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Research Article
 

An Intervention Study Using Irradiated Ethnic Ready to Eat Foods in Immunocompromised Patients



Carmen M. Siagian, Zubaidah Irawati, Bona Simanungkalit and J. Woodside
 
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ABSTRACT

Food poisoning derived from contaminated foods can have serious health consequences, particularly for immuno-compromised patients as well as specific target groups where fresh food supply might be limited such as the army, people who live in remote areas and those exposed to natural disasters. Food processing through ionizing radiation as a food safety measure can be applied to the targeted foods either at a medium or high radiation dose, either alone or in combination with other techniques. Radiation sterilization of ethnic ready to eat foods has been considered as safe. Products which have high sensory qualities, hygienic and nutritionally sound may play a major role in accelerating recovery process through maintaining the dietary diversity of such population groups. In this study, the ethnic safe ready to eat (RTE) foods prepared were those from animal origins, i.e., fish, red meat and poultry meat, respectively while the formula, recipe and design product type was maintained based on WHO Recommended Dietary Allowance (RDA) for immuno-compromised patients. Irradiation was carried out at a 60Co irradiation facility and the process was maintained under cryogenic condition to protect the essential dietary nutrients against free radical attack. To reduce the undesirable oxidative changes in the food matrix containing fats, the processing was also done on non transparency packaged frozen products after evacuation to eliminate atmospheric oxygen. Irradiated food samples were then stored at room temperature (28-30°C). The foods were administered to immunocompromised residents of the National Narcotic Board (NNB) in Bogor over a 21 day period. The 45 participants were randomly allocated into 3 groups with n = 15 per group. Group I (control) consumed regular foods as prepared by NNB, group II consumed unirradiated ready to eat foods and group III consumed radiation sterilization ready to eat foods namely fish pepes, rendang beef, semur and processed chicken. Blood samples were taken from all participants, both pre and post intervention and tested for albumin and lymphocyte proliferation, while BMI was also assessed. Radiation sterilization ready to eat foods were rated positively in sensory evaluation tests. No difference in effects of the intervention on Body Mass Index (BMI) measurements was found, but there was some indication that the intervention using irradiated RTE foods increased albumin levels and maintained lymphocyte count. Data were analyzed and calculated statistically using software and tested for its significance.

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  How to cite this article:

Carmen M. Siagian, Zubaidah Irawati, Bona Simanungkalit and J. Woodside, 2015. An Intervention Study Using Irradiated Ethnic Ready to Eat Foods in Immunocompromised Patients. Pakistan Journal of Nutrition, 14: 461-467.

DOI: 10.3923/pjn.2015.461.467

URL: https://scialert.net/abstract/?doi=pjn.2015.461.467

REFERENCES
1:  Anonymous, 2009. Regulation of irradiation. The Republic of Indonesia, No. 701/MENKES/PER/VIII/ 2009. Decree of Ministry of Health the Republic of Indonesia, Jakarta.

2:  Anonymous, 2010. Shelf life of ready to eat food in relation to Listeria monocytogenes-guidance for food business operator. 1st edition, Chilled Food Association LTD, PO Box 6434, Kettering, NN 15 5 XT, UK.

3:  Anonymous, 2010. Use of irradiation for shelf-stable sterile foods for immuno-compromised patients and other specific target groups. Report of the consultant meeting, International atomic energy agency, Vienna, Austria 24-27 November 2009, Working material reproduced by the IAEA.

4:  Anonymous, 2003. Radiation processing for safe, shelf-stable and ready to eat food. Proceedings of a final Research Co-ordination Meeting held in Montreal, Canada, 10-14 July 2000, IAEA-TECDOC-1337, International Atomic Energy Agency, Vienna, Austria.

5:  Anonymous, 2002. Putting the pieces together a companion guide to improving nutrition and food safety for persons living with HIV/AIDS. This companion guide was produced by the Pasco County Health Department Nutrition Services Program 10841 Little Road New Port Richey, FL 34654 Fifth Edition: September.

6:  Anonymous, 1995. Shelf-stable foods through irradiation processing. IAEA-TECDOC-843, International atomic energy agency, Vienna, Austria.

7:  Anwar, A., K. Misal and Ihsanullah, 2008. Shelf-life extension of a common asian ready to eat meal (Alu-qeema) by gamma irradiation and improved packages. Adv. Food Sci., 30: 181-184.
Direct Link  |  

8:  Burtis, C.A. and E.R. Ashwood, 1994. Tietz Textbook of Clinical Chemistry. 2nd Edn., W.B. Saunders, Philadelphia, pp: 1002-1093.

9:  Diehl, J.F., 1990. Safety of Irradiated Foods. Marcel Dekker, Inc., New York, USA.

10:  Fleck, A., 1989. Clinical and nutritional aspects of changes in acute-phase proteins during inflammation. Proc. Nutr. Soc., 48: 347-354.
CrossRef  |  PubMed  |  Direct Link  |  

11:  Irawati, Z., K. Pertiwi and F.R. Zakaria, 2010. Toxicity test on malondialdehyde content and antioxidant capacity of irradiation sterilization rendang: In vitro. Jurnal Ilmiah Aplikasi Isotop Radiasi, 6: 31-45.
Direct Link  |  

12:  Irawati, Z., K.R. Putri and F.R. Zakaria, 2011. Food safety aspect: Toxicity test of gamma radiation sterilization gold fish pepes (Cyprinus carpio) In vitro. Sci. J. Appl. Isot. Radiat., 2: 9-22.

13:  Irawati, Z. and Y. Sani, 2012. Feeding studies of radiation sterilization ready to eat foods on sprague dawley rats: In vivo. Nat. Sci., 4: 116-122.
CrossRef  |  Direct Link  |  

14:  Irawati, Z. C.M. Nurcahya and I. Lubis, 2009. Irradiation to ensure the safety and shelf-life extension of traditional ready to eat meals: aremarem, Proceedings of the international conference on Investing in food quality, safety and nutrition, lessons learned from current food crisis. October 27-28, 2008, SEAFAST Center, Bogor Agricultural University, pp: 265-275.

15:  Irawati, Z., N. Natalia, C.M. Nurcahya, F. Anas and M. Tampubolon, 2005. Irradiation for the safety and quality of home style frozen snacks. J. Atom Indonesia, 31: 1-12.
CrossRef  |  Direct Link  |  

16:  Irawati, Z., L. Natalia, C.M. Nurcahya and F. Anas, 2007. The role of medium radiation dose on microbiological safety and shelf-life of some traditional soups. Radiat. Phys. Chem., 76: 1847-1854.
CrossRef  |  Direct Link  |  

17:  Kono, H., N. Enomoto, H.D. Connor, M.D. Wheeler and B.U. Bradford et al., 2000. Medium-chain triglycerides inhibit free radical formation and TNF-α production in rats given enteral ethanol. Am. J. Physiol.-Gastrointestinal Liver Physiol., 278: G467-G476.
Direct Link  |  

18:  Mangili, A., D.H. Murman, A.M. Zampini, C.A. Wanke and K.H. Mayer, 2006. Nutrition and HIV infection: review of weight loss and wasting in the era of highly active antiretroviral therapy from the nutrition for healthy living cohort. Clin. Infect. Dis., 42: 836-842.
CrossRef  |  PubMed  |  Direct Link  |  

19:  McCorkindale, C., K. Dybevik, A.M. Coulstom and K.P. Sucher, 1990. Nutritional status of HIV-infected patients during the early disease stages. J. Am. Dietetic Assoc., 90: 1236-1241.
PubMed  |  

20:  Narvais, P., P. Gimenez, E. Horak, M.A. Pietranera, E. Kairiyama, D. Gronostajski and A.M. Ribetto, 2003. Feasibility of obtaining safe, shelf-stable, nutritive and more varied whole rations of immuno-suppressed patients by gamma irradiation. Proceedings of a final Research Co-ordination meeting held in Montreal, Canada, July 10-14, 2000, IAEA Publications, pp: 62-84.

21:  Placek, V., V. Svobodova, B. Bartoni, C.J. Rosmus and M. Amra, 2004. Shelf-stable food through high dose irradiation. Proceedings of the 13th international meeting on radiation processing (IMRP-2003). September-October 2004, Elsevier, pp: 515-518.

22:  Ravel, R., 1995. Clinical Laboratory Medicine: Clinical Applications of Laboratory Data. 6th Edn., Mosby Inc., USA., pp: 13.

23:  Simanungkalit, B., Z. Irawati, C.M. Siagian and L. Widasari, 2013. Study on intervention sterile irradiation of ready to eat foods given to narcotics rehabilitation residents. Sci. J. Appl. Isot. Radiat., 9: 35-44.

24:  Scalfi, L., A. Laviano, L.A. Reed, R. Borrelli and F. Contaldo, 1990. Albumin and labile-protein serum concentrations during very-low-calorie diets with different compositions. Am. J. Clin. Nutr., 51: 338-342.
PubMed  |  Direct Link  |  

25:  Don, B.R. and G. Kaysen, 2004. Serum albumin: Relationship to inflammation and nutrition. Semin. Dial., 17: 432-437.
CrossRef  |  PubMed  |  Direct Link  |  

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