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NUTRITION AND HEALTH STATUS AND COGNITIVE PERFORMANCE OF SCHOOL CHILDREN IN JAKARTA AND TANGERANG RECEIVING WORLD FOOD PROGRAM – NUTRITION REHABILITATION PROGRAMME (WFP-NRP) Muslimatun, Siti; Fahmida, Umi; Maskar, Dadi Hidayat; Phan Ju Lan, Maria Chatarina; Izushi, Keiko
GIZI INDONESIA Vol 29, No 1 (2006): Maret 2006
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

UN World Food Programme (WFP)melalui Nutrition Rehabilitation Programme (NRP)melakukan inisiasi pemberian makanan tambahan pada anak sekolah tahun 2004 dengan mendistribusikan biskuit yang difortikasi 9 vitamin dan 4 mineral di sekolah dasar di lingkungan penduduk miskin di Jakarta dan Tangerang. Untuk menilai dampak dari program ini dilakukan evaluasi perubahan status gizi dan kesehatan dan juga pengaruhnya pada asupan gizi serta kognitif dari anak setelah satu tahun pelaksanaan program. Data dari 691 anak (335 laki-laki, 356 perempuan) diperoleh dari  Jakarta  Barat  (N=243),  Kota  Tangerang  (N=81)  dan  Kabupaten Tangerang  (N=367). Sebagian anak merasakan lapar pada waktu sekolah dan lebih dari 80% sangat senang untuk mendapat  biscuit  setiap  hari.  Ditemukan  70%  anak  dapat  menghabiskan  1  pak,  20%  anak menghabiskan ½-1 pak, 10% <½ pack pak biskuit dengan asupan zat besi, zink, kalsium dan vitamin yang lebih tinggi dari biasanya. Dibanding dengan data dasar, terlihat terjadi penurunan prevalensi anemia dari 23,9% menjadi 10% dan cadangan besi yang rendah dari 25,7% menjadi 19,6%, serta untuk anak-anak di kabupaten Tangerang berkurangnya keluhan sakit. Nilai rata-rata kognitif anak yang dinilai berdasarkan % nilai maksimummembaik untuk semua aspek (seperti: kemampuan berbahasa, kemampuan memberikan alasan, penglihatan, konsentrasi, menghafal dan mengingat) untuk anak di kabupaten Tangerang, demikian juga di Jakarta Barat dan Kota Tangerang kecuali untuk kemampuan memberikan alasan dan mengingat. Dari studi ini dievaluasi bahwa prevalensi gizi kurang tidak berubah (21.8% Jakarta Barat, 23.5% Kota Tangerang, 39.0% kabupaten Tangerang). Hasil temuan lainnya adalah pengetahuan anak untuk kesehatan dan gizi masih  belum  baik  dan  prevalensi  kecacingan  yang  masih  30%  di  kabupaten  Tangerang. Direkomendasikan  agar  partisipasi  institusi  terkait  perlu  dioptimalkan  untuk  meningkatkan pendidikan atau pengetahuan tentang kesehatan dan gizi kepada guru sekolah, penjaja makanan di sekolah dan juga  sosialisasi untuk  orang tua murid. Keberadaan materi penyuluhan atau pendidikan  tentang  pentingnya  fasilitas  sanitasi  serta  program  kecacingan  juga akan  dapat meningkatkan keefektifan program.
“MAKAN YANG BENAR SEHATKAN BADAN”: PROGRAM PENDIDIKAN GIZI SEIMBANG UNTUK ANAK USIA SEKOLAH DENGAN PENDEKATAN REGULASI DIRI Kolopaking, Risatianti; Firmansyah, Agus; Umar, Jahja; Fahmida, Umi
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Abstract

The school- aged years are a critical time for delivering nutrition education to children because that is the time that cognitive- motivational processes emerge as an important influence on food choices. Conventional methods of delivering nutritional message emphasize on knowledge acquisition; however, experiential knowledge is more effective to promote healthy eating behavior among children. The current study used self-regulatory approach and social cognitive learning technique to develop nutrition education program for 3rd and 4th grades mid-low income children. Until now, there has not been any study on nutrition education in Indonesia that focuses on developing skills and behaviors related to areas of food and eating habits. The general objective of the study is to identify the effectiveness of the program by assessing dietary intake as a combined measure of children’s self-regulation of food choice, children’s selfmotivation, and maternal self-efficacy on the home food environment. Based on formative study, culturally tailored and age-appropriate in-class lessons adapted from Indonesian food dietary guidelines were designed for mid- to low-income children in an urban area of Jakarta. Students received 24 in -class sessions, 45 minutes each session twice a week, for a 12-week intervention taught by nutrition professionals. Both school teachers and parents were involved in the program. Outcome evaluations were studied using a quasi-experimental design with the intervention (n=137) and comparison (n=120) groups combined for three assessment periods: pre-intervention, post-intervention and follow-up (12 weeks after post-intervention). Participants were pair of children and their mothers. To answer the research questions, a multiple group structural equation model (SEM) with a structured mean analysis was used. The results suggest that nutrition education program with a self-regulatory approach had a significant effect in improving children’s self-regulatory behaviors in terms of food choice and maternal self-efficacy on home food environment. The results also showed that the program had a significant sustain able effect in terms of improving children’s dietary intakes. Using self-regulatory model, the results suggest that there are two approaches to implement the program. One approach is to modify maternal self-efficacy on the home food environment to improve children’s self-motivation and their dietary intake; another is to directly modify children’s self-regulation of food choice to improve their dietary intake.Keywords: school-aged children; nutrition education; maternal self-efficacy; self-motivation; self-regulation
DEMAND ANALYSIS FOR STRATEGIC FOOD IN INDONESIA DURING ECONOMIC CRISIS AND ITS IMPLICATION ON FOOD CONSUMPTION AMONG HOUSEHOLDS WITH CHILDREN UNDER TWO YEARS Resti Mauludyani, Anna Vipta; Fahmida, Umi; Santika, Otte
GIZI INDONESIA Vol 36, No 1 (2013): Maret 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (194.657 KB) | DOI: 10.36457/gizindo.v36i1.114

Abstract

The objective of  the  study  is  to analyze demand elasticity for strategic foods  during economic crisis and its  implication  on  food and  nutrient consumption among  household  in Indonesia.  This ecological study was  conducted  to  14,767  households  owned  children  less  than  two  years  included  in  National Socioeconomic  Survey  2007.  Analysis  was  conducted  by  using  econometric  model  of  Double-Log Regression in SAS program. Result of analysis showed that the own-price elasticities were all found to be negative  as  expected,  meaning  that  increased  price  of  strategic  food  tended  to  reduce  its  demand.  Inconclusion, the effect of  food crisis was visible to most of the strategic foods   which their demand tendedto be highly affected by price changes. This effect was mostly seen in rural and low income household swhich  had  limited  income  to  purchase  food.  Improved  income  tended  to  increase  demand  of  strategic foods. Demand on protein sources were highly affected by income changes.Keywords: demand analysis, strategic food, food consumption, nutrient intake.
Development of Food-Based Recommendation and Nutrient-Dense Meal for Female Shift Workers in West Java, Indonesia Puji Lestari, Shanti; Adi, Nuri Purwito; Fahmida, Umi; Kusuma Dewi, Dian; Mansyur, Muchtaruddin
Occupational and Environmental Medicine Journal of Indonesia Vol. 1, No. 1
Publisher : UI Scholars Hub

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Abstract

Introduction. Some manufacturing industries employ not only male workers but also female workers, who are required to undergo shift work. Given the altered eating habits as well as metabolic and endocrine profiles of shift workers, this will affect their nutritional needs. Considering that anemia that occurs in female workers is primarily nutritional anemia, this becomes a challenge in the field of occupational nutrition, especially in terms of preparing food for female workers in accordance with their nutritional needs. The aim of the study is to develop a set of FBR for female shift workers using the Linear Programming (LP) approach. Methods. Dietary data were collected in a cross-sectional survey of female shift workers (n=106) working at a textile factory in Sumedang District, West Java, Indonesia, and a market survey in two local markets. Optifood software was used for LP analysis particularly to identify problem nutrients, and nutrient-dense foods, and compare alternative FBRs. The nutrient-dense menu was developed using the identified nutrient-dense foods. Results. The problem nutrients were iron (absolute) and calcium (partial), and the remaining nutrients were still dietary inadequate. The nutrient-dense menu including iron-rich and folate-rich foods can fulfill the nutrient gap for iron from the final FBR (15% RNI of the 7% RNI). Conclusion. The inclusion of a nutrient-dense menu for the female factory workers helped to meet the nutrient gap for iron which is the absolute problem nutrient in the optimized FBR. The promotion of optimized FBR and the provision of a nutrient-dense menu should be part of the occupational nutrition program.
Perceptions, practices, and associated factors towards expressed breastfeeding among mothers in Jakarta, Indonesia Pambudi, Wiyarni; Dewanto, Naomi Esthernita Fauzia; Yusra, Yusra; Werdhani, Retno Asti; Endaryanto, Anang; Fahmida, Umi; Alatas, Fatima Safira; Hegar, Badriul
Paediatrica Indonesiana Vol. 64 No. 2 (2024): March 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.2.2024.168-75

Abstract

Background Expression of breast milk is a strategy to ensures continuous breastfeeding during temporary separation of infant from the mother. Handling and storage of expressed breast milk (EBM) should be based on established recommendations because these practices can affect milk quality and safety. Objective To describe perceptions and practices of EBM handling and storage, compare with commonly used recommendations and associated factors influencing these practices among mothers in Jakarta, Indonesia, Methods Mothers who practiced expressed breastfeeding (EBF) to their 6-12 weeks-old infants completed questionnaires about their peceptions and practices on how they handle and storage EBM. The differences in perceptions and practices about expressed breastfeeding management were analyzed using the Chi-square or Fisher's exact test. Results Among 30 mothers, 14/30 gave EBF exclusively, 19/30 used breast pump, and 26/30 expressed ³6 times/day. Infants in this study received expressed milk 5-10 times per day. Maternal age and resource of information were factors significantly associated with mother’s perceptions, while maternal age, education, and parity were significantly associated with the practices of EBM handling and storage. Conclusion This study reveals inconsistent perceptions and practices on expressed milk handling and storage by the mothers. They have good knowledge about the theoretical aspects of expressed breastfeeding, but some other techniques are poor, which can be detrimental to the health of the infants. Further study is needed to find more efficient and optimal methods of expressed milk handling and storage, necessitating thoughtful consideration of better practices and recommendations.
The differences of child feeding practices between working mothers and daycare staff in daycare Setiyaningrum, Hanna Yuni; Fahmida, Umi; Anggorowati, Rita
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0037

Abstract

Child feeding practices between working mothers and daycare staff play an important role in children’s dietary intake. This study aims to compare child-feeding practices between working mothers and daycare staff. Additionally, the study explores the perspectives of working mothers, daycare staff, and management regarding their roles in child feeding practices to the children.
Diet quality and ultra-processed food consumption among adolescent girls Aged 12-19 years old Oktaviani, Endang; Ameline, Amanda Safiera; Htet, Min Kyaw; Fahmida, Umi
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0011

Abstract

Healthy dietary patterns during adolescence are essential for achieving optimal nutrition, reducing the risk of obesity, and preventing non-communicable diseases (NCDs) in adulthood. However, the abundant availability and frequent consumption of ultra-processed foods (UPFs) and foods that are high in sugars, saturated fats, salt, and poor in essential nutrients contribute to poor diet quality, which may increase the risk of obesity and NCDs. Assessing adolescent diet quality is essential to support evidence-based public health interventions.
Effect of food-based and iron-folic acid (IFA) supplementation on nutrient intakes in pregnant women Meisara, Naura Delfi; Fahmida, Umi; Laily, Noer
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0013

Abstract

Nutrient deficiencies during pregnancy are worsened by poor intake and low adherence to supplementation. This study aimed to assess the impact of a food-based intervention using soy-hydrolysate and iron-folic acid (IFA) supplementation on the nutrient intake of pregnant women. This study aimed to assess the impact of a food-based intervention using soy-hydrolysate and iron-folic acid (IFA) supplementation on the nutrient intake of pregnant women
The association between animal source food intake and growth among preschool children in Jakarta Hidayatulloh, Agus; Fahmida, Umi; Kolopaking, Risatianti; Harjatmo, Titus Priyo; Pritasari, Pritasari
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0025

Abstract

Background: Animal-source foods (ASF) are a source of high-quality protein and bioavailable micronutrients such as iron and zinc, which are important for the growth of preschool children. However, despite high ASF intake, malnutrition in Jakarta is above the national prevalence. The types of ASF consumed may have contributed to this. Objective: This study aims to investigate the association between ASF intake and height-for-age Z-scores (HAZ) among preschool children aged 4–6 years in Jakarta.
Cluster Analysis of Food Consumption Patterns among Women of Reproductive Age in Indonesia Humayrah, Wardina; Hardinsyah; Tanziha, Ikeu; Fahmida, Umi
Jurnal Gizi dan Pangan Vol. 14 No. 3 (2019)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (30.937 KB) | DOI: 10.25182/jgp.2019.14.3.117-126

Abstract

The aim of this study was to cluster the provinces based on the Food Consumption Patterns (FCP) of the Women of Reproductive Age (WRA). This study used secondary data from the 2014 Indonesia Total Diet Study conducted by the Ministry of Health Indonesia. The final subjects included 40.954 healthy WRA aged 15-49 years old. FCP was calculated based on energy adequacy of WRA of nine major food groups for each province. The hierarchical clustering with Ward's method was applied to cluster the FCP of WRA. The results showed that three clusters of FCP were found. The first cluster was characterized by higher intake of cereals and animal foods, but lower intake of tubers, vegetables, and fruits, which implies a high risk of vitamin B6 and C deficiencies. The second cluster was characterized by higher intake of pulses, oil and fat, oily seeds, and sugar, but lower intake of vegetables and fruits as well as animal source foods, which implies high risk in vitamin B1, B3, and B12 deficiencies and overweight. The third cluster was characterized by higher intake of tubers, fruits, and vegetables but lower intake of animal sources foods, pulses, added fat and oily seeds, which implies a high risk in animal protein, fat, calcium, iron, vitamin B2, and folic acid deficiencies.