. Am. J. Clin. Nutr. 102, 1365–1372 (2015).
  • Bano, R., AlShammari, E. & Almedan, A. Body Mass Index, Percent Body Fat and Visceral Fat in Relation to Dietary Fat and Fiber Intake among University Females. Curr. Res. Nutr. Food Sci. J. 3, 256–262 (2015).
  • Saleh, A. S. M., Wang, P., Wang, N., Yang, L. & Xiao, Z. Brown Rice Versus White Rice: Nutritional Quality, Potential Health Benefits, Development of Food Products, and Preservation Technologies. Compr. Rev. Food Sci. Food Saf. 18, 1070–1096 (2019).
  • Huang, J.-H., Lu, Y.-F., Cheng, F.-C., Lee, J. N.-Y. & Tsai, L.-C. Correlation of magnesium intake with metabolic parameters, depression and physical activity in elderly type 2 diabetes patients: a cross-sectional study. Nutr. J. 11, 41 (2012).
  • EFSA NDA Panel (EFSA Panel on Dietetic Products, Nutrition and Allergies). Scientific Opinion on Dietary Reference Values for magnesium. EFSA J. 13, 4186 (2015).
  • Barbagallo, M. & Dominguez, L. J. Magnesium and type 2 diabetes. World J. Diabetes 6, 1152–1157 (2015).
  • Ramadass, S., Basu, S. & Srinivasan, A. R. SERUM magnesium levels as an indicator of status of Diabetes Mellitus type 2. Diabetes Metab. Syndr. Clin. Res. Rev. 9, 42–45 (2015).
  • Etwebi, Z. Magnesium Regulation of Glucose and Fatty Acid Metabolism in HEPG2 Cells. (2011).
  • Indulekha, K., Anjana, R. M., Surendar, J. & Mohan, V. Association of visceral and subcutaneous fat with glucose intolerance, insulin resistance, adipocytokines and inflammatory markers in Asian Indians (CURES-113). Clin. Biochem. 44, 281–287 (2011).
  • Hairston, K. G. et al. Lifestyle factors and 5-year abdominal fat accumulation in a minority cohort: the IRAS Family Study. Obes. Silver Spring Md 20, 421–427 (2012).
  • Slavin, J. Fiber and Prebiotics: Mechanisms and Health Benefits. Nutrients 5, 1417–1435 (2013).
  • Beaumont, M., Goodrich K, J., Jackson, M. & Yet, I. Heritable components of the human fecal microbiome are associated with visceral fat - PubMed. https://pubmed.ncbi.nlm.nih.gov/27666579/ (2016).
  • Ríos-Covián, D. et al. Intestinal Short Chain Fatty Acids and their Link with Diet and Human Health. Front. Microbiol. 7, (2016).
  • Le Roy, C. I. et al. Dissecting the role of the gut microbiota and diet on visceral fat mass accumulation. Sci. Rep. 9, 9758 (2019).
  • Jenkins, D. J. A. et al. Effect of Legumes as Part of a Low Glycemic Index Diet on Glycemic Control and Cardiovascular Risk Factors in Type 2 Diabetes Mellitus: A Randomized Controlled Trial. Arch. Intern. Med. 172, 1653–1660 (2012).
  • Pereira, P., de Almeida, G., das, C., Alfenas, G. & de Cassia, R. EBSCOhost | 98592152 | Glycemic index role on visceral obesity, subclinical inflammation and associated chronic diseases. (2014).
  • Kokot, T., Malczyk, E., Wilemska-Kucharzewska, K., Muc-WierzgoÅ„, M. & Fatyga, E. Chapter 26 - Serum Magnesium and Abdominal Obesity and Its Consequences. in Nutrition in the Prevention and Treatment of Abdominal Obesity (Second Edition) (ed. Watson, R. R.) 383–391 (Academic Press, 2019). doi:10.1016/B978-0-12-816093-0.00026-4.
  • Ozato, N. et al. Association between Nutrients and Visceral Fat in Healthy Japanese Adults: A 2-Year Longitudinal Study Brief Title: Micronutrients Associated with Visceral Fat Accumulation. Nutrients 11, 2698 (2019).


Downloads


Published

2021-11-29

How to Cite

1.
Kusumastuty I, Handayani D, Affandy YIKD, Attamimi N, Innayah AM, Puspitasari DA. Kepatuhan Diet Berbasis Beras Coklat terhadap Glukosa Darah dan Lemak Tubuh Pasien Diabetes Mellitus. IJHN [Internet]. 2021 Nov. 29 [cited 2024 Apr. 25];8(2):182-94. Available from: https://ijhn.ub.ac.id/index.php/ijhn/article/view/493

Issue


Section

Articles


Most read articles by the same author(s)

1 2 > >>