World Nutrition Journal (Indonesian Nutrition Association - INA)
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Effects of enteral glutamine supplementation on intestinal permeability in acute pancreatitis: A literature review
Get PDFBackground. Glutamine has been shown to improve the gut mucosal barrier. However, the evidence for benefit of enteral glutamine on intestinal permeability in acute pancreatitis (AP) is limited.
Objective. To identify the effect of enteral glutamine supplementation on intestinal permeability in patients with AP.
Method. A systematic search was conducted by extracting evidence from published studies on enteral glutamine supplementation in three databases (PubMed, Cochrane Central Register of Controlled Trials, and SciElo) relevant to AP from 1 January 2010 till 31 December 2020. Outcomes assessed were intestinal permeability, infectious complication, hospital length of stay, and mortality rate.
Results. A total of 6 studies found by search, in which 2 human RCTs with 7 days duration of intervention with 1b-1c quality based on Criteria by Center of Evidence-Based Medicine, University of Oxford. Both studies showed the benefit of early enteral glutamine supplementation on intestinal permeability in patients with AP.
Conclusions. Enteral glutamine supplementation has been shown to improve the gut mucosal barrier in AP. Despite its significant improvement in intestinal permeability, glutamine supplementation did not display a consistently positive effect on clinical outcomes
Pattern of fiber intake in different socio-demographic settings among elderly in Jakarta, Indonesia and its associated factors
Get PDFIntroduction Despite many health benefits from dietary fiber, inadequate intake is prevalent among elderly population. This study aims to obtain the pattern of fiber intake in different socio-demographic backgrounds among elderly in Jakarta area, Indonesia and its’ associated factors.
Methods: A cross-sectional study was conducted among elderly aged > 60 years in 5 community health center across Jakarta province. A total of 126 elderly were interviewed using two non-consecutive 24-h dietary recall methods to obtain dietary intake data. Socio-demographic backgrounds on age, sex, education, income, marital status, and energy intake were assessed using structured questionnaire. Mann-Whitney or independent t-test was performed to measure the different of fiber intake in each socio-demographic variable. Linear regression test was performed to analyze the variables that associated with fiber intake.
Results: Majority of 98.4% of elderly have total fiber intake <80% of Indonesian Recommended Dietary Allowance (RDA) with average intake of 6.6 g/d. Lower fiber intake was significantly found in females, widowed/separated, have lower education and income, and have inadequate energy intake. Factors associated with total fiber intake were income (adjusted β=0.20, p=0.01) and energy intake adequacy (adjusted β=0.65 p=0.00).
Conclusion: Fiber intake among elderly in urban area is inadequate and the pattern was worse in the low socio-demographic settings. By this finding, it is important to give priority to the socially disadvantages group when formulating nutrition intervention policy in this population setting
A diagnostic test for malnutrition in adults: mid-upper arm circumference towards body mass index: A literature review
Get PDFBody mass index is commonly used for detecting malnutrition. At certain conditions, body mass index cannot be measured, so mid-upper arm circumference can be an alternative measurement for detecting malnutrition. Several studies have proposed the cut-off point of mid-upper arm circumference in adults along with its sensitivity, specificity, and area under the ROC curve (AUC). This article aims to describe the diagnostic test for malnutrition using the upper arm circumference in adults and summarize the results of the related studies
Anemia Status and Its Related Factors among Indonesian Workers: Hemoglobin Survey in Three Different Workplaces
Get PDFThis study aims to explore risk factors of low hemoglobin status (anemia) among workers in three different workplaces in Indonesia. Cross-sectional study design was applied to screen hemoglobin value by using a multiwave pulse total-hemoglobinometer Masimo® and obtain socio-demographic characteristics using a questionnaire. Three workplaces were purposively selected to have total population eligible for this study. Health safety protocol was applied both for the subjects and researchers as COVID19 prevention. Statistical analyses were used accordingly to find potential risk factor(s) of anemia among workers. A total of 2386 eligible subjects with mean age of 36.8 ± 9.2 years participated in this study consisted of mainly male workers (85.3%), mostly married (79.0%), never smoke (55.8%) and working in shift (68.7%). Mean of hemoglobin value was 14.2 ± 1.2 mg/dL with anemia prevalence of 9.9%. Risk factor of anemia among workers were female-gender, non-marriage status, never smoking and no-work shift. However, the potential determinant for anemia among workers was female-gender, in which the prevalence of anemia was 24.6% as compared to 7.4% in male-gender. Keep providing free meal in the workplace canteen is a must, but there is a need to provide iron and vitamin C-fortified food and/or iron and vitamin C supplement especially for female workers
Iron Intake and Its Correlation to Ferritin and Hemoglobin Level among Children Aged 24–36 Months in Jakarta in 2020
Get PDFIntroduction: Iron is essential for child’s development and growth. Children’s iron requirements are secured from daily food intake that might be affected by Covid-19 pandemic. This study aims to determine iron intake and its relationship with ferritin and hemoglobin levels as indicators of iron status among children in Jakarta.Method: This cross-sectional study was conducted in Kampung Melayu, Jakarta from September to October 2020. Seventy seven healthy children aged 24–36 months were taken using total population sampling method. Interviews were conducted to obtain characteristics data and iron intake using a semi-quantitative-food frequency questionnaire (SQ-FFQ). Blood tests are performed to check the levels of ferritin (controlled by hs-CRP value), and hemoglobin.Pearson’s/Spearman’s correlation test was performed using SPSS version 20.0. Result: Median of iron intake was 9.6 (1.5–40,7) mg/day, in which 33.8% of subjects was below the Indonesian Recommended Dietary Allowance (RDA) recommendation. The median ferritin value was 18.1 (1.4–91.1) g/L and the hemoglobin was 11.8 (6.6–15.2) g/dL, in which 40.3% and 27.3% subjects with iron insufficient-deficient and anemia, respectively. There were positive correlations between iron intake and ferritin (r = 0.328, p = 0.002) and iron intake and hemoglobin (r = 0.308, p = 0.003). A strong positive correlation was found between ferritin and hemoglobin (r = 0.769, p < 0.001).Conclusion: Iron intake of children aged 24–36 months had a weak positive correlation with ferritin and hemoglobin level. Keywords: children 24–36 months, ferritin, hemoglobin, iron intake, Jakart
Resuscitation Fluid Requirements in Burn Injury Patients Using Intravenous Vitamin C: An Evidence Based Case Report
Get PDFBackground: Based on the Guideline of European Society for Clinical Nutrition and Metabolism (ESPEN) in 2013, vitamin C is an additional therapy for burn patients during the resuscitation process and reduce the amount of fluid resuscitation but still needs further evidence. This study aims to find the effect of intravenous vitamin C administration to reduce the fluid requirements during first 24 hours resuscitation in burn patients.Methods: Electronic Literature search were performed in PubMed, Cochrane, Scopus and ProQuest databases. Hand searching was also performed. MesH Term was used in PubMed database searching. All literature obtained was screened based on inclusion and exclusion criteria.Results: Three articles were selected based on the eligibility criteria. Two Randomized Controlled Trial / RCT studies concluded that intravenous vitamin C administration reduced resuscitation fluid requirements in burn patients. But in the case control study there was no significant difference in resuscitation fluid requirements between the two groups. Other study reported that there were significant differences in resuscitation fluid requirements between the two groups. Both RCT studies did not use the blinding method and explained the side effects of therapy. A case control study reported an increase in cases of acute kidney failure in the vitamin C group compared to control (23% vs 7%) although it was not statistically significant.Conclusions: Intravenous vitamin C can reduce the resuscitation fluid requirements in the first 24 hours in burn patients (grade C recommendation)
Nutritional status indicator and its correlation with mental health score among adolescents in Islamic boarding schools
Get PDFBackground: It has been estimated that about 10–20% of adolescents worldwide had experiences of mental health problems. Malnutrition, including overweight and obese, is one of the risk factors for mental health in adolescents. There is a knowledge gap regarding the nutritional status and its correlation with mental health among adolescents who live in boarding schools. This study aimed to determine nutritional status and its correlation with mental health among adolescents in Islamic boarding schools.Methods: A cross-sectional approach was used in this study in which two schools in South Tangerang City of Banten Province were purposively selected and 302 of students aged 15–18 years were completed this study. BMI-for-age Z-scores (BAZ) was used as the nutritional status indicator, and the Strengths and Difficulties Questionnaire (SDQ) was used to determine mental health of the subjects. Spearman correlation was used to determine the correlation between nutritional status indicator and mental health score.Results: Nearly 30% of the subjects were overweight and obese, and almost 20% had result of mental health score in categories “borderline” and “abnormal”. There was a significant correlation between nutritional status indicator and mental health score among adolescents in Islamic boarding schools (r=0.157, P=0.006).Conclusion: Adolescents who had higher BAZ, had higher total difficulties scores. The schools and policy makers should give attention to nutritional status of the students since it is correlated with mental health
Dietary intake and obesity in oil and gas workers: A literature review
Get PDFIntroduction Working in oil and gas industries was found to be associated with unhealthy lifestyle, obesity, and non-communicable diseases (NCDs). This study aimed to systematically review the dietary intake, obesity status, and identify possible workplace health promotion strategies for oil and gas setting.
Methods: This literature review was conducted through a comprehensive search of Scopus database. Search terms included diet (and synonym), worker (and synonyms), oil and gas (and synonym). The search was limited to paper in English and Indonesian. Combinations of the keyword yielded 76 papers, of which 13 articles were relevant.
Results: Reviewed studies implied that diet consist high amount of fat, particularly saturated fat, and cholesterol, with low intake of dietary fiber. Fatigue, boredom, and inadequate sleep may influence unhealthy food choices. All studies revealed that mean BMI among oil and gas workers was found to be higher than general adult population, ranged from 24 to almost 30 kg/m2. Possible health promotion components to be modified are knowledge and beliefs, self-care, peer support, food availability and time restriction at cafeterias.
Conclusion: It is confirmed that obesity and NCDs prevalence were high in oil and gas worker, however the updated studies addressing their dietary intake are needed. Health promotion initiative made by oil and gas company are unlikely to be found in scientific paper. There is a need for more health promotion program that scientifically designed so that the outcome and cost effectiveness can be measured properl
How COVID-19 pandemic affect nutritional status
Get PDFIn Indonesia, COVID-19 has primarily affected food access and causes drop of income. The poor and vulnerable groups have difficulties in affording high nutritional value food thus resulting in, not only decline of food intake, but also lower dietary quality.4 
The Role of Iron for Supporting Children’s Growth and Development
Get PDFAccording to the World Health Organization (WHO), Iron Deficiency (ID) affects around 2 billion people worldwide. Early childhood ID has been associated with permanent cognitive deficits associated with CNS structural, metabolic impairment, growth retardation, impaired immune response, psychological abnormalities, and behavioral delays. This literature review will focus on the important role of iron in child growth and development.
Iron is necessary for various cellular processes in the growing brain especially when it comes to memory and learning. Children with early ID show cognitive deficits that persist; however, prompt iron treatment soothes the problem. A chronic ID group reported substantially lower scores of vocabularies, ambient sound perception, and motor measurements in a recent study relative to infants with normal nutritional iron status at 6 months and 14-18 months. Children's iron requirement differentiates based on individual age. The daily iron requirement for one- to three-year-old children is 7 mg. Some risk factors of infants and toddlers in developing ID are insufficient food intake, poor bioavailability, reduced absorption, increase demand, increase losses, cow’s milk enteropathy hookworm infection, and maternal gestation.
Iron plays an important role in promoting children's growth and development. Physical health and nutrition are important in the first two years of life. Children who are unable to achieve iron adequacy will possibly show permanent cognitive deficit and impaired motor growth. Thus, iron supplementation may only be successful in early prescription after diagnosing iron deficiency