Nutritional Monitoring Research Articles

Effectiveness of Using Android-Based Applications for Nutrition Monitoring of Toddlers in Banda Aceh

BACKGROUND: The nutritional situation for toddler in Indonesia is based on the Riskesdas data report that Indonesia still has problems with underweight, stunting, and wasting. Fulfillment of nutritional status information on an individual basis can be fulfilled using the online application system. Problem the quality of data on nutritional status and the process of management that is still being carried out conventionally. It is necessary to design an application that is user-friendly for nutrition workers to monitor the nutritional status and growth and development of children under five in Aceh. AIM: Analyzing the Effectiveness of Using Android Smartphone-Based Applications for Monitoring Nutrition for Toddlers in the city of Banda Aceh. METHODS: This study uses a Research and Development design. This research has been conducted in the Banda Aceh City Region, considering that data on malnutrition is still high, data are available underweight, wasting, and stunting. Primary and secondary data were conducted by interview and observation using a questionnaire training using the Android-based PSG toddler application tool. The research stages were carried out by collect data and proceed with system design using the method prototyping. The validity of the data in this study was carried out using triangulation techniques. Data in the form of words will be processed into meaningful sentences so that information is obtained required. The data analysis phase consisted of data reduction and presentation data (data display) and concluding (conclusion: Drawing/verifying). RESULTS: The results showed that the PSG toddler application had a positive impact and significantly affected the quality of nutrition data, especially nutritional status data toddlers. The Android-based PSG toddler application has a good quality value compared with the use of a nutritional status monitoring book (PSG conventionally). An electronic-based system (PSG toddler application based on android) is of higher quality sound. The output of data analysis is more, both for monitoring and evaluation planning nutrition program and supporting decision-making in handling problems nutritional problems in Banda Aceh. The research results also show an Android-based application, particularly the PSG toddler application, as user-friendliness and are more user-friendly. Application following other nutritional status monitoring programs in calculating nutritional status, PSG Toddlers must cover four indexes: BB/U index, TB/U index, index BB/TB, and index body mass index/U. CONCLUSION: The use of the Android-based Toddler Nutrition Monitoring Application is effective in monitoring the growth and development of toddler nutrition in Aceh.

Branded Foods Databases as a Tool to Support Nutrition Research and Monitoring of the Food Supply: Insights From the Slovenian Composition and Labeling Information System.

Branded foods databases are becoming very valuable not only in nutrition research but also for clinical practice, policymakers, businesses, and general population. In contrast to generic foods, branded foods are marked by rapid changes in the food supply because of reformulations, the introduction of new foods, and the removal of existing ones from the market. Also, different branded foods are available in different countries. This not only complicates the compilation of branded foods datasets but also causes such datasets to become out of date quickly. In this review, we present different approaches to the compilation of branded foods datasets, describe the history and progress of building and updating such datasets in Slovenia, and present data to support nutrition research and monitoring of the food supply. Manufacturers are key sources of information for the compilation of branded foods databases, most commonly through food labels. In Slovenia, the branded food dataset is compiled using standard food monitoring studies conducted at all major retailers. Cross-sectional studies are conducted every few years, in which the food labels of all available branded foods are photographed. Studies are conducted using the Composition and Labeling Information System (CLAS) infrastructure, composed of a smartphone application for data collection and online data extraction and management tool. We reviewed various uses of branded foods datasets. Datasets can be used to assess the nutritional composition of food in the food supply (i.e., salt, sugar content), the use of specific ingredients, for example, food additives, for nutrient profiling, and assessment of marketing techniques on food labels. Such datasets are also valuable for other studies, for example, assessing nutrient intakes in dietary surveys. Additional approaches are also being tested to keep datasets updated between food monitoring studies. A promising approach is the exploitation of crowdsourcing through the mobile application VešKajJeš, which was launched in Slovenia to support consumers in making healthier dietary choices.

School Health and Nutrition Monitoring: What Practitioners and Policy Makers Can Learn from China

School Health and Nutrition Monitoring: What Practitioners and Policy Makers Can Learn from China

Nutrition monitoring in secondary education institutions

Nutrition provided to children at school is a factor that exerts most significant influence on their health. However, certain issues remain unresolved in the sphere and this initiated nutrition monitoring within the "Demography" Russian National Project. The purpose of this study was to analyze the results of nutrition monitoring in secondary education institutions located in Perm region in order to determine priority indicators for its further estimation. Material and methods. We assessed how meals were organized in secondary schools. Data on school meals were obtained by active questioning that involved using specifically designed questionnaires. These data were collected in 60 institutions in 2021 within the "Improvement of public health" Russian Federal Project, an integral part of the "Demography" Russian National Project and within our own research programs (61 institutions, 2008). A specially designed questionnaire included a description of the diet, the number of pupils covered by meals (both organized and independent), teaching methods on healthy eating, ownership of the school canteen, as well as a request for an approximate 10-day menu. The nutrient and energy value of the diets was calculated. Results. We established several trends after analyzing the results of nutrition monitoring in secondary education institutions in Perm region. First, a number of children who had meals at school tended to decrease with age since it went down by 12% in the 5th-9th grade (p=0.0001) and by 34% in the 10th-11th grade (p<0.001) against the 1st-4th grade (93%). Another trend was a rather low share of children who had two meals at school (not more than 20%). We established a correlation between a number of children provided with meals at school and specific organization of nutrition in a given school. Thus, if meals were provided by an outsourcer, this number went down by two times against schools with their own nutrition units. Organization of nutrition also determined costs of a meal (by 1.4 fold higher if provided by an outsourcer) but did not influence their qualitative (nutrient) structure. A number of children who had meals at school decreased against 2008 with significant differences detected in middle school (by 21%). Certain violations of nutrition regimes were established at various stages in the study. Thus, breaks became shorter than required; intervals between meals either grew or decreased improperly. All this can have certain influence on a number of children who have meals at school. In 2021, meals provided at school conformed to the existing hygienic standards as per nutritional value. Thus, breakfast provided 26-33% of the age-specific physiological needs; lunch, 38-49%. They also contained balanced quantities of basic macronutrients (the content of proteins, fats and carbohydrates in terms of calories: 14, 32 and 54%) but there was still imbalance in contents of minerals (calcium, phosphor, and magnesium: 1 : 1.7 : 0.6) due to calcium deficiency. Conclusion. It is advisable to continue nutrition monitoring with greater attention paid to such indicators as a number of children provided with hot meals, nutrition regime, qualitative and quantitative structure of diets. In addition, it is recommended to estimate a number of children in middle and senior school who have meals at school and are free to choose from several courses.

Joint effects of self-reported sleep and modifiable physical activity on risk of dyslipidaemia in women aged 45–55 years: a cross-sectional study

ObjectivesModifiable physical activity (PA) plays an important role in dyslipidaemia risk in middle-aged women with sleep problems, especially perimenopausal women. We aimed to explore the joint effects of sleep and...

Организация питания школьников как актуальная гигиеническая проблема современности

Objective. To study the organization of school-age child nutrition as a current hygienic problem in the development of alimentarydependent pathology. Materials and methods. Hygienic, questionnaire/interview, and statistical research methods were used in this study, which was conducted in 66 regions of the Russian Federation and enrolled the heads of general education institutions (n = 3278), food service administrators (n = 712), students at general education institutions and their parents (n = 113,078). Results. The following main risk factors were identified: low coverage of hot meals among students in grades 10–11 (59.7%), insufficient content of food and dishes enriched with vitamins and micronutrients (48.8% compared to 79.2% when using outsourcing services), leading positions in the menu of dishes and products not corresponding to the principles of a healthy diet (pastries and confectionery products). The prevalence of overweight and obesity was high among children in grades 1–4 (34.6%) and, in some regions, in older age groups as well. Conclusion. Scientific analysis confirmed a high importance of monitoring the school-age child nutrition in identifying risk factors for alimentary-dependent diseases, which is the basis for the development of preventive measures. Key words: school-age children, healthy diet, alimentary-dependent pathology, nutrition monitoring, obesity, organized child nutrition

Assessment of dietary nutrient intake and its relationship to the nutritional status of children with congenital heart disease in Guangdong province of China.

Congenital heart disease (CHD) is the common congenital malformations in children and cause malnutrition. We determine the association between dietary nutrient intake and nutritional status of children with CHD. 428 children of age 1-10 years with CHD admitted. The dietary nutrient intake was recorded after 3 days of 24-h recall. The growth and nutritional status of children were evaluated using anthropometric measurements and z-scores. The prevalence of malnutrition was 37.6% in CHD. 57.8%, 12.6%, 43.8%, and 40.6% of children did not meet their requirements for energy, protein, fat, and carbohydrate, respectively. The prevalence of insufficient intake was 88.3% for calcium, 35.9% for magnesium, 21.9% for iron, and 12.5% for zinc. 15%-86% of children did not meet vitamin requirements. 85.2% and 53.9% of children did not meet their requirements for vitamin A and vitamin C. The prevalence of insufficient intake was 39.1% for thiamin, 24.2% for riboflavin, 15.6% for niacin and 28.1% for vitamin E. Compared with the normal nutrition group, malnutrition group had a relatively lower intake of proteins, iron, zinc and vitamin E. An obvious deficiency of dietary nutrient intake was found among children with CHD, especially CHD with malnutrition. Dietary intake related to the nutritional status of children with CHD. The gap between actual consumption and recommendation indicates a need for improved nutritional counseling and monitoring. Early interventions targeting the dietary intakes of children with CHD may be a benefit for long-term effects associated with nutritional status.

A comparative analysis among three world health organization growth charts

Background: India is in a phase of nutrition transition. Child nutrition and growth monitoring services are provided under the state-run Integrated Child Development Scheme program. Classically, only one kind of growth chart is used to quantify nutrition status and categorize the children. Materials and Methods: This cross-sectional study involving 222 children was done to compare the outcome of nutritional status evaluated using three World Health Organization growth charts: weight-for-age, height-for-age, and weight-for-height. The results obtained by the use of these three charts were further compared and analyzed for concordance. Results: The three growth charts showed that 58% of children were underweight, 53% had stunting, and 35% were wasted among the study population. The comparisons using sensitivity/specificity, Kappa statistics, and ANOVA showed bidirectional disagreements between the three charts. Similar results could be deduced from large surveys done previously in Iraq and Congo. Conclusion: Hence, simultaneous use of three growth charts to categorize nutrition status is essential. This will help in preventing missing out cases of malnutrition and perhaps may aid in detecting child malnutrition at a relatively earlier stage.

Analysis of quality of life and risk factors in 122 patients with persistent hemodialysis.

Objectives:To summarize existing evidence on the quality of life and influencing factors in maintenance hemodialysis (MHD) patients.Methods:Total 122 MHD patients treated in the department of hemodialysis, Liyang branch of Jiangsu Provincial People’s Hospital from January 2018 to June 2020 were selected as the patient group. and 98 healthy persons in the same period were selected as the control group. The quality of life of the two groups was investigated by SF-36 score scale. At the same time, the clinical data of the patient group were investigated. Influencing factors of patients’ quality of life were analyzed by univariate test, and independent risk factors were analyzed by logistic multiple regression.Results:Univariate analysis showed that age, education, marital status, dialysis time, urea clearance index (Kt/V), income level, diabetic nephropathy, nutritional status, medical insurance type, depression and anxiety were single factors influencing the quality of life of MHD patients (P<0.05). Logistic multiple regression analysis showed that age ≥ 60 years, dialysis time ≥ one year, income less than 3000 yuan/month, primary disease is diabetic nephropathy., low medical insurance reimbursement, depression and anxiety were independent risk factors affecting the quality of life of MHD patients (P < 0.05).Conclusions:There was a relatively high proportion of patients with age ≥ 60 years, dialysis time ≥ one year, income less than 3000 yuan/month, primary disease is diabetic nephropathy, low medical insurance reimbursement, depression and anxiety. Timely nursing interventions such as reasonable nutritional support, comprehensive monitoring and psychological counseling for patients with the above situation may be helpful in improving quality of life of MHD patients.

Low Prevalence of Protein Energy Wasting in Advanced Chronic Kidney Disease Patients Managed with a Nutritional Monitoring Program

Low Prevalence of Protein Energy Wasting in Advanced Chronic Kidney Disease Patients Managed with a Nutritional Monitoring Program

Factors associated with minimum dietary diversity failure among Indian children

Recognising the importance of infant and young child feeding practices during the first 2 years of life, the World Health Organization's Global Nutrition Monitoring Framework developed a minimum dietary diversity (MDD) indicator for feeding children aged 6-23 months. MDD is defined as the consumption of food items from five or more groups out of a total of eight food groups. Food intake from less than five food groups is considered minimum dietary diversity failure (MDDF). Using the nationally representative National Family Health Survey (NFHS) dataset, the present study assessed the trend in MDDF between 2005-6 and 2015-16 and the factors associated with MDDF among children aged 6-23 months during 2015-16. The NFHS conducted in 2005-6 and 2015-16 covered a sample of 14 419 and 74 078 children aged 6-23 months, respectively. Overall, the MDDF reduced from 87⋅4 % (95 % confidence interval (95 % CI) 86⋅8 %, 87⋅9 %) in 2005-6 to 80⋅6 % (95 % CI 80⋅1 %, 81⋅0 %) in 2015-16. Multivariable logistic regression analysis revealed that increased child's age, second and third birth order children, higher maternal age and education, mass media exposure of mothers and more than four antenatal care visits had a negative association with the MDDF. Children living in rural areas and residing in high-focus states of India were observed with higher odds of experiencing MDDF. Exposure to community healthcare services was negatively associated with MDDF, and anaemic children were more likely to have MDDF. Socioeconomic status of mothers and children and encouragement of maternal and child healthcare use could be helpful in devising context-specific intervention to mitigate MDDF.

Босецька Н. Г., Бровенко Т. В., Перепелиця В. В. ПРАКТИКИ ЗДОРОВОГО ХАРЧУВАННЯ: ЄВРОПЕЙСЬКИЙ ДОСВІД

The article substantiates the expediency of studying European experience in solving modern problems of healthy nutrition. Healthy nutrition strategies in European countries: Finland, Switzerland, Spain, Germany were analyzed. It was determined that each of the countries has principles and special experience. The graphic form was chosen to demonstrate healthy eating recommendations for all segments of the population. Nutrition monitoring of the population of European countries identified individual characteristics typical for European countries, which in turn formed special food pyramids. The basic elements of the WHO three-level food pyramid are provided and recommendations for reducing the consumption of fats and free sugars in the diet are applied. The experience of European restaurants, which position themselves in the segment of healthy food according to the developed general and special criteria, is analyzed. It has been established that vegetarianism and veganism are mostly understood by European institutions as healthy food.

Influência de fatores clínicos e socioeconômicos no estado nutricional de pacientes pediátricos com fibrose cística

Objective: To verify the influence of clinical and socioeconomic factors on the nutritional status of pediatric CF patients treated at a referral care facility in the State of Piauí and to describe their general profile. METHODS: This was an observational cross-sectional retrospective descriptive study with secondary data analysis, performed by data from medical records of 23 patients under 16 years of age with confirmed cystic fibrosis, attended at 2018, were collected. RESULTS: There was a slight predominance of male and brown, homozygous (p=0.05), from southeast Piaui, in school age group. Age at diagnosis was 2.0±3.0 years, with 13% asymptomatic. Respiratory symptoms and growth deficits were the main initial manifestations. 47.8% were diagnosed by neonatal screening. Most had good and excellent score for the Shwachman-Kulczycki score, average of 78.5±16.7. Most were eutrophic, with adequate Z-score values. Influence of nutritional status on the Shwachman-Kulczycki score was noted, and the latter was found to be significantly lower (p=0.037) in patients with nutritional deficit. DISCUSSION: There was a delay in the diagnosis of these patients, with low coverage of neonatal screening tests. The socioeconomic and clinical aspects did not influence the nutritional status, except for the severity score that was worse in those with nutritional deficit. CONCLUSION: Nutritional status influenced the severity score, confirming the importance of adequate management and nutritional monitoring for improving the quality of life.

Facility Based Management of Child Malnutrition- Lesson Learnt from a North Gujarat Study

Introduction: Malnutrition is a key health problem in India and Gujarat. Mission BalamSukham was launched to overcome malnutrition. Facility-based management of malnutrition is one of two components of this program. Objectives: 1. To evaluate Strengths, Weaknesses, Opportunities and Challenges (or Threats) of Child Malnutrition Treatment Centre (CMTC) and Nutrition Rehabilitation Centre (NRC). 2. To project into areas that needs improvement to overcome the centres’ weaknesses and challenges. Method: In-depth interviews were taken for health workers and beneficiaries of NRC and CMTC of Patan district till saturation of responses. Transcripts were made and themes were analysed based on the SWOC matrix. Results: Major issues identified by the study were absence of continuous financial support to operationalize CMTCs selected under Gatishil Gujarat program, Absence of Paediatrician, lack of awareness regarding child nutrition over night stay at centre and quality of training. Conclusion: Some internal weaknesses and strengths were acknowledged. Only facility-based management of SAM children did not make a difference in community. Training of ASHA and Anganwadi worker about nutritional counselling, screening and monitoring of SAM child is needed to strengthen the community-based management of SAM children.

Pemberdayaan Masyarakat Desa Bantarsari dalam Meningkatkan Kualitas Monitoring Perkembangan Gizi Bayi

Pelaksanaan kegiatan pengabdian pada masyarakat di Desa Bantarsari Kabupaten Bogor bertujuan untuk memberdayakan warga Desa Bantarsari khususnya kader posyandu dalam meningkatkan kualitas pemantauan gizi balita. Adapun kegiatan yang diberikan adalah pelatihan penggunaan aplikasi Smart Posyandu. Aplikasi dibuat berdasarkan kebutuhan dari mitra yaitu Posyandu Bantarsari. Evaluasi kegiatan dilakukan dengan memberikan kuesioner terdiri dari 13 pertanyaan yang tersebar ke lima variabel. Hasil evaluasi menunjukkan bahwa aplikasi Smart Posyandu dapat membantu pekerjaan para peserta dalam meningkatkan kualitas pemantauan gizi balita serta mudah digunakan. Para peserta juga termotivasi untuk menggunakan aplikasi Smart Posyandu. Secara keseluruhan para peserta merasa puas atas kegiatan pelatihan yang diberikan.

Hubungan Tingkat Pengetahuan Ibu dengan Pemberian ASI Eksklusif pada Bayi 0-6 Bulan di Puskesmas Motoboi Kecil

Introduction: Based on the results of nutritional status monitoring conducted in Indonesia in 2017, the exclusive breastfeeding coverage was 35.7%. The annual report data of the Motoboi Kecil Health Center, South Kotamobagu District in 2020, the exclusive breastfeeding coverage in 2017, 2018, and 2019 were 80.0%, 83.8%, and 75.7% respectively. Exclusive breastfeeding is breastfeeding without additional food provided for infants aged 0 to 6 months. The purpose of this study was to analyze the relationship between maternal knowledge and exclusive breastfeeding for infants 0-6 months at the Motoboi Kecil Health Center. Method: This study applied an observational study with a cross-sectional study design. The study population was all mothers with infants aged 0-6 months in the working area of Motoboi Kecil Health Center, with a total of 169 individuals and a sample size of 60. The sampling technique used simple random sampling. The variables were maternal knowledge and exclusive breastfeeding. The statistical test was carried out using the chi-square test. Results: The study showed that the level of maternal knowledge was associated with exclusive breastfeeding for infants 0-6 months at the Motoboi Kecil Health Center with a p-value = 0.004. Conclusion: There is a relationship between the level of maternal knowledge and exclusive breastfeeding. It is advised that the mothers increase their knowledge so that they can provide exclusive breastfeeding for their infants.

Implementation of child nutrition anthropometry pocketbook for early childhood education to increase the ability of teachers to assess nutritional status of early childhood education students in Gianyar Regency, Bali, Indonesia

Introduction: The age of preschool children is the golden age where the physical and psychological is rapidly developing then it is necessary to fulfil the nutritional needs. This is a period that is vulnerable to under-nutrition and over-nutrition. To deal with these problems, nutritional monitoring status must be carried out jointly between teachers, parents, and health care workers. Most early childhood education teachers have not assessed children's nutritional status and only weighed them. Based on these problems, the early childhood education Anthropometry Pocket Book was made to assist teachers in determining the nutritional status of children.Method: The study used a different subject design and was carried out in April-October 2021 involving 52 samples, divided into two groups, namely the Control Group with 26 people and the Treatment Group with 26 people. The data collected such as sample identity and data on the ability of teachers to assess nutritional status using the BW/Age, Height/Age, BW/H, and BMI/A indexes before and after the intervention in the Control and Treatment Group. The data were analyzed descriptively by looking for the mean, standard deviation, and different tests were carried out to determine the difference in the effect of treatment on the control group and the treatment group, statistical tests Independent samples t-test at significance level (0.05) used on homogeneous data and Mann Whitney test on inhomogeneous data.Result: The results showed that the average ability of teachers to assess children’s nutritional status in the Treatment Group was higher than the Control Group after being given the intervention. The enhancement before and after intervention in the control group with body weight/age (BW/A) index was 69.1%, height/ age (H/A) was 67.0%, BW/A was 71.5%, and body mass index/age (BMI/A) was 95.4%. While the increase in the Treatment Group with index BW/A 235.9%, H/A 220.5%, body weight/height (BW/H) 225.8%, and BMI/A 141.5%. Conclusion: Statistical analysis Independent samples t-test at the significance level ?=0.05 showed that there was a significant difference (p&lt;0.05) in the teacher's ability to assess the nutritional status of children with the index BW/A, H/A, BW/H, and BMI/A in the control group with treatment after intervention. The teachers of early childhood education are always expected to make it a habit to monitor children's nutritional status using a pocketbook on child nutrition anthropometry that has been applied.

Physical activity and sedentary time in a multimodal lifestyle intervention in prodromal Alzheimer’s disease: The MIND‐ADMINI pilot trial

AbstractBackgroundAlzheimer’s disease (AD) is multifactorial. Interventions simultaneously targeting multiple risk factors are most likely to be effective, as demonstrated in the 2‐year Finnish Geriatric Intervention Study to Prevent Cognitive Impairment and Disability (FINGER). While patients with prodromal AD represent a group with high risk of progressing to dementia, no trials have tested the feasibility of multimodal interventions in prodromal AD. The main purpose of the MIND‐ADMINI was to evaluate the overall adherence to such multimodal intervention. This sub‐study focuses on exploratory outcomes which included physical performance and physical activity (PA) levels.MethodMIND‐ADMINI is a 6‐month multicenter (Sweden, Finland, Germany, France) randomized controlled pilot trial. Participants with prodromal AD, between 60 and 85 years were randomized into three groups: usual care (control (C)), multidomain lifestyle intervention combining nutritional guidance, cognitive training, exercise, and careful monitoring of vascular risk factors (ML), or multidomain lifestyle intervention+medical food (ML+MF) (Fortasyn Connect). The multidomain lifestyle intervention was based on the FINGER model and included a progressive aerobic‐ and strength training program. Moderate to vigorous physical activity (MVPA), light activity, step counts, and time (min/day) spent sedentary were evaluated using data from a hip‐worn accelerometer. For each outcome, 6‐month values were regressed on baseline to estimate change.ResultsBaseline accelerometry data was available for 66 of 69 participants in Sweden, Finland, and France. At the 6‐month follow‐up, accelerometry data from 55 participants was included. At baseline mean age (SD) was 72,9 (6,2) years, 50,7% were men, and MMSE score was 27,6 (1,6) points. No significant values were found. At follow‐up, all groups increased their sedentary time, C (8,3%), ML (9,3%) and ML+MF (1,6%). Increased step count (3,4%) time in MVPA (2,8%) and light activity (9,5%) was observed during follow‐up in the ML+MF group.ConclusionsMeasurement of physical activity level using a hip‐worn accelerometer was feasible in this population. The observed increased time in MVPA, light activity and step counts in ML+MF group at the same time as sedentary time increased in all three groups between baseline and 6‐months follow‐up highlight the importance of physical activity as a part of multidomain lifestyle interventions in persons with prodromal AD.

Pilot trial of remote monitoring to prevent malnutrition after hepatopancreatobiliary surgery

BackgroundPatients undergoing hepatopancreatobiliary (HPB) surgery, such patients with pancreatic, periampullary, and liver cancer, are at high risk for malnutrition. Malnutrition increases surgical complications and reduces overall survival. Despite its severity, there are limited interventions addressing malnutrition after HPB surgery. The aim of this pilot trial was to examine feasibility, acceptability, usability, and preliminary efficacy of a remote nutrition monitoring intervention after HPB surgery.MethodsParticipants received tailored nutritional counseling before and after surgery at 2 and 4 weeks after hospital discharge. Participants also recorded nutritional intake daily for 30 days, and these data were reviewed remotely by registered dietitians before nutritional counseling visits. Descriptive statistics were used to describe study outcomes.ResultsAll 26 patients approached to participate consented to the trial before HPB surgery. Seven were excluded after consent for failing to meet eligibility criteria (e.g., did not receive surgery). Nineteen participants (52.6% female, median age = 65 years) remained eligible for remote monitoring post-surgery. Nineteen used the mobile app food diary, 79% of participants recorded food intake for greater than 80% of study days, 95% met with the dietitian for all visits, and 89% were highly satisfied with the intervention. Among participants with complete data, the average percent caloric goal obtained was 82.4% (IQR: 21.7).ConclusionsThis intervention was feasible and acceptable to patients undergoing HPB surgery. Preliminary efficacy data showed most participants were able to meet calorie intake goals. Future studies should examine intervention efficacy in a larger, randomized controlled trial.Trial registrationClinicaltrials.gov. Registered 16 September 2019, https://clinicaltrials.gov/ct2/show/NCT04091165.

Factors Related to Exclusive Breastfeeding in East Java – Indonesia

Exclusive Breast Feeding (EBF) is very crucial for the growth and development of toddlers in the future, both physically and mentally. The study aims to analyze factors related to EBF in East Java, Indonesia. The analysis material for the study was the 2017 Indonesian Nutritional Status Monitoring, a cross-sectional survey. In East Java, the study obtained 3977 toddlers using the multi-stage cluster random sampling process. The study used binary Logistic Regression tests to interpret the data. The results show for toddlers living in cities have a 0.951 times lower probability of experiencing EBF than toddlers residing in rural areas. Toddler age (in months) is one of the determinants of EBF. All categories of maternal marital status are more likely than mothers who are never married to having an EBF toddler. All maternal education levels have a better chance than mothers who have no education to have EBF children. Except for mothers in the senior high school category, which has no significant relationship with the incidence of EBF in children under five in East Java, Indonesia. The study also found toddler’s age associated with the incidence of EBF in children under five in East Java, Indonesia. Finally, the toddler boy has a probability of 0.943 times compared to the toddler girl to experience EBF in East Java in Indonesia. The study concluded that six variables were related to the incidence of EBF in East Java - Indonesia, namely residence, mother’s age, mother’s marital, mother’s education, toddler’s age, and toddler’s gender.