World Nutrition Journal (Indonesian Nutrition Association - INA)
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Lactate – from villain to guardian
Elevated plasma lactate level is a useful warning sign in patients presenting with a variety of critical illnesses. Our understanding of hyperlactatemia, however, has improved and we can no longer associate lactate itself with any harmful effects. Lactate is a crucial intracellular buffer, and a central molecule in the interorgan exchange of carbon and redox potential. While lactate levels correlate with severity of acidaemia in shock there is little evidence to support the commonly held view that its origin is mainly secondary to anaerobic metabolism because of reduced tissue oxygen delivery
The correlation between knowledge and behavior of reading composition label of packaged food on public 2 JHS and Giovani JHS students in Kupang
Background: Labels of packaged foods are used as guidelines for buying packaged food products. School students are a group at high risk to get illness through ingested food. Most of the snacks they consume contain flavorings and some chemicals which are certainly not good for their health.
Objective: To determine the relation between knowledge and behavior of reading the packaged food label composition on JHS students in Kupang.
Methods: This is an observational analytical study with a cross sectional design conducted at two schools located in Kupang City. 350 subjects were used in this study and divided into Group A consisting of 175 Public JHS students and Group B consisting of 175 Giovanni JHS students, using a google form questionnaire. The respondents were chosen by cluster random sampling technique. This study was analyzed bivariately using the Spearman correlation test.
Result: A total of 172 (98.3%) students of Public and Giovanni JHS have very good knowledge about reading the packaged food label composition. A total of 169 (96.5%) students of Public JHS have very good behavior of reading the packaged food label composition and a total of 99 (56.5%) students of Giovanni JHS have good behavior of reading the packaged food label composition.
Conclusion: There is a significant correlation (p = 0.004) between knowledge and behavior of reading the packaged food label composition on Public JHS students and there is also a significant correlation (p = 0.046) between knowledge and behavior of reading the packaged food label composition on Giovanni JHS students in Kupang.
 
Correlation of zinc intake with hair zinc levels and appetite in children aged 2-3 years in Jakarta
Background: Children under five years experience rapid growth and development, so that adequate nutritional intake is very important. Zinc is essential for child development and growth. Children’s zinc requirements are fulfilled from daily food intake that might be affected by Covid-19 pandemic. The aim of this study is to determine the correlation between zinc intake with hair zinc level and appetite in children aged 2-3 years in Jakarta.
Methods: This cross-sectional study was carried out from September to October 2020 in Kampung Melayu, Jakarta. Seventy children aged 2-3 years were taken using total population sampling method. Interviews were conducted to obtain characteristic data and zinc intake using semi quantitative-food frequency questionnaire (SQ-FFQ). Appetite were assessed using VAS appetite questionnaire. Hair samples were collected to check level of hair zinc. Spearman correlation was performed using SPSS.
Results: Median of zinc intake was 6 (1,2-22,5) mg/day, with 20% of the subjects had insufficient zinc intake. The median hair zinc value was 132 (30-451) µg/g, with 17,1% subjects zinc insufficient. The median of VAS appetite score was 54,5 mm. There were no significant correlation between zinc intake and hair zinc level (r = -0.077, p = 0.528). A weak positive correlation was found between appetite and hair zinc levels (r = 0,247, p = 0,039).
Conclusion: Zinc intake in children aged 2-3 years had no significant correlation with hair zinc level, and appetite had a weak positive correlation with hair zinc level
Special Group Discussion: The impact of nutritional status in the new era of COVID-19: patients, nutrients and lifestyle
The COVID-19 pandemic has created a new era, it altered many aspects of lives all over the world. Many studies found the changes in nutrient and dietary intake, habits and patterns, also food and nutrition supplement consumption in many countries. Changes in lifestyle, physical activity and excercise patterns were observed in many studies around the world as outcome of lockdown, isolation, or community movement restriction regulations imposed by governments during the COVID-19 pandemic
The Relation of Brinkman Index and Body Mass Index with Spirometry Result of Chronic Obstructive Pulmonary Disease (COPD) Outpatients in the Pulmonology and Respiratory Medicine Department of Zainoel Abidin General Hospital
Background: Chronic Obstructive Pulmonary Disease (COPD) is one of the major health problems worldwide. Smoking is the main risk factor of the COPD development. Not only COPD has clinical manifestations in the lungs, it also manifest outside lungs called systemic effects.One of systemic effects found in COPD patients is weight loss leading to declining lung function. This study aims to determine the relation of Brinkman Index and Body Mass Index (BMI) with spirometry result of COPD outpatients in RSUDZA.
Methods: The study was held in lung outpatients department in RSUDZA Banda Aceh on December 5th until 28th with cross sectional design The sampling method is nonprobability sampling with accidental sampling technique. Respondents consisted of 30 patients who had agreed to informed consent given. Medical record used to obtain Brinkman index, BMI, and spirometry result of the patients.
Results: The results of analysis shows majority of respondents are male (83,3%), dominated by 56-65 years age range (40,0%) and had moderate Brinkman Index (46,7%). The majority of respondents (53,3%) had an abnormal BMI (severe underweight (13,3%), underweight (6,7%), overweight (23,3%), and obese (10,0%)) and severe spirometry result (53,3%). The data was analyzed by the Spearman Correlation. With the Spearman Correlation, there was no association between Brinkman Index and spirometry result with p value 0,412 (p value >0,05). Meanwhile, there was an association between the BMI and spirometry result with p value 0,006 (p < 0,05). The strength of the correlation is moderate (rs =-0,488).
Conclusion: The lower the BMI, the more severe the spirometry result.
 
Social-emotional development in early life: what happens and how to optimize it
The Physical, metabolic, emotional, cognitive, and social development all begin to develop during early years of childhood.. Social and emotional competencies are increasingly recognized as critical for children's success, in school and in later phases of life into adulthood. According to new research, changes in the gastrointestinal tract's development during the early postnatal period can affect brain development and vice versa., collectively called the gut-brain axis. The gut microbiota has an impact on a variety of mental processes and phenomena, as well as being involved in the pathophysiology of a variety of mental and neurological diseases.. Insights in this area can be targeted through dietary treatments to improve cognitive outcomes in newborns by optimizing the link between the gastrointestinal system and the brain. Further, having a healthy and happy human life could be ensured by acquiring adequate and balance microbiot
Flavonoid intake and its correlation to malondialdehyde serum among reproductive-aged women with obesity
Background: Obesity modulates oxidative stress and can be detected by examining malondialdehyde (MDA) serum levels. Flavonoids are natural bioactive ingredients that can be found in various types of vegetables and fruits that function as antioxidants to suppress that oxidative stress.
Objective: This study aimed to determine the correlation between flavonoid intake and MDA serum levels in obese women of reproductive age.
Methods: This cross-sectional study was conducted in Kendari, Indonesia from April to October 2021. The purposive sampling method was used to obtain 88 subjects who met the research criteria. Data were collected through interviews covering flavonoids intake using validated SQ-FFQ. Anthropometric measurements were performed to assess nutritional status, and laboratory tests were applied to determine MDA serum levels.
Results: The average intake of flavonoids in the subjects was 142,26 ± 56,53 mg per day. Meanwhile, the average MDA serum level in the subjects was 2.16 mol/L, ranging from 1.09 nmol/ml to 6.71 nmol/ml. There was no significant correlation between total flavonoid intake and MDA serum levels in obese women of reproductive age (r=0,188, p=0,079). However, there was a weak correlation between the intake of flavonoid subclasses, namely flavan-3-ols/flavanols and MDA serum levels (r=0.325, p=0.002).
Conclusion: We conclude that there was no correlation between total flavonoid intake and MDA serum levels. However, there was a correlation between flavan-3-ols/flavanols and MDA serum levels in the subjects
Relationship between iron intake and iron status to stunted in children aged 24-35 months during the COVID-19 pandemic in Jakarta
Covid 19 pandemic has caused changes in the socioeconomic conditions, affects parents' ability to sustain their children nutritious food. If nutrients are insufficient for a long term is causing growth to be stunted
Feeding intolerance in critically ill patients with Covid-19
Approximately 0.5-1% of patients with COVID-19 develop respiratory failure, shock or multi-organ failure requiring intensive care unit admission. COVID-19 pneumonia is characterised by high fevers, increased energy utilisation and skeletal muscle catabolism. The delta variant has direct gastrointestinal effects resulting in diarrhoea, nausea, and vomiting. Combined these rapidly impair nutritional status. It is therefore important to quickly identify factors leading to feeding intolerance and manage them with a sense of urgency to prevent malnutrition during critical illness
Nutritional strategies in Covid-19 patients with gastrointestinal dysfunction
Nutritional support in infections, including that due to COVID-19, is a key aspect, as it has the potential to limit the severe intensity of inflammation, to modulate optimal immune responses, whilst, limiting the loss of lean-body mass, thereby promoting enhanced recovery. However, optimal function of the gastrointestinal tract is essential to provide adequate nutrition, with optimal digestion and absorption