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Nutritional Status ofSchizophrenic Patients at

Department of 

Psychiatry in Dr. Hasan SadikinGeneral Hospital

Maisyarah T.A., Nugraha G. I., Lidyana L. (AtheaMedical Journal, June 2014

!leh"

!#ta Adinanto $ra%o&o, '. ed ) *+II 0-11022

$e/%i/%ing"

dr. A#%ar ul#ii !s/an, '. J., M. es.

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Latar 3ela#ang

'#io5renia /e/unyai re6alensise7enis di seluruh dunia, yaitu 18dari total endudu#.

Merua#an enya#it /ental dengan#o/or%iditas tinggi a#i%ateru%ahan gaya hidu, 5a#torredisosisi, dan da/a#/engonsu/si o%at antisi#oti#/enye%a%#an eru%ahan %erat%adan.

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A$9(Anti $si#oti# 9rug %e#er7adengan /engha/%at resetordoa/in, selain /engo%ati ge7ala

ositi5, 7uga /erangsang na5su/a#an dan /enye%a%#angangguan /eta%olis/e.

$enggunaan A$9 atii#al/ening#at#an ter7adinya #enai#an%erat %adan yang dra/atis.

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:iergli#e/ia dan 9M adalah#o/li#asi yang /ening#at#anting#at #o/or%iditas dan #e/atian,

dengan o%esitas ; #onsu/si A$9se%agai 5a#tor risi#o ter%esardia%etes ada schiohrenia.

9ierlu#an dete#si dini eru%ahan%erat %adan ada asien s#io5reniase%agai erti/%angan enyusunantatala#sana yang #o/rehensi5.

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Metode

'tudi des#riti5 cross-sectional Tu7uan"

◦ Mengetahui status gii asien

s#io5renia. Te/at"

◦ $oli#lini#

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riteria In#lusi"$asien oli#lini# si#iatri

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riteria e#s#lusi"$asien yang tida# dite/ani oleh

#eluarga ada saat enelitian.

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3MIB"◦ +nder&eight (C1,D

◦ Nor/al (1,D>22,-,

◦

ele%ihan %erat %adan)o6er&eight (@2E

Ling#ar $inggangB"

◦ Tinggi F -0 c/ (

◦ Tinggi F 0 c/ (H

B %erdasar 3MI #a&asan Asia $asi# oleh =:!

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A#ti6itas sehari>hari su%ye# dengan/etode &a&ancara.

lasi#asi"

(1 Sedentary )#urang gera# #egiatanyang tida# /e/erlu#an %anya# energi,

(2  Active)A#ti5 ting#at a#ti6itas yangringan, secara teratur /ela#u#an

#egiatan a#ti5 ada &a#tu tertentu.(E Vigorous) uat %e#er7a #eras

sela/a %e%eraa 7a/ secara teratur,

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'e7arah engo%atan(1 Jenis o%at antisi#oti# yang

di#onsu/si (o%at antisi#oti#

tera#hir di#onsu/si saatenelitian %erlangsung

(2 9urasi engo%atan (yang

/enca#u eriode su%7e# /ulai/e/inu/ o%at antisi#oti# untu#erta/a #alinya sa/ai &a#tu

enelitian %erlangsung.

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9ata diolah le%ih lan7ut dandianalisis sesuai dengan /etodedes#riti5 /engguna#an '$''

(5or &indo&s

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9ieroleh su%ye#  -4 orang

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:asil

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9is#usi

Mayoritas su%7e# /e/ili#i 3MInor/al (4K,18  sesuaienelitian 'adhya et al (9ha#a,

200-.

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3erat %adan /ening#at sa/aiusia 4- tahun dan /enurunsedi#it F D0 tahun.

C 4- tahun a#u/ulasi le/a#le%ih #arena na5su /a#an tinggi

/engarah#an ada ening#atanasuan energi dan ola /a#an#aya le/a#.

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'u%ye# #urus 7uga dite/u#an,yang /ung#in dise%a%#an olehhyohagia, diet #etat, dan

/asalah #esehatan, serta sosiale#ono/i rendah #urang /a/u/e/enuhi #e%utuhan gii

sei/%ang

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A#ti6itas si# sedentary(K8,#arena gangguan /ental,dierhitung#an se%agai 5a#tor

risi#o #enai#an %erat %adan. $adaasien s#io5renia, #enai#an %erat%adan #arena a#ti6itas /ini/aldaat dihu%ung#an denganening#atan na5su /a#an #arenae5e# sa/ing A$9s

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A$9 adalah 5a#tor risi#o uta/auntu# o%esitas ada asiens#io5renia.

 Terdaat hu%ungan signi#anantara #ele%ihan %erat %adan dane5e# sa/ing A$9 (teruta/a

atii#al

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A$9 atii#al"

Merangsang na5su /a#an dan#ecenderungan untu#

/engonsu/si /a#anan /anisatau %erle/a#, %ere5e# langsungada siste/ sara5 dan

/eta%olis/e yang /engontrolrasa #enyang dan enurunan%erat %adan.

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'u%ye# adalah asien Ja/#es/asdan As#es

A$9s tersedia untu# engguna

 Ja/#es/as (A$9 tii#al, yaituhaloeridol, #lorro/ain, dantriuoeraine.

$engguna As#es /endaat#ano%at E 7enis A$9s tii#aldita/%ah 4 A$9s atii#al, yaitu

cloaine, olanaine,

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:aloeridol A$9s tii#al yangaling %anya# di#onsu/si

 e5e#ti5 /engurangi ge7ala ositi5

dan tersedia ada #edua asuransi#esehatan

A$9 atii#al adalah o%at

antisi#oti# yang e5e#ti5 untu#/ereda#an ge7ala %ai# ositi5 dannegati5 dan cenderung a/an

#arena #urangnya e5e#

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DE,D8 dari su%ye# yangdi%eri#an A$9s tii#aldi#ategori#an /e/ili#i 3MI

nor/al sesuai enelitian o%or et. al(2002, e5e# dari A$9 tii#al,

seerti haloeridol, ada %erat%adan /e/ili#i engaruh alingsedi#it terhada #ele%ihan %erat%adan dariada antisi#oti#lainn a.

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 Terdaat le%ih %anya# su%ye##ele%ihan %erat %adan dala/#ategori A$9s atii#al

Na/un, 3MI yang nor/al /asihdite/u#an ada %anya#engguna riseridone.

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'e%uah #ontrol status gii harusdila#u#an secara %er#ala er%ulan setia #ali asien datang

untu# tinda# lan7ut)#ontrol.$asien dengan eru%ahan

a%nor/al ada 3MI dan ling#ar

inggang erlu dila#u#an/odi#asi nutrisi dan gaya hidu

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$enelitian le%ih lan7ut daatdila#u#an dengan /ena/%ah#anenilaian gii /elalui engu7ian

la%oratoriu/, seerti rol liid,#olesterol, dan enilaian glu#osadarah