MODIFICATION OF ENTERAL BLENDERIZED FORMULA WITH TEMPE AND RED DRAGON FRUIT (Hylocereus polyrhizus) FOR DIABETES MELLITUS PATIENTS Celine Jessica Daniels, Yovita Puri Subardjo, Izzati Nur Khoiriani
Jenderal Soedirman University, Faculty of Health Sciences, Nutrition Department,
Jl. Profesor DR. HR Boenyamin No.708, Dukuhbandong, Grendeng, Kec. Purwokerto Utara, Kabupaten Banyumas, Jawa Tengah 53122
Abstract
Background: Diabetes mellitus is highly prevalent in Indonesia, especially among the elderly with chewing and swallowing difficulties. This study offers an alternative enteral formula using local ingredients, tempeh and red dragon fruit, by modifying the DM formula used at RSUD Banyumas.
Methods: A true experimental design was conducted using a Completely Randomized Design (CRD) with one factor: the proportion of tempe and red dragon fruit, tested in three formulation ratios. Viscosity was analyzed using Welch ANOVA with 95% confidence, followed by GamesHowell for significant results. Organoleptic data were tested with Friedman, and significant
outcomes were followed by Wilcoxon tests (5% significance level).
Results: The formulation proportion of tempeh and red dragon fruit had a significant effect (p<0.05) on all organoleptic parameters (hedonic and hedonic quality tests). The formulation also had a
significant effect (p<0.05) on viscosity that measured using a viscometer and feeding tube (NGT Fr 18).
Conclusions: The formulation proportion of tempeh and red dragon fruit had a significant effect on organoleptic and viscosity, which was measured using a viscometer and NGT Fr 18 feeding tube.
The best formula is sample F3, with a viscosity of 401.5 cP, classified as honey-like according to the National Dysphagia Diet, and can be used for oral (ONS) or tube feeding. This formula provides
1.2 kcal/ml of energy, with 15% protein, 32.25% fat, 51.76% carbohydrates, and 1.06% fiber. One serving size is 250 ml, with a recommended frequency of 3-7 times per day depending on the
patient^s energy needs.
Keywords: Diabetes Mellitus, Enteral Formula, Red Dragon Fruit, Tempe
Topic: Nutrition Science and Functional Food Development
