Claim Missing Document
Check
Articles

Found 3 Documents
Search
Journal : JURNAL GIZI INDONESIA

Catfish (Clarias sp.) as an animal protein source to improve serum albumin levels of hemodialysis patients Widiany, Fery Lusviana; Astuti, Ari Tri
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 9, No 2 (2021): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.9.2.128-135

Abstract

Background: Hemodialysis patients often experience hypoalbuminemia complications, which occur mainly due to decreased synthesis due to inflammation, lack of protein intake, the fluid status of patients, and losses from the dialysate. Another problem in hemodialysis is malnutrition, with a prevalence between 23–73% globally. Gastrointestinal disorders such as nausea, vomiting, and decreased appetite also often occur in hemodialysis. Therefore, hemodialysis patients need to get nutritional support, which can be given in the form of catfish abon, one of the local Indonesian food.Objective: To determine the effectiveness of the use of catfish as a source of animal protein to improve the albumin levels of hemodialysis patients.Materials and Methods: This was a quasi-experimental study with a pre-post test design. This study involved 34 hemodialysis patients as subjects, with inclusion criteria, were routinely two times a week, aged >18 years, willing to be the subject and follow the research procedures, have albumin levels ≥3.0 g/dL, and no catfish allergies. Patients with anasarca edema, experiencing complications of diabetes mellitus and malignancy were excluded. The dependent variable was albumin content, while the independent variable was catfish as an animal protein source. Data were analyzed univariate and bivariate by Fisher's Exact test.Results: Fisher's Exact test results on the effectiveness of using catfish as an animal protein source to improve albumin levels of hemodialysis patients showed p-value=0.048.Conclusion: The use of catfish as an effective animal protein source significantly affected on improving albumin levels in hemodialysis patients.
Provision of Local Food-Based Formula Using Pila Ampullacea, Tempeh, and Moringa Oleifera Leaves to the Acceptability and Nutrition Intake in Hemodialysis Patients Fery Lusviana Widiany; Mochammad Sja’bani; Susetyowati Susetyowati; Emy Huriyati
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 10, No 2 (2022): Juni
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.10.2.95-102

Abstract

Background: One of the actions that can be taken to overcome malnutrition in hemodialysis is to improve nutrient intake. It is necessary to provide local food-based formula using Pila ampullacea, tempeh with local soybean, and Moringa oleifera leaves for hemodialysis patients.Objective: To analyze the effect of local food-based formula using Pila ampullacea, tempeh, and Moringa oleifera leaves to the acceptability and nutrition intake in hemodialysis patients.Materials and Methods: This study was carried out in Dr. Sardjito Hospital, Yogyakarta, Indonesia from February to March 2020. Subjects were 54 maintenance hemodialysis patients who met the criteria of study. The independent variable was the provision of local food-based formula, while the dependent variable were the acceptability and nutrition intake.Results: As many as 42.59% of subjects were able to consume all the formula given for three days and 50% of subjects have good acceptance of the local food-based formula. The effect of formula intake to the total intake of energy, carbohydrates, fiber, water, calcium, phosphorus, iron showed p-value <0.05, but p-value ≥0.05 for protein, fat, sodium, and potassium. The effect of the non-formula intake to the total intake for all nutrients showed p-value <0.05.Conclusion: Most of the subjects have a good acceptance of the local food-based formula. Formula intake affects total intake of energy, carbohydrates, fiber, water, calcium, phosphorus, and iron, but does not affect total intake of protein, fat, sodium, and potassium. The total intake for all nutrients was affected by the subject's intake of non-formula sources. 
Determinants of muscle mass in hemodialysis patients: the role of BMI, MUAC, and MAMC Widiany, Fery Lusviana; Metty, Metty; Inayah, Inayah; Nurtyas, Maratusholikhah; Byo, Wa Ode Windra; Anggunita, Fiolla; Pratama, Adams Bagus
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 14, No 1 (2025): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.14.1.11-18

Abstract

ABSTRACTBackground: Previous experimental research on oral nutritional support formulas made from snails, tempeh, and moringa leaves, which are high in protein and calcium, has been reported to increase muscle mass in hemodialysis patients. However, further research is needed to analyze the factors that influence muscle mass in hemodialysis patients.Objective: To analyze factors that influence muscle mass in hemodialysis patients.Materials and Methods: This study was an observational study with a cross-sectional design. The study was conducted at Panembahan Senopati Bantul Hospital. The research sample was taken using a purposive sampling technique. The inclusion criteria for the study included being 18 years of age or older, undergoing routine hemodialysis 2 times a week, having received nutritional counseling, patients being able to stand, and being able to be measured anthropometrically. The exclusion criteria of the study were patients with anasarca edema, and patients whose muscle mass and bone mass could not be measured using bioelectrical impedance analysis (BIA). Independent variables suspected of influencing muscle mass included body mass index, mid-upper arm circumference (MUAC), triceps skinfold, mid-arm muscle circumference (MAMC), duration of hemodialysis, duration of hemodialysis, energy intake, protein intake, fat intake, carbohydrate intake, vitamin C intake, iron intake, and zinc intake. Research instruments include BIA/Bioelectrical Impedance Analysis to measure muscle mass, digital body scales with a scale of 0.1 kg, microtoise, metline, informed consent questionnaire, SQ-FFQ (Semi-Quantitative Food Frequency Questionnaire), CRF (Case Report Form), and research activity recording form. Data were analyzed univariately, bivariately, and multivariately.Results: The analysis showed that the relationship between BMI, MUAC, and MAMC with muscle mass showed P values=0.025; p values <0.05.Conclusion: BMI, MUAC, and MAMC factors have a significant relationship with muscle mass. The higher the BMI, MUAC, and MAMC, the higher the muscle mass.Keywords: Body mass index; hemodialysis patients; mid-upper arm circumference (MUAC); mid-arm muscle circumference (MAMC); muscle mass