World Nutrition Journal (Indonesian Nutrition Association - INA)
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Gender, education, eating patterns, and nutritional status among high school students in the tourist area of Bukittinggi, Indonesia
Full text linkBackground: The well-being of high school students in tourist shapes their eating habits and affects their nutritional status, leading to obesity and malnutrition.
Objective: This study aims to examine the association between gender, education, eating patterns, and nutritional status among high school students in tourism areas.
Methods: This cross-sectional study was conducted in October 2023 and included 118 students aged 12–18 years from junior and senior high schools in Bukittinggi, West Sumatra. Respondents were selected through multistage stratified clustered sampling. Data on gender, age, education, and eating patterns which assessed using a food frequency questionnaire classified according to the Guttman scale. Nutritional status was determined based on BMI-for-age WHO z-scores following the Indonesian Minister of Health Regulation. Data were collected via interviews using a questionnaire on the KoboToolbox application and analyzed using Chi-square tests.
Results: Most high school students (89.8%) had poor eating patterns, with 45.8% having a normal BMI-for-age, 34.7% undernourished, and 19.5% overweight or obese. Gender was significantly associated with nutritional status (p=0.007), with thinness more common in boys and normal BMI-for-age more prevalent in girls, while education and eating patterns showed no significant association. However, frequent consumption of sugary drinks was linked to higher rates of overweight and obesity.
Conclusion: There were gender differences in nutritional status among high school students in Bukittinggi, a tourist area, underscoring the need for targeted gender-focused nutrition interventions to address healthier eating patterns in tourism regions
Effect of omega−3 fatty acdid supplementation on reduce body weight and body fat mass in obesity: A case study with an evidence-based approach
Full text linkBackground: Obesity is a public health problem, especially in developing countries. Providing Omega−3 supplementation has benefits to reduce body weight and body fat mass.
Objective: This study aims to determine the effect of omega−3 supplementation on weight loss and body fat mass in obesity.
Methods: This study used a literature search using advanced queries in the databases PubMed, Scopus, ProQuest, Cochrane Library, and combined MeSH terms with Title/Abstract. The collected literature is discarded if there are duplicates, then literature that meets the eligibility criteria is filtered. We used the Oxford Center for Evidence-Based Medicine as a means of critical appraisal and determining the level of evidence of the selected literature.
Results: Four chosen study were selected. The first study involved 39 adults with obesity, there was a weight loss of 6.04 kg in the group given omega−3 supplementation of 6 g/day for 8 weeks compared to the placebo group 5.4 kg and there was a decreased in body fat mass in the intervention group. The second study did not show a significant result. The third study on 65 women showed a weight loss of 3.07 kg in the group given omega−3 consisting of 1.08 g EPA and 0.72 g DHA compared to 1.16 kg in the placebo group for 12 weeks. In the fourth study, a systematic review study, there was no conclusive result.
Conclusion: Omega−3 fatty acid supplementation could be beneficial in reducing weight in obese patients with dietary modification
Understanding challenges and opportunity of data recording and reporting of malnutrition intervention programs: A qualitative study among healthcare workers in DKI Jakarta
Full text linkBackground: The number of stunting in Indonesia was reported to be 21.6% in 2022, still far from the 2024 target of 14%. The large-scale programs of nutrition-specific intervention have been done, including moderate-acute malnutrition (MAM) and severe-acute malnutrition (SAM) interventions. However, limited findings on the process of monitoring and evaluation of both interventions.
Objective: This paper aims to describe the implementation, challenges, and opportunities of malnutrition intervention data recording and reporting among healthcare workers in DKI Jakarta Province, Indonesia.
Methods: Qualitative data collection was taken with in-depth interview (IDI) and focus group discussion (FGD) in August-October 2024 towards healthcare workers in selected Puskesmas in DKI Jakarta who were involved with MAM and SAM interventionss and data management. Data triangulation was done to health cadres and mothers of children under five (CU-5) as the beneficiaries.
Results: This study involved eight informants from South and Central Jakarta Puskesmas, and 16 cadres and 13 mothers who were involved in MAM and SAM interventionss. The dissemination and adaptation of indicators has been done and digital data recording has been used, despite its lack of supporting resources and data integration which may affect its data quality. Leveraging resources and enabling data-sharing between facilities and maintaining communication between stakeholders are essential.
Conclusions: The process of data recording and reporting of malnutrition interventions required well-informed indicators, trained personnel, and streamlined information systems. Maintaininghigh quality data, collaboration between stakeholders and utilizing accessible technology are recommended for the healthcare worker to improve the process of data recording and reporting
A Human rights approach to clinical nutrition : addressing the challenges of disease-related malnutrition in resource limited settings
Full text linkA human rights-based approach can be the cornerstone in the field of clinical nutrition. By endorsing the five principles of the Vienna Declaration, the global clinical nutrition network is developing initiatives and strategies for implementing programmes for improving awareness, advocacy, education, research and collaboration. The prevalence of disease-related malnutrition in hospitalized patients is higher in Asian resource limited countries than in Europe with unacceptably high nutrition risks in cancer, tuberculosis and intestinal failure in Indonesia. The international human rights working group has recommended practical steps involving evaluation of the applicability of the current international guidelines, and development of new resource-stratified guidelines followed by promotion and implementation
Association between animal protein adequacy and anemia among pregnant women in Palembang, Indonesia
Full text linkBackground: Palembang City has the highest prevalence of anemia in South Sumatra, Indonesia. Protein contributes to hemoglobin formation and insufficient protein intake increases the risk of anemia. However, Sumatera studies on protein intake based on protein sources in pregnant women are still limited.
Objective: This study aimed to examine the association between animal protein consumption and anemia prevalence in pregnant women.
Methods: A cross-sectional analytic study was conducted from July to October 2024 at six public health centers and seven private midwife clinics selected to represent Palembang’s geographic diversity. A total of 62 pregnant women in their second or third trimester were recruited using consecutive sampling. Dietary intake was assessed via interviewer-administered 2×24-hour recalls on non-consecutive days. Protein intake was analyzed using modified NutriSurvey 2004 and categorized based on the Indonesian RDA. Hemoglobin levels were measured using venous blood samples and classified according to trimester-specific anemia thresholds. Bivariate analysis with Fisher’s exact test was used to examine the association between animal protein intake and anemia prevalence.
Results: The Fisher Exact Test showed a statistically significant association between animal protein consumption levels and anemia in pregnant women in Palembang City (p = 0.018). The mean total protein intake was 80.40 ± 20.53 g/day, with animal and vegetable proteins contributing 40.22 ± 18.63 g/day and 40.91 ± 24.5 g/day, respectively. Mean hemoglobin level was 11.18 ± 1.17 g/dL.
Conclusion: Sufficient consumption of animal protein was found to be more protective against the occurrence of anemia
Sleep quality and its association with waist circumference among undergraduate students
Full text linkBackground: Poor sleep quality has been associated with metabolic disturbances and behavioural changes that promote obesity, with growing evidence linking inadequate sleep to increased central adiposity. Waist circumference (WC), a key indicator of abdominal fat and cardiometabolic risk, has also been implicated in disrupted sleep through mechanisms such as hormonal imbalance and sleep-disordered breathing. Exploring the relationship between WC and sleep quality among undergraduate students is important to better understand early risk factors for obesity and related health outcomes.
Objective: This study aimed to examine sleep quality and its association with Body Mass Index (BMI) and Waist Circumference (WC) in an undergraduate population.
Methods: A total of 277 undergraduate students from Universiti Sultan Zainal Abidin (UniSZA), Gong Badak Campus, Malaysia, aged 18 to 25 years, were recruited for this cross-sectional study using non-probability proportionate stratified sampling. The students were weighed, and their BMI and WC were measured. The Pittsburgh Sleep Quality Index (PSQI) was completed to assess sleep quality.
Results: The results of the multiple linear regression analysis revealed that sleep quality did not significantly predict BMI (p>0.05). However, sleep quality significantly predicted WC (p=0.026), indicating a significant influence of sleep quality on WC.
Conclusion: While sleep quality was not significantly associated with body mass index, it was significantly associated with waist circumference. These findings highlight the potential importance of promoting a consistent sleep schedule as a preventative strategy to enhance sleep quality and mitigate weight-related risks in undergraduate students
Recent advances in Moringa oleifera supplementation for maternal anemia and infant nutrition: A systematic review
Full text linkMoringa oleifera (MO) is a plant-based food source that lasts during certain seasons, and some societies still consider it to be known as superfood. The use of MO has been linked up to its inconsistency and advances as a supplementation in resolving maternal anemia and stunted infants.
This study aims to synthesize an updated efficacy and safety aspect of MO supplementation in pregnant women and infants
Association between household income and gestational weight gain among pregnant women in Palembang
Full text linkPalembang is the city with the highest incidence of anemia in 2023, a condition that linked to maternal malnutrition. Gestational weight gain (GWG) is one of the indicator of maternal nutritional status. One of the factor that may influence the nutritional status is household income because it determines how a person afford their own nutrition.
This study used a cross-sectional design and was conducted from August to October 2024. Data collection involved body weight measurement using the TANITA BC-601 and structured questionnaires. GWG was calculated as the difference between current body weight and pre-pregnancy weight, then the adequacy of GWG was assessed by comparing current weight with the ideal weight for gestational age. Eligible participants included singleton pregnant women without chronic illnesses who had completed the triple elimination program and received antenatal care at public health centers or private midwifery practices. Data analysis was performed with Chi Square analysis by using SPSS 27th version
Innovative ways to screen for iron deficiency anemia (IDA)
Full text linkIron deficiency anemia (IDA) poses a significant public health challenge in Indonesia, contributing to 75% of anemia cases among pregnant women and 42% among children under five years. Clinical diagnosis typically relies on biomarker evaluation, including hemoglobin levels, serum iron concentration, and transferrin saturation. While diagnostic protocols emphasize specificity, population-level screening efforts prioritize sensitivity to effectively identify at-risk individuals
Advancing child health through safe hydration
Full text linkDiarrhea is One in five children in Indonesia does not drink enough water, but that’s not the only problem regarding child health and water consumption. The prevalence of Diarrhea in Indonesian children is one in four children under 5 years old. The high prevalence is closely linked to poor sanitation and unsafe drinking water.
Water comprises 75% body weight in infants to 55% in the elderly, and plays very crucial role in cellular hemostasis and life. Therefore, the optimal functioning of our body requires a good hydration level from safe drinking water