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A SCOPING REVIEW OF NUTRITION AND DIET-RELATED FACTORS IN COMBATING LEPROSY DISEASE Rusyda, Akifa Laila
Journal of Nutrition College Vol 13, No 2 (2024): April
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jnc.v13i2.40341

ABSTRACTBackground: Indonesia still faces several challenges concerning the control of neglected tropical diseases (NTDs). Leprosy is one of the bacterial infectious NTDs caused by Mycobacterium leprae. The most obvious risk factors include undernutrition, poverty, food scarcity, food insecurity and a lack of food diversity. According to immunity beneficiaries and preventable or protecting factors, nutrition and food are essential.Objectives: To synthesize the diet and nutrition risk factors and consequences with the most substantial evidence related to leprosy disease.Methods: Five databases were searched systematically, following punctuation and conventions-based keyword searches and criteria and free-text terms. Selected articles included systematic reviews and other studies involving human subjects published between 2013 and 2023. Finding articles (n=588) were interpreted using preferred reporting of items for systematic reviews and meta-analyses (PRISMA). Eligible articles (n=16) were described by author’s name, publication year, study objectives, locations, study design, participants, methods, intervention and exposure, and critical findings and impacts/outputs.Results: In 16 studies, there were nutrition explanations correlated to leprosy disease. Malnutrition, either undernutrition or overnutrition, may lead to a worse disease prognosis. A comprehensive approach to food security, diet quality, and dietary behaviors is needed to protect against the disease. Affected individuals tend to have lower essential nutrition serum levels to obtain multiple micronutrient supplements such as vitamins A, C, D, E, zinc and selenium.Conclusion: Regarding immunity beneficiaries and impacted factors, there are several potential risk factors related to nutrition and diet in leprosy that are necessary considerations, including nutritional status, food and nutritional security (food environment-related) and dietary behavior. Keywords: Food insecurity; Immune responses; Leprosy; Neglected tropical disease; Nutrition vulnerability.

Beyond the plate: How socio-culture and economics drive sustainable diets globally Baliwati, Yayuk Farida; Rusyda, Akifa Laila
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 13, No 1 (2024): December
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14710/jgi.13.1.63-78

Background: Sustainable diets play a powerful catalyst in unlocking and scaling health and climate solutions. Many studies on the diets focus only on health and environmental concerns, but barely consider related socio-cultural and economic determinants.Objective: The present systematic review provides an overview of socio-cultural and economic determinants on sustainable diets across income countries.Methods: Electronic databases, including MDPI, PubMed, Science Direct, and The Lancet Planetary, were performed. The systematic review was conducted following the PRISMA principles. Human studies among all population groups in income countries were included, and require at least one socio-cultural and economic determinant on sustainable diet. The search focused on studies that were peer-reviewed and published in English between 2010 and 2024. The Newcastle-Ottawa scale and its modified version were used to assess the methodological quality (risk of bias).Results: Forty-two of the 2,443 articles identified attained the inclusion criteria. Almost all included studies were cross-sectional (n=39; 92.8%) and 3 cohort studies. The publications covered 56 country-based study settings, five of which were conducted as multi-site studies. Most studies focused on high-income countries, mostly in Europe, Central Asia, and North America. All included studies found 15 socio-cultural and economic determinants; 10 studies of socio-cultural determinants and 5 studies of economic determinants on sustainable diets. The systematic review found that socio-cultural and economic determinants on sustainable diets were divided into external drivers (ethnicity, gender, cultural belief, spiritual belief, geographical settings, political ideology, and food price) and personal drivers (educational level, nutritional knowledge, marital status, household size, income level, occupation, food expenditure, and household food security status).Conclusion: Addressing the social, cultural, and economic determinants is prerequisite for transforming more-sustainable diets. Food sustainability and food and nutrition security are aligned at the individual and household level. Comprehensive strategies targeting multiple levels, and multiple settings are required to enhance dietary changes on sustainable diets.Keywords: Determinant; economic; food choice; socio-culture; sustainable diets

Peluang Integrasi Gizi Seimbang dalam Proses Pembelajaran di SD Plus Rahmat Kediri Rusyda, Akifa Laila; Dwiriani, Cesilia Meti; Amanah, Siti; Dina, Resa Ana; Rachmalinda, Veny; Alfira, Jihan; Swamilaksita, Prita Dhyani; Baliwati, Yayuk Farida
Agrokreatif: Jurnal Ilmiah Pengabdian kepada Masyarakat Vol. 11 No. 1 (2025): Agrokreatif Jurnal Ilmiah Pengabdian kepada Masyarakat
Publisher : Institut Pertanian Bogor

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29244/agrokreatif.11.1.177-186

The nutritional status of school children currently still experiences very complex disparities, including severely thin, underweight, overweight, and obesity. The government's initiatives against nutritional problems in school-aged children include, among other things, the delivery of school-based balanced nutritional guidelines. The present activity aims to identify the opportunity for balanced nutritional guideline integration through the learning process in the Merdeka Curriculum at SD Plus Rahmat, Kediri City. This study used mixed methods and a sequential explanatory design through qualitative and quantitative (descriptive) analyses. The activity was carried out from April 20‒May 30, 2024, and was the initial stage of the 2024 Dosen Pulang Kampung multi-activities. The implementation method consisted of observation and focus group discussions (FGD). The subjects were 15 participants, including teachers and Yayasan Taman Pendidikan Rahmat stakeholders. The findings show that six out of seven P5 program contents have been integrated into literacy competency of nutrition, such as the types and functions of food and nutrition. Most FGD participants (±90%) had moderate to high average nutritional knowledge and behavior, namely 75.6 and 84.7, respectively. The results also show that the co-curricular program, namely the Project for Strengthening the Profile of Pancasila Students (P5), is an opportunity for PGS integration. Integrating PGS into literacy and numeracy in P5 still requires ongoing teacher assistance. The assistance is expected to increase teachers' understanding and behavior towards balanced nutritional guidelines, conveying how to shape student character according to balanced nutritional guidelines.implemented with school children to shape the character regarding the Balanced Nutrition Guidelines.

A SEM-PLS ANALYSIS OF HYPERTENSION DETERMINANTS IN WEST JAVA, INDONESIA: SOCIO-ECOLOGICAL MODEL APPROACHES Baliwati, Yayuk Farida; Laely, Putri Nur; Rusyda, Akifa Laila
Media Gizi Indonesia Vol. 20 No. 2 (2025): MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v20i2.211-222

The second national highest prevalence of hypertension in 2018 was West Java, with a prevalence rate of 39.6%. The high prevalence of hypertension is driven by the interaction of multiple determinants, including consumption pattern (food intake and tobacco use), environmental status (primary health services and infrastructure) and socioeconomic status. The study aims to analyze the determinants of hypertension using socio-ecological approaches in West Java. The research design was an ecological study, using secondary data for 2019-2020 covering 26 districts or regencies in West Java. The total unit analysis was 52, regarding two years data analysis used. Analysis of data was performed using the partial least squares structural equation modeling (PLS-SEM) approach with bootstrap estimation. The result shows that all indicators of consumption pattern and primary health services and infrastructure variables are significant in forming a model. Findings also show that consumption patterns (intake of protein (meat, milk and eggs), sodium in spices, tobacco use (cigarettes)) and primary health services and infrastructure also directly affect hypertension, with coefficient value of 1.142 and 0.401, respectively. Socioeconomic status also indirectly affects hypertension through consumption variable and primary health service infrastructure variable. The SEM-PLS model built strongly represents the determinants of hypertension in West Java, Indonesia based on the socio-ecological model Approaches (goodness-of fit value= 0.67). Strengthening food resources management and nutrition policies, including reducing sodium intake, and controlling tobacco use can lower risks, while improving healthcare access, infrastructure, and clean water supports hypertension prevention in West Java.

TRANSFORMASI PELAYANAN KESEHATAN IBU DAN ANAK SERTA INTERVENSI GIZI: DAMPAKNYA TERHADAP PREVALENSI STUNTING DI INDONESIA Rusyda, Akifa Laila; Baliwati, Yayuk Farida
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 47 No. 1 (2024): PGM VOL 47 NO 1 TAHUN 2024
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/pgm.v47i1.779

Stunting in children under five is still a health problem in Indonesia. The study's objective was to evaluate the influence of essential nutrition interventions and maternal and child healthcare services on stunting prevalence in Indonesia based on path modeling. The study design was an ecological study, using secondary data for 2020 and 2021 from the Indonesian Health Profile published by the Ministry of Health. The total unit of analysis was 68, consisting of 34 provinces in Indonesia, and two years of analysis (resampling bootstrapping). The study used the Partial Least Square-Structural Equation Modeling (PLS-SEM) approach. The result shows that maternal and child healthcare service has a significant direct effect on essential nutrition interventions of 0.786 (p-value<0.05) and indirectly has an effect on stunting with a coefficient value of -0.375 (p-value<0.05). The influence of essential nutrition intervention is directly significant on stunting with a path coefficient value of -0.477 (p-value<0.05). Integration of essential nutrition interventions and maternal and child healthcare services coverage can reduce the prevalence of stunting among children under five years old in Indonesia based on a predictive relevance value of 92.4%. Strengthening multi-sectoral convergence is necessary to tackle stunting in Indonesia.

A systematic literature review of consuming-stage interventions in addressing food waste reduction in lower- and upper-middle-income countries Rusyda, Akifa Laila
Journal of Community Empowerment for Health Vol 7, No 3 (2024)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.96618

Introduction: Over a billion tons of food are wasted annually. There was much evidence in higher-income countries towards food waste reduction in consumption level. Conversely, some food waste volume is rising worldwide, particularly in lower- and middle-income countries. In order to improve understanding of how to minimize food waste during the consumption stage, the present literature review aimed to synthesize food-waste reduction interventions at the consumption level in lower- to upper-middle-income countries. Methods: The study used the Google Scholar database and followed PRISMA guidelines. Results: Three hundred sixty-five articles were retrieved from the database searched. The final round summarized 13 implemented food waste reduction interventions at the consumer stage. The finding shows also there were several main intervention types applied, including campaign (n=6), technology (n=4), policy (n=2), and others conducted in households (n= 9; 70 percent), restaurants (n= 2; 15 percent), and university/ college (n= 2; 15 percent). Conclusion: Policy is still a fundamental determining intervention of the effectiveness of food waste reduction at the consumption level. Furthermore, a framework suggests that community-based education may be applied as a consumption-level intervention to minimize food waste, which is appropriate for the community empowerment approach in lower- and upper-middle-income countries. Furthermore, intervention using composting eco-friendly technology also required innovation and community support.

Food security, nutrition and health nexus on undernutrition reduction in Indonesia: Enabling resilience system into emergency preparedness Rusyda, Akifa Laila
Journal of Community Empowerment for Health Vol 8, No 2 (2025)
Publisher : Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jcoemph.99147

Introduction: Evidence on the integration of nutrition interventions into existing health system program needs to be further explored. The study examined influence of food security, essential nutritional intervention, and health coverage towards undernutrition reduction in Indonesia during the emergency situation (in the context of COVID-19 pandemic). In addition, the study identified also the collaborative role in reducing undernutrition followed by the existing theoretical concepts.Methods: The design of the study was ecological study using secondary data from Indonesian Health Profile, Food Security Statistics, and National Socio-economic Survey between 2020 and 2021. The total unit of analysis was 68, representing all provinces in Indonesia with resampling bootstrapping approach. The analysis was conducted using partial-least square structural equation modeling (PLS-SEM).Results: Reduction of undernutrition status was statistically driven by essential nutrition intervention (t =1.981; p=0.048) and food security (t =2.377; p=0.018). Finding also shows that food security was influenced by food accessibility (t =2.867; p=0.004) and food consumption (t=4.800; p=0.000). Furthermore, the health service coverage significantly influenced essential nutrition intervention (t=5.350; p=0.000) and health service coverage must be supported by health financing coverage (t=6.042; p=0.000).Conclusion: Integrating food security, essential nutrition intervention, and health coverage may strongly build a resilience system during a pandemic based on predictive relevance (Q2=94%). These three components can also be applied during emergency preparedness.

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