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All Journal Promotor: Jurnal Mahasiswa Kesehatan Masyarakat Journal of Nutrition Explorations
Siti Uswatun Hasanah
Sekolah Tinggi Ilmu Kesehatan Salewangang Maros
Nursing Public Health Other

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Effects of Iron Supplementation and Nutrition Education on Adolescent Girls' Knowledge, Adherence, and Hemoglobin Levels Fatmawati; St. Masithah; Siti Uswatun Hasanah; Andi Rahmaniar MB
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.752

Abstract

Anemia remains a major public health problem among adolescent girls in Indonesia. The effectiveness of iron supplementation programs is often constrained by inadequate knowledge and poor adherence to iron tablet consumption. This study analyzed the effects of iron supplementation integrated with nutrition education on knowledge, adherence, and hemoglobin (Hb) levels among adolescent girls. A quasi-experimental pretest-posttest control group design was conducted among 56 adolescent girls from four senior high schools in Maros Regency, Indonesia, using multistage cluster random sampling, with two schools allocated to an intervention group (n = 27, iron supplementation plus nutrition education) and two schools to a control group (n = 29, iron supplementation only). Baseline knowledge scores did not differ significantly between groups (p = 0.115); adherence was not assessed at baseline, as it was a prospective outcome measured throughout the intervention using the DOS method. Data were analyzed using the Wilcoxon, Mann-Whitney, paired t-test, and ANCOVA, with baseline hemoglobin, dietary intake, nutritional status, and menstrual cycle as covariates. Knowledge increased significantly in the intervention group (p < 0.001), with significant between-group differences in knowledge (p < 0.001) and adherence (92.6% vs. 44.8%; p = 0.002). Mean Hb rose significantly in the intervention group, from 13.12 ± 1.78 to 14.15 ± 1.35 g/dL (p = 0.011). Adjusted Hb remained significantly higher in the intervention than control (13.86 vs. 12.90 g/dL; F = 6.065; p = 0.017). Integrating nutrition education into iron supplementation programs improved knowledge, adherence, and Hb levels, supporting incorporation into school-based anemia prevention efforts.
The Effect of Nutrition Education on Nutrition Knowledge and Random Blood Glucose (RBG) in Type 2 Diabetes Mellitus Patients Nurhalisa Eky Saputri; Siti Uswatun Hasanah; Djunaedi Djunaedi; Icha Dian Nurcahyani
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2480

Abstract

Background : Diabetes mellitus (DM) is a chronic metabolic disorder characterized by disturbances in insulin secretion and action. Effective management of DM requires optimal blood glucose regulation, in which nutrition education plays a crucial role in enhancing the nutritional knowledge of patients with type 2 diabetes mellitus. Objective : The purpose of this study was to examine the influence of nutrition education on nutritional knowledge and Random Blood Glucose (RBG) levels among patients with type 2 diabetes mellitus in the service area of UPT Turikale Health Center, Maros Regency. Methods : The research design employed a quasi-experimental approach involving 30 respondents who were divided into two groups: an intervention group that received nutrition education through a nutrition booklet, and a control group that did not receive any education. Data were collected using a nutritional knowledge questionnaire and Random Blood Glucose (RBG) examination. Data analysis was performed using an Independent T-test with a significance level of p<0.05. Results : The intervention group showed a significant improvement in nutrition knowledge (p = 0.000), whereas the change in Random Blood Glucose (RBG) levels was not statistically significant (p = 0.701). Nevertheless, a shift in blood glucose categories toward normal levels was observed after the nutritional education. Conclusions : The intervention group demonstrated a significant improvement in nutritional knowledge (p=0.000), while the change in RBG levels was not statistically significant (p=0.701). However, there was a noticeable shift in blood glucose level categories toward the normal range following the nutrition education.
Effectiveness of Nutrition Education Based on Smart Booklet Handling Diabetes Mellitus on Blood Glucose Levels and Macronutrient Intake in Prolanis Members in the Working Area of the Turikale Health Center UPT, Maros Regency Nurul Ilmi Arianti; Siti Uswatun Hasanah; St Masithah; Andi Rahmaniar MB
PROMOTOR Vol. 9 No. 4 (2026): AGUSTUS
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i4.2554

Abstract

Background: Type II diabetes mellitus (DM) is a chronic metabolic disease characterized by hyperglycemia due to impaired insulin secretion or resistance. Nutrition education plays an important role in regulating diet and controlling blood glucose levels. Objective: This study aims to determine the effect of nutrition education on Blood Glucose Levels (GDS) and macronutrient intake in patients with type II diabetes mellitus. Methods: The study used a quasi experiment design with a non-equivalent control group pretest-posttest design. A total of 30 respondents were divided into two groups: 4-week nutrition education and no education controls. Data was collected through periodic blood glucose checks, and 24-hour food recalls.Results: Nutrition education had no significant effect on blood glucose levels during (p=0.701). However, there was a significant effect on changes in carbohydrate intake (p=0.002), while energy intake (p=0.133), protein (p=0.735), and fat (p=0.066) showed no significant change. Conclusion: Nutrition education does not have a significant effect on reducing blood glucose levels at any time, but it has a significant effect on increasing carbohydrate intake, although it is not optimal for energy, protein, and fat.
The Effect of Iron Supplementation Combined with Oranges on the Preference Level, Consumption Adherence, and Haemoglobin Levels among Adolescent Girls Rosfika; Siti Uswatun Hasanah; St. Masithah; Fitri Wahyuni
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.759

Abstract

Anaemia remains a severe public health problem affecting adolescent girls. Despite government-provided Iron and Folic Acid (IFA) supplementation, adherence remains low due to unpleasant taste and odour. To analyse the impact of blood-boosting tablet (IFA) intervention accompanied by orange fruit on liking levels, consumption adherence, and haemoglobin levels among adolescent girls. This quasi-experimental non-equivalent control group pre-test-post-test design involved 56 adolescent girls from four schools in Maros Regency, Indonesia. Participants were allocated by cluster into an intervention group (n=27) and a control group (n=29), without individual randomization. The intervention group received IFA tablets with 100–150 g of orange fruit once weekly for four weeks, while the control group received IFA tablets alone. Taste and aroma liking were assessed using a 5-point hedonic scale, and adherence was monitored using Directly Observed Supplementation (DOS). Haemoglobin levels were measured at pre-test and post-test. Liking and adherence were analysed using the Mann–Whitney U test, while post-test haemoglobin was analysed using ANCOVA adjusted for covariates. He intervention group had higher mean ranks for taste liking (35.15 vs. 22.31; p=0.001), aroma liking (32.78 vs. 24.52; p=0.044), and adherence (35.06 vs. 22.40; p=0.002) than the control group. After covariate adjustment, study group was associated with post-test Hb (p=0.005; partial η²=0.159). IFA supplementation with orange fruit showed better outcomes in terms of liking, adherence, and haemoglobin levels compared with IFA supplementation alone. However, these findings cannot yet establish a causal relationship due to the non-randomized study design, short intervention duration, and limitations related to cluster-level allocation.
The Relationship Between Dietary Adherence and Physical Activity with Random Blood Glucose (RBG) in Diabetes Mellitus Patients in the Working Area of UPT Puskesmas Turikale Maros Nelvianti Pilo; Siti Uswatun Hasanah; Andi Rahmaniar MB; Kurnia Yusuf; Sitti Nur Intang
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.2694

Abstract

Background: Diabetes mellitus is a chronic metabolic disease characterized by elevated blood glucose levels due to impaired insulin secretion or action. Diabetes management can be achieved through dietary adherence and physical activity. Objective: This study aimed to determine the relationship between dietary adherence and physical activity with random blood glucose levels (RBG) in patients with diabetes mellitus. Methods: This research employed an analytical design with a cross-sectional approach. A total of 50 respondents were selected using purposive sampling. Data were collected using a dietary adherence questionnaire, a physical activity questionnaire, and random blood glucose level measurements. Results: The findings showed that 58% of respondents were non-adherent to diet, 62% had moderate physical activity, and 74% had high random blood glucose levels. Chi-Square test results indicated a significant relationship between dietary adherence and random blood glucose levels (p = 0.003), while physical activity showed no significant relationship (p = 0.144). Conclusion: Dietary adherence plays an important role in controlling blood glucose levels in patients with diabetes mellitus, whereas physical activity does not have a direct relationship with blood glucose levels. It is recommended that healthcare providers strengthen education on healthy diet, patients become more disciplined in adhering to dietary recommendations, and future research includes additional variables to obtain more comprehensive results.
The Relationship Between Mother's Age, Macronutrition Intake and Sanitation Hygiene with the Incident of Stunting in Toddlers at the Enarotali Public Health Center in Papua Sarce Datu; Andi Rahmaniar MB; Sitti Nur Intang; Siti Uswatun Hasanah; Syafruddin Syafruddin
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3027

Abstract

Stunting is a chronic nutritional problem that remains high in Indonesia, particularly in Papua. This condition can be influenced by various factors, including maternal age at marriage, macronutrient intake, and environmental hygiene and sanitation. This study aims to determine the relationship between maternal age at marriage, macronutrient intake, and sanitation hygiene with the incidence of stunting in toddlers aged 12–59 months at the Enarotali Community Health Center in Papua. This study was quantitative with a cross-sectional design. The study population was all 29 stunted toddlers, selected using a total sampling technique. Data were collected through interviews using questionnaires, 24-hour recalls to assess macronutrient intake, and observations of sanitation hygiene conditions. Data analysis was performed using the Chi-Square test at a significance level of 0.05. The results showed no significant relationship between maternal age at marriage and the incidence of stunting (p=0.333). There is a significant relationship between carbohydrate (p=0.000) and protein (p=0.033) intake with the incidence of stunting, while energy (p=0.361), fat (p=0.197), and sanitation hygiene (p=0.221) intake did not show a significant relationship. Macronutrient intake, especially carbohydrates and protein, influences the incidence of stunting in toddlers, while maternal marital age and sanitation hygiene are not directly related. Efforts are needed to increase nutritional knowledge and improve family eating patterns as a measure to prevent stunting in the Papua region. Macronutrient intake, especially carbohydrates and protein, influences the incidence of stunting in toddlers, while maternal marital age and sanitation hygiene are not directly related. Efforts are needed to increase nutritional knowledge and improve family eating patterns as a measure to prevent stunting in the Papua region.
The Effect of Local Supplementary Feeding (PMT) on the Body Weight of Underweight Toddlers at UPTD Puskesmas Topoyo in 2025 Nurmasari Nurmasari; St. Masithah; Andi Rahmaniar MB; Siti Uswatun Hasanah; Fitri Wahyuni
PROMOTOR Vol. 9 No. 5 (2026): OKTOBER
Publisher : Universitas Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/pro.v9i5.3255

Abstract

Background: Low body weight (underweight) in toddlers remains a nutritional challenge in Indonesia, with a national prevalence reaching 16.9% in 2024. Local food-based Supplementary Feeding (PMT) is one of the government-recommended nutrition intervention strategies to address this problem in an affordable and sustainable manner. Objective: This study aimed to determine the effect of local PMT in the form of chicken nuggets enriched with egg and vegetables on changes in body weight among underweight and at-risk-of-underweight toddlers in the working area of UPTD Puskesmas Topoyo in 2025. Methods: This study used a pre-experimental design with a one-group pretest-posttest. The sample consisted of 35 underweight toddlers who received local PMT for 28 days. Data were analyzed using the Wilcoxon Signed Rank Test to examine differences in body weight before and after the intervention, and the Mann-Whitney U test to analyze the relationship between PMT consumption compliance and the magnitude of weight gain. Results: Mean body weight increased from 9.2 kg (SD=2.1) to 9.8 kg (SD=2.2) after 28 days of intervention, with a mean increase of 0.6 kg (SD=0.6). The Wilcoxon test showed a significant difference between body weight before and after PMT administration (p=0.000). A total of 85.7% of toddlers were classified as compliant in consuming PMT (≥75%), but no significant difference in weight gain was found between compliant and non-compliant toddlers (p=0.536). Conclusion: Local PMT had a significant effect on increasing the body weight of underweight and at-risk-of-underweight toddlers within a 28-day period, so it can be considered as a routine nutrition intervention program at the community health center, while still taking into account the need for a longer intervention duration to achieve a comprehensive improvement in nutritional status.
Co-Authors Andi Rahmaniar MB Djunaedi Djunaedi Fatmawati Fitri Wahyuni Kurnia Yusuf Nelvianti Pilo Nurcahyani, Icha Dian Nurhalisa Eky Saputri Nurmasari Nurmasari Nurul Ilmi Arianti Rosfika Sarce Datu Sitti Nur Intang St Masithah St. Masithah Syafruddin Syafruddin