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Enhancing nutritional literacy and improving dietary patterns in obese adolescents through e-booklets Bektiningrum, Afifah; Sitasari, Almira; Rialihanto, Muhammad Primiaji; Nurhidayat, Nurhidayat; Waluyo, Waluyo; Suryani, Isti; Azizan, Nurul Ain; Siswati, Tri
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 6, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(6).433-443

Abstract

ABSTRAKLatar Belakang: Obesitas merupakan masalah kesehatan masyarakat dengan peningkatan prevalensi di semua kelompok usia di dunia. Salah satu faktor yang berkontribusi terhadap obesitas pada remaja adalah rendahnya literasi gizi dan pola makan yang tidak sehat. Tujuan: untuk mengetahui dampak intervensi edukasi dengan media e-booklet terhadap pengetahuan dan asupan makanan. Metode: single group pre-posttest intervention pada remaja di SMA di Kabupaten Kulon Progo, Yogyakarta, Indonesia. Sampel ditentukan dengan kriteria inklusi siswa SMAN 1 Sentolo, kelas X dan XI, bersedia menjadi responden, hadir saat pengumpulan data dan mempunyai skor IMT/U > 1 SD, sehingga berjumlah 46 orang. Intervensi edukasi diberikan dengan media e-booklet melalui grup WhatsApp sedangkan data pengetahuan dan asupan makanan diobservasi pada saat pre-test, posttest-1 dan posttest-2. Data pengetahuan dikumpulkan dengan kuesioner dan data asupan makanan dikumpulkan dengan food recall 2 x 24 jam lalu dianalisis dengan t-test dan Wilcoxon.Hasil: Skor pengetahuan siswa pre, posttest-1 dan posttest-2 masing-masing adalah 56,3; 94,5; dan 98,5. Terdapat perbedaan pengetahuan yang signifikan baik pada posttest-1 maupun posttest-2. Tingkat asupan energi, protein, karbohidrat dan lemak pada pengukuran pre, posttest-1 dan posttest-2. Asupan energi menurun dari 126%, 110% dan 91%; asupan protein menurun dari 163%, 156% dan 106%; asupan lemak menurun dari 153%, 137% dan 106%; asupan karbohidrat menurun dari 100%, 91%, 76%. Hasil analisis menyatakan ada perbaikan asupan yang signifikan baik pada posttest-1 maupun posttest-2 kecuali asupan karbohidrat pada posttest-1. Kesimpulan: Edukasi gizi dengan media e-booklet berdampak pada peningkatan pengetahuan tentang obesitas dan memperbaiki asupan makanan pada remaja yang mengalami overweight dan obesitas.  KATA KUNCI: asupan;edukasi; e-booklet; pengetahuan; protein; remaja.  ABSTRACTBackground: Obesity is a public health problem with increasing prevalence in all age groups in the world. One of the factors that contribute to obesity in adolescents is low nutritional literacy and unhealthy diets.Objective: To determine the impact of educational interventions with e-booklet to knowledge and  food intakeMethod: A single group pre-posttest intervention study was conducted on adolescents in senior high school Sentolo 1 (SMAN 1 Sentolo), Kulon Progo, Yogyakarta, Indonesia. The sample was chosen by criteria for grades X and XI, willing to be responders, present during data collection, and had BMI-for-age-score >1 SD, as many as 46 participants included this study. Educational interventions were provided with e-booklet was shared through WhatsApp groups, while knowledge and food intake were observed during the pre-test, post-test 1, and post-test 2. Knowledge was collected by questionnaire, and food intake was collected by food recall 2x24 hours. We apply t-test and Wilcoxon to analyze the data. Results: The knowledge scores significantly improved from 56.3 (pre-test) to 94.5 (post-test 1) and 98.5 (post-test 2) (p< 0.05). Significant reductions were observed in energy, protein, carbohydrate, and fat intake between pre-test, post-test 1, and post-test 2, demonstrating the intervention's effectiveness in improving dietary habits among adolescents.Conclusion: Nutrition education using e-booklet has an impact on increasing knowledge about obesity and improving food intake in adolescents who are overweight and obese. KEYWORDS: adolescent; education; e-booklet; intake; knowledge; protein. Article submitted on January 19, 2025; Articles revised on February 17, 2025; Articles received on July 25, 2025; Articles available online on November 28, 2025 
Apakah Kunjungan Rumah oleh Kader Posyandu Meningkatkan Pengetahuan dan Persepsi Ibu Tentang Zero New Stunting? Does Home Visiting by Cadres Improve Maternal Knowledge and Perceptions of Zero New Stunting? Siswati, Tri; Susilo, Joko; Olfah, Yustiana; Paramashanti, Bunga Astria; Attawet, Jutharat; Setiyobroto, Idi
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.103-111

Abstract

Background: Stunting remains a significant public health issue in Indonesia. Low knowledge and perception of mothers about nutrition, health, and the First 1000 Days of Life are determining factors. Objectives: To observe the impact of home visits on the knowledge and perception of maternal children about the Zero New Stunting (ZNS) program. Methods: This study employed a mixed-methods approach with a sequential explanatory design, conducted from June to August 2025 in Sumberadi Village, Sleman, Yogyakarta, Indonesia. The subjects were 35 stunted toddler pairs with mothers who met the inclusion criteria. Interventions are integrative nutrition education packages through home visits by trained Posyandu cadres, nutrition education (growth monitoring, developmental stimulation, and IYCF), and counseling. A structured questionnaire containing knowledge and perception questions of 25 questions each was used. The analysis was carried out using a t-test to see the differences before and after the intervention. Meanwhile, qualitative data were analyzed manually according to the theme of the interview. Results: The mean knowledge score increased from 61.2±9.8 (pre-test) to 86.4±7.1 (post-test 3), with a mean difference of 25.2 points (p-value<0.001). The perception score increased from 58.4±10.2 to 82.4±7.4, with an average difference of 24.0 points (p-value<0.001). Meanwhile, the results of qualitative findings showed high acceptance of the program, including increased self-efficacy, emotional support, and practical guidance during home visits. Conclusions: Home visits by cadres with integrated nutrition education effectively improve mothers’ knowledge and perceptions on stunting prevention, supporting the ZNS program.
Development of a Portable  Ultrasonic Digital Anthropometry System with  Automated CIAF Classification SISWATI, TRI; Rialihanto, Muhammad Primiaji; Paramashanti, Bunga Astria; Ardiyanto, Farit; Attawet, Jutharat
Indonesian Journal of Electronics, Electromedical Engineering, and Medical Informatics Vol. 8 No. 1 (2026): February
Publisher : Jurusan Teknik Elektromedik, Politeknik Kesehatan Kemenkes Surabaya, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35882/ijeeemi.v8i1.299

Abstract

Child malnutrition, particularly stunting, remains a critical public health issue with long-term effects on growth and cognitive development. In many community health settings, conventional anthropometric measurement tools used in community health services often present challenges, including human measurement error, non-standard data recording, and a lack of real-time diagnostic output. This study aims to develop and validate a portable ultrasonic sensor-based digital anthropometric system capable of automatically detecting the Composite Index of Anthropometric Failure (CIAF) in real-time. The novelty of this research lies in integrating non-contact ultrasonic height measurement with automated CIAF classification based on WHO 2006 growth standards, cloud-connected data storage, and a user-friendly interface designed for community health workers. This Research and Development study involved system design, laboratory calibration, field validation, and user acceptability testing. A total of 80 toddlers and 30 users (midwives, nutritionists, and Posyandu cadres) participated across regions with low and high stunting prevalence. Measurement accuracy was compared to gold-standard anthropometry, while usability was assessed through a Likert-scale evaluation. Laboratory tests indicated measurement error ranging from 0.0 to 0.2 cm, indicating high sensor precision. Field tests showed a mean difference of ≤1 cm with no statistically significant difference (p>0.05) compared to standard measurement. User evaluation reported high satisfaction, particularly in ease of use (92%), accuracy (90%), and program support benefit (94%). The developed portable ultrasonic digital anthropometry system provides accurate, fast, and standardized CIAF-based malnutrition detection, supporting more efficient child growth monitoring programs. The tool demonstrates strong potential for integration into community-based nutrition surveillance and national health information systems.
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