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All Journal Jurnal Gizi dan Pangan Media Kesehatan Masyarakat Indonesia Media Penelitian dan Pengembangan Kesehatan Paediatrica Indonesiana Promotif: Jurnal Kesehatan Masyarakat Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) AcTion: Aceh Nutrition Journal Proceedings of the International Conference on Applied Science and Health Amerta Nutrition Jurnal Ilmu dan Teknologi Kesehatan JURNAL MUTIARA KESEHATAN MASYARAKAT Prosiding Seminar Nasional Multidisiplin Ilmu Jurnal Ners Journal SAGO Gizi dan Kesehatan Jurnal PkM (Pengabdian kepada Masyarakat) Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Indonesian Journal of Public Health Nutrition (IJPHN) Makara Human Behavior Studies in Asia Journal of Indonesian Specialized Nutrition JIMAD : Jurnal Ilmiah Multidisiplin Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal) Prosiding Seminar Nasional Kesehatan Masyarakat Universitas Muhammadiyah Surakarta
Sandra Fikawati
Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Indonesia, Depok
Religion Agriculture, Biological Sciences & Forestry Arts Humanities Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Milk Supplementation as a Potential Intervention for Overcoming Anemia and Chronic Energy Deficiency during Pregnancy Fikawati, Sandra; Syafiq, Ahmad
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.Supp.1.43-45

Abstract

This study aimed to determine the effect of milk supplementation on Mid-Upper Arm Circumference (MUAC) and hemoglobin level in pregnant women. It is a quasi-experimental study conducted from May to August 2019. The sampling was done by purposive sampling, and 108 pregnant women were recruited and divided into two groups: intervention group and non-intervention group. The intervention group received Fe-fortified milk supplementation, and the non-intervention group received education on anemia prevention. Data were analyzed using paired t-test. The result was that providing milk supplementation to pregnant women for three months could significantly increase MUAC and prevent further decline in hemoglobin levels.
The Impact of the COVID-19 Pandemic on Food Security at the Household Level: Cross-Sectional Survey in Jakarta and Depok, Indonesia Syafiq, Ahmad; Fikawati, Sandra
Jurnal Gizi dan Pangan Vol. 18 No. Supp.1 (2023)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2023.18.Supp.1.73-74

Abstract

This study aimed to describe when the effects of the pandemic on food security started to be felt by families in Jakarta (urban area) and Depok (semi-urban area). A cross-sectional survey was conducted among 517 respondents. Data were collected using an online questionnaire. The study revealed that effects of economic decline, reduced purchasing power, and increased food prices occurred early during the pandemic. Those living in semi-urban areas were affected earlier than those living in urban areas. However, more semi-urban families perceived that they were prepared to face food shortage during the pandemic. It is recommended to consider these results for public health nutrition program in food security and disaster.
Implementasi Program Pemberian Tablet Tambah Darah pada Remaja Putri di Indonesia (Analisis Diagram Fishbone) Norma Yangkawedar Putriamanah; Sandra Fikawati
Jurnal Ners Vol. 9 No. 3 (2025): JULI 2025
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v9i3.45066

Abstract

Anemia merupakan salah satu permasalahan kesehatan masyarakat penting. Remaja menjadi salah satu kelompok yang rentan mengalami anemia dengan tren peningkatan kasus di Indonesia. Salah satu langkah pemerintah untuk mengatasi anemia remaja adalah melalui program pemberian tablet tambah darah. Penelitian ini bertujuan untuk mendapatkan gambaran tentang implementasi program pemberian tablet tambah darah pada remaja putri di Indonesia dengan menggunakan pendekatan diagram Fishbone. Metode penelitian yang digunakan adalah systematic literature review. Penelusuran melalui PubMed, Scopus, Science Direct, Google Scholar, dan Garuda dengan rentang tahun 2018 – 2024. Sebanyak 12.988 artikel disaring hingga ditemukan 6 artikel yang sesuai dengan kriteria inklusi dan tujuan penelitian. Selanjutnya, analisis dilakukan menggunakan diagram Fishbone dengan empat pendekatan, yaitu man, method, money, dan material. Permasalahan dan hambatan dalam implementasi program pemberian tablet tambah darah pada remaja di Indonesia yaitu jumlah tenaga kesehatan pelaksana program yang kurang memadai, kurangnya keterlibatan guru, kurangnya kepatuhan remaja putri dalam konsumsi TTD, ketidaksesuaian pelaksanaan program dengan pedoman, kurangnya koordinasi, sosialisasi, serta monitoring program, ketidaktepatan waktu pencairan dana anggaran, dan terbatasnya ketersediaan media sosialisasi dan edukasi. Diperlukan sosialisasi, kerja sama lintas sektor, serta supervisi, monitoring, dan evaluasi secara rutin agar dapat meningkatkan mutu program.
A Cross Sectional Study On Factors Associated With The Risk Of Anemia In Prospective Brides In Cipayung District, Depok City In 2025 Yanti Samosir; Sandra Fikawati
Jurnal Ners Vol. 10 No. 1 (2026): JANUARI 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i1.51649

Abstract

Anemia merupakan salah satu masalah kesehatan serius di dunia dengan prevalensi global pada remaja putri mencapai 40–88%, dimana di Indonesia prevalensinya 57,1% (SKRT 2016) dan di Jawa Barat 22,7% (SSGI 2022). Faktor yang memengaruhi terjadinya anemia antara lain Lingkar Lengan Atas (LILA), Indeks Massa Tubuh (IMT), paparan rokok, sanitasi toilet sehat, serta sumber air minum sehat berdasarkan indikator aplikasi SIGA dan data ELSIMIL. Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dengan kejadian anemia pada Calon Pengantin di Kecamatan Cipayung Kota Depok Tahun 2025. Penelitian ini adalah studi analitik observasional dengan desain cross sectional menggunakan data sekunder dari Aplikasi SIGA Kemendukbangga pada 278 calon pengantin yang terdaftar di ELSIMIL Kecamatan Cipayung, Kota Depok, periode Januari–Juni 2025. Analisis yang digunakan meliputi univariat, bivariat, dan multivariat dengan batas kemaknaan p<0,05 serta tingkat kepercayaan 95%. Hasil analisis  bivariat menggunakan regresi logistik menunjukkan bahwa Indeks Massa Tubuh (IMT) (OR = 2,191; 95% CI: 1,775-2,706; p = 0,000), LILA (Lingkar Lengan Atas) (OR = 0,456; 95% CI: 0,370-0,563; p = 0,000), Keterpaparan Rokok (OR = 72,667; 95% CI: 23,671-223,080; p = 0,000) merupakan prediktor signifikan terhadap kejadian anemia pada calon pengantin di wilayah Kecamatan Cipayung Kota Depok. Faktor IMT, LILA, paparan rokok, jamban dan sumber air minum tidak layak berpengaruh terhadap anemia pada calon pengantin sehingga diperlukan edukasi, penyuluhan, serta kolaborasi stakeholder di Kecamatan Cipayung Kota Depok untuk pencegahan dan persiapan kesehatan menuju kehamilan.
Determinants of wasting among children aged 2–5 years in Tanjung Priok, Jakarta, Indonesia Herlinda Lizamona; Sandra Fikawati; Ruth Alpita Silva
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
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.v10i2.2387

Abstract

Wasting contributes to approximately 13% of the global child mortality. In 2022, the prevalence of wasting in Indonesia was 7,7%, declining from 10% in 2013. However, regions such as DKI Jakarta, particularly North Jakarta, still exhibit a high prevalence rate of 9,4%, indicating ongoing challenges in accessing adequate nutrition and healthcare services. This study aimed to examine the determinants of wasting in children aged 2–5 years. This cross-sectional study was conducted in Tanjung Priok, Jakarta, from June to July 2023. A total of 183 children, aged 2–5 years, were selected using purposive sampling. Data were collected through anthropometric measurements and structured interviews, using validated questionnaires covering dietary intake (SQ-FFQ), household socioeconomic status, and maternal nutrition knowledge. Data analysis included chi-squared tests and logistic regression analyses. The results showed that The prevalence of wasting was 8,7%. Although maternal nutrition knowledge was generally high, it was not significantly associated with wasting (p = 0,171). Energy (p = 0,023) and fat intake (p = 0,022) were significantly associated with wasting. Inadequate energy intake emerged as the dominant factor associated with a 3,7-fold increase in risk (p = 0,032). In conclusion, the primary determinant of wasting among children aged 2–5 years in Tanjung Priok is inadequate energy intake. Although most mothers had high nutrition knowledge, it did not significantly influence their wasting status. Therefore, interventions to prevent wasting should focus on improving energy and fat intake in children.
Prevalence and associated factors of anemia among female high school students in Depok City Thesia Ekawati; Sandra Fikawati; Dian Fitri Nurisfanti; Hilmi Friska
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
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.v11i2.3301

Abstract

Anemia among adolescent girls remains a public health issue that can affect their nutritional status, learning abilities, and reproductive health. However, studies that simultaneously analyze nutritional intake, behavioral, and physiological factors associated with anemia among high school girls in Depok City are limited. This study aimed to identify the factors associated with anemia among female high school students in Depok City, Indonesia. Methods: This cross-sectional study included 165 students from 15 public high schools selected by quota sampling between February and April 2024. Data were collected through hemoglobin measurements using the HemoCue Hb 201+, anthropometry, two 24-hour dietary recalls, and structured questionnaires. Data were analyzed using chi-square tests and multiple logistic regressions. Results: The prevalence of anemia was 53.3%. Low protein intake had the strongest independent association with anemia (odds ratio [OR] = 6.18; 95% confidence interval [CI]: 2.74–13.94; P < 0.001). Other associated factors included undernutrition (OR = 5.27; p = 0.015), low energy intake (OR = 4.84; p = 0.001), insufficient iron intake (OR = 4.76; p = 0.002), nonadherence to weekly iron supplementation (OR = 4.50; p = 0.009), irregular menstrual cycles (OR = 3.95; p = 0.004), and low zinc intake (OR = 2.51; p = 0.034). In conclusion, anemia was prevalent and was associated with nutritional, behavioral, and menstrual factors. Integrated interventions should improve dietary quality, supplementation adherence, menstrual health education, and counseling for undernourished female students.
Inadequate protein and milk consumption related to stunting in children aged 24–59 months in Tanjung Priok, Jakarta Sheila Octavia; Sandra Fikawati; Aurelia Yoshadara
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): June
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.v11i2.3303

Abstract

Evidence on the combined association of nutrient intake and specific protein-source foods with stunting in densely populated Indonesian urban communities is limited, hindering the implementation of locally targeted nutritional interventions. This study aimed to examine the association between nutrient intake and protein-source food consumption and stunting among children aged 24–59 months in Tanjung Priok, North Jakarta. Methods: This cross-sectional study included 184 children selected by cluster random sampling from three subdistricts between January and July 2023. Stunting was defined as a height-for-age below −2 standard deviations of the World Health Organization growth standard. Dietary intake was assessed using a 24-hour recall and protein-source food frequency questionnaire. Chi-square tests and logistic regression were used to analyzed. Of the 184 children, 43 (23.4%) were stunted. Rare milk and dairy consumption (<4 times/week) was associated with higher odds of stunting (adjusted odds ratio [aOR], 2.911; 95% confidence interval [CI], 1.260–6.723; p=0.012). Inadequate protein intake was also associated with higher odds (aOR, 2.268; 95% CI, 1.024–5.023; p=0.044). Other adjusted dietary associations were not found to be statistically significant. In conclusion, rare milk and dairy consumption and inadequate protein intake were associated with stunted growth. Improving access to affordable and diverse protein-rich foods, including appropriate dairy products, may support child nutrition in similar urban communities.
Determinan Stunting pada Anak Usia 24-30 bulan di Kecamatan Cakung, Jakarta Timur: Determinants of Stunting Among Children Aged 24-30 Months in Cakung District, East Jakarta Ariani Tri Rahmi; Sandra Fikawati; Hilda Rahmani Fitri
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 5 No. 7 (2022)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v5i7.2362

Abstract

Latar Belakang: Kejadian stunting di Indonesia tahun 2018 mencapai 30,8%, Jakarta Timur termasuk salah satu kota dengan prevalensi stunting yang tingggi yakni 25,7%. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor-faktor yang berhubungan dan faktor dominan stunting pada anak usia 24-30 bulan di Kecamatan Cakung Jakarta Timur. Metode: Desain penelitian yang digunakan adalah cross sectional dengan jumlah sampel sebanyak 221 anak yang diambil dengan teknik cluster sampling. Pengambilan data dilakukan melalui pengukuran tinggi badan, wawancara kuesioner, dan food recall 2x24 jam. Analisis data menggunakan uji chi-square dan regresi logistik ganda model prediksi. Hasil: Analisis menunjukkan proporsi anak usia 24-30 bulan yang mengalami stunting sebesar 20,4%. Hasil uji chi-square menunjukkan terdapat hubungan yang signifikan antara asupan energi (p-value=0,003), karbohidrat (p-value=0,006), protein (p-value=0,005), lemak (p-value=0,002), vitamin A (p-value=0,009), usia mulai minum susu (p-value=0,008), frekuensi konsumsi susu (p-value=0,025), pendidikan ibu (p-value=0,006), dan pengetahuan gizi ibu (p-value=0,041) terhadap stunting. Hasil uji regresi logistik menunjukkan usia mulai minum susu sebagai faktor dominan terhadap stunting. Anak yang mulai minum susu di usia 12 bulan atau lebih memiliki risiko 2,2 kali lebih besar untuk mengalami stunting dibandingkan anak yang sudah mulai minum susu sebelum usia 12 bulan. Kesimpulan: Penelitian ini menyimpulkan bahwa asupan zat gizi makro dan mikro seperti Vitamin A, usia mulai minum susu, frekuensi konsumsi susu, pendidikan dan pengetahuan gizi ibu merupakan determinan stunting pada anak usia 24-30 bulan di Kecamatan Cakung.
Faktor Dominan yang Mempengaruhi Asupan Energi Anak Usia 25-30 Bulan di Jakarta Pusat Tahun 2019: The Dominant Factors Affecting Energy Intake in Children Aged 25-30 Months in Central Jakarta in 2019 Nadya Khaira Wardi; Sandra Fikawati; Risma Hayati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 6 No. 9 (2023)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v6i9.3604

Abstract

Latar belakang: Asupan energi merupakan sumber energi yang digunakan untuk proses metabolisme, pertumbuhan, pengaturan suhu, dan aktivitas fisik. Asupan energi anak yang tidak memenuhi kebutuhan normal, dapat meningkat terjadinya risiko stunting dan malnutrisi. Tujuan: Penelitian ini bertujuan untuk mengetahui faktor dominan yang mempengaruhi asupan energi pada anak usia 25-30 bulan di Kecamatan Gambir dan Sawah Besar Jakarta Pusat pada tahun 2019. Metode: Penelitian ini menggunakan pendekatan kuantitatif desain cross-sectional dengan jumlah sampel sebanyak 98 anak. Pengumpulan data dilakukan menggunakan kuesioner dan food recall 1x24 jam. Analisis dilakukan menggunakan uji korelasi, uji t independent, dan uji regresi linear berganda. Hasil: Rata-rata asupan energi anak adalah 1,065 kkal/hari. Analisis bivariat menggunakan uji T menunjukkan bahwa ada perbedaan rata-rata antara asupan energi dengan frekuensi makan (p=0,007), asupan minimum yang dapat diterima (p=0,008), dan jumlah konsumsi susu (p=0,0001). Hasil uji korelasi menunjukkan perbedaan antara rata-rata asupan energi dengan asupan karbohidrat (p=0,0005), asupan protein (p=0,0005), dan asupan lemak (p=0,0005). Kelompok biji-bijian, umbi, akar, dan susu adalah sumber makanan yang paling banyak di konsumsi oleh anak. Hasil uji regresi linear berganda menunjukkan faktor dominan yang mempengaruhi asupan energi anak adalah asupan karbohidrat (p=0,000), asupan protein (p=0,000), dan asupan lemak (p=0,000). Kesimpulan: Penelitian ini menyimpulkan bahwa asupan karbohidrat, asupan lemak dan asupan protein merupakan faktor dominan yang mempengaruhi asupan energi pada anak.
Shift Work and Metabolic Syndrome: Systematic Review Silviani J Prissa; Sandra Fikawati
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 7 No. 6 (2024)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v7i6.5329

Abstract

Introduction: Compared to standard working hours, shift work is one of the most popular options. The disruption of circadian rhythms caused by shift work and the loss of circadian rhythms caused by sleep disturbances are considered to be major risk factors for the development of metabolic diseases. Objective: This systematic review analyzed the relationship of shift work to the risk of metabolic syndrome Method: Systematic searches using pubmed, scopus, proquest, science direct and google scholar were published within 2014 - 2024 using English and Indonesian. Reviews are displayed in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 and article quality assessment using the PICO framework (Patient/Population, Intervention, Comparator/Control, and Outcome). Result: 9 out of 10 articles show that shift workers have a higher incidence of metabolic syndrome and most studies show the effect of shift work on several indicators of metabolic syndrome. Conclusion: There is an association between shift work (night work or rotating shifts) and various metabolic syndrome disorders. Circadian misalignment due to night work activities can cause systemic metabolic dysfunction
Co-Authors Adila Prabasiwi Adila Prabasiwi, Adila Ahmad Safiq Ahmad Syafiq Alifani Faiz Faradhila Anggraini, Kirana Anggraini, Kirana Anisa Sukmaningtias Anisa Sukmaningtias Ariani Tri Rahmi Asih Setiarini Aurelia Yoshadara Bakara, Stella Maris Basrowi, Ray Wagiu Christanti, Stefani Devi Suryanti Sihite Dian Fitri Nurisfanti Dinar Farrasia Hafizhah Dwi Wahyuni Eka Nurhayati Endang L. Achadi, Endang L. Euis Supriati Fajrinayanti . Fatma Lestari Gemily, Syilga Cahya Gladys Apriluana Herlinda Lizamona Hilda Rahmani Fitri Hilmi Friska Ilmani, Dhea Agnia Intan Hidayah Islamiati, Nisa Nur Japri, Andrew Prasettya Khaula Karima Khoirul Anwar Krisnawati Bantas Kusdinar Achmad Kusharisupeni Kusharisupeni Laksono Trisnantoro Layra Azkadzkiya Arradhin Lia Yulianti Lia Yulianti Lulu'ul Badriyah Muhammad Aulia Rizky Nadya Khaira Wardi Netti Yaneli Norma Yangkawedar Putriamanah Notarianti, Rizna Nuril Aiffa Dewantari Patrisha Ramadhiani Putri, Primasti Nuryandari Qirani, Ida Ayu Devi Raditya Wratsangka, Raditya Ratih P. Purbaningrum Ratu Ayu Dewi Sartika Retno Widiastuti Risma Hayati Rizna Notarianti Ruth Alpita Silva Santoso, Cornelia Lugita Sari, Dwi Ardyna Octa Selma Avianty Septiani, Seala Sheila Octavia Shelvi Novianita Shukri, Nurul Husna Mohd Sihite, Devi Suryanti Silviani J Prissa Siyania, Piya Suci Pujiyanti Supriati, Euis Susilowati Susilowati Syilga Cahya Gemily Syilga Cahya Gemily Tanesib, Amran Julianto Thesia Ekawati Triyanti Triyanti Wahyu Kurnia Yusrin Putra Wastidar Musbir Welly Femelia Widartika Wirawan, Fadila Yanti Samosir