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All Journal Jurnal Gizi dan Pangan MEDIA MEDIKA INDONESIANA Journal of Nutrition College Jurnal Kebijakan Kesehatan Indonesia Jurnal Kesehatan Masyarakat Jurnal Kesehatan Masyarakat Andalas (Andalas Journal of Public Health) Jurnal Kesehatan Andalas Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Jurnal Penelitian Pendidikan IPA (JPPIPA) Jurnal Kesehatan Medika Saintika B-Dent, Jurnal Kedokteran Gigi Universitas Baiturrahmah JURNAL KESEHATAN PERINTIS Majalah Kedokteran Andalas Jurnal Kesehatan 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 Eduvest - Journal of Universal Studies Jurnal Kesehatan Komunitas Indonesia Women Midwives and Midwifery Plexus Medical Journal Jurnal Riset Ilmiah Jurnal Sains, Teknologi dan Kesehatan Malahayati International Journal of Nursing and Health Science Journal of Medicine and Health Jurnal Kesehatan
Delmi Sulastri
Bagian Ilmu Gizi Fakultas Kedokteran Universitas Andalas
Aerospace Engineering 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 Environmental Science Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Medicine & Pharmacology Neuroscience Nursing Physics Public Health Social Sciences Other

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Status Gizi Ibu, Komposisi Asi, dan Implikasinya Terhadap Pertumbuhan Anak: Tinjauan Literatur Sistematis eeding: Its Implications for Maternal Health and Child Growth and Development - A Systematic Literature Review Rahmawati Rahmawati; Delmi Sulastri
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61551

Abstract

Menyusui merupakan praktik nutrisi esensial pada awal kehidupan, status gizi ibu berpengaruh terhadap komposisi dan mendukung tumbuh kembang anak serta kesehatan ibu pada masa laktasi dan jangka Panjang seperti kanker payudara. Penelitian ini bertujuan mensintesis bukti ilmiah mengenai menyusui dan implikasinya terhadap pertumbuhan anak serta kesehatan ibu. Penelitian menggunakan pendekatan Systematic Literature Review melalui basis data ScienceDirect, PubMed, dan DOAJ berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Sebanyak 495 artikel (terbit 2017- 2026) dan kemudian 31 artikel dianalisis secara sistematis. Data diekstraksi dan disintesis secara naratif menggunakan pendekatan tematik. Hasil sintesis menunjukkan bahwa menyusui berpengaruh terhadap tumbuh kembang anak dan kesehatan ibu. Status gizi ibu memengaruhi berbagai komponen ASI. Overweight, obesitas, diabetes gestasional, dan kualitas pola makan yang kurang baik berhubungan dengan perubahan komponen bioaktif ASI. Perubahan tersebut berimplikasi terhadap pertumbuhan linear, komposisi tubuh, perkembangan imun dan neurologis, kolonisasi mikrobiota usus, serta kesehatan metabolik anak. Pada ibu, praktik menyusui berkontribusi terhadap pemulihan pascapersalinan dan kesehatan reproduksi. Menyusui merupakan tahapan penting dalam meningkatkan kesehatan ibu dan mendukung tumbuh kembang anak. Status gizi ibu menjadi determinan penting komposisi ASI dan pertumbuhan anak melalui berbagai mekanisme biologis. Optimalisasi status gizi sejak prakonsepsi, kehamilan, hingga laktasi diperlukan untuk meningkatkan kualitas ASI.
Faktor Penentu Genetik, Epigenetik, Gizi, dan Psikososial Pada Gangguan Mental Emosional di Kalangan Remaja: Tinjauan Sistematis Desy Susanty; Delmi Sulastri
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61838

Abstract

Gangguan mental emosional pada remaja merupakan masalah kesehatan yang dipengaruhi oleh interaksi faktor genetik, epigenetik, gizi, dan psikososial sehingga diperlukan sintesis bukti ilmiah untuk mendukung pencegahan, deteksi dini, dan intervensi yang komprehensif. Penelitian ini bertujuan mengidentifikasi dan mensintesis determinan genetik, epigenetik, gizi, dan psikososial yang berkontribusi terhadap gangguan mental emosional pada remaja. Penelitian menggunakan desain systematic review berdasarkan pedoman PRISMA 2020 melalui penelusuran artikel pada PubMed, ScienceDirect, dan Taylor & Francis periode 2021–2026. Seleksi dilakukan oleh dua penelaah independen menggunakan Rayyan, dan 11 artikel yang memenuhi kriteria inklusi disintesis secara naratif. Hasil penelitian menunjukkan bahwa gangguan mental emosional pada remaja merupakan kondisi multifaktorial yang dipengaruhi interaksi faktor biologis dan lingkungan. Variasi gen FKBP5, ANKK1, DRD4, dan GRIN2B meningkatkan kerentanan biologis, sedangkan metilasi DNA memediasi perubahan ekspresi gen akibat paparan lingkungan sejak periode prenatal hingga remaja. Faktor gizi, meliputi metabolisme zat besi, fungsi hormon tiroid, dan sistem endokannabinoid, berhubungan dengan disregulasi neurotransmiter, inflamasi, dan respons stres. Pola asuh, kondisi sosial ekonomi, pengalaman adversitas, bullying, serta lingkungan keluarga dan sekolah turut meningkatkan risiko melalui interaksi dengan mekanisme biologis. Temuan ini menegaskan pentingnya pendekatan biopsikososial yang mengintegrasikan biomarker biologis dan faktor lingkungan guna mendukung pencegahan, deteksi dini, serta intervensi yang lebih efektif pada remaja berisiko.
Kerentanan Genetik dan Masalah Gizi Remaja Serta Perempuan Pascabencana: Systematic Literature Review Sisca Oktarini Oktarini; Delmi Sulastri
Jurnal Ners Vol. 10 No. 4 (2026)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i4.61925

Abstract

Bencana alam dapat mengganggu sistem pangan, pelayanan kesehatan, sanitasi, dan kondisi sosial ekonomi sehingga meningkatkan risiko masalah gizi pada remaja dan perempuan. Kerentanan genetik dapat memengaruhi respons individu terhadap stres nutrisi pada kondisi pascabencana. Kajian ini bertujuan untuk mensintesis bukti mengenai peran kerentanan genetik terhadap masalah gizi pada remaja dan perempuan di komunitas pascabencana serta mengidentifikasi interaksi gen–lingkungan yang memengaruhi luaran gizi. Tinjauan literatur naratif dengan pedoman PRISMA 2020 dilakukan melalui basis data PubMed, Scopus, Web of Science, dan Google Scholar. Artikel berbahasa Inggris yang diterbitkan tahun 2014–2025 diseleksi berdasarkan kriteria inklusi dan eksklusi yang telah ditetapkan. Sebanyak 40 artikel dari keempat basis data memenuhi kriteria dan disintesis. Status gizi masyarakat pascabencana dipengaruhi oleh interaksi antara paparan lingkungan dan predisposisi genetik. Variasi gen HFE, TMPRSS6, MTHFR, VDR, FTO, dan MC4R berpotensi meningkatkan kerentanan terhadap masalah gizi ketika akses pangan dan keragaman konsumsi terbatas. Remaja dan perempuan merupakan kelompok yang sangat rentan karena kebutuhan fisiologis zat gizinya lebih tinggi. Kerentanan genetik dapat memodifikasi respons gizi pada remaja dan perempuan setelah bencana. Integrasi perspektif genetik dengan intervensi gizi konvensional berpotensi mendukung strategi gizi kebencanaan yang lebih tepat sasaran dan berbasis bukti.
Nutrigenomic Literacy as a Determinant of Dietary Behavior among Adolescent Girls and Women: A Systematic Review Honesty Diana Morika; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Abstract

Background: Nutrition-related diseases remain a major public health concern among adolescent girls and women. Poor dietary behaviors contribute to anemia, obesity, metabolic disorders, and other non-communicable diseases. Advances in nutrigenomics have emphasized the importance of understanding gene–nutrient interactions in influencing health outcomes. Nutrigenomic literacy—the ability to access, understand, evaluate, and apply nutrigenomic information—has emerged as a potential determinant of dietary behavior. However, evidence regarding its role among adolescent girls and women has not been systematically synthesized. Objective: This systematic review aimed to examine the role of nutrigenomic literacy as a determinant of dietary behavior among adolescent girls and women. Methods: A systematic review was carried out in accordance with the PRISMA 2020 guidelines. Searches of the literature were conducted in PubMed, Scopus, ScienceDirect, Web of Science, and ProQuest to identify studies published from 2015 to 2026. Included studies evaluated nutrigenomic literacy, nutrigenomic education, genetic literacy related to nutrition, precision nutrition, and dietary behavior among adolescent girls and women. Methodological quality was appraised using the Joanna Briggs Institute Critical Appraisal Checklist. Results: Fourteen studies met the inclusion criteria. The findings indicated that higher levels of nutrigenomic literacy and nutrigenomic knowledge were associated with healthier dietary choices, improved nutrition-related decision-making, and greater adherence to dietary recommendations. Personalized nutrition interventions incorporating genetic information enhanced nutritional awareness and supported positive dietary behavior change. Conclusion: Nutrigenomic literacy appears to be an important determinant of dietary behavior among adolescent girls and women. Integrating nutrigenomic education into health promotion programs may improve dietary decision-making and encourage healthier eating practices. Further studies are needed to develop standardized nutrigenomic literacy measures and evaluate their long-term impact on dietary behavior.
Preconception Nutrition Intervention Models for Adolescent Girls: Intergenerational Stunting Scoping Review Islah Wahyuni; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Abstract

Background: Stunting is still a significant global public health problem. In Indonesia, the prevalence of stunting decreased from 24.4% in 2021 to 21.6% in 2022, but the figure is still above the expected target. Nutritional interventions in the preconception period, especially in adolescent girls as mothers-to-be, are seen as an important strategy to prevent intergenerational stunting. However, evidence on the most effective intervention models is still scattered and has not been comprehensively synthesized. Objective: To map the scientific evidence on the model of preconception nutritional intervention in adolescent girls and its contribution to the prevention of intergenerational stunting during the period 2020–2026. Methods: This study used a systematic scoping review method based on the Arksey and O'Malley framework updated by Levac et al. (2010) and followed the PRISMA-ScR 2018 guidelines. Literature searches were conducted on PubMed, Scopus, Web of Science, CINAHL, Cochrane Library, and Google Scholar. Inclusion criteria included studies in adolescent girls aged 10–19 years who implemented preconception nutrition interventions with outcomes related to nutritional status or stunting risk. Of the 1,274 articles identified, 16 studies met the inclusion criteria. Results: Five main models of interventions were found, namely micronutrient supplementation, nutrition education based on Social and Behaviour Change Communication (SBCC), food fortification and supplementary feeding, integrated multicomponent interventions based on schools or communities, and mHealth-Based Digital Intervention. The multicomponent model showed the highest effectiveness in reducing the risk of stunting in offspring (RR 0.69–0.82) and comprehensively improving the nutritional status of adolescent girls. Conclusions: preconception nutrition interventions that integrate micronutrient supplementation, SBCC-based education, and systemic support are the most effective approaches to break the intergenerational cycle of stunting. The integration of this model into primary healthcare is needed to support sustainable implementation in Indonesia.
The Effect of Booklet-Based Nutrition Education on Mothers' Knowledge and Attitudes: A Quasi Experimental for Stunting Prevention Rina Hasniyati Djasri; Dhea Shaskia Figna; Delmi Sulastri
Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Education Vol. 14 No. SI2 (2026): Jurnal Promkes: The Indonesian Journal of Health Promotion and Health Educat
Publisher : Universitas Airlangga

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Abstract

Background: Stunting remained a major public health challenge in Indonesia and adversely affected children's physical growth, cognitive development, and future productivity. Improving maternal knowledge and attitudes through nutrition education played an important role in preventing stunting during the first 1,000 days of life. Educational booklets provided structured, accessible, and easy-to-understand information, making them a useful medium for delivering health education. Objective: This study examined the effect of booklet-based nutrition education delivered through lectures on the knowledge and attitudes of mothers of children under five years of age regarding stunting prevention. Methods: This study used a quasi-experimental design with a one-group pretest-posttest approach. A total of 42 mothers of children under five years of age were selected using purposive sampling. Participants completed a 10-item knowledge questionnaire and a 10-item Likert-scale attitude questionnaire before and after the intervention. The intervention consisted of nutrition education sessions supported by a booklet that contained information on the causes, risk factors, prevention, and appropriate nutritional practices related to stunting. Data were analyzed using the Wilcoxon Signed-Rank Test for knowledge scores and the paired t-test for attitude scores. Statistical significance was established at p < 0.05. Results: The mean knowledge score increased from 5.00 ± 1.73 before the intervention to 8.21 ± 1.26 after the intervention. The mean attitude score also increased from 25.17 ± 2.70 to 30.48 ± 2.05. Both improvements were statistically significant (p < 0.001), indicating that booklet-based nutrition education effectively enhanced participants' knowledge and attitudes toward stunting prevention. Conclusion: Booklet-based nutrition education delivered through lectures significantly improved mothers' knowledge and attitudes regarding stunting prevention. The findings suggested that booklets served as an effective and practical health promotion tool for community-based integrated health service posts (Posyandu) and other maternal and child health programs to support stunting prevention efforts.
ADRB2 Gene Polymorphism and Physical Activity with Energy Balance in Obesity Patients Hendi Hafizth; Delmi Sulastri; Arni Amir
Jurnal Ilmiah Kesehatan (JIKA) Vol. 7 No. 3 (2025): Volume 7 Nomor 3 Desember 2025
Publisher : Sarana Ilmu Indonesia (Salnesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36590/jika.v7i3.1587

Abstract

Obesity is recognized as a major global health problem due to its negative impact on quality of life and its strong association with various metabolic disorders. Energy imbalance, defined as a condition in which energy intake consistently exceeds energy expenditure, is considered a central mechanism in the development of obesity. This study aimed to examine the relationship between physical activity, ADRB2 gene polymorphism zygosity (rs1042713), and energy balance among individuals with obesity. A quantitative cross-sectional design was implemented, involving 48 obese participants selected using a total sampling technique. Data were obtained through structured interviews, anthropometric measurements, and genetic testing. Statistical analyses were conducted using the Chi-square test, Fisher’s exact test, and logistic regression analysis. The results indicated a statistically significant association between physical activity and energy balance status (p-value = 0,003). No significant association was identified between ADRB2 gene zygosity and energy balance (p-value = 1,000). The findings highlight the important role of physical activity in preventing excess energy accumulation among obese individuals, while the genetic variation examined did not show a significant contribution in this study. Limitations include the cross-sectional design, which precludes causal inference, and the relatively small sample size, which limits the generalizability of the results. Promotion of an active lifestyle remains a fundamental strategy in adult obesity management.
Multilevel Determinants Associated with Childhood Stunting in Southeast Asia: A Systematic Review Rina Hasniyati; Delmi Sulastri
Jurnal Kesehatan Vol 17 No 2 (2026): Jurnal Kesehatan (In Progress)
Publisher : Poltekkes Kemenkes Tanjung Karang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26630/jk.v17i2.5885

Abstract

Childhood stunting remains a major public health challenge in Southeast Asia, including Indonesia, Cambodia, the Philippines, Vietnam, and Malaysia, and is influenced by interconnected determinants operating at multiple levels. However, evidence integrating these determinants among children under five years remains fragmented. This systematic review aimed to synthesize evidence on multilevel determinants associated with childhood stunting among children aged 0–59 months in Southeast Asia. A systematic literature review following PRISMA guidelines was conducted. PubMed and Sciencedirect was searched for analytical observational studies published from 2020 to 2026. Eligible studies examined stunting or linear growth and at least one determinant among children aged 0–59 months in Southeast Asia. Determinants were organized into five levels: child, maternal, household, environmental/community, and health-system. Methodological quality was assessed using design-specific Joanna Briggs Institute critical appraisal tools. Findings were synthesized narratively. The search identified 456 records, of which 35 reports met the eligibility criteria and underwent quality appraisal. Child-level determinants were examined most frequently (30; 76.9%), followed by household (23; 58.9%) and maternal determinants (24; 61.5%). Environmental/community determinants were examined in 18 reports (46.2%), while health-system determinants were examined in 8 (20.5%). Reported associations included birth characteristics, dietary and infection-related factors, maternal height and education, socioeconomic conditions, water, sanitation and hygiene, and selected health services. Childhood stunting in Southeast Asia is associated with determinants across multiple levels. The findings support integrated, multilevel strategies addressing child, maternal, household, environmental, and health-system factors. Further longitudinal and multilevel research is needed to clarify interactions among these determinants.
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 Defrin Defrin Desmawati Desmawati Desmawati Desmawati Dessy Arisany Desy Susanty Dhea Shaskia Figna Dian Isti Angraini Dian Isti Angraini Dolly Irfandy Edwin Danie Olsa Eldi Sauma Eliza Anas Endrinaldi Erasta, Junira ERWINDA ERWINDA Eva Chundrayetti Eva Chundrayetti Evynatra Evynatra Evynatra, Evynatra Faisaelia, Rezka Nanda Fannya, Puteri Fasrini, Ulya U Finny Fitry Yani Firdawati Firdawati Fitrah Afdhal Fivi Melva Diana, Fivi Melva Friska Eka Fitria Hafni Bachtiar Hardisman Hasmiwati Hema Malini, Hema Hendi Hafizth Heriawita Heriawita, Heriawita Hermawan, Nur Sefa Arief Honesty Diana Morika Hudila Rifa Karmia Huvaid, Sevilla Ukhtil Ida Rahmah Burhan Ida Rahmah Burhan Ika Nur Saputri Ikeu Tanziha Ilmiawati Indah Gemala Inke Malahayati Insani, Aldina Ayunda Iqbal Muhammad Helmi Islah Wahyuni Ivo Da Costa Soares Izmi Fadhilah Nasution Jamsari Jamsari Joaninha Cavalho de Jesus Kelsy Qoridisa Linosefa Linosefa Lipoeto NI Masrul Djalal Mayetti Mayetti Mizawati, Afrina Mudjiran Mudjiran Mudjiran Mudjiran Nasrul Zubir Neherta, Meri Nice Rachmawati Masnadi Novita Sari Nur Indrawaty Lipoeto Nur Mala Sari Nursyirwan Effendi, Nursyirwan Nurul Ramadhini Nur’afifah, Fauziah Nuzulia Irawati Oktarina, Mika Putra, Abdi Setia Putri Aisyah Mirza Putri, Miftahul NS Rahmawati Rahmawati Rauza Sukma Rita Rina Hasniyati Rina Hasniyati Djasri Rizanda Machmud Rizanda Mahmud` Roni Gunawan Rosfita Rasyid Roslaili Rasyid Roza Mulyana Rozi Sastra Purna Salma Winda Aufa Sari, Vivi Sary, Annisa Novita Sesmeri Haryani silvia thamrin Sisca Oktarini Oktarini Sri Mulyanti Susi Susanti Susi Susanti Syukriadi Syukriadi Thamrin, Silvia Ulva, Fadillah Ulya Uti Fasrini Utama, Bobby Indra Waldatul Hamidah Waldatul Hamidah Yosha Putri Wahyuni Yulia Masna Yulistini, Yulistini Yuniar Lestari Yusmalia Hidayati Yusrawati Yusrawati Yusti Siana