Jurnal Poltekkes Kemenkes Aceh
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Daya terima dan kandungan gizi dimsum berbasis hati ayam, daun kelor, dan jamur tiram sebagai camilan untuk remaja putri
Full text linkBackground: Prevention of anemia can be done by consuming foods that are sources of iron. One source of animal food that contains heme iron and has a higher biovalidity value than other sources of iron is chicken liver. One vegetable that has a high iron content is Moringa (Moringa oleifera). White oyster mushrooms are low in fat but high in protein.Objectives: The study aims to analyze the nutritional quality and organoleptic quality of dimsum formulations of chicken liver, moringa leaves and oyster mushrooms as snacks for anemic teenage girls.Methods: This research uses an experimental research type with a completely randomized design (CRD). The research was conducted at the Food Technology Science Laboratory (ITP) of the Malang Health Polytechnic Nutrition Department on June 2024. Organoleptic quality testing was carried out using a hedonic test using 25 semi-trained panelists. Determination of the best treatment level using the effectiveness index method. Statistical tests used the Kruskal Wallis test and the Mann Whitney advanced test.Results: Shows that the dimsum formulation of chicken liver, oyster mushrooms and Moringa leaves meets the nutritional requirements of adolescent girls aged 13-15 years with a snack percentage of 10% (empirically). There were significant differences in the organoleptic quality parameters of taste (p=0,030) and texture (p=0,036), while color (p=0,076) and texture (p=0,319) showed no significant differences. At the best treatment level, namely P1, it can meet the energy and nutritional needs of adolescent girls.Conclusion: The formulation of chicken liver, oyster mushroom and moringa leaf dimsum shows significant differences in organoleptics taste and texture
Efektivitas terapi gym ball sebagai solusi nyeri punggung bawah di trimester akhir kehamilan
Full text linkBackground: Lower back pain is a common issue during pregnancy, especially in the third trimester, affecting approximately 50%-80% of pregnant women. This discomfort can arise from excessive bending, prolonged walking without rest, and frequent heavy lifting.Objective: This study aims to determine the effect of gym ball therapy on lower back pain among third-trimester pregnant women at Posyandu Desa Pardasuka, under the jurisdiction of Puskesmas Katibung, South Lampung Regency.Methods: The study used a pre-experimental method with a one-group pretest-posttest design. It was conducted in July 2024 at Posyandu Desa Pardasuka, involving a population of all third-trimester pregnant women (15 individuals), selected through purposive sampling. Data collection consisted of several stages, starting with a pre-test where the researcher obtained research permissions, provided informed consent, and measured the intensity of lower back pain using a Numerical Rating Scale (NRS).Results: The results showed that the average lower back pain score among third-trimester pregnant women before gym ball therapy was 5,60, with a standard deviation (SD) of 0,507. After the therapy, the average score significantly decreased to 2,93, with an SD of 0,258. Statistical analysis using the t-test indicated a significant reduction in pain, with a p-value of 0,000 (p < 0,05). This demonstrates that gym ball therapy is effective in reducing lower back pain in third-trimester pregnant women.Conclusion: Gym ball therapy is effective in reducing lower back pain among third-trimester pregnant women. Pregnant women are encouraged to perform this therapy regularly under the guidance of healthcare professionals
Effectiveness of nutrition training in improving cadres’ knowledge and skills in Kupang City
Full text linkStunting is still a major nutritional problem in the East Nusa Tenggara Province. Efforts to reduce stunting cannot be separated from the role of Posyandu cadres (integrated health post-cadres). This study aimed to determine the effects of anthropometric measurement training, toddler growth monitoring, and Infant and Young Child Feeding (IYCF) training on cadres' knowledge and skills. The research was a quasi-experiment with a pre-post-test control group design. The participants were Oesapa Health Center cadres who underwent purposive sampling in May-July 2024. Thirty intervention group cadres were given modules and training on monitoring growth, development, and IYCF for three days. Thirty cadres in the control group were provided with nutrition education and modules only. The cadres were then practiced at Posyandu. Data were collected through questionnaires and checklists. Data were analyzed using the Mann–Whitney U test. Results: There was an increase in cadre knowledge for all variables in both the intervention and control groups (p<0,05). The highest CGM was 21,33 points in the intervention group. CGM training also significantly improved cadre skills after Post-test 1 in the intervention group by 9,33 points (p= 0,000); however, at Post-test 2, there was no significant improvement (p= 0,934). In conclusion, nutrition training significantly improved cadres' knowledge scores and skills in conducting anthropometric measurements
Antisipasi kejadian sindrom metabolik melalui skrining kesehatan metode point of care testing (POCT)
Full text linkMetabolic syndrome is a complex metabolic disorder caused by obesity, insulin resistance, dyslipidemia, and hypertension. The increase in the prevalence of metabolic syndrome in Maluku Province is very significant, starting from an early age with various risk factors, one of which is diet. Therefore, early detection of potential disease development in the future is necessary through basic medical diagnostic tests, namely Point of Care Testing. (POCT). The method used involves 3 stages: preparation, implementation, and evaluation of activities, and it involves 62 participants. The activity took place in Soya Village, Ambon City, after it was found that there was a low level of public awareness about regularly undergoing health check-ups at the community health center and a tendency to consume foods high in sugar, salt, and fat daily. The results of this activity revealed that 47 (75.8%) people have high systolic blood pressure and 38 (61.3%) people have high diastolic blood pressure. Blood glucose levels showed that 58 (93.5%) people had normal levels. Uric acid levels were normal in 41 (66.1%) people, and cholesterol levels were high in 40 (65.5%) people. This refers to the risk factors for the development of cardiovascular disease.Keywords: Metabolic syndrome, Blood pressure, Blood glucose, Cholesterol, Uric acid, POC
Application of an information system for inpatient nutrition management: An implementation study based on the Indonesian Minister of Health Regulation No. 26/2013
Full text linkNutritional management of hospitalized patients is critical for improving the quality of hospital services. The Indonesian Ministry of Health Regulation No. 26 of 2013 established standards for hospital nutrition management; however, its implementation has not been fully documented through digital systems. This study aimed to examine the application of information systems for inpatient nutrition management based on Regulation No. 26/2013. A descriptive qualitative approach was employed using content analysis of secondary data, including policy documents, nutrition unit reports, and outputs from hospital nutrition information systems in a Type B hospital from 2021 to 2023. The hospital was selected purposively based on the criterion of using a nutrition information system for a minimum of two years. The results showed that most components of the nutrition care strategy, such as initial assessment and diet provision, complied with regulatory standards, with over 80% of patients assessed within 24 h and 92,5% of diets appropriately provided. However, digital documentation of nutrition interventions and evaluations remained suboptimal (<40%), mainly because of manual recordkeeping, high workload, and limited training. In conclusion, although progress has been made in the implementation of nutrition management strategies, significant gaps remain in digital documentation. Strengthening information systems, improving human resource capacity through training, and routine monitoring are necessary to ensure compliance with the national standards
The impact of vegan diet for 21 days on blood uric acid level in adults
Full text linkOne of the risk factors for hyperuricemia is consumption of purine-rich foods. Plant-based sources, such as nuts and legumes, have high amount of purine, in which it is commmonly consumed by vegan’s. The aim of this study is to examine the impact of vegan diet for 21 days on serum uric acid (UA) levels. This research used cross-sectional design. Data were collected from secondary data in Jingsi Books and Café, from October 2021 until January 2022. The population of the study is derived from 21 days vegan diet program by Tzu Chi Buddhist Association with total sample of 95 by using total sampling method. The data in this study is grouped according to age (<50 and ≥50 years old), gender, and both. The statistical test that is used is paired T-tests. The results showed that serum UA (mg/dl) increased in female (both age groups) and male <50 years old with increased mean 0,3, 0,2, and 0,4. For male aged ≥50 years old, there’s reduction in serum UA with reduction mean 0,1. The result is clinically significant with p-value 0,001. In conclusion, 21-day vegan diet increases serum UA levels in all populations, except for male ≥50 years old
A qualitative study on strategies to overcome demotivation, burnout, and boredom in weight loss among women in reproductive age
Full text linkThe rising prevalence of obesity among adults, particularly women, highlights the need for effective weight management strategies. While previous studies have explored weight loss adherence, limited research has focused on the psychological strategies that reproductive-age women use to maintain their motivation in diet and physical activity. This qualitative study was conducted from September until October 2024 and employed a narrative approach, involving in-depth interviews with six key informants in Bandung City who had experienced or participated in a weight loss program. Additional informants were also included to support the triangulation method. Data were thematically analyzed using NVivo 12 for coding and Microsoft Excel for data tabulation. The study revealed five strategies for overcoming demotivation, burnout, and boredom. (1) Reflecting on Achievements, (2) taking a break for a while, (3) embracing the flexibility of diet and physical activity, (4) remembering the motivation they started to lose weight, and (5) adjusting the intensity of exercise. In conclusion, reflecting on achievement could be a strategy to overcome demotivation, burnout, or boredom during the weight loss journey. Nevertheless, the effectiveness of these strategies depends on individual characteristics. Personalized approaches to weight loss programs can be integrated into community-based initiatives and healthcare practices to enhance long-term adherence through group support, educational campaigns, coaching in healthier eating practices, and stress management
The effect of butterfly pea flower (Clitoria ternatea) extract gel on TNF-α and caspase-3 expression in wound tissue of wistar rats
Full text linkExposure to acute ultraviolet B (UVB) damages the skin through oxidative stress, inflammation, and apoptosis. UVB increases the production of reactive oxygen species (ROS), which damage cells and trigger inflammation by increasing TNF-α levels. Increased ROS and TNF-α levels activate caspase-3, which causes cellular apoptosis. This damage worsens skin conditions, triggers premature aging (photoaging), and increases the risk of skin cancer. In Indonesia, approximately 57,3% of the population is exposed to sunlight, with a prevalence of dry skin ranging from 50% to 80%, while photoaging contributes to approximately 80% of the adverse effects of skin aging. Clitoria ternatea contains bioactive compounds with antioxidant and anti-inflammatory properties that have the potential to suppress caspase-3 activation and prevent cell damage. This experimental study used a post-test-only control group design with a completely randomized design, involving male Wistar rats divided into four treatment groups (K1–K4). The study was conducted at the Chemistry Laboratory of IBL UNISSULA, with animal treatment at the Animal Experiment Laboratory of IBL UNISSULA and skin tissue sample analysis at the General Medical Laboratory of CITO Yogyakarta from December 2024 to February 2025. Clitoria ternatea extract gel was applied topically once a day for 7 days, followed by UVB exposure (160 mJ/cm²) for ±15 min per day. Skin tissue samples were collected 24 h after the last treatment with a 6 mm punch biopsy, and the expression of TNF-α and caspase-3 was analyzed using qRT-PCR. Data were tested using one-way analysis of variance (ANOVA). Results, the group given a 5% dose of gel (K3) showed a significant decrease in the expression of TNF-α (0,35±0,20) and caspase-3 (0,16±0,32) compared to other groups, while the 10% dose (K4) showed no significant difference. The conclusion, Clitoria ternatea extract gel at a 5% dose effectively reduced the expression of TNF-α and caspase-3 in the skin of UVB-exposed mice
Glucose levels, diabetes duration, vitamin intake and their association with cognitive function in patients with type 2 diabetes mellitus
Full text linkType 2 Diabetes Mellitus may also contribute to cognitive decline. Risk factors for cognitive decline in patients with type 2 DM include demographic characteristics, clinical conditions, and nutritional intake. However, there is controversy regarding whether micronutrient intake affects cognitive function among type 2 DM. Thus, we aimed to investigate the determinants of cognitive function in patients with type 2 diabetes mellitus. A cross-sectional design was used in this study. This research was conducted in Marzoeki Mahdi Hospital, Bogor, West Java, from May to June 2023 among 98 respondents. Data on blood glucose levels (HbA1c) were obtained from medical records over the last three months. Nutritional intake was assessed using the SQ-FFQ and cognitive function was assessed using the MoCA-Ina. A significant relationship was found between blood glucose levels, age, illness duration, and cognitive function (r=-0,212, p=0,036; r=-0,736, p=0,0001; r=-0,573, p=0,0001). However, there was no significant relationship between vitamin B12 or C intake and global cognitive function (r=-0,005; p=0,959, r=0,126; p=0,217). There was a relationship between vitamin C and aspects of cognitive function, namely, abstraction (r=0,350, p=0,0001). In conclusion, there is a relationship between blood glucose levels, age, and duration of DM and cognitive function. Vitamin C consumption is associated with abstraction ability
Hubungan antara perilaku membawa bekal, frekuensi konsumsi jajan, tingkat kecukupan zat gizi makro terhadap status gizi pada anak sekolah dasar
Full text linkBackground: The school years are an important period in the growth and development of children towards adolescence, which is vulnerable to nutritional disorders. Nutritional disorders are mainly caused by unbalanced and excessive food consumption. The habit of bringing lunch is a significant factor in increasing food intake to meet the nutritional needs of elementary school children.Objectives: This study aims to analyze the relationship between the habit of bringing lunch, frequency of snack consumption, and macronutrient adequacy with the nutritional status of students at SDN Pinang 01 Tangerang City. Methods: This study used descriptive quantitative method with cross-sectional design, involving dependent and independent variables. The independent variable is nutritional status, while the dependent variable includes the behavior of bringing lunch, the frequency of snacks consumption, and the adequacy of macronutrients in elementary school students. The questionnaires used were 2x24 hour food recall forms to see the adequacy of macronutrients, FFQ forms to see snacking habits and open interviews to see students' habits in bringing lunch.Results: The results showed a relationship between the behavior of bringing lunch with nutritional status (p value = 0,000), frequency of snacks consumption (p value = 0,000), adequacy of energy intake (p value = 0,000), adequacy of protein intake (p value = 0,002), adequacy of fat intake (p value = 0,001), and adequacy of carbohydrate intake (p value = 0,000).Conclusion: There is an association between behavior