Latar belakang. Pengendalian metabolik yang baik dapat mengurangi komplikasi diabetes mellitus tipe-1 (DMT1). Diet dengan indeks glikemik rendah menunjukkan perbaikan pengendalian glikemik secara bermakna. Pemeriksaan fruktosamin merupakan salah satu pemeriksaan laboratorium untuk mengetahui kontrol metabolik pasien DMT1.Tujuan. Menilai perubahan kadar fruktosamin setelah mengkonsumsi beras herbal ponni dengan indeks glikemik rendah pada pasien DMT1Metode. Studi prospektif di Divisi Endokrinologi Ilmu Kesehatan Anak FKUI/RSUPN Cipto Mangunkusumo dengan sampel pasien DMT1 yang berusia ≥2 tahun. Dilakukan pengukuran berat badan, tinggi badan, analisis dan anjuran diet selama 2 minggu, serta pemeriksaan kadar fruktosamin sebelum dan sesudah pemberian beras herbal ponni. Kriteria eksklusi adalah penderita DMT1 yang sakit berat/dirawat di rumah sakit atau menolak ikut penelitian. Analisis data menggunakan uji t berpasangan atau uji Wilcoxon Signed Ranks.Hasil. Diantara 24 pasien didapatkan 11/24 memiliki riwayat keluarga DM, 19/24 memiliki riwayat ketoasidosis diabetes, 21/24 memakai insulin suntik secara teratur, dan hanya 9/24 anak yang mengawasi kadar gula darahnya secara teratur. Rerata kadar fruktosamin sebelum pemberian beras herbal ponni (506,6±134,2) sedangkan rerata kadar fruktosamin sesudah pemberian beras herbal ponni (458,1±106,7) (p< 0,01)Kesimpulan. Didapatkan penurunan kadar fruktosamin secara bermakna setelah dua minggu mengkonsumsi beras herbal ponni dengan indeks glikemik rendah pada pasien DMT1
Malnutrition in hospitalized patients is a global problem with an increasing prevalence. To date, there is no universally accepted consensus for diagnosing malnutrition. Comparative studies between malnutrition criteria according to GLIM and the gold standard, namely Subjective Global Assessment (SGA) have not been widely carried out in Indonesia. This study aims to compare the validity of the GLIM criteria against the SGA. The study design was cross-sectional with the subject of hospitalized internal medicine patients aged 18-45 years (n=108). The assessment was conducted by comparing prevalence, sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), the area under the curve (AUC), positive likelihood ratio (LR+), and negative likelihood ratio (LR-) GLIM criteria against SGA. The results obtained in this study were 57.4 percent women, 60.2 percent late adulthood, 54.6 percent high school graduates, 34.3 percent private employees, and 68.5 percent have income less than minimum wage. The prevalence of malnutrition based on GLIM criteria and SGA was 75 percent and 70.4 percent, respectively. The GLIM criteria have good validity (sensitivity of 98.7%, specificity 81.3%, PPV 92.5%, NPV 96.2%, AUC value 0,9, LR+ 5.28 and a LR- 0.016). Based on the results of the study, it can be concluded that the GLIM criteria have good validity, so they can be recommended as diagnostic tools to determine malnutrition status in hospital nutrition services
Malnutrition is a major problem among hospitalized patients. Nutritional problems can be influenced by an imbalance between the intake of macronutrients consumed, and a decrease in functional status among hospitalized patients. This study was conducted to analyze the relationship between functional status and food intake of macronutrients with the nutritional status of internal disease patients. This study used an observational design, with a cross-sectional approach. The sampling technique used was Consecutive Sampling with the number of respondents being 74 internal disease patients who were hospitalized at the RSCM. Functional status data were collected using the Barthel Index and macronutrient intake by interview using the Semi-Quantitative Food Frequency Questionnaire, and nutritional status using weight and height measurements was calculated using the BMI formula. The statistical analysis used is the Chi-Square test. There are 45.9 percent of respondents have poor nutritional status. The bivariate results showed that there was no significant relationship between functional status (p=0.950) and nutritional status and there was a significant relationship between energy intake (p=0.000), protein (p=0.000), fat (p=0.001), carbohydrates (p=0.001), with the nutritional status of internal disease patients. It can be concluded that there is a relationship between the intake of macronutrients, namely energy, carbohydrates, protein, fat, and the nutritional status of internal medicine patients at RSCM.Keywords: functional status, macronutrient intake, nutritional status ABSTRAK Malnutrisi merupakan masalah utama yang sering terjadi pada pasien di rumah sakit. Masalah gizi yang terjadi dapat dipengaruhi oleh ketidakseimbangan antara asupan zat gizi makro yang dikonsumsi, dan terjadi penurunan status fungsional pada pasien rawat inap. Penelitian ini dilakukan untuk menganalisis hubungan antara status fungsional dan asupan zat gizi makro dengan status gizi pasien penyakit dalam. Penelitian ini mengunakan desain observasional, dengan pendekatan cross-sectional. Teknik pengambilan sampel menggunakan Consecutive Sampling dengan jumlah responden 74 pasien penyakit dalam yang dirawat inap di RSCM. Pengumpulan data status fungsional menggunakan Barthel Index dan asupan zat gizi makro dengan wawancara menggunakan Semi-Quantitative Food Frequency Questionnaire, dan status gizi menggunakan pengukuran berat badan dan tinggi badan dihitung dengan rumus IMT. Analisis statistik yang digunakan adalah uji Chi-Square. Terdapat 45,9 persen responden memiliki status gizi kurang. Dari hasil bivariat menunjukkan tidak terdapat hubungan signifikan antara status fungsional (p=0,950) dengan status gizi dan terdapat hubungan yang signifikan antara asupan energi (p=0,000), protein (p=0,000), lemak (p=0,001), karbohidrat (p=0,001), dengan status gizi pasien penyakit dalam. Dapat disimpulkan bahwa adanya hubungan antara asupan zat gizi makro yaitu energi, karbohidrat, protein, lemak dengan status gizi pasien penyakit dalam di RSCM.Kata kunci: status fungsional, asupan zat gizi makro, status gizi
Background: Malnutrition at hospital admission may adversely affect patients' clinical outcomes. The Global Leadership Initiative on Malnutrition (GLIM) recently set a standard of measurable criteria to diagnose malnutrition. Objectives: This study aimed to determine the proportion and risk factors of malnutrition at hospital admission.Materials and Methods: A cross-sectional observational study was conducted in the internal medicine ward of the National General Central Hospital, Dr. Cipto Mangunkusmo (RSCM), Jakarta, from January to May 2022. Subjects aged 18 and above were recruited for this study. Malnutrition at hospital admission was defined according to the GLIM criteria. Then, the data were analyzed using multiple logistic regression to determine malnutrition risk factors, presented by odds ratios (OR) and 95% confidence intervals (CI).Results: A total of 231 subjects were enrolled in the study. Among them, 85.3% were malnourished according to the GLIM criteria. In addition, subjects with a severe to total dependency on functional status (OR 9.406, 95%CI: 3.147–28.109), inadequate energy intake (OR 2.718, 95%CI: 1.197–6.172), and multimorbidity (OR 2.337, 95%CI: 1.045–5.228), were significantly associated with malnutrition at hospital admission cases. Conclusion: According to the GLIM criteria, the proportion of malnutrition at hospital admission is high. The risk factors of malnutrition at hospital admission include low functional status, inadequate energy intake, and multimorbidity.Keywords : Malnutrition; Nutritional status; Nutrition assessment; Hospital admission; Internal medicine, Inpatients
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