Jurnal Poltekkes Kemenkes Aceh
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    Effectiveness of local sago and moringa leaf based complementary foods and maternal nutrition education in preventing stunting in North Aceh

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    Malnutrition remains a global challenge with far-reaching health and developmental implications. Indonesia continues to experience a high prevalence of stunting, reaching 31.8%, which highlights the need for effective and sustainable interventions. This study aimed to evaluate the effectiveness of a locally based intervention utilizing Metroxylon sp. (aren sago) and Moringa oleifera (moringa leaves) as complementary food additives combined with maternal nutrition education in reducing stunting. A quasi-experimental study was conducted in North Aceh in July 2025, involving 128 mothers and their stunted children aged 6–24 months old. The intervention consisted of nutrition education on complementary foods made with sago and moringa leaves, delivered through modules and videos, along with a four-week provision of complementary foods. Data were analyzed using the Wilcoxon signed-rank test. The findings demonstrated a significant improvement in the nutritional status of children, with the proportion classified as having a good nutritional status increasing from 43.0% to 84.4%, and no cases of severe malnutrition were identified (p < 0.05). Maternal nutrition knowledge also improved, with 35.2% achieving a “good” score (p < 0.05). In conclusion, locally sourced food-based interventions combined with nutrition education effectively improve children’s nutritional status and strengthen maternal knowledge. This approach is recommended as a contextual and sustainable strategy for stunting preventio

    Associations between knowledge, attitudes, junk food consumption, and obesity risk among productive age adults in Aceh, Indonesia

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    Obesity has become a global public health problem with increasing prevalence. In Indonesia, Aceh ranks 10th out of 38 provinces, with an obesity prevalence of 24.4%. The number of obesity cases in Aceh Besar Regency among individuals of productive age has increased, despite an overall decline in patient visits between 2022 and 2024. This study aimed to analyze the relationship between knowledge, attitudes, and consumption habits of junk food and the risk of obesity in individuals of productive age. This observational analytical study with a case-control design was conducted in Aceh Besar between May and June 2025. The sample consisted of 120 productive-age adults (15–64 years) selected through proportional sampling methods. Knowledge, attitudes, and junk food consumption were measured using a structured questionnaire that had been tested for validity, and data analysis was performed using the chi-square test. The results showed a significant relationship between knowledge (p=0.017; OR=0.375) and junk food consumption habits (p=0.001; OR=0.269) and the incidence of obesity. Conversely, attitudes did not show a statistically significant relationship with the risk of obesity (p=0.083; OR=0.509). In conclusion, nutritional knowledge and junk food consumption habits are important factors in the risk of obesity in individuals of productive ages. Strengthening nutrition education and reducing fast-food consumption are recommended community-based obesity prevention measures

    Hubungan praktik pemberian MP-ASI dan malnutrisi (6-23 bulan) di negara berkembang: Scoping Review berbasis indikator WHO

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    Background: Complementary feeding plays a crucial role in preventing malnutrition during early childhood. However, inappropriate complementary feeding practices that do not align with the World Health Organization (WHO) Infant and Young Child Feeding (IYCF) guidelines remain prevalent in developing countries, contributing to high rates of undernutrition and child mortality worldwide.Objective: This review aimed to map the current scientific evidence on the association between complementary feeding and malnutrition among children aged 6–23 months in developing countries, based on the latest WHO IYCF indicators.Methods: This scoping review followed the PRISMA-ScR framework. Literature searches were conducted across Scopus, PubMed, Cochrane Library, and Web of Science databases for English and Indonesian publications from 2020–2025. Eligible studies included observational research examining the relationship between WHO IYCF indicators and child nutritional outcomes. Study quality was assessed using The Joanna Briggs Institute (JBI) Critical Appraisal Tools, and data were analyzed descriptively without quantitative synthesis.Results: Of 4,454 screened articles, 10 met the inclusion criteria. The mapped evidence consistently showed that inappropriate complementary feeding practices are associated with stunting, wasting, and underweight among children. However, the strength of associations varied due to contextual differences in socioeconomic conditions, dietary culture, national nutrition programs, and variations in the application and measurement of WHO indicators.Conclusion: Appropriate complementary feeding practices based on WHO IYCF indicators are positively linked to better nutritional outcomes in children aged 6–23 months. Strengthening evidence-based, multisectoral interventions and longitudinal research is essential to address disparities in child nutrition

    Edukasi pencegahan stunting pada remaja putri serta screening haemoglobin di Dayah Insan Qurani Aceh Besar

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    Adolescent girls are future mothers who will give birth to the next generation of the nation. Currently, the government continues to promote programs aimed at reducing stunting rates to help create a "golden generation" by 2045, with adolescents being one of the primary targets. This is evident in the establishment of adolescent posyandu (integrated health service posts) as an effort to accelerate the reduction of stunting rates and to increase awareness of adolescent health. Through stunting prevention education and hemoglobin screening activities, the community service team from the Department of Medical Laboratory Technology (TLM), Poltekkes Kemenkes Aceh—consisting of lecturers and students—hopes that female adolescents at Dayah Insan Qurani will gain a better understanding of healthy lifestyles and be able to maintain their health, especially in preventing anemia caused by low hemoglobin levels. The female students and the management of Dayah Insan Qurani responded positively and showed great enthusiasm for this program. The results obtained after the activity, measured through pre-test and post-test assessments, showed an increase in knowledge about stunting prevention among adolescent girls from 58% to 94%. Hemoglobin screening results also indicated that 86% of participants had normal hemoglobin levels, with an average of 14 g/dL, while 14% had below-normal levels, averaging 10.6 g/dL, indicating the presence of anemia. The head of the madrasah at Dayah Insan Qurani, through the person in charge of the health clinic, expressed hope that similar activities will continue so that the adolescent girls at the dayah can maintain their health

    The impact of a free nutritious meal program on elementary school students' concentration levels

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    Nutritional problems among school-aged children negatively affect both physical growth and academic achievement. In Indonesia, approximately 41% of children attend school while hungry, and only 10% habitually consume a nutritionally balanced breakfast. This study aimed to analyze the effect of the “Free Nutritious Meal” (Makan Bergizi Gratis, MBG) program on concentration levels among elementary school students. A quasi-experimental design with pre-test and post-test assessments and a control group was applied. The study was conducted in Banda Aceh, with SD Negeri 50 serving as the intervention group and SD Negeri 20 as the control group. A total of 83 students in the intervention group received free nutritious meals, while 83 students comprised the control group. The study was carried out from April to June 2025. Concentration levels were measured using the Grid Concentration Test, a simple psychological tool to assess focus and attention. Data analysis included descriptive statistics to present respondent characteristics and concentration distribution, and Chi-Square tests to compare within-group and between-group changes. Results demonstrated a significant improvement in concentration among students in the intervention group between baseline and endline (p = 0.020), whereas no significant change was observed in the control group (p = 0.328). The MBG program effectively enhanced student concentration. Strengthening program quality and providing nutrition education to families are recommended to support healthy eating habits and maximize the program’s impact on children’s cognitive function

    The association between serum ferritin levels and growth parameters in children with β-thalassemia major

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    Beta-thalassemia major requires regular blood transfusions, which can result in iron overload. Excess iron disrupts bone homeostasis by inhibiting osteoblast activity and stimulating osteoclast differentiation via elevated receptor activator of nuclear factor-κB ligand (RANKL) and osteoprotegerin (OPG) levels, thereby increasing the risk of osteoporosis. This may lead to vertebral compression, fractures, and reduced heights. This study aimed to assess the correlation between serum ferritin concentration and linear growth parameters (height and sitting height) in adolescents with beta-thalassemia major. An observational analytical study was conducted at the Thalassemia Center of Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia, from July to August 2023 using secondary data from medical records. The study included 40 participants (21 females) who received ≥10 blood transfusions. Anthropometric measurements were assessed using WHO Reference 2007. Data were analyzed using Pearson's correlation tests. Results, most participants had serum ferritin levels >2000 ng/mL (72,5%), extremely short stature (82,5%), and abnormal sitting height (57,5%). A weak but statistically significant negative correlation was observed between serum ferritin levels and height (r = -0,165; p = 0,030) and sitting height (r = -0,150; p = 0,035). In conclusion, although the correlation is weak, elevated ferritin levels may contribute to impaired linear and spinal growth in adolescents with β-thalassemia major

    The relationship between calcium, zinc and mothers height consumption with stunting incidence in Bengkulu City in 2024

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    Stunting is a chronic nutritional problem influenced by multiple factors, including dietary intake and maternal conditions. Low calcium and zinc intakes can hinder bone growth and metabolic processes, thereby increasing the risk of stunting. In addition, short maternal height, as a reflection of past nutritional status, played a role in fetal growth. This study aimed to analyze the association between calcium and zinc intake, maternal height, and the incidence of stunting among children in Bengkulu City. This quantitative study employed a cross-sectional design and was conducted at the Sawah Lebar Primary Health Center, Bengkulu City, from April to May 2024. A total of 77 children aged 6–59 months were selected using simple random sampling. Dietary intake data were obtained through interviews using a semi-FFQ, while nutritional status was assessed using the height-for-age index. Data were analyzed using Pearson’s correlation test. The results showed a significant association between calcium intake (r = 0.636), zinc intake (r = 0.280), and maternal height (r = 0.290) and stunting. In conclusion, the importance of adequate Ca and Zn intake and maternal nutritional status in supporting child growth. Therefore, nutritional interventions should be implemented early, not only for children but also for adolescent girls as future mothers

    The effectiveness of breakfast time on cognitive function among university students: A cluster experiment study protocol

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    Breakfast is important for supporting cognitive function. However, national surveys show that around 56% of university students in Indonesia often skip breakfast. Research on the optimal timing of breakfast to enhance cognitive function is limited. This study aims to evaluate the effectiveness of different breakfast times on students’ cognitive abilities and health indicators. Methods: A Cluster Randomized Controlled Trial (CRCT) was conducted at the University of Muhammadiyah Aceh in 2024. A total of 60 students from three faculties were recruited and randomly assigned into three groups: intervention 1 (breakfast at 06:30–07:30), intervention 2 (07:31–08:31), and a control group (usual breakfast habits). The intervention lasted 8 weeks (4 weeks intervention, 4 weeks maintenance). Cognitive function was assessed using the Army Alpha Test, and mood was measured with the Profile of Mood Scales. Data were analyzed based on the Intention-to-Treat (ITT) principle and the Generalized Estimating Equation (GEE) method in SPSS version 25.0. Results: This protocol is designed to explore the most suitable breakfast timing for students. Expected outcomes include identifying breakfast times that significantly enhance cognitive function. Conclusion: The study is expected to provide evidence for designing breakfast interventions that support students’ cognitive function and overall health

    The role of intermittent fasting diet in NAFLD management: A scoping review of RCT and clinical trial studies in adult patients

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    Non-Alcoholic Fatty Liver Disease (NAFLD) is the accumulation of fat in the liver not caused by alcohol consumption and is now a leading cause of chronic liver disease globally. Intermittent fasting has the potential to improve the metabolic parameters associated with NAFLD; however, more scientific evidence is needed to confirm this. This review aims to examine the role of intermittent fasting in the management of NAFLD based on existing research. The method used was A scoping review was conducted with a literature search through the PubMed and ScienceDirect databases, and article selection was performed using the PRISMA flow. The inclusion criteria were randomized controlled trials (RCTs) or clinical trials published between 2014 and 2024, resulting in seven articles meeting the criteria. The results showed that various IF methods, such as 5:2 fasting, Alternate-Day Fasting and Time-Restricted Eating, can reduce body weight, waist circumference, fat mass, and several biochemical parameters, such as triglycerides, LDL, total cholesterol, ALT, AST, and inflammatory markers. However, its effectiveness on biochemical parameters still requires further study due to the limited number of studies that comprehensively address these parameters. In conclusion, IF is considered safe for patients with NAFLD and may be a strategic approach to improve NAFLD

    Dietary non-compliance among Indonesian patients with diabetes and kidney disease: A focus on risk-associated eating behaviors

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    Chronic illnesses, such as diabetes mellitus (DM), hypertension, and chronic kidney disease (CKD), are increasingly prevalent in Indonesia, partly due to poor dietary habits. This study aimed to analyze the association between risky food consumption and the occurrence of hypertension and CKD in individuals with diabetes and to explore the factors influencing unhealthy food choices. This cross-sectional study used data from the 2023 Indonesian Health Survey. The analysis included 14,935 adults diagnosed with diabetes mellitus, of whom 143 were identified as having both hypertension and CKD. Stratified random sampling was applied based on census blocks. Data were collected through structured interviews and health assessments of dietary patterns and a history of chronic illness. Chi-square tests and logistic regression were performed to assess the associations, with p < 0.05 considered significant. Hypertension was significantly associated with CKD (OR, 2.16; 95% CI: 1.68–2.77; p < 0.001). Risky dietary patterns, particularly high intakes of salty foods, processed meats, and sugary beverages, were significantly associated with hypertension. The major drivers of unhealthy food consumption include taste, affordability, and lack of health awareness. Risky food intake contributes to hypertension and CKD in patients with diabetes. Targeted public health interventions are required to improve dietary behavior and raise awareness

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    Jurnal Poltekkes Kemenkes Aceh
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