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Interaksi antara Status Indeks Massa Tubuh sebelum Hamil dan Kenaikan Berat Badan selama Hamil terhadap Antropometri Bayi Lahir di Sumatera Barat, Indonesia: The Interaction between Pre-Pregnancy Body Mass Index Status and Gestational Weight Gain on Newborn Anthropometry Outcomes in West Sumatera, Indonesia Anugerahwati, Ammara Asya; Aji, Arif Sabta; Afifah, Effatul; Lestari, Prasetya; Lipoeto, Nur Indrawaty
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.208-217

Abstract

Background: Mother's nutritional status before and during pregnancy plays an important role in fetal growth and development. The prevalence of Low Birth Weight (LBW) incidence in West Sumatra has increased from 3.11% (2019) to 3.4% (2021). Objectives: To analyze the interaction between pre-pregnancy BMI status and gestational weight gain on newborn anthropometry in West Sumatra. Methods: This is a secondary data analysis study from the Vitamin D Pregnant Mother (VDPM) 2018 study with a prospective cohort design and the follow-up analysis was in February-April 2024. This study involved 175 pregnant women and newborns who met the predetermined criteria. Variables examined included pre-pregnancy BMI status, gestational weight gain, and newborn anthropometry. Data analysis used Kruskal Wallis, Spearman correlation test, and multivariate General Linear Model (GLM). Results: Research findings showed a correlation between pre-pregnancy BMI and gestational weight gain (p-value 0.049, r=-1.4). Pre-pregnancy BMI correlated with birth weight (p-value=0.003, r=0.2) and body length (p-value=0.045, r=0.1), but not with head circumference (p-value=0.054). Gestational weight gain had no significant relationship with newborn anthropometry (p-value 0.512 for birth weight, p-value 0.368 for body length, and 0.368 for head circumference). No interaction was found between pre-pregnancy BMI and gestational weight gain status on newborn anthropometric measurements with a p-value of 0.739 for birth weight, 0.377 for body length, and 0.175 for head circumference. Conclusions: The results show no interaction between pre-pregnancy BMI status and gestational weight gain on newborn anthropometry. Women are encouraged to pay attention to nutrition before and during pregnancy to optimize maternal and infant health.
Hubungan Status Lingkar Lengan Atas Ibu Hamil dengan Antropometri Bayi Baru Lahir di Sumatera Barat, Indonesia: The Relationship between Mid Upper Arm Circumference and Newborn Anthropometry Outcomes in West Sumatera, Indonesia Mulyono, Andriani; Aji, Arif Sabta; Irwanti, Winda; Afifah, Effatul; Lipoeto, Nur Indrawaty
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.151-161

Abstract

Background: Mid-upper Arm Circumference (MUAC) during pregnancy is used to determine Chronic Energy Deficiency (CED). Pregnant women with CED are at risk of giving birth with Low Birth Weight (LBW), short, and wasting babies. Data from the West Sumatra Health Office show that the number of women suffering from continues to increase. The percentage of LBW per 1000 live births is also high and has not decreased significantly. Objectives: To determine the relationship between MUAC and newborn anthropometry outcomes in West Sumatera, Indonesia. Methods: This research used secondary data from the VDPM Cohort Study with 184 pairs of mothers and babies. The variables taken in this study were MUAC, Birth Weight (BWG), Birth Body Length (BLG), Birth Head Circumference (HDC), and Small for Gestational Age (SGA). Data analysis used descriptive analysis, Spearman Correlation, and Wilcoxon tests. Results: There was a significant positive correlation between MUAC and the anthropometry of newborn babies (p-value<0.05, for all comparisons). The greater the MUAC, the greater the anthropometry outcomes. However, the correlation was weak. There was a significant relationship between MUAC and SGA (p-value≤0.001). Babies with appropriate gestational age (AGA) had normal MUAC status and women who had CED status most likely gave birth to a baby with an SGA status. Conclusions: The MUAC status of pregnant women determines newborn anthropometry outcomes. Therefore, mothers can prepare for pregnancy by maintaining their health and nutritional status. Further studies are needed to confirm these findings.
Gambaran Pengetahuan Masyarakat Terhadap Pelayanan Gizi Berbasis Gen Dalam Pencegahan Penyakit Tidak Menular di Indonesia: Gambaran Pengetahuan Masyarakat Terhadap Pelayanan Gizi Berbasis Gen dalam Pencegahan Penyakit Tidak Menular di Indonesia Wulandari, Fatma Annisa; Aji, Arif Sabta; Afifah, Effatul; Paramashanti, Bunga Astria; Listiyana, Fani; Khouridhiya, Mumtaz; Surendran, Shelini
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.293-302

Abstract

Background: Non-Communicable Diseases (NCDs) are the primary health issues in Indonesia, with their prevalence increasing each year. The advancement of technology, such as gene-based nutrition services, could offer an alternative approach to prevent NCDs in the present and future.  Objectives: This study aims to assess the current level of knowledge regarding gene-based nutrition services among Indonesians for NCD prevention.  Methods: A qualitative phenomenological study was conducted across five provinces in Indonesia. In-depth interviews were conducted with ten informants, selected using the snowball sampling technique. The research focused on themes such as understanding gene-based nutrition services, genetic knowledge, and the role of gene-based nutritional analysis in NCD prevention. Thematic analysis was performed using NVivo v.14.  Results: The community demonstrated a solid grasp of the concept of genetics and inherited traits. However, they struggled with genetic terminology. Most Indonesians had limited awareness of gene-based nutrition services, although they recognized their benefits in disease detection and dietary management. They also knew that the cost of this inspection was expensive, and individuals expressed concerns about the potential implications of disease risk detection. Participants notably clarified that NCDs are not communicable diseases and can be prevented through gene-based nutritional interventions. Interest in gene-based nutrition services was substantial, yet barriers included cost and facility accessibility.  Conclusions: Indonesians generally possess limited knowledge about genetics, gene-based nutrition services, and genetic testing. However, they acknowledge the significance of genetic-based nutrition services in early NCD prevention, as these services can help determine appropriate dietary patterns and lifestyles.
The Effect of an Educational Video on Physical Activity for Diabetes Prevention among Obese High School Students in Yogyakarta Jannah, Miftahul; Aji, Arif Sabta; Sari, Pramitha; Afifah, Effatul
Journal of Global Nutrition Vol 4 No 1 (2024)
Publisher : Ikatan Sarjana Gizi Indonesia (ISAGI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53823/jgn.v4i1.84

Abstract

The association of obesity with type 2 diabetes mellitus (T2DM) in adolescents has increased globally over the past 2 decades. Thus, it must be prevented and overcome with particular management. The study aimed to analyze the impact of video education on physical activity for the prevention of T2DM among obese high school students in Mergangsan district, Yogyakarta. This was a quasi-experimental study with one group pre and post-test design. Educational videos about the introduction to physical activity education were made and given to students. A total of 47 obese adolescents were recruited and tested for physical activity using the Physical Activity Questionnaire for Adolescents questionnaire. (PAQ-A). The data was processed and analyzed using the Wilcoxon test with SPSS version 23.0. The results of the study were obtained before video education, physical activity in students with obesity was classified as mild (66%). After the video education was given, the physical activity of the majority was moderate (78.7%). There was an association between video education media and physical activity for the prevention of diabetes mellitus in students (p<0.001). The school is expected to continue to provide health advice to students, especially on obesity students to prevent T2DM in adolescents, and the use of educational media with video will be more effective.
Praktik pemberian MPASI (Ketepatan, Jenis, Tekstur dan Frekuensi) pada anak stunting usia 6-24 bulan di Kabupaten Natuna: Studi kualitatif Mumtaz, Hammada Hanifia; Aji, Arif Sabta; Nabiella, AD; Nurlita, Safira; Hidayati, Misna; Aprilia, Veriani; Afifah, Effatul
ARGIPA (Arsip Gizi dan Pangan) Vol 10 No 2 (2025)
Publisher : UHAMKA PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22236/argipa.v10i2.20308

Abstract

Stunting is a growth failure in children under five years old due to chronic malnutrition, particularly during the first 1,000 days. This condition is generally caused by low nutritional intake and recurrent infections. It can be caused by inadequate complementary feeding. This study aimed to determine the complementary feeding practices (accuracy, type, texture, and frequency) among stunted children aged 6-24 months. This qualitative study design used a phenomenological approach with purposive non-probability sampling and was conducted in September-October 2024. Main informants were 18 mothers of children aged 6–24 months (both stunted and non-stunted), while key informants included a nutritionist and the head of the public health center in Serasan and Serasan Timur. Data were collected through Focus Group Discussion (FGD) and in-depth interviews. Data analysis was conducted thematically using NVivo 12.0. The provision of complementary foods to stunted children shows a discrepancy in timeliness with applicable recommendations. The study indicated that types of complementary food provided tend to be less diverse, especially in fulfilling the required vegetable protein intake. The texture of complementary food has not been fully adjusted to the recommended age stages of children. The frequency of complementary food provision has been carried out according to established standards. For children who are not stunted, complementary feeding is generally applicable by guidelines. Complementary feeding in stunted children needs improvement in timeliness, food variety, and age-appropriate texture, although feeding frequency generally aligns with recommendations for both stunted and non-stunted children.
Analysis of providing complementary feeding practice to stunted and non-stunted children aged 6-24 months in Natuna Regency, Indonesia: A qualitative study Nabiella, AD; Afifah, Effatul; Nurlita, Safira; Hidayanti, Misna; Mumtaz, Hammada Hanifia; Aji, Arif Sabta
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 14, No 1 (2025): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.14.1.36-50

Abstract

ABSTRACTBackground: Stunting was a growth disorder that occurred as a result of chronic malnutrition and repeated infections. Its prevalence had increased due to suboptimal complementary feeding (CF) practices.Objectives: The objective of this study was to describe the attitudes and confidence of mothers in the practice of providing CF among children aged 6–24 months.Materials and Methods: A descriptive qualitative study with a phenomenological approach was conducted through semi-structured interviews at Serasan and Serasan Timur Health Centers, Natuna Regency, from September to November 2024. The study explored maternal attitudes and self-confidence in complementary feeding (CF) practices. Participants included 18 primary informants in focus group discussions (9 mothers of stunted and 9 of non-stunted children) and 4 key informants in in-depth interviews (2 heads of community health centers and 2 nutritionists). Data were analyzed thematically using NVivo 12.0 software.Results: This study identified four main themes. First, maternal attitudes in facing challenges, such as food rejection and the selection of appropriate food types. Second, maternal attitudes in the practice of providing complementary feeding (CF). Third, maternal confidence in determining suitable food textures. Fourth, maternal confidence in managing picky eating during CF practices. Most mothers demonstrated a positive attitude toward CF, including preparing food themselves, considering it healthier and more economical. However, some mothers of stunted children tended to purchase instant foods more often due to practicality. The majority showed high confidence, supported by Posyandu education, internet resources, and nutritionists. Nevertheless, several mothers of stunted children still lacked confidence due to limited information on CF nutritional adequacy.Conclusion: Mothers of stunted children tended to have lower attitudes and self-confidence compared to those of non-stunted children in complementary feeding (CF) practices. Continuous education and supportive policies facilitating access to nutritious foods were essential. Additionally, family support enhanced maternal confidence in providing CF.Keywords: Attitude; children; complementary feeding; self confidence; stunting
Determinants of suboptimal complementary feeding practices among children aged 6–24 months in Natuna: A Case-control study Afifah, Effatul; Aji, Arif Sabta; Nabiella, AD; Paratmanitya, Yhona; Herawati, Herni Dwi; Rahayu, Herwinda Kusuma
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.v11i1.2597

Abstract

Stunting affects more than 22% of children under five years of age globally, including approximately 6.3 million in Indonesia. The 2024 SSGI reported a decline in the national prevalence of stunting from 21.5% to 19.8% in 2023, surpassing the 20.1% target, with a further reduction goal of 14.2% by 2029. However, Natuna Regency reported a prevalence of 16.1% in 2023, exceeding the national target and highlighting the need for evidence-based intervention.  This study aimed to investigate the association between maternal knowledge, attitudes, involvement, and self-confidence in complementary feeding practices among stunted children aged 6–24 months. This study employed a case–control design involving 122 mothers (60 cases and 62 controls). The study was conducted in the working areas of Puskesmas Serasan and Puskesmas Serasan Timur from September to November 2024. Data were collected using structured questionnaires and analyzed using chi-square tests and logistic regression.  Most case group mothers had low knowledge (21.3%), unfavorable attitudes (48.4%), limited involvement (42.6%), and low self-confidence (50%). The results also showed significant associations between maternal factors and feeding practices (p ≤ 0.001). Poor knowledge was the strongest predictor of stunting (OR = 24.0), followed by low self-confidence (OR = 8.8), negative attitude (OR = 7.29), and limited involvement (OR = 5.6). Strengthening maternal capacity is essential for improving feeding practices.