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All Journal Amerta Nutrition Journal of Community Empowerment for Health
Larasati, Meirina Dwi
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Asupan Makan, Status Gizi dan Penanda Inflamasi pada Penyakit Ginjal Kronik dengan Terapi Hemodialisis: Asupan Makan, Status Gizi dan Penanda Inflamasi pada Penyakit Ginjal Kronik dengan Terapi Hemodialisis Isnawati, Muflihah; Larasati, Meirina Dwi; Hendriyani, Heni
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.96-104

Abstract

Background: Hemodialysis therapy in patients with chronic kidney disease carries a high risk of malnutrition and chronic inflammation, contributing to poor clinical outcomes. Dietary intake is a key consideration in nutritional management, yet its relationship with nutritional status and inflammation remains inconsistent. Objectives: This study examined the relationship between dietary intake, nutritional assessment, and inflammatory markers in chronic kidney disease patients undergoing hemodialysis. Methods: This study employs a cross-sectional design, involving 80 adult patients on maintenance hemodialysis. Data on macronutrient and micronutrient intake were obtained using a 24-hour dietary recall method. Nutritional assessment was evaluated using body fat percentage, mid-upper arm circumference, serum albumin and the Malnutrition Inflammation Score. Inflammatory profile was assessed using hs-CRP and TIBC. Spearman correlation and multivariate linear regression analyses was applied. Results: Energy and protein intake per kilogram of body weight were inversely correlated with body fat percentage (r=−0.379 and −0.417, respectively; p-value<0.01) and MUAC (r=−0.270 and −0.338; p-value<0.05). Multivariate analyses showed that dietary intake, age and dialysis duration were not independent predictors of serum albumin or MIS. However, regression models for body fat percentage and MUAC were significant (p-value<0.05), explaining 17% of the variance. No statistically significant associations were observed between dietary intake and inflammatory profiles. Conclusions: Dietary intake contributes to variations in body composition but is not an independent determinant of biochemical or inflammatory indicators. Nutritional and inflammatory status in hemodialysis patients is multifactorial, highlighting the need for comprehensive nutritional assessment.
Pre-ramadan education and blood glucose monitoring as a safe ramadan fasting strategy for people with type 2 diabetes mellitus Larasati, Meirina Dwi; Muninggar, Dian Luthfita Prasetya; Jaelani, Mohammad
Journal of Community Empowerment for Health Vol 9, No 1 (2026)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.108406

Abstract

Introduction: People with type 2 diabetes mellitus (T2DM) who choose to fast during Ramadan are at increased risk of metabolic complications, particularly hypoglycemia and hyperglycemia. Ensuring comfort and a sense of safety is essential to minimize these risks. Pre-Ramadan education focusing on dietary management and regular health monitoring may support safer fasting practices. This activity aimed to assess the impact of pre-Ramadan education on glycemic control and fasting safety among individuals with T2DM.Methods: This community service activity was conducted among individuals with T2DM participating in the Prolanis program at Tlogosari Wetan Primary Health Center, Semarang City. Educational sessions on dietary management during Ramadan fasting were delivered using PowerPoint presentations, and booklets were distributed to 46 participants. Health monitoring was subsequently conducted through home visits during Ramadan to assess complaints and the risk of glycemic disturbances, including blood glucose measurements, in 27 participants.Results: Pre-Ramadan education was implemented during Prolanis activities in February and March 2024, followed by health monitoring throughout Ramadan. Reported symptoms suggestive of hypoglycemia included sweating, chills, tremors, headaches, and hunger, while symptoms related to hyperglycemia included polyuria, dehydration, nausea, vomiting, and fatigue. Blood glucose monitoring performed two hours before breaking the fast showed values ranging from 73 mg/dL to 235 mg/dL. Approximately 25% of participants achieved controlled blood glucose levels during Ramadan fasting. Comparison of pre- and post-Ramadan fasting blood glucose measurements indicated a tendency toward improved glycemic control during Ramadan.Conclusion: Pre-Ramadan education programs can help glycaemic control and monitor the risk of complications in people with T2DM who fast during Ramadan.
Co-Authors Heni Hendriyani Muflihah Isnawati Muninggar, Dian Luthfita Prasetya