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Nipa Rojroongwasinkul
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ASSESSMENT OF ADEQUACY OF PROTEIN INTAKE IN ENTERAL FEEDING PATIENTS WITH NEUROLOGICAL PROBLEMS Su May Aung; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Introduction: Enteral tube feeding can provide sole source of nutrients in patients who cannot eat orally. In order to get adequate nutrients, it is essential to choose enteral feeding formula correctly and provide sufficiently. Aims: Therefore this study was carried out to determine the adequacy of protein intake with blenderized tube feeding diet in comparison to traditional tube feeding diet by studying nitrogen balance. Methods: This study was conducted on 25 participants with neurogenic dysphagia who had been admitted to Kwe Ka Baw Hospital at Yangon. The participants were divided into three groups: the first group who received 1800 ml/d of traditional tube feeding diet (Group T, n = 10), the second group was supplied with 1500 ml/d of blenderized tube feeding diet (Group B1, n = 9) and the third group was supplied with 2000 ml/d of blenderized diet (Group B2, n = 6). The nitrogen balance study was done on day 4, day 5 and day 6 of enteral feeding. Results: The mean nitrogen balance of Group T was profoundly negative (-7.3 g/d) and of Group B1 was still negative (-2.6 g/d). The nitrogen balance of Group B2 improved to positive balance (0.6 g/d). In conclusion, the protein intake was inadequate with traditional tube feeding diet and 1500 ml/d of blenderized tube feeding diet. The protein intake was adequate with 2000 ml/d of blenderized tube feeding diet. Conclusion: Based on the result of this study, the blenderized tube feeding diet with 2000 ml/d intake should be recommend to use for enteral feeding patients with underlying neurological problems. 
DEVELOPMENT OF MYANMAR CARBOHYDRATE COUNTING BOOKLET Win Thida Htwe; Wantanee Kriengsinyos; Chanida Pachotikarn; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 2 (2017)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: Diabetes mellitus is one of the major challenging problems in Myanmar. Even with its high occurrence, the prevalence of good glycemic control was relatively low. According to Myanmar food culture, most of the foods that Myanmar people daily consumed are carbohydrate-based. Therefore, a nutrition education tool that can raise the awareness of amount of carbohydrate in foods and provide scientific but comprehensible dietary information about carbohydrate counting is necessary in all arenas to combat diabetes: prevention, promotion and management. Aim: The aim of this study was to develop Myanmar carbohydrate counting booklet. Method: The first phase developed the booklet and then the acceptance of the booklet was assessed in the second phase by an experimental study. Results: In the first phase, the booklet named “Basic Carb Counting for People Living with DM” was developed. It was 14.5 × 20.5 × 1 cm in size and of 103 pages. It contained illustrated facts and information about diabetes, about basic carb counting and carb choices of different food items along with respective food photographs. In the second phase, 36 people with diabetes participated in the study with the mean age of 48.4 ± 10.7 years, 47.2% of male and 52.8% of female. The results showed that the knowledge score of diabetes, carbohydrate and total scores increased significantly (p <0.05) between pre-test score and post-test score. The participants’ satisfaction level with the newly developed booklet was somewhere between “very satisfied” to “extremely satisfied” giving the mean and median responses of between 5 and 6 on a 6-point Likert scale. Conclusion: The developed carbohydrate counting booklet was accepted by people with diabetes in Myanmar and the contents in the booklet were understandable to witness the improvement in the knowledge of the disease and basic carbohydrate counting concept as well. 
MAIN SOURCES OF SUGAR INTAKE OF ADOLESCENTS IN DAERAH ISTIMEWA YOGYAKARTA PROVINCE, INDONESIA Yohannes Willihelm Saleky; Nipa Rojroongwasinkul
Proceedings of the International Conference on Applied Science and Health No. 3 (2018)
Publisher : Yayasan Aliansi Cendekiawan Indonesia Thailand (Indonesian Scholars' Alliance)

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Background: There was 16.9% of population in Daerah Istimewa Yogyakarta (DIY) Province with excess sugar intake, higher than national prevalence 4.8%. Nevertheless, there has not been studied yet about sugar intake of adolescents in this province. The adverse effects of excessive sugar intake leads to cardiovascular diseases (CVDs) and type 2 diabetes mellitus, directly and indirectly through body weight and fat gain in later life. Twenty to forty percent of overweight adolescents are twice likely to develop CVD and seven times greater risk of atherosclerosis. Thus, it is important to prevent NCDs since the behaviours established during adolescent have life-long consequences particularly regarding NCDs in DIY Province. This study aims to assess the daily sugar intake and the main sources of sugar of adolescents in DIY province, Indonesia. Methods: This is an observational study with cross sectional design with the targeted population of all the adolescents aged 15 to 17 years old in urban and rural area of Daerah Istimewa Yogyakarta province, Indonesia. Four schools were chosen with the total sample of 380 students. Four instruments were used in this study i.e. general information questionnaire, semi-quantitative food frequency questionnaire (SFFQ), digital weighing scale and BIA analysis, and microtoise. Mann Whitney test was used to analyze the difference of daily sugar intake between urban and rural area. Statistical tests were considered as significant at P <0·05. Results: Means of daily sugar intake of adolescents were 107.0 g and 87.4 g in urban and rural area respectively. In urban area, the minimum intake of sugar was 15.2 g/day and the maximum intake of sugar was 317.2 g/day. Whereas in rural area, the minimum intake of sugar was 17.2 g/day and the maximum sugar intake was 87.4 g/day. There was a significant difference between average daily sugar intake of adolescents in urban and rural area (P= 0.004). Conclusion: The main sources of sugar intake of adolescents both in urban and rural area were sweetened beverages, additional foods and sweet snacks respectively. 
Co-Authors Chanida Pachotikarn Su May Aung Wantanee Kriengsinyos Win Thida Htwe Yohannes Willihelm Saleky