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Pengembangan Aplikasi Self-Dietary Asessment "Diary NutriMe" sebagai Media Pendampingan Gizi bagi Remaja Overweight dan Obesitas: Development of Self-Dietary Assessment Application “Diary NutriMe” as a Nutrition Assistance Tool for Overweight and Obese Adolescents Haryana, Nila Reswari; Azbi, Cinta Maulida; Sandy, Yatty Destani; Firmansyah, Hardi; Rosmiati, Risti
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.2024.71-81

Background: Inadequate nutritional intake is often influenced by lack of knowledge among adolescents regarding the quantity and types of food they should consume, impacting their nutritional status. With technology being an integral part of modern life, it can be leveraged to improve adolescents' dietary practices by enhancing their knowledge of balanced nutrition. Objectives: To develop the self-dietary assessment application, Diary NutriMe, as a nutritional assistance tool for overweight adolescents to improve their nutritional knowledge and dietary intake. Methods: This study employed the Rapid Application Development (RAD) method. The feasibility assessment of the Diary NutriMe application was conducted by material and media experts using a checklist questionnaire with a Likert scale ranging from 1 (poor) to 5 (excellent), categorized into five levels: highly feasible to not feasible. The implementation involved improving nutritional knowledge among 36 overweight/obese adolescent students. Results: The application features included a login system, nutritional status calculation, nutrient requirement estimation, food intake records, physical activity logs, a collection of nutrition education materials, and a chat feature. The material feasibility assessment received an average score of 90.7%, categorized as highly feasible, while the media feasibility assessment received an average score of 86.7%, also categorized as highly feasible. Statistical analysis using a T-test indicated no significant difference in respondents' knowledge (p-value=0.51). However, there was an increase in the average nutritional knowledge score by 7.7 points before and after using the Diary NutriMe application. Conclusions: The Diary NutriMe application is highly feasible as a nutritional assistance tool for adolescents with overweight conditions.

Workplace Nutrition Interventions: A Systematic Review of Their Effectiveness Rosmiati, Risti; Haryana, Nila Reswari; Firmansyah, Hardi; Fransiari, Muhammad Edwin
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 3: MARCH 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i3.6392

Introduction: Workplace nutrition interventions have emerged as a pivotal strategy for enhancing employee health by addressing dietary behaviors and reducing the risk of non-communicable diseases. This systematic review evaluates the effectiveness of workplace-based nutrition interventions in improving nutritional outcomes and health indicators among employees. Methods: Using the PRISMA framework, a comprehensive search was conducted across PubMed, ScienceDirect, Scopus, and Google Scholar for studies published between 2020 and 2024. Eligible studies included randomized controlled trials (RCTs) and quasi-experimental designs targeting workplace-based nutrition interventions. A total of 10 studies met the inclusion criteria and were systematically analyzed for outcomes related to dietary behavior, physical activity, and health indicators. Risk of bias assessments were performed to ensure the validity of findings. Results: The findings revealed that dietary interventions, particularly those emphasizing adherence to structured diets like the Mediterranean diet, consistently led to significant improvements in health markers, including reductions in LDL cholesterol and body fat percentage. Interventions combining dietary modifications with physical activity yielded comprehensive benefits, such as weight loss and improved dietary adherence. However, variability in study designs, sample sizes, and contextual factors limited the generalizability of results. Many studies lacked follow-up data to assess the long-term sustainability of health outcomes. Conclusion: Workplace nutrition interventions promote employee health, especially when combining dietary and physical activity components. However, challenges such as methodological heterogeneity, short-term focus, and limited exploration of demographic and contextual factors must be addressed. Future research should prioritize standardized methodologies, conduct longitudinal assessments, and implement tailored interventions that consider workforce diversity and workplace culture. These findings provide actionable insights for policymakers and employers seeking to design sustainable workplace health initiatives that enhance employee well-being and organizational productivity.

Karakteristik Fisikokimia, Mikrobiologi dan Sensori Yogurt Susu Kambing (Capra aegagrus hircus) diperkaya Sari Kacang Hijau (Vigna radiata): Physicochemical, Microbiological and Sensory Characteristics of Goat Milk (Capra aegagrus hircus) Yogurt with Mungbean (Vigna radiata) Extract Enrichment Firmansyah, Hardi; Rosmiati, Risti; Saufani, Iza Ayu; Hanifa, Zulfa Nur
Amerta Nutrition Vol. 9 No. 2 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i2.2025.266-277

Background: Goat milk offers more superior health benefits than cow milk, while mung beans possess high nutrient contents and promote probiotic growth. Enhancing goat milk yogurt with mung bean extract through fermentation can improve product quality and consumer acceptance by mitigating the off-flavors. Objectives: To determine the physicochemical, microbiological, and sensory characteristics of goat milk yogurt with mung bean extract enrichment. Methods: A Completely Randomized Design (CRD) was employed with four different formulation ratios of goat milk and mung bean extract at 100%:0%, 85%:15%, 70%:30%, and 55%:45%. Physicochemical properties, such as pH, acidity, ash, total solids, protein, fat, and total sugar were analyzed. on the total amount of lactic acid bacteria (LAB) was counted as microbiological analysis component. Sensory evaluations were conducted using hedonic and hedonic quality tests. All parameters were analyzed using a one-way ANOVA, and the best formulation ratio was determined using the De Garmo method. Results: pH of the product was 3.96 to 4.12, as acidity increased along with a higher mung bean extract. Ash, protein, fat, and total solids content varied moderately across samples, influencing the nutritional profiles of the yogurt. The amount of LAB peaked at 8.95 Log CFU/ml in the 85%:15% formulation ratio. Sensory evaluations showed the highest score of texture and overall assessments in the 85%:15% formulation ratio by achieving optimal tanginess, sweetness, and texture balance. Conclusions: Enriching goat milk yogurt with mung bean extract can significantly influence the physicochemical, microbiological, and sensory characteristics. The formulation of 85% goat milk and 15% mung bean extract provides the more enhanced nutritional value, probiotic potential, and consumer acceptance.

SUSTAINABILITY SCHOOL-BASED NUTRITION EDUCATION FOR NON-COMMUNICABLE DISEASE PREVENTION IN SMA SWASTA UTAMA MEDAN Rosmiati, Risti; Saufani, Iza Ayu; Firmansyah, Hardi; Sari, Wina Dyah Puspita; Rahmadini, Fathia
Abdi Dosen : Jurnal Pengabdian Pada Masyarakat Vol. 9 No. 3 (2025): SEPTEMBER
Publisher : LPPM Univ. Ibn Khaldun Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32832/abdidos.v9i3.2884

Non-communicable diseases (NCDs) are a growing public health concern globally and in Indonesia, strongly associated with poor nutrition and unhealthy lifestyles. Schools are effective platforms for health promotion through sustainable nutrition education. The program was conducted at SMA Swasta Utama, Medan (March–July 2025) with 10 teachers and 36 students, involving preparatory coordination, development of educational tools, and delivery of nutrition education through lectures and multimedia discussions. Knowledge improvement was assessed using pretest–posttest with the Wilcoxon paired test, while teachers also received training in anthropometry, blood pressure monitoring, biochemical testing, and the Productivity Risk Self-Assessment Tool (PRISAT), supported by the provision of self-monitoring equipment. Results showed significant knowledge improvements in both groups, with clear shifts from poor to moderate and good categories (p<0.05). Teachers achieved greater gains than students, reflecting their role as facilitators and role models in health education. PRISAT screening revealed most teachers were low risk, though some were categorized as high risk, underscoring the importance of early detection. This program demonstrates the effectiveness of integrating nutrition education and health monitoring to strengthen school-based NCD prevention.

NUTRITIONAL ASSISTANCE THROUGH DIARY NUTRIME APPLICATION ON ENERGY AND FAT INTAKE IN OVERWEIGHT AND OBESE ADOLESCENTS AT MAN TANJUNG BALAI Haryana, Nila Reswari; Azbi, Cinta Maulida; Emilia, Esi; Sandy, Yatty Destani; Firmansyah, Hardi
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.v20i3.312-318

Overweight or obese adolescents tend to consume food without noticing its nutritional content, which results in food selection defects. Adolescent food intake requires full support from the media for nutritional assistance. This study aimed to determine the difference in energy and fat intake before and after nutritional assistance through Diary NutriMe application. This study applied a quasi-experimental method using a One Group Pretest-Posttest design. The participants in this study were 36 high school students from MAN Tanjung Balai who were overweight or obese and were selected by purposive sampling. All data were analyzed using a Paired Sample t-test for energy intake (distributed data were normal) and the Wilcoxon test for fat intake (distributed data were non-normal). This study found that the average energy intake after receiving nutritional assistance was 1440.9 ± 195.2 kcal, while the average fat intake was 36.8 ± 10.8 g. According to the paired sample t-test, a significant decrease (p = 0.000) in energy intake was observed after nutritional assistance through Diary NutriMe application. Similarly, the Wilcoxon test showed a significant decrease (P = 0.000) in fat intake after the intervention. Therefore, the Diary NutriMe application is suitable as a nutritional assistant to reduce energy and fat intake in overweight and obese adolescents in MAN Tanjung Balai.

ASUPAN PROTEIN BERHUBUNGAN DENGAN KEJADIAN ANEMIA PADA SISWI SMAN 11 MEDAN: PROTEIN INTAKE IS RELATED TO THE INCIDENT OF ANEMIA IN STUDENTS OF SMAN 11 MEDAN Firmansyah, Hardi; Harahap, Wildah Afani; Rosmiati, Risti
GEMA KESEHATAN Vol. 16 No. 1 (2024): Juni 2024
Publisher : POLTEKKES KEMENKES JAYAPURA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47539/gk.v16i1.444

Anemia defisiensi besi (ADB) merupakan jenis anemia yang paling umum terjadi pada remaja perempuan dibandingkan kelompok umur lainnya. ADB dipengaruhi berbagai faktor seperti sosioekonomi, sosiodemografi, kondisi fisiologis dan patologis, pola makan, serta asupan zat gizi termasuk protein. Tujuan penelitian ini menganalisis hubungan antara asupan protein dan kejadian anemia pada siswi SMA Negeri 11 Medan dengan mengontrol variabel sosiodemografi. Penelitian ini menggunakan desain potong lintang pada 68 orang siswi SMA Negeri 11 Medan. Data asupan protein (g/hari) dikumpulkan menggunakan semi-quantitative food frequency questionnaire (SQ-FFQ), sedangkan data kejadian anemia diperoleh melalui pengukuran kadar hemoglobin darah kapiler. Data karakteristik sosiodemografi dikumpulkan melalui wawancara menggunakan kuesioner. Uji beda Mann-Whitney digunakan untuk menganalisis perbedaan karakteristik responden, sedangkan regresi logistik kerangka konsep etiologik digunakan untuk menganalisis hubungan antara asupan protein dan kejadian anemia dengan dan tanpa pengontrolan variabel karakteristik sosiodemografi. Semua analisis dianggap bermakna jika nilai p<0,05. Asupan protein (g/hari) responden yang mengalami anemia signifikan lebih rendah dibandingkan siswa yang tidak mengalami anemia (p<0,05). Karakteristik sosiodemografi tidak berbeda signifikan antara responden yang mengalami anemia dan tidak anemia (p>0,05). Asupan protein berhubungan secara bermakna dengan kejadian anemia sebagai faktor protektif pada siswi kelas XI SMA Negeri 11 Medan, baik sebelum maupun setelah pengontrolan dengan variabel sosiodemografi. Temuan ini menekankan pentingnya mencukupi asupan protein untuk mencegah anemia pada remaja. Kata kunci: Anemia, Asupan Protein, Hemoglobin, Remaja, SQ-FFQ Iron deficiency anemia (IDA) is the most prevalent type of anemia in adolescent girls compared to other age groups. ADB is influenced by various factors such as socioeconomic, sociodemographic, physiological, and pathological conditions, diet, and nutritional intake, including protein. This study aimed to analyze the relationship between protein intake and the incidence of anemia in female students at SMA Negeri 11 Medan by controlling for sociodemographic variables. This study used a cross-sectional design on 68 SMA Negeri 11 Medan female students. Protein intake (g/day) was collected using a semi-quantitative food frequency questionnaire (SQ-FFQ), while the incidence of anemia was obtained by measuring capillary blood hemoglobin levels. Sociodemographic characteristics were collected through interviews using a questionnaire. The Mann-Whitney test was used to analyze differences in respondent characteristics. In contrast, logistic regression within the etiological concept framework was used to explore the relationship between protein intake and the incidence of anemia with and without controlling for sociodemographic characteristics. All analyses were considered significant if the p-value <0.05. Those with anemia consumed considerably less protein (g/day) than those without anemia (p < 0.05). The sociodemographic characteristics of anemic and non-anemic subjects did not significantly differ from one another (p > 0.05). Protein intake was a protective factor against anemia in female class XI students at SMA Negeri 11 Medan before and after considering sociodemographic characteristics. These findings emphasize the importance of adequate protein intake to prevent adolescent anemia. Keywords: Adolescent, Anemia, Hemoglobin, Protein Intake, SQ-FFQ

PKM Edukasi Pemenuhan Gizi dan Skrining Stunting pada Anak Usia Prasekolah di Daycare Khalilah Medan Firmansyah, Hardi; Rosmiati, Risti; Sharfina, Dirayati; Adawiyah, Yuliatil
Jukeshum: Jurnal Pengabdian Masyarakat Vol. 4 No. 2 (2024): Edisi Juli 2024
Publisher : Universitas Haji Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51771/jukeshum.v4i2.1045

Khalilah Islamic Daycare merupakan salah satu daycare di Kota Medan dan diawasi oleh seorang psikolog anak. Program kegiatan di khalilah Islamic Daycare meliputi pemberian stimulus sesuai usia tumbuh kembang, pembekalan tauhid, dan adab sehari-hari. Beberapa penelitian menunjukkan risiko yang diakibatkan stunting yaitu penurunan prestasi akademik, meningkatkan risiko obesitas, lebih rentan terhadap penyakit tidak menular, dan peningkatan risiko penyakit degeneratif. Anak-anak yang terhambat pertumbuhannya sebelum berusia dua (2) tahun memiliki hasil yang lebih buruk dalam emosi dan perilakunya pada masa remaja akhir. Oleh karena itu stunting merupakan faktor penurunan kualitas sumber daya manusia yang selanjutnya. Berhubungan dengan anak-anak yang diasuh di Khalilah merupakan anak-anak balita, diperlukan untuk pemberian informasi mengenai asupan gizi dan pengukuruan pertumbuhan pada balita untuk selanjutnya dapat mendeteksi dini dengan pembuatan raport kesehatan anak. PKM ini dilakukan dengan pendekatan sosialisasi dan metode demonstrasi pemeriksaan antropometri. Kegiatan ini direncanakan dilakukan dengan beberapa tahapan, yaitu: (1) pemaparan materi tentang stunting pada anak prasekolah, (2) pemeriksaan antropometri pada anak-anak prasekolah (3) pemaparan materi tentang asupan gizi yang baik, (4) pendampingan terhadap tim pengajar dan orang tua dalam penggunaan makanan yang sesuai (5) review terhadap pelatihan yang telah dilaksanakan serta menarik kesimpulan. Kegiatan PKM ini diharapkan dapat memberikan pengetahuan dan pemahaman melalui kegiatan penyuluhan dan demonstrasi mengenai gizi pada anak usia prasekolah untuk selanjutnya melakukan deteksi dini dengan pembuatan raport kesehatan anak.

Pendampingan Penilaian Status Gizi Balita bagi Kader Posyandu di Wilayah Kerja Poskesdes Desa Bandar Setia Kecamatan Percut Sei Tuan Kabupaten Deli Serdang Rosmiati, Risti; Firmansyah, Hardi; Rukmana, Erni; Sandy, Yatty Destani; Fransiari, Muhammad Edwin; Emilia, Esi
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 3 (2024): Volume 7 No 3 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i3.12462

ABSTRAK Proses penilaian status gizi yang dilakukan oleh kader di posyandu dapat menjadi sumber data awal dalam mengidentifikasi masalah gizi pada balita khususnya stunting. Pengukuran panjang atau tinggi badan di posyandu di wilayah kerja Poskesdes Bandar Setia masih menggunakan alat metline yang kurang cocok untuk melakukan pengukuran panjang atau tinggi badan. Meningkatkan pengetahuan dan keterampilan kader terkait penilaian status gizi balita dan interpretasinya. Tim pengabdian memberikan pendampingan mengenai cara melakukan penilaian status gizi yang tepat beserta interpretasinya terutama untuk mengukur panjang atau tinggi badan dalam menentukan stunting atau tidaknya balita yang diukur. Selain itu, tim pengabdian memberikan alat pengukur tinggi badan dan lingkar kepala untuk melengkapi alat pengukuran status gizi yang sudah tersedia di posyandu. Setelah mengikuti kegiatan pendampingan tersebut, pengetahuan dan keterampilan kader terkait cara penilaian status gizi meningkat. Harapannya setelah dibekali cara penilaian dan pelaporan status gizi balita, para kader dapat membantu mengidentifikasi baduta yang berisiko mengalami stunting di posyandu masing-masing untuk diberikan intervensi pencegahan stunting. Pengetahuan dan keterampilan kader terkait penilaian status gizi balita dan interpretasinya meningkat. Lebih lanjut kegiatan ini diharapkan dapat membantu program pemerintah dalam menurunkan prevalensi stunting di Indonesia, khususnya di Desa Bandar Setia. Kata Kunci: Balita, Kader Posyandu, Stunting ABSTRACT The nutritional assessment by cadres in Posyandu might provide preliminary information for identifying nutritional problems in under-five children, particularly stunting. Measurement of length or height at the posyandu in the Bandar Setia Poskesdes working area still uses a tape measure which is unsuitable for measuring length or height. Improve the knowledge and skills of cadres related to the nutritional assessment of under-five children and their interpretation. The team provided assistance on how to conduct a proper nutritional assessment and its interpretation, especially for measuring length or height in determining whether or not the measured toddler is stunted. In addition, the team provided height and head circumference measuring devices to complement the nutritional status measurement tools already available at the posyandu. After participating in the mentoring activities, the cadres' knowledge and skills related to nutritional assessment increased. It is anticipated that after learning how to assess and report the nutritional status of toddlers, cadres can help identify under-fives at risk of stunting in their respective posyandu to be given stunting prevention interventions. The cadres' knowledge and skills related to the assessment of the nutritional status of children under five and its interpretation increased. Furthermore, this activity is expected to help government programs in reducing the prevalence of stunting in Indonesia, especially in Bandar Setia Village. Keywords: Children, Posyandu, Stunting

P Pola Makan, Aktivitas Fisik dan Obesitas pada Pekerja Urban di Indonesia: Dietary Patterns, Physical Activity, and Obesity among Indonesian Urban Workers Rosmiati, Risti; Haryana, Nila Reswari; Firmansyah, Hardi; Purba, Rasita
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.164-170

Background: The increasing prevalence of obesity has become a significant public health concern in Indonesia, particularly among urban workers who often lead sedentary lifestyles and adopt unfavorable dietary patterns. Objectives: To analyze the correlation between dietary patterns, physical activity levels, and obesity among urban workers in Indonesia. Methods: Major dietary patterns were derived using principal component analysis from a 17-item food frequency completed by urban workers in the fifth wave of Indonesia Family Life Survey (IFLS). Self-reported physical activity is assessed by the International Physical Activity Questionnaire (IPAQ). Height and weight were measured to determine nutritional status based on Body Mass Index (BMI), which is then categorized into obese and non-obese urban workers. The association between dietary patterns, physical activity levels, and obesity was analyzed using logistic regression. Results: A total of 10,381 urban workers participated in the study. Four major dietary patterns were identified: a Western dietary pattern characterized by a high intake of fast food, meat, sugary snacks, dairy, and soft drinks; a prudent dietary characterized by fruit and vegetables; a modern dietary pattern characterized by instant noodles, fried snacks, and eggs consumption; and a traditional Indonesian pattern characterized by rice, vegetables, sambal (chili sauce), and fish consumption. Participants adhering to the Western dietary pattern had higher odds of obesity. In contrast, those adhering to the prudent dietary pattern and active physical activity showed lower odds of obesity. Conclusions: Western dietary patterns are associated with an increased risk of obesity, while prudent dietary patterns and active physical activity are inversely associated with obesity in Indonesian urban workers.

Hubungan Pengetahuan Ibu Tentang Mpasi dan Pemberian Mpasi Dini dengan Kejadian Diare Pada Bayi 0-6 Bulan di Desa Rumah Berastagi Supma, Adinda; Ingtyas, Fatma Tresno; Juliarti, Juliarti; Rukmana, Erni; Firmansyah, Hardi
Jurnal Gizi dan Kuliner (Journal of Nutrition and Culinary) Vol. 4 No. 2 (2024): EDISI AGUSTUS
Publisher : Universitas Negeri Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24114/jnc.v4i2.63128

Penyakit diare merupakan salah satu penyakit infeksi saluran pencernaan yang menjadi masalah kesehatan di dunia termasuk Indonesia. Bayi yang mendapat MPASI sebelum usia 6 bulan lebih banyak terserang diare. Tujuan penelitian ini untuk mengetahui hubungan pengetahuan ibu tentang MPASI dan pemberian MPASI dini dengan kejadian diare. Desain penelitian Cross Sectional, penelitian ini dilaksanakan di Posyandu Desa Rumah Berastagi. Populasi penelitian adalah ibu yang mempunyai bayi 0-6 bulan dan sampel penelitian yaitu ibu yang mempunyai bayi 0-6 bulan yang rutin ke Posyandu selama 2 bulan sebanyak 42 orang. Instrumen data yang digunakan adalah kuesioner. Hasil penelitian menunjukkan bahwa ada hubungan pengetahuan ibu tentang MPASI dan pemberian MPASI dini dengan kejadian diare pada bayi 0-6 bulan di Desa Rumah Berastagi dengan nilai p-value <0,05 dan variabel pemberian MPASI dini menjadi variabel paling dominan yang berhubungan dengan kejadian diare pada bayi 0-6 bulan dimana nilai OR 23,895 (95% CI 1.717 “ 332.585) artinya ibu yang memberikan MPASI dini dapat menyebabkan kejadian diare pada bayi 0-6 bulan 23,895 kali dibandingkan dengan ibu yang tidak memberikan MPASI dini kepada bayinya. Terdapat hubungan yang signifikan antara pengetahuan ibu dan pemberian MPASI dini dengan kejadian diare pada bayi 0-6 bulan di Desa Rumah Berastagi. Kata Kunci: Diare, MPASI Dini, Pengetahuan

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