Jurnal Poltekkes Kemenkes Aceh
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Association between nutritional intake, physical activity, and gestational weight gain in overweight pregnant women: a cross-sectional study
Full text linkExcessive weight gain during pregnancy is a risk factor, which can be modified to prevent pregnancy and postpartum complications. Gestational weight gain (GWG) is also influenced by the regulation of nutritional intake and physical activity, especially during the COVID-19 pandemic. This study aimed to analyze the relationship between nutritional intake and physical activity in overweight pregnant women with gestational weight gain. This cross-sectional study was conducted in May and November 2022. A total of 66 overweight/obese pregnant women aged 20 – 40 years at the Public Health Center in Semarang were recruited using a consecutive sampling technique. Data were collected using interviews, questionnaires, and anthropometric measurements. Data analysis was performed using the Pearson’s correlation, Spearman’s correlation, and linear regression. Pregnant women who were overweight or obese gained an average of 0,42 kg of weight each week, with the bulk of this gain deemed improper (68,2%). Parity (p=0,011; r=-0,309) and sufficient protein consumption (p=0,031; r=-0,266) were associated with GWG. The conclusion is that there will be less weight gain during pregnancy if the protein intake is high
Hubungan kebiasaan konsumsi dan status gizi dengan kejadian GERD pada mahasiswa saat puasa
Full text linkBackground: GERD is a pathological condition caused by the reflux of stomach contents into the esophagus. Diet is a factor in the occurrence of GERD in adults, including students and workers. Factors that cause GERD recurrence include stress and diet.Objectives: To determine the intake of micronutrients, fiber, frequency of tea consumption, and nutritional status during the fasting month on the occurrence of GERD in students.Methods: Observational quantitative research method with a cross-sectional research design, purposive sampling data collection. Respondents numbers were 81 people fasting and students at the Faculty of Health, Universitas Muhammadiyah Gresik. This Research in Health Faculty, Universitas Muhammadiyah Gresik. Data collection through interviews with 2x24 hour food recall questionnaires, Food Frequency Questionnaire (FFQ), calculation of Body Mass Index (BMI) and Gastroesophageal Reflux Disease Questionnaire (GERD-Q). Data analysis used the Shapiro-Wilk test and Spearman test.Results: Respondents were aged between 18 years and 24 years. The statistic test with spearman test showed a relationship between tea-drinking habits (p=0,010) and noodle consumption habits (p=0,001) with GERD. Analysis of the relationship between intake of fiber (p=0,472), micronutrient intake of vitamin A (p=0,228), vitamin C (p=0,964), calcium (p=0,471), iron (p=0,647), zinc (p=0,757), and nutritional status (p=0,594) with GERD.Conclusion: There is a relationship between tea-drinking habits and the habit of consuming noodles and GERD. There was no relationship between intake of fiber, vitamin A, vitamin C, calcium, iron, zinc, and nutritional status with GERD
The effect of Moringa oleifera L. extract on total cholesterol levels and cardiac hypertrophy in cigarette smoke-exposed mice: An experimental study
Full text linkCigarette smoke contains harmful chemicals that induce oxidative stress by increasing the levels of reactive oxygen species (ROS), thereby complicating cardiovascular disease treatment. Moringa oleifera L., rich in secondary metabolites and antioxidants, has shown medicinal potential. This study aimed to investigate the phytochemical composition of M. oleifera and its potential effects on cardiac hypertrophy and total cholesterol levels in mice exposed to cigarette smoke. Thirty male white mice (Mus musculus) were divided into five groups (n = 6). The negative control group received only food and water, whereas the positive control group was exposed to cigarette smoke without M. oleifera extract. Groups 1, 2, and 3 were exposed to cigarette smoke, and M. oleifera extract was administered at doses of 125, 250, and 500 mg/kg body weight (BW) for 14 days. On the fifteenth day, the mice were sacrificed to obtain heart samples and total cholesterol levels were measured. One-way ANOVA followed by a post-hoc test showed that M. oleifera extract significantly affected cardiac hypertrophy and total cholesterol levels in mice exposed to cigarette smoke (p < 0,05). M. oleifera extract significantly affected cardiac hypertrophy and total cholesterol levels in rats exposed to cigarette smoke with p =0,001 and p=0,000, respectively
Urban vs. Rural: food choice analysis and its association with nutritional status and academic achievement among adolescents
Full text linkLong-term food choices influence dietary patterns, contribute to the nutritional status of adolescents, affect cognitive function, and affect academic achievement. This study provides a novel perspective by examining food choices across urban and rural settings, an area seldom explored in the Indonesian context, and their association with adolescents' nutritional status and academic performance. This study employed a cross-sectional design to capture the relationship among food choice, nutritional status, and academic achievement at a single point in time. in November–December at two schools, Senior High School 1 Dramaga as an urban area and Senior High School 1 Nanggung as a rural area, involving 377 subjects. The collected data included nutritional status using anthropometric measurements, food choice analysis using FCQ, and academic achievement using final exam results. Data analysis included univariate methods, bivariate Spearman's rank correlation, and the Mann–Whitney U test to assess differences between the two study areas. This study showed that there is a correlation between food choice and nutritional status. In urban areas, the results were significant (p=<0,001) for health (r=0,732) mood (r= -0,592), convenience (r= -0,509), sensory appeal (r= -0,223), familiarity (r= 0,570), and weight control (r= 0,708). In rural areas, there were significant differences (p<0,001) in (r= 0,610), mood (r= -0,473), sensory appeal (r= -0,409), natural content (r= 0,577), price (r= 0,571), familiarity (r= 0,582), and weight control (r= 0,690).. Moreover, nutritional status was positively correlated with academic achievement (p < 0,001) in urban (r= 0,741) and rural areas (r=0,525). In conclusion, food choice significantly affects adolescents’ nutritional status and academic achievement in urban and rural areas. Therefore, structured education on the importance of making food choices based on health considerations and nutritional content is essential as a strategic effort to improve long-term nutritional status and academic performance
The relationship between sedentary behavior and eating patterns with nutritional status of Makassar Adolescents
Full text linkModern lifestyles that lead to sedentary behavior and unbalanced diets are major health concerns for adolescents. Sedentary behavior and unbalanced diets have a negative impact on nutritional status. This study aimed to identify the relationship between sedentary behavior, diet, and nutritional status in adolescents in Makassar City. This observational, analytical, quantitative, cross-sectional study was conducted on adolescents aged 14-15 years from five schools in Makassar from October to December 2024. A total of 286 respondents were selected using a Proportionate Stratified Random Sampling technique. Data were collected through questionnaires, interviews, and anthropometric measurements and then analyzed using the chi-square test. The results showed a significant relationship between sedentary behavior (p = 0,001) and diet (p = 0,031) with nutritional status. The majority had moderate sedentary behavior, poor diet, and good nutritional status. The study concluded that adolescents have diverse nutritional needs based on both direct and indirect factor
Hubungan kebiasaan sarapan dan konsumsi fast food dengan status gizi pada remaja di Sukoharjo, Jawa Tengah
Full text linkBackground: Adolescence requires balanced nutrition. Therefore, the role of nutrition in this period is crucial to pay attention to. Breakfast is important for everyone, especially adolescents, before starting daily activities, as 20–25% of the energy requirements can be fulfilled by breakfast. Individuals who are not accustomed to breakfast tend to experience excessive hunger during the afternoon and evening, which leads to the consumption of low-nutrient, energy-dense foods and fast food, ultimately affecting their nutritional status.Objective: This study aimed to analyze the relationship between breakfast habits, fast food consumption, and nutritional status among adolescents in State Senior High School 2 Sukoharjo.Methods: This study employed an observational cross-sectional design. The study subjects were 77 eleventh-grade students of State Senior High School 2 Sukoharjo, Sukoharjo Regency, Central Java, selected through proportional random sampling. The research instruments included anthropometric measurements, a 7-day breakfast habit questionnaire, and a Food Frequency Questionnaire (FFQ). Data were analyzed using Spearman’s rank correlation test.Results: There was a significant relationship between breakfast habits (p = 0.019; r = -0,267) and the frequency of fast food consumption (p = 0.002; r = 0,344) and the nutritional status of adolescents. Breakfast habits and frequency of fast food consumption were found to influence the nutritional status of adolescents.Conclusion: These findings highlight the importance of promoting regular breakfast habits and healthy eating patterns to improve and maintain adolescent health.
Perubahan pengetahuan dan praktek sadari setelah edukasi melalui whatsapp pada siswi SMAN Negeri 7 Banda Aceh
Full text linkBackground: Breast self-examination/SADARI is performed by young women who have experienced physical changes and secondary sexual development. Puberty occurs at the age of 12-13 years when breast enlargement occurs. SADARI should be performed on the 7th to 10th day of the menstrual cycle, as the low levels of estrogen and progesterone hormones prevent breast tissue from becoming edematous, making it easier to detect tumors or abnormalities during palpation.Objective: To determine the effect of WhatsApp (WA) audio-visual content on knowledge and practice of SADARI among female students at SMAN 7 in Banda Aceh City.Method: Quasi-experimental design using a pretest-posttest one-group design with two measurements: before and after the intervention with a single group of subjects. The sample consisted of the entire population, namely Grade 11 students who met the inclusion criteria. The sampling technique was purposive sampling, and analysis was conducted using a t-test.Results: After statistical testing showed a p-value of 0,000, indicating a significant difference in knowledge and skills among female adolescents after viewing the WhatsApp (WA) Audio Visual on SADARI.Conclusion: Female adolescents can perform SADARI regularly. Schools can form peer groups to share the knowledge gained about SADARI during the research process with younger students
Phytochemical evaluation and antidiabetic potential (In silico) of corn silk (Zea mays L.) and jasmine (Jasminum sambac)
No full textDiabetes mellitus is a significant global health challenge, necessitating the exploration of novel therapeutics from natural sources for its treatment. This study aimed to identify the bioactive compounds in a combinatorial methanolic extract of corn silk (Zea mays L.) and jasmine flowers (Jasminum sambac) and predict their antidiabetic potential. The extract was analyzed using Liquid Chromatography-Tandem Mass Spectrometry (LC-MS/MS). The identified compounds were evaluated in silico via molecular docking simulations against key antidiabetic protein targets: Glucagon-Like Peptide 1 (GLP-1), Insulin-like Growth Factor 1 (IGF-1), Glucose Transporter 4 (GLUT4), alpha-glucosidase, and superoxide dismutase (SOD). The analysis focused on the binding energy (ΔG). A total of 44 metabolites were identified in this study. Molecular docking results indicated that rothindin exhibited the highest binding affinity for GLUT4, with a binding energy of -9.9 kcal/mol. Rothindin and Chlorogenic Acid also showed significant potential as modulators of GLUT4 and α-glucosidase, respectively. In conclusion, the combined extract contains bioactive compounds, particularly roxindin and chlorogenic acid, which demonstrate significant in silico potential as antidiabetic agents
Evaluasi implementasi program rujuk balik (PRB) di Puskesmas Kota Semarang
No full textBackground: The Referral Back Program (PRB) is a strategy of the Indonesian Health Insurance Agency (BPJS Kesehatan) to transfer the management of chronic disease patients from hospitals to community health centers in order to reduce referral burdens, improve efficiency, and maintain continuity of therapy. Its implementation still faces limitations in resources, suboptimal coordination, and low patient compliance, thus requiring a comprehensive evaluation to assess the program's effectiveness.Objective: This study aims to evaluate the implementation of the Referral Back Program (PRB) by reviewing the input, process, and output aspects of PRB implementation in community health centers in Semarang City in 2024.Method: This study is a descriptive qualitative study conducted in 10 pilot project community health centers in Semarang City in 2024. Data were collected through observation, in-depth interviews, and document studies. Respondents consisted of health center heads, health workers, PRB administrative staff, and PRB patients. Data analysis was performed using triangulation of sources, methods, and documents.Results: The implementation of PRB at the Semarang City Health Center in 2024 was not optimal. In terms of input, there was a shortage of health workers, uneven distribution of medicines, and manual administration. In terms of service implementation, guidelines were followed, but coordination between FPKTP and FPKTL was inconsistent and patient education was not structured. In terms of output, patient compliance was still low, program effectiveness was not optimal, and patient satisfaction was influenced by the availability of medicines and the smooth running of services.Conclusion: PRB at the Semarang City Health Center has not been effective due to limited resources, weak coordination, and low patient compliance. This condition shows a gap between policy and practice, so it is necessary to strengthen human resources, improve administration, increase coordination, and educate patients to support the success of PRB
Efektivitas alat pengontrol porsi makan dalam menurunkan asupan energi dan lemak pada remaja obesitas sentral
No full textBackground: Central obesity is one of the major risk factors for degenerative diseases. A health transition is currently occurring, in which central obesity continues to increase in developing countries such as Indonesia. Among adolescents aged >15 years, the prevalence of central obesity rose from 31% in 2018 to 36,8%. Adolescents with central obesity have an 80% likelihood of becoming obese in adulthood and a 75% increased risk of developing diabetes mellitus. The rising prevalence of central obesity in adolescents reflects a dietary shift from traditional diets rich in fruits, vegetables, and whole grains to energy-dense diets high in added sugars, refined carbohydrates, saturated fats, fast foods, and low fiber intake.Objectives: This study aimed to examine the effectiveness of a portion size control on energy and fat intake among adolescents with central obesity.Methods: This study employed a true experimental design with a pre-posttest control group. The study subjects were adolescents aged 16–18 years from senior high schools that provided lunch programs. Participants were selected based on inclusion and exclusion criteria. A total of 106 students were recruited and randomly assigned to either the intervention group (n = 53) or the control group (n = 53). The independent variable was the portion control tool, and the dependent variables were dietary energy and fat intake. Bivariate data analysis was performed using paired t-test for within-group comparisons and independent t-test for between-group comparisons to evaluate the intervention effects.Results: In the intervention group, the portion control tool was effective in reducing energy intake (p = 0,004) and fat intake (p = 0,024). When compared to the control group, the intervention group showed a greater reduction in energy and fat intake (p = 0,028; p = 0,004, respectively).Conclusion: The use of a portion control tool improved energy and fat intake among adolescents with central obesity