World Nutrition Journal (Indonesian Nutrition Association - INA)
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Vitamin D deficiency and risk of myasthenia gravis: An evidence-based case report
Full text linkBackground: An autoimmune condition known as myasthenia gravis (MG) targets the receptors for neurotransmitter acetylcholine at the neuromuscular junction, resulting in inhibition of muscle contraction. This results in muscle weakness resulting in a decrease in quality of life. Immunoregulation and muscle contractility are known to play a role in vitamin D. Literature on how vitamin D affects myasthenia gravis risk has not been widely carried out and the results are still controversial.Objective: To evaluate the association between vitamin D and MG risk.Methods: The search of the literature was conducted from PubMed, Cochrane Library, Embase, and EBSCOhost with the eligibility criteria determined by the authors. The literature search was using MeSH Term, text word, and title/abstract.Results: Two articles were selected and critically appraised. The first article shows an odds ratio of 3.96 (CI95 1.26 to 12.52), which means that myasthenia gravis has vitamin D levels almost 4 times lower than healthy population. A case-control study that followed described a comparison of mean levels of vitamin D (25(OH)D) in myasthenia gravis (mean, 18.8±8.4 ng/mL) compared to healthy controls (26.3±6.1). ng/mL) (p <0.05). Both studies revealed a strong interaction between MG and vitamin D inadequacy. Conclusion: Both studies above support the theory that vitamin D deficiency is associated with the risk of developing MG
The Corelation Between Food Preferences and Nutritional Intake in Food Service at KH Mas Mansur Student Dormitory
No full textBackground
Having good nutritional knowledge is not enough to form a healthy diet in students, it needs to be supported by a good consumption environment, such as food service in dormitories. Providing healthy food and having good preferences needs to be conducted to increase students' food intake.
Objective
The purpose of this study was to see how the correlation of food preferences in the dormitory with the amount of nutrient intake in students who lived in the KH dormitory
Methods
This study used an analytic observational design with a cross sectional approach. The subjects of this study were students who lived in dormitories with a total population of 365 students. Data collection was carried out by direct interview method with a 24-hour recall form instrumen for 3 days.
Results
The results of the correlation test showed that food preferences in the dormitory were positively correlated with total energy (p=0.032) and protein (p=0.012) intake. There was no correlation between food preferences in the dormitory with intake of fat and carbohydrate.
Conclusions
The higher the students' preference for food in the dormitory, the higher their energy and protein intake. So in this case, it is important for food organizers in the dormitory to further improve food preferences in the dormitory to provide better nutritional intake for students
Changes in nutritional status, risk factors and food intake in stroke subjects: cohort study analysis of non-communicable disease risk factors
Full text linkBackground: Stroke is a major cause of death and disability worldwide, affecting 15 million people annually. In Indonesia, the prevalence is 10.9%. Major risk factors include high blood pressure, obesity, inactivity, poor diet, and smoking.
Objective: This study aims to analyze long-term trends in risk factors, nutritional status, and food intake among stroke patients from 2011-2021, assessing their impact on stroke incidence.
Methods: Data from a longitudinal cohort study of 5,329 subjects, including 215 stroke patients, were analyzed using Microsoft Excel 2019 and SAS software. ANOVA was used to assess annual changes in risk factors, nutritional status, and food intake. Survival analysis was conducted with SAS PROC LIFETEST and PROC LIFEREG.
Results: The cohort was primarily female (62.8%), aged 60 or older (57.2%), senior high school education (25.6%), civil servants (30.7%), and low income (57.2%). Significant changes were noted in BMI (p=0.037), fasting blood glucose (FBG) (p=0.001), HDL (p=0.049), abdominal circumference, smoking habits, physical activity (p<0.001), protein intake (p=0.026), and intake of energy, fat, carbohydrates, and sodium (p<0.001). Factors significantly associated with stroke included age, FBG, postprandial glucose, smoking (p<0.0001), LDL (p=0.0380), HDL (p=0.0126), physical activity (p=0.0455), energy intake (p=0.0002), fat intake (p=0.0007), and sodium intake (p=0.0012).
Conclusions: The study highlights significant changes in nutritional status, glucose levels, HDL cholesterol, physical activity, and smoking habits. These factors, along with age, cholesterol levels, and dietary intake, impact stroke incidence, underscoring the need for comprehensive stroke prevention strategies
Nourishing harmony: Exploring the role of nutrition in traditional chinese medicine
Full text linkTraditional Chinese Dietary Medicine (TCDM) has garnered increasing attention for its holistic approach to health and well-being, emphasizing the importance of balance and harmony within the body and its relationship with the environment. This subsection of Traditional Chinese medicine (TCM) integrates core principles such as Yin-Yang theory, Five Elements theory, and the concepts of Qi (vital energy) and Blood to provide a comprehensive framework for dietary recommendations
Effect of smartphone application with reminder on total fluid intake adequacy and hydration status among adults in Bontang, East Kalimantan
Full text linkBackground: About 41% adults in Kalimantan have inadequate total fluid intake (TFI), which is higher than national inadequacy (28%). Inadequate TFI may cause dehydration. The biggest barrier to comply with TFI is to forget to drink. Smartphone application, Hidrasiku with reminder, is expected to be useful in TFI adequacy which may affect hydration status.
Objective: This study aims to determine the effect of the Hidrasiku with reminder on the TFI adequacy and hydration status among adults in Bontang.
Methods: The design of this study was quasi-experimental and cluster sampling. Inclusion criteria were healthy men, age 19-64 years and having a smartphone. Participants suffering with diseases that affected fluid balance and on diet and fluid restriction were excluded. Data collection was conducted from April to June 2023 in Bontang. A total of 106 participants were allocated into two groups, intervention and control. Both groups used Hidrasiku for four weeks, with the intervention group activating the reminder while the control group didn’t. Adequacy of TFI and hydration status were assessed before-after intervention.
Results: A sample of 87 participants completed the study. The median age of the participants was 32 (19-61) years. At the end of intervention, there was significant difference in the TFI adequacy (90.2% vs 63.0%; p=0.003) and a significant increase in TFI +240 mL/day vs – 62.8 mL/day; p=0.002). Meanwhile no significant difference on hydration status (87.8% vs 73.9%; p=0.103).
Conclusions: Hidrasiku with reminder has effect on the TFI adequacy and no effect on hydration statu
Overview of fluid and macronutrient intake, knowledge and attitudes and eating behavior among private university medical students in Jakarta
Full text linkBackground: Adequate intake of micronutrients and fluids are important for study performance of students
Objective: To obtain an overview of macronutrient and fluid intake, also knowledge, attitudes, and healthy eating behavior of medical students from Krida Wacana Christian University (UKRIDA)
Methods: This is a cross sectional study conducted in October 2021 based on consecutive sampling. Height and weight was self-recorded, while the food and fluid intake was assessed via a phone interview using a 3-day diary. There were 97 students who met the inclusion and exclusion study’s criteria who participated in macronutrient and fluid intake data, and 90 of them for the knowledge, attitudes, and healthy eating behavior data.
Results: As much as 10.3% of the study participants were underweight, 41.2% normal, and 48.5% overweight-obese. For macronutrient intake, compared to the RDA, 95.9% of subjects had inadequate energy intake, 100% had inadequate carbohydrates intake, 85.6% for fat intake and 55.7% for protein intake. For fluid intake, 76.3% of respondents had less, 18.6% had adequate, 5.1% had more than RDA. For the nutrition knowledge, 85.6% of respondents had good, 12.2% had sufficient, and 2.2% had inadequate nutrition knowledge. For the respondents’ eating habits, 91.1% of respondents reported good, 7.8% adequate, and 1% non-healthy
Conclusion: Most of the subject had inadequate intake of energy, macronutrients, and fluids. Knowledge and attitudes towards healthy eating are mostly good, while healthy eating behavior can be further improved
Effect of vitamin D supplementation on lung function in chronic obstructive pulmonary disease patients: An evidence-based case report
Full text linkBackground: Chronic obstructive pulmonary disease (COPD) is characterized by progressive and persistent airflow obstruction together with an increased chronic inflammatory response, primarily caused by environmental exposure and smoking habit. Vitamin D deficiency is associated with increased rates of exacerbation and hospitalization in COPD patients. Recent studies have indicated a direct correlation between vitamin D deficiency and the severity of COPD, suggesting that acute exacerbation could be prevented with vitamin D supplementation. Some studies propose that correcting the serum vitamin D level may improve the prognosis for COPD patients experiencing respiratory tract infections.
Objective: The aim of this study was to determine the effect of vitamin D supplementation for lung function in COPD patient.
Methods: Literature search was carried out by advanced searching on Pubmed, Cochrane Library, and Scopus using a combination of MeSH Terms and Title/Abstract. Following screening for duplications, the literature obtained then screened according to predetermined eligibility criteria. The appropriate literatures were critically reviewed and the level of evidence in accordance with the Oxford Center for Evidence Based Medicine.
Results: One meta-analysis and three randomized controlled trial (RCT) met the PICO and eligibility criteria that had been set. Three studies concluded that vitamin D supplementation enhanced lung function in COPD patient. Vitamin D deficiency is common in COPD patients, so it is recommended to check vitamin D levels before vitamin D supplementation.
Conclusion: Vitamin D administration can improve lung function and prevent acute exacerbation in COPD patients
Development of a sports nutrition knowledge questionnaire for elite track and field athletes
Full text linkBackground: Satisfactory nutrition knowledge among athletes is important to encourage proper dietary habits to overcome deficiencies and enhance sports performance. Identifying knowledge gaps in sports nutrition is essential for improving athletes' understanding through a tool that evaluates both general nutrition knowledge (GNK) and sports nutrition knowledge (SNK). This study aims to develop the Athletic Sports Nutrition Knowledge Questionnaire (A-SNKQ) specifically for Sri Lankan track and field athletes.
Methods: The development of the A-SNKQ followed an extensive step-wise approach. Firstly, a systematic literature review was conducted on existing SNK questionnaires for athletes. Secondly, sports nutrition guidelines were incorporated into the questionnaire. Thirdly, information from local literature was gathered to ensure contextual relevance. Lastly, a qualitative study involving key athletic stakeholders was conducted to gain cultural insights.
Results: The final version of the questionnaire consists of 32 questions in 12 sub-sections under two main sections: GNK section covers macronutrients, micronutrients, energy balance, hydration, and weight management, SNK section addresses carbohydrate loading, pre-training, training and post-training meals, sports supplements, supplement label reading, isotonic drinks, doping, and relative energy deficiency syndrome in sports.
Conclusions: The GNK section addresses the fundamental nutritional concepts, while SNK focuses on the knowledge associated with the sporting performance of athletes
The importance of nutrition in the life cycle
Full text linkNutrition plays a crucial role from the moment of conception to the final years of life, shaping our health outcomes and improving quality of life. The importance of nutrition in one’s life starts even before birth: during pregnancy, the nutritional status of the mother affects fetal development and pregnancy outcomes. Supplementation of vitamins and minerals is also necessary to ensure optimum fetal growth without compromising the mother’s health
How to understand bisphenol A (BPA) information correctly: Is it safe for human health
Full text linkBisphenol A (BPA) is a synthetic chemical widely used in consumer products like polycarbonate plastics and epoxy resins. This presentation examines the sources, prevalence, and health impacts of BPA, alongside regulatory measures to mitigate its risks. BPA, not naturally occurring, enters the environment via industrial waste and consumer product degradation