Jurnal Poltekkes Kemenkes Aceh
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Evaluasi implementasi program rumah keluarga sekar kasih dalam perbaikan status gizi di Wilayah Kerja Puskesmas Sekaran
Get PDFBackground: Rumah Keluarga Sekar Kasih has completed the care of 8 toddlers from March 3, 2023, to September 1, 2023. After three months of completion of care, assistance was carried out. It was found that the nutritional status of toddlers based on WAZ was 37.5% underweight and 62.5% normal weight, according to HAZ as much as 62.5% stunting and 37.5% normal, and according to WHZ found 12.5% wasting and 87.5% normal.Objectives: The purpose of this study was to evaluate the implementation of the Rumah Keluarga Sekar Kasih program in improving nutritional status in the Sekaran Public Health Centre.Methods: This type of research is qualitative evaluation research with the CIPP method (context, input, process, product). Sampling by purposive sampling and snowball sampling, with a total of 12 informants. Data were collected through in-depth interviews, participatory observation, documentation, and literature study. The study was conducted in March 2024 in the Sekaran Public Health Centre.Results: The study results indicate that the program implementation has been generally successful, but there are areas that could be improved. These include limited supporting facilities, closed attitudes of some toddlers' families, and a lack of training for program implementers. The program's achievements from March 3, 2023, to March 3, 2024, include 13 toddlers completing treatment. Most underweight toddlers (76.9%) improved their nutritional status, while all toddlers with wasting improved nutrition, and the nutritional status of stunting toddlers did not show significant improvement.Conclusion: This study concludes that the Rumah Keluarga Sekar Kasih program needs improvement
Stress, emotional eating, snack consumption, energy and fat intake, and body mass index of students during COVID-19 pandemi
Get PDFThe COVID-19 pandemic limits individual activities which causes changes in people's lifestyles, including intake, eating behavior and unstable emotional changes. This condition will have an impact on health, one of which is the individual's nutritional status. This study aims to analyze the correlation among stress, emotional eating, snack consumption, energy and fat intake, and body mass index of students during COVID-19 pandemic. The design of this study was cross sectional design. This research was conducted on August-September 2022 with a total sample of 66 people at Universitas Esa Unggul, West Jakarta with proportional stratified random sampling. Retrieval of stress data using the PSS questionnaire, emotional eating using the EEQ questionnaire, snack consumption frequency using FFQ, energy and fat intake using Recall 2x24 hour. The association were analyzed by Spearman Rank correlation test. The results stated that there wasa relationship between energy intake (p = 0,026), fat (p= 0,004) with BMI of students, There was no correlation between stress (p= 0,696), emotional eating (p= 0,242), and frequency of snack consumption (p= 0,278) with student BMI. There is no relationship between stress, emotional eating, and frequency of snack consumption with student BMI during the COVID-19 pandemic. Conclusion: there was an association between energy and fat intake with BMI of students. There was no association between stress, emotional eating (p=0,242), and frequency of snack consumption with student BMI during the COVID-19 pandemic
Effects of enteral nutrition method using continuous feeding on patients in intensive care: A Systematic Review
Get PDFPatients treated with intensive care are at risk of malnutrition. Enteral nutrition can help to maintain a patient's nutritional needs and digestive system function. However, some complications are associated with enteral feeding, including aspiration and refeeding syndromes. This study aimed to provide a comprehensive synthesis of the effects of enteral feeding methods in Intensive Care Unit (ICU) patients. Related literature was systematically retrieved from 2019 to 2023 using the ProQuest, PubMed, Clinical Key, Science Direct, and Cochrane Library databases. Specific keyword combinations were applied when searching only for randomized controlled trials (RCT) on enteral feeding in critically ill patients. The results of this study found six articles were selected after screening based on the inclusion criteria. The continuous feeding method was found to improve the achievement of the target nutritional requirements and reduce the risk of aspiration. However, it is not always appropriate to consider circadian rhythm. In conclusion, there are important clinical factors to be considered before selecting the type of enteral access, including the patient’s clinical condition, surgical history, length of anticipated feeding time, and potential risks.
Online nutrition education on anemia and breakfast habits in adolescent girls
Get PDFThe body's iron levels may become insufficient when one is not in the habit of having breakfast, potentially resulting in anemia among adolescents. Online nutrition education on anemia serves as a means to enhance knowledge and breakfast habits among adolescent girls. This study aimed to determine the effect of online nutrition education on anemia on adolescent girls’ breakfast habits. The study design was a cluster randomized trial (CRTs). The subjects were randomly assigned to the treatment group (n = 99) or the control group (n = 101). Research data were collected at SMP Negeri 5 Sukoharjo and SMP Negeri 2 Sukoharjo, which were selected through simple random sampling from March to December 2022. Online nutrition education was directed for six sessions over two weeks with a 1-month reflection. Data on breakfast habits were collected using the Food Record form and analyzed using the Mann–Whitney test. No improvement in breakfast habits was observed in either group. There was no difference in breakfast habits among adolescent girls in the treatment group, who received nutritional education about anemia, and in the control group, who did not (p=0,174). In conclusion, online nutrition education has not been sufficient to improve breakfast habits among adolescent girls.
The comparison of Dietary Inflammatory Index (DII) value in obesity and non-obesity
Get PDFObesity is a chronic low-grade inflammatory condition that occurs in the White Adipose Tissue (WAT). Diet is the strongest factor regulating energy balance and influencing inflammatory responses in the body. This inflammatory response can be calculated using the Dietary Inflammatory Index (DII). The aim of this research was to determine the differences between DII values for obese and non-obese people in the work area of the Sumbersari Public Health Center, Jember Regency, which was carried out from May to June 2023. This was a cross-sectional study with sample selection through a simple random sampling method. Thirty participants were included in each group. Data collection was carried out using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), and the data were analyzed using an independent t-test. The normality test was performed using the Kolmogorov-Smirnov test, and the data were normally distributed. The results obtained that There was a significant difference (p=0,000) between the DII values of the normal and obese groups. It is known that the average DII value in the normal group was +2,29 and in the obese group was +1,32, indicating that the normal group had a higher pro-inflammatory diet than the obesity group. In conclusion, there was a significant difference between the DII values in obese and non-obese groups in the working area of the Sumbersari Community Health Center, Jember Regency
Eating behaviour: How health concern, self-control and gender influence healthy food choice
Get PDFMost Indonesians are unable to control their food choice. This factor is due to individual indifference to maintaining health, self-control, and gender. This study aimed to examine the personal factors that can influence healthy food choices. The research method used a quasi-experimental with post-test-only control group design; the total sample included 143 participants aged between 17-25 years. This study was conducted at the Psychology Laboratory of Semarang State University in September 2023. Health concerns and self-control were measured by filling out a questionnaire, and an experimental test was conducted to choose healthy food using the Fake Food Buffet. Data analysis was performed using GLM univariate test. The results of this study indicate that there is a significant influence of health concern and self-control on healthy food choices, but the results of gender analysis on healthy food choices are not significant. This means that individuals who care about health and have strong self-control choose healthy food. However, there were no differences in food choice behaviors between women and men. It can be concluded that personal factors, such as health concerns and self-control, significantly influence the choice of healthy food. This could reduce the level of obesity that will occur in the future
Risk factors of under-fives stunting in low-income households
Get PDFStunting prevalence in Indonesia is still high and far from the National medium term development plan 2020-2024 target. As many as 41% of stunted under-fives come from poor households in the stunting focus area of the Bantul Regency. This study assessed the risk factors for stunting in low-income households. This study was conducted in July 2023 in Bantul Regency using an unmatched case-control approach. Using a purposive sampling technique, 156 children under five (78 cases and 78 controls), aged 6-59 months, from low-income families registered in the village and receiving social assistance from the Ministry of Social Affairs, were chosen. Interviews were conducted to gather research data, and a validity- and reliability-tested questionnaire was used. Data were analyzed using descriptive statistics, chi-squared tests, and binary logistic regression. The findings demonstrated a substantial correlation (p0,05) between mothers’ education level, mother’s age, and children’s breastfeeding status. In conclusion, low birth weight and ANC visits are risk factors for stunting among underfives. Low birth weight is the primary cause of stunting in children under five in low-income families.
Comparative analysis of food service satisfaction and nutritional adequacy between private hospitals and academic hospitals in patients with non-communicable diseases
Get PDFNutritional services in hospitals aim to provide meals with high nutritional value, safety, appropriate quantity, quality, and satisfactory service. This study aimed to analyze and compare food service satisfaction and nutritional adequacy among patients with noncommunicable diseases (NCDs) in private and academic hospitals. The study was conducted at the UNS Hospital and YARSI Hospital from October to December. Employing a comparative cross-sectional study design, we included 50 patients with NCD, 25 general (private) hospitals, and 25 teaching hospitals. Satisfaction with food services was assessed using a validated food service satisfaction questionnaire, whereas nutritional adequacy was evaluated using the Comstock questionnaire. Nutrient intake data were processed using the NutriSurvey software. The Mann-Whitney U test was used for the statistical analysis. Our findings revealed significant differences in all food service satisfaction indicators (p<0,005), except for waitstaff friendliness (p=0,077). There were also significant differences in energy, fiber, macronutrient, and micronutrient adequacy levels, except for vitamin C intake, between patients in private and academic hospitals (p<0,005). In conclusion, the level of food services and nutritional adequacy differed significantly between private public and academic hospitals.
The differences in diet quality and physical activity for COVID-19 survivors and non-survivors in Semarang City
Get PDFThe COVID-19 pandemic triggered lifestyle changes, namely diet quality and physical activity, which showed improvements in COVID-19 survivors. This study aimed to analyze the differences in diet quality and physical activity among COVID-19 survivors and non-survivors in the city of Semarang between March and April 2022. The study design was cross-sectional, with as many as 100 Semarang City residents aged 22-45 years (50 survivors and 50 non-survivors of COVID-19) using a purposive sampling technique. Semi-quantitative food frequency questionnaire (SQ-FFQ) interview data were collected, followed by diet quality assessment using the Diet Quality Index-International (DQI-I). Physical activity data were collected using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Data were analyzed using the Mann-Whitney and Spearman's methods. The diet quality of the two groups showed a difference (p=0,012), with the diet quality of the survivor group being better. Variations in dietary quality components showed significant differences (p<0,001), including the subcomponents of overall (p=0,005) and protein (p<0,001). Physical activity in both groups showed no significant difference (p=0,639), including heavy, moderate, and walking activities. There was a significant difference in sedentary activity between the two groups (p=0,035). Conclusion: The dietary quality of the two groups showed differences, the majority of which was better in the COVID-19 survivor group. Physical activity in both groups showed no difference, but sedentary activity differed between the two group
Inulin characterization from tuber of Musa balbisiana Colla as an alternative source of prebiotics
Get PDFInulin is a polysaccharide composed of 2-60 fructose monomers linked by β-(2,1) glycosidic bonds, with a glucose end group. The tuber of Musa balbisiana Colla (batu banana) is a part of the M. balbisiana Colla plant that contains dietary fiber 6,20%. The polysaccharide content allowed the batu banana tubers to contain inulin. The aim of this study was to determine the characteristics of inulin in batu banana tubers. The research method used was the experimental method, which was analyzed descriptively with two replicates at the Universitas Padjadjaran Laboratory of Jatinangor – Sumedang from May until October 2023. The parameters were inulin content, degree of polymerization (DP), reducing sugar content, moisture content, pH, solubility, water activity (aw), color L*, a*, and b*, viscosity, and sensory analysis using a descriptive method. The results showed that B. tuber inulin had an inulin content of 3,58%, DP of 2,8, reducing sugar content of 2,03%, moisture content of 8,47%, pH of 6,31, solubility of 21,70% (90°C), aw of 0,432, L* of 66,76, a* of 8,28, b* of 15,90, and viscosity of 2068 mPas (90°C). In conclusion, sensory analysis showed that batu banana tuber inulin has a darker color, bitter taste, stronger flavor, and softer texture than the commercial inulin.