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Night eating syndrome, pola tidur, dan kebiasaan konsumsi sugar-sweetened beverage berdasarkan tipe metabolik pada mahasiswa obese Anindita Putri Leksono; Fillah Fithra Dieny; Etika Ratna Noer; Ani Margawati
AcTion: Aceh Nutrition Journal Vol 7, No 2 (2022): November
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.v7i2.617

Obesity prevalence in students is increasing and can lead to metabolic syndrome at a young age. The habit of harmful sleeping patterns, night eating syndrome, and excessive sugar-sweetened-beverage consumption can increase the risk of metabolic syndrome in obese students. This research aimed to analyze the differences between night eating syndrome, sleeping patterns, and consumption habits of sugar-sweetened beverages based on metabolic types in obese students. This research used a case-control design in Semarang in 2020, with 52 subjects aged 19-24 selected by consecutive sampling. The data included body weight using digital scales, height using microtoise, waist size using Medline, blood pressure using tensimeters, and laboratory tests to check triglyceride levels, HDL cholesterol, fasting blood glucose, and insulin. The instruments used were The Night Eating Questioner to assess the night eating syndrome, Pittsburg Sleep Quality to assess sleeping patterns, and the Semi-Quantitative Food Frequency Questionnaire to see the subject’s sugar-sweetened beverage consumption. The Chi-Square test analyzed the data. There was a difference between night eating syndrome (p=0,006) and sleeping pattern (p=0,012) in Metabolically Healthy Obesity (MHO) and Metabolically Unhealthy Obesity (MUO). There was no significant difference between sugar-sweetened beverage consumption in the two subject groups (p=0,714). In the MUO group, more people experienced poor sleep patterns and night-eating syndrome. Meanwhile, sugar-sweetened beverage consumption in the MHO and MUO groups was still considered normal.

Faktor determinan riwayat kehamilan dan kelahiran sebagai penyebab stunting Masayu Dian Khairani; Kusmiyati Tjahjono; Ali Rosidi; Ani Margawati; Etika Ratna Noer
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.v8i1.793

Stunting is a condition of failure or a child's growth process that is not following their age. Many factors can cause children to experience stunting both in terms of health and outside health, such as economic conditions, nutritional status experienced by mothers during pregnancy, malnutrition, and improper feeding and care early in life. The study aimed to determine pregnancy and birth history as risk factors for stunting in children aged 24-59 months. The study used a case-control design, with the number of subjects being 176 children, calculating subjects using total sampling techniques on case subjects and matching on control subjects. The research was conducted at the Pangkalan Balai Health Center, Banyuasin Regency, South Sumatra, in 2022. Data was collected for one month and then analyzed using the chi-square test and Logistic Regression. The results showed that parental income (p= 0,034; OR= 2,571), early marriage (p= 0,001; OR= 2,760), maternal age at pregnancy (p= 0,003; OR= 2,692), nutritional status at pregnancy (p=0,020; OR=2,080), birth length (p= 0,001; OR= 6,633) and birth weight (p= 0,044; OR= 3,632) are risk factors for stunting. The most influential determinant factor was the birth length. Conclusion, parental income, early marriage, age at risk of pregnancy, nutritional status of pregnant women, birth length, and birth weight are risk factors for stunting in children aged 24-59 months at Pangkalan Balai Health Center.

EFEK VITAMIN D TERHADAP KADAR HbA1c PADA T2DM : NARATIF REVIEW Ihda Hanifatun Nisa; Etika Ratna Noer; Adriyan Pramono; Ahmad Syauqy; I Edward Kurnia Setiawan Limijadi
Journal of Nutrition College Vol 15, No 1 (2026): Januari
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i1.49638

ABSTRACTBackground: Type 2 Diabetes Mellitus (T2DM) is characterized by hyperglycemia and insulin resistance with HbA1c as the main indicator. Vitamin D plays a role in glucose metabolism through modulation of insulin sensitivity and anti-inflammatory effects, but the relationship between vitamin D and HbA1c still shows varied results. Objective: This review aims to analyze the effect of vitamin D on HbA1c levels in T2DM patients based on published studies. Methods: This study is a narrative review was conducted by searching databases including PubMed, ScienceDirect, and Google Scholar over the past 10 years. Screening using Mendeley application yielded 10 articles meeting the criteria. Variables studied included HbA1c levels, simple carbohydrate intake, fiber intake, vitamin D intake, and oral hypoglycemic agent adherence.Results Several studies show that vitamin D can reduce HbA1c levels through increased insulin sensitivity and reduced inflammation. However, other studies report no significant effect of vitamin D on HbA1c, especially in individuals with sufficient vitamin D levels. Conclusion: Vitamin D potentially plays a role in controlling HbA1c levels in T2DM patients, especially in individuals with vitamin D deficiency. Further research with more rigorous designs is still needed to confirm the effect of vitamin D on HbA1c.Keywords: Type 2 diabetes mellitus; HbA1c; inflammation; insulin sensitivity; vitamin d ABSTRAKLatar Belakang: Diabetes Mellitus Tipe 2 (T2DM) ditandai dengan hiperglikemia dan resistensi insulin dengan HbA1c sebagai indikator utama. Vitamin D berperan dalam metabolisme glukosa melalui modulasi sensitivitas insulin dan efek anti-inflamasi, namun hubungan antara vitamin D dan HbA1c masih menunjukkan hasil bervariasi. Tujuan: Menganalisis efek vitamin D terhadap kadar HbA1c pada penderita T2DM berdasarkan studi yang telah dipublikasikan. Metode: Tinjauan naratif dilakukan dengan menelusuri basis data PubMed, ScienceDirect, dan Google Scholar dalam 10 tahun terakhir. Screening menggunakan aplikasi Mendeley menghasilkan 10 artikel yang sesuai kriteria. Variabel yang diteliti meliputi kadar HbA1c, asupan karbohidrat sederhana, asupan serat, asupan vitamin D, dan kepatuhan minum OHO. Hasil: Beberapa studi menunjukkan vitamin D dapat menurunkan kadar HbA1c melalui peningkatan sensitivitas insulin dan pengurangan peradangan. Namun, beberapa penelitian lain melaporkan tidak ada efek signifikan dari vitamin D terhadap HbA1c, terutama pada individu dengan kadar vitamin D cukup. Kesimpulan: Vitamin D berpotensi berperan dalam pengendalian kadar HbA1c pada penderita T2DM, terutama pada individu dengan defisiensi vitamin D. Penelitian lebih lanjut dengan desain lebih ketat masih diperlukan untuk memastikan efek vitamin D terhadap HbA1c.Kata Kunci: Diabetes mellitus tipe 2; HbA1c; inflamasi; sensitivitas insulin; vitamin d

POTENSI HIDROLISAT PROTEIN IKAN DALAM KONTROL GLUKOSA DARAH DAN NAFSU MAKAN PADA OBESITAS UNTUK MENCEGAH DIABETES MELITUS TIPE 2: LITERATURE REVIEW Herlina Hapsari; Etika Ratna Noer; Fitriyono Ayustaningwarno
Journal of Nutrition College Vol 15, No 1 (2026): Januari
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i1.51771

ABSTRACTBackground: Obesity is a metabolic disorder and one of the most critical human health issues worldwide. It can lead to an increased risk of metabolic diseases, such as diabetes mellitus and cardiovascular diseases. Fish protein hydrolysate (FPH) has been recognized as a potential source of bioactive peptides that may aid in regulating blood glucose homeostasis and appetite management in obese individuals, hence potentially decreasing the risk of developing type 2 diabetes mellitus.Objective: To explore the effects of fish protein hydrolysate (FPH) on blood glucose control and appetite regulation, and to analyze its impact on weight loss in obese individuals to prevent type 2 diabetes mellitus.Methods: A literature review of five databases: PubMed, Science Direct, Scopus, Cochrane Library, and Google Scholar. The keywords related to type 2 diabetes mellitus, blood glucose, fish protein hydrolysate, obesity, bioactive peptides and satiety with inclusion criteria of articles in English published in the last decade (2015–2025). Results: Through disruptions in insulin sensitivity and satiety signals, glucose dysfunction and appetite dysregulation in obese individuals significantly contribute to an increased risk of type 2 diabetes mellitus. The mechanism of action of fish protein hydrolysate (HPI) has been shown to help regulate appetite and glucose homeostasis by stimulating satiety hormones such as GLP-1 and increasing the availability of certain amino acids responsible for energy metabolism.Conclusion: HPI may influence reductions in weight loss and the regulation of certain metabolic biomarkers, particularly in individuals with overweight or metabolic syndrome. However, the reported information on how HPI affects appetite regulation, digestive hormone secretion, and blood glucose control remains varied and not fully consistent.Keywords: Type 2 diabetes mellitus; blood glucose; fish protein hydrolysate; obesity; satiety ABSTRAKLatar belakang : Obesitas adalah gangguan metabolisme dan salah satu masalah manusia yang paling kritis di seluruh dunia. Hal ini dapat menyebabkan risiko penyakit metabolik, seperti diabetes melitus tipe 2 (DM tipe 2) dan penyakit kardiovaskular. Hidrolisat Protein Ikan (HPI) telah muncul sebagai komponen bioaktif peptida yang berpotensi dengan keuntungan potensial membantu kontrol glukosa darah dan nafsu makan pada obesitas dan mencegah terjadinya diabetes melitus tipe 2.Tujuan: Mengeksplorasi efek hidrolisat protein ikan (HPI) pada kontrol gula darah dan regulasi nafsu makan serta menganalisis dampaknya dalam menurunkan berat badan pada penderita obesitas untuk mencegah diabetes melitus tipe 2.Metode: Tinjauan pustaka terhadap lima database: PubMed, Science Direct, Scopus, Cochrane Library dan Google Scholar. Kata kunci yang terkait dengan diabetes mellitus tipe 2, glukosa darah, hidrolisat protein ikan, obesitas, peptida bioaktif dan rasa kenyang, dengan kriteria inklusi artikel dalam bahasa Inggris yang diterbitkan dalam satu dekade terakhir (2015–2025). Hasil: Melalui gangguan pada sensitivitas insulin dan sinyal kenyang, disfungsi glukosa dan disregulasi nafsu makan pada orang obesitas berkontribusi secara signifikan terhadap peningkatan risiko DM tipe 2. Mekanisme kerja hidrolisat protein ikan (HPI) terbukti dapat membantu mengatur nafsu makan dan homeostasis glukosa dengan menstimulasi hormon kenyang seperti GLP-1 dan meningkatkan ketersediaan asam amino tertentu yang bertanggung jawab atas metabolisme energi.Simpulan: HPI dapat mempengaruhi penurunan berat badan dan pengaturan biomarker metabolik tertentu, terutama pada orang dengan kelebihan berat badan atau sindrom metabolik. Namun, informasi yang dilaporkan tentang bagaimana HPI mempengaruhi regulasi nafsu makan, sekresi hormon pencernaan, dan kontrol glukosa darah masih beragam dan belum sepenuhnya konsisten.Kata Kunci : Diabetes melitus tipe 2; glukosa darah; hidrolisat protein ikan; obesitas, rasa kenyang

HUBUNGAN ASUPAN YODIUM DENGAN KEJADIAN STUNTING PADA BALITA: LITERATURE REVIEW Ismi Setianingsih; Etika Ratna Noer; Ani Margawati
Journal of Nutrition College Vol 15, No 1 (2026): Januari
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v15i1.50880

ABSTRACTBackground: Stunting is a growth disorder commonly found in children under five years old. Chronic deficiency in nutrient intake is a direct cause of stunting. Iodine is one of the micronutrients needed by children under five years old for reaching the optimal growth. Iodine deficiency can lead to stunting.Objectives: The aim of this literature review is to determine the relationship between iodine intake and stunting in children under five years old.Methods: This research is a literature review that uses the narrative method to review several relevant article sources based on the objectives, methods, and results presented in the article. National and international articles were searched using Google Scholar and PubMed databases. The articles searched focused on epidemiologic studies filtered from the last 10 years of publication (2015-2025). Keywords used were iodine intake, urinary iodine or iodine status and stunting in children. The search found 13 articles that met the inclusion criteria.Results: A literature study revealed inconsistent findings regarding the association between iodine intake and the incidence of stunting in children under five years old. Five articles found a correlation between iodine intake and the incidence of stunting in toddlers, whereas the remaining eight articles found no correlation.Conclusion: Iodine intake has no relationship with the prevalence of stunting in toddlers. Iodine consumption has an impact on a child's growth and nutritional status, but it is not a main cause of stunting. Iodine is one part of the complex factors that influence child growth and the incidence of stunting in children under five years old. In order to avoid bias, iodine intake measurements must be carried out using appropriate methods.Keywords: Iodine intake; toddler; iodine status; UIE; stunting ABSTRAKLatar belakang: Stunting merupakan gangguan pertumbuhan yang banyak ditemukan pada balita. Kurangnya asupan zat gizi secara kronis menjadi penyebab langsung terjadinya stunting. Yodium merupakan salah satu zat gizi mikro yang dibutuhkan balita untuk mencapai pertumbuhan yang optimal. Kekurangan asupan yodium dapat menimbulkan gangguan pertumbuhan salah satunya yaitu stunting.Tujuan: Tujuan dari kajian pustaka ini adalah untuk mengetahui hubungan asupan yodium dengan kejadian stunting pada balita.Metode: Penelitian ini merupakan sebuah kajian pustaka yang menggunakan metode naratif dalam mengkaji beberapa sumber artikel yang relevan berdasarkan tujuan, metode, serta hasil yang disajikan pada artikel tersebut. Pencarian artikel nasional dan internasional dilakukan dengan melakukan penulusuran dengan menggunakan database Google Scholar, dan Pubmed. Artikel yang dicari berfokus pada studi epidemiologi yang disaring dari terbitan 10 tahun terakhir (2015-2025). Kata kunci yang digunakan yaitu asupan yodium, UIE atau status yodium, dan stunting pada anak balita. Dari penelusuran tersebut didapatkan 13 artikel yang masuk dalam kriteria inklusi.Hasil: Berdasarkan kajian pustaka, masih ditemukan hasil yang kontradiktif tentang hubungan asupan yodium dengan kejadian stunting pada balita. Lima artikel menyebutkan bahwa asupan yodium berhubungan dengan kejadian stunting pada balita, sedangkan delapan artikel lainnya justru menyatakan sebaliknya yaitu tidak menemukan hubungan antara asupan yodium dengan kejadian stunting.Simpulan: Asupan yodium tidak berhubungan dengan kejadian stunting pada balita. Asupan yodium dapat memengaruhi pertumbuhan dan status gizi anak, tetapi bukan menjadi satu-satunya faktor yang menyebabkan stunting. Yodium merupakan salah satu bagian dari kompleksnya hal-hal yang memengaruhi pertumbuhan maupun kejadian stunting pada anak. Pengukuran asupan yodium harus dilakukan dengan metode yang tepat agar tidak menimbulkan bias.Kata Kunci: Asupan yodium; balita; status yodium; ekskresi yodium urin; stunting

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