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All Journal Media Kesehatan Masyarakat Indonesia JURNAL GIZI INDONESIA Jurnal Psikologi Journal of Nutrition College Jurnal Media Gizi Indonesia (MGI) The Indonesian Biomedical Journal JSSF : Journal of Sport Science and Fitness Majalah Kesehatan FKUB GIZI INDONESIA AKSIOLOGIYA : Jurnal Pengabdian Kepada Masyarakat Wikrama Parahita : Jurnal Pengabdian Masyarakat AcTion: Aceh Nutrition Journal Al-sihah: The Public Health Science Journal Jurnal Kesehatan Prima Amerta Nutrition Pontianak Nutrition Journal (PNJ) GERVASI: Jurnal Pengabdian kepada Masyarakat Health Information : Jurnal Penelitian Insights in Public Health Journal Diversity: Disease Preventive of Research Integrity Nutrition Scientific Journal Jurnal Info Kesehatan Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Rachma Purwanti
Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Mathematics Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Praktik Responsive Feeding dan Hubungannya dengan Stunted Children and Obese/Overweight Mothers (SCOM) di Kota Semarang: Praktik Responsive Feeding dan Hubungannya dengan Stunted Children and Obese/Overweight Mothers (SCOM) di Kota Semarang Purwanti, Rachma; Margawati, Ani; Wijayanti, Hartanti Sandi; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.184-192

Abstract

Background: A double burden of malnutrition can occur at individual, household, or community levels. Objectives: This study analyzed the relationship between responsive feeding practices and Stunted Children and Obese/Overweight Mothers (SCOM) as a type of double-burden malnutrition at the household level. Methods: An observational analytical study with a case-control design was conducted in Semarang City between May and October 2022. The subjects of this study were mother-toddler pairs (children < 3 years old) with SCOM and non-SCOM conditions in Semarang. Inclusion criteria were as follows: mothers and toddlers in good health (mothers do not have diseases that require special diets, and toddlers are in good health at the time of the study) and the mother did not smoke or drink alcohol. Ratio SCOM: non-SCOM groups was 1:2. Maternal nutritional status was measured using the Body Mass Index (BMI). Stunting classification (PB/U or TB/U) used the WHO Anthro software version 1.03. Data analysis was performed using chi-square, Pearson correlation, and multiple logistic regression. Results: Poor responsive feeding practices occurred in 95.8% of the SCOM families. There was a correlation between the parents' educational level and the practice of responsive feeding. There was a correlation between responsive feeding attitudes and practices and SCOM. After controlling for sociodemographic characteristics, responsive feeding practice predicted SCOM with an Odd Ratio (OR) of 0.012 (0.001–0.191). Responsive feeding practices were correlated with the prevalence of SCOM. Conclusions: Most families with SCOM practice responsive feeding in poor categories. Responsive feeding practices were a predictor of SCOM.
Maternal Height, Maternal Education Level, and Occurrence of Stunting in Families with Overweight or Obese Mothers Arisanti, Yohanete Novita; Purwanti, Rachma; Syauqy, Ahmad; Margawati, Ani
Jurnal Kesehatan Prima Vol. 19 No. 2 (2025): AUGUST
Publisher : poltekkes kemenkes mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32807/jkp.v19i2.1546

Abstract

Stunting can affect brain development, physical growth, and metabolism, while obesity can increase the risk of hypertension, coronary heart disease, and type 2 diabetes. Maternal and family characteristics may influence obesity in mothers paired with stunting in children in the same household. This study examines the relationship between maternal and family characteristics and the occurrence of stunting in families with overweight or obese mothers in Semarang. This study used an observational, cross-sectional design. The sample was selected using purposive sampling, with 25 subjects per group, resulting in a total of 50 subjects across the two groups. Data on maternal and family characteristics were obtained through interviews using a validated questionnaire. Anthropometric measurements were conducted to obtain data on the weight, height, and nutritional status of mothers and children. Bivariate analysis used the Chi-square test to examine the odds ratio, while multivariate analysis employed multiple logistic regression. Bivariate analysis showed that the adequacy of energy and carbohydrate intake in toddlers and the maternal education level were significantly associated with stunting occurrence among households with an overweight/obese mother (SCOWT/SCOM). Multivariate analysis showed that the maternal height and education level were significantly associated with SCOWT/SCOM. Mothers with short stature had a 4.613 times higher risk, and mothers with primary to secondary education had an 8.205 times higher risk of SCOWT/SCOM. Maternal height and educational level are key factors in cases of stunted growth with SCOWT/SCOM.
KECUKUPAN ASUPAN ZAT GIZI DAN KEJADIAN PENYAKIT INFEKSI PADA BALITA WAST (WASTING– STUNTING) DI KOTA SEMARANG Purwanti, Rachma; Ginting, Ignasia Agatha Br; Aulia, Nurhanna Putri; Wijayanti, Hartanti Sandi; Rahadiyanti, Ayu; Kurniawati, Dewi Marfu'ah
Majalah Kesehatan Vol. 12 No. 4 (2025): Majalah Kesehatan
Publisher : Faculty of Medicine Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/majalahkesehatan.2025.012.04.7

Abstract

Asupan zat gizi dan penyakit infeksi merupakan faktor yang berhubungan secara langsung dengan stunting dan wasting pada balita. Penelitian ini bertujuan untuk menganalisis perbedaan kecukupan asupan zat gizi makro dan kejadian penyakit infeksi pada balita dengan dan tanpa WaSt (Wasting-Stunting) di Kota Semarang. Studi analitik observasional dengan menggunakan desain cross-sectional. Subjek dipilih dengan metode consecutive sampling sebanyak 72 subjek yang terbagi dalam 4 kelompok yaitu normal, stunting, wasting, dan WaSt (Wasting-Stunting). Analisis perbedaan dilakukan dengan uji Kruskal-Wallis (data tidak berdistribusi normal) dengan uji lanjutan Mann-Whitney, tingkat kepercayaan 95% dan hasil signifikan dengan nilai p < 0,05. Terdapat perbedaan kecukupan asupan zat gizi meliputi energi, protein, lemak, dan karbohidrat (p < 0,001) dan kejadian penyakit infeksi (p = 0,007) antara kelompok balita dengan dan tanpa WaSt (Wasting-Stunting). Kecukupan asupan energi kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok stunting dan normal. Kecukupan asupan protein kelompok WaSt (Wasting-Stunting) berbeda dengan kelompok wasting. Kejadian penyakit infeksi pada kelompok WaSt lebih tinggi dibandingkan kelompok wasting, stunting dan normal (secara berturut-turut sebesar 38,9%; 16,7%; 5,6%; dan 0%). Penelitian ini menyimpulkan bahwa kelompok WaSt mempunyai riwayat kejadian penyakit infeksi dan kecukupan asupan zat gizi makro (energi, karbohidrat, protein, lemak, dan karbohidrat) yang berbeda dengan kelompok lainnya.  
Pengaruh Kefir Susu Kambing Terfortifikasi Vitamin D3 terhadap Kadar hs-CRP Tikus Rattus Norvegicus DM Tipe 2: Studi Eksperimental: The Effect of Vitamin D3-Fortified Goat Milk Kefir on hs-CRP Levels of Type 2 Diabetic Rattus Norvegicus Rats: An Experimental Study Zulfa, Fairuz; Utomo, Astika Widy; Ardiaria, Martha; Syauqy, Ahmad; Purwanti, Rachma; Ernalia, Yanti; Masha, Tania; Maharani, Mutiara Irma; Faradina, Amelia; Panunggal, Binar
Amerta Nutrition Vol. 9 No. 4 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i4.2025.667-678

Abstract

Background: Insulin resistance and chronic hyperglycemia in diabetes are linked to the synthesis of the inflammatory biomarker hs-CRP. Goat milk kefir and vitamin D have anti-diabetic and anti-inflammatory properties. Objectives: Aimed to evaluate the impact of goat milk kefir fortified with vitamin D3 on hs-CRP levels of diabetic rats. Methods: Twenty-one male Rattus norvegicus rats were randomly divided into four groups for a 35-day study: Control (C), Diabetes Mellitus (DM), unfortified goat milk kefir treatment (P1), and vitamin D3-enriched goat milk kefir treatment (P2). Diabetes was induced via intraperitoneal injection of streptozotocin (STZ) at 65 mg/kg BW and nicotinamide (NA) at 230 mg/kg BW. Goat milk kefir was administered orally at 2 mL/200 g BW/day, with the fortified version containing 600 IU of vitamin D3 per 100 mL. Fasting blood glucose levels and serum hs-CRP were measured pre- and post-intervention using the GOD-PAP and ELISA methods, respectively. Data were analyzed using bivariate and multivariate methods in GraphPad Prism 8. Results: There was a statistically insignificant decrease in hs-CRP levels in the P2 group (p-value=0.21) and in the P1 group (p-value=0.63), suggesting limited impact on inflammation. However, there was a statistically significant drop in blood glucose levels in the P2 group (∆FBG -65.50±35.44 mg/dL, p-value=0.03) and in the P1 group (∆FBG -81.63±50.07 mg/dL, p-value=0.05). Conclusions: The reduction in hs-CRP levels indicates that vitamin D3-fortified kefir may help modulate low-grade inflammation and shows promise in managing diabetes. Future research should examine dose, duration, and sample size for better efficacy assessment.
Macronutrient and micronutrient intake in stunted children: The role of household food insecurity Purwanti, Rachma; Arfinanda, Najwa Diva Khoirunnisa'; Laura, Cicilia; Susilo, Mursid Tri; Syauqy, Ahmad; Noer, Etika Ratna; Wijayanti, Lilis
Diversity: Disease Preventive of Research Integrity Volume 6, Issue 2, February 2026
Publisher : Program Studi Kesehatan Masyarakat UIN Alauddin Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24252/diversity.v6i2.62697

Abstract

Insufficient nutrient intake remains a persistent determinant of child stunting, yet evidence mapping macro–micronutrient intake against household food insecurity in Indonesian urban settings is limited. This study addresses this gap by correlating nutrient intake with HFIAS scores among stunted children in Semarang. This cross-sectional study included 82 stunted children in Semarang, Indonesia. Household food insecurity was assessed using the Household Food Insecurity Access Scale (HFIAS), while macronutrient and micronutrient intakes were estimated using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Data normality informed the use of Pearson or Spearman correlation tests for bivariate analysis. Overall, 61% of households were classified as food-insecure, and most children exhibited inadequate carbohydrate intake and deficiencies in vitamin A and vitamin C. HFIAS scores were significantly correlated with carbohydrate intake (p=0.006; r=0.300) and iron intake (p=0.033; r=0.235), indicating higher food security was associated with higher intake, while no significant correlations were observed for energy, protein, fat, calcium, zinc, vitamin C, vitamin A, or vitamin B12. These findings support integrated family-based interventions combining supplementary feeding (PMT) with strategies to strengthen household food access and affordability. Programmatically, embedding Islamic values, such as amanah (shared responsibility for child wellbeing), halal–tayyib dietary guidance, and community solidarity through zakat/infaq based support that may enhance sustainable family nutrition and food security in urban contexts.
Identifying Determinants of Concurrent Anemia and Stunting Among Young Children Margawati, Ani; Purwanti, Rachma; Ahmad Syauqy; Fadhila, Farah Rosyihana
Media Gizi Indonesia Vol. 21 No. 2 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i2.232-246

Abstract

Stunting and anemia are prevalent nutritional problems that often concurrently occur in young children, particularly in developing countries such as Indonesia. The coexistence of these conditions can have long-lasting adverse effect on a child’s health, cognitive development, and future productivity. This study aimed to investigate the determinants of concurrent anemia and stunting in children aged 6–36 months in Semarang City. A cross-sectional study design was employed from June to September 2024, involving 100 stunted children selected using purposive sampling. Data were collected through structured interviews using questionnaires, anthropometric measurements, hemoglobin testing, and observations of caregiving practices. Bivariate and multivariate logistic regression analyses were conducted to identify factors associated with the occurrence of concurrent anemia and stunting. Several factors were found to be significantly associated with concurrent anemia and stunting, including birth length <48 cm (OR = 6.190; p = 0.027), incomplete immunization history (OR = 16.024; p = 0.035), preterm birth (OR = 6.539; p = 0.015), poor maternal attitudes toward feeding practices (OR = 33.459; p = 0.018), and inappropriate complementary feeding practices (OR = 7.889; p = 0.007). A paternal history of smoking also showed a tendency to be a risk factor (p = 0.080). The co-occurrence of anemia and stunting is a complex issue influenced by a multitude of factors, including biological, behavioral, and household or environmental determinants. To effectively address this issue, integrated interventions should be implemented, focusing on enhancing immunization coverage, providing targeted nutrition education, strengthening antenatal care, and promoting positive caregiving practices.  
Development of Responsive Feeding Knowledge, Attitude, and Practices Questionnaire (RF-KAP Q) for Toddlers in Indonesia Rachma Purwanti; Ani Margawati; Ayu Rahadiyanti; Dewi Marfu'ah Kurniawati
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.360-371

Abstract

There is a need for instruments with good validity and reliability to assess three domains of responsive feeding practices in early childhood in Indonesia. This study aims to analyze the validity and reliability of the responsive feeding knowledge, attitude, and practice instrument, which was developed for children under three years old. A cross-sectional design examined the validity among diverse toddler parents. The variables studied include knowledge, attitude, and practice of responsive feeding. The questionnaire is structured as doing or not doing practice, attitudes in true or false statements, and knowledge in multiple-choice questions. The construct validity of the Responsive Feeding Knowledge, Attitude, and Practice questionnaire (RF-KAP Q) was evaluated by determining the Pearson correlation coefficient values for each item with the overall score. Additionally, a reliability test was performed to assess the internal consistency of the questionnaire. Cronbach's alpha coefficient measured internal consistency. The 20 items of responsive feeding knowledge questions were categorized as valid; two items were categorized as constant (K6 and K7), and one other was classified as invalid (K14). A total of 25 attitude statement items were considered valid. All practice indicators consisting of 12 statement items were categorized as valid (p-value<0.05). The Cronbach's alpha of the responsive feeding knowledge, attitude, and practices questionnaire was 0.677, 0.699, and 0.778, indicating reliability. The RF-KAP Q has been tested as valid and reliable in measuring three domains of responsive feeding based on evidence-based recommendations in Indonesia. However, development is still needed to improve its validity.
Co-Authors 'Aisy, Amalia Rihadatul A Fahmy Arif Tsani Adani Ladiba Addina Zulfaa Adinda Djasmin Adinda Mevya Adinda Safitri Adzro&#039;ul Akifah Agavita Cendy Ahmad Syauqy Ahmad Syauqy Aida Fitri Nazillah Ajeng, Novitasari Dwi Alfia Nur W Anggraeni, Erika Tri Ani Margawati Anindiba, Inas Fatin Arfinanda, Najwa Diva Khoirunnisa' Arisanti, Yohanete Novita Aryu Candra Astika Widy Utomo, Astika Widy Atika Putri Widia Anggraeni Aulia, Nurhanna Putri Avisha, Rosita Nur Ayu Rahadiyanti Ayu Rahadiyanti Azzahra K. Bagoes Widjanarko Binar Panunggal Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudi Fitranti Deny Yudy Fitranti Desi Nurfita Destikasari, Widya Devana Doanaresta Dewi Kurnia Sandi Dewi Marfu'ah Kurniawati Dewi Marfu'ah Kurniawati Dewi Marfu’ah Kurniawati Diana Nur Afifah, Diana Nur Dieny, Fillah Fitra Eka Cahyaningsih Enny Probosari Etika Ratna Noer Etisa Adi Murbawani Fadhila, Farah Rosyihana Fajrani, Alifia Mukti Fala, Etika Nurul Faradina, Amelia Fauzia Purnamasari Febriyanti, Monica Sofchah Ferry Sandra Fillah Fithra Dieny Fillah Fitra Dieny Fitriyono Ayustaningwarno Galuh Chandra Irawan, Galuh Chandra Gemala Anjani Ginting, Ignasia Agatha Br Gita A, Putri Hartanti Sandi Wijayanti Hayatun Azni Helena Rahmarani Ice Diananingrum Ida Kristiana Iriyanti Harun Jauziyah, Shofi Khoirunnisa, Novia Tri Khusana Aniq Kristiana, Ida Kusumawati, Inmas Larasati, Erika Nurul Laura, Cicilia Lilis Endang Wijayanti, Lilis Endang Luluk Hidayatul Maghfiroh Luthfiatul Khusna M. Rifky Al Haedar Maharani, Mutiara Irma Mar Atus Sholihah Marfu'ah Kurniawati, Dewi MARTHA ARDIARIA Masha, Tania Mentari Suci Ramadini Sujono Mursid Tri Susilo Nafsih, Vifin Zakiahtin Ninik Rustanti Nisa, Lainatin Nissa, Choirun Noviasti Rahma Utami Noviasti Rahma Utami Nur Ahmad Habibi Nur Hidayah Nur W, Alfia Nurmasari Widyastuti Nuryanto Nuryanto Nurzanah Febrianah Nyoman Suci Widiastiti Permata Laila K. Putri Gita A R, Rahmawati Rachmania Anggita Savitri Rahadiyani, Ayu Rahma, Devi Elvina Rahmawati R Raisa Namira Rani Ridowahyu Saphira Rizqiawan, Angga Sandi, Dewi Kurnia Septamarini, Risna Galuh Setiyowati Rahardjo Sidhin, Syaharani Siringoringo, Ester Theresia Syafira Noor Pratiwi Syahadah, Muti'ah Mustaqimatusy Tantri, Ignas Fawwaz Taradipa, Priska Tamara Tsani, A. Fahmy Arif Tsani, Fahmy Arif Werry Lisfani Widiastuti, Nurmasari Widiastuti, Yuliati Widya Destikasari Yanti Ernalia Yulia Rizki Maulina Yunita Sekar Asri Zulfa, Fairuz