SlideShare uma empresa Scribd logo
1 de 34
Ekologi,Pangan, dan Gizi
Ignatius Hapsoro Wirandoko
Email :
ignatius_wirandoko@yahoo.co.id
Hp : 08122801159
Masalah gizi

• Gizi makro :
- gizi kurang dan buruk
- kegemukan
Masalah gizimikro
•
•
•
•

Anemia
GAKY
Kurang vit A
Lain :
seng, folat,
selenium dsb.
Isu-isu
• Ruang lingkup dan
Klasifikasi
• Metabolisme /
Patofisiologi :
- Sifat
- Teknik assessment
- Spektrum gejala
- Prevalensi
• Penanggulangan
Ruang lingkup dan klasifikasi
• Vitamin
• Elemen / unsur (“mineral”)
• Vitamin-like substance / marginal
compounds
- choline
- taurine
- carnitine
- myo-inositol
- bioflavonoids
- Coenzyme Q (ubiquinone) dsb.
Perkembangan pengetahuan tentang
metabolisme
• Semakin banyak fakta terungkap
seiring dengan perkembangan
pengetahuan tentang metabolisme dan
patofisiologi
• Sifat, teknik assessment, spektrum
gejala dan upaya penanggulangan
berkembang cepat.
Metabolisme besi
Metabolisme iodium
Metabolisme folat
Efek defisiensi folat di tingkat molekuler
Metabolisme seng
Sifat
•
•
•
•
•

Bioavailibility
Amplification of action
Specivity
Homeostatis
Interaction
Bioavalibility
• Defined as the percent of the consumed mineral
that enters via the intestinal absorptive cells and
is used for its intended purpose.
• Bioavailibility includes not only how much of a
consumed minerals enters the body, but also
how much is retained and available for use.
Requirement and Allowance
Requirement
The lowest continuing intake of a nutrient that will
maintain a specified criterion of adequacy
RDA (recommended dietary allowance)
The average daily amount of a nutrient considered
adequate to meet the known nutrient needs of
practically all healthy people.
Requirement and RDA
Nutrients and energy RDA
Nutrients and Risk of Death
Increasing concentration or intake of nutrient

Nutrient Function

100%

0%
Death

Deficiency

Marginal

Optimal

Marginal

Toxicity

Death
DRI

Copyright 2005 Wadsworth Group, a division of Thomson Learning
Copyright 2005 Wadsworth Group, a division of Thomson Learning
Ca Homeostatis
Zinc’s routes in the body
Interaction
Interactions among the trace minerals are common
and often lead to nutrient imbalances.
An excess of one may cause a deficiency of another.
A deficiency of one may open the way for another to
cause a toxic reaction.
A deficiency of one may exacerbate the problems
associated with the deficiency of another.
Interlocking gear system
Mineral antagonism
Vitamin antagonisms
Vitamin mineral antagonism
Specivity
Laboratory Assessment
is used primarily to detect subclinical deficiency states
is becoming increasingly important with the growing
emphasis on preventive medicine
can be used to supplement other methods
often affected by biological and technical factors
Type :

• Static biochemical test
• Functional test
Spektrum gejala defisiensi besi
Serum transferrin receptor
(sTfR)
Spektrum gejala GAKY
Prevalensi
Upaya penanggulangan
• Tidak Berbasis pangan
- suplementasi
• Berbasis pangan
- fortifikasi
- rekayasa
- edukasi
Suplementasi
• Petimbangkan
interaksi
• Kemungkinan excess
• Menekan gizimikro
lain
• Petugas gizi
kesehatan harus
kenal wilayahnya
Barbara Underwood (2003)
• Scientific progress and
political commitment
are key factors but .........
• Consumer and public
acceptance is key to
sustainable progress
Gizi kesmas

Mais conteúdo relacionado

Destaque

Surveilans gizi
Surveilans giziSurveilans gizi
Surveilans gizi
Pepi Umar
 
Surveilans epidemiologi gizi
Surveilans epidemiologi giziSurveilans epidemiologi gizi
Surveilans epidemiologi gizi
Pepi Umar
 
Kuliah dasar epid ( rangkuman).
Kuliah dasar epid ( rangkuman).Kuliah dasar epid ( rangkuman).
Kuliah dasar epid ( rangkuman).
Junaidin Saputra
 
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
Laurensius Purba
 
penilaian surveilans kesehatan masyarakat
penilaian surveilans kesehatan masyarakatpenilaian surveilans kesehatan masyarakat
penilaian surveilans kesehatan masyarakat
aderianofrianti
 
Materi 6 [Pelatihan Kader Posyandu]
Materi 6 [Pelatihan Kader Posyandu]Materi 6 [Pelatihan Kader Posyandu]
Materi 6 [Pelatihan Kader Posyandu]
Manji Lala
 
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
sofian.alfarisi
 

Destaque (20)

Konsumsi pangan dan gizi
Konsumsi pangan dan gizi Konsumsi pangan dan gizi
Konsumsi pangan dan gizi
 
Gizi Kesmas
Gizi KesmasGizi Kesmas
Gizi Kesmas
 
Aditif pada-makanan1
Aditif pada-makanan1Aditif pada-makanan1
Aditif pada-makanan1
 
Surveilans gizi
Surveilans giziSurveilans gizi
Surveilans gizi
 
Surveilans epidemiologi gizi
Surveilans epidemiologi giziSurveilans epidemiologi gizi
Surveilans epidemiologi gizi
 
Kuliah dasar epid ( rangkuman).
Kuliah dasar epid ( rangkuman).Kuliah dasar epid ( rangkuman).
Kuliah dasar epid ( rangkuman).
 
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
3 peran-dokter-layanan-primer-sebagai-gate-keeper-dr-samsul
 
Peran Dokter umum sebagai pelaksana Layanan Primer dalam Program BPJS Kesehatan
Peran Dokter umum sebagai pelaksana Layanan Primer dalam Program BPJS KesehatanPeran Dokter umum sebagai pelaksana Layanan Primer dalam Program BPJS Kesehatan
Peran Dokter umum sebagai pelaksana Layanan Primer dalam Program BPJS Kesehatan
 
Akreditasi puskesmas
Akreditasi puskesmasAkreditasi puskesmas
Akreditasi puskesmas
 
Epidemiologi dasar
Epidemiologi dasarEpidemiologi dasar
Epidemiologi dasar
 
Kapita selekta ikm
Kapita selekta ikmKapita selekta ikm
Kapita selekta ikm
 
penilaian surveilans kesehatan masyarakat
penilaian surveilans kesehatan masyarakatpenilaian surveilans kesehatan masyarakat
penilaian surveilans kesehatan masyarakat
 
Pengembangan Surveilans Penyakit Berbasis Masyarakat
Pengembangan Surveilans Penyakit Berbasis MasyarakatPengembangan Surveilans Penyakit Berbasis Masyarakat
Pengembangan Surveilans Penyakit Berbasis Masyarakat
 
Epidemiologi
EpidemiologiEpidemiologi
Epidemiologi
 
Materi 6 [Pelatihan Kader Posyandu]
Materi 6 [Pelatihan Kader Posyandu]Materi 6 [Pelatihan Kader Posyandu]
Materi 6 [Pelatihan Kader Posyandu]
 
Judul Skripsi Kesehatan Masyarakat
Judul Skripsi Kesehatan MasyarakatJudul Skripsi Kesehatan Masyarakat
Judul Skripsi Kesehatan Masyarakat
 
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
Epidemiologi Deskriptif Penyakit Demam Berdarah Dengue di Kelurahan Keraton M...
 
Fakultas Kesehatan Masyarakat UI
Fakultas Kesehatan Masyarakat UIFakultas Kesehatan Masyarakat UI
Fakultas Kesehatan Masyarakat UI
 
Ilmu kesehatan masyarakat
Ilmu kesehatan masyarakatIlmu kesehatan masyarakat
Ilmu kesehatan masyarakat
 
Manajemen umum puskesmas
Manajemen umum puskesmasManajemen umum puskesmas
Manajemen umum puskesmas
 

Semelhante a Gizi kesmas

Nanjing1 2013 Lecture "Nutrigenomics part 1"
Nanjing1 2013 Lecture "Nutrigenomics part 1"Nanjing1 2013 Lecture "Nutrigenomics part 1"
Nanjing1 2013 Lecture "Nutrigenomics part 1"
Norwich Research Park
 
Eating behavioral disorder during early childhood
Eating behavioral disorder during early childhoodEating behavioral disorder during early childhood
Eating behavioral disorder during early childhood
Azad Haleem
 
Nutritio npresentation2012a
Nutritio npresentation2012aNutritio npresentation2012a
Nutritio npresentation2012a
Mario Wilmath
 

Semelhante a Gizi kesmas (20)

Supplements and vitamins
Supplements and vitaminsSupplements and vitamins
Supplements and vitamins
 
Nanjing1 2013 Lecture "Nutrigenomics part 1"
Nanjing1 2013 Lecture "Nutrigenomics part 1"Nanjing1 2013 Lecture "Nutrigenomics part 1"
Nanjing1 2013 Lecture "Nutrigenomics part 1"
 
Protein Energy malnutrition.ppt
Protein Energy malnutrition.pptProtein Energy malnutrition.ppt
Protein Energy malnutrition.ppt
 
Pem
PemPem
Pem
 
Malnutricion
MalnutricionMalnutricion
Malnutricion
 
Pem
PemPem
Pem
 
Pem
PemPem
Pem
 
Food Toxicology & Biological Contamination.pptx
Food Toxicology & Biological Contamination.pptxFood Toxicology & Biological Contamination.pptx
Food Toxicology & Biological Contamination.pptx
 
Eating behavioral disorder during early childhood
Eating behavioral disorder during early childhoodEating behavioral disorder during early childhood
Eating behavioral disorder during early childhood
 
Picky eater - Eating behavioral disorder during early childhood
Picky eater - Eating behavioral disorder during early childhoodPicky eater - Eating behavioral disorder during early childhood
Picky eater - Eating behavioral disorder during early childhood
 
Pem and oral health
Pem and oral healthPem and oral health
Pem and oral health
 
17671
1767117671
17671
 
Nutritio npresentation2012a
Nutritio npresentation2012aNutritio npresentation2012a
Nutritio npresentation2012a
 
Nutrition and Oral Health
Nutrition and Oral HealthNutrition and Oral Health
Nutrition and Oral Health
 
vitaminsmineral-pregnancy-160227082254.pdf
vitaminsmineral-pregnancy-160227082254.pdfvitaminsmineral-pregnancy-160227082254.pdf
vitaminsmineral-pregnancy-160227082254.pdf
 
Influence of mineral and vitamin supplements on pregnancy outcome
Influence of mineral and vitamin supplements on pregnancy outcomeInfluence of mineral and vitamin supplements on pregnancy outcome
Influence of mineral and vitamin supplements on pregnancy outcome
 
Approach to Failure to Thrive.pptx
Approach to Failure to Thrive.pptxApproach to Failure to Thrive.pptx
Approach to Failure to Thrive.pptx
 
NUTRITIONAL PROBLEMS & OBESITY
NUTRITIONAL PROBLEMS & OBESITYNUTRITIONAL PROBLEMS & OBESITY
NUTRITIONAL PROBLEMS & OBESITY
 
Good
GoodGood
Good
 
malnutrition
malnutritionmalnutrition
malnutrition
 

Último

Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
mahaiklolahd
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Último (20)

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Ahmedabad Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
Andheri East ^ (Genuine) Escort Service Mumbai ₹7.5k Pick Up & Drop With Cash...
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls  * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Hyderabad Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 

Gizi kesmas