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All Journal Jurnal Gizi dan Pangan e-CliniC Sari Pediatri Paediatrica Indonesiana JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA AcTion: Aceh Nutrition Journal Contagion: Scientific Periodical Journal of Public Health and Coastal Health Journal of the Indonesian Medical Association : Majalah Kedokteran Indonesia World Nutrition Journal Jurnal Prima Medika Sains Journal of Community Empowerment for Health IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN) Archives of The Medicine and Case Reports Cermin Dunia Kedokteran Jurnal Ilmu Kesehatan Indonesia (JIKSI) Jurnal Sehat Indonesia (JUSINDO) Jurnal Penyakit Dalam Indonesia Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education and Research Institute Cermin Dunia Kedokteran
Diana Sunardi
Departemen Ilmu Gizi Fakultas Kedokteran Universitas Indonesia Indonesian Hydration Working Group - FKUI
Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Nursing Public Health Veterinary

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Journal : e-clinic

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Role of Vitamin D in Medical Nutrition Therapy among Malnourished Patients with Interstitial Lung Disease: A Case Report Patricia S. Sinuraya; Diana Sunardi; Yohannessa Wulandari; Fariz Nurwidya
e-CliniC Vol. 14 No. 3 (2026): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/7w0j0q46

Abstract

Abstract: Interstitial lung disease (ILD) is a group of lung disorders characterized by chronic inflammation and fibrosis, with a global prevalence ranging from 6.3 to 71 cases per 100,000 population. One subtype, connective tissue disease–associated ILD (CTD-ILD), is closely related to immune system dysregulation and progressive fibrosis. We reported a 45-year-old woman with CTD-ILD prone to malnutrition due to increased metabolic demands and reduced intake caused by dyspnea, nausea, and vomiting. This condition may impair muscle function, reduce lung capacity, and worsen clinical outcomes. Therefore, nutritional assessment plays a crucial role in patient management. Interventions include a balanced diet and nutritional support to meet energy and protein requirements, targeting 1.2–1.5 g/kgBW/day. Supplementation with vitamin D at a dose of 5,000 IU once daily and micronutrients were provided to support metabolism and immune function. During treatment, the patient showed improvement in energy intake, reaching up to 95% of daily requirements and enhanced clinical response through continuous nutrition education. In patients with ILD, especially CTD-ILD, vitamin D plays a supportive therapeutic role by modulating immune responses, reducing fibrotic processes, preserving respiratory muscle function, and supporting bone health. In conclusion, vitamin D deficiency is prevalent in CTD-ILD patients and is linked to disease progression, making vitamin D supplementation an important component of maintenance therapy. Keywords: interstitial lung disease; malnutrition; vitamin D
Co-Authors Achmad Mulawarman Jayusman Afifa, Nadhira Nuraini Ali Sungkar Ali Sungkar Almira Devina Anak Agung Eka Widya Saraswati Andry Kelvianto Angelia, Wella Anin Ika Rosa Ardesy Melizah Kurniati arieska felicia Audy Alexander, Ruth Ayu Andin Wardani, Mutia Ayu Diandra Sari Ayu Diandra Sari Badriul Hegar Bernie Endyarni Medise Budi Wiweko C Rinaldi A Lesmana Chandra, Dian Novita Christy, Sarah claresta diella Dadang Makmun Devina, Almira Dewi Friska Dian Araminta Ramadhania Dian Araminta Ramadhania Dian Sarah Mutiara Dian Sarah Mutiara Dian Sarah Mutiara Dian Sarah Mutiara Dian Sarah Mutiara Diyah Eka Andayani Diyah Eka Andayani Diyah Eka Andayani Dwi Nastiti Iswarawanti Dyah Arum Kusumaningtyas E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Erfi Prafiantini Ervira Wahyuni Esthika Dewiasty Esthika Dewiasty, Esthika Evania Astella Setiawan Evania Astella Setiawan Fariz, Nurwidya Ferdi, Jessica Fransisca Olivia Gabriella Nurahmani Putri Gloriana Seran Godong, Bernardine Handayani Eka Puspita Sari Hasan Maulahela Helda Khusun Ikhwan Rinaldi Iwan Surjadi Handoko Juferdy Kurniawan Karin Wiradarma Kirana, Annisa Nurul Krisadelfa Sutanto Luana Lidwina Maggie Nathania Marvin Marino Melyarna Putri Mulianah Daya Muningtya Philiyanisa Alam Neng Tine Kartinah Almuktabar Ninik Mudjihartini Noorwati Sutandyo Novi Silvia Hardiany Nurhayati M Rasyid Nurul Ratna Manikam Nurul Ratna Mutu Manikam Patricia Amanda Patricia S. Sinuraya Pauline Octaviani Prajna Adhityarani Purwita Wijaya Laksmi Putri Novia Choiri Insani Rahmita, Kartika Soka Raphael Kosasih Rasyid, Nurhayati M Ratnayani Reisa Melisa Wijaya Rini Sekartini Rizki Yusrini Pohan Rudy Hidayat Ruth Audy Alexander Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Sepmeitutu, Iwandheny Sheena R. Angelia Stefani, Shiela Steffi Sonia Surjadi Handoko, Iwan Tiara Aninditha Titis Prawitasari, Titis Triyanta Yuli Pramana Wella Angelia Wicaksari, Sifa Aulia Wiji Lestari Wiji Lestari Winarsa, Jessica Witjaksono, Firisha Virgidewi Yohannessa Wulandari Yosua Y Kristian Yosua Yan Kristian Yulhasri Yulhasri Yulianti Wibowo, Yulianti