Nutrition Awareness Counseling to Support Indonesia Ready for New Normal

Proper nutrition and adequate water are essential during the COVID-19 outbreak. People who eat a balanced diet tend to be healthier with a stronger immune system. The risk of chronic diseases and infectious diseases is lower, so there needs to be an outreach to the public about nutrition awareness to support Indonesia to be ready for the new normal. Nutrition education serves to create awareness and spread knowledge. The implementation of this counseling consists of the delivery of material and questions and answers. The material consists of: 1) nutrition conscious behavior that focuses on balanced nutrition guidelines and the role of vitamins and minerals in increasing the body's immune system; 2) Nutrition conscious behavior that focuses on the role of essential fats (EPA and DHA) in increasing the body's immune system; 3) Nutrition conscious behavior that focuses on processing food with balanced nutrition. A series of outreach activities have been well organized. Most of the counseling participants felt that community service activities were carried out through counseling about nutrition awareness to support indonesia ready for new normal. This nutrition awareness counseling is very useful to prepare nutrition for the Covid-19 pandemic.

Dietas confinadas: análisis del discurso de la prensa sobre la nutrición en tiempos de Covid-19

The essential elements of the Spanish press’s discourse on nutrition guidelines during the Covid-19 health crisis are identified. To do this, the evolution of media representation is examined, with a semantic analysis of the news appearing in the national media in Spanish regarding nutrition and Covid-19. The analyzed period is from 31 January 2020 to 31 January 2021. The content search carried out using the Factiva database identified 117 records, which were analysed using T-LAB software. The results reveal that the press warned of hoaxes regarding nutrition during the study period. Four semantic groups are identified, informing about the most appropriate eating patterns according to the different circumstances during the pandemic. The results show that the press plays a role as an educator of Spanish society on nutrition-related topics. Resumen Se identifican los elementos esenciales sobre el discurso que la prensa española llevó a cabo sobre las pautas de nutrición durante la crisis sanitaria de la Covid-19. Se examina la evolución de la representación mediática y se efectúa un análisis semántico de las noticias aparecidas en los medios nacionales y en lengua española referidas a la nutrición y la Covid-19. El período analizado se inició el 31 de enero de 2020 y finalizó el 31 de enero de 2021. La búsqueda de contenidos se realizó mediante la base de datos Factiva. Se obtuvieron 117 registros que se analizaron mediante el software T-LAB. Los resultados revelan que la prensa alerta de los bulos sobre nutrición que se han producido durante el período analizado. Se identifican cuatro grupos semánticos orientados a informar sobre las pautas de alimentación más adecuadas según las diferentes circunstancias en la pandemia. Se constata que la prensa desempeña su papel como agente educador en la sociedad en materia de nutrición.

Comparison of Educational Media with Video and Pop-Up Book Towards Knowledge of Balanced Nutrition Guidelines in Elementary School Students

The unbalanced eating behavior of school-age children is influenced by the level of nutritional knowledge. The purpose of this research is to analyze the comparison of media education with videos and pop-up books on the knowledge of balanced nutrition guidelines for elementary school students. This type of research is a quasi-experimental design with a nonequivalent control group design. The total sample used in the study was 90 students who were taken by probability sampling and then divided into two groups, 45 students were given education with video media (P1) and 45 students were educated with pop-up book media (P2). Data were analyzed using the Wilcoxon and Mann-Whitney test with a significant level of 0.05. The results obtained are that there is a difference in the level of knowledge of the pop-up book group before and after education (p=0.0001) and there is no difference in the level of knowledge of the video group before and after education (p=1.00). Pop-up book media is more effective in increasing students' knowledge level of balanced nutrition compared to video, so pop-up book media can be an alternative media used to provide education to elementary school students.

Do we need a 6D’s Framework of Nutritional Stewardship in critical care?

Recent European Society for Clinical Nutrition and Metabolism (ESPEN) guideline on clinical nutrition in the intensive care unit had as ultimate goal the achievement of optimal nutritional support for critically ill patients and to illuminate the gaps in knowledge in order to provide priorities for future clinical research. Although malnutrition is a vital part of the treatment of patients with critical illness and injury, nutrition in the critically ill is not one size fits all. Both clinical nutrition guidelines and ICU experts have recognized the need for a new, individualized approach to nutrition. Nutrition stewardship, analog to antimicrobial and fluid stewardship, could be defined as the “ongoing effort by a healthcare institution to optimise artificial nutrition use in order to improve patient outcomes, ensure cost effective therapy and reduce adverse sequelae.” A robust nutrition stewardship program could gain reputation if the concept will spread to various national programs and regulatory guidelines released in the recent past.

Research priorities in pediatric parenteral nutrition: a consensus and perspective from ESPGHAN/ESPEN/ESPR/CSPEN

Parenteral nutrition is used to treat children that cannot be fully fed by the enteral route. While the revised ESPGHAN/ESPEN/ESPR/CSPEN pediatric parenteral nutrition guidelines provide clear guidance on the use of parenteral nutrition in neonates, infants, and children based on current available evidence, they have helped to crystallize areas where research is lacking or more studies are needed in order to refine recommendations. This paper collates and discusses the research gaps identified by the authors of each section of the guidelines and considers each nutrient or group of nutrients in turn, together with aspects around delivery and organization. The 99 research priorities identified were then ranked in order of importance by clinicians and researchers working in the field using a survey methodology. The highest ranked priority was the need to understand the relationship between total energy intake, rapid catch-up growth, later metabolic function, and neurocognitive outcomes. Research into the optimal intakes of macronutrients needed in order to achieve optimal outcomes also featured prominently. Identifying research priorities in PN should enable research to be focussed on addressing key issues. Multicentre trials, better definition of exposure and outcome variables, and long-term metabolic and developmental follow-up will be key to achieving this. Impact The recent ESPGHAN/ESPEN/ESPR/CSPEN guidelines for pediatric parenteral nutrition provided updated guidance for providing parenteral nutrition to infants and children, including recommendations for practice. However, in several areas there was a lack of evidence to guide practice, or research questions that remained unanswered. This paper summarizes the key priorities for research in pediatric parenteral nutrition, and ranks them in order of importance according to expert opinion.

“Lipid Nutrition Guidelines: A Comprehensive Analysis” by Harumi Okuyama, Sheriff Sultan, Naoki Ohara, Tomohito Hamazaki, Peter H. Langsjoen, Rokuro Hama, Yoichi Ogushi, Tetsuyuki Kobayashi, Shunji Natori, Hajime Uchino, Yoko Hashimoto, Shiro Watanabe, Kenjiro Tatematsu, Daisuke Miyazawa, Mikio Nakamura and Kentaro Oh-hashi

This book, “Lipid Nutrition Guidelines: A Comprehensive Analysis” by Professor Harumi Okuyama et al [...]

Recreation Facility Food and Beverage Environments in Ontario, Canada: An Appeal for Policy

Canadian, municipally funded recreation/sport facilities typically have unhealthy food environments. Ontario, unlike some provinces, lacks a voluntary recreation facility nutrition policy. This study assessed the healthfulness of food environments and vending sales in 16 Ontario recreation/sport facilities and, secondarily, compared data from facilities within municipalities that banned versus permitted plastic bottled-water sales (water-ban, n = 8; water, n = 8) to test the nutritional effects of environmental policy. Concession and vending packaged food/beverage offerings and vending sales were audited twice, eighteen months apart. The products were categorized using nutrition guidelines as Sell Most (SM), Sell Sometimes (SS), and Do Not Sell (DNS). Both water and water-ban facilities offered predominantly (>87%) DNS packaged food items. However, proportions of DNS and SM concession and vending beverages differed (p < 0.01). DNS beverages averaged 74% and 88% of vending offerings in water and water-ban facilities, respectively, while SM beverages averaged 14% and 1%, respectively. Mirroring offerings, DNS beverages averaged 79% and 90% of vending sales in water versus water-ban facilities. Ontario recreation/sport facilities provided unhealthy food environments; most food/beverage offerings were energy-dense and nutrient-poor. Water bans were associated with increased facility-based exposure to DNS beverage options. A nutrition policy is recommended to make recreation facility food/beverage environments healthier and to mitigate unintended negative consequences of bottled-water bans.

Understanding the need for a whole-of-society approach in school nutrition policy implementation: a qualitative analysis

Background Only three of twenty Caribbean Community (CARCICOM) countries have mandatory school nutrition policies despite one third of the region’s children being overweight or obese. In Barbados, there are nutrition guidelines which lack the legal mandate of a formal policy. We aim to assess the comprehensiveness of current national nutrition guidelines and to understand the factors operating in the inner and outer school setting that may influence the implementation of a mandatory school nutrition policy from the perspectives of school administrators. Methods A documentary analysis of existing nutritional guidelines was conducted along with qualitative semi-structured interviews in primary (elementary) and secondary (high) schools in Barbados. We purposively sampled six primary and four secondary school administrators (principals, deputy principals or senior teachers) to explore their knowledge and views on the National School Nutrition Guidelines. The deterministic implementation paradigm, Consolidated Framework for Implementation (CFIR), was used to explore the complexities within the inner and outer settings of schools. Documentary analysis used a theory-based framework informed by the Wellness School Assessment Tool—school policy analysis questionnaire. Interview transcripts were team coded using thematic analysis with constant comparison facilitated by NVIVO software version12. Results School administrators were unaware of the existing National School Nutrition Guidelines which documentary analysis found to be restrictive and weak for implementation. Administrators envisioned a government-led (outer setting), whole of society approach as the most effective strategy for the development and implementation of a proposed mandatory school nutrition policy. School administrators identified lack of financial and human resources as barriers to nutrition policy implementation. Formal and informal food vendors are institutionalized in schools and are influential determinants of the school food environment. Schools have individually reached into the outer setting to work with civil society organizations and private individuals to provide financial support and nutrition expertise to their institutions. Mass media campaigns in the outer setting may influence child and parental food choices. Conclusion School administrators describe that government-led, CSO supported policy development using a whole-of-society approach has implications for improving nutrition policy implementation. Our findings demonstrate the use of a deterministic implementation framework in the pre-implementation phase of school nutrition policy development.

Pengaruh Pendidikan Pedoman Gizi Seimbang dengan Menggunakan Puzzle terhadap Pengetahuan Siswa SD Swasta Al Fitriah Medan

This research aims to determine the education effect of balanced nutrition guidelines using puzzle on Al Fitriah Private Elementary School Students, Medan. The type of research used is quasi experiment. The study was conducted on 45 students using a questionnaire before and after the intervention. The statistical test used is a paired t-test. The results showed an average score of respondents knowledge before being given nutrition education by 10.96 and increasing after being given nutrition education using puzzle media to 16.84. The results of the analysis using paired sample t test obtained a value of p = 0,000 where p <0.005. So it can be concluded that there is a significant difference in the variable knowledge of fifth grade students of Al Fitriah Medan Private Elementary School before and after being given nutrition education using puzzle media.