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Perbedaan Gizi pada Bayi: Membandingkan Profil Karbohidrat dan Lipid Antara Bayi dengan Status Gizi Normal dan Obesitas Puspitasari, Ria; Widjaja, Nur Aisiyah; Ardianah, Eva; Fitriari, Tutfah Razzak
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.763-772

Abstract

Background: For supporting the infant’s growth and development, Human Milk (HM) is the most suitable nutritional source, especially during 6 months. Growth study showed different growth between breastfed infants and formula-fed infants, in which they are thinner compared to formula-fed infants, but some breastfed infants are overnutrition (overweight and obese). Objective: to investigate the macronutrient content of HM in exclusive breast-feeding infants aged under 12 months old. Methods: The study’s design was a case-control, conducted on 20 lactating mothers (residents and employee) in the pediatric departemen at Regional General Hospital Dr. Soetomo Surabaya in March–April 2018. HM of the infant with overnutrition was included in the Overnutrition (ON) group, and HM of the infant with normal nutrition was included in the Normal (N) group. To obtain the HM samples, the researchers recruited lactating mothers who participated in this study voluntarily. The lactating mothers must breastfeed their infants predominantly, and their infant’s age must be less than 12 months old. The macronutrients content in HM were measured using a Human Milk Analyzer (HMA) (MIRIS®, Uppsala, Sweden). Statistical analysis conducted was test of normality (Shapiro Wilk) and test of homogeneity followed by Mann Whitney U test and Fisher exact test with the level of significance <0.05. Results: We got 20 samples of HM from 20 lactating mothers, in which ten infants were determined as overnutrition (2 were categorized as overweight and 8 were obese) and grouped in ON, while 10 infants were normal and were grouped in the N group. It was found that the ON group had higher lipid content than the N group (4.33[2.0-6.8] vs. 2.40 [1.2-3.9] g, p=0.019). Protein content was almost similar in both groups (p=0.853), The ON group had lower carbohydrate content than (2.42 [1.5-3.7] g) than the N group (3.42 [2.1-4] g), p=0.004. The ON group had higher energy content (53.85 [31.20-76.20] kcal/ml) than the N group (39.90 [26.40-51.90] kcal/ml, p=0.065). Conclusion: The incidence of overnutrition during infancy is likely affected by high lipids content in HM than other macronutrients. The carbohydrate content was significantly low in overnutrition infants.
Effect of Health Education on Knowledge About Stunting Among The Community in Teluk Sasah District of Bintan Island, Riau Island, Indonesia Athiyyah, Alpha Fardah; Nur Aisiyah Widjaja; Suminar, Dewi Retno; Cahyanti, Ika Yuniar; Sulistiawati
Journal of Community Medicine and Public Health Research Vol. 6 No. 2 (2025): Journal Community Medicine and Public Health Research
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jcmphr.v6i2.58815

Abstract

Stunting in early life, particularly in the first 1000 days has longterm consequences on children’s physical growth, cognitive performance, and emotional well-being. Adequate parental and community knowledge plays a critical role in enabling early recognition, prevention, and appropriate management of factors contributing to stunting. This study aims to investigate the impact of health education on community knowledge related to stunting. A cross-sectional design was applied involving 24 adult participants (≥ 18 years) from the general public in Teluk Sasah District, Bintan Island using total sampling. The educational intervention was delivered through pamphlet distribution, health talks, and discussions with experts focusing on stunting. Pre and post-test were conducted to assess their understanding about stunting. Data were analyzed using Statistical Product and Service Solution (SPSS) Software version 16.0, employing the Shapiro-wilk for normality and the Wilcoxon signed-rank test to compare scores before and after the interventions. This study demonstrated a significant difference between pre-test and posttest (80.83 ± 9.74 vs 90.83 ± 7.76, p=0.000). Furthermore, the minimum score of post-test and pre-test also improved markedly (60.00 vs 70.00, p=0.000). This study found that the implementation of health education, including pamphlet distribution, classical lectures, and case discussions, effectively enhanced participants’ knowledge about stunting.