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MILK CONSUMPTION IMPROVES THE NUTRITIONAL ADEQUACY OF 12-24 MONTHS OLD CHILDREN IN BEJI, DEPOK, INDONESIA Syafiq, Ahmad; Septiani, Seala; Fikawati, Sandra; Qirani, Ida Ayu Devi
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Weaning period is crucial to ensure appropriate nutritional status. Proper complementary feeding can help children reach optimal growth. Milk as part of complementary feeding is evidently beneficial. The aim of this study was to determine difference in nutritional status between children who consumed milk as a part of complementary feeding and children who did not. Methods: Cross-sectional study was conducted on 102 children aged 12-24 months in Depok City. Data was obtained from height and weight measurements, 1x24-hour food recall, and validated semi-quantitative food frequency questionnaire. Results: Nutritional status of children who consumed milk was better at all indicators compared to those who did not, especially in length-for-age, shown by the stunting prevalence (not consuming 26.2%; consuming milk 19.5%). Children who consumed milk also had significantly higher nutrient adequacy. Nutrient intake of mothers who still provided breast milk which demand higher nutritional need, turned out to be lower than the requirements. Conclusion: Milk consumption might benefits children aged 12-23 months for their nutritional status and to meet their nutrients adequacy. Results are expected to be consideration to assess regulations related to milk promotion for children
FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN INDONESIA: A QUALITATIVE STUDY AMONG WORKING MOTHERS Syafiq, Ahmad; Avianty, Selma; Fikawati, Sandra; Japri, Andrew Prasettya; Septiani, Seala; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Exclusive breastfeeding (EBF) is a globally recommended practice, yet its proportion remains low in Indonesia, particularly among working mothers. Various factors, including workplace policies, socioeconomic status, and family support, influence EBF success. This study aims to explore the supporting and inhibiting factors of EBF among working mothers in urban and semi-urban areas in Indonesia. A qualitative study was conducted through in-depth interviews to 14 working mothers with children aged 6–24 months in Jakarta (urban) and Beji-Depok (semi-urban) between October 2016 and January 2017. Participants were selected using purposive and snowball sampling, considering variations in breastfeeding status, occupation, and dwelling location. Data were analyzed through thematic content analysis with expert triangulation. Key factors influencing EBF included postpartum health, maternity leave policies, socioeconomic conditions, family and external support, and access to EBF-related information. White-collar mothers faced workplace-related barriers but benefited from strong internal and external support. Blue-collar mothers, constrained by economic factors, showed higher EBF adherence due to lacked comprehensive EBF knowledge. Health workerrecommendations influenced breastfeeding decisions. Enhancing workplace support, strengthening family engagement, and improving targeted education for working mothers are crucial to increasing EBF adherence. Further research involving healthcare providers is recommended.
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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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.
PROBIOTICS ROLE ON IMPROVING MALNUTRITION IN BOTH UNDER- AND OVERWEIGHT CHILDREN: A NARRATIVE REVIEW Yuniarti, Tricahyani Endah; Piscesa, Saskia; Septiani, Seala; Wijayanti, Elizabeth Anita
Journal of Indonesian Specialized Nutrition Vol. 3 No. 3 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63953/jisn.v3i3.54

Abstract

Background: Malnutrition in children exists at both ends of the spectrum, undernutrition and overnutrition, each with significant health consequences. Probiotics, live microorganisms that confer health benefits when administered in adequate amounts, are being explored as potential interventions through their ability to modulate gut microbiota, enhance nutrient absorption, and regulate immune function. Methods: A narrative review of literatures published between 2004 and 2025 was conducted, covering randomized trials, meta-analyses, and reviews involving probiotics interventions in children. Seventeen key studies were categorized by nutritional status (undernutrition and overnutrition), pediatric health outcomes, and nutritional insights. These studies synthesized and cited into this scientific narration. Results: In undernourished children, probiotics improved weight gain, reduced anemia, enhanced immune responses, and lowered respiratory infection incidence, particularly in low-resource settings. In overweight/obese children, certain Lactobacillus and Bifidobacterium strains improved BMI z-scores and metabolic health. Broader pediatric data support condition-specific benefits of probiotics in gastrointestinal and allergic diseases. Mechanistic evidence highlights bioactive molecules, immune modulation, micronutrient bioavailability, and gut barrier integrity as key pathways. Conclusions: Probiotics have context-specific benefits for pediatric malnutrition, with the strongest evidence in infection reduction and modest growth improvement in undernourished populations. Their role in pediatric obesity is promising but less defined. Strain specificity, dose, and duration remain critical determinants of efficacy, and further high-quality trials are needed.