World Nutrition Journal (Indonesian Nutrition Association - INA)
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Nutrition for elderly individuals during the Covid-19 pandemic
Aging process, genetic factor, lifestyle, and disease(s) give contribution to the phenotype of robust, prefrail or frail elderly. The frailer the elderly, the more vulnerable they become to poor health outcomes. Aged patients are more likely to have adverse outcomes from Coronavirus disease-19 (COVID-19). Recovery from such disease also take a longer time compared to the younger age grou
The association between dietary diversity, social assistance, and coping strategy with household food security during COVID-19 in Tulungagung District, East Java
Background : Food insecurity is still prevalent in Indonesia and COVID-19 impacts led to severe and widespread increases in food insecurity, affecting vulnerable households with impacts expected to continue into 2022 and possibly beyond.
Objective : This study aimed to determine the association between dietary diversity, social assistance, and coping strategies with food security during COVID-19 in Tulungagung, East Java.
Methods : This cross-sectional study was conducted in Tulungagung District, East Java with interviewed using telephone from May to July 2021. Multistage random sampling was conducted to 187 parents (mother or father). The study used structured questionnaire for socio demographic background, Household Food Insecure Assess Scale (HFIAS), dietary diversity scale, coping strategy index instruments to collect the data.
Results : This study found the prevalence of food insecurity in Tulungagung were 56.1%. There was association between income (p=0.021, OR= 2.388(1.123-5.079)), dietary diversity (p=0.007, OR=3.400(1.440-8.200)), number of coping strategies (p=<0.001, OR=10.020(5.055-9.861)), and coping strategies food compromisation (p=<0.00, OR=13.337(5.835-3.485)) with food security.
Conclusions : Most households have faced food insecurity because of lower income during the pandemic, have low dietary diversity, and tend to use coping strategy to survive. By this finding, it is important for government to give priority and focus on vulnerable household in social assistance for the long term and more focused to build up human capital among households through skill and training to ensure the resilience of food security
Nutrients against adipogenesis : aim to cheating age or weight reduction
Obesity is associated with increased risk of conditions such as type 2 diabetes, CHD, hypertension, dyslipidaemia (which are often included in the so-called metabolic syndrome), gall stones, certain types of cancer (breast and colon), osteoarthritis, non-alcoholic steatohepatitis, sleep apnoea, infertility, and many psychological conditions. Moreover, there is a marked reduction in life expectancy of the order of several years
The role of nutritional medical therapy on nutritional status, functional capacity and quality of life of pulmonary tuberculosis patients with difficulty
Pulmonary tuberculosis (pulmonary TB) is a chronic infectious disease with high levels of morbidity and mortality. Metabolic changes due to tuberculosis Mycobacterium infection and activation of the neurohormonal system contribute to the occurrence of malnutrition, which can have a negative effect on the prognosis of patients with pulmonary TB, as well as decreased functional capacity and quality of life. The provision of medical nutrition therapy from the beginning of diagnosis is upheld, supporting the recovery process of TB patients. In this series of cases, there were four cases of Pulmonary TB patients with difficulty, namely TB billion, chronic obstructive pulmonary disease (COPD), and meningitis TB. At the beginning of the examination, there was a deficiency of macronutrients and micronutrients, hypoalbuminemia, anemia, and decreased functional capacity and quality of life. Medical nutrition therapy is administered individually, according to clinical conditions such as TB with mild, moderate and severe malnutrition, those are gradually weight loss and muscle wasting when the symptoms start until treated in intensive care unit (ICU) and hospital ward. According to laboratory parameters such as anemia, hypoalbuminemia, and a history of food intake analysis such as hypocaloric and starvation
The needs of vitamin in medical ill patients
Vitamin deficiency is often appeared in medical ill patients. The vitamin deficiency can be deficiency favouring disease development, inadequacy or deficit worsening the condition, or deficiency as a result of disease. Recommendation number 1 from ESPEN micronutrient guideline 2022 is adequate amounts of all essential trace elements and vitamins shall be supplied to all patients receiving medical nutrition from the beginning of the period of nutritional support. 
Probiotic as an adjuvant preventive treatment for ventilator associated pneumonia: an evidence-based case report
Background and objectives : Ventilator-associated pneumonia (VAP) is one of the most frequent nosocomial infections in patients requiring mechanical ventilation. It leads to prolonged duration of mechanical ventilation and ICU stay that is associated with a high rate of mortality, and the increase of healthcare burden. There have been various attempts to reduce the incidence of VAP including the use of antibiotics, but neither of these has conclusively shown to be beneficial. Probiotics have preventive effects in VAP through the suppression of pathogenic bacteria, enhancement of innate immunity, and promotion of epithelial barrier function. This study aimed to find out the efficacy of probiotic as adjuvant preventive treatment in patients with high risk of VAP
Perioperative Nutrition
Modern perioperative care is making steady advances in achieving optimal recovery for patients using the concept of early recovery after surgery (ERAS). Perioperative nutrition plays an important part in ERAS care and opportunities for nutritional interventions present for weeks up to hours before an operation, as well as in the postoperative period. Despite that malnutrition and suboptimal nutrition in surgical patients, particularly in those presenting with cancer, is very common
The role of prebiotics and nutrition in early stages for brain and socio-emotional development : A literature review
Introduction. The first 1000 days of life is the most crucial period for physical and neuro-emotional development. Since prenatal, the organ development had started and affected by many factors. Healthy neurodevelopment is dependent on socioeconomic, interpersonal and/or family, and nutritional factors. Macro- and micro-nutrients deficiencies may disrupt neurodevelopmental process. Iron, zinc, and iodium has been proven to affect brain development intrauterine and continues after birth. Prebiotics also play a role in neurodevelopmental through brain-gut-axis, but also beneficial on overall health.
Methods. Advanced search for relevant literatures in PubMed, Cochrane, and Willey was conducted. After assessing the relevancy and eligibility, articles were selected and critically appraised.
Conclusions. Prebiotics supplementation is beneficial in promoting gut health, thus also play a role in immune pathway and influence brain function. Many studies also shown that prebiotics might be used as additional therapy in diseases that related to gut health i.e functional gastrointestinal disorders, obesity, and allergy
Medical nutrition therapy and vitamin D supplementation improved nutritional status and quality of life in relapse systemic lupus erythematosus patient : A case report
Medical nutrition therapy (MNT) plays pivotal role in comprehensive management of autoimmune disease, includes systemic lupus erythematosus (SLE). Meanwhile, MNT for SLE is still not a concern in many international clinical practice guidelines. Many studies reported about nutritional declines and metabolic complications related to long term corticosteroid use in SLE patients, i.e. malnutrition, sarcopenia, hypovitaminosis D, hypertension and etc. Besides, obesity is more expected become important risk factor in SLE
Factors associated with physical inactivity among community dwelling adults in Umuahia, Nigeria : Physical inactivity among community dwelling adults
Background: Considerable evidence suggests that physical inactivity contributes to the magnitude of non-communicable diseases (NCDs) and is responsible for premature deaths globally.
Objective: This study aimed to examine physical inactivity and associated factors among community dwelling adults in Abia State, Nigeria.
Methods: A total of 868 community-dwelling adults (20 to 59 years) were sampled in a cross- sectional survey using multistage sampling technique. A validated questionnaire was used to collect information on sociodemographic and lifestyle characteristics. Weight and height were measured and used to calculate the body mass index (BMI). The Global Physical Activity Questionnaire (GPAQ) was used to collect data on physical activity status. Univariate and multivariate logistic regression were used to assess the relationship between physical inactivity and associated factors at p<0.05.
Results: The prevalence of physical inactivity was 49.8% (48.5% in males and 51.0% in females), while combined overweight and obesity was 39.4%. In the adjusted model, physical inactivity was associated with older age (OR=0.49, 95% CI: 0.34- 0.71), increasing BMI (OR=0.67, 95% CI: 0.49- 0.91), increasing income (OR=0.65, 95% CI: 0.48- 0.89), and alcohol consumption (OR=0.67, 95% CI: 0.47- 0.97).
Conclusion: The high prevalence of physical inactivity among adults underscores the need for community-based physical activity interventions to reduce the burden of NCDs among adults