World Nutrition Journal (Indonesian Nutrition Association - INA)
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SDGS in children during the COVID-19 pandemic in Indonesia
This global pandemic negatively affects many aspects of children and adolescent health in Indonesia, including our journey in achieving SDGs. Even before the pandemic, our country is not yet on the right track in our SDGs journey with no national comprehensive programs. If we do not urgently address the problems in our nation’s health system, the COVID-19 pandemic can be detrimental to our SDGs progress
Excessive body weight and its relationship to body image in teenagers aged 16–18 years old in South Jakarta
Objective. Overweight is one of the health problems that often occur in children and adolescents throughout the world, both in developed and developing countries. Study results in USA showed yearly increase of overweight prevalence in children aged 2–19 years old. In addition, based on the results by the National Health and Nutrition Examination Survey 2009–2010 in United States, the highest percentage of overweight and obesity by age group was found at 12–19 years old (33.6%). Basic Health Research/Riskesdas’s data in 2013 showed the prevalence of overweight in adolescents aged 16–18 years old in Indonesia reached the highest value of 11.5%. Moreover, most teenagers see their body images as a match between self’s and others’ ideal perception. Teenagers with positive body image tend to be more confident and also easier to get along with other people, especially their peers. In this study, researcher aimed to investigate the relationship between teenagers who have excess body weight with body image, whether it had positive or negative impact.Methods: This was a cross-sectional study. Data collection was done from December 2017 to January 2018. Data collected were anthropometric measurements (weight and height) and the King College London Body Image Questionnaire's filled by participants. From 400 subjects who filled the questionnaires, a total of 350 participants matched the inclusion criteria and were analyzed. Chi square test was done as data analysis.Results: Chi-square analysis for excess body weight status in relation to body image scores showed no relationship (p=1,000).Conclusions: There was no significant relationship between excessive body weight and body image.
Optimizing nutrition throughout the COVID-19 trajectory: From admission, to ICU, to discharge
The nutritional consequences of COVID-19 infection must be recognized by health care professionals (HCPs) who are frontliners in the fight against COVID-19. At the time of admission, patients are likely to be suffering from some degree of malnutrition, and early nutritional assessment and care planning should be integrated into the overall therapeutic strategy, along with control of the viral infection, from supportive measures for mild to moderate illness, to the full range of respiratory, hemodynamic, and relevant organ support in critical illness in ICU. There are guidelines (international and local) on nutrition in Covid-19 patients and these should be adapted for various local settings. An algorithmic approach will be presented to cover key issues for optimizing the nutrition management of COVID-19 patients from admission, to the ward, or to ICU, and thence on to discharge
Circular economy to respond environmental challenge: Package water business case
In Indonesia, although the total recycling rate of plastic below 10%; PET bottle is still categorized as has a high recycling rate (above 50%).4 And since not all plastic are the same, such reference is crucial to define what kind of plastic material can be chosen and what type of product that can use the post-recycling materials
The Impact of Nutritional Status and Body Mass Index on Rehabilitation Outcomes in Patients Receiving Home-Based Medical Care
Background: Home-based medical care is expanding rapidly in Japan.Objectives: We aimed to identify the factors associated with outcomes of therapy in patients receiving home-visit rehabilitation.Methods: One hundred twenty-one patients receiving home-based rehabilitation were investigated. Nutritional status was assessed by the Mini Nutritional Assessment Short Form (MNA-SF). The Functional Independence Measure (FIM) was employed to assess the activities of daily living (ADL). The body mass index (BMI), medical history, and orthopedic disease-related pain were also recorded. The primary outcome was the improvement in FIM scores in one year.Results: A total of 19 (17%) patients were malnourished and 58 (48%) were at risk of malnutrition. Malnourished patients had a lower FIM score at initiation than those at risk of malnutrition or with normal nutritional status. Only changes in patients’ BMI and MNA-SF scores over one year were significantly associated with improved FIM scores (p = 0.0079 and p = 0.0049, respectively). No association was noted with the other factors.Conclusions: This is the first report to demonstrate that changes in MNA-SF scores and BMI are significantly associated with rehabilitation outcomes in home-based care. Nutritional management is essential along with rehabilitation to improve ADL in the long-term home care setting
Effect of carnitine on patients with heart failure: an evidence-based case report
Background: Heart disease is one of the leading causes of death in Indonesia. Nutritional management plays an important role in overcoming heart disease, both as prevention and treatment. Carnitine plays a role in fat metabolism and can reduce the formation of thrombosis, resulting in improved heart function and quality of life of patients.Objectives: This study is aimed to identify the effect of carnitine in patients with heart failure.Methods: Existing research findings and articles are selected based on inclusion and exclusion criteria in three databases, namely PubMed, Cochrane and Wiley. The outcome were functional capacity and heart function.Results: One meta-analysis that address with the clinical questions was obtained, and based on that article, giving carnitine to patients with heart failure has effects on increasing functional capacity, heart function, BNP serum and NT-proBNP levels. However, no effects found on mortality. Furthermore, no significant side effects on carnitine was found.Conclusions: Carnitine supplementation at a dose of 1 up to 6 g/day has a positive impact on functional capacity, heart function, BNP serum and NT-proBNP levels in patients with heart failure, alongside with minimal side effects
Correlation of neck, wrist, and calf circumference with body mass index in type 2 diabetes mellitus patients
Background: Obesity is one of DM risk factors. Nutritional status can be measured by anthropometric measurements. One of them is body mass index (BMI). Other anthropometric measurements are neck, wrist and calf circumference. The purpose of this study was to determine the association of the neck, wrist and calf circumference with the body mass index of type 2 DM patients in Puskesmas (public health center) Sako Palembang.Methods: In this cross-sectional study, the sample were male or female outpatients aged> 19 years old who had type 2 DM patients at Palembang Sako and/or members of Program Pengelolaan Penyakit Kronis (PROLANIS) affected by type 2 DM. Pregnant or breastfeeding women were excluded. Data were obtained through direct measurements, which were then analyzed using Pearson test and linear regression test.Results: A total 44 patients with type 2 diabetes, consisting of 22 males and 22 females participated. There was significant correlation between male’s (p<0.001, r=0.865) and female’s neck circumference (p<0.001, r=0.756) with BMI. There was also significant correlation between male’s (p=0.002, r=0.696) and female’s wrist circumference (p<0.001, r = 0.648) with BMI. So was correlation between male’s (p<0.001, r=0.745) and female calf circumference (p=0.005, r=0.578) with BMI.Conclusion. There was significant association between neck, wrist and calf circumference with body mass index of type 2 DM patients
Correlation between intensive phase treatment of antituberculosis drugs with nutritional status of patients with tuberculosis in Kupang city
Background: Indonesia is a country with the third highest tuberculosis incident in the world. Nutritional status is very important to patients with tuberculosis, an optimal nutritional status created an optimal immune system. Lack of adequate nutritional intake, prolonged the anti-tuberculosis drug treatment and caused them to get a slower recovery. Therefore, the writer found the need of knowing the relation of intensive phase treatment of anti-tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Objectives: To know the relation between intensive phase treatment of anti tuberculosis drugs with nutritional status of patients with tuberculosis in Kupang City.Methods: This study was an observational analytic study with a nested cohort design conducted by 11 public health centers in Kupang City by taking secondary data from medical records. The sampling technique used consecutive sampling with 84 respondents who met the inclusion and exclusion criteria. The study was analyzed univariately, and bivariately using Mc Nemar.Results: From 84 respondents, before intensive phase tuberculosis treatment 61 respondents (72.6%) had abnormal nutrition status, and 23 respondents (27.4%) had normal nutritional status, while after intensive phase tuberculosis treatment from 84 respondents it was found that 50 respondents (59.5%) had abnormal nutrition status, and 34 respondents (40.5%) had normal nutritional status. The result of the bivariate analysis test shows a significant different in nutritional status before and after tuberculosis treatment with p value = 0.001.Conclusions: There was a significant different in nutritional status before and after tuberculosis treatment indicating that anti-tuberculosis drug treatment can affect the nutritional status of patients with tuberculosis.C
Food and nutrition intake recommendation during COVID-19 pandemic in the Philippines
The key to sustaining a good immune system is to consume nutrient-dense food at the right quantity to prevent nutritional deficiencies. Nourishing our body play a vital role to prevent, fight, and recover from infection
Early nutrition approach in critically ill COVID-19 patients
This presentation is aimed to describe several guidelines available indicating nutritional therapy in critically ill COVID-19 patients. Data from our ICU in dr. Kariadi General Hospital will be presented