cover
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 KARSINOMA LIDAH DENGAN MALIGNANCY RESIDIF DAN SEVERE PROTEIN ENERGY MALNUTRITION Yosepina Paelongan; Suryani As’ad; Asrini Safitri; Marniar
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.v5i2.100

Abstract

Abstrak Karsinoma lidah merupakan tumor ganas invasif yang berasal dari jaringan epitel yang dapat mengenai bagian oral lidah di rongga mulut atau pangkal lidah di orofaring serta cenderung untuk bermetastasis ke bagian tubuh lainnya 1 Tujuan utama terapi nutrisi pada penderita kanker adalah untuk mempertahankan atau meningkatkan status gizi sehingga dapat memperkecil terjadinya komplikasi, meningkatkan efektivitas terapi kanker (bedah, kemoterapi, radiasi), kualitas hidup dan survival penderita. Pria, 60 tahun dikonsul dengan diagnosis Tumor Lidah Malignancy Residif dan malnutrisi berat (Subjective Global Assesment Skor C). Pasien memiliki riwayat asupan yang kurang karena gangguan menelan akibat tumor lidah sejak 2 tahun lalu, serta karena kesulitan menelan makanan karena perdarahan dari ulkus yang terdapat di bawah lidah dan tembus ke bawah dagu pasien dalam 3 hari terakhir. Terapi nutrisi diberikan dengan target 1600 kkal secara bertahap melalui enteral dengan protein 1,2-1,4 gram/kgBB ideal/hari. Suplementasi yang diberikan adalah Zinc, Vitamin B kompleks, Vitamin C, Vitamin D, Vitamin A, Curcuma dan Kapsul ikan gabus . Pada akhir masa perawatan terdapat perbaikan metabolik seperti anemia, deplesi sistem imun, albumin dan peningkatan kapasitas fungsional. Terapi nutrisi pada kanker lidah dengan pemenuhan makronutrien dan mikronutrien yang memadai dan imunonutrisi sangat penting untuk meningkatkan status gizi dan perbaikan sistem imun.
PERAN ORAL NUTRITION SUPPLEMENT (ONS) TERHADAP MALNUTRISI PADA PASIEN GANGGUAN JIWA Dina Aulia Insani; Saiful Akhyar; Khairun Nida; Habibah
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.v5i2.106

Abstract

Latar Belakang: Terapi gizi berperan sebagai bagian dari terapi medis untuk membantu pengobatan dan meningkatkan kualitas hidup pasien dengan gangguan jiwa. Tujuan: untuk mengetahui peran ONS terhadap malnutrisi pada pasien gangguan jiwa. Penelitian pre-post test group design. Pasien rawat inap sejak bulan September – Februari yang dilakukan asessmen gizi. Kriteria inklusi: malnutrisi berat dan mendapat ONS. Kriteria eksklusi: pulang paksa kurang dari 3 hari, mendapat terapi nutrisi parenteral dan diagnosa penggunaan NAPZA multipel. Data dianalisis dengan paired samples t-test. Hasil: Pasien malnutrisi sebanyak 153 (27.7%). Jumlah responden 56 dengan laki-laki 30 (53.6%) dan wanita 26 (46.4%). Mayoritas menderita skizofrenia 37 (66.1%). Peningkatan berat badan rerata 1.32 kg dengan pemberian rerata ONS 500 ml/hari selama rerata 8.7 hari. Uji statistik menunjukkan hasil signifikan antara berat badan sebelum dan setelah terapi (p-value = 0.000). Kesimpulan: Didapatkan hasil signifikan antara berat badan sebelum dan setelah pemberian terapi gizi dengan ONS pada pasien malnutrisi dengan gangguan jiwa.
EFEKTIVITAS SUPLEMENTASI VITAMIN K TERHADAP KONTROL GLIKEMIK PADA PASIEN DIABETES MELITUS TIPE 2: EVIDENCE BASED CASE REPORT Rizka Hanifa; Nurul Ratna Mutu Manikam
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.v5i2.112

Abstract

Latar belakang: Terdapat beberapa bukti penelitian prospektif observasional dan uji klinis yang menunjukkan penurunan risiko diabetes melitus (DM) dengan suplementasi vitamin K melalui perannya terhadap respon insulin, efek insulinotropik, dan modulasi vitamin K-dependent protein. Tujuan penelitian: Studi ini bertujuan untuk menelaah secara kritis mengenai efek suplementasi vitamin K terhadap kontrol glikemik pada pasien DM tipe 2. Metode: Pencarian literatur dilakukan pada 3 database yaitu PubMed, Cochrane dan Scopus. Literatur yang sesuai dengan PICO kemudian diseleksi berdasarkan kriteria eligibilitas dan dilakukan telaah kritis. Hasil: Terpilih 2 artikel dengan studi randomized controlled trial (RCT). Kedua artikel tersebut menunjukkan pengaruh yang signifikan setelah pemberian suplemen vitamin K terhadap status glikemik pada pasien DM tipe 2. Artikel pertama menunjukkan dengan pemberian kapsul MK-7 sebesar 200 μg/hari selama 12 minggu, nilai glukosa darah puasa (GDP) (MD=24,37; 95% IK: 3,37-45,37; p: 0,02) dan HbA1c (MD=1,23; 95% IK: 0,21-2,26; p: 0,01) secara signifikan lebih rendah pada kelompok MK-7 dibandingkan plasebo. Artikel kedua juga menunjukkan dengan memberikan MK-7 180 μg dua kali sehari selama 12 minggu, kadar GDP (effect size (ES)=−0,68; p-adjusted=0,031) dan HbA1c (ES=−0,36; p-adjusted=0,004) pada kelompok Mk-7 secara signifikan lebih rendah dibandingkan dengan plasebo. Kesimpulan: Kedua artikel menunjukkan hasil yang konsisten dalam menurunkan kadar GDP dan HbA1c. Studi dengan ruang lingkup terapi yang membahas topik ini masih terbatas, sehingga diperlukan studi selanjutnya untuk mengonfirmasi temuan ini dan untuk mendukung rekomendasi suplementasi vitamin K dalam regimen terapi pasien DM tipe 2. Kata kunci: vitamin K, diabetes, kontrol glikemik, glukosa darah puasa, HbA1c
AN EFFECTIVENESS OF OMEGA 3 SUPPLEMENTATION ON CLINICAL SYMPTOMS IMPROVEMENT AND CLINICAL PARAMETERS OF COVID-19 Novi Yanti; Lily Indriani Octovia
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.v5i2.113

Abstract

Abstract Background Coronavirus disease 2019 (COVID-19) infection is a disease with high morbidity and mortality rates worldwide. This viral infection can cause metabolic and clinical changes that affect the patient's condition. Omega 3 polyunsaturated fatty acids (ω3-PUFAs) are important mediators of anti-inflammatory and immune response. Thus, it can reduce clinical symptoms of COVID-19 patients. Objective: To know the effect of omega 3 supplementation in improving clinical symptoms and clinical parameters of COVID 19. Methods: Article searches were conducted using advanced searching by combining MesH Terms and abstracts/titles in the Pubmed, Cochrane Library, and Scopus databases. The search found two selected literatures to further conduct a critical assessment. Results:Two articles were selected based on the eligibility criteria and conformity with the Problem Intervention Comparison Outcome (PICO). Study conducted by Sedighiyan et al.,1 showed that there were significant changes in clinical symptoms of COVID-19 patients such as pain, fatigue (p< 0.001), increased appetite (p=0.003), decreased Erythrocyte Sedimentation Rate (ESR) values (p < 0.002), and decreased C-reactive protein (CRP) values ​​(p<0.001). Study conducted by Doaei et al.,2 showed that there was significant decrease in pH (p=0.001), HCO3 (p = 0.001), Be (p = 0.001), and creatinine (p = 0.002), thereby improving clinical symptoms of COVID-19 patients. Conclusion: Omega 3 supplementation can improve clinical symptoms and clinical parameters of COVID 19. However, further research is needed with a larger sample, a longer duration, and with dose adjustment of omega 3 supplementation. Keywords:COVID-19, omega 3 fatty acids, clinical symptoms and clinical parameters improvement
ASSOCIATION BETWEEN ENTERAL NUTRITION AVAILABILITY WITH NUTRITIONAL FULFILLMENT AND NUTRITIONAL STATUS IN HEAD AND NECK CANCER PATIENTS Marvin Marino; Diyah Eka Andayani; Angela Giselvania
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.v5i2.130

Abstract

Background: The availability of enteral nutrition is one of nutritional intervention that can be given to prevent a decrease in nutritional intake and nutritional status in HNC patient. Research objective: This study aims to see the correlation between the availability of enteral nutrition with nutritional fulfillment and nutritional status. Methodology: A cross sectional study was conducted on adult subjects with HNC after radiation therapy at the RSCM radiotherapy outpatient clinic. Nutritional fulfillment was assessed by semi-quantitative FFQ while nutritional status was measured by calculating body mass index (BMI). Research results: Forty-one subjects mean age of 51 years participated in the study. The mean BMI of subjects with enteral nutrition was lower than those on oral nutrition, 18,2±2,6 kg/m2 compared to 21,2±3,5 kg/m2 respectively. The mean total energy intake of subjects with enteral nutrition route was higher, which was 1498,1±430,6 Kcal/day compared to 1291,4±393,3 Kcal/day. There was a moderate negative correlation between the availability of enteral nutrition and nutritional status (r=-0,346, p=0,027), meanwhile there was a weak positive correlation with nutritional fulfillment (r=0,216, p=0,174). However, in this study we found that the proportion of subjects with enteral nutrition who experienced a decrease in BMI was less than the proportion of subjects on the oral route, which was 22,2% compared to 43,8% respectively. Conclusion: There is a moderate negative correlation between the availability of enteral nutrition with nutritional status and a weak positive correlation with nutritional fulfillment which is still influenced by confounding factors.
THE EFFECTS OF CURCUMIN SUPPLEMENTATION ON GLYCAEMIC INDEX IN WOMEN WITH POLYCYSTIC OVARIAN SYNDROME: AN EVIDENCE BASED CASE REPORT Marcia Kumala; Nurul Ratna Mutu Manikam
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): 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.v6i1.133

Abstract

Background: PCOS is the most common cause of infertility around the world. PCOS is associated with impaired glucose tolerance and higher tendency to develop type 2 diabetes. Curcumin, which is known for its anti-inflammatory, antioxidant, and antidiabetic properties, may show promising effect in regulating blood glucose. Objective: This study aims to evaluate the effect of curcumin supplementation on improving glycaemic profile in women with PCOS. Methods: Literature searching was conducted by advanced searching in Pubmed, Cochrane Library, Scopus, and ProQuest database using MeSH Terms combined with Title/Abstract. After removing duplicates, the literatures were screened based on the eligibility criteria. Critical appraisal and level of evidence of the selected literatures were determined based on Oxford Centre for Evidence-Based Medicine. Results: Two selected literatures were relevant to answer our clinical question. The first literature is a systematic review/meta-analysis study by Chien et al (2021) and the latter is a randomized controlled trial by Asan et al (2020). Both literatures show that curcumin supplementation is beneficial in improving glycaemic profile in PCOS patients. These effects were marked by lower fasting blood glucose, insulin level, and HOMA-IR in curcumin group compared to the control group. Conclusion: Curcumin supplementation for at least 6 weeks significantly improve glycaemic profile in women with PCOS. Curcumin supplementation is also considered safe and well tolerable. However, more studies are needed to investigate further regarding the long-term effects of curcumin supplementation. Keywords: curcumin, turmeric, polycystic ovarian syndrome, glycaemic profile
HUBUNGAN PHASE ANGLE DENGAN TINGKAT KEPARAHAN INFARK MIOKARD Rosa Kristiansen; Niken Puruhita; Febe Christianto; Hertanto Wahyu Subagio; Enny Probosari
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): 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.v6i1.156

Abstract

Latar belakang : Phase angle (PhA) yang merupakan indikator integritas seluler mungkin berhubungan dengan tingkat keparahan IM yang tercermin dari penanda cedera miosit yaitu kadar troponin. Tujuan : Menganalisis hubungan PhA dengan tingkat keparahan IM. Metode : Penelitian observasional, melibatkan 40 subjek dengan IM yang memenuhi kriteria inklusi dan eksklusi. Tingkat keparahan IM diukur dari kadar troponin I, PhA didapatkan dari bioelectrical impedance analysis, dan data komorbid diambil dari rekam medis pasien. Uji hipotesis menggunakan analisis bivariat untuk melihat hubungan phase angle dan beberapa komorbid dengan tingkat keparahan IM. Hasil : Mayoritas subyek penelitian berjenis kelamin laki-laki (82,5%), rerata usia 56,1 tahun, dan rerata IMT 25,56 kg/m2. Dislipidemia merupakan jenis komorbid yang paling banyak diderita (92,5%) dan 62,5% subyek penelitian memiliki 2 atau lebih komorbid. Hasil analisis bivariat PhA, jenis komorbid, jumlah komorbid, usia, IMT, dan jenis kelamin terhadap kadar troponin I adalah tidak signifikan (p>0,05). Kesimpulan : PhA, diabetes, hipertensi, dislipidemia, jumlah komorbid, usia, IMT, dan jenis kelamin tidak berhubungan dengan tingkat keparahan IM. Kata kunci : BIA, komorbid kardiovaskular, phase angle, tingkat keparahan infark miokard
REDUCED BODY MASS INDEX BUT NOT FAT MASS IN ANTHRACYCLINE-BASED CHEMOTHERAPY OF LOCALLY ADVANCED BREAST CANCER PATIENTS Isma Rachmawati; Raden Yohana; Bambang Amam; Yenni Zuhairini
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): 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.v6i1.174

Abstract

Background: Breast cancer is a cancer disease with the highest proportion of new cases and the proportion of deaths it causes is quite high at 6.9%. Cancer patients who use anthracycline-based chemotherapy experience loss of body weight, muscle, body cell mass, distribution of extracellular fluid expansion and reduced intracellular air. This study was to determine the change of the Body Mass index (BMI) and body composition of patients with locally advanced breast cancer (stage IIIA, IIIB and IIIC) who had undergone anthracycline-based chemotherapy.Methods: This anthracycline-based observational analytical study of pre and post chemotherapy was conducted with a cross-sectional approach. Subjects were measured height by microtoise; weight, body composition, daily calorie intake (DCI) and basal metabolic rate (BMR) as measured by Bioelectrical Impendance Analysis (BIA).Results: 47 locally advanced breast cancer patients underwent anthracycline-based chemotherapy. Based on the Wilcoxon statistical test, 6 variables with a 95% confidence level (p<0.05) showed a decrease in the value 5 variables, namely BMI, total body water (TBW), visceral fat, skeletal muscle mass and skeletal bone mass. Meanwhile, body fat showed a p value=0.224. The changes of variable confounding, DCI decrease (p=0.004), but BMR increase not significantly (p=0.795).Conclusion: There is an effect of chemotherapy on nutritional status of BMI, TBW, visceral fat, skeletal muscle mass and bone mass in patients with locally advanced breast cancer who underwent anthracycline-based chemotherapy, which may the result of the calorie intake decreased, but not on body fat
PROFIL ANTROPOMETRIK, VITAMIN D, B12, FOLAT, DAN FERITIN PASIEN OBES PRABEDAH BARIATRIK DI POLIKLINIK GIZI RUMAH SAKIT SUMBER WARAS Anastasia Hayuningtyas; Lady Dhita Alfara; Tjandraningrum; Victor Tambunan; Lukman Halim; Meilani Kumala; Johana Titus
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): 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.v6i1.183

Abstract

Obese patients, especially patients with severe obesity and requiring bariatric surgery, have a high prevalence of nutrient deficiencies. This study aims to determine some of the basic characteristics of patients undergoing bariatric surgery so that they can be used as supporting data for post-bariatric surgery nutrition medical therapy, particularly in the provision of food sources and micronutrient supplementation which can be deficient due to anatomic and physiological alterations after the surgery. The study was conducted on 55 preoperative bariatric patients by assessing age, gender, and degree of obesity based on body mass index (BMI), serum vitamin D and B12 levels, erythrocyte folic acid, and serum ferritin of subjects. The study is descriptive with a cross-sectional design. Subjects were taken by consecutive sampling. The results showed that the mean age of preoperative bariatric patients was 36 ± 7.1 years; most (85.5%) were women. Most subjects (34.5%) had BMI of 35­–39.9 kg/m2. Vitamin D deficiency was present in most (75.6%) of the study subjects, but most had serum vitamin B12 levels, erythrocyte folic acid levels, and serum ferritin levels within normal limits. This study shows that the basic profile of patients undergoing bariatric surgery is primarily late adults, classified as severe obese and having vitamin D deficiency. Keywords: Obesity, Prebariatric, Serum Vitamin D, Serum Vitamin B12, Erythrocyte Folic Acid, and Serum Ferritin.
EFFECTIVENESS OF PROBIOTIC SUPPLEMENT ON HELICOBACTER PYLORI INFECTION ERADICATION IN GASTRIC ULCERS Sulistyanti Dian Rachmawati; Wiji Lestari
IJCNP : INDONESIAN JOURNAL OF CLINICAL NUTRITION PHYSICIAN Vol 6 No 1 (2023): 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.v6i1.114

Abstract

Background: Helicobacter pylori colonizes the gastric mucosa in 50% of the human population. H. pylori infection causes several upper gastrointestinal tract diseases such as chronic gastritis, peptic ulcer, duodenal ulcer, and gastric cancer. H. pylori is also associated with a high risk of developing gastric adenocarcinoma. The World Health Organization classifies H. pylori infection as a class 1 carcinogen. Giving probiotics may improve the immune system and suppress the effects of pathogens. However, mixed results were obtained from the use of various kinds of bacteria and fungi as probiotics. Objective: To determine the effectiveness of probiotic supplementation against the eradication of Helicobacter pylori infection in gastric ulcers. Conclusion: The effectiveness uses of probiotics to eradicate H. pylori has not been proven. It will take clinical trials with a sufficient number of subjects and certain probiotic strains to be able to determine the type of strain, dosage, duration of use, and side effects that can be caused.