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  Subjects -> NUTRITION AND DIETETICS (Total: 201 journals)
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Amerta Nutrition
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  This is an Open Access Journal Open Access journal
ISSN (Print) 2580-1163 - ISSN (Online) 2580-9776
Published by Universitas Airlangga Homepage  [54 journals]
  • Back Matter Vol. 6 No. 1SP 2022

    • PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.%p
      Issue No: Vol. 6, No. 1SP (2022)
  • Front Matter Vol. 6 No. 1SP 2022

    • PubDate: 2022-12-23
      Issue No: Vol. 6, No. 1SP (2022)
  • Study Characteristics of School Adolescent Girls on Iron Folic Acid
           Supplementation Program as the Prevention of Anemia in Adolescent

    • Authors: Guntari Prasetya, Ali Khomsan, Hadi Riyadi, Faisal Anwar
      Pages: 1 - 7
      Abstract: Background: Efforts to accelerate stunting reduction involve specific and sensitive nutrition interventions. School adolescent girls are the target group in reducing stunting through anemia prevention. Iron folic acid (IFA) supplementation program is the specific nutrition intervention to prevent anemia in adolescent girls. Objectives: This research aims to study the characteristics of students who received the IFA supplementation program. Methods: Research design was a cross sectional that involved 123 students from 12 public high schools in Cianjur District, West Java Province. Student’s characteristics consist of knowledge on anemia and their adherence on IFA supplementation program. Data collection is carried out by self-administering questionnaires monitored by enumerator. Data is performed by using mean ± SD and n (%). Results: Student’s knowledge on anemia mostly (61.8%) were categorized as low, as 30.9% were moderate, and only 7.3% were high. Students (44.7%) knew how to detect anemia is by measuring blood hemoglobin levels. As of 59.3% and 51.2% students knew the main causes of anemia are inadequate iron intake and blood loss during menstruation. Approximately 60-80% students recognized the common symptoms and sign of anemia. Most students (76.8%) have received IFA on a weekly basis and 41.2% students acknowledge their adherence in the IFA consumption with aim to prevent anemia (85.1%), the rest 23.4% and 14.9% due to the advice by the teachers and health officers. Students who have no adherence were due to their fear on the side effects, the tablet taste, forgetfulness, and feeling healthy. Conclusions: Iron folic acid supplementation program have been conducted and well targeted, however, student’s understanding on the objectives, benefit, and their adherence is needed to be gained.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.1-7
      Issue No: Vol. 6, No. 1SP (2022)
  • Maternal Nutritional Knowledge as a Determinant of Stunting in West Java:
           Rural-Urban Disparities

    • Authors: Anna Vipta Resti Mauludyani, Ali Khomsan
      Pages: 8 - 12
      Abstract: Background: Maternal nutritional knowledge must be strengthened to lower the problem of stunting. However, there is currently a lack of information regarding the nutritional knowledge of mothers of stunted and non-stunted children in West Java's rural and urban areas. Objectives: This study compares the nutritional knowledge of mothers of under-five children in West Java across four groups: those who are stunted in rural areas (SR), those who are stunted in urban areas (SU), and those who are not in rural (NR) and urban (NU). Methods: This cross-sectional study was conducted in Cianjur (rural) and Sukabumi City (urban) in June 2022. Data was collected through interview to 300 mothers of children underfive using pretested questionnaire. Nutritional knowledge comprised of 20 questions about infant and young child feeding and balanced nutrition. One-way ANOVA and Tukey HSD Post Hoc Tests were applied for data analyses using IBM SPSS 22.0. Results: Overall, both prevalence of stunting in rural and urban was 33.3% and 30.7%, respectively. Mothers in four groups had moderate nutritional knowledge, with total scores ranging from 70.9 to 75.2. Mothers of NU were found to have more nutritional awareness than NR and SR. In comparison to NR, mothers of NU babies are more likely to be aware that their 2- or 3-month-old infants cannot consume bananas or papayas. Compared to SR, more NU mothers are aware that vegetables do not contain protein. There are more mothers of NU know that sweetened condensed milk is not more nutrient rich compared to powder or liquid milk than NR and SR. Conclusions: Urban mothers have superior nutritional knowledge than rural mothers. Even, knowledge of rural mother with stunted child is the poorest. With the high prevalence of stunting, access to nutritional information should be enhanced, with a focus on the feeding practices of young children.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.8-12
      Issue No: Vol. 6, No. 1SP (2022)
  • Quality of Water Sources, Sanitation, and Hygiene in Households with
           Stunted Children in Rural and Urban Areas in West Java

    • Authors: Vieta Annisa Nurhidayati, Hadi Riyadi
      Pages: 13 - 18
      Abstract: Background: The quality of water sources, sanitation, and hygiene have long been associated with the incidence of stunting in a household. Various studies show that this is also influenced by differences in access to water, sanitation, and hygiene in rural and urban areas. Objectives: This study aims to determine the condition of the quality of water sources, sanitation, and hygiene in household with stunted children under five in rural and urban areas. Methods: The study was conducted in June 2022 using cross-sectional method to 96 household with stunted children under five that were selected by systematic random sampling in Cianjur District and Sukabumi City. Structured questionnaire was used to collect data. Descriptive analysis and bivariate analysis were conducted to determine the distribution of use of water sources, sanitation facilities, and hygiene practices in household with stunted children under five based on the categories of improved sanitation facilities and drinking-water sources by World Health Organization and its differences in rural and urban areas. Results: The sources of drinking and cooking water used by the household with stunted children under five have been entirely improved sources. Most of the households in both areas had defecation facilities used only by household members. There were significant differences in the type of fecal waste disposal in household with stunted children under five in rural and urban areas. Majority of households in rural area (70.0%) already used septic tank for fecal waste disposal while majority of households in urban area (65.2%) disposed their fecal waste to river/lake/sea. Mothers’ handwashing practice at critical time were all above 80%, but only 33.6% of the households had separate handwashing facility and only 50.0% of them provide soap for handwashing. Conclusions: Based on the results, it is known that household with stunted children in rural and urban areas have used proper drinking water sources and have good hygiene practices. However, fecal disposal facilities in urban areas with high prevalence of stunting need to be improved as an effort to reduce stunting prevalence.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.13-18
      Issue No: Vol. 6, No. 1SP (2022)
  • The Interaction of Three Types of Undernutrition and Health Insurance
           Subscriptions at the Children in the Karawang Coastal Area, Indonesia

    • Authors: Linda Riski Sefrina, Ratih Kurniasari, Milliyantri Elvandari, Annisa Ratri Utami, Asep Malinda Aiboga, Neng Ulya
      Pages: 19 - 24
      Abstract: Background: Three types of undernutrition including stunting, underweight, and wasting, are a global public health problem. In terms of policies, guidance, programming, and financing, they are mostly separated while all of them are caused by poor diet. Objectives: This study aimed to identify the association of underweight and wasting status with stunting of the children and health insurance subscriptions in the Coastal Area. Methods: This was a cross-sectional study involving children aged 6 to 59 months. Demographic backgrounds were obtained from parents through a questionnaire. Height and weight were measured. Z-scores for height-for-age, weight-for-age, and weight-for-age were determined and classified using WHO AnthroPlus software. The binary logistic regression test was used to identify the association of variables. Results: A total of 108 children participated in the study. The prevalence of stunting, being underweight, and wasting was 21.3%, 21.3%, and 13.9% respectively. It was found that most demographic characteristics (age, gender) and health insurance were similar in each of the undernutrition types, except for age level in stunting children. The risk of stunting in underweight children is significant differences, but not for wasting children in the coastal area. This study also shows that there is a significant correlation between the incidence of stunting with wasting and being underweight in children in the coastal area of Karawang. Conclusions: Overall, underweight children tend to have a stunting risk. The policy and community-based program need to not focus on one category of undernutrition only, but also on other types of undernutrition simultaneously, with the aim that nutritional problems in children can be handled holistically.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.19-24
      Issue No: Vol. 6, No. 1SP (2022)
  • Sociodemographic Factors Associated with Stunting Cases Among Tobacco
           Plantation Society in Jember District, Indonesia

    • Authors: Dewi Rokhmah, Anita Dewi Moelyaningrum, Isa Ma'rufi, Ninna Rohmawati, Khoiron
      Pages: 25 - 31
      Abstract: Background: Social and Demographic can affect health status. Social institutional factors such as cultural factors, traditions, and habits that exist in society can lead to the emergence of nutritional problems experienced by toddlers. This can have an impact on the growth and development of infants. Objectives: The study aims to analyze the relationship between social institutions and the incidence of stunting in communities in tobacco plantations in Jember Regency. Methods: This research is an observational analytic study, using Cross Sectional Design. The population of this study is families who have children under five with nutritional problems (nutrient-prone) in the district area which is a tobacco-producing center in Jember Regency. The sample in this study amounted to 233 respondents. Data were collected by interview using a questionnaire. The collected data were analyzed descriptively. The statistical test used in this study to test the hypothesis is Chi-Square. Results: There is a relationship between the type of work of the mother and stunting (p= 0.015 <α). Mothers who do not work have a chance of 0.955 times or 1 / OR = 1.047 times greater for not having children who are stunted. There is a relationship between multiple institutions that includes two variables that had a significant association with the nutritional status of children, which is the variable Institution and institutions Education Information Hope and Institution Somatic Hope. Mothers who support related to health care have the opportunity 0,235 or 1 / OR = 4,255 times to not have a stunted child. Conclusions: Mother is an important factor to prevent stunting.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.25-31
      Issue No: Vol. 6, No. 1SP (2022)
  • The Study of Nutrition Food Access to Family With Stunting Toddlers in
           Stunting Countermeasures System in Lumajang Indonesia

    • Authors: Dewi Rokhmah, Farianingsih, Isa Ma’rufi, Khoiron
      Pages: 32 - 37
      Abstract: Background: The ability to access food according to needs is influenced by educational and knowledge factors, socio-cultural, geography, and economic factors. Overcoming stunting not only overcomes the problem of malnutrition but also must pay attention to the problem of affordability or access to nutritious food Objectives: To analyze access to nutritious food in the prevention system stunting in Lumajang Regency Methods: Qualitative research through a Case Study approach conducted in two villages in Lumajang Regency. The research informants consisted of key informants namely the Head of the Puskesmas, the main informants were mother with toddler Stunting and additional informants namely stakeholders related to stunting. Data processing and analysis using the Thematic Content Analysis method. Results: Access to nutritious food that is less than optimal is caused by economic factors that are lacking, lack of knowledge of mothers of toddlers, malnutrition in toddlers, children's eating arrangements are not meeting nutritional adequacy, children's consumption in a day is lacking, families do not take action to overcome children's nutritional problems and poor sanitation and environmental health Conclusions: Stunting in Lumajang Regency is the cause of which is access to nutritious food that is less than optimal so that it requires attention and cooperation from all parties to overcome it. The provision of education in the form of counseling needs to be carried out with multimethods and multi-media as well as integrated countermeasurements from all existing resources will accelerate the reduction of stunting cases in Lumajang Regency.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.32-37
      Issue No: Vol. 6, No. 1SP (2022)
  • Maternal Knowledge of Nutrition and Protein Consumption Patterns Based on
           Local Food in Stunted Under Two Years Children

    • Authors: Choirun Nissa, S.Gz; M.Biomed, Ilmiatul Mustafidah , Guritan Indra Sukma
      Pages: 38 - 43
      Abstract: Background: Stunted in under two years children have the potential to suffer a decrease in intellectual ability, productivity disorder, and an increased the risk of degenerative diseases in the future. Objectives: This study aims to determine the relationship between maternal knowledge of nutrition and protein consumption pattern based on local food in stunted under two years children. Methods: The design of this research is Cross Sectional. Purposive sampling method obtained 35 subjects, Maternal knowledge of nutrition is measured by using a questionnaire, protein consumption patterns is measured by using the Semi FFQ form. Spearman Product Moment Test is used to bivariate test. Results: There is no correlation between maternal knowledge of nutrition and local food-based protein adequacy in stunted under two years children (p = 0.214 > 0.05). Further test showed that there was a significant relationship between maternal knowledge of nutrition and the frequency of protein consumption patterns based on local foods with p= 0.023 (p< 0.05) with r= 0.384. Conclusions: Maternal knowledge of nutrition as a determinant factor that affect the frequency of animal protein consumption based on local foods in stunted under two years children.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.38-43
      Issue No: Vol. 6, No. 1SP (2022)
  • Knowledge Level and Mother's Attitude Related to Stunting in Infants
           Aged 6-23 Months

    • Authors: Wuwuh Ambarwati, Aprianti
      Pages: 44 - 50
      Abstract: Background: Kebumen Regency is a stunting locus district in 2021, with a stunting prevalence of 12.13%. Indirect causes of stunting, including variables that can be intervened for stunting prevention. Objective: The purpose of this study was to ascertain how the prevalence of stunting relates to knowledge, attitudes, and feeding behaviors in infants aged 6-23 months at the Padureso Primary Health Care, Kebumen Regency. Methods: Quantitative research using a case-control study design matching variables for average birth weight and birth length > 47 cm. The population is 356 mothers of babies. The sample size using Lemeshow obtained a total sample of 33 mothers with stunting babies and 33 mothers with non-stunted babies using the cluster sampling technique. Chi-Square test data. Results: The majority of respondents aged 31-40 are 53%, with a basic education level of 56.1%, and most mothers do not work 93.9%. The findings of the bivariate test revealed a connection between knowledge (p values ​​= 0.026, OR = 3.077) and attitudes (p-value = 0.013, OR = 3.538) with the incidence of stunting. There is no association between feeding practices and the incidence of stunting (p-value = 0.618) Conclusions: Mothers of infants aged 6-23 months are expected to increase knowledge about complete nutrition further and improve attitudes regarding the provision of a variety of foods so that the practice of feeding babies follows the nutritional needs of babies.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.44-50
      Issue No: Vol. 6, No. 1SP (2022)
  • Roll Cake Substitution of Brown Rice Flour Filled with Shredded Catfish
           High in Calcium and Iron Preventing Stunting

    • Authors: Michellia Gemma Kartika, Badra Lastariwati, Nani Ratnaningsih
      Pages: 51 - 58
      Abstract: Background: Cases of stunted physical growth and development of infants and toddlers due to malnourished mothers and pregnant women, commonly referred to as stunting, are still common in Indonesia. Objectives: This study aims to determine the level of preference for a roll cake with brown rice flour substituted with shredded catfish and the nutritional content contained in a roll cake with substituted brown rice flour with shredded catfish for the prevention of stunting for pregnant women. Methods: This research uses R & D with a 4-D development model (Four D) consisting of 4 main stages, namely: Define, Design, Develop and Disseminate. Data collection was carried out by sensory tests (color, aroma, texture, taste, and overall) on products developed in 2020, with multiple T test data analysis. Results: Based on the preference test of 30 respondents, stated that there were significant differences in color and taste. Then aroma, texture, and overall stated there was no significant difference. Overall, people like the roll cake with brown rice flour filled with shredded catfish. Nutritional content of roll cake substitution of brown rice flour filled with shredded catfish: water 27.73%, ash 1.63%, protein 9.22%, fat 30.28%, carbohydrates 20.62%, energy 392.79%, calcium 34 ,45%, and 7.06% iron. Conclusions:The panelists favored the roll cake product with brown rice flour filled with shredded catfish, then the iron and calcium content increased significantly. So that it can be used as an additional snack for pregnant women to prevent stunting.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.51-58
      Issue No: Vol. 6, No. 1SP (2022)
  • Antioxidant Efficacy of Terung Pipit Root (Solanum torvum) Against Liver
           Damage by CCL4 Induction in Rattus norvegicus

    • Authors: Rivan Virlando Suryadinata, Dwi Martha Nur Aditya, Ryu Okiku Christina Gunawan, Mudita Lestari Utami, Bambang Wirjatmadi
      Pages: 59 - 63
      Abstract: Background: Liver disease is still a health problem in the world. In Indonesia, liver disease is dominated by liver cirrhosis. One of the causes of liver damage is an increase in the number of free radicals in the body. This will result in damage and death of liver cells and cause fibrotic tissue. A decrease in the number of liver cells will result in impaired overall liver function. Giving antioxidants can reduce free radicals that enter the body. One of the plants that contain antioxidants is the terung pipit (Solanum torvum). Objectives: This study aims to determine the antioxidant efficacy of terung pipit root (Solanum torvum) against liver damage by CCL4 induction in Rattus norvegicus. Methods: This research is experimental using a Randomized Controlled Trial (RCT) design. The research process was carried out for 11 days by dividing the experimental animals into 6 groups with 5 individuals in each group. Each treatment group will be induced with CCL4 for 5 days and followed by 7 days of administration of terung pipit root (Solanum torvum) with different doses (0.5; 1.0; 1.5 mg/grBB/day). The parameters used are the levels of SGOT-SGPT and bilirubin in the blood. Results: The results showed a decrease in the levels of SGOT-SGPT and bilirubin in the blood in the group given the terung pipit root (p≤0,05). Increasing the dose of terung pipit root administration further decreased the research parameters, although it did not reach the value of the negative control group. Conclusions: The antioxidant content in terung pipit root (Solanum torvum) can decrease in SGOT-SGPT and bilirubin levels in the blood due to liver damage in experimental animals induced by CCL4.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.59-63
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effectiveness of WFH (Work From Home) during the Covid-19 Pandemic to
           Support the Provision of Exclusive Breastfeeding Practices with Direct
           Breastfeeding (DBF) for Working Moms

    • Authors: Megah Stefani
      Pages: 64 - 70
      Abstract: Background: The work pattern that occurs during the pandemic is working from home (Work from Home). Before the pandemic, breastfeeding mothers who worked normatively had the right to leave for three months. This regulation often becomes an obstacle for breastfeeding mothers who work to practice exclusive breastfeeding for 6 months using Direct Breast-Feeding (DBF). Objectives: This study aims to analyze the effectiveness of WFH on the implementation of exclusive breastfeeding with DBF in working mothers. Methods: The research design is a retrospective case control. The subject category was divided into two treatments: full WFH mothers and partial WFH mothers. The subject treatment groups were divided based on the method of breastfeeding: direct breastfeeding (DBF) and mixed feeding (MF). The subjects of this study were 27 working mothers, 20 mothers as cases, and 7 mothers as controls which were determined purposively. Results: The difference test between the DBF breastfeeding method during the exclusive breastfeeding period and the WFH treatment showed a significant difference (p=0.000) between the partial WFH treatment and the choice of the exclusive breastfeeding method for DBF in infants. On the other hand, there was no significant difference (p=0.083) between the full WFH treatment and the choice of exclusive breastfeeding method for DBF in infants. The difference test between the WFH partial treatment and the DBF breastfeeding method during the exclusive breastfeeding period showed a significant difference (p=0.030). The difference test between the full WFH treatment and the DBF breastfeeding method during the exclusive breastfeeding period showed a significant difference (p=0.005). The mixed feeding method also showed that there were differences (p=0.000) in working mothers who were fully WFH. Conclusions: Full WFH affects the success of exclusive breastfeeding with the DBF method. Full WFH during the Covid-19 pandemic in breastfeeding mothers proved effective for implementing the practice of exclusive breastfeeding using the DBF method.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.64-70
      Issue No: Vol. 6, No. 1SP (2022)
  • Fiber and Iron Content of Brown Rice (Oryza Nivara) and Moringa Leaf Flour
           Biscuits (Moringa Oleifera)

    • Authors: Cantika Zaddana, Dina Amalia, Zaldy Rusli, Cyntia Wahyuningrum
      Pages: 71 - 78
      Abstract: Background: Brown rice and moringa leaf have superiority in Fiber dan Iron content, but most people rarely consume it because it tastes bitter and has unfavorable aroma. Making biscuits from brown rice flour and moringa leaf flour aims to utilize brown rice and moringa leaf to invent an innovation of functional food that can be accepted by the community. The main point of this study was to make biscuits that meet the quality requirements and contain high fiber and iron as well. Objectives: This study aimed to determine brown rice and moringa leaf flour biscuit that meet the quality requirements of SNI 2018, determined fiber and iron content in brown rice and moringa leaf flour biscuit, and determined the most preferred formula of biscuits by panelists. Methods: Biscuits were made into 5 different formulas with different concentrations of brown rice flour and moringa leaf flour, formula 1 (0% : 50%), formula 2 (50% : 0%), formula 3 (20% : 30%), formula 4 (25% : 25%) and formula 5 (30% : 20%). Biscuit quality test parameters include (water content test, ash content test, microbial contamination test, fat content test, protein content test, carbohydrate content test, fiber content analysis, iron content analysis and hedonic test). Results: Biscuits from brown rice and moringa leaf flour meet the quality requirements, while the results of the fiber content test of formula 1 have the highest fiber and iron content which are 23.295% and 211.41 mg/kg. Hedonic test showed that formula 5 was the best formula according to the panelists. Conclusions: All the biscuits formulas have met the quality requirements of SNI 2018. Biscuits formula with the highest content of fiber and iron came from Formula 1 yet Formula 5 was the most preferred formula by the panelists.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.71-78
      Issue No: Vol. 6, No. 1SP (2022)
  • Development “Prozi” Biscuit of High-protein and Rich-Fe for Pregnant
           Women to Prevent Stunting

    • Authors: Dinda Yulia Nabilla, Dr. Arif Sabta Aji, Afifah Nufaisah, Wulana Saputri, Veriani Aprilia, Herwinda Kusuma Rahayu, Ryan Salfarino
      Pages: 79 - 84
      Abstract: Background: In the era of new normal during covid-19 pandemic, malnutrition such as protein-energy malnutrition and anemia in pregnant women are common in Indonesia. Increasing energy, protein, and iron intake need to take into account with providing nutritious complementary foods to optimize foetal development during pregnancy. Objectives: This study aimed to develop complementary food product known as Prozi biscuit by using local foods such as mackerel, soybeans, and moringa leaves so that can increase the level of protein and iron intake in biscuits. Also, support the stunting prevention program. Methods: Experimental research was carried out using a single factor and customized random sampling such as T1 (20%;80%), T2 (50%:50%), T3 (80%:20%) and one control formulation which contains 100% wheat flour or T0 (100%:0%). Comparison of ingredients was made using a mixture of flour (10% Moringa leaves, 20% soybean flour, 20% mackerel flour and 50% sweet potato flour) and wheat flour. Data analysis used the One Way ANOVA test to see differences in the content of macronutrients and iron. Results: The higher the proportion of mixed flour added to the formulation will increase the water, ash, protein and fat content and reduce the carbohydrate content of the biscuit. Partial substitution of wheat flour had a significant effect in protein and iron content of the “Prozi” biscuit (6-11% and 1.56-2.73 mg/100 g) (P<0.05). Conclusions: The addition of this mixed flour has a positive effect on increasing protein and iron levels in biscuits. The development of "Prozi" biscuits can be used as PMT biscuits for pregnant women to provide additional protein and iron intake to prevent anemia during pregnancy and prevent stunting.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.79-84
      Issue No: Vol. 6, No. 1SP (2022)
  • The Role of Micronutrients with the Trends of Exposure to Covid-19 in
           Adults in Medan Estate Deli Serdang

    • Authors: Novriani tarigan , Ginta Siahaan, Erlina Nasution
      Pages: 85 - 91
      Abstract: Background: COVID-19 caused by SARS-Cov2 was reported by WHO that have infected people around the world and caused death. Indonesia was the country with the highest mortality compared to countries in Asia at around 7.2%. COVID-19 caused the decrease in body's immunity so that an adequate intake of vitamins A, E, C as well as iron and zinc minerals was needed to prevent the easy transmission of the COVID-19 virus. Objective: Assesing the role of micronutrients with the exposure tendency to COVID 19 in adults in Medan Estate, Deli Serdang. Methods: The research was observational with a cross sectional design. The population aged 30-58 years amounted to 158 people, while the sample was determined based on simple random sampling method and obtained sample of 61 people. Vitamins A, C, E intake as well as zinc and iron minerals were obtained using food recall for 3 days, then processed with Nutrisurvey. Meanwhile, the exposure tendency to COVID-19 was obtained by filling out a form about the symptoms experienced during the pandemic. Results: The results showed that the intake of vitamin A was in sufficient category of 58%, vitamin C was in less category of 69%, vitamin E was in less category of 61%, zinc was in less category of 54%, and iron in sufficient category of 53%. The results of statistical tests showed that there was correlation between intake of vitamins A, C and iron minerals to the exposure tendency to COVID 19, while vitamin E and zinc were not related to the exposure tendency to COVID 19. Conclusions: There was correlation between intake of vitamins A, C and iron minerals with a exposure tendency to COVID 19, while vitamin E and zinc were not associated with exposure tendency to COVID 19. Required adequate intake of nutrients in preventing transmission of Covid 19, also continues with obligation to comply health protocol that recommended by the Government.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.85-91
      Issue No: Vol. 6, No. 1SP (2022)
  • Feeding Practice and Children Nutritional Status in Covid-19 Pandemic

    • Authors: Salma Rasyidah, Anugrah Novianti, Dudung Angkasa, Idrus Jus'at, Harna
      Pages: 92 - 98
      Abstract: Background: Nutritional problems in children under five in Indonesia, such as stunting, obesity, and wasting, are still nutritional problems that are a concern to be addressed, especially during this Covid-19 pandemic. There are limitations in several ways, including access to get healthy food. These influences mothers' feeding practices to fulfill their children's needs less to fulfilled. The feeding practiced to children under five is one of the indirect factors which changes in nutritional status. Objectives: To identify the association between feeding practices and the nutritional status children under five during the Covid-19 pandemic. Methods: The research design was using cross-sectional with a sample of 57 respondents of mothers with children 3-5 years old in Cikupa Health Center Tangerang District. Feeding practice data using the CFPQ (Comprehensive Feeding Practice Questionnaire) from 12 aspects of feeding practiced characteristics there are giving pressure when eating, limitations food for controlling body weight, using food for rewards, using food for controlling children's emotions, limitations food for healthy, controlling children eating behavior, education about food nutrition, encourage children eating variations and balanced food, using the healthy environment for eating healthy at home, influence children for planning and serving food, monitoring children intake, and giving the example of good and right eating and for the nutritional status data using the Z-score indicators of weight for age, height for age, and weight for height. For bivariate analysis using Spearman rho correlation. Results: The results of the analysis using Spearman rho correlation showed there is a positive relationship between feeding practices where mothers involved children in meal planning and nutritional status of weight for age (p=0,019; r=0,3116), monitoring intake and nutritional status of height for age (p=0,005; r=0,366), encouraging varied and balanced children's food intake in weight for height (p=0,012; r=0,331). Conclusion: Feeding practice with aspect of involving children in meal planning, a monitoring children intake and encouraging varied and balanced diet of children has a positive relationship with children nutritional status changes in pandemic Covid-19.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.92-98
      Issue No: Vol. 6, No. 1SP (2022)
  • Support of Breastfeeding Groups for the Working Mothers Successfully
           Giving Exclusive Breastfeeding in Manado

    • Authors: Rakhmawati Agustina
      Pages: 99 - 106
      Abstract: Background: The coverage rate of exclusive breastfeeding in North Sulawesi Province is 39.7% in 2021. Return of women to the workplace is one of the factors contributing to the failure of exclusive. Breastfeeding support groups has an impact on their desire to provide exclusive breastfeeding. The North Sulawesi Breastfeeding Care Community (KAPAS) is established in Manado in 2016 and consist of more than 200 members. Objectives: investigate the role of support groups for working mothers giving exclusive breastfeeding Methods: A phenomenological design was used in qualitative research. Informant were purposefully chosen. Inclusion criteria are mothers who successfully breastfed exclusively their baby aged six to twenty-four months, full-time jobs in the formal sector, worked and lived in Manado with their baby. Exclusion criteria are mother who have twin babies, pregnant mother, premature, unhealthy, and low birth weight baby. The interview was transcribed and analyzed using the opencode. Results: Following screening to 195 mothers, 5 major informants and 2 supporting informant. In-depth interviews were used to collect the data. The findings revealed that working mothers' desire to exclusively breastfeed as motivation to join KAPAS. When a mother joins KAPAS can be overcome internal and external challenges confidently. Working mothers gained more expertise in managing expressed breast because of the information in the group. Furthermore, mothers have a willingness to discuss their desire giving exclusive breastfeeding to hospital staff. KAPAS give support through emotional, instrumental, and informational support. Conclusions: KAPAS give emotional, instrumental, and informational support so they can successfully give exclusive breastfeeding.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.99-106
      Issue No: Vol. 6, No. 1SP (2022)
  • Relationship between Food Pattern, Physical Activity, Internet Addiction
           with Nutrition Status of Senior High School Student during Covid-19
           Pandemic in Surabaya

    • Authors: Annas Buanasita, Nur Hatijah
      Pages: 107 - 116
      Abstract: Background: The covid-19 pandemic period forced all school students to carry out school activities at their respective homes so that they changed their activity patterns, food patterns and exposure to the internet. These three things can indirectly affect the nutritional status of adolescents. Unicef ​​stated that 1 in 5 school teenagers in Indonesia is obese. The prevalence of adolescent obesity in East Java is 16.4%, which is greater than the prevalence in Indonesia of 13.5%. Objective: To identify the relationship of food pattern, physical activity, internet addiction and nutritional status in high school teenagers in Surabaya. Methods: This research is an analytic observational study with a cross sectional design. The sample size is 72 samples taken by simple random sampling from 2 high schools representing the city of Surabaya. Food pattern was measured by interviewing the Qualitative Food Frequency Questionnaire, physical activity was measured by interviewing the IPAQ (International Physical Activity Questionnaire) questionnaire and internet addiction using the young's internet addiction test questionnaire. Nutritional status was measured independently with Body Mass Index. Relationship analysis was carried out by Spearmen correlation test. Results: There are 62.5% of respondents have an inappropriate food pattern, with 48.6% of respondents have moderate activity. The level of internet addiction with the highest proportion is in the mild category as much as 66.7%, meanwhile 9.7% and 25.0% of respondents are overweight and obese respectively. There was no relationship between internet addiction and nutritional status (p=0.192), but there was a relationship between physical activity and diet and nutritional status (p<0.05). Conclusion: In connection with the relationship between physical activity and diet with excessive nutritional status, KIE for adolescent students regarding adequate physical activity, proper eating patterns with balanced nutrition principles and monitoring student body weight need to be re-enforced.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.107-116
      Issue No: Vol. 6, No. 1SP (2022)
  • Improving Nutritional Status of Toddlers by Intensive Nutritional
           Assistance in Singosari Village, Gresik District

    • Authors: Desty Muzarofatus Sholikhah, Amalia Rahma
      Pages: 117 - 125
      Abstract: Background: Data from the Indonesian Nutrition Status Survey in 2021 showed the prevalence of stunted in Gresik is 23%, so Gresik became one of the district-focused locations for eliminating stunting. The Gresik District Government had determined 13 villages to focus on interventions to accelerate integrated stunting prevention and control in 2022, one of which was Singosari Village. Referred to President Regulation Number 75 in 2021 about to accelerate stunting reduction, so needed intensive nutritional assistance to families at risk of stunting with improving knowledge and behavior by education of nutrition to families of toddlers in Singosari Village. Objectives: To examine the impact of intensive nutritional assistance on the nutritional status of children under five in Singosari Village, Gresik. Methods: The design of this study was quasi-experimental with a pretest-posttest design without control group design. A total of 62 toddlers were selected as samples by purposive sampling method to be accompanied intensively for 30 days Nutrition assistance activities include group education of nutrition, education and personal motivation, and cooking together to prepared healthy food and snacks used available ingredients. Results: The results showed that there increasing knowledge of mothers (p-value 0,000), there increasing intake of toddlers but not significantly different based on statistical tests, and there increasing nutritional status for toddlers based on weight-for-age and height-for-age indexes (p-value 0,02 and 0,004)The results of the correlation test showed that increasing protein intake had a significant correlation with an increase body weight and height of toddlers with p-value 0,003 and 0,002, while increasing fat intake had a significant correlation with an increase height of toddlers (p-value 0,001) Conclusions: Intensive nutritional assistance carried out for 30 days can improved the knowledge of mother’s with a p-value 0,000 and can improved the nutritional status of toddlers based on weight-for-age and height-for-age indexes with p-values 0,02 and 0,004.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.117-125
      Issue No: Vol. 6, No. 1SP (2022)
  • Identify Eating Pattern, Food Taboo, The Incidence of Infection and
           Nutritional Status of Under – Fives Suku Anak Dalam in Jambi

    • Authors: Siti Fatimah Pradigdo, Martha Irene Kartasurya, Mahalul Azam
      Pages: 126 - 132
      Abstract: Background: In Sarolangun District, the prevalence of short nutritional status for toddlers in 2021 is 21.4%, and the prevalence of malnutrition is 14.3%, almost similar with Jambi Province data. Objectives: To determine eating habits, taboos, infection rates, and nutritional status of SAD (Suku Anak Dalam) toddlers who live in Jambi Province. Methods: This analytic descriptive study used a cross-sectional design and incidental sampling approach. The subject of 39 settled down SAD toddlers and 33 nomadic SAD toddlers was obtained. Data were gathered from interview to Demang, a trusted source for SAD, equipped with structured questionnaires and anthropometric measurements with digital scales and microtoise, which were then processed with WHO Anthro. Due to the lack of information on the age of nomadic SAD toddlers, nutritional status was determined using WHZ scores. Data analysis was carried out using the Independent T Test which was then displayed in the form of cross tabulations and diagrams. Results: SAD toddlers who are settled down usually eat rice as the staple food (2 to 3 times per day, along with vegetables, animal source food and fruit. The main food source of nomadic SAD Toddlers is tubers and boiled vegetables, and fish, which were caught during their hunting. Except fish, all animal dishes, including beef and chicken, are prohibited for nomadic SAD toddlers. None of the nomadic SAD toddlers had infection, whereas 7.69% of settled down SAD toddlers had. The incidence of poor nutritional status based on WHZ was higher in nomadic SAD toddlers (42.4%) compared to settled down SAD toddlers (28.2%), but not significant based on the Independent T Test results. Conclusions: Settled down SAD toddlers have diverse eating habits, some of them had infections, and are generally malnourished, while all of the nomadic SAD toddlers avoid to eat animal products other than fish.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.126-132
      Issue No: Vol. 6, No. 1SP (2022)
  • Factors Associated with Stunting and Wasting in the Pediatric Oncology

    • Authors: Maya Utami Widhianti, Listiyani Eka Tyastuti, Meika Rahmawati Arifah, Karima Rizqi Alviani, Hagnyonowati
      Pages: 133 - 139
      Abstract: Background: Stunting and wasting occurring together in the pediatric oncology population are common and have an adverse effect on them. However, there is limited study regarding stunting and wasting of oncology pediatric in Indonesia. Objectives: This study aims to determine associated factors of stunting and wasting in pediatric oncology population. Methods: A retrospective cross-sectional study was conducted at Kariadi General Hospital. Subjects were pediatric oncology inpatients during 2020-2022 aged 1-5 years. Stunting and wasting were defined as height for age < -2 SD and weight for height < -2 SD. The category of age, gender, parents’ employment status, parents’ age, residential area, payment arrangement, energy intake, and cancer type were analyzed for the relationship by chi-square and regression logistic. Results: Out of 194 patients, 52.1 % was male, 78.4% was aged 2 to 5 years. The prevalence of stunting, wasting, and stunting and wasting occurring together in this population was 31.4 %, 39.2 % dan 13.4 %, respectively. In multivariate analysis, energy intake less than 75 % was associated with stunting and wasting (OR = 2.75, 95 % CI = 1.14-6.58, p = 0.023). Conclusions: The factor associated with stunting and wasting occurring together in pediatric patients with cancer is energy intake of less than 75 %.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.133-139
      Issue No: Vol. 6, No. 1SP (2022)
  • Supplementation of Kencur (Kaempferia Galanga Linn) Extract on
           Malondealdehyde (MDA) and Interleukin-6 (IL-6) Plasma Levels Post Aerobic
           Training Activity

    • Authors: Roy Januardi Irawan, Soni Sulistyarto, Nanda Rimawati
      Pages: 140 - 145
      Abstract: Background: intense exercise causing an increase in substrate utilization by the working muscles, resulting in an increased use of oxygen. Increased oxygen consumption associated with activation of specific metabolic pathways due to exercise activity then triggers increased Reactive Oxygen Species (ROS) production. The increase in free radicals (ROS) can further cause cell damage. Kencur (kaempferia galanga) is a plant that is believed to have bioactive compounds, including phenolic compounds that have antioxidant activity. Objectives: The aim of this study was to determine the effectiveness of 15-days supplementation kencur (kaempferia galanga linn) on plasma MDA and IL-6 post aerobic exercise activity. Methods: This study was quasy experimental study, with a pretest - Post Test Control Group Design. A total of 30 Sports Science students of Universitas Negeri Surabaya who met the inclusion and exclusion criteria participated in this study. The participants divided into 2 groups, the kencur extract group (KG) of 200 mg/day and the placebo group (Pl). The supplementation was carried out for 15 days (14 days before and 1 day after aerobic exercise). Participants completed aerobic exercise (AE) consisting of 2x800 m with 2-minute intervals. Measurements of plasma MDA and IL-6 were 24 hours after AE. The difference test used repeated measures ANOVA with a significance level of P<0.05. Results: there was a significant difference in the plasma MDA and IL-6 between each group with the significance value of MDA was p = 0.000 and the significance value of Il-6 was p<0,001 Conclusions: Supplementation of kencur extract (Kaempferia Galanga Linn) for 15 days was effective to reduce the increase of oxidative stress (MDA) and the increase in pro-inflammatory cytokines (IL-6) after the implementation of aerobic exercise activities.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.140-145
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effect of Mindful Ramadan Fasting Intervention on Dietary
           Macronutrient, Fiber, Sugar and Physical Activity among Overweight
           Adolescents Girls

    • Authors: Khairizka Citra palupi, Nurul Shiva Fauziah, Dessy Aryanti Utami , Lintang Purwara Dewanti, Putri Ronitawati
      Pages: 146 - 156
      Abstract: Background: The prevalence of overweight among adolescents 13-18 years from 7.1% to 14.1% between 1993 and 2014, respectively. Mindfulness and Ramadan Fasting have gained attention in treatment of overweight. Objectives: We evaluate the efficacy of Mindful Ramadan Fasting Intervention (MRFI) versus Standard Dietary for Ramadan Fasting (SDRF) in adolescent girls with overweight for improving dietary intake and physical activity Methods: Forty eight overweight adolescents girls from Public Senior High School (age 15 – 17 years) were randomized to MRFI or SDRF groups. The MRFI was administered in six 60-min sessions nutrition education with mindfulness approach and SDDR was provided in six nutrition education brochure administration. Nutrition education was conducted over two weeks before Ramadan Fasting. Two weeks before and after Ramadan Fasting, dietary macronutrients, fiber and sugar intake were measured by 2x24 hour recall , physical activity was measured by IPAQR and body mass index for age was measured by digital weighing and stadiometer. Results: The proportion of improvement in nutritional status was 29.1 % in MRFI group and 8.3% in SDRF group. Dietary energy and carbohydrates were significantly decreased among both MRFI and SDDR groups (p-value <0.05). Dietary protein and fiber were significantly decreased in MRFI group (p-value <0.05). Dietary fiber was not significantly decreased among both MRFI and SDDR groups (p-value >0.05). Independent t-test showed that there was no difference of dietary macronutrients, fiber and sugar in both MRFI and SDRF groups (p-value > 0.05). Physical activity was significantly decreased among both MRFI and SDRF groups (p-value < 0.05). However, independent t-test showed there was no difference of physical activity among both MRFI and SDDR groups (p-value > 0.05) Conclusions: Both MRFI and SDDR intervention showed feasibility to cure overweight among adolescents girls in urban areas. However, MRFI intervention shows greater improvement in nutrition status and energy intake especially carbohydrates.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.146-156
      Issue No: Vol. 6, No. 1SP (2022)
  • Difference Of Mother’s Nutririon Knowledge And Exclusive Breatsfeeding
           Practice In The Urban-Rural Areas And Its Correlation With Stunting Among
           Under-Five Children

    • Authors: Qonita Rachmah; S.Gz, MSc(Nutr. & Diet), Nabilla Rachmah, Maris Mumtaza, Khoridah Annabila
      Pages: 157 - 164
      Abstract: Background: Chronic malnutrition or stunting is still a public health problem in Indonesia. Exclusive breastfeeding known as one of major factors that could prevent stunting. Based on Theory of Planned Behavior, a good knowledge could drive a good health behavior, in this matter is to implement exclusive breastfeeding. Objectives: This study aims to analyze the difference level of nutrition knowledge and exclusive breastfeeding practice between urban and rural mothers in correlation with stunting among under-five children in Sidoarjo district, East Java. Methods: This was a quantitative, cross-sectional study employed 111 mothers. Respondents were randomly selected proportionally from 4 villages at Candi sub-district; 2 villages represent urban area (Larangan and Kebonsari) and another two represents rural area (Kedungpeluk and Kalipecabean). Knowledge related to exclusive breastfeeding measured using 20 self-developed close-ended questions, exclusive breastfeeding practice measured by interview, while stunting was measured based on Height-for-Age Z-score (HAZ) based on length/height measurement using SECA length board/stadiometer. Data then analyzed using Chi-Square Test (α<0,05). Results: This study reveals stunting prevalence was 18.0%, lower than national prevalence. Interesting result we found is that stunting prevalence was significantly higher in urban compared to rural children (29.4% VS 8.3%, respectively) (P-value = 0.006; OR = 4.5; 95% CI 1.53 – 13.7). Mean score of knowledge was 64.1 + 16.2 or moderate knowledge. Furthermore, we did not find any correlation between nutrition knowledge and stunting both in urban and rural area (p>0.05); however, we found a significant correlation between knowledge and breastfeeding practice (p=0.045) in which those who are having good knowledge also have better exclusive breastfeeding practice (OR = 2.1; 95% CI 1.83 – 5.4). Conclusions: Nutrition knowledge is more correlated to exclusive breastfeeding rather than stunting. Higher stunting in urban might be precipitate by lower exclusive breastfeeding in urban population. More campaign on exclusive breastfeeding practice should be massively done among mothers in urban area.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.157-164
      Issue No: Vol. 6, No. 1SP (2022)
  • Effect of Pineapple (Ananas comosus L) on Physical Quality of Tempe
           Synbiotic Ice Cream

    • Authors: Ambar Fidyasari, STP; MP, Fitri Eka Lestari, Wahyu Maslukah
      Pages: 165 - 170
      Abstract: Background: Modifications of ice cream made by adding probiotics and prebiotics as its constituent components known as symbiotic ice cream Pineapple juice is fermented with commercial probiotics containing L. Casei. The length of fermentation can affect the quality of the resulting product. Objectives: This experiment aims to determine the physical quality of symbiotic ice cream containing pineapple fermentation and tempe with various fermentation length time Methods: This research was conducted with experimental design (complete randomized), This research was done in three steps, making pineapple juice, then carried out a fermentation process for 12 hours, 24 hours, 48 hours, then making synbiotic ice cream and testing physical quality including organoleptic (color, aroma, taste and texture), overrun, viscosity and pH. One Way Anova test and following by Duncan.used to analyzed the data. Results: It showed that the 12-hour overrun was 31.25, the viscosity was 4.23cP and the pH was 5.50; 24 hours overrun 27.08, viscosity 5.84cP and pH 5.44; 48 hours overrun 16.67, viscosity 8.91cP and pH 5.30. Conclusions: It was concluded that the physical quality analysis of overrun, viscosity and pH showed that the length of fermentation time had an effect of tempe synbiotic ice cream on its physical quality.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.165-170
      Issue No: Vol. 6, No. 1SP (2022)
  • Very High Sugar Content is Found in Milk Tea Beverage with Boba Topping

    • Authors: Mayrlnn Trifosa Veronica, Ibnu Malkan Bakhrul Ilmi, Yessi Crosita Octaria
      Pages: 171 - 176
      Abstract: Background: The prevalence of overweight and obesity have been climbing overtime in all age groups in Indonesia, this increase is in paralel to increasing prevalence of chronic non-communicable diseases. While on the other hand consumption of sweet sweetened beverages as an important risk factor is also in dramatic rise, with the consumption of milk tea as an example has been growing up to 8500% since 2018. Objectives: this study aimed to assess the sugar content in this type of drink. Methods: Analysis of sugar content (fructose, glucose, sucrose) was done using the high-performance liquid chromatography (HPLC) method and the total calorie analysis was obtained from adding up calories from protein, fat, carbohydrate components or by calculation method. Results: This study shows that the current drink of milk tea with boba topping has high sugar and calorie content. One large glass of boba milk tea contains 47.21 grams of dietary sugar (glucose, fructose, sucrose) and 675 kcal calories. Conclusions: Boba milk tea drinks are very high in sugar and calories content
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.171-176
      Issue No: Vol. 6, No. 1SP (2022)
  • Risk Factors of Stunting on The First Thousand Days of Life

    • Authors: Indri Mulyasari, Asti Jatiningrum, Arum Putri Setyani, Raden Roro Susanti Septi Kurnia
      Pages: 177 - 183
      Abstract: Background: Kebonaagung is one of focus locations of stunting in Semarang Regency. Stunting affected by risk factors that exist in the first thousand days of life. Objectives: To examine the increased risk of stunting in toddlers based on maternal mid upper arm circumference (MUAC) in early pregnancy, maternal anemia status in third semester, birth weight, and birth length. Methods: This research design was analytic observational with cohort retrospective approach. Population was toddlers aged 12-35 months in Kebonagung Sumowono District Semarang Regency. There were 71 subjects in this research obtained by total sampling technique. MUAC, anemia status, birth weight, and birth length data were obtained by the subjects maternal and child health book. Data of stunting was taken by doing nutritional anthropometry assessment procedures. Data analysis was done by counting relative risk (RR). Results: There are 25.35% toddlers with stunting, 25.35% mothers of the toddlers with history of risk of chronic energy deficiency, 25.35% mothers of the toddlers experiencing anemia in third semester of pregnancy, 14.08% toddlers have history low birth weight, and 16.90% of toddlers have history of short birth length. Small MUAC size in early pregnancy, low hemoglobin level in the third semester of pregnancy, low birth weight, and short birth length are increasing risk of becoming stunting in toddlers (RR = 1.87 (95% CI: 0.86-4.09); RR = 1.47 (95% CI: 0.65-3.35); RR = 1.22 (95% CI: 0.36-4.37); RR = 1.41 (95% CI: 0.56-3.53), respectively). Conclusions: Nutritional status of pregnant women and infant can affect stunting incidence in toddlers. Stunting prevention program in the first thousand days of life period is need to be done.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.177-183
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effect of Nutrition-Sensitive Interventions on Stunting Incidents
           among Toddlers Aged 6-24 Months during Covid-19 Pandemic

    • Authors: Elya Sugianti, Berliana Devianti Putri
      Pages: 184 - 193
      Abstract: Background: Stunting is still a national and global problem because of its impact on the quality of future generations. The government has launched various stunting reduction programs through nutrition-specific and sensitive interventions. However, the scope of interventions is still dominated by specific-nutrition interventions. In addition, the Covid-19 pandemic has resulted in several programs not being able to be implemented properly. Objectives: to analyze the effect of the nutrition-sensitive intervention on the incidence of stunting among toddlers aged 6-24 months during the pandemic Covid-19 Methods: This study was observational analytic with a cross-sectional design. The research was conducted in Lamongan, Sampang, and Probolinggo Regencies from June to July 2022. The sample selection used a simple random sampling technique and a total of 384 toddlers were calculated using the Cohran formula. The sample was added to 455 toddlers to avoid refusal of participation in the study. Primary data were obtained with interviews and anthropometric measurements. All research data were analyzed using the chi-square test and logistic regression Results: The results showed that the availability of adequate latrines affected the incidence of stunting among toddlers aged 6-24 months (p=0.008; OR=2.260; 95%CI: 1.238-4.125). Another variable that affects the incidence of stunting is the age of toddlers (p = 0.001; OR = 3.205; 95% CI: 1.657-6.201). Conclusions: Access to adequate latrines is a nutrition-sensitive intervention that has most influenced the incidence of stunting among toddlers aged 6-24 months during the Covid-19 pandemic.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.184-193
      Issue No: Vol. 6, No. 1SP (2022)
  • Optimization Soygurt (Glycine Max L) High Fiber and Protein

    • Authors: Dyah Kartika Wening, Purbowati, Nafisah
      Pages: 194 - 199
      Abstract: Background: Yogurt is a fermented milk product using microbial bacteria. Yogurt is generally made from cow's milk, but with innovation, it can be made from vegetable ingredients. Vegetable-based yogurt has the potential to be developed because it has functional properties and high nutritional value. Yogurt is made from nuts, which has high fiber nutritional value, free of lactose and casein, one of which is soybeans. Objectives: To produce a formulation of soy yoghurt (Glycine max L) with high fiber and protein nutritional value that is acceptable to the public. Methods: The study design was laboratory observational food production using a completely randomized design. This research used 1 experimental unit and 4 treatments were carried out. The research was conducted in three stages, the first was to optimize the best yogurt formula by dividing Soygurt Formula 1 (FS1 was soybean extract using a 5% commercial starter; FS2 was a proportion of 2.5%; FS3 was soybean extract using a 5% LB/ST starter; FS4 with a proportion of 2.5%.The second stage was a hedonic test to get the best product that could be accepted by the community.The third stage was a test for fiber content and protein content of the selected product. Results: Based on the hedonic test, FS1 and FS3 were equally favored with the average results of FS 1 texture 3.12, taste 3.36, color 3.44, aroma 3.76; and FS3 texture 3.16, taste 3.28, color 3.52, aroma 3.52. FS1 is the most preferred yogurt and contains 6,39 g of fiber with 21,48 g of protein and 6,74 g of fat in every 100 grams of yogurt. Conclusion: Based on the results of the analysis, soygurt is a high-fiber drink because it has more fiber content than the SNI, which is 4,473 g for each serving. In addition, soygurt has a higher protein content than SNI, which is 15,036 g per serving.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.194-199
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effect of Poster on Personal Hygiene Knowledge and Practice of Food
           Handlers at Senjani Kitchen Catering Malang

    • Authors: Salsabila Fauziah Rahayu, Nurul Hakimah, Carissa Cerdasari
      Pages: 200 - 205
      Abstract: Background: Catering is way to fulfill the need for food. Catering is an institutional food management because it produce large amounts of food. Large quantities of food handlers also required and increasing the potential of food contamination. Prevention can be done by applying personal hygiene according to Permenkes RI No. 1096/Menkes/PER/VI/2011. Enhancement of knowledge and practice are needed to improve the application of personal hygiene with poster installation. Senjani Kitchen Catering is a catering service located in Malang. The preliminary study indicate that the food handlers have not implemented personal hygiene properly. Objectives: This study aims to analyze poster’s effect on Senjani Kitchen Malang food handlers’ personal hygiene knowledge and practices. Methods: This research is a descriptive study with quantitative approach used pre-experimental research with one group pretest posttest design. Posters were installed in the work area with sample of 5 food handlers. Results: The average scores of food handlers’ personal hygiene knowledge before the intervention was 70.7 (enough). After the intervention, it increased to 82.7 (good). The average scores of food handlers’ personal hygiene practice before the intervention was 55.7 (less). After the intervention, it increased to 73.0 (enough). Conclusions: There is an increased value of food handlers’ personal hygiene knowledge and practices after placing posters in the work area.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.200-205
      Issue No: Vol. 6, No. 1SP (2022)
  • Glycemic Index and Glycemic Load of Steamed Cakes and Pumpkin Cookies
           (Cucurbita moschata Durch) Based on The Modisco Formulas

    • Authors: Sugeng Maryanto, Windy Harly, Dian Oktianti
      Pages: 206 - 213
      Abstract: Background: Modisco (modified dried milk and coconut oil) is a processed food in liquid form that contains high energy and protein. Provision of high-calorie, high-protein supplementary food is necessary for nutritionally vulnerable age groups who have problems with digestion. The development of the modisco formulation made from pumpkin into processed steamed cakes and cookies based on the modisco formulation aims to improve taste and increase the length of time of storage before consumption. The addition of pumpkin as a source of fiber in processed steamed cakes and cookies is a choice of low glycemic index and glycemic load snacks. Objectives: This study conducted to describe the glycemic index and glycemic load of processed steamed cakes and cookies using the ingredients of the modified pumpkin (Cucurbita moschata Durch) formulation. Methods: The design of this study was an experimental in vitro vivo design. The in vitro study was carried out by making steamed cakes and cookies with the main ingredients of the modisco III formula with several formulations, then the best formula was selected to be given as an in vivo treatment. The respondent in this study were 10 Ngudi Waluyo students aged 17-25 years, who had a normal Body Mass Index (18.5 to 22.9 kg/m2), normal pre-prandial blood sugar (70-100 mg/dl), and never suffered from diabetes mellitus. The respondents were previously fast at night for 10 hours at least, and do not strenuous activities during preparation for blood collection. The first blood collection was taken at 0 minutes, carried out at 7 am through the fingertips (peripheral blood) carried out by the nurse, then the respondents were given steamed cakes to one group and cookies to the other group, each of 50 grams. Blood collection was continued at 30, 60, 90, and 120 minutes. Blood sugar levels were measured using a gluco-test. The blood glucose data obtained was then analyzed to determine the glycemic index and glycemic load of processed steamed cakes and cookies.. Results: The value of glycemic index and glycemic load of processed steamed cake products were 23.00% and 5.75, respectively, while those of the cookie product were 38.9% and 9.75, respectively. Conclusions: The value of the glycemic index and glycemic load of processed products of steamed cake and yellow pumpkin pumpkin cookies formula are in the low category.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.206-213
      Issue No: Vol. 6, No. 1SP (2022)
  • Utilization of Soybean Powder and Dragon Fruit Peel Extract as
           Nutrient-Dense Complementary Feeding

    • Authors: Arinda Lironika Suryana, Nita Maria Rosiana, Zora Olivia
      Pages: 214 - 219
      Abstract: Background: Complementary feeding is given to infant aged 6-24 months. Complementary feeding can be made from several food ingredients to get products with high nutritional value. Complementary feeding product development should meet the Indonesian National Standard for Instant Powder (01-7111.1-2005). Objectives: The purpose of this study was to determine effect of ingredient formulation on the nutritional content of complementary food and to compare with complementary feeding standard. Methods: The research treatment was ratio of soy powder and milk powder (1:1; 5:9; 9:5). The ingredients used were soybean powder, milk powder, dragon fruit peel extract and sugar. The research design used completely randomized design (CRD). Complementary feeding nutrient analysis includes proximate analysis, vitamins and minerals. Data analysis used was ANOVA. Results: Complementary feeding contains 2.35-2.91% of water content, 4.17-5.92% of ash content, 15.09-15.18% of fat, 15.84-20.05% of protein, 57.04-62.48 carbohydrate, 9.51-14.49% of dietary fiber, 444.123-449.85kcal/100g of energy, 27.16-34.35mg/100g of vitamin C, 181.23-267.63mg/100g of calcium, 13.93-37.66mg/100g of iron, 7.11-10.47mg/100g of zinc, and 149.93-185.80mg/100kcal of sodium and. Water content, protein, sugar, energy, vitamin C, iron are in accordance with complementary feeding standard. Conclusions: The formulation of the ratio of soy powder and milk powder gives significant effect to ash content, protein =, carbohydrates, dietary fiber and iron content of developed complementary feeding. However, the formulation did not results a significant effect to the fat, energy, calcium, zinc and sodium levels of complementary feeding. It is necessary to reduce dietary fiber and ash content in order to fulfill complementary feeding standards.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.214-219
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effectiveness of Digital-Based Nutrition Education through Peer-group
           to Prevent Anemia among Adolescent

    • Authors: Fatima Rima Andini, Lina Agestika
      Pages: 220 - 225
      Abstract: Background: Anemia among adolescents is a global health problem, including Indonesia. The prevalence of 32% made anemia a severe public health problem. Giving Blood-Boost Tablets becomes less effective when adolescents do not consume them regularly. Adolescents are easily exposed to digital-based communication through WhatsApp and video conferencing. The peer group communication method is considered effective as an innovative effort to reduce anemia among adolescents. However, its effectiveness through long-distance communication needs to be analyzed. Objectives: This study aims to identify the effectiveness of digital-based peer-group nutrition education through Whatsapp groups and video conferencing on the knowledge, attitudes, and compliance to Fe consumption among adolescent girls. Methods: This is quasi-experimental study with non-randomized pre-test and post-test control group design in 2 SMP Arjawinangun District, Cirebon involving 70 respondents (treatment n=35, control n=35). Data collection was through observation, interviews, and questionnaires. Statistical analysis used the Chi-Square Test and Wilcoxon Test. Peer educators receive training for 4 weeks from authors online, then education on anemia nutrition and blood-boosting tablets through peer groups for 3 weeks in the WhatsApp group and fe supplementation. Results: The results showed a difference in adolescent knowledge (p = 0,001; mean value: 21,7) and compliance with blood-boosting tablet consumption (p = 0,008; mean value: 0,2) among the intervention group. However, there is no difference between the control and intervention groups on knowledge (p=0.127), attitudes (constant variance value), and compliance (p=0.306). Conclusions: Education through peer groups could be more effective to prevent adolescent anemia when conducted for more than 1 month.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.220-225
      Issue No: Vol. 6, No. 1SP (2022)
  • The Effect of Exclusive Breastfeeding Methods on Working Mothers with WFH
           on the Nutritional Status of Babies During the COVID-19 Pandemic

    • Authors: Adi Iskandar, Megah Stefani
      Pages: 226 - 234
      Abstract: Background: Food intake, exclusive breastfeeding, and nutritional adequacy can affect normal nutritional status in children, especially during the first 1000 days of life. Objectives: Analyzing the effect of the exclusive breastfeeding method on the nutritional status of infants in Work From Home (WFH) working mothers Methods: The study was conducted quantitatively descriptively with a cross-sectional study design. Research respondents were selected mothers during the Covid-19 pandemic (PSBB or PPKM levels 3-4, namely from April 2020 to October 2021) who provided exclusive breastfeeding, and respondents worked under the WFH scheme. Respondents totaled 27 people who were divided into direct-breastfeeding (DBF) and mixed-feeding (MF) groups. Respondents have selected purposively sampling. meetings online namely by using platforms, namely Whatsapp and Zoom. Results: Significant relationship between exclusive breastfeeding methods with a weight-for-height z score (WHZ) (P = 0.031; R = -0.417) and a bmi-for-age z score (BAZ) (P = 0.044; R = -0.391), In addition, a significant difference was found between the mean of the DBF and MF groups on the WHZ (P=0.031) and WHZ (P=0.044) with the mean nutritional status of MF on the BB/TB or BB/PB index of 0.490. ± 0.970SD (at risk of overweight). Conclusions: Exclusive breastfeeding method has a significant relationship with normal baby weight. In addition, there are significant differences in the nutritional status of infants between the DBF and MF breastfeeding methods. babies with the MF method tend to be at risk of more nutrition. Mothers who work WFH are expected to maximize exclusive breastfeeding for babies, especially with the DBF breastfeeding method. In addition, the researchers hope that this research can serve as an advocate for the draft government regulation regarding 6 months of maternity leave to maximize exclusive breastfeeding for babies.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.226-234
      Issue No: Vol. 6, No. 1SP (2022)
  • The Gross Motor Development with Severity Level of Stunting (A Study among
           Primary School Children)

    • Authors: Puji Afiatna, Indri Mulyasari
      Pages: 235 - 242
      Abstract: Background: The high prevalence of stunting, which is a linear growth failure in school-aged children, has an impact on gross motor development. The parenting style and feeding style influences children's growth and development. Objectives: To analyze the correlation gross motor development with severity of stunting in primary school children. Methods: This research is a cross sectional research on 91 children with stunting who were selected consecutively in primary school at Kecamatan Ungaran Barat, Kabupaten Semarang. The data collection was conducted by doing anthropometric measurement and gross motor development (locomotor and object control). The correlation between two categorical variables wastested by conducting Rank Spearman test. Results: The nurtritional status of stunting in 84 (92,3%) children with moderate stunting and 7 (7,7%) children with severe stunting. The gross motor development of children under the average was 46,1%, with the average score of intelligence of 91,92. In bivariate analysis, stunting were not significantly related to Gross Motor Quotient (GMQ) level (p=0.241; p>0.05). Conclusions: The nutritional status of stunting is related to the low score of children's gross motor development so that it is necessary to improve nutrition and provide stimulus to train gross motor skills by parents or schools.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.235-242
      Issue No: Vol. 6, No. 1SP (2022)
  • Factor associated with Stunting Incidents in Kepyar Village, Purwantoro
           District, Wonogiri Regency in 2021

    • Authors: Susi Shorayasari, Andini Kurnia Wati, Dieta Nurrika
      Pages: 243 - 252
      Abstract: Background: The WHO-MGRS (Multicenter Growth Reference Study) recommendations based on the height for age index define stunting as a condition in which the body is short or extremely short. The incidence of stunting among children under five is predicted to reach 21.9% in 2020 by the World Health Organization (WHO). Stunting affects 149.0 million children, who run the risk of developing stunted growth, poor brain development, lower IQ, and disease vulnerability. Objectives: The study aimed to find out the variables associated with the incidence of stunting in 2021 in Kepyar Village, Purwantoro District, Wonogiri Regency. Methods: The research design was case-control with a ratio of 1:1 consisting of 22 samples from cases and 22 samples from controls. 22 individuals who were not deemed to be at risk of suffering stunting made up the control sample for toddlers. Between November 2021 and January 2022, the study was carried out. Low birth weight (LBW), birth length, exclusive breastfeeding, mother's last educational level, mother's height, socioeconomic status, accessibility to weaning food, early breastfeeding initiation, and also considered the mother's age at conception were all independent variables. The dependent variable is stunting, which can be either chronic or mild to severe (-2 SD). Fisher's Exact Test was used to analyze this study. Results: The majority of children were not LBW (90.9%), followed by normal birth length (81.8%), exclusive breastfeeding (56.8%), low education level of the mother (72.7%), mother's height was not at risk (72.7%), early breastfeeding initiation (63.6%), low socioeconomic status (63.6%), proper weaning food (77.3%), and maternal age during pregnancy is not at risk (54.5%). Early initiation of breastfeeding and stunting incidents showed a statistically significant association (p-value of 0.005), then there was also a relationship between socioeconomic status and stunting incidents (p-value of 0.028). Conclusions: Socioeconomic status and early initiation of breastfeeding are associated with stunting incidents. To lower the frequency of stunting in Kepyar Village, early initiation of breastfeeding promotion needs to be optimized.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.243-252
      Issue No: Vol. 6, No. 1SP (2022)
  • Ante-Natal Care (ANC) Visits, Diversity of Food Consumption, Hb Levels of
           Pregnant Mothers and Newborn Weight, Length During The Covid-19 Pandemic

    • Authors: Yulia Wahyuni, Mifthah Muliani Lubis, Jelita Martaulina
      Pages: 253 - 258
      Abstract: Background: the covid-19 pandemic has caused restrictions on antenatal care (ANC). In addition, the limited availability of food ingredients to fulfill the nutrition of pregnant women. Lack of health monitoring and inadequate intake of pregnant women have impacted on weight and length of newborns Objectives: to analyze the correlation between the frequency of antenatal care visit (ANC), dietary diversity and Hb levels on pregnant women with weight and length of newborns at the Duren Sawit Healthy Pregnancy Clinic. Methods: The research design be a cross sectional approach. The sampling technique was accidental sampling in order to obtain 60 pregnant women and 60 newborns. Data collection techniques used the ANC questionnaire, Dietary Diversity Score (DDS), easy touch Hb, baby scales and infantometer boards. Results: There were 66.7% of pregnant women who had incomplete ANC visits, the average consumption diversity was good with a score of 8. 15% of pregnant women were classified as anemic. newborn babies are classified as LBW so-and-so many 5%. The average length of newborns is 48.25 cm. Based on the Spearman rank test, it showed that there was a significant correlation between the diversity of food consumption, HB levels and weight of newborns (p=0.015), (p=0.001) with a value of r=(0.46 and 0.52); and there was no relationship between ANC visits with weight on newborns (p=0.79), (r=-0.21). There is a significant correlation between HB levels and length on newborns (p=0.001) with r=0.57 and there is no relationship between ANC visits, diversity of food consumption and length on newborns (p=0.67), (p=0.54) and the value of r (0.34) (0.26) Conclusions: there is no relationship between ANC visits weight and length of newborns, the diversity of food consumption of pregnant women is related to weight of newborns but not to length of newborns. Hb levels on pregnant women are significantly related to weight and length of newborns.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.253-258
      Issue No: Vol. 6, No. 1SP (2022)
  • The Association of Income, Infectious Disease and Feeding Patterns with
           Undernutrition among Children Under Five

    • Authors: Azrimaidaliza, Lifda Syarif, Resmiati
      Pages: 259 - 265
      Abstract: Background: One of the main health problems faced by low to middle-income countries, including Indonesia is the problem of undernutrition in toddlers. According to the 2021 Indonesia Nutritional Status Survey, undernutrition problems still occur in many Indonesian toddlers with a prevalence of 17%. The occurrence of undernutrition in toddlers is influenced by various factors including income, infectious diseases, and diet. Objectives: This research aims to identify the main contributors to undernutrition in toddlers. Methods: Data on factors related to the nutritional status of toddlers in the working area of Seberang Padang Health Center were collected using a cross-sectional design. Sampling was carried out using simple random sampling method in order to obtain a sample of 136 toddlers aged 2-5 years. The nutritional status of children was collected through direct measurement of weight and height, and use a questionnaire that has been tested for validity and reliability. Results: The percentage of toddlers aged 2-5 years with an undernutrition status is 7.2% and of under-fives who are malnourished with stunting conditions is 2.2%. Families with low incomes experienced had more risk to have children with undernutrition status than families with high incomes (p=0.017; POR=6.463; CI=1.402-29.799). Also, undernutrition was significantly associated with poor diet (p=0.036; POR=5.997; CI=1.127-26.153) and a history of infectious disease (p=0.027; POR=5.650; CI=1.212-26.153). Conclusions: Family income, diet, and history of infectious disease are determinants of undernutrition among children under five. Education on balanced nutrition and a healthy and clean lifestyle must continue to be delivered on a regular basis through the collaboration of health institutions and health education institutions in order to overcome undernutrition and reduce the risk of infection among children under five.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.259-265
      Issue No: Vol. 6, No. 1SP (2022)
  • Modified Pumpkin (Curcubita moschata) in Gummy Jelly Candy as a High
           Vitamin A Snack for Stunting Children

    • Authors: Robi'atun Wulandari Sa'adah, Sinta Silvia
      Pages: 266 - 274
      Abstract: Background: Pumpkin is one food source of vitamin A. Pumpkin can be processed into gummy jelly as a snack that has a high vitamin A content. Objectives: This study aims to determine and analyze acceptability, protein and vitamin A levels in gummy jelly candy with modified pumpkin as a high-vitamin A snack to help improve stunting children's nutrition at school age. Methods: This research is a pure experimental research with a Completely Randomized Design (CRD). The number of formulas tested were 3 formulas with 3 repetitions, namely F0 (0 g pumpkin), F1 (80 g pumpkin consisting of 30 g pumpkin extract and 50 g pumpkin puree), and F2 (160 g pumpkin consisting of 60 g of pumpkin essence and 100 g of pumpkin puree). There were 15 panelists in this study consisting of 3 trained panelists and 12 semi-trained panelists. Results: Based on the hedonic test results, it was found that F1 (30 g pumpkin extract and 50 g pumpkin puree) was the panelist's most preferred formula. The content of protein and vitamin A in candy per serving size (40 g) is 20.5 g and 37.75 mcg. There was a significant difference in taste characteristics between F0 and F2 (p=0.033) and between F1 and F2 (p=0.007). While on the characteristics of consistency, aroma, and color there is no significant difference. Conclusions: The formula with the highest acceptance is F1. Per two serving of candy (40 g) can meet 10-15% of protein and vitamin A needs in children aged 7-12 years.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.266-274
      Issue No: Vol. 6, No. 1SP (2022)
  • Potential of Kelakai Leaf Flour (Stenochlaena palutris (Burn.f) Bedd) Acid
           Pretreatment as an Alternative to Prevent Stunting

    • Authors: Ayutha Wijinindnyah, Jerry Selvia, Husnul Chotimah, Susan E Luman Gaol
      Pages: 275 - 282
      Abstract: Background: Kelakai (Stenochlaena palutris (Burm.f) Bedd), is one of the local plants in Central Borneo. Nutrition in Kelakai has the potential to prevent stunting. The prevalence of stunting in Central Borneo province is 32,83%, and above by WHO (20%). Acid pretreatment is a method to speed drying time, maintain color and nutrient loss. Objectives: This study aims to determine acid pretreatment on drying time, proximate test and minerals. Methods: Kelakai were soaked in citric acid, commercial and natural tamarind 0,5% for 5 minutes. Dried using oven at 500C until the moisture content is ≤ 10% and analyze: proximate, and minerals. Results: Citric acid pretreatment can make drying time fastest which 6 hours. The highest proximate levels of calcium (0,6021%) and iron (0,0150%) were obtained in the pretreatment of natural tamarind. Conclusions: Citric acid is the fastest drying time, and the natural tamarind pretreatment is better to maintain nutritional.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.275-282
      Issue No: Vol. 6, No. 1SP (2022)
  • Nutrition Class Intervention with the Emotional Demonstration Method on
           the Nutritional Status of Underweight Toddlers During the Covid-19
           Pandemic in West Lombok Regency

    • Authors: Baiq Dewi Sukma Septiani, Lalu Dwi Satria Ardiansyah
      Pages: 283 - 290
      Abstract: Background: One of Covid-19 impacts was the lowering community economic level. This phenomenon affected the ability of purchasing better food. SSGI Data (2021), presented that 22.4% of toddlers in the NTB Province were categorized underweight. West Lombok Regency were the first rank from tenth regencies in NTB for underweight prevalence toddlers (20,26%). Underweight were caused by inadequate breastfeeding, erroneous of MP-ASI given, and several infectious desease. Purpose: This study aimed to determinee the effect of emo-demo nutritional education on thee underweight toddler’s nutrition status during the Covid-19 pandemic in West Lombok Regency. Methods: This quantitative research was a Quasi-Experimental with Pre-Post Control Design. This research was conducted from June to August 2022. The total sample were 32 people whom divided into control and experiment groups based on inclusion criteria; toddlers aged 6-59 months, underweight toddlers cared by their mothers, Respondents were from Batu Kuta Village, West Lombok Regency Purposive sampling were used to gather the data. Data were analyzed using paired sample t test and multiple linear regression. Results: The results showed that the underweight toddler’s nutrition status gained after nutritional class intervention using emo-demo method. There were 68.8% of toddlers with heavy weight based on the BB/U index (p=0.000), 87.5% of toddlers with normal weight based on the TB/U index (p=0.000) and 75% of toddlers with fair based on nutritional status nutrition index BB/TB (p=0.686). Conclusion: The nutrition class intervention gained the nutritional status of underweight toddlers based on the BB/U and TB/U indices during the Covid-19 pandemic in West Lombok Regency.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.283-290
      Issue No: Vol. 6, No. 1SP (2022)
  • Nutritional Knowledge, Vitamin C, and Iron Intake in Relation to the
           Anemia of Female Adolescents in Bantul, Special Region of Yogyakarta

    • Authors: Agil Dhiemitra Aulia Dewi, Faurina Risca Fauzia, Tri Dyah Astuti
      Pages: 291 - 297
      Abstract: Background: Female adolescents are ten times more likely to experience anemia than male adolescents because they experience menstrual bleeding every month, low iron and vitamin C intake, and lack of knowledge about iron deficiency anemia. Adolescent anemia is also caused by a lack of knowledge about balanced nutritional intake. Bantul is ranked second in adolescent anemia in DIY. Objectives: This study aims to analyze the relationship between nutritional knowledge regarding anemia, vitamin C intake, and iron intake of female adolescents in Bantul, Yogyakarta Special Region, Indonesia. Methods: This research is an observational study with a cross-sectional design. The research using cluster random sampling. The clusters that were randomly selected to be studied were 6 out of 17 districts. In each sub-district cluster, 5 SMA and 3 SMP were randomly selected. The study was conducted at Bantul Middle School and High School with female adolescents aged 13-18 years who were randomly selected from all classes from January to September 2022 with a sample size of 186 people. Primary data consisted of Fe and Vitamin C intake using the Semi-Food Frequency Questionnaire, nutrition knowledge using a validated questionnaire, and Hb levels using a capillary blood rapid test. The data were then tested statistically using STATA software with the Correlation Test. Results: From this study, 186 female adolescent respondents were obtained with 36 (19.35%) respondents having anemia, 150 (80.65%) not anemia. The median intake of iron for female adolescents was 12.5 mg/dl, the median vitamin C for female adolescents was 57.4 mg/dl, and respondents with good nutrition knowledge were 71 people, 115 people with poor knowledge. Intake of Fe, Vitamin C, and nutritional knowledge related to anemia were not significantly related to anemia in female adolescents in Bantul, DIY (P>0.05). Conclusions: Nutritional knowledge regarding anemia, intake of Fe, and Vitamin C were not significantly related to anemia of female adolescents in Bantul, DIY, but intake of Fe and vitamin C was mostly still less than nutritional requirements.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.291-297
      Issue No: Vol. 6, No. 1SP (2022)
  • Physical, Chemical, and Sensory Characteristics of High Protein and Iron
           Milkfish Nuggets with Moringa Flour Addition for Nutritional Interventions
           in Stunting Prevention

    • Authors: Melvina Aristiani, Hiasinta Anatasia Purnawijayanti, Fransisca Shinta Maharini
      Pages: 298 - 305
      Abstract: Background: Stunting can be prevented with specific nutritional interventions for young women as future mothers. Iron deficiency anemia in expectant mothers is a risk factor for stunting, and its incidence in adolescents in Indonesia is still high. It is necessary to develop products that are sources of protein and iron that teenagers like, such as nuggets. Milkfish and moringa are rich in protein and iron which have the potential to be processed into nuggets as a source of protein and iron so that they can be used in nutritional interventions in adolescents to prevent stunting. Objectives: Knowing the physical, chemical, and sensory characteristics of milkfish nuggets with the addition of moringa flour. Methods: An experimental study with a completely randomized design with 5 levels of moringa flour content (0-10%) and 3 treatment repetitions. The data included water holding capacity and cooking losses, protein and iron content, and sensory properties of the nuggets (appearance, texture, taste, aftertaste, and overall acceptability). Physical and chemical test data were analyzed by Variant Analysis or Kruskal Wallis according to the data category, sensory test data were analyzed by Friedman test Results: The addition of moringa flour did not affect the protein and iron content of the nuggets. Nuget protein content ranges from 12.78–13.62%, and iron content between 3.81-5.41% mg. The addition of moringa flour affected the nuggets' cooking shrinkage and water-holding capacity. The higher the content of Moringa flour, it tends to reduce the water holding capacity and increase the cooking shrinkage of the nuggets. The addition of moringa flour affected all the sensory properties of the nugget. The higher the moringa flour content tends to lower the nugget sensory score. Conclusions: High protein and a source of iron nuggets for stunting prevention interventions can be developed from milkfish with the addition of moringa flour.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.298-305
      Issue No: Vol. 6, No. 1SP (2022)
  • The Association Between Drinking Water Management Behavior and the Level
           of Macronutrient Adequency with Nutritional Status of Toddlers

    • Authors: Khoirul Anwar; SGz, MSi, Lulu Indria Setyani
      Pages: 306 - 313
      Abstract: Background: Currently, in Indonesia various types of nutritional problems still occur in toddlers such as stunting, underweight, and wasting. There are several factors that influence the occurrence of these nutritional problems, such as drinking water management behavior and nutritional intake. Objectives: To analyze the relationship between drinking water management behavior and the adequacy level of macronutrients on the nutritional status of children under five. Methods: This study used a cross-sectional design with locations in the working area of the Bantargebang Public Health Center, Bekasi City. Subjects were 96 toddlers aged 24-59 months and mothers of toddlers who were taken by purposive sampling. Data collection on body weight (BB) and height (TB) was carried out through direct measurements, data on drinking water management behavior using a questionnaire, and the adequacy level of macronutrients using the SQ-FFQ form. Statistical test using descriptive test, chi-square test and relationship test using Spearman. Results: Inappropriate drinking water management behavior is applied by 61.5% of respondents. The energy adequacy level of toddlers obtained an average of 99.8%, the adequacy level of protein was 94.4%, the adequacy level of fat was 87.3%, and the adequacy level of carbohydrates was 101.5%. As many as 18.8% of toddlers are underweight, 17.7% of toddlers are stunted, and 27.1% of toddlers are wasted. The results showed that drinking water management behavior was associated with underweight (p=0.001), stunting (p=0.026), and wasting (p<0.001). There is a relationship between the level of energy sufficiency and wasting (p=0.004). The level of protein adequacy was also associated with underweight (p<0.001) and stunting (p=0.025). The results also showed that the level of fat adequacy was associated with underweight (p=0.049). The level of carbohydrate adequacy was also found to have a relationship with wasting (p=0.006). Conclusions: Drinking water management behavior has a relationship with stunting, underweight, and wasting. There is a relationship between the level of energy adequacy and wasting; protein adequacy level with underweight and stunting; level of fat adequacy with underweight; and the level of carbohydrate sufficiency associated with wasting.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.306-313
      Issue No: Vol. 6, No. 1SP (2022)
  • Literature Review: Effects of Using Instagram Social Media as a Nutrition
           Education Media

    • Authors: Deri Andika Putra, Suminah -, Eti Poncorini Pamungkasari
      Pages: 314 - 323
      Abstract: Background: Nutrition is one thing that is important and very needed by the body. Indonesia has various kinds of social media that several users often play. One social media that has quite a lot of users is Instagram. During this pandemic, knowledge can come from anywhere. They are starting from teachers, friends, webinars, and so on. This knowledge sharing can be done by utilizing various applications such as Zoom, Google Meetings, etc. In addition, social media applications such as Instagram can provide users with various information and knowledge. Objectives: The purpose of writing this article is to analyze the influence of using social media, Instagram, for nutrition education. Discussions: This type of article is written using qualitative research using literature studies. This study uses searches on the Google search website, Google Scholar, and Research Gate with the keywords "Influence of Instagram Media as an Instrument", Nutrition Education Media", "Effectiveness of Instagram Media", and "Nutrition Education Media". Articles were selected using the PRISMA flowchart. Conclusions: The results are that the young generation can study anytime and anywhere. The Instagram application can have a positive impact on users if managed properly. Not only that, by using the Instagram application, users can get useful information such as webinars related to nutrition and users can follow these activities properly.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.314-323
      Issue No: Vol. 6, No. 1SP (2022)
  • Evaluation of Weaning Practice Elements for Stunting Risk Prevention in
           Covid-19 Pandemic: Study on Indonesian Toddlers (Rapid Review)

    • Authors: Dwipajati -, Nurfarida Yuliana Agustin, Harisa Dian Nurani, Rizki Fitriani Ayundari
      Pages: 324 - 335
      Abstract: Background: The prevalence of stunting under five in Indonesia is still below the government's target for 2024, which is 14%. The problem of the availability of food ingredients to make nutritious food as a result of a decrease in family income during the Covid-19 pandemic became the main factor in providing toddler food. Improper feeding of toddlers can affect the growth and development of toddlers including stunting. The main components of toddler feeding according to WHO standards consist of time to introduce food, diversity of food ingredients, frequency of feeding, breastfeeding up to 2 years, and sanitation hygiene in preparing toddler food. However, the components of toddler feeding are still very diverse. Objective: To examine the components of toddler feeding that can be used in efforts to prevent stunting in toddlers in Indonesia Discussion: Through the PubMed database, Science Direct, and Google Scholar with the keywords complementary feeding during covid, 11 observational studies were found with cross-sectional, case-control and case study designs Components in toddler feeding related to stunting during the Covid-19 pandemic are the introduction of food, minimum food diversity (MDD), minimum meal frequency (MFF), portion standards, and appetite. While the level of knowledge, family income, caregivers, history of breastfeeding, conducive eating situations, and the use of instant porridge are other components that have the potential to cause stunting in toddlers. Conclusion: The introduction of food, a certain amount of variety in the diet, and a minimum number of meals per day are the general elements of toddler feeding that must be taken into account in order to prevent stunting during a pandemic.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.324-335
      Issue No: Vol. 6, No. 1SP (2022)
  • Literature Review: The Description of the Stunting Memory Program
           Evaluation as an Effort to Optimize the Decline in the Stunting Incidence
           in the Pandemic Covid-19 Era

    • Authors: Faraiesa Nurahadiyatika, M Fikri Himmawan
      Pages: 336 - 342
      Abstract: Background: Stunting is included in the category of chronic nutritional problems in children which is currently a top priority for nutritional problems in Indonesia. The condition of stunting can be described through the nutritional status of under-five during the growth and early development period of life caused by a lack of child nutrition at the age of the golden period or the 1000 HPK period (the first 1000 days of life). The prevalence of stunting in Indonesia reached 24.4% in 2021, which has decreased from 2018, which was 30.8%, this figure is high when compared to the world's stunting prevalence of (21.7%). The stunting prevention and control program (children born shortly) during the Covid-19 pandemic still needs to be reviewed and re-evaluated to optimize efforts to reduce the incidence of stunting. Objective: Knowing the description of the evaluation of the stunting prevention program as an effort to optimize the reduction in the incidence of stunting in the Covid-19 Pandemic era. Discussion: This journal article was written with inclusion criteria related to the stunting prevention program from 2021 to 2022 during the Covid-19 pandemic. The focus of the stunting prevention program led to the selection of ten journal articles for review in the writing of this journal article. According to the findings of the literature review, the evaluation of stunting prevention programs during the Covid-19 pandemic was quite good when implemented offline. Directly implemented programs effectively increase understanding of the intended research objectives. The results obtained through the stunting prevention program are aimed at research objectives, namely, the aim is to understand and understand the dangers of stunting in children, how to treat and prevent stunting in children, and how to prepare solid complementary food or healthy complementary food for stunted children. Conclusion: The health coaching approach to stunting targets uses various educational media and the provision of MP-ASI and PMT, which has been extensively researched, and is considered very effective in increasing public awareness paying attention to health, especially fulfilling nutrition during the Covid-19 pandemic, so that efforts to reduce the incidence rate of stunting can be optimized.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.336-342
      Issue No: Vol. 6, No. 1SP (2022)
  • A Literature Review: Does The Gut Microbiota Related to Stunting Under 5
           Years Children'

    • Authors: Betty Yosephin Simanjuntak, Rahma Annisa, Arie Ikhwan Saputra
      Pages: 343 - 351
      Abstract: Background: Stunting, one of the malnutrition that started since in pregnant until 2 first life's years and made worse by repeated infection disease. Objectives: This study aims to identify the correlation between the presence of gut microbiota and stunting. Discusion: This study explored article Pubmed database, Science Direct, Sage Journal, Springer Link, through keywords “stunting, gut microbiota, under 5 years”. Furthermore, the studies found are 5 open access articles, and were filtered since 2016 until 2021. The guts microbiota may contribute to stunting in children. Gastrointestinal infection has spesific mechanism that causing postnatal stunting. Immaturity and deficiency of non-pathogenic microbiota in the gut are the main causes. Decreased gastrointestinal microbiota diversity in children who suffer diarrhea and stunting. Conclusions: composition change of the gut bacteria of children have been associated with an increase in the number of gastrointestinal infections resulting in chronic growth disorders.
      PubDate: 2022-12-23
      DOI: 10.20473/amnt.v6i1SP.2022.343-351
      Issue No: Vol. 6, No. 1SP (2022)
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