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Praktik Sarapan pada Orang Dewasa Indonesia: Perbedaan Perkotaan dan Pedesaan dan Faktor yang Berkaitan: Breakfast Practices Among Indonesian Adults: Urban and Rural Differences and Its Associated Factors Arifa, Vina Hasna; Wiradnyani, Luh Ade Ari; Khusun, Helda; Februhartanty, Judhiastuty
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.441-451

Backgrounds: Adults in Indonesia have challenges due to the high prevalence of obesity. Factors that contributed to obesity included unhealthy eating practices. Skipping breakfast habits are linked to health issues such as non-communicable diseases (NCDs). Breakfast practices also reflected the social and cultural dynamics in urban and rural. Socioeconomic and demographic factors could cause differences in breakfast practices between urban and rural areas in Indonesia. Objectives: This research aimed to examine the differences in breakfast practices among Indonesian adults in urban and rural areas based on various characteristics and to explore the association between socioeconomic and demographic characteristics with breakfast practices. Methods: This was a cross-sectional study using secondary data from the Indonesia Food Barometer (IFB) in 2018. A total of 770 adults (26–45 years old) were examined to observe the differences in breakfast practices (skipping breakfast, eating together, buying food, cooking food, and activities during meals) in urban and rural areas. Logistic regression analysis was also employed to examine the association between skipping breakfast and modern breakfast practices with socioeconomic and demographic variables. Results: Chi-square analysis showed significant differences between urban and rural areas in eating alone, eating outside the home, and buying food during breakfast (p-value <0.001). Factors related to skipping breakfast were education level and type of residence (all p-value <0.001), while occupation (p-value = 0.004) and type of residence (p-value <0.001) were related to modern breakfast practices. Conclusions: There were differences in breakfast practices between urban and rural. Skipping breakfast and modern breakfast practices were more prevalent in urban areas.

Family Support for Maternal Health and Child Care during the First 1,000 Days of a Child's Life: An Exploration of the Experiences of Urban Families Wiradnyani, Luh Ade Ari; Khusun, Helda; L. Achadi, Endang; Ocviyanti, Dwiana
Jurnal Gizi dan Pangan Vol. 19 No. 2 (2024)
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.2024.19.2.127-136

This qualitative study examines the families' support regarding maternal health and child care toward mothers who demonstrated Good Compliance (GC) and Poor Compliance (PC) with nutrition interventions during the first 1,000 days of their child's life. The study employed an in-depth interview method to gather data from 20 fathers and 7 grandparents residing in Bogor City. The data were analyzed using a constant comparison approach between the GC and PC groups for each theme. The findings indicated that family members provided more specific support for child feeding than for maternal Iron-Folic Acid Supplementation (IFAS), given that the mothers encountered more difficulties on child feeding. Encouraging the mothers to continue taking IFA supplement despite their hesitance was predominantly reported by fathers in the GC fathers. Regarding child feeding, in addition to encouraging the child to eat and feeding them, the GC fathers often engaged in discussions with their wives. In contrast, the PC fathers rarely engaged in such discussions and were only consulted when their wives reported problem. Furthermore, fathers considered their wives to be more knowledgeable on these issues as fathers had limited time due to work commitment. Grandmothers primarily offered advice on child feeding based on their own experiences, sometimes providing less suitable advice for PC mothers. While fathers in both groups did not proactively seek information about maternal health and child care, the GC fathers were more likely to be encountered such information through discussions initiated by their wives, prompting them to pursue further reading. The interaction of fathers in both groups with health professionals only occurred during antenatal visits, with minimal communication. It is recommended that strategies be developed to engage family more highlight their crucial role in fostering a supportive environment for mothers. It is aslo advised that antenal visits be optimized and the Maternal and Child Health (MCH)handbook be utilized to raise awareness and enhance paternal involvement.

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

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.

Ancaman Obesitas Maternal terhadap Kejadian Stunting Anak Pratiwi, Mayditania Intan Bunga; Ocviyanti, Dwiana; Wiradnyani, Luh Ade Ari; Irwinda, Rima
Majalah Kedokteran Indonesia Vol 74 No 6 (2024): Journal of The Indonesian Medical Association - Majalah Kedokteran Indonesia, Vo
Publisher : PENGURUS BESAR IKATAN DOKTER INDONESIA (PB IDI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47830/jinma-vol.74.6-2024-1711

In recent decades, the world has faced a dual challenge in nutritional health: the rising rates of maternal obesity and the high prevalence of stunting in children. Data from the World Health Organization in 2022 revealed that over 2.5 billion adults were overweight or obese, with 44% of them being women. This condition occurs not only in high-income countries but also in low- and middle-income nations. National surveys indicate that the prevalence of obesity among adult women (over 18 years old) has increased from 29.3% (Basic Health Survey 2018) to 31.2% (Indonesian Health Survey 2023).

A qualitative study on the experiences of the prospective brides about nutritional preparation during the preconception period Emirza, Phellia; Wiradnyani, Luh Ade Ari; Ermayani, Evi
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.i2.0013

Background: Stunting is still a nutritional problem in Indonesia, where maternal malnutrition is one of the causes. Studies show that prospective brides and women of childbearing age in Indonesia are not physically and knowledgeably ready for pregnancy. Nutritional preparation is crucial during preconception, as preconception nutritional status can have cross-generational impacts, yet it is often overlooked. Objective: This study aimed to explore the experiences of prospective brides regarding nutritional preparation during the preconception period. Methods: This qualitative research was conducted in Bogor, Indonesia, using in-depth interviews and participatory methods. The main informants of this study were 20 prospective brides selected through convenience sampling. Additionally, 21 key informants were involved for triangulation. Data analysis was conducted by coding verbatim transcripts using NVivo12 software. The results of this study used a pre-determined theme aligned with the research objectives. Result: Almost all informants agreed that preconception nutritional preparation was crucial before marriage. Several nutritional preparation activities carried out by prospective brides emerged from this study, such as pre-pregnancy weight management and eating nutritious and healthier foods. However, many prospective brides still did not perform these activities optimally. Conclusion: Many prospective brides were already putting efforts to undertake nutritional preparation. However, knowledge gaps and misunderstandings among brides and grooms regarding nutritional preparation persist. There is a need to improve their awareness at preconception period and ensure government programs are accessible, equitable, and effective. This study offers new insights into nutritional preparation for brides, an area that is underexplored.

The implementation and challenges of breastfeeding counselling program in Majene district, West Sulawesi: A qualitative study among health workers Febriyanti, Dyah; Februhartanty, Judhiastuty; Wiradnyani, Luh Ade Ari
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.i2.0011

Background: Inadequate breastfeeding practices increase the risk of malnutrition, infant deaths, and other related developmental problems. Counselling on breastfeeding promotion is one of the most effective ways to improve breastfeeding practices. Nevertheless, challenges in implementing the counselling hinder its effectiveness. Using the logic model framework, this study examines the implementation and challenges of breastfeeding counselling programs in Majene District, West Sulawesi Objective: This study aims to gain an in-depth understanding of experiences and perspectives regarding the implementation of the breastfeeding counselling program using the Logic Model among health workers in Majene District. Methods: From January to June 2024, a qualitative phenomenological approach was employed. Data collection included in-depth interviews with 12 trained breastfeeding counsellors, eight key informants, and focus group discussions with 24 mothers. Thematic analysis using NVivo 12, guided by the Logic Model framework, which grouped breastfeeding counselling into input, process, outputs, and outcomes aspects. Results: Key challenges included a shortage of trained counsellors, limited infrastructure, and budget constraints. Health workers adapted by integrating counselling into maternal health services, conducting home visits, and collaborating with Posyandu cadres. Exclusive breastfeeding rates showed slight improvements but remained below national targets. Beneficiaries expressed satisfaction but highlighted the need for longer and more frequent counselling sessions. Conclusions: The program faced significant resource challenges, including a shortage of skilled counsellors, budget constraints, and limited facilities. However, adaptive strategies by health workers crucial for overcoming logistical and resource constraints resulted in beneficiaries’ satisfaction and positive developments in breastfeeding rates.

The Experiences of Blended Training Implementation from Nutrition Goes to School (NGTS) Program in Indonesia Februhartanty, Judhiastuty; Pramesthi, Indriya Laras; Kusuma, Sari; Shinta, Dewi; Dewi, Aisyah Nurcita; Ermayani, Evi; Hidayat, Ahmad Thohir; Oka, A A Sagung Indriani; Andari, Izzati Hayu; Wiradnyani, Luh Ade Ari
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.2025.20.1.11-20

This study aimed to evaluate the implementation of a blended training for school teachers on adolescent health and nutrition. The training objective was to improve teachers’ knowledge, as well as their capacity to develop and implement action plans on school-based health and nutrition programs. Adolescents continue to face nutrition problems closely linked with poor eating behaviours and lack of physical activity. School has been identified as an effective venue for improving these problems. Many teachers’ training programs were reported on increasing the teachers’ roles in school health and nutrition program, but studies utilizing a blended training is lacking. This study used pre-post intervention with mixed methods design. The participants of this blended training were secondary school teachers who enrolled in a five-phase Nutrition Goes to School (NGTS) training on school-based nutrition promotion program, comprising in-service learning and on-the-job training for ten months. The participants decreased throughout the training to 114 participants completed the whole training. Out of 114 participants, 25 (22%) passed this NGTS blended training. Participants’ knowledge on health and nutrition improved as shown in pre-test median score of 60 and post-test median score of 80 (p<0.001). The final assignment on developing action plans showed a relatively good quality of engagement based on the participants’ understanding on the NGTS program, their resources, and their ability to manage challenges. Blended training with long duration but accompanied with technical assistance can provide added value in understanding the process of the NGTS program implementation and school-based health and nutrition program in general. However, the high attrition rate should be improved by facilitating more varied and engaging activities as part of the technical assistance in the future training program.

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

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.

Faktor yang Memfasilitasi Ibu dengan Kepatuhan yang Baik dalam Melaksanakan Empat Program Gizi Nasional di Indonesia: Facilitating Factors of Mothers’ Good Adherence to Four National Nutrition Programs in Indonesia Wiradnyani, Luh Ade Ari; Khusun, Helda; Achadi, Endang L; Ocviyanti, Dwiana; Roshita, Airin
Amerta Nutrition Vol. 9 No. 1 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1.2025.87-100

Background: Mothers’ compliance with national nutrition programs during the first 1000 days of life is crucial to optimal child growth and development. However, national surveys have revealed low levels of compliance, suggesting challenges faced by mothers. Thus, understanding the facilitating factors of mother’s consistent good compliance is important. Objectives: To explore the facilitating factors of mothers’ good compliance with four national nutrition programs during the first 1000 days of life. Methos: Of the 48 mothers of 6-23-month-old children interviewed in this study, 10 demonstrated consistent compliance with the recommended maternal iron and folic acid (IFA) supplementation, breastfeeding, complementary feeding, and vitamin A capsule (VAC) supplementation programs. In-depth exploration and analysis were carried out on the 10 mothers, focusing on the roles of health staff, information exposure, knowledge, and family support. Results: All mothers had a strong initiative to seek information from various sources, including healthcare staff, the mother and child health book, and Internet (among urban mothers), irrespective of their socio-demographic backgrounds. Frequent information exposure resulted in good knowledge, except on VAC supplementation. Healthcare staff, particularly midwives, played significant roles in mothers’ compliance to IFA supplementation and breastfeeding, but much less for complementary feeding practices. The role of Posyandu cadres was limited to the dissemination of VAC supplementation schedules. Support from family members were observed in all programs, mainly in providing information and maintaining motivation. Conclusions: Information exposure and family support were key to mothers’ good compliance. The roles of healthcare staff, particularly in providing complementary feeding information, should be strengthened.

The association between nutrition knowledge and attitude towards dietary intake among competitive elite athletes in DKI Jakarta Ibrahim, Maulana Malik; Wiradnyani, Luh Ade Ari; Kuswari, Mury
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.S1.0026

Background: Good nutritional knowledge is important for athletes to develop positive attitude and proper dietary practices, especially supporting training, competition, and peak performance. Lack of knowledge can lead to energy and nutrient imbalances, which can disrupt physiological adaptation, recovery, and athletic performance. Unlike previous studies on knowledge, attitude, and practice (KAP), which generally only assess questionnaire scores on eating practices without directly analyzing dietary intake, this study takes a different approach by directly analyzing dietary intake and considering differences between rest days and training days. Objectives: To analyze the association between nutritional knowledge and attitudes towards dietary intake among competitive elite athletes in DKI Jakarta.

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