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The dominant factors associated with stunting among two years children in five provinces in Indonesia Ramadhani Fitri; Ali Khomsan; Cesilia Meti Dwiriani
AcTion: Aceh Nutrition Journal Vol 9, No 1 (2024): 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.v9i1.1557

Abstract

Stunting is a significant malnourishment problem in Indonesia. The 2021 Indonesian Nutritional Status Study (SSGI) reported that there are five provinces with a high prevalence of stunting (>30%). Age under two years (old age) is the golden period during which children overgrow, and malnutrition during this period can still be corrected. This study analyzed the dominant factors associated with stunting in two-year-old children from five provinces: Aceh, NTB, NTT, West Sulawesi, and Southeast Sulawesi. This cross-sectional study used secondary data from the SSGI 2021. The subjects were 4,554. Children (0-23 months) under five. The 2021 SSGI study was conducted in 34 provinces and 514 regencies/cities from January to December 2021. Data were collected through interviews using the SSGI 2021 questionnaire and anthropometric measurements. Statistical applications were used for data processing. Data analysis was performed using multiple logistic regression tests with the criteria of p<0,05 and a confidence interval (CI) of 95%. The risk factors associated with stunting in children from the five provinces were underweight (OR=9,367), age 6-11 months (OR=1,386), age 12-23 months (OR=1,386), diagnosis of measles (2,5681 CI), male sex (OR=1,400), family size ≥ 8 people (OR=1,612), poor sanitation (OR=1,273 CI 95% 1,041-1,556), and the father's occupation as a farmer/occupation/fisherman/driver (OR=1,278). In conclusion, being underweight is the dominant factor associated with stunting in toddlers.
Development of Semiquantitative Food Frequency Questionnaire for Identification of Indigenous Dietary Patterns in Prediabetic Adult Women Nuryani, Nuryani; Khomsan, Ali; Dwiriani, Cesilia Meti; Dewi, Mira; Lukito, Widjaja
Media Gizi Indonesia Vol. 19 No. 1 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v19i1.28-39

Abstract

Dietary patterns influence the progression of prediabetes, so it is necessary to develop representative instruments for measuring eating habits, primarily indigenous dietary consumption. The research aimed to develop a semiquantitative food frequency questionnaire to identify indigenous dietary patterns in prediabetes sufferers in Gorontalo Regency. The research was a descriptive study that tested the validity and reliability of the food frequency questionnaire semiquantitative (FFQ-SQ). The research was conducted in Limboto Barat Health Center, based on the prevalence of diabetes mellitus. Selection samples using purposive sampling with 30 adult women. The validity test used internal validity Pearson correlation, while the reliability test used internal consistency Cronbach α. Comparison of average FFQ-SQ and recall 2 x 24-hours using Wilcoxon test. The results showed that 12 food groups consisted of 207 food items and indigenous food products with validity tests 123 items valid, 67 items invalid, and 17 items never consumed by the subject study in the previous month; the reliability test showed food group category low 10, moderate 5 and high 3. Comparative analysis of the energy and nutrient intake between FFQ-SQ with recall 2 x 24 hours showed significant differences in intake of carbohydrates, fiber, vitamin E, vitamin B1, folic acid, vitamin C, potassium and zinc (p-value < 0.005), and comparison of energy and nutrient intake between FFQ-SQ1 and FFQ-SQ2 showed no significant difference (p-value> 0.005). The conclusion was FFQ-SQ with 123 items of foods and derived products is valid and reliable for measuring the eating habits of prediabetic adult women.
The Household Food Security and Stunting of Under-Five Children in Indonesia: A Systematic Review Dewi, Puspita; Khomsan, Ali; Cesilia Meti Dwiriani
Media Gizi Indonesia Vol. 19 No. 1 (2024): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v19i1.17-27

Abstract

Inadequate access to food at home contributes to growth retardation in childhood. Under-five children who suffer from stunting have problems in their growth and development owing to a lack of nutrients over an extended period of time. This study aimed to analyzed the relationship between household food security and stunting prevalence. This study uses a systematic review using Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). Seven electronic databases are used: PubMed, ProQuest, MDPI, Science Direct, Scopus, Google Scholar, and Portal Garuda. This research was based on studies conducted in Indonesia and published between 2013 and 2023. For the final result, sixteen articles were included. Household food security has a positive correlation with the stunting of under-five children in Indonesia. Moreover, households with food insecurity had a greater risk of stunting. A household is said to be food-secure when access to food is fulfilled by all family members. From this systematic review, the government is expected to formulate policies and strategies to improve household food security and the nutritional status of children under the age of five. To accomplish these efforts, coordination between sectors is required to accelerate and strengthen the implementation of these policies and strategies.
Positive Deviance Behavior Towards Stunting Prevention in Gunung Maddah Sampang Village Dewi, Septishiya Tri Charisma; Rachmayanti, Riris; Riswari, Aninditya Ardhana; Diana, Rian; Khomsan, Ali; Riyadi, Hadi
Al-Sihah : The Public Health Science Journal Volume 16, Nomor 1, January-June 2024
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/al-sihah.v16i1.40606

Abstract

The high prevalence of stunting is a major nutritional problem that must be resolved because it is a threat to the future of Indonesian children. One of the efforts to prevent stunting needs to be done by searching for solutions that can be practiced by the general public by applying positive deviance to improve behavior in fulfilling nutritional content in pregnant women and children. The purpose of this research is to identify and study positive deviance behavior to prevent stunting. The research method used is the qualitative method. The research was conducted for 28 months (February 2020-June 2022) in Gunung Maddah Village, Sampang Regency, Madura Island, East Java, Indonesia. Data collection techniques included the results of Focus Group Discussions (FGDs), in-depth interviews, and observations obtained from 55 informants including mothers of toddlers, parents/parents-in-law, community members, cadres, and health workers. Data analysis techniques included content analysis consisting of data preparation, data editing, and data cleaning. The results showed that positive deviance behavior to prevent stunting in Gunung Maddah Sampang Village included the consumption of milk by pregnant women, the provision of milk to children (breast milk and/or cow's milk), mothers' efforts to overcome eating difficulties, limiting and regulating children's snacking habits, and the consumption of rice with vegetables and side dishes.
Effects of Formula-100 therapeutic milk and Bregas Nutriroll ready-to-use therapeutic food on Indonesian children with severe acute malnutrition: A randomized controlled trial study Lubis, Anwar; Riyadi, Hadi; Khomsan, Ali; Rimbawan, Rimbawan; Shagti, Indhira
Narra J Vol. 4 No. 2 (2024): August 2024
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v4i2.846

Abstract

Severe acute malnutrition (SAM) is a global health concern that affects children and leads to delayed growth. The aim of this study was to compare the impact of F100 milk and Bregas Nutriroll, a local ready-to-use therapeutic food (RUTF), on SAM children. An unmasked, non-blinded, two-group, and simple randomized controlled trial was conducted. Indonesian children aged 12–59 months with SAM were randomly assigned to receive either F100 milk or Bregas Nutriroll. After eight weeks, the increase in the mean weight gain in both groups was assessed. The Bregas Nutriroll group (n=19) had a mean weight gain of 1.07±0.09 kg, while the F100 group (n=17) had a mean weight gain of 1.05±0.11 kg. The Bregas Nutriroll group had a slightly higher gain of mid-upper arm circumference (MUAC) than the F100 group (0.62±0.34 cm vs 0.50±0.37 cm). The gain of children’s height of the Bregas Nutriroll group was 0.96±0.42 cm, while the F100 group was shorter at a mean of 0.81±0.44 cm. Statistically significant differences (p<0.001) in nutritional status were observed based on weight, MUAC, and height/length after F100 and Bregas Nutriroll interventions. The intervention with F100 increased hemoglobin (Hb) levels of 0.71±1.25 mg/dL, while the Bregas Nutriroll intervention led to an increase of 0.11±1.39 mg/dL. In conclusion, our study showed that community-based treatment with F100 milk or Bregas Nutriroll resulted in nutritional status in children with SAM. These findings suggested that both treatments could be effective in treating SAM in improving nutritional status and child health outcomes.
Food habits based on gender perspective in rural and urban of West Java Fatchiya, Anna; Khomsan, Ali; Riyadi, Hadi; Mauludyani, Anna Vipta Resti; Nurhidayati, Vieta Annisa
International Journal of Public Health Science (IJPHS) Vol 13, No 1: March 2024
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v13i1.23576

Abstract

The role of women in food consumption decision-making is closely related to cultural norms. The primary objective of this study was to describe food habits based on gender perspective in West Java. This study used a cross-sectional design. The study was conducted for 12 months in Cianjur Regency (representing rural area) and City of Sukabumi (representing urban area), West Java, Indonesia. The samples were selected using clustered purposive sampling. The total subjects were 150 households. This study showed that in term of food allocation, fathers have privilege, such as fathers eat before mothers and children, setting aside foods for fathers first before sharing the rest with family members, and food menu that the father received was more complete or better. The wives have greater control than husband in aspects of household food management. The wives were also dominant in deciding food expenses in the family rather than their husbands. There were significant differences in food allocation between rural and urban areas. The differences including: fathers eat before mothers and children (p<0.001), menu differences between fathers and other family members (p=0.002), and menu differences among family members (p=0.008). There was a significant difference in decisions making to determine the daily food menu between rural and urban areas (p=0.004). Since mothers play an important role in food purchasing, improving nutrition knowledge is necessary for better quality food at the household level. This will have an impact on the nutritional status of all household members.
Anaemia: female youth’s knowledge and supplementation program management Khomsan, Ali; Riyadi, Hadi; Prasetya, Guntari
International Journal of Public Health Science (IJPHS) Vol 14, No 1: March 2025
Publisher : Intelektual Pustaka Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.11591/ijphs.v14i1.24597

Abstract

The prevalence of anaemia among adolescent girls in Indonesia is 18.4%. One of the main indicator targets is reducing the prevalence of anaemia is in the form of iron-folic acid (IFA) supplementation for adolescent girls. The research aims to analyze knowledge of female youth on anaemia and management of iron-folic acid supplementation. This study used a cross-sectional design, and it was conducted in 24 senior high schools in Cianjur Regency (high stunting area) and Depok City (low stunting area). The total sample of this study was 243 female youth. The study began from September 2019 to February 2020 for the 1st term and continued from October 2022 to March 2023 for the 2nd term. The quantitative result showed that there was a significant difference in knowledge about the frequency of providing the iron-folic acid supplement (IFAS) at school and the duration in a year that students must consume the IFAS between high stunting and low stunting (p=0.000). A significant proportion of female youth, 67.5% in high stunting areas and 71.7% in low stunting areas, exhibit insufficient nutrition knowledge, underscoring the necessity for a nutrition education initiative targeting high school students. The qualitative results showed the input-process-output of the IFA program have been administered for the last few years, providing several constraints in order to improve the IFA program management. Based on those findings, the IFA supplementation program provides a potential chance for addressing anaemia in female youth.
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 
Hubungan Intensitas Penggunaan Aplikasi Pesan Antar Makanan Secara Online dan Status Gizi Mahasiswa: Relationship between Intensity using Online Food Delivery Applications and College Student’s Nutritional Status Damar Handayani, Ariningtyas; Khomsan, Ali
Jurnal Ilmu Gizi dan Dietetik Vol 2 No 1 (2023)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jigd.2023.2.1.1-8

Abstract

Meningkatnya intensitas penggunaan pesan antar online serta rendahnya aktivitas fisik selama pandemi Covid-19 dapat memberi dampak yang buruk bagi kesehatan. Penelitian ini bertujuan untuk menganalisis hubungan antara intensitas penggunaan aplikasi pesan antar makanan online, aktivitas fisik, uang saku, dan pendapatan keluarga dengan status gizi selama pandemi Covid-19. Desain penelitian ini adalah cross sectional dengan jumlah subjek 94 subjek mahasiswa aktif IPB yang dipilih secara purposive sampling. Pengumpulan data dilakukan melalui wawancara dan self-administrated secara online. Tidak terdapat perbedaan yang nyata antara status gizi dengan intensitas penggunaan aplikasi pesan antar makanan online yang rendah dan tinggi (p>0,05). Tidak terdapat perbedaan yang nyata antara status gizi dengan tingkat aktivitas fisik yang rendah dan tinggi (p>0,05). Tidak terdapat perbedaan yang nyata antara status gizi dengan uang saku ≤Rp750.000,00 dan >Rp750.000,00) (p>0,05). Tidak terdapat perbedaan yang nyata antara status gizi dengan pendapatan keluarga ≤Rp5.000.000,00 dan >Rp5.000.000,00 (p>0,05). Berdasarkan uji korelasi, tidak terdapat hubungan yang signifikan antara status gizi dengan intensitas penggunaan aplikasi pesan antar makanan online aktivitas fisik, uang saku, dan pendapatan keluarga (p>0,05). Pengguna aplikasi pesan antar makanan online agar dapat mengontrol pemesanan makanan dan meningkatkan aktivitas fisik walau hanya di dalam rumah agar memiliki pola hidup yang lebih sehat.
Faktor-Faktor Korelasi Tingkat Stres dan Kualitas Konsumsi Remaja Overweight dan Normal di Masa Pandemi : Factors Correlated of Stress Levels and Consumption Quality of Overweight and Normal Adolescents during a Pandemic Niagara Nurfauziyyah; Khomsan, Ali
Jurnal Ilmu Gizi dan Dietetik Vol 2 No 2 (2023)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jigd.2023.2.2.89-95

Abstract

The Covid-19 pandemic has caused restrictions on activities outside the home including online learning which affects academic stress and food consumption. This study aims to analyze the correlation factors of stress levels and food consumption quality of high school adolescents with overweight and normal nutritional status during a pandemic. The design of this study was comparative cross sectional study of 41 adolescents with normal nutritional status and 41 overweight adolescents selected by purposive sampling. Data was collected through questionnaires and interviews. Based on the results of the Mann-Whitney difference test and Independent Sample T-test, there were significant differences (p<0.05) in the online activity time variable (p=0.41), energy adequacy level (p=0.040), frequency of consumption of staple food (p=0.004), protein vegetable (p=0.021), and drinks (p=0,003) between normal and overweight subjects. The results of the Spearman correlation test showed that there was a significant positive relationship (p<0.05) between the level of adequacy of energy, protein, fat, carbohydrates, and vitamin C with the quality of food consumption. Gender variable has a significant relationship (p<0.05) with stress levels. Based on the Spearman correlation test, there is no significant relationship (p>0.05) between stress levels and the quality of food consumption with nutritional status.
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 Crosita Octaria, MIH, dr. Yessi Dadang S Dadang Sukandar Damar Handayani, Ariningtyas DARTI NURANI Deddy Muchtadi Delita Septia Rosdiana 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 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 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 Picauly, Intje Prasetya, Guntari 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 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