Jurnal Poltekkes Kemenkes Aceh
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Evaluation of physicochemical properties and functional potential of analog rice based on commercial flours of porang tuber and gembili as an alternative carbohydrate food source
Full text linkIndonesia is one of the countries that produces porang and gembili tubers that can be processed into value-added food products. One innovation that can be developed is the analog rice made from these two tubers. Porang and gembili tubers are known to contain bioactive compounds and dietary fiber that provide functional benefits, such as lowering blood glucose levels, improving lipid profiles, and improving digestive tract health. This study aimed to evaluate the physical and proximate qualities of three analog rice formulations using commercial porang and gembili flours. The experimental design used was a Completely Randomized Design (CRD) with two replications, conducted from August to December 2024 at the Technopark Laboratory (Faculty of Agricultural Technology) and Nutrition Analysis Laboratory (Department of Community Nutrition, FEMA IPB). The formulations had porang and gembili ratios of F1 (75:25), F2 (50:50), and F3 (25:75). Data were analyzed using One-Way ANOVA preceded by variance homogeneity testing, followed by DMRT multiple range test. The results showed that cooking time and bulk density differed significantly between F1, F2, and F3. The expansion ratio, degree of breakage, and hardness differed significantly among F3, F1, and F2. F3 exhibited the highest brightness (L*) value. Proximate analysis revealed significant differences in ash, moisture, protein, fat, and carbohydrate contents among all formulations. The F3 formulation, which had a higher proportion of gembili, demonstrated the greatest potential as a staple carbohydrate source. However, further sensory and consumer acceptability improvements are needed
Efektifitas kelas antenatal sebagai pencegahan retensi berat badan postpartum
Full text linkBackground: The curriculum of the nutritional education program can influence the success of nutrition education interventions through antenatal classes. Delivering education via antenatal classes is one method to address postpartum weight retention.Objectives: To determine the effectiveness of the enriched antenatal class intervention in increasing mothers' knowledge and attitudes in postpartum weight retention.Methods: This study adopts a pre-experimental research design with a one-group pretest-posttest approach. The study sample comprises 24 pregnant women in their first and second trimesters attending Community Health Center Gamping II. The intervention spanned two days, with the first day consisting of lectures and a question-and-answer session, and the second day involving practical food selection exercises. The data utilized in this study includes primary data obtained directly from the participants and secondary data obtained indirectly from respondents. Univariate analysis was employed to analyze minimum, maximum, mean, and standard deviation values. For bivariate analysis of the knowledge questionnaire, the Wilcoxon test was used, while the attitude questionnaire was analyzed using the Paired Samples t-test.Results: The mean knowledge score before the intervention was 4,46, which increased to 9,17 after the intervention (p=0,001). Similarly, the mean attitude score before the intervention was 105,75, which increased to 140,21 post-intervention (p=0,001). There was a significant difference in knowledge and attitude scores after implementing the antenatal class (p-value= 0,001).Conclusion: An antenatal class curriculum can be used to prevent postpartum weight retention
Promosi dan prevensi kesehatan jiwa serta manajemen stress di Madrasah Aliyah Negeri (MAN) Lhokseumawe
Full text linkBeberapa dekade terakhir, terjadi peningkatan kekhawatiran tentang kesehatan mental pada siswa. Masalah ini harus diatasi karena berdampak negatif terhadap optimalisasi fungsi-fungsi penting pada kehidupan mereka di masa kini maupun masa depan. Tujuan kegiatan yaitu untuk meningkatkan pengetahuan siswa mengenai kesehatan jiwa dan manajemen stress di MAN Kota Lhokseumawe. Metode pelaksanaan dalam kegiatan ini menggunakan pendekatan pengabdian kepada masyarakat dengan melibatkan 30 orang siswa. Sebelum dan setelah kegiatan penyuluhan, dilakukan pengisian kuesioner Perceived Stress Scale (PSS), untuk mendapatkan hasil tingkatan stress yang dialami siswa. Materi penyuluhan mencakup mengelola stress dan manajemen stress. Hasil dari pengisian kuesioner PSS sebelum materi diberikan didapatkan dari 30 siswa MAN dengan jenis kelamin Perempuan dan Laki laki didapatkan hasil 5 siswa (16,7%) mengalami stress tinggi, 20 siswa (66,7%) stress sedang dan sisanya 5 (16,7%) siswa stress rendah. Sedangkan hasil yang didapatkan setelah materi diberikan dan juga role play Teknik relaksasi sederhana untuk mengurangi stress dengan cara Tarik napas dalam didapatkan hasil 7 siswa (23,3%) stress sedang dan sisanya 23 (76,7%) siswa stress rendah. Kegiatan pengabdian kepada masyarakat berhasil mendorong siswa untuk lebih berpikiran positif dalam menghadapi permasalahan. Pengetahuan dan sikap siswa meningkat setelah penyuluhan, yang menunjukkan pengaruh positif.Kata kunci: manajemen stress, Perceived Stress Scale, kesehatan jiw
The association between stress and high-fat intake with hypertension among pregnant women in Bondowoso Regency
Full text linkHypertension affects approximately 10% of pregnancies globally and remains a leading cause of maternal mortality and morbidity. Mothers with hypertension in their first pregnancy are at an elevated risk for preeclampsia in subsequent pregnancies. This study aimed to analyze the relationship between stress and high-fat intake and the incidence of hypertension in pregnant women. This was an observational study that used a cross-sectional approach from May to June 2024. The study population included pregnant women who were patients of the Maesan Health Center and residing in Bondowoso Regency. The sample selection used Slovin's formula: 73 out of 263 pregnant women. Stress variables were measured using the Revised Prenatal Distress Questionnaire (NuPDQ), a 2 × 24-hour recall questionnaire for fat intake measurements, and blood pressure measurements using a tensimeter. Univariate analysis described each variable, including respondents' stress status and high-fat dietary intake. Moreover, bivariate analysis used chi-square tests to assess the relationship between the independent variables (stress and fat intake) and the dependent variable (hypertension). This study found that there was an association between stress and high-fat intake and the incidence of hypertension, with p-values <0,001 and <0,001, respectively. We recommend addressing both stress management and dietary habits as crucial in prenatal care programmes
Nutritional status, age and gender factors associated on pneumonia in congenital heart disease: A hospital-based cross-sectional study in Banda Aceh, Indonesia
Full text linkPneumonia is a leading cause of morbidity and mortality in children with congenital heart disease (CHD). Risk factors for pneumonia in these children include anemia, hypoxemia, nutritional status, congestive heart failure, and neuromuscular disorders. This study aimed to determine the risk factors for pneumonia in children with CHD at the Dr. Zainoel Abidin Public Hospital, Banda Aceh, Indonesia. This analytical, observational study employed a cross-sectional approach. This study included children aged 1 month to 18 years who were treated at the Dr. Zainoel Abidin Public Hospital from January 2022 to December 2023. Data were collected from medical records of 121 children who met the inclusion and exclusion criteria. Data were analyzed using bivariate analysis with the chi-square test and multivariate analysis with logistic regression. Pneumonia was observed in 66 (54,5%) patients. The majority of children with critical illnesses who developed pneumonia were between 1 month and 5 years of age (60%), female (61,7%), had poor nutritional status (53,2%), and had a birth weight ≥ 2500 g (54,5%). The type of CHD was found to be a significant risk factor for pneumonia (p = 0,024), with an odds ratio of 3,16 (95% CI: 1,162–8,617). In conclusion, the CHD type is a risk factor for pneumonia in children with CHD
Evaluasi proksimat formula Makanan Pendamping ASI berbasis tepung hati ayam dan ikan teri untuk pencegahan stunting pada balita
Full text linkBackground: One approach to preventing stunting among toddlers is by providing complementary food (MP-ASI) made from nutrient-dense local ingredients, particulary those rich in animal-source protein. Chicken liver and anchovy power are high protein local food products that are relatively inexpensive and accessible, making them promising candidates for use as innovative ingredients or formulations in complementary feeding.Objectives: to evaluate the physical characteristic and proximate composition of a complementary food formula based on chicken liver and anchovy flour, and to assess its potential in fulfilling the nutritional needs of toddlers.Methods: An experimental design a Completely Randomized Design (CRD) with 3 replications. Proximate analysis was conducted at the Food Technology Laboratory of Politeknik Negeri Lampung, using standard methods from the Association of Official Analytical Chemists (AOAC) to determine moisture, ash, fat, protein, and carbohydrate contents of the MP-ASI formula.Results: The analysis revealed that the MP-ASI formula contained 8,26% moisture, 65,58 g/100 g protein, 12,,74 g/100 g fat, 8,26% ash, and 5,16 g/100 g carbohydrate. The nutritional composition of the formula meets the daily requirements for toddlers, providing more than 2-3 times the recommended protein intake and fulfilling 25,48% - 28,31% of the recommended fat intake. Although the carbohydrate content is less than 3%, the high ash content indicates a considerable amount of essential minerals, particularly iron and calcium.Conclusion: T Based on its nutritional composition, the formula demonstrates strong potential as a nutrient-dense MP-ASI ingredient for stunting prevention interventions. Future studies are recommended to analyze micronutrient content (iron, calcium, zinc, vitamin A, omega-3), as well as food cost and acceptability in toddlers
Faktor pendukung dan penghambat penerapan pedoman gizi klinik di rumah sakit: Scoping review
Full text linkBackground: Clinical nutrition guidelines aim to enhance the quality of nutritional care and support evidence-based practices in hospitals. However, their implementation faces multiple challenges at systemic, institutional, and individual levels. Globally, malnutrition affects 20% to 50% of hospitalized patients and contributes to higher mortality, prolonged hospital stays, and increased healthcare costs. Despite these consequences, integration of nutrition guidelines into routine hospital practice remains limited.Objective: This scoping review aims to identify and map the factors that influence the implementation of nutrition guidelines in hospitals based on global scientific literature published in the last five years.Methods: A scoping review was conducted using the PEO (Population, Exposure, Outcome) framework. Articles were identified through Scopus, EBSCOhost, and PubMed, focusing on open-access English-language publications from 2020 to 2025 discussing facilitators and barriers to hospital nutrition guideline implementation. Following PRISMA-ScR procedures, 25 eligible studies were included and analyzed thematically.Results: A total of 5,760 articles were identified. After screening and eligibility assessment, 25 studies were included in the synthesis. Key enablers were staff training, digital systems, teamwork, supportive policies, and patient education. Main barriers included limited dietitian involvement, poor system integration, inadequate training, administrative issues, and logistical constraints.Conclusion: The implementation of clinical nutrition guidelines is shaped by a complex interplay of supportive and obstructive factors. Enhancing success requires comprehensive, system-based strategies focusing on training, policy alignment, team communication, and digital integration tailored to institutional contexts
Effectiveness of a family-centered empowerment-based digital pocketbook on self-efficacy and iron supplement adherence among pregnant women: A quasi-experimental study
No full textPregnancy-related anemia remains a major public health problem in Indonesia, largely attributable to low iron supplementation adherence among pregnant women. Evidence regarding digital interventions based on the family centered empowerment model (FCEM) remains limited. This study aimed to evaluate the effectiveness of an FCEM-based digital E-Pocket Book in improving self-efficacy and adherence to iron tablet consumption among pregnant women. A quasi-experimental pretest–posttest control group study was conducted at the Sentosa Baru Community Health Center in Medan, Indonesia, from July to August 2025. A total of 50 pregnant women (gestational age, 14–36 weeks) were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks, while the control group received standard antenatal education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significantly greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation (p = 0.001; d = 0.91) than the control group. In conclusion, the family-centered empowerment–based digital pocketbook is effective in improving self-efficacy and adherence to iron supplementation among pregnant women
Pengaruh penambahan tepung ampas kelapa terhadap daya terima dan komposisi gizi pada nugget udang
No full textBackground: Nuggets are made from animal-based ingredients such as meat, chicken, fish and others. Nuggets are usually served in a rectangular shape. To add nutritional value to this shrimp nugget, it is formulated with coconut pulp flour which has good nutritional content for the body. Coconut pulp flour has a high food fiber content.Objectives: The purpose of this study was to determine the effect of the addition of coconut pulp flour on the acceptability and nutritional content of shrimp nuggets with the addition of 20, 40, and 60 grams of coconut pulp flour to shrimp nuggets whether it affects the acceptance of nuggets in terms of color, taste, aroma, and texture, as well as their chemical quality in terms of water content, ash, carbohydrates, fat, and protein.Methods: This research is experimental in nature with the experimental design used being a Completely Randomized Design (CRD) Non Factorial, namely by carrying out three treatments and three repetitions (3 x 3 = 9 experimental units). The variables studied in this study were organoleptic tests which included (color, aroma, texture, taste) and Proximate Tests (water content, ash content, Protein, Fat, Fiber and Carbohydrate content) of Shrimp Nuggets.Results: The addition of coconut pulp flour to shrimp nuggets significantly changed their color, scent, and texture, but had no discernible influence on their flavor, according to organoleptic tests. Adding 20 grams of coconut pulp flour is the most beloved part in terms of appearance, smell, flavor, and crumbiness. Adding coconut pulp flour to shrimp nuggets changed their water, ash, fat, and protein content significantly, but their carbohydrate content remained unaffected in the chemical characteristics test.Conclusion: The addition of coconut husk flour to nuggets had a significant effect on the color of the nuggets produced with a P value of 0,001, on the aroma of the nuggets produced with a P value of 0,003, on the texture of the nuggets produced with a P value of 0,002, and had no significant effect on the taste of the nuggets produced with a P value of 0,066. The results of the chemical property test showed that the addition of coconut husk flour had a significant effect on moisture content, ash content, fat, protein, and fiber, and no significant effect on carbohydrates
Hubungan status antropometri dan kebiasaan olahraga dengan kadar gula darah pada pasien diabetes melitus tipe 2 di RSUD Dr. Moewardi
No full textBackground: Type 2 Diabetes Mellitus (T2DM) is a metabolic syndrome disease characterized by high blood sugar levels influenced by obesity and physical inactivity. Body mass index (BMI), waist circumference, waist-to-height ratio (WtHR) and neck circumference are proven to detect central obesity. Good exercise habits can control blood sugar levels.Objective: to determine the assosiation between anthropometric status (BMI, waist circumference, WtHR, neck circumference) and exercise habits with blood sugar levels in T2DM patients.Methods: This study is a quantitative observational study with a cross sectional design in 102 T2DM patients internal medicine polyclinic at Dr. Moewardi Hospital through purposive sampling. Anthropometric status data were collected by direct measurement, exercise habits were measured using Baecke's exercise habits questionnaire, and blood sugar level data were obtained from patient medical records. The correlation test used the spearman test with a 95% confidence level. Multivariate test using multiple linear regression.Results: There was no assosiation between BMI, neck circumference and fasting blood sugar levels ( p=0,153; p=0,179). There is a significant assosiation between waist circumference, WtHR, exercise habits with fasting blood sugar levels (p=0,004; p=0,003; p=0,000). Waist circumference, WtHR and exercise habits have a significant effect on fasting blood sugar levels (p=0,001).Conclusion: There is a significant assosiation between waist circumference, WtHR and exercise habits on fasting blood sugar levels, while BMI is not significant