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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 Hastuti, Puput Tri; Utami, Siti Budi; Rialihanto, Muhammad Primiaji; Susilo, Joko; Attawet, Jutharat; Siswati, Tri
Health Dynamics Vol 2, No 10 (2025): October 2025
Publisher : Knowledge Dynamics

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/hd21006

Abstract

Not mandatory
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.
Literasi Stunting pada Masa Pandemi Covid-19 untuk Ibu Balita dan Kader Posyandu Desa Umbulrejo Kapanewon Ponjong Kabupaten Gunung Kidul Siswati, Tri; Widyawati, Herni Endah; Khoirunissa, Salma; Kasjono, Heru Subaris
Jurnal ABDINUS : Jurnal Pengabdian Nusantara Vol 4 No 2 (2021): Volume 4 Nomor 2 Tahun 2021
Publisher : Universitas Nusantara PGRI Kediri

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29407/ja.v4i2.15414

Abstract

Empowering women was the most important efforts to create the nation's next-generation, including efforts to alleviate stunting children. The limitation of health knowledge was one of indirect determinant stunting children. Literacy may increase woman knowledge about children care, so they can meet nutritional needs and environmental health. This was a community engagement with classical methods, interactive discussions, brainstorming through virtual meetings with google-meet and WhatsApp groups about stunting on 18-21 September 2020. Participants were mothers and cadres at highest prevalance stunting children in Yogyakarta (Umbulrejo Village, District Ponjong, Gunung Kidul Regency) as many as 50 women. The output of literation was measured by attendance (75%), increasing of knowledge 25%, and participant anthusiasm. Overall, this was meet the target, as many as 80% attendance of participants, 32% increase of knowledge, and enthusiastically participating. Virtual literacy and telecounseling were effective method to provide education and health counseling in Covid-19 pandemic context.
The impact of e-booklets on knowledge and attitudes toward anemia awareness among adolescent girls Ainun Najmi, Ismi Izaz; Rialihanto, Muhammad Primiaji; Setiyobroto, Idi; Wijanarka, Agus; Attawet, Jutharat; Laksono, Agung Dwi; kasjono, Heru Subaris; Waluyo, Waluyo; Siswati, Tri
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 5, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(5).352-364

Abstract

ABSTRAK Latar Belakang: Menurut Survei Kesehatan Indonesia tahun 2023, sebanyak 15,5% remaja putri menderita anemia, sehingga anemia sebagai suatu masalah kesehatan yang signifikan. Salah satu faktor yang berkaitan dengan anemia remaja adalah rendahnya pengetahuan dan kepatuhan konsumsi Fe.Tujuan: Mengevaluasi efektivitas edukasi gizi menggunakan e-booklet dibandingkan dengan media slide dalam meningkatkan pengetahuan dan sikap terkait anemia.Metode: Penelitian ini merupakan penelitian quasi eksperimental dengan desain pretest-posttest control group. Penelitian dilakukan pada bulan Maret-April 2024, melibatkan 85 siswi SMP di Yogyakarta, yang dibagi ke dalam kelompok intervensi (e-booklet dan media slide) dan kelompok kontrol (media slide). Data tentang pengetahuan dan sikap dikumpulkan menggunakan kuesioner terstruktur pada tiga tahap: pretest, posttest-1, dan posttest-2. Analisis statistik yang digunakan adalah paired t-test, uji wilcoxon, independent t-test, dan uji mann-whitney.Hasil: Hasil penelitian menunjukkan peningkatan yang signifikan dalam skor pengetahuan pada kedua kelompok, dengan kelompok intervensi mencapai skor post-test yang lebih tinggi (89,1 vs 78,8; p<0,05). Meskipun kedua kelompok menunjukkan sedikit peningkatan dalam hal sikap, perubahan yang diamati tidak mencapai signifikansi secara statistik. Temuan ini menyoroti efektivitas e-booklet sebagai alat pembelajaran digital, yang menawarkan fleksibilitas dan konten mendalam yang mendukung pembelajaran mandiri.Kesimpulan: Penelitian ini menggarisbawahi potensi e-booklet untuk mengatasi kesenjangan pengetahuan tentang anemia di kalangan remaja. Pembuat kebijakan sebaiknya mengintegrasikan e-booklet ke dalam program pendidikan kesehatan nasional dan menggabungkannya dengan metode offline yang interaktif untuk meningkatkan perubahan pengetahuan remaja.KATA KUNCI: anemia; e-booklet; pengetahuan; remaja putri; sikap ABSTRACTBackground: Based on Indonesia Health Survey 2023, 15,5% female adolescents suffer from anemia, as a significant health problem. This is due to lack of knowledge and low compliance of Fe consumption. Objectives: To evaluate the effectiveness of nutrition education using e-booklets compared to slide media in improving anemia-related knowledge and attitudes.Methods: This was a quasi-experimental design with a pretest-posttest control group, conducted in March–April 2024, involving 85 junior high school girls in Yogyakarta, divided into intervention (e-booklet and slide media) and control (slide media) groups. Data on knowledge and attitudes were collected using structured questionnaires at three points: pretest, posttest-1, and posttest-2. Statistical analyses included paired t-tests, Wilcoxon, independent t-tests, and Mann-Whitney tests.Results: The results showed a significant improvement in knowledge scores in both groups, with the intervention group achieving higher post-test scores (89.1 vs. 78.8; p<0.05). Although both groups demonstrated a slight improvement in attitudes, the observed changes did not reach statistical significance. The findings highlight the effectiveness of e-booklets as a digital learning tool, offering flexibility and in-depth content that supports independent learningConclusions: This study underscores the potential of e-booklets to address knowledge gaps about anemia among adolescents. Policymakers should integrate e-booklets into national health education programs while combining them with interactive offline methods to enhance attitude changes.KEYWORDS: anemia; attitude; adolescent girls; e-booklet; knowledge
Co-Authors Agnes Murdiati Agung Dwi Laksono Agus Kharmayana Rubaya Agus Sarwo Prayogi Agus Wijanarka, Agus Ainun Najmi, Ismi Izaz Almira Sitasari Andari, Wiwid Anisa Kartika Sari, Anisa Kartika Ardiyanto, Farit Attawet, Jutharat Aurelia Rifkha Anyndie Azizah, Ellen Nur Azizan, Nurul Ain Baiquni, Fahmi Bambang Djarwoto Bektiningrum, Afifah Bondan Palestin, Bondan Dian Wijayanti Endri Yuliati Ernitasari, Putu Diah Esthy Rahman Asih Habsari , Kurniatin Nur Hastuti, Puput Tri Heru Subaris Kasjono, Heru Subaris Idi Setiyobroto Il Ummi.B, Zu’aimana Lu’lu Iskandar, Yustiana Olfah Jati, Anisa Nur Wulan Joko Susilo Kasdjono, Heru Subaris Khoirunissa, Salma Kristyanto, Raden Yuli Lukman Waris Muchlasin, Anif Nugroho, Dafa Bintang Nurhidayat Nurhidayat Nurhidayat Nurul Huda Syamsiatun, Nurul Huda Oktavia, Vivi Paramashanti, Bunga Astria Patiran, Kahlida Putri, Aisyah Desfiani Putri, Az’yan Nazwa Maharani Putri, Qorina Rizkia Rachmawatty, Anjani Nelka Rahmawati, Riadini Ramayulis, Rita Rialihanto, M. Primiaji Rialihanto, Muhammad Primiaji Salsabila, Hanifah Sari, Fifi Novianti Puspita Sarwo Prayogi, Agus Setyowati Setyowati Sujiyatini, Sujiyatini Supriyati . Suryani, Isti Syakirah, Andi Putri Niswatu Tjaronosari, Tjaronosari Tri Lestari , Nugraheni Tri Lestari, Nugraheni Utami, Siti Budi Waluyo Waluyo Wardhani, Ratri Weni Kurdanti Widiyanto, Santo Yoseph Didik Widyawati, Herni Endah Wulandari, Adinda Maesa Wuryaningsih, Dewanti Evita Julian Wulandari Yuliyanti, Rahmah Dwi Yustiana Olfah