DIAN ADININGSIHDIAN ADININGSIH

FAKTOR YANG MEMPENGARUHI

NUTRISI TUMBUH KEMBANG

GENDER

ETNIS & KULTUR

KEPERCAYAAN

EKONOMI

TERAPI & MEDIKASI

STATUS KESEHATAN

KONSUMSI ALKOHOL KEPERCAYAAN

PILIHAN PRIBADI

PRAKTIK RELIGIUS

GAYA HIDUP

KONSUMSI ALKOHOL

PARIWARA

PSIKOLOGIS

TUMBUH KEMBANG Masa tumbuh kembang cepat (bayi &

remaja)peningkatan kebutuhan

Lansiakalori lebih sedikit, penyesuaian diet thdpeny degeneratifpeny degeneratif

GENDER

Pria >< wanita krn bedakomposisi tubuh & fungsi reproduksi

Pria

Massa otot besar kalori > banyak

Wanitafungsi reproduksi Wanita

Menstruasi perlu Fe >>

Hamil & menyusui kalori & cairan > banyak

ETNIS &KULTUR Makanan tradisional lebih banyak dimakan, yang lain

diabaikan (Asia:nasi; Itali:pasta; dll)

Jangan gunakan istilah good/bad food

Diterima universal: Diterima universal:

Wide variety nutrisi adekuat

Eat moderatlyBB ideal

Etnis/kultur Indonesia??

KEPERCAYAAN Persepsi didapat dari media massa

Myths or facts??

Fads diets widespreads but shortlives interest Yogourt, vit E anti anging

Honey are healthier than sugar Honey are healthier than sugar

Kubis & bawang ASI asam

Organic food are better

Nurse Tentukan tujuan diet

Jangan paksakan persepsi perawat

Jembatani tujuan diet klien dg program diet yang lebihrasional

PRAKTIK RELIGIUS Katolik Roma: tidak makan daging hari ttt

Protestan (Advent???) : tidak daging, the,kopi, alkohol

Judaisme & Islam: babi

Hindu: sapi Hindu: sapi

GAYA HIDUP Hurry peoplegrocery or resto meals

Work shift, espc night shift needs to change eating habbits

activity the more strenous the more stimulation to activity the more strenous the more stimulation to metab; mental actv needs 4 4kkal/h

EKONOMI Limited incomelimited afford to meat & fresh veggie

Higher eco more proteins & fats; lower complex carbo

MEDIKASI & THERAPY Alter appetite, disturb taste perception, interfere

nutrient absorption & excretion

Calcium in milk hinder abs of tetracycline but enhance erithromycineerithromycine

Elder >> risk number they take, age related phys changed (lean-fat ratio, renal-hepatic function)

Therapies: chemo, radiation affect eating pattern (oral ulcers, intnls bleeding, diarhea)

HEALTH Lack of teeth, sore mouth sulit kunyah

Throat inflmdysphagia

GI surgeryaffect digestion, abs, exc essential nutrientsnutrients

GI & other disease nausea, vomit, diarhea

ALKOHOL Additioanl calslead to weight gain

Effectto fat metab (part of alcohol convert to fat, other part convert to be acetate that released to blood stream and used as energy sources fat than stored)and used as energy sources fat than stored)

Affect intl mucosa decrease abs nutrient

PARIWARA Minual alkohol, soft drinks, the,kpoi, frozzen foods

heavily advertised than bread, fuit & vegie

Frozzen, packaged, fast food >>

Children show snacks, candy, soda, sugared cereals Children show snacks, candy, soda, sugared cereals

Psikologis Anorexia

Bulimia nervosa

KEPERCAYAAN