Claim Missing Document
Check
Articles

Found 2 Documents
Search

Nutritional Care Management of a Pediatric Patient with Stage V Chronic Kidney Disease on Hemodialysis Complicated by Hypertension and Pulmonary Edema with a Differential Diagnosis of Rheumatic Heart Disease Komang Windayani; Kiki Rizky Ananda; Wiwik Ekorinawati; Eka Rusliana; Laras Sekar Windaningrum
Journal of Global Nutrition Vol 6 No 1 (2026)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v6i1.200

Abstract

Chronic Kidney Disease (CKD) stage V in pediatric patients requires renal replacement therapy such as hemodialysis and is often accompanied by complications including hypertension and cardiovascular disorders, such as suspected rheumatic heart disease (RHD). These conditions increase the risk of fluid overload, pulmonary edema, and nutritional problems, thus requiring comprehensive nutritional management. This study used a descriptive observational case study design conducted at Dr. Moewardi General Hospital, Surakarta. The subject was selected using purposive sampling based on the risk of malnutrition using the STRONG-kids screening form. Data were collected through interviews, medical records, anthropometric measurements, biochemical and clinical assessments, and a 24-hour food recall. Nutritional care was carried out using the standardized Nutrition Care Process, including assessment, diagnosis, intervention, education, and monitoring for three days. The subject was a 13-year-old pediatric patient with CKD undergoing hemodialysis, presenting with edema, hypertension, and suspected RHD. Dietary intake was inadequate (<70%). Anthropometric assessment based on Mid-Upper Arm Circumference (MUAC) indicated normal nutritional status despite the presence of edema. Biochemical examination showed anemia and increased creatinine and urea levels. Nutritional intervention showed an increasing trend in intake over three days, although energy and carbohydrate intake remained deficient. Clinical parameters, including blood pressure and respiratory rate, showed improvement, along with decreased creatinine and urea levels. Nutritional therapy in the form of a hemodialysis diet and low-sodium diet contributed to improved intake, fluid balance, and clinical outcomes. Sodium restriction played an important role in controlling blood pressure and preventing fluid overload, including the risk of pulmonary edema. Integrated nutritional management combined with hemodialysis improved intake, clinical condition, and biochemical parameters in pediatric CKD patients with hypertension and suspected RHD.
Relationship between Ultra-Processed Food Consumption and Nutritional Status of Students at Dhyana Pura University based on Anthropometry Brigita Maria Roong; Purwaningtyas Kusumaningsih; Laras Sekar Windaningrum
JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI) Vol. 5 No. 2 (2026): JURNAL KESEHATAN, SAINS, DAN TEKNOLOGI (JAKASAKTI)
Publisher : LPPM Universitas Dhyana Pura

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36002/js.v5i2.5947

Abstract

This study aimed to analyze the relationship between UPF consumption and the nutritional status of students at Universitas Dhyana Pura based on anthropometry. An analytic observational study with a cross-sectional design was conducted among 92 students selected using purposive sampling. UPF consumption was assessed using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), while nutritional status was determined from measured body weight and height and calculated as body mass index (BMI). UPF exposure was expressed as total energy from UPF and the percentage contribution of UPF energy to daily energy intake. Data were analyzed using Spearman’s rank correlation. The mean daily energy intake from UPF was 1,256.69 kcal, contributing 43.92% of total daily energy intake, with a range of 7.6–80.4%. Among the 92 valid observations, 21 students (22.8%) were classified as undernourished, 42 (45.7%) as normal, 13 (14.1%) as overweight, 13 (14.1%) as obesity class I, and 3 (3.3%) as obesity class II. No significant relationship was observed between the percentage of UPF energy and nutritional status (rₛ = −0.109; p = 0.303), total UPF energy and nutritional status (rₛ = 0.081; p = 0.444), or total daily energy and nutritional status (rₛ = 0.134; p = 0.202). These findings indicate that, within this study population, UPF consumption was not statistically associated with nutritional status based on BMI. The results should nevertheless be interpreted in light of potential confounding by physical activity, sleep patterns, total dietary intake, and other individual characteristics that were not statistically controlled.