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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

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Gizi kesmas