World Nutrition Journal (Indonesian Nutrition Association - INA)
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A study of breakfast pattern in Indonesia, Malaysia, and Philippines
Get PDFThe quality of foods taken during breakfast could contribute in shaping diet quality. The International Breakfast Research Initiative (IBRI) conducted a standardized analysis of national nutrition surveys from Indonesia, Malaysia, and the Philippines to derive nutritional recommendations for a balanced breakfast
Impact of an oral nutritional supplement on improving body composition in older adults with malnutrition : A randomized controlled trial
Get PDFThe consequences of malnutrition in the elderly often manifest as weight loss and altered body composition. The aim of this study was to assess the efficacy of an oral nutritional supplement (ONS) on body composition in malnourished older adults
Association between minimum dietary diversity practice in children aged 6-23 months with nutritional status in east Jakarta 2020
Get PDFThe effects of malnutrition such as stunting, wasting, and underweight in the 1000 first days of life are irreversible, but is preventable by giving high quality complementary feeding practice. This study aims to examine the relationship between achievement of minimum dietary diversity (MDD) with nutritional status among children aged 6-23 months in East Jakarta during COVID-19 pandemic in 2020
Fueling growth and preventing stunting: the role of animal protein in achieving optimal nutrition - Indonesia's National Nutrition Day 2023 Theme
Get PDFPoor linear growth, currently defined as inadequate height to growth standards defined by the World Health Organization (WHO), is still a major problem in low-middle-income countries (LMICs) including Indonesia. The national survey results from 36.8% in 2007 to 30.8% in 2018 showed small differences in under-five years old children with height-for-age-Z-score less than -2 standard deviation (HAZ < -2 SD) from the growth reference or stunted.1 Though the Indonesian Nutrition Status Survey results showed an improvement in the stunting rate to 21.6% in 2022, the data revealed large regional disparities, ranging from 8% in Bali to 35.3% in East Nusa Tenggara.2
It is known that for children with stunted growth in early life, the risk of impaired health, mortality, and delayed neurocognitive and motor development is heightened. Moreover, tend to have a long-term effect of decreased performance in education, lower productivity and socioeconomics, and a higher risk of chronic diseases in adulthood.1,3
Stunting has many associated factors, including socioeconomic inequality, geographic differences, maternal factors, such as education, age, nutrition status, and infection; short birth intervals, low birth weight, and preterm birth, food insecurity, practices of feeding, nutrient deficiencies, such as protein, iron, zinc, calcium, and vitamins, childhood morbidity, and environmental. Low birth weight and length, unimproved sanitation, and low protein intake are the leading risk factors in developing countries, especially in the horticulture area.4,5  
Nutritional management of a malnourished cancer patient with high output ileostomy: A case Report
Get PDFHigh output stoma is a complication that may follow ileostomy formation, with an incidence of 23%. There is no general consensus on the limit of ileostomy production to be defined as high output. However, output of more than 2000 mL/day, can cause fluid and electrolyte imbalance, also malnutrition due to reduced nutrient absorption. Delay in recognition and treatment, especially in cancer patient with high risk of malnutrition, can further deteriorate patient’s nutritional status. A 43-year-old malnourished female with ascending colon cancer underwent tumor resection and ileocolostomy surgery. Starting from the third postoperative day, ileostomy effluent drastically increased to 2700 mL/day, causing severe hyponatremia, hypokalemia, and hypomagnesemia. Risk factors of high output stoma identified were routine prokinetic medication use and unresolved malignancy-related retroperitoneal abscess. Moreover, increment of food intake in the first days after surgery, specifically food high in insoluble fiber, was one of the contributing factors. High output stoma was then resolved by abscess drainage, discontinuation of prokinetic agent, and administration of antimotility agent. Hyponatremia and hypomagnesemia improved with correction, whereas hypokalemia needed longer time to resolve. Enteral nutrition was maintained and increased gradually to prevent further malnutrition. Oral hypotonic fluid intake was limited to 1000 mL/day and isotonic solution consumption was advised. High stoma production due to hypersecretory phase after ileostomy was expected, but thorough management would prevent patient’s deterioration that was caused by the fluid, electrolyte, and nutritional imbalances
The effect of intermittent fasting 5:2 on IL-6 levels in obese male employees in Jakarta
Get PDFBackground: Obesity is a condition of excessive fat accumulation in adipose tissue. This condition causes endothelial damage, increase macrophage infiltration, and inflammation in adipose tissue. Inflammation happens due to the increase of interleukin-6 (IL-6) as a proinflammatory cytokine which responsible for the occurrence of chronic diseases. Intermittent fasting is a potentially effective method for losing weight and suggested can reduce levels of proinflammatory cytokines.
Objective: The aim of this study is to determine the effect of 5:2 intermittent fasting on IL-6 cytokine levels in obese employees in Jakarta.
Methods: This study used a cross-sectional method conducted on 50 healthy male employees aged 19–52 years with a body mass index (BMI) ≥25 kg/m2. Subjects were divided into two groups, the 5:2 intermittent fasting group and the non-fasting group. Intermittent fasting 5:2 was observed every Monday and Thursday for eight weeks. IL-6 levels were obtained through examination using an enzyme-linked immunosorbent assay (ELISA) method. Statistical analysis was performed by Mann Whitney and Kruskal Wallis test.
Results: The results showed that the median of IL-6 levels decreased in fasting group from 5,10 (1.06–9.81) pg/mL to 4.64 (1.00–13.39) pg/mL and increased in non-fasting group from 3.65 (1.17–38.70) pg /mL to 6.35 (2.44–19.86) pg/mL, but the change was not significant.
Conclusion: Intermittent fasting 5:2 tend to decrease IL-6 levels in obese male employees in Jakarta although the change of IL-6 level was not significant
Purple cabbage (Brassica oleracea L.) cookies as nutraceutical product for Maintaining Healthy Heart
No full textPurple cabbage (Brassica oleracea L.) is one of the agricultural products that contain anthocyanins which have the potential as antioxidants. The amount of production in Indonesia is still relatively low due to a lack of consumer demand and a lack of innovation in its utilization. So it is necessary to make new innovations, one of which is by processing it into flour to make Almond Crispy which is then given the name "Ceamond Crispy". The reason Almond Crispy is made, because it is easy to process and can be consumed for a long time. This study aims to determine the anthocyanin compounds contained in processed food "Ceamond Crispy". Almond Crispy is made with a ratio of purple cabbage flour and moderate protein flour in 3 formulations namely formulation 1 (1:2), formulation 2 (1:1), and formulation 3 (2:1). This research was conducted by organoleptic test, anthocyanin, nutritional content. Therefore, it can be concluded that the organoleptic test results obtained brown color, taste like chocolate, vanilla aroma, and crunchy texture. The anthocyanin test results obtained positive results in all three formulations. The results of the nutritional content test showed that the 3 formulations contained the same protein, carbohydrates (starch), and carbohydrates (glucose), but did not contain fat. The results of the preference test showed that formulation 3 was the most preferred formulation. Thus, proving that "Ceamond Crispy" can be received with a positive response by the community and has the potential to be developed into an innovative food that is beneficial for the heart. Thus, proving that "Ceamond Crispy" is safe for consumption by the public and can be developed into innovative foods that are beneficial for heart health
Malnutrition and lung cavity formation in pulmonary tuberculosis patients
Get PDFBackground: Tuberculosis (TB) is an infectious disease and still major public health threat globally, also one of the leading causes of death worldwide. One of the characteristics found in pulmonary TB patient is lung cavity on their chest radiograph. This is related to many aspects, including slower conversion of sputum cultures, treatment failure and relapse, drug resistance, higher bacillary load, even higher infection transmission rates. Some studies before had found that the lung cavity is affected by many factors, such as elder age, sex, diabetes mellitus, and malnutrition. Meanwhile, malnutrition itself in pulmonary TB patients is found to be related to each other, this article review how malnutrition affects the formation of lung cavity in pulmonary TB patients.
Objective: To observe the relationship between malnutrition and lung cavity formation in pulmonary tuberculosis patients.
Method: In this paper, we provide a literature review. The method to achieve the objective consists of using literature exploration, which was conducted from October 2022-February 2023 by searching the relevant studies from several databases.
Results: Cavity formation in pulmonary TB patients is a complex mechanism from many factors contributing, including the immune system of the host. Studies show that malnutrition in pulmonary TB patients plays important role linked to lung cavity formation since malnutrition affects both innate and cellular immune response in host.
Conclusion: Malnutrition is more predominating in pulmonary TB patients and is related to incidence of lung cavity in pulmonary TB patients, therefore plays role in the severity of the disease in pulmonary TB
Relationship between spacing of pregnancy and incidence of anemia in Multipara
Get PDFIndonesia has a high prevalence of anemia in pregnant women, generally caused by iron deficiency. Pregnancy spacing <2 years, especially in multiparas, can affect the incidence of anemia which can cause miscarriage, premature birth, prolonged labor due to uterine muscle fatigue during contractions, postpartum bleeding due to the absence of uterine muscle contractions (uterine atony) and shock
External validation test of body height estimation on outpatient radiotherapy clinic of Dr. Cipto Mangunkusumo General Hospital
Get PDFBackground : Stature is required to calculate body mass index and determine the energy needs of patients in nutritional medical therapy. Difficulty was found to obtain stature data in patients who are unable to stand. Therefore, there are some height estimation formula to predict the actual height using knee height. This study aimed to validate the Chumlea formula on outpatient clinic of Dr. Cipto Mangunkusumo General Hospital, Indonesia.
Methods : This cross-sectional study used 90 respondents selected by consecutive sampling. Actual height, knee height, age and gender data were collected. Estimated height using the three of Chumlea formula. Pearson correlation was used to see the correlation between actual height and estimated height. Paired t-test were used to determine the difference significance.
Results : The average age of the subjects was 45±10 years old with actual height 157±10 cm, and knee height 48.8±3.5 cm. A strong positive correlation was found between actual height with all estimated height on male (p=0.000; r > 0.8) and female subjects (p=0.000; r > 0.6). However, comparison between actual height and estimated height showed no significant differences only in Chumlea L1 formula (p=0.087) and Chumlea L3 formula (p=0.824) on the male subjects.
Conclusions : Chumlea L1 and Chumlea L3 formula was a valid fomulation for calculating the estimated body height in adult male patients. There was no valid Chumlea’s formulation to estimate body height in female patients