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All Journal Jurnal Respirasi (JR) World Nutrition Journal Majalah Anestesia & Critical Care (MACC) PROSIDING SEMINAR NASIONAL FISIKA (E-JOURNAL)
Singal, Anna Maurina
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Electrical & Electronics Engineering Energy Health Professions Medicine & Pharmacology Physics Public Health Other

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Olive Oil and Vegetable Extract in Modified Hospital Enteral Formula Improves Glycemic Variability in Critically-Ill Diabetic Ketoacidosis Obese Patient: A Case Report Anindhita, Bintari; Singal, Anna Maurina; Wardhani, Wahyu Ika; Manikam, Nurul Ratna Mutu; Aditianingsih, Dita
Majalah Anestesia & Critical Care Vol 42 No 1 (2024): Februari
Publisher : Perhimpunan Dokter Spesialis Anestesiologi dan Terapi Intensif (PERDATIN) / The Indonesian Society of Anesthesiology and Intensive Care (INSAIC)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55497/majanestcricar.v42i1.315

Abstract

Background: Severe hyperglycemia in diabetic ketoacidosis may elevate pro inflammatory cytokines, oxidative stress, and metabolic disruptions, impacting the nutritional status of critically ill patients. Diabetes-specific formula (DSF) administration is linked to favorable glycemic control, but research on the role of modified hospital enteral formulas in diabetic critical illness is lacking. Case Description: An obese 29-year-old male at risk of malnutrition, presented to the emergency room with decreased level of consciousness due to metabolic encephalopathy, diabetic ketoacidosis due to suspected type 1 diabetes mellitus, hypertension, and acute kidney injury. Medical nutritional therapy was provided via enteral route according to recent ESPEN, ASPEN and ADA recommendation. The administered enteral formula was a modified hospital-based enteral formula, consisting of a special kidney hospital-based enteral formula mixed with olive oil as source of monounsaturated fatty acid (MUFA) and vegetables as source of fibers. During the first week of hospitalization, the patient’s coefficient of variation (%CoV) of glycemic variability ranged between 17–61%, in addition, at the beginning of the second week of treatment there was also an increase in glycemic variability to 53%. This could be influenced by several factors. However, improvement in glycemic variability was observed in the following days. This improvement was in line with the gradual increase in MUFA and fiber intake, which reached its highest intake during the second week of hospitalization. Conclusion: Hospital-based enteral formula modified with olive oil and vegetable extract can be made to resemble the nutrients composition of diabetes specific formula and has a favorable effect on glycemic variability.
APLIKASI KALKULATOR GIZI UNTUK MENINGKATKAN DAYA SAING DAN MUTU USAHA BOGA Faslah, Roni; Noviarini, Diena; Nindito, Marsellisa; Wibowo, Setyo Ferry; Parimitha, Widya; Singal, Anna Maurina; Yamani, Akhmad
PROSIDING SEMINAR NASIONAL FISIKA (E-JOURNAL) Vol. 12 (2024): PROSIDING SEMINAR NASIONAL FISIKA (E-JOURNAL) SNF2023
Publisher : Program Studi Pendidikan Fisika dan Program Studi Fisika Universitas Negeri Jakarta, LPPM Universitas Negeri Jakarta, HFI Jakarta, HFI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21009/03.1201.FA24

Abstract

Abstrak Pengabdian masyarakat ini ditujukan untuk meningkatkan daya saing produk UMKM Usaha Boga Katering yang ada di wilayah Kota Depok dengan menggunakan aplikasi Kalkulator Gizi yang dapat diterapkan secara mudah oleh pengusaha Boga tersebut. Aplikasi Kalkulator Gizi menyimpan basis data kandungan asupan menu makanan yang disajikan atau ditawarkan oleh pengusaha sesuai yang dicanangkan oleh pemerintah pada Hari Gizi Nasional yang jatuh pada tanggal 25 Januari setiap tahunnya. Terdapat basis data mengenai 5 zat gizi yang seyogyanya terdapat dalam suatu menu makanan yang harus dipenuhi agar tubuh menjadi sehat yaitu adanya kandungan karbohidrat, lemak, kalsium, zat besi, vitamin dan mineral. Variasi menu yang dapat dipilih oleh pelanggan Usaha Boga Katering dapat dihitung kandungan kalorinya yaitu untuk orang dewasa perempuan sekitar 1700-2200 kalori per harinya dan orang dewasa laki-laki sekitar 2400-2800 kalori (Putu, 2017). Kebutuhan gizi yang seimbang pada orang dewasa atau pelanggan usaha boga katering perlu dijaga untuk menghindari terjadinya gangguan penyakit metabolisme pada tubuh sesuai kebutuhan tubuh dan perlu dijaga juga tidak terjadi kelebihan kalori pada makanan yang dapat menyebabkan kelebihan berat badan diluar berat badan ideal orang dewasa dan penyakit obesitas. Dalam mengimplementasikan rancangan aplikasi kalkulator gizi metode yang digunakan adalah studi kepustakaan, metode analisis dengan diagram fishbone dan metode perancangan aplikasi kalkulator gizi menggunakan Multi Platform berbasis Mobile. Metode analisis berupa action research ditujukan untuk meneliti tantangan rancangan yang dihadapi Dinas Pemberdayaan Perempuan, Perlindungan Anak, Pengendalian Penduduk Dan Keluarga Berencana dalam memberdayakan usaha boga catering di wilayah Kota Depok yang memiliki pedoman asupan gizi seimbang dalam memasarkan produk boga kateringnya dan memenuhi standar baku antropometri World Health Organization Nasional Center for Health Statistics (Sukirman, 2000). Kemudian secara formal standar ini ditetapkan penggunaannya dengan Keputusan Menteri Gizi Republik Indonesia Nomor: 920/Menkes/SK/VIII/2002. Hasil yang ingin dicapai dari kegiatan pengabdian masyarakat tahun pertama adalah berhasilnya pelatihan aplikasi kalkulator gizi bagi pengusaha Boga catering di Kota Depok dan publikasinya dalam jurnal nasional terindeks Google Scholar dan Aplikasi Kalkulator Gizi yang bersertifikat HAKI. Kata-kata kunci: WHO, HAKI Aplikasi Kalkulator Gizi, asupan gizi, Google Scholar. Abstract This community service is aimed at increasing the competitiveness of MSME Catering Business products in the Depok City area by using the Nutrition Calculator application which can be applied easily by these catering entrepreneurs. The Nutrition Calculator application maintains a database of the content of food menu intake served or offered by employers according to what was proclaimed by the government on National Nutrition Day which falls on January 25 each year. There is a database of 5 nutrients that should be contained in a diet that must be met for the body to be healthy, namely the content of carbohydrates, fats, calcium, iron, vitamins and minerals. The variety of menus that can be chosen by catering business customers can be calculated for the calorie content, namely for adult women around 1700-2200 calories per day and for adult men around 2400-2800 calories (Putu, 2017). Balanced nutritional needs for adults or catering business customers need to be maintained to avoid the occurrence of metabolic disorders in the body according to the body's needs and it is also necessary to guard against excess calories in food which can cause overweight beyond the ideal body weight of adults and obesity. In implementing the design of the nutrition calculator application the method used is library research, the analysis method with fishbone diagrams and the nutritional calculator application design method using a Mobile-based Multi Platform. The analytical method in the form of action research is aimed at examining the design challenges faced by the Office of Women's Empowerment, Child Protection, Population Control and Family Planning in empowering catering businesses in the Depok City area which have guidelines for balanced nutritional intake in marketing their catering products and meet World anthropometric standards. Health Organization National Center for Health Statistics (Sukirman, 2000). Then formally this standard was determined for its use by Decree of the Minister of Nutrition of the Republic of Indonesia Number: 920/Menkes/SK/VIII/2002. The results to be achieved from the first year's community service activities are the successful training in the nutrition calculator application for catering entrepreneurs in Depok City and its publication in Sinta indexed national journals and national training in the second year to increase the competitiveness of the catering business in Indonesia by publishing it in journals. Scopus indexed international and IPR- certified Nutrition Calculator Application. Keywords: WHO, Intellectual Property Rights Nutrition Calculator Application, nutritional intake, Google Scholar.
Correlation of calorie intake with 24-hour urinary urea nitrogen level changes in critically ill patients at RSUI Depok, Indonesia Githa Putri Puspita Sari; Witjaksono, Fiastuti; Sutanto, Krisadelfa; Singal, Anna Maurina
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0041

Abstract

Calorie together with protein intake has been proven to be important factors that play a role in critically ill patients. Hypermetabolism in the early acute phase increases energy expenditure and calorie requirement. Insufficient calorie intake will increase protein degradation for gluconeogenesis, which can be assessed by the level of 24-hour urinary urea nitrogen (UUN). Adequate daily calorie intake is expected to improve the UUN level in patients. This study aims to investigates the correlation of calorie intake with UUN level changes in critically ill patients.
Correlation of energy and protein intake with nitrogen balance changes in late acute phase critically ill patients Githa Putri Puspita Sari; Witjaksono, Fiastuti; Sutanto, Krisadelfa; Singal, Anna Maurina
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0007

Abstract

Background: The hypercatabolic process due to metabolic stress in critically ill patients, especially in the acute phase, is very high, causing protein degradation. Inadequate intake and high protein losses will result in a negative nitrogen balance. Objective: To analyze the correlation of energy and protein intake in the late acute phase with nitrogen balance changes. Methods: This study’s method was cross−sectional with consecutive sampling, conducted in the ICU of the university of Indonesia hospital. Energy and protein intake were assessed for 7 days. On days 3 and 7 of treatment, 24−hour urine urea nitrogen levels and nitrogen balance (NB) were assessed. Twenty three subjects participants in this study. Results: There was a positive correlation between energy and protein intake with NB on day 3 (r=0.5, p=0.01 ;r=0.6, p=0.003). The mean nitrogen balance changes was positive, namely 3.8 g. There was a significant correlation between energy and protein intake with NB changes (p>0.01) Conclusion: Energy and protein intake were positively correlated with nitrogen balance in the early acute phase. The results show that the administration of energy and protein starting at low intake in the early acute phase and gradually reaching the target intake during the late acute phase leads to an improvement in nitrogen balance.
Leucine-included liquid diet as medical nutrition therapy improved handgrip strength and mid-upper circumference in clinically malnourished pulmonary tuberculosis patient with high neutrophil lymphocyte ratio: A case report from Universitas Indonesia hospital Singal, Anna Maurina; Afifa, Nadhira Nuraini; Wardhani, Wahyu Ika; Baskoro, Hario
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0005

Abstract

Background and objectives: Muscle weakness delays clinical improvement in pulmonary tuberculosis patients. Higher neutrophil lymphocyte ratio, low handgrip strength, mid-upper arm circumference indicates bad clinical outcome. Weight loss must be managed from the start of treatment. Good muscle condition has benefits to the recovery rate. Leucine provides benefits in increasing the synthesis of muscle mass so as the clinical conditions. Unfortunately, leucine has not been the routine part of medical nutrition therapy in tuberculosis patients. Methods: This is a case report of a female patient with body weight 42 kg and height 150 cm, admitted to Universitas Indonesia Hospital, with lung tuberculosis. Leucine given, started from 1.95 g/day to the maximum amount of 7,34 g/day through the hospital tailored-made liquid food. There was an improvement of clinical signs and symptoms during 14 days of hospitalization. Mid-upper arm circumferences at day 1, 8, and 15 were 21.1, 21.4, and 12.9 21.9 cm in a row. The right and left handgrip strength at day 1, 8, and 15 were 9.7 kg and 8.1 kg, 10.9 kg and 8.9 kg, 15.1 kg and 13.4 kg, respectively. While the neutrophil lymphocyte ratio at day 0, 6, and 9 were increasing, at 6.89, 6.89, and 13.8, in a row. Conclusions: Leucine 1.95–7.34 g/day, in tailored-made liquid food, as part of tuberculosis management therapy, though the NLR 13.8, can improve the mid-upper arm circumference, handgrip strength, clinical signs and symptoms in 14 days of hospitalization.
Relationship between age and vas appetite score among patients with post-tuberculosis lung disease at Persahabatan National Respiratory Referral Hospital, Jakarta Mahardika, Linda; Nurwidya, Fariz; Singal, Anna Maurina
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.S1.0022

Abstract

Background: Post-tuberculosis lung disease (PTLD) is a form of progressive lung tissue damage following tuberculosis (TB) infection. In addition to clinical symptoms, patients with PTLD often experience nutritional problems. Appetite plays a crucial role in determining adequate nutrient intake, which can affect nutritional status, the recovery process, and overall quality of life. One factor that may influence appetite is age. Although age is known to affect appetite, the relationship between the two has not been studied, particularly in patients with PTLD at Persahabatan Hospital, National Respiratory Centre.
Zinc Intake and Appetite in Patients with Post-Tuberculosis Lung Disease at Persahabatan National Respiratory Referral Hospital, Jakarta Mahardhika, Linda; Nurwidya, Fariz; Singal, Anna Maurina; Sutanto, Krisadelfa; Imaniar, Rania; Syam, Shaogi
Jurnal Respirasi Vol. 11 No. 3 (2025): September 2025
Publisher : Faculty of Medicine Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jr.v11-I.3.2025.232-240

Abstract

Introduction: After completion of pulmonary tuberculosis (TB) treatment, some people may continue to experience respiratory issues that can progress into post-TB lung disease (PTLD). Individuals with PTLD exhibit suboptimal nutritional status. The loss of appetite is a significant factor influencing nutritional status. Zinc plays a role in hunger control.  Lack of zinc reduces taste sensitivity and food intake. This study examined the relationship between zinc intake and appetite in patients with PTLD at Persahabatan National Respiratory Referral Hospital, Jakarta. Methods: This cross-sectional study was conducted at Persahabatan National Respiratory Referral Hospital, Jakarta, from November 2024 to March 2025. Eighty-five adult patients with PTLD were included. Zinc intake was assessed by a semi-quantitative food frequency questionnaire (SQ-FFQ) and analyzed by NutriSurvey software. Appetite was measured using the visual analog scale (VAS) for appetite. Results: A total of 85 subjects participated in the study, comprising 78.8% males and 21.2% females. The average daily zinc intake was 4.4 mg/day, and 92.9% of the subjects had zinc intake below the recommended dietary allowance (RDA). The average VAS appetite score was 70 mm. A significant positive correlation was found between zinc intake and appetite, indicating that a decrease in zinc intake might result in a reduced appetite (r=0.266, p=0.014). Conclusion: Zinc intake is positively associated with appetite in patients with PTLD. Therefore, zinc intake monitoring is essential for supporting nutritional recovery and lung function in PTLD.
Co-Authors Afifa, Nadhira Nuraini Anindhita, Bintari Baskoro, Hario Diena Noviarini Dita Aditianingsih Fariz, Nurwidya Fiastuti Witjaksono Githa Putri Puspita Sari Imaniar, Rania Mahardhika, Linda Mahardika, Linda Marsellisa Nindito, Marsellisa Nurul Ratna Mutu Manikam Parimitha, Widya Roni Faslah Setyo Ferry Wibowo Sutanto, Krisadelfa Syam, Shaogi Wahyu Ika Wardhani YAMANI, AKHMAD