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All Journal Journal of Nutrition College LINK Jurnal Riset Kesehatan MEDISAINS Jurnal Riset Gizi Jurnal Gizi Klinik Indonesia JMM (Jurnal Masyarakat Mandiri) Jurnal Aplikasi Teknologi Pangan Amerta Nutrition Contagion: Scientific Periodical Journal of Public Health and Coastal Health Journal of Telenursing (JOTING) Nutriology: Jurnal Pangan, Gizi, Kesehatan Jurnal Ilmiah Kesehatan (JIKA) Jurnal Riset Gizi IMPACTS: International Journal of Empowerment and Community Services Media Penelitian dan Pengembangan Kesehatan Jurnal Riset Gizi JHE (Journal of Health Education)
Muflihah Isnawati
(SCOPUS ID: 57215722305), Poltekkes Kemenkes Semarang, Dept. Of Nutrition
Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Environmental Science Health Professions Medicine & Pharmacology Nursing Public Health Other

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Journal : amerta nutrition

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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.
Co-Authors Afifatun Nafisah Afifatun Nafisah, Afifatun Afiska Prima Dewi Agung Nugroho Setiawan Amin, Dewita Rahmatul Apriyanto, Mulono Ari Setiawan Arintina Rahayuni Arintina Rahayuni Arofani Hermastuti Arum Putri Rahayu Aulia Anindya Rahmawati Bedjo Santoso Desti Ambar Wati Dian Luthfita Prasetya Muninggar Diana Nur Afifah, Diana Nur Dwi Hananta Dewi Dwi Hananta Dewi, Dwi Hananta Dwi Putriyani Rizqiyah Enik Sulistyowati Enik Sulistyowati Esti Handayani Estuasih Dyah Pertiwi, Estuasih Dyah Fika Shafiana Nadia Friska Meilyasari Heni Hendriyani Heni Hendriyani Heri Sulistiyono Heri Sulistiyono, Heri Ika Sartika Ika Sartika Ken Nira Anjangsari, Ken Nira Kholishah Thahriana Sutriani Krisdiana Wijayanti Kurnia Desy Ambar Wati Larasati, Meirina Dwi Mardiah Mardiah Maria Francona Sensiana Maria Francona Sensiana, Maria Francona Miraningtyas, Ating Muhammad Sulchan Muninggar , Dian Muthia Nada Syadza Nabiha, Puteri Inandin Nurul Aeni Oktadiarini, Dwi Paramita Wahyu Andhika Sari Parmi Parmi Parmi, Parmi Rahma, Sofi Aulia Rahmadhani, Aufi Rahmawati, Aulia Anindya Ramadanti, Anisa Alfia Ratnadewi, Sevena Nur Rauza Sukma Rita Ria Ambarwati Rini Astuti Rini Astuti Rizqiyah, Dwi Putriyani Rr Sri Endang Pujiastuti Runjati Salsabila, Uyun Setyo Prihatin Setyo Prihatin, Setyo Sevena Nur Ratnadewi Shinta Dhian Hasna Atifah Sri Sumarni Sri Wahyuni Sri Widiyanti SUGIYANTO Suharyo Hadisaputro Supriyadi Supriyana Supriyana, Supriyana Susi Tursilowati Wiwik Wijaningsih Yulika Sianipar Yuniarti Yuwono Setiadi Yuwono Setiadi Yuwono Setiadi, Yuwono Zuhria Ismawanti