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All Journal JURNAL GIZI INDONESIA Agrokreatif Jurnal Ilmiah Pengabdian kepada Masyarakat Jurnal Media Gizi Indonesia (MGI) Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) AcTion: Aceh Nutrition Journal Amerta Nutrition Journal of Community Service and Empowerment Journal of Health and Nutrition Research Journal of Public Health Sciences Media Pendidikan Gizi dan Kuliner UPGRADE: Jurnal Pendidikan Teknologi Informasi Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) MEDICA (International Medical Scientific Journal)

Dwiriani, Cesilia Meti

Nutrition Study Program, Faculty Of Medicine And Nutrition, IPB University, Indonesia

Author-ID : 5445058

Agriculture, Biological Sciences & Forestry Chemistry Computer Science & IT Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Prevalence and Risk Factors of Inadequate Micronutrient Intake among Children Aged 6-23 Months in Indonesia Nathasa Khalida Dalimunthe; Ikeu Ekayanti; Cesilia Meti Dwiriani
Amerta Nutrition Vol. 6 No. 4 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i4.2022.342-350

Background: Poor quality and quantity are the main factors that contribute to the increasing inadequacy of micronutrients intake such as Iron, Calcium, Zinc, Vitamins A, and C since the complementary food was introduced at 6 months of infant’s age. Objectives: To analyze the prevalence and risk factors of inadequate micronutrients intake among children aged 6-23 months in Indonesia. Methods: A cross-sectional study used Individual Food Consumption Survey 2014 data from Indonesian Health Study and Development Agency involving 1575 children aged 6-23 months as the total subjects. Minimum Dietary Diversity (MDD) was measured by eight food groups for children under two years old. The prevalence of inadequate micronutrients intake used the probability approach. Binary logistic regression was used as a multivariate test to determine the risk factors of inadequate micronutrients intake. Results: The highest prevalence of inadequate micronutrients intake was vitamin C, while the lowest was zinc, with overall inadequate multiple micronutrients intake being 61.9%. About 57.7% and 15.9% of subjects were low in energy intake and achieved the MDD, respectively. Lived in rural area [OR=1.37(95%CI:1.06-1.77)], low education mother [OR=1.71(95%CI:1.32-2.22)], low energy intake [OR=6.22(95%CI:4.84-7.99)] and not achieved MDD [OR=4.84(95%CI:3.47-6.75)] were more likely to have inadequate micronutrients intake, while not consuming breast milk were less likely to have inadequate micronutrients intake in children [OR=0.55(95%CI:0.43-0.71)]. Conclusions: Almost two-thirds of subjects were inadequate in overall multiple micronutrients. Low energy intake and not achieved MDD were the highest risk of inadequate micronutrients intake of subjects, instead of low mother education and living in rural areas.

Faktor Risiko Stunting, Anemia Defisiensi Besi, dan Koeksistensinya pada Anak Usia 6-9 Tahun di Indonesia: Hasil dari Indonesian Family Life Survey (IFLS-5) tahun 2014-2015: Risk Factors of Stunting, Iron Deficiency Anemia, and Their Coexistence among Children Aged 6-9 Years in Indonesia: Results from the Indonesian Family Life Survey-5 (IFLS-5) in 2014-2015 Mia Mustika Hutria Utami; Lilik Kustiyah; Cesilia Meti Dwiriani
Amerta Nutrition Vol. 7 No. 1 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i1.2023.120-130

Background: Stunting and anemia are malnutrition and have become major public health problems. The evidence is limited about the coexisting stunting and anemia (CSA) among school-aged children (SAC). Objectives: To analyze risk factors of stunting, anemia, and their coexistence among Indonesian children aged 6-9. Methods: This cross-sectional study used secondary data from 1,986 children aged 6-9 years from 13 out of 34 provinces in Indonesia. Risk factors of stunting, anemia, and CSA were analyzed by logistic regression. Results: The prevalence of stunting, anemia, and CSA among children aged 6-9 years was 24.8%, 30.5%, and 8.8%, respectively. Risk factors of stunting were anemia (OR=1.355), underweight father (OR=1.587), maternal education (<12 years) (OR=1.679), short parental stature (mother: OR=2.504, father: OR=1.995), low and middle sanitation score (OR=2.356, OR=1.366), and living in a rural area (OR=1.367). Risk factors of anemia were stunting (OR=1.307), age 6-7 years (OR=1.933), and parental anemia (mother: OR=1.973, father: OR=1.692). Children aged 6-7 years (OR=1.993) and short parental stature (mother: OR=1.901, father: OR=1.620) were risk factors for CSA. Conclusions: The coexistence of stunting and anemia as a double burden of undernutrition exists among Indonesian children. An anemic child, an underweight father, low maternal education, low and middle sanitation score, and living in a rural area increase the risk of stunting. Stunted children and parental anemia increase the risk of anemia, short parental stature increases the risk of stunting and CSA, while younger children increase the risk of anemia and CSA.

Validitas dan reliabilitas kuesioner literasi gizi pada remaja (Nulit) di Wilayah Pascabencana Nikmah Utami Dewi; Ali Khomsan; Cesilia Meti Dwiriani; Hadi Riyadi; Ikeu Ekayanti
AcTion: Aceh Nutrition Journal Vol 8, No 1 (2023): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v8i1.747

The validation of the nutritional literacy questionnaire with a broader concept has never been published in Indonesia. This study aims to describe the validation of a nutritional literacy questionnaire (Nulit) in adolescents in post-disaster areas. Content validation was carried out qualitatively and quantitatively. They involve nine panellists by calculating the content validity index (CVI) and multi-rater kappa statistics. Face validation involved ten adolescents living with their mothers in Palu during the 2018 natural disaster. The face validation, item validity, and reliability were assessed by the impact score, the correlation score of each item with the total score, and the value of Cronbach's Coefficient Alpha. The results found that the I-CVI on all items was between 0,78 - 1, which is considered very good. The validation of the questionnaire display found the statement items to be essential and appropriate in the daily life of adolescents, and the impact factor value was 3,9 - 4,3. A total of 21 items are valid; the Cronbach's alpha value is FNL= 0,73, INL= 0,70 and CNL= 0,71. In conclusion, the Nulit Questionnaire is valid and reliable for measuring nutritional literacy in adolescents in post-disaster areas.

PENGETAHUAN ASAM URAT, ASUPAN PURIN DAN STATUS GIZI TERHADAP KEJADIAN HIPERURISEMIA PADA MASYARAKAT PERDESAAN Delita Septia Rosdiana; Ali Khomsan; Cesilia Meti Dwiriani
Media Pendidikan Gizi dan Kuliner Vol 7, No 2 (2018)
Publisher : Universitas Pendidikan Indonesia (UPI)

Penelitian ini bertujuan untuk melihat status hiperurisemia di pedesaan. Metode penelitian ini dilakukan dengan cara cross-sectional studi yang dilakukan di pedesaan Kabupaten Cianjur. Pemilihan subjek penelitian dengan teknik random sampling dan diperoleh 116 subjek terpilih yang berpartisipasi dalam penelitian. Data penelitian yang dikumpulkan adalah pengetahuan terkait asam urat, asupan purin subjek dengan menggunakan kuesioner dengan teknik wawancara. Data status gizi berupa Indeks Massa Tubuh (IMT) dikumpulkan melalui berat badan (kg) dan tinggi badan (m2) dikumpulkan melalui pengukuran antropomteri gizi serta serta data kadar asam urat sampel diperoleh melalui pengambilan darah vena subjek. Hasil studi menunjukkan bahwa subjek dengan IMT normal sebanyak 58,6% kadar asam urat subjek menunjukan normal ( 500 mg) sedangkan rata-rata pengetahuan asam urat subjek terkategorikan rendah ( 60 ). Asupan purin subjek tergolong rendah. Hasil uji hubungan menunjukkan bahwa kejadian hiperurisemia berhubungan signifikan dengan tingkat asupan purin subjek. Hasil uji regresi berdasarkan jenis kelamin, pada pria dengan rentang usia dewasa menengah menunjukkan bahwa asupan purin merupakan faktor risiko hiperurisemia p = 0.001 (OR = 24,5; 95% CI: 1.80-332.46). Kata kunci: asupan purin, hiperurisemia, pengetahuan gizi, status gizi.

The Relationship between Dietary Acid Load with Kidney Function among Chronic Kidney Disease Patients: HUBUNGAN DIETARY ACID LOAD DENGAN FUNGSI GINJAL PADA PENDERITA GAGAL GINJAL KRONIS Faza Yasira Rusdi; Mira Dewi; Cesilia Meti Dwiriani
Media Gizi Indonesia Vol. 18 No. 2 (2023): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v18i2.103-114

Chronic kidney disease (CKD) affects the structure and function of the kidneys. The burden of disease from CKD is expected to increase as the prevalence of CKD increases from year to year. The quality of the diet plays a role in the management and treatment of CKD. The diet quality of CKD patients is assessed using dietary acid load (DAL) which is estimated based on protein and potassium intake. A high score of DAL can lead to more rapid decline in renal function, rapid decline in GFR, and low-grade subclinical acidosis. This study was aimed to analyze the relationship between dietary acid load and kidney function in CKD patients with hemodialysis at the Bogor City Hospital. This study used a cross sectional design involving 50 subjects with CKD on hemodialysis. Data was collected by interview using a questionnaire for data characteristics and Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) for data intake. There was a significant relationship between DAL and eGFR, urea, and creatinine (p<0,05). The level of DAL plays an important role in the development and severity of CKD. Therefore, dietary recommendations for patients CKD on hemodialysis need to focus to the dietary acid load derived from foods and to the condition of hyperkalemia. Further research is expected to be carried out with an intervention, case control or cohort design, as well as using different equations in estimating DAL such as the net acid excretion (NAE), potential renal acid load (PRAL) equation.

The dominant factors associated with stunting among two years children in five provinces in Indonesia Ramadhani Fitri; Ali Khomsan; Cesilia Meti Dwiriani
AcTion: Aceh Nutrition Journal Vol 9, No 1 (2024): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v9i1.1557

Stunting is a significant malnourishment problem in Indonesia. The 2021 Indonesian Nutritional Status Study (SSGI) reported that there are five provinces with a high prevalence of stunting (>30%). Age under two years (old age) is the golden period during which children overgrow, and malnutrition during this period can still be corrected. This study analyzed the dominant factors associated with stunting in two-year-old children from five provinces: Aceh, NTB, NTT, West Sulawesi, and Southeast Sulawesi. This cross-sectional study used secondary data from the SSGI 2021. The subjects were 4,554. Children (0-23 months) under five. The 2021 SSGI study was conducted in 34 provinces and 514 regencies/cities from January to December 2021. Data were collected through interviews using the SSGI 2021 questionnaire and anthropometric measurements. Statistical applications were used for data processing. Data analysis was performed using multiple logistic regression tests with the criteria of p<0,05 and a confidence interval (CI) of 95%. The risk factors associated with stunting in children from the five provinces were underweight (OR=9,367), age 6-11 months (OR=1,386), age 12-23 months (OR=1,386), diagnosis of measles (2,5681 CI), male sex (OR=1,400), family size ≥ 8 people (OR=1,612), poor sanitation (OR=1,273 CI 95% 1,041-1,556), and the father's occupation as a farmer/occupation/fisherman/driver (OR=1,278). In conclusion, being underweight is the dominant factor associated with stunting in toddlers.

FAKTOR RISIKO OBESITAS SENTRAL PADA ORANG DEWASA UMUR 25-65 TAHUN DI INDONESIA (ANALISIS DATA RISET KESEHATAN DASAR 2013) Sudikno Sudikno; Hidayat Syarief; Cesilia Meti Dwiriani; Hadi Riyadi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 38 No. 2 (2015)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v38i2.5540.111-120

Prevalensi obesitas sentral pada penduduk dewasa di Indonesia mengalami peningkatan pada periode tahun 2007 sampai dengan tahun 2013. Tujuan penelitian untuk mengetahui faktor risiko yang berhubungan dengan obesitas sentral pada orang dewasa umur 25-65 tahun di Indonesia. Penelitian ini menggunakan data Riskesdas 2013. Desain penelitian adalah cross-sectional. Sampel adalah orang dewasa berumur 25-65 tahun dengan kriteria tidak cacat fisik dan mental, sampel wanita tidak dalam keadaan hamil. Jumlah sampel yang dianalisis adalah 434.970 sampel. Hasil analisis menunjukkan prevalensi obesitas sentral pada penduduk Indonesia umur 25-65 tahun sebesar 48,5 persen. Rata-rata lingkar perut responden perempuan (81,92±9,45 cm) lebih tinggi daripada laki-laki (80,17±8,80 cm). Rata-rata umur responden adalah 42,50±10,43 tahun. Dari hasil analisis regresi logistik menunjukkan bahwa faktor risiko yang berhubungan dengan obesitas sentral adalah umur, wilayah, status ekonomi, dan aktivitas fisik. Upaya untuk mencegah dan mengendalikan obesitas harus ditekankan di daerah perkotaan dengan status ekonomi menengah ke atas dan mulai dari usia dini. Di samping itu program berbasis populasi skrining dan program intervensi diperlukan, sehingga populasi berisiko obesitas sentral menjadi prioritas dalam penanganan program pencegahan.

The effect of interactive nutrition education through Instagram on complementary feeding practices among infants 6-12 months Nuria Ikhsyania; Cesilia Meti Dwiriani; Lilik Kustiyah
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i1.2285

Growth disorders are also common in children. The Health Belief Model (HBM) predicts that maternal perception of child vulnerability to growth disorders motivates adequate feeding practices. Addressing these concerns can effectively drive intervention. This study examined the impact of nutrition education delivered via Instagram on complementary feeding (MPASI) practices in infants aged 6–12 months. This quasi-experimental study was conducted in Bogor City in the year 2024. The sample consisted of 76 breastfeeding mothers, selected using a randomized method. Participants were divided into two groups: the intervention group, which engaged in interactive Instagram discussions after receiving nutrition education (n= 38), and the control group (n= 38), which only received nutrition education. Data were collected through interviews using structured questionnaires. Educational materials were provided twice a week for four weeks via Instagram. The data were analyzed using t-tests. Results: A significant difference (p < 0,05) was observed in the effect of nutrition education delivered via Instagram, both within each group and between groups, in terms of dietary diversity, feeding frequency, and adequacy. In conclusion, interactive education through Instagram has a more significant impact on improving scores in most components of the Health Belief Model (HBM) related to complementary feeding practices.

Nutritional knowledge, diet quality and nutritional status of school-going adolescents in rural and urban areas in West Aceh Ranita Suri Dewi; Cesilia Meti Dwiriani; Ali Khomsan
AcTion: Aceh Nutrition Journal Vol 9, No 2 (2024): June
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v9i2.1723

The primary nutritional problem of adolescents is the triple burden of malnutrition. Factors that trigger nutritional problems in adolescents include poor eating habits, low nutritional and socioeconomic knowledge, and sedentary activities. This study aimed to analyze differences in nutrition knowledge, diet quality, and their relationship with nutritional status among rural and urban school adolescents in West Aceh. This study used a cross-sectional design, involving 312 adolescent schools in West Aceh in 2023. Data on nutritional knowledge were collected using a questionnaire filled out by the subjects themselves, intake data using 2x24-hour food recall, and anthropometric measurements such as BAZ and Percent Body Fat (PBF) using BIA scales and microtoice. Data were analyzed using Mann-Whitney and Spearman rank tests. There were significant differences in family characteristics, nutritional knowledge, and diet quality between the rural and urban school adolescents (p<0,05). There was a significant positive relationship between nutritional knowledge and diet quality and BAZ and PBF (p<0,05) only among rural school adolescents. In conclusion, family characteristics, nutritional knowledge, and diet quality differed significantly among the adolescents by region. In rural areas, nutritional knowledge and diet quality were significantly associated with BAZ and PBF. School adolescents' knowledge and diet quality remain low; therefore, nutrition education related to balanced nutrition guidelines is required.

The inflammatory effects of diet, nutritional status, and severity of chronic kidney disease at Bogor City Hospital Ade Hikmah; Mira Dewi; Cesilia Meti Dwiriani; Erwindo Rinaldo
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v10i1.2132

Diet and nutritional status play an important role in chronic kidney disease (CKD). Pro-inflammatory foods are linked to a decline in kidney function, whereas the nutritional status of obesity is a risk factor for CKD. This study aimed to analyze the relationship between (DII), nutritional status, and CKD severity. This cross-sectional study was conducted between April and May 2023 at Bogor City Hospital. A total of 64 patients with CKD were selected using accidental sampling. Consumption data were collected from the SQ-FFQ, nutritional status was assessed using Body Mass Index (BMI), and disease severity was assessed using creatinine and estimated glomerular filtration rate (eGFR) levels. Data were analyzed using ANOVA, Kruskal-Wallis, Pearson, and Spearman correlation tests. Results: All subjects had positive DII scores, their nutritional status was mostly in the normal range (59,4%), and almost all subjects had CKD stage 5 (95,3%). No relationships were found between the DII score and creatinine level (p= 0,986) and eGFR (p= 0,359). There was also no relationship between nutritional status and creatinine (p= 0,985 ) and eGFR (0,442). In conclusion, a positive DII score indicated that all subjects consumed more pro-inflammatory foods. Actions are needed to get CKD patients with CKD who consume more anti-inflammatory foods.

Co-Authors Ade Hikmah Akifa Laila Rusyda Akifa Laila Rusyda Ali Khomsan Anita Rahmiwati Arfah Husna Asih Setiarini Baiq Fitria Rahmiati Batubara, Fithriani Besral Dadang Hikmah Purnama Debby Endayani Safitri Debby Endayani Safitri Diah Mulyawati Utari Dodik Briawan Erwindo Rinaldo Fatimah Zuhra Hadi Riyadi Hardinsyah Hidayat Syarief Ikeu Ekayanti Ikeu Tanziha Jihan Alfira Jihan Alfira Kusharisupeni Djokosujono Lilik Kustiyah Lorita Amanda Sardi Mia Mustika Hutria Utami Mira Dewi Muhammad Rafki Pratama Muhammad Rizki Ramadhani Nana Mulyana Nathasa Khalida Dalimunthe Nikmah Utami Dewi Nur Setiawati Rahayu Nuria Ikhsyania Nurul Maqfira Prita Dhyani Swamilaksita Rahmah Rahmauldianti Safitri Ramadhani Fitri Ranita Suri Dewi Ratna Djuwita Resa Ana Dina Rimbawan Rimbawan Rosdiana, Delita Septia Rusdi, Faza Yasira Setiawan, Budi Siti Amanah Sudikno Sudikno Tri Krianto Tsuraya Zafira Veny Rachmalinda Veny Rachmalinda Vetnizah Juniantito Yayuk Farida Baliwati

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