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All Journal JURNAL GIZI INDONESIA Nurse Media Journal of Nursing UG Journal Journal of Nutrition College Forum Agribisnis Journal of Consumer Science Mutiara Medika: Jurnal Kedokteran dan Kesehatan The Indonesian Biomedical Journal ELT Forum: Journal of English Language Teaching Journal of Consumer Sciences Jurnal Ilmu Keluarga dan Konsumen Journal of Innovative Science Education Medica Hospitalia Jurnal Health Sains Diponegoro International Medical Journal (DIMJ) Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) Neurona Seroja Husada: Jurnal Kesehatan Masyarakat Jurnal Info Kesehatan Eko-Regional: Jurnal Pembangunan Ekonomi Wilayah Eko-Regional: Jurnal Pembangunan Ekonomi Wilayah
Retnaningsih Retnaningsih
Departemen Ilmu Keluarga dan Konsumen Fakultas Ekologi Manusia Institut Pertanian Bogor
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Journal : JURNAL GIZI INDONESIA

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The effect of addition protein, phosphatidylcholine, phosphatidylserine, and inulin on GFAP levels of acute ischemic stroke patients at Dr. Kariadi Hospital, Semarang Wahyuningrum, Diah Retno; Retnaningsih, Retnaningsih; Kartasurya, Martha Irene
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.184-197

Abstract

Background: The occurrence of ischemia causes a loss of energy to switch to anaerobic processes resulting in acidosis due to reduced Adenosina Triphosphate (ATP). This condition makes neuron cells apoptotic. Apoptotic of several biochemical substrates in the brain, such as Glial Fibrillary Acidic Protein (GFAP) exit into the circulatory system which is associated with dysbiosis through immunological pathways.Objectives: To determine the effect of giving enteral formula containing protein, phosphatidylcholine, phosphatidylserine, and inulin on GFAP levels in patients with acute ischemic stroke Dr. Kariadi Hospital.Materials and Methods: This study was done in a single-blind RCT. Eighteen ischemic stroke patients were randomly divided into intervention (9 subjects) and control groups (9 subjects). The intervention group received 69 g of the powdered enteral formula three times a day for seven days. The formula contained protein (15 g), phosphatidylcholine (128 mg),  phosphatidylserine (32 mg), and inulin (3 g). The subject who had diabetes mellitus received for 14 days at a dose of 34.5 g per day (7.5 g protein with additions 64mg phosphatidylcholine, 16mg phosphatidylserine, 1.5 g inulin). The control group received the standard enteral formula from the hospital, which contains (11.8 g protein without additions protein, phosphatidylcholine, phosphatidylserine, and inulin). GFAP levels by ELISA method (Enzyme-linked immunosorbent Assay) at pre and post-intervention.Results: There was a trend of decreasing GFAP levels before and after in the intervention group towards a better direction from 8.37±4.25 to 8.30±4.9 compared with the control group which experienced an increasing trend from 5.4±1.8 to 7.5±4. There was no significant difference in GFAP levels after intervention between groups (p = 0.7).Conclusions: The addition of protein, phosphatidylcholine, phosphatidylserine, and inulin had no significant effect on GFAP levels.
Co-Authors Afina, Siti Agung, Locoporta Aisy, Rihadatul Al Mutanafisa, Tasneem Alfiasari Amalia Khairati Amin Husni Andhitara, Yovita Andhitara, Yovita Andhitara Ani Ruwani, Ani Anita Saufika Anjani, Gemala Ardhini, Rahmi Arifin Triyanto Arina Hayati Asep Taryana Budisulistyo, Trianggoro Caroline, Maria Daynuri, Daynuri Daynuri, Riri Diah Retno Wahyuningrum Dini Aprilia Dodik Tugasworo Drajat Martianto Dwi Febryanto Endang Gumbira Sa’id Endang Kustiowati Erni Hernawati Purwaningsih, Erni Hernawati Fadila Ramadini Febriantina Dewi Fibria Mustikarini, Fibria Firina Firina Firli Bramantyo, Dion Fitri Octaviana Fitria Handayani Hajijah, Rengganis Novyanti Hamdani, Faishol Handaru Tri Mulyono Hanisa Rahmina Fitriyana Hartono, Jimmy Eko Budi Hartoyo Hartoyo Irni Rahmayani Johan Istiqlaliyah Muflikhati Jaeri, Santoso Jethro Budiman, Jethro Junedi, Rahmat Juswanto, Gerard Kurnianto, Aditya Kurnianto, Aditya Kurnianto Lia Yuliana Lilik Noor Yuliati Martha Irene Kartasurya Megawati Simanjuntak Nana Rochana, Nana Nani Maharani Noni Widiawatie Nuraini Nuraini Pasmanasari, Elta Diah Priambada, Dody Purba, Jan Sudir Puspitawati, Arinta Putri, Ayulia Karisma Putri, Marietta Krisnaya Nandika Putri, Nadya Yona Eka Rahmawati, Dani Rahmayanti Rahmayanti Rahmi Parhati RIA ANGGRAINI Saiful Ridlo Satrioaji, Hari Wahono Sofro, Muchlis AU Achsan Udji Sri Anna Marliyati Suryadi Suryadi Suryawati, Herlina Syahrul Syahrul Tamad, Fatiha Sri Utami Tri Rahayu, Fitriani Tri Subekti Trisnaningtyas, Wenny Tsaniadi Prihastomo, Krisna Tugasworo, Dodik ` Ujang Sumarwan W.H, Nugrahaningsih Wahyuni, Ribut Nurul Tri Widaryanti, Widya Bella Yudiatma, Muh. Firman Yuridis, Melani Sukma