Article Sidebar

Published
Mar 31, 2022
Download
pdf
Statistic
Read Counter : 551 Download : 861

Main Article Content

Abstract

Patients with hepatic impairment are particularly at risk of malnutrition because of impaired absorption, hypermetabolism, and poor oral intake. Enteral diet therapy based on pumpkin and soybean flour is one of the local foods functional as an alternative enteral formula for patients with liver cirrhosis because it contains high Branched-Chain Amino Acids (BCAA) and Medium-Chain Triglyceride (MCT). The purpose of this study was to analyze the nutritional value (proximate test), BCAA test (Leucine, Isoleucine, Valine) and Viscosity Test (thickness) and organoleptic test of enteral formulas of patients with liver cirrhosis from pumpkin and soybean flour. This descriptive qualitative research method uses three levels of treatment, comparison of pumpkin with soybean powder. The characteristics analyzed are macronutrients (energy, protein, fat, carbohydrates), BCAA (leucine, isoleucine, valine), viscosity. Statistical analysis with One Way Anova and organoleptic test with a hedonic method. The macronutrient content analysis following the diet's requirements and principles was enteral formula two at a relative concentration (80:20). The statistical test results showed a p-value of 0.000 (<0.05), which means a significant difference in the content of leucine, isoleucine, and valine in the three enteral formulas. Increasing the ratio of pumpkin tends to increase the viscosity of the enteral cirrhosis formula. The enteral formula has characteristics per 1000 ml as follows: 38 grams of protein, 161.1 grams of carbohydrates, 25.2 grams of fat, 1023 kcal of energy, 5743.43 mg of BCAAs, and the results of the organoleptic test selected for the enteral formula 2.

Keywords

BCAA enteral formula hepatic cirrhosis viscosity

Article Details

Authors who publish with this journal agree to the following terms:

1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-ShareAlike License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.

2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.

3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).

How to Cite
Puspita, E., Siregar, A., & Yuniarti, H. (2022). Analysis of Macro Nutritional Substances, Branched-Chain Amino Acids, Viscosity Enteral Formula for Hepatic Cirrhosis Patients. Jurnal Ilmu Dan Teknologi Kesehatan, 9(2), 228-239. https://doi.org/10.32668/jitek.v9i2.738

References

    Aditya, I., Ihwan, I., & Jamaluddin, J. (2016). Aktivitas Hepatoprotektor Sari Buah Labu Kuning (Cucurbita Moschata Duchesne.) Pada Tikus (Rattus Norvergicus) Yang Diinduksikan Karbon Tetraklorida. Jurnal Farmasi Galenika (Galenika Journal of Pharmacy), 2(1), 18–23. https://doi.org/https://doi.org/10.22487/j24428744.2016.v2.i1.5226

    Astawan, M., Wresdiyati, T., & Ichsan, M. (2016). Karakteristik fisikokimia tepung tempe kecambah kedelai. Jurnal Gizi Dan Pangan, 11(1), 35–42. https://doi.org/https://doi.org/10.25182/jgp.2016.11.1.%25p

    Badan Penelitian dan Pengembangan Kesehatan. (2018). Riskesdas 2018: Laporan Provinsi Sumatera Utara. Retrieved from https://ejournal2.litbang.kemkes.go.id/index.php/lpb/article/view/3666

    Göktürk, H. S., & Selçuk, H. (2015). Importance of malnutrition in patients with cirrhosis. Turk J Gastroenterol, 26(4), 291–296. https://doi.org/https://doi.org/10.5152/tjg.2015.0224

    Hamad, A., Septhea, A. G., & Ma’ruf, A. (2015). Produksi Lecithin dari Minyak Jagung sebagai Emulsifier Makanan. Techno, 16(2), 118–124. https://doi.org/https://doi.org/10.30595/techno.v16i2.58

    Kementerian Kesehatan RI. (2017). Buku Saku Pemantauan Status Gizi. Retrieved from https://sehatnegeriku.kemkes.go.id/wp-content/uploads/2018/01/Buku-Saku-Nasional-PSG-2017-Cetak-1.pdf

    Ladamay, N. A., & Yuwono, S. S. (2014). Pemanfaatan Bahan Lokal Dalam Pembuatan Foodbars (Kajian Rasio Tapioka : Tepung Kacang Hijau Dan Proporsi CMC). Jurnal Pangan Dan Agroindustri, 2(1), 67–78. Retrieved from https://jpa.ub.ac.id/index.php/jpa/article/view/23/30

    Lestari, S., Rahmawati, M., Shita, D., & Eka, L. (2019). Modification of Powdered, Ready to Brew Hospital Made Formula. JGK, 11(26), 11–18.

    Lesty Nurainy, & Trisnawarman, D. I. (2020). Profil Dinas Kesehatan Provinsi Sumatera Selatan 2020. Palembang.

    Lovena, A., Miro, S., & Efrida, E. (2017). Karakteristik Pasien Sirosis Hepatis di RSUP Dr. M. Djamil Padang. Jurnal Kesehatan Andalas, 6(1), 5–12. https://doi.org/https://doi.org/10.25077/jka.v6i1.636

    Melati, S. R. (2017). Inovasi Pengembangan Pemanfaatan Buah Sukun (Artocarpus altilis) Sebagai Tepung Rendah Kalori Dengan Metode Pengeringan (Universitas Diponegoro). Retrieved from http://eprints.undip.ac.id/58569/

    Najiah, T. (2015). Pengaruh proporsi sari labu kuning (Cucurbita moschata) dan lama fermentasi terhadap karakteristik yoghurt labu kuning (Universitas Islam Negeri Maulana Malik Ibrahim). Retrieved from http://etheses.uin-malang.ac.id/5475/

    Ndraha, S. (2015). Ensefalopati Hepatikum Minimal. Cermin Dunia Kedokteran, 42(11), 824–828. Retrieved from http://www.cdkjournal.com/index.php/CDK/article/view/944

    Nurdjanah, S. (2019). Sirosis Hepatis. In Buku ajar Penyakit Dalam. Jakarta: Departemen Ilmu Penyakit Dalam Fakultas Kedokteran Indonesia.

    Park, J. G., Tak, W. Y., Park, S. Y., Kweon, Y. O., Chung, W. J., Jang, B. K., Suk, K. T. (2020). Effects of branched-chain amino acid (BCAA) supplementation on the progression of advanced liver disease: A Korean Nationwide, Multicenter, prospective, observational, cohort study. Nutrients, 12(5), 1429. https://doi.org/https://doi.org/10.3390/nu12051429

    Persatuan Ahli Gizi & Asosiasi Dietisien Indonesia. (2019). Penuntun Diet dan Terapi Gizi. Jakarta: EGC.

    Rahmadanti, T. S., Candra, A., & Nissa, C. (2020). Pengembangan formula enteral hepatogomax untuk penyakit hati berbasis tepung kedelai dan tepung susu kambing. Jurnal Gizi Indonesia, 9(1), 1–10. https://doi.org/https://doi.org/10.14710/jgi.9.1.1-10

    Ravi, R., Taheri, A., Khandekar, D., & Millas, R. (2019). Rapid profiling of soybean aromatic compounds using electronic nose. Biosensors, 9(2), 66. https://doi.org/https://doi.org/10.3390/bios9020066

    RSUD Sekayu. (2020). Laporan Kinerja Instansi Pemerintahan Kabupaten Musi Banyu Asin. Retrieved from https://rsudsekayu.mubakab.go.id/admin/file/3.LKJIP RSUD Sekayu Tahun 2020.pdf

    Silva, M., Gomes, S., Peixoto, A., Torres-Ramalho, P., Cardoso, H., Azevedo, R., Macedo, G. (2015). Nutrition in chronic liver disease. GE Portuguese Journal of Gastroenterology, 22(6), 268–276. https://doi.org/https://doi.org/10.1016/j.jpge.2015.06.004

    Siregar, N. S. (2014). Karbohidrat. Jurnal Ilmu Keolahragaan, 13(02), 38–44. Retrieved from https://jurnal.unimed.ac.id/2012/index.php/JIK/article/view/6094/5399