World Nutrition Journal (Indonesian Nutrition Association - INA)
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Vitamin D supplementation in critically ill patients: pros and cons
Get PDFTraumatic Brain Injury (TBI) is a leading cause of death in patients admitted to the intensive care unit. Vitamin D or calciferol is a steroidal compound made of cholesterol with healing properties due to its specific receptors (vitamin D receptors) in the nucleus of brain cells and its protective properties against nervous tissue in addition to its anti-inflammatory effects.
This study is a double-blind randomized clinical trial that was performed on 72 patients with severe brain injury with a mean age of 34-50 years. They were randomly assigned to the study, thus intervention and control groups received vitamin D with a dose of 100,000 units and a dose of 1000 units for 5 days, respectively
Knowledge, attitude, and behavior regarding hydration of fluid intake of a university’s students in Jakarta
Get PDFAdequate body fluid is beneficial for maintaining physiology, cognitive function, and concentration, which are important for students. The purpose of this study was to determine knowledge, attitude, and behavior regarding hydration and fluid consumption and fluis intake of university students in Jakarta
The Effectiveness of Polydioxanone (PDO) Thread-Embedding Acupuncture in Adult Patients with Obesity: Case reports
Get PDFBackground: Obesity is a chronic condition defined as excess body fat which is diagnosed based on body mass index, abdominal circumference, and is associated with an increased risk of various diseases. Conservative management is often hard to comply with, unsuccessfully, and expensive, while acupuncture with its variety of modalities can be an option.
Case: A therapy with polydioxanone thread embedding on acupuncture points along with other acupuncture modalities were performed in three cases of obese patients according to their etiology and conditions.
Results: Based on the three cases of obese patients with PDO thread embedding acupuncture alone or combined with cupping, plum blossom and moxibustion modalities are beneficial in decreasing abdominal circumference. The effect after 2 months follow up respectively using abdominal circumference measurement 5 cm above the umbilicus -2 cm ( from 110 to 99cm);- 3 cm (from 90 to 87 cm); -8 cm (from 88 to 80 cm), umbilicus to umbilicus -6 cm (from 107 to 101 cm); 10 cm (from 103 to 93 cm); 7 cm (from 93 to 86 cm), 5 cm below umbilicus -1 cm (from 106 to 105 cm); -5 cm (from 107.5 to 102.5 cm); -6 cm (from 104 to 98 cm). No serious side effects occurred in the three cases.
Conclusion: PDO thread embedding can be beneficial in treating obese patients. However, these results require further research.
 
Effect of oral iron supplementation on functional capacity in heart failure patients: Evidence Based Case Report
No full textIntroduction: Cardiovascular disease is the leading cause of mortality worldwide. Heart failure (HF) accounts for 13.4% of deaths and reduces the quality of life of patients. Iron- deficiency is a common condition found in heart failure patients, often occurs due to decrease in iron intake, absorption, and chronic inflammation. Oral iron supplementation is a low-cost and easy alternative for iron-deficiency management in heart failure patients. Method: Literature search was conducted using advanced searching in three large databases: PubMed, Cochrane Library, and Google Scholar. MeSH terms, advanced search and eligibility criteria were used for title and abstract screening after removing duplicates. Critical assessment tools and levels of evidence of the final articles are based on the Oxford Center for Evidence-Based Medicine.
Results: Two systematic reviews and meta-analyses and two RCTs met the PICO and eligibility criteria that had been set. Two systematic reviews and meta-analyses found that oral iron supplementation did not improve the functional capacity of heart failure patients, while the two RCTs found an improvement in functional capacity in heart failure patients who received oral iron supplementation.
Conclusion: Based on critical reviews that have been carried out, currently we do not recommend oral iron supplementation in heart failure patients. Further research may potentially provide different recommendations as oral iron therapy evolves
How COVID-19 pandemic affected nutrition behaviors
Get PDFCoronavirus disease (COVID-19) had started as a global pandemic and public health emergency back in year 2020. Starting in year 2023, which was a little more than three years afterwards, World Health Organization (WHO) removed COVID-19’s public health emergency status.1 During the past three years, the pandemic, quarantine, and lockdown policy had changed many aspects in life, sosio-economic and public health alike. This included nutrition behaviors which significantly affected the global population’s nutritional status. A study to adults and elderly living independently in Amsterdams revealed an increase of nutritional behavior presdisposing to overnutrition, such as more snacking and decreased physical activity to those who had not been in quarantine. Whereas those who were in quarantine, behavior changes related to undernutrition, such as eating less, skipping meals, and drinking more alcoholic beverages, were more seen in the study results.2 An online survey study to lockdown countries e.g Europe, North-Africa, Western Asia, and United States showed a decrease in both frequency and the duration of physical activity, included an increase of time spent in sedentary behavior. The study also revealed a significant increase in consuming unhealthy food, eating out of control, snacking between meals, alcohol binge drinking, and number of main meals per day.3An online study to students in Indonesia showed changes in eating patterns consisted of increased meal portions and snacks. The sedentary behavior was also excalated.4 What factors contributed to these changes? As we all aware, confinement influence our daily activities and mental health. Those who usually commute to the office had to work from home thus limiting physical activities. We also saw the increased numbers of anxiety, depression, and boredom which may led to more snackings or skipping meals.We had learned that the restriction to stay at home had influenced dietary and physical activity. These changes may or may not expected, however, they surely altered global nutritional status. The numbers of overweight and obesity are more prevalent post-pandemic thus may lead to the increase of non-communicable diseases.We certainly hope that there will be no more pandemic which warrants lockdown in the future, however the future itself is not a certainty. In the present, we will have to tackle many nutritional-related problems in any population. Within the course of time, if a similar pandemic should occur, we might have to compile a public health, nutrition, mental health, and physical activity policy to minimize the problems
Extreme obesity in the intensive care unit
Get PDFMorbid obesity is a highly serious condition that significantly impairs health worldwide. This is especially prominent during the COVID-19 pandemic, as lockdowns and reduced physical activity contributed to the problem. Overweight and obese adults are at a higher risk of various acute and chronic medical conditions, including hypertension, heart disease, diabetes, respiratory problems, certain cancers, gout, and arthritis. While some individuals may have higher muscle or bone mass accounting for excess weight, the majority of those exceeding 20% of their ideal body weight have excessive fat. Disturbingly, obesity rates in the USA have been progressively increasing since the first survey conducted in 1960. Recent data shows that obesity prevalence in the USA is three times higher than in France and one-and-a-half times higher than in England. Given the widespread nature of obesity and its association with numerous diseases, it is not surprising that many obese patients require treatment in the intensive care unit (ICU)
A corellation between adult body mass index and waist circumference and blood pressure at the primary health care of Gribig
Get PDFOver 17 million deaths are caused by cardiovascular disease due to high blood pressure. It is estimated that nearly 1.3 billion adults have high blood pressure in 2021, according to the World Health Organization (WHO). A significant factor affecting blood pressure is obesity. Body Mass Index (BMI) and Waist Circumference measurements can detect obesity in anthropometric examinations
The role of folate in the management of insulin resistance in adults : a systematic review
Get PDFInsulin resistance (IR) is one of the main risk factors for type 2 diabetes. IR employs a heavy economic burden, and the prevalence rate of IR in Indonesia is high. Homeostasis model of assessment-insulin resistance (HOMA-IR) is proven to be a great clinical tool to assess IR. Nutrition intervention should be the primary focus in treating IR. Folate is proven to be effective in lowering homocysteine concentrations, which is one of the risk factors for IR. This study aimed to summarize the role of folate in the management of IR in adults
Home not alone : transition from hospital to home nutrition care, what to consider?
Get PDFMalnutrition is said to be the “skeleton in the hospital closet”, mainly because it is overlooked undiagnosed, and untreated. This applies to the “home closet” as well, often being forgotten in the discharge planning and transition from hospital to home.
Family physicians are well-qualified to provide home health care since this requires continuing and comprehensive management in a family context. It is the family physician that can initiate the decision to transition to home care, and is directly involved in the planning and coordination of the services
The Role of Dietary Fiber or Prebiotics in Atopic Dermatitis
Get PDFIntroduction: Atopic Dermatitis (AD) is a chronic inflammatory skin condition with itchy eczematous lesions, mostly found in children, and may affect a patient’s quality of life. Individuals with AD were found to have dysbiosis of gut microbial, which may alter the immunologic tolerance of mucosa, causing inflammation and affecting skin conditions. Dietary fiber or prebiotics consumption may have a role in reversing dysbiosis and may affect AD. In this literature review, the authors would like to further explore the role of dietary fiber or prebiotics in the prevention and severity of AD/
Methods: Relevant literature research was conducted in several sources: Pubmed, EBSCOHOST, Proquest, and Google Scholar, using keywords “atopic dermatitis, atopic eczema, dietary fiber, prebiotic, nutrition.” Studies published within the last 10 years were included.
Discussions: Dietary fiber, particularly soluble fibers and those which can be fermented by gut bacteria (including prebiotics), plays a role in maintaining homeostasis of normal gut flora by producing SCFA, which increases the gut barrier, has anti-inflammatory properties, balances Th1/Th2 ratio, increases lymphocytes in gut-associated lymphoid tissues (GALT) system, and increases secretion of intestinal IgA. The role of dietary fiber/prebiotics in the prevention or decreasing rate of AD is still a matter of debate. Several studies showed no effect or correlation of prebiotic supplementation in decreasing the AD rate in pregnant women or babies with a high risk of atopy. On the other hand, several studies on prebiotic supplementation for babies and children have shown the benefits of prebiotic supplementation in preventing allergies (AD, rhinoconjunctivitis, and urticaria).
Conclusion: The role of dietary fiber/prebiotics in preventing or treating AD is still a matter of debate. Different study results make it difficult to conclude the clinical effect of prebiotics in allergy prevention, particularly AD. This may be caused by the heterogeneous studies and the limited number of studies on humans. Further studies (RCT) involving large-scale respondents are needed to define the effects of prebiotic supplementation in the prevention or alternative therapy for AD