DOI: https://doi.org/10.14710/jnc.v13i4.40407

FORMULASI FORMULA ENTERAL BLENDERIZED NON MILK BASED

1Program Studi Pendidikan Profesi Dietisien Departemen Gizi, Fakultas Ilmu Kesehatan, Universitas Brawijaya, Malang, Jawa Timur, Indonesia

2Program Studi Sarjana Ilmu Gizi, Departemen Gizi, Fakultas Ilmu Kesehatan, Universitas Brawijaya, Malang, Jawa Timur, Indonesia

Received: 11 Aug 2023; Revised: 19 Mar 2024; Accepted: 13 May 2024; Available online: 22 Oct 2024; Published: 22 Oct 2024.

Citation Format:
Abstract

ABSTRACT

Background: Hospital enteral formula with lactose-free content is still rare, meanwhile lactose-free enteral food is needed, especially with patients who have lactose intolerance. On the other side, lactose-free commercial formulas are quite expensive which can often exceed the food budget, especially for patients with low health insurance costs. As a budget efficiency, it is necessary to innovate in making lactose-free hospital enteral formula. This formulation uses the main ingredient in the form of soy flour which has a higher protein content than other nuts and does not contain lactose and has a more affordable price

Objectives: Knowing the difference in nutritional value, production price, and viscosity in blenderized enteral formula with commercial formula.

Methods: The design of this study was using Complete Randomized Design. The sample from this study consisted of 2 lactose-free blenderized enteral formulas and 2 lactose-free commercial enteral formulas. Each sample was replicated 3 times with groups FB1, FB2, FK brand X, and FK brand Y. Differences in energy content, macronutrients, production prices, and viscosity were analyzed using the Kruskal Wallis test on SPSS 25 and continued with the Mann Whitney follow-up test.

Results: There is a difference in nutritional value between the 2 non-milk-based blenderized enteral formulas and the 2 non-milk-based commercial enteral formulas (p = 0.012), there is a difference in production costs between the 2 non-milk-based blenderized enteral formulas and the 2 non-milk-based commercial enteral formulas (p = 0.012), the fastest viscosity test is the blenderized enteral formula code B.

Conclusion: The blenderized enteral formula used in this study can be considered as a hospital formula to replace commercial enteral formula because it is proven to have equivalent nutritional value, more affordable production costs, and a viscosity that meets enteral food requirements.

Keywords : enteral formula blenderized; non milk based; soybean flour

 

ABSTRAK

Latar belakang: Formula enteral rumah sakit dengan kandungan bebas laktosa masih jarang ditemui, sementara makanan enteral bebas laktosa sangat diperlukan terutama dengan pasien yang memiliki intoleransi laktosa. Di sisi lain, formula komersial bebas laktosa memiliki harga yang cukup mahal yang seringkali dapat melebihi anggaran biaya makan terutama pada pasien dengan biaya jaminan kesehatan yang rendah. Sebagai efisiensi anggaran biaya tersebut, perlu adanya inovasi pembuatan formula enteral rumah sakit berbasis bebas laktosa. Formulasi ini menggunakan bahan utama berupa tepung kedelai yang memiliki kandungan protein lebih tinggi dari kacang lainnya dan tidak mengandung laktosa serta memiliki harga yang lebih terjangkau.

Tujuan: Mengetahui perbedaan energi, zat gizi makro, harga produksi, dan viskositas pada formula enteral blenderized bebas laktosa dengan formula komersial bebas laktosa.

Metode: Desain penelitian ini adalah Rancang Acak Lengkap (RAL). Sampel dari penelitian ini terdiri dari 2 formula enteral blenderized bebas laktosa dan 2 formula enteral komersial bebas laktosa. Masing-masing sampel direplikasi 3 kali dengan kelompok FB1, FB2, FK merk X, dan FK merk Y. Perbedaan kandungan energi, zat gizi makro, harga produksi, dan viskositas dianalisis dengan menggunakan uji Kruskal Wallis pada SPSS 25 dan dilanjutkan dengan uji lanjutan Mann Whitney.

Hasil: Terdapat perbedaan pada energi dan zat gizi makro pada 2 formula enteral blenderized non milk based dan 2 formula enteral komersial non milk based (p= 0,012), terdapat perbedaan biaya produksi antara 2 formula enteral blenderized non milk based dan 2 formula enteral komersial non milk based (p= 0,012), uji viskositas tercepat adalah formula enteral blenderized B.

Simpulan: Formula enteral blenderized non milk based yang digunakan pada penelitian ini dapat dipertimbangkan menjadi formula rumah sakit pengganti formula enteral komersial non milk based karena terbukti memiliki nilai gizi yang setara, biaya produksi lebih terjangkau, dan viskositas yang memenuhi syarat makanan enteral.

Kata Kunci : formula enteral blenderized; tanpa susu; tepung kedelai

Fulltext View|Download
Keywords: formula enteral blenderized; tanpa susu; tepung kedelai

Article Metrics:

Article Info
Section: Articles
Language : ID
Recent articles
PERAN KANDUNGAN ZAT GIZI DAN SENYAWA BIOAKTIF PISANG TERHADAP TINGKAT NAFSU MAKAN : A LITERATURE REVIEW SARKOPENIA PADA PASIEN HEMODIALISIS PERNIKAHAN DINI DAN ASUPAN GIZI TERHADAP KEJADIAN ANEMIA PADA IBU HAMIL: STUDI LITERATUR More recent articles
  1. Boullata JI, Carrera AL, Harvey L, Escuro AA, Hudson L, Mays A, et al. ASPEN Safe Practices for Enteral Nutrition Therapy. J Parenter Enter Nutr [Internet]. 2017 [cited 2023 Jun 2];41(1):0148607116673053. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1177/0148607116673053
  2. Doley J. Enteral Nutrition Overview. Nutrients [Internet]. 2022 Jan [cited 2023 Jun 2];14(11):2180. Available from: https://www.mdpi.com/2072-6643/14/11/2180
  3. Nissa C, Rahadiyanti A, Dieny FF, Fitranti DY. Modul Praktikum Enteral dan Parenteral Nutrition. K-Media; 2019
  4. Syarif BH, Widodo A. Lactose intolerance in Indonesian children. Asia Pac J Clin Nutr [Internet]. 2015 [cited 2024 Mar 14];24:S31–40. Available from: http://www.scopus.com/inward/record.url?scp=84958179444&partnerID=8YFLogxK
  5. Hilmansyah T, Subagio HW, Kern A. FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN DIARE DI UNIT STROKE RSUP DR. KARIADI: IJCNP Indones J Clin Nutr PHYSICIAN [Internet]. 2022 Feb 28 [cited 2023 Jun 2];5(1):60–8. Available from: https://www.journal-ijcnp.com/index.php/IJCNP/article/view/85
  6. Maris I, Radiansyah MR. Review of Plant-Based Milk Utilization as a Substitute for Animal Milk. Food Sci J Food Sci Technol. 2021;1(2):103–16
  7. Sulistiyono P, Hariyanto Y, Priyadi I, Putri LF, Rilkiyanti O. View of Analisis dan Sinkronisasi Tabel Komposisi Pangan Aplikasi Nutrisurvey Versi Indonesia [Internet]. [cited 2024 Mar 14]. Available from: https://www.nutrisiajournal.com/index.php/JNUTRI/article/view/201/78
  8. PT. Otsuka Indonesia. Proten [Internet]. [cited 2024 Mar 14]. Available from: https://nutricalc.otsuka.co.id/product/1
  9. Lestari S, A MR, J DS, T LE. MODIFIKASI FORMULA ENTERAL RUMAH SAKIT SIAP SEDUH: MODIFICATION OF POWDERED, READY TO BREW HOSPITAL-MADE FORMULA. J GIZI DAN Kesehat [Internet]. 2019 Jul 4 [cited 2023 Jun 2];11(26):97–104. Available from: https://jurnalgizi.unw.ac.id/index.php/JGK/article/view/51
  10. Raymond JL, Morrow K. Krause Mahan’s Food & The Nutrition Care Process 15th Edition. Canada: Elsevier; 2021
  11. Sutikno V, Rahadiyanti A, Fitranti DY, Afifah DN, Nissa C. GLITEROS enteral formula based on tempeh flour and jicama flour for patients with hyperglycemia. Food Res [Internet]. 2020 May 30 [cited 2023 Jun 2];4(S3):38–45. Available from: https://www.myfoodresearch.com/uploads/8/4/8/5/84855864/_7__fr-ictmhs-s17_sutikno.pdf
  12. Anjani SI, Farishal A, Berawi KN. Potensi Isoflavon Kedelai sebagai Terapi Tambahan Diare Akut pada Anak. AGROMEDICINE UNILA [Internet]. 2019 Oct [cited 2023 Jun 2];6(2). Available from: http://juke.kedokteran.unila.ac.id/index.php/agro/article/view/2419/pdf
  13. Ariani D, Angwar M, Khasanah Y, Ratnayani R, Nuraeni T. Pemberian makanan enteral berformulasi bahan pangan lokal terhadap kadar zat besi dan hemoglobin pada tikus putih (Rattus norvegicus). J Gizi Klin Indones [Internet]. 2013 Jul 30 [cited 2023 Jun 2];10(1):48–54. Available from: https://journal.ugm.ac.id/jgki/article/view/18846
  14. Aliyah S, Setiawati SI. PERBANDINGAN FORMULA ENTERAL RENDAH LEMAK BERBASIS TEPUNG EDAMAME DENGAN FORMULA KOMERSIAL RENDAH LEMAK [Comparison of Edamame Flour Based Low Fat Enteral Formula with Commercial Low Fat Formula]. Media Gizi Indones. 2018;
  15. Jonkers-Schuitema CF. Basics in clinical nutrition: Diets for enteral nutrition. E-SPEN Eur E-J Clin Nutr Metab [Internet]. 2009 Aug [cited 2023 Jun 2];4(4):e168–9. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1751499109000328

Last update:

No citation recorded.

Last update:

No citation recorded.