World Nutrition Journal (Indonesian Nutrition Association - INA)
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Early detection of childhood obesity through extended routine growth monitoring of children below two years of age in the Asia Pacific region.
Get PDFIntroduction Increased body fat deposition during early life predisposes to higher obesity and metabolic disorder risks in later life. This is particularly relevant in the Asia Pacific region where historically prevalent under-nutrition is now been paralleled or even overruled by over-nutrition over the last few decades. This overview aims to evaluate the potential of early detection of obesity (risk) among experts through addition of specific growth monitoring assessments in children during the first two years of life. Methods A discussion among experts from Malaysia, Singapore, Sri Lanka and Australia on infant growth and a qualitative evaluation of current practice highlighted the need to measure body composition to assess the quality of growth. Current tools are mainly directed towards simple anthropometric measures such as body weight, length and head circumference which do not adequately reflect concurrent changes in body composition to detect early life adiposity development. Recent findings have shown benefits of measurement such as the sum of four skinfold thickness (S4SFT) during the first two years of life for risk assessment of later overweight/obesity. We recommend this assessment for routine practice as a proxy for fat deposition in young children. Further studies to understand implementation hurdles and cost-effectiveness of S4SFT and health outcomes in young children in the Asia Pacific region are necessary. Conclusion Inclusion of four skinfold thickness measurements as part of routine growth monitoring assessment, in addition to weight and height, could be recommended to assess adiposity development in early life allowing identification of infants at risk for obesity
Effective Communication Skill: Doctor – Patient Consultation
Get PDFEveryone, including physicians/doctors knows how to communicate. Communication skill involves how we apply a systematic cycle of sending message, receiving and interpreting it before we give a feedback. However, people only perceived communication as practicing sending the message. And, when receiving a message the feedback-step is the most often neglected. Actually, the feedback-step is the most critical part in which it closes the communication cycle and confirms the understanding of the message.Furthermore, there is a deeper development of communication in which we need to stress into three approaches, i.e. being present, active listening and active empathy. By being present then we can clear the clutter of mental distraction and focus on the immediate communication task at hand. Active listening is needed to apply specific listening-for-understanding techniques that confirm awareness, while active empathy is important to process information for a true awareness of other’s needs. All this approaches take times, of course, however we can anticipate it by practicing effective communication
Fasting Plasma Glucose Concentration in Relation to Nutritional Status Indicator and Physical Activity Level among Schizophrenia Patient
Get PDFDiabetes mellitus is often accompanied to schizophrenia patient. This condition probably related to genetic, antipsychotic drugs and the development of schizophrenia that can lead to an unhealthy lifestyle, such as sedentary lifestyle and the increased of dietary intake. Cross-sectional study was held in Psychiatry Department Cipto Mangunkusumo Hospital during May to June 2014 to determine the correlation between fasting plasma glucose concentration in schizophrenia patient to their nutritional status indicator and physical activity level. Forty-seven subjects finished the study protocol. The result showed that the fasting plasma glucose concentration in schizophrenia patient has no correlation with nutritional status indicator and physical activity level, in which 91.5% subject had normal fasting plasma glucose. However, there is a need for further investigation because 31.9% subject was overweight, 48.9% subject was obesity and 74.5% subject had central obesity
Commercial Powder and Ready-to-use Enteral Nutrition had better Accuracy in Energy and Macronutrients Content Compared to Homebrew.
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Macronutrient Intake and Life Style Factors Associated to HbA1c Status in Type-2 Diabetic Patients
Get PDFCorrelation between carbohydrate, protein and fat intake with serum c-reactive protein level in lung cancer patients stage IIIB-IV
Get PDFAntibiotic treatment in infants: effect on the gastro-intestinal microbiome and long term consequences
Get PDFThe gastrointestinal microbiome is crucial for the development of a balanced immune system. Antibiotics are frequently administered to infants and cause intestinal dysbiosis. This narrative review highlights the long term health consequences of antibiotic administration to infants and young children. The necessity of administration of antibiotics should be well considered, since an association with short term consequences such as antibiotic associated diarrhoea and long term adverse effects such as overweight, inflammatory bowel syndrome, allergic disease have been reported. Conclusion: The pros and cons of antibiotic administration to infants and young children should be considered