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All Journal Jurnal Gizi dan Pangan 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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IS SERUM ZINC LEVEL CORRELATED WITH INSULIN RESISTANCE AMONG LACTATING MOTHERS IN JAKARTA? Dian Araminta Ramadhania; Diana Sunardi; Ali Sungkar
World Nutrition Journal Vol. 3 No. 2 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V03.i2.0009

Abstract

Introduction: Insulin resistance is a condition that underlies the development of diabetes mellitus. The prevalence of diabetes mellitus keeps rising, including in Indonesia. A higher proportion of diabetes was found in women. Physiological changes during pregnancy can cause insulin resistance that may persist until postpartum period. Lactation and nutrient like zinc may improve insulin resistance. This study aimed to measure the correlation between zinc serum level and insulin resistance of lactating mothers in Jakarta.Methods: This study used cross-sectional design, was conducted in Puskesmas Kecamatan Grogol Petamburan, West Jakarta and Puskesmas Kecamatan Cilincing, North Jakarta from February to April 2019. A total of 75 lactating mothers at 3–6 months postpartum were selected using consecutive sampling method. Zinc serum was analyzed using atomic absorption spectrophotometry (AAS) method. Insulin resistance was assessed using the homeostasis model assessment-insulin resistance (HOMA-IR).Results: Approximately 76% (n = 57) subjects had low serum zinc level. Spearman correlation test between serum zinc level and HOMA-IR was done (r = 0.003, p = 0.977). Also, correlation test between BMI and HOMA-IR (r = 0.563, p <0.001).Conclusion: No correlation was found between serum zinc level and HOMA-IR however, there was a significant moderate positive correlation between BMI and HOMA-IR.Keywords: Lactation, zinc, insulin resistance, HOMA-IR, BMI
Soy Plant-based Formula with Fiber: From Protein Source to Functional Food Saptawati Bardosono; Diana Sunardi
World Nutrition Journal Vol. 4 No. S1 (2020): Soy Plant-based and Fiber in Children’s Gut Health, Growth & Development
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S1.0004

Abstract

Several factors are fundamental to support child growth and development, including nutrition. Beside Energy, protein is the key of balanced dietary macronutrients intake as the building block of child growth.  While several micronutrients, i.e. calcium, iron, zinc and vitamins are needed for both optimal growth and development. Among protein-rich foods for young children, cow’s milk formula has several limitations, i.e. cow’s milk allergy and low fiber content. Although has a low bioavailability for iron absorption, plant-rich protein can be an alternative for young children to be used, i.e. as a soy isolate protein formula. However, to the fact of low fiber content in soy isolate protein formula, it is then need further consideration to have a fiber enrichment. We highlight the fiber content in child formula to the extent of its benefit for gastrointestinal health in relation to gut movement in preventing constipation, or its role as a functional food with its prebiotics capacity. This article aims to review a suitable type of fiber used for the enrichment for a soy isolate protein formula.
Water types and their functional role: Perception, myth and fact Diana Sunardi
World Nutrition Journal Vol. 4 No. S3 (2020)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V04.S3.0018

Abstract

There are many incorrect perceptions in public as well, and we have to educate people to be more aware about what they buy and drink for their daily fluid intake, also to believe information only from the trusted source.
The Effect of Thiamine Supplementation for Critically Septic Patient: An Evidence-Based Case Report Ayu Diandra Sari; Melyarna Putri; Sheena R. Angelia; Mulianah Daya; Anak Agung Eka Widya Saraswati; Diyah Eka Andayani; Diana Sunardi
World Nutrition Journal Vol. 5 No. 1 (2021)
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.i1.0003

Abstract

Sepsis has been accounted for various burdens worldwide, especially in critically ill patients. This could eventually lead to inflammatory response, provocation ischemia and lactic acidosis. On the other hand, thiamine was suggested as a coenzyme which could improve the outcome of those patients. Thus, we conducted an evidence-based case study with research on PubMed, ProQuest, and Scopus using a search strategy focusing on RCT or cohort study on thiamine supplementation/level towards the outcome of critically ill patients with sepsis. We found three articles eligible for review after full-text assessment. Articles were appraised using the University of Oxford’s tools for critical appraisal. It was known that all studies were good in terms of validity and applicability. This study showed that thiamine supplementation could improve lactate clearance and reduce mortality risk, moreover, thiamine deficiency could increase the risk of lactate acidosis. However, a high level of thiamine was associated with a high level of lactate in patients with liver failure. Therefore, thiamine supplementation could be recommended for critically ill patients with sepsis and normal liver function. Further research, such as RCT or systematic review on thiamine supplementation for age groups to make this study more applicable.
Profil Asupan Minum pada Anak Prasekolah di Daerah Urban dan Rural di Indonesia dan Faktor-faktor yang Memengaruhinya Titis Prawitasari; Bernie Endyarni Medise; Diana Sunardi; Dewi Friska; Erfi Prafiantini; Rizki Yusrini Pohan; Budi Wiweko
Sari Pediatri Vol 22, No 4 (2020)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp22.4.2020.236-42

Abstract

Latar belakang. Asupan minum yang kurang akan berdampak terhadap performa fisik dan kognitif serta dapat menimbulkan manifestasi klinis, seperti pusing, lesu, dan gangguan konsentrasi. Anak memiliki proporsi cairan tubuh yang lebih tinggi dibandingkan dewasa. Hingga saat ini belum ada data mengenai kecukupan asupan minum anak prasekolah di Indonesia.Tujuan. Mengetahui kecukupan asupan minum anak prasekolah di daerah urban dan rural di Indonesia.Metode. Penelitian dengan desain potong lintang dilakukan pada bulan Januari-Maret 2016 di Jakarta dan Maluku pada anak usia 36-72 bulan. Perhitungan jumlah cairan dilakukan dengan mencatat jumlah yang diminum dalam 7 Day-Fluid Diary Record. Asupan minum total ditentukan berdasarkan jumlah yang dikonsumsi dari semua kategori dan sesuai dengan angka kecukupan gizi (AKG) 2019.Hasil. Sebanyak 585 anak mengikuti penelitian ini dengan median asupan minum adalah 1133,1 (85-2991,4) mL/hari dan jenis asupan paling tinggi adalah air putih. Subjek yang tinggal di daerah urban mempunyai faktor risiko lebih rendah untuk mengalami asupan minum yang kurang (RR=0,580; 95%IK: 0,418-0,807; p=0,001). Demikian pula semakin muda usia subjek, maka semakin kecil kemungkinan untuk mengalami kejadian asupan minum yang kurang (RR =0,497; 95%IK: 0,356-0,694; p=0,000).Kesimpulan. Rerata asupan minum anak usia prasekolah di Indonesia sedikit lebih rendah dari anjuran AKG. Anak prasekolah berusia ≥54 bulan dan anak yang tinggal di area rural lebih berisiko mengalami kekurangan asupan minum.
Associations of maternal body composition and nutritional intake with fat content of Indonesian mothers’ breast milk Ardesy Melizah Kurniati; Diana Sunardi; Ali Sungkar; Saptawati Bardosono; Neng Tine Kartinah
Paediatrica Indonesiana Vol 56 No 5 (2016): September 2016
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1849.284 KB) | DOI: 10.14238/pi56.5.2016.297-303

Abstract

Background Breast milk is the best sole food for infants in their first six months of life. Breast milk fat content accounts for the largest part of infants’ energy and may be influenced by many factors, including maternal factors, which may vary in different settings. So far, there has been no published data about the breast milk fat content of Indonesian mothers, including whether it is affected by their body composition or nutritional intake.Objective To investigate breast milk fat content of Indonesian mothers and its associations with maternal body composition and nutritional intake. Method This cross-sectional study was conducted at Budi Kemuliaan Mothers’ and Children’s Hospital. Breast milk specimens were collected from 48 nursing mothers, centrifuged, and tested by creamatocrit for fat content. A 24-hour food recall was performed to evaluate maternal macronutrient intake. Maternal body composition was evaluated by bioelectric impedance analysis. Univariable correlations between breast milk fat content and either energy and macronutrient intake were assessed using the Spearman rho test.Results All nursing mothers had breast milk fat content within clinically normal range [mean 59.4 (SD 15.9) g/L]. There was no significant correlation between milk fat content and maternal body fat (r = -0.03, P=0.840), total body water (r = 0.09 P=0.509), or muscle mass (r = 0.08, P=0.577). Milk fat content seemed to weakly correlated with maternal fat intake, although it was not statistically significant (r = 0.27, P=0.065).Conclusion Breast milk fat content at one-month post delivery appears not associated with with maternal body composition. It seems to weakly correlate with maternal fat intake but findings need to be confirmed in larger studies with adjustment for confounding variables. 
PERBANDINGAN BERAS RAGI MERAH DAN SIMVASTATIN DALAM MENURUNKAN PROFIL LIPID : EVIDENCE-BASED CASE REPORT Dian Sarah Mutiara Dian Sarah Mutiara; Diana Sunardi
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 4 No 2 (2021): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v4i2.72

Abstract

Abstract Background: Dyslipidemia is major risk factor of non-communicable disease and nutraceutical like red yeast rice (RYR) may be helpful as alternative to lowering lipid profile in dyslipidemia. Research objectives: This literature is to critically analyze the comparison RYR and simvastatin in lowering lipid profile. Methods: A search for relevant literatures in PubMed, Scopus, Cochrane, and Science Direct was conducted. We assessing the relevancy and eligibility of the literatures. Three literatures were selected and critically appraised. Results: There were no significant different between RYR and statin group for triglyceride (TG), high-density lipoprotein-cholesterol (HDL-C), especially the total cholesterol (TC) and the low-density lipoprotein-cholesterol (LDL-C) level. Red yeast rice (RYR) show less fatigue side effect than statin. Conclusions: Nutraceutical like RYR can be an alternative to lowering lipid profile especially TC level and LDL-C level and solution for patients who experience statin-associated myalgia. Keywords: red yeast rice, monacolin K, simvastatin, lipid profile
EFFECT OF MATERNAL VITAMIN D SUPPLEMENTATION DURING LACTATION EFFECT ON INFANTS' PROPENSITY TO INFECTION : AN EVIDENCE-BASED CASE REPORT Raphael Kosasih; Diana Sunardi
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 4 No 2 (2021): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v4i2.74

Abstract

Abstract Introduction: Vitamin D deficiency has become more prevalent around the world along with a sedentary lifestyle and limited exposure to sunlight. Deficiencies of vitamin D in lactating mothers could cause deficiencies in their infants and vitamin D deficient infants are at higher risk of having infectious diseases. Supplementation of Vitamin D to lactating mothers may benefit both mothers and infants to reduce infection morbidity. Methods: Relevant literature research was conducted in PubMed, Cochrane, and SciELO using relevant keywords and advanced search methods. Relevant literature was then screened for duplication, relevance, and eligibility. Results: A randomized-controlled trial was selected. The study showed that supplementation of 3000µg oral vitamin D3 to lactating mothers significantly raise their infants' serum vitamin D (p<0.01) and reduce infection morbidity (p<0.01) Conclusions: Oral supplementation of vitamin D3 could be given to lactating mothers to improve their infants' serum vitamin D and reduce infection morbidity. Keywords: vitamin D, lactation, infants' infection
TERAPI MEDIK GIZI PADA PASIEN SPACE OCCUPYING LESION SEREBELUM METASTASIS DENGAN RISIKO TINGGI SINDROM REFEEDING Dian Sarah Mutiara; Diyah Eka Andayani; Diana Sunardi; Tiara Aninditha
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.89

Abstract

Metastasis otak merupakan keganasan terbanyak pada susunan saraf pusat yang dapat menimbulkan penurunan kesadaran, menurunkan asupan nutrisi, meningkatkan risiko malnutrisi serta terjadinya gangguan elektrolit yang dapat meningkatkan risiko terjadinya sindrom refeeding. Laporan kasus ini bertujuan untuk membahas tatalaksana pasien dalam menjaga status nutrisi dan meningkatkan kualitas hidup pada pasien space occupying lesion (SOL) serebelum metastasis dengan risiko sindrom refeeding. Laporan kasus berasal dari pasien rawat inap yaitu perempuan berusia 54 tahun dengan diagnosis hidrosefalus obstruktif ec SOL serebelum suspek metastasis, karsinoma mammae sinistra stadium III T3N3M1 dengan malnutrisi berat, kaheksia kanker, dan risiko tinggi sindrom refeeding. Pasien mengalami kondisi malnutrisi dan terdapat gangguan elektrolit. Pasien menalami penurunan kesadaran dan membutuhkan jalur nutrisi artifisial. Pasien mendapatkan terapi medik gizi berupa peningkatan nutrisi bertahap dan koreksi elektrolit. Namun, kondisi klinis pasien kurang baik ditandai adanya efusi pleura masif dan perdarahan saluran cerna sehingga pasien dalam kasus tersebut meninggal. Pemberian nutrisi pada pasien dengan risiko sindrom refeeding disesuaikan dengan kondisi klinis, ditingkatkan bertahap, dan mengatasi gangguan elektrolit. kata kunci : kaheksia, kanker, malnutrisi, metastasis, sindrom refeeding
Correlation between zinc intake and hair zinc levels to morbidity of infectious diseases in children aged 24-35 months in Jakarta Dyah Arum Kusumaningtyas; Diana Sunardi; Rini Sekartini
World Nutrition Journal Vol. 5 No. S3 (2022): Selected conference proceedings of the Nutri Virtual Symposium 2021
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S3.0028

Abstract

According to WHO, preventable diseases, including infectious diseases, are the most common cause of death in children. Based on Indonesia's 2019 health profile data, the top five morbidity and mortality in children aged 1-4 years are acute respiratory tract infections (ARI) of (25.8%), pneumonia (21.7%), fever (14%), diarrhea and gastrointestinal disease (14.4%). Zinc has an important role in immunity especially for younger child
Co-Authors Achmad Mulawarman Jayusman Adelina Haryono Afifa, Nadhira Nuraini Ali Sungkar Ali Sungkar Almira Devina Anak Agung Eka Widya Saraswati Andayani, Diyah Eka Andry Kelvianto Anin Ika Rosa Ardesy Melizah Kurniati arieska felicia Audy Alexander, Ruth Ayu Diandra Sari Ayu Diandra Sari Badriul Hegar Bernie Endyarni Medise Budi Wiweko Budiati Sutanto, Luciana C Rinaldi A Lesmana Chandra, Dian Novita 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 Dwirini Retno Gunarti Dyah Arum Kusumaningtyas E. Mudjaddid A. Siswanto Deddy N.W.Achadiono Hamzah Shatri Erfi Prafiantini Ervira Wahyuni Esthika Dewiasty Esthika Dewiasty Esthika Dewiasty Evania Astella Setiawan Evania Astella Setiawan Fadilah Fadilah, Fadilah Fransisca Olivia Gabriella Nurahmani Putri Gloriana Seran Godong, Bernardine Handayani Eka Puspita Sari Hasan Maulahela, Hasan Helda Khusun Ikhwan Rinaldi Iwan Surjadi Handoko Jessica Ferdi Juferdy Kurniawan Karin Wiradarma Khusun, Helda Kirana, Annisa Nurul Krisadelfa Sutanto Krisadelfa Sutanto Luana Lidwina Maggie Nathania Marvin Marino Mauluddy, Anggita Citra Resmi 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 Pauline Octaviani Prajna Adhityarani Purwantini, Dian Purwita Wijaya Laksmi Putri Novia Choiri Insani Rachmawati, Dessy Suci Rahmita, Kartika Soka Raphael Kosasih Rasyid, Nurhayati M Ratih, Mia Puspita Ratnayani Reisa Melisa Wijaya Rini Sekartini Rizki Yusrini Pohan Rudy Hidayat Ruth Audy Alexander Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Sarah Christy Sepmeitutu, Iwandheny Shabrina, Arifah Sheena R. Angelia Sifa Aulia Wicaksari Stefani, Shiela Steffi Sonia Surjadi Handoko, Iwan Sutanto, Krisadelfa Tarigan, Ananda Putri Tiara Aninditha Titis Prawitasari, Titis Triyanta Yuli Pramana Wella Angelia Wiji Lestari Wiji Lestari Wina Sinaga Wina Sinaga Witjaksono, Firisha Virgidewi Wulandari, Yohannessa Yosua Y Kristian Yosua Yan Kristian Yulhasri Yulhasri Yulianti Wibowo, Yulianti