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All Journal Amerta Nutrition PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Promotif Preventif Journal of Indonesian Specialized Nutrition Media Penelitian dan Pengembangan Kesehatan Jurnal Epidemiologi Kesehatan Indonesia
Sundjaya, Tonny
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Biochemistry, Genetics & Molecular Biology Decision Sciences, Operations Research & Management Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Effectiveness Of Amino Acid Formula For Management Of Cow's Milk Allergy In Infants And Children Sundjaya, Tonny; Purnomosari, Lupi; Fadil Himawan, Muhammad; Wulandari, Alifah
Journal of Indonesian Specialized Nutrition Vol. 2 No. 4 (2024): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v2i4.36

Abstract

Cow's milk allergy is one of the significant health problems in infants and children that impacts their quality of life. As a solution, amino acid-based infant formula has become an innovative alternative to address this challenge. However, the effectiveness of their use requires further substantiation through previous studies. This study aims to evaluate the effectiveness of amino acid-based formula in the management of cow's milk allergy in infants and children. The results showed that amino acid-based formula is an effective solution in managing cow's milk allergy. It is completely allergen-free, easy to digest, and supports optimal growth and development of infants and children. The use of this formula significantly reduces allergy symptoms by avoiding exposure to cow's milk protein, while improving the quality of life of infants and children with cow's milk allergy. Thus, the results of this study confirm the importance of amino acid-based formulas as a safe and efficient treatment option for infants and children with cow's milk allergy.
THE RELATIONSHIP BETWEEN RESPONSIVE FEEDING PRACTICES, MOTHER'S SELF-EFFICACY, FOOD DIVERSITY, AND SOCIOECONOMIC STATUS WITH TODDLER NUTRITIONAL STATUS Shidiqah, Raysah Sa’diyah; Novianti, Anugrah; Mulyani, Erry Yudhya; Nadiyah, Nadiyah; Utami, Dessy Aryanti; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Nutritional issues among toddlers, such as stunting, wasting, and underweight, remain significant health challenges in Indonesia, including in East Jakarta. Several factors influence the nutritional status of toddlers, including responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors. This study aims to analyze the relationship between responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors with the nutritional status of toddlers in the Duren Sawit Public Health Center, East Jakarta. Methods: This study employed a quantitative approach with a cross-sectional design. Data collection included direct interviews, height/length measurements using a microtoise/infantometer, weight measurements using a digital scale, and a 24-hour dietary recall. Questionnaires were used to assess the independent variables. Data were analyzed using the Chi-Square and Fisher’s Exact Test. Results: The findings indicate that responsive feeding practices, maternal self-efficacy, and dietary diversity significantly influence stunting status (pvalue < 0.05). However, socioeconomic factors (maternal education and household income) did not show a significant relationship on stunting. Furthermore, responsive feeding practices, maternal self-efficacy, dietary diversity, socioeconomic factors (maternal education), and socioeconomic factors (household income) were found to have a significant impact on the wasting status of toddlers. Conclusion: These findings emphasize the importance of interventions based on responsive feeding and enhancing maternal self-efficacy in improving toddler nutritional status. Therefore, educational programs and initiatives focusing on healthy feeding practices and increasing access to nutritious foods are essential to reduce malnutrition rates among toddlers
COMPLIANCE WITH IRON TABLET CONSUMPTION AND MACRONUTRIENT INTAKE IN RELATION TO ANEMIA IN FEMALE STUDENTS AT SMAN 2 KOTA JAMBI Merlisia, Mery; Setyarsih, Liani; Lubis, Izmi Arisa Putri; Fatimah, Putri; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Adolescent girls are vulnerable to anemia due to increased iron needs during menstruation and often inadequate dietary intake. This study aimed to analyze the relationship between compliance with Iron Tablet (TTD) consumption and macronutrient intake with the incidence of anemia in female students. Methods: This cross-sectional study was conducted at SMAN 2 Kota Jambi with 24 randomly selected female students. Data were collected through a compliance questionnaire, 3x24-hour food recall, and hemoglobin level measurement. Chi-square test was used for analysis. Results: A total of 62.5% respondents were non-compliant with TTD consumption. Macronutrient intake was generally poor: 95.8% lacked energy intake, 79.2% lacked carbohydrates, 66.7% lacked protein, and 87.5% lacked fat. Anemia prevalence was 45.8%. No significant relationship was found between TTD compliance and anemia (p=0.916). However, fat intake was significantly associated with anemia incidence (p<0.05). Conclusion: Anemia in adolescent girls is not significantly associated with iron tablet compliance but is related to fat intake. Interventions should target improving diet quality and fat adequacy alongside supplementation.
PREBIOTICS AND THE GUT-BRAIN AXIS: IMPLICATIONS FOR COGNITIVE DEVELOPMENT IN EARLY CHILDHOOD Pascaramadhani, Addini; Septiani, Seala; Kania R, Rahayu; Basrowi, Ray Wagiu; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Many factors influence cognitive development in early childhood, one of the latest is including gut health. Recent evidence places the role of a mediator of brain function on the part of the gut-brain axis, with nutrition overall and prebiotics specifically being imperative. Prebiotics stimulate selectively the grow of beneficial bacteria in the gut with potential implications on neurodevelopment. Methods: A narrative review that included peer-reviewed articles between 2010-2024 was conducted using PubMed, Scopus, and Google Scholar. Animal models and human clinical trials, both examining the impact of prebiotics on cognitive measures, were incorporated. Results: Prebiotics such as GOS, FOS, and resistant starch were found to increase the production of short-chain fatty acids, modulate the immune system, and excite neurotransmitter pathways. Clinical trials showed improved attentional ability and emotional control in prebiotic-supplemented formula-fed infants. Preclinical research showed enhanced memory and reduction in anxiety-like behaviors in animal models following ingestion of prebiotics. Conclusion: Prebiotics play a key role in cognitive development in early childhood through modulation of gut microbiota and neuroimmune signaling. Food-based prebiotics offer a sustainable approach to early brain development. Longitudinal studies are needed to demonstrate long-term benefits.
MATERNAL GUT MICROBIOME AND ITS IMPACT ON FETAL OUTCOMES: A FOCUS ON MATERNAL NUTRITION Aulia, Bianda; Ermamilia, Aviria; Sundjaya, Tonny; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: During pregnancy, maternal microbiota transfer and modifiable factors such as diet may contribute to fetal development. This review aims to clarify how maternal gut microbiota and diet interact to influence fetal nutrition and long-term health outcomes. Methods: A literature review was conducted on PubMed, Scopus, and Google Scholar. The search focused on studies investigating the links between maternal gut microbiota composition, dietary patterns, microbial metabolites, and fetal nutrition outcomes. Keywords included “pregnancy”, “gut microbiota”, “nutrition”, “maternal diet”, and “fetal growth”. Results: The maternal gut microbiota undergoes notable changes in late pregnancy, and its composition can be further influenced by external factors. Maternal diet and microbial transfer may impact fetal immune, metabolic, and neurodevelopment processes. Short-chain fatty acids and trimethylamine N-oxide are among key microbial metabolites implicated in fetal development. Although probiotic and prebiotic interventions during pregnancy show promise, current evidence remains limited and inconsistent across populations. Conclusion: Optimizing maternal gut microbiota through diet may support fetal nutrition and developmental outcomes. However, more longitudinal and ethnically diverse studies are needed.
Determinan Postpartum Blues: Tinjauan Sistematis Tentang Gangguan Suasana Hati Ibu Pasca Melahirkan Sari, Yona Wia Sartika; Sundjaya, Tonny; Helmi, Tri Amelia Rahmitha
Jurnal Promotif Preventif Vol 8 No 4 (2025): Agustus 2025: JURNAL PROMOTIF PREVENTIF
Publisher : Fakultas Kesehatan Masyarakat Universitas Pancasakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47650/jpp.v8i4.2022

Abstract

Postpartum blues adalah gangguan suasana hati ringan yang umum terjadi pada ibu pasca persalinan dan dapat berkembang menjadi depresi postpartum apabila tidak mendapatkan penanganan yang tepat. Tujuan dari studi ini adalah untuk mengidentifikasi determinan postpartum blues melalui tinjauan pustaka sistematis. Desain yang digunakan adalah systematic review dengan pendekatan PICO (Population, Intervention, Comparison, Outcome). Strategi pencarian dilakukan melalui database elektronik PubMed, ScienceDirect, dan Google Scholar, diterbitkan 5 tahun terakhir (2021–2025). Hasil menunjukkan bahwa determinan postpartum blues mencakup usia ibu, tingkat pendidikan ibu, status pekerjaan, pendapatan keluarga yang rendah, dan kurangnya dukungan keluarga. Tingginya prevalensi postpartum blues menegaskan pentingnya dukungan kesehatan mental bagi ibu pascapersalinan. Keterlibatan aktif pasangan dan strategi koping yang efektif diperlukan untuk membantu ibu menghadapi perubahan hormonal.
PENGARUH MEDIA SOSIAL TERHADAP KECEMASAN SOSIAL PADA WANITA: SEBUAH SYSTEMATIC REVIEW DAN META-ANALISIS Putri, Az-zahra Atika; Amirah, Fitria; Sari, Kurnia; Angeline, Maharani Eria; Ramadani, Okta; Mutiara, Nafisa; Ismah, Zata; Sundjaya, Tonny; Rahmadani, Putri
PREPOTIF : JURNAL KESEHATAN MASYARAKAT Vol. 9 No. 2 (2025): AGUSTUS 2025
Publisher : Universitas Pahlawan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/prepotif.v9i2.47274

Abstract

Penelitian ini bertujuan untuk menganalisis faktor-faktor yang memengaruhi hubungan antara penggunaan media sosial dan kecemasan sosial pada perempuan melalui tinjauan sistematis terhadap delapan artikel penelitian. Metode yang digunakan mengikuti pedoman PRISMA 2020 dengan pencarian literatur dari database Medline/Pubmed, EMBASE, PsycINFO, dan Google Scholar. Hasil penelitian menunjukkan bahwa kecemasan sosial pada perempuan dipengaruhi oleh lima kelompok faktor utama: sosiodemografi (jenis kelamin, usia, pendidikan), psikososial (depresi, isolasi sosial, pelecehan seksual), perilaku dan interaksi sosial (penggunaan media sosial, kecanduan telepon pintar), gaya hidup (aktivitas fisik, konsumsi alkohol), serta kesehatan dan persepsi risiko (kecemasan keadaan, kecemasan sifat). Temuan kunci mengungkapkan bahwa kecemasan dan depresi memiliki korelasi kuat dengan kecemasan sosial (R: 0,42–0,74). Penggunaan media sosial yang intens berkorelasi positif dengan kecemasan sosial (R: 0,38–0,68). Di sisi lain, faktor sosiodemografi seperti usia dan pendidikan menunjukkan korelasi negatif, mengindikasikan bahwa semakin tua atau berpendidikan tinggi, tingkat kecemasan sosial cenderung menurun. esimpulan penelitian ini menekankan perlunya pendekatan komprehensif yang menggabungkan dukungan psikologis, penguatan hubungan sosial, dan penerapan gaya hidup sehat untuk mengurangi dampak negatif media sosial terhadap kesehatan mental perempuan. Saran untuk penelitian selanjutnya mencakup studi longitudinal untuk mengeksplorasi hubungan kausal serta perluasan cakupan budaya dan demografi untuk generalisasi yang lebih luas.
Formula Isolat Protein Kedelai dan Serat Pangan untuk Anak dengan Alergi Protein Susu Sapi: Laporan Kasus: Isolate Soy Protein with Dietary Fiber Formula in Children with Cow’s Milk Protein Allergy: Case Report Fauziah, Mira; Dilantika, Charisma; Sundjaya, Tonny; Pratiwi, Dessy; Kinesya, Edwin; Ekasiwi, Firstya Diyah
Amerta Nutrition Vol. 9 No. 3 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i3.2025.533-537

Abstract

Background: Cow's milk protein allergy (CMPA) represents the most frequently encountered food allergy in pediatric populations younger than three years. Clinical presentations vary widely, including gastrointestinal (GI), respiratory, and cutaneous manifestations. Objectives: The purpose of this case report is to determine the effectiveness of an isolated soy protein formula, enriched with dietary fibre, as a dietary alternative for a child afflicted with cow's milk protein allergy (CMPA). Methods: This study presents a case report concerning a 2-week-old infant who presented with gastrointestinal (GI) symptoms, specifically watery loose stools and vomiting. Given the family and socioeconomic circumstances, neither breast milk nor an amino acid or extensively hydrolyzed formula could be provided. Consequently, the infant received an isolated soy protein formula fortified with dietary fiber. This report further includes a review of the current literature on the utilization of dietary fiber in pediatric populations. Results: The use of isolate soy protein with dietary fibre formula may offer a well-tolerated and nutritionally adequate alternative for children with CMPA, providing paediatricians, nutritionists, and the broader healthcare community with an additional dietary option. Conclusions: The use of soy isolate protein formula with additional fibre suggests a beneficial effect to improve gut microbiota diversity and may improve stool consistency for both constipation and diarrhoea. However, further large-scale studies are needed to confirm its long-term effect, efficacy, and impact on growth and gut health.
Perspektif Ibu-Ibu Indonesia tentang Kesehatan Anak Setelah Persalinan Sesar: Sebuah Eksplorasi Deskriptif: Indonesian Mothers’ Perspective on Children’s Health After Caesarean Delivery: A Descriptive Exploration Munasir, Zakiudin; Darus, Febriansyah; Kinesya, Edwin; Kartjito, Melissa Stephanie; Sundjaya, Tonny
Amerta Nutrition Vol. 9 No. 3 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i3.2025.405-411

Abstract

Background: Cesarean section incidence increases over time in both emergency and elective cases, or with medical indication and social factors. Despite the usefulness of C-section, parents need to be aware of its effect to child health and the countermeasure. Objectives: This study aims to explore mothers’ perspectives about the health effects of C-section to children. Methods: An open-ended survey was conducted on Indonesian mothers as participants in a cross-sectional study. A compilation of descriptive responses was collected at an online parenting community focused on children’s health. The questions are later classified into six particular categories and given an analysis. Results: A total of 175 inquiries were collected and categorized into 6 groups. In declining pattern, we found parental concern regarding the effect of C-section on the child's immune system (57.14%), nutrition and prebiotics/ probiotics/ synbiotic (22.28%), growth and development (8%), and gastrointestinal system (6.28%). A total of 42 questions (24%) can be categorized into more than one category. Conclusions: More than half of parents are concerned about the effect of C-section on children’s immune system, and one out of five mothers is concerned about the role of nutrition for their children’s health. However, the awareness and concern regarding C-section health impact on growth and development, and gastrointestinal system are still very low.
FACTORS INFLUENCING ANXIETY DISORDERS IN WOMEN OF PRODUCTIVE AGE WITH CHRONIC HEPATITIS B INFECTION Fathiyyah, Nurul; Ganisia, Ainun; Imeldawati, Rakhmalia; Kwarta, Cityta Putri; Sundjaya, Tonny; Rahmadani, Putri
Media Penelitian dan Pengembangan Kesehatan Vol. 35 No. 3 (2025): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v35i3.3141

Abstract

Infeksi Hepatitis B Kronik (IHBK) masih menjadi masalah kesehatan global yang signifikan, dengan prevalensi tinggi di kalangan wanita usia produktif. Dampak psikologis infeksi hepatitis B kronik, khususnya gangguan kecemasan, sering diabaikan, yang mana berdampak negatif pada kualitas hidup pada populasi ini. Kecemasan yang tidak diobati dapat menyebabkan masalah kesehatan mental yang lebih parah dan penurunan kesejahteraan. Meskipun penting, faktor-faktor yang memengaruhi kecemasan pada populasi ini tidak dipahami dengan baik. Penelitian ini bertujuan untuk mengidentifikasi faktor-faktor yang memengaruhi kecemasan pada wanita usia subur dengan IHBK untuk memfasilitasi intervensi dini. Sebuah penelitian deskriptif-analitik, cross-sectional dilakukan dengan melibatkan 51 wanita berusia di atas 18 tahun yang didiagnosis dengan IHBK di Palang Merah Indonesia (PMI) di Surabaya. Diagnosis IHBK dikonfirmasi oleh adanya HBsAg selama lebih dari enam bulan. Pemilihan sampel dilakukan secara total sampling. Gangguan kecemasan diukur menggunakan kuesioner Zung Self-Rating Anxiety Scale (ZSAS). Data tentang usia, status perkawinan, pendidikan, pekerjaan, dan dukungan sosial dikumpulkan melalui wawancara dan catatan medis. Analisis chi-square digunakan untuk menguji hubungan antar variabel dan regresi linier untuk mengukur nilai risiko. Hasil penelitian menunjukkan bahwa usia (p = 0,005), status perkawinan (0,007), pendidikan (0,016), dan dukungan sosial (0,001) berhubungan secara signifikan dengan gangguan kecemasan. Sebagai kesimpulan, wanita usia subur dengan IHBK memiliki prevalensi gangguan kecemasan yang tinggi. Deteksi dini dan intervensi yang tepat sangat penting untuk meningkatkan kualitas hidup mereka.
Co-Authors Agung Kurniawan Alifah Wulandari, Alifah Amirah, Fitria Angeline, Maharani Eria Arumndari, Runi Asy'ari, Yudha Aulia, Bianda Aviria Ermamilia Basrowi, Ray Wagiu Darus, Febriansyah Dilantika, Charisma Ekasiwi, Firstya Diyah Erry Yudhya Mulyani Fadil Himawan, Muhammad Fathiyyah, Nurul Fatimah, Putri Ganisia, Ainun Hasanah, Fina Cahya Helmi, Tri Amelia Rahmitha Helmyati, Siti Imeldawati, Rakhmalia Izmi Arisa Putri Lubis Kania R, Rahayu Kartjito, Melissa Stephanie Kinesya, Edwin Kurnia Sari Kurniati, Henny Kwarta, Cityta Putri Lily Arsanti Lestari Mery Merlisia Mira Fauziah Mutiara, Nafisa Nadiyah Nadiyah Novianti, Anugrah Paramita, Farah Pascaramadhani, Addini Pratiwi, Dessy Purnomosari, Lupi Putri Rahmadani, Putri Putri, Az-zahra Atika Putri, Febriani Ramadani, Okta Ryveka, Aurellia Sari, Yona Wia Sartika Septiani, Seala Setyarsih, Liani Shidiqah, Raysah Sa’diyah Supriyadi Utami, Dessy Aryanti Zahra, Audia Zakiudin Munasir Zata Ismah