Jurnal Gizi dan Pangan
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Intervention with Purple Okra Pudding and Supplement to Improve Antioxidant Status in Healthy Adults
Get PDFThis research aimed to analyze the potency of purple okra-based products in improving the antioxidant status of healthy adults. Thirty adults with high body fat percentages were allocated into three groups: the first group was treated with 100 g of purple okra pudding/day, the second group was provided with a purple okra extract supplement that contained 3.80 g of extract/day, and the third group was a control group. The intervention was carried out for 28 days. All subjects were exposed to nutrition education, and data on their characteristics, food intake, and physical activity level were collected. The results showed that purple okra pudding and supplement had antioxidant activity of 0.39 and 455.39 mg AEAC/g extract, IC50 of 543.79 and 71.78 ppm, and total phenol of 6.21 and 24.49 mg GAE/g extract, respectively. There were significant differences among subject groups in energy, protein, and fat intake as well as physical activity level. The group treated with purple okra pudding showed a significantly higher ΔSOD after the intervention, most probably due to the role of antioxidants contained in purple okra in upregulating antioxidant defense. In contrary, there was a declining trend of ΔSOD in the group treated with purple okra extract supplement. The different effects observed between the two groups might be due to the different phenol contents between the two intervention products. This study showed that purple okra has the potential as a functional food and health supplement in improving the antioxidant status of healthy adults with high body fat percentages as indicated by a higher change of SOD level (0.08 u/mL) in comparison to the control (-0.07 u/mL)
Royal Free Hospital Nutrition Prioritizing Tools (RFH-NPT): Predictor of Malnutrition Risk among Chronic Liver Disease Patients
Get PDFThis study is aimed to investigate the prevalence of malnutrition using Royal Free Hospital Nutrition Prioritizing Tools (RFH-NPT) and the correlation between malnutrition and RFH-NPT with clinical parameters. A total of 80 cirrhosis liver patients without liver cancer were enrolled in this prospective study. This study was conducted at Selayang hospital, which is the national tertiary referral centre for liver disease in Malaysia. We administered the nutrition screening of RFH-NPT to the patients within 24 hours after admission. The utilization of the RFH-NPT resulted in a higher incidence of nutritional risk, at 73%. The RFH-NPT revealed a higher proportion of Child Pugh C patients at risk for malnutrition (46/50 or 92%, p= 0.002) and had superior capability in identifying patients with intermediate and high risk for malnutrition (35/61 or 57.3%, p=0.012) within the subset of patients with Model for End- Stage Liver Disease (MELD) scores below 15. Hence, we propose that the utilization of the RFH-NPT enhances medical professional’s capacity for early-stage prediction of malnutrition risk in patients with cirrhosis predominantly attributed to hepatitis virus infection
Impact of Nutritional Intervention for Patient with Cerebrovascular Accident and Atrial Fibrillation Secondary to Hypertensive Emergency
Get PDFThis case study aims to report on the nutrition management of Cerebrovascular Accidents (CVA) which have a higher risk of malnutrition due to dysphagia, hemiparesis, decreased mobility, and dementia. Mrs. L, a 76-year-old Chinese lady, was less responsive at home. Upon admission, she was diagnosed with hypertensive emergency complicated by CVA, newly diagnosed atrial fibrillation, and End-Stage Renal Disease (ESRD). Her Body Mass Index (BMI) is 22.5 kg/m2, which is underweight for her age. The patient, with abnormal blood results, high blood pressure, and poor Glasgow Coma Scale (GCS) score, was treated with nasogastric enteral feeding and a disease-specific formula for diabetes. Inadequate enteral nutrition infusion related to feeding has yet to optimize as evidenced by intake of 57% of energy and 0.6 g/kg body weight of protein. Mrs. L required 1,442 kcal of energy and 57.7 g of protein (1 g/kg body weight) to meet adequate bodily function and prevent further weight loss. The nasogastric enteral feeding was optimized to 250 mL, seven times daily using the same diabetic formula. Throughout follow ups, although the patient’s dietary intake improved, she experienced episodes of diarrhea. She was also put on a 500 mL fluid restriction per day. Considering those issues, the diseasespecific formula was changed to renal disease formula. The patient then progressed to a soft diet with improved GCS scores and other conditions. This case highlights dysphagia which is the leading cause of malnutrition in stroke patients, associated with poor prognosis, increased mortality, and deteriorated health outcomes, necessitating enteral nutrition support to enhance nutritional status and promote health. It can be concluded that MNT in managing patients with CVA, hypertensive emergency, and underlying diseases of diabetes and ESRD helps to improve the patient’s recovery. The patient\u27s treatment and diet should be optimally adjusted through close monitoring and evaluatio
Factors Affecting Chronic Energy Deficiency among Pregnant Women in East Nusa Tenggara Province, Indonesia
Get PDFThis study aims to investigate the relationship between maternal and household characteristics with the Chronic Energy Deficiency (CED) occurrence among pregnant women in East Nusa Tenggara (ENT). CED was observed through Mid-Upper Arm Circumference (MUAC) measurement of <23.5 cm. Utilizing a cross-sectional design using secondary data from the 2018 Indonesia Basic Health Survey (Riskesdas) involving 387 pregnant women. Bivariate analysis (chi-square test) and multivariate analysis (multiple logistic regression) were conducted. Significant associations with the CED included parity (p=0.002), education level (p=0.018), access to hospital (transportation mode) (p=0.032), and access to primary healthcare facilities (travel time) (p=0.032). Multivariate analysis identified parity as the most influential variable for the CED occurrence among pregnant women (p=0.016; OR=1.868). In conclusion, mothers with a parity of less than two or more than three children had a higher risk of experiencing CED during pregnancy in ENT. To prevent CED and its consequences, it is recommended to emphasize family planning, address parity concerns, and prioritize maternal nutritional status before and during pregnancy
Anti-Hypertensive and Anti-Hypercholesterolemic Effects of Protein Hydrolysates from (Phaseolus vulgaris) L. in Functional Beverage
Get PDFThe study aimed to formulate a functional beverage from common bean seeds, isolate the proteins and evaluate their anti-hypertensive and anti-cholesterolemic properties. White common beans (Phaseolus vulgaris L.) mature seeds were used to prepare the beverage. Proteins isolated from the beverage were subjected to digestion with pepsin and combined enzymes including trypsin, thermolysin, and chymotrypsin. The unhydrolyzed beverage and protein hydrolysates were subsequently tested for Angiotensin Converting Enzyme (ACE) inhibition and cholesterol micellar solubility inhibition. The results showed that both unhydrolyzed and hydrolyzed proteins exhibited blood pressure and cholesterol-lowering properties, with high ACE inhibition (77.60%) and cholesterol micellar solubility inhibition (27.38%). The formulated functional beverage from white common bean seeds has potential for preventing hypertension and hypercholesterolemia. This study offers a theoretical foundation for the formulation of functional beverages or bean-based food products by food companies
Relationship between Use of Food Delivery Applications, Fat Intake, Physical Activity and Weight Status among Students
Get PDFThis study aimed to determine the relationship between food delivery app usage, fat intake, physical activity, and the overweight status of students at public high school in Jakarta. The cross-sectional study involved 77 students from grades X and XI. The frequency of food delivery was grouped into ≥3 times/week or less. Types of food were grouped into light or heavy meals. Physical activity was measured using IPAQ-SF (International Physical Activity Questionnaire - Short Form) and fat intake using SQ FFQ (Semi-Quantitative - Food Frequency Questionnaire). Fat intake was grouped into sufficient and excess category. Physical activity was grouped into low and sufficient category. Chi-square analysis found that there is a significant correlation between overweight status and frequency of food delivery application usage (p<0.001). However, there is no significant correlation between overweight status with the type of food ordered (p=0.467) as well as the amount of food ordered (p=0.655). On the other hand, fat intake showed a significant association with overweight status in adolescents (p<0.001). A significant association was also found between physical activity and overweight (p<0.05). This study showed that the adolescents’ use of food delivery applications, fat intake, and physical activity have a significant correlation with their overweight status. However, the type and amount of food ordered did not show a significant correlation. Despite the insight offered, the study was small and limited in one school hence generalization of findings is limited. Thus, a larger study with diverse subjects is needed
Development and Validation of Postnatal Diet, Lactation, and Emotion Management (LEDies) Module
Get PDFThis study aims to develop and validate a module on managing diet, lactation, and emotion for postnatal mothers. This cross-sectional study involves three phases: needs assessment, module development, and module validation. About 37 mothers aged 18 to 49 years old with infants less than 6 months were recruited, and information on postnatal care practices, lactation knowledge, and emotion were obtained for module development. The guidelines from the Ministry of Health Malaysia and literature served as the foundation for the module that was developed following the requirements assessment utilizing the Health Belief Model (HBM). Content and face validity of the module is carried out to validate the developed module. The validation form used was adapted from Silveira de Castro (2007) which consists of seven criteria, two criteria related to content validity and another five criteria related to face validity. The content validity was assessed using a Content Validity Index (CVI). CVI was calculated using two different formulas: I-CVI and S-CVI. Meanwhile, a level of agreement was used in the data for the module\u27s face. From the need assessment, most mothers with restricted seafood and nuts intake struggled to breastfeed and about 21.6% of them experienced postpartum depression. The developed module has been validated with both mean I-CVI and S-CVI more than 0.78 and 0.80, respectively. Meanwhile, five face validation components achieved 75% agreement, confirming the validity. In conclusion, the developed module named The LEDies has good validity and can serve as teaching material for postnatal mothers caring for themselves and their infants during the postpartum period
Sociodemographics and Dietary Intake Associations with Gestational Weight Gain Rates Among Gestational Diabetes Mellitus Mothers
Get PDFThis study aims to assess the rates of Gestational Weight Gain (GWG) among pregnant mothers with and without Gestational Diabetes Mellitus (GDM) and to investigate the sociodemographic and dietary intake factors associated with the rates of GWG. This cross-sectional study involved 77 pregnant mothers visiting selected government clinics. Sociodemographics, medical records, and dietary intake were obtained through a self-administered questionnaire. The mean age of the participants was 30.48±5.0 years old with 48.1% (n=37) of them were GDM diagnosed. Moreover, 27 (73.0%) of GDM mothers experienced abnormal GWG. Their mean intakes were 1,481±389 kcal/day, macronutrients such as carbohydrate, protein, and fat were 199.9±59.3 g/day, 75.5±23.9 g/day, 44.1±15.3 g/day accordingly, fiber was 6.9±7.0 g/day and followed by micronutrients such as folate, calcium, iron, and zinc were 137.4±78.9 μg/day, 738.6±335.3 mg/day, 16.8±7.1 mg/day, and 6.0±2.6 mg/day respectively. This study reported no significant association between GDM status and GWG rates but there was a significant association between pre-pregnancy BMI and zinc intake with rates of GWG among pregnant mothers (p<0.05). In conclusion, the latest guidelines of GWG rates should include GDM status among pregnant mothers according to the specific pre-pregnancy Body Mass Index (BMI) to ensure, they can adhere to the new recommendations and lower the risk of pregnancy complications that may occur due to abnormal rates of GWG
Parental Feeding Styles Related to the Stunting in Sleman, Indonesia
Get PDFThe study aimed to determine the correlation between parental feeding style and stunting in toddlers. This study was an observational method with a cross-sectional design. The population of this study were all mothers of toddlers who were in the Minggir Puskesmas (Public Health Center) working area. The sample size in this study was 114 mothers of toddlers, and the sample was chosen using the cluster random sampling technique. Determination of parenting style variables based on demandingness and responsiveness scores. There are four categories of parental feeding styles, namely democratic, authoritarian, permissive, and neglect parenting. Anthropometric measurements of toddlers were carried out directly, and interviews using the parental feeding style questionnaire that had been tested for validation and reliability. That the data was analyzed with Fisher’s Exact test. The Fisher’s Exact test revealed that there was a correlation between parental feeding styles approaches to the stunting incidence with the value of p=0.000 (p<0.05). The parental feeding style that mostly applied to cause stunting is the neglect-feeding style (8.8%). Parents should further improve their parenting patterns by always paying attention to food intake, especially the amount, frequency of feeding, and type of food
