Ahmad Syauqy
Department of Nutrition, Faculty of Medicine, Diponegoro University

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The effect of high-protein snack consumption during hemodialysis on nutrient intake and nutritional status in patients with stage V chronic kidney disease Ayu Andalia; Ahmad Syauqy; Diana Nur Afifah
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i1.2328

Abstract

Protein-energy wasting (PEW) in hemodialysis patients can cause weight loss, muscle mass, physical strength, and biochemistry. Adequate protein intake during hemodialysis is essential to reduce catabolic effects and improve nutritional status. This study aimed to analyze the effects of high-protein snack consumption on nutrient intake (energy, protein, fat, carbohydrate, sodium, potassium, and phosphorus), nutritional status (BMI, Hb, and muscle mass), and handgrip strength. Methods: This study was conducted from August to September 2024 at Alimuddin Umar Hospital in West Lampung using a quasi-experimental design with a control group of 30 patients with chronic kidney disease (CKD). The intervention group received high-protein snacks (18 g/session), whereas the control group received low-protein snacks (<12 g/session) for six weeks. Nutrient intake was assessed using 24-hour recall, handgrip strength was measured using a camera dynamometer, and nutritional status was analyzed using anthropometric and biochemical parameters. The results showed an increase in nutrient (energy, p = 0,036; protein, p = 0,000; fat, p = 0,000; carbohydrate, p = 0,040; sodium, p = 0,010; potassium, p = 0,043; phosphorus, p = 0,001), Hb (p = 0,001), and urea (p = 0,015) intake, There were no changes in BMI (p= 0,836), muscle mass (p= 0,575), creatinine level (p= 0,183), or handgrip strength (p= 0,899) in patients with CKD. In conclusion, high-protein snacks used during hemodialysis can improve nutrient intake and clinical parameters in patients with CKD.
Association of dietary intake, nutritional status and physical activity on sarcopenia in pre-elderly and elderly Lestari Suryaningsih; Ani Margawati; Ahmad Syauqy
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i1.2327

Abstract

Sarcopenia is a decrease in muscle mass, strength, and function, which has an impact on reducing physical performance and quality of life and is influenced by dietary intake and physical activity. This study aimed to analyze the relationship between diet, nutritional status, physical activity, and the incidence of sarcopenia.  A cross-sectional study was conducted in Simpati District, West Sumatra, from October to November 2024. The sample consisted of 167 pre-elderly individuals, and the elderly were selected through simple random sampling. Measurements included muscle and fat mass using a digital body composition scale, muscle strength using a handgrip dynamometer, dietary intake using the SQ-FFQ, physical activity using the GPAQ, waist circumference using a waist ruler, and physical performance assessed through the sit-to-stand test. Chi-square test and logistic regression were used for the analysis. Results: The prevalence rate of sarcopenia was 9,6%.  After adjusting for age and sex, waist circumference (p= 0,019; OR= 4,2) was associated with sarcopenia, while after adjusting for age, physical activity (p= 0,016; OR= 4,5), and waist circumference (p= 0,042; OR= 3,3) were associated with sarcopenia. After adjusting for sex, energy intake (p= 0,050; OR= 3,1), physical activity (p= 0,006; OR= 5,7), and waist circumference (p= 0,007; OR= 4,8) were associated with sarcopenia. Conclusion: Energy intake, physical activity, and waist circumference were associated with sarcopenia in elderly and pre-elderly individuals. Appropriate nutritional intervention, increased physical activity, and waist circumference monitoring are essential for sarcopenia management.