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Effectiveness of Snakehead Fish (Channa striata) Snacks in Improving Protein Intake and Albumin Levels in Adolescent Girls at Risk of Chronic Energy Deficiency Mustafa, Annasari; Soelistyorini, Dwie; Pudjirahaju, Astutik; Safitri, Puput Dewi
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/hd11207

Abstract

Background: Chronic Energy Deficiency (CED) is a condition characterized by long-term inadequate intake of energy and protein, identified through Mid-Upper Arm Circumference (MUAC) measurements with a threshold of less than 23.5 cm. According to the 2013 Riskesdas data, the prevalence of CED among individuals aged 15-19 years in Indonesia was 46.6%, which decreased to 36.3% in 2018 for non-pregnant women. In East Java, the prevalence of CED among 15-19-year-olds was 52.5% in 2013 and 37.73% in 2018. Despite this decline, low albumin levels often signal poor nutritional status, typically resulting from prolonged nutrient deficiencies. Snakehead fish (Channa striata), known for its high protein content, particularly albumin, offers a potential solution for improving protein intake and blood albumin levels among adolescent girls at risk of CED. In this study, snacks made from snakehead fish provide significant protein, including 216.1 kcal and 8.01g of protein (Nugget), 214.88 kcal and 13.76g of protein (Siomay), and 216.4 kcal and 7.8g of protein (Ekado). When combined with vegetables, these snacks are expected to improve nutritional values, especially protein and albumin levels. This study aims to assess the impact of snakehead fish (Channa striata)-based snacks on protein intake and blood albumin levels in adolescent girls at risk of CED. Methods: The study used an experimental, quasi-experimental design with a one-group pretest-posttest approach. The intervention was provided twice a week for 2 months, with monitoring through 24-hour food recall forms and food records. Results: The results showed a significant improvement in protein intake (p = 0.009, paired sample T-test) and blood albumin levels (p = 0.000, Wilcoxon test) after the intervention. Conclusion: Snakehead fish (Channa striata)-based snacks effectively enhance protein intake and blood albumin levels in adolescent girls at risk of CED.
Pengaruh Pemberian Edamame Rebus (Glycine Max (L) Merrill) sebagai Camilan Sehat terhadap Penurunan Tekanan Darah Penderita Hipertensi Abdul Halif, Novi Ramadhanif; Sulistyowati, Etik; Kaswari, Sutomo Rum Teguh; Mustafa, Annasari
Ghidza: Jurnal Gizi dan Kesehatan Vol. 8 No. 2 (2024): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ghidza.v8i2.1358

Abstract

Diet yang tepat untuk hipertensi yakni melalui pengaturan asupan makanan. Konsumsi makanan yang kaya akan kalium, serat, asam folat, isoflavon, kalsium, dan magnesium mampu menurunkan tekanan darah. Penelitian ini bertujuan untuk mengetahui pengaruh pemberian kacang edamame rebus terhadap penurunan tekanan darah penderita hipertensi di Puskesmas Dinoyo. Hanya 13 dari 24 responden dalam sampel penelitian yang dipilih berdasarkan kriteria inklusi dan eksklusi menggunakan jenis penelitian pre-eksperimental dan rancangan one group pretest-postest. Pengumpulan data dilakukan dengan cara wawancara menggunakan formulir Food Recall 2x24 Jam, penggunaan garam dapur, dan identitas responden. Intervensi dalam penelitian ini adalah memberikan edamame rebus tanpa garam atau penyedap rasa sebanyak 5 porsi dalam 1 minggu (40 gram/hari) hanya sekali makan di waktu selingan. Analisis data menggunakan uji paired sample t test dan uji wilcoxon dengan tingkat signifikansi 95%. Hasil penelitian menunjukkan terjadi peningkatan rerata asupan Na (2131,5 mg), K (1416,8 mg), Ca (231,6 mg), Mg (212,9 mg), dan Serat (10,4 gram) responden setelah diberikan intervensi walaupun masih tergolong kurang serta pemberian edamame rebus memengaruhi penurunan tekanan darah sistolik dan diastolik responden dengan nilai p-value masing-masing 0,025 dan 0,002. Edamame rebus mampu menurunkan tekanan darah yakni dari 159/100 mmHg menjadi 147/87 mmHg. Disarankan untuk menambahkan sampel kontrol dan variasi bentuk atau jenis intervensi berbahan dasar edamame.
The Impact of Prenatal Yoga on Anxiety Levels in Third-Trimester Primigravida Mothers: A Pre-Experimental Study Novianti, Reni Putri; Nyoman Supariasa, I Dewa; Ika Setyarini, Didien Ika Setyarini; Mustafa, Annasari
International Journal of Advanced Health Science and Technology Vol. 4 No. 4 (2024): August
Publisher : Forum Ilmiah Teknologi dan Ilmu Kesehatan (FORITIKES)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijahst.v4i4.334

Abstract

Pregnancy will cause physiological and psychological changes for a pregnant woman. These changes will cause uncomfortable feelings for pregnant women which can trigger increased anxiety. Anxiety during pregnancy hurts pregnant women from pregnancy to delivery, especially for primigravida mothers, because pregnancy and childbirth are the first periods in their lives. In Indonesia, 71.90% of pregnant women experience anxiety symptoms. It has been proven that anxiety during pregnancy can be reduced or eliminated through physical exercise, namely prenatal yoga. The purpose of this research is to find out the effect of prenatal yoga on anxiety levels in pregnant women in the third trimester. The research design is a Pre-Experimental Design with a One Group Pretest-Posttest Design approach. With a population of 41 primigravida mothers in the third trimester, the sampling technique used total sampling with a total sample of 27 primigravida mothers in the third trimester who met the inclusion criteria. The research instrument used the PRAQ-R2 (pregnancy Associated Anxiety Questionnaire-Revised) questionnaire to measure anxiety levels before and after prenatal yoga. Then the data was analyzed using the Wilcoxon Rank correlation test and a value of ρ was smaller than α, namely (0.000<0.05). Shows the influence of prenatal yoga on the anxiety level of primigravid mothers in the third trimester after prenatal yoga. It is hoped that the results of this research can become a source of information and reference for future researchers.
The Effect of Caffeine Consumption Habits and Sleep Quality on Hemoglobin Levels in Adolescent Girls Nurrahma, Ari; Mustafa, Annasari; Wulandari, Lisa Purbawaning; Setyarini, Didien Ika
Health Access Journal Vol. 2 No. 1 (2025): Vol. 2 No. 1 (February 2025)
Publisher : Poltekkes Kemenkes Malang, Campus III Blitar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31290/haj.v2i1.5218

Abstract

Adolescent girls are particularly vulnerable to anemia as they undergo rapid growth during puberty, which increases their iron requirements to support this growth. Several factors contribute to the occurrence of anemia, including the habitual consumption of iron-inhibiting substances such as caffeine and poor sleep quality. This study aimed to investigate the effects of caffeine consumption habits and sleep quality on hemoglobin levels among adolescent girls aged 15-18 at SMAN 8 Malang. The research design was analytical with a cross-sectional method. The sampling technique used was two-stage clustering random sampling. Data collection involved the use of the SQ FFQ, PSQI questionnaires, and the Point Care of Testing (POCT) method for hemoglobin level analysis, which was analyzed using Spearman rank correlation and logistic regression tests. The results of the Spearman rank correlation test revealed a relationship between caffeine consumption habits and hemoglobin levels (p-value = 0.000 < 0.05), sleep quality and hemoglobin levels (p-value = 0.005 < 0.05), and no relationship between caffeine consumption and sleep quality (p-value = 0.646 > 0.05). The logistic regression test showed a significant effect of caffeine consumption habits and sleep quality on hemoglobin levels in adolescent girls (significant value 0.000 < 0.05).
Intervensi Gizi Spesifik pada 1000 Hari Pertama Kehidupan oleh Agen Perubahan untuk Mencegah Stunting, Meningkatkan Perkembangan dan IQ Anak di Kabupaten Trenggalek: Transforming Childhood: Nutrition Interventions in the First 1000 Days of Life to Prevent Stunting and Enhance IQ Children in Trenggalek Pudjirahaju, Astutik; Soelistyorini, Dwie; Mustafa, Annasari; Kristianto, Yohanes
Amerta Nutrition Vol. 9 No. 1 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1.2025.101-108

Abstract

Background: The prevalence of stunting in Trenggalek Regency is high, i.e. 38.63%. This problem occurred in ten villages from various sub-districts and affected over 500 children. Various intervention methods have been implemented to address stunting, but the education for midwives and posyandu cadres as agents of change remains relatively uncommon. Objectives: To assess the impact of specific nutritional interventions carried out by cadres and village midwives on the prevalence of stunting, child development (behavioral, mental, and psychomotor), and Intelligence Quotient (IQ) of children over 24 months in Trenggalek. Methods: The research used a quasi-experiment design with a pre-test – post-test approach. Specific nutrition interventions were provided to the agents through nutrition education and training based on balanced nutrition guidelines and breastfeeding counseling from the World Health Organization (WHO). Assistance was also provided to pregnant women during their first trimester. The collected data included the growth, development, and IQ of children aged 0-24 months. Results: The nutrition knowledge of the agent improved after the intervention, with an average score of 63.0±16.2 before the intervention and 76.8±14.7 after. The prevalence of stunting in selected health centers has decreased to 7.5%. This contributes to achieving a low stunting "green" status for the regency. Conclusions: This study shows that increasing the knowledge of change agents can effectively reduce stunting. Stunting prevention can be achieved through proper maternal and childcare practices, including early initiation of breastfeeding, exclusive breastfeeding, appropriate complementary feeding, and complete immunization.
Faktor Determinan Pemilihan Makanan Jajanan pada Siswa Sekolah Dasar Kristianto, Yohanes; Riyadi, Bastianus Daddy; Mustafa, Annasari
Kesmas Vol. 7, No. 11
Publisher : UI Scholars Hub

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

Abstract

Makanan jajanan pada siswa sekolah masih banyak yang bermutu rendah sehingga keterampilan anak dalam memilih memegang peran penting dalam mendapatkan jajanan yang sesuai dengan kebutuhannya. Penelitian ini bertujuan untuk menilai mutu jajanan siswa sekolah dan mengidentifikasi faktor-faktor yang menentukan pemilihan jajanan. Penelitian dilakukan dengan menggunakan desain cross sectional pada 120 siswa sekolah dasar di Kota Batu yang dipilih secara purposif pada bulan September hingga Desember 2009. Mutu jajanan sekolah diperiksa di laboratorium. Siswa diminta untuk menjawab 28 pertanyaan tentang pemilihan jajanan. Data yang diperoleh diolah dan dianalisis dengan uji analisis faktor. Hasil penelitian menunjukkan bahwa pada umumnya jajanan pada siswa sekolah mengandung energi di bawah standar (300 Kkal/ orsi). Komposisi bahan penyusun jajanan kurang bervariasi. Sebagian besar jajanan (71,4%) mengandung formalin. Faktor utama yang menentukan pemilihan jajanan di sekolah mencakup variabel harga, hadiah, ukuran porsi, aroma, dan kebebasan menentukan pilihan sendiri. Dari hasil penelitian dapat disimpulkan bahwa kandungan gizi dan keamanan jajanan anak sekolah perlu ditingkatkan. Determinan utama pemilihan jajanan didominasi aspek harga, hadiah, dan cita rasa. Untuk membuat jajanan yang bergizi dan aman disarankan pembuatan dilakukan dengan menggunakan bahan pangan dan teknologi lokal. Selain itu, juga diperlukan penegakan hukum terkait dengan penggunaan bahan berbahaya dalam jajanan siswa sekolah. Snacks of poor qualities which still predominate foods sold in school highlights the importance of skill in choosing healthy foods. This research was aimed to examine the quality of snack and determine factors that contribute to children’s food choice. The study was conducted using cross sectional design on purposefully selected 120 school children from four elementary schools in Kota Batu in September to December 2009. School snacks were collected for laboratory analyses. The children were asked to the extent they agree or disagree with 28 questions on snack choice. The collected data were analysed using factor analysis test. The study revealed that the energy content of the snacks was generally below standard (300 Kcal/serving). The snacks were in most cases made of less diverse food ingredients while 71.4% samples contained formaldehyde. The children choice to snacks were primarily determined by factor including price, gimmick, serving size, flavor, and freedom to choose their own snacks. It is concluded that both snack quality and safety should be improved. Determining factors to snack choice mainly cover price, gimmick, and food sensory qualities. Snacks made of local mixed-ingredients should be promoted to decrease the price while regulations on providing better and safer foods should be seriously enforced.
The effect of snakehead fish (Channa striata) snacks on nutrition outcomes of adolescence female at risk of chronic energy deficiency Mustafa, Annasari; Soelistyorini, Dwie; Pudjirahaju, Astutik; Kristianto, Yohanes; Wardhani, Selsabilla Aulia; Safitri, Puput Dewi
Jurnal Gizi Klinik Indonesia Vol 21, No 3 (2025): Januari
Publisher : Minat S2 Gizi dan Kesehatan, Prodi S2 IKM, FK-KMK UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/ijcn.88973

Abstract

Background: Chronic energy deficiency (CED) is still prevalent in Indonesia, affecting 36.3% adolescent females. The high protein content in snakehead fish presents a promising solution to address the problem.Objectives: This study was aimed to determine the effect of snacks developed using snakehead fish on nutrition outcomes of adolescence females.Methods: The study was conducted using a quasi-experimental quantitative design with a one-group pre-test and post-test approach. Three types of snakehead fish-based snacks —Ekado, Soymay, and Nuggets —were developed and administered to female senior high school students at risk of CED. The snacks were provided twice a week for a period of two months. Nutrient intakes, mid-upper arm circumference (MUAC), and body mass index (BMI) were measured at the commencement and conclusion of the study. The results were then compared to examine the snacks effects.Results: Before the study, most subjects were deficient in energy and macro nutrients. The subjects well accepted the developed snacks. The administration of the snacks significantly increased (p < 0.05) the intake of energy from 61.06 to 73.01 percent of their recommended daily allowance. The treatment also significantly (p < 0.05) reduces the number of subjects at risk of CED from 93.94% to 60.61% and those who are very thin from 42.42% to 24.24%.Conclusions: The administration of snakehead fish-based snacks appears to be a successful strategy in promoting the consumption of macronutrients, MUAC, and BMI of female adolescents at risk of CED.
Healthy Food Education Affects Underweight Adolescent's Knowledge and Intakes of Energy, Macro and Micro Nutrients Mustafa, Annasari; -Sutjiati, Endang; Agustin, Sheily Inge
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 3 (2023): November
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i3.2980

Abstract

One of the causes of underweight is an imbalance between nutritional intake and needs. The condition often occurs in teenagers and in Indonesia there are 8.1%. This study aims to investigate the impact of healthy diet education delivered by peers on the level of knowledge; energy, macro and micro nutrients intake among underweight adolescents at state Senior High School 1 in Singosari, Malang Regency. This study conducted on 33 undeweight adolescent’s girls selected based on inclusion criteria. Data collection was carried out before and after the intervention. Adolescents’ nutritional knowledge was collected by asking questions using Google forms and food consumption data collection was carried out by direct interviews using a 24-hour food recall form. The intervention took the form of education and guidance from peer tutors when the subjects consumed snacks and lunch at school, which was carried out 14 times, 2 times a week during 8 weeks. The effect of providing education on the level of knowledge; Energy, carbohydrate, protein, fat and zinc intake were analyzed using the paired sample t test, while vitamin C and iron intake used the Wilcoxon test (95% CI; α = 0.05).The results showed significant improvements in the level of knowledge intake of Energy, Protein, Fat, Carbohydrates as well as Iron and Zinc (p-value <0.05), while the increase in vitamin C intake was not significantly different (p-value >0.05). These findings demonstrated the potential of providing healthy diet education by peers to increase knowledge, energy, macro and micro nutrient intake among underweight adolescent girls.
Substitution Effect of Purple Sweet Potato Flour (Ipomea batatas) and Green Ocra (Abelmoschus esculentus) As a High Dietary Fiber Snack Bar for Obese Adolescent Girls Ramadhani, Siti Nur; Mustafa, Annasari; Suwita, I Komang; Pudjirahaju, Astutik
Poltekita : Jurnal Ilmu Kesehatan Vol. 17 No. 4 (2024): February
Publisher : Poltekkes Kemenkes Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33860/jik.v17i4.3430

Abstract

The trend of obesity among adolescent girls aged 10 – 19 years increased from 4.2% in 2014, 4.5% in 2015, and 4.7% in 2016. Followed by southeast asia in 2014 increased from 1.9% to 2.1% in 2015, and 2.3% in 2016. Riskesdas reported prevalence of obesity in adolescent girls was higher than adolescent boys, which was 1.5% in 2010, 1.9% in 2013, and 4.5 % in 2018. This study aims to analyze the effect of purple sweet potato and green ocra as a subtitutes for snack bars by considering chemical quality, nutritional quality, and organoleptic quality for obese adolescent girls. The study was carried out by using 4 levels of treatment with proportion wheat flour: purple sweet potato flour: green ocra that is P0 (100: 0: 0), P1 (20: 40: 40), P2 (20: 30: 50), and P3 (20: 20: 60). The results of the study showeded that purple sweet potato flour and green ocra had a significant effect (p<0.05) on water content, ash, protein, fat, carbohydrates, energy value, dietary fiber, color, taste, and texture but did not have a significant effect (p>0.05) on aroma snack bars. Furthermore, the best level treatment is P2 (20: 30: 50), with the highest panelist acceptance and high in dietary fiber that is 6,99 ± 0,035 g/100 g in which good for obese adolescent girls. Serving size of snack bar P2 (20: 30: 50) is 55 grams according to Recommended Dietary Allowance for adolescent girls aged 16 – 18 years and 10% of the daily requirement for snacks.
Pemberdayaan Masyarakat untuk Mencegahan dan Menurunkan Stunting di Pekon Kanoman Kecamatan Semaka Kabupaten Tanggamus Lampung Aprina, Aprina; Ahyanti, Mei; Hasan, Amrul; Astuti, Titi; Amatiria, Gustop; Nugroho, Ari; Mustafa, Annasari
Jurnal Kreativitas Pengabdian Kepada Masyarakat (PKM) Vol 7, No 7 (2024): Volume 7 No 7 2024
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jkpm.v7i7.14864

Abstract

ABSTRAK Stunting pada anak balita merupakan konsekuensi dari beberapa faktor yang sering dikaitkan dengan kemiskinan termasuk gizi, kesehatan, sanitasi dan lingkungan. Beberapa penelitian di Indonesia menemukan bahwa kombinasi antara sanitasi yang tidak layak dan kualitas air minum yang tidak aman merupakan faktor risiko stunting. Permasalahan stunting dapat dicegah sebelum kehamilan dan pada masa kehamilan, dengan cara memberikan edukasi pada calon ibu dimasa prakonsepsi dalam mempersiapkan calon ibu. Pengabdian dapat meningkatkan pengetahuan dan keterampilan masyarakat sehingga memiliki kemandirian dalam bidang Kesehatan dan peningkatan perekonomian keluarga. Kegiatan dilakukan dalam beberapa tahapan mulai bulan Maret hingga November 2023 di Pekon Kanoman Kecamatan Semaka Kabupaten Tanggamus. Sasaran adalah WUS, remaja, keluarga yang memiliki balita stunting dan keluarga berisiko stunting. Telah terjadi peningkatan pengetahuan dan keterampilan masyarakat tentang IMD, manajemen laktasi, Kesehatan reproduksi, pembuatan MP-ASI, terbangun 10 unit pembuatan SPAL percontohan dan 1 unit DAMIU. Kata Kunci: Infeksi, Gizi, Stunting  ABSTRACT Stunting in children under five is caused by factors that are generally associated with poverty, including nutrition, health, sanitation and the environment. Several studies in Indonesia show that the combination of inadequate drinking water sanitation and unsafe drinking water sanitation is a common cause of stunting. Conception problems before and during pregnancy can be prevented by providing education to prospective mothers during the preconception period in preparing future mothers. Services can increase people's knowledge and skills so that they have independence in the health sector and improve the family economy. Activities were carried out in several stages from March to November 2023 in Pekon Kanoman, Semaka District, Tanggamus Regency. The targets include WUS, teenagers, families with young children who may experience stunting, and families who are at risk of experiencing stunting. There is an increase in community knowledge and capacity regarding IMD, lactation management, reproductive health, MP-ASI production, 10 experimental SPAL manufacturing units and 1 DAMIU unit. Keyword: Infection, Nutrition, Stunting