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The Significance of Tackling Stunting for The Economic Prosperity of A Nation – A Narrative Review Sitorus, Nova Lidia
Journal of Indonesian Specialized Nutrition Vol. 2 No. 2 (2024): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v1i4.23

Stunting is a condition where a child’s length or height is shorter for their age due to chronic malnutrition and recurrent infections that occur in the first 1000 days of life. Based on data from the Ministry of Health, the stunting rate in Indonesia in 2023 was recorded at 21.5 percent, only down 0.1 percent from the previous year which was 21.6 percent. The high prevalence of stunting has serious implications for the nation's economic welfare. This research aims to examine stunting prevention in terms of the economic welfare of a nation. This research uses a narrative review method. The phenomenon of stunting carries profound implications for a nation’s health and economic well-being. Children who experience stunting are predisposed to a higher risk of chronic illnesses, exhibit lower intelligence quotients, and are likely to be less productive in their adult years. These factors can impede the trajectory of a nation’s economic advancement and amplify the strain on its public health infrastructure. From an economic perspective, this manifests as a reduction in income per capita, an escalation in healthcare costs, and a deceleration in economic growth. This underscores the urgent need to address stunting in order to safeguard the future prosperity of the nation.

Animal Protein and Growth Formula: Nutrition Foundations for Children 5 Years and Older Sitorus, Nova Lidia; Nuraeni Salsabila, Irma
Journal of Indonesian Specialized Nutrition Vol. 2 No. 3 (2024): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v1i5.28

Animal protein plays an important role in ensuring optimal nutritional intake, supporting muscle and tissue formation, and improving immunity. In addition, growth formulas specifically designed for children in this age group provide additional nutrients that may not always be met through daily food. This study aims to analyze the benefits of animal protein and growth formula in supporting physical and cognitive development in children aged 5 years and above. This study uses a qualitative research method. The data collection technique in this study was through literature studies. The data that has been collected was then analyzed in three stages, namely data reduction, data presentation and drawing conclusions. The results of the study showed that the combination of animal protein and growth milk helps children meet their daily nutritional needs required for optimal growth. These two sources of nutrition complement each other in providing a balanced intake and preventing malnutrition. The intake of protein and essential nutrients from growth milk also plays a role in increasing children's immunity, reducing the risk of disease, and supporting their mental and emotional development. Therefore, ensuring that children get enough animal protein and growth milk is essential to building a strong foundation for health and productivity in the future.

Impact of Iron Deficiency on Cognition in School Age Children Sitorus, Nova Lidia; Nuraeni Salsabila, Irma
Journal of Indonesian Specialized Nutrition Vol. 1 No. 2 (2023): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v1i2.9

Iron deficiency is a significant global health problem, especially among school children. Iron deficiency has a serious impact on children's health, including cognitive development. The aim of this study was to investigate the impact of iron deficiency on cognitive function of school-aged children. This study used a cross-sectional design. The study sample was school-aged children who met the inclusion criteria. The inclusion criteria were children aged 6-12 years, had hemoglobin <12 g/dL, and had no other chronic diseases. Exclusion criteria were children who were undergoing certain drug therapy, children who had other cognitive developmental disorders, and children who had a history of allergy to iron. Data were collected through interviews, physical examinations, and laboratory tests. Data were analyzed using descriptive statistical tests. The results showed that iron-deficient children had lower cognitive function than non-iron-deficient children. This is indicated by lower scores on cognitive tests, such as memory, attention, and learning ability tests. Therefore, it is important to prevent and treat iron deficiency in school-age children

Role of Midwives on supporting IDA prevention & screening: learning from international guideline/practice & evidence Mariani Rahayu, Endang; Sitorus, Nova Lidia; Yuningrat, Nova
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.v2i4.32

Iron deficiency anemia (IDA) is a significant global health problem, with negative impacts on the health of pregnant women, fetuses, and newborns, including the risk of complications such as preterm birth and low birth weight. Midwives play an important role in the prevention and early detection of IDA through education, nutritional counseling, and routine screening, in accordance with international guidelines that need to be adjusted to the local context and capacity of the health system in each country. This study aims to explore the role of midwives in the prevention and early detection of iron deficiency anemia (IDA) in pregnant women by referring to international guidelines, best practices, and the latest scientific evidence. The results of the revoew aims to discuss that the role of midwives in the prevention and screening of Iron Deficiency Anemia (IDA) is very important as the main service provider during pregnancy and childbirth. By utilizing international guidelines, midwives can improve understanding of effective screening techniques and IDA prevention strategies, such as early identification, iron supplementation, and education for pregnant women. Evidence-based practices implemented by midwives can improve maternal and fetal health and reduce the prevalence of maternal mortality (MMR).

IRON ABSORPTION; NATURE, AND NURTURE INTERACTIONS Sanjiwani, Putu Amrytha; Pratiwi, Dessy; Sitorus, Nova Lidia
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Background: Iron deficiency anemia (IDA) is a global health concern, particularly affecting women and children. Both genetic and dietary factors contribute to iron absorption and status. Understanding these interactions is vital for effective prevention strategies. Methods: This narrative review examined literature from Scopus-indexed journals (2005–2024) to explore the influence of TMPRSS6 gene polymorphisms—particularly rs855791 and rs4820268—and dietary components (enhancers and inhibitors) on iron absorption. Results: Genetic variations in TMPRSS6, especially rs855791, are associated with increased hepcidin levels, leading to decreased iron absorption and lower hemoglobin. On the dietary side, ascorbic acid and meat proteins significantly enhance non-heme iron uptake, while phytates, polyphenols, and calcium inhibit it. Food processing techniques such as fermentation andgermination can reduce inhibitor effects and improve iron bioavailability. Conclusion: Iron absorption is influenced by both inherited genetic variations and modifiable dietary practices. A combined understanding of these nature and nurture factors is essential to develop personalized and population-based nutritional strategies to prevent and manage IDA effectively

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

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

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

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.

Hubungan Literasi Gizi dan Pengetahuan Gizi terhadap Kejadian Stunting: A Scoping Review: Hubungan Literasi Gizi dan Pengetahuan Gizi terhadap Kejadian Stunting: A Scoping Review Wahyuni, Fani Cahya; Karomah, Ulfatul; Basrowi, Ray Wagiu; Sitorus, Nova Lidia; Lestari, Lily Arsanti
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.2023.71-85

Background: Globally, the incidence of stunting in children under five has declined over the past few decades. However, there are regional and in-country disparities. In Indonesia, the prevalence of stunting increased from 25.7% to 30.8% between 2013 and 2018. This upward trend is associated with negative consequences such as reduced academic potential, increased risk of noncommunicable diseases, increased healthcare costs, and reduced productivity. Maternal nutrition literacy is a contributing factor to stunting. Therefore, strengthening maternal nutrition literacy can help reduce stunting. Objectives: This study aims to examine the relationship between maternal nutrition literacy and maternal nutrition knowledge with the incidence of stunting in children under five. Methods: The literature search was conducted using databases, namely PubMed, Scopus, and ScienceDirect, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Population, Intervention, Comparison, Outcome, and Study Design (PICOS) frameworks. Discussion: Only 13 out of 630 articles were eligible. Among them, four articles showed a significant correlation between nutrition knowledge and literacy with the incidence of stunting in lower-middle-income countries. In upper-middle-income countries, seven articles showed a significant correlation between nutrition literacy and knowledge with the incidence of stunting. Conclusions: There is a significant relationship between nutrition literacy and nutritional knowledge with the incidence of stunting. Nutrition literacy and knowledge can be related to infant and young child feeding, selection and preparation of nutritional and healthy foods, child growth and development, stunting prevention, access to health services, food security, and traditional food nutrition knowledge.

Kontribusi Program Pekarangan Pangan Lestari (P2L) terhadap Upaya Percepatan Penurunan Stunting di Kabupaten Sleman: Analisis Masa Pandemi COVID-19: Kontribusi Program Pekarangan Pangan Lestari (P2L) terhadap Upaya Percepatan Penurunan Stunting di Kabupaten Sleman selama Masa Pandemi Covid-19 Renita, Renita; Helmyati, Siti; Purwaningrum, Digna Niken; 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.2023.30-40

Background: There are disparities in the level of household food security achievements between regions and getting worse with Covid-19 pandemic which has also inhibited nutritional improvement acceleration. The P2L is one of the priority programs in maintaining community food security. However, the implementation of this program is still vulnerable to sustainability. Objectives: This study aims to examine the contribution of P2L during Covid-19 pandemic in maintaining community food and nutrition security and its role to accelerate stunting reduction in Sleman Regency. Methods: This research was a descriptive qualitative with case study approach. Sample selection used a purposive maximum variation sampling method for parties actively involved in the P2L. Data collection methods were carried out using in-depth interviews, closed question types questionnaires, documentation, and participatory observation by directly involved in group activities. Results: The P2L acted as a living food barn that can provide food during Covid-19 pandemic. Vegetables were the main commodity that were able to fulfill household needs at 60% and 40% at the medium level. Meanwhile, other food commodities had not been developed optimally in the yard. However, the P2L not only had a positive impact on improving nutrition and the household economy of KWT members, but also for vulnerable communities in the surrounding area. To accelerate stunting reduction, the results from P2L were also used to support Integrated Healthcare Center activities such as providing PMT. Conclusions: The P2L program has a positive impact for the community, but it is necessary to innovate crop-livestock-fruit integration in each area and strengthen institutions in order to make the program sustainable.

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