Online ISSN: 2515-8260

Keywords : nutritional status


“COMPARATIVE EVALUATION OF NUTRITIONAL STATUS OF SHORTENED DENTAL ARCH PATIENTS WITH COMPLETELY DENTULOUS PATIENTS USING MINI NUTRITIONAL ASSESSMENT- SHORT FORM” - A CROSS- SECTIONAL STUDY.

Dr. Shanvi Agrawal; Dr. Seema Sathe Kambala

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2130-2139

BACKGROUND: There are various people having dental arches with edentulous areas which are unrestored and are present posterior to the natural remaining teeth. Such people are known to have a SDA or Shortened Dental Arch. Individuals having SDA may consume a limited diet, containing highly processed& soft foods which can aggravate the possibility of obesity.
OBJECTIVE: In this study, we will evaluate the difference in the nutritional status of the patient with SDA as compared to completely dentulous patients and propose a desired intervention for such patients.
METHODS: This research will be executed at “Department of Prosthodontics, Sharad Pawar Dental College, Sawangi (Meghe) DMIMS DU, Wardha”. Total 40 patients reporting to OPD with unrestored edentulous area posterior to natural teeth as well as completely dentulous patients will be included in this study .Nutritional assessment using “mini nutritional assessment- short form” is evaluated for every subject and compared.
RESULTS: It is expected that this study would provide an insight to the difference in the nutritional status of the patient with SDA as compared to completely dentulous patients and propose a desired intervention for such patients.
CONCLUSION- There are various people having dental arches with unrestored edentulous areas remaining distal to the remaining natural teeth. Such people are known to have a SDA or Shortened Dental Arch .Individuals having SDA may consume a limited diet, containing highly processed& soft foods which can aggravate the possibility of obesity. This study will aid in evaluating the difference in the nutritional status of the patient with SDA as compared to completely dentulous patients and propose a desired intervention for such patients.

"Evaluation of Effect Of Dietary Advice Along With New Complete Dentures On Nutritional Status In Edentulous Patients"- An In Vivo Study

DR.PRAGATI GOYAL; DR. MITHILESH DHAMANDE

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 7, Pages 2099-2103

Background: The relationship between the oral health and nutritional status in the elderly is complex and controversial. It has been suggested that poor oral health and a decreased ability to chew have a profound influence on food selection, diet and thereby the nutritional status of the individual. Edentulous individuals consume diet that is lower in fruits, vegetables, protein and fiber as compared to dentate individuals due to decrease in ability to chew. If or not a combination of dietary advice along with prosthetic rehabilitation improves dietary intake is still not very clear. So, we are aimed to give dietary advice along with prosthetic treatment and thought of evaluating their nutritional status through OHIP-EDENT, Mini Nutritional Assessment test and serum ferritin levels at baseline, 6 months and 12 months.
Method/Outcome: A type of observational study in which 25 patients will be recruited after seeing into the inclusion and exclusion criteria and then these patients will be given complete denture prosthesis along with nutritional advice and the outcome will be assessed using OHIP-EDENT, Mini Nutritional Assessment Test and Serum Ferritin levels at baseline six and nine months. Expected Results: Simple dietary advice that can be implemented by a dentist would be more practical in clinical practice than tailored dietary counselling. So, giving simple nutritional advice in combination with new complete denture would improve nutrient intake among edentulous individuals

The Dynamics of C-reactive Protein Associated with Nutritional Status Changes in Kidney Failure Patients at Initiation and After 3 Months of Dialysis

Trina Primalia Irawanti; Haerani Rasyid; Syakib Bakri; Hasyim Kasim; Andi Makbul Aman; Fabiola Maureen Shinta Adam; Nur Ahmad Tabri; Arifin Seweng

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 152-159

Among kidney failure patients, especially those on dialysis, malnutrition is associated with poor outcomes. Malnutrition is a multifactorial process, including inflammation, which can be measured by C-reactive protein (CRP). The objective is to evaluate the dynamics of CRP associated with nutritional status changes in kidney failure patients at initiation and after 3 months of dialysis. A prospective cohort study using a consecutive sampling method consisting of 40 kidney failure patients who received initial dialysis at Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia from January-March 2020. Nutritional status was evaluated with Subjective Global Assessment (SGA), and CRP was measured at the initial dialysis and after 3 months. All subjects received nutritional education at the beginning. Nutritional status was defined as well-nourished (WN, SGA A) and malnourished (MN, SGA B and C), then classified into 4 groups denoting nutritional changes: Group 1 (WN to WN), Group 2 (MN to WN), Group 3 (WN to MN), and Group 4 (MN to MN). ANOVA, paired t-test, and chi-square test (significance p<0.05) were used for statistical analyses. Subject’s mean age was 50.5±14.8 years old; 52.5% were male. Diabetes and obstructive nephropathy were the most frequent underlying diseases, both had a prevalence of 35%. At initiation, the prevalence of malnutrition was 77.5%; after 3 months, it was 70%. The highest proportion of Group 4 were female (62.5%) and those with diabetes (45.9%). Among all subjects, mean CRP decreased (9.4±32.3 mg/dL) after 3 months. While mean CRP based on nutritional changes, Group 2 had the highest reduction (18.8±26.8 mg/dL), and Group 3, CRP increased (17.5±17.0 mg/dL). C-reactive protein is negatively associated with nutritional status changes in kidney failure patients after 3 months of dialysis. Malnutrition was higher in female subjects and those with diabetes.

Food Security And Household Expenditure Impact On Nutritional Status On Pregnancy: A Cross Sectional Study In Rural Area

Ratna DewiPuspita Sari; Sutyarso .; Samsul Bakri; DyahWulanSumekar RW; Mentari Olivia F.; Arli Suryawinata; Tisa Mahdiansari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 4719-4726

Purpose:This study was aimed to analyze the correlation of food security status and household food expenditure to nutritional status on pregnant women.
Research Methodology:This study was an observational study with crossectional design, conducted in PuskesmasWonosobo, Lampung Province, Indonesia on May 2020 - Augustus 2020. All of pregnant women who get Antenatal Care (ANC) on Puskesmas were carried out as samples. Food security status and household food expenditure data were measure by anamnesis and questionnaire. Nutritional status was asses by mid-upper arm circumference (MUAC) of pregnant women. Data was collected and then analyzed using SPSS 21 application.
Results:A total of 53 pregnant women, with age distribution on range of <18 years &>35 years (20 women) and 20-35 years (33 women) were analyzed in this study. Statistical analysis (Chi-Square) show the pregnant womens in malnutrition status with food insecurity were 3 women (75%) while pregnant women in good nutrition status with food insecurity only 3 women (6.1%) (p = 0.003). Correlation between house hold expenditure to nutritional status was analyzed by chi-square test, the result show all of pregnant women in malnutrition status (4 women) have lower house hold expenditure (p = 0.001).
Conclusion:This study clearly shows that more food security and level of household food expenditure will affect on nutritional status of pregnant women.

Maternal Health Study In Province Lampung Based On Prediction Model Structural Equation Modeling-Partial Least Square

Ratna DewiPuspita Sari; Sutyarso .; Samsul Bakri; DyahWulanSumekar RW; Arli Suryawinata; Mentari Olivia F.; Tisa Mahdiansari

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 4727-4735

Purpose:This study was aimed to analyze the correlation of food security status and household food expenditure to nutritional status on pregnant women.This study was aimed to identify the significant effect of the determinants factor of maternal health and incidence of maternal death.
Research Methodology:This study was an observational study with cross sectional design, Thisstudy was conducted in Province Lampung, Indonesia, in 2020. Population of this research consisted of situation maternal health in provience Lampung. Sampel in this study are report of bacis health and SDGs series: districts/city readiness from 13 districts and 2 cities in Province Lampung. The studied indicators either were evaluated of environtment, health behavior, and health service for ech districts/city. Data was collected and then analyzed using SmartPLS application.
Results:The environment determinant in this study was determined to water quality and sanitation. Health behaviour determinant indicator was assessed by ANC adherence and labor operator while indicator of health service determinants were access of health service, care of maternal complication, health insurance. All of determinants have significant correlation to maternal health by T- value and p value were (T= 2.201 ; p= 0.028), (T= 2.467 ; p= 0.012), (T=2.737 ; p=0.006), respectively dor environment, health behaviour, and health service determinants. Refer to the result above which are schematized in Figure 1, it can be learned that environment, health behavior and health services present strong effets to maternal health.
Conclusion:This study results show clearly there are correlation of variable determinants; environment, health behavior, and health service to affect maternal healthby the pathways.