Pengaruh konseling gizi dan penambahan makanan terhadap asupan zat gizi dan status gizi pasien HIV/AIDS

Yuniarti Yuniarti(1*), Martalena Br Purba(2), Retno Pangastuti(3)

(1) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Maluku
(2) Instalasi Gizi Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(3) Instalasi Gizi Rumah Sakit Umum Pusat Dr. Sardjito Yogyakarta
(*) Corresponding Author


Background: Acquired Immunodeficiency Syndrome (AIDS) is a syndrome of opportunistic disease due to decreased immunity in patient HIV/AIDS with the symptom of losing weight progressively and low nutrition status. To cover the condition, it is necessary to give nutrition support.

Objective: To compare the effect of nutrition counseling and nutrition supplementation with nutrition counseling only towards the nutrition status and nutrition intake of people living with HIV/AIDS (PLWHA).

Method: The study was experimental non randomized control group pre-post test design. Subject consisted of two groups  i.e. nutrition counseling plus (with nutrition supplementation) and nutrition counseling only. The study was carried out at Dr. Sardjito Hospital from January to March 2012. The sample were taken purposively with inclusion and exclusion criteria. Data were analyzed by using paired t-test and linear regression to calculate nutrient intake and nutrition status.

Results: The energy intake of nutrition counseling plus group showed significantly higher amount than the group with nutrition counseling only (change of 141.40 kcal vs 15.99 kcal; OR=4.96). Protein intake was insignificantly higher than nutrition counseling (change of 6.28 g vs 5.11 g; OR=1.94), weight were insignificantly lower than nutrition counseling (change of 0.46 kg vs 0.75 kg; OR=1.21), and nutrition status were insignificantly lower than nutrition counseling (changes in body mass index 0.18 kg/m2 vs 0.32 kg/m2; OR=1.25).

Conclusion: Nutrition counseling plus could increase energy intake but could not increase protein intake, weight, and body mass index.


nutrition counseling plus; nutrition counseling; nutrition status; nutrient intake; PLWHA

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Mansjoer A. Kapita selekta kedokteran jilid 2, edisi ketiga. Jakarta: Media Aesculapius Fakultas Kedokteran UI; 2000.

Ditjen PPM & PL Depkes RI. Laporan situasi perkembangan HIV dan AIDS di Indonesia sampai dengan Desember 2010. Jakarta: Kementerian Kesehatan RI; 2011.

Almatsier S. Penuntun diet. Jakarta: PT Gramedia Pustaka utama; 2007.

Batterham MJ. Investigasi heterogenety in studies of resting energi expediture in person with HIV/AIDS: meta-analisis. Am J Clin Nutr 2005;81(3):702-13.

Hardon AP, Akurut D, Comoro C. Hunger, waiting time and transport costs: time to confront challenges to ART adherence in Africa. AIDS Care 2007;19(5):658-65.

Bukusuba J, Kikafunda JK, Whitehead RG. Food security status in households of people living with HIV/AIDS (PLWHA) in a Uganda urban setting. Br J Nutr 2007;98(1):211-7.

Fields-Gardner C, Fergusson P; American Dietetic Association; Dietitians of Canada. Position of the american dietetic association and dietitians of Canada: nutrition intervention in the care of persons with human immunodeficiency virus infection. J Am Diet Assoc 2004;104(9):1425-41.

de Luis D, Aller R, Bachiller P, González-Sagrado M, de Luis J, Izaola O, Terroba MC, Cuéllar L. Isolated dietary counselling program versus supplement and dietary counselling in patients with human immunodeficiency virus infection. Med Clin (Barc) 2003;120(15):565-7.

Koethe JR, Chi BH, Megazzini KM, Heimburger DC, Stringer JS. Macronutrient supplementation for malnourished HIV infected adults: a review of the evidence in resource-adequate and resource-constrained settings. Clin Infect Dis 2009;49(5):787-98.

Friis H. Micronutrient interventions and HIV infection: a review of current evidence. Trop Med Int Health 2006;11(12):1849-57.

Basuki ES. Konseling medik: kunci menuju kepatuhan pasien. Maj Kedokt Indon 2009;59(2):55-60.

Palmer S. Konseling dan psikoterapi. Yogyakarta: Penerbit Pustaka Pelajar; 2011.

Opara DC, Umoh IB, John M. Effects of nutritional counseling and micronutrient supplementation on some biochemical parameters of persons living with HIV and AIDS in Uyo, Nigeria. Pak J Nutr 2007;6(3):220-7.

Sastroasmoro S, Ismail S. Dasar-dasar metodologi penelitian klinis, edisi ke-4. Jakarta: Sagung Seto; 2011.

Cornelia, Sumedi E, Nurlita H, Afif I, Ramayulis R, Iwaningsih S, Hartati B, Kresnawan T. Penuntun konseling gizi PERSAGI. Jakarta: PT Abadi; 2010.

Gibson RS. Principles of nutritional assessment. New York: Oxford University Press; 2005.

WHO. Indeks massa tubuh untuk orang Asia. [series online] 2004 [cited 2011 Mei 26]. Available from: URL: http.//

Octawati I, Sianipar O. Surveilans penderita infeksi HIV/AIDS di RS Dr. Sardjito Yogyakarta. Berkala Kesehatan Klinik 2005;XI(1):25-35.

Georgiev V St. National institut of allergy and infectious diseases, NIH: impact on global health vol 2. USA: Humana Press, a part of Springer Science Business Media; 2009.

Over M. The macroeconomic impact of AIDS in Sub-Saharan Africa, population and human resources department. [series online] 1992 [cited 2011 Dec 5]. Available from: URL: http.//

Mandal BK, Wilkins EGL, Dunbar EM, Mayon-White RT. Lecture notes: penyakit infeksi, edisi ke-6. Jakarta: Erlangga; 2008.

Kaiser JD, Campa AM, Ondercin JP, Leoung GS, Pless RF, Baum MK. Micronutrient supplementation increases CD4 count in HIV-infected individuals on highly active antiretroviral therapy; a prospective, double blinded, placebo-controlled trial. J Acquir Immune Defic Syndr 2006;42(5):523-8.

Jahoor F, Abramson S, Heird WC. The protein metabolic response to HIV infection in young children. Am J Clin Nutr 2003;78(1):182-9.

The International Bank for Reconstruction and Development / The World Bank. HIV/AIDS, nutrition and food security: what we can do. A synthesis of international quidance. [series online] 2007 [cited 2011 Jun 26]. Available from: URL: http.//

Dwijayanthi L. Ilmu gizi menjadi sangat mudah, nutritional made incredibly easy. ed 2. Jakarta: EGC; 2011.

Grinspoon S, Mulligan K. Weight loss and wasting in patients infected with human immunodeficiency virus. Clin Infect Dis 2003;36(Suppl 2):S69-78.

Hartono A. Terapi gizi dan diet rumah sakit. Jakarta: ECG; 2006.

Notoatmojo S. Promosi kesehatan dan ilmu perilaku. Jakarta: PT. Rineka cipta; 2007.

Durose CL, Holdsworth M, Watson V, Przygrodzka F. Knowledge of dietary restrictions and the medical consequences of noncompliance by patients on hemodialysis are not predictive of dietary compliance. J Am Diet Assoc 2004;104(1):35-41.


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