Rahayu, Herwinda Kusuma
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Gardening-cooking based intervention for improving healthy eating habits in preschool children Herawati, Herni Dwi; Kurniasari, Yulinda; Rahayu, Herwinda Kusuma; Hositanisita, Hastrin; Afifah, Effatul; Isvianti, Anggita; Susilowati, Novaeni Sri; Batubara, Saimarrasoki; Sonia, Putri
Paediatrica Indonesiana Vol. 64 No. 3 (2024): May 2024
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi64.3.2024.218-26

Abstract

Background Preschool children generally have inadequate fruit and vegetable intake, but a high intake of calories. Nutrition education taught from an early age might instill good eating habits and behavior, especially regarding fruit and vegetable consumption. Objectives To compare preschoolers’ fruit and vegetable preferences, fiber intake, and consumption of high-calorie food before and after a gardening-cooking intervention. Methods This study had a quasi-experimental, pre- and post-test design, as well as intervention and control groups. Subjects were preschool children aged 4-6, selected by purposive sampling, with 33 subjects in each group. The intervention group engaged in nutrition education, gardening, and cooking programs. While the control group was not given the programs, only given nutrition education at the end of data collection. Data were analyzed using independent T-test, paired T-Test, Wilcoxon, and Mann-Whitney tests. Results There were significant increases in attitude score, fruit and vegetable preference, and fiber intake, as well as decreased intake of high calorie foods (P<0.05 for all) before and after treatment in the intervention group. In contrast, there were no significant changes in the control group pre- and post-test. Conclusion Gardening-cooking based intervention for 9 sessions is effective in improving attitudes, fruit and vegetable preferences, and fiber intake, as well as reducing high-calorie food consumption in preschool children.
An Online Cross-Sectional Survey: Changes in Food Group Consumption on Complementary Feeding during COVID-19 Pandemic in Indonesia Rahayu, Herwinda Kusuma; Hariawan, Muhammad Hafizh; Paratmanitya, Yhona; Herawati, Herni Dwi; Nuryani, Rindi
Jurnal Gizi dan Pangan Vol. 19 No. Supp.2 (2024)
Publisher : The Food and Nutrition Society of Indonesia in collaboration with the Department of Community Nutrition, IPB University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2024.19.Supp.2.322-331

Abstract

This study aimed to assess the impact of COVID-19 pandemic on food group consumption of complementary feeding in Indonesia. Data were collected using online self-administered questionnaires on Indonesian mothers of children aged 6–23 months. The result showed that households with decreased ability to provide food during the COVID-19 pandemic tended to choose unhealthy food groups on complementary feeding. There were higher odds of unhealthy food consumption, such as sweetened beverages, including fruit juice (OR=3.181; 95% CI:1.788−5.657) and homemade drink with sweeteners (OR=1.652; 95% CI:1.034−2.641); sugar confection (OR=2.066; 95% CI:1.240−3.444); frozen treats (OR=2.270; 95% CI:1.400−3.681), baked or fried confection (OR=2.154; 95% CI:1.435−3.235); fried and salty foods (OR=1.633; 95% CI:1.059−2.517). Meanwhile, the odds of food group consumption which lower during COVID-19 pandemic mostly are animal source foods group, including yogurt (OR=0.297; 95% CI:0.161−0.548); yogurt drink (OR=0.253; 95% CI:0.138−0.464); cheese (OR=0.355; 95% CI:0.230−0.549); eggs (OR=0.675; 95% CI:0.461−0.991); fish or seafood (OR=0.409; 95% CI:0.279−0.600); organ meats (OR=0.304; 95% CI:0.180−0.512); meats (OR=0.339; 95% CI:0.225−0.511); and poultry (OR=0.339; 95% CI:0.225−0.511). However, effective strategy for enhancing complementary feeding quality during pandemic should be formulated.
Mutu Organoleptik dan Tingkat Penerimaan Produk Food Bars Substitusi Tepung Kelor, Lamtoro, dan Bonggol Jagung sebagai Makanan Tambahan Balita Stunting Astuti, Endah Uji; Sunarsih, Tri; Rahayu, Herwinda Kusuma; Shanti, Elvika Vit Ari
Ghidza: Jurnal Gizi dan Kesehatan Vol. 8 No. 2 (2024): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/ghidza.v8i2.1514

Abstract

Stunting merupakan masalah gizi yang signifikan di Indonesia. Salah satu solusi yang diusulkan adalah pengembangan produk makanan tambahan berupa food bars yang terbuat dari tepung kelor, lamtoro, dan bonggol jagung. Tujuan: Penelitian ini bertujuan untuk mengembangkan formulasi food bars yang bergizi dan diterima dengan baik oleh balita stunting. Metode yang digunakan dalam penelitian ini adalah eksperimen dengan Rancangan Acak Lengkap (RAL). Proses pembuatan food bars dilakukan melalui beberapa tahap, termasuk pembuatan bahan dasar, penentuan formulasi, dan uji organoleptik. Uji organoleptik dilakukan oleh 30 panelis terlatih untuk menilai aspek sensoris seperti rasa, aroma, warna, dan tekstur dari tiga formulasi food bars yang diuji. Hasil penelitian menunjukkan bahwa food bars yang diformulasikan dengan tepung kelor, lamtoro, dan bonggol jagung memiliki potensi besar untuk diterima oleh konsumen. Secara keseluruhan, penerimaan yang baik terhadap berbagai aspek food bars yang menunjukkan potensi besar produk ini untuk dikonsumsi secara luas pada formulasi I karena memiliki tiga aspek terbesar persentasenya baik pada uji organoleptik maupun uji hedonic (penerimaan). Pada uji organoleptik persentase aspek warna (70.0%) yaitu warna coklat tua tetapi masih dapat diterima, aspek rasa 66.7% yaitu manis alami gurih dan disukai, aspek tekstrur 60% yaitu agak keras, agak padat dan renyah, aspek aroma (40,0%) yaitu seimbang dan tidak terlalu kuat khas herbal. Pada uji hedonic (penerimaan) formulasi I menunjukkan persentase tertinggi pada kategori suka yaitu pada aspek warna (70.0), rasa (56,7), aroma (66,7), dan tekstur 53,3%). Produk yang dihasilkan tidak hanya memiliki nilai gizi yang tinggi tetapi juga disukai oleh panelis, yang merupakan faktor penting untuk memastikan konsumsi rutin. Kesimpulannya, food bars berbahan tepung kelor, lamtoro, dan bonggol jagung dapat menjadi alternatif solusi nutrisi bagi balita stunting serta mendukung program pemerintah dalam upaya penanggulangan stunting.
Exploring Knowledge of Gene-Based Nutrition Services Among Indonesian Nutritionists: Gambaran Pengetahuan Ahli Gizi Tentang Pelayanan Gizi Berbasis Gen di Indonesia Zulfa, Ifana Fitria; Aji, Arif Sabta; Rahayu, Herwinda Kusuma; Paramashanti, Bunga Astria; Hafizhah, Rafiqah Dwita; Putri, Sintia Aurilia; Alfiana, Rina; Farhan, Alfina Ulfah; Surendran, Shelini
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.283-292

Abstract

Background: Individuals possess unique genes that influence their susceptibility to diseases and their response to dietary interventions. The emergence of nutritional genomics has made it possible to identify disease predispositions and mitigate risks through gene-based dietary guidance. Consequently, understanding gene-based nutrition services is crucial for nutritionists, as it facilitates the integration of genetic insights into dietary recommendations. Objectives: This study aims to evaluate the familiarity of dietitians in Indonesia with gene-based nutrition services. Methods: Employing a qualitative approach with a phenomenological orientation, this study was conducted in DKI Jakarta, Jawa Barat, Jawa Tengah, Jawa Timur, and DI Yogyakarta. Purposive sampling was employed, involving a total of seven nutritionists. Data were gathered through in-depth interviews conducted both in person and online via Zoom meetings. Thematic analysis was carried out utilizing Nvivo 12.0. Results: The knowledge of nutritionists regarding nutritional genomics is limited. While they could explain fundamental concepts, their understanding lacked depth. Similarly, their comprehension of gene-based nutrition services was restricted, leading to uncertainties about their role in such services. Nutritionists generally expressed positive attitudes towards gene-based nutrition services, recognizing their significance and advocating for their provision by relevant agencies. There was a strong interest among nutritionists in offering gene-based nutrition services and a willingness to expand their understanding of nutritional genomics. Conclusions: The knowledge of nutritionists regarding gene-based nutrition services remains insufficient. There is a need for nutritionists to undergo training, attend seminars, and enhance their understanding of nutritional genomics in academic settings.
Uji Organoleptik dan Tingkat Kesukaan Produk Sereal (Madu, Kurma, Kelor, Susu, Katuk, Alpukat) sebagai Minuman Fungsional untuk Memperlancar ASI Shanti, Elvika Fit Ari; Sunarsih, Tri; Astuti, Endah Puji; Rahayu, Herwinda Kusuma
Ghidza: Jurnal Gizi dan Kesehatan Vol. 9 No. 2 (2025): December
Publisher : Universitas Tadulako

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22487/cwmf6a38

Abstract

Breast milk provides numerous benefits; however, many mothers face challenges in providing exclusive breastfeeding, one of which is insufficient milk production. This study aimed to evaluate the organoleptic properties and acceptance level of Mamakesuka cereal as a functional beverage to support breast milk production. The study employed an experimental design using a Completely Randomized Design (CRD). Organoleptic testing and acceptance assessment were conducted with 30 trained panelists. The results showed that formulation L2 was the most preferred. The color most frequently selected was dark brown but still acceptable (70.0%), the taste was described as naturally sweet and savory and well liked (56.7%), the aroma was considered distinctive (56.7%), and the texture was perceived as soft, slightly dense, and crunchy (86.7%). In the acceptance test, formulation L2 was also the most favored, with color rated as “very liked” (70.0%), taste as “liked” (63.3%), aroma as “liked” (53.3%), and texture as “liked” (76.7%). In conclusion, formulation L2 was identified as the best Mamakesuka cereal formulation based on organoleptic evaluation and consumer acceptance, indicating its potential for further development as a locally based functional food product.
Dietary diversity on complementary feeding by maternal employment status during COVID-19 Pandemic Rahayu, Herwinda Kusuma; Paratmanitya, Yhona; Herawati, Herni Dwi; Nguyen, Esther M; Nuryani, Rindi
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 2, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(2).104-114

Abstract

ABSTRAKLatar Belakang: Praktik pemberian Makanan pendamping ASI (MPASI) yang tepat selama pandemi COVID-19 menjadi tantangan tersendiri karena kebijakan pemerintah untuk mengurangi penularan virus di tempat kerja seperti perubahan status pekerjaan termasuk bekerja dari rumah. Perubahan status pekerjaan, khususnya bagi ibu bekerja, berkaitan dengan keragaman pola makan dalam praktik pemberian MPASI.Tujuan: Penelitian ini bertujuan untuk menganalisis dampak status pekerjaan ibu terhadap Keanekaragaman Gizi Minimum (MDD) selama pandemi COVID-19.Metode: Penelitian cross-sectional dilakukan dan online self-administered questionnaires digunakan untuk mengumpulkan data dari 403 ibu yang memiliki anak usia 6-23 bulan yang tinggal di Jawa, Indonesia.Hasil: Secara keseluruhan, 91,1% anak memenuhi kriteria MDD. Dalam model yang disesuaikan, anak-anak dengan ibu yang bekerja di luar rumah dikaitkan dengan penurunan peluang mengalami MDD (AOR: 0.85, 95%CI: 0.42-0.98). Faktor yang berhubungan dengan MDD pada praktik pemberian MPASI adalah daerah tempat tinggal (AOR: 0.12; 95%CI: 0.03-0.54), usia anak (AOR: 2.93; 95%CI: 1.12-7.67), dan usia ibu (AOR: 1.39 ; 95%CI: 1,16-3,93).Kesimpulan: Praktik pemberian makanan pendamping ASI dipengaruhi oleh status pekerjaan ibu selama pandemi. Namun demikian, strategi lain untuk meningkatkan keragaman pangan MPASI diperlukan untuk mencegah malnutrisi pada anak dengan meningkatkan pengetahuan ibu terkait gizi anak, khususnya pada ibu bekerja.KATA KUNCI: pemberian makanan pendamping ASI; COVID-19; keanekaragaman pangan minimum; status pekerjaan ibu ABSTRACTBackground: Appropriate complementary feeding practices during the COVID-19 pandemic are challenging due to government policies to reduce the virus transmission in workplace such as changes of employment status including working from home . The changes of employment status, especially for working mothers was related to the dietary diversity of complementary feeding practice.Objectives: This study aimed to analyze the impact of maternal employment status on Minimum Dietary Diversity (MDD) during the COVID-19 pandemic.Methods: A cross-sectional study was conducted, and online self-administered questionnaires were used to collect data from 403 mothers of children ages 6-23 months who live in Java, Indonesia.Results: Overall, 91.1% of the children met the criteria for MDD. In the adjusted model, children with mothers who work outside of home were associated with a reduced odds of meeting MDD (AOR: 0.85, 95%CI: 0.42-0.98). The factors related to MDD on complementary feeding practices were area of residence (AOR: 0.12; 95%CI: 0.03-0.54), child's age (AOR: 2.93; 95%CI: 1.12-7.67), and maternal ages (AOR: 1.39; 95%CI: 1.16-3.93).Conclusions: Complementary feeding practices were impacted by maternal employment status during pandemic. However, other strategies to increase dietary diversity of complementary feeding are needed to prevent child malnutrition by increasing maternal knowledge related to child nutrition, especially for working mothers.KEYWORDS: complementary feeding; COVID-19; Minimum Dietary Diversity; maternal employment status
Low dietary diversity is associated with stunting among children aged 8-23 months in stunting locus area, Yogyakarta, Indonesia Lestari, Putri; Irawati, Winda; Hositanisita, Hastrin; Paratmanitya, Yhona; Nurhayati, Eka; Yi, Lee Yi; Ariftiyana, Siska; Rahayu, Herwinda Kusuma
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 12 ISSUE 5, 2024
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2024.12(5).387-396

Abstract

 Background: Stunting is impaired growth and development that children experience, caused by poor nutrition during 1000 days of life. Dietary diversity is one of the core indicators for assessing diet quality and adequacy of complementary feeding.Objectives: This study aimed to analyzed the relationship between dietary diversity and stunting among children aged 8-23 months in Pajangan District, Bantul Regency, Yogyakarta.Methods: This was a quantitative observational cross-sectional study. Purposive random sampling was used to recruit a total of 167 children aged 8-23 months with their mothers/ caregivers as respondents. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of 5 or more food groups of the total 7 food groups. Logistic regression, chi-square test, and descriptive statistics were used for data analysis.Results: Results showed that prevalence of stunting was 32.3% and 54.5% of children did not meet the minimum dietary diversity. There was a significant relationship between dietary diversity on complementary feeding and stunting (p=0.005, OR=2.558; 95%CI= 1.422-4.142). Furthermore, other factors related to dietary diversity were child’s age, mother's employment status, father's education, father’s employment, and family income.Conclusions: There was a relationship between dietary diversity and stunting among children aged 8-23 months in Pajangan District, Bantul Regency, Yogyakarta. Strategy to improve dietary diversity on complementary feeding are needed to prevent child malnutrition. KEYWORDS: complementary feeding; dietary diversity; stunting
Inappropriate complementary feeding practice as a risk factor of stunting in children aged 6-23 months Ariftiyana, Siska; Hadi, Hamam; Sari, Pramitha; Majidah, Nur Mukhlisoh; Rahayu, Herwinda Kusuma; Aliya, Lisana Shidiq; Lewis, Emma C
Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics) VOLUME 13 ISSUE 4, 2025
Publisher : Alma Ata University Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21927/ijnd.2025.13(4).304-314

Abstract

Latar belakang: Stunting masih menjadi masalah kesehatan masyarakat yang utama di Indonesia, dengan target nasional untuk menurunkan prevalensinya menjadi 14% pada tahun 2024. Salah satu faktor penentu yang krusial adalah terjadi kesenjangan gizi muncul pada usia enam bulan pertama, ketika ASI saja tidak lagi memenuhi kebutuhan gizi bayi. Praktik pemberian makanan pendamping ASI (MPASI) yang tidak tepat seperti inisiasi pemberian makanan pendamping ASI (MPASI) terlalu dini, keragaman makanan yang terbatas, dan frekuensi makan yang tidak memadai menyebabkan kekurangan gizi, sehingga meningkatkan risiko stuntingTujuan: Penelitian ini bertujuan untuk menganalisis indikator praktik pemberian makanan pendamping ASI sebagai faktor risiko terjadinya stunting pada anak usia 6-23 bulan.Metode: Sebuah studi kasus-kontrol tanpa matching dilakukan dari Desember 2022 hingga Januari 2023 di Kecamatan Pajangan, Kabupaten Bantul, Yogyakarta, yang melibatkan 51 anak stunting dan 51 anak kontrol non-stunting. Pengumpulan data meliputi pengukuran antropometri, karakteristik ibu dan ayah, serta pendapatan rumah tangga. Regresi logistik digunakan untuk memeriksa hubungan antara stunting dan indikator praktik pemberian MPASI, termasuk pengenalan makanan pendamping ASI (MPASI) tepat waktu (TIMELY), Keragaman Pangan Minimum (MDD), Frekuensi Makan Minimum (MMF), Pola Makan Minimum yang Dapat Diterima (MAD), dan konsumsi pangan hewani (ASF).Hasil: Keragaman Pangan Minimum (MDD) yang tidak memadai (AOR = 5,17; 95% CI: 1,80-17,52) secara signifikan ditemukan sebagai faktor risiko signifikan untuk stunting. Indikator Diet Minimum yang Dapat Diterima (MDD) secara signifikan merupakan faktor protektif stunting (OR kasar = 0,38; 95% CI: 0,15-0,95). Indikator lain seperti waktu pengenalan makanan pendamping ASI pertama, Frekuensi Makan Minimum (MMF), TIMELY, MAD, MMF, dan konsumsi protein ASF tidak berhubungan dengan faktor risiko stunting.. Kesimpulan: Keragaman pangan yang terbatas telah diidentifikasi signifikan sebagai faktor risiko terhadap stunting. Temuan ini menekankan perlunya segera memperkuat intervensi yang mendorong keragaman pangan dan meningkatkan praktik pemberian makanan pendamping ASI (MPASI) guna mengurangi prevalensi stunting di Indonesia.KATA KUNCI: anak usia 6-12 bulan; dietary diversity; mp-asi; praktik pemberian makan; stunting ASBTRACTIntroduction: Stunting remains a major public health problem in Indonesia, with a national target to reduce prevalence to 14% by 2024. A critical determinant is the nutritional gap that arises around six months of age, when breast milk alone no longer meets infants’ nutritional needs. Inappropriate complementary feeding (CF) practices such as early initiation, limited dietary diversity, and inadequate meal frequency contribute to insufficient nutrient intake, thereby increasing the risk of stunting.Objectives: This study aimed to analyze complementary feeding practice indicators as risk factors for stunting among children aged 6–23 months.Methods:  An unmatched case–control study was conducted from December 2022 to January 2023 in Pajangan District, Bantul Regency, Yogyakarta, involving 51 stunted children and 51 non-stunted controls. Data collection included anthropometric measurements, maternal and paternal characteristics, and household income. Logistic regression was used to examine the associations between stunting and CF practice indicators, including timely introduction of complementary foods (TIMELY), Minimum Dietary Diversity (MDD), Minimum Meal Frequency (MMF), Minimum Acceptable Diet (MAD), and animal-source food consumption (ASF).Results: Inadequate MDD (AOR = 5.17; 95% CI: 1.80-17.52) was found to be significant risk factors for stunting. Other indicators such as TIMELY, MAD, MMF, and ASF were not related to stunting.Conslusion: Limited dietary diversity was identified as significant risk factors for stunting. These findings highlight the urgent need to strengthen interventions that promote dietary diversity and improve complementary feeding practices to reduce stunting prevalence in Indonesia. KEYWORDS: complementary feeding; dietary diversity; minimum meal frequency; minimum acceptable-diet; stunting