World Nutrition Journal

Enhancing patient care: Ethical considerations for micronutrient management in hospital nutrition settings

Dian Permatasari — Sat, 30 Sep 2023 00:00:00 +0000

Micronutrients are represented by vitamins and minerals and are present in a wide variety of foods. Each of these nutrients performs specific functions that are essential for the health of our cells and their harmonious functioning. Data suggest that many people have an inadequate daily intake of micronutrients, even when nutritious food is more easily available. It has since been established that the complex, integrated immune system needs multiple specific micronutrients, including vitamins A, D, C, E, B6, and B12, folate, zinc, iron, copper, and selenium, which play vital, often synergistic roles at every stage of the immune response.

Chyme reinfusion therapy using new technology

Gil Hardy — Sat, 30 Sep 2023 00:00:00 +0000

High output double enterostomies (DES) and disease-related malnutrition (DRM) are features of intestinal failure (IF) that require parenteral nutrition (PN) until surgical re-establishment of intestinal continuity. PN risks include gut and hepatobiliary dysfunction and Intestinal failure associated liver disease (IFALD), defined as hepatobiliary dysfunction with elevated liver function tests (LFT). Chyme reinfusion therapy (CRT) is a distal feeding technique recommended for restoration of digestive function.

Vitamin D supplementation in critically ill patients: pros and cons

Abdolreza Norouzy, M Arabi — Sat, 30 Sep 2023 00:00:00 +0000

Traumatic Brain Injury (TBI) is a leading cause of death in patients admitted to the intensive care unit. Vitamin D or calciferol is a steroidal compound made of cholesterol with healing properties due to its specific receptors (vitamin D receptors) in the nucleus of brain cells and its protective properties against nervous tissue in addition to its anti-inflammatory effects.

This study is a double-blind randomized clinical trial that was performed on 72 patients with severe brain injury with a mean age of 34-50 years. They were randomly assigned to the study, thus intervention and control groups received vitamin D with a dose of 100,000 units and a dose of 1000 units for 5 days, respectively.

Iron deficiency and its impact to children’s cognitive and development

Rini Sekartini — Sat, 30 Sep 2023 00:00:00 +0000

Children are born to learn, and they develop and learn very quickly in their early years. Brain development milestones in children aged 0-5 years and Iron plays an important role in many neurodevelopmental processes, and animal studies have shown that adequate iron requirements in pregnancy and childhood are critical for a child's brain and neurodevelopment.

Safety drinking water and risk of stunting in children: Is it related ?

Ratnayani Ratnayani — Sat, 30 Sep 2023 00:00:00 +0000

Slum areas are identic with nutritional problems in children including stunted children. Incidence of stunted can be caused by various factors, one of which is dysbiosis. This study aims to analyze the microbiota composition of stunted and non-stunted children in Jakarta slum areas and related contributing factors.

Nutrition in paediatric intestinal failure

Theodoric Wong — Sat, 30 Sep 2023 00:00:00 +0000

Children with irreversible intestinal failure can survive and lead good quality of life in the recent 20-30 years. A lot of this advance is due to better understanding of what and how to deliver nutrition (both enterally and parenterally) effectively. This talk aims to provide not only an overview but some practical considerations on how to manage paediatric intestinal failure.

Micronutrient forgotten or missed in critically ill patients

Santiago Herrero — Sat, 30 Sep 2023 00:00:00 +0000

There is growing interest in the role of micronutrients (essential trace elements and vitamins) in optimizing health and in the prevention or treatment of some diseases. But we must not forget that micronutrients must also be considered in critically ill patients. There is a big difference.

Extreme obesity in the intensive care unit

Joseph Varon, Najia Hussaini — Sat, 30 Sep 2023 00:00:00 +0000

Morbid obesity is a highly serious condition that significantly impairs health worldwide. This is especially prominent during the COVID-19 pandemic, as lockdowns and reduced physical activity contributed to the problem. Overweight and obese adults are at a higher risk of various acute and chronic medical conditions, including hypertension, heart disease, diabetes, respiratory problems, certain cancers, gout, and arthritis. While some individuals may have higher muscle or bone mass accounting for excess weight, the majority of those exceeding 20% of their ideal body weight have excessive fat. Disturbingly, obesity rates in the USA have been progressively increasing since the first survey conducted in 1960. Recent data shows that obesity prevalence in the USA is three times higher than in France and one-and-a-half times higher than in England. Given the widespread nature of obesity and its association with numerous diseases, it is not surprising that many obese patients require treatment in the intensive care unit (ICU).

Lactate – from villain to guardian

Marek Nalos — Sat, 30 Sep 2023 00:00:00 +0000

Elevated plasma lactate level is a useful warning sign in patients presenting with a variety of critical illnesses. Our understanding of hyperlactatemia, however, has improved and we can no longer associate lactate itself with any harmful effects. Lactate is a crucial intracellular buffer, and a central molecule in the interorgan exchange of carbon and redox potential. While lactate levels correlate with severity of acidaemia in shock there is little evidence to support the commonly held view that its origin is mainly secondary to anaerobic metabolism because of reduced tissue oxygen delivery.

A study of breakfast pattern in Indonesia, Malaysia, and Philippines

Imelda Angeles Agdeppa, Ma. Rosel S Custodio, Marvin B Toledo — Sat, 30 Sep 2023 00:00:00 +0000

The quality of foods taken during breakfast could contribute in shaping diet quality. The International Breakfast Research Initiative (IBRI) conducted a standardized analysis of national nutrition surveys from Indonesia, Malaysia, and the Philippines to derive nutritional recommendations for a balanced breakfast.

The science and practice of micronutrient in clinical nutrition : the importance of micronutrient evaluation

Siska Darmayanti — Sat, 30 Sep 2023 00:00:00 +0000

Micronutrients play a crucial role in maintaining good health as they are required for various processes within the body. Every individual has different micronutrient needs depending on their metabolic condition. To achieve optimal health, these needs must be met adequately.

Thiamine pharmaconutrition in sepsis: current evidence on safety and efficacy

Gil Hardy, William Manzanares — Sat, 30 Sep 2023 00:00:00 +0000

Sepsis is a life-threatening condition characterized by multiorgan dysfunction due to an exaggerated host response to infection associated with a homeostatic failure. Sepsis is also characterized by low thiamine levels, which are associated with illness severity, hyperlactatemia, and poor clinical outcomes. However, caution is needed with interpretation of thiamine blood concentration in critically ill patients.

Nutrition and inflammaging : unveiling the impact of diet on healthy aging

Niken Puruhita — Sat, 30 Sep 2023 00:00:00 +0000

Aging is a declining process which leads to a poorer state of human health. The process involved immune system, known as immunosenescence, which is a multifactorial and dynamic process, involving both innate and acquired immunity. It is characterized by a progressive reduction in the ability to trigger immune responses against infections and vaccinations and lead to inflammaging. Immunosenescence plays a critical role in most chrocic diseases in older people, therefore, attempts are made to slow down or reverse the process.

Home not alone : transition from hospital to home nutrition care, what to consider?

Eliza Mei Fransisco — Sat, 30 Sep 2023 00:00:00 +0000

Malnutrition is said to be the “skeleton in the hospital closet”, mainly because it is overlooked undiagnosed, and untreated. This applies to the “home closet” as well, often being forgotten in the discharge planning and transition from hospital to home.

Family physicians are well-qualified to provide home health care since this requires continuing and comprehensive management in a family context. It is the family physician that can initiate the decision to transition to home care, and is directly involved in the planning and coordination of the services.

Human milk oligosaccharides (HMOS) for infant health and microbiome development

Regina Karim — Sat, 30 Sep 2023 00:00:00 +0000

HMO stands HUMAN MILK OLIGOSACCHARIDES, which act as a prebiotic found naturally in breastmilk. They are the third largest solid component in breast milk after lactose and fat.

Perioperative nutrition : ERAS special group discussion

Luciana B Sutanto, Nurul Ratna Mutu Manikam, Adianto Nugroho — Sat, 30 Sep 2023 00:00:00 +0000

Nutrition is one of the vital role in improving the healing and recovery after surgery, either preoperative (before surgery), intraoperative (during surgery), or postoperative (after surgery). The Enhanced Recovery After Surgery (ERAS) Society has published a multidisciplinary approach to perioperative care aimed at achieved early recovery for patients undergoing major surgery.

A corellation between adult body mass index and waist circumference and blood pressure at the primary health care of Gribig

Sat, 30 Sep 2023 00:00:00 +0000

Over 17 million deaths are caused by cardiovascular disease due to high blood pressure. It is estimated that nearly 1.3 billion adults have high blood pressure in 2021, according to the World Health Organization (WHO). A significant factor affecting blood pressure is obesity. Body Mass Index (BMI) and Waist Circumference measurements can detect obesity in anthropometric examinations.

Relationship between spacing of pregnancy and incidence of anemia in Multipara

K Widyantara, Verawati Sudarma — Sat, 30 Sep 2023 00:00:00 +0000

Indonesia has a high prevalence of anemia in pregnant women, generally caused by iron deficiency. Pregnancy spacing <2 years, especially in multiparas, can affect the incidence of anemia which can cause miscarriage, premature birth, prolonged labor due to uterine muscle fatigue during contractions, postpartum bleeding due to the absence of uterine muscle contractions (uterine atony) and shock.

The role of folate in the management of insulin resistance in adults : a systematic review

Theresia Adareth — Sat, 30 Sep 2023 00:00:00 +0000

Insulin resistance (IR) is one of the main risk factors for type 2 diabetes. IR employs a heavy economic burden, and the prevalence rate of IR in Indonesia is high. Homeostasis model of assessment-insulin resistance (HOMA-IR) is proven to be a great clinical tool to assess IR. Nutrition intervention should be the primary focus in treating IR. Folate is proven to be effective in lowering homocysteine concentrations, which is one of the risk factors for IR. This study aimed to summarize the role of folate in the management of IR in adults.

Knowledge, attitude, and behavior regarding hydration of fluid intake of a university’s students in Jakarta

Luciana B Sutanto, Tasya Choiriah Putri, Helena Fabiani, Gracia JMT Winaktu — Sat, 30 Sep 2023 00:00:00 +0000

Adequate body fluid is beneficial for maintaining physiology, cognitive function, and concentration, which are important for students. The purpose of this study was to determine knowledge, attitude, and behavior regarding hydration and fluid consumption and fluis intake of university students in Jakarta.

Fluid intake among university students in Jakarta

Sat, 30 Sep 2023 00:00:00 +0000

The significance of fluid intake cannot be underestimated, as it plays a vital role in regulating body temperature and enhancing cognitive function, especially in individuals experiencing thirst, while maintaining concentration. Fluid intake can be derived from various sources such as food, beverages, and metabolic processes. The objective of this study was to investigate the fluid intake among university students in Jakarta.

The role of symbiotic to treat diarrhea in a critically ill Guillain-barre syndrome patient with morbid and type 2 diabetes mellitus : A case report

Beatrice Cynthia Walter, Steffi Sonia, Wina Sinaga, Lily Indriani Octovia — Sat, 30 Sep 2023 00:00:00 +0000

Guillain-Barre Syndrome (GBS) is a serious post-infectious immune-mediated neuropathy, and the case is increasing every year, approximately 6 in 100.000 cases yearly. Several cases depend on mechanical ventilation (MV) and have diarrhea during treatment in the intensive care unit (ICU). This case report aims to describe the role of synbiotic supplementation in treating diarrhea in a GBS patient in intensive care unit (ICU).

The effects of probiotics supplementation on children with ADHD : A systematic review

Joscelind Sunaryo, Syafira Alyani, Farah J Nabila — Sat, 30 Sep 2023 00:00:00 +0000

ADHD (Attention deficit hyperactivity disorder) is a common neurodevelopmental disorder characterised by inattention, impulsivity and hyperactivity. Studies suggest that gut microbiota is an important player in neurological disorders including ADHD through the microbiome-gut-brain axis. The gut inflammation can negatively impact brain structures, and these inflammatory markers could influence pathogenesis of ADHD. Probiotics may be able to help the inflammation associated with increased intestinal permeability. However, clinical implementation of probiotics with ADHD is still unclear. This review examined available clinical trials related to probiotics supplementation on children with ADHD.

Impact of an oral nutritional supplement on improving body composition in older adults with malnutrition : A randomized controlled trial

Sat, 30 Sep 2023 00:00:00 +0000

The consequences of malnutrition in the elderly often manifest as weight loss and altered body composition. The aim of this study was to assess the efficacy of an oral nutritional supplement (ONS) on body composition in malnourished older adults.

Association between minimum dietary diversity practice in children aged 6-23 months with nutritional status in east Jakarta 2020

Vahira Waladhiyaputri, Dian Novita Chandra — Sat, 30 Sep 2023 00:00:00 +0000

The effects of malnutrition such as stunting, wasting, and underweight in the 1000 first days of life are irreversible, but is preventable by giving high quality complementary feeding practice. This study aims to examine the relationship between achievement of minimum dietary diversity (MDD) with nutritional status among children aged 6-23 months in East Jakarta during COVID-19 pandemic in 2020.