.png)
.png)
.png)
.png)
PERAN EDUKASI GIZI TERHADAP ASUPAN ENERGI-PROTEIN DAN INDEKS MASSA TUBUH PASIEN GAGAL GINJAL KRONIS DENGAN TERAPI CONTINUOUS AMBULATORY PERITONEAL DIALYSIS (CAPD)
Abstract
Background: Nutrition are the essential factor to maintain body weight, body mass index and food intake in CAPD patients. Dialysis could increase nutrients lost and had to be replaced by adequate intake. Nutrition education should be needed to increase patient’s knowledge, food intake and body mass index.
Objectives: To determine the role of nutrition education towards energy-protein intake and body mass index in patient with continuous ambulatory peritoneal dialysis (CAPD)
Method: A cross-sectional study design with total sampling technique to obtains thirthy CAPD outpatient at RSUPN Dr. Cipto Mangunkusumo. Energy and protein intake were assessed by 3-days-food records (weekday and weekend). Nutritional status were obtained with BMI by dry body weight. Data were analyzed with independent t-test.
Results: Most of subject are male outpatients, 25 – 55 years old (76.7%), had hypertension (83.3%) and normal BMI (50%). Most of subject had been undergoing peritoneal dialysis more than a year (67%), and had less than two times education per year. Energy intake were categorized as sufficient (>80%) but protein intake were categorized as insufficient. There were no differences between frequency of nutrition education with energy-protein intake and nutritional status (p>0.05)
Conclusion: There are no differences between energy-protein intake and nutritional status with the frequency of nutrition education. Nutritional education by nutritionist and/or dietitian according to the recommendations help to maintain normal body mass index.
Keywords
Full Text:
PDFReferences
PERNEFRI. Konsensus Nutrisi CKD.pdf. Jakarta: PT.Kalbe Farma Tbk; 2011.
Solini A, Ferrannini E. Pathophysiology, Prevention and Management of Chronic Kidney Disease in the Hypertensive Patient With Diabetes Mellitus. J Clin Hypertens [Internet] 2011 [cited 2020 May 11];13(4):252–7. Available from: http://doi.wiley.com/10.1111/j.1751-7176.2011.00446.x
Matovinović MS. Pathophysiology and Classification of Kidney Diseases. EJIFCC [Internet] 2009 [cited 2020 May 11];20(1):2–11. Available from: http://www.ncbi.nlm.nih.gov/pubmed/27683321
Kesehatan K, Penelitian B, Kesehatan P. Hasil Utama Riskesdas 2018. 2018;
Hardinsyah. Ilmu Gizi Teori dan Aplikasi. EGC Penerbit Buku Kedokteran Jakarta; 2016.
Zuyana L, Merryana Adriani dan, Studi PS, Masyarakat K, Kesehatan Masyarakat F, Airlangga U, et al. Perbedaan Asupan Makan Dan Status Gizi Antara Pasien Hemodialisis Adekuat Dan Inadekuat Penyakit Ginjal Kronik. Media Gizi Indonesia,2013(1):13-19
Ikizler TA, Flakoll PJ, Parker RA, Hakim RM. Amino acid and albumin losses during hemodialysis. Kidney Int 1994;46(3):830–7.
Ikizler TA, Cano NJ, Franch H, Fouque D, Himmelfarb J, Kalantar-Zadeh K, et al. Prevention and treatment of protein energy wasting in chronic kidney disease patients: A consensus statement by the International Society of Renal Nutrition and Metabolism. Kidney Int.2013;84(6):1096–107.
Johansson L. Nutrition in older adults on peritoneal dialysis [Internet]. Perit. Dial. Int.2015 [cited 2021 Feb 2];35(6):655–8. Available from: /pmc/articles/PMC4689469/?report=abstract
Kim TN, Choi KM. Sarcopenia: Definition, Epidemiology, and Pathophysiology. J Bone Metab [Internet] 2013 [cited 2020 May 9];20:1–10. Available from: http://e-jbm.org/
Ren H, Xie J, Li X, Huang X, Zhang C, Chen N. Nutritional Assessment Of Capd Patients. Kidney Res Clin Pract 2012;31(2):A68.
Chung S, Koh ES, Shin SJ, Park CW. Malnutrition in patients with chronic kidney disease. Open J Intern Med 2012;02(02):89–99.
Granatino R, City K, Haytko DL. Nutritional education of CAPD patients and media influence. EDTNA|ERCA J 2013;29(1):45–50.
Tennankore KK, Bargman JM. Nutrition and the Kidney: Recommendations for Peritoneal Dialysis [Internet]. Adv. Chronic Kidney Dis.2013 [cited 2021 Feb 2];20(2):190–201. Available from: http://www.ackdjournal.org/article/S1548559512002054/fulltext
Wi JW, Kim N-H. Assessment of Malnutrition of Dialysis Patients and Comparison of Nutritional Parameters of CAPD and Hemodialysis Patients. Biomed Sci Lett 2017;23(3):185–93.
Harvinder GS, Swee WCS, Karupaiah T, Sahathevan S, Chinna K, Ahmad G, et al. Dialysis malnutrition and malnutrition inflammation scores: Screening tools for prediction of dialysis - related protein-energy wasting in Malaysia. Asia Pac J Clin Nutr [Internet] 2016 [cited 2021 Jan 29];25(1):26–33. Available from: https://pubmed.ncbi.nlm.nih.gov/26965758/
Ikizler TA, Burrowes JD, Byham-Gray LD, Campbell KL, Carrero JJ, Chan W, et al. KDOQI Clinical Practice Guideline for Nutrition in CKD: 2020 Update. Am J Kidney Dis [Internet] 2020;76(3):S1–107. Available from: https://doi.org/10.1053/j.ajkd.2020.05.006
Kiebalo T, Holotka J, Habura I, Pawlaczyk K. Nutritional status in peritoneal dialysis: Nutritional guidelines, adequacy and the management of malnutrition. Nutrients 2020;12(6):1–14.
Divanda DR, Idi S, Rini WA. Asuhan Gizi Pada Pasien Gagal Ginjal Kronik Di Rumah Sakit Umum Daerah Panembahan Senopati Bantul. 2019 [cited 2021 Feb 2];Available from: http://r2kn.litbang.kemkes.go.id:8080/handle/123456789/40492
Relawati A, WidhiyaPangesti A, Febriyanti S, Tiari S. Edukasi Komprehensif dalam Meningkatkan Kepatuhan Diet Pasien Hemodialisis. Indones J Nurs Pract 2018;2(1).
Kemenkes. Buku Pedoman Proses Asuhan Gizi Terstandar. Kementrian Kesehatan Republik Indonesia; 2014.
Husein N. Faktor Faktor Yang Berkaitan Dengan Status Gizi Pasien Continuous Ambulatory Peritoneal Dialysis (Capd) Di Rsupn Dr. Cipto Mangunkusumo (RSCM). Poltekkes Jakarta: 2019.
Nitta K, Tsuchiya K. Recent advances in the pathophysiology and management of protein-energy wasting in chronic kidney disease. Ren Replace Ther [Internet] 2016 [cited 2020 May 11];2(1):4. Available from: http://www.rrtjournal.com/content/2/1/4
Maurya NK, Arya P, Sengar NS. Dietary Intake And Nutritional Status In Hemodialysis Patients. Int Res J Pharm 2019;10(4):102–5.
Kumar Maurya N, Sengar N, Arya P. Impact of Hemodialysis on lipid profile among chronic renal failure patients (Regular and Non-Regular Haemodialysis). ~ 363 ~ Pharma Innov J [Internet] 2018 [cited 2021 Feb 4];7(4):363–5. Available from: www.thepharmajournal.com
Maurya NK. A Review : Nutrition In Chronic Kidney Disease Patients : International Journal of Advance and Innovative Research International Journal of Advance and Innovative Research. Int J Adv Innov Res [Internet] 2018;VIII(3). Available from: https:doi.org/10.5281/zenodo.1423081
Han SH, Han DS. Nutrition in patients on peritoneal dialysis. Nat Rev Nephrol [Internet] 2012;8(3):163–75. Available from: http://dx.doi.org/10.1038/nrneph.2012.12
Zuo X, Ye X, Mm FS, Qian K, Mm SX, Liang W, et al. Glucose absorption in nephropathy patients receiving continuous ambulatory peritoneal dialysis. Asia Pac J Clin Nutr [Internet] 2015 [cited 2021 Feb 4];24(3):394–402. Available from: http://www.kidney.org/
Kihm LP, Wibisono D, Müller-Krebs S, Pfisterer F, Morath C, Gross ML, et al. RAGE expression in the human peritoneal membrane. Nephrol Dial Transplant [Internet] 2008 [cited 2021 Feb 4];23(10):3302–6. Available from: https://pubmed.ncbi.nlm.nih.gov/18477569/
Wang AYM, Sea MMM, Tang N, Lam CWK, Chan IHS, Lui SF, et al. Energy intake and expenditure profile in chronic peritoneal dialysis patients complicated with circulatory congestion. Am J Clin Nutr 2009;90(5):1179–84.
Therrien M, Byham-Gray L, Beto J. A Review of Dietary Intake Studies in Maintenance Dialysis Patients. J Ren Nutr [Internet] 2015 [cited 2021 Feb 2];25:329–38. Available from: http://dx.doi.org/10.1053/j.jrn.2014.11.001
Jadeja Y, Kher V. Protein energy wasting in chronic kidney disease: An update with focus on nutritional interventions to improve outcomes. Indian J Endocrinol Metab 2012;16(2):246.
Zha Y, Qian Q. Protein nutrition and malnutrition in CKD and ESRD. Nutrients 2017;9(3):1–19.
Don BR, Kaysen G. Serum albumin: Relationship to inflammation and nutrition. Semin. Dial.2004;17(6):432–7.
Carrero JJ, Chmielewski M, Axelsson J, Snaedal S, Heimbürger O, Bárány P, et al. Muscle atrophy, inflammation and clinical outcome in incident and prevalent dialysis patients. Clin Nutr 2008;27(4):557–64.
Prasad N, Sinha A, Gupta A, Sharma RK, Bhadauria D, Chandra A, et al. Effect of body mass index on outcomes of peritoneal dialysis patients in India. Perit Dial Int [Internet] 2014 [cited 2021 Feb 4];34(4):399–408. Available from: http://journals.sagepub.com/doi/10.3747/pdi.2013.00056
Price SR, Gooch JL, Donaldson SK, Roberts-Wilson TK. Muscle Atrophy in Chronic Kidney Disease Results From Abnormalities in Insulin Signaling. J Ren Nutr 2010;20(5):S24–8.
Shinaberger CS, Kilpatrick RD, Regidor DL, McAllister CJ, Greenland S, Kopple JD, et al. Longitudinal Associations Between Dietary Protein Intake and Survival in Hemodialysis Patients. 2006;
Simpson B, Khatri R, Ravindran D, Udalagama T. Pharmaceuticalisation and ethical review in South Asia: Issues of scope and authority for practitioners and policy makers. Soc Sci Med [Internet] 2015 [cited 2021 Feb 4];131:247–54. Available from: https://pubmed.ncbi.nlm.nih.gov/24768272/
Paes-Barreto JG, Barreto Silva MI, Qureshi AR, Bregman R, Cervante VF, Carrero JJ, et al. Can Renal Nutrition Education Improve Adherence to a Low-Protein Diet in Patients With Stages 3 to 5 Chronic Kidney Disease? J Ren Nutr 2013;23(3):164–71.
DOI: https://doi.org/10.31983/jrg.v9i1.6670
Article Metrics
Refbacks
- There are currently no refbacks.
Abstracted/Indexed by :
Jurnal Riset Gizi oleh http://ejournal.poltekkes-smg.ac.id/ojs/index.php/jrg disebarluaskan di bawah Lisensi Creative Commons Atribusi-BerbagiSerupa 4.0 Internasional.