Jurnal Gizi dan Pangan
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    Infant Feeding Practices among Mothers with a History of Gestational Diabetes Mellitus in Selangor

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    This study aims to determine infant feeding practices including breastfeeding initiation, exclusive breastfeeding, duration of breastfeeding and complementary feeding, feeding practices related factors among mothers with Gestational Diabetes Mellitus (GDM) history, and the association between Infant and Young Child Feeding indicators and GDM status. A cross-sectional study (n=130) was conducted from February to June 2023 in Meru and Bandar Botanic health clinics. Data on infant feeding practices were gathered from GDM mothers and children aged below two years. Findings showed that 43.8% (n=57) of the mothers had initiated breastfeeding within an hour, 57.7% (n=75) infants were exclusively breastfed, 30.0% (n=39) continued breastfeeding for one year and 81.9% (n=68) had an appropriate time of complementary feeding. Mothers who had caesarean-section delivery and GDM were more likely to initiate breastfeeding after an hour of delivery, p<0.05. Exclusive breastfeeding was highly practiced by older, multiparous, and higher education mothers. Unemployed mothers were more likely to continue breastfeeding for one year. GDM mothers were more inclined to delay breastfeeding initiation and introduced complementary feeding appropriately, p<0.05. This study\u27s findings bridge the gap in providing information on infant feeding practices among mothers with a history of GDM and therefore might be beneficial for related personnel to figure out how to overcome this concerning issue in the future

    Correlation Between Diet History and Nutritional Status of Children Aged 24–59 Months in Tarumajaya, Bekasi in 2019

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    This study aimed to analyze the correlation between diet history and the nutritional status of pre-school children. This was an analytical observational study using a cross-sectional design. Sam-ples were 96 children aged 24‒59 months in Tarumajaya, Bekasi, West Java. Diet history was obtained from questionnaires containing history of breastfeeding and diet since the infancy period. The children’s heights were measured using a microtoise stature meter. Subjects were considered stunted if their Height-for-Age Z-score was minus 2 or lower according to WHO Child Growth Standard. Data was analyzed using Fisher’s exact test. Out of the 96 children, 16 (16.7%) were stunted. There were 80 (83.3%) children who received exclusive breastfeeding, 51 (53.1%) who received an appropriate frequency of meals, 78 (81.3%) who met the minimum dietary diversity, and 29 (30.2%) who had a minimum acceptable diet. Fisher’s exact test showed that dietary diversity was a significant factor for stunted children (p<0.001)

    The Food Insecurity Issues in Gastronomy Tourism among Local and International Tourists in Malaysia

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    The objectives of this study are to investigate the food security issues arising in gastronomic tourism, to verify the food insecurity experiences encountered by tourists, and to determine the tourists’ dining satisfaction from the gastronomic tourism experiences in Malaysia. A quantitative approach was selected for this study. These issues were concluded from the data collection via questionnaire forms disseminated online through multiple social media platforms consisting of 250 participants of both local and international tourists visiting Malaysia. The Independent T-test and Mann-Whitney test were used as the main statistical test to establish if any tourist groups had food security-related issues during their visit. The results showed that local tourists are more likely to be affected by food security issues, food insecurity, and dining experiences. Overall, this study discovered that both local and international tourists have contrasting experiences in gastronomy tourism in Malaysia

    Mother’s Knowledge, Attitude and Practices and its Influence toward Nutritional Status of Children in Terengganu

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    This cross-sectional study aimed to identify the nutritional status, Knowledge, Attitude and Practice (KAP) regarding stunting among mothers and its relationship with stunting among children below two years old in Terengganu. A total of 330 mother-child pairs from Terengganu were recruited through purposive sampling. Anthropometric measurement comprised weight and height. Information on socio–demographic, and a validated questionnaire on knowledge, attitude and practice of stunting were selfreported. Chi-square test was applied in this study with p<0.05 considered significant outcome. The majority (61.2%) of the mothers aged 30−39 years old, with tertiary educational level (51.5%) and in the low income group (86.4%). The prevalence of stunting, wasting and underweight was 25.2%, 9.4% and 14.2% respectively for the children below two years old in Terengganu. KAP analysis revealed that 44.5% of mothers had moderate level of knowledge, while 68.8% and 92.7% had good level of attitude and practice, respectively. A significant association (p<0.05) was found between knowledge of mothers with stunting among the children, while no significant association between attitudes and practice with stunting. The present study found that mothers’ knowledge significantly impacted their child’s growth status in relation to stunting. Future intervention programmes should incorporate nutrition education focusing on mothers’ knowledge to prevent stunting among children

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    Self-Esteem, Body Mass Index Status and Risk of Eating Disorders among Health Sciences Students

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    This study aimed to ascertain the association between eating disorder risk, Body Mass Index (BMI), and self-esteem level among Universiti Sains Malaysia (USM) undergraduate health sciences students at Health Campus, Kubang Kerian, Kelantan, Malaysia. The self-esteem level and eating disorder risk of 166 USM health sciences students were evaluated in this cross-sectional study using the Rosenberg\u27s Self Esteem Score and the Eating Attitude Test 26 (EAT-26) questionnaire, respectively. Based on their self-reported height and weight, the BMI was computed. The Fisher Exact Test and Chi-Square were used to determine the associations between the self-esteem level and BMI and the risk of eating disorders, respectively. Out of the 166 students, the majority (65.1%) had self-esteem levels within the normal range, while 57.8% had normal BMI. In the meantime, it was found that 19.9% had a high chance of getting an eating disorder. This study demonstrated a substantial association (p=0.012) between self-esteem and BMI status as well as between eating disorder risk and self-esteem (p=0.002). Self-esteem has a major impact on the psychological factors influencing BMI and contributing to the development of eating disorders. Additionally, future research should consider incorporating factors like body perception and body dissatisfaction. Additional research was required to validate the existing findings

    Assessment of Adult Individuals\u27 Fear of COVID-19, Healthy Living Behaviors, and Nutrition Knowledge Levels during the COVID-19 Pandemic Period

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    This study determines the fear of COVID-19, healthy lifestyle behaviors, and nutrition knowledge levels of individuals during the COVID-19 pandemic. The study was conducted involving 509 people between the ages of 18 and 64 from December 2020 to April 2021. Data were collected online using a descriptive characteristics form, the COVID-19 Fear Scale, the Adult Nutrition Knowledge Level Scale, and the Healthy Lifestyle Behaviors Scale II. It was found from the study that women feared COVID-19 more than men (p<0.05). Individuals aged 35–44 scored higher in basic nutrition knowledge, while those aged 18‒24 scored lower in food preference knowledge (p<0.05). It was also found that individuals who were between 55 and 64 years of age, married, highly educated, employed in the public sector, of good economic status, and ill scored higher on the Healthy Lifestyle Behaviors Scale II (p<0.05). A weak positive correlation was found between the score of the Fear of COVID-19 Scale and scores of both food preference knowledge and health responsibility sub-dimensions (r=0.088, r=0.181; p<0.05). A weak positive correlation was also found between the nutrition knowledge score as well as the different sub-dimensions and the total score of the Healthy Lifestyle Behaviors Scale II (r=0.164, r=0.196; p<0.05). It was observed that fear of COVID-19, nutrition knowledge level, and healthy lifestyle behaviors were influenced by various socio-demographic characteristics, and that there was a relationship between these three elements

    Nutrition Management for Acute Stroke with Right-Sided Hemiparesis: A Case Study

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    This case study aims to report on the nutrition management of acute stroke with right-sided hemiparesis using an approach of early enteral feeding intervention to prevent malnutrition. Mr. R, a 77-year-old Malay man was admitted to the hospital due to an acute stroke with right hemiparesis with underlying disease of Atrial Fibrillation (AF), hypertension, type 2 Diabetes Mellitus (DM), Chronic Kidney Disease (CKD) stage 3b, and significant Peripheral Artery Disease (PAD). His BMI was 24kg/m2 with a weight of 67kg and height of 1.67m, and he was presented with abnormal blood results. All his vital signs were normal, and he appeared lethargic. The patient was on bolus Nasogastric (NG) feeding via Ryle’s tube with polymeric formula. Inadequate enteral nutrition infusion related to infusion volume not yet reached, as evidenced by a 47% energy and 60% protein adequacy feeding history. The polymeric formula was changed to a diabetic-specific formula for better blood sugar control, and feeding was given according to the patient\u27s needs. Mr. R required at least 70% of 1,675 kcal of energy and 53.6 g of protein (0.8 g/kg body weight) to prevent malnutrition. The patient was still on Ryle’s tube feeding and already achieved the targeted energy and protein requirements. Before being discharged, the patient was allowed orally, and a sample menu was given as guidance to avoid weight loss and muscle wasting during longterm recovery. This case highlights the importance of early enteral feeding support in stroke recovery and the need to prioritize meeting nutritional needs in stroke patient care. Mr. R showed improvement in health and nutrition and concluded that early and focused enteral nutrition support can lead to improved results and better quality of life for stroke survivors

    Genetic Variation’s Impact on Weight: Systematic Review and Meta-Analysis

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    This study investigates the genetic factors influencing precision weight management, contributing insights to the enduring debate on hereditary versus environmental influences on obesity. The primary objective is to identify genetic variations as predictive markers for weight management and evaluate their impact on weight control. Following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guideline, this research systematically reviews articles that meet specific criteria, with no specific timeline due to limited research on genetic variation in this context. Inclusion criteria mandate the provision of weight and BMI data at the beginning and end of interventions, demonstrating weight reduction. Exclusions cover animal studies, non-English papers, and articles lacking baseline or pre/post-intervention data. The review incorporates comprehensive searches on Scopus, Medline, PubMed, and Web of Science, employing Review Manager for meta-analysis. The study concentrates on Single Nucleotide Polymorphisms (SNPs) rs9939609, rs10830963, and rs1052700 across 10 investigations. Despite lacking statistical significance, the findings suggest that these genetic polymorphisms enhance weight loss potential for recessive genotypes. A discernible preference for non-risk genotypes in weight loss efforts emerges. For instance, individuals with the non-risk A allele of rs9939609 experience weight loss with a Polyunsaturated Fatty Acid (PUFA) diet, while those with the non-risk G allele of rs10830963 effectively manage weight with a low-fat diet. Similarly, rs1052700 indicates that individuals with the T allele shed more weight by consuming meals earlier during the day. Although statistically insignificant, the non-risk genotype for all three SNPs demonstrates potential for weight loss. This suggests that participants possessing the non-risk allele can effectively manage their weight through interventions provided by weight loss programs

    Effectiveness, Consumer’s Perception, and Behavior Towards Healthier Choice Logo on Indonesian Instant Noodles in Jakarta

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    This study was conducted to identify the availability of instant noodle products with and without the Healthier Choice (HC) logo that reflects Indonesian instant noodles nutrition labelling uptake by the food industry as well as to investigate the logo’s effectiveness in influencing customers to choose healthier noodle products and consumers’ perception and behavior toward the HC logo. Quantitative research consists of a market survey on HC logo usage in 120 instant noodle variants with different brands and an online consumer survey with a voluntary sampling technique involving 458 consumers aged 18‒68 years residing in Jakarta. Nutritional information data (total fat, saturated fat, sodium and sugar) in two groups of products (HC and without HC (WHC) groups) was analyzed using t-test, while the consumer survey data was analyzed using t-test and ANOVA. The confidence level used in statistical analysis was 95%. Of only eleven products that featured the HC logo on the packaging, one did not fulfill the criteria. The t-test showed no significant differences between products “without HC logo” and “with HC logo” groups in all nutrition content except for sodium. The HC logo showed significant difference in effectiveness for different gender and age groups, it was better for women than man, and older (43−58 and 59−68) more effective than younger (16−26 and 27−42). The consumer perception and behavior was more affected the age group 43−58 and 59−68 than 16−26 and 27−42, the level of education group in elementary, junior, and senior high school also post graduate group more influenced than pre-university and bachelor, consumption pattern moderate and frequent better than seldom consumption. Further, the consumer behavior also more influenced all income level group except >IDR20 million group

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