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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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Hubungan Antara Asupan Energi dengan Rasio Neutrofil Limfosit pada Pasien Sakit Kritis Purwantini, Dian; Wulandari, Yohannessa; Sunardi, Diana; Sutanto, Krisadelfa; Sinaga, Wina; Andayani, Diyah Eka
Majalah Kedokteran Indonesia Vol 75 No 2 (2025): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.75.2-2025-1760

Abstract

Introduction: Critically-ill patients experience catabolic stress and inflammatory responses resulting in increased catabolism to meet energy demands. Neutrophil lymphocyte ratio (NLR) is used to assess immune and stress responses. Method: This study was a cross-sectional study of subjects aged ≥18 years admitted to the intensive care unit of Dr. Cipto Mangunkusumo National Central General Hospital and University of Indonesia Hospital. The characteristics of the study subjects included age, gender, nutritional status, diagnosis of ICU admission, protein intake, fat intake, and carbohydrate intake. Bivariate analysis was performed to evaluate the correlation between energy intake and neutrophil-lymphocyte ratio.Result: There were 44 subjects with a median age of 55 years (19-86). Nutritional status based on body mass index (BMI) obtained 31.8% normal nutritional status, 20.5% severe malnutrition, 25% obesity grade 1. The most common diagnoses were surgery and trauma 20.5% of subjects and sepsis 20.5% of subjects. Median RNL was 10.39 (2.51-59.5), energy intake was 10.5 (3-29) kcal/kg BW/day, protein intake was 0.4 (0-1.2) g/kg BW/day, fat intake was 18 (0-29)% and carbohydrate intake was 92 (23-184) g/day.Conclusion: There was no correlation between energy intake and NLR.
Optimizing nutritional status with nutritional therapy in malnourished patient post whipple’s procedure: A case report Stefani, Shiela; Sunardi, Diana; Sonia, Steffi
Jurnal Prima Medika Sains Vol. 7 No. 1 (2025): June
Publisher : Program Studi Magister Kesehatan Masyarakat Universitas Prima Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34012/jpms.v7i1.6235

Abstract

The prevalence of malnutrition is considerably high among patients with pancreatic cancer and that Whipple procedure is associated with high morbidity and mortality rates. Post-Whipple procedure nutritional therapy can help to preserve nutritional status, accelerate recovery of functional capacity, and improve patient’s quality of life. A 65-year-old malnourished woman underwent Whipple procedure for adenocarcinoma of ampulla of Vater. Oral pre-operative nutrition was given in the form of normal food and oral nutritional supplement (ONS). Eight hours before surgery, the patient received ONS containing 30 g carbohydrate. The patient was given early enteral nutrition at <48 hours post-operatively and was given oral nutrition as soon as she regained consciousness. The patient experienced post-operative pancreatic fistula (POPF) grade A. Post-operative in-hospital and homecare nutritional therapy included supply of energy, macronutrients, micronutrients, and nutritional education adjusted to the patient’s clinical condition and intake tolerance. Energy intake during hospitalization attained 109% of the estimated total energy requirement that consisted of up to 1.9 g/kg/day protein. Homecare nutritional intake reached almost 2 times basal energy requirement with 2.2 g/kg/day protein intake. The patient experienced improvement of clinical symptoms, POPF, intake tolerance, glycemic control, and functional capacity. The patient was allowed to be discharged and treated in the outpatient clinic, without readmission in the next 2 months. Adequate hospital and homecare medical nutritional therapy in post-Whipple procedure may improve nutritional status and functional capacity, improve clinical outcome, and prevent readmission of patients.
The role of nutritional management in preventing stroke and improving clinical outcomes Mauluddy, Anggita Citra Resmi; Sunardi, Diana
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0002

Abstract

Background: Stroke is a leading cause of global morbidity, mortality, and substantial economic burden. Modifiable stroke risk factors, including hypertension, dyslipidemia, obesity, and diabetes mellitus, can be effectively managed through targeted nutritional interventions. Nutritional management also supports neurological recovery and contributes to improved clinical outcomes in stroke survivors. Methods: A literature review was conducted using PubMed, MEDLINE, and EMBASE databases from the last ten years, focusing on nutritional management for stroke prevention, clinical outcomes, dietary patterns, and nutrient supplementation during post-stroke recovery. Results: Dietary strategies, including Dietary Approaches to Stop Hypertension (DASH), high intake of dietary fiber, and omega-3 fatty acids, significantly reduce stroke risk by improving cardiovascular health and decreasing inflammation. Supplementation with micronutrients such as B vitamins supports neurological and vascular function. Post-stroke nutritional issues such as dysphagia, malnutrition, sarcopenia, and pressure injuries commonly impair patient recovery. Targeted nutritional intervention, particularly adequate protein and branched-chain amino acid (BCAA) supplementation, help preserve muscle mass, enhance functional recovery, and optimize rehabilitation outcomes. Conclusions: Nutritional management plays a crucial role in both preventing stroke and improving clinical outcomes following stroke. Implementing effective nutritional strategies, together with patient education on healthy dietary practices, is fundamental for reducing stroke risk, accelerating recovery, and enhancing quality of life.
Advancing child health through safe hydration Sunardi, Diana
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0009

Abstract

Diarrhea is One in five children in Indonesia does not drink enough water, but that’s not the only problem regarding child health and water consumption. The prevalence of Diarrhea in Indonesian children is one in four children under 5 years old. The high prevalence is closely linked to poor sanitation and unsafe drinking water. Water comprises 75% body weight in infants to 55% in the elderly, and plays very crucial role in cellular hemostasis and life. Therefore, the optimal functioning of our body requires a good hydration level from safe drinking water.
Evidence-Based Case Report: Efektivitas Jahe Terhadap Kontrol Glikemik dan Profil Lipid pada Pasien Sindrom Metabolik Rasyid, Nurhayati M; Sunardi, Diana
Jurnal Sehat Indonesia (JUSINDO) Vol. 6 No. 01 (2024): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v6i01.82

Abstract

Saat ini, tatalaksana sindrom metabolik (SM) berfokus pada perbaikan parameter metabolik seperti kontrol gula darah dan memperbaiki profil lipid dengan terapi farmakologis. Hal ini menjadi perhatian masyarakat terutama karena penggunaan obat – obatan jangka panjang dan efek samping yang ditimbulkan. Senyawa fitokimia dalam jahe yaitu gingerols dan shogaols memiliki banyak manfaat farmakologis terutama untuk pencegahan dan terapi SM, khususnya penyakit yang ditimbulkan akibat SM seperti diabetes dan penyakit kardiovaskular. Tujuan dari penelitian ini yaitu meneliti apakah jahe dapat memberikan manfaat dalam mengontrol gula darah dan memperbaiki profil lipid pasien SM dibandingkan dengan kondisi tanpa penggunaan jahe. Penelusuran literatur dilakukan di Pubmed®, Cochrane® dan Scopus® pada tanggal 3 Januari 2022 dengan menggunakan advanced search. Dari hasil pencarian melalui 3 database tersebut, dilakukan uji duplikasi dengan menggunakan Covidence. Berdasarkan hasil telaah diatas, efek pemberian suplemen jahe pada pasien sindrom metabolik memberikan hasil yang cukup baik dalam kontrol glikemik dan memperbaiki profil lipid, studi menunjukkan bahwa pemberian suplemen jahe setiap hari dalam waktu lama tidak menyebabkan efek samping yang serius seperti yang sering ditemukan pada pemberian obat oral anti diabetik (OAD) dan obat – obat hiperlipidemia, sehingga pemberian suplemen jahe pada pasien sindrom metabolik aman digunakan jangka panjang dan dapat menjadi pertimbangan.
Efektivitas Suplementasi Vitamin E Terhadap Perbaikan Kadar Enzim Transaminase pada Pasien Non-Alcoholic Fatty Liver Disease Angelia, Wella; Sunardi, Diana
Jurnal Sehat Indonesia (JUSINDO) Vol. 6 No. 01 (2024): Jurnal Sehat Indonesia (JUSINDO)
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jsi.v6i01.89

Abstract

Peningkatan stres oksidatif diketahui berkontribusi dalam progresivitas Non-alcoholic fatty liver disease (NAFLD). Oleh karena itu, agen antioksidan dibutuhkan untuk melawan efek tersebut, salah satunya yaitu vitamin E. Efektivitas vitamin E dalam memperbaiki kelainan histologis dan biokimia, termasuk Alanine Transaminase (ALT) dan Aspartate Aminotransferase (AST), pada pasien NAFLD telah banyak diteliti, namun hasilnya masih belum konklusif. Tujuan dari studi ini adalah untuk mengetahui manfaat suplementasi vitamin E pada pasien NAFLD, khususnya terhadap kadar ALT dan AST. Pencarian literatur melalui Pubmed®, Embase®, Cochrane® dan Scopus®. Istilah Mesh dan judul/abstrak disaring berdasarkan kriteria inklusi dan eksklusi. Artikel Randomized Controlled Trials (RCT) dan Systematic Review/Meta-analysis (SR/MA) dari RCT dinilai dan ditinjau secara kritis. Dua dari 3 studi SR/MA serta 1 studi RCT menunjukkan efek signifikan vitamin E terhadap penurunan kadar ALT dan AST, sementara 1 studi SR/MA menunjukkan hasil yang tidak signifikan. Seluruh artikel SR/MA memiliki heterogenitas yang tinggi karena memasukkan studi dengan jumlah subjek yang kecil serta dosis dan durasi intervensi antar studi yang bervariasi. Suplementasi vitamin E dapat memperbaiki kadar ALT dan AST pada pasien NAFLD. Studi lebih lanjut diperlukan untuk menilai dosis efektif suplementasi vitamin E pada NAFLD.
Hidden Threat During Quarantine and Transition Phase in Elderly: The Need for Special Precautions Nathania, Maggie; Sunardi, Diana
Majalah Kedokteran Indonesia Vol 70 No 10 (2020): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, V
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.70.10-2020-292

Abstract

A global pandemic, COVID-19, has struck 216 countries with more than 9 million cases and 420.000 deaths. In Indonesia alone, 49.000 people have been infected with more than 2.000 deaths. To reduce the transmission rate and break the chain of transmission, various countries in the world require people to limit and mitigate activities outside the house, especially for high-risk groups: the elderly and groups with comorbidities. Although there is no age group protected from SARS-CoV-2 infection, the elderly group shows significantly higher mortality and severity of the disease when compared with young and middle age. Case fatality rate in the elderly ranges between 8% in patients aged ≥80 years, 8% in patients aged 70-79 years, and up to 49% in critical cases. Other studies also show that the average age of patients who need the intensive care unit (ICU) is older than patients who do not require ICU.
Nutrition Fact Panel Use and its Association to Diet Quality among University Students in Universitas Indonesia Christy, Sarah; Khusun, Helda; Chandra, Dian Novita; Sunardi, Diana
Jurnal Gizi dan Pangan Vol. 16 No. 3 (2021)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (248.993 KB) | DOI: 10.25182/jgp.2021.16.3.139-148

Abstract

The aim of this study was to assess the association between Nutrition Fact Panel (NFP) use and diet quality among university students. A comparative cross sectional study was conducted in 2019 among 172 college students living in dormitory of Universitas Indonesia, Depok, Indonesia. Data about socioeconomic and demographic characteristics, food preparation, NFP use and nutritional knowledge were collected through interview using structured questionnaire. Nutritional status was obtained by direct height and weight measurement. Diet quality was measured using Diet Quality Index-International (DQI-I) score, derived from 3x24 hours recall. Finding of this study showed that the characteristics of NFP users and non-users were not differed significantly except for nutritional knowledge in which NFP users were 1.852 times more likely to have good knowledge than NFP non-users (p<0.05; 95% CI:1.009−3.396). The median total diet quality score was categorized as low (44 out of 100). There was no association between NFP use and total diet quality score even after controlling for possible confounder. However, the exploration in each component of diet quality measurement showed adequacy score of calcium was significantly higher in NFP users than non-users (p<0.05). NFP use also positively associated to total variety score (β=0.985; p<0.05). Future nutrition interventions could focus on enhancing the use and understanding of NFP among university students
Nutritional status, sugar sweetened beverage consumption and physical activity level in male and female college students living in dormitory Wicaksari, Sifa Aulia; Chandra, Dian Novita; Khusun, Helda; Sunardi, Diana
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86500

Abstract

Introduction: The global prevalence of obesity is on the rise, including in Indonesia. High energy intake from sugar is a growing concern worldwide due to its association with weight gain, tooth decay, and non-communicable diseases. A prior study revealed that 10.9% of Indonesian adults consumed energy from sweetened beverages in excess of the WHO recommendation. This study aimed to assess the consumption of sweetened beverages in male and female college students in Indonesia. Method: The study was conducted at Universitas Indonesia and involved 107 subjects aged 19-21 years who resided in student dormitories. Result: The result found the median BMI in female was higher than male. In female, 3 out of 10 students was overweight-obese, while 1 out of 10 in male. Interestingly, the median daily intake of sweetened beverages significantly higher in male than female; 387 (25–1580) vs 246 (0–762) ml/day (p=0.001). Added sugar content in beverages in males was higher than half of Indonesian recommendation (28.4 [1.9–134.4] vs 19.2 [0–61.1]) which contributed to energy as much as 170.9 (12.4–625.7) kcal/ day or about 8.9% of total energy intake than female (108.5 [0–394.4] kcal/day). Compared to Indonesian guideline, 12% of male subjects consumed added sugar higher than 50 g/day. Simultaneously, 7 out of 10 subjects consumed energy from sweetened beverages higher than 10% of their total energy intake (WHO recommendation). The BMI and prevalence of overweight-obese were higher in female, while the sweetened beverage was higher in male. It might be caused by the physical activity in male was higher than female. Although male had higher energy intake from SSB, their energy output through physical activity balanced with energy input. Conclusion: These finding alerted the university as educational institution should take an action to prevent this issue since the prevalence of overweight-obesity and sweetened beverage consumption has occurred in young age.
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 Angelia, Wella 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 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 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 Kirana, Annisa Nurul Krisadelfa Sutanto Krisadelfa Sutanto Luana Lidwina Marvin Marino Mauluddy, Anggita Citra Resmi Melyarna Putri Mulianah Daya Muningtya Philiyanisa Alam Nathania, Maggie 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 Sepmeitutu, Iwandheny Shabrina, Arifah Sheena R. Angelia Stefani, Shiela Steffi Sonia Surjadi Handoko, Iwan Sutanto, Krisadelfa Tarigan, Ananda Putri Tiara Aninditha Titis Prawitasari, Titis Triyanta Yuli Pramana Wella Angelia Wicaksari, Sifa Aulia Wiji Lestari Wiji Lestari Wina Sinaga Wina Sinaga Witjaksono, Firisha Virgidewi Wulandari, Yohannessa Yosua Y Kristian Yosua Yan Kristian Yulhasri Yulhasri Yulianti Wibowo, Yulianti