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Effect of Formulation of Jackfruit Seed Extract, Soybean Juice and Moringa Leaf Extract on the Amount of Lactic Acid Bacteria, Total Acid, and pH of Kalelo Yogurt as Probiotics & Supplementary Feeding for Stunting Prevention Nur Hatijah; Melina Sari; Atika Nuswantari
Aloha International Journal of Multidisciplinary Advancement (AIJMU) Vol 1, No 1 (2019): JANUARY
Publisher : Alliance of Health Activists (AloHA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (178.754 KB)

Abstract

Introduction: Efforts to improve nutrition for the prevention of stunting include specific interventions with specific targets, namely pregnant women in the form of supplementary feeding for pregnant and lactating mothers. Micronutrient food sources that are still not maximized are processed including jackfruit seeds (Arthocarphus heterophilus), Soybean (Glycine max L. Mer) and Moringa oleifera leaves. Objective: Determine the right formulation in making kalelo yogurt as a probiotic and PMT to prevent stunting. Methods: Post-test only design method with yogurt formula treatment. The resulting yogurt was seen as having an effect on the amount of lactic acid bacteria, total acid and pH. The statistical analysis used was Complete Randomized Design (CRD) 3 X 2 followed by Duncan test to see the difference in mineral content of each formulation with α 0.05. Results: The number of lactic acid bacteria (LAB) ranged from 5.8 x108 to 1.8 x109, fulfilling the SNI Yoghurt standard with the highest number of F3 formulas. Total acid ranged from 11-1.2% calculated as lactic acid, fulfilling standard SNI yogurt with the highest amount of formula F2. Total solids of yoghurt formula ranged from 16.29% -16.79%, fulfilling standard SNI yogurt with the highest value of Formula F1 & F3. The pH value of Kalelo yogurt is 3.8 with a formula that has the best pH, namely F2 formula. Discussion: LAB can develop during fermentation because it uses sugar from carbohydrates in the formula. During the fermentation process, lactose derived from skim milk will be hydrolyzed by the enzyme β-galactosidase to glucose and galactose, then converted to lactic acid. The high amount of solids is caused by the addition of soybeans, jackfruit seeds which are high in sugar content. Organic acids cause a decrease in pH during the fermentation process. In addition to increasing incubation time, microbial activity is increasing and the number of microbes is increasing, resulting in pH decreasing. Conclusion: The number of lactic acid bacteria (LAB), the amount of acid calculated as lactic acid, the amount of solids and the value of PH calelo yogurt fulfills the SNI standard of yoghurt. Keywords: Provision of additional food, Yoghurt, Pregnant women, Breastfeeding mothers, Arthocarphus heterophilus, Glycinem ax L. Mer, Moringa oleifera
First 1000 Days of Life Education for Cadres at the Work Area Health Center in Sambikerep District, Surabaya Melina Sari; Dian Shofiya; Ani Intiyati; Taufiqurrahman; Nur Hatijah; Nuning Marina Pengge; Juliana Christyaningsih; Devi Eka Ratnasari; Atika Nuswantari; Mujayanto; Erlyna Jayeng Wijayanti; Khristine Saputri
Jurnal Pengabdian dan Pemberdayaan Masyarakat Indonesia Vol. 2 No. 12 (2022)
Publisher : Peneliti Teknologi Teknik Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59247/jppmi.v2i12.192

Abstract

The First 1000 Days of Life Movement (HPK) is also known as Scaling Up Nutrition (SUN) as a state effort to accelerate nutrition improvement, especially handling nutrition from 1000 days from pregnancy to two years of age. Pregnant women, nursing mothers, newborns and children under two years of age (baduta) are the target groups to improve the quality of life for the first 1000 days of humanity. For cadres as the spearhead of health workers who are directly involved with the community, there is still a low level of knowledge of cadres from an academic and technical perspective regarding the implementation of Posyandu. Providing 1000 HPK education is expected to be able to carry out posyandu activities optimally on target. The 1000 HPK cadre education activities showed an increase in scores for general knowledge of posyandu cadres, attitudes and actions of cadres and knowledge of balanced nutrition. The knowledge that the respondents had before being given education & training was good, this is probably due to the age characteristics that are in the range of 30-40 and the education of the respondents who graduated from high school allows the respondents to have good knowledge.
The Relationship between Body Mass Index with Knowledge and Energy Intake in Diabetic Patients in Prolanis Club Nuswantari, Atika; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Proceedings of the International Conference on Nursing and Health Sciences Vol 5 No 1 (2024): January-June 2024
Publisher : Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/picnhs.v5i1.3886

Abstract

The prevalence of diabetes mellitus in Indonesia is 2.0%, while East Java ranks 5th, higher than the national prevalence. According to data from the Jombang Regency Health Office, the outpatient diabetes mellitus cases at the Community Health Centers presented on the Indonesia Statistics of Jombang Regency website were 10,133 in 2013, 12,765 in 2014, and 21,992 in 2015, indicating an upward trend in the number of diabetes mellitus patients each year. Insulin resistance is the main cause of diabetes mellitus as a degenerative disease. Information on proper diabetes mellitus health management is expected to enhance knowledge as a means of improving individual behavior and actions. The prevention of diabetes mellitus can be achieved through a healthy lifestyle, which includes regulated and measured eating patterns and physical activity. The objective of this study is to determine the relationship between body mass index with knowledge and energy intake in diabetic patients. This correlational study employed a cross-sectional method involving 60 subjects from three Community Health Centers in Jombang Regency, comprising 54 female and 6 male subjects. Data collection was conducted using a questionnaire instrument with interview techniques and analyzed using the Kolmogorov-Smirnov normality test. Data did not have a normal distribution and were subsequently tested with Spearman correlation. The study shows a significant relationship between body mass index and knowledge p = 0.041 with a moderate correlation strength (r = -0.265*) relationship between the variables. The relationship between body mass index and energy intake shows a significant correlation p = < 0.01 with a correlation coefficient of 0.695*, indicating a strong relationship. Conclusion: Body mass index (BMI) has a significant relationship and a moderate correlation strength with knowledge of diabetes diet. The correlation between BMI and the dietary intake of individuals with diabetes mellitus is significant and strong correlation strength. Periodic and easy implement diabetes mellitus diet education is recommended and is expected to increase knowledge so that energy intake is adequate and appropriate to their needs.
Iron Supplement Consumption, Dietary Intake, Nutritional Status, and Anemia Among Adolescent Girls in Banawa, Donggala Regency Nasrul, Nasrul; Hafid, Fahmi; Taqwin, Taqwin; Hikmah; Risma; Nuswantari, Atika; Sariman, Sarina
Journal of Health and Nutrition Research Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i2.549

Abstract

This study aimed to examine the relationship between iron supplement consumption, dietary intake, nutritional status, and anemia among adolescent girls in Banawa, Donggala Regency. A cross-sectional analytical design was applied, involving 231 female students aged 12–15 years from SMP Negeri 3 and SMK Negeri 2 Banawa. Stratified sampling was used, and data were collected through interviews using a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), anthropometric measurements, and hemoglobin testing via Point of Care Testing (POCT). Nutrient intake was assessed based on 80% adequacy of the Indonesian Recommended Dietary Allowance (RDA), while anemia was defined as hemoglobin levels <12 g/dL. Compliance with iron supplementation was determined using a median-based scoring method. The results revealed a high anemia prevalence (71.0%) among participants. Although 61.0% were compliant with iron supplementation, no significant association was found between supplement compliance and anemia status. Likewise, protein and iron intake showed no significant relationships. However, vitamin C intake was significantly associated with anemia (p = 0.001), indicating its crucial role in iron absorption. Nutritional status and iron inhibitor intake were not significantly related to anemia. The findings highlight the need for integrated school-based nutrition programs focusing on improving vitamin C intake and promoting effective iron supplementation practices.
Peningkatan Pengetahuan Pencegahan Anemia Melalui Edukasi Interaktif bagi Remaja Putri di SMP Negeri 2 Balerejo: Increasing Knowledge of Anemia Prevention Through Interactive Education for Young Women at SMP Negeri 2 Balerejo Taufiqurrahman, Taufiqurrahman; Hafid, Fahmi; Mujayanto, Mujayanto; Sumasto, Hery; Nuswantari, Atika; Arifah, Jazilah Nur
Jurnal Pengabdian dan Pengembangan Masyarakat Indonesia Vol. 4 No. 2 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jppmi.v4i2.910

Abstract

Anemia merupakan masalah kesehatan yang rentan terjadi pada remaja putri dan berdampak pada prestasi akademik serta kesehatan reproduksi. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan remaja putri mengenai pencegahan anemia melalui edukasi interaktif. Edukasi dilaksanakan pada 24 Juli 2025 di SMP Negeri 2 Balerejo, Kabupaten Madiun, dengan melibatkan 80 remaja putri sebagai peserta. Kegiatan pengabdian masyarakat ini menerapkan metode edukasi interaktif dengan rancangan one-group pretest-posttest pada 80 remaja putri di SMP Negeri 2 Balerejo, Madiun pada 24 Juli 2025. Hasil kegiatan menunjukkan adanya peningkatan proporsi peserta dengan kategori pengetahuan tinggi dari 12,5% pada saat pre-test menjadi 62,5% pada saat post-test. Peserta juga menunjukkan antusiasme melalui pertanyaan seputar manfaat dan efek samping tablet tambah darah serta pemilihan makanan bergizi yang sesuai dengan kondisi ekonomi keluarga. Edukasi interaktif di sekolah terbukti efektif meningkatkan pengetahuan remaja putri mengenai pencegahan anemia. Diperlukan dukungan berkelanjutan dari sekolah dan keluarga untuk memastikan penerapan perilaku sehat. Dukungan sekolah, guru, dan keluarga tetap diperlukan agar dampak edukasi berkelanjutan dan dapat mencegah risiko kekurangan energi kronis maupun anemia di masa depan.
NUTRITION EDUCATION MEDIA FOR DIABETES MELLITUS PATIENTS: VIDEO OF DAFTAR BAHAN MAKANAN PENUKAR (DBMP) Nuswantari, Atika; Dewi, Yulia Lanti Retno; Rahardjo, Setyo Sri
Media Penelitian dan Pengembangan Kesehatan Vol. 34 No. 4 (2024): MEDIA PENELITIAN DAN PENGEMBANGAN KESEHATAN
Publisher : Poltekkes Kemenkes Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.34011/jmp2k.v34i4.2368

Abstract

Prevalensi penderita diabetes melitus (DM) di Jawa Timur menurut Survei Kesehatan Indonesia tahun 2023 meningkat (0,1%) dari sebelumnya tahun 2018, yakni 2,7%. Penelitian ini bertujuan untuk mengembangkan media daftar bahan makanan penukar sebagai media edukasi  diet DM pada penderita DM. Penelitian ini menggunakan metode Research and Development (R&D) dengan model Analyze, Design, Development, Implementation, Evaluation (ADDIE) untuk mengembangkan media edukasi dan pada tahap implementation dilakukan dengan metode quasy experimental dengan rancangan pre post-test with a control group. Penelitian ini melibatkan partisipasi tiga validator ahli dan 10 penderita DM sebagai calon pengguna. Pengumpulan data melalui wawancara dan kuesioner penilaian media. Jumlah subjek pada tahap implementation terdiri atas 40 penderita DM. Analisis data menggunakan teknik deskriptif. Hasil penilaian kelayakan media oleh ahli diperoleh skor rata-rata 91.03% dengan kategori sangat layak dan uji coba media pada kelompok calon pengguna diperoleh skor rata-rata 92.5% dengan kategori sangat layak. Video DBMP dapat digunakan sebagai media edukasi gizi diet DM pada penderita DM. Uji beda skor pengetahuan diet DM menggunakan analisis statistik Paired Sample T-Test. Dari hasil penelitian diperoleh nilai p=0.031 pada kelompok intervensi di tahap evaluation dan nilai p=0,648 pada kelompok kontrol. Hal ini menunjukkan bahwa terdapat perbedaan skor pengetahuan yang signifikan pada kelompok intervensi setelah 3 kali pemberian konseling gizi diet DM. Tahap akhir evaluasi dianalisis menggunakan post hoc Mann Whitney u test, menunjukkan bahwa ada perbedaan yang signifikan (p=<0.001) antara kelompok kontrol dan kelompok intervensi (video DBMP).
Iron Supplement Adherence, Dietary Intake, and Anemia Risk among Adolescent Girls in Madiun Regency, Indonesia Taufiqurrahman, Taufiqurrahman; Hafid, Fahmi; Mujayanto, Mujayanto; Nuswantari, Atika; Ratno, Ratno; Rahayuningtyas, Rina; Prasetyawan, A. E.; Sri Rahayu, Yayuk
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.723

Abstract

Anemia among adolescent girls remains a significant public health concern, impairing growth, learning, productivity, and reproductive health. This cross-sectional study examined the relationship between iron supplement adherence, dietary intake, nutritional status, and anemia among 105 female students aged 12–15 years in Madiun Regency, Indonesia, using a total sampling approach. Data collection included anthropometric measurements, dietary intake assessed with a semi-quantitative food frequency questionnaire (SQ-FFQ), hemoglobin levels measured by point-of-care testing, and iron supplement adherence, with anemia defined as hemoglobin <12 g/dL. The prevalence of anemia was 14.3%. While 88.6% of respondents adhered to iron supplements, non-adherence was associated with a 24.5-fold higher risk of anemia (p < 0.001). Most participants reported inadequate dietary intake, specifically in terms of energy (79.0%), protein (76.2%), zinc (62.9%), and iron (93.3%). Nutritional intake and BMI-based nutritional status showed no significant association with anemia, although non-chronic energy deficiency (non-KEK) was linked to a higher prevalence (p = 0.030). In conclusion, adherence to iron supplementation strongly protects against anemia; however, poor dietary quality remains a challenge. Therefore, strengthening supervised supplementation programs, improving school-based dietary quality, and implementing regular hemoglobin screening are recommended to reduce the risk of anemia among adolescent girls.
The Association Between Social Interaction and Nutritional Status: A Cross-Sectional Study in a Health-Promoting Campus Setting Hafid, Fahmi; Taufiqurrahman, Taufiqurrahman; Sumasto, Hery; Nuswantari, Atika; Arifah, Jazilah Nur; Sariman, Sarina; Isaura, Emyr Reisha
Journal of Health and Nutrition Research Vol. 4 No. 3 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v4i3.943

Abstract

This study aimed to analyze the relationship between fruit and vegetable intake, physical activity, nutritional status, and social interaction among the academic community at Polkesbaya Corner, a health-promotion facility developed by Poltekkes Kemenkes Surabaya as part of the “Healthy Campus Initiative.” Polkesbaya Corner serves as a campus-based innovation designed to integrate nutrition education, physical activity, and social engagement, supporting the 3rd Sustainable Development Goal (Good Health and Well-being). A cross-sectional study was conducted among 363 respondents selected through proportionate stratified random sampling. Data were collected using a Food Frequency Questionnaire (FFQ), 24-hour dietary recall, the International Physical Activity Questionnaire (IPAQ), anthropometric measurements, and sociometric observation. A statistical association was observed between social interaction and nutritional status (p = 0.024), whereas fruit and vegetable intake and physical activity were not significantly associated with this outcome. Overall, 52.3% of respondents had normal nutritional status, while 31.7% were overweight. Most participants performed light physical activity (79.3%) and consumed sautéed vegetables (74.1%) and sliced fruits (68.9%). These findings highlight the crucial role of social engagement in promoting healthy behaviors within the campus environment. Therefore, Polkesbaya Corner can serve as a “living laboratory” to foster a culture of health by integrating nutrition education, physical activity, and social participation—supporting the national health promotion agenda and the achievement of SDG 3.