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All Journal International Journal of Public Health Science (IJPHS) Jurnal Gizi dan Pangan Jurnal Ilmu Pertanian Indonesia Sodality: Jurnal Sosiologi Pedesaan Media Gizi dan Keluarga PROSIDING SEMINAR NASIONAL JURNAL GIZI INDONESIA JURNAL PROMOSI KESEHATAN INDONESIA Interaksi : Jurnal Ilmu Komunikasi Media Kesehatan Masyarakat Indonesia Microbiology Indonesia Indonesian Journal of Human Nutrition agriTECH Jurnal Media Gizi Indonesia (MGI) INVOTEC Jurnal Kesehatan GIZI INDONESIA Jurnal Ilmu Keluarga dan Konsumen Jurnal Aplikasi Teknologi Pangan Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) AcTion: Aceh Nutrition Journal Jurnal Gizi Klinik Indonesia Argipa (Arsip gizi dan Pangan) Al-sihah: The Public Health Science Journal Jurnal Kesehatan Prima Amerta Nutrition Pontianak Nutrition Journal (PNJ) JURNAL PANGAN YARSI Medical Journal Jurnal Dunia Gizi Jurnal Gizi Kerja dan Produktivitas Jurnal Risalah Kebijakan Pertanian dan Lingkungan Narra J Muhammadiyah Journal of Nutrition and Food Science (MJNF) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Nutrisia Journal of Health and Nutrition Research Jurnal Ilmu Gizi dan Dietetik Jurnal Kedokteran Hewan Media Pendidikan Gizi dan Kuliner Policy Brief Pertanian, Kelautan, dan Biosains Tropika Halal Studies and Society Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Ali Khomsan
Department Of Community Nutrition, Faculty Of Human Ecology, IPB University, Jl Lingkar Kampus, Kampus IPB Dramaga, Bogor 16680, Indonesia
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Lifestyle Behaviors and Risk of Metabolic Syndrome: A Case-Control Study among Fishermen and Oil Palm Farmers Verawati, Besti; Riyadi, Hadi; Khomsan, Ali; Ekayanti, Ikeu
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.590

Abstract

Metabolic syndrome (MetS) is a growing health concern in Indonesia, particularly in rural communities with limited healthcare access. Behavioral risk factors such as smoking, coffee consumption, and poor health-seeking behavior (HSB) may increase MetS risk in vulnerable populations. This study aimed to examine the association between lifestyle behaviors—smoking, coffee consumption, and HSB—and the risk of MetS among fishermen and oil palm farmers in Aceh, Indonesia.  A case-control study was conducted among 240 adults, comprising 120 couples,  recruited from rural fishing and farming communities. Cases met the IDF 2020 MetS criteria, while controls did not. Data on sociodemographics, smoking, coffee intake, and HSB were collected via structured interviews and clinical assessments. Multivariate logistic regression was used to identify independent risk factors, adjusting for age, gender, and education. Smoking among husbands (AOR = 2.89; 95% CI: 1.19–7.02; p = 0.019), coffee consumption (AOR = 2.40; 95% CI: 1.00–5.79; p = 0.049), and low HSB (AOR = 3.10; 95% CI: 1.35–7.11; p = 0.008) were significantly associated with higher odds of MetS. While age and education were not independently significant, they were retained in the model as potential confounders. This study highlights the need for tailored health promotion targeting smoking cessation, improved health service engagement, and dietary awareness in rural Indonesian populations. Interventions should consider sociocultural practices such as sweetened coffee consumption to reduce MetS risk effectively.
The energy intake, nutritional status, menarche at age, and premenstrual syndrome in female adolescents Lestari, Chendy Tata; Kustiyah, Lilik; Khomsan, Ali
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).273-283

Abstract

Background: At present, many female adolescents experience faster growth and faster development phase, including menstruation (menarche). According to 2010 Riskesdas data, 21.3 % of female adolescents in Jambi experienced menarche at the age of ≤12 years, and disorder during menstrual cycle often experienced by female adolescents is premenstrual syndrome (PMS) with a prevalence ranging from 80-90 %.  Objective: This research was conducted to analyze any differences from energy intake, nutritional status, age at menarche, and PMS incidence along with finding dominant factors of age at menarche and PMS in female adolescents in urban and rural areas of Jambi.Method: This research employed a cross sectional study design involving 200 female adolescents selected from State Junior High schools in urban and rural areas of Jambi province by a simple random sampling technique. The energy intake data collected by 2 x 24 food recall, whereas nutritional status data was collected through anthropometric measurements using Bioelectrical Impedance Analysis (BIA) and a microtoise, and age at menarche and PMS data were collected by a questionnaire. Bivariate data analysis was taken by Independent t-test, Mann-Whitney test and Spearman Rank test, while the multivariate data analysis was taken by the Logistic Regression.    Results: There were significant differences found in age at menarche, energy intake, and nutritional status (HAZ and BAZ) of female adolescents in urban and rural areas (p<0.05). A significant negative relationship was found between nutritional status and age at menarche (p<0.05) and a significant positive relationship was found between nutritional status and the incidence of PMS (p<0.05). The Logistic Regression Test revealed that residence area was the dominant factor related to age at menarche (OR: 2.591 CI 95%: 1.415-4.744) and body fat percentage was the dominant factor related to the incidence of PMS (OR: 2.468 CI 95%: 1.159-5.254) .Conclusion: There are differences found in age of menarche, energy intake, and nutritional status (HAZ and BAZ) between female adolescents from urban and rural areas. There is a significant relationship between nutritional status and age at menarche to the incidence of PMS. Residential area becomes the dominant factor related to age at menarche and body fat percentage becomes the dominant factor related to the incidence of PMS. KEYWORDS: age at menarche; energy intake; female adolescents; nutritional status; PMS 
Development and Validation of the Healthy Lifestyles Knowledge Questionnaire for Elderly at Risk of Heart Disease Pratiwi, Hardyanti; Khomsan, Ali; Marliyati, Sri Anna; Dewi, Mira
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 3 (2026): March 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i3.8732

Abstract

Introduction: Coronary heart disease (CHD) is a leading cause of mortality among the elderly. Promoting healthy lifestyles through balanced diets and regular physical activity is essential for prevention programs. However, the availability of standardized and validated instruments to measure knowledge of healthy lifestyles among elderly individuals is still limited, particularly in Indonesia. This study aimed to develop and validate a knowledge questionnaire focusing on diet and physical activity for elderly individuals at risk of CVD. Methods: A mixed-method validation was conducted, involving qualitative and quantitative approaches. First, content validity was assessed by experts in community nutrition, clinical nutrition, and sport nutrition (n = 8) using the Content Validity Index (CVI) and multi-rates Kappa statistics. Second, face validity was tested with elderly participants (n = 10) to ensure clarity and comprehension. Finally, item validity and reliability testing were examined with elderly participants (n = 30) using the Pearson correlation test between item-total score and Cronbach’s Alpha to determine internal consistency. Results: The I-CVI values for all items ranged from 0,75 to 1,00, and Kappa statistics from 0,72 to 1,00, indicating good to excellent agreement among experts. Face validation confirmed that most items were relevant and understandable, with brief wording adjustments required for clarity. The Cronbach’s alpha of 0,742 reflected good internal consistency. Overall, the validation process demonstrated that 19 of 28 items met the statistical criteria. Conclusion: The healthy lifestyle knowledge questionnaire demonstrated strong validity and reliability in assessing knowledge among elderly individuals at risk of CHD. This instrument is practical and applicable for supporting health promotion and prevention programs focusing on diet and physical activity.
Pengembangan Poster sebagai Media Nudging untuk Mengurangi Sisa Makanan pada Remaja di Sekolah Asrama: Development of Posters as Nudging Media for Reducing Food Waste among Teenagers in Boarding Schools Yunianto, Andi Eka; Riyadi, Hadi; Khomsan, Ali; Baliwati, Yayuk Farida
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.60-71

Abstract

Background: Young people, especially at boarding schools, generate a large amount of food waste that may be addressed through targeted and persuasive education strategies based on context. Objectives: This study aimed to develop and evaluate nudging posters to reduce food waste behavior among adolescents. Methods: A descriptive design was used to assess the validity and reliability of four posters. Three expert panelists provided feedback to the researchers to determine the validity of the posters' content. To assess poster reliability, 60 adolescents rated the posters using a Likert scale. Data were analyzed in Excel for Aiken's V analysis and in SPSS version 25 for Spearman’s correlation and Cronbach's alpha (CCA). Results: According to the validity test, Posters 2 and 4 had the highest Aiken’s V value (0.889) for color harmony, layout, and content flow. The most valid components were the contextually appropriate and scientifically accurate content. The least valid components were the completeness of content and how well the message was emphasized (Aiken’s V=0.444 to 0.666). Language was generally the weakest component, but its validity improved when using a style that matched adolescent characteristics. Reliability analysis confirmed that the evaluation instruments were valid and reliable. Posters 1, 2, and 4 showed significant item correlations (p-value<0.05) with Cronbach’s Alpha of 0.983, indicating excellent internal consistency. Poster 3 contained one invalid item, though this did not affect overall reliability. Conclusions: The study concluded that the developed posters are valid and reliable as a form of nudging media. They demonstrate potential as effective educational tools to influence teenagers’ behavior and reduce food waste in boarding school settings.
Theory of planned behavior–based nutrition education to enhance knowledge and fruit-vegetable consumption determinants among elementary school children in Bogor Regency Zafira, Tsuraya; Dwiriani, Cesilia Meti; Khomsan, Ali
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.2900

Abstract

Nutritional problems among school-age children remain significant, mainly due to unbalanced diets and low vegetable and fruit intake. In Indonesia, 97.7% of students do not meet the recommended consumption levels, with West Java reaching 98.3%. Most nutrition education programs emphasize knowledge improvement without considering the psychological factors influencing eating behavior. The Theory of Planned Behavior (TPB), which highlights the role of intention in shaping behavior, has rarely been applied in Indonesia. This study examined the effect of TPB-based nutrition education on knowledge, attitude, subjective norm, perceived behavioral control, and intention to consume vegetables and fruits among elementary students in Bogor District. Using a quasi-experimental design with multiple random sampling, 70 fifth-grade students were divided into treatment and control groups (n=35 each). The instruments showed good validity (r-count > r-table) and reliability (Cronbach’s alpha > 0.7). The results indicated significant improvements in all TPB constructs (p < 0.05), except for subjective norm in the control group, with higher Cohen’s d values in the treatment group. TPB-based nutrition education effectively enhanced students’ intentions and behaviors toward consuming fruits and vegetables. Further research should consider longer interventions, follow-up evaluations, and the inclusion of additional influencing factors.
Parity, Interpregnancy Interval, and Socioeconomic Status in Relation to Low Birth Weight: A Prospective Cohort in Yogyakarta Oktasari, Rina; Riyadi, Hadi; Khomsan, Ali; Roosita, Katrin; Lestari, Yulin
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.873

Abstract

Low birth weight (LBW, <2,500 g) remains a critical public health problem, contributing to neonatal mortality and long-term risk of non-communicable diseases, and national estimates in Indonesia indicate a prevalence ranging from approximately 6.2% to 11.7%. Parity and interpregnancy interval (IPI) are important reproductive determinants of perinatal outcomes, and their effects may be modified by socioeconomic status (SES). This study aimed to investigate the association between parity and IPI with LBW and to assess whether SES modifies these associations in a prospective cohort of pregnant women in Yogyakarta, Indonesia. A total of 120 women (poor households n=48; non-poor households n=72) were recruited purposively from community health centers and a maternity hospital/clinic. Inclusion criteria were gestational age 26–35 weeks, maternal age 20–35 years, parity 1–2, non-smoker, and provision of informed consent. Pre-pregnancy BMI was obtained through maternal recall of the last measured height and weight before conception. Data were analyzed using Pearson’s χ² tests for baseline comparisons and stratified logistic regression models to estimate adjusted odds ratios (aORs) with 95% confidence intervals. The prevalence of LBW was higher among women with non-optimal IPI (<24 or >60 months and primigravida) compared to those with optimal IPI (24–60 months). Multiparity showed a protective tendency against LBW, particularly among non-poor women. SES significantly modified the association between IPI and LBW (p for interaction <0.05). These findings suggest that multiparity may reduce LBW risk, whereas non-optimal IPI increases it, with SES acting as an effect modifier. Strengthening preconception counseling on birth spacing and targeted support for low-SES families are warranted
Risk factors of stunting incidence among children aged 6-23 months in fishing families in Brebes Regency Fasya, Hanin Maulida; Briawan, Dodik; Khomsan, Ali
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.961

Abstract

Stunting remains a major public health problem, particularly in coastal communities where poverty and limited dietary diversity are prevalent. Children in fishing families are vulnerable due to low household income, inadequate food intake, and exposure to infections. This study aimed to identify and analyze the risk factors associated with stunting among children aged 6–23 months in fishing families in Brebes Regency, Central Java. A matched case-control study was conducted from April to May 2025 in three coastal villages (Kluwut, Grinting, and Pulogading), Bulakamba Subdistrict, Brebes. A total of 132 subjects were enrolled, consisting of 44 stunting cases and 88 controls matched by age. Data were collected on child, maternal, and household characteristics, dietary intake, and health status. Statistical analyses included Chi-square test and Binary Logistic Regression to determine significant risk factors (p<0.05). The results showed that children with a history of pulmonary TB had an 9.622 times higher risk of being stunted (OR = 8.120; 95% CI: 1.009–91.735; p = 0.049). Inadequate energy intake (≤89% RDA) had an 8.12 times higher risk of stunting (OR = 8.120; 95% CI: 2.552–25.839; p = 0.001). Birth length <48 cm increased the risk of stunting by 4.105 times ((OR = 4.105; 95% CI: 1.593-10.575; p = 0.003). Meanwhile, age 6-11 months showed a protective effect (OR=0.343; 95% CI: 0.135-0.869; p=0.024).
Co-Authors 'Arifah, Dzakiyyatul Fikrah . Kasmita . Retnaningsih A Amrullah Ade Chandra Iwansyah Adi Winarto Ahmad Sulaeman Ahmad, Che An Alfiani, Diana Ali Rosidi Ali Rosidi Amalina Ratih Puspa Amelia, Ria Amira Ayu Aronasty Andrei Ramani Anggiruling, Dwikani Oklita Anggun Rusyantia Ani Margawati Ani Rahidha Proboningrum Anna Fatchiya Anna Vipta Resti Mauludyani Annisa Ayu Pravansa Aptaribowo, Thoriq Dhiya Arum Atmawikarta Aryatika, Karera Ashari, Chica Riska Asrinisa Rachmadewi Astuti Lamid Betty Yosephin Simanjuntak Budi Setiawan BUDI SETIAWAN Budi Setiawan Cesilia M Dwiriani Cesilia Meti Dwiriani Cesilia Meti Dwiriani Cesilia Meti Dwiriani Chairunisa, Febrina Che An Ahmad Chica Riska Ashari Chica Riska Ashari Cica Yulia Clara M Koeskarto Clara Meliyanti Kusharto Dadang S Dadang Sukandar Damar Handayani, Ariningtyas DARTI NURANI Deddy Muchtadi Desak Putu Yulita Kurniati Desiana Firdaus Desri Suryani Desy Dwi Aprillia Dewi Kartika Sari Dewi Ratih Agungpriyono Dewi, Septishiya Tri Charisma Diffah Hanim Djoko Susanto Dodik Briawan Drajat Martianto Dyan Fajar Christianti Eddy S, Eddy Eddy S. Mudjajanto Eddy S. Mudjajanto, Eddy Eddy Setyo Mudjajanto Eddy Setyo Mudjajanto Efniyanti, Friska Ellis Endang Nikmawati Emi Nur Cholidah Emmy Karsin Enok sobariah Enok sobariah Eny Palupi Eryasih Setyorini Evy Damayanthi Faisal A Faisal A, Faisal Faisal Anwar Farida Hanum Fasya, Hanin Maulida Firdausi, Alya Fitri Filianty Fitriyah Nafsiyah Muthmainah Fransiska R Zakaria Fransiska R Zakaria Guntari Prasetya Hadi Pratomo Hadi R, Hadi Hadi Riyadi Hardinsyah Hartoyo Hartoyo Hasnul Abrar Hawaij, Taesar Hawaij, Taesar Hawaij Ignatius Suksmadi Ikeu Ekayanti Ikeu Tanziha Ikeu Tanziha Ilmi, Ibnu Malkan Bakhrul Indhira Shagti Ingrid S. Surono INGRID SURYANTI SURONO Inke Indah Permatasari, Inke Indah Iriyani Harun Iskandar Mirza Iskandar Mirza Istianty, Ari K. Pandjaitan,, Nurmala Karina Rahmadia Ekawidyani Kartika Nugraheni Kasmita Kasmita Katrin Roosita Kiki Puspasari Leily Amalia Leily Amalia Lestari, Chendy Tata Lestari, Chendy Tata Lilik Kustiyah Linda Dwi Jayati Lubis, Anwar Maharani, Triayu Maulida, Fitra Meilianingrum, Chandra Nur Meitriana Pangestuti Mira Dewi Miratul Haya miratul haya Miratul Haya Miratul Haya, Miratul Muhilal Muhilal Muslich Muslich, Muslich Naufal Muharam Nurdin Ni Ketut Sutiari Niagara Nurfauziyyah Nikmah Utami Dewi Nining Tyas Triatmaja Nino Y Sadiyyah Nunung Cipta Dainy Nur Farida Kusumawati Nur Latifah Hanum Nuraini W. Prasodjo Nurani, Atat Siti Nurdin Nurdin Nurhidayati, Vieta Annisa Nurul Muslihah Nuryani Nuryani Octaria, Yessi Crosita Oktasari, Rina Picauly, Intje Prasetya, Guntari Pratiwi, Hardyanti Puspita Dewi, Puspita Putri, Mikhael Andya Sekar Rachmayanti, Riris Rahman, Purnawati Hustina Ramadhani Fitri Ranita Suri Dewi Reisi Nurdiani, Reisi Rendra Kusuma Reni Zuraida Resa Ana Dina Resty Adhistiana Rian Diana Rian Diana Rian Diana Rilus Kinseng Rimbawan , Rimbawan Rimbawan Riris Diana Rachmayanti Risti Kurnia Dewi Riswari, Aninditya Ardhana Rizkiriani, Annisa Rosdiana, Delita Septia Safitri, Debby Endayani Sakri Sab'atmaja Sarah Melati Davidson Seminar, Annisa Utami Sianturi, Sephia Ellyana Sitanggang, Togu Raja Siti Madanijah Soemiarti Patmonodewo Sri Anna Marliyanti Sri Anna Marliyati Sri Rihati Kusno Sri Sumarmi Sri Utami Kuntjoro Sri Wahyu Angga Dewi Suryono Sutyawan, Sutyawan TATI NURHAYATI Titik Sumarti Tommy Marcelino Gantohe Ujang Sumarwan Uswah, Fathimah Utami Wahyuningsih Verawati, Besti Vetnizah Juniantito Wassalwa, Ulis Salsabila Waysima Waysima Waysima Waysima Widjaja Lukito widya astuti Widya Astuti Winati Wigna Winati Wigna Winati Wigna Winda Puspita Yuniar Yaktiworo Indriani Yayat Heryatno Yayuk Farida Baliwati Yeni Rohmaeni Yughni Azizah Thariqi Yulia Rahmawati, Yulia Yuliana Yuliana Yulianti Wulan Sari YULIN LESTARI Yunianto, Andi Eka Zafira, Tsuraya