DOI: https://doi.org/10.14710/jgi.9.2.128-135

Catfish (Clarias sp.) as an animal protein source to improve serum albumin levels of hemodialysis patients

Universitas Respati Yogyakarta, Indonesia

Received: 13 May 2020; Published: 30 Jun 2021.

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Abstract

Background: Hemodialysis patients often experience hypoalbuminemia complications, which occur mainly due to decreased synthesis due to inflammation, lack of protein intake, the fluid status of patients, and losses from the dialysate. Another problem in hemodialysis is malnutrition, with a prevalence between 23–73% globally. Gastrointestinal disorders such as nausea, vomiting, and decreased appetite also often occur in hemodialysis. Therefore, hemodialysis patients need to get nutritional support, which can be given in the form of catfish abon, one of the local Indonesian food.

Objective: To determine the effectiveness of the use of catfish as a source of animal protein to improve the albumin levels of hemodialysis patients.

Materials and Methods: This was a quasi-experimental study with a pre-post test design. This study involved 34 hemodialysis patients as subjects, with inclusion criteria, were routinely two times a week, aged >18 years, willing to be the subject and follow the research procedures, have albumin levels ≥3.0 g/dL, and no catfish allergies. Patients with anasarca edema, experiencing complications of diabetes mellitus and malignancy were excluded. The dependent variable was albumin content, while the independent variable was catfish as an animal protein source. Data were analyzed univariate and bivariate by Fisher's Exact test.

Results: Fisher's Exact test results on the effectiveness of using catfish as an animal protein source to improve albumin levels of hemodialysis patients showed p-value=0.048.

Conclusion: The use of catfish as an effective animal protein source significantly affected on improving albumin levels in hemodialysis patients.
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Keywords: Nutritional support; Catfish (Clarias sp.); Albumin levels; Hemodialysis patients.
Funding: Ministry of Research, Technology, and Higher Education of Republic of Indonesia

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  1. Ghorbani A, Hayati F, Karandish M, Sabzali S. The prevalence of malnutrition in hemodialysis patients. J Renal Inj Prev 2020;9(2):1–6
  2. Ministry of the Health Republic of Indonesia. Hasil utama riskesdas 2018. Jakarta: Ministry of the Health Republic of Indonesia; 2018
  3. Rivai AT. Status albumin serum pasien penyakit ginjal kronik yang menjalani hemodialisis di rumah sakit cipto mangunkusumo pada bulan februari 2009 dan hubungannya dengan lama hemodialisis [Artikel Penelitian]. Jakarta: Universitas Indonesia; 2009
  4. Wi JW, Kim N. Assessment of malnutrition of dialysis patients and comparison of nutritional parameters of CAPD and hemodialysis patients. Biomed Sci Letters 2017;23(3):185–193
  5. Qureshi AR, Alvestrand A, Divino-Filho JC, Gutierrez A, Heimburger O, Lindholm B, Bergstrom J. Inflammation, malnutrition, and cardiac disease as predictors of mortality in hemodialysis patients. JASN 2002;13:S28–S36
  6. Suhardjono. Buku ajar ilmu penyakit dalam jilid 2 edisi 3. Jakarta: Balai Penerbit FKUI; 2001
  7. Sridhar NR, Josyula S. Hypoalbuminemia in hemodialyzed end-stage renal disease patients: risk factors and relationships - a 2-year single-center study. BMC Nephrol 2013;14(242):1–9
  8. Kim Y, Molnar MZ, Rattanasompattikul M, Hatamizadeh P, Benner D, Kopple JD, Kovesdy CP, Kalantar-Zadeh K. Relative contributions of inflammation and inadequate protein intake to hypoalbuminemia in patients on maintenance hemodialysis. Int Urol Nephrol 2013; 45:215–227
  9. Widiany FL, Afriani Y. Pemantauan gizi dengan SMS reminder efektif meningkatkan kepatuhan diet pasien hemodialisis. Jurnal Gizi Klinik Indonesia 2019;15(3):89–94
  10. Widiany FL, Afriani Y. Pemberian SMS reminder efektif memperbaiki status gizi antropometri pasien hemodialisis. Ilmu Gizi Indonesia 2017;01(01):49–53
  11. Widiany FL, Afriani Y, Rohman A. The effectiveness of nutritional monitoring by short message service reminder to albumin level of hemodialysis patients. J Nutr Sci & Diet 2018;4(3):Summer
  12. Widiany FL. Faktor-faktor yang mempengaruhi kepatuhan diet pasien hemodialisis. Jurnal Gizi Klinik Indonesia 2017;14(2):72–79
  13. Lajuck KS, Moeis ES, Wongkar MCP. Status gizi pada pasien penyakit ginjal kronik stadium 5 yang menjalani hemodialisis adekuat dan tidak adekuat. Jurnal e-Clinic 2016;4(2)
  14. Price SA, Wilson LA. Patofisiologi konsep klinis proses-proses penyakit edisi 6 volume 2. Jakarta: EGC; 2006
  15. Damayanti P, Apen, Lisa A. Karakteristik penderita gagal ginjal kronis yang dilakukan hemodialisis; 2014
  16. Kamaluddin R, Rahayu E. Analisis faktor-faktor yang mempengaruhi kepatuhan asupan cairan pada pasien gagal ginjal kronik dengan hemodialisis di RSUD Prof. Dr. Margono Soekarjo Purwokerto. Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing) [series online] 2009;4(1). Available from: URL: http://jks.fikes.unsoed.ac.id/index.php/jks/article/view/218
  17. Notoatmojo S. Metodologi penelitian kesehatan. Jakarta: Rineka Cipta; 2002
  18. Sacher, Ronald A. Tinjauan klinik hasil pemeriksaan laboratorium. Jakarta: EGC; 2004
  19. Mardiana N. Nutrisi pada penderita dialisis. Prosiding dalam Meeting and Symposium [series online] 2008. Available from: URL: http://www.b11nk.wordpress.com
  20. Yuwono A. Kualitas hidup menurut spitzer pada penderita gagal ginjal terminal yang menjalani hemodialisis di RSU DR. Kariadi Semarang. Artikel [series online] 2000. Available from: URL: http://www.eprint.undip.ac.id
  21. Sibuea H, Panggabean M, Gultom. Ilmu penyakit dalam. Jakarta: PT Rineka Cipta; 2005
  22. Arinta, Rihantoro T. Hubungan lama menderita gagal ginjal kronik dengan kadar albumin pada pasien yang menjalani hemodialisis. Jurnal Keperawatan 2015;11(1)
  23. Almatsier S. Penuntun diet. Jakarta: PT Gramedia Utama; 2005
  24. Sustrani L, Syamsir A, Iwan H. Asam urat, informasi lengkap untuk penderita dan keluarganya edisi 6. Jakarta: Gramedia; 2004
  25. Sulistyowati E, Hadi H, Susetyowati, Atma G. Pemberian diet ekstra formula komersial dan diet ekstra filtrat ikan gabus intradialisis serta pengaruhnya terhadap kadar serum albumin dan kreatinin pasien dengan hemodialisis di RSUD Dr. Saiful Anwar Malang. Jurnal Gizi Klinik Indonesia 2008;5(2)
  26. St-Jules DE, Goldfarb DS, Popp CJ, Pompeii ML, Liebman SE. Managing protein-energy wasting in hemodialysis patients: A comparison of animal- and plant-based protein foods. Seminars in Dialysis 2018:32(1)
  27. Mustafa A, Widodo MA, Kristianto Y. Albumin and zinc content of snakehead fish (Channa striata) extract and its role in health. IEESE International Journal of Science and Technology (IJSTE) 2012;1(2):1–8
  28. Fatma N, Nurilmala M, Metusalach, Nurfaidah, Astuti N. Low economic benefits of fish as source of fish albumin besides cork fish. Advances in Economics, Business and Management Research 2019;141:56–59

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