Tatalaksana nutrisi

dan Kesehatan
saluran cerna
Dr. Cut Hafiah Halidha M.Gizi SpGK
Drcut.Halidha@gmail.com
IG : @drcuthh
 • Nutrition in adulthood
 physiology,
metabolism, and
nutritional needs
• Food habits and health
problem trends
• Importance of
nutrition to the
digestive system
Outline
Physiology gastrointestinal

sistem yang berfungsi 

• menerima makanan
• mencernanya menjadi zat-zat
gizi dan energi
• menyerap zat-zat gizi ke dalam
aliran darah
• membuang bagian makanan
yang tidak dapat dicerna atau
merupakan sisa proses
tersebut dari tubuh
Gastrointestinal

External environment for the digestive

process

Regulation of digestion
Mechanical and Intrinsic controllocal
Extrinsic controlCNS
chemical centers
Faktor faktor yang
mempengaruhi
metabolism
makronutrien dan
mikronutrien
METABOLISME
KARBOHIDRAT dan
PROTEIN
Metabolisme lemak
 Nutritional
needs

HEALTHY DIET
and BALANCING
What is obesity
pic courtesy www.lifeverchanging.com
HOW DO WE
KNOW?

Berat Badan Ideal = (Tinggi – 100) – 10%

Lancet 2004; 363: 157–63; pic courtesy www.aninews.in
BAD HABITS

• High carbohydrates and

fats of food
• Frequent snacking
• “All you can eat” food
• “coffee milk”
• Low physical activity
A Sedentery life style
 275 kkal

308kkal/100
311 kkal/100
g
g

266 kkal/slice 688 kkal

467 kkal/100
g
Bad habits
SO, WHAT IS NUTRITION IMPORTANT
Nutritional needs
Eat nutritious foods and keep physically active
to help maintain muscle strength and a healthy
weight
Enjoy a wide variety of nutritious foods from
• Plenty of vegetables of different types and
colours, and legumes/beans
• Fruit
• Grain (cereal) foods, mostly wholegrain and/or
high cereal fibre varieties, such as breads,
cereals, rice, pasta, noodles, polenta, couscous,
oats, quinoa and barley
• Lean meats and poultry, fish, eggs, tofu, nuts
and seeds, and legumes/beans
• Milk, yoghurt, cheese and/or their alternatives,
mostly reduced fat
• drink plenty of water.
Indonesia’s Ministry of Health Guideline
for Food-Based Dietary Guidelines

@dr.kristinajoy
 Role of Nutritional Status in Immune
Function
● Malnutrition  impaired body defenses 
susceptible to infection
● Overweight  inflammation, infection eg
influenza with complications  morbidities

J Med Virol. 2020;10.1002/jmv.25707

Front Immunol. 2018;9:1055
2WH
W W
What to eat When to eat
Healthy eating plate 3x meals, 2x snacks

H H
How much How to cook
Depends on your nutritional Avoid: fried/deep-
status fried
KARBOHIDRAT PROTEIN
@dr.kristinajoy
@dr.kristinajoy
Waktu makan
•5x/hari(3 meal & 2 snack)
•Example:
• 06.30: sarapan
• 09.30: snak(buah)
• 12.30: makan siang
• 15.30: snak (buah)
• 18.30: makan malam
How to cook

Steamed
Fried
Boiled
Deep-fried
Pepes
Sautee
Baked
Processed food
Soup
Fresh foods
 • Limit intake of foods containing saturated fat, added
salt, added sugars and alcohol.
• Limit intake of foods high in saturated fat such as
many biscuits, cakes, pastries, pies, processed meats,
commercial burgers, pizza, fried foods, potato chips,
crisps and other savoury snacks.
• Replace high fat foods which contain
predominately saturated fats such as butter, cream,
Nutritional cooking margarine, coconut and palm oil with foods
which contain predominately polyunsaturated and
needs mononsaturated fats such as oils, spreads, nut
butters/pastes and avocado.
• Limit intake of foods and drinks containing added
salt.
• Limit intake of foods and drinks containing added
sugars such as confectionery, sugar-sweetened soft
drinks and cordials, fruit drinks, vitamin waters,
energy and sports drinks
Mikronutrien
Bahan makanan
sumber/suplementasi??
Antioxidants
Omega 3
 Per 100 gr makanan :
• Ikan makarel/kembung :
16,8 mcg
• Salmon : 13,7 mcg
• Kuning telur : 6,1 mcg
• Ikan sarden : 4,8 mcg
• Tuna : 1,2 mcg
• Berjemur : pukul 09-10 pagi
( selama 15 menit)

VITAMIN D (AKG
dewasa : 15-20 mcg)
Kebutuhan cairan
• 8-10 gelas setiap
hari
• 30-35 ml/kgbb
/hari
TAKE HOME
MESSAGE
• Jagalah Kesehatan saluran cerna dengan
mengonsumsi nutrisi yang sehat dan
seimbang
• Konsumsi makronutrien dan
mikronutrien secara lengkap
• Jam makan, jenis makanan, dan proses
pemasakan sangat berperan
• Jaga indeks massa tubuh tetap ideal
• Tetap aktif untuk melakukan olahraga
ringan
• Ikuti protokol pemerintah
Thank you
@drcuthh