World Nutrition Journal (Indonesian Nutrition Association - INA)
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    413 research outputs found

    High prevalence of malnutrition among hospitalized patients at Kabupaten Bekasi general hospital: A critical need for early nutritional screening

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    Malnutrition in hospitals is a critical concern that significantly impacts health outcomes, yet there is a lack of recent prevalence data in Indonesia. Objective: This author initiated a study at Bekasi District Hospital, aiming to enhance awareness of malnutrition screening and assessment. Prompt nutritional interventions within the first 24 hours of hospitalization are crucial to prevent deterioration in nutritional status, reduce morbidity and mortality, shorten hospital stays, and lower healthcare costs

    Association between maternal anemia and low birth weight among stunting children 12−23 months in Dili, Timor Leste

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    Background: Stunting is a chronic malnutrition problem primarily occurring during the first 1000 days of life. Iron deficiency anemia during pregnancy can threaten fetal growth and may affect the baby's birth weight and length. According to the Timor-Leste Food and Nutrition Survey 2020, stunting in Timor-Leste is 47.1%. Objectives: To determine the relationship between a history of anemia during the third trimester of pregnancy and low birth weight with the incidence of stunting in children aged 12-23 months in Dili city. Methods: This study was a case-control design conducted in five health centers in Dili City, Timor-Leste. The sample consists of 180 children aged 12-23 months, with 90 stunted cases and 90 controls selected consecutively. Data collected encompasses both child-related and maternal information. Results: Anemia during the third trimester of pregnancy OR 95%CI 7.18 (3.38-15.23) and low birth weight OR 95%CI 5.39 (2.09 – 13.90) are significantly associated with the incidence of stunting (p < 0.01).  Based on logistic regression analysis, anemia during pregnancy and low birth weight are not significantly associated with an increased risk of stunting. However, there are characteristics of the mother and child that are significantly associated with the risk of stunting. Conclusion: Children with a history of low birth weight are 5.3 times more likely to experience stunting, and children whose mothers had anemia during pregnancy are 7.2 times more likely to experience stunting. The results show that low birth weight and maternal anemia are related to the incidence of stunting in Timor-Leste

    Association of food security and dietary diversity with stunting among toddlers in Gunungkidul regency, Indonesia

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    Background: Stunting is impaired child growth due to prolonged undernutrition. In 2022, Indonesia’s stunting prevalence was 21.46% (SSGI), with Gunungkidul regency in Yogyakarta, Indonesia experiencing the highest rate at 23.5%. food security and dietary diversity can influence the occurrence of stunting in toddlers. Objective: This study aims to determine the association of food security and dietary diversity with stunting among toddlers in Gunungkidul Regency. Methods: This cross-sectional study was conducted in the Wonosari and Gedangsari District, Gunungkidul Regency. The sample of this study were 105 children from 6 Posyandu (integrated health care center), which were selected based on the stunting prevalence. The sample were selected using quota sampling techniques. Household food security was assessed using a questionnaire adapted from the 2012 USDA Household Food Security Survey Module, and dietary diversity was assessed using a questionnaire adapted from the 2011 Food and Agriculture Organization (FAO) guidelines. Data were analyzed using the Chi-Square test. Results: More than 30% of the children were stunted (31.4%), 51.5% had dietary diversity in the low and medium categories, and 44.8% of respondents come from food insecure families. There was a significant relationship between dietary diversity and stunting (p<0.05), however the relationship with food security was not statistically significant (p>0.05). Conclusion: Dietary diversity is significantly associated with stunting among toddler however food security is not related to stunting. Caregiver education promoting diverse toddler diets, especially local foods, is needed

    The role of microbiome and metabolomics in personalized ICU nutrition

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    Emerging research highlights the essential influence of the gut microbiome and metabolic profiling in managing critically ill patients. In contemporary intensive care units, nutritional support transcends traditional caloric and protein matching; it demands a responsive, multifactorial approach that acknowledges microbial ecology and dynamic metabolic states. These scientific advancements hold promise for redefining nutritional protocols and enhancing patient outcomes in critical care. The gut microbiome, often termed "the forgotten organ," significantly impacts immune function, energy metabolism, and mucosal health. Similarly, metabolomics—the study of small molecular byproducts of cellular processes—provides real-time insight into patient physiology. Combined, these tools are propelling a revolution in personalized nutritional interventions in the ICU. &nbsp

    The future of personalized medical nutrition; a focus on protein

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    Dietary protein is essential for preserving muscle mass and preventing adverse outcomes in a wide range of patient populations. However, achieving sufficient protein intake remains a major challenge, particularly in disease states where requirements are elevated—often double the normal needs—while intake is impaire

    Applying precision nutrition to university students: Insights into their diet quality

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    Previous studies indicated a rising number of university students affected by malnutrition, primarily due to poor diet quality. Considering the growing emphasis on precision nutrition as a strategy to address diverse health needs This study was conducted to assess the eating patterns, evaluate the quality of diets, and determine the association between diet quality and socioeconomic characteristics among students at Universiti Kebangsaan Malaysia (UKM)

    Evaluation of the prevalence, and relationship between nutritional status, malnutrition, and quality of life in cancer patients undergoing chemotherapy in Mashhad, Iran in 2023

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    Introduction: Cancer patients face high risks of malnutrition, low muscle mass, and sarcopenia due to decreased intake and treatment side effects. This malnutrition can lead to longer hospital stays, higher mortality, lower quality of life, and poor treatment tolerance. The purpose of this study is to evaluate the prevalence and relationship between nutritional status, malnutrition and quality of life in cancer patients undergoing chemotherapy in Mashhad, Iran in 2023. Method: In a cross-sectional study, we evaluated 237 cancer patients from Razavi, Nazeran, Qhaem, and Omid Hospitals using the Patient-Generated Subjective Global Assessment (PG-SGA). Data analysis was conducted with SPSS version 21. Results: Among the 237 patients assessed, 61.6% were identified as female. The PG-SGA scores indicated that the prevalence of malnutrition and the risk of malnutrition were 89.9% (n=213) and 7.2% (n=17), respectively. Our findings revealed significant differences in physical function, role function, and emotional status dimensions between the malnourished group and the normal/at-risk malnutrition group (P < 0.001). In contrast, no significant differences were found in cognitive function and social function. Furthermore, there were significant variations in fatigue, pain, and appetite levels between the malnourished group and the normal/at-risk malnutrition group, as assessed by the QoL questionnaire. Conclusion: It was determined that 89.9% of cancer patients across all treatment modalities were malnourished and required immediate care. Gastrointestinal cancer was found to have the highest malnutrition rates when compared to other cancer types

    Relationship between protein intake and nutritional status with response therapy of intensive phase in pulmonary tuberculosis patients in Dili and Oecusse

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    Background: Tuberculosis (TB) infection triggers a decrease in appetite and disrupts protein metabolism. Protein provides the main source of amino acids for immune system formation and tissue repair, both of which are impaired in tuberculosis patients. Intensive phase anti-tuberculosis therapy aims to boost immunity, reduce bacterial load, and improve nutritional status. Pulmonary TB is the leading cause of death in Timor Leste (94% mortality rate by 2021), yet few studies have explored the relationship between nutrition and treatment response. This study investigated the relationship between protein intake, nutritional status, and treatment response in pulmonary TB patients undergoing intensive therapy in Dili and Oecusse. Method: Using a cross-sectional study design, 104 participants were recruited using consecutive sampling. Data collection included both primary and secondary data. Analyses were conducted using the independent samples t-test, Mann-Whitney, and Fisher's Exact Test. Results: There are 66.3% at risk of malnutrition based on upper arm circumference, a mean body mass index of 17.86 kg/m². The median daily protein intake was 1.07 g/kgBW/day, with lower intake of animal protein compared to plant protein (0.44 g/kgBW/day vs. 0.59 g/kgBW/day). The study found no significant relationship between protein intake and nutritional status in response to the intensive phase therapy (p>0.05). Conclusion: There is no significant relationship between protein intake and nutritional status in response to the intensive phase therapy. Further research with a case-control study design is needed to confirm findings and evaluate factors affecting unbalanced therapy response

    Effect of magnesium supplementation on glycemic control in type 2 diabetes mellitus: evidence-based case report

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    Background: Diabetes mellitus is one of the most serious and common chronic diseases, leading to life-threatening, disabling and costly complications, and reducing life expectancy. Poor intracellular magnesium concentration may contribute to insulin resistance, whereas higher magnesium levels are associated with increased insulin sensitivity. This study aimed to investigate the effect of magnesium supplementation on glycemic control in patients with type 2 diabetes. Objective: This study aimed to investigate the effect of magnesium supplementation on glycemic control in patients with type 2 diabetes. Methods: A literature search was conducted using three major databases: PubMed, Cochrane Library, and EBSCOhost. MeSH terms, advanced search, and eligibility criteria were used for title and abstract screening after removing duplicates. Critical assessment tools and levels of evidence of the final articles are based on the Oxford Center for Evidence-Based Medicine. Results: A meta-analysis and two RCTs met the PICO and eligibility criteria. One meta-analysis found that magnesium supplementation significantly reduced fasting blood glucose and HbA1c. One RCT reported that magnesium supplementation significantly improved HbA1c, insulin levels, and HOMA-IR. Another RCT found that there were no differences in HbA1C and continuous glucose monitoring. Conclusion: Magnesium supplementation may have a beneficial effect on glycemic control in patients with type 2 diabetes. However, further research is needed to establish optimal dosage and the most effective form of magnesium supplementation

    Association between muscle-to-visceral fat ratio and vascular elasticity in medical students

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    Background: Medical students often adopt lifestyles that contribute to decreased muscle mass and increased visceral fat accumulation, which can negatively impact vascular elasticity, a biomarker for the early detection of cardiovascular disease. Objective: This study aims to evaluate the association between the muscle mass to visceral fat ratio and vascular elasticity in medical students at Universitas Pembangunan Nasional Veteran Jakarta (UPNVJ). Methods: A cross-sectional design was conducted from November 2023 to January 2024 at UPNVJ. The sample consisted of 51 subjects who met the research criteria. The muscle-to-visceral fat (MVF) ratio was measured using Bioelectrical Impedance Analysis (BIA), while vascular elasticity was assessed using the Accelerated Photo plethysmograph Analyzer SA-3000P. Results: The results revealed that 68.6% of the subjects had the lowest MVF ratio and 54.9% exhibited sub-optimal vascular elasticity. No differences were found in age, gender, physical activity, or eating habits between the vascular elasticity groups (p > 0.05). The Chi-square test revealed a significant association between the MVF ratio and vascular elasticity (p = 0.009; OR = 6.545; 95% CI = 1.7–24.9). Conclusion: Students with the lowest MVF ratio were found to be 6.54 times more likely to have sub-optimal vascular elasticity, compared to those with low and high MVF ratios, indicating an increased risk of cardiovascular disease. These findings underscore the importance of early preventive intervention aimed at optimizing body composition through targeted wellness programs. The implementation of nutritional education and structured physical activity initiatives, particularly in young adults, may play a critical role in reducing the risk of cardiovascular disease

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    World Nutrition Journal (Indonesian Nutrition Association - INA)
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