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Journal : Amerta Nutrition

Pengelolaan Diet dengan Kondisi Disfagia pada Pasien Stroke: Literature Review: Diet Management with Dysphagia Condition in Stroke Patients: A Literature Review Gelora Mangalik; Anggita Raharjani Laurensia; Ayuningtyas Dian Ariestiningsih
Amerta Nutrition Vol. 7 No. 3 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3.2023.468-477

Abstract

Background: Dysphagia is a condition often encountered in stroke patients and is a significant treatment challenge because it can increase the risk of malnutrition which can cause complications and increase the length of hospital stay. Objectives: This article aimed to determine diet management with dysphagia conditions in stroke patients through a review of the results of previous studies. Discussion: Diet management in stroke patients with dysphagia in the reviewed articles are nutrition screening, nutritional assessment, high-energy, high-protein feeding, energy restriction for weight loss, and provision of protein to maintain muscle mass. The dietary prescriptions were energy and protein adjustments, protein adjustments, fluid adjustments, nutritional supplements, food form adjustments, and feeding routes. The food preparation program uses a Dietary Well-being questionnaire assessment. This questionnaire consists of 21 questions which are divided into 4 categories, namely physical (5 questions), psychological (6 questions), emotional (5 questions), and social (5 questions). Modified Starch (MS) and Xanthan Gum (XG) thickeners use Volume-Viscosity Swallow Tests and Videofluoroscopic assessments to evaluate swallowing safety in stroke patients. Conclusions: Diet management in stroke patients can improve nutritional status, physical function, and dysphagia conditions and reduce the length of hospital stay. The food preparation program showed significant results on the Dietary Well-being questionnaire in the control group, especially in the psychological, emotional, and social categories. MS and XG thickeners improved swallowing safety in stroke patients.
Pemberian Serbuk Daun Kelor (Moringa oleifera) terhadap Perbaikan Profil Lipid dan Ketebalan Aorta pada Tikus Model Prediabetes Mellitus: Pemberian Serbuk Daun Kelor terhadap Perbaikan Profil Lipid dan Ketebalan Aorta pada Tikus Model Prediabetes Melitus Ariestiningsih, Ayuningtyas Dian; Cempaka, Anggun Rindang; Kusumastuty, Inggita; Cahyaningrum, Aladhiana; Setiawati, Sindi; Arintya, Diandra; Azmi, Ulul; Salwa, Putri; Malahayati, Huzaifah; Wibowo, Rizka Azhari; Handayani, Dian
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.278-289

Abstract

Background: Consumption of beverages and processed foods with high fructose content has increased recently. This condition increases the risk of metabolic syndrome, which include insulin resistance, impaired lipid profile, and elevated blood pressure. Moringa leaves (Moringa Oleifera), with their bioactive compounds that function as antioxidants, are known to improve fat metabolism and blood glucose. Objectives: The purpose of this study is to analyze the effect of Moringa Oleifera leaf powder and quercetin in controlling metabolic syndrome conditions by improving lipid profiles and aortic thickness in prediabetes mellitus (pre DM). Methods: This experimental research used a post-test-only control group design approach. A total of 35 male Wistar rats were divided into 5 groups such as group K0 (standard feed), E1 (66% fructose probe for 16 weeks), E2 (66% fructose probe for 12 weeks), E3 (66% fructose probe + quercetin 50 mg/kgBW), and E4 (66% fructose probe + Moringa leaf powder 500 mg/kgBW). The examination method for lipid profiles involved serum extraction and enzymatic tests, weighing for white fat tissue mass, while the aorta was examined using a light microscope and histological image analysis. Data analysis used the One-Way ANOVA test. Results: This research showed there are no difference in triglycerides, Low-Density Lipoprotein (LDL) cholesterol, and white adipose tissue significantly between the treatment groups. Level of High-Density Lipoprotein (HDL) cholesterol, total cholesterol, and aortic thickness between the treatment groups are significant differences, with the best results sequentially in groups E2, E1, and K0. Conclusions: The administration of Moringa leaf powder for 4 weeks showed improvements in lipid profiles and aortic thickness in prediabetes mellitus conditions.