Association between diet quality and nutritional status in heart failure patients: A cross-sectional study
Abstract
ABSTRAK
Latar belakang:Gagal jantung merupakan penyakit dengan angka kejadian dan kematian yang tinggi, yang menyerang 64,34 juta orang di seluruh dunia. Di Indonesia, lebih dari 1,5% penduduk, atau sekitar 1.017.290 orang, telah didiagnosis menderita gagal jantung. Kondisi ini memiliki angka kematian yang signifikan, dengan 9,91 juta kematian di seluruh dunia. Faktor gaya hidup, seperti pola makan, memegang peranan penting dalam perkembangannya.
Tujuan: Mengetahui apakah terdapat hubungan antara kualitas diet dengan status gizi pada pasien dengan gagal jantung
Metode: Penelitian ini menggunakan desain cross-sectional. Penelitian dilaksanakan di RSU Siaga Medika Purbalingga dengan jumlah responden sebanyak 110 orang menggunakan metode consecutive sampling dengan kriteria inklusi pasien gagal jantung kongestif dengan rentan usia 17 - <65 tahun baik wanita maupun pria. Data asupan makan dikumpulkan menggunakan kuesioner Recall 24 Hours dan formulir Diet Quality Index International (DQI-I) Data asupan makanan akan diolah menjadi beberapa jenis asupan makanan yang nantinya akan dihitung menggunakan perangkat lunak berupa nutrisurvey. Analisis statistic yang digunakan pada penelitian ini adalah uji fisher dan juga uji mann- whitney
Hasil: analisis menunjukkan bahwa tidak ada hubungan yang signifikan antara kualitas diet dengan status gizi pada pasien dengan gagal jantung, dengan p-value sebesar 0.883. P-value lebih besar dari nilai signifikansi yang biasanya digunakan menunjukkan bahwa tidak terdapat hubungan antara kualitas diet dengan status gizi.
Kesimpulan: Hubungan antara kualitas diet dengan status gizi pada pasien dengan gagal jantung didapatkan hasil yang tidak signifikan. Subjek/ responden penelitian ini tidak terlalu banyak, pada penelitian selanjutnya dapat dilakukan dengan subjek/ responden lebih banyak sehingga mendapatkan hasil yang mungkin bisa dijandikan acuan lainnya untuk pengemabangan pada penelitian selanjutnya dengan variable atau penyakit berbeda.
Kata kunci: Diet Quality Index-International (DQI-I); diet recall 24 hours; gagal jantung; kualitas diet; status gizi
ABSTRACT
Background: Heart failure is a disease with a high incidence and mortality rate, affecting 64.34 million people worldwide. In Indonesia, over 1.5% of the population, or approximately 1,017,290 individuals, have been diagnosed with heart failure. This condition has a significant mortality rate, with 9.91 million deaths attributed to it globally. Lifestyle factors, such as diet, play a crucial role in its development.
Objectives: to determine whether there is a relationship between diet quality and nutritional status in patients with heart failure.
Method: The research was carried out at RSU Siaga Medika Purbalingga with a total of 110 respondents using the consecutive method with the inclusion criteria of heart failure patients aged 17 - <65 years, both women and men. The method used is a cross-sectional study in the form of analytical observational data collection techniques using a questionnaire in the form of a 24 Hour Diet Recall and Diet Quality Index International (DQI-I) form and interviews are conducted by signing an informed consent. The data obtained from the interviews in the form of food intake data will be processed and divided into several types of food intake which will later be calculated using software in the form of nutrisurvey. The statistical analysis used in this study is the Fisher test and the Mann-Whitney test.
Results: The analysis showed that there was no significant relationship between diet quality and nutritional status in patients with heart failure, with a p-value of 0.883. This p-value is greater than the significance value usually used, indicating that there is no relationship between diet quality and nutritional status.
Conclusions: The relationship between diet quality and nutritional status in patients with heart failure obtained insignificant results. The subjects/respondents of this study were not too many, in further research it can be done with more subjects/respondents so that the results can be used as other references for development in further research with different variables or diseases.
Keywords: diet quality; Diet Quality Index-International (DQI-I); diet recall 24 hours; heart failure; nutritional status
Article submitted on January 31, 2025; Articles revised on February 18, 2025; Articles received on July 04, 2025; Articles available online on November 29, 2025
Keywords
References
McDonagh TA, Metra M, Adamo M, Gardner RS, Baumbach A, Böhm M, et al. Corrigendum to: 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: Developed by the Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) With the special contribution of the Heart Failure Association (HFA) of the ESC. European Heart Journal [Internet]. 2021 Dec 21 [cited 2024 Dec 22];42(48):4901–4901. https://doi.org/10.1002/ejhf.2333
Bozkurt B, Coats AJS, Tsutsui H, Abdelhamid CM, Adamopoulos S, Albert N, et al. Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure: Endorsed by the Canadian Heart Failure Society, Heart Failure Association of India, Cardiac Society of Australia and New Zealand, and Chinese Heart Failure Association. European J of Heart Fail [Internet]. 2021 Mar [cited 2025 Feb 23];23(3):352–80. https://doi.org/10.1002/ejhf.2115
Lippi G, Sanchis-Gomar F. Global epidemiology and future trends of heart failure. AME Med J [Internet]. 2020 Jun [cited 2024 Nov 10];5:15–15. https://doi.org/10.21037/amj.2020.03.03
Tim Riset Kesehatan Dasar 2018 (Indonesia), Indonesia, editors. Laporan nasional Riskesdas 2018. Jakarta: Kementerian Kesehatan, Republik Indonesia, Badan Penelitian dan Pengembangan Kesehatan; 2019. 628 p.
Latifardani R, Hudiyawati D. Fatigue Berhubungan dengan Kualitas Hidup pada Pasien Gagal Jantung. JKS [Internet]. 2023 May 31 [cited 2024 Nov 10];6(2):1756–66. https://doi.org/10.31539/jks.v6i2.5697
Abdullah A, Norfai N. Analisis Status Gizi Dengan Prestasi Belajar Pada Siswa Di SDN Mawar 8 Kota Banjarmasin. JKI [Internet]. 2019 Jun 11 [cited 2024 Nov 10];9(2):53. Available from: http://journal.stikeshb.ac.id/index.php/jurkessia/article/view/162
Amalia NN, Dieny FF, Candra A, Nissa C. Hubungan daya terima makanan dengan kualitas diet pada santri. Gizindo [Internet]. 2023 Mar 29 [cited 2024 Nov 10];46(1):43–56. https://doi.org/10.36457/gizindo.v46i1.761
Nur Fikrianti1, Ratnayani2,Tri Ardianti Khasanah3. [Nutritional Status And Consumption Of High Saturated Fat Food With Coronary Heart Disease Amongst Patients At Harapan Kita Cardiovascular Hospital]. Jurnal Gizi dan Kesehatan (JGK) Volume 4 No.1, Juni 2024. DOI : https://doi.org/10.36086/jgk.v3i2
Kim S, Haines PS, Siega-Riz AM, Popkin BM. The Diet Quality Index-International (DQI-I) Provides an Effective Tool for Cross-National Comparison of Diet Quality as Illustrated by China and the United States. The Journal of Nutrition [Internet]. 2003 Nov [cited 2024 Nov 10];133(11):3476–84. https://doi.org/10.1093/jn/133.11.3476
Weir CB,Jan A. BMI Classification Percentile and Cut Off Points. [Updated 2023 Jun 26] In: StatPearls [Internet] Treasure Island (FL): StatPearls Publishing; 2025 Jan- [Internet]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541070/
Purwowiyoto SL, Trifena G. Diet dan nutrisi pasien gagal jantung: Tinjauan mini bagi praktisi klinis. ARGIPA [Internet]. 2021 Dec 6 [cited 2024 Nov 10];6(2):111–21. https://doi.org/10.22236/argipa.v6i2.7187
Astrup A, Magkos F, Bier DM, Brenna JT, De Oliveira Otto MC, Hill JO, et al. Saturated Fats and Health: A Reassessment and Proposal for Food-Based Recommendations. Journal of the American College of Cardiology [Internet]. 2020 Aug [cited 2024 Dec 10];76(7):844–57. https://doi.org/10.1016/j.jacc.2020.05.077
Lăcătușu CM, Grigorescu ED, Floria M, Onofriescu A, Mihai BM. The Mediterranean Diet: From an Environment-Driven Food Culture to an Emerging Medical Prescription. IJERPH [Internet]. 2019 Mar 15 [cited 2024 Dec 10];16(6):942. https://doi.org/10.3390/ijerph16060942
Wickman BE, Enkhmaa B, Ridberg R, Romero E, Cadeiras M, Meyers F, et al. Dietary Management of Heart Failure: DASH Diet and Precision Nutrition Perspectives. Nutrients [Internet]. 2021 Dec 10 [cited 2024 Dec 10];13(12):4424. https://doi.org/10.3390/nu13124424
Miskiyah A, Briawan D. Kualitas Diet, Aktivitas Fisik, dan Status Gizi Remaja Selama Masa Pandemi Covid-19 di Kota Bogor: Diet Quality, Physical Activity, and Nutritional Status of Adolescents During the Covid-19 Pandemic in Bogor City. JGizDiet [Internet]. 2022 Jun 13 [cited 2024 Nov 10];1(1):8–15. https://doi.org/10.25182/jigd.2022.1.1.8-15
Mardiana M, Lestari YN, Prameswari GN. Quality of Diet and Nutritional Status on Male Young Athletes in Central Java. Kemas [Internet]. 2022 Mar 17 [cited 2024 Nov 17];17(3):444–52. https://doi.org/10.15294/kemas.v17i3.33771
Goshen A, Goldbourt U, Benyamini Y, Shimony T, Keinan-Boker L, Gerber Y. Association of Diet Quality With Longevity and Successful Aging in Israeli Adults 65 Years or Older. JAMA Netw Open [Internet]. 2022 Jun 1 [cited 2024 Nov 17];5(6):e2214916. https://doi.org/10.1001/jamanetworkopen.2022.14916
Ding D, Van Buskirk J, Partridge S, Clare P, Giovannucci E, Bauman A, et al. The association of diet quality and physical activity with cardiovascular disease and mortality in 85,545 older Australians: A longitudinal study. Journal of Sport and Health Science [Internet]. 2024 Nov [cited 2024 Nov 17];13(6):841–50. https://doi.org/10.1016/j.jshs.2024.05.011
Restutiwati F, Murbawani EA, Rahadiyanti A. Kualitas diet, aktivitas fisik, dan status gizi pada perokok dewasa awal. J NutriColl [Internet]. 2019 Nov 25 [cited 2024 Nov 10];8(3):156–63. https://doi.org/10.14710/jnc.v8i3.25805
Luo T, Tseng TS. Diet quality as assessed by the healthy eating index-2020 among different smoking status: an analysis of national health and nutrition examination survey (NHANES) data from 2005 to 2018. BMC Public Health [Internet]. 2024 May 2 [cited 2025 Feb 26];24(1):1212. https://doi.org/10.1186/s12889-024-18630-7
Gal AM, Arhire LI, Gherasim A, Graur M, Nita O, Dumitrascu O, et al. Association between Diet Quality and Eating Behavior in Type 2 Diabetes Adults: A Cross-Sectional Study. Nutrients [Internet]. 2024 Jun 27 [cited 2024 Nov 18];16(13):2047. https://doi.org/10.3390/nu16132047
Herlina H, Virgia V, Wardani RA. Hubungan antara body image dan jenis kelamin terhadap pola makan pada remaja. ec [Internet]. 2023 Jul 29 [cited 2025 Feb 27];1(1):1–13. https://doi.org/10.56586/ec.v1i1.1
DOI: http://dx.doi.org/10.21927/ijnd.2025.0(0).%25p
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