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Published By Universitas Airlangga

2580-9776, 2580-1163

2021 ◽  
Vol 5 (2SP) ◽  
pp. 38
Author(s):  
Deasy Andesbrenta Sadikin

Background: Nutrition literacy is the ability to obtain, process, understand, and use nutritional and dietary information, as well as access to the services needed to make good nutritional decisions. Low nutritional literacy can have an impact on a poor diet and lead to the incidence of non-communicable diseases related to nutrition, such as diabetes, obesity, and hypertension. College students are prone to develop poor eating habits if not supported by good nutrition literacy.Objectives: This study measured the difference in the proportion of nutritional literacy in regular active undergraduate students at the University of Indonesia based on the cluster of science, gender, paternal and maternal education level, pocket money, and media use.Methods: The study design used is a cross-sectional design with quota sampling method to get 130 samples of students from Health Science Cluster and 130 samples of students from Non-Health Science Cluster.Results: The results of this study showed that the majority of the University of Indonesia students in 2021 has an adequate level of nutrition literacy (62.7%). The results of the bivariate analysis also showed a significant difference in proportion to the level of total nutrition literacy based on cluster of science (OR = 6.7, p-value < 0.01), gender (OR = 2.25, p-value < 0.01), and media use (OR = 4.36, p-value < 0.01). In addition to these factors, there was also a difference in proportion between the level of interactive nutrition literacy based on maternal education level (p-value < 0.05)Conclusions: Students from non-health science cluster are at risk of having a lower level of nutrition literacy compared to students from health science cluster. There are differences in the proportion of nutritional literacy levels based on cluster of science, gender, maternal education level, and media use.


2021 ◽  
Vol 5 (2SP) ◽  
pp. 10
Author(s):  
Mellysa Kowara

ABSTRAKLatar Belakang:  Peningkatan cakupan ASI eksklusif dapat dilakukan dengan menerapkan 10 LMKM di fasilitas kesehatan. Berdasarkan hasil penilaian program 10 LMKM tahap 1 menunjukkan perlunya penguatan 10 LMKM terutama langkah 1 dan 2 sebagai prosedur pengelolaan kritis (Critical Management Procedural). Untuk menindaklanjuti temuan tersebut maka dijalankan Project BENEFIT untuk meningkatkan penerapan dari langkah-langkah tersebut. Proyek tersebut dilaksanakan pada tahun 2019 hingga 2020 di 5 kabupaten/kota di Jawa Timur yaitu Bondowoso, Jember, Probolinggo, Trenggalek dan Surabaya.Tujuan: Penelitian ini bertujuan untuk mengevaluasi implementasi penguatan 10 LMKM yang dilakukan melalui proyek BENEFITyang berfokus pada penguatan langkah 1 dan 2 di fasilitas kesehatan di Provinsi Jawa Timur dan bagaimana pengaruhnya terhadap penerapan langkah lainnya serta pencapaian dalam indikator menyusui.   Metode: Studi crossectional dilakukan pada 720 responden yang terdiri dari 143 pimpinan fasilitas kesehatan dan 577 ibu nifas (untuk validasi data). Pengumpulan data dilakukan dengan menggunakan kuesioner yang diadaptasi dari BFHI Unicef/WHO yang mengevaluasi penerapan keseluruhan langkah dalam 10 LMKM menggunakan aplikasi KoBo ToolBox pada periode Juli-September 2020. Hasil: Terdapat peningkatan dalam penerapan 10 LMKM terutama langkah 1 dan 2. Langkah 1 yaitu tersedianya kebijakan tertulis pemberian ASI eksklusif menunjukkan peningkatan kepatuhan yang signifikan (66,4 menjadi 72,82; α= 0,015). Sedangkan untuk tahap 2 (pelatihan dukungan menyusui bagi petugas kesehatan dan non-kesehatan) menunjukkan peningkatan yang signifikan dalam pelaksanaannya (69,5 menjadi 77; α = 0,015). Prosedur manajemen kritis berperan sebagai landasan yang mempengaruhi praktik dukungan menyusui di fasilitas kesehatan. Berdasarkan hasil monitoring dan evaluasi menunjukkan adanya perbaikan pada praktik dukungan menyusui selama perawatan ibu di fasilitas kesehatan seperti cakupan IMD (71,2%) baik pada persalinan normal maupun seksio sesarea, rawat gabung (69,1%) dan praktik menyusui bayi baru lahir. (73,5%). Kesimpulan: Intervensi BENEFIT yang berfokus pada penguatan langkah 1 dan 2 dalam 10 LMKM sebagai prosedur manajemen kritis mampu meningkatkan kepatuhan implementasi keseluruhan langkah 10 LMKM. Sebagai landasan untuk melaksanakan langkah-langkah lainnya, penguatan 10 LMKM terutama langkah 1 dan 2 terbukti dapat meningkatkan praktik dukungan menyusui di fasilitas kesehatan oleh seluruh staf.Kata Kunci: Menyusui, 10 LMKM, BENEFIT ABSTRACTBackground: 10 Steps to Successful Breastfeeding (STSB) was implemented as an attempt to improve the coverage of exclusive breastfeeding in healthcare facilities. Results of the phase 1 Baby-Friendly Hospital Initiative (BFHI) assessment necessitated further strengthening for steps 1 which is the availability of an exclusive breastfeeding policy and step 2 which entails training provision for maternal and child health officer. These two steps are regarded as critical management procedures which act as a foundation for the implementation of subsequent steps. To follow up on these findings, Project BENEFIT was implemented to improve steps 1 and 2. The project was carried out between 2019 and 2020 in 5 districts in East Java, namely Bondowoso, Jember, Probolinggo, Trenggalek and Surabaya. Objectives: This objective of this study is to evaluate the implementation of the BENEFIT project and how it affects the implementation of other steps as well as how it impacts breastfeeding indicators.Methods: This cross-sectional study was conducted on 720 respondents consisting of 143 health facility leaders and 577 post-partum mothers to validate response. Data was collected using a questionnaire adapted from Baby Friendly Hospital Initiation (BFHI) guidelines by World Health organization (WHO) and United Nations Children Emergency Fund (UNICEF) using the KoBo ToolBox application between July and October 2020. Results: There was an improvement in the implementation of steps 1 and 2. A significant increase in compliance was found for Step 1 (66.4 to 72.82 α = 0.015) and step 2 (69.5 to 77.9, α = 0.15). Subsequent monitoring and evaluation also showed moderate improvement on breastfeeding support practice in health facilities such as coverage of skin-to-skin contact (71.2%) both on normal and section-caesarean delivery, rooming-in (69.1%) and the practice of breastfeeding newborn (73.5 %). Conclusion: The BENEFIT project assisted in the increased compliance for steps 1 and 2 STSB, which further improved breastfeeding support practices by all healthcare facility staff members for other steps. Keywords: Breastfeeding, 10 STSB, BENEFIT 


2021 ◽  
Vol 5 (2SP) ◽  
pp. 19
Author(s):  
Fathia Maulida ◽  
Asih Setiarini ◽  
Endang Laksminingsih Achadi

Background: The program for giving Fe tablets is one of the efforts to overcome anemia based on WHO recommendations, one of the targets is the adolescent girl. Indicators of the success of this program are decreasing the incidence of anemia in adolescent girls and increasing adherence to iron tablets consumption.  Objectives: This research aims to determine the implementation of the Fe tablets program for adolescent girls in 2019 in Pekanbaru City. Methods: This research uses a qualitative method which is then presented with a descriptive narrative. The data obtained are primary data obtained and collected by in-depth interviews with informants and secondary data by document review and then analyzed by content analysis. Results: The results showed that the implementation of the Fe tablets program for young women in Pekanbaru City has been running, but there are still many obstacles in its implementation so that the scope of success of this program has not reached the national target. Constraints in its implementation include the lack of coordination of cross-sectoral cooperation, the lack of provision of IEC media in socialization, and the low level of compliance of adolescent girls in consuming iron tablets.Conclusions: It is necessary to strengthen coordination and control in the implementation of the Fe tablets program for adolescent girls in Pekanbaru City, it is necessary to increase the procurement of IEC media to support the success of this program and there is a need for improvement providing education to the adolescent girl and even parents or guardians on the knowledge about the importance of this Fe tablets program.Keywords: Fe tablets, adolescent girl, IEC


2021 ◽  
Vol 5 (2SP) ◽  
pp. 30
Author(s):  
Intan Hidayah ◽  
Sandra Fikawati

Background: Food security is a condition when everybody has adequate physical and economical access to get nutritious and safe food to lead healthy and active life. COVID-19 pandemic can cause food security disruptions. This is because several people have lost their jobs and income so that they are no longer able to meet their food needs. Objectives: This study aimed to determine the dominant factor related to food security during COVID-19 pandemic in Depok City in 2020.Methods: This quantitative research used cross-sectional study. The data used was secondary data from the research entitled Situation of Family Food Security and Coping Mechanisms in COVID-19 Pandemic Situation in Urban and Semi-Urban Areas. The total of samples for this secondary study were 259 households who had pregnant mother, breastfeeding mother, infant or toddler. Sampling process from the primary research was carried out by purposive sampling. Researchers disseminated research information through social media and posyandu cadres and then conducted screening. Respondents who met the screening requirements would be sent an electronic mail or Whatsapp containing a research questionnaire. Data was analyzed using McNemar test, chi-square test and multiple logistic regression test.Results: This study indicated that 61.8% of households in Depok City experienced food insecurity. The results of the bivariate analysis showed that household income during pandemic, husband’s and wife’s education, the number of high educated people in household significantly related to household food security during COVID-19 pandemic. The dominant factor of household food security during the COVID-19 pandemic in Depok City in 2020 was wife’s education (OR=3.978) after being controlled by the wife’s occupation during pandemic, household income during pandemic, and husband’s education.Conclusions: Households with low educated wife were at risk to be food insecure 4 times higher than households with high educated wives.


2021 ◽  
Vol 5 (2SP) ◽  
pp. 1
Author(s):  
Sitti Patimah ◽  
Sundari Sundari ◽  
Andi Imam Arundhana

Background: Stunting remains a major public health problem in Majene, Indonesia. School-based nutrition education is an effective strategy to reduce the prevalence of stunting in all settings. The teachers are the key to implementing the strategy in order to improve the students’ behavior and nutritional status.Purpose: The study aimed to explore the teachers’ perceptions about stunting.Method: A qualitative case-study approach was employed using two focus group discussions in four secondary schools. The study participants were teachers of biology, physical education and health science, and religious subjects or supervisor of school extracurricular activities. A total of 22 teachers were interviewed following the guidelines and were recorded using a camera and tape recorder. The transcription process was done using an inductive-interactive model.Result: The perceptions of teachers about stunting are varied. It might be due to teachers’ knowledge, value, and experiences, which also diverged. One teacher perceived that stunting is a mismatch between the child's weight and age, while another perceived genetics as the main cause. Interestingly, a teacher perceived that stunting is related to religion. Prayer has function as a spirit in creating a mindset towards food and drinks. Likewise, the prevention of stunting is also through worship and prayer during pregnancy. Low cognitive skill and productivity, illness, and detrimental to the state are the common impacts of stunting. In addition, teachers also mentioned that there are several agencies involved in the stunting intervention programs, including BPOM.Conclusion: There were variations of teacher perceptions about stunting definition, causes, impacts, prevention, and implementers of stunting programs. 


2021 ◽  
Vol 5 (4) ◽  
pp. 347
Author(s):  
Rieza Enggardany ◽  
Lucia Yovita Hendrati ◽  
Noran Naqiah Hairi

ABSTRACTBackground: Anemia is a condition characterized by low levels of hemoglobin (Hb) from normal limits. Anemia is still a public health problem. Data states that the prevalence of anemia in Indonesia in 2013 was 21.7%, with the number of sufferers known to be higher in women than men. The prevalence of anemia in the age range 15 to 24 years was 18.4%. Nutritional status shows the balance of nutrients due to the consumption, absorption, and use of nutrients that come from food in the body. A person's nutritional status can be said to be deficient if the body lacks intake of one or more essential nutrients for the body. One of the indicators for assessing a person's nutritional status is the Body Mass Index (BMI). Inadequate nutritional status will affect the nutritional status of iron in a person' s body so that it can be interpreted that nutritional status is one of the factors of anemia. Consuming foods with good nutritional value, especially foods that contain high iron will also affect the nutritional status of these adolescents so that the risk of suffering from anemia will decrease.Objective: This study aims to analyze the relationship between body mass index and anemia among young women in Indonesia.Methods: This study is a cross-sectional study. The data used are secondary data from the Indonesian Family Life Survey (IFLS) 5. The population of this study was all Indonesians who participated in IFLS 5. The sample used in this study amounted to 3,525 respondents. IInclusion criteria of this study included female, aged 10-18 years, unmarried, having complete data regarding body weight, height and hemoglobin measurement results. If data related to the measurement results of hemoglobin, body weight, height are incomplete, they will be excluded.The statistical test was used is a chi-square test.Results: There was a relationship between Body Mass Index (BMI) and anemia among young women in Indonesia (p = 0.034 <0.05).Based on the odd ratio analysis using the normal Body Mass Index (BMI) group as a comparison, it is known that young women with underweight BMI categories have a 1.198 greater risk of experiencing anemia than girls with normal BMI categories.Conclusion: There is a relationship between BMI and anemia in adolescent girls. It is important for young women to always pay attention to daily iron intake by eating foods that are rich in iron or taking blood-booster tablets (TTD) to avoid anemia.


2021 ◽  
Vol 5 (4) ◽  
pp. 395
Author(s):  
Izzati Nur Khoiriani ◽  
Afifah Yasyfa Dhiyanti ◽  
Rizal Fakih Firmansyah ◽  
Dian Handayani

2021 ◽  
Vol 5 (4) ◽  
pp. 320
Author(s):  
Ratna Kuatiningsari ◽  
Fatqiatul Wulandari ◽  
Ade Lia Ramadani ◽  
Qonita Rachmah

ABSTRACTBackground: Diabetes mellitus is a chronic disease which if not done properly, can cause microvascular and macrovascular disorders. Indicators of the accuracy of diabetes management in this scientific article include education, self-management (improving diet, increasing physical activity, and self-efficacy), and monitoring of HbA1c levels. Mobile devices have the potential as a tool for diabetes mellitus management in the era of the industrial revolution 4.0.Purpose: to provide the latest information regarding the effectiveness of using mobile devices in controlling risk factors for diabetes mellitus.Method: This study is a literature review study. The electronic databases used are Google Scholar, Science Direct, and Directory of Access Journals (DOAJ). Inclusion criteria: original research, a journal of at least 80% indexed by Sinta (Indonesian journal) and indexed by Scopus (international journal), published year 2010-2020, intervention using a mobile device, has an output of HbA1c levels, self management (diet, physical activity, and self efficacy), and the level of knowledge. Exclusion criteria: reference with secondary data.Result: This study used 16 scientific articles. A number of 12 studies (75%) reported the use of mobile device applications in controlling risk factors for diabetes mellitus had significant measurement results in controlling HbA1c levels in 10 studies (83%) and 2 studies were not significant (17%). Outcomes in the form of self-management were reported by 9 studies with details of the significant results of dietary improvement in 5 studies (83%), increased physical activity in 5 studies (63%), and self-efficacy in 4 studies (67%). The increase in knowledge was reported by 4 studies with significant results (100%).Conclusion: Mobile device-based digital intervention is quite effective in controlling diabetes mellitus risk factors to control HbA1c levels, increasing self-management (improving diet, increasing physical activity, and self-efficacy) and knowledge. 


2021 ◽  
Vol 5 (4) ◽  
pp. 313
Author(s):  
Astri Purwanti ◽  
Sugiarto Sugiarto ◽  
Dono Indarto

ABSTRACTBackground: Fruit-infused water (FIW) contains antioxidants and potassium as a antihyperglycemic and antihypertension via inhibition or break the chain of radical reaction but has not been proven in patients with MS.Purpose: To evaluate the effects of FIW on blood pressure and fasting blood glucose (FBG) in patients with MS.Method: This is a Randomized-Control Trial with pre-posttest control group design. 24 patients of Cakranegara Health Center who fulfilled the criteria were randomly divided into control (given counseling only) and treatment (counseling + FIW consists of apple, cucumber, pineapple and strawberry in 250 ml water for 14 days) groups. Blood pressure and FBG were measured before and after intervention. Chi Square was used for descriptive analyze, whereas T-test, Mann Whitney and Wilcoxon was used for differences in means.Result: In the treatment group (n=11), systolic and diastolic mean levels were decreased by 5,4 mmHg (p=0,140) and 0,9 mmHg (p=0,792) respectively. However, FBG levels were increased by 9,2 mg/dL (p=0.929). There were no differences on systolic (p=0,448), diastolic (p=0,835) and FBG (p=0,599) between two groups.Conclusion: FIW consumption are unable to improve blood pressure and FBG levels on metabolic syndrome. Keywords: Fruit-Infused Water, Blood Pressure, Fasting Blood Sugar Level, Metabolic Syndrome


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