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Interaksi antara Status Indeks Massa Tubuh sebelum Hamil dan Kenaikan Berat Badan selama Hamil terhadap Antropometri Bayi Lahir di Sumatera Barat, Indonesia: The Interaction between Pre-Pregnancy Body Mass Index Status and Gestational Weight Gain on Newborn Anthropometry Outcomes in West Sumatera, Indonesia Anugerahwati, Ammara Asya; Aji, Arif Sabta; Afifah, Effatul; Lestari, Prasetya; Lipoeto, Nur Indrawaty
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.208-217

Background: Mother's nutritional status before and during pregnancy plays an important role in fetal growth and development. The prevalence of Low Birth Weight (LBW) incidence in West Sumatra has increased from 3.11% (2019) to 3.4% (2021). Objectives: To analyze the interaction between pre-pregnancy BMI status and gestational weight gain on newborn anthropometry in West Sumatra. Methods: This is a secondary data analysis study from the Vitamin D Pregnant Mother (VDPM) 2018 study with a prospective cohort design and the follow-up analysis was in February-April 2024. This study involved 175 pregnant women and newborns who met the predetermined criteria. Variables examined included pre-pregnancy BMI status, gestational weight gain, and newborn anthropometry. Data analysis used Kruskal Wallis, Spearman correlation test, and multivariate General Linear Model (GLM). Results: Research findings showed a correlation between pre-pregnancy BMI and gestational weight gain (p-value 0.049, r=-1.4). Pre-pregnancy BMI correlated with birth weight (p-value=0.003, r=0.2) and body length (p-value=0.045, r=0.1), but not with head circumference (p-value=0.054). Gestational weight gain had no significant relationship with newborn anthropometry (p-value 0.512 for birth weight, p-value 0.368 for body length, and 0.368 for head circumference). No interaction was found between pre-pregnancy BMI and gestational weight gain status on newborn anthropometric measurements with a p-value of 0.739 for birth weight, 0.377 for body length, and 0.175 for head circumference. Conclusions: The results show no interaction between pre-pregnancy BMI status and gestational weight gain on newborn anthropometry. Women are encouraged to pay attention to nutrition before and during pregnancy to optimize maternal and infant health.

Hubungan Status Lingkar Lengan Atas Ibu Hamil dengan Antropometri Bayi Baru Lahir di Sumatera Barat, Indonesia: The Relationship between Mid Upper Arm Circumference and Newborn Anthropometry Outcomes in West Sumatera, Indonesia Mulyono, Andriani; Aji, Arif Sabta; Irwanti, Winda; Afifah, Effatul; Lipoeto, Nur Indrawaty
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.151-161

Background: Mid-upper Arm Circumference (MUAC) during pregnancy is used to determine Chronic Energy Deficiency (CED). Pregnant women with CED are at risk of giving birth with Low Birth Weight (LBW), short, and wasting babies. Data from the West Sumatra Health Office show that the number of women suffering from continues to increase. The percentage of LBW per 1000 live births is also high and has not decreased significantly. Objectives: To determine the relationship between MUAC and newborn anthropometry outcomes in West Sumatera, Indonesia. Methods: This research used secondary data from the VDPM Cohort Study with 184 pairs of mothers and babies. The variables taken in this study were MUAC, Birth Weight (BWG), Birth Body Length (BLG), Birth Head Circumference (HDC), and Small for Gestational Age (SGA). Data analysis used descriptive analysis, Spearman Correlation, and Wilcoxon tests. Results: There was a significant positive correlation between MUAC and the anthropometry of newborn babies (p-value<0.05, for all comparisons). The greater the MUAC, the greater the anthropometry outcomes. However, the correlation was weak. There was a significant relationship between MUAC and SGA (p-value≤0.001). Babies with appropriate gestational age (AGA) had normal MUAC status and women who had CED status most likely gave birth to a baby with an SGA status. Conclusions: The MUAC status of pregnant women determines newborn anthropometry outcomes. Therefore, mothers can prepare for pregnancy by maintaining their health and nutritional status. Further studies are needed to confirm these findings.

Mother’s perseption and attitudes on exclusive breastfeeding among traditional market traders Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema
Science Midwifery Vol 12 No 6 (2025): February: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v12i6.1803

The benefits of breastfeeding for infants are well documented. One factor that contributes to suboptimal exclusive breastfeeding is the presence of working mothers. However, studies have revealed that employers tend to hold negative perceptions of breastfeeding, particularly for those working in the informal sector. The objective of this study was to examine the perspectives of mothers engaged in informal employment in North Sumatra and to identify the factors that influence their decision to exclusively breastfeed. A qualitative study was conducted with the participation of formal workers who were traders in traditional markets. In this study, mothers with children aged 0-2 years old who work as traders in traditional markets were recruited to participate in focus group discussions (FGDs) conducted in the local language which lasted between 45 and 60 minutes, were audio recorded and transcribed. The data were analyzed using a content analysis approach. The decision to exclusively breastfeed is influenced by a number of factors for mothers who work as traditional market traders. These can be grouped into three sub-themes: perceived benefits of breast milk and positive breastfeeding, support from family and friends, and misinformation related to breastfeeding behaviour and self-efficacy of breastfeeding mothers. Peer support for breastfeeding is a highly valuable study intervention. The health system and health workers facilitate the expansion of exclusive breastfeeding peer support. Highlight the benefits of exclusive breastfeeding across all socioeconomic groups and advocate for more conducive policies.

Dietary BCAAs (Branched Chain Amino Acids) and Cognitive Function: Implications for Nutritional Interventions in Elderly Populations Willya Eka Putri; Nur Indrawaty Lipoeto; Roza Mulyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 5 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i5.1286

Background: The aging process is often accompanied by a decline in cognitive function, impacting memory, attention, and decision-making. Malnutrition, including protein deficiency, is recognized as a contributing factor to cognitive decline in elderly populations. Branched-chain amino acids (BCAAs), essential amino acids obtained solely from dietary sources, play a pivotal role in various physiological processes, including neurotransmitter synthesis and protein synthesis in the brain. This study aims to investigate the relationship between serum BCAA levels and cognitive function in elderly individuals. Methods: A cross-sectional study was conducted on 25 elderly subjects (age > 60 years) in Padang, Indonesia. Serum BCAA levels were measured using High-Performance Liquid Chromatography (HPLC), and cognitive function was assessed using the Montreal Cognitive Assessment - Indonesian version (MoCA-Ina). Statistical analysis was performed to determine the correlation between BCAA levels and MoCA-Ina scores. Results: The mean serum levels of total BCAAs, leucine, isoleucine, and valine in the elderly subjects were 0.40 ± 0.15 mM, 0.09 ± 0.06 mM, 0.05 ± 0.02 mM, and 0.26 ± 0.10 mM, respectively. The median MoCA-Ina score was 23 (range: 8-27), indicating a significant proportion of participants with cognitive impairment. Statistical analysis revealed no significant correlation between total BCAA levels and MoCA-Ina scores (r = 0.071, p = 0.735). However, a moderate positive correlation was observed between isoleucine levels and MoCA-Ina scores (r = 0.344, p = 0.092), although not statistically significant. Conclusion: This study suggests that serum BCAA levels, particularly isoleucine, may have implications for cognitive function in elderly populations. Further research with a larger sample size and longitudinal design is warranted to elucidate the complex relationship between dietary BCAAs, serum BCAA levels, and cognitive health in aging individuals.

HUBUNGAN USIA DAN INDEKS MASSA TUBUH DENGAN KADAR GLUKOSA DARAH PUASA PADA TENAGA KEPENDIDIKAN FAKULTAS KEDOKTERAN UNIVERSITAS ANDALAS Asta, Sri Wulanda; Yulia, Dwi; Lipoeto, Nur Indrawaty
SINERGI : Jurnal Riset Ilmiah Vol. 2 No. 3 (2025): SINERGI : Jurnal Riset Ilmiah, Maret 2025
Publisher : Lembaga Pendidikan dan Penelitian Manggala Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62335/sinergi.v2i3.1083

Hiperglikemia, ditandai dengan peningkatan kadar glukosa darah, menjadi ancaman kesehatan global, terutama terkait diabetes melitus tipe 2. Penelitian ini bertujuan menganalisis hubungan antara usia dan indeks massa tubuh (IMT) dengan kadar glukosa darah puasa (GDP) pada tenaga kependidikan Fakultas Kedokteran Universitas Andalas. Studi potong lintang ini menggunakan data sekunder tenaga kependidikan Fakultas Kedokteran Universitas Andalas dari kegiatan pengabdian masyarakat pada 8 September 2021. Hasil penelitian diperoleh nilai median IMT sebesar 24,05 kg/m2 dengan nilai minimum 16,23 kg/m2 dan nilai maksimum 40,15 kg/m2, dan diperoleh nilai median GDP sebesar 140,28 mg/dL dengan nilai minimum 93 mg/dL dan nilai maksimum 399 mg/dL. Analisis statistik tidak menemukan hubungan yang signifikan antara usia dan IMT dengan GDP. Penelitian ini mengindikasikan bahwa pada populasi tenaga kependidikan tersebut, usia dan IMT tidak secara signifikan memengaruhi kadar glukosa darah puasa pada tenaga kependidikan Fakultas Kedokteran Universitas Andalas.

Food Poisoning Outbreak Prevention Model: The Role of Health Workers for Food Safety of Catering Owners Rapida Saragih; Hardisman Dasman; Ahmad Syafruddin Indrapriyatna; Finny Fitry Yani; Nur Indrawaty Lipoeto; Husna Yetti; Ilmiawati Ilmiawati; Harnavi Harun
Contagion: Scientific Periodical Journal of Public Health and Coastal Health Vol 6, No 2 (2024): CONTAGION
Publisher : Universitas Islam Negeri Sumatera Utara, Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30829/contagion.v6i2.22195

Food poisoning is a serious problem that can have an impact on public health. This incident occurs when the food consumed is contaminated by bacteria, viruses, parasites or hazardous chemicals. Medan City is an area where food poisoning incidents occur every year. The purpose of this study is to examine the importance of the role of health workers in preventing extraordinary incidents of food poisoning. This study is an exploratory qualitative study through a phenomenological approach. The location of the qualitative research was conducted at the Medan City Health Office, in the working area of the Medan Area, Medan Deli, and Tuntungan Health Centers which were designated as research areas. Data collection was carried out through several main techniques, namely in-depth interviews with interview guidelines, observation, and focus group discussions. While The data processing process involves several stages, namely starting with data transcription, data reduction, and data presentation. The final stage is drawing conclusions and verification. Data analysis uses a triangulation approach to increase the credibility of research results, including data triangulation, observer triangulation, theory triangulation, and triangulation Methods. This study was conducted in 2024 with informants including the Disease Prevention and Control Team and the Public Health Team, the head of the health center. The results of this study indicate that efforts to prevent food poisoning outbreaks have not been going well. Where the cause is the suboptimal role of health workers in monitoring and evaluation due to limited human resources, in addition to the lack of training related to prevention and handling and the absence of a special policy for food poisoning outbreaks. This prevention can only be implemented if there is collaboration between health workers and catering owners to add a shared commitment to food safety. and it is necessary to carry out comprehensive coaching and supervision efforts. Keywords: Prevention, Extraordinary Events, Food Poisoning, Health Workers

Effectiveness of Catering Owners' Knowledge in Early Warning of Food Poisoning Outbreaks in Medan City Rapida Saragih; Dasman, Hardisman; Indrapriyatna, Ahmad Syafruddin; Yani, Finny Fitry; Lipoeto, Nur Indrawaty; Yetti, Husna; Ilmiawati; Harun, Harnavi
proceedinginternational Vol. 5 (2025): Proceeding International Conference 15th Desember 2024
Publisher : POLTEKKES KEMENKES PADANG

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33761/jd.v5i.53

Food poisoning outbreaks are a serious problem that can have a significant impact on public health. Food poisoning occurs when food consumed is contaminated with bacteria, viruses, parasites, or hazardous chemicals. Medan City experiences fluctuating food poisoning incidents, so continuous monitoring is needed to identify and address the causes. The purpose of this study was to determine early warning by using a module to prevent food poisoning outbreaks. This study was conducted quantitatively using an experimental design with the one group pretest-posttest design (before and after) approach. The location of the study was carried out at the Medan City Health Office and a population of 20 respondents, while the sample, namely the total population, was the sample. The data obtained were analyzed univariately, bivariately. The results showed that knowledge in catering owners with n = 20, paired sample T-test there was a significant difference between the level of knowledge of respondents about food poisoning before and after the intervention using the module p value = 0.0001 (<0.05). The module that has been developed and validated by language experts with results of 94.3, material experts with 97.3 and media experts with 91.3 can effectively prevent poisoning. It is recommended to the local Health Service and Health Center to be able to use the module as an early warning model for food poisoning outbreaks, especially for catering business owners, so that they can increase knowledge, especially in carrying out prevention. Keywords: Knowledge, Early Warning, Outbreak, Food Poisoning.

Related Factors with Addition Mother's Weight During Pregnant in the Work Area Public health center Belimbing, Padang City Ester Pakpahan; Vaulinne Basyir; Nur Indrawaty Lipoeto; Masrul; Bobby Indra Utama; Firdawati
Indonesian Journal of Advanced Research Vol. 3 No. 2 (2024): February 2024
Publisher : PT FORMOSA CENDEKIA GLOBAL

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55927/ijar.v3i2.8248

Weight gain during pregnancy is an important indicator in predicting morbidity and mortality in babies and mothers. One important factor in pregnancy is the nutritional status of the pregnant woman which will have an impact on the mother and fetal growth. Factors related to weight gain in pregnant women cannot be separated from behavioral factors possessed by each individual. The aim of this research is to determine the factors associated with maternal weight gain during pregnancy in the Belimbing Community Health Center Working Area, Padang City. The design of this research is quantitative research, the research method used

Dietary BCAAs (Branched Chain Amino Acids) and Cognitive Function: Implications for Nutritional Interventions in Elderly Populations Willya Eka Putri; Nur Indrawaty Lipoeto; Roza Mulyana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 5 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i5.1286

Background: The aging process is often accompanied by a decline in cognitive function, impacting memory, attention, and decision-making. Malnutrition, including protein deficiency, is recognized as a contributing factor to cognitive decline in elderly populations. Branched-chain amino acids (BCAAs), essential amino acids obtained solely from dietary sources, play a pivotal role in various physiological processes, including neurotransmitter synthesis and protein synthesis in the brain. This study aims to investigate the relationship between serum BCAA levels and cognitive function in elderly individuals. Methods: A cross-sectional study was conducted on 25 elderly subjects (age > 60 years) in Padang, Indonesia. Serum BCAA levels were measured using High-Performance Liquid Chromatography (HPLC), and cognitive function was assessed using the Montreal Cognitive Assessment - Indonesian version (MoCA-Ina). Statistical analysis was performed to determine the correlation between BCAA levels and MoCA-Ina scores. Results: The mean serum levels of total BCAAs, leucine, isoleucine, and valine in the elderly subjects were 0.40 ± 0.15 mM, 0.09 ± 0.06 mM, 0.05 ± 0.02 mM, and 0.26 ± 0.10 mM, respectively. The median MoCA-Ina score was 23 (range: 8-27), indicating a significant proportion of participants with cognitive impairment. Statistical analysis revealed no significant correlation between total BCAA levels and MoCA-Ina scores (r = 0.071, p = 0.735). However, a moderate positive correlation was observed between isoleucine levels and MoCA-Ina scores (r = 0.344, p = 0.092), although not statistically significant. Conclusion: This study suggests that serum BCAA levels, particularly isoleucine, may have implications for cognitive function in elderly populations. Further research with a larger sample size and longitudinal design is warranted to elucidate the complex relationship between dietary BCAAs, serum BCAA levels, and cognitive health in aging individuals.

Gut Microbiota Profile in Endometriosis Patients at Dr. M. Djamil Padang, West Sumatra, Indonesia Haviz Yuad; Utama, Bobby Indra; Lipoeto, Nur Indrawaty; Putra, Andani Eka
Andalas Obstetrics And Gynecology Journal Vol. 9 No. 1 (2025)
Publisher : Fakultas Kedokteran Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/aoj.9.1.134-145.2025

Objective: Endometriosis (EMS) is a chronic gynecological condition affecting up to 10% of women worldwide. The pathogenesis associated with hormonal imbalance, immune dysregulation, and changes in the gut microbiota. Gut microbiota dysbiosis may drive chronic inflammation that contributes to the progression of EMS. This study hypothesizes that certain gut microbiota profiles are associated with these factors in EMS patients, potentially developing non-invasive diagnostics and more targeted therapies. Methods: This is an observational analytical study with a case-control design conducted at Dr. M. Djamil Padang General Hospital in May 2024 with a sample size of 44 people. Case samples were women aged 18–40 years who were diagnosed with endometriosis based on the inclusion criteria, while the control group were women of reproductive age without a diagnosis of endometriosis. Data testing used the Next Generation Sequencing method, microbiome analysis test, and SPSS test. Results: The majority of EMS patients were aged 30-37 years, married, and had Nullipara obstetric status. In addition, the gut microbiota was dominated by the phyla Bacteroidetes and Firmicutes. Conclusion: There is a relationship between gut microbiota dysbiosis and the incidence of endometriosis, namely an increase in Bacteroidetes and a decrease in Firmicutes Keywords: endometriosis, dysbiosis, bacteroides, firmicutes, gut microbiota

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