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INDONESIA
JURNAL GIZI INDONESIA
Published by Universitas Diponegoro
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Core Subject : Health,
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Articles 242 Documents
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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
Relationship between skeletal muscle mass index and length of stay in stroke patient Murbawani, Etisa Adi; Wahyu Subagio, Hertanto; Tugasworo Pramukarso, Dodik; Fatimah Muis, Siti; Pudjonarko, Dwi; Probosari, Enny; Candra, Aryu; Ardiaria, Martha
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) 2026: Just Accepted Manuscript and Article In Press 2026
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.0.0.%p

Abstract

Background: Sarcopenia is a syndrome characterized by progressive condition and generalized loss of skeletal muscle mass and strength. It is associated with poor prognosis and increased length of stay in stroke patients. Skeletal Muscle Mass Index (SMI) is an important parameter for assessing skeletal muscle mass and the clinical outcomes of stroke patients.Objective: to examine the relationship between SMI and length of stay in stroke patient.Materials and Methods: Cross-sectional observational analytical research was conducted at Dr. Kariadi Semarang Hospital from June 2024 to March 2025 in hospitalized stroke patients aged >18 years. Body composition, including skeletal muscle mass, is measured using BIA. Data were analyzed by Independent t-test, Pearson Correlation and Double Linear Regression.Results: The average length of stay among the 78 individuals (43 males and 35 females) was 11 days. The SMI levels were normal, indicating no sarcopenia.Conclusion: Skeletal Muscle Mass Index (SMI) was significantly related (p<0.05) with length of stay in stroke patients; the higher the SMI score, the shorter the duration of hospital stay. 

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