Jurnal Poltekkes Kemenkes Aceh
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Faktor risiko kejadian stunting pada balita usia 12–59 bulan di kota banjarbaru: studi kasus-kontrol
No full textBackground: Stunting is a growth failure condition in toddlers caused by chronic malnutrition, impacting physical and cognitive development as well as national productivity. In Banjarbaru City, stunting prevalence significantly decreased from 22,1% to 10,3% in 2023, likely due to factors such as high exclusive breastfeeding coverage, good maternal nutritional status, and adequate access to health services and sanitation.Objective: To analyze factors influencing the reduction of stunting in Banjarbaru City to support effective stunting prevention policies.Methods: The study was conducted in six public health center working areas with the lowest performance in Banjarbaru City in April 2024. This retrospective population-based case-control study involved children aged 12 to 59 months with stunting as cases and normal children as controls. Sample size was calculated using OpenEpi with a total of 78 samples in a 1:2 ratio. Cluster random sampling was used, and data were analyzed using chi-square tests or Fisher’s exact test when chi-square assumptions were not met.Results: The study found that only maternal anemia during pregnancy showed a significant association with stunting after controlling for other variables, with more than six times increased risk (aOR=6,54; 95% CI: 1,79–23,92; p=0,004). This indicates that maternal anemia is the dominant risk factor influencing stunting incidence in Banjarbaru.Conclusion: Maternal anemia affects stunting occurrence in Banjarbaru City, with pregnant women without anemia having a 7,5 times greater chance of having children who are not stunted.s
Association of vitamin D and fiber intake with body fat percentage and visceral fat among female factory workers in Pontianak City
Full text linkLow intakes of vitamin D and fiber can lead to increased body fat and visceral fat in female factory workers. This study aimed to assess the intake of vitamin D and fiber in female factory workers and their relationship with body and visceral fat. This study employed a cross-sectional design, involving 114 female factory workers in Pontianak, West Kalimantan, from April to August 2024. Data collection for vitamin D and fiber intake was performed using the SQFFQ, whereas body fat percentage and visceral fat were measured using BIA. Data analysis was performed using Spearman's Rank Correlation test. The results showed that female workers with higher body fat had a lower intake of vitamin D and fiber. There was a significant relationship between vitamin D intake and visceral fat (rs= 0,190; p= 0,022) but no significant relationship with body fat percentage. Fiber intake was weakly inversely correlated with body fat percentage (rs= -0,176; p= 0,030) and visceral fat (rs= -0,176; p= 0,030) in female factory workers. In conclusion, vitamin D intake is positively associated with visceral fat, whereas fiber intake has a weak inverse relationship with body fat percentage and visceral fat in female factory workers in Pontianak. Efforts to increase vitamin D and fiber intake among female factory workers should be made through nutrition education and employee meal programs
Effectiveness of storytelling and roleplay in improving oral hygiene knowledge and supporting nutritional health among elementary school students: A quasy experimental study
Full text linkPoor oral hygiene among school-aged children can compromise food intake and contribute to nutritional problems including stunting, wasting, and underweight. However, few studies have explored active learning methods that integrate oral health education with its nutritional implications. This study evaluated the effectiveness of storytelling and roleplay in improving oral hygiene knowledge and their potential relevance to nutritional health promotion. A true experimental study with a pretest-posttest design on two intervention groups was conducted in December 2024 at State Elementary School 23, Kubang Putiah, Agam Regency, West Sumatra. Thirty-six students in grades III and IV were randomly assigned to either the storytelling or roleplay groups. Both groups received one week of structured counseling. Instrument validity and reliability were confirmed through expert review and Cronbach’s alpha testing (α > 0,80). Paired and independent t-tests were used at the 95% confidence level. Results indicated significant post-intervention knowledge gains in both groups (p < 0,001), with the roleplay group achieving a greater mean improvement (27,8 ± 1,77) than the storytelling group (19,5 ± 2,60; p < 0,001). Roleplay demonstrated superior effectiveness in enhancing children’s oral health literacy, which is essential for supporting school-based malnutrition prevention initiatives such as the School Health Unit (SHU) program and curriculum integration. Longitudinal studies are recommended to examine behavioral changes and their measurable impact on nutritional status
Evaluation of macro nutrient, fatty acid and microbiology aspect of mackerel tuna crackers
Full text linkStunting is a health issue related to chronic malnutrition over 1000 days of life. Fulfilling the nutritional needs of pregnant women through fish consumption has been recommended in several studies. In Indonesia, mackerel tuna is a popular fish type at affordable prices. We developed mackerel tuna crackers as a nutritional product innovation for pregnant women made from mackerel tuna meat, eggs, and various spices. This product was developed as a food supplement for pregnant women. This study aimed to evaluate the macronutrients, fatty acids, and microbiological aspects of the product. Laboratory analyses were performed at the Integrated Laboratory of the IPB University. The results showed that the protein content of the product was highest in formula 1 (39,71%), meeting 54% of the protein requirement of pregnant women according to the IOM 2005 recommendation and 44,12% protein requirement of pregnant women according to AKG 2019. The total omega-3 content was highest in formula 2 (1,18%), and the total omega-6 content was highest in formula 3 (10,78%). The results of the microbiological test showed that all product samples were safe according to SNI 7988:2009. Further studies on the efficacy of mackerel tuna crackers as a nutritional intervention in pregnant women are urgently required
Consumption patterns of Sugar Sweetened Beverages (SSB) and its relationship with the risk of excess sugar intake among adolescents
Full text linkThe adolescent age group had a tendency to have an unhealthy diet, such as consuming more sugar (53,1%) than the other age groups. The increasing consumption of sugar-sweetened beverages (SSBs) is a major contributor to the increasing prevalence of obesity in adolescents in Indonesia. Increased consumption of SSB in adolescents is thought to be one of the factors contributing to the increase in obesity prevalence. Jember Regency as one of the areas with modern lifestyle trends shows a trend of consumption of these drinks that needs to be analyzed in more depth. The purpose of this study was to analyze the consumption patterns of SSB in adolescents and the relationship between the characteristics of respondents and the type, amount, and frequency of SSB consumption. This was an analytical observational study with a cross-sectional design. The study was conducted from June to September 2024. The independent variables of the study consisted of respondent characteristics, including gender, age, and education, while the dependent variable was the consumption pattern of sugar-sweetened beverages in packaging (SSB), including the type, size, amount, and frequency of SSB consumption. Data collection on SSB consumption patterns in adolescents was carried out with an instrument in the form of a semi-quantitative food frequency (SQ-FFQ) questionnaire online using the Google form. The research data were analyzed univariately and bivariately using the chi-squared test. The results showed that almost all respondents (97,75%) consumed more than one type of SSB. Tea type SSB (37,39%) was the most consumed/favored, with a frequency of consumption of 2-3x/week by (48%). In addition, the absence of significant differences in the consumption patterns of SSB in terms of the type of SSB consumed and the characteristics of respondents indicates that SSB is favored by adolescents with a fairly high frequency, regardless of differences in individual characteristics
Mobile health-based digital intervention to improve ARV compliance and nutritional intake in PLHIV at Bandarharjo Health Center
Full text linkLow adherence to antiretroviral (ARV) therapy and inadequate nutritional intake remain persistent challenges among People Living with HIV/AIDS (PLHIV) in Indonesia, contributing to suboptimal treatment outcomes and reduced quality of life. Mobile health (mHealth), which utilizes mobile devices for health interventions, offers a promising solution by facilitating personalized, accessible, and continuous patient support. This study aimed to assess the effectiveness of an Android-based mHealth application, SEHAT+, in improving ARV adherence and nutritional intake among PLHIV at the Bandarharjo Health Center, Semarang. A total of 41 active PLHIV undergoing ARV therapy were recruited from March to May 2025. Descriptive and paired t-test analyses were conducted to compare adherence and intake before and after the intervention. The mean ARV adherence score increased from 62,3 (SD = 10,5) to 84,9 (SD = 8,1), and the nutritional intake score improved from 58,7 (SD = 11,2) to 79,2 (SD = 9,6), both showing statistically significant changes (p < 0,001). SEHAT+ features included medication reminders, dietary logs, multimedia-based nutrition education, and online consultation forums. The findings indicate that mHealth interventions can significantly enhance both medication compliance and nutritional behavior in PLHIV. Community-driven digital tools such as SEHAT+ have the potential to strengthen primary healthcare responses to HIV/AIDS in resource-constrained settings
Efektivitas terapi musik natural terhadap penurunan ansietas pasien penyakit jantung koroner yang menjalani angiografi koroner di RSPAD Gatot Soebroto
Full text linkBackground: Coronary artery disease (CAD) is one of the leading causes of cardiovascular morbidity and mortality worldwide, including in Indonesia. Coronary angiography as the gold standard for CAD diagnosis often triggers significant anxiety in patients, which may affect physiological stability and increase the risk of complications.Objective: This study aimed to evaluate the effectiveness of natural music therapy in reducing anxiety among CAD patients undergoing coronary angiography at RSPAD Gatot Soebroto.Methods: This quasi-experimental study employed a non-randomized control group pretest–posttest design. The study was conducted at RSPAD Gatot Soebroto, Jakarta, in 2024. A total of 30 patients were divided into intervention and control groups. The intervention group received 20 minutes of natural music therapy, while the control group did not receive any intervention. Anxiety levels were measured using the State-Trait Anxiety Inventory (STAI), and physiological parameters (blood pressure, heart rate, respiratory rate) were also assessed. Data were analyzed using paired t-test, Wilcoxon signed rank test, and Mann–Whitney U test with a significance level of α = 0,05.Results: The findings revealed a significant reduction in anxiety scores in the intervention group (mean difference = 24,13 ± 11,64; p = 0,000), whereas the control group showed no significant change (mean difference = 0,20 ± 3,19; p = 0.812). Between-group analysis demonstrated a statistically significant difference in anxiety reduction (p = 0,000). However, natural music therapy did not significantly influence physiological parameters.Conclusion: Natural music therapy was effective in reducing anxiety among CAD patients undergoing coronary angiography
Persepsi dan faktor penentu pemilihan produk pastry dan bakery sehat pada generasi Z: Studi kasus kuantitatif di Indonesia
Full text linkBackground: The trend of healthy eating continues to grow in Indonesia, particularly among Gen-Z, including pastry and bakery products. According to the Badan Pusat Statistik, the consumption of pastry and bakery products in Indonesia increased by 2,62% in 2023. However, the understanding of healthy products, such as pastry and bakery items, remains limited. This study aims to explore the perceptions and factors influencing the selection of these products among Gen-Z.Objective: To understand the perceptions and reasons behind Gen-Z’s selection of healthy pastry and bakery products in Indonesia, as there is a concern that commercially available products may not meet health standards if consumed excessively.Method: This study employs a quantitative approach, collecting data from 203 Gen-Z respondents across Indonesia. The measurement of perceptions regarding healthy products was conducted using a 10-question questionnaire, analyzed through frequency distribution. The reasons for product selection were measured using 23 questions based on the Food Choice Questionnaire, utilizing a Likert scale and factor analysis, following validity and reliability tests using SPSS.Results: 51,72% of respondents have a "moderate" understanding of healthy products. The main selection factors—Health, Weight Control, and Sensory Appeal—account for 65,131% of the Total Variance Explained. For Gen-Z in Indonesia, the most preferred products are gluten-free, low-sugar, high-fiber, low-calorie, low-carb, low-fat, and great-tasting.Conclusion: A new factor has emerged as a reason for selecting pastry and bakery products, which is a combination of Health, Weight Control, and Sensory Appeal, shaping Gen-Z’s perception of healthy pastry and bakery products in Indonesia
Hubungan rasio P(v-a)CO2/C(a-v)O2 terhadap lactate clearance sebagai penanda keberhasilan One Hour Bundle pada pasien sepsis: Pendekatan metode statistik regresi
Full text linkBackground: A prognostic predictive value in patients with sepsis and septic shock is needed to determine the aggressiveness of the therapy we will choose. Various methods are used to predict patient mortality. Based on this, a marker is needed to assess tissue perfusion disorders.Objectives: To determine the relationship between the P(v-a)CO2/C(a-v)O2 ratio and lactate clearance as a marker of the success of the one-hour bundle in sepsis patients.Methods: This study is a descriptive analytic study of 40 patients who assessed the description of lactate, ScvO2, and PvaCO2 gap values in septic patients. The study was conducted at the Emergency Department (IGD) and Intensive Care Unit (ICU) of H. Adam Malik Hospital Medan, during the period of April to May 2023. The collected data were then analyzed using descriptive statistical methods to calculate the mean, standard deviation, and range of the variables studied. The differences between groups were analyzed using the t-test to compare the mean values of the parameters studied. Correlation analysis was conducted using Pearson’s correlation test to assess the relationship between lactate, ScvO2, and PvaCO2 gap.Results: At T0, the mean lactate level was 22,06 mmol/L (median 16,85 mmol/L), the mean P(v-a)CO2 was 9,28 mmHg (median 8,50 mmHg), and the mean P(v-a)CO2/C(a-v)O2 ratio was 3,66 (median 3,56). At T1, the mean lactate level decreased to 12,52 mmol/L (median 9,00 mmol/L), the mean P(v-a)CO2 was 8,50 mmHg (median 7,50 mmHg), and the mean P(v-a)CO2/C(a-v)O2 ratio was 3,45 (median 2,57). The average lactate clearance was 48,29%. Bivariate analysis revealed a significant relationship between lactate clearance and the P(v-a)CO2/C(a-v)O2 ratio, with a P-value of 0,009 and a Spearman correlation of -0,521, indicating a strong negative correlation between the two variables.Conclusion: There is a significant relationship between the P(v-a)CO2/C(a-v)O2 ratio and lactate clearance in the success of the one-hour bundle for sepsis patients
The inflammatory effects of diet, nutritional status, and severity of chronic kidney disease at Bogor City Hospital
Full text linkDiet and nutritional status play an important role in chronic kidney disease (CKD). Pro-inflammatory foods are linked to a decline in kidney function, whereas the nutritional status of obesity is a risk factor for CKD. This study aimed to analyze the relationship between (DII), nutritional status, and CKD severity. This cross-sectional study was conducted between April and May 2023 at Bogor City Hospital. A total of 64 patients with CKD were selected using accidental sampling. Consumption data were collected from the SQ-FFQ, nutritional status was assessed using Body Mass Index (BMI), and disease severity was assessed using creatinine and estimated glomerular filtration rate (eGFR) levels. Data were analyzed using ANOVA, Kruskal-Wallis, Pearson, and Spearman correlation tests. Results: All subjects had positive DII scores, their nutritional status was mostly in the normal range (59,4%), and almost all subjects had CKD stage 5 (95,3%). No relationships were found between the DII score and creatinine level (p= 0,986) and eGFR (p= 0,359). There was also no relationship between nutritional status and creatinine (p= 0,985 ) and eGFR (0,442). In conclusion, a positive DII score indicated that all subjects consumed more pro-inflammatory foods. Actions are needed to get CKD patients with CKD who consume more anti-inflammatory foods