Identifikasi risiko malnutrisi dan evaluasi status nutrisi pasien kanker anak dengan pengobatan kemoterapi

2019 ◽  
Vol 15 (4) ◽  
pp. 137
Author(s):  
Agus Santosa ◽  
Sri Mulatsih ◽  
Susetyowati Susetyowati
Keyword(s):  
Weight Loss ◽  
Nutritional Status ◽  
Childhood Cancer ◽  
Cancer Patients ◽  
Energy Intake ◽  
Protein Intake ◽  
Nutrition Status ◽  
Observational Research ◽  
Hospitalization Period ◽  
Poor Nutritional Status

Identification of malnutritional risk and nutrition status evaluation of pediatric cancer patients with chemotherapy treatmentBackground: Hospitalized childhood cancer patients had a high risk for malnutrition, either caused by the disease or effects of cancer treatment. Malnutrition in cancer patients gives negative impacts on treatment outcomes in the form of increasing morbidity and mortality rates. Nutrition screening for identifying malnutrition risks could prevent malnutrition in hospitals.Objectives: Investigating the influence of malnutrition risk during hospitalization on the changes in the nutritional status of childhood cancer patients with chemotherapy treatment. Methods: This research was observational research with the nested case-control design. The research subjects were childhood cancer patients aged 2-18 years old meeting the inclusion criteria. They were 64 in number consisting of the case group involving 32 patients and a control group involving the rest. During hospitalization, analyses of nutritional intake, change in body weight, nutritional status, and hospitalization period. Furthermore, the analyses of the influence of malnutrition risk on the outcome between those two groups were then compared. Results: There was a significant influence of malnutrition risk on less energy intake (p<0.001), less protein intake (p=0.002), weight loss >2% (p<0.001), poor nutritional status based on the BMI/U (p=0.011), and longer hospitalization (p=0.034). The group of patients with malnutrition risks had risks of 15.5 (CI 95%: 3.991-63.359) times higher for less energy intake, 6.12 (CI 95%: 1.675-24.906) times higher for less protein intake, and 45.3 (CI 95%: 5.666-1940.768) times higher for weight loss > 2% than the group of patients without malnutrition risks.Conclusions: Patients with a significant risk of malnutrition had less energy and protein intake, weight loss > 2%, poor nutritional status based on BMI/U, and longer hospitalization.

scholarly journals Nutritional Status and Feeding Regimen of Patients with Esophagus Cancer—A Study from Vietnam

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 289
Author(s):  
Binh Pham Van ◽  
Hoa Nguyen Thi Thanh ◽  
Huong Le Thi ◽  
Anh Nguyen Le Tuan ◽  
Hang Dang Thi Thu ◽  
...  
Keyword(s):  
Weight Loss ◽  
Esophageal Cancer ◽  
Nutritional Status ◽  
Dietary Intake ◽  
Total Energy ◽  
Cancer Patients ◽  
Energy Intake ◽  
Strongly Correlated ◽  
Esophagus Cancer ◽  
Day By Day

Background: Esophagus cancer patients are at high risk of malnutrition. This study was performed to assess the nutritional status and dietary intake of newly diagnosed esophageal cancer patients in Vietnam National Cancer Hospital (NCH). Methods: A cross-sectional study was conducted on 206 early esophageal cancer inpatients after gastrostomy from September 2017 to June 2018. The chi-squared test, Fisher exact test, and Mann–Whitney test were performed. The software of the Vietnam National Institute of Nutrition was used to evaluate the dietary intake of patients. Results: All the participants were male with a mean age of 57.1 ± 8.5 years. Overall, 87.4% of patients had dysphagia. Furthermore, 82.5% and 90.8% of patients reported weight loss one and six months pre-diagnosis, respectively. Moreover, 52.9% of patients suffered from mild/moderate malnutrition and 29.6% of patients had severe malnutrition according to the Patient-Generated Subjective Global Assessment (PG-SGA). The body mass index (BMI) and mid upper arm circumference (MUAC) measurement revealed 47.6% and 50% of undernourished patients, respectively. The proportions of patients having malnutrition were 10.7%, 55.8%, and 27.2% according to albumin, prealbumin, and total lymphocyte counts, respectively. The means of energy, protein, lipid, and carbohydrate in the patients’ 24 h preoperative diets were 973.6 ± 443.0 kcal/day, 42.4 ± 21.6 g/day, 31.0 ± 15.5 g/day, and 130.0 ± 64.5 g/day. The total energy, total protein, animal protein, total lipid, and plant lipid in the dietary intake of patients were strongly correlated with age, economic classification, and PG-SGA (each p < 0.05). The total energy intake increased day by day, with the average energy intake of 1343.9 ± 521.3 kcal on the seventh day. Energy and protein response rates increased day by day and were highest at 7 days post-operation at 18.0% and 19.4%. Conclusion: Malnutrition and insufficient intake are noteworthy in esophageal cancer patients. The PG-SGA is strongly correlated with the dietary intake of patients. The results from this study will help medical staff to prevent malnutrition and improve the nutritional status of esophageal cancer inpatients. Furthermore, public awareness should be raised on recognizing weight loss as an early symptom of esophageal cancer and the utilization of preoperative assessment tools for nutritional assessment and malnutrition management.

scholarly journals Prognostic Indices of Poor Nutritional Status and Their Impact on Prolonged Hospital Stay in a Greek University Hospital

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Georgia Tsaousi ◽  
Stavros Panidis ◽  
George Stavrou ◽  
John Tsouskas ◽  
Dimitrios Panagiotou ◽  
...  
Keyword(s):  
Weight Loss ◽  
Food Intake ◽  
Nutritional Status ◽  
University Hospital ◽  
Hospital Length Of Stay ◽  
Nutritional Risk ◽  
Nutrition Status ◽  
Artificial Nutrition ◽  
Arm Circumference ◽  
Poor Nutritional Status

Background. To ascertain the potential contributors to nutritional risk manifestation and to disclose the factors exerting a negative impact on hospital length of stay (LOS), by means of poor nutritional status, in a nonselected hospitalized population.Materials and Methods. NutritionDay project questionnaires were applied to 295 adult patients. Study parameters included anthropometric data, demographics, medical history, dietary-related factors, and self-perception of health status. Body Mass Index (BMI) and Malnutrition Universal Screening Tool (MUST) were calculated for each participant. MUST score was applied for malnutrition assessment, while hospital LOS constituted the outcome of interest.Results. Of the total cohort, 42.3% were at nutritional risk and 21.4% malnourished. Age, gender, BMI, MUST score, autonomy, health quality, appetite, quantity of food intake, weight loss, arm or calf perimeter (P<0.001, for all), and dietary type (P<0.01) affected nutritional status. Poor nutrition status (P=0.000), deteriorated appetite (P=0.000) or food intake (P=0.025), limited autonomy (P=0.013), artificial nutrition (P=0.012), weight loss (P=0.010), and arm circumference <21 cm (P=0.007) were the most powerful predictors of hospital LOS >7 days.Conclusion. Nutritional status and nutrition-related parameters such as weight loss, quantity of food intake, appetite, arm circumference, dietary type, and extent of dependence confer considerable prognostic value regarding hospital LOS in acute care setting.

scholarly journals THE INTAKE OF ENERGY, PROTEIN, AND ATHLETES’ STAMINA AT THE CENTER OF EDUCATION AND SPORTS TRAINING FOR LEARNERS OF WEST NUSA TENGGARA

2018 ◽  
Vol 11 (1) ◽  
pp. 28
Author(s):  
Anak Agung Sagung Putri Chandradewi ◽  
Irianto Irianto
Keyword(s):  
Nutritional Status ◽  
Energy Intake ◽  
Body Mass ◽  
Protein Intake ◽  
Research Finding ◽  
Average Energy ◽  
Nutrition Status ◽  
Sports Training ◽  
Good Energy ◽  
Nutrition Intake

Abstract : Athlete’s performance is not only influenced by the intensity of routine exercise, but also the stamina and nutrition intake in accordance with the requirement baded on sport field. This research objective was to know the intake of energy, protein, and athletes’ stamina at The Center of Education and Sports Training for Learners of West Nusa Tenggara. This study utilized an observational with 40 respondents as sample from five different sport fields whose aged 14 -18 years took purposively. The data collected were nutrition intake through Food recall method 24 hours, nutrition status with Body Mass Indeks and athletes’ stamina by running distance for 12 minutes. The research finding was 95% the nutritional status of most of the athletes in the normal category, the average energy intake 97.5%, and the average protein intake 92.5%, and athlete of stamina was in good performance (67.5%). The athletes with excellent stamina tend in good energy and protein intake.

scholarly journals Education Level, Energy Intake and Protein With Nutritional Status Of Pregnant Women In Bungoro Health Center Work Area

2019 ◽  
Vol 25 (2) ◽  
pp. 38
Author(s):  
Khaeriya Megauleng ◽  
Mustamin Mustamin ◽  
Sunarto Sunarto
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Health Center ◽  
Energy Intake ◽  
Protein Intake ◽  
Education Level ◽  
Level Energy ◽  
Cross Sectional ◽  
Work Area ◽  
The Relationship

Education influences a changes in knowledge, attitudes, and lifestyle patterns in the selection of the type and amount of food consumed. The health of a pregnant women affects the fetus in her womb. Nutrient content consumed by the mother will be absorbed by the fetus which is important for the growth of the fetus itself. This study aims to determine the relationship of education level, energy intake and protein nutritional status of pregnant women in the Bungoro Health Center Work Area of Bungoro District, Pangkep Regency. This research is an analytical study with cross-sectional design. Samples were pregnant women, amount to 40 people. The level of education is obtained through a questionnaire. Energy and protein intake was obtained through 2x24 hours recall and then processed using menu A software. To find out the relationship between variables of education level, energy and protein intake with nutritional status, Chi-Square was tested using the SPSS program. Data is presented in the form of tables and narratives. The results showed that 77.5% of the sample education level was high. Sample energy intake was classified as less than 82.5% and 17.5% classified as good. Sample protein intake of 95% classified as poor and 5% classified as good. Nutritional status of pregnant women is 70% experiencing KEK and 30% normal. Statistical test results show that there is no relationship between education level, energy and protein intake and nutritional status of pregnant women in the Bungoro Health Center Work Area, Bungoro District, Pangkep Regency.

scholarly journals The Relation Between Sugar Intake In Ultra Processed Beverages And Energy Intake Of Food And Beverage To Teenage Overweight

2020 ◽  
Vol 11 (2) ◽  
pp. 86-93
Author(s):  
Alvia Anggreini Setyaningrum ◽  
Sri Adiningsih
Keyword(s):  
Energy Intake ◽  
Sampling Technique ◽  
The Body ◽  
Nutrition Status ◽  
Observational Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Sugar Intake ◽  
Food And Beverages ◽  
Food And Beverage

Overweight is an accumulation of excess adipose reserve within the body, resulting in an increase of bodyweight. Consumption of ultra-processed beverages, and energy intake from food and beverage are several fators that can cause the problem of overweight. This research aims to understand the relation between sugar intake in ultra-processed beverages and energy intake from food and beverages with overweight among teenage students of senior high school 6 Surabaya. The research is an observational research with cross-sectional design. Sampling is taken using proportional random sampling technique. The number of participants are 80 teenagers from 10th and 11th classes in June 2020. Participants are aged 15-18 years old. Energy intake from food and beverages are taken from 2x24 hour recall questionnaire, and sugar intake from ultra-processed beverages taken from seven-day beverages diary.. Statistical analysis are done using chi-square. The result shows relation between energy intake from food and beverages with overnutrition, with (p =< 0,001). In conclusion, excess energy intake from food and beverages relation with overweight problem to teenagers, thus requiring balanced nutritional guide education as well as annual nutrition status monitoring, from the school to its teenage students.  

scholarly journals HUBUNGAN ANTARA NAFSU MAKAN DENGAN ASUPAN ENERGI DAN PROTEIN PADA PASIEN KANKER PAYUDARA POST KEMOTERAPI[Correlation between Appetite with Energy and Protein Intake of Post Chemotherapy Breast Cancer Patients]

2019 ◽  
Vol 14 (2) ◽  
pp. 170
Author(s):  
Silviana Putri ◽  
Merryana Adriani ◽  
Yayuk Estuningsih
Keyword(s):  
Breast Cancer ◽  
Cancer Patients ◽  
Side Effect ◽  
Protein Intake ◽  
Pearson Correlation ◽  
Observational Research ◽  
Breast Cancer Patients ◽  
Cross Sectional ◽  
Chemotherapy Drugs ◽  
Pearson Correlation Test

Chemotherapy drugs used to kill or inhibit proliferation of cancer cell that are cytotoxic and causing side effect for breast cancer patients. The side effect of chemotherapy drugs is decreasing the appetite which causing decrease in energy and protein intake, and could affect nutritional status. This study aim to determine the relationship between appetite with energy and protein intake of post chemotherapy breast cancer patients. This research was an analytic observational research using cross sectional design and purposive sampling conducted at Dr. Ramelan Navy Hospital Surabaya with a sample size of 50 patients. Correlation between appetite with energy and protein intake were analyzed using Pearson correlation. The average of energy and protein intake were 976.3±304.2 kcal and 29.4±12.9 g. Pearson correlation test showed signifi cant correlation between appetite as chemoteraphy side effect with energy intake (p=0.000; r=-0.558) and protein intake (p=0.000; r=-0.504). Decreasing of appetite due to chemoterapy reduce the energy and protein intake of breast cancer patient. Patient are suggest to consume foods in small portion but often to maintain adequate energy and protein intake.

Threshold of Daily Energy and Protein Requirements to Prevent Weight Loss in Patients with Alzheimer’s Disease in Japan

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Nakamura T ◽  
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Weight Loss ◽  
Energy Intake ◽  
Protein Intake ◽  
Care Hospital ◽  
Point Energy ◽  
Protein Requirements ◽  
Food Records ◽  
Daily Energy

Background and Aims: Patients with Alzheimer’s Disease (AD) frequently develop weight loss. However, little is known about the energy and protein thresholds that cause weight loss. The purpose of this study was to determine the threshold of daily energy and protein requirements to prevent weight loss in patients with AD. Methods: We included 75 Japanese long-term care hospital patients with probable AD (22 men and 53 women, aged 65–101 years) in an interventional study. After a one-week survey using weighed food records weighed food records, the relationship between the obtained energy and protein intake and weight loss after three months was examined. Multiple regression analysis was used to examine the daily determinants of weight loss. Subsequently, receiver operating characteristic curves were used to examine the threshold for discriminating weight loss. Results: Sixty-one (81.3%) patients were malnourished or at risk of malnutrition. Twenty patients (26.7%) had >5% weight loss. The significant associations with weight loss were Mini Nutritional Assessment (MNA) point, energy intake, and protein intake; with a MNA point at cutoff of 17.25, an energy intake at cutoff of 29.93kcal/kg, and a protein intake at cutoff of 1.122g/kg. Conclusion: To prevent weight loss in AD patients, it is important to prevent malnutrition and administer more than 30kcal/kg energy intake and more than 1.1g/kg protein intake. Future studies with a larger sample size are needed to determine the threshold of daily energy and protein requirements to prevent weight loss.

scholarly journals Nutritional status, hyperkalaemia and attainment of energy/protein intake targets in haemodialysis patients following plant-based diets: a longitudinal cohort study

2020 ◽  
Author(s):  
Ailema González-Ortiz ◽  
Hong Xu ◽  
Samuel Ramos-Acevedo ◽  
Carla M Avesani ◽  
Bengt Lindholm ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Energy Intake ◽  
Serum Potassium ◽  
Protein Intake ◽  
Fruits And Vegetables ◽  
Dietary Assessment ◽  
Healthy Plant ◽  
Low Protein ◽  
Single Centre Study ◽  
Current Guidelines

Abstract Background Patients undergoing haemodialysis (HD) are often discouraged from eating fruits and vegetables because of fears of hyperkalaemia and undernutrition, yet evidence to support these claims is scarce. We here explore the association between adherence to a healthy plant-based diet with serum potassium, surrogates of nutritional status and attainment of energy/protein intake targets in HD patients. Methods We performed an observational single-centre study of stable patients undergoing HD with repeated dietary assessment every 3 months. Patients were provided with personalized nutritional counselling according to current guidelines. The diet was evaluated by 3-day food records and characterized by a healthy plant-based diet score (HPDS), which scores positively the intake of plant foods and negatively animal foods and sugar. The malnutrition inflammation score (MIS) and serum potassium were also assessed at each visit. We used mixed-effects models to evaluate the association of the HPDS with markers of nutritional status, serum potassium levels and attainment of energy/protein intake targets. Results After applying inclusion and exclusion criteria, a total of 150 patients contributing to 470 trimestral observations were included. Their mean age was 42 years [standard deviation (SD) 18] and 59% were women. In multivariable models, a higher HPDS was not associated with serum potassium levels or odds of hyperkalaemia {potassium &gt;5.5 mEq/L; odds ratio [OR] 1.00 [95% confidence interval (CI) 0.94–1.07] per HPDS unit higher}. Patients with a higher HPDS did not differ in terms of energy intake [OR for consuming &lt;30 kcal/kg day 1.05 (95% CI 0.97–1.13)] but were at risk of low protein intake [OR for consuming &lt;1.1 g of protein/kg/day 1.11 (95% CI 1.04–1.19)]. A higher HPDS was associated with a lower MIS, indicating better nutritional status. Conclusions In patients undergoing HD, adherence to a healthy plant-based diet was not associated with serum potassium, hyperkalaemia or differences in energy intake. Although these patients were less likely to reach daily protein intake targets, they appeared to associate with better nutritional status over time.

scholarly journals Altered Preoperative Nutritional Status in Colorectal Cancer: A Not So Infrequent Issue

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Javier Páramo-Zunzunegui ◽  
Araceli Ramos-Carrasco ◽  
Marcos Alonso-García ◽  
Rosa Cuberes-Montserrat ◽  
Gil Rodríguez-Caravaca ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Weight Loss ◽  
Observational Study ◽  
Nutritional Status ◽  
Cancer Patients ◽  
Prospective Observational Study ◽  
Colorectal Neoplasia ◽  
Nutritional Risk ◽  
A Value ◽  
Asymptomatic Patients

Introduction. Malnutrition and weight loss in cancer patients is a common problem that affects the prognosis of the disease. In the case of CRC, malnutrition rates range between 30 and 60%. Objectives. Description of the preoperative nutritional status of patients diagnosed with colorectal neoplasia who will undergo surgery. Materials and Methods. A prospective observational study is performed. Results. Of 234 patients studied, we observed that 139 (59%) had some degree of nutritional risk. Of all of them, 44.9% (N = 47) had 1-2 points according to MUST and 25% (N = 27) had more than 2 points. No differences were found when studying nutritional risk according to the location of the neoplasm. It was observed that 2.15% of the patients were underweight, 51% overweight, and 23% obese. 19.4% of patients lost less than 5 kg in the 3–6 months prior to diagnosis, 20.7% lost between 5 and 10 kg, and 2.1% lost more than 10 kg. In asymptomatic patients, the weight loss was lower than in symptomatic patients, loss <5 kg, 8.2% vs. 22.8%, and loss 5–10 kg, 16.2% vs. 29.3%, with a value of p = 0.016 . 5% (N = 7) of the patients had hypoalbuminemia record. 16.5% (N = 23) had some degree of prealbumin deficiency and 20.9% (N = 29) of hypoproteinemia. Symptomatic patients had more frequent analytical alterations, 1-2 altered parameters in 48.8% (N = 20) of asymptomatic vs. 61.2% (N = 22) in the symptomatic, p = 0.049 .

scholarly journals HUBUNGAN STATUS GIZI, TINGKAT ASUPAN ENERGI, BEBAN KERJA DENGAN PRODUKTIVITAS PEKERJA WANITA DI PERUSAHAAN BAUT DAN MUR

2018 ◽  
Vol 1 (1) ◽  
pp. 1-13
Author(s):  
Melda Monisca Butar
Keyword(s):  
Women Workers ◽  
Nutritional Status ◽  
Energy Intake ◽  
Work Load ◽  
Analysis Data ◽  
Cross Sectional Study ◽  
Nutrition Status ◽  
Female Worker ◽  
Cross Sectional ◽  
Intake Level

Women's participation in employment increases from year to year, due to the increasing number of industries requiring women's skills. The health of women workers should be of special concern in order to increase productivity. This study aims was to analyze the relationship of nutritional status, the level of energy intake, the workload with the productivity of female workers part of the packaging. This research was observational analytic with cross-sectional study design. This research was conducted in PT X, the sample size of this research was all female worker population of packaging with 35 people. Data were collected by measuring height, body weight, pulse rate, and 2 x 24 hour food recall interview. The analysis data using contingency coefficient test to see strenght relationship between varibael. The results of this research were female employee with characteristics most of the age group of 30-49 years, mostly elementary school graduates, most of them were married, and more than five years of service. The results showed that value of contingeny coefficient was nutrition status (0.458), energy intake level (0.388), and work load (0.341). Of the three variable was only nutritional status with moderate stregth relationship, while the level of energy intake level and the workload had a weak stregth relationship. It can be concluded that productivity among female worker in PT X is more affected by nutritional status compared energy intake level and work load. Companies are advised to providing canteen, providing counseling on balanced nutrition, and exercise activity.

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