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Risk factors for stunting incidents and positive deviance behavior of mothers towards toddlers in the stunting locus village Nurul Maqfira; Budi Setiawan; Cesilia Meti Dwiriani
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1700

Abstract

Stunting is a growth disorder during infancy that is caused by prolonged malnutrition. The research aims to analyze risk factors for stunting in toddlers and identify positive deviance behaviors of mothers in stunting locus villages. Research using a cross-sectional design was carried out in Tompo Village, Barru Regency in September-November 2023 with a sample size of 83 toddlers and 8 mother informants. Data collection was done through interviews and Focus Group Discussion. Statistical analysis includes Chi-Square, Mann-Whitney Test and logistic regression with 95% Cl. Analysis of positive deviance behavior data using data reduction, data display, conclusion drawing and presented in narrative. The results of the study showed that there were 3 variables that were risk factors for stunting, namely maternal height during pregnancy <150 cm (p=0,007;OR=5,294), mothers with less nutritional knowledge (p=0,009;OR=8,267) and not receiving exclusive breastfeeding (p=0,027;OR =4,797). The conclusion of this study is that the mother's height during pregnancy, nutritional knowledge, and exclusive breastfeeding are risk factors for stunting. The positive deviance behaviors of mothers found were carrying out early initiation of breastfeeding, exclusive breastfeeding, providing complementary foods and early introduction of animal protein according to WHO recommendations and prioritizing children in food distribution.
Risk factors of undernutrition among under-two children in West Java (SSGI 2021) Batubara, Fithriani; Dwiriani, Cesilia Meti; Riyadi, Hadi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 1, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.1(1).49-58

Abstract

ABSTRAK Latar Belakang: Jawa Barat merupakan provinsi dengan jumlah populasi balita tertinggi di Indonesia. Permasalahan gizi di Jawa Barat masih tinggi. Berdasarkan Studi Status Gizi Indonesia (SSGI) tahun 2021 prevalensi stunting, wasting dan underweight di Jawa Barat yaitu 20.5%. 5.3% dan 15%. Faktor risiko yang mempengaruhi kekurangan gizi beragam dan berpotensi berubah dari waktu ke waktu. Oleh karena itu, sangat penting untuk menilai arus status gizi untuk meninjau kesenjangan dalam faktor risiko.Tujuan: Penelitian ini dilakukan untuk menganalisis faktor risiko stunting, wasting, dan underweight pada baduta di Jawa Barat. Metode: Penelitian ini menggunakan studi cross sectional menggunakan data sekunder dari Studi Status Gizi Indonesia (SSGI) 2021 yang terdiri dari 1203 subjek baduta usia 6-23 bulan di Jawa Barat. Faktor risiko stunting, wasting, dan underweight dianalisis menggunakan regresi logistik. Hasil: Prevalensi stunting, wasting, dan underweight pada baduta usia 6-23 bulan berturut-turut sebesar 20.5%, 5.7% dan 11.6%. Faktor risiko stunting adalah usia 12-23 bulan (AOR=3.10 CI 95% 2.16-4.45), panjang lahir pendek (AOR=1.85 CI 95% 1.30-2.62), tingkat pendidikan ibu rendah (AOR=1.97 CI 95% 1.45-2.68) dan tidak menyusui (AOR= 0.46 CI 95% 0.31-0.68) sebagai faktor protektif. Faktor risiko wasting adalah tingkat pendidikan Ibu yang rendah (AOR=0.5 CI 95% 0.34-0.94) sebagai faktor protektif. Faktor risiko underweight adalah usia 12-23 bulan (OR=1.92 CI 95% 1.25-2.95) dan tidak ASI eksklusif (AOR=0.54 CI 95% 0.35-0.83) sebagai faktor protektif. Kesimpulan: Faktor yang memengaruhi stunting yaitu usia, panjang lahir, tingkat pendidikan ibu, dan status menyusui. Faktor yang memengaruhi wasting yaitu tingkat pendidikan ibu. Faktor yang memengaruhi underweight yaitu usia dan riwayat ASI eksklusif. KATA KUNCI: baduta; faktor risiko; gizi kurang; Jawa Barat; SSGI ABSTRACTBackground: West Java is the province with the highest under-five population in Indonesia. Nutritional problems in West Java are still high in number. According to the 2021 Indonesian Nutrition Status Study (SSGI) the prevalence of stunting, wasting and underweight in West Java are stated as 20.5%. 5.3% and 15% whereas the risk factors affecting malnutrition are diverse and have the potential to change over time. Therefore, it is very important to assess current nutritional status to review gaps in risk factors. Objectives: This research was conducted to analyze the risk factors for stunting, wasting and underweight in under-two children of West Java. Methods: This research is a cross-sectional study using secondary data from the Indonesian Nutrition Status Study (SSGI) 2021 which consists of 1203 subjects (6-23 months) in West Java. Risk factors of stunting, wasting. and underweight were analyzed using logistic regression. Results: The prevalence of stunting, wasting and underweight among children aged 6-23 months were 20.5%, 5.7% and 11.6%, respectively. The risk factors for stunting are age 12-23 months (AOR=3.10 CI 95% 2.16-4.45), short birth length (AOR=1.85 CI 95% 1.30-2.62), mother’s low education level (AOR=1.97 CI 95% 1.45-2.68) and not breastfeeding (AOR= 0.46 CI 95% 0.31-0.68) as a protective factor for stunting. low maternal education level (AOR=0.5 CI 95% 0.34-0.94) as a protective factor for wasting. The risk factor for underweight is age 12-23 months (OR=1.92 95% CI 1.25 -2.95) and does not have exclusively breastfed (AOR=0.54 CI 95% 0.35-0.83) as a protective factor for underweight. Conclusions: Influential factors to stunting are age, birth length, mother's education level, and breastfeeding status. Factor influences wasting is the education level of the mother. Factors influence underweight are age and history of exclusive breastfeeding. KEYWORDS: risk factors; SSGI; undernutrition; under-two children; West Java 
Enabling sustainable diets into elementary education: Participatory action research Yayuk Farida Baliwati; Akifa Laila Rusyda; Cesilia Meti Dwiriani; Siti Amanah; Resa Ana Dina; Prita Dhyani Swamilaksita; Jihan Alfira; Veny Rachmalinda
Journal of Community Service and Empowerment Vol. 6 No. 3 (2025): December
Publisher : Universitas Muhammadiyah Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22219/jcse.v6i3.42092

Abstract

School-based nutritional education is a promising intervention in overcoming public health nutritional problems with desirable results through behavioral changes. The present study aims to analyze nutritional contents or topics on Pancasila Student Profile (Independence Curriculum) on the sustainable diet promotion in elementary school settings. The design of the present study was a qualitative Participatory Action Research (PAR), recruited purposively 30 elementary teachers. The study was conducted at SD Plus Rahmat, Kediri, Indonesia from June to July 2024. The nutritional education consisted of three sessions, including introduction, project-based module development (learning plans), and module presentation and discussion. Result shows that the sustainable diets topic has been integrated on the P5 learning activity theme through ‘Sustainable Lifestyle” in phase A, B, and C among all classes. The topics of sustainable diets on the previous curriculum and lesson plans were performed using content analysis. The content analysis maps the previous topics related to the sustainable diets in the P5 module which has been developed by school. The result shows that learning hours for nutritional education at the elementary class settings was estimated around 68 – 110 learning hours in a year. The learning activity was arranged following four types of activity, including introduction, contextualization, action, and reflection.
Comparative Analysis of Diet Quality Among Junior High School Students Receiving and Not Receiving Free Nutritious Meals in Bogor City Rahmah; Ikeu Tanziha; Cesilia Meti Dwiriani
Journal of Public Health Sciences Vol. 5 No. 01 (2026): Journal of Public Health Sciences
Publisher : The Indonesian Institute of Science and Technology Research

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56741/IISTR.jphs.001552

Abstract

Adolescents are a group of people undergoing transitional growth, during which their nutritional needs increase significantly. Based on DQI-A, the diet quality of adolescents aged 13–15 years in Bogor is classified as poor, at only 32.2%. The Free Nutritious Meals (MBG) program aims to ensure that adolescents consistently consume a balanced diet at school. This study aims to analyze the differences in diet quality among junior high school adolescents who are recipients (88 students from SMP PGRI 6) and non-recipients (88 students from SMP PGRI 5) of the free nutritious meals program at school. A cross-sectional comparative design was used involving 176 students selected purposively. Data on individual and family characteristics were collected through structured questionnaires; dietary intake was assessed by two non-consecutive 24-hour recalls conducted by trained interviewers using food photographs and the DQI-A method to measure the quality of the subjects' diets, including dietary quality, dietary diversity, and dietary equilibrium. Data were analyzed using the Mann–Whitney test and the independent-sample t-test. Results showed no significant differences in individual and socioeconomic characteristics between groups (p>0.05). However, significant differences were found in all DQI-A components, including dietary quality, dietary diversity, and dietary equilibrium (p<0.001). The MBG group had a higher average total DQI-A score (49.81%) compared with the non-MBG group (39.15%). These results show that the MBG program helps teens eat better. Recommendations include strengthening the availability and variety of nutritious foods in school meal programs, enhancing nutrition education in schools, and encouraging collaboration among schools, parents, and policymakers. Future researchers are advised to examine the long-term effects of the MBG program on both nutritional status and academic performance.
The Association of Breakfast Consumption with Blood Glucose Levels and Short-Term Memory in Primary School Children: A Cross-Sectional Study Arfah Husna; Hardinsyah Hardinsyah; Cesilia Meti Dwiriani; Lilik Kustiyah
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.883

Abstract

Breakfast is an essential component of a healthy diet for school-aged children, yet it is often neglected. This study aimed to analyze the association between breakfast intake, blood glucose levels, and short-term memory among elementary school students in Nagan Raya Regency. This study employed a cross-sectional design involving 150 students from grades IV, V, and VI across three primary schools in Nagan Raya District with a purposive sampling technique.  Short-term memory was assessed at 08:30 a.m. using a picture recognition memory test, and blood glucose levels were measured at 09:00 a.m. using the finger-prick method. Breakfast intake was measured using the recall method.  Data on student characteristics (gender, daily allowance, and mother’s education) and nutritional status were sourced from the 2023 GENIUS program (Nutrition education and snacks program for school children). The statistical tests used were the Mann–Whitney U test and the Spearman rank correlation test. The results showed that breakfast energy intake was positively and significantly associated with blood glucose levels, and blood glucose levels were positively and significantly associated with short-term memory. Consuming a complete breakfast plays an important role in maintaining stable blood glucose levels and supporting of short-term memory among primary school students.
Estimation of Food Waste and Nutrient Loss in The Free Nutritious Meal Program for Students in East Aceh, Indonesia Fatimah Zuhra; Ikeu Tanziha; Cesilia Meti Dwiriani; Muhammad Rizki Ramadhani
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.924

Abstract

Food waste remains a major challenge in school meal programs, as it not only causes economic losses but also leads to resource inefficiency, and reduced nutritional benefits. This study aims to analyze differences in food waste amounts across free nutritious meal programs at the elementary, middle, and high school levels, estimate nutrient loss, and identify related factors of food waste among students in East Aceh Regency. A cross-sectional design was employed involving 106 students purposively selected from three schools participating in the free nutritious meal programs. Data were collected using a weighing method over a 10-day menu cycle, anthropometric measurements, structured interviews on student characteristics, and food preferences. Data were analyzed using the Kruskal-Wallis test, Pearson and Spearman correlations, and linear regression. The results showed that the average food waste was 24,3% of the served portion, with the highest amount in middle school (29,8%) and the lowest in high school (16,5%). The largest proportion of waste came from staple foods, vegetables, and plant-based side dishes. Nutrient loss due to food waste was equivalent to 12 complete lunch portions for a child per year. Factors significantly associated with food waste were age, gender, BMI-for-age, pocket money, and menu variety (p<0,05). Older students, males, who perceived the menu as more varied, tended to waste less food. These findings highlight the importance of portion adjustment, appropriate serving times, diversified menus, and nutrition education to reduce food waste and optimize the benefits of the Free Nutritious Meal program
Association between Global Diet Quality Score (GDQS) and nutritional status among indonesian adolescents: A case study in Bogor District Lorita Amanda Sardi; Lilik Kustiyah; Cesilia Meti Dwiriani
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2995

Abstract

Adolescents are a population group highly vulnerable to nutritional problems due to rapid physical growth, increased nutrient needs, and the formation of long-term eating habits. Understanding the quality of their diet is essential for preventing both nutrient deficiencies and diet-related non-communicable diseases (NCDs). This study aimed to assess adolescent diet quality using the Global Diet Quality Score (GDQS) and its Indonesian modification (GDQS-I) and examine their association with nutritional status. The GDQS was developed to meet the need for a concise, sensitive, and globally applicable metric capable of evaluating both undernutrition and the risk of NCDs. This cross-sectional study was conducted from August to September 2025 and included 61 eighth-grade students from SMPN 2 Ciomas, Bogor. Dietary intake was assessed using repeated 2×24-hour food recalls, and nutritional status was determined through anthropometric measurements using the BMI-for-age index. The results showed that most adolescents had a normal nutritional status (82%); however, their diet quality was generally poor, with 67.2% categorized as high-risk based on the GDQS and 95.1% based on the GDQS-I. The Wilcoxon signed-rank test indicated significantly lower GDQS-I scores than GDQS scores (p<0.001). The Spearman correlation test found no significant association between diet quality and nutritional status (p>0.05). In conclusion, these findings suggest that the GDQS-I may be useful for screening dietary risks among Indonesian adolescents, although further validation is required.
Theory of planned behavior–based nutrition education to enhance knowledge and fruit-vegetable consumption determinants among elementary school children in Bogor Regency Tsuraya Zafira; Cesilia Meti Dwiriani; Ali Khomsan
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2900

Abstract

Nutritional problems among school-age children remain significant, mainly due to unbalanced diets and low vegetable and fruit intake. In Indonesia, 97.7% of students do not meet the recommended consumption levels, with West Java reaching 98.3%. Most nutrition education programs emphasize knowledge improvement without considering the psychological factors influencing eating behavior. The Theory of Planned Behavior (TPB), which highlights the role of intention in shaping behavior, has rarely been applied in Indonesia. This study examined the effect of TPB-based nutrition education on knowledge, attitude, subjective norm, perceived behavioral control, and intention to consume vegetables and fruits among elementary students in Bogor District. Using a quasi-experimental design with multiple random sampling, 70 fifth-grade students were divided into treatment and control groups (n=35 each). The instruments showed good validity (r-count > r-table) and reliability (Cronbach’s alpha > 0.7). The results indicated significant improvements in all TPB constructs (p < 0.05), except for subjective norm in the control group, with higher Cohen’s d values in the treatment group. TPB-based nutrition education effectively enhanced students’ intentions and behaviors toward consuming fruits and vegetables. Further research should consider longer interventions, follow-up evaluations, and the inclusion of additional influencing factors.
Peluang Integrasi Gizi Seimbang dalam Proses Pembelajaran di SD Plus Rahmat Kediri Yayuk Farida Baliwati; Akifa Laila Rusyda; Cesilia Meti Dwiriani; Siti Amanah; Resa Ana Dina; Veny Rachmalinda; Jihan Alfira; Prita Dhyani Swamilaksita
Agrokreatif: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 1 (2025): Agrokreatif Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institut Pertanian Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/agrokreatif.11.1.177-186

Abstract

The nutritional status of school children currently still experiences very complex disparities, including severely thin, underweight, overweight, and obesity. The government's initiatives against nutritional problems in school-aged children include, among other things, the delivery of school-based balanced nutritional guidelines. The present activity aims to identify the opportunity for balanced nutritional guideline integration through the learning process in the Merdeka Curriculum at SD Plus Rahmat, Kediri City. This study used mixed methods and a sequential explanatory design through qualitative and quantitative (descriptive) analyses. The activity was carried out from April 20‒May 30, 2024, and was the initial stage of the 2024 Dosen Pulang Kampung multi-activities. The implementation method consisted of observation and focus group discussions (FGD). The subjects were 15 participants, including teachers and Yayasan Taman Pendidikan Rahmat stakeholders. The findings show that six out of seven P5 program contents have been integrated into literacy competency of nutrition, such as the types and functions of food and nutrition. Most FGD participants (±90%) had moderate to high average nutritional knowledge and behavior, namely 75.6 and 84.7, respectively. The results also show that the co-curricular program, namely the Project for Strengthening the Profile of Pancasila Students (P5), is an opportunity for PGS integration. Integrating PGS into literacy and numeracy in P5 still requires ongoing teacher assistance. The assistance is expected to increase teachers' understanding and behavior towards balanced nutritional guidelines, conveying how to shape student character according to balanced nutritional guidelines.implemented with school children to shape the character regarding the Balanced Nutrition Guidelines.
Effectiveness of Innovative TikTok-Based Educational Multimedia for Nutrition Education Among Adolescent Girls Baiq Fitria Rahmiati; Ali Khomsan; Hadi Riyadi; Cesilia Meti Dwiriani
Upgrade : Jurnal Pendidikan Teknologi Informasi Vol 4 No 1 (2026): Agustus 2026 In-Press
Publisher : Universitas Bumigora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30812/upgrade.v4i1.6540

Abstract

Adolescent girls are vulnerable to nutritional problems due to the increasing nutritional requirements during growth and development, while inadequate nutrition knowledge may contribute to unhealthy dietary behaviors. Innovative and engaging educational approaches are needed to improve nutrition knowledge among adolescents. This study aimed to evaluate the effectiveness of innovative TikTok-based educational multimedia for nutrition education among adolescent girls. The method of this research was a quasi-experimental study with a pretest–posttest control group design conducted from July to November 2025 involving 60 adolescent girls from two junior high schools in West Nusa Tenggara, Indonesia. Participants were selected using systematic random sampling and assigned to either an intervention group (n=30) or a control group (n=30). The intervention group received nutrition education through innovative TikTok-based educational multimedia consisting of short educational videos, while the control group received conventional nutrition education. Nutrition knowledge was assessed before and after the 16-week intervention using a validated questionnaire. Data were analyzed using descriptive and inferential statistics with a significance level of p<0.05. The results showed a significant improve ment in nutrition knowledge among participants in the intervention group (p<0.001), whereas no significant change was observed in the control group (p=0.678). Furthermore, a significant difference in post-intervention knowledge scores was found between the intervention and control groups (p=0.001). These findings indicate that TikTok-based educational multimedia is an effective and accessible tool for improving nutrition knowledge among adolescent girls and may serve as an innovative strategy for school-based nutrition education programs.