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All Journal Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Gizi Klinik Indonesia Amerta Nutrition Buletin Ilmiah Nagari Membangun Majalah Kedokteran Andalas PREPOTIF : Jurnal Kesehatan Masyarakat Jurnal Ners Indonesian Journal of Health Sciences Research and Development (IJHSRD) Warta Pengabdian Andalas: Jurnal Ilmiah Pengembangan Dan Penerapan Ipteks Andalas Dental Journal Jurnal Pangan Kesehatan dan Gizi (JAKAGI) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Jurnal Ilmu Kesehatan Masyarakat Indonesian Journal of Global Health Research
Idral Purnakarya
Fakultas Kedokteran Universitas Andalas
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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ANALYSIS OF DETERMINANTS OF WASTING INCIDENCE AMONG CHILDREN AGED 12–59 MONTHS IN THE WORKING AREA OF KAYU GADANG PUBLIC HEALTH CENTER IN 2025 : WASTING INCIDENCE AMONG CHILDREN Ofalitna, Yozha; Purnakarya, Idral; Azrimaidaliza, Azrimaidaliza
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 7 No. 2 (2025): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol7.Iss2/324

Abstract

Background: Wasting is a condition of acute undernutrition where a toddler's weight is not appropriate for their height, or the z-score is below -2SD. This study aims to analyze the determinants of wasting among children aged 12–59 months in the working area of Kayu Gadang Public Health Center in 2025. Methods: This research uses a mixed methods approach, which is a combination of quantitative and qualitative methods. The quantitative method applies a cross-sectional approach, while the qualitative method uses a case study approach. The strategy used is the Convergent Parallel Design, in which both quantitative and qualitative data are collected and analyzed simultaneously (in parallel). The sampling technique applied is proportional random sampling, with a total of 104 samples. Data analysis in this study includes multivariate analysis using the Backward LR test. Results: The results show that energy intake (p-value 0.001), protein intake (p-value 0.001), carbohydrate intake (p-value 0.003), fat intake (p-value 0.005), infectious disease (p-value 0.647), mother's knowledge (p-value 0.001), completeness of immunization (p-value 0.004), and environmental sanitation (p-value 0.001) are statistically significantly associated with wasting among children aged 12–59 months. Family income (p-value 0.647), mother's education (p-value 0.070), and exclusive breastfeeding history (p-value 0.211) are not statistically significantly associated with wasting in this age group. Multivariate analysis showed that the most dominant factor associated with wasting was protein intake. Conclusion: There is a significant relationship between macronutrient intake (energy, protein, carbohydrates, fat), infectious diseases, maternal knowledge, completeness of immunization, and environmental sanitation with the incidence of wasting. The most dominant factor is protein intake.
Kontribusi Aktifitas Fisik dan Asupan Zat Gizi terhadap Densitas Massa Tulang Pegawai Negeri Sipil Azrimaidaliza; Idral Purnakarya; Dien Gusta Anggraini Nursal
Jurnal Ilmu Kesehatan Masyarakat Vol. 1 No. 3 (2010): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Faculty of Public Health, Universitas Sriwijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Latar Belakang: Penyakit osteoporosis merupakan penyakit tulang yang paling sering didapat, disebut juga silent disease yang tidak memiliki gejala sampai penderita mengalami patah tulang. Prevalensi osteopenia di Indonesia mencapai 41,8 % sedangkan osteoporosis 10,3 % (2005). Tujuan penelitian adalah mengetahui hubungan aktifitas fisik dan faktor lain yang berhubungan dengan densitas massa tulang.Metode: Desain penelitian yang digunakan cross sectional study dengan sampel pegawai Dinas Pendidikan Pemuda dan Olahraga Propinsi Sumatera Barat yang diperiksa densitas massa tulangnya oleh PT. Fonterra Brands Indonesia pada bulan Februari 2009.Hasil: Hasil penelitian didapatkan 52,1% responden laki-laki, 64,9 % berpendidikan perguruan tinggi, 10,4 % mempunyai riwayat keluarga osteoporosis dan 22,2 % responden wanita menggunakan alat kontrasepsi. Asupan kalsium responden 100 % kurang, sedangkan asupan fosfor dan vitamin D responden kategori lebih berturutturut 28,7% dan 18,1%. Aktifitas fisik responden 40,4% kurang aktif, 41,5% mengalami gizi lebih, 16 % menderita osteoporosis dan 40,4 % osteopenia.Kesimpulan: Dari hasil analisis korelasi regresi diketahui semakin tinggi aktifitas fisik responden maka semakin tinggi densitas massa tulang responden (r = 0,225). Disarankan pegawai perlu meningkatkan aktifitas fisik terutama berolahraga secara teratur, terutama olahraga yang berhubungan dengan kepadatan tulang, seperti senam beban atau senam osteoporosis dan meningkatkan intensitas kegiatan di luar ruangan sehingga dapat terpapar sinar matahari pagi hari atau sore hari yang mengandung ultraviolet yang baik untuk mengaktifkan vitamin D sehingga dapat membantu penyerapan kalsium dan fosfor.Kata Kunci: aktifitas fisik, densitas massa tulang, pegawai, olahraga, kalsium
Analisis Komparasi Pengaruh Anemia dan Kekurangan Energi Kronis Selama Kehamilan terhadap Berat Badan Lahir Rendah: Meta-Analisis: Comparative Impact of Maternal Anemia and Chronic Energy Deficiency on Low Birth Weight: Meta-Analysis Utami, Citra Tristi; Azrimaidaliza, Azrimaidaliza; Purnakarya, Idral; Dwinatrana, Khiky; Habibi, Nur Ahmad
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.431-440

Abstract

Background: Low birth weight (LBW) remains a major public health problem, particularly in low- and middle-income countries. It contributes substantially to neonatal morbidity and mortality. Some of the risk factors for LBW are maternal anemia and chronic energy deficiency (CED). These conditions are common during pregnancy and preventable. Objectives: This study aimed to analyze the comparation between maternal anemia and chronic energy deficiency during pregnancy and the risk of low birth weight. Methods: A systematic search of PubMed and Scopus was conducted for studies published between January 2020 and July 2025. Of 1,121 records identified, 22 observational studies (case–control and cohort) met the inclusion criteria. Studies evaluating the association of maternal anemia or CED with LBW were included. Data were extracted independently by two reviewers. Meanwhile, data analysis involved multiple methods. For example, pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using meta-analytic models. Heterogeneity was assessed using the I² statistic, and publication bias was evaluated using funnel plots. This study’s protocol was registered in PROSPERO (CRD420251138329). Discussions: From 22 studies, 19 studies assessed maternal anemia (n = 16,219), and 11 studies assessed CED (n = 4,440). Maternal CED was associated with a nearly threefold increased risk of LBW (OR = 2.98; 95% CI: 2.07–4.29; I² = 82%), while maternal anemia increased the risk by 2.4 times (OR = 2.44; 95% CI: 1.73–3.43; I² = 86%). Funnel plots showed no substantial publication bias. Conclusions: Both maternal anemia and chronic energy deficiency are significantly associated with an increased risk of low birth weight, with CED demonstrating a stronger association. Strengthening antenatal nutritional interventions is essential to prevent LBW incidences.
Analisis Determinan Prestasi Belajar pada Siswa Penerima Program Makanan Bergizi Gratis (MBG) di SMP Kota Payakumbuh Abdul Haris; Denas Symond; Idral Purnakarya
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.56379

Abstract

Chronic undernutrition in Indonesian school-aged children, with a 21.6% stunting prevalence (SSGI 2022), impairs cognitive development and academic performance in junior high school (SMP) students. This study aimed to identify determinants of academic achievement among Free Nutritious Meals Program (MBG) recipients in SMP Kota Payakumbuh, including nutritional status (BMI-for-age), attendance, MBG acceptability, and breakfast habits. An explanatory sequential mixed-methods cross-sectional design was applied to 243 eighth-grade students at SMPN 4 and SMPN 6 (February–March 2026), using anthropometry, SQ-FFQ, Comstock observation, questionnaires, and SPSS analysis (univariate, chi-square bivariate, logistic regression). Most students showed good nutritional status (70.4%), high attendance (93.4%), and good achievement (75.7%), but low MBG acceptability (46.1% poor) and suboptimal breakfast habits (61.3% skipping). Bivariate analysis indicated significant associations of nutritional status (p=0.035) and attendance (p=0.001) with achievement, whereas MBG acceptability (p=0.997) and breakfast habits (p=0.718) were not significant. These results underscore MBG's potential to enhance achievement via improved nutrition and school participation, recommending menu diversification and sustained nutrition education. (178 words) Keywords: Free Nutritious Meals Program, academic achievement, nutritional status, junior high school students.
Edukasi Body Image, Stres, dan Status Gizi untuk Meningkatkan Kesehatan Remaja di SMPN 14 Pauh Padang Fhadilla Amelia; Muhammad Hairil; Muhammad Tsaqif; Adisti Qamahadlina Larasati; Idral Purnakarya
BULETIN ILMIAH NAGARI MEMBANGUN Vol. 8 No. 4 (2025)
Publisher : LPPM (Institute for Research and Community Services) Universitas Andalas Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/bina.v8i4.814

Abstract

Adolescents represent a population highly vulnerable to psychological and nutritional challenges. Global reports indicated that more adolescents experience mental health problems and national surveys showing rising concerns related to stress, body image, and unhealthy dietary habits. Academic pressure, peer dynamics, and widespread exposure to idealized body standards on social media further contribute to negative body image, increased stress levels, and poor eating behaviors. This community service program aimed to enhance students’ knowledge and awareness regarding body image, stress, and nutritional status through a structured school-based educational intervention. The activity was conducted at SMPN 14 Pauh, Padang City, involving 53 students. A pre–post intervention design was implemented, utilizing interactive presentations, participatory discussions, and brief ice-breaking activities, followed by pre-test and post-test assessments to measure changes in knowledge. A satisfaction survey was also administered to evaluate students’ perceptions of the session. The results demonstrated a significant increase in students’ knowledge scores after the educational session (p<0.001), with the highest improvement in questions related to body image and nutritional status. More than 90% of students expressed satisfaction with the materials, delivery methods, and the program’s relevance to their daily lives. These findings indicate that a short, targeted school-based intervention can effectively improve adolescents’ literacy in nutrition and mental well-being. Strengthening continuous programs through school health units and curricular integration is recommended to ensure sustained benefits and long-term impact on adolescent health.
Is Mother’s Education Important for Preventing Stunting?: A Systematic Review Sri Rahmi Putri Mawardi; Azrimaidaliza Azrimaidaliza; Idral Purnakarya
Indonesian Journal of Global Health Research Vol. 8 No. 1 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i1.711

Abstract

Stunting is a condition of growth failure in children under five caused by chronic malnutrition that occurs over a long period, characterized by a z-score value of less than -2 standard deviations. The global prevalence of stunting among children under five in 2024 was 23.2%. This study aims to collect evidence from published articles regarding the relationship between maternal education and the risk of stunting. This study employed a systematic review method following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Article searches were conducted using three databases: ScienceDirect, MDPI, and PubMed. The inclusion criteria for this study were articles published between 2021 and 2025, while the exclusion criteria were duplicate articles, those without full text, those with irrelevant titles or abstracts, and systematic reviews. A total of 827 articles were identified, 16 articles were reviewed (2 from ScienceDirect, 1 from MDPI, 13 from Pubmed), consisting of 14 cross-sectional studies and 2 cohort studies. The review found that almost all studies demonstrated a significant association between maternal education and stunting incidence. These findings were consistent across various countries, including Indonesia, Ethiopia, China, Uganda, Iran, Bangladesh, and several regions in Africa. Maternal education has been proven to be associated with the risk of stunting among children under five. The lower the mother’s level of education, the higher the risk of stunting; conversely, higher maternal education is associated with a lower risk of stunting. Several countries have implemented both health and non-health sector programs to prevent stunting. In Brazil, initiatives to improve women’s access to education have successfully reduced stunting prevalence, whereas such programs have not yet been implemented in Indonesia.  
DETERMINANTS OF IRON AND FOLIC ACID SUPPLEMENTATION ADHERENCE AND ITS IMPACT ON ANEMIA AMONG PREGNANT WOMEN: A SYSTEMATIC LITERATURE REVIEW : ANEMIA AMONG PREGNANT WOMEN Elsa Widyavihusna; Idral Purnakarya; Azrimaidaliza Azrimaidaliza
INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) Vol. 8 No. 1 (2026): INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT
Publisher : STIKes Mandala Waluya Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36566/ijhsrd/Vol8.Iss1/376

Abstract

Background: Anemia in pregnant women remains a major global public health problem, particularly in developing countries, including Indonesia. One of the primary interventions to prevent anemia is iron supplementation. However, the effectiveness of this intervention is highly dependent on adherence to iron tablet consumption among pregnant women. This study aims to analyze the determinants of adherence to iron supplementation and its impact on anemia through a synthesis of international and national studies. Methods: The method used was a literature review of five reputable scientific articles with cross-sectional and case-control designs. The analysis was conducted using a descriptive narrative approach with thematic synthesis focusing on determinants and anemia outcomes.Results: The results show that adherence to iron supplementation remains low, with an average below 50%. The main determinants include maternal education, socioeconomic status, antenatal care (ANC) visits, access to healthcare services, and exposure to health information. In addition, program-related factors such as social assistance and the quality of healthcare services also play a role. Adherence to iron supplementation has been shown to significantly reduce the risk of anemia, with an estimated reduction of more than 25%.Conclusion: It can be concluded that anemia in pregnancy is a multifactorial problem influenced by individual, social, and healthcare system factors. Interventions to improve adherence should be carried out comprehensively through education, strengthening ANC services, and optimizing community-based health programs.
Determinan Stunting Pada Anak Usia 6–23 Bulan di Wilayah Perdesaan dan Perkotaan: Tinjauan Sistematis Terhadap Studi Observasional Wahyuni Sari Zein Lubis Lubis; Idral Purnakarya; Denas Symond
Jurnal Ners Vol. 10 No. 4 (2026): OKTOBER 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.63904

Abstract

Stunting pada usia 6–23 bulan terjadi pada periode ketika kebutuhan gizi meningkat, pola makan mulai berubah, dan paparan terhadap penyakit serta lingkungan menjadi lebih luas. Tinjauan sistematis ini bertujuan mensintesis faktor-faktor yang berhubungan dengan stunting pada anak usia 6–23 bulan di wilayah perdesaan dan perkotaan. Pencarian utama dilakukan di PubMed dan Google Scholar, dilengkapi penelusuran literatur terarah dan penelusuran sitasi; seleksi mengikuti PRISMA 2020. Studi yang diikutkan merupakan penelitian observasional analitik terbit tahun 2016 sampai 1 Oktober 2026, menggunakan stunting sebagai outcome kategorikal, dan melaporkan hasil multivariat. Sebanyak 38 studi memenuhi kriteria: 30 cross-sectional, lima case-control, dan tiga cohort/longitudinal; 24 memberikan bukti teradjust spesifik rural, 11 spesifik urban/peri-urban/semi-urban, dan tiga menyediakan estimasi stunting teradjust yang dapat dibandingkan secara langsung antara rural dan urban. Faktor anak, praktik pemberian makan, serta faktor maternal dan keluarga menunjukkan pola paling konsisten. Faktor sosial ekonomi, WASH, pelayanan kesehatan, dan morbiditas juga berperan, tetapi hasilnya lebih heterogen. Analisis sensitivitas tidak mengubah pola utama. Bukti komparatif rural–urban masih terbatas sehingga belum cukup untuk menyimpulkan perbedaan efek yang konsisten antarwilayah.
Co-Authors Abdul Haris Adisti Qamahadlina Larasati - Amelia, Fhadilla Arymbi Pudjiastuty Azrimaidaliza Coloay, Yuliany Christy Denas Symond Deni Elnovriza Desy Purnama Sari Dewi Merien Sari Dwinatrana, Khiky Elsa Widyavihusna Erwinda Erwinda Febri Zulliadi Firdaus Firdaus Hafifatul Auliya Rahmy Hafifatul Auliya Rahmy Helfina, Riska Indrawaty Lipoeto Lipoeto, Indrawaty Lubis Lubis Mahdalena Mahdalena Muhammad Hairil Muhammad Tsaqif Mutia Rahma Nur Ahmad Habibi Nur Indrawaty Lipoeto Ofalitna, Yozha Prima Ulva Rasyid Avicena Sri Rahmi Putri Mawardi Sri Ramayanti Syahrial Utami, Citra Tristi Welly Femelia Yuliany Christy Coloay