Provision of Local Food Based Nutrition Support to Adenocarcinoma Rectosigmoid Pre-Surgical Patient

@#According to ESPEN, surgical and cancer patients with high risk of malnutrition need to receive additional nutrition during the perioperative period. Most of the hospitals in Indonesia provide that through enteral food that is made of real food (homemade/non-industrial) for surgical patients. But this kind of enteral nutrition has several weaknesses. The development of enteral food has been done using local food that has complete nutrients and it can be given to surgical patients. This research aims to provide nutritional foods with high protein and antioxidants for malnourished recti cancer patients undergoing surgery. This product was made from local Indonesian food ingredients that is safe to consume and widely accepted by patients. The result showed that the effect of additional nutritional support through the formulated enteral food showed changes in the patient’s nutritional status during the perioperative period. Also, the absence of postoperative complications indicates that this nutritional support is effective for surgical patients during the preoperative period.

Maternal Determinants of Feeding Practices among Children Under Two Years in Sleman District, Yogyakarta, Indonesia

@#Introduction: Optimum feeding practices can help children under two years old achieve a pivotal period of growth, health, behaviour and intellectual development. However, suboptimal feeding practices are still found in developing countries, and are influenced by maternal factors. We aim to investigate maternal education, employment, age, and feeding practices among children under two years old in Sleman District, Yogyakarta, Indonesia. Methods: The study was a cross-sectional design involving 388 mothers who had 0–24 months old children. The subjects were taken from the Sleman Health and Demographic Surveillance System, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada in 2019. The association between maternal determinants and feeding practice was analyzed using fisher’s exact and chi-square test. Results: 21.1% of children were started on infant formula at 0–6 months old. The first initiation of fruits, milk enriched porridge, and soft foods was mainly in 6–9 months old infants (63.1%; 46.6%; 49.0%), once (74.7%), twice (48.8%) and three times daily (46.1%), respectively. 30.9% of children had been given solid foods in >12 months old, three times daily (66.3%). There was a significant association between maternal employment to the first initiation and the daily frequency of infant formula (p<0.001 and p=0.008), maternal education to the daily frequency of fruits (p=0.020) and soft foods (p=0.013) feeding. Conclusion: Maternal education and employment are associated with feeding practices among children under two years old. Education on child feeding is recommended to increase their practice.