World Nutrition Journal (Indonesian Nutrition Association - INA)
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Nutrition support in critically ill COVID-19 patients
Get PDFDiagnosis and treatment of malnutrition should be considered in the management of COVID-19 patients to improve both short- and long-term prognosis. Patients at risk for poor outcomes and higher mortality following infection with COVID-19, namely older adults and polymorbid individuals, should be checked for malnutrition through screening and assessment
Selenium in Hyperthyroidism
Get PDFIntroduction: Thyroid gland has the highest selenium content compare with other endocrine organs. Enzyme that catalyzing thyroid hormone activation, iodothyronine deiodinases, were identified as selenocysteine-containing proteins. Selenium levels in soil and rice consumed in Indonesia were lower than in several other countries, which can increase the risk of selenium deficiency.Methods: This is an article review of the current literatures published up to November 2018 about the role of selenium in hyperthyroid.Result: Several studies have shown that selenium supplementation can be beneficial in patients with Graves disease and autoimmune thyroiditis. Selenium has an important immunomodulatory effect, but the effects of selenium supplementation in hyperthyroid has not been conclude. Data regarding selenium intake, prevalence of deficiency, and the relationship between selenium and thyroid disease in Indonesia are limited. Various studies of selenium supplementation in thyroid disease provide controversial results, so there are no guidelines that include selenium as standard therapy hyperthyroid. Selenium supplementation can enhance the restoration of biochemical euthyroidism in Graves disease and was associated with a significant decrease in the levels of thyroid peroxidase antibodies in autoimmune thyroiditis.Conclusions: Micronutrients that play a role in thyroid hormone synthesis and maintain thyroid function in addition to selenium are iodine, iron, zinc, and vitamin A. By correcting the deficit of selenium, and meeting other micronutrient requirements may provide health benefits in patient with hyperthyroid
Rising trends and indication of Caesarean section in Indonesia
Get PDFThe rate of Caesarean delivery is rising dramatically worldwide, and also nationally. The number of Caesarean births exceeds the WHO recommended rate. This study aims to provide an overview of current increasing trend of Caesarean section, including elective procedure, and its risk. A review was conducted using online database, surveillance reports, and national surveys to identify studies with topics of prevalence, trend, indications, and risks of Caesarean delivery. Overall, there is an increase of Caesarean section in global, Asia, and Indonesia setting. We found an increase of 8% from 2013 to 2018 based on population survey, and increase of elective Caesarean surgery, particularly in tertiary care. We listed the possible health risks in short term, long term among mothers and child. Advanced maternal age, higher socio-economic status, higher educational level, residing in urban area, and ownership of health insurance were found to be factors associated with maternal choice on Caesarean delivery. The information presented is important to raise awareness among policy makers aimed to develop a national strategy in reducing the rate of Caesarean delivery
Effect of isoflavone consumptions on the recurrence and survival rate among breast cancer patients: an evidence-based case report
Get PDFBackground: isoflavones possess both anti-estrogenic and estrogenic-like properties. Tempeh is a traditional dish from Indonesia which rich in isoflavone content. It remains controversial whether women diagnosed with breast cancer should be advised to avoid or increase the intake of food products that contain isoflavone to improve survival.Objective: to identify the association between post-diagnosis isoflavone food consumption with the recurrence and survival rate among women with breast cancer. Methods: the search was conducted with advanced searching on PubMed, Cochrane, Scopus, and ProQuest according to the clinical question. The screening of title and abstract using inclusion and exclusion criteria, filtering double, and reading full text led to six useful articles. The selected studies were critically appraised for validity, importance, and applicability.Results: five prospective cohort studies and one meta-analysis were found with comparable validity. Women at the high level of isoflavone intake (>10 mg/day) had a significant reduction in the risk of recurrence and mortality of breast cancer.Conclusion: isoflavone food intake is associated with better survival, low recurrence, and low mortality among breast cancer patients.
The importance of iron intake for children’s growth and development
Get PDFThe impact of iron deficiency to children’s growth and development already starts since non-anemic iron deficiency phase. Impact of iron deficiency to school-aged children including decreased cognitive function, behavior problems, increased risk of infections, and stunting
Ethics and nutrition safety in patient care during COVID-19 pandemic
Get PDFThe coronavirus disease 2019 (COVID-19) pandemic has impacted all aspects of our population. Ethical dilemmas related to the care of patients in the COVID-19 pandemic need to be rapidly addressed by multidisciplinary bioethics committees, with the development of policies and procedures to assist providers in making difficult allocation decisions. Recent ethical considerations regarding allocation of scarce resources, such as mechanical ventilators, have been proposed. These can apply to other disciplines such as nutrition support, although decisions regarding nutrition support have a diminished potential for devastating outcomes. The nutrition support professionals are pivotal in assessing the patient’s overall condition and need for, if any, nutrition interventions
Harmonising Food Frequency Questionnaire (FFQ) for South East Asia for Accurate Dietary Data Interpretation
Get PDFSouth East Asia (SEA) is an ethnically diverse region but still share some similarities with regards to food intake1. Each country within SEA can be considered as food heaven with its diversity of dietary choices and creativity in food preparations. Within SEA, each individual country is also unique due to its culture, tradition and food choice. Additionally, cross country immigration for economic purpose also demand healthcare providers of host country some additional tasks for evidence-based dietary advice as their training were mostly focused at local foods. For researchers on regional dietary intake huge challenge appears when comparison between countries are made with regards to dietary intake. It raises two pertinent questions. Is it correct to compare food date collected using unstandardized dietary intake tool? Is it possible to harmonise the dietary data and produce a FFQ as a standard tool
Soy Plant-based Formula with Fiber: From Protein Source to Functional Food
Get PDFSeveral factors are fundamental to support child growth and development, including nutrition. Beside Energy, protein is the key of balanced dietary macronutrients intake as the building block of child growth. While several micronutrients, i.e. calcium, iron, zinc and vitamins are needed for both optimal growth and development. Among protein-rich foods for young children, cow’s milk formula has several limitations, i.e. cow’s milk allergy and low fiber content. Although has a low bioavailability for iron absorption, plant-rich protein can be an alternative for young children to be used, i.e. as a soy isolate protein formula. However, to the fact of low fiber content in soy isolate protein formula, it is then need further consideration to have a fiber enrichment. We highlight the fiber content in child formula to the extent of its benefit for gastrointestinal health in relation to gut movement in preventing constipation, or its role as a functional food with its prebiotics capacity. This article aims to review a suitable type of fiber used for the enrichment for a soy isolate protein formula
Effect of Moringa oleifera leaf powder supplementation on weight gain of toddler in the working area of Naibonat health center, Kupang regency
Get PDFIntroduction: Undernutrition prevalence in East Nusa Tenggara is very high. One of the intervention to overcome this problem is by providing foods enriched with vitamins and minerals. One of the plant that contains great amount of vitamins and minerals is Moringa which thrives in almost all of the mainland of Timor. This study aims to determine whether there is an effect of Moringa leaf powder supplementation on weight gain of children under five years of age at the working area of Naibonat Health Center in Kupang Regency.Methods: Experimental study with pre-test post-test control group design was conducted among children aged 2-5 years in the working area of the Naibonat Health Center in Kupang Regency. The study was conducted with consecutive sampling technique with a total subjects of 50 children consisting of 25 children in the treatment group and 25 children in the control group. The intervention group was given 25 grams of Moringa leaf powder for 14 days. Results: There was a significant increase in body weight of the treatment group after supplementation of 25 grams of Moringa leaf powder for 14 days (p< =0.,001). In the control group, there was no significant difference of body weight after the study.Conclusions: Moringa oleifera leaf powder supplementation of 5-10 grams has been able to increase body weight by 0.53 kg on children under five years of age at the working area of Naibonat Health Center in Kupang Regency by increasing the child's appetite
The association of breastfeeding duration and language development survey score in children
Get PDFBackground and objectives: Breastfeeding is an intimate moment between mother and children. Studies had shown the effectiveness of breastfeeding to stimulate cognitive function of children including their language development. We hypothesize the longer duration of breastfeeding the higher language ability of children. This study aimed to examine the association between breastfeeding duration and LDS score of children aged 18-35 months old. Our primary outcomes were LDS-vocabulary score and LDS-phrase score. Methods: This cross sectional study was performed in 261 breastfeeding mothers with children aged 18-35 months old. A mother whose children diagnosed with delayed growth was excluded from the study. Data of breastfeeding duration (BF) and subjects’ characteristics were obtained through a questionnaire. Body mass index (BMI) of mother and weight-per age of children were collected for nutritional status. We applied language development survey (LDS) checklist form to assess vocabulary and phrase ability of the children. Statistical modelling was calculated by multiple logistic regression.Results: Prevalence of severe undernourished was highest in BF group 7-18 months vs 6 months vs >18 months old (13% vs 2% vs 4.6%, respectively). Neither LDS vocabulary nor LDS phase score have association with breastfeeding duration (p=0.973 and 0.937, respectively). Mother age, socioeconomic status, and siblingship might contribute to the association between BF duration and children language development (OR 0.63, 95% CI 0.25-1.61; OR 0.42, 95% CI 0.11-1.59, respectively).Conclusion: Breastfeeding duration is not a risk factor for delayed of children language development. This observation merits further investigation to explain the relationship between duration of breastfeeding and children language development with prospective approach