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The Impact of Sugar-Sweetened Beverages on Type 2 Diabetes Mellitus: A Scoping Review Siswati, Tri; Sari, Fifi Novianti Puspita; Salsabila, Hanifah; Sitasari, Almira; Wijanarka, Agus; Tri Lestari, Nugraheni
Ficco Public Health Journal Vol. 2 No. 02 (2025): August 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.16995753

Abstract

Background: The increasing consumption of sugar-sweetened beverages (SSBs) has become a major public health concern due to its link with metabolic diseases, particularly Type 2 Diabetes Mellitus (T2DM).  Understanding the relationship between SSB consumption and the risk and progression of T2DM, particularly in adult populations, is crucial for developing targeted interventions. This scoping review aims to summarize observational studies that investigate the association between SSB consumption and T2DM risk and progression in adult populations. Methods: This scoping review included nine studies published between 2017 and 2023. The inclusion criteria were studies that involved adult populations (≥18 years) and explored the relationship between SSB consumption and T2DM. Databases such as PubMed and Google Scholar were searched using keywords like ‘sugar-sweetened beverages,’ ‘type 2 diabetes,’ and ‘adult,’ and ‘progression.’ Results: The studies reviewed consistently showed a positive association between frequent SSB consumption and the risk of developing T2DM. Overall, the evidence supports that SSBs contribute significantly to the incidence and progression of T2DM, often through weight gain and increased insulin resistance. Conclusion: This review shows the strong association between SSBs and T2DM, urgent public health interventions are needed to regulate consumption, particularly among high-risk groups.  Future research was needed to examine the long-term impact of SSB on diabetes.
Pemberdayaan Kader Kesehatan: Gema Canting (Gerakan Masyarakat Cegah Stunting) dengan Pelatihan Penggunaan Infantometer Prayogi, Agus Sarwo; Rialihanto, M. Primiaji; Rubaya, Agus Kharmayana; Siswati, Tri
Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS) Vol 6 No 1 (2024): Jurnal Pengabdian kepada Masyarakat (ABDIKEMAS)
Publisher : Pusat Penelitian dan Pengabdian kepada Masyarakat, Politeknik Kesehatatan Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/j.abdikemas.v6i1.2108

Abstract

Kabupaten Sleman berkomitmen untuk mendukung program pemerintah dalam mencapai target penurunan prevalensi stunting menjadi 14% pada 2024. Sebagai bentuk komitmen, Pemkab telah menetapkan sejumlah regulasi untuk akselerasi pencapaian target penurunan stunting. Salah satu Kapanewona yaitu Moyudan angka prevalensinya masih di atas target Kabupaten Sleman yaitu 9,91 %. Poltekkes kemenkes Yogyakarta berkomitmen turut serta dalam menurunkan angka stuntung, melalui Pengabdian kepada masyarakat ini dilakukan dengan pendekatan kaji tindak dan pelatihan berupa pengukuran antropometri menggunakan infantometer karya dosen Poltekkes Kemenkes Yogyakarta. Tujuan pelatihan untuk meningkatkan pengetahuan, dan keterampilan kader tentang pencegahan stunting pada anak balita menggunakan infantometer. Pelatihan kader posyandu dilaksanakan pada tanggal 17 Oktober 2023. Khalayak sasaran adalah 20 orang kader posyandu di dusun Jitar Sumbersari Moyudan. Metode pelatihan menggunakan cara ceramah, diskusi dan praktikum. Sebagai tindak lanjut kegiatan pelatihan kader ini telah dilakukan kegiatan pendampingan dan evaluasi oleh tim Puskesmas Moyudan dan pada kegiatan pelatihan yang diberikan kepada kader dapat meningkatkan keterampilan kader menggunakan infantometer pengukuran antropometri dalam pencegahan stunting
Response to Letter: Enhancing Adolescent Nutrition Knowledge Through Digital Innovation: Evaluating the Effectiveness of E-Pocket Books in Reducing Obesity. Siswati, Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat
Health Dynamics Vol 2, No 10 (2025): October 2025 (In progress)
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

We would like to express our appreciation for the constructive input given to the article on the effectiveness of e-pocket books in improving balanced nutrition knowledge in adolescents to reduce obesity. This response aims to clarify the context of the research, answer the methodological issues raised, and affirm the empirical contribution of the study. The research is focused on improving nutrition knowledge, not on changes in nutritional status, and the term "obesity reduction" in the title describes the long-term direction of nutrition education interventions. A single 120-minute intervention was recognized to have limitations in maintaining knowledge retention, but significant results showed that e-pocket book media was effective in improving comprehension in a short period of time. The validity and reliability of the instrument have met the minimum standards for health education research in schools. In this study, the use of WhatsApp groups is not a disruptive variable, but part of a digital learning strategy to increase participant engagement. Although the research is still limited to urban schools with a small sample size, these findings are early evidence of the feasibility of e-pocket books as a digital educational medium that is lightweight, easily accessible, and in accordance with the digital habits of teenagers in general today. 
Policy Analysis Reducing Under Five Stunting Children in Special Region Yogyakarta, Indonesia Siswati, Tri; Murdiati, Agnes
Jurnal Kebijakan Kesehatan Indonesia Vol 11, No 2 (2022): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.71795

Abstract

Yogyakarta Special Region is a provinces with a low prevalence of stunting children in Indonesia as many as 21%. Many policies support reducing stunting children effort. This study aims to analysis of policies related to reduce stunting. The method was desk review using secondary data, literature review, policy/regulation tracing related to stunting children and discussions, presentations, Focus Group Discussion (FGD), and Round Table Discussion (RTD). Causes of stunting include distal factors such as the economy, poverty, education, and well-being. Proximate factors were baby low birth weight and adolescent pregnancy. Interventions conducted with a focus target on 1000 early day life include sensitive and specific nutritional interventions. All regional organization have taken a role in combating stunting. Also regulations both internationally, nationally and regionally support the acceleration of the decline of stunting. But the specific regulations on stunting is not available. Effort to reducing stunting have been implemented but need more synergitic and integrated intervention between regional organization with Bappeda as the leading sector. 
Policy Analysis of Healthy Community Movement (Germas) during Pandemi COVID-19 in Yogyakarta Siswati, Tri; Widyawati, Herni Endah; Supriyati, Supriyati; Baiquni, Fahmi; Wardhani, Ratri; Rahmawati, Riadini
Jurnal Kebijakan Kesehatan Indonesia Vol 12, No 2 (2023): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.83311

Abstract

The social environment, including policies, is one of the instruments to encourage health promotion toward a healthy life, preventing and controlling COVID-19. This was to analyze the content, process, content and policy actors related toThe Healthy Community Movement (Germas) and the prevention of COVID-19 in Yogyakarta.We apply a-qualitative research of policy. We apply rapid assessment procedures (RAP) using focus group discussion (FGD) and desk review to observe various of policy from the government website. Research conducted in Yogyakarta from March to May 2021. Data was analysis by qualitative content analysis based on content, process, context, and actor categories. Results showed that policies related to Germas already exist at all levels, both national, provincial and district/city locally. According to policy content, Germas was movement to promote the culture/behavior of healthy living based on community empowerment, that were 7 points were physical activity, consuming fruits and vegetables, not smoking, not consuming alcoholic beverages, early detection and medical examination routine, clean healthy and lifestyle, and using toilet. Base on process, there were national, provincial, and local policy level. At the national level there was presidential instructions, regulations of the minister of national development planning, while governor's, regent’s policy at level province and region respectively. Locally, some policy regulate special context on COVID-19 preventing and controlling to increase awareness of the risk of transmission of COVID-19 infection in Yogyakarta. The policy actors were all of local government organizations, universities, CSR, and community. The conclusion is The Special Region of Yogyakarta already has many policies covering various sectors of life to support the implementation of Germas in the pandemic era and has been carried out by stakeholders, CSR, universities, and all of government
Analisis Kebijakan RAD Membangun Generasi Unggul melalui 8000 HPK di Kota Yogyakarta Siswati, Tri; Tjaronosari, Tjaronosari; Susilo, Joko; Sujiyatini, Sujiyatini; Wuryaningsih, Dewanti Evita Julian Wulandari; Utami, Siti Budi
Jurnal Kebijakan Kesehatan Indonesia Vol 13, No 2 (2024): June
Publisher : Center for Health Policy and Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkki.94906

Abstract

Sasaran percepatan penurunan stunting meliputi periode kehamilan hingga remaja, dimana setiap periode kehidupan mempunyai peluang untuk memperbaiki kegagalan pertumbuhan masa lampau. Penelitian ini bertujuan untuk memaparkan hasil evaluasi implementasi kebijakan Rencana Aksi Daerah (RAD) membangun generasi unggul melalui 8000 Hari Pertama Kehidupan (HPK) tahun 2021-2025 Kota Yogyakarta. Metode yang digunakan pada penelitian ini adalah mix method, yaitu kuantitatif dan kualitatif. Penelitian kuantitatif dilakukan dengan desain cross sectional meliputi analisis situasi kesehatan dan faktor yang berkaitan serta capaian program. Sumber data diperoleh dari dokumen laporan data rutin dan web resmi lainnya. Data dianalisis dengan cara deskriptif dengan menyajikan proporsi, trend, narasi, tabel dan gambar. Sedangkan penelitian kualitatif dilakukan dengan desain rapid assessment procedures (RAP) melalui FGD dan in depth interview serta dianalisis secara manual berdasarkan tema dan sub-sub tema. Instrumen penelitian ini adalah panduan wawancara, panduan FGD dan recorder. Hasil penelitian menyatakan bahwa prevalensi stunting di Kota Yogyakarta telah mengalami penurunan. Hingga akhir tahun 2023, evaluasi penanggulangan stunting dilakukan dengan menggunakan indikator sesuai Perpres tahun 72 tahun 2021 tentang percepatan penurunan stunting, namun evaluasi dengan indikator yang tertera dalam RAD 8000 HPK belum dilaksanakan secara menyeluruh. Beberapa faktor yang mendukung penurunan prevalensi stunting adalah komitmen pimpinan daerah, tata kelola stunting yang baik, capaian program yang tinggi/diatas target, indeks pembangunan manusia (IPM) dan rata-rata lama sekolah (RLS) yang tinggi. Sedangkan faktor penghambat penurunan stunting adalah kesenjangan ekonomi, pengetahuan, partisipasi masyarakat ke Posyandu, perilaku buang sampah sembarangan dan akses layanan jaminan kesehatan bagi penduduk non KTP Kota Yogyakarta.
Sleep Less, Weigh More: Unraveling the Sleep-Obesity Connection in Adult Putri, Az’yan Nazwa Maharani; Yuliyanti, Rahmah Dwi; Sitasari, Almira; Wijanarka, Agus; Attawet, Jutharat; Siswati, Tri
Ficco Public Health Journal Vol. 2 No. 01 (2025): April 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15308294

Abstract

Background: Obesity is an increasingly complex and common global health problem, especially among adults. The aim of this scoping review is to examine the relationship between sleep duration and obesity in adults.  Methods: A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology guideline. Databases including PUBMED, ScienceDirect, DOAJ, and ResearchGate were searched in 2024 with the keywords "obesity AND sleep AND adults". Articles published between 2019 and 2023 that focused on observational studies. Results: Of the 2960 articles found, 7 articles met the inclusion criteria. A cross-sectional research design was used by 86% of the studies, while only 14% were enrolled in cohort studies. The majority of studies showed a significant correlation between short-term and long-term sleep duration and the likelihood of becoming obese. The assessment tools used were extensive and included interviews, questionnaires, and sleep monitors such as the Actiwatch Spectrum. The obesity assessment indicators used are Body Mass Index (BMI) and waistline. Conclusions: The review suggests that adults whose sleep is too short or too long are more likely to be obese. Lack of sleep can trigger hormonal changes, stimulate appetite, and result in obesity.
The Effectiveness of Training Anthropometry using Cards to Increase Adolescents' Knowledge and Skill Oktavia, Vivi; Utami, Siti Budi; Sitasari, Almira; Siswati, Tri
Ficco Public Health Journal Vol. 2 No. 01 (2025): April 2025
Publisher : Ficco Scientific Corner

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.15307784

Abstract

Background: Adolescents in Indonesia face the triple burden of malnutrition due to low nutritional literacy. This study evaluates the impact of Learning Cards (in bahasa: Kartu Belajar or Kejar) in improving anthropometric knowledge and skills among adolescents. Methods: This was a pre-experimental, single-group pre-test post-test design was conducted in Giripanggung Village, Tepus, Gunung Kidul, Yogyakarta, Indonesia in 2023. Fifty adolescents, aged 11-19 years, participated in a three-day offline training covering weight, height, and mid-upper arm circumference measurements. Data were collected at three points (pre-test, post-test 1, and post-test 2) and analyzed using tests. Results: Adolescents' knowledge significantly improved from a pre-test mean score of 54.7 ± 11.8 to 79.7 ± 11.9 in post-test 1 (p < 0.05). While post-test 2 showed a slight decline (77.6 ± 12.5), knowledge remained significantly higher than baseline (p < 0.05). Anthropometric skills also increased substantially, with weight measurement scores rising from 51.3 ± 21.5 (pre-test) to 85.3 ± 13.7 (post-test 1, p < 0.05). Although post-test 2 showed a decline (75.2 ± 15.4), the scores remained higher than the pre-test (p < 0.05). Conclusions: Training using Kejar effectively enhances adolescents' knowledge and skills in anthropometry. These findings suggest that expanding the use of Kejar media to other communities could Improve adolescent nutrition literacy at a national level.