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High simple carbohydrate intake and its impact on growth biomarkers and stunting risk in early childhood Alza, Yessi; Restusari, Lily; Hayati, Aslis Wirda; Hapsari, Agustina Indri; Purwaningsih, Dewi
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2682

Abstract

Stunting in early childhood remains a major public health issue in developing countries, including Indonesia. In addition to undernutrition, excessive intake of simple carbohydrates may disrupt the endocrine pathways crucial for linear growth. This study examined the association between simple carbohydrate consumption and growth biomarkers insulin-like growth factor 1 (IGF-1), leptin, and growth hormone as predictors of stunting risk in children aged 12–36 months of age. A cross-sectional observational study was conducted with 250 children from urban and rural settings. Dietary intake was assessed using a validated 24-hour recall, and biomarker levels were measured using ELISA. The results showed an average daily energy intake of 1,350 kcal, with 65% derived from carbohydrates, predominantly simple sugars and refined starches. Stunted children exhibited significantly lower concentrations of IGF-1, leptin, and growth hormone (p < 0.01), with strong inverse correlations between simple carbohydrate intake and biomarker levels (r = –0.45 for IGF-1; r = –0.38 for growth hormone [GH]). Multiple regression analysis confirmed that a higher intake of simple carbohydrates significantly predicted lower biomarker levels and reduced height-for-age z-scores (HAZ). These findings highlight the importance of dietary quality, emphasizing the need to reduce simple carbohydrate intake to support hormonal balance and optimal linear growth in early childhood.
Kajian Kepatuhan Terapi dan Kualitas Hidup Terkait Kesehatan Pasien DM Tipe II di Poli Penyakit Dalam RSUD HA Thalib Kota Sungai Penuh Rizqaini, Alfitratul; Muharni, Muharni; Restusari, Lily; Rahayu, Dewi
JURNAL PROTEKSI KESEHATAN Vol 14 No 2 (2025): JPK: Jurnal Proteksi Kesehatan
Publisher : Poltekkes Kemenkes Riau

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Abstract

Chronic Energy Deficiency (CED) is a condition of long-term undernutrition in pregnant women, indicated by a mid-upper arm circumference (MUAC) of less than 23.5 cm, and poses risks to both maternal and fetal health. One of the government strategies to address this issue is the provision of locally based supplementary food (Local Supplementary Feeding). However, most previous studies have predominantly employed quantitative approaches and focused on program coverage, while in-depth case-based analyses at the primary health care level remain limited. This study aimed to describe changes in the nutritional status of pregnant women with CED before and after receiving Local Supplementary Feeding in the working area of Pekanbaru City Primary Health Center in 2024. A qualitative approach with a descriptive case study design was applied to three pregnant women with CED from August 2024 to May 2025. Data were collected through interviews and secondary data from the e-PPGBM system. The results showed an increase in body weight ranging from 5.5 to 12.95 kg and an increase in MUAC of 1–2 cm. However, one case of low birth weight was still observed, indicating the need to evaluate the quality and effectiveness of Local Supplementary Feeding interventions.