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Biomarker Nutrisi
Biomarker Nutrisi
JULISTIO DJAIS
DIVISI NUTRISI & PENYAKIT METABOLIK
SMF ILMU KESEHATAN ANAK RSHS - BANDUNG
Nutrition assessment, is a systematic method for obtaining, verifying,
and interpreting data needed to identify nutrition-related problems, their
causes, and significance.
Biochemical Data,
Food/Nutrition- Anthropometric Nutrition-Focused
Medical Tests, Client History
Related History Measurements Physical Findings
and Procedures
INADEQUACY OR EXCESS
Underweight
Unintended weight loss
Overweight / Obesity
Unintended weight gain
Growth rate below expected
Excessive growth rate
Malnutrition
BEHAVIORAL-ENVIRONMENTAL
Food and nutrition-related knowledge deficit
Unsupport belief/attitude about food and nutrition-related topics
Not ready for diet/lifestyle change
Self-monitoring deficit
Disordered eating pattern
Limited adherence to nutrition-related recommendations
Undesirable food choices
Physical inactivity
Excessive physical activity
Inability to manage self-care
Impaired ability to prepare foods / meals
Poor nutrition quality of life
Self feeding difficulty
• Vitamin D: ↑ 25(OH) D, ↑ ionized calcium > 5.4 mg/dL (1.35 mmol/L) with ↑ parathyroid
hormone, normal or ↑ serum calcium, and ↑ serum phosphorus > 2.6 mg/dL (0.84 mmol/L)
• Vitamin K: ↓ prothrombin time or altered INR
• Niacin: ↑ N’methyl-nicotinamide excretion > 7.3 µmol/day
• Vitamin B-6: ↑ plasma pryrdoxal 5’phosphate > 15.7 ng/mL (94 nmol/L)
• Vitamin A: ↑ serum retinol concentration > 60 µg/dL (2.09 µmol/L)
• Pantothenic acid: ↑ plasma
• Biotin: ↑ serum
Vitamin profile (1.13)
• Vitamin A, serum or plasma retinol
• Vitamin C, plasma or serum
• Vitamin D, 25-hydroxy
• Vitamin E, plasma alpha-tocopherol
• Thiamin, activity coefficient for erythrocyte transketolase activity
• Riboflavin, activity coefficient for erythrocyte glutathione reductase activity
• Niacin, urinary N’methyl-nicotinamide concentration
• Vitamin B6, plasma or serum pyridoxal 5’phosphate concentration
• Pantothenic acid, urinary pantothenate excretion, plasma
• Biotin, urinary 3-hydroxyisovaleric acid excretion
• Biotin, lymphocyte propionyl-CoA carboxylase in pregnancy, serum
• Biotinidase
• Protein induced by vitamin K absence or antagonist II
INADEQUATE MINERAL INTAKE (specify)