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Contact Name
Agussalim Bukhari
Contact Email
ijcnp.id@gmail.com
Phone
+6281225704670
Journal Mail Official
ijcnp.id@gmail.com
Editorial Address
Jl. Pegangsaan Timur No. 16 Cikini Jakarta Pusat 10320
Location
Kota adm. jakarta pusat,
Dki jakarta
INDONESIA
IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
ISSN : 25974297     EISSN : 27755215     DOI : -
Core Subject : Health,
IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN) Merupakan jurnal dari Perhimpunan Dokter Gizi Klinik Indonesia (PDGKI). Jurnal ini memuat review artikel, hasil penelitian, tanggapan pembaca (letter to editor), dan studi kasus dalam bidang gizi klinik. Diterbitkan dua kali dalam setahun, yaitu pada bulan Februari dan Agustus. Redaksi menerima naskah yang belum pernah diterbitkan dalam jurnal lain.
Articles 68 Documents
TERAPI NUTRISI PADA PASIEN ABSES HEPAR LOBUS SINISTRA DENGAN PLEUROPNEUMONIA DAN SEVERE PROTEIN ENERGY MALNUTRITION Nevi Dwi Handayani; Suryani As’ad; Mardiana Majid; Asrini Safitri
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.90

Abstract

Abses hepar adalah bentuk infeksi pada hati yang disebabkan karena infeksi bakteri, parasit, jamur, yang ditandai dengan adanya proses supurasi dengan pembentukan pus di dalam parenkim hati. Abses hati dapat berdampak buruk pada status gizi melalui asupan makanan yang berkurang, malabsorpsi, peningkatan katabolisme dan penyerapan nutrisi yang diperlukan untuk sintesis dan pertumbuhan jaringan. Wanita usia 73 tahun dikonsulkan dengan diagnosis abses hepar lobus sinistra dan adhesi ileum grade IV dengan Pleuropneumonia dan malnutrisi berat (Subjective Global Assesment Skor C dan Skor MNA 7). Pasien memiliki riwayat asupan yang kurang sejak 3 minggu terakhir karena nyeri perut. Terapi nutrisi diberikan 1200 kkal, ditingkatkan bertahap menjadi 1600 kkal sesuai kemampuan dan kondisi pasien, dengan komposisi protein 1.2-1.5 g/kg BB ideal/hari, karbohidrat 50% dan lemak 30-34.1 % diikuti dengan suplementasi zinc, Vitamin B kompleks, Vitamin C, Vitamin D, curcuma dan kapsul ekstrak ikan gabus. Terapi nutrisi pada abses hepar dengan pemenuhan makronutrien dan mikronutrien yang memadai dan imunonutrisi sangat penting untuk mencegah perburukan penyakit dan luaran pada pasien ini membaik.
TERAPI GIZI PADA LAKI – LAKI, 70 TAHUN DENGAN ABSES HEPAR, BRONKOPNEUMONIA, REFEEDING SYNDROME, MALNUTRISI BERAT, SARKOPENIA, FRAILTY, DAN SINDROMA GERIATRI Felita Surya Rini; Febe Christianto; Annta Kern Nugrohowati
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.93

Abstract

Latar Belakang: Prevalensi abses hepar di dunia mencapai 2,3 kasus per 100.000 penduduk. Keluhan mual, muntah, anoreksia, dan nyeri perut yang merupakan keluhan utama abses hepar tentunya akan menurunkan asupan pasien. Pasien abses hepar sering datang dengan riwayat starvasi lama sehingga berisiko refeeding syndrome Pengobatan abses hepar adalah drainase secara operasi sehingga terapi nutrisi perioperatif menjadi salah satu kunci keberhasilan terapi multidisiplin. Laporan Kasus: Tn B, 70 tahun, datang dengan keluhan mual, dan muntah setiap kali makan sejak 1 bulan SMRS disertai nyeri perut kanan atas, demam, dan menggigil. Pasien juga mengeluhkan penurunan berat badan dan starvasi sejak 1 bulan. Pemeriksaan fisik abdomen terdapat nyeri tekan kuadran kanan atas (+). Sebelum diberikan terapi nutrisi, pasien mengalami refeeding syndrome akibat overfeeding yang ditandai dengan deplesi kalium dan magnesium progresif. Pasien diberikan diet mulai dari 10 kkal/kgBB/hari dan untuk terapi refeeding diberikan suplementasi tiamin dan B kompleks serta koreksi MgSO4 dan KCl. Diet mencapai target pada hari ke-5 perawatan. Pasien dilakukan tindakan laparoskopi drainase abses sesuai prosedur ERAS. Pada masa pemulihan pasca operasi, pasien diberikan suplementasi vitamin A, vitamin C, dan zinc. Pasien juga diberikan ONS yang mengandung vitamin A, vitamin E, tembaga dan selenium, omega 3, dan branched chain amino acids. Kesimpulan: Keberhasilan terapi gizi pada pasien ini tampak dari pasien dapat segera ditatalaksana untuk mencegah kondisi fatal akibat refeeding, terjadi peningkatan asupan, berat badan, peningkatan kekuatan genggaman, dan tidak terjadi wound dehiscence selama perawatan di rumah sakit. Kata kunci: abses hepar, refeeding syndrome, sarkopenia, terapi nutrisi
WANITA 62 TAHUN DENGAN MALNUTRISI BERAT DAN TOXIC EPIDERMAL NECROLYSIS Yulin Arditawati; Darmono; Widyastuti
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.98

Abstract

Malnutrition and skin problems are interrelated; therefore malnutrition will reduce the function of innate and adaptive immunity. The skin contains immune cells that is crucial for host defense. A 62-year-old female patient was diagnosed with Toxic Epidermal Necrolysis (TEN) due to an unknown drug allergy and severe malnutrition. The patient has a history of inadequate intake for 1 year ago and has worsened in the last 2 weeks due to blisters all over the skin, especially in the labium oris area after taking an unknown analgetic medication. Nutrition therapy had given with a target of 1900 kcal/day gradually increased to 2200 kcal/day through enteral and parenteral with a protein of 1.5 grams/kgIBW/day. Because of patients has history of aversion to food types such as chicken, eggs, fish, cow's milk, and dairy products, so patient had given soy-based polymeric formula and Parenteral Nutrition Supplement to achieve nutrition requirement. Supplementations administered were zinc, vitamin A, vitamin B complex, and vitamin C. At the end of the treatment period there were metabolic improvement such as wound healing without secondary skin infection and improvement of albumin serum from 2,3 g/dL to 3,3 g/ dL. Patients experienced side effects due to systemic corticosteroids in the form of moon face, severe muscle wasting, hyperglycemia, and hypertension. However, the use of systemic corticosteroids should pay attention to whether the benefits outweigh the disadvantages. Keywords: toxic epidermal necrolysis, malnutrition, corticosteroid, aversion
PENGARUH PEMBERIAN TEH ROSELA UNGU (HIBISCUS SABDARIFFA LINN) TERHADAP PROFIL LIPID PADA TIKUS HIPERKOLESTEROLEMI Enny Probosari; Etisa Adi Murbawani; Aryu Candra; Martha Ardiaria
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.94

Abstract

Latar Belakang : Dislipidemia merupakan faktor risiko terjadinya penyakit kardiovaskular yang menjadi salah satu penyebab utama kematian di dunia. Bunga rosela sebagai tanaman herbal yang popular di masyarakat Indonesia mengandung bahan aktif yang dapat memperbaiki profil lipid. Tujuan Penelitian: Penelitian ini bertujuan mengetahui pengaruh pemberian seduhan kelopak rosela terhadap profil lipid tikus wistar yang diberi pakan tinggi lemak. Metode : Penelitian ini adalah penelitian eksperimental laboratorium dengan design pre-post test dengan kelompok kontrol, menggunakan 24 ekor tikus wistar jantan usia 3 bulan, dibagi menjadi 4 kelompok yaitu kelompok kontrol diberi pakan standar dan minum ad libitum, kelompok perlakuan P1 diberi pakan standar dan seduhan rosela dosis 1340 mg/KgBB/hari, kelompok perlakuan P2 diberi pakan standar dan seduhan rosela dosis 2700 mg/KgBB/hari, kelompok perlakuan P3 diberi pakan standar dan seduhan rosela dosis 4020 mg/KgBB/ hari selama 30 hari. Pada awal dan akhir perlakuan diambil serum darah untuk mengetahui kadar trigliserida, kolesterol total, HDL, dan LDL. Hasil: Pemberian rosela pada ketiga kelompok perlakuan mengalami penurunan kadar trigliserid, kadar LDL, Peningkatan kadar kolesterol, dan kadar HDL secara bervariasi. Kelompok P3 menunjukan penurunan kadar trigliserid sebesar -61,00±45,41 (p<0,05) lebih baik dibanding kelompok lain. Kelompok P2 menunjukan peningkatan kadar HDL sebesar 10,20±9,89 (p>0,05) lebih baik dibanding kelompok lain. Kelompok P2 menunjukan penurunan LDL sebesar -5,50±7,06 (p>0,05) dibanding kelompok lain. Kesimpulan: Pemberian teh rosela dengan dosis 4020 mg/KgBB/hari selama 30 hari mampu menurunkan kadar trigliserida secara signifikan (p<0,05) pada tikus hiperkolesterolemi. Kata Kunci : Profil lipid, Rosela, Tikus Wistar
PENGARUH METODE BOILING TERHADAP KADAR VITAMIN C PADA TUMBUHAN KELAKAI (STENOCHLAENA PALUSTRIS) Anisa Nabila Rahayu; Ni Nyoman Sri Yuliani; Dian Mutiasari
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.102

Abstract

Background: Kelakai (Stenochlaena palustris) is a local vegetable of the Dayak tribe that contains Vitamin C, and the majority is cooked by boiling. Research Objectives: The aim of this study was to determine the effect of the boiling method on vitamin C levels in the kelakai plant. Method: This research was an experimental study to test vitamin C on samples of fresh kelakai, boiled kelakai (3 minutes), and positive control using UV-Vis Spectrophotometry qualitatively and quantitatively. The results were then statistically tested. Results: The vitamin C content of fresh kelakai was 0.001704 mg/g, boiled kelakai for 3 minutes was 0.000846 mg/g, and the positive control was 0.006840 mg/g. The statistical Kruskal-Wallis test and post-hoc Mann-Whitney test showed that there were very significant differences in vitamin C levels in samples of fresh kelakai, boiled kelakai, and positive control (p =0,001). Conclusions: According to the results of statistical tests, there are differences in vitamin C levels in samples of fresh kelakai, boiled kelakai, and positive control.
KECEPATAN PENCAPAIAN TARGET ENERGI DAN PROTEIN SERTA HUBUNGANNYA DENGAN PENURUNAN INDEKS MASSA TUBUH DAN LINGKAR LENGAN ATAS PADA PASIEN STROKE Joriandhita Ramadhan; Hertanto Wahyu Subagio; Enny Probosari
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 1 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i1.84

Abstract

Background: Some anthropometrics assessment on risk of malnutrition are by measuring the mid-arm circumference (MAC) and calculating the body mass index (BMI). Objective: To analyze the relationship between days of energy and protein target achievement to the reduction of MAC and BMI in stroke patients in Indonesia. Method: The study design was an observational study with a cross-sectional approach to determine the relationship between days of energy and protein target achievement to the reduction of MAC and BMI. A total of 55 subjects who met the inclusion and exclusion criteria were taken at the Stroke Unit of RSUP Dr. Kariadi Semarang during January-March 2021. MAC measurements and BMI calculations were carried out. Analysis of the relationship between dependent and independent variables using the chi square statistical test. Results: Most of the subjects achieved their energy and protein targets within ≤ 3 days. Days of energy and protein target achievement did not correlate with the reduction in MAC and BMI statistically (p> 0.05), but the research data stated that as a percentage, one third of the subjects who reached the energy and protein targets ≤ 3 days did not experience reduction. Conclusion: All subjects were stroke patients aged 19-59 years where 49 (89,1%) could meet their energy and protein targets within ≤ 3 days and 17 (34,7%) subjects did not experience reduction in MAC and BMI. Keywords: Stroke, MAC, BMI, malnutrition, anthropometry
EFFECT OF L-ARGININE SUPPLEMENTATION WITH ENDOTHELIAL FUNCTION IN DIABETES MELLITUS AND CARDIOVASCULAR DISEASE: AN EVIDENCE BASED CASE REPORT Yusi Deviana; Diyah Eka Andayani
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 2 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i2.110

Abstract

Abstract Background: Cardiovascular disease is the main complication that induces morbidity in diabetes mellitus patients. Endothelial function plays a role in these complications. Nitric oxide is a nitrogen-free radical produced from L-arginine, involved in several mechanisms for maintaining endothelial function to prevent cardiovascular disease and diabetes mellitus. Methods: A search for relevant literature in PubMed, Cochrane, and ProQuest was conducted. After assessing the relevancy and eligibility of the literature, two pieces of literature were selected and critically appraised. Results: There are two works of literature from systematic review and meta-analysis were found. The studies suggest pro and contra L-arginine supplementation with endothelial function in diabetes mellitus and cardiovascular disease. Conclusions: L-arginine might be the alternative supplement for cardiovascular disease and diabetes mellitus, but further analysis in improved studies is needed to confirm. Keywords: l-arginine, diabetes mellitus, cardiovascular disease, endothelial
EFFECTIVENESS OF PREOPERATIVE CARBOHYDRATE LOADING WITH LENGTH OF HOSPITALIZATION IN NON-INVASIVE GYNECOLOGICAL SURGERY PATIENTS: AN EVIDENCE-BASED CASE REPORT Nita Nurul Rachman; Wina Sinaga
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 2 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i2.111

Abstract

Background Carbohydrate loading is one of the steps in the preoperative procedure of Enhanced Recovery after Surgery (ERAS). The advantages of the ERAS pathway have positive effects on postoperative outcomes, including a reduction in the length of stay/LOS in hospital. Objective: This study aims to critically analyze the effectiveness of carbohydrate loading on the reduction in the length of hospital stay among patients undergoing non-invasive gynecologic surgical procedure. Methods: A search was conducted to find several literatures from PubMed, Cochrane and Scopus. This study assesses the relevance and feasibility of the literatures. The search found three selected literatures to further conduct a critical assessment. Results: A critical review was conducted towards three randomized controlled trial literatures. Two literatures showed a significant reduction in the length of stay with preoperative carbohydrate loading (p<0.001), while one literature showed an insignificant finding (p=0.684). Conclusions: Carbohydrate loading as a part of the preoperative management of ERAS could reduce the length of hospital stay among patients undergoing non-invasive gynecologic surgery procedure. Differences in the results of several studies indicate the need for further studies using the similar intervention method. Keywords: enhanced recovery after surgery, gynecologic surgery, carbohydrate loading, length of stay.
TERAPI NUTRISI PADA GAGAL JANTUNG KONGESTIF NYHA FC - II DENGAN SEVERE PROTEIN ENERGY MALNUTRITION Rabiah Rabiah; Mardiana; Asrini Safitri
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 2 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i2.91

Abstract

Gagal jantung kongestif adalah sindrom klinis kompleks di mana jantung tidak dapat memompa cukup darah untuk memenuhi kebutuhan tubuh. Gagal jantung merupakan epidemik pada sekitar 1% sampai 2% dari populasi di seluruh dunia. Cachexia dan malnutrisi merupakan komplikasi serius dari berbagai penyakit, salah satunya gagal jantung. Malnutrisi pada pasien gagal jantung, merupakan salah satu prediktor dari mortalitas dan dapat menyebabkan kualitas hidup yang kurang baik. Tujuan utama terapi nutrisi pada penderita gagal jantung kongestif adalah untuk mempertahankan dan meningkatkan status gizi sehingga dapat menurunkan morbiditas dan mortalitas penderita. Pria usia 77 tahun dikonsulkan dengan diagnosis gagal jantung kongestif NYHA FC-II, Hipertensi dan Atrial Fibrilasi dan malnutrisi berat (Subjective Global Assesment Skor C). Pasien memiliki riwayat asupan yang kurang dan perubahan konsistensi asupan selama 1 tahun dan memberat sejak 1 bulan yang lalu karena sesak nafas. Terapi nutrisi melalui diberikan dengan target 1300 kkal secara bertahap melalui oral dan parenteral dengan protein 1-1,2 gram/kgBB ideal/hari. Suplementasi yang diberikan adalah Zinc, Vitamin B Kompleks, Vitamin A, Vitamin C, Vitamin D dan Curcuma. Pada akhir masa perawatan terdapat perbaikan metabolik seperti deplesi sistem imun, magnesium,albumin,enzim transaminase dan kalium.
SOCIODEMOGRAPHIC PROFILE, PHYSICAL ACTIVITY, DIETARY PATTERNS, AND NUTRITIONAL STATUS OF VEGETARIANS Apriyani Supia Dewi; Ardesy Melizah Kurniati; Dalilah Dalilah
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 5 No 2 (2022): IJCNP (INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN)
Publisher : Perhimpunan Dokter Gizi Klinik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54773/ijcnp.v5i2.92

Abstract

Vegetarianism is one of the most popular dietary patterns in the world, and Indonesians are as well. This study was conducted to determine the profile of vegetarians in Palembang based on socio-demographic characteristics, physical activity level, dietary type, total energy intake, total macronutrient intake, and nutritional status. This study is a descriptive observational study with a cross-sectional design. Maha Vihara Maitreya Duta (MVMD) was the vegetarian population in this survey. Participants who agreed to take part in the survey were at least 18 years old, have been vegetarian for at least three years, were not pregnant or planning to become pregnant, and did not have any chronic ailments. A total of 148 samples were acquired using a consecutive sampling technique. To establish nutritional status, Primary data were collected by completing food recall interviews during the last 24 hours on two non-consecutive days. and measuring height and weight to determine nutritional status. The highest age range of participants was 30–49 years (54,1%). The majority of the population was female (61,5%) and had a college degree (56,1%). Most participants work (85,8%), engage in light-to-moderate physical activity, and have a normal body mass index range (68,2%). Most ate lacto-ovo-vegetarian (59,5%). Most participants were vegetarian for 6-10 years (31,1%). Most motivations for becoming a vegetarian are health-related (45,3%). Vegans consumed more calories, carbs, and protein than non-vegans, but less fat. Most vegan and non-vegan respondents had good nutritional status and were in the sufficient category for achieving calorie and macronutrient requirements.