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Pemanfaatan Mini Nutrition Assessment-Short Form (MNA-SF) untuk Mengidentifikasi Status Gizi Pasien Lansia Rawat Inap di RSUP Dr Sardjito Yogyakarta: Pemanfaatan Mini Nutrition Assessment-Short Form untuk Mengidentifikasi Status Gizi Pasien Lansia Rawat Inap di RSUP Dr Sardjito Yogyakarta Susetyowati, Susetyowati; Winarti, Hesti; Roselani, Ari; Handayani, Sri; Sanubari, Nadira D'mas Getare; Sholikhati, Amalia Sarah
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.v8i2.2024.263-268

Abstract

Background: Identification of nutritional status upon their admission as well as influencing factors related to changes in nutritional status during hospital treatment need to be done to prevent the risk of worsening of the patient's clinical outcomes. Objectives: This study aimed to find out the nutritional status of hospitalized elderly patients at hospital admission using the Mini Nutrition Assessment-Short Form (MNA-SF) screening tool. Methods: This study was an observational design with a cross sectional design and conducted at dr. Sardjito Yogyakarta Hospital from September-November 2021. Basic characteristic data is gathered, nutritional screening is performed using MNA-SF, and nutritional status is measured using weight, height, Mid-Upper Arm Circumferences (MUAC), calf circumference, Hand Grip Strength (HGS), total fat percentage, visceral fat, muscle mass and hemoglobin. Results: A total of 86 elderly patients, ranging in age from 60 to 80 years, were recently admitted to the hospital. The results showed the prevalence of malnutrition in the hospitalized elderly was 46.5%. According to the assessment results, malnourished elderly patients had statistically significant lower Body Mass Index (BMI) (19.4±3.1), total fat levels (20.0±10.9), visceral fat levels (4.4±4.6), muscle mass (34.4±7.7), MUAC (22.6±3.4), calf circumference (27.2±6.7) dan hemoglobin (10.7±3.2) (p<0.05). Conclusions: According to MNA-SF, half of the elderly patients in hospitals were malnourished at hospital admission. Therefore, it is crucial to evaluate the nutritional state of elderly patients as soon as they are admitted and to implement the proper nutritional therapy in order to reduce its negative effects on the patients and healthcare system.
OPTIMALISASI BAHAN LOKAL UNTUK PENINGKATAN STATUS GIZI: PERAN KEDELAI, TEMPE, DAN DAUN KELOR [MORINGA OLEIFERA] Susetyowati, Susetyowati; Lestari, Lily Arsanti; Rachmawati, Azizah Isna; Rachmadanty, Ajeng Saskia Sekar; Daud, Zulfitri Azuan Mat; Sholikhati, Amalia Sarah
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 47 No. 1 (2024): PGM VOL 47 NO 1 TAHUN 2024
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/pgm.v47i1.776

Abstract

Protein-energy wasting (PEW) is common issue in kidney disease patients, primarily due to inadequate protein and energy intake exacerbated by uremic anorexia. Supplementation of biscuits using local food that contains functional substances have the potential benefit of improving nutrition status in this population. Hence, this experimental study aimed to formulate locally sourced biscuits enriched with high protein, fiber, antioxidants and other nutrients to ameliorate this problem. The study encompassed five key stages: 1) ingredient selection, including soybean (SF) and tempeh flour (TF) as protein, fat, and fiber sources, and Moringa oleifera leaf powder for fiber, vitamins, minerals, and antioxidants; 2) early formulation resulting in three formulation of biscuits namely, SF (45 grams), TF (45 grams), and ST (a combination of 22.5 grams TF and SF), each augmented with 5 grams of Moringa oleifera leaf powder; 3) nutrient analysis on the powder of base ingredients, revealing energy and protein per 100 grams for SF, TF and Moringa oleifera leaf powder were 440 kcal and 34.7 grams, 457 kcal and 39.2 grams, 264 kcal and 23.5 grams, respectively. 4) organoleptic evaluation by trained panelists, leading to the exclusion of SF and TF biscuits due to poor acceptability and unfavorable sensory attributes; and 5) final formulation, where ST biscuits underwent further refinement. In conclusion, ST biscuits show potential as a nutritional intervention for addressing PEW in kidney disease patients, though further research and clinical trials are needed to validate their efficacy and acceptance within this specific patient population.