World Nutrition Journal

Journal Information
ISSN / EISSN : 2580-7013 / 2580-7013
Published by: Indonesian Nutrition Association (10.25220)
Total articles ≅ 158
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Latest articles in this journal

Muzal Kadim, William Cheng
World Nutrition Journal, Volume 4, pp 84-93;

Background Cystic fibrosis (CF) is an inherited genetic disorder with high mortality and morbidity. CF is strongly correlated with malnutrition due to higher energy losses, pancreatic insufficiency, chronic inflammation, higher resting energy expenditure, and feeding problems. Malnutrition in CF patients associated with worse survival. Thus, appropriate and prompt nutritional intervention should be addressed to reduced malnutrition in CF patients. Methods The literature search was performed on 9 August 2021 in four major databases such as MEDLINE, EBSCOhost, Cochrane Reviews, and Web of Sciences to find the role of nutrition and pancreatic enzyme replacement therapy in pediatrics population with cystic fibrosis. Recent findings In recent decades, early nutritional management and pancreatic enzyme replacement therapy (PERT) have been shown to improve CF patient’s outcomes. Nutrition should be given in higher calories compared to healthy individuals with close and regular nutritional status monitoring. High protein and fat diets are essential for CF patient’s overall survival. Adequate level of micronutrients should be ensured to avoid morbidity caused by micronutrients deficiency. Regular pancreatic insufficiency screening should be done annually in order to start PERT early. Further research focusing on body composition, growth chart, protein intake, and PERT are needed to further improve the management of CF patient. Conclusion Nutritional intervention and PERT play an important role in prolonging CF patient survival. Both treatments should be initiated early with nutritional status close monitoring and tailored to each individual. Collaboration with parents and children is critical to warrant that CF patients followed the dietary advice.
Nanda Fauziyana, Erfi Prafiantini, Novi Silvia Hardiany
World Nutrition Journal, Volume 4, pp 1-9;

Introduction Despite many health benefits from dietary fiber, inadequate intake is prevalent among elderly population. This study aims to obtain the pattern of fiber intake in different socio-demographic backgrounds among elderly in Jakarta area, Indonesia and its’ associated factors. Methods: A cross-sectional study was conducted among elderly aged > 60 years in 5 community health center across Jakarta province. A total of 126 elderly were interviewed using two non-consecutive 24-h dietary recall methods to obtain dietary intake data. Socio-demographic backgrounds on age, sex, education, income, marital status, and energy intake were assessed using structured questionnaire. Mann-Whitney or independent t-test was performed to measure the different of fiber intake in each socio-demographic variable. Linear regression test was performed to analyze the variables that associated with fiber intake. Results: Majority of 98.4% of elderly have total fiber intake <80% of Indonesian Recommended Dietary Allowance (RDA) with average intake of 6.6 g/d. Lower fiber intake was significantly found in females, widowed/separated, have lower education and income, and have inadequate energy intake. Factors associated with total fiber intake were income (adjusted β=0.20, p=0.01) and energy intake adequacy (adjusted β=0.65 p=0.00). Conclusion: Fiber intake among elderly in urban area is inadequate and the pattern was worse in the low socio-demographic settings. By this finding, it is important to give priority to the socially disadvantages group when formulating nutrition intervention policy in this population setting.
Nur Lailatuz Zahra,
World Nutrition Journal, Volume 4, pp 26-37;

Introduction Working in oil and gas industries was found to be associated with unhealthy lifestyle, obesity, and non-communicable diseases (NCDs). This study aimed to systematically review the dietary intake, obesity status, and identify possible workplace health promotion strategies for oil and gas setting. Methods: This literature review was conducted through a comprehensive search of Scopus database. Search terms included diet (and synonym), worker (and synonyms), oil and gas (and synonym). The search was limited to paper in English and Indonesian. Combinations of the keyword yielded 76 papers, of which 13 articles were relevant. Results: Reviewed studies implied that diet consist high amount of fat, particularly saturated fat, and cholesterol, with low intake of dietary fiber. Fatigue, boredom, and inadequate sleep may influence unhealthy food choices. All studies revealed that mean BMI among oil and gas workers was found to be higher than general adult population, ranged from 24 to almost 30 kg/m2. Possible health promotion components to be modified are knowledge and beliefs, self-care, peer support, food availability and time restriction at cafeterias. Conclusion: It is confirmed that obesity and NCDs prevalence were high in oil and gas worker, however the updated studies addressing their dietary intake are needed. Health promotion initiative made by oil and gas company are unlikely to be found in scientific paper. There is a need for more health promotion program that scientifically designed so that the outcome and cost effectiveness can be measured properly
Niken Puruhita, Febe Christianto, Luciana Sutanto, Banundari Rachmawati, Sofyan Harahap, Muchlis Ahsan Udji Sofro, Retnaningsih -, Riwanto, Hertanto Wahyu Subagio
World Nutrition Journal, Volume 4, pp 38-45;

Introduction. Achievement of energy target in critically ill Covid-19 patients in Intensive Care Unit (ICU) is challenging. This study was aimed to depict the possibility of achieving energy target and its determinants in critically ill Covid-19 patients. Methods. A cross sectional study was conducted in ICU of dr. Kariadi Hospital Semarang, Indonesia. Secondary data were obtained from Covid-19 patients who were in ICU for minimum 3 days, from March to December 2020. Data collected included age, sex, Body Mass Index (BMI), comorbidities, Modified Nutrition Risk in Critically Ill (mNUTRIC) score, energy intake, route of nutrition delivery (enteral or combination of enteral and parenteral nutrition), lactate status, ICU length of stay (LOS), duration of mechanical ventilator and mortality. Risk Prevalence calculations were conducted to measure risks. Variables with significant associations and p< 0.25 were included in multiple logistic regression. Results. A total of 188 subjects were included in the analysis. Most patients were male (62.8%) and obese (61.8%). As much as 56.9% patients were able to achieve energy target of 20 kcal/kgBW on day 3 of ICU stay. Those with low risk mNUTRIC score and nutrition delivery was through enteral and parenteral route were more likely to achieve target energy of 20 kcal/kgBW in the first 3 days in the ICU. Conclusions. Achieving energy target of 20 kcal on day 3 of ICU stay for critically ill Covid-19 patients is feasible. Low mNutric score and nutrition delivery through enteral and parenteral route were two determinants for the achievement.
Fathiyyatul Khaira, Fiastuti Witjaksono, Diyah Eka Andayani
World Nutrition Journal, Volume 4, pp 94-99;

Body mass index is commonly used for detecting malnutrition. At certain conditions, body mass index cannot be measured, so mid-upper arm circumference can be an alternative measurement for detecting malnutrition. Several studies have proposed the cut-off point of mid-upper arm circumference in adults along with its sensitivity, specificity, and area under the ROC curve (AUC). This article aims to describe the diagnostic test for malnutrition using the upper arm circumference in adults and summarize the results of the related studies.
Angela Dalimarta, Wiji Lestari
World Nutrition Journal, Volume 4, pp 100-106;

Background Colorectal cancer is the third leading cause of death from cancer in adults in the United States, with increasing prevalence in other countries. Radical resection is the gold standard of treatment in most cases of colorectal cancer, with a high rate of postoperative complications. Perioperative probiotics can improve the immune response and the postoperative intestinal microbiota environment. Although several studies have shown the benefits of probiotics in preventing postoperative complications of infection, the administration of perioperative probiotics in colorectal cancer patients is still controversial. Objective. The purpose of this critical appraisal is to know the effectiveness of administering probiotics to prevent infectious complications in colorectal cancer patients. Methods. Literature research using Pubmed, Cochrane, and EBSCOhost was carried out and 2 articles were obtained in the form of meta-analysis using STATA v11 and Revman v5.2 that was critically examined using the FAITH method. A comprehensive search for all studies was done to find all relevant studies using both MeSH terms and text words. The article should describe the assessment of quality and criteria used in method section, also provide information on the quality of individual studies in result section to minimize bias. The result section should state whether heterogeneity exists and mention possible reasons. Results. Based on 2 meta-analyses that have been critically examined, which each consisting of 13 and 7 studies, giving probiotics can reduce the overall infection rate after colorectal cancer surgery. One meta-analysis showed an odds ratio (OR) of 0.51 (95% CI: 0.38 – 0.68, p = 0.00). Probiotics, such as Lactobacillus acidophilus and Bifidobacterium longum can also reduce the incidence of surgical site infections (OR = 0.59, 95% CI 0.39 – 0.88, p = 0.01) and pneumonia (OR = 0.56, 95% CI 0.32 – 0.98, p = 0.04). Probiotics did not provide statistically significant benefits in preventing urinary tract infections, leakage of anastomosis, and duration of postoperative pyrexia compared to the control group. Seven articles analyzed in the second meta-analysis showed probiotics to be useful in preventing postoperative infections with OR 0.5388 (95% CI, 0.4058-0.7154, P <0.0001). Conclusions. Combination of more than one strain of probiotics such as Lactobacillus and Bifidobacterium is promising for the prevention of infections in patients undergoing colorectal cancer surgery.
Ray Wagiu Basrowi, Levina Chandra Koe, Tonny Sundjaya
World Nutrition Journal, Volume 4, pp 10-17;

As people age, most body organs deteriorate. Osteoporosis, arthritis, sarcopenia, muscle aches, low back pain and neuropathy are common mobility issues in the elderly. Body mass index (BMI), physical inactivity, and having comorbidities increase the likelihood to have mobility health problems. One in every ten adults over the age of 45 years in Indonesia develops these mobility problems, and one in every fifteen adults has difficulty in walking/stepping before entering the elderly age. Nutrition has been reported to have important role in controlling weight and physical locomotive organs. Generally, 46% adults in Indonesia have vitamin A deficiency, 70% vitamin C deficiency, 77% vitamin E deficiency, and inadequate calcium intake. Low nutrition intake can result in increasing mobility problems that lead to health issues in the aging population. Dietary strategies are necessary to achieve healthy ageing. Currently, no standardized guideline has been developed for preventing mobility health problems in Indonesia. This calls for urgent need to hinder poor quality of life in elderly population.
Pittara Pansawira
World Nutrition Journal, Volume 4;

In Indonesia, COVID-19 has primarily affected food access and causes drop of income. The poor and vulnerable groups have difficulties in affording high nutritional value food thus resulting in, not only decline of food intake, but also lower dietary quality.4
Almira Devina Gunawan, Saptawati Bardosono, Ninik Mudjihartini
World Nutrition Journal, Volume 4, pp 73-83;

Introduction Global awareness to the importance of natural fibers in vegetables and fruits are still generally very low. Indonesian people consume less fibers, which has been associated with the development of heart disease. Heart disease has been known as the leading cause of morbidity and mortality. Apolipoprotein B (ApoB) is a component of atherogenic particles that can be used as a marker for an increased risk of cardiovascular disease. Researches on apoB profile and its relationship with fiber intake has provided inconsistent results. This is an article review of the current literatures on the relationship between dietary fiber and serum apoB levels. Methods: This is an article review of the current literatures on the relationship between dietary fiber and apoB. We searched PubMed and Google Scholar using keyword “dietary fibers” and “ApoB” to capture meta-analyses, observational and experimental studies. A total of 97 publication and abstracts were screened for this review. After careful screening, nine studies were finally included. Results: Two studies did not find associations between dietary fiber and serum apoB, while other seven found the association. Dietary fiber has been reported to be involved in the metabolism of serum cholesterol and blood pressure; hence, the deficiency of dietary fiber intake is believed to contribute to the epidemic of cardiovascular diseases. Several factors including nutritional status, dietary diet pattern, age, gender, physical activity, and smoking habits might influence the relationship between dietary fiber and serum apoB. Conclusion: More studies are required in the future for better understanding on the effect of dietary fiber on the apoB; hence, the risk of cardiovascular diseases.
Meirina Khoirunnisa, Yoga Devaera, Umi Fahmida, Fiastuti Witjaksono, Erfi Prafiantini
World Nutrition Journal, Volume 4, pp 18-25;

Introduction: Iron deficiency anemia is the most common type of anemia among adolescent girls. The prevalence of anemia among pregnant women increased from 2013 to 2018, and females age 15-24 years had the highest prevalence of anemia. Therefore, knowing the baseline status of protein and iron intake —particularly animal-sourced protein as the main source of heme iron—is important to design future intervention program. Thus, this study was aimed to assess the protein and iron intake adequacy of High School girls in Depok, Indonesia. Methods: 211 girls from Senior High School in Depok, Indonesia participated in this study. Subjects were selected using a multi-stage random sampling method. A questionnaire was administered to obtain general characteristics. Dietary intake data were obtained using a 3-day non-consecutive 24hr recall 1 weekend 2 weekdays interview. Anthropometric status was measured and calculated. Data were analyzed using IBM SPSS Statistics 20. Spearman’s correlation (significance p<0.05) was used to determine the factors related to protein and iron intake. Results: This population had inadequate intake of energy (97.2%), protein (59.7%), and iron (98.6%). However, intake of fat was higher than recommended in 59.2% of participants. Protein and iron intake were not correlated with age, father’s education, mother’s education, and the number of household member.
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