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All Journal Jurnal Gizi dan Pangan
Mohd Rusli, Siti Farhanah
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Health Professions

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Optimization of Enteral Feeding for Acute Decompensated Congestive Cardiac Failure with Fluid Restriction Abdul Jalil, Muhammad Hakim; Ab Hamid, Mohd Ramadan; Hamdan, Norhafizah; Mohd Rusli, Siti Farhanah
Jurnal Gizi dan Pangan Vol. 20 No. Supp.1 (2025)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2025.20.Supp.1.29-36

Abstract

The aim of this case report is to explore dietitian’s clinical decision-making in providing nutritional care. Ms. C, an 84-year-old Chinese woman with underlying atrial fibrillation, hypertension and diabetes mellitus was admitted into ward due to worsening progression of heart failure complicated with Upper Gastrointestinal Bleeding (UGIB), Community Acquired Pneumonia (CAP) and hypervolemic hyponatremia. Ms. C’s BMI was normal for elderly (27 kg/m2) with estimated weight and height of 70 kg and 160 cm respectively. Patient was hyperglycemic, hypertensive, and breathing under ventilatory support. Prior to admission, she complained of lethargy, difficulty of breathing and stomach pain. Patient was on fluid restriction of 500 ml/day in view of body fluid retention. Patient was on enteral feeding 3 hourly 6 times per day tolerating 100 ml of diabetic formula providing energy of 456 kcal/day and protein of 20 g/day. Inadequate enteral infusion related to physiological changes (fluid retention) requiring restricted fluid intake as evidenced by estimated energy intake of 456 kcal/day and protein intake of 20 g/day less than energy requirement of 1,400 kcal/day and protein requirement of 84 g/day. The goal was to provide adequate energy and protein concomitantly adhering to the fluid restriction and achieving good glycemic control. Modular protein was added to the diabetic formula. Ms. C was able to tolerate 100ml enteral feeding throughout hospital stay. Managing patient with multiple organ complications prove to be challenging. High-density formula is often used for fluid restriction patient however inappropriate for diabetic patient. Product unavailability in the hospital also limiting patient care. Clinical reasoning and clinical judgment were necessary to ensure prioritization of patient care.
Awareness, Knowledge, and Practices towards Reading Snack Food Labels among Malaysian Adolescents Md Nor, Norazmir; Mohd Rusli, Siti Farhanah; Mohd Asmawi, Ummi Mohlisi
Jurnal Gizi dan Pangan Vol. 18 No. 1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.1.61-70

Abstract

This study aimed to determine the awareness, knowledge, and practices regarding food labels and factors that influence their use; a cross-sectional study was conducted among 200 Malaysian adolescents aged 10 to 19. Participants completed an online Food Label Use Questionnaire (FLUQ) that included demographic, nutrition knowledge, label use, and factors affecting label use. SPSS version 28.0 was used for data analysis. The results showed that 93% of adolescents correctly identified the consequences of over-consuming calories. Still, only 84.5% performed well on the nutrition use task, struggling to interpret calorie and carbohydrate amounts in certain foods. The main reasons for not using food labels were time constraints (45.5%), unattractive or confusing labels (36%), absence of labels on certain foods (33%), lack of health concerns (32%), and insufficient knowledge (27%). However, 90.5% of adolescents were concerned about product expiration dates and often read this information. Taste and price were the main reasons for referring to food labels, while time constraints were the main barrier to their use. In conclusion, practicing reading food labels can guide adolescents in making informed decisions about their food choices and portion intake. Awareness campaigns can aid in promoting healthy habits and empowering adolescents to make the right choices for their health.
Co-Authors Ab Hamid, Mohd Ramadan Abdul Jalil, Muhammad Hakim Hamdan, Norhafizah Md Nor, Norazmir Mohd Asmawi, Ummi Mohlisi