Open Access journal ISSN (Print) 2580-1163 - ISSN (Online) 2580-9776 This journal is no longer being updated because: the publisher no longer provides RSS feeds
Authors:Wizara Salisa, Rachmahnia Pratiwi, Kamila Dwi Febrianti, Annis Catur Adi, Siti Rahayu Nadhiroh Pages: 1 - 7 Abstract: Background: There are differences in the prevalence of malnutrition between rural and urban areas due to differences in consumption patterns. However, data regarding differences between rural and urban areas in Indonesian cities still need to be investigated, even though this information is essential for the government to use when creating policies to eradicate malnutrition. Objectives: To determine the effects of differences in school location (rural and urban) on the nutritional status, food intake, and sleep duration of children in junior high school. Methods: The research employed a cross-sectional design, which comprised 102 junior high school students in Jombang (a rural area) and 101 junior high school students from Surabaya (an urban area) served as the sample. Nutritional status was determined using anthropometric measurements of z-score BMI-for-age, performing the 2x24H food recall interviews to determine food intake and the questionnaire to determine sleep duration. Results: The findings revealed a significant difference between rural and urban areas in nutritional status (p=0.002) and food intake, namely carbohydrate intake (p<0.001). The issue of malnutrition that differed significantly between the two regions was obesity (p<0.001), which was more prevalent in urban areas; on the other hand, undernutrition did not (p=0.556). In addition, sleep duration did not differ significantly (p=0.327). Conclusions: In conclusion, differences in nutritional problems between urban and rural areas were not constantly caused by food intake or sleep duration; however, indirect factors such as physical activity could also play a role. This finding resulted in recommendations for schools to conduct a balanced nutrition education program and for the government to implement various policies to eliminate malnutrition in urban and rural areas. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.1-7 Issue No:Vol. 7, No. 1SP (2023)
Authors:Fitria Wahyu Ariyanti, Atikah Fatmawati, Ike Prafita Sari Pages: 8 - 11 Abstract: Background: Picky eating is an eating disorder in children that harms the child or caregivers. Picky eating can cause growth disorders and affect children's nutritional status. Various factors influence picky eating: parents' eating behavior, children's appetite, history of exclusive breastfeeding, MP-ASI, diseases in children, the interaction between parents and children, caregivers, and psychological factors. Objective: This study aimed to analyze the factors associated with picky eating in preschool-aged children in Dusun Terate, Karangsentul Village, Pasuruan. Method: This study uses a correlational research design. The population in this study was 72 parents and was taken by proportionate stratified random sampling of 51 samples. The instruments used were parenting style questionnaires, parental eating behavior questionnaires, and picky eating questionnaires. The statistical analysis used was Spearman's Rank test and Chi-Square. Results: The results showed no relationship between a history of exclusive breastfeeding (p=0.590) and picky eating in preschool-aged children. There is a relationship between parenting style (p<0.001) and parental eating behavior (p=0.006) with picky eating in preschool-aged children. Conclusion: A history of exclusive breastfeeding is not the only factor that causes picky eating in children. Democratic parenting and good parenting behavior do not cause picky eating in children. So it is expected that parents need to apply democratic parenting and apply good eating behavior so that children do not experience picky eating. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.8-11 Issue No:Vol. 7, No. 1SP (2023)
Authors:Atikah Fatmawati, Ika Suhartanti, Diana Eka Rahmawati Pages: 12 - 16 Abstract: Background: Breast milk is the best food for babies because it contains complete nutrients, hygienic, and safe. Breastfeeding cannot be separated from the pattern of breastfeeding applied. One of the factors that determine the application of breastfeeding patterns to the mother according to the needs of the baby is Health Literacy (HL). Objectives: This study aimed to determine the relationship between health literacy and breastfeeding patterns in postpartum mothers at Lavalette Hospital, Malang. Methods: The type of research used was a cross sectional study. The research population was all postpartum mothers. The sampling technique used was quota sampling, with 30 respondents. Data was collected using the Short-Form Health Literacy Questionnaire (HLS-SF-12Q) and breastfeeding pattern questionnaires. The data was then analyzed using the Spearman-Rank test (α <0.05). Results: The study found that most respondents had HL (56.7%) and breastfeeding patterns (56.7%) in the good category. Based on the statistical test obtained p value = 0.012, there was a significant relationship between HL and breastfeeding patterns in postpartum mothers. The correlation coefficient value was obtained at 0.455, indicating that the strength of the relationship was moderate. Conclusions: By having a good HL, mothers can apply the right breastfeeding patterns, selecting the duration, frequency, and good position, so that it has a positive impact during the breastfeeding process. It also reduces the chance of exclusive breastfeeding failure. Health workers are advised to be more massive in providing education related to breastfeeding patterns and their application, as well as increasing HL wisely and positively. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.12-16 Issue No:Vol. 7, No. 1SP (2023)
Authors:Happy Novriyanti Purwadi, Dieta Nurrika, Melisa Wulandari, Herry Novrinda, Hana Febriyanti Pages: 17 - 24 Abstract: Background: Nutritional status is an issue of concern especially in developing countries. The Sustainable Development Goals (SDGs) include a wasting target, namely reducing the proportion of children suffering from wasting to <5% in 2025 and <3% in 2030. In Indonesia, in 2019 and 2021, the prevalence of wasting was 7.4% and 7.1%, respectively. Objectives: The purpose of this study was to determine the determinants of wasting in children aged 6-59 months in Indonesia based on data from the fifth cross-sectional Indonesia Family Life Survey (IFLS) in 2014. Methods: A Cross-sectional study from IFLS 2014 on 2672 children (6-59 months) was conducted. The independent variables were history of acute respiratory infection (ARI), history of diarrhea, frequency of meals, immunization, environmental health, monthly per capita expenditure (PCE), and the location of the child's residence. The dependent variable was wasting, which is measured by weight and height. Data analysis consisted of using the chi-square test. Results: The results showed that there was a significant relationship between environmental health (p-value<0.01), monthly per capita expenditure (p-value<0.01), and the child's place of residence (p-value<0.01) with wasting in children aged 6-59 months. Conclusions: There is a significant relationship between environmental health, monthly per capita expenditure, and location of residence and wasting among children aged 6-59 months. Priorities in making health policies to reduce wasting may differ from region to region. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.17-24 Issue No:Vol. 7, No. 1SP (2023)
Authors:Nindi Kusuma Dewi, Herdhika Ayu Retno Kusumasari, Sri Andarini, I Wayan Agung Indrawan Pages: 25 - 29 Abstract: Background: Stunting is one of Indonesia's most serious nutritional issues. Malang Regency has a 12 percent prevalence of stunting in 2020, with Gondanglegi sub-district having 942 stunted children. One effort to improve toddler nutrition is the administration of colostrum, exclusive breastfeeding, and complementary feeding. Inappropriate colostrum administration, exclusive breastfeeding, and complementary feeding can all increase the risk of stunting in toddlers. Aims: this study aimed to identify the factors that cause stunting in toddlers based on their behavior in meeting their nutritional needs in Gondanglegi sub-district, Malang Regency. Methods: A total of 136 children aged 6 to 59 months were divided into two equal groups for the case-control study. The research was carried out at Ketawang and Gondanglegi Primary Health Centers in Indonesia's Gondanglegi sub-district. Weight and height measurements, a questionnaire-based interview, and a 24-hour food recall were all collected. With a significance level of 0,05, Chi-square was used to determine the factors influencing stunting. To perform multivariate analysis, logistic regression was used. Results: Colostrum administration, exclusive breastfeeding, and complementary feeding were all linked to stunting in bivariate analysis (p< 0.05). According to a multivariate analysis, exclusive breastfeeding (OR=4,8) is strongly associated with stunting among toddlers in Gondanglegi sub-district, Malang Regency, Indonesia. Conclusion: Breast milk contains many nutrients and antibodies that can protect babies from infection by reducing the duration and severity of illness that can lead to chronic malnutrition and stunting. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.25-29 Issue No:Vol. 7, No. 1SP (2023)
Authors:Wilis Cahyaning Ayu, Devina Nathania, Rahmatya Ikhwanurrosida, Siti Rahayu Nadhiroh Pages: 30 - 36 Abstract: Background: The problem of nutritional health in society is a crucial topic widely reported in developed and developing countries. The incidence of Fe deficiency in children is associated with obesity, including overweight, but the relationship between the two is still being identified further. Objectives: To identify the relationship between obesity in school-aged children (7-19 years) and Fe deficiency and the specific parameters used through a systematic review. Methods: This research was conducted with a systematic review using PubMed, Scopus, and ScienceDirect databases. The literature search strategy was carried out through evidence software by entering predefined inclusion and exclusion criteria. Five kinds of literature were selected from 2015 to 2021. Discussions: Fe deficiency is defined as the presence of two or more abnormal values of the following parameters: (i) serum ferritin (SF) <15µg/L (ii) serum iron (SI) <10.7 µmol/l; (iii) Total iron Binding Capacity (TIBC) >62.7 µmol/l; dan (iv) %transferrin saturation (%Tsat) <15%. Fe deficiency in obese conditions occurs through an increase in proinflammatory mechanisms and the role of leptin which can reduce the availability and absorption of Fe in the body. Parameters soluble transferrin receptor (sTfR) is the best parameter to identify Fe deficiency in obese individuals. At the same time, serum ferritin (SF) has limitations as an indicator of iron status in obese children. Conclusions: These findings indicate that the incidence of obesity in children may lead to an increased risk of iron deficiency. The problem of iron deficiency and obesity is a public health problem that has detrimental short and long-term health effects, especially for school-age children in a phase of cognitive growth and development. The sTfR parameter is not significantly affected by inflammation due to adiposity, so it can differentiate iron deficiency from inflammatory hypoferremia. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.30-36 Issue No:Vol. 7, No. 1SP (2023)
Authors:Vina Firmanty Mustofa, Budi Prasetyo, Diah Indriani, Nur Anisah Rahmawati Pages: 37 - 46 Abstract: Background: The population of elderly worldwide is increasing unnoticed, including in Indonesia. The world's population is aging, and many elderly people experience age-related malnutrition, including deficiencies in some micronutrients. Malnutrition in the elderly is a serious condition when the nutritional needs of the elderly do not match their food intake. Objectives: This systematic review broadly reviews various micronutrient problems and health impacts on the elderly in several countries. Methods: Systematic review following PRISMA guidelines. Several databases have been accessed; the PubMed, Google Scholar, and ScienceDirect databases use a combination of MESH terms and relevant keywords. The inclusion criteria applied were studies written in English, evaluating relevant topics, providing full text, and published studies from 2017-2022 Discussion: Many disorders associated with aging are related to micronutrient deficiencies. Various factors cause micronutrient deficiencies in the elderly, but inadequate food intake is the main factor influencing this deficiency. Nutritional deficiencies experienced by the elderly are closely related to decreased immune function. The results of this review explain that the elderly experience malnutrition due to a lack of the following nutrients: vitamin D, folic acid, calcium, and vitamin B12. Conclusions: Micronutrient deficiency in the elderly causes a variety of comorbidities that reduce the elderly's quality of life in old age, such as heart disease, high blood pressure, diabetes, electrolyte imbalance, dementia, and anemia. The development of food-based dietary guidelines and health promotion regarding elderly nutrition in several countries should be recommended, and it is also necessary to update national food intake references. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.37-46 Issue No:Vol. 7, No. 1SP (2023)
Authors:Nur Anisah Rahmawati, Eighty Mardiyan Kurniawati, Arief Wibowo, Diah Indriani, Vina Firmanty Mustofa Pages: 47 - 58 Abstract: Background: Gestational weight gain that does not follow the standards can cause long-term problems for maternal and fetal outcomes. Research has found that most pregnant women cannot achieve gestational weight gain according to health standards. Objectives: This review explores the perspectives of pregnant women and antenatal care providers regarding gestational weight gain and nutritional needs. Methods: A systematic review follows the PRISMA guidelines. Several databases were accessed, namely PubMed, Google Scholar, and ScienceDirect databases, using a combination of the following Medical Subject Heading terms and relevant keywords. The inclusion criteria applied were studies written in English, evaluating the relevant topics, providing full text, and the study was published starting in 2019-2023. Results: A total of 12 articles were reviewed. Respondents were midwives, family doctors, obstetricians, health trainers, administrative officers, and pregnant and postpartum women. The nutritional status of pregnant women studied included normal and obese pregnant women. Obstacles encountered in counseling are patient attitudes, sociocultural issues (sensitive issues), accessibility of resources, and lack of communication training with patients and across professions. Sociocultural, economic status, and interpersonal factors such as social support influence patient beliefs, attitudes, and experiences. Patients may remember their positive experiences in health facilities, but there is also a fear of discrimination they face. Conclusions: This study finds the need for training in counseling and cross-professional communication techniques to health service providers regarding gestational weight gain. Appropriate counseling increases patient comfort during pregnancy and prevents adverse effects that arise during and after pregnancy. PubDate: 2023-05-12 DOI: 10.20473/amnt.v7i1SP.2023.47-58 Issue No:Vol. 7, No. 1SP (2023)