Jurnal Poltekkes Kemenkes Aceh
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Formulation of functional instant pumpkin cream soup with moringa leaves as nutritional support for breastfeeding mothers
The exclusive breastfeeding rate has declined, partly due to mothers' perceptions of inadequate breast milk production. Optimal nutrition is crucial to enhance breast milk production. This study aimed to develop instant pumpkin cream soup with moringa leaves, which contains beta-carotene, flavonoids, and phenols as galactagogues and supports meeting the nutritional needs of breastfeeding mothers. Conducted from January to April 2024 in Bogor, West Java, the study used a Randomized Design (CRD) with moringa leaf concentrations of 1%, 2%, and 3%. A sensory evaluation by 35 semi-trained panelists indicated that the highest moringa concentration (F3) achieved the best taste, consistency, and overall acceptability scores. Statistical analysis revealed significant differences in moisture and protein contents between fresh and instant cream soups (p<0,05). The selected formula contained 0,22 mg/g iron, antioxidant activity (IC50:167,79 ppm), 50,95 mg GAE/g total phenols, 20,33 mg QE/g total flavonoids, and 40,50 mcg/g beta-carotene, with a protein digestibility of 43,57%. One serving (25 g) of cream soup provided 5% of the Recommended Dietary Allowance (RDA) for breastfeeding mothers. In conclusion, cream soup formula with 3% moringa leaves was the most preferred, containing nutrients and antioxidants that support increased breast milk production and meet the nutritional needs of breastfeeding mothers
Perubahan frekuensi konsumsi makanan dan hubungannya dengan kerawanan pangan selama pandemi COVID-19 di Kota Yogyakarta: Studi Cross-Sectional
Background: The number of poor people in Yogyakarta City increased by 7,37% compared to the previous year in 2020 and 2021. The scale of household hunger in Daerah Istimewa Yogyakarta Province was 6% before the pandemic and increased during the pandemic to 11%. The research question of this study is whether there is a change in the frequency of food consumption during the COVID-19 pandemic in Yogyakarta City and whether there is a relationship between food insecurity and the frequency of food consumption in Yogyakarta City.Objectives: This study aims to compare the frequency of food consumption among Yogyakarta City people aged 20–54 before and during the COVID-19 pandemic.Methods: This study used cross-sectional design.The research was conducted in Yogyakarta City from February 2021 to February. There were 357 people involved in this study. The sample was selected using multistage random sampling.Data were collected using interview techniques and filling out respondent identity questionnaires, Food Frequency Questionnaire (FFQ), and Household Food Insecurity Access Scale (HFIAS). Data were analyzed descriptively and analytically.The difference test used the Wilcoxon Signed Ranks Test. Relationship between food security status and frequency of food consumption during the COVID-19 Pandemic used the Spearman's rank Correlation Test.Results: The results showed that there was a difference in the frequency of consumption of vegetables and fruit between before and during the COVID-19 pandemic (p= 0,035; p=0,010). There was a significant relationship between food insecurity during the COVID-19 pandemic and the frequency of consumption of staple foods (p=0,04;r=-0,10), milk/dairy products (p=0,02;r=-0,12), meat (p=0,00,r=-0,28), fish/seafood (p=0,00;r=0,33), and fruit (p=0,00;r=-0,19).Conclusion: Fruit and vegetable consumption has increased during the COVID-19 pandemic compared to pre-pandemic levels. There was a significant relationship between food insecurity during the COVID-19 pandemic and the frequency of consumption of staple foods, milk, meat, fish/seafood, and fruit. Public health strategies should ensure access to affordable sources of animal for food-insecure populations during health crises
Unveiling the risks of low birth weight prevalence: An ecological study in West Java
Low birth weight (LBW) is a problem that encompasses the entire life cycle. Children born with low birth weight are highly vulnerable to developing diseases and death, and remain undernourished. This study aimed to analyze the factors related to the prevalence of LBW in West Java Province. This ecological study utilized secondary data from 2022 obtained from the Ministry of Health, Social Office Central Bureau of Statistics, and National Food Agency. The unit of analysis was all districts in West Java. The dependent variable was the prevalence of LBWs. The independent variables were pregnancy age at risk, preterm birth, MUAC <23,5 cm, parity, food security, early marriage, maternal education, and poverty. Pearson and Spearman correlation tests were conducted to examine the relationship between each independent variable and the prevalence of LBW. The overall prevalence of LBW infants was 20,9%, with a significant positive association found between the pregnancy age at risk percentage, percentage of preterm birth, percentage of MUAC <23,5 cm, percentage parity at risk, food security score, percentage of low education, and percentage of poverty (p=0,046, p=0,025, p=0,039, p=0,042, and 0,044; p=0,002). In conclusion, the percentage of preterm births is the primary cause of low birth weight in West Jav
The effect of social cognitive theory-based nutrition education via whatsapp on increasing knowledge and behavioral determinants of mothers in Kediri: A quasi-experimental study
Poor dietary patterns and poor nutritional status increase the risk of morbidity and mortality. Obesity and overweight are major nutritional issues in Kediri. The family environment, particularly the mother's role as a food gatekeeper, is crucial for shaping children's eating habits. This study applies Social Cognitive Theory (SCT), which emphasizes the interaction between individuals, behavior, and the environment. Social media platforms, such as WhatsApp, can be utilized to promote health. This study examined the effect of SCT-based nutrition education via WhatsApp on mothers' knowledge, self-efficacy, self-regulation, family support, and outcome expectations in improving children's dietary intake. A pre-post quasi-experimental design was used with 80 mothers of elementary school children in Kediri City. The intervention group (n=40) received WhatsApp-based nutrition education for 20 days, whereas the control group (n=40) received an e-booklet at the end of the study. Data were analyzed using Spearman’s test, Mann-Whitney test, and Wilcoxon Signed Rank test. The results showed that WhatsApp-based nutrition education significantly improved knowledge (p=0,005) and outcome expectations (p=0,039) in the intervention group, whereas no significant effects were observed on self-efficacy and self-regulation. WhatsApp-based nutrition education effectively increased mothers' knowledge and outcome expectations. Future studies should consider the duration of the intervention, including follow-up assessment, refining educational media, combining educational methods, and considering additional SCT components
Evaluasi daya terima dan nilai gizi cookies berbahan tepung kacang merah dan buah naga untuk pencegahan stunting
nutritional value. Red beans and red dragon fruit are superior local foods in the Gorontalo area which have high nutritional value and are generally only used as a mixture in mixed ice.Objective: Analyze the level of liking and nutritional value of cookies substituted with red beans and dragon fruit. Method: This research used a laboratory experimental design with a completely randomized design and 3 replications. The cookie formulation is the ratio of red bean flour and dragon fruit, namely formula 1(0%:0%), formula 2 (25%:50%), formula 3(50%:100%) and formula 4(75%:150%) . The liking level test was carried out on 60 somewhat trained panelists. Analysis of the liking level test data used the Friedman difference test followed by testing with a confidence level of 95% or α=5%. The nutritional value analysis was carried out using the TKPI 2020 approach.Results: The liking level test showed that there were differences in color (p=0,013), aroma (p=0,001) and texture (p=0,001), but there were no differences in taste components (p=0,110). The best formula is formula 3 cookies because it has the highest average value on the three components of the liking level test.Conclusion: Cookie formulation with a ratio of red bean flour and red bean flour formula 3 (50%:100%) is the best formulation and meets the criteria for additional food as PMT for toddlers
Pengaruh pemberian jus buah dan yoghurt sari nanas terhadap kadar kolesterol pada penderita pra lansia hiperkolesterolemia
Background: Red guava, dragon fruit, and pineapple contain fiber and bioactive compounds that help lower cholesterol. Yoghurt with lactic acid bacteria also contributes to lowering cholesterol levels through biological mechanisms.Objectives: To assess the impact of fruit juice and pineapple yoghurt on reducing cholesterol levels in hypercholesterolemic pre-elderly patients.Methods: This pre-experimental study used a Randomized Block Design (RAK), dividing 30 participants into three groups: P0 (control), P1 (nutrition education and fruit juice), and P2 (nutrition education and pineapple yoghurt). The intervention lasted seven days, and cholesterol levels were measured before and after the intervention. Statistical analysis was conducted using the Kruskal-Walli’s test.Results: Participants were predominantly aged 51-59 years (60%), female (86,7%), and had high school education (86,7%). Pre-intervention cholesterol levels averaged 235 mg/dl (P0), 247 mg/dl (P1), and 253 mg/dl (P2). Post-intervention levels were 229 mg/dl (P0), 221 mg/dl (P1), and 224 mg/dl (P2). The Kruskal-Walli’s test showed no significant difference in cholesterol levels between the groups (pre p = 0,325, post p = 0,855).Conclusion: While cholesterol levels decreased slightly in all groups, the intervention showed no statistically significant effect.
Pengaruh intervensi pemberian makanan tambahan (PMT) berbasis menu lokal terhadap wasting pada balita di Sukoharjo
Background: Supplementary feeding (PMT) is one of the interventions aimed at reducing the incidence of wasting among toddlers. The macronutrient content in PMT plays a role in improving toddlers' weight, thereby potentially reducing wasting rates. Objective: To determine the effect of PMT in reducing wasting rates among toddlers.Methods: This study used a pre-and-post design without a control group, involving 35 subjects selected through a multistage random sampling method. The intervention was conducted over 90 days from January to March 2024, using a 10-day menu cycle. Data on wasting toddlers were obtained from secondary data provided by the Sukoharjo District Health Office, measured using the Weight-for-Height (WHZ) indicator and analyzed using WHO Anthro. A wasting child is defined as having a WHZ score between -3 SD and <-2 SD, while severe wasting is defined as a WHZ score <-3 SD. Data analysis employed the Wilcoxon test for non-normally distributed data. Results: The study showed that the average WHZ score of toddlers before PMT was -2,4 SD, improving to -1,8 SD after the intervention. PMT increased the nutritional status of wasting and severely wasting toddlers to normal in 57,1% of cases. A significant difference was observed in the nutritional status of toddlers before and after PMT (P = 0,001).Conclusion: PMT is proven effective in reducing the prevalence of wasting among toddlers
Analisis mikrobiologis jajanan makanan di Kantin Pujasera Universitas Pattimura Ambon
Background: Snack food is typically prepared and served in open spaces, such as in food courts or by the roadside, which makes it highly susceptible to bacterial contamination. If consumed in certain amounts, these bacteria can cause foodborne illnesses (foodborne diseases).Objective: This study aims to assess the quality of food sold at the Pujasera Canteen of Pattimura University, Ambon, based on microbiological parameters by calculating the Total Plate Count (TPC).Method: This research is a descriptive quantitative study with an observational approach. The samples used consisted of five types of snack foods: noodle with meatballs, egg noodles, chicken rice, fried tubers, and fried rice, which were randomly sampled from sales stands. The study was conducted in May 2024 at the Microbiology Laboratory of the Faculty of Medicine, Pattimura University. Statistical analysis was carried out by calculating the total colonies using the formula TPC (Total Plate Count).Results: The results showed the TPC values for sample A at 1 × 10^6 colonies/g, sample B at 2,5 × 10^7 colonies/g, sample C at 1,2 × 10^7 colonies/g, sample D at 7,3 × 10^7 colonies/g, and sample E at 4,6 × 10^4 colonies/g. Based on these values, four out of the five samples did not meet the criteria set by BPOM (Indonesia’s National Agency of Drug and Food Control), referring to SNI 7388:2009, as they exceeded the maximum microbial contamination limit of <1 × 10^5 colonies/g. Only one sample met the criteria.Conclusion: Four out of the five samples were categorized as having poor quality, as the microbial count exceeded the maximum contamination limit set by SNI.
Association between knowledge, attitude, and behavior on nutritional anemia among female undergraduate students: a cross-sectional study
Anemia is a common health issue among adolescent girls, including female students. Adolescents tend to experience various behavioral changes that affect their health, including anemia. Good health behaviors are shaped by positive attitudes and knowledge. This study aimed to analyze the relationship between knowledge, attitude, and behavior related to nutritional anemia and the incidence of anemia among female undergraduate students at the Jember Regency. This observational study used a cross-sectional design. This study was conducted between February and May 2024 at the University of Jember. The sample consisted of 109 respondents, selected through multistage sampling. Data were collected through questionnaires, anthropometric measurements, and hemoglobin levels using point-of-care testing (POCT) blood tests. Data analysis was performed using the chi-squared test. Significant relationships were found between behaviors related to anemia and anemia (p=0,009; PR= 1,58), knowledge of anemia and anemia (p=0,013; PR= 1,45), and attitudes toward anemia and anemia (p=0,013; PR= 1,52). These findings indicate that behavior, knowledge, and attitudes related to anemia are associated with the incidence of anemia. We expected adolescents to be more proactive in preventing anemia and in seeking more information about it. Educational institutions should integrate anemia prevention education (nutrition, importance of iron supplements, and healthy eating patterns) into campus curricula. Moreover, they provide iron-rich foods and vitamin C source meals for faculty canteens
The relationship between dental caries and stunting among children in a rural Indonesian Subdistrict: Evidence from Krueng Barona Jaya, Aceh Besar
Stunting is a significant global health issue and is particularly prevalent in certain regions, including the Krueng Barona Jaya Subdistrict, Aceh Besar, Indonesia. One contributing factor to stunting is inadequate nutrient intake, which may be linked to oral health problems such as dental caries that impair a child’s ability to chew and consume food. This study aimed to analyze the relationship between dental caries and stunting in children aged 0 – 5 years in Krueng Barona Jaya. A cross-sectional study involving 44 children was conducted between July and October 2024. Anthropometric measurements were taken using the WHO child growth standards to assess nutritional status, and dental caries were recorded using the decayed, missing, and filled teeth (DMFT) index and assessed based on criteria established by the International Caries Detection and Assessment System (ICDAS). The results showed that 54,5% of the stunted children had to 1-3 caries (33,3%) or more than six caries (29,2%), with (79,2%) classified as having a high risk of caries. Statistical analysis revealed a significant relationship between the number of carious teeth (p=0,006) and caries risk level (p=0,013) with stunting. These findings suggest that dental caries and a high caries risk may contribute to poor nutritional outcomes in early childhood, increasing the likelihood of stunting. Therefore, early prevention and management of dental caries are essential for reducing the prevalence of stunting