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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) Jurnal Gizi Klinik Indonesia Amerta Nutrition Berita Kedokteran Masyarakat
Helmyati, Siti
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Evaluasi Penggunaan Tikar Pertumbuhan Sebagai Alat Deteksi Dini Kejadian Stunting pada Baduta di Kabupaten Kulon Progo, Yogyakarta: Evaluation of the Use of Child Length Mat as A Stunting Early Detection Tool on Children Under Two in Kulon Progo Regency, Yogyakarta Chrisnamurti, Elisabeth Sekar; Kusuma, Mutiara Tirta Prabandari Lintang; Helmyati, Siti
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.454-465

Abstract

Background: Stunting prevention leads to the initiation of child length mats as an early detection tool and the assignment of human development workers as community initiators. There are differences in policy implementation regarding these innovations, particularly in the use of length mats. Objectives: To evaluate the use of a length mat as a stunting early detection tool on children under two in Kulon Progo Regency. Methods: A qualitative research with a case study approach was conducted in two stunting locus villages in Kulon Progo Regency. Data were collected using key informant in-depth interviews, document analysis, and reflective journals. Respondents were recruited using the maximum variation sampling technique, and data were analyzed using thematic analysis in accordance with the theory of diffusion of innovation. Results: Stakeholder acceptance of the length mat was relatively poor. Factors that influenced its adoption in Kulon Progo regency include the pre-existing situation (lack of accurate instruments to measure child length), the easy use of the length mat, and prescribed training. Whereas, factors affecting its rejection include issues related to its relative advantage and validity. This refusal was caused by suboptimal campaigns and a lack of support from the local government. However, the length mat remains in use following its function as a prerequisite for the village fund disbursement. Conclusions: Suboptimal use of the communication channel to introduce the length mat and lack of support from the local government caused the innovation to fail to diffuse at the district level. Hence, strengthening the campaign and inter-stakeholder communication is necessary to improve acceptance and adherence.
ADOLESCENT MENTAL HEALTH AND LIFESTYLE CHANGES: EXPLORING EATING DISORDERS AND PHYSICAL ACTIVITY DURING COVID-19 Meilida, Anastasia; Hidayatunnufus, Inayah Aprilia; Helmyati, Siti; Latifah, Leny
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.336-346

Abstract

Background: Mental health, diet, and physical activity play an important role in adolescents development. However, previous studies have reported inconsistent findings on the relationship between mental health, eating disorders, and physical activity. The COVID-19 pandemic has negatively impacted mental health, potentially contributing to eating disorders and reducing physical activity. Objectives: This study aimed to examine the association between mental health, eating disorders, and physical activity in adolescents during the COVID-19 pandemic. Methods: A cross sectional quantitative study was conducted in 2022, involving 236 high school adolescents. Mental health was  assessed using the Depression, Anxiety, and Stress Scale (DASS-21), eating disorders were evaluate with the Eating Attitudes Test (EAT-26), and physical activity levels were measured using the International Physical Activity Questionnaire (IPAQ). Results: More than 50% of adolescents experienced depression, anxiety, or stress with severity ranging from mild to very severe. While 82.6% of adolescents did not exhibit eating disorders, 63.6% had low physical activity levels. A significant association was found between depression and eating disorders (p=0.024), but no significant relationship was observed between anxiety (p=0.080) or stress (p=0.232) and eating disorders. Additionally, depression (p=0.411), anxiety (p=0.547) and stress (p=0.097) were not significantly associated with physical activity. Conclusion: During the COVID-19 pandemic, most adolescents experinced mental health challenges, maintened normal eating behaviors, and exhibited low physical activity. Depression was significantly correlated with eating disorders, while no significant associations were found between mental health variables and physical activity levels.
Underprivileged families and the incidence of stunted at birth in Sleman Regency based on the 2018-2019 Sleman Health and Demographic Surveillance System: a cohort study Khistiyarini, Fifit; Helmyati, Siti; Purwaningrum, Digna Niken
BKM Public Health and Community Medicine Vol 40 No 12 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i12.18088

Abstract

Purpose: The incidence of stunting is a problem that needs to be resolved immediately. Stunting in children contributes to causing significant state losses, because the state must bear the costs of degenerative diseases as a result of the long-term impact of stunting. The family's economic status plays a role in the nutritional status of newborns. The purpose of this study was to determine the risk of stunted babies being born in underprivileged families. Methods: This study utilizes data from the 2019 Sleman Health Demographic Surveillance System (HDSS), employing a cohort method. The data used in this study went through the data-cleaning stage. The analysis carried out consisted of three things: descriptive, bivariate, and multivariable analysis. The number of samples used was 168. Results: The prevalence of stunting was 28.6%, and the prevalence of underprivileged families was 31.5%. The analysis revealed that babies born to disadvantaged families were 1.72 times more likely to be born stunted compared to babies born to prosperous families, as indicated by the multivariable analysis. Conclusion: The birth weight of babies is a significant factor influencing the incidence of stunted babies. Based on multivariable modeling, babies born to underprivileged families have a higher risk of being stunted, but this is not statistically significant. The same model shows that other variables that increase the risk of babies being born stunted are low birth weight (LBW).
Fortifikasi besi dan prebiotik pada kukis terhadap histologi usus tikus anemia Rafika, Muhana; Lestari, Lily Arsanti; Helmyati, Siti
Jurnal Gizi Klinik Indonesia Vol 19, No 4 (2023): April
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.42606

Abstract

Iron dan prebiotic fortification in cookies towards intestine histology anemia ratsBackground: Anemia can also cause damage to small intestinal villous cells. Iron fortification can be an alternative prevention of anemia. Prebiotic additives can reduce the effects of fortification and improve intestinal villous.Objective: The study aims to determine the effect of breadfruit and soybean-based cookies with prebiotic and iron fortification on the small intestine's histology, especially the intestinal villous's height and width.Methods: Experimental study with posttest control group design with a total sample of 48 rats. Rats were divided into eight groups, given breadfruit and soybean-based cookies with the addition of FOS and NaFeEDTA (K1), FOS and FeSO4 (K2), FOS (K3), FeSO4 (K4), NaFeEDTA (K5), without fortification (K6). In addition, K- is a healthy mouse with standard feed, and K + is an anemia mouse. Anemia induction is for two weeks, and intervention is for 28 days. Intestinal histology was observed using an optilab microscope and measured using ImageRaster 4.0.5.Results: There were no significant differences in duodenum villous height, jejunum villous height, and ileum villous width (p>0.05). However, there were significant differences (p <0.05) for duodenum villous width (K- and K3), jejunum villous width (K1 and K4) and ileum villous height (K1, K2 and K +).Conclusions: Giving breadfruit-based and soybeans with prebiotic and iron fortification can increase the height and width of small intestinal villi.
Optimasi pemenuhan zat gizi dan penyusunan menu untuk pencegahan kekurangan energi kronik pada wanita prakonsepsi Putri, Febriani; Kandarina, BJ. Istiti; Helmyati, Siti
Jurnal Gizi Klinik Indonesia Vol 20, No 3 (2024): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.73203

Abstract

Optimization of nutritional fulfillment and menu recommendations to prevent chronic energy deficiency in preconception womenBackground: Chronic energy deficiency (CED) is a nutritional problem in Indonesia that occurs in women of childbearing age (WCA). This made them the group that must be given attention, especially nutrition, because they will be mothers. The Special Region of Yogyakarta is one province with a proportion of pregnant women with CED above the national average. Dietary intake patterns must be designed to comply with nutritional recommendations while maintaining the intake of specific local and cultural foods.Objective: This study aimed to analyze CED status, food intake, and diversity and develop menu recommendations to prevent chronic energy deficiency using linear programming.Methods: This research used cross-sectional sampling with a quota sampling method, which obtained 110 respondents. The interview was conducted using a 24-hour recall form and SQ-FFQ, and a menu was created to prevent CED.Results: There was no difference in the average food intake against CED (p-value>0.05). There was no difference in average between food diversity (p-value=0,48) and daily expenditure (p-value=0,95). This study recommended a menu in 7 days with a minimum price and a variety of food.Conclusions: There was no average difference between food intake, food diversity, and food expenditure on CED. This menu recommendation can be used for respondents who suffer from CED and those who do not suffer from CED by considering the nutrients that have been achieved.
Kepatuhan minum obat hipoglikemik oral dan indeks massa tubuh terhadap kadar gula darah pada pasien diabetes melitus tipe 2 Wathani, Ika Hanna Nurul; Purba, Martalena Br; Helmyati, Siti
Jurnal Gizi Klinik Indonesia Vol 21, No 2 (2024): Oktober
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.91474

Abstract

Adherence to oral hypoglycemic drugs and body mass index on blood sugar level in patients with type 2 diabetes mellitusBackground: Type 2 Diabetes mellitus (T2DM) is the most common diabetes and more than 95% of people with diabetes have type 2 diabetes mellitus. The Special Region of Yogyakarta is the province with the second highest prevalence of DM in Indonesia. One of the obstacles that often occurs in patients with T2DM who require long-term therapy is non-adherence to treatment and lack of attention to nutritional status which has an impact on the blood sugar levels of patients with T2DM.Objective: This study aims to analyze the relationship between the level of adherence to oral hypoglycemic drugs and body mass index on blood sugar levels in patients with T2DM in the working area of Minggir Health Center. Methods: A cross-sectional study design with purposive sampling technique. Obtained a total of 96 patient with T2DM in October 2023 who had met the inclusion and exclusion criteria, including using oral hypoglycemic drugs for at least 6 months and not using insulin therapy. Data on adherence to oral hypoglycemic drugs were obtained using the MARS-5 questionnaire, data on blood sugar levels used fasting blood sugar levels, and body mass index values were obtained from measuring height and weight. The analysis used the Chi-square test (p-value<0,05).Results: The majority of respondents had a high level of adherence to oral hypoglycemic drugs (56,3%), were overweight (79,2%), and had poor blood sugar levels (55,2%). There was no significant relationship between the level of adherence to oral hypoglycemic drugs and blood sugar levels ((P-value=0,776; PR=0,912). A non-significant relationship was also found between body mass index and blood sugar levels ((P-value=1,000; PR=1,005).Conclusions: The level of adherence to oral hypoglycemic drugs and body mass index were not significantly associated with blood sugar levels in patients with T2DM
Minat Pencarian Masyarakat Terhadap Intervensi Stunting Sebagai Upaya Penurunan Kejadian Stunting di Indonesia Selama Periode 2018-2022: Analisis Google Trends: Minat Pencarian Masyarakat terhadap Intervensi Stunting Sebagai Upaya Penurunan Kejadian Stunting di Indonesia Selama Periode 2018-2022: Analisis Google Trends Prameswari, Najla Aurora; Prawesti, Magdalena Sabda; Astuti, Sukma Dewi; Yapita, Jennifer; Helmyati, Siti; Rosilia, Gifani; Aristyarini, Mitha; Sitorus, Nova Lidia; Pratiwi, Dessy
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.41-49

Abstract

Background: In 2018, the prevalence of stunting in Indonesia was 30.8%, which has led to renewed focus on targeted interventions. Although specific measures such as exclusive breastfeeding, complementary feeding, and immunization have been prioritized, achieving optimal coverage remains a challenge. Limited knowledge has been identified as a potential barrier to the interventions. This study acknowledges the effectiveness of internet platforms in providing stunting prevention information.  Objectives: To analyze search interest trends for exclusive breastfeeding, complementary feeding, and immunization from 2018 to 2022 using Google Trends. Methods: Google Trends was used to analyze search trends for the keywords 'exclusive breastfeeding', 'complementary feeding', and 'immunization' in Indonesia and three provinces with the highest number of searches, namely Central Sulawesi, East Nusa Tenggara, Southeast Sulawesi, Yogyakarta, Central Java, Bangka Belitung, and Bengkulu. The data were compared with the prevalence of stunting and coverage of interventions.   Discussion: Searches for exclusive breastfeeding tended to be stable, while searches for complementary feeding and immunization tended to spike at certain times. Analysis of the provinces with the highest number of searches showed that the high search volume did not necessarily correspond to the trends in the performance of interventions in the regions. Conclusions: Searches for 'exclusive breastfeeding', 'complementary feeding', and 'immunization' from 2018 to 2022 showed different trends. It's impossible to compare the data with the prevalence of stunting because of different trends. However, the data on search interest can illustrate community perceptions and practices around these interventions.
Penerimaan Program Tablet Tambah Darah pada Remaja Putri di Indonesia: Penerimaan Program Tablet Tambah Darah pada Remaja Putri di Indonesia: Studi Literatur Helmyati, Siti; Syarifa, Cut Alima; Rizana, Nisa Ayu; Sitorus, Nova Lidia; Pratiwi, Dessy
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.50-61

Abstract

Background: Anemia poses a significant challenge to the health and productivity of adolescent girls. This has prompted the Indonesian government to initiate a program to distribute iron and folic acid (IFA) supplements. Therefore, it is necessary to address the level of acceptance of or compliance with IFA supplementation among adolescent girls.   Objectives: This study aims to assess the acceptance level of the program among adolescent girls in Indonesia. Methods: A PRISMA-guided literature search was conducted in the NCBI, PubMed, Scopus, ScienceDirect, and Garuda databases for experimental or observational research published in Scopus-indexed journals from Q1 to Q4 or in Sinta 1 to Sinta 3 from 2013 to 2023.  Discussion: Eight studies conducted in five provinces in Indonesia showed that the coverage of IFA supplement distribution programs was less than 50%, with acceptance levels between 0% and 25.2% according to the Indonesian standard. The majority of IFA supplement distribution programs were not implemented in accordance with the standard. In addition, the supplements were not consistently provided every week, nor were they taken immediately at school. Factors that influence the consumption of IFA supplements among adolescent girls included knowledge, motivation, self-efficacy, attitude, parental influence, peer pressure, school policies and commitments, and the IFA supplements provided. Positive factors encouraged consumption, while negative factors discouraged consumption. Conclusions: The acceptance level of the IFA supplement distribution program remains low. To improve this, it is essential to increase the knowledge of adolescent girls and their parents about anemia, including its definition, causes, side effects, and symptoms, as well as the benefits and risks of not taking IFA supplements. Other necessary measures include improving the distribution system and providing supporting facilities.
Hubungan Status Anemia, Kualitas Tidur, dan Kemampuan Kognitif pada Remaja Putri Usia 12-24 Tahun di Indonesia (Analisis Data Indonesian Family Life Survey (IFLS) 5): Hubungan Status Anemia, Kualitas Tidur, dan Kemampuan Kognitif pada Wanita Muda Usia 15-24 Tahun di lndonesia (Analisis Data Indonesian Family Life Survey (IFLS) 5) Helmyati, Siti; Fauziah, Lutfi Afida; Kadibyan, Pinaes; Sitorus, Nova Lidia; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.1-9

Abstract

Background: Anemia is still one of the nutrition problems in Indonesia. Women of reproductive age, including the age group 15-24 years, is a group with higher risk of anemia. Iron deficiency anemia is a common cause of anemia. Iron is one of the micronutrients that important for the body, including brain. Some studies suggest that iron deficiency is associated with sleep quality and cognitive ability.  Iron has a complex effect on the dopaminergic system by being a cofactor of tyrosine hydroxylase which is part of dopamine D2 receptor function. Neuromodulation by the dopaminergic system plays an important role in sleep regulation. It can also interfere with the brain's ability to spread nerve impulses that have potential to cause several disorders, one of which is motor and cognitive disorders. Objectives: This study aims to determine the relationship of anemia status with sleep quality and cognitive abilities in young women aged 15-24 years in Indonesia based on IFLS 5. Methods: This study used cross sectional design and secondary data from IFLS 5 with subjects totaling 2016 young women aged 15-24 years. This study used chi-square as statistical test with significance level  p<0.05. Results: The prevalence of anemia in young women aged 15-24 years was 39.93%. It was found that there was no relationship between anemia status and sleep quality consisting of sleep disturbance (p=0.624) and sleep quality (p=0.693) and there was no relationship between anemia and cognitive ability (p=0.702). Conclusions: Anemia status has no significant relationship with sleep quality and cognitive ability.
Indikator Biokimia untuk Identifikasi Anemia Defisiensi Besi di Indonesia: Tinjauan Literatur: Indikator Biokimia untuk Identifikasi Anemia Defisiensi Zat Besi di Indonesia Helmyati, Siti; Hasanah, Fina Cahya; Putri, Febriani; Sundjaya, Tonny; Dilantika, Charisma
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.62-70

Abstract

Background: The World Health Organization (WHO) states that adolescents are at risk of developing anemia. The initial step in identifying iron deficiency anemia (IDA) is through screening. In addition, the WHO framework aims to accelerate the reduction of anemia worldwide by achieving specific goals, including an increase in anemia screening. Objectives: This study aims to determine the use of biochemical indicators in screening for the identification of IDA status in Indonesia. Methods: Literature searches were conducted in the PubMed, Scopus, ScienceDirect, and Garuda databases following the PRISMA guidelines. Articles from journals indexed in Scopus Q1 to Q4 or Sinta 1 to Sinta 3 with an experimental or observational research design in Indonesia were reviewed. Discussion: Anemia screening was performed to determine IDA status, which was measured by the following parameters: hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). Hb is an indicator of IDA in populations with a high prevalence of IDA. MCV is calculated by dividing hematocrit by red blood cell count. MCH refers to the average absolute hemoglobin content of the red blood cells, while MCHC refers to the concentration of hemoglobin in the red blood cells. Serum ferritin (SF) is a highly reliable and sensitive indicator for assessing iron stores and clinical status in the field. In addition, serum transferrin receptor (STfR) is a more stable indicator than serum transferrin (ST). SF can differentiate between IDA caused by anemia or chronic diseases. Conclusions: Combining hemoglobin and SF improves sensitivity and specificity in detecting the severity of IDA. STfR can also be used as an indicator for IDA. The use of the STfR and SF indicators is the best biochemical approach to IDA.
Co-Authors Aristyarini, Mitha Aryanti, Lintang Astuti, Sukma Dewi Basrowi, Ray Wagiu Bernadette Josephine Istiti Kandarina Chrisnamurti, Elisabeth Sekar Dilantika, Charisma Endri Yuliati Fauziah, Lutfi Afida Hasanah, Fina Cahya Hidayatunnufus, Inayah Aprilia Jumarko, Jumarko Kadibyan, Pinaes Khistiyarini, Fifit Kusuma, Mutiara Tirta Prabandari Lintang Leny Latifah Lily Arsanti Lestari Maghribi, Risnhukathulistiwi Martalena Br Purba, Martalena Br Meilida, Anastasia Mohammad Juffrie, Mohammad Mubasysyir Hasanbasri Nisa, Fatma Zuhrotun Nurlita, Aphrodite Nadya PARAMITA, MUTHIA Prameswari, Najla Aurora Pratiwi, Dessy Prawesti, Magdalena Sabda Putri, Febriani Radhiya, Salima Rafika, Muhana Renita Renita Rizana, Nisa Ayu Rosilia, Gifani Siagian, Rahma Yuni Sitorus, Nova Lidia Sundjaya, Tonny Syarifa, Cut Alima Wathani, Ika Hanna Nurul Wigati, Maria Wisnusanti, Setyo Utami Yapita, Jennifer