World Nutrition Journal (Indonesian Nutrition Association - INA)
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Obesity is associated with severe COVID-19
Diabetes mellitus, hypertension, and coronary artery disease (CAD) are comorbidities for severe COVID-19. Recently, there has been higher need for admission to intensive care unit (ICU), requiring oxygen support with high flow nasal cannula (HFNC), non-invasive ventilation (NIV), and invasive mechanical ventilation (IMV) amongst COVID-19 patients with obesity. The relationship between obesity and severe dyspnoea in COVID-19 needs more investigation
Ethics and clinical nutrition practice challenge in Covid-19 patients
Covid-19, a disease caused by a novel coronavirus, became a major global human threat that has turned into a pandemic. Pandemics present difficult logistical, medical and ethical challenges to the medical workforce. Pandemics require incorporating public health ethics with clinical ethics
EPA, DHA, and coenzyme Q10 as nanonatruceuticals adjuvants in therapy against Covid-19
Up today, August 28, 2021, about 215,5 million people have been infected with the coronavirus SARS-CoV-19 and with a global death of 4,5 million. US deaths 636,7K (fatality 0,194) and Spain 97,7K (fatality 0,208).
Many protocols have been implemented for the treatment of COVID-19 since the beginning of this pandemic throughout the world, but specific guidelines have never been made by the different international Societies with respect to unifying criteria for action given the diversity of treatments that do not have had adequate clinical evidence. Since the vaccination campaign began, treatment has focused on hospitalized patients, but no prophylactic or early-onset treatment has been offered, limiting their access simply to infections with serious symptoms
Nutritional management in children with disease-related malnutrition : what’s the guideline?
Background: Disease-related malnutrition (DRM) is one of the most common problems in pediatric patients. Both cancer and congenital heart diseases (CHD) are commonly associated with DRM. Altered nutrition utilization, reduced intake, malabsorption, and hypermetabolism are the main pathophysiology in DRM.
Method: A systematic literature searching was performed through Pubmed and Google Scholar websites. Thirty-six articles were included into the study.
Results: Malnutrition screening should be performed as soon as possible since early feeding can benefit the patients. One of the most commonly used tools is Screening Tool for Risk on Nutritional Status and Growth (STRONGkids), which was proven to be valid, reproducible, and applicable in pediatric patients with malnutrition. Following screening and assessment, nutrition support can ensue, preferably in the form of enteral nutrition, unless contraindicated. Nutrient-dense formula, also known as protein and energy-enriched formula, aims to aid infants to reach nutrition target rapidly and stimulate anabolism. This formula has been studied in various population, mostly infants with CHD and studies showed favorable outcomes with its administration, namely faster improvement, reduced diuretics use and oxygen supplementation, decreased length of hospital stay, and less antibiotic use. Nutrient-dense formula is also safe and well-tolerated.
Conclusion: Proper screening and management should be performed with multidisciplinary approach to achieve the best outcome in children with DRM
Isotonic solution for management of high output fistula and stoma
Enterocutaneous fistulae (ECF) is a common complication in open abdominal surgeries which is commonly fixed by creating a stoma. High-output ECF defined as production of fistulae more than 500 mL per day. It is one of the complications that can occur in the presence of a stoma, and it is associated with significant morbidity and mortality. Therefore, adequate management of high output ECF and stoma is important. Administration of isotonic solution is one of techniques proven to be beneficial in reducing stoma output and allowing persistent luminal stimulation. We reported a case of high-ileostomy and ECF output in which isotonic solution conveyed improvement in clinical outcome
Feeding critically ill post Covid-19 patients
Currently, there has been no nutritional therapy guideline available for discharged Covid-19 patients in ICU. Only a small study which was carried in post Covid-19 patients in ICU reported the resting energy expenditure recorded were 20 kcal/kg/day. These number is similar with nutrition therapy recommendations for acute phase critically ill patients provided by ESPEN
Medical nutritional therapy in chronic pancreatitis
Chronic pancreatitis is a complex disease associated with significant morbidity and mortality. Patients with chronic pancreatitis are at risk for malnutrition and nutrient deficiency caused primarily by malabsorption, inadequate intake, and inflammation. Poor nutritional status may negatively affect disease’s outcome. Medical nutritional therapy which include screening and assessment of malnutrition followed by optimal nutritional intervention for patient at risk should be the cornerstone of chronic pancreatitis multidisciplinary treatment
Correlation between microplastic disperse in sea and microplastic contained within fish’s gut organ system of semi-arid coastal beach, Kupang city, 2022
The product of marine resources, such as fish, are one of the sources of nutrition for local communities on the coastline of kota Kupang. Microplastics pollute the surroundings and human food sources, especially the marine environment, therefore, it could risk aggravating the state and quality of human health in direct proximity to the contaminated
Parenteral multivitamins in hospitalized patients
Malnutrition, especially micronutrient malnutrition remain as major problems in hospitalized patients. Micronutrient malnutrition contributes to health status and recovery speed of patients. It may lead to poor wound healing and/or increasing the risk of complication which result in longer hospital stay or even, death. Critically or acutely ill patients who are in total parenteral nutrition therapy for longer period need intravenous micronutrients. Past publications reported Wernicke’s Beri-beri in patient who did not received vitamins along with total parenteral nutrition infusion after 4 weeks passed away regardless the amounts of macronutrients delivered
Mother’s Coping strategies toward Food Insecurity during COVID-19 Pandemic: A Review Article
The COVID-19 pandemic has impacted many aspects of the country, including the economy and health care. Food insecurity is increasing, causing harm to children’s nutrition and development. As a result, mother must deal with food insecurity to providing a balanced diet for her children aged 6 to 23 months. This study aims to review the possible mother’s coping strategies used toward food insecurity to maintain child nutrition during the COVID-19 pandemic. To review the literature, the researcher utilized search engine such as PubMed, ScienceDirect, Oxford journal, and British Medical Journal. "COVID-19", "Coping Strategies", “Food Security”, and "Child” were among the keywords chosen by the researcher. After filtering with the several criteria, the 17 articles were reviewed. Based on this paper review, we know that during the COVID19 pandemic, there is a coping strategy that assist mother to maintain their child nutrition. To address the problem of food insecurity, the possible mother’s coping strategy used are adaptive coping strategies such as home-cooked meals, financial support, and receiving food assistance.