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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
Innovative ways to screen for iron deficiency anemia (IDA) Chandra, Dian Novita
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0003

Abstract

Iron deficiency anemia (IDA) poses a significant public health challenge in Indonesia, contributing to 75% of anemia cases among pregnant women and 42% among children under five years. Clinical diagnosis typically relies on biomarker evaluation, including hemoglobin levels, serum iron concentration, and transferrin saturation. While diagnostic protocols emphasize specificity, population-level screening efforts prioritize sensitivity to effectively identify at-risk individuals.
Nutrient Intake Profile Among Children Aged 6–24 Months in Indonesia: A Descriptive Analysis Nurdina, Nazlah; Chandra, Dian Novita; Mudjihartini, Ninik; Sekartini, Rini
World Nutrition Journal Vol. 9 No. S1 (2025): Vol. 9 No. S1 (2025): Selected conference proceedings of the Nutri Symposium 2
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.S1.0024

Abstract

Background: Adequate nutrient intake in early childhood is critical for growth, cognitive development, and immune function. The first two years of life are a sensitive period where nutritional deficiencies may lead to long-term consequences. However, many children in low- and middle-income countries fail to meet dietary needs due to limited diversity and poor feeding practices. Objectives: To describe the intake of energy, macronutrients, and key micronutrients among Indonesian children aged 6–24 months
Nutrient content in dadiah pudding, a potential source of probiotics from Minangkabau, West Sumatra Taufiqa, Zuhrah; Chandra, Dian Novita; Lipoeto, Nur Indrawaty; Hegar, Badriul
Majalah Kedokteran Andalas Vol. 47 No. 1 (2024): MKA Januari 2024
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/mka.v47.i1.p27-39.2024

Abstract

Introduction: Dadiah is a fermented milk product derived from the milk of West Sumatran swamp buffaloes.  Methods: The manufacture of dadiah pudding used dadiah fermented milk obtained from Bukittinggi, West Sumatra. Levels of carbohydrate, protein, fat, calcium, zinc, and iron were measured according to the Indonesian National Standard, then total calories were determined using 4:4:9 kcal/g conversion. Inoculation of samples on de Man, Rogosa, and Sharpe agar was performed to determine total lactic acid bacteria counts, and Gram staining was done for further morphological confirmation. Results: The result revealed that 100 g dadiah pudding contained 6.49 g of carbohydrates, 6.12 g of protein, 23.31 g of fat, 260.23 kcal of calories, 276.61 mg of calcium, 3.75 mg of zinc, 6.60 mg of iron, and 6.1 × 10⁹ CFU/ml of lactic acid bacteria assuming that modification of the liquid into pudding form has been shown to impact macronutrient, micronutrients, total calories, and total lactic acid bacteria. Conclusion: The nutrient content in dadiah pudding revealed in this study indicates that this dairy product can be used as a nutritious local food source and a potential probiotic.
Association of Parenting Style and Mindful Eating with Sodium Intake among Adolescents in Indonesia Pamungkas, Rizqy Amanatul Husna; Prafiantini, Erfi; Chandra, Dian Novita
Makara Journal of Health Research Vol. 27, No. 2
Publisher : UI Scholars Hub

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Background: Most adolescents have an excessive sodium intake associated with hypertension and cardiovascular disease (CVD). Parents have an important role in controlling adolescents’ nutritional intake, including sodium, through healthy eating. Mindful eating is considered healthy eating with the potential to control nutritional intake. This study aims to analyze the association of parenting style and mindful eating with sodium intake among adolescents. Methods: This cross-sectional study involved adolescents aged 15–18 years. Sodium intake was measured by repeated 24-hour food recall. Parenting style was examined with a validated parenting style and dimensions questionnaire self-administered by the adolescent parent. Mindful eating was evaluated using a mindful eating questionnaire (MEQ) self-administered by the adolescent. Data were analyzed using Kruskal–Walls and Spearman correlation. Results: Parenting style has no significant association with sodium intake, and mindful eating has a negatively significant correlation with sodium intake (p < 0.05; r = −0.17). Conclusions: Parenting style has no direct association with sodium intake. However, mindful eating has a significant association with sodium intake and parenting style. Mindful eating shows potential as a mediator between parenting style and sodium intake.
Nutrition Fact Panel Use and its Association to Diet Quality among University Students in Universitas Indonesia Christy, Sarah; Khusun, Helda; Chandra, Dian Novita; Sunardi, Diana
Jurnal Gizi dan Pangan Vol. 16 No. 3 (2021)
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 | Full PDF (248.993 KB) | DOI: 10.25182/jgp.2021.16.3.139-148

Abstract

The aim of this study was to assess the association between Nutrition Fact Panel (NFP) use and diet quality among university students. A comparative cross sectional study was conducted in 2019 among 172 college students living in dormitory of Universitas Indonesia, Depok, Indonesia. Data about socioeconomic and demographic characteristics, food preparation, NFP use and nutritional knowledge were collected through interview using structured questionnaire. Nutritional status was obtained by direct height and weight measurement. Diet quality was measured using Diet Quality Index-International (DQI-I) score, derived from 3x24 hours recall. Finding of this study showed that the characteristics of NFP users and non-users were not differed significantly except for nutritional knowledge in which NFP users were 1.852 times more likely to have good knowledge than NFP non-users (p<0.05; 95% CI:1.009−3.396). The median total diet quality score was categorized as low (44 out of 100). There was no association between NFP use and total diet quality score even after controlling for possible confounder. However, the exploration in each component of diet quality measurement showed adequacy score of calcium was significantly higher in NFP users than non-users (p<0.05). NFP use also positively associated to total variety score (β=0.985; p<0.05). Future nutrition interventions could focus on enhancing the use and understanding of NFP among university students
Nutritional status, sugar sweetened beverage consumption and physical activity level in male and female college students living in dormitory Wicaksari, Sifa Aulia; Chandra, Dian Novita; Khusun, Helda; Sunardi, Diana
Journal of Community Empowerment for Health Vol 7, No 2 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.86500

Abstract

Introduction: The global prevalence of obesity is on the rise, including in Indonesia. High energy intake from sugar is a growing concern worldwide due to its association with weight gain, tooth decay, and non-communicable diseases. A prior study revealed that 10.9% of Indonesian adults consumed energy from sweetened beverages in excess of the WHO recommendation. This study aimed to assess the consumption of sweetened beverages in male and female college students in Indonesia. Method: The study was conducted at Universitas Indonesia and involved 107 subjects aged 19-21 years who resided in student dormitories. Result: The result found the median BMI in female was higher than male. In female, 3 out of 10 students was overweight-obese, while 1 out of 10 in male. Interestingly, the median daily intake of sweetened beverages significantly higher in male than female; 387 (25–1580) vs 246 (0–762) ml/day (p=0.001). Added sugar content in beverages in males was higher than half of Indonesian recommendation (28.4 [1.9–134.4] vs 19.2 [0–61.1]) which contributed to energy as much as 170.9 (12.4–625.7) kcal/ day or about 8.9% of total energy intake than female (108.5 [0–394.4] kcal/day). Compared to Indonesian guideline, 12% of male subjects consumed added sugar higher than 50 g/day. Simultaneously, 7 out of 10 subjects consumed energy from sweetened beverages higher than 10% of their total energy intake (WHO recommendation). The BMI and prevalence of overweight-obese were higher in female, while the sweetened beverage was higher in male. It might be caused by the physical activity in male was higher than female. Although male had higher energy intake from SSB, their energy output through physical activity balanced with energy input. Conclusion: These finding alerted the university as educational institution should take an action to prevent this issue since the prevalence of overweight-obesity and sweetened beverage consumption has occurred in young age.
Anemia Status and Its Related Factors among Indonesian Workers: Hemoglobin Survey in Three Different Workplaces Chandra, Dian Novita; Pansawira, Pittara; Bardosono, Saptawati
World Nutrition Journal Vol. 5 No. S1 (2021): Special Issue : The role and importance of iron
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V05.S1.0006

Abstract

This study aims to explore risk factors of low hemoglobin status (anemia) among workers in three different workplaces in Indonesia. Cross-sectional study design was applied to screen hemoglobin value by using a multiwave pulse total-hemoglobinometer Masimo® and obtain socio-demographic characteristics using a questionnaire. Three workplaces were purposively selected to have total population eligible for this study. Health safety protocol was applied both for the subjects and researchers as COVID19 prevention. Statistical analyses were used accordingly to find potential risk factor(s) of anemia among workers. A total of 2386 eligible subjects with mean age of 36.8 ± 9.2 years participated in this study consisted of mainly male workers (85.3%), mostly married (79.0%), never smoke (55.8%) and working in shift (68.7%). Mean of hemoglobin value was 14.2 ± 1.2 mg/dL with anemia prevalence of 9.9%. Risk factor of anemia among workers were female-gender, non-marriage status, never smoking and no-work shift. However, the potential determinant for anemia among workers was female-gender, in which the prevalence of anemia was 24.6% as compared to 7.4% in male-gender. Keep providing free meal in the workplace canteen is a must, but there is a need to provide iron and vitamin C-fortified food and/or iron and vitamin C supplement especially for female workers.
Total Omega-3 Fatty Acid, Eicosapentaenoic Acid (EPA), and Docosahexaenoic Acid (DHA) are Positively Associated with Sleep Duration in Children Aged 3–5 Years: A Preliminary Study Marsella Dervina Amisi; Dian Novita Chandra; Ninik Mudjihartini; Rini Sekartini
The Indonesian Biomedical Journal Vol 18, No 3 (2026)
Publisher : The Prodia Education and Research Institute (PERI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18585/inabj.v18i3.4102

Abstract

BACKGROUND: Sleep is essential for children’s growth and development, yet sleep disturbances remain common among preschoolers. Insufficient sleep has been linked to cognitive impairments, behavioral problems, and increased risk of obesity. Nutritional factors, particularly omega-3 fatty acids, may play a role in sleep regulation. Although previous studies have suggested that Eicosapentaenoic Acid (EPA) and Docosahexaenoic acid (DHA) are associated with improved sleep outcomes, yet data on omega-3 status and its relationship with sleep duration among Indonesian preschoolers remain scarce. Therefore, this study was conducted to analyse the association between Omega-3 fatty acids levels and sleep duration among preschool children in Indonesia.METHODS: A cross-sectional survey was conducted among 72 children aged 3–5 years old. Sleep duration and disturbances of subjects were assessed using the Children’s Sleep Habits Questionnaire–Abbreviated (CSHQ-A). Omega-3 fatty acids levels, including α-linolenic acid (ALA), EPA, and DHA, were measures using gas chromatography.RESULTS: The median sleep duration was 11 hours (range 9–13.5 hours). Based on CSHQ-A scores, 93.1% of subjects experienced sleep disturbances. Mean total omega-3 fatty acid concentration was 225.47±80.9 µmol/L. Significant positive corelations were observed between sleep duration and total omega-3 fatty acid (r=0.298; p=0.011), EPA (r=0.233; p=0.049), and DHA (r=0.260; p=0.028).CONCLUSION: Omega-3 fatty acid levels, particularly EPA and DHA, were positively associated with sleep duration in preschool children. These findings provide preliminary evidence of the role of omega-3 in sleep regulation and underscore the importance of considering nutritional factors in efforts to improve sleep quality during early childhood.KEYWORDS: omega-3 fatty acids, DHA, EPA, ALA, sleep duration, preschool children
Co-Authors Achmad Mulawarman Jayusman Adhelia Niantiara Putri Agus Sugiharto Ahmad Thohir Hidayat Akbar Husaini Angkat Alfi Rahma Putri Alfi Rahma Putri Amilya Agustina Arifah Shabrina Astrid Sulistomo Azizah Ajeng Pratiwi Badriul Hegar Badriul Hegar Barkah Triatmoko Basrowi, Ray W. bernie medise Chintia Otami Christy, Sarah Chyntia Aryanti Mayadewi claresta diella Da Costa Hornay Florencia Grifit Joiner Dewi Friska Dian Kusuma Dewi Dian Novrianti Diana Sunardi Diana Sunardi Dwi Nastiti Iswarawanti Dwi Nastiti Iswarawanti Dwi Noerjoedianto Ercia Maria da Conçeição Sequeira 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 Helda Helda Khusun Helda Khusun Hera Nurlita Indah S. Widyahening Indriya Laras Pramesthi Judhiastuty Februhartanty Judhiastuty Februhartany Juwalita Surapsari Khusun, Helda Krisadelfa Sutanto Lestari Octavia Listya Tresnanti Mirtha Livia Kurniati Saputra Luciana Budiati Sutanto Luh Ade Ari Wiradnyani marques lafo, merita Marsella Dervina Amisi Merita Marques Lafo Mia Puspita Ratih Nadya Suci Palupi Ninik Mudjihartini Ninik Mudjihartini Nisrina Hanisa Novi Oktaviani Novi Silvia Hardiany Nur Indrawaty Lipoeto Nur Indrawaty Lipoeto Nur Lailatuz Zahra Nurdina, Nazlah Nurulita Aida Rahmasari Okky Lupita Sari Pamungkas, Rizqy Amanatul Husna Pansawira, Pittara Patricia Gabrielle Tjipta Joewana Pranoto, Rohmad Joni Putri Novia Choiri Insani Ray Basrowi Ria Andreinie Rini Hildayani Rini Sekartini Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Saptawati Bardosono Sequiera, Ercia Maria da Conceicao Simatupang, Yustina Rossa Sitohang, Irma Bernadette S. Stella Kristi Triastari Taufiqa, Zuhrah Triatmoko, Barkah Vahira Waladhiyaputri Wangsa, Andrean Wicaksari, Sifa Aulia Widi Siti Rodhiah Wiji Lestari Wiji Lestari Yulhasri Yulhasri Yulianti Wibowo Yulianti Wibowo, Yulianti Yusra Yusra Yustina Rossa Simatupang