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Determinants of Exclusive Breastfeeding, Early Breastfeeding Cessation, and Recurrent Infections among Stunted Under-Five Children Dwi Rezeki Auliah; Darmin Darmin; Dea Zara Avila; M.Noris M.Noris
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11353

Abstract

Stunting—characterized by height that is inappropriate for a child's age—is a health issue that poses a long-term threat to a toddler's well-being if left unaddressed. This condition reflects chronic, persistent nutritional deficiency, which has the potential to hinder physical growth, intellectual development, and future productivity. This study aimed to analyze the associations between exclusive breastfeeding, early cessation of breastfeeding, and recurrent infections among stunted toddlers in the working area of the Langgudu Timur Community Health Center (Puskesmas). Methods: A quantitative study was conducted using a case-control design and a retrospective approach involving 90 respondents—mothers of toddlers with either normal nutritional status or stunted status. Sampling was carried out using a combination of probability and purposive sampling. Results: Statistical analysis using the Chi-Square test revealed significant associations between stunting and the variables studied: exclusive breastfeeding (p-value = 0.003 < 0.05; OR = 4.64), early cessation of breastfeeding (p-value = 0.000 < 0.05; OR = 11.00), and recurrent infections (p-value = 0.000 < 0.05; OR = 5.38). It is recommended that all stakeholders strengthen stunting prevention efforts by promoting exclusive breastfeeding for the first six months of life, continuing breastfeeding until the child is two years old or older, and enhancing early prevention and management of infections in toddlers.
Association Between The Implementation Of the Four Pillars Of Balanced Nutrition and Type 2 Diabetes Mellitus Among Elderly: A Case–Control Study Nur Arfatunnisah; Nur Husnul Khatimah; Darmin Darmin; Juraidin Juraidin
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11373

Abstract

Type 2 Diabetes Mellitus (DM) is a non-communicable disease that has become a public health problem because its incidence continues to increase, especially among the elderly. One of the efforts to prevent and control this disease is the implementation of the four pillars of balanced nutrition, namely consuming a diverse diet, engaging in physical activity, practicing clean and healthy living behavior (CHLB), and monitoring body weight. This study aimed to determine the effect of implementing the four pillars of balanced nutrition on the incidence of Type 2 Diabetes Mellitus among the elderly in the working area of Penanae Public Health Center. This study used a quantitative method with a case-control design. The population consisted of 142 individuals, with a sample of 104 respondents comprising 52 respondents with Type 2 Diabetes Mellitus and 52 respondents without Type 2 Diabetes Mellitus selected using purposive sampling. Data were collected through questionnaires and analyzed using the Chi-Square test. The results showed a significant association between dietary diversity and Type 2 DM (p=0.000), physical activity (p=0.001), CHLB (p=0.000), and body weight monitoring (p=0.002). In conclusion, the four pillars of balanced nutrition influence the incidence of Type 2 Diabetes Mellitus among the elderly in the working area of Penanae Public Health Center. It is recommended that health education and promotion programs be strengthened to increase public awareness, particularly among the elderly, in adopting healthy lifestyles consistently as an effort to prevent and control Type 2 Diabetes Mellitus.Keywords: Type 2 Diabetes Mellitus, Elderly, Four Pillars of Balanced Nutrition,Diverse Diet, Physical Activity, Clean and Healthy Living Behaviors, Body Weight Monitoring.
Association of Exclusive Breastfeeding, Dietary Diversity, and Feeding Practices with Stunting among Under-Five Children Nursahida hida; Darmin Darmin; Alkhair Alkhair
MESINA (Medical Scientific Journal) Vol 7, No 1 (2026): Medical Scientific Journal (MESINA)
Publisher : Universitas Muhammadiyah Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/msj.v7i1.11415

Abstract

Stunting is a chronic nutritional problem that can hinder children’s growth and development. This study was conducted to determine the relationship between exclusive breastfeeding, dietary diversity, and parenting practices and the prevalence of stunting among toddlers in the service area of the Penana’e Community Health Center. This study used a quantitative analytical design with a cross-sectional approach. The sample size for this study was 78 toddlers selected using simple random sampling. Data were collected via questionnaires and anthropometric measurements, then analyzed using the Chi-Square test and Fisher’s Exact Test. The results showed that 38 toddlers (48.7%) were classified as stunted, while 40 toddlers (51.3%) were not stunted. The majority of respondents had a history of insufficient exclusive breastfeeding (57.7%), insufficient dietary diversity (53.8%), and parenting practices classified as good (94.9%). The results of the analysis show that exclusive breastfeeding is not significantly associated with the incidence of stunting, with a p-value of 0.672. Similarly, dietary diversity does not show a significant association with the incidence of stunting, with a p-value of 0.807, and parenting practices are also not significantly associated with the incidence of stunting, with a p-value of 0.352. Thus, it can be concluded that exclusive breastfeeding, dietary diversity, and parenting practices do not have a statistically significant association with the incidence of stunting in toddlers. 
"The Association of Obesity, Excessive Salt Intake, and Physical Activity with the Incidence of Hypertension at Penanae Community Health Center." Zuarda Jumainap Rumjani; Darmin Darmin; Muammar Iksan; Juraidin Juraidin
Syifa'Medika Vol 17, No 1 (2026): Syifa Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Faculty of Medicine

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32502/sm.v17i1.11271

Abstract

Hypertension is a noncommunicable disease that poses a public health problem because it increases the risk of cardiovascular disease, stroke, and kidney failure. Obesity, excessive salt intake, and physical activity are factors believed to be associated with the incidence of hypertension. This study aimed to determine the association between obesity, excessive salt intake, and physical activity with the incidence of hypertension at the Penanae Community Health Center. An analytical observational study with a cross-sectional design was conducted at the Penanae Community Health Center from May to June 2026 among 106 respondents selected using purposive sampling. Respondents were patients aged ?15 years, including pregnant women, who visited the center during the study period and were able to communicate effectively. Blood pressure was measured using a sphygmomanometer by health workers; obesity was determined based on body mass index (BMI); excessive salt intake was assessed using the Semi-Quantitative Food Frequency Questionnaire (SQFFQ); and physical activity was measured using the International Physical Activity Questionnaire (IPAQ). Data analysis was performed using the chi-square test and multiple logistic regression. The results showed no association between obesity (p=0.182) or high salt intake (p=0.370) and hypertension. Physical activity was significantly associated with hypertension (p=0.021) and was the dominant factor based on multivariate analysis (OR=4.118; 95% CI=1.237–13.705). Physical activity is a factor associated with the incidence of hypertension; therefore, increasing physical activity is necessary as a measure to prevent and control hypertension. 
Co-Authors Abel Oktaviani Adnan Agustin A Agustin Agustin Ahmad Ahmad Airin Aldy Alhidayah A Aliyah Putri Dadu Alkhair, Alkhair Almagfirah Almagfirah Anggi Mokoagow Arif Ramadhan Arini Arini Aulya Rizkyna Putri Christien Gloria Tutu Dea Zara Avila Distiqamah Dwi Rezeki Auliah Echa Effendy Siswanto Amir Eka Puji Lestari Eka Puzi Lestari Erham Erham Fachry Rumaf Fanisha Simbuang Simbuang Faramita Mamonto Fauzan, Moh Rizki Ferdiansyah Ferdiansyah Gilang Saputra Bida Gufran Hairil Akbar Hairil Akbar Harlina Natalia Helkim Sarino Laode Manika Henny Kaseger Heriyana Amir Ilham Jefri Monoarfa Jikrun Jaata Juhriati Juhriati Juraidin Juraidin Juraidin Juraidin Juraidin Juritno Harmi Gaib Kaseger, Henny Khafia Khairun Nisa Mokodompit Lulu Mufidah M. Noris Mastorat Mastorat Mastorat Meylanni Mokodongan Muammar Iksan Muammar Iksan Muh Fitrah Muhammad Ichsan Hadiansyah Muhammad Ichsan Hadiansyah Muhd Firmansyah Muhd Firmansyah Muslimah Muzayyana, Muzayyana Nasrullah Nelby Nur Magfirah Mokodompit Mokodompit Ns. Suci Rahayu Ningsih Nur Arfatunnisah Nur Faujiah Nur Husnul Khatimah Nur Husnul Khatimah Nurilah Kuswanti Nurismutiaraquranis Nursahida hida Nurul Mifta Amalia Putra Jufriyandi Mokodompit Rahayu Sapii Rhosmiati Rhosmiati Ririn Damopolii Ros Diani Sagaf, Umar Sarman Sarman Sitti Nurul Hikma Saleh Strahmawati Hamzah Sudirman Sudirman Sudirman Sutriawan Syafruddin Trinurjana Husain Ummu Rofikah Wahyudinsyah walliyudin walliyudin Walliyudin Walliyudin Windi Wulandari Kadir Wulan Apriati Zuarda Jumainap Rumjani