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Articles by Susetyowati
Total Records ( 8 ) for Susetyowati
  Susetyowati , Hamam Hadi , Mohammad Hakimi and A.H. Asdie
  Malnutrition is one common problem for hospitalized patient in all over the world. Thus, patients with at risk of malnutrition are recommended to receive a nutritional therapy which are identified by using nutritional screening tool. Some of the existing screening tools cannot be performed in Indonesia because most of Indonesian people rarely check their weight in regular basis. Therefore it’s hard to know wether they lose or gain weight. The aim of this study was to develop a simple, valid and reliable screening tool that can be used to identify adult patients with risk of malnutrition. Four hundred and ninety five adult patients were screened by Simple Nutrition Screening Tool (SNST). This screening tool was developed in Sardjito General Hospital/Gadjah Mada University, Indonesia. The validity of SNST was tested by measuring the sensitivity and specificity value compared to Subjective Global Assessment (SGA), the interrater reliability value of the screening tool was also assessed by dietitian, nurse and food service officer in 73 patients. From the development process of SNST, 6 questions were obtained with sensitivity value 91.28 and specificity value 79.78. Subjects who were at risk of malnutrition, according to the SNST, had significantly lower mean values for the objective nutrition parameters (p = 0.001) and longer length of stays than subjects who were not at risk of malnutrition (p = 0.001). There was a good agreement in the assessment of at risk of malnutrition between dietitians (kappa = 0.803), dietitian and nurse (kappa=0.653) and between dietitian and food service officer (kappa=0.718). The SNST is a valid and reliable tool to identify patients with risk of malnutrition.
  Meike Mayasari , Susetyowati and Wiryatun Lestariana
  High prevalence of malnutrition related to adverse outcomes in elderly patients. A simple and inexpensive nutritional screening tool is required to detect malnutrition on the elderly in order to give a suitable intervention as early as possible. Mini Nutritional Assessment-Short Form (MNA-SF) is a screening tool developed specifically for elderly patient, however, it still requires anthropometric measurement and mathematic calculation. The new nutritional screening tool, SNST is a very easy, inexpensive and does not require mathematical calculation and anthropometric measurement. However, the validity of SNST to identify elderly patients who are at risk from malnutrition has not been tested yet. The aim of this study was to analyze the validity screening tool SNST compared with MNA-SF against anthropometry and biochemical of elderly patients in Dr. Sardjito Hospital. A cross sectional study was conducted to 268 elderly who were inpatient in RS Sardjito to test the validity of SNST compared with MNA-SF. Patients with mental disorders and oedema or ascites were excluded. BMI and MUAC data were obtained from direct measurements, whereas biochemical data such as albumin, haemoglobin and TLC obtained from patient’s medical record. SNST screening tool had sensitivity 88.3%, specificity 95.2%, positive predictive value 98.4%, negative predictive value 77.1% and area under ROC curve 0.918. SNST was also as good as MNA-SF in distinguishing elderly patients at risk and not at risk of malnutrition. Subjects who were at risk for malnutrition according SNST screening tool had significantly lower values of BMI, MUAC, albumin, hemoglobin and TLC than subjects who were not at risk for malnutrition (p<0.001). SNST screening tool has good validity to identify risk of malnutrition on hospitalized elderly patients.
  Susetyowati , Amalina Shabrina , Putri Dayu Santika and I. Dewa P. Pramantara
  The prevalence of non-communicable disease (NCD) is increasing dramatically in the recent years. Malnutrition in discharged patients with NCD was associated with increased risk of hospital readmission and mortality. The aim of this study was to analyze the nutritional status of patients with NCD after discharged from hospital and also to evaluate the relationship between age, readmission, frequency of treatment and the nutritional status. This was a cross-sectional study of 83 subjects with inclusion criteria: patients with NCD with a history of hospital discharged for 6 months, adults >18 years old and be able to participate in the research. The nutritional status of the subject is determined based on body mass index (BMI), percent mid-upper arm circumference (% MUAC), albumin, hemoglobin, hand grip strength (HGS) and total lymphocytes count (TLC). Dietary intake was also measured in this study. The prevalence of malnutrition based on parameters BMI, % MUAC, albumin, hemoglobin, hand grip strength and TLC were 19.2, 43.4, 4.8, 36.1, 30.4, and 39.7, respectively. The average energy and protein intake were 1784 kcal and 59.2 g. There is a significant correlation between age and nutritional status based on BMI, % MUAC and HGS. There was a relationship between frequency of treatment with energy and protein intake. In this study we showed that the prevalence of malnutrition in 6 months discharged patients with NCD was relatively high and this malnutrition was associated with age and frequency of treatment.
  Susetyowati , I. Dewa Putu Pramantara and Desy Istutiningrum
  Non-communicable disease (NCD) can cause mortality, morbidity and hospital readmission. Hospitalization can affect a patient’s nutritional status and impact a patient’s quality of life. The aim of this study was to determine the relationship between a patient’s discharged nutritional status with mortality, readmission and quality of life post hospitalization in patients with NCD. This study was an observational study with a retrospective cohort design. Subjects were selected by purposive sampling. Subjects were discharged patients with NCD aged 18 years or older, Mid upper arm circumference (MUAC) and subjective global assessment (SGA) were recorded. Discharged nutritional status 3 to 6 months from hospital was assessed using %MUAC and SGA. Quality of life was assessed using the SF-36 questionnaire. The results showed a significant relationship between a patient’s discharged nutritional status assessed by SGA and 3 to 6 months post hospitalization mortality (p = 0.047; OR = 4.92), as well as patient’s discharged nutritional status assessed by % MUAC and quality of life post hospitalization with non-communicable disease (p = 0.003; OR = 3.76). The malnourished subjects had an average quality of life sub-scale score lower than well-nourished, except for the mental health sub-scale (malnourished = 79.80±8.98; well-nourished = 78.78±10.63). There was no significant relationship between nutritional status and patient readmission (p = 0.427). It was concluded that a patient’s discharged nutritional status was related to mortality and quality of life post hospitalization in patients with NCD. There was no correlation between nutritional status and patient readmission. However, patients with malnourished nutritional status have a higher tendency for readmission.
  Harry Freitag Luglio , Fatma Zuhrotun` Nisa , Mirza Hapsari Sakti Titis Penggalih , Siti Helmyati , Lily Arsanti , Siti Budi Utami , Intan Esa Putri , Mutiara Tirta , Susetyowati , Emy Huriyati and Toto Sudargo
  Background: Socioeconomic status (SES) has an important role in defining trend of obesity and it is believed that rich people of poor countries who live in urban areas show high rate of obesity. However, there is a controversy regarding the role of socioeconomic factors on overweight and obesity of people living in rural areas. Objectives: The aim of this study was to analyze the effect of socioeconomic factors on the prevalence of obesity in women living in Raas and Sapudi islands that represents Indonesian rural areas. Materials and Methods: A total of 376 housewives, living in remote Indonesian islands (Raas and Sapudi), took part in this cross sectional study. In this study, nutritional status measurements, interviews and observations done by trained enumerators. A student’s t-test was used to compare differences of socioeconomic factors among women with and without overweight/obesity. Results: Distance to the food source and expenses to buy food were related to overweight/obesity (p<0.05). Additionally, overweight/obese women were married at a younger age compared to those women who were not overweight (16±3 yo vs. 17±6 yo, p = 0.008). Economic status, such as monthly income and possession of the farm or ranch was not associated with overweight/obesity. However, women who work outside home were less likely to become overweight/obese (OR: 0.321; p = 0.001). Conclusion: The prevalence of obesity in women living in those remote islands was at an alarming rate and socioeconomic factors also have an important role in the prevalence of obesity.
  Susetyowati , Khoirun Nisa Alfitri and Farah Faza
  Background and Objective: Handgrip strength (HGS) is used for continuous and systematic assessment of muscle mass related to nutritional status in hemodialysis (HD) patients. This study aimed to evaluate the ability of the HGS test to assess the nutritional status of hemodialysis patients. Materials and Methods: Data were collected from 104 patients with chronic kidney disease (CKD) undergoing routine HD in Dr. Sardjito Hospital, Yogyakarta, Indonesia. Patients were selected for the study using purposive sampling. All subjects were assessed using the HGS test and then compared using the subjective global assessment (SGA), dialysis malnutrition score (DMS), nutritional risk screening 2002 (NRS 2002) and simple nutrition screening tool (SNST). Correlation tests were conducted to determine associations between HGS and SGA, DMS, NRS 2002, SNST, body mass index and mid-upper arm circumference (MUAC). Results: The sensitivity of HGS for the study of male participants was the highest when compared to SGA (76.9%), but it had low specificity, accuracy, positive predictive value and area under the curve. HGS performed poorly when compared to other tools. For women in the study, HGS had highest specificity when compared to SGA (79.2%), but it had low sensitivity, positive and negative predictive values and area under the curve. When compared to other tools, HGS gave an even lower result. HGS had a negative correlation with the other four nutritional assessment tools, but it had a positive correlation with MUAC. Conclusion: The HGS test appeared to be an inaccurate assessment of nutritional status in male and female CKD patients undergoing hemodialysis.
  Ika Ratna Palupi , Susetyowati , Reza Meltica and Farah Faza
  Background and Objective: Previous studies have shown that the main factor affecting nutritional status among children aged 0-59 months is feeding practice. Better feeding practices have been shown to be essential for improving dietary intake and subsequently improving nutritional status. The aim of this study was to investigate the association between feeding practices and nutritional status among children under five years of age in Sleman District, Yogyakarta, Indonesia. Materials and Methods: Using the cross-sectional design, 185 children aged 7-59 months were included as subjects. The sampling frame was taken from the Health Demography Surveillance System (HDSS) of the Faculty of Medicine, Universitas Gadjah Mada, Indonesia. Anthropometric data (body weight and height) were measured to assess nutritional status and feeding practice was determined using a validated questionnaire. Results: The results reflected a high rate of severe and chronic malnutrition among subjects, in which the prevalence of underweight based on weight-for-age (WAZ) was 12.5%, stunting based on height-for-age (HAZ) was 39.5% and wasting based on weight-for-height (WHZ) was 5.4%. Most subjects had relatively good feeding practices in terms of breastfeeding practices (95.7%), complementary food feeding (70.8%), feeding behavior (64.3%) and feeding frequency of at least 3 times a day (78.9%). Complementary foods were introduced before 6 months of age in half (54.1%) of the subjects, indicating early interruption of exclusive breastfeeding. There was no association between feeding practices and nutritional status based on WAZ, HAZ and WHZ. Conclusion: In this study, feeding practice was not related to nutritional status among children aged 7-59 months. There remains a need to implement good feeding practices to achieve adequate food intake and improve the nutritional status of children.
  Susetyowati , R.D. Budiningsari and P. Widodo
  Background and Objective: The prevalence of malnutrition among hospitalized patients is quite high; therefore, the risk formal nutrition needs to be identified early. The objectives of this study were to determine the prevalence of malnutrition and to investigate the relationship between nutritional screening tools and nutritional status parameters. Materials and Methods: This study is an observational study with a cross-sectional design conducted in Waluyo Jati Regional Hospital Probolinggo, Indonesia. The subjects were 211 adult patients who were screened by the nutrition risk screening (NRS) 2002, simple nutrition screening tool (SNST)and malnutrition screening tool (MST) within 24 h of admission. Simple assessment tools, including body mass index (BMI), mid-upper arm circumference (MUAC), total body fat percentage of skeletal muscle, hemoglobin levels and TLC, were used to evaluate nutritional status. Differences in the mean nutritional assessment values between individuals at-risk and not at-risk of malnutrition were analyzed by t-tests. The relationships between the nutritional screening and nutritional assessment values were analyzed using chi-squared tests. Results: The results showed that 54.5% of the patients were at risk of malnutrition based on the NRS 2002 and SNST risk scores, while the MST showed that half of these patients were at risk (29.9%). A total of 47.4, 49.8, 70,6 and 62.6% of the patients were malnourished based on the BMI, MUAC, hemoglobin and TLC measures, respectively. The patients who were at risk of malnutrition had a lower average value of these nutritional parameters than did those not at risk. There were significant associations between all nutrition screening tools and all the nutritional status parameters (p<0,05), except for the TLC. Conclusion: The risk of malnutrition among hospitalized patients was high. The NRS 2002, SNST and MST have a strong correlation with the nutritional screening tools, indicating that lower nutrition screening values correspond to lower nutritional assessment values.
 
 
 
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