Jurnal Poltekkes Kemenkes Aceh
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    Unhealthy food pattern, physical activity, and the incidence of diabetes mellitus among adults with central obesity

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    The prevalence of diabetes mellitus (DM) in Indonesia is increasing. A significant risk factor for developing DM is central obesity. Lifestyles, including diet and physical activity, strongly influence the high prevalence of DM and obesity. The study aimed to analyze the association between unhealthy food consumption and physical activity among adults with central obesity in Indonesia. This study used secondary data from Riskesdas 2018 with a cross-sectional design. The subjects in this study were adults (≥ 19 years old) with central obesity. A total of 7493 subjects were included in the analysis. Food intake data were taken using a validated FFQ, and physical activity using the GPAQ questionnaire. The data were analyzed using a chi-square test and multiple logistic regression. Frequent consumption of sweet foods (p=0,001, OR=1,235), sweetened beverages (p=0,042, OR=1,157), carbonated drinks (p=0,001, OR=1,324), instant noodles (p<0,001, OR=1,845), salty foods (p<0,001, OR=1,669), seasoning (p<0,001, OR=1,514), processed meats  (p=0,009, OR=1,199), fatty foods (p<0,001, OR=1,687), and grilled foods (p<0,001, OR=1,243) were positively associated with the incidence of DM among adults with central obesity after adjusted with confounding variables. Low physical activity  increased the incidence of DM among adults with central obesity in the unadjusted model (p=1,161, OR=1,161). In conclusion, there is a relationship between the consumption of unhealthy foods and physical activity with the incidence of DM in Indonesian adults with central obesity

    The synergy of the religious role in supporting the accelerated reduction of stunting in Kutaraja District, Banda Aceh

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    Background: Stunting is a condition of chronic malnutrition caused by a lack of nutritional intake in the long term, resulting in a decline in the optimal growth and development of a child. In general, the incidence of stunting starts from inadequate nutritional intake during pregnancy until two years of age or more, commonly referred to as the golden period. Therefore, support from community leaders is needed to accelerate the reduction of stunting, a religious role model for the community.Objective: This study aimed to analyze the synergy of the role of religion in accelerating stunting reduction in Kutaraja District, Banda Aceh City.Methods: This was a qualitative study with a descriptive design. The informants in this study were religious and active in the Kutaraja sub-district of Banda Aceh City, with a total of 10 religions, and were selected based on specific criteria. Data were collected for two months through an in-depth interview method using a document study and questionnaires designed by the authors. Instrument validity was tested using the triangulation technique. Thematic data analysis was performed.Result: Religiosity has promoted studies related to parenting, a balanced diet, and a healthy lifestyle by directly becoming speakers in integrated service post activities, being involved in community empowerment activities called village nutrition houses, and being active as marriage counsellors in the office of religious affairs for the bride and groom.Conclusion: The synergy of religion in community activities can support the accelerated reduction of stunting, which the improvement of community participation in nutritional community empowerment activities can see

    Rancangan video animasi edukasi kesiapsiagaan bencana non alam COVID-19 bagi ibu hamil. Uji validitas dan reliabilitas instrumen

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    Background: COVID-19 is transmitted through air transmission. Prevention of transmission of the COVID-19 virus in pregnant women will certainly reduce complications in pregnant women and the fetus. An educational animated video design can help increase pregnant women's understanding of preventing the transmission of COVID-19. The Coronavirus disease 2019 or COVID-19 in pregnant women will increase the risk of severe infection and pregnancy complications such as preterm labour. Pregnancy will cause physiological changes and maternal immunity, so pregnant women are in a high-risk group for COVID-19 infection. Prevention of COVID-19 virus transmission in pregnant women needs to be done to prevent complications in pregnant women and fetuses. Research objectives: The design of educational animated videos can help increase the understanding of pregnant women in preventing COVID-19 transmission and to test the validity and reliability of instruments.Method: Developing an educational video animation for non-natural disaster preparedness is carried out in several stages, namely making scenarios, storyboards, sketches, choosing colors, coloring, layering and combining them into animated videos. Then, the animated video was validated by a team of experts from the Langsa City Health Office. The content of this video is about preventing COVID-19 transmission in pregnant women. The animated video was tested on 20 respondents in June 2021 in Karang Anyar village, Langsa City. Furthermore, the instrument was tested for validity and reliability on 20 respondents in July 2021 in Paya Bujok Tunong Village, Langsa City.Results: Are 10 components assessed from educational animated videos, and the majority are very good ≥65%. The results of the validity and reliability tests show that the questionnaire is suitable for use in the condition of pregnant women when facing COVID-19 (p > 0,05). However, one invalid statement item was found. The reliability test results show that all variables have an alpha value above 0,378.Conclusion: Respondents can use and distribute animated videos and research instruments.

    Efek intervensi permen probiotik Lactobacillus plantarum Dad-13 terhadap kualitas feses dan komposisi mikrobia usus balita gizi kurang

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    Background: Undernutrition, a high nutritional problem in Indonesia, can be caused by the imbalance of the gut microbiota composition and gut healthiness. Probiotic intervention is one of the ways that can maintain those aspects. Preventive steps to address malnutrition can improve human resources in the future.Objectives: This research aimed to evaluate the efficacy of probiotic L. plantarum Dad-13 intervention on fecal quality and gut microbiota modulation of undernourished infants. Methods: This research was conducted in Tirtoadi Village, Sleman, Yogyakarta, from January to March 2020, using a randomized, double-blind clinical control trial design with two groups: placebo (n:15) and probiotic (n:15), over a 50-day intervention period. The probiotic group was given L. plantarum Dad-13 candy, while the placebo group was given candy with the same composition but without adding L. plantarum Dad-13. Anthropometric measurements and feces sampling were carried out before and after the intervention. Fecal samples were then analyzed for fecal quality and intestinal microbial composition. The data obtained were analyzed using the Wilcoxon paired test for within-group differences (before and after the intervention). In contrast, the Wilcoxon rank-sum test was used for between-group analysis (placebo and probiotic).Results: The result showed that the intervention of L. plantarum Dad-13 candy improved defecation frequency (p<0,024) and fecal consistency towards the normal category.  Besides that, although there is no change in the F/B ratio, L. plantarum Dad-13 intervention also enhanced the number of genus-related Firmicutes phylum, which have the benefit of maintaining gut health and inhibiting the growth of pathogenic bacteria.Conclusion: Therefore, probiotic L. plantarum Dad-13 can prevent the progression of stunting in undernourished children

    Analisis kandungan glukosa dan daya terima gula cair berbahan dasar Ubi Cilembu (Ipomoea batatas L.)

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    Background: Diabetes prevention can be pursued by utilizing abundant local food. Cilembu sweet potato is a staple food in demand by the community because it has a distinctive sweet taste. The higher starch content than other sweet potatoes makes Cilembu sweet potato a potential starch source, namely into liquid sugar with enzyme hydrolysis. Liquid sugar has advantages over crystal sugar; it dissolves easily during processing and is more practical. Cilembu sweet potato liquid sugar can be used as an alternative to prevent the occurrence of Diabetes Mellitus. Objectives: This study aims to determine glucose levels and acceptability of Cilembu sweet potato liquid sugar (Ipomoea batatas L.) by adding α-amylase and glucoamylase 1, 2, and 3 mL enzymes.Methods: This study used a quasi-experimental design using a Completely Randomized Design (CRD). This study consisted of 3 treatments and 3 replications, adding 1 ml, 2 ml and 3 ml of α-amylase and glucoamylase enzymes. The research on glucose levels was located at the Food Analysis Laboratory of the Jember State Polytechnic, and the acceptance test was carried out at the Faculty of Public Health, University of Jember, on 30 people aged 18-25 years. Glucose levels were tested using the Luff school method. Analysis of glucose level data used the One-Way ANOVA test, while the acceptance test used the Kruskal Wallis test.Results: The results of this study indicate that the lowest average test value for glucose levels in liquid sugar made from Cilembu sweet potato is with the proportion of adding 1 ml amylase enzyme, namely 31,55% with statistical test results p=0,000 with α=0,05. In the acceptability test, which included scent, texture, and taste, the highest score was found in liquid sugar with the addition of 1 ml of the enzyme with statistical test results p=0,012; p=0,014; p=0,000, while the color acceptability had the highest value in liquid sugar with the addition of 2 ml of the enzyme (p=0,004).Conclusion: The best formulation based on the glucose content and acceptability test is liquid sugar with adding 1 ml of enzyme

    Penggunaan media buku bergambar SOGI (menggosok gigi) dalam praktik menggosok gigi yang benar pada murid kelas V MIN 13 Aceh Besar

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    Kesehatan gigi dan mulut merupakan hal yang penting dalam kehidupan setiap individu termasuk pada anak, karena gigi dan gusi yang tidak dirawat dapat menggangu kesehatan tubuh lainnya. Hasil studi awal, dari wawancara terhadap 15 murid didapati 3 murid yang mengerti dan 12 murid tidak mengerti tentang cara, frekuensi dan waktu menyikat gigi yang baik dan benar. Penelitian ini bertujuan untuk mengetahui pengaruh media buku bergambar sogi terhadap pengetahuan dan praktik menggosok gigi yang benar pada murid kelas V MIN 13 Aceh Besar yang diambil secara total populasi. Desain penelitian ini adalah quasi experiment dengan rancangan pretest-postest terhadap dua kelompok yaitu kelompok intervensi 40 murid kelas V-A dan 40 murid kelompok kontrol kelas V-B. Pengumpulan data dan intervensi dilaksanakan di MIN 13 Aceh Besar pada tanggal 01 September sampai 07 September 2023 dengan menggunakan kuesioner dan lembar ceklist. Rentang waktu antara pretest dan postest selama sebulan. Analisis data menggunakan uji t-test. Hasil penelitian menunjukkan peningkatan yang signifikan terhadap pengetahuan terhadap kelompok intervensi dan kelompok kontrol (p=0,000) dengan selisih rata-rata (3,5) dan (0,3) sedangkan terhadap praktik kelompok intervensi dan kelompok kontrol (p=0,000) dengan selisih rata-rata (1,4) dan (0,23) tentang menggosok gigi yang benar. Disimpulkan bahwa media buku bergambar sogi dapat meningkatkan pengetahuan dan praktik tentang menggosok gigi yang benar. Diharapkan kepada murid dapat mempertahankan pengetahuan dan meningkatkan praktik tentang menggosok gigi yang benar dengan cara lebih banyak membaca dari berbagai sumber informasi dan menanamkan kesadaran diri sendiri akan pentingnya menggosok gigi

    Garlic extract (Allium sativum) improves the taste of dried moringa noodle products (Moringa oleifera)

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    Moringa leaves are plants that have antioxidants and are rich in nutritional value. Panelists said they liked the aroma and taste parameters of dried moringa noodles by adding moringa leaf extract using the pressing method. Adding garlic is needed to cover the aroma and taste because garlic has a distinctive and robust flavor component. The purpose was to improve the taste of dried moringa noodles by adding garlic extract. This experimental research was a completely randomized design. Dried moringa noodles were obtained by adding garlic extract concentrations of 0% (F0), 5%(F1), 10%(F2), and 15%(F3). The hedonic test used 30 untrained panelists with parameters of taste, aroma, color, and texture. The hedonic data were tested for normality using the Kolmogorov-Smirnov test, followed by the ANOVA nova test. If there was a significant difference, continued by the Duncan test with 95% CI. The results of the hedonic test of dry moringa noodles with the addition of garlic extract for taste (p=0,000) showed panelists preferred dry moringa noodles F1 and aroma (p=0,113), color (p=0,104), and texture (p=0,081) there was no significant difference for the treatment of adding garlic extract. F1 dry moringa noodles are safe to use as a food ingredient and contain nutritional value. In conclusion, adding garlic extract can improve the taste of dry moringa noodles (F1)

    Use of reminder box for the amount of iron tablet consumption in pregnant women

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    One of the health issues affecting pregnant women in Indonesia is iron deficiency anemia. Iron tablet supplementation is used to manage anemia, but this program has not been successful because of low compliance from forgetfulness. The use of a reminder can increase the amount of iron pill consumption. This study aimed to determine how much iron pill ingestion was impacted by the reminder box. This kind of research uses a post-test-only control group, which has a quasi-experimental design. Sixty respondents were divided into 30 intervention groups and 30 control groups. The intervention group received iron tablets in a box marked with the day, date, and time as a reminder to take their prescription, while the control group received theirs in plastic. Both groups were observed for 30 days, recording their observations on a monitoring form. An impartial t-test was utilized in the data analysis. The average amount of iron tablets ingested did not differ between the intervention and control groups (p= 0,417), although the intervention group consumed more than the average amount. Reminder boxes enhance consumption, but additional proof is required. It is unclear whether placing reminders where they are simple to notice and access will impact compliance

    Factors related to the compliance to consuming iron-folic acid in young women in East Kalimantan, Indonesia

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    Weekly Iron Folic Acid supplementation/WIFAS program for adolescent girls is an effective strategy for preventing anemia. However, in Indonesia, only 1,4% adhere to taking WIFAS. This study aimed to discover the factors related to adolescent girls’ adherence to consuming WIFAS in East Kalimantan. The design of this study was cross-sectional, using a purposive sampling technique to find a sample of 825 adolescent girls. The research location was the East Kalimantan Provincial Health Office from November 15 to December 15, 2021. The analytical method uses the Chi-Square test and binary logistic regression test. The results showed that the level of adherence to the consumption of iron folic acid for adolescents girl was 17,6%. The factors related to the adherence of adolescent girls in consuming WIFAS in East Kalimantan were the area of residence (p=0,023), hemoglobin check (р=0,0001), access to information on iron-folic acid (p=0,014), received/purchased iron-folic acid (p=0,000), knowledge (p=0,010) and the use of the Cegah Anemia Remaja Indonesia (CERIA) application (р=0,0001). Based on reg log analysis, factors such as having received/purchased iron WIFAS, Hb checks, knowledge, and use of the CERIA application were associated with adolescent girls’ adherence to WIFAS. In conclusion, adolescent girls with regular WIFAS consumption were easier to get WIFA, check Hb, have good knowledge and use the CERIA application. These findings suggest the need to carry out hemoglobin checks on adolescent girls, increase the availability of WIFAS and socialize the use of the CERIA app

    REKSIMIA (Gerakan Remaja Eksis Bebas Anemia) sebagai upaya pencegahan anemia pada remaja di Banda Aceh

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    Remaja merupakan generasi penerus bangsa terutama pada remaja putri. Keadaan gizi pada remaja putri dapat berpengaruh terhadap kehamilannya kelak, juga terhadap bayi yang akan dilahirkannya. Salah satu masalah gizi yang paling sering dijumpai pada remaja adalah anemia. Masalah gizi remaja perlu mendapatkan perhatian khusus karena berpengaruh terhadap masalah gizi dewasa. Tetapi, masih kurangnya akses, sosialisasi dan edukasi tentang pencegahan anemia sehingga banyak remaja yang belum memiliki kesadaran akan pentingnya pencegahan anemia. Pengabmas ini menggunakan metode peer education dan edutainment yang dilakukan melalui tiga tahap pelaksanaan yaitu sosialisasi, pelatihan peer educator dan edukasi teman sebaya. Hasil yang dicapai yaitu pertama, setelah pelatihan peer educator terdapat peningkatan pengetahuan sebesar 43,6% , sikap 13,7%, dan keterampilan remaja 80% yang merupakan kategori baik, kedua terbentuknya modul bagi peer educator sebagai panduan dalam mengedukasi teman sebayanya. Ketiga, terbentuknya Peer Educator Reksimia di sekolah dan dibuktikan dengan SK pembentukan tim dari kepala sekolah. Melalui Peer Educator Reksimia dan kerjasama dengan pihak terintegrasi, maka akan mendukung potensi keberlanjutan program Reksimia kepada sekolah yang lain. Sehingga mampu mendukung upaya pemerintah dalam mengurangi angka prevalensi anemia dan mendukung poin ke 3 dalam SDGs terkait kehidupan sehat dan sejahtera.

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