World Nutrition Journal (Indonesian Nutrition Association - INA)
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Medical nutritional therapy on schizophrenic patient with grade 2 obesity and continued antipsychotic drug use
Get PDFPatients suffering from schizophrenia have an elevated risk for obesity and metabolic syndrome due to multiple factors, including antipsychotic drug consumption. Diet and lifestyle modification remained the firstline modalities for management of obesity in patients with schizophrenia. Metformin has been recommended for preventing weight gain, including for schizophrenic patients with long-term consumption of psychiatric medication
Clinical nutrition and human rights: an international position paper
Get PDFWorldwide Societies for Clinical Nutrition have launched a promotional campaign that advocates for all patients to have access to food and evidence-based artificially administered nutrition and hydration (AANH). The campaign is supported by the simultaneous publication of a major position paper in, Clinical Nutrition and Nutrition in Clinical Practice, the official journals of the European and North American professional societies. The working group of experts in human rights and clinical nutrition, includes representatives of the American Society for Enteral and Parenteral Nutrition (ASPEN), The European Society for Clinical Nutrition and Metabolism (ESPEN), Latin American Federation of Nutritional Therapy, Clinical Nutrition and Metabolism (FELANPE), Parenteral and Enteral Nutrition Society of Asia (PENSA) and the West African Society of Parenteral and Enteral Nutrition (WASPEN)
Vitamin D serum level as a prognostic factor in 1 predicting mortality severe COVID-19 patients: An evidence based case report
Get PDFIntroduction: The mortality rate of COVID-19 is still high. Many prognostic factors have been studied to decrease the mortality rate. One of the many factors is vitamin D status, known for years as an immunomodulator and anti-inflammatory agent. Vitamin D deficiency could worsen the symptoms of COVID-19 and ultimately lead to mortality. However, some literature shows controversial results.
Methods: Literature research was conducted by advanced searching in Pubmed, Cochrane Library, Scopus, and ProQuest, using a combination of both MeSH Terms and Title/Abstract. After removing duplicates, these literature were screened according to the eligibility criteria. Appraisal and level of evidence of the final literature were determined based on Oxford Centre for Evidence-Based Medicine.
Results: Two selected literature were relevant to answer our clinical question. The former is a retrospective cohort study by Radujkovic et al. (2020), while the latter is a prospective cohort study by Bennouar et al. (2020). Both show similar results that low vitamin D serum levels in severe COVID-19 patients can increase the in-hospital mortality risk.
Conclusion: Vitamin D is one of the prognostic factors that can predict the mortality rate of severe COVID-19 patients. We suggest that vitamin D serum level can be measured regularly in COVID-19 patients and administered to patients with such deficiencies. Adequate vitamin D deficiency management is expected to lower the COVID-19 mortality rate
Vitamin D and immunity: reality or phantasy?
Get PDFVitamin D has been attracting a lot of attention from researchers, pharmaceutical industries and public mainly because of its potential extra-skeletal effects in health and in various diseases such as diabetes, cardiovascular diseases, cancer and autoimmune diseases. Historically, vitamin D was associated with diseases such as rickets in children and osteoporosis is adults. However, during the COVID-19 pandemic, vitamin D gained a special focus related to its immune modulating abilit
Covid-19, nutrition and pseudoscientific claims
Get PDFThe COVID‐19 infodemic is full of false claims, half backed conspiracy theories and pseudoscientific therapies, regarding the diagnosis, treatment, prevention, origin and spread of the virus.
Correcting misrepresentations should be viewed as a professional responsibilit
Vitamin D and immune responses: how much is too much?
Get PDFVitamin D is a sunshine vitamin that is widely known for bone health. The main source of vitamin D from exposure to ultraviolet B radiation, whereas only 20% from natural and fortified food. Recent studies concluded that vitamin D has a putative role in reducing the risk of viral respiratory infection by suppressing pro-inflammatory cytokines and delaying increasing anti-inflammatory cytokines response. Whereas, vitamin D regulates innate immunity through macrophage and dendrite cell activity as well as an adaptive immune response through lymphocyte T cells response
Revisiting metabolic syndrome: The importance of weight management
Get PDFMetabolic syndrome is an increasing major health problem worldwide, including Indonesia. More than one third of adult Indonesian population suffered from metabolic syndrome. Metabolic syndrome itself is actually a clustering of risk factors which increase the risk for diabetes mellitus and cardiovascular diseases in the future. Therefore, prompt management of metabolic syndrome is required to prevent the development of diabetes mellitus dan cardiovascular diseases
Extreme obesity in the ICU
Get PDFMorbid obesity remains an extremely serious disorder resulting in significant impairment of health all over the World. This is particularly true especially now in the setting of lockdowns and people not exercising due to the recent COVID-19 pandemic. In general, overweight and obese adults are at in increased risk of morbidity and mortality from many acute and chronic medical conditions, including hypertension, dyslipidemia, coronary heart disease, diabetes mellitus, gallbladder disease, respiratory disease, some types of cancer, gout and arthritis. Although body weight that exceeds ideal standards as determined by age, sex and height may be accounted for by a greater muscle mass or bone mass, the majority of individuals who weigh more than 20% over their calculated ideal body weight (IBW) have excessive adipose mass. What is even more alarming is the fact that the incidence of obesity in the USA has increased progressively since 1960, when the first survey was conducted. More recent data has demonstrated that the prevalence of obesity is three times higher in the USA than France, and one-and-a-half times that of England. As obesity is such a pervasive disorder in our society, and because obesity is an important risk factor for many diseases, it is not surprising that many obese patients are treated in the intensive care unit (ICU)
Immunization status lowers the incidence of stunting in children 1-5 years
Get PDFStunting is a multifactorial condition where a toddler has less body length compared to their age. One of the factors is the immunization status of children, which can lead to susceptibility to infection and caused growth disturbance. This study was conducted to determine whether immunization plays a role as one of the interventions to prevent stunting in children age 1-5 years by using cross-sectional observational study with a total of 110 children aged 1-5 years who visited the Public Health Center of Jatinegara District, East Jakarta between September-November 2019. Questionnaires, anthropometric assessment using body length board and microtoice, and Z-score assessment were obtained during the study. The Chi-square test was performed for data analysis. The result of this study showed that 47,3% of respondents had incomplete immunization status, and 84.6% of child were stunted. Immunization plays a role as one of the factors preventing stunting in children age 1-5 years (p<0,001). It can be concluded that immunization is one of the factors contributing to lowered incidence of stunting in children age 1-5 years
Nutritional Management for catch up growth in disease related & non–disease related malnutrition
Get PDFGlobally in 2020, 149 million children under 5 were estimated to be stunted, 45 million were estimated to be wasted according to WHO. Pediatric malnutrition (undernutrition) is estimated to contribute to approximately 45% of all child deaths globally