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All Journal Jurnal Gizi dan Pangan MEDIA MEDIKA INDONESIANA Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Medika Saintika Journal of Epidemiology and Public Health B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah JURNAL KESEHATAN PERINTIS Majalah Kedokteran Andalas Contagion: Scientific Periodical Journal of Public Health and Coastal Health Jurnal Ners Indonesian Journal of Global Health research Jurnal Psikiatri Surabaya (Surabaya Psychiatry Journal) Jurnal Kesehatan Tambusai Basic and Applied Nursing Research Journal Jurnal Ilmiah Kesehatan (JIKA) Jurnal Ilmu Kesehatan Indonesia (JIKSI) Journal of Social And Economics Research Makara Journal of Health Research Berita Kedokteran Masyarakat Women Midwives and Midwifery Jurnal Riset Ilmiah Jurnal Sains, Teknologi dan Kesehatan journal of social and economic research Malahayati International Journal of Nursing and Health Science Journal of Medicine and Health Jurnal Kesehatan
Delmi Sulastri
Universitas Andalas
Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Nursing Physics Public Health Social Sciences Other

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Unlocking the Fiber Mystery: The Secret Key to Blood Sugar Control and Diabetes Management Thamrin, Silvia; Sulastri, Delmi
Majalah Kedokteran Andalas Vol. 47 No. 4 (2024): MKA October 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i4.p465-473.2024

Abstract

Latar Belakang: Serat makanan terdiri dari karbohidrat kompleks dan lignin yang tidak dihidrolisis oleh enzim manusia dan, oleh karena itu, tidak dicerna atau diserap oleh tubuh manusia. Berbagai efek serat makanan, termasuk peningkatan viskositas intraluminal, penurunan penyerapan makronutrien, dan berkurangnya sekresi insulin, berkontribusi pada pengendalian glikemia postprandial dan mengurangi risiko hipoglikemia pasca-penyerapan. Tujuan: Untuk memberikan pemahaman bahwa asupan serat makanan yang cukup sangat penting untuk kontrol glikemik dan manajemen diabetes yang efektif. Metode: Artikel ini disusun berdasarkan metode tinjauan pustaka. Hasil: Serat makanan memainkan peran penting dalam kontrol glukosa darah, terutama pada individu dengan pra-diabetes dan diabetes. Efek intrinsik serat makanan dalam mengurangi asupan energi dan mempromosikan penurunan berat badan juga penting dalam manajemen diabetes. Selain itu, efek usus besar dari serat makanan, yang meningkatkan fermentasi asam lemak rantai pendek dan mengurangi glukosa harian dan produksi asam lemak bebas, dapat meningkatkan sensitivitas insulin dan mengurangi sekresi insulin. Kesimpulan: Serat pangan memiliki manfaat untuk mengontrol glukosa darah.
The Relationship Between Macronutrient Intake and Stunting Among Children Aged 1–2 Years: Quantitative and Qualitative Approaches Nesva, Intan Silvia; Sulastri, Delmi; Basyir, Vaulinne
Journal of Epidemiology and Public Health Vol. 10 No. 4 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2025.10.04.04

Abstract

Background: Stunting among children aged 1–2 years remains a critical public health concern in Indonesia, particularly during the vital 1,000-day window of child development. This study aimed to analyze the relationship between macronutrient intake and stunting using a mixed-methods approach. Subjects and Method: This was a sequential explanatory mixed-methods study conducted from February 2024 to May 2025 at Community Health Center Dadok Tunggul Hitam, Padang City. The quantitative component employed a case-control design involving 66 children aged 1–2 years, divided equally into stunted (cases) and non-stunted (controls) groups. Sampling was conducted purposively for cases and by simple matching for controls. The independent variables were intake of carbohydrates, proteins, and fats; the dependent variable was stunting, defined using WHO growth standards. Macronutrient intake was assessed via a 24-hour recall. Data were analyzed using Chi-square tests to determine associations, and Odds Ratios (OR) with 95% Confidence Intervals (CI) were reported. The qualitative phase included interviews with mothers, health workers, and community volunteers, analyzed thematically using NVivo 12. Results: Children with inadequate carbohydrate intake were significantly more likely to be stunted (OR=3.50; 95% CI=1.27 to 9.64; p=0.015). No statistically significant associations were found for protein intake (OR=2.60; 95% CI=0.91 to 7.44; p=0.074) or fat intake (OR=2.44; 95% CI=0.89 to 6.70; p=0.082). Qualitative findings revealed barriers such as loss of appetite during illness, preference for snacks, food aversions, and limited maternal knowledge and resources, all of which contributed to inadequate macronutrient intake. Conclusion: Inadequate carbohydrate intake was significantly associated with stunting in children aged 1–2 years. Contextual factors such as eating behavior and parental feeding practices further influenced nutritional outcomes. Interventions should address both dietary intake and behavioral barriers within families.
Anemia-free strategies and antenatal care services in stunting prevention Mizawati, Afrina; Effendi, Nursyirwan; Sulastri, Delmi; Purna, Rozi Sastra
BKM Public Health and Community Medicine Vol 40 No 07 (2024)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v40i07.6806

Abstract

Purpose: The purpose of this study was to evaluate the effectiveness of interventions targeting anemia prevention and antenatal care (ANC) to reduce the risk of stunting in children. Methods: A comprehensive search will be conducted in electronic databases to investigate the impact of anemia prevention strategies on child stunting. Studies will be included if they assess interventions in women focusing on iron supplementation, nutrition counseling, or a combination of both and report child stunting as an outcome measure. Results: Anemia prevention is very effective in improving children's growth outcomes, thus contributing to knowledge and ways of treating anemia in the preconception and antenatal periods to reduce the prevalence of stunting. Conclusion: The importance of comprehensive interventions in improving the health and well-being of future generations. Implementing health policies integrating blood supplementation interventions, nutrition education, and quality antenatal care is highly recommended to create a healthier and more qualified generation.
Weight of Pregnant Women in Deli Serdang Regency: A Qualitative Study Sari, Nur Mala; Lipoeto, Nur Indrawaty; Bachtiar, Adang; Ariadi, Ariadi; Machmud, Rizanda; Defrin, Defrin; Mudjiran, Mudjiran; Sulastri, Delmi
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.3982

Abstract

Weight gain that is not according to recommendations during pregnancy has become an epidemic throughout the world today and is a clinical problem with high prevalence and can affect the health of mothers and babies. Objective: This study aims to find out more about the perspective of increase in weight of pregnant women in deli serdang regency. Method: This study was qualitative with a descriptive approach. The informants in this study were 3 pregnant women with weight gain above recommendations, 3 pregnant women with weight gain below recommendations, 1 ob-gyn, 1 midwife, and 1 nutrition who were recruited using purposive sampling. Data were collected using semi-structured interviews. Data were analyzed using the Content Analysis. Results: The study emerged 5 themes: (1) Knowledge, (2) Perspective, (3) Behaviour, (4) Family support, and (5) Physical activity. Conclusions: The findings show that several factors influence the increase in weight of pregnant women in Deli Serdang Regency, so the health care provider needs to pay attention to improve their knowledge about weight gain during pregnancy according to the needs of pregnant women.
Policy Analysis On Exclusive Breastfeeding for Informal Workers in Traditional Markets in North Sumatra Ariani, Peny; Lipoeto, Nur Indrawaty; Chundrayetti, Eva; Malini, Hema; Bachtiar, Adang; Sulastri, Delmi; Mayetti, Mayetti; Neherta, Meri
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4064

Abstract

Most informal female workers in traditional markets are in the reproductive age range. One of the causes of low exclusive breastfeeding in women informal workers is the low implementation of policies related to exclusive breastfeeding in the workplace, especially in the informal sector. Objective to analyze the policies carried out by the local government related to exclusive breastfeeding policies for informal workers in traditional markets. Method: the study was qualitative with a phenomenological approach. Participants consisted of 12 employees of related agencies with purposive sampling. Data collection was done through in-depth interviews using voice records. Data analysis used content analysis by the collaizi method. The principle of traceability was applied to ensure rigor in the research. The results of this study obtained two themes related to the analysis of exclusive breastfeeding policies in Informal Workers of Traditional Markets in North Sumatra, namely 1) perception of lactation corner facilities in the markets; and 2) barriers to the certainty of lactation corners in the traditional market. It is essential to analyze the exclusive breastfeeding policy for informal workers in convention markets to create better policies by providing adequate lactation corner facilities for informal workers.
Peran Genetik dalam Kemampuan Kognitif dan Tumbuh Kembang pada Gangguan Gizi: Kajian Naratif Yulistini, Yulistini; Sulastri, Delmi
Jurnal Ilmu Kesehatan Indonesia Vol. 4 No. 4 (2023): Desember 2023
Publisher : Fakultas Kedokteran, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jikesi.v4i4.1226

Abstract

Latar Belakang: Genetik dan faktor lingkungan berperan dalam kemampuan kognitif dan tumbuh kembang anak. Anak yang mengalami stunting memiliki risiko lebih tinggi untuk mengalami berbagai masalah kesehatan dan kognitif di masa depan. Berat badan lahir rendah (BBLR) dan maternal merupakan faktor dominan penyebab terjadinya stunting. Objektif: Untuk menganalisis peran genetik dalam kemampuan kognitif pada BBLR, stunting, dan catch-up growth. Metode: Tinjauan naratif yang menyelidiki hubungan antara genetik, stunting, BBLR, dan kognitif pada anak dan remaja awal. Pencarian, ekstraksi data, dan pemeringkatan kualitas pemberitaan dilakukan secara independen oleh dua orang peneliti. Hasil: Faktor dominan terjadinya stunting adalah berat badan lahir rendah. Anak-anak yang memiliki mutasi gen tertentu akibat dari lahir dengan BBLR, mengalami stunting, dan/atau tidak mengalami catch up growth memiliki risiko lebih tinggi untuk mengalami gangguan perkembangan kognitif. Gen yang berperan kemampuan kognitif pada berat badan lahir rendah adalah efek perlindungan (neuroplastisitas) terhadap perkembangan kognisi pada anak dengan BBLR. Beberapa gen lain juga berperan dalam menentukan status gizi anak seperti gen metabolit dan ibu (maternal). Kesimpulan: Masalah gizi dapat berdampak negatif terhadap kemampuan kognitif. Pada anak dengan stunting dapat mengejar ketertinggalannya (catch-up growth) terutama dalam hal kognitif. Faktor genetik melalui neuroplastisitas dapat berperan dalam menentukan keberhasilan anak catch-up growth. Kata kunci: stunting, genetik, low birth weight, catch-up growth, kognitif
Nutrisi dan Genetik: Apa Hubungannya dengan Tuberculosis Paru: Scoping Review Sary, Annisa Novita; Sulastri, Delmi
Jurnal Kesehatan Medika Saintika Vol 15, No 1 (2024): Juni 2024
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v15i1.2094

Abstract

Tuberkulosis paru adalah penyakit infeksi yang disebabkan oleh Mycobacterium tuberculosis yang menyerang paru-paru. Beberapa penelitian telah dilakukan untuk mengetahui hubungan antara faktor gizi dan genetik dengan penyakit TB. Tujuan dari penelitian ini adalah untuk menganalisis hubungan antara gizi dan gen dengan penyakit TB paru. Metode dalam penelitian ini menggunakan Scoping Review yang tersedia tentang topik yang diteliti dengan mencari melalui database yang relevan. Database yang digunakan adalah Google Scholar, ScienceDirect, Pubmed. Penelitian ini menggunakan kerangka kerja PRISMA dengan mencari artikel yang memenuhi kriteria inklusi, dan sepuluh artikel yang direview.  Hasil dari tinjauan literatur menunjukkan bahwa terdapat hubungan antara status gizi dan gen dengan kejadian TB. Beberapa zat gizi yang terbukti berhubungan dengan peningkatan risiko TB paru adalah Vit.D, Vit.A, Fe, dan Zn. Gen yang ada di dalam tubuh juga dapat mempengaruhi kejadian TB paru. Faktor genetik juga dapat mempengaruhi kerentanan seseorang terhadap TB. Gen NRAMP1-Polimorfisme, Imunitas interferon-gamma, TNF-a Polimorfisme terlibat dalam perkembangan infeksi Mycobacterium tuberculosis. Beberapa gen yang terlibat dalam respon imun dan inflamasi mungkin berperan dalam meningkatkan risiko terkena TB.
The Implementation of Antenatal Classes: A Scoping Review Oktarina, Mika; Sulastri, Delmi; Utama, Bobby Indra; Firdawati, Firdawati
Women, Midwives and Midwifery Vol. 5 No. 3 (2025): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36749/wmm.5.3.40-52.2025

Abstract

Background: Antenatal classes serve as a learning platform for pregnant women regarding pregnancy and childbirth preparation. This literature review aims to map the literature and evidence-based practices related to antenatal class implementation. Purpose:  This  scoping  review  aims to assess the implementation of Antenatal Classes. Methods: This study adopts a literature review design. Initial searches for journal articles were conducted on the PubMed, ScienceDirect, and Google Scholar databases from 2019 to 2024. The study identified 78 articles, of which only six journal articles met the inclusion criteria. Literature review procedures: collecting library data, reading, and note-taking, as well as critically assessing research materials. Results: According to the literature review, the implementation of antenatal classes yields numerous benefits, reducing stress and anxiety symptoms for both pregnant women and their partners in facing pregnancy and childbirth. Providing comprehensive and continuous material can enhance pregnant women's knowledge, attitudes, and behavior changes in preventing complications. Conclusion: Antenatal classes benefit mothers in preparing for a healthy pregnancy, childbirth, breastfeeding, transitioning into motherhood, and enabling early detection. Support from husbands and families to attend antenatal classes can boost the mother's confidence. A research gap identified for future studies is the variation in facilitators (healthcare professionals) of antenatal classes between developed and developing countries. Interprofessional Collaboration (IPC) is implemented in developed countries by involving specialized doctors, midwives, and nutritionists as facilitators in antenatal class implementation.
Pengaruh Pemberian Es Krim Dadih Terhadap Perubahan Jumlah Lactobacillus Fermentum Pada Feses Anak Obesitas Wahyuni, Yosha Putri; Sulastri, Delmi; Eka Putra, Andani
Majalah Kedokteran Andalas Vol. 47 No. 3 (2024): MKA July 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i3.p321-329.2024

Abstract

Tujuan: Tujuan penelitian ini untuk melihat pengaruh pemberian es krim dadih terhadap jumlah Lactobacillus fermentum anak obesitas. Metode: Penelitian ini merupakan penelitian ekperimental dengan desain pre-post test with control group. Responden penelitian adalah 24 orang anak obesitas yang masuk kriteria inklusi dan ekslusi yang dibagi menjadi dua kelompok yaitu kelompok perlakuan adalah yang diberikan es krim dadih dan kelompok kontrol adalah yang diberikan es krim tanpa dadih. Jumlah Lactobacillus fermentum diperiksa di laboratorium mikrobiologi Fakultas Kedokteran Universitas Andalas Padang dengan metode real- time PCR. Data dianalisis dengan menggunakan uji Dependent sample t-test. Hasil: Hasil penelitian didapatkan rata-rata jumlah Lactobacillus fermentum sebelum intervensi pada kelompok perlakuan 2,59 ± 1,18 log cfu/gr dan setelah intervensi 3,74 ± 0,75 log cfu/gr, pada kelompok kontrol sebelum intervensi 3,47 ± 1,27 log cfu/gr dan setelah intervensi 3,21 ± 0,41 log cfu/gr. Terdapat perbedaan yang signifikan jumlah Lactobacillus fermentum sebelum dan setelah diberikan intervensi pada kelompok perlakuan dan tidak terdapat perbedaan pada kelompok kontrol. Kesimpulan: Pada penelitian ini dapat disimpulkan terdapat pengaruh pemberian es krim dadih terhadap jumlah Lactobacillus fermentum pada feses anak obesitas.
Hubungan antara Status Hidrasi dengan Daya Konsentrasi Anak Sekolah Dasar Alam Ar-Royyan Padang Putri, Miftahul NS; Sulastri, Delmi; Sauma, Eldi; Abdiana; Fasrini, Ulya U
Journal of Medicine and Health Vol 7 No 1 (2025)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v7i1.8899

Abstract

Hidrasi adalah masalah kesehatan umum yang sering terjadi pada anak-anak di sekolah. Sebagian besar anak sekolah mengalami dehidrasi yang dapat memengaruhi kinerja mereka di sekolah. Dehidrasi dapat mengurangi kemampuan kognitif, termasukdaya konsentrasi, memori, dan berpikir kreatif, yang pada akhirnya berdampak pada prestasi anak. Fokus dari studi ini adalah untuk mengetahui hubungan antara status hidrasi dan konsentrasi siswa di Sekolah Dasar Alam Ar-Royyan, Kota Padang. Metode yang dipakai pada studi ini ialah studi observasional analitik dengan pendekatan cross-sectional. Studi ini melibatkan 98 partisipan dari ekolah Dasar Alam Ar-Royyan. Partisipan dipilih menggunakan teknik pengambilan sampel acak berstrata. Status hidrasi diukur berlandaskan berat jenis urine menggunakan carik celup urine, sedangkan tingkat konsentrasi diukur dengan Symbol Digit Modalities Test (SDMT). Data yang diperoleh selanjutnya dianalisis dengan uji Chi-kuadrat. Temuan pada penelitian ini menunjukkan bahwa sebagian partisipan mengalami dehidrasi tingkat sedang (84,69%), dan lebih dari separuh partisipan memiliki konsentrasi rendah (67,35%). Hasil uji Chi-kuadrat menunjukkan tidak ada hubungan signifikan antara status hidrasi dan daya konsentrasi pada anak sekolah, dengan p-value > 0,05. Penelitian ini menegaskan bahwa status hidrasi mungkin tidak memengaruhi daya konsentrasi anak sekolah.
Co-Authors Abdiana Adang Bachtiar Afdhal, Fitrah Afriani, Nita Afriwardi Afriwardi Afrizal Afrizal Alfin Rahma Fadhilah Amara Azka Shafrina Amel Yanis Amir, Aprima Yona Andani Eka Putra Ariadi, Ariadi Ariani, Peny Arni Amir Azrimaidaliza Basyir, Vaulinne Defrin Defrin Defrin, Defrin Desmawati Desmawati Desmawati Desmawati Dessy Arisany Dian Isti Angraini Dian Isti Angraini Dolly Irfandy Eldi Sauma Endrinaldi Erasta, Junira Eva Chundrayetti Eva Chundrayetti Evynatra Evynatra Evynatra, Evynatra Fadillah Ulva Faisaelia, Rezka Nanda Fannya, Puteri Fasrini, Ulya U Firdawati, Firdawati Fitrah Afdhal Fivi Melva Diana, Fivi Melva Friska Eka Fitria Hafizth, Hendi Hafni Bachtiar Hardisman Hasmiwati Hema Malini, Hema Heriawita Heriawita, Heriawita Hermawan, Nur Sefa Arief Hudila Rifa Karmia Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Ida Rahmah Burhan Ika Nur Saputri Ilmiawati Indah Gemala Inke Malahayati Iqbal Muhammad Helmi Izmi Fadhilah Nasution Jamsari Jamsari Joaninha Cavalho de Jesus Linosefa Linosefa Lipoeto NI Masrul Mayetti Mayetti Mizawati, Afrina Mudjiran Mudjiran Mudjiran Nasrul Zubir Neherta, Meri Nesva, Intan Silvia Novita Sari Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nursyirwan Effendi, Nursyirwan Nurul Ramadhini Nur’afifah, Fauziah Nuzulia Irawati Oktarina, Mika Putra, Abdi Setia Putri Aisyah Mirza Putri, Miftahul NS Rauza Sukma Rita Rizanda Machmud Rizanda Mahmud` Rosfita Rasyid Roslaili Rasyid Roza Mulyana Rozi Sastra Purna Sari, Nur Mala Sari, Vivi Sary, Annisa Novita Sesmeri Haryani silvia thamrin Sri Mulyanti Susi Susanti Susi Susanti Thamrin, Silvia Ulya Uti Fasrini Utama, Bobby Indra Wahyuni, Yosha Putri Yulistini, Yulistini Yuniar Lestari Yusrawati Yusrawati Yusti Siana