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Adolescents’ preferences of educational media on sugar sweetened beverages : A qualitative study Faraji, Mahsa; Wiradnyani, Luh Ade Ari; Chandra, Dian Novita; Februhartanty, Judhiastuty; Fauzia, Khalida; Wangsa, Andrean; Widyahening, Indah Suci
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0034

Abstract

Adolescents consume sugar-sweetened beverages (SSBs), their primary added sugar source, daily, yet there is a considerable SSBs’ knowledge, attitude, and practice (KAP) gap. Media literacy is crucial in enhancing student education and engagement through high-quality and digestible materials and methods. This study aims to identify the preferred educational media for SSBs among urban adolescents in Jakarta.
The association of the type of occupation and obesity among Indonesian workers based on the 2018 Indonesian Food Barometer (IFB) data Pranoto, Rohmad Joni; Februhartanty, Judhiastuty; Khusun, Helda; Chandra, Dian Novita
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0038

Abstract

Obesity has emerged as one of the global public health challenges. Obesity rates among adults in Indonesia have doubled over the past two decades, including among workers. Obesity among workers can lead to lower productivity and early retirement. Occupational factors have been associated with the prevalence of obesity at the workplace. However, the relationship between occupation type and obesity in Indonesia has not been clarified. Therefore, this study aims to investigate the association between occupation type and obesity among Indonesian workers using data from the 2018 Indonesian Food Barometer (IFB).
Relationship between protein intake and nutritional status with response therapy of intensive phase in pulmonary tuberculosis patients in Dili and Oecusse Marques Lafo, Merita; Chandra, Dian Novita; Nurwidya, Fariz; Sequeira, Ercia Maria da Conçeição
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0004

Abstract

Background: Tuberculosis (TB) infection triggers a decrease in appetite and disrupts protein metabolism. Protein provides the main source of amino acids for immune system formation and tissue repair, both of which are impaired in tuberculosis patients. Intensive phase anti-tuberculosis therapy aims to boost immunity, reduce bacterial load, and improve nutritional status. Pulmonary TB is the leading cause of death in Timor Leste (94% mortality rate by 2021), yet few studies have explored the relationship between nutrition and treatment response. This study investigated the relationship between protein intake, nutritional status, and treatment response in pulmonary TB patients undergoing intensive therapy in Dili and Oecusse. Method: Using a cross-sectional study design, 104 participants were recruited using consecutive sampling. Data collection included both primary and secondary data. Analyses were conducted using the independent samples t-test, Mann-Whitney, and Fisher's Exact Test. Results: There are 66.3% at risk of malnutrition based on upper arm circumference, a mean body mass index of 17.86 kg/m². The median daily protein intake was 1.07 g/kgBW/day, with lower intake of animal protein compared to plant protein (0.44 g/kgBW/day vs. 0.59 g/kgBW/day). The study found no significant relationship between protein intake and nutritional status in response to the intensive phase therapy (p>0.05). Conclusion: There is no significant relationship between protein intake and nutritional status in response to the intensive phase therapy. Further research with a case-control study design is needed to confirm findings and evaluate factors affecting unbalanced therapy response.
Association between maternal anemia and low birth weight among stunting children 12−23 months in Dili, Timor Leste Florencia Grifit Joiner, Da Costa Hornay; Chandra, Dian Novita; Lestari, Wiji
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0014

Abstract

Background: Stunting is a chronic malnutrition problem primarily occurring during the first 1000 days of life. Iron deficiency anemia during pregnancy can threaten fetal growth and may affect the baby's birth weight and length. According to the Timor-Leste Food and Nutrition Survey 2020, stunting in Timor-Leste is 47.1%. Objectives: To determine the relationship between a history of anemia during the third trimester of pregnancy and low birth weight with the incidence of stunting in children aged 12-23 months in Dili city. Methods: This study was a case-control design conducted in five health centers in Dili City, Timor-Leste. The sample consists of 180 children aged 12-23 months, with 90 stunted cases and 90 controls selected consecutively. Data collected encompasses both child-related and maternal information. Results: Anemia during the third trimester of pregnancy OR 95%CI 7.18 (3.38-15.23) and low birth weight OR 95%CI 5.39 (2.09 – 13.90) are significantly associated with the incidence of stunting (p < 0.01). Based on logistic regression analysis, anemia during pregnancy and low birth weight are not significantly associated with an increased risk of stunting. However, there are characteristics of the mother and child that are significantly associated with the risk of stunting. Conclusion: Children with a history of low birth weight are 5.3 times more likely to experience stunting, and children whose mothers had anemia during pregnancy are 7.2 times more likely to experience stunting. The results show that low birth weight and maternal anemia are related to the incidence of stunting in Timor-Leste.
Association between mother’s purchase intention of iron-fortified infant cereal and iron intake among children aged 6-23 months in Tangerang, Indonesia Simatupang, Yustina Rossa; Chandra, Dian Novita; Khusun, Helda; Februhartanty, Judhiastuty; Iswarawanti, Dwi Nastiti; Sari, Okky Lupita
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0010

Abstract

Background: Iron deficiency can lead to anemia, negatively impacting children's cognitive and physical development. Mothers' knowledge of iron and the benefits of fortified complementary foods may have influenced their purchase intentions and decisions. Objective: This study aimed to investigate the association between mothers' purchase intentions, actual purchases of iron-fortified infant cereals, and iron intake in children aged 6–23 months in Tangerang, Indonesia. Research on this topic remained limited, emphasizing the need for further studies to strengthen the existing evidence. Methods: This study employed a cross-sectional design involving 162 mothers in pairs with their children aged 6–23 months, recruited consecutively. Data were collected using validated questionnaires. Data analysis was performed using the non-parametric Mann-Whitney test to compare groups and Spearman's correlation test to assess the strength of relationships between variables. A p-value < 0.05 was considered statistically significant. Results: Mothers showed positive attitudes and intentions towards purchasing iron-fortified cereals, with a notable 51.9% having made recent purchases. While these purchase intentions correlate with actual purchases, they did not directly influence children's iron intake. Instead, factors such as mother’s education, occupation, and household income played significant roles in determining iron intake levels. Conclusion: Purchase intentions were associated with actual purchase intention; however, factors such as gender, mother’s education, occupation, and household income did not exhibit a direct relationship with children's iron intake. This study indicates that while mother’s purchase intentions are associated with actual purchases, they do not directly impact children's iron intake.
The mTOR and total protein levels of stunted children Andreinie, Ria; Mudjihartini, Ninik; Chandra, Dian Novita; Sekartini, Rini
Paediatrica Indonesiana Vol. 65 No. 1 (2025): January 2025
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi65.1.2025.26-36

Abstract

Background Malnutrition is still a major health problem for children, with stunting being one of its manifestations. Human growth is in part controlled by the mammalian target of rapamycin (mTOR) pathway. Studies reviewing mTOR level and growth disorders in children are still limited and no research has described mTOR levels in stunted children in Indonesia. Objective To assess for a relationship between mTOR and total protein levels in blood plasma in stunted children aged 6-24 months and compare these levels with those in non-stunted children. Methods This case-control study was conducted in South Sumatra Province, Indonesia. Subjects were children aged 6-24 months. The inclusion criteria for the case group are children who have a length-for-age of <-2SD and the control group are children who have a body length according to age of more than or equal to -2 SD from the WHO growth standard chart. Anthropometric measurements were plotted on the WHO Growth Standards chart, while mTOR and total protein levels were measured using an ELISA method and spectrophotometry, respectively. Results Of 142 subjects, 71 children were allocated into each case and control group. Child characteristics that were significantly different between the two groups were age (P=0.002), birth length (P=0.012), weight-for-age Z-score (WAZ) (P<0.001), and body mass index (BMI) (P=0.015). WAZ status with the categories underweight and severely underweight had a higher risk of stunting. The mTOR and total protein levels between the two groups were not significantly different. Conclusion Further research is needed to explain the mechanism of mTOR signal deviations in children's growth and development, as mTOR and protein levels are not significantly different in stunted and non-stunted children.
Targeted Educational Materials for Sugar-Sweetened Beverage Intervention among Urban Adolescents in Jakarta: A Mixed-Methods Study Faraji, Mahsa; Wiradnyani, Luh Ade Ari; Chandra, Dian Novita; Februhartanty, Judhiastuty; Wangsa, Andrean; Widyahening, Indah Suci
Jurnal Gizi dan Pangan Vol. 20 No. 1 (2025)
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.2025.20.1.21-30

Abstract

This study aims to identify the educational needs of urban adolescents in Jakarta to improve their Knowledge, Attitudes, and Practices (KAP) regarding Sugar-Sweetened Beverages (SSBs). Its goal is to develop tailored educational material topics regarding SSBs related to health risks, such as obesity and Non-Communicable Diseases (NCDs). Employing a mixed-methods approach, the research was conducted across five public senior high schools in all five areas of Jakarta from January to February 2024. The quantitative component involved a survey of 488 students to assess their KAP related to SSBs. The KAP formed the basis of the educational materials. The qualitative approach involves 2 Focus Group Discussions (FGDs) with students and 8 In-Depth Interviews (IDIs) with teachers and experts focusing on adolescents’ nutrition and health. The insights were used for the development of the educational materials. The qualitative data were transcribed, coded, and analysed thematically to pinpoint essential educational materials that could bridge the gaps identified in the quantitative data. Results showed that only 18.8% of adolescents had good knowledge, 13.9% had a positive attitude, and 32.4% exhibited healthy practices regarding SSBs. Findings revealed critical issues: poor knowledge, negative attitude, and unhealthy practice regarding the maximum daily sugar intake, inadequate understanding of the nutritional value of sugar, infrequent checking of sugar content before consuming SSBs, limited awareness of SSBs' negative health impacts, and poor knowledge of SSB examples and food labelling practices. Educational materials are needed to address critical gaps in adolescents’ KAP related to SSBs. These materials should focus on raising awareness about the health risks of SSBs, understanding sugar content, improving food labelling literacy, and promoting healthier beverage choices. Future research should assess the implementation and effectiveness of tailored educational strategies to enhance adolescents' KAP related to SSBs, address critical health risks, and promote informed beverage choices.
Evaluating Hydration Status through Urine Specific Gravity in Children Aged 0–5 Years in Indonesia Ahmad Thohir Hidayat; Dian Novita Chandra; Dewi Friska; Dwi Noerjoedianto
International Journal of Health Engineering and Technology Vol. 4 No. 2 (2025): IJHET JULY 2025
Publisher : CV. AFDIFAL MAJU BERKAH

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55227/ijhet.v4i2.306

Abstract

This study aimed to evaluate the hydration status of preschool children aged 36–72 months in Indonesia using urine specific gravity (USG) and to compare hydration patterns between urban and semi-urban areas. A cross-sectional study was conducted from January to March 2017 among 191 preschool children in East Jakarta and Ambon Island, selected using simple random sampling. Hydration status was assessed through a 7-day USG measurement using a digital pen refractometer, while additional data on demographics, water source, and fluid intake were collected through structured interviews and dietary records. The results showed that 64.9% of children were euhydrated, whereas 35.1% were classified as dehydrated, with no significant difference between Jakarta (34%) and Ambon (36.1%) (p = 0.886). Although 85.9% of households had access to improved water sources, suboptimal hydration persisted, likely due to inadequate fluid intake and limited caregiver awareness. No cases of hyperhydration or severe dehydration were observed. These findings highlight that over one-third of Indonesian preschool children are affected by dehydration, emphasizing the need for regular hydration monitoring and caregiver-focused interventions
Association of eating behavior and diet quality among students in Taruna Nusantara Senior High School, Indonesia Triatmoko, Barkah; Chandra, Dian Novita; Khusun, Helda; Pramesthi, Indriya Laras; Sekartini, Rini
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0009

Abstract

Background: Poor adolescent diet quality is influenced by family eating habits, media promoting unhealthy foods, and body image pressures, leading to disordered eating, neglect of health considerations, and obesity. Even in controlled environments like boarding schools. Objective: This study aims to assess association between eating behavior and dietary quality among students in Taruna Nusantara Senior High School (TN-SHS), Indonesia. Methods: A cross-sectional study with 200 subjects aged 15-18 was conducted in January 2024. Participants were purposively sampled from TN-SHS boarding school. Data was collected using the Dutch Eating Behavior Questionnaire (DEBQ) and Diet Quality Index International (DQI-I), along with sociodemographic information, nutritional status, and physical activity. Analysis was performed using SPSS 29, employing multiple linear regression to examine the relationship between eating behaviors and diet quality. Results: There was strong relationship between eating behavior and diet quality on different days, revealing that restrained eating correlates with better diet quality on average days (r=0.158, p=0.026), while external eating is linked to poorer diet quality. The association between eating behavior and diet quality on weekdays is weaker than on weekends. External eating consistently reduces diet quality across all periods (β=–1.380 to –1.854, p<0.01). Males exhibiting lower diet quality (β=–3.021 to –4.904, p≤0.002) and higher pocket money associated with improved diet quality, particularly on weekends (β=–3.633, p=0.021). Conclusion: The study findings highlight the importance of managing external eating behaviors such as emotional eating, social eating, mindless eating, and binge eating, and suggest avenues for targeted interventions to promote healthier dietary habits.
Understanding challenges and opportunity of data recording and reporting of malnutrition intervention programs: A qualitative study among healthcare workers in DKI Jakarta Aryanti Mayadewi, Chyntia; Novita Chandra, Dian; Februhartanty, Judhiastuty
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0004

Abstract

Background: The number of stunting in Indonesia was reported to be 21.6% in 2022, still far from the 2024 target of 14%. The large-scale programs of nutrition-specific intervention have been done, including moderate-acute malnutrition (MAM) and severe-acute malnutrition (SAM) interventions. However, limited findings on the process of monitoring and evaluation of both interventions. Objective: This paper aims to describe the implementation, challenges, and opportunities of malnutrition intervention data recording and reporting among healthcare workers in DKI Jakarta Province, Indonesia. Methods: Qualitative data collection was taken with in-depth interview (IDI) and focus group discussion (FGD) in August-October 2024 towards healthcare workers in selected Puskesmas in DKI Jakarta who were involved with MAM and SAM interventionss and data management. Data triangulation was done to health cadres and mothers of children under five (CU-5) as the beneficiaries. Results: This study involved eight informants from South and Central Jakarta Puskesmas, and 16 cadres and 13 mothers who were involved in MAM and SAM interventionss. The dissemination and adaptation of indicators has been done and digital data recording has been used, despite its lack of supporting resources and data integration which may affect its data quality. Leveraging resources and enabling data-sharing between facilities and maintaining communication between stakeholders are essential. Conclusions: The process of data recording and reporting of malnutrition interventions required well-informed indicators, trained personnel, and streamlined information systems. Maintaininghigh quality data, collaboration between stakeholders and utilizing accessible technology are recommended for the healthcare worker to improve the process of data recording and reporting.
Co-Authors Achmad Mulawarman Jayusman Adhelia Niantiara Putri Agus Sugiharto Ahmad Thohir Hidayat Akbar Husaini Angkat Alfi Rahma Putri Alfi Rahma Putri Amilya Agustina Aryanti Mayadewi, Chyntia Astrid Sulistomo Azizah Ajeng Pratiwi Badriul Hegar Badriul Hegar Basrowi, Ray W. bernie medise Budiati Sutanto, Luciana Chintia Otami Christy, Sarah claresta diella Dewi Friska Dian Kusuma Dewi Dian Novrianti Diana Sunardi Dwi Nastiti Iswarawanti Dwi Nastiti Iswarawanti Dwi Noerjoedianto Erfi Prafiantini Faraji, Mahsa Fariz, Nurwidya Fauzia, Khalida Fitya Safira Birahmatika Fitya Safira Birahmatika Florencia Grifit Joiner, Da Costa Hornay Handayani Eka Puspita Sari Helda Khusun Helda Khusun Helda Khusun Hera Nurlita Indah S. Widyahening Judhiastuty Februhartanty Judhiastuty Februhartanty Judhiastuty Februhartany Juwalita Surapsari Khusun, Helda Krisadelfa Sutanto Lestari Octavia Listya Tresnanti Mirtha Livia Kurniati Saputra Luh Ade Ari Wiradnyani Luh Ade Ari Wiradnyani Luh Ade Ari Wiradnyani Luh Ade Ari Wiradnyani marques lafo, merita Nadya Suci Palupi Ninik Mudjihartini Nisrina Hanisa Novi Oktaviani Novi Silvia Hardiany Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur Lailatuz Zahra Nurdina, Nazlah Nurulita Aida Rahmasari Pamungkas, Rizqy Amanatul Husna Patricia Gabrielle Tjipta Joewana Pittara Pansawira Pramesthi, Indriya Laras Pranoto, Rohmad Joni Putri Novia Choiri Insani Ratih, Mia Puspita Ray Basrowi Ria Andreinie Rini Hildayani Rini Sekartini Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Sari, Okky Lupita Sequeira, Ercia Maria da Conçeição Sequiera, Ercia Maria da Conceicao Shabrina, Arifah Simatupang, Yustina Rossa Sitohang, Irma Bernadette Simbolon Stella Kristi Triastari Taufiqa, Zuhrah Triatmoko, Barkah Vahira Waladhiyaputri Wangsa, Andrean Wicaksari, Sifa Aulia Widi Siti Rodhiah Wiji Lestari Yulhasri Yulhasri Yulianti Wibowo Yulianti Wibowo, Yulianti Yusra Yusra