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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) Ilmu Gizi Indonesia Amerta Nutrition World Nutrition Journal Journal of Community Empowerment for Health Journal of Food Technology and Health Journal of Indonesian Specialized Nutrition JHE (Journal of Health Education) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Helda Khusun
University of Indonesia
Agriculture, Biological Sciences & Forestry Education Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Materials Science & Nanotechnology Medicine & Pharmacology Nursing Public Health Other

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OBESOGENIC ENVIRONMENT IN INDONESIA: A LITERATURE REVIEW OF ENVIRONMENTAL DETERMINANTS OF OBESITY Latifah , Suci; Khusun, Helda; Kekalih, Aria; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Abstract

Background: Obesity is a complex public health issue influenced by multiple determinants, including environmental factors that promote excessive calorie intake and physical inactivity, known as obesogenic environments. Objective: This literature review is to broaden understanding the environmental determinants of obesity in Indonesia. Method: A narrative literature review was conducted focusing on studies published between 1999 and 2024. Sources were retrieved from databases including PubMed, WHO Global Health Observatory, and national health surveys such as Riskesdas. The ecological framework by Swinburn et al. (1999) was used to analyse environmental influences on obesity. Results: Findings indicate that built and food environments play significant roles in shaping obesity patterns in many places. Studies show increasing obesity prevalence in both urban and rural Indonesia, with environment-related factors such as food availability, urbanization, and reduced physical activity opportunities contributing to this trend. Conclusion: Food environment, land use and physical infrastructure were identified as potential proxies for obesogenic environments in Indonesia. Further studies are needed to evaluate and validate these proxies to support the development of environments conducive to healthy lifestyles and to reduce obesity prevalence.
VARIATIONS IN FOOD NORMS AND PRACTICES BY MEAL TIMES AMONG INDIVIDUALS AGED 18-35 IN URBAN INDONESIA: AN ANALYSIS OF THE 2018 INDONESIAN FOOD BAROMETER Dziljian, Faradiva Tama; Badzlina, Fildzah; Khusun, Helda; Februhartanty, Judhiastuty
Media Gizi Indonesia Vol. 20 No. 3 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i3.304-311

Abstract

The culinary history of Indonesia reflects its rich diversity, influenced by cultural, social, and economic factors. In this context, food norms and practices vary across the country, particularly in terms of food selection and consumption. Food norms refer to cultural expectations and rules surrounding food choices, while food practices include the actual behavior of individuals during consumption. This study aimed to identify, analyze, and understand the differences between food norms and practices based on meal times in urban areas of Indonesia. To achieve this objective, a quantitative method with a cross-sectional design was adopted, utilizing data from the 2018 Indonesian Food Barometer (IFB). The study was conducted in 6 provinces- West Java, East Java, South Sulawesi, West Sumatra, Jakarta, and Bali-, with subjects aged 18 to 35 years. Furthermore, the collected data were analyzed using IBM SPSS statistical software and the McNemar Test. The results showed that there were differences between food norms and food practices at breakfast, lunch, and dinner. In particular, the largest gap occurred at breakfast, where food norms tended to be healthier than actual practices. In addition, consumption patterns at dinner showed a greater influence of social factors compared to other meal times.
Social Eating Role in Ultra-Processed Food Consumption Among Urban Young Adults: The 2018 Indonesian Food Barometer Arumsari, Imas; Putri, Nabilla Ayusyah; Lathifah, Siti Nur Lulu; Rosalba, Gita Aisyah Astrid; Khusun, Helda; Februhartanty, Judhiastuty; Aini, Rahmatika Nur
Kesmas Vol. 20, No. 2
Publisher : UI Scholars Hub

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Abstract

This study investigated the differences in ultra-processed food (UPF), fruit, vegetable, and total fat consumption in different aspects of social eating among urban young adults. This cross-sectional study used the 2018 Indonesian Food Barometer dataset with 180 participants aged 18–25 years living in urban areas from 6 provinces in Indonesia. The data on social eating (cooking habits, eating out, and eating alone), UPF, fruits, and vegetables were obtained from an extended 24-hour food recall interview. The Mann-Whitney U test (CI 95%) was employed for data analysis. This study found that groups with less frequent cooking habits tended to have more total energy intake, fat intake, and total energy from UPF (p-value
HUBUNGAN ASUPAN PROTEIN, VITAMIN C DAN INDEKS MASA TUBUH DENGAN KEJADIAN ASAM URAT PADA DEWASA DI DESA PADURENAN GUNUNG SINDUR Husin, Ana Srimaldina; Khusun, Helda
Jurnal Teknologi Pangan dan Kesehatan (The Journal of Food Technology and Health) Vol 5 No 2 (2023): Jurnal Teknologi Pangan dan Kesehatan (Journal Of Food Technology And Health) Nov
Publisher : Universitas Sahid

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36441/jtepakes.v5i2.2715

Abstract

Prevalensi penyakit sendi termasuk asam urat di indonesia yaitu 7,3% sedangkan di Kabupaten Bogor sebesar 9,28%. Oleh karena itu, penelitian ini dilakukan untuk menganalisis hubungan asupan protein, vitamin C dan indeks masa tubuh dengan kejadian asam urat pada dewasa. Penelitian ini menggunakan desain cross sectional yang dilakukan di Desa Padurenan Gunung Sindur pada Juli 2023. Responden yang terlibat sebanyak 67 orang. Pengambilan sampel dengan cara purposive sampling. Penelitian dilakukan dengan melakukan penimbangan berat badan dan pengukuran tinggi badan, wawancara recall konsumsi pangan 2 × 24 jam dan pemeriksaan kadar asam urat dengan easy touch GCU. Analisis yang dilakukan adalah analisis univariat dan bivarian menggunakan uji korelasi. Hasil penelitian ini menemukan sebanyak 14 laki laki dewasa (21%) kadar asam urat tinggi dan 30 perempuan dewasa (45%) kadar asam urat tinggi dan tidak terdapat hubungan yang signifikan antara asupan protein (p= 0,689) asupan vitamin C (p= 0,838) dan indeks masa tubuh (p= 0,124) dengan kejadian asam urat. Berdasarkan hasil penelitian disarankan masyarakat mengkonsumsi lebih beragam protein dan mengkonsumsi buah-buahan yang kaya akan vitamin.
Training Needs Assessment on Management of Stunting Reduction Program in Indonesia Februhartanty, Judhiastuty; Birahmatika, Fitya Safira; Fauzia, Khalida; Pramesthi, Indriya Laras; Khusun, Helda; Nurlita, Hera; Hidayat, Ahmad Thohir; Budiharjo, Teguh; Priyatno, Djoko; Sugihantono, Anung; Mansyur, Muchtaruddin
Journal of Health Education Vol. 9 No. 2 (2024)
Publisher : Universitas Negeri Semarang

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Abstract

Background: Stunting has become a priority in Indonesia's development agenda that national and sub-national teams are established with multi-sectoral involvement to tackle the problem However, coordination hurdles, particularly at the mid-level, underscore the need for understanding frontline workers' capacity, prompting a study to conduct a training needs assessment (TNA) to bolster local governments' commitment to stunting and nutrition promotion. Methods: The TNA was conducted from July to November 2021 employing online quantitative survey and series of focus group discussions (FGDs) among central and local government officers. Quantitative data were about knowledge on stunting, attitudes toward program management, performance assessment, and capacity building needs. The FGDs focused stunting reduction program management and implementation capacity. Results: The present study highlighted the personal and organizational aspects of the management of stunting reduction program in Indonesia. The findings from both aspects were used to understand the needs and gaps revealed so that a relevant and appropriate training/capacity building program can be proposed. Conclusions: Capacity building is required to enhance local governments' commitment to stunting and nutrition promotion programs, particularly focusing on middle management to improve communication and foster multi-sectoral collaboration. Such efforts necessitate a team-based training program to develop skills in coordination and interprofessional collaboration. KEYWORDS: interprofessional collaboration; multi-sectoral involvement; stunting; Training Needs Assessment; Indonesia
Nutrition Fact Panel Use and its Association to Diet Quality among University Students in Universitas Indonesia Christy, Sarah; Khusun, Helda; Chandra, Dian Novita; Sunardi, Diana
Jurnal Gizi dan Pangan Vol. 16 No. 3 (2021)
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 (248.993 KB) | DOI: 10.25182/jgp.2021.16.3.139-148

Abstract

The aim of this study was to assess the association between Nutrition Fact Panel (NFP) use and diet quality among university students. A comparative cross sectional study was conducted in 2019 among 172 college students living in dormitory of Universitas Indonesia, Depok, Indonesia. Data about socioeconomic and demographic characteristics, food preparation, NFP use and nutritional knowledge were collected through interview using structured questionnaire. Nutritional status was obtained by direct height and weight measurement. Diet quality was measured using Diet Quality Index-International (DQI-I) score, derived from 3x24 hours recall. Finding of this study showed that the characteristics of NFP users and non-users were not differed significantly except for nutritional knowledge in which NFP users were 1.852 times more likely to have good knowledge than NFP non-users (p<0.05; 95% CI:1.009−3.396). The median total diet quality score was categorized as low (44 out of 100). There was no association between NFP use and total diet quality score even after controlling for possible confounder. However, the exploration in each component of diet quality measurement showed adequacy score of calcium was significantly higher in NFP users than non-users (p<0.05). NFP use also positively associated to total variety score (β=0.985; p<0.05). Future nutrition interventions could focus on enhancing the use and understanding of NFP among university students
Nutritional status, sugar sweetened beverage consumption and physical activity level in male and female college students living in dormitory Wicaksari, Sifa Aulia; Chandra, Dian Novita; Khusun, Helda; Sunardi, Diana
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86500

Abstract

Introduction: The global prevalence of obesity is on the rise, including in Indonesia. High energy intake from sugar is a growing concern worldwide due to its association with weight gain, tooth decay, and non-communicable diseases. A prior study revealed that 10.9% of Indonesian adults consumed energy from sweetened beverages in excess of the WHO recommendation. This study aimed to assess the consumption of sweetened beverages in male and female college students in Indonesia. Method: The study was conducted at Universitas Indonesia and involved 107 subjects aged 19-21 years who resided in student dormitories. Result: The result found the median BMI in female was higher than male. In female, 3 out of 10 students was overweight-obese, while 1 out of 10 in male. Interestingly, the median daily intake of sweetened beverages significantly higher in male than female; 387 (25–1580) vs 246 (0–762) ml/day (p=0.001). Added sugar content in beverages in males was higher than half of Indonesian recommendation (28.4 [1.9–134.4] vs 19.2 [0–61.1]) which contributed to energy as much as 170.9 (12.4–625.7) kcal/ day or about 8.9% of total energy intake than female (108.5 [0–394.4] kcal/day). Compared to Indonesian guideline, 12% of male subjects consumed added sugar higher than 50 g/day. Simultaneously, 7 out of 10 subjects consumed energy from sweetened beverages higher than 10% of their total energy intake (WHO recommendation). The BMI and prevalence of overweight-obese were higher in female, while the sweetened beverage was higher in male. It might be caused by the physical activity in male was higher than female. Although male had higher energy intake from SSB, their energy output through physical activity balanced with energy input. Conclusion: These finding alerted the university as educational institution should take an action to prevent this issue since the prevalence of overweight-obesity and sweetened beverage consumption has occurred in young age.
Hubungan emotional eating dengan meal skipping dan picky eating pada remaja di SMA Kartika X-1 Jakarta Selatan Namira, Rayvina Nur; Khusun, Helda; Setyowati, Yuli Dwi; Maulida, Nursyifa Rahma
Ilmu Gizi Indonesia Vol 9 No 2 (2026): April
Publisher : Universitas Respati Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35842/ilgi.v9i2.683

Abstract

Latar Belakang: Emotional eating merupakan perilaku makan yang dilakukan untuk mengabaikan sinyal tubuh bahwa ia lapar dan menghilangkan stres untuk sementara yang dapat berupa overeating atau undereating pada orang tertentu, sehingga jika terus berlanjut akan berdampak pada status gizi remaja. Tujuan: Penelitian ini bertujuan untuk mengetahuihubungan emotional eating dengan meal skipping dan picky eating pada remaja di SMA Kartika X-1 Jakarta Selatan. Metode: Penelitian ini adalah penelitian kuantitatif menggunakan desain penelitian cross-sectional. Responden penelitian ini yaitu sebanyak 108 orang dari seluruh populasi dipilih dengan metode simple random sampling. Instrumen yang digunakan yaitu EES (Emotional Eating Scale), EBPQ (Eating Behavior Patterns Questionnaire), dan AEBQ (Adult Eating Behavior Questionnaire). Analisis hubungan menggunakan uji Fisher’s Exact. Hasil: Hasil menunjukkan bahwa terdapat sebagian besar siswa yang memiliki emotional eating tinggi (52,8%), perilaku meal skipping rendah (56,5%), perilaku tidak picky eating (73,1%). Terdapat hubungan antara emotional eating dengan meal skipping (p≤0,05), serta tidak terdapat hubungan antara emotional eating dengan picky eating (p≥0,05). Kesimpulan: Penelitian ini telah menunjukkan sebagian keterkaitan potensial antar perilaku emotional eating, meal skipping, dan picky eating. Orang dengan emotional eating tinggi lebih cenderung untuk tidak melakukan meal skipping dan picky eating, sehingga potensi makan lebih banyak lebih cenderung ditemukan pada orang yang mengalami emotional eating tinggi. 
The association between knowledge and attitude towards nutrition fact panels (NFP) with sugar intake of the Indonesian adolescents Yunita, Ulfi Rahma; Khusun, Helda; Witjaksono, Fiastuti
World Nutrition Journal Vol. 7 No. 2 (2024): WNJ. Volume 07 Issue 2, February 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V07.i2.0008

Abstract

The increasing sugar intake has become a global issue due to its impact on health. The survey conducted in Jakarta revealed that the median sugar intake for adolescents and adults is 18.8 g/capital/day and 24.5 g/capital/day, respectively. The government has taken several ways to reduce sugar intake, one of which is by using labels on packaged food. Therefore, this research aims to investigate the knowledge and attitude towards nutrition fact panels with sugar intake in Indonesian adolescent. This research was a cross-sectional study using an online questionnaire for adolescents in Indonesia with age range between 15-18 years old. Data on sociodemographic, mass media exposure, knowledge, and attitude were collected through online questionnaires, while sugar intake was assessed through online SQ-FFQ interviews. The study’s findings showed that the majority of respondents were women (90%), with parents having below 12 years of schooling on average. Additionally, the median monthly pocket money and pocket money for food and drinks below IDR 300,000 and IDR 200,000, and mass media exposure occurred more than 3 times per month. More than half of the respondents displayed good knowledge (51.7%) and a positive attitude towards NFP (60.8%), with the majority having high sugar intake (53.5%). There is a relationship between knowledge of NFP, mass media exposure, and mother education with sugar intake in adolescents. It recommended to enhance knowledge of NFP among adolescents and parents through social media platforms, posters and TV ads to enable them select and consume appropriate foods.
Association between consumption of ultra-processed foods and beverages with nutritional status of private senior high school students in Pontianak, West Kalimantan, Indonesia Ginting, Septiana Maria Deba; Februhartanty, Judhiastuty; Khusun, Helda
World Nutrition Journal Vol. 7 No. 2 (2024): WNJ. Volume 07 Issue 2, February 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V07.i2.0011

Abstract

Background: Many low- and middle-income countries are now facing the “double burden” of malnutrition, one of them is overweight/obesity. Over 340 million children and adolescents were overweight and obesity in 2016. Obesity among adolescents may increase, in part due to changes in the food system, which now offers a wide range of ultra-processed foods (UPF) that minimize preparation time. Indonesia has also a large and rapidly growing market for unhealthy drinks, which are sold in various places including schools and hospitals. Objective: This study aimed to investigate the association of UPF and beverages consumption and other related factors with nutritional status of senior high school students in Pontianak, West Kalimantan, Indonesia. Methods: This cross-sectional study conducted in Pontianak investigated the association between UPF consumption and nutritional status of SHS students. Data collection was conducted at Imanuel and Petrus SHS Pontianak in June 2023, involving 273 students from grades 10th and 11th. Weight and height measurement was obtained for calculating the BMI for age Z-scores, while UPF and beverages consumption was obtained by FFQ. Structured questionnaire, 24-hours recall, and IPAQ-S were used for assessing sociodemographic status, Total Energy Intake and Physical Activity Level. Data analysis used SPSS version 26. Results: The result found 40.3% of students were overweight-obesity; 51.6% consumed excessive UPF and beverages. It showed an inverse association between UPF consumption and nutritional status. The study identifies UPF and beverages consumption, gender, mother's education level, and family income as factors associated with nutritional status among adolescents. Conclusion: The consumption of ultra-processed Foods was high, with the highest UPF intake came from snacks and sweets (22.4%). There was inverse association between UPF and beverages consumption with nutritional status. There was also significant association between UPF and beverages, gender, mother education level and family income with nutritional status.
Co-Authors Ahmad Thohir Hidayat Aini, Rahmatika Nur Airin Roshita Anung Sugihantono Aria Kekalih Arifa, Vina Hasna Arumsari, Imas Badzlina, Fildzah Basrowi, Ray Wagiu Birahmatika, Fitya Safira Chandra, Dian Novita Christy, Sarah Diana Sunardi Djoko Priyatno, Djoko Dwiana Ocviyanti Dziljian, Faradiva Tama Emma Rachmawati Endang L Achadi Endang L. Achadi, Endang Fauzia, Khalida Febriana, Nor Laila Fiastuti Witjaksono Ginting, Septiana Maria Deba Hesti Lestari Husin, Ana Srimaldina Judhiastuty Februhartanty Kamila, Indah Tasya Lathifah, Siti Nur Lulu Latifah , Suci Luh Ade Ari Wiradnyani Maulida, Nursyifa Rahma Muchtaruddin Mansyur Mulyawati, Devi Annisa Namira, Rayvina Nur Nisrina Hanisa Nurlita, Hera Nuryana, Hurip Pramesthi, Indriya Laras Pranoto, Rohmad Joni Putri, Nabilla Ayusyah Rahma, Alkanisa Rosalba, Gita Aisyah Astrid Simatupang, Yustina Rossa Teguh Budiharjo, Teguh Triatmoko, Barkah Wicaksari, Sifa Aulia Yuli Dwi Setyowati, Yuli Dwi Yunita, Ulfi Rahma