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Maternal Fasting Blood Glucose, Blood Pressure, and Amniotic Fluid Volume with Baby Birth Length and Weight Hamidah Aula Rusydiana; Mira Dewi; Hadi Riyadi; Lilik Kustiyah
Jurnal Ilmiah Kesehatan (JIKA) Vol. 4 No. 2 (2022): Volume 4 Nomor 2 Agustus 2022
Publisher : Sarana Ilmu Indonesia (salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v4i2.311

Abstract

Maternal health during pregnancy is affecting fetal health in the womb and after birth. This study was conducted to see how maternal fasting blood glucose, blood pressure, and amniotic fluid volume in third semester correlate with baby birth weight and length. The design of this research was observasional in cohort program from third trimester pregnancy until delivery. Result showed that the rising of maternal fasting blood glucose in third trimester was predicted to significantly increasing the baby’s birth weight (b= 7,24, p= 0,025). Inversely, the increase in blood pressure during pregnancy had the potential to lower the weight of the baby (b= -13,94, p= 0,058) although not significanty proven in this study. The correlation between maternal amniotic fluid volume had not shown significant results with neither birth length nor weight of the offspring in this study. It is recommended that pregnant women could maintain their health and also conducted regular health checks of blood glucose, blood pressure, and amniotic fluid volume to avoid pregnancy adverse outcomes if detected.
The Ethyl Acetate Fraction of Torbangun (Coleus amboinicus L.) Leaves Increasing Milk Production With Up-Regulated Genes Expression of Prolactin Receptor Ade Chandra Iwansyah; Rizal Martua Damanik; Lilik Kustiyah; Muhammad Hanafi
Journal of Tropical Life Science Vol. 9 No. 2 (2019)
Publisher : Journal of Tropical Life Science

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

Abstract

This study aim was to determine lactagogue effect of torbangun leaves to plasma levels of lactogenic hormone and gene expression of their receptors in mammary glands of lactation rats. Lactagogue activity was evaluated by volume of milk was produced by the rats treated with commercial milk booster contained ‘katuk' leaves extract (AF), ethyl acetate fraction of torbangun leaves (EA), water extraction of torbangun leaves (AQ) and kaempferol (KP). Lactating rats (n=5) of Sprague dawley with six pups were fed with AF, EA, AQ, and KP in the amount of 50 mg/kg, 30 mg/kg, 80 mg/kg and 60 mg/kg body weight, respectively. The feed was given orally every two days and starting from day 2 after giving birth until day 28. The volume of milk was estimated by the increment pup weight after breastfed. The levels of serum lactogenic hormones were determined by ELISA methods. Moreover, in order to measure the gene expression of the lactogenic hormone's receptors in the mammary gland a real time - reverse transcription polymerase chain reaction (RT-PCR) method was performed. The results showed that ethyl acetate fraction of torbangun leaves (EA) (a) was not significantly stimulating the synthesis of serum prolactin and estradiol at day 14 and day 28 lactation period, (b) down-regulated the gene expression of estradiol receptor (ERα) at day 28, and (c) up-regulated the gene expression of prolactin receptor (PRLR) in mammary gland at day 14 and day 28. This study indicated that ethyl acetate fraction of torbangun leaves was induced milk production, within up-regulated the gene expression of prolactin receptor (PRLR) in the mammary gland of lactation rats.
Faktor-faktor yang berpengaruh terhadap Minimum Acceptable Diet pada anak usia 6-23 bulan di Indonesia Muh. Guntur Sunarjono Putra; Mira Dewi; Lilik Kustiyah; Trias Mahmudiono; Cindra Tri Yuniar; Siti Helmyati
AcTion: Aceh Nutrition Journal Vol 7, No 2 (2022): November
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.v7i2.766

Abstract

Indonesia is one of the countries with high nutritional problems caused by inadequate feeding practices. A minimum acceptable diet (MAD) is used to assess feeding practices in children with low achievement (53,6%) aged 6-23 months. This study aimed to determine the factors influencing MAD in children aged 6-23 months in Indonesia. This study uses a cross-sectional study design to use secondary data from the 2017 IDHS. The subjects in this study were 4.783 children aged 6-23 months. Data were collected using the 2017 IDHS and WHO UNICEF 2010 questionnaires in assessing feeding practices. Statistical tests used were Chi-square, Spearman, and Multiple logistic regression. This study showed that the prevalence of MAD was 53.7%. Factors influencing MAD were the location of residence (p= 0,001), wealth index (p<0,001), mother's occupation (p= 0,007), father's education level (p= 0,022), mother's education (p= 0,003), media exposure (p= 0,012), geographic area (p<0,05), child's age (p<0,001), and birth order (p<0,05). The dominant factor influencing MAD is the education level of mothers who do not attend school. In conclusion, there is an influence between socio-demographic and economic characteristics and the characteristics of children with MAD in Indonesia.
Faktor Risiko Stunting, Anemia Defisiensi Besi, dan Koeksistensinya pada Anak Usia 6-9 Tahun di Indonesia: Hasil dari Indonesian Family Life Survey (IFLS-5) tahun 2014-2015: Risk Factors of Stunting, Iron Deficiency Anemia, and Their Coexistence among Children Aged 6-9 Years in Indonesia: Results from the Indonesian Family Life Survey-5 (IFLS-5) in 2014-2015 Mia Mustika Hutria Utami; Lilik Kustiyah; Cesilia Meti Dwiriani
Amerta Nutrition Vol. 7 No. 1 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i1.2023.120-130

Abstract

Background: Stunting and anemia are malnutrition and have become major public health problems. The evidence is limited about the coexisting stunting and anemia (CSA) among school-aged children (SAC).  Objectives: To analyze risk factors of stunting, anemia, and their coexistence among Indonesian children aged 6-9.  Methods: This cross-sectional study used secondary data from 1,986 children aged 6-9 years from 13 out of 34 provinces in Indonesia. Risk factors of stunting, anemia, and CSA were analyzed by logistic regression.  Results: The prevalence of stunting, anemia, and CSA among children aged 6-9 years was 24.8%, 30.5%, and 8.8%, respectively. Risk factors of stunting were anemia (OR=1.355), underweight father (OR=1.587), maternal education (<12 years) (OR=1.679), short parental stature (mother: OR=2.504, father: OR=1.995), low and middle sanitation score (OR=2.356, OR=1.366), and living in a rural area (OR=1.367). Risk factors of anemia were stunting (OR=1.307), age 6-7 years (OR=1.933), and parental anemia (mother: OR=1.973, father: OR=1.692). Children aged 6-7 years (OR=1.993) and short parental stature (mother: OR=1.901, father: OR=1.620) were risk factors for CSA.  Conclusions: The coexistence of stunting and anemia as a double burden of undernutrition exists among Indonesian children. An anemic child, an underweight father, low maternal education, low and middle sanitation score, and living in a rural area increase the risk of stunting. Stunted children and parental anemia increase the risk of anemia, short parental stature increases the risk of stunting and CSA, while younger children increase the risk of anemia and CSA. 
The relationship between nutrition adequacy level, physical activity, and pregnancy outcomes in mothers and infants Hamidah Aula Rusydiana; Mira Dewi; Hadi Riyadi; Lilik Kustiyah
AcTion: Aceh Nutrition Journal Vol 8, No 2 (2023): June
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.v8i2.883

Abstract

Pregnancy outcomes are affected by many factors: nutrition and physical activity. This study aims to determine the relationship between physical activity and nutritional adequacy level of pregnant women in the third trimester with pregnancy outcomes, namely maternal fasting blood glucose levels, blood pressure and amniotic fluid volume, and baby's birth weight and length. An observational study on a cohort was conducted on 34 pregnant women in their third trimester and followed until delivery in the Ciampea sub-district, Bogor, Indonesia. The data were processed through descriptive analysis for each variable. Bivariate tests between the predictor and outcome variables were performed using Pearson's correlation and Multiple Regression at 95% CI. Based on multiple regression analysis, we found that the samples' fasting blood glucose in the third trimester was predicted to be 36,9% positively affected by pre-pregnancy body mass index (b= 2,521; p= 0,009) and total physical activity during the third trimester (b= 0,055; p= 0,006). In conclusion, the nutritional adequacy level of macronutrients in the third trimester has not yet significantly affected pregnancy outcomes in this study. It is suggested that pregnant women should avoid prolonged sedentary activity and increase appropriate exercise to achieve maternal health and improve birth outcomes.
The effect of gymnastics on changes in nutritional status and physical fitness levels in overweight and obese adolescents Iriyani K Iriyani K; Faisal Anwar; Lilik Kustiyah; Hadi Riyadi
AcTion: Aceh Nutrition Journal Vol 8, No 2 (2023): June
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.v8i2.880

Abstract

Gymnastics is a sport that affects the BMI and physical fitness of overweight and obese adolescents. Overweight and obesity occur due to an imbalance in energy intake and expenditure and a decrease in physical activity, which can cause adolescent health problems. This study aims to analyze the effect of physical fitness gymnastics on changes in BMI and physical fitness of overweight and obese adolescents. The research design is a quasi-experimental pre-post intervention study. The research was conducted at the 2nd and 3rd State Junior High Schools in Samarinda City, from November 2020 to January 2021. A sample of 38 people was selected using purposive sampling. Data collection was collected by weighing, measuring height, and measuring nutritional status using BMI for age. Fitness data obtained from IPFT measurement results. Statistical analysis using T-tests. The results showed that there was no difference in body weight and fitness before and after exercise intervention in the two groups (overweight and obese) (p>0,05), but BMI for age showed a difference before and after (p<0,05). With the difference in changes in body weight (2,35 ± 0,85 kg), BMI for age (0,52 ± 18,43), and increased fitness (2,86 ± 2,50). In conclusion, the physical fitness exercise intervention affected changes in body weight, BMI for age, and physical fitness of overweight and obese adolescents, which was carried out for 12 weeks with a frequency of 5 times per week for 30 minutes.
FAKTOR DETERMINAN MINIMAL FREKUENSI KONSUMSI SUSU PADA ANAK USIA 6-23 BULAN YANG TIDAK DIBERI ASI DI INDONESIA Muh. Guntur Sunarjono Putra; Lilik Kustiyah; Mira Dewi
GIZI INDONESIA Vol 46 No 2 (2023): September 2023
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v46i2.809

Abstract

Indonesia is still experiencing various nutritional problems, one of which is the incidence of children's malnutrition. The fulfillment of milk consumption and dairy products among under two years in children is among the important factors determining the child's nutritional status, especially in non-breastfed children aged 6-23 months because it is still in 1000 first days of life. Indonesia is still experiencing various nutritional problems, including children's malnutrition. The fulfillment of milk consumption and dairy products among under two years in children is among the important factors determining the child’s nutritional status, especially in non-breastfed children aged 6-23 months because it is still in 1000 first days of life. This study aimed to determine factors contributing to Minimum Milk Feeding (MMFF) in non-breastfed children 6-23 months in Indonesia. This cross-sectional study used secondary data from the 2017 Indonesian Demographic and Health Survey (IDHS). The number of subjects in this study was 1,488 children. The sampling technique was purposive based on inclusion and exclusion criteria. This study indicated significant relationships between the subject's residence, wealth index, working status of the mother, parents' educational level, exposure to media information, geographic area, subject age, and birth order with MMFF (p<0.001). Based on the multiple logistic regression test, the determinant factors of MMFF were the subject's residence, wealth index, working status of the mother, the subject's age, and birth order (p<0.05). This study highlighted the importance of socio-economic, demographic, and subject characteristics factors to fulfill MMFF in non-breastfed children 6-23 months in Indonesia.ABSTRAK Indonesia masih mengalami berbagai masalah gizi, salah satunya adalah kejadian malnutrisi pada anak. Pemenuhan konsumsi susu atau produk olahan merupakan salah satu faktor penting dalam peningkatan status gizi anak, terutama pada anak usia 6-23 bulan yang tidak diberi ASI dikarenakan masih berada pada masa 1000 Hari Pertama Kehidupan (1000 HPK). Tujuan dari penelitian ini adalah mengetahui faktor determinan MMFF pada anak usia 6-23 bulan yang tidak diberi ASI di Indonesia. Penelitian potong lintang ini dengan menggunakan data sekunder Survei Demografi dan Kesehatan Indonesia (SDKI) 2017. Jumlah subjek pada penelitian ini sebesar 1.488 anak. Teknik pengambilan subjek adalah purposif berdasarkan kriteria inklusi dan eksklusi. Hasil dari penelitian ini menunjukkan bahwa terdapat hubungan yang signifikan antara lokasi tempat tinggal subjek, kondisi sosial ekonomi, status bekerja ibu, tingkat pendidikan orang tua, paparan terhadap media informasi, wilayah geografis, usia subjek, dan urutan kelahiran dengan MMFF (p<0,001). Berdasarkan hasil uji regresi logistik berganda, faktor determinan dari MMFF adalah lokasi tempat tinggal subjek, kondisi sosial ekonomi, status bekerja pada ibu, usia subjek, dan urutan kelahiran (p<0,05). Kesimpulan dari penelitian ini adalah pentingnya faktor sosial ekonomi, demografi, dan karakteristik subjek yang memiliki hubungan maupun pengaruh dalam pemenuhan MMFF pada anak 6-23 bulan yang tidak diberi ASI di Indonesia.Kata kunci: anak usia 6-23 bulan, frekuensi konsumsi susu, Indonesia, praktik pemberian makan anak
PENGETAHUAN, SIKAP DAN PRAKTIK GIZI GURU PAUD DIPERBAIKI DENGAN INTERVENSI e-HEALTH PEGIA Purnamasari, Dyah Umiyarni; Briawan, Dodik; Kustiyah, Lilik; Tanziha, Ikeu; Hermadi, Irman
Jurnal Gizi dan Pangan Soedirman Vol 8 No 1 (2024): JURNAL GIZI DAN PANGAN SOEDIRMAN
Publisher : Program Studi Ilmu Gizi, Jurusan Kesmas Fakultas Ilmu-Ilmu Kesehatan Universitas Jenderal Soedirman

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20884/1.jgipas.2024.8.1.11811

Abstract

Preschool teachers play a crucial role in influencing children's eating patterns at school, which is of utmost importance considering the detrimental impact of malnutrition on preschool children's cognitive abilities. In order to improve preschool teachers' nutrition behavior, it is imperative to provide education on nutritional behavior. One effective approach is implementing nutrition education for teachers through e-Health, which offers numerous advantages such as easier access and wider reach. Therefore, this research aimed to analyze the effectiveness of the Pegia eHealth intervention in improving the knowledge, attitudes, and practices of preschool teachers regarding nutrition. The sample consisted of 24 teachers from eight preschool centers in Purwokerto City, Indonesia. The e-Health intervention was conducted for 12 weeks, and the differences before and after the intervention were analyzed using the Wilcoxon test. The results showed a significant increase in the median knowledge by 12.00 with an interquartile range (IR) of 14.00, the median attitudes by 10.50 (IR: 8.75), and the median nutrition practices by 7.00 (IR: 3.00) (p-value < 0.05). The Pegia eHealth intervention showed its effectiveness in improving the nutrition knowledge, attitudes, and practices of preschool teachers.
The energy intake, nutritional status, menarche at age, and premenstrual syndrome in female adolescents Lestari, Chendy Tata; Kustiyah, Lilik; Khomsan, Ali
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 4, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(4).273-283

Abstract

Background: At present, many female adolescents experience faster growth and faster development phase, including menstruation (menarche). According to 2010 Riskesdas data, 21.3 % of female adolescents in Jambi experienced menarche at the age of ≤12 years, and disorder during menstrual cycle often experienced by female adolescents is premenstrual syndrome (PMS) with a prevalence ranging from 80-90 %.  Objective: This research was conducted to analyze any differences from energy intake, nutritional status, age at menarche, and PMS incidence along with finding dominant factors of age at menarche and PMS in female adolescents in urban and rural areas of Jambi.Method: This research employed a cross sectional study design involving 200 female adolescents selected from State Junior High schools in urban and rural areas of Jambi province by a simple random sampling technique. The energy intake data collected by 2 x 24 food recall, whereas nutritional status data was collected through anthropometric measurements using Bioelectrical Impedance Analysis (BIA) and a microtoise, and age at menarche and PMS data were collected by a questionnaire. Bivariate data analysis was taken by Independent t-test, Mann-Whitney test and Spearman Rank test, while the multivariate data analysis was taken by the Logistic Regression.    Results: There were significant differences found in age at menarche, energy intake, and nutritional status (HAZ and BAZ) of female adolescents in urban and rural areas (p<0.05). A significant negative relationship was found between nutritional status and age at menarche (p<0.05) and a significant positive relationship was found between nutritional status and the incidence of PMS (p<0.05). The Logistic Regression Test revealed that residence area was the dominant factor related to age at menarche (OR: 2.591 CI 95%: 1.415-4.744) and body fat percentage was the dominant factor related to the incidence of PMS (OR: 2.468 CI 95%: 1.159-5.254) .Conclusion: There are differences found in age of menarche, energy intake, and nutritional status (HAZ and BAZ) between female adolescents from urban and rural areas. There is a significant relationship between nutritional status and age at menarche to the incidence of PMS. Residential area becomes the dominant factor related to age at menarche and body fat percentage becomes the dominant factor related to the incidence of PMS. KEYWORDS: age at menarche; energy intake; female adolescents; nutritional status; PMS 
The correlation of nutrition knowledge with dietary diversity and nutritional status of pregnant women Putra, Muh. Guntur Sunarjono; Kustiyah, Lilik; Dewi, Mira
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 5, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(5).347-363

Abstract

Background: The mortality rate among pregnant women has witnessed an escalation in both Indonesia and West Java. One contributing factor to this phenomenon is maternal malnutrition or chronic energy deficiency, exerting detrimental effects on both the developing fetus and the expectant mother.Objectives: This study examined the correlation of nutrition knowledge,  dietary diversity, and nutritional status of pregnant women.Methods: This study used a cross-sectional design with 40 pregnant women as subjects using a simple random sampling technique in the working area of the Cikembar Community Health Center, Sukabumi Regency. Data collection was carried out from February 21 to March 3, 2019. The variables studied in this study consisted of subject and socio-economic characteristics, anthropometry of pregnant women, nutritional knowledge, and food consumption, which were assessed using multiple 24-hour recalls. The statistical tests used include descriptive and bivariate tests using the Spearman Test.Results:  The prevalence of CED pregnant women was 52.5%, the level of nutritional knowledge was moderate (47.5%), and food consumption was not diverse (45.0%). There is a significant correlation between nutritional knowledge and diet quality in mothers, reflected in the diversity of food consumption (p= 0.032; r= 0.340). There was also a significant correlation between nutritional knowledge, BMI before pregnancy (p= 0.032; r= 0.339), and MUAC (p= 0.016; r= 0.378).Conclusions: Enhanced nutrition knowledge was associated with improved  dietary diversity, BMI before pregnancy, and MUAC. These outcomes suggest that nutrition and health education pertaining to pregnancy are crucial for prospective mothers to prioritize and enhance.
Co-Authors A.A. Ketut Agung Cahyawan W Ade Chandra Iwansyah Ade Chandra Iwansyah Adillah Imansari Ali Khomsan Amirian Amirian Arnelia ., Arnelia Cesilia M Dwiriani Cesilia Meti Dwiriani Cindra Tri Yuniar Damayanthi -, Damayanthi Dampang, Damelya Patricksia Dewi Kartika Sari Dewi, Mira Deya Silviani Dodik Briawan Drajat Martianto Dyah Santi Puspitasari Dyah Umiyarni Purnamasari El Zenitia Villa Rinjani Engkun Rohimah Evy Damayanthi Faisal Anwar Fauziyah, A'immatul Hadi Riyadi Hadipoetro, Ferial Hadipoetro, Ferial Hamidah Aula Rusydiana Hardinsyah Haryana, Nila Reswari Henry Farizal Henry Farizal Hidayat Syarief Hurry Mega Insani Ikeu Ekayanti Ikeu Tanziha Iriyani K Iriyani K Iriyani Kamaruddin Iriyani Kamaruddin, Iriyani Irman Hermadi Junus, Ruqayah Kardinah -, Kardinah Katrin Roosita Lestari, Chendy Tata Made Darawati Mahani Khalid Marina Indriasari Maya Utami Widhianti Mia Mustika Hutria Utami Mira Dewi Mira Dewi Muh. Guntur Sunarjono Putra Muh. Guntur Sunarjono Putra Muhamad Rizal Martua Damanik Muhammad Hanafi Muhammad Hanafi Muhammad Mifthah Faridh Chairil Mury Kuswari Nastiti Kusumorini Neti Hernawati Nur Khoiriyah Nurjannah Dongoran Nurly Qurrota Aini Putra, Muh Guntur Sunarjono Putra, Muh. Guntur Sunarjono Putra, Muh. Guntur Sunarjono Ramadani, Elvy Ratika Putriastuti Rendra Kusuma Rimbawan , Rusman Efendi Sentanu, Mutiara Ayu Septiani, Eka Siti Helmyati Siti Madanijah Siti Madanijah Sri Anna Marliyanti Sri Anna Marliyati Sri Hartati R. Suradijono Sri Yuliani Sumali M Atmojo Syifa, Nisa Hidayatus Taufik, Ides Haeruman Tika Nurmalasari Tommy Marcelino Gantohe Trias Mahmudiono Wilda Haerul Fazaarah Yayuk Farida Baliwati Yekti Widodo Yusi Ariska, Yusi