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Tri Siswati
Poltekkes Kemenkes Yogyakarta
Agriculture, Biological Sciences & Forestry Humanities Computer Science & IT Dentistry Economics, Econometrics & Finance Education Electrical & Electronics Engineering Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Library & Information Science Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Veterinary Other

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Journal : health dynamics

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Impact of Supplementation on Anemia, Cognition, and Growth in Children: A Scoping Review of Randomized Controlled Trials Dafa Bintang Nugroho; Anjani Nelka Rachmawatty; Almira Sitasari; Agus Wijanarka; Tri Siswati
Health Dynamics Vol 1, No 12 (2024): December 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd11206

Abstract

Background: Anemia in children is a global health problem that can affect their cognitive and physical development. Various supplementation interventions have been used to treat anemia, including iron, folic acid, vitamins, and other minerals. Although some studies have shown improvements in anemia status, challenges in adherence to treatment and side effects remain barriers. Objective: This scoping review aims to map the available scientific evidence related to interventions and supplementation in children with anemia. This study identifies the types of interventions used, the target population, and the outcomes reported in the studies. Methods: A literature search was conducted through PubMed and Google Scholar with the keywords "anemia," "intervention," "supplement," and "children." Included studies were publications from 2015 to 2024 involving children who received supplementation interventions to see the impact of supplementation on anemia, cognition, and growth in children. Data from relevant studies were collected and analyzed based on study design, type of intervention, and reported outcomes. Results: From the analysis of 10 studies, various interventions were found, including iron supplementation, combinations of iron and other micronutrients (folic acid, vitamin A, vitamin C), and food-based interventions. All interventions showed increased hemoglobin levels and improved anemia status, but adherence to treatment remains a challenge, especially in daily regimens. Conclusion: Appropriate supplementation interventions effectively reduce the prevalence of anemia in children. However, the management of side effects and the improvement of adherence are aspects that need further attention for long-term success.
Standardized Nutritional Care with a High-Energy, High-Protein Diet in Rectosigmoid Cancer Patients Undergoing Chemotherapy: Case Reports Noviyanti Safitri Rahmat; Tri Siswati; Isti Suryani; Siti Budi Utami; Setyowati Setyowati; Nurhidayat Nurhidayat; Susilo Wirawan
Health Dynamics Vol 3, No 1 (2026): January 2026
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd30102

Abstract

Rectosigmoid cancer patients undergoing chemotherapy are at high risk of malnutrition due to metabolic alterations and treatment-related gastrointestinal side effects. Evidence on the implementation of standardized nutritional care in primary healthcare settings remains limited. This study aims to evaluate the provision of standardized nutritional care with a diet high in energy and protein and its impact on the intake, nutritional status, and clinical condition of rectosigmoid cancer patients undergoing chemotherapy. The case was a 50-year-old male with stage III rectosigmoid cancer undergoing chemotherapy, who presented with undernourished status, diarrhea, reduced appetite, dysphagia-related discomfort, and anemia. Nutritional assessment identified inadequate oral intake and increased energy and protein requirements. Standardized nutritional care was implemented using the Nutrition Care Process (NCP) framework, including an individualized high-energy, high-protein (HEHP) diet and nutrition education for the patient and family. Dietary intake was monitored over three consecutive days using 24-hour food recalls. The patient demonstrated improved tolerance to oral intake, increased protein consumption, stabilization of body weight, and no worsening of gastrointestinal symptoms during the intervention period. This case illustrates that standardized nutritional care using a high-energy, high-protein diet can support dietary intake and help maintain nutritional status in rectosigmoid cancer patients undergoing chemotherapy, even in a primary healthcare setting. Early and individualized nutritional intervention may play an important role in preventing further nutritional deterioration and supporting comprehensive cancer care.
Determinants and Model for Estimating the Prevalence of Stunting Toddlers in Sleman Regency Tri Siswati; Anif Muchlasin; Raden Yuli Kristyanto; Delima Citra Dewi Gunawan
Health Dynamics Vol 1, No 6 (2024): June 2024
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd10603

Abstract

Background: The Sleman Regency Government is committed to solving the stunting problem by implementing an integrated stunting prevention program by encouraging the participation of penta-helix. Estimating stunting prevalence accomplishment targets is crucial for measuring progress, guiding strategies, and ensuring stunting reduction success. This study aims to provide information regarding the factors that contribute to the prevalence of stunted toddlers and develop a predictive model for that prevalence. Methods: The study investigated the prevalence of stunting, wasting, and underweight in Sleman Regency using publicly accessible reports, secondary data, and reputable websites. Data was gathered through audits of stunting cases and factors from district-level program managers, and analysed through desk reviews. This research was conducted in Sleman Regency from December 2023 to February 2024. Results: The investigation found that stunting is linked to family smoking, inadequate toddler nutrition, inactive JKN, chronic energy deficiency throughout pregnancy, and low-weight, preterm births. Through rules, policies, and multisectoral multistakeholder collaboration, the Sleman Regency Government aims to reduce stunting. The interventions include maternal and child health, nutritional counselling, drinking water and sanitation, early childhood education, and pre-conception family life preparation. A model to estimate long-term stunting prevalence is needed to track trends, evaluate interventions, and support evidence-based decision-making. Stunting is vital to public health and economic benefit. Based on audit data, child nutrition trends, and prediction models, Sleman Regency should reduce stunting by 0.02% per year for local data and 0.5% per year for national data. The determinants of stunting in Sleman Regency are very diverse, including problems related to nutrition and non-nutrition. Conclusion: Stunting prevention is focused on efforts to overcome habits, improve the nutritional status of pregnant women and optimize better pregnancy outcomes. Based on the analysis, the stunting reduction target was determined based on national and local surveys of 0.5% and 0.02% per year, respectively.Keywords: Under five children; estimation model; prevalence; stunting
Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity Puput Tri Hastuti; Siti Budi Utami; Muhammad Primiaji Rialihanto; Joko Susilo; Jutharat Attawet; Tri Siswati
Health Dynamics Vol 2, No 8 (2025): August 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd20803

Abstract

Background: Balanced nutrition education is an essential effort in preventing obesity, especially in adolescents who are vulnerable to nutritional problems due to unhealthy diets and a lack of knowledge. This study aims to determine the effectiveness of Android-based e-pocket books in improving the understanding of balanced nutrition among adolescents in Yogyakarta. Methods: This study employed an experimental design with control groups, utilizing pre-tests and post-tests. Conducted from February to March 2023 in a high school in Yogyakarta, Indonesia, the research established a minimum sample size of 27 students per group through the Lemeshow formula and multistage sampling. Inclusion criteria required students to have Android phones, to consent to participate, to attend the study, and to complete data collection. The treatment group received education via e-pocket-book media, while the control group used e-leaflets. Knowledge was measured at three points: before the intervention, immediately after (post-test 1), and nine days later (post-test 2). Data analysis was performed using the Wilcoxon and Mann-Whitney tests with SPSS software. Results: The knowledge score of the treatment group increased from 76.3 (pre-test) to 93.8 (post-test 1) and 91.3 (post-test 2). The control group increased from 73.8 (pre-test) to 82.5 (post-test 1) and 81.3 (post-test 2). The increase in knowledge was more significant in the treatment group, showing that e-pocket-books were more effective than e-leaflets. Conclusion: Android-based e-pocket-books improve adolescents' knowledge of balanced nutrition more than e-leaflets. Digital technology in nutrition education has great potential to be applied in schools. Further research is needed to evaluate the long-term impact on nutritional behavior.
Co-Authors Adelia Suryani Nasution Agus Sarwo Prayogi Agus Wijanarka Aldika Salma Nurhani Almira Sitasari Anif Muchlasin Anisa Kartika Sari Anita Rahmawati Anjani Nelka Rachmawatty Atikah Izzatul Jannah Aulia Putri Utami Bondan Palestin Bunga Astria Paramashanti Dafa Bintang Nugroho Effatul Afifah. Eka Rizky Hidayah Ellen Nur Azizah Emy Huriyati Eni Maryuni Fifi Novianti Puspita Sari Hanifah Salsabila Heru Subaris Kasdjono Hilda Novita I Made Alit Gunawan Idi Setiyobroto Ismi Izaz Ainun Najmi Isti Suryani Joko Susilo Jutharat Attawet Karima Khoirunisa Ayuningtyas Khoirunnisa Rahmawati Kurniatin Nur Habsari Lastmi Wayansari Lutfi Rahmawati Muhamad Primiaji Rialihanto Naris Dyah Prasetyawati Niken Wahyu Aryanti Noviyanti Safitri Rahmat Nugraheni Tri Lestari Nugraheni Tri Lestari Nur Hidayat Nurhidayat Nurhidayat Prasetya, Hanung Puput Tri Hastuti Raden Yuli Kristyanto Rahmad Satya Nugroho Rialihanto, Muhammad Primiaji Savitri Fatikaningtyas Selsafa Nadiroh Setyowati Setyowati Sigid Sudaryanto Siti Budi Utami SURIJATI, KATRI ANDINI Susilo Wirawan Tiara Diva Maharani Waryana Waryana Yustiana Olfah Yustiana Olfah Iskandar