World Nutrition Journal (Indonesian Nutrition Association - INA)
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The association between animal source food intake and growth among preschool children in Jakarta
Background: Animal-source foods (ASF) are a source of high-quality protein and bioavailable micronutrients such as iron and zinc, which are important for the growth of preschool children. However, despite high ASF intake, malnutrition in Jakarta is above the national prevalence. The types of ASF consumed may have contributed to this.
Objective: This study aims to investigate the association between ASF intake and height-for-age Z-scores (HAZ) among preschool children aged 4–6 years in Jakarta
Ethical consideration in patients with obesity
Obesity is an epidemic that is about to overwhelm the economic and health care structures of society. Obesity is a complex medical condition that has roots in genetic, environmental and social exposures that should not be attributed lack of willpower any more than other diseases. One in five adults, one in five children aged 5-12, and one in seven adolescents aged 13-18 in Indonesia are overweight or obese, according to estimates from the 2018 National Basic Health Research surve
Empowering mass spectrometry & separation sciences for clinical laboratory
Mass spectrometry (MS) has been a gold standard in the clinical laboratory for decades. Although historically refined to limited areas of study such as neonatal screening and steroid analysis, technological advancements in the field have resulted in MS becoming more powerful, versatile, and user-friendly than ever before
Nutrition in the first 1000 days of life
Development in the first 1000 days of life is the most important time in everyone of us. This period not only encompasses organ formation but also its maturation and development as well
Positive effects of probiotics against alzheimer’s disease: A scoping review
Alzheimer's disease (AD) is a neurodegenerative disease related to elderly with subtle onset and progressive impairment of behavior and cognitive functions that is projected to increase without medical breakthroughs. Recent medication effectiveness is limited, only symptomatic treatment is available, none are curative, and variably palliative. Studies suggest an association between gut health and Alzheimer's progression through the “microbiome-gut-brain axis”. A scoping review was conducted to further explore the positive effects of probiotics on AD, highlighting potential of enhancing cognitive function, mitigating inflammation, and improving lipid profiles
Medical nutrition therapy in patients with severe malnutrition, unresectable gastric cancer and percutaneous endoscopic gastrostomy (PEG)
The yearly burden of stomach cancer is expected to rise to 1.8 million new cases and 1.3 million deaths by 2040. These indicate rises of almost 63% and 66%, respectively, from 2020. This case aim to describe medical nutrition therapy in patients with unresectable gastric cancer and percutaneous endoscopic gastrostomy (PEG)
Association between consumption of ultra-processed foods and beverages with nutritional status of private senior high school students in Pontianak, West Kalimantan, Indonesia
Background: Many low- and middle-income countries are now facing the “double burden” of malnutrition, one of them is overweight/obesity. Over 340 million children and adolescents were overweight and obesity in 2016. Obesity among adolescents may increase, in part due to changes in the food system, which now offers a wide range of ultra-processed foods (UPF) that minimize preparation time. Indonesia has also a large and rapidly growing market for unhealthy drinks, which are sold in various places including schools and hospitals.
Objective: This study aimed to investigate the association of UPF and beverages consumption and other related factors with nutritional status of senior high school students in Pontianak, West Kalimantan, Indonesia.
Methods: This cross-sectional study conducted in Pontianak investigated the association between UPF consumption and nutritional status of SHS students. Data collection was conducted at Imanuel and Petrus SHS Pontianak in June 2023, involving 273 students from grades 10th and 11th. Weight and height measurement was obtained for calculating the BMI for age Z-scores, while UPF and beverages consumption was obtained by FFQ. Structured questionnaire, 24-hours recall, and IPAQ-S were used for assessing sociodemographic status, Total Energy Intake and Physical Activity Level. Data analysis used SPSS version 26.
Results: The result found 40.3% of students were overweight-obesity; 51.6% consumed excessive UPF and beverages. It showed an inverse association between UPF consumption and nutritional status. The study identifies UPF and beverages consumption, gender, mother's education level, and family income as factors associated with nutritional status among adolescents.
Conclusion: The consumption of ultra-processed Foods was high, with the highest UPF intake came from snacks and sweets (22.4%). There was inverse association between UPF and beverages consumption with nutritional status. There was also significant association between UPF and beverages, gender, mother education level and family income with nutritional status
Child rearing workplace policy for working mothers: A scoping review
Introduction: Straddling work and childcare harms working moms' health, potentially their children too. To address this, child rearing workplace policies are needed. These would promote work-life balance and ensure both mothers' and children's well-being, ultimately protecting pregnant and parenting women at work.
Objective: This study aims to explore the gaps between available child rearing workplace policy for working mothers and the implementation on the field while taking its implications into account.
Methods: We reviewed literature from PubMed electronic database. Predefined keywords were developed and chosen. Relevant articles were filtered according to the inclusion and exclusion criteria. Furthermore, all articles were reviewed independently and those that match were included and charted through Microsoft Excel based on each articles’ characteristics.
Results: There are 13 workplace policies related to childcare for working mothers in the included articles. The most common policy was paid maternity leave. Other frequently mentioned policies included lactation support and facilities, flexible work arrangements, and daycare facilities. All policies have different implementation rates and implications to both working mothers and their children.
Conclusion: Supportive child rearing policies at work benefit everyone: employers, employees, and their families, leading to a better nutritional and health status, hence increase overall quality of life
Validity test of the Global Leadership Initiative on Malnutrition (GLIM) diagnostic criteria compared with the American Society for Parenteral and Enteral Nutrition (ASPEN) criteria in inpatients at Dr. Cipto Mangunkusumo hospital: A cross-sectional study
Background: Malnutrition experienced by numerous inpatients is linked to various complications. The Global Leadership Initiative on Malnutrition (GLIM), which established the latest malnutrition criteria, recommends a two-step methodology for diagnosing malnutrition in adult inpatients. This study aims to evaluate the validity of the GLIM criteria for the diagnosis of malnutrition in hospitalized patients at Cipto Mangunkusomo Hospital Jakarta by comparing them with the ASPEN criteria.
Methods: This cross-sectional study was conducted at Cipto Mangunkusomo Hospital, Jakarta. Secondary data was taken from 100 inpatients from October 2021 to February 2022 selected by consecutive sampling technique. The diagnosis of malnutrition in the patients applied the ASPEN and GLIM criteria. Furthermore, data were analyzed using Cohen's Kappa and chi-square tests.
Results: Of 100 inpatients, 63% were diagnosed with malnutrition according to the GLIM diagnostic criteria. Meanwhile, 48% of them were found to be malnourished according to the ASPEN criteria. The GLIM criteria have a specificity of 69.2%, a sensitivity of 97.9%, a PPV of 74.6%, and an NPV of 97.3%.
Conclusion: The GLIM diagnostic criteria are valid as an instrument for diagnosing malnutrition but require further research to assess the severity of malnutrition
The roles of growing up milk on growth and anemia prevention in children under 5 years of age
Background: Adequate nutrition during the early years of life is necessary for good growth, development, and long-term health outcomes. The first 1000 days of life are a critical time for nutrition.
Aims: This literature review aimed to evaluate the role of growing up milk on growth, stunting, and anemia prevention of under-five children.
Methodology: This study used a literature review approach, searching three databases: PubMed, Google Scholar, and Cochrane. The inclusion criteria in this literature review were 1) randomized clinical trials, systematic review, and meta-analysis, 2) studies conducted over the last 10 years, 3) available in full text, 4) written in Indonesian or English, and 5) Research studies conducted in humans.
Result: We identified 3 publications, that matched the inclusion criteria and research aims, including 2 original articles from Lovell AL, et al and Cervo MCM, et al, and 1 meta-analysis by Brooker PG et al. Fortified milk (GUM) consumption significantly had a positive impact on nutritional status, especially growth and hemoglobin status (anemia).
Conclusion: Fortified milk (GUM) consumption is a solution to macro-micronutrient adequacy in under five children. More efforts are needed to conduct studies in Indonesia on GUM and address specific nutrients that may promote linear growth, reverse stunting and anemia in children