Vol 4, No 2 (2024)

The condition of burn injury can cause disturbances in the body's metabolism, which can ultimately affect the patient's nutritional status. Therefore, in its management, it requires standard nutritional care processes to improve the condition and meet the nutritional needs of the patient. Nurition Care Process was carried out through four stages: assessment, diagnosis, intervention, and regular monitoring and evaluation. This study aimed to implement nutrition care process (NCP) for burn injury patient during the 3-day intervention period. Case study carried on July 2020 to hospitalized patients of Saiful Anwar Hospital. Observations were implemented for 3 consecutive days. Observations included of 4 steps of NCP, Assessment, Diagnosis, Intervention, Monitoring and Evaluation. After the NCP was carried out, the patient’s condition improves, accompanied by an incrase in food intake

Anemia is a condition where the number of red blood cells or the level of hemoglobin is lower than normal. In Indonesia, the prevalence of anemia among adolescent girls remains quite high at 32%. Inadequate nutrient intake can disrupt red blood cell formation, particularly important nutrients such as protein, iron, vitamin C, and folic acid. This study aims to investigate the relationship between the intake of protein, iron, folic acid, vitamin C, and breakfast habits with the incidence of anemia among female adolescents in junior high school. This is a quantitative study with a cross-sectional design, analyzed using Spearman correlation tests, conducted at SMPN 152 Jakarta with a sample size of 50 individuals. Data on protein, iron, folic acid, and vitamin C intake were obtained through 24-hour food recall interviews, breakfast habits were assessed via a questionnaire, and anemia data were collected through blood samples using a digital Hb checker. The analysis results indicate a relationship between protein intake (p = 0.000), iron intake (p = 0.000), folic acid intake (p = 0.030), vitamin C intake (p = 0.010) and the incidence of anemia, while no relationship was found between breakfast habits (p = 0.161) and anemia incidence. It is concluded that there is a correlation between protein intake, iron intake, folic acid intake, and vitamin C intake with anemia incidence at SMPN 152 Jakarta. The variable most strongly correlated with anemia incidence is iron intake with a value of (r = 0.640).

Diabetes mellitus is included in the group of metabolic diseases with characteristics of hyperglycemia that occurs due to abnormalities in insulin secretion and function or both. According to the Association of Diabetes Care and Education Specialists, there are 7 pillars of diabetes mellitus management that can be done, one of which is providing nutritional education. The purpose of this study was to determine an effect of family support in nutritional education on dietary compliance and blood glucose levels of type 2 diabetes mellitus at Panti Rapih Hospital, Yogyakarta. This study used a quantitative research design with a quasy experiment design with an accidental sampling method with a sample size of 34 diabetes mellitus inpatients divided into control and experimental groups. The variables of this study will be analyzed using SPSS, with the T-Paired Test and T-Independent Sample Test. Based on the statistical results, the effect of education on dietary compliance in the control and experimental groups showed a p value of 0.000 <0.05. While the statistical results of the effect of education on blood glucose levels in the control group showed a p value of 0.002 <0.05, in the experimental group the results of the p value were 0.001 <0.05. However, based on the results of the statistical test on the difference in compliance scores, a p value of 0.000 <0.05 was obtained. While the results of the statistical test of blood glucose levels obtained a p value of 0.315> 0.05. It can be concluded that family support in providing nutritional education can influence the increase in compliance scores for following a diet but does not affect blood glucose levels in type 2 diabetes mellitus patients at Panti Rapih Hospital, Yogyakarta.

Stunting is a condition of growth failure in toddlers due to chronic malnutrition, especially in the first 1000 days of life, namely from when the child is in the womb until the age of 24 months. Toddlers are said to be stunted if their height per age is <-2 SD. The purpose of this study was to determine the relationship between protein intake and iodine intake with the incidence of stunting in toddlers aged 12-24 months at the Srumbung Health Center, Magelang. This study used a cross-sectional research design with a sample size of 100 toddlers aged 12-24 months at the Srumbung Health Center. Based on the results of the study, it was stated that the better the daily protein intake of toddlers in the last 3 months, the lower the risk of toddlers aged 12-24 months at the Srumbung Health Center experiencing stunting. From this study, it can be concluded that the incidence of stunting in toddlers aged 12-24 months in the Srumbung Health Center area is related to protein intake but not to iodine intake.

In Indonesia, stunting cases are estimated to be a problem and some areas are likely to experience stunting due to its high prevalence including Yogyakarta Province. There are several causes of stunting, including a lack of macro and micronutrients. This study has objective to determine the relationship between protein and calcium intake in children aged 2-5 years height. This research was an analytical survey research with a cross-sectional approach. In this study, the primary data was collected using the SQ-FFQ questionnaire to determine the intake of protein and calcium. Stunting was measured using height for age (standard deviation). Subjects were 64 children as respondents and were distributed using a purposive sampling method. The data was processed with the help of SPSS software by performing multiple regression tests. In normal children, they tend to have higher average protein adequacy (111.1±84.5g) than stunted children (25.4±6.3g). Hence, the average calcium intake was 1707,3±1273,88mg in normal children and 291,2±253.8mg in stunted children. The results of the regression test explained that there was a significant relationship between children's height and protein and calcium intake (p<0.05). The relationship between protein and calcium intake with children's height is shown in the percentage of 10.3% and the other 89.7% is explained by variables outside the study. There is a significant relationship between protein and calcium intake with stunting and non-stunted children's height at the age of 2-5 years in Yogyakarta.

An unhealthy diet that includes sugary snacks may promote a rise in glucose levels and enhance the risk of Type 2 Diabetes Mellitus (T2DM). Brownies are high in sugar and should be replaced with healthier ingredients to reduce their sugar content and glycemic index with stevia as natural sweeteners and yellow pumpkin which are low in calories and carbohydrates. To determine the nutritional content of brownies products with the substitution of cane sugar with stevia and yellow pumpkin. This study utilized a quasi-experimental design using completely randomized design (CRD). We experimented to evaluate the effects of four different treatments, comparing the use of cane sugar and stevia in different ratios: 100% cane sugar (P0), 50% cane sugar and 50% stevia (P1), 25% cane sugar and 75% stevia (P2), and 100% stevia (P3). Moisture, ash, protein, fat, carbohydrate and energy variables were tested using by different method, gravimetric, kjehdahl, soxhlet, by difference, and atwater which was repeated 3 times. We conducted data analysis using a one-way ANOVA and Duncan test to determine the treatment pairs with the highest significance level. The findings demonstrated that replacing cane sugar with stevia significantly affect the nutritional content of yellow pumpkin brownies products (p<0.05, for all comparisons). The treatments with the highest average of nutritional contents were as follows: P3 had the highest moisture content (48.64±0.04%), ash content (1.06±0.06%), protein (6.93±0.11%), and fat (14.49±0.34%), whereas P0 had the highest carbohydrate content (39.45±0.23%) and total energy (281.19±0.76 kcal/100g). The nutritional content of yellow pumpkin brownies has significantly modified by substituting sugar cane with stevia. However, additional investigation is required to determine other nutritional contents and assess its potential as functional food.

Obesity is one of the risk factors for non-communicable diseases. Lifestyle changes such as physical activity and improved diet through tele-nutrition counseling are effective ways to overcome obesity. The study aims to determine the difference in dietary density in the group given physical activity and tele-nutrition counseling with the group physical activity in obese adults. Quasy-experimental research design with the untreated control group design with dependent pretest and posttest samples. A total of 55 respondents aged 19-25 years were taken using purposive sampling. Respondents were divided into two groups: intervention I (physical activity and tele-nutrition counseling) and intervention II (physical activity). Food consumption data was taken by 2x24H recall interview. Data analysis used Paired Sample Test, Independent Sample Test, Wilcoxon, And Mann Whitney. Respondents with obesity I nutritional status were 49.05% and obesity II were 50.95%. There is a difference in dietary energy density in intervention I (p = 0.047). There is no difference in food nutrient density in intervention I (p = 0.480). There was no difference in dietary energy density (p = 0.548) and food nutrient density (p = 0.307) in intervention II. There was no difference in dietary energy density (p = 0.589) and food nutrient density (p = 0.134) between intervention I and intervention II after treatment. There was a difference in dietary energy density before and after treatment in intervention I. There was no difference in muscle mass and dietary density between intervention I and intervention II after treatment.

In 2019, WHO data showed that the prevalence of anemia in children aged 6-59 months in Indonesia was 38.4%. The impact of anemia in children under two years old causes permanent cognitive damage and increases the risk of death. Objective: This study aims to determine the factors associated with anemia in children aged 6-23 months. Methods: This type of research is an analytic observational study with a cross-sectional design. The accidental sampling method was used to obtain 100 respondents who fit the inclusion and exclusion criteria. The study was conducted with a questionnaire instrument and Hb examination using the Easytouch GcHb tool. Data analysis included univariate, bivariate, and multivariate. Results: variables associated with anemia in under two are maternal education (p = 0.003), maternal age (p = 0.042), maternal knowledge (p = 0.004), maternal parenting (p = 0.003), and food security (p = 0.003). After multivariate test, it was found that food security was the dominant factor of anemia in children with OR 10.052. Conclusion: Food security is the dominant factor in children's anemia status with a 10.052 times higher potential for anemia. Food insecurity is related to changes in food quality that can affect the availability of nutrient-dense foods, including foods with high iron bioavailability. This can lead to anemia through inadequate micronutrient intake. The government should conduct early detection of anemia in children so as to prevent anemia as early as possible and provide non-cash food assistance to communities experiencing food insecurity

Plate waste of patients is one of quality indicators of food service management in hospitals. High energy and protein diet often produced high plate waste which may related to some factors. This study aimed to assess the correlation between portion size accuracy and distribution time with plate waste among patients with high energy-protein diet in Hospital. The study design was cross-sectional study which participated 56 meal of patients in total. The data collection is conducted during August 2023. Variables of study consist of portion size accuracy, distribution time and plate waste. All of data were analyzed using Independent T-Test and Chi Square tests. The study showed that the average of food portions was not accurate and meal serving was accurate. Average plate waste ≥20% was found in staple foods, plant-based protein, vegetables, and extra food, while animal protein <20%. There was no correlation between portion size accuracy with plate waste. However, there was a correlation between timeliness of serving with plate waste of staple food, animal protein, and extra food. The study concluded there was no correlation between portion size accuracy of food with plate waste. However, there was a correlation between distribution time with plate waste of staple food, animal protein, and extra food.

Providing adequate complementary feeding, quantitatively and qualitatively, supports children’s nutritional status. This study aims to analyze complementary feeding and children’s nutritional status in Jambi City. This type of research is quantitative with a cross-sectional study design conducted in 2023. The population used in this research was children aged 6-24 months in Jambi City with 116 respondents as sample taken using accidental sampling technique. Primary data collection was carried out through validated questionnaires, 1x24 hour food recall forms, and food frequency questionnaires. Data processing was carried out univariately and bivariately to see the correlation between complementary feeding and nutritional status which was tested using spearman correlation test. Nutritional status data shows that 6.9% of children are underweight and 13.8% of children are at risk of being overweight; as many as 24.1% of children were severely stunted and 15.5% were stunted; and as many as 53.4% ​​of children experience problems of under- and over-nutrition. As many as 62% of children at the age of 6 months have the first food/drinks given consisting of: formula milk, rice porridge/tim rice/rice/mashed side dishes, and mashed fruit with mashed texture/thick porridge fed by parent or caregiver. The average nutrition intake obtained by children from complementary feeding is 889 kcal energy (90.2 %) and 34.3 g protein (201.1 %). There is no significant correlation between complementary feeding and nutritional status of children because this study has not followed the continuous complementary feeding. Complementary feeding for children needs controlling of daily nutrition intake by parents.