Jurnal Poltekkes Kemenkes Aceh
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Substitution of arabica coffee powder to enhance antioxidant content in traditional Bhoi cake for Gen-Z
No full textThis study aimed to develop a functional food innovation by incorporating Arabica coffee into traditional Bhoi cakes to address the demand for healthier dietary options among Generation Z. This study applied a Research and Development (R&D) approach using a 4D model (define, design, develop, and disseminate). The study was conducted from January to May 2025 at the Food Technology and Nutritional Chemistry Laboratory of Banda Aceh. Ten experts and 80 untrained panelists were recruited through purposive sampling. Arabica coffee powder was substituted at 5%, 7.5%, and 10% of the flour weight. The proximate composition, antioxidant activity (UV-Vis spectrophotometry), and sensory attributes of the samples were analyzed. Statistical analyses were performed using paired t-tests at a 5% significance level. The results showed that 10% substitution significantly increased the antioxidant activity (34.7 ± 1.2 mg GAE/g) compared to that in the control (18.5 ± 0.9 mg GAE/g, p < 0.01). Sensory evaluation also indicated higher preference scores for color, aroma, taste, and texture at the 10% level (p < 0.05). In conclusion, the Arabica coffee-based Bhoi cake demonstrates the feasibility of enriching traditional foods with functional properties while preserving their cultural identity. This innovation may serve as a model for developing functional foods based on local culinary heritage
Beetroot (Beta vulgaris L.) juice supplementation and hemoglobin response in head and neck cancer patients after chemotherapy
No full textAnemia frequently occurs in patients with cancer and can worsen due to chemotherapy. The literature on non-pharmacological interventions to increase hemoglobin levels in patients with head and neck cancer following chemotherapy remains limited. This study aimed to measure the effect of beetroot juice supplementation on changes in hemoglobin levels in patients with head and neck cancer who had undergone chemotherapy. Methods: An experimental study with a one-group pretest–posttest design was conducted at dr. Zainoel Abidin General Hospital, Banda Aceh (July–November 2024). The sample consisted of all head and neck cancer patients undergoing chemotherapy cycles I–VI (total sampling, n=40), divided into two treatment groups: 100 g beetroot juice (n=20) and 200 g beetroot juice (n = 20). Hemoglobin levels were measured before and 14 days after the intervention. The analysis was performed using paired t-tests and effect sizes (Cohen’s d). Results: Administration of 100 g of beetroot juice did not significantly alter hemoglobin levels, with an average difference of −0.24 g/dL (p = 0.241). In contrast, the 200-gram dose resulted in a significant increase in hemoglobin levels, with an average difference of +0.44 g/dL (p = 0.016) after 14 days of intervention. Furthermore, the estimated Cohen’s d (pooled SD) was 0.51, indicating a moderate effect. In conclusion, the administration of 200 g beetroot juice for 14 days was associated with a small but statistically significant increase in hemoglobin levels in patients with head and neck cancer who underwent chemotherapy. Further studies in the form of RCTs with larger sample sizes and stricter compliance monitoring are needed to confirm these findings and assess their clinical relevance
Development and evaluation of functional “Harukam” jelly gum for oral health in stunted children
No full textSnakehead fish (Channa striata) bones exhibited antibacterial activity against cariogenic bacteria, while Banjar Siam orange (Citrus reticulata) provided complementary antibacterial effects. The combination of these ingredients has the potential to be formulated into a functional saliva-stimulating jelly gum to support oral health in stunted children. This study aimed to obtain an optimal formulation of “Harukam” jelly gum as a saliva stimulant for caries prevention. The research was conducted at the Health Polytechnic of the Ministry of Health Banjarmasin and the Industrial Service Standardization Center Banjarbaru, Indonesia, from June to October 2025. A completely randomized design was applied using four concentrations of snakehead fish bone flour: P0 (0%), P1 (1%), P2 (2%), and P3 (3%). Sensory evaluation was performed using the Hedonic Scale, while the chemical composition was determined through proximate analysis. Optimization was determined using the DeGarmo method, and statistical analysis was performed using the Friedman test. The addition of snakehead fish bone flour significantly affected sensory acceptance (p < 0.001) and increased most proximate values, except for carbohydrates. The P1 formulation received the highest preference score. In conclusion, P1 “Harukam” jelly gum showed potential as a functional food to stimulate saliva secretion and support caries prevention in stunted children
The effectiveness of digital nutrition education interventions on behavioral changes in fast food consumption
No full textThe consumption of fast food has increased significantly and is associated with obesity and other chronic diseases. Digital nutrition education has been proposed as a solution to promote healthy eating behaviors. This randomized controlled trial was conducted in Jakarta and Bandung, Indonesia, in 2024 and involved 200 participants aged 18–50 years old. The experimental group (n=100) received digital nutrition education through a mobile application, whereas the control group (n=100) received no intervention. Data on fast-food consumption frequency, nutritional knowledge, and attitudes were collected using validated questionnaires before and after the 6-week intervention. Fast food consumption in the experimental group decreased significantly by 53% (from 6.5 to 3 times/week) compared with a 12% reduction in the control group. Nutritional knowledge improved from 40% to 75%, and 80% of the participants reported improved eating habits. Higher engagement with interactive app features led to a 30% increase in healthy food consumption. Digital nutrition education interventions effectively reduce fast food consumption and improve nutritional knowledge and attitudes. These findings support the integration of digital tools into public health strategies
Total lactic acid bacteria, microstructure and texture analysis of probiotic soft cheese with rennet-induced protein gelation
No full textConsumers are becoming increasingly aware of the importance of choosing healthy probiotic-rich functional foods, such as cheese. Total lactic acid bacteria (LAB) is a crucial measure of success in the development of probiotic soft cheese. Furthermore, it is important to analyze the microstructure and texture of products to determine consumer acceptance. In this study, a randomized block design (RBD) was used with four concentrations of Lactobacillus plantarum FNCC 0026 (0%, 5%, 10%, and 20%). Total LAB was quantified using the total plate count (TPC) method. The microstructure and texture were analyzed using field-emission scanning electron microscopy (FESEM) and a texture profile analyzer (TPA), respectively. In this study, 5% concentration yielded the highest LAB count of 8.054 ± 0.54 log CFU/g (2.0 × 108 CFU/g) and optimal texture attributes. The texture values included hardness (32.41–48.89 N), adhesiveness (0.03–2.65 Nmm), and springiness (0.78–0.83). Furthermore, FESEM analysis revealed no differences in the protein and fat distribution in the microstructure of probiotic soft cheese. These results substantiate the potential of probiotic soft cheese as functional foods. A concentration of 5% Lactobacillus plantarum FNCC 0026 yielded optimal results for total LAB count and texture profile attributes, including hardness, adhesiveness, and springiness
Effect of ginger kombucha consumption on blood pressure in patients with essential hypertension
No full textEssential hypertension remains a major global public health problem that requires effective non-pharmacological management strategies. Fermented functional beverages rich in antioxidants, such as ginger kombucha, have been proposed as potential complementary interventions for blood-pressure control. This study aimed to evaluate the effects of ginger kombucha consumption on blood pressure in patients with essential hypertension. A quasi-experimental pretest–posttest control group design was conducted involving 62 patients with hypertension at Medan Adventist Hospital, Indonesia, in April 2025. Participants were allocated to an intervention group (n = 31), which consumed 200 mL ginger kombucha twice daily for 14 days, and a control group (n = 31), which received no intervention. Blood pressure was measured using a standardized digital sphygmomanometer. Data were analyzed using paired and independent t-tests. The intervention group demonstrated a significant reduction in both systolic and diastolic blood pressure, with mean decreases of 16.2 mmHg and 10.1 mmHg, respectively (p < 0.001), whereas the changes in the control group were not statistically significant. Between-group comparisons showed significantly greater reductions in blood pressure in the intervention group (p < 0.05), indicating a clinically meaningful effect over a short period. In conclusion, ginger kombucha consumption significantly reduced blood pressure in patients with essential hypertension and may serve as a complementary non-pharmacological strategy for hypertension management. Ethical approval was obtained prior to data collection, and all the participants provided written informed consent
Determinan stunting pada anak usia di bawah lima tahun di Aceh: Analisis data SUSENAS dan SSGBI 2019
No full textBackground: Stunting in children under five years of age is a chronic nutritional problem that has long-term impacts on the quality of physical growth and cognitive development of children. Aceh has recorded a high prevalence of stunting (SSGBI 2019:34,18%); however, studies that integrate national data to identify actionable local determinants remain limited.Objective: To identify factors associated with stunting among children under five years of age in Aceh and determine the dominant factors that could become the focus of local policy interventions.Methods: This cross-sectional study analyzed secondary data from the 2019 Susenas and SSGBI. The sample was selected as a subset of all households in Aceh Province that were recorded in both surveys and met the inclusion criteria (children aged 0–59 months with complete anthropometric and related variable data), resulting in 1,019 children in 2019. Multistage stratified cluster sampling was conducted by the BPS and Ministry of Health. Stratified data from Aceh Province were used for this analysis. The analysis included descriptive analysis, bivariate tests (chi-square), and multivariate logistic regression to identify determinant factors (Adjusted Odds Ratio [AOR], 95% confidence level).Results: The prevalence of stunting among children under five years of age in Aceh was 27,67% (n=1,019). In the bivariate analysis, factors significantly associated with stunting were Early Initiation of Breastfeeding (EIBF) (p=0,002), exclusive breastfeeding (p=0,043), access to food (p=0,033), access to information media (p=0,001), parental education (p<0,05), birth spacing (p=0,000), and area (urban/rural) (p=0,003). In the multivariate model, the dominant factors increasing the odds of stunting were severe household food insecurity (AOR=1,56), not accessing health information media (AOR=1,51), living in rural areas (AOR=1.40), and not practicing EIBF (AOR=1,40), all of which were significant at p<0,05.Conclusion: Food security is the most dominant factor associated with stunting in Aceh, Indonesia. Recommended interventions include strengthening family- and community-based food security programs (including targeted food assistance and food diversification), improving maternal nutrition education during the first 1,000 days of life with empowerment strategies through accessible information media, and enhancing breastfeeding support and posyandu services in rural areas
Peningkatan fungsional bedak dayak dengan ekstrak daun sirih hutan gambut Kalimantan Tengah (Piper aduncum) sebagai anti dengue
No full textBackground: Dengue Hemorrhagic Fever (DHF) was disease caused by a virustransmitted the Aedes aegypti. One of the products with local wisdom that prevented DHF was the formulation of dayak powder from sirih hutan leaves. Based on phytochemical, contained terpenoids and flavonoids.Objectives: This study aims to identifythe group of antidengue compounds, determine the formula and evaluate the preparation of topical formulation.Methods: The research design used a pre experimentaldesign with variations and formula development, was conducted at the Biomedical Laboratory FK and PPIIG UPR in August-November 2024. Ethanol extract was obtained using the maceration for 3x24 hours, evaporated using a rotary evaporator and contained 132,5059 g. The extract was analyzed using GC-MS, then formulated with dayak powder and a physical test. Data were analyzed using the One Way Anova statistical test and continued Tukey's post hoc at 95% CI.Results: Sample showed 52 peak areas representing 7 possible identified compounds with a percentage of similarity> 70% (GC-MS). Then the five formulas were physically tested. The results of organoleptic and pH all formulas produced powder aromatic, green, and the criteria of skin pH range (4,5-6,5). The 5th formula showed better results based on the flow time test (5,46 seconds), the settling test produced 3,5-6% (<10%), adhesion test, smoothness, and hedonic. Based on data analysis with One Way Anova, a significant difference was produced in each dayak powder formula (pvalue=0,05).Conclusion: Ethanol extract of sirih hutan leaves has 7 possible compounds with antidengue activity and the 5th formula has better physical test results
Efektivitas model Home Visit dalam asuhan keperawatan gigi keluarga di Desa Peuniti, Banda Aceh
No full textPeuniti Village is one of 10 villages in Baiturrahman District, Banda Aceh City, with diverse socio-cultural characteristics and a high prevalence of childhood dental caries. The initial survey showed that 85% of families experienced caries and children's dental hygiene was generally poor (PHP-M score = 38), far from government standards (<15). The purpose of this activity was to improve mothers' knowledge, attitudes, practices, and children's dental hygiene through the implementation of a home visit model of family dental nursing care. The method used was descriptive, targeting 60 children and their mothers as respondents. The intervention was conducted through three home visits over 21 days, with pre-test, post-test I, and post-test II evaluations. The results showed a significant increase in all indicators. Mothers' knowledge increased from sufficient to good (76,7%), mothers' attitudes from poor to good (80%), mothers' actions in assisting with tooth brushing from sufficient to good (83%), and children's dental hygiene status (PHP-M) from poor/very poor to good (93,3%) and very good (6,7%). This family-based educational approach has proven effective through interactive methods, demonstrations, and visual reinforcement. This activity also demonstrates the importance of mothers' roles as agents of change in children's dental care at home. In conclusion, the home visit model has proven effective in fostering healthy family behaviors independently. It is recommended for replication in other regions with cross-sectoral support to reduce caries rates preventively and sustainabl
Effect of energy adequacy level and hydration status on occupational fatigue in fisherman
Full text linkFatigue is a risk factor that can reduce the health status of workers and cause accidents. Fatigue can be caused by inadequate energy and hydration levels. This study aimed to determine the relationship between the level of energy adequacy, hydration status, and work fatigue among fishermen in Puger Wetan Village in February to April 2024. This was a cross-sectional study of 106 fishermen. The data collected were fisherman’s characteristics, Swedish Occupational Fatigue Index (SOFI), self-urine check card, and 2×24 hour food recall. Data were analyzed using Spearman’s rank correlation test. The results showed that more than half (54,7%) of the fishermen experienced moderate fatigue and mild dehydration (41,5%). In addition, the level of energy adequacy (p < 0,0001; r=-0,449) and hydration status (p= 0,003; r= 0,289) were correlated to occupational fatigue. The conclusion is that there is a significant relationship between energy sufficiency and hydration status to occupational fatigue among fishermen. Fishermen are expected to focus on consuming a variety of foods with balanced nutrition and sufficient body fluid intake. Future research should explore other factors related to occupational fatigue, such as workload, job stress, shift work, and sleep quality