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All Journal Jurnal Kesehatan Masyarakat Jurnal Media Gizi Indonesia (MGI) Amerta Nutrition Media Gizi Kesmas Jurnal Kesehatan Tambusai Narra J Berita Kedokteran Masyarakat Jurnal Ilmu Gizi dan Dietetik Jurnal Penyakit Dalam Indonesia
Sri Sumarmi
Departemen Gizi Kesehatan Fakultas Kesehatan Masyarakat, Universitas Airlangga, Surabaya, Indonesia
Agriculture, Biological Sciences & Forestry Biochemistry, Genetics & Molecular Biology Dentistry Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Other

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Correlation of Sun Exposure Score and Vitamin D Intake withSerum 25(OH)D Levels in Older Women Husna, Kholidatul; Widajanti, Novira; Sumarmi, Sri; Firdaus, Hadiq
Jurnal Penyakit Dalam Indonesia Vol. 8, No. 2
Publisher : UI Scholars Hub

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Abstract

Introduction. Indonesia is a tropical country, but the prevalence of vitamin D deficiency in older women is high due to the lack of sun exposure and low vitamin D intake. Some previous studies have reported that people from rural areas have higher serum 25(OH)D levels compared to those from urban areas. This study was conducted to analyze the correlation between sun exposure score and vitamin D intake with serum 25(OH)D levels of older women from rural areas. Methods. This was an analytic cross-sectional study involving older women in two villages from Wonorejo and Kraton Districts, Pasuruan Regency, in June 2020 during the dry season. The sun exposure score was calculated using a sun exposure questionnaire, vitamin D intake was obtained using the 2 x 24-h food recall, and serum 25(OH)D levels were measured using the chemiluminescent immunoassay. The data was analyzed using the Spearman and Pearson correlation test. Results. A total of 40 post-menopausal women aged 60 to 93 years (median age 70 years) were included in this study. The median sun exposure score was 14. The median time spent outdoors was 40 minutes, 90% of subjects wore longsleeved and long skirts, and all of the subjects never put on sunscreen. The mean value of vitamin D intake was 1.73 μg/day (SD 3.21 μg/day), all of the subjects had low vitamin D intake. The primary source of their vitamin D intake was fish (67.5%), predominantly freshwater fish. The mean value of serum 25(OH)D levels was 27.75 ng/mL (SD 13.25 ng/mL), and 30% of them had vitamin D deficiency. The sun exposure score was positively correlated with serum 25(OH)D levels (r=0.425; p=0.006). Meanwhile, there was a correlation between vitamin D intake and serum 25(OH)D levels (p=0.246). Conclusion. There is a significant positive correlation between sun exposure score and serum 25(OH)D levels, but no correlation between vitamin D intake and serum 25(OH)D levels.
Manfaat Konsumsi Kopi dalam Meningkatkan Kemampuan Mengingat (Memori): A Narrative Review Damayanti, Adelina Elsa; Wirjatmadi, Bambang; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 1 (2023): MEDIA GIZI KESMAS (JUNI 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i1.2023.463-468

Abstract

Background: The ability to remember (memory) is one of the cognitive functions which is the ability to encode, store, retain and remember information or past experiences or something that happened to the human brain. Most of this information is stored for future control of motor activity and for use in thought processing. Coffee is one of the most popular drinks by people around the world. Coffee contains many antioxidants which are believed to improve one of the cognitive functions, which is memory. In recent years several studies have shown that coffee consumption can bring health benefits by affecting many biological systems, among which it has been shown that people who drink coffee regularly have a lower risk of developing Diabetes Mellitus Type 2, colon cancer, and liver cirrhosis. Because of these benefits, coffee can now be classified as a functional food. Objective: The purpose of this study was to determine the benefits of coffee on the ability to remember (memory). Discussion: From several studies that had been done previously, it is known that coffee can significantly improve memory. Conclusion: Coffee contains many antioxidants that can help improving memory. It is hoped that in the future there will be more research that can explain in more detail how coffee can improve or repair cognitive functions such as memory, considering that coffee is one of the drinks that is widely consumed by people in the world and is consumed by almost everyone.
Regulasi Komunikasi Antar Pribadi dan Strategi Komunikasi Perubahan Perilaku terkait Upaya Pencegahan Stunting di Kabupaten Magetan, Jawa Timur: Action Research Uluf, Ulfa Al; Sumarmi, Sri; Haksama, Setya
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.589-595

Abstract

Background: Stunting is a national priority. Some programs have been carried out including specific and sensitive nutritional interventions. This intervention program is an effort to accelerate the decline and prevention of stunting. Activities related to stunting prevention have been held, but in the process of planning and budgeting, implementation, monitoring, to evaluation are still experiencing obstacles. so that the process of torture until the evaluation can run well. The preparation of this strategy is done to improve the scope and quality of nutritional services. The National Strategy for The Acceleration of Stunting Prevention consists of five pillars. The second pillar of the National Strategy for The Acceleration of Stunting Prevention is the National Campaign and communication of behavior change. As the embodiment of pillar 2 of the National Strategy for The Acceleration of Stunting Prevention, each region must have a draft regulation and Communication Strategy Document. But in fact there are some districts / cities that do not have regulations and communication strategies related to stunting prevention, one of which is Magetan. Therefore, assistance is carried out in the draft drafting of Regulations and Communication Strategy Documents. Objectives: in order to be able to prepare Draft Regulations and communication strategies for changes for stunting prevention in Magetan Regency. Methods: The method in this activity is to assist in the implementation of the Draft Regulation and Communication Strategy Document of behavior change in efforts to prevent Stunting with this method of mentoring using PAR (Participatory Action Research). Results: The assistance activities of drafting KAP regulations and behavior change communication strategy documents in efforts to prevent stunting in Magetan Regency are carried out through several stages, namely: the implementation of mentoring and follow up of the results of mentoring. Mentoring is carried out 3 times from each activity both online and offline.  then followed up the results of the assistance presented then given input for the improvement of the draft communication between personal and behavioral change communication strategies that have been made during mentoring. Conclusions: Mentoring activities in the preparation of regulations resulted in a draft of KAP Regulation "Acceleration of Integrated Stunting Reduction and Prevention in Magetan Regency", addition of The Communication Strategy of Behavior Change paragraph 6 article 11 in the second section on the preparation of the activity plan 8 convergence actions.  The Preparation of Strategy documents resulted in a draft document of Behavioral Communication Strategy in accelerating stunting prevention. The finalization and determination of Dokement Strakom was carried out in Magetan in December 2021 by the Regional Secretary of Magetan Regency.
Literature Review: Hubungan Pertambahan Berat Badan Ibu Selama Kehamilan dengan Kejadian Berat Badan Lahir Rendah (BBLR) di Indonesia Ningsih, Nurul Aini Wurdi; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.1064-1069

Abstract

Background: Low Birth Weight (BBLR) is a case that occurs in baies after birth with indications of having a weight less than normal, which is less than 2500 grams. From Riskesdas data in 2018, stated that the incidence of LBW increased by 0,5% from 2013. Babies who has history of LBW have a chance of dying. Mother's weight during pregnancy is one of the risk factor of LBW, so mother who have weight gain in acoordance with the recommendations can prevent the incidence of LBW.                Objectives: The objectives of this literature review is to describe the relationship of gestational weight gain with Low Birth Weight (LBW) in Indonesia. Methods: Literature Review is a method that author uses to compose this articel. This research uses database from Google Scholar with related keyword and found 1.240 articles. Those articles had screened based on itopic and nclusion criteria, anda 9 articles were obtained that used for this literature review. Discussion: Six of nine journals stated that there was a relationship of gestational weight gain with Low Birth Weight (LBW), while three of other journal stated that gestational weight gain have not related with Low Birth Weight (LBW). The relationship of both variables is indicated by p-value is p < 0,05. Asniatin (2018), stated that risk factor of LBW is an abnormal mother weight gain, with 7,534 times greater chance of occurance. None of relationship of both variables is indicated by p value > 0,05. However, the result of research of Mamidi et al (2022), have a contradictive result research with Asniatin (2018). Conclusions: There are differences of opinion from several related studies. Prevention of LBW can be done early by monitoring health from pra conception until birth and paying attention to the factors of LBW.
Hubungan antara Kepatuhan Konsumsi Tablet Tambah Darah dan Ukuran Lingkar Lengan Atas Ibu Hamil dengan Kejadian Stunting di Provinsi Nusa Tenggara Timur Munirah, Lulu'an; Sumarmi, Sri; Isaura, Emyr Reisha
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.698-703

Abstract

Background: Stunting is the highest health problem in East Nusa Tenggara Province for the past decade. Several factors cause stunting are lack of energy and adherence to consume of iron supplement tablets in pregnant women. Objectives:  To analyze the relationship between compliance of taking supplementary blood tablets and the size of the upper arm circumference of pregnant women and stunting incidence in East Nusa Tenggara Province. Methods: This study used secondary data from basic health research (RISKESDAS) in 2018. The sample for this study used children aged 3-5 years and the biological mother as many as 1755 respondents. The test of the relationship using the Pearson Correlation test and the strength test of the relationship using the logistic regression test. Results: The results of this study showed that 72.3% of pregnant women were not compliant to take iron tablets and 23.1% of pregnant women experienced chronic energy deficiency or an upper arm circumference of less than 23 cm. The results of the data analysis showed that there was no relationship between adherence to blood supplement consumption of pregnant women and the incidence of stunting (p=0.910) and there was a relationship between the size of the upper arm circumference of pregnant women and the incidence of stunting (p<0.001). Conclusions: The conclusion of this study is that there is a relationship between the size of the upper arm circumference of pregnant women and the incidence of stunting in East Nusa Tenggara Province.
Perbedaan Pola Asuh Pada Balita Stunting dan Non Stunting di Provinsi Nusa Tenggara Timur (Analisis Data Riskesdas 2018) Nabillah, Khuriatun; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.704-712

Abstract

Background: Over the past decade, NTT has become a province with the highest prevalence of stunting in Indonesia with prevalence exceeding 40%. One of the underlying causes of stunting is inadequate childcare practices. Objectives: This study was aimed to analyze the differences of childcare practices which consisted of early breastfeeding, exclusive breastfeeding, age of introduction of first complementary feeding, immunization status, and weighing between stunted and non-stunted children under five in NTT province. Methods: This study was a quantitative study that used secondary data. The type of study was non-reactive study. The data used comes from 2018 Indonesian Basic Health Research (RISKESDAS). Sub-population observed in this study was 0-59 months old children that live in NTT province. The sample size in this study was 3557 children. Data was statistically analyzed by using Mann-Whitney for the bivariate test and binary logistic regression for the multivariate test. Results: Most toddlers were given IMD (59.3%), not exclusively breastfed (69.9%), given complementary foods at the age of ≥ 6 months (64%), given immunizations (86.9%), and weighed (84.8%). Statistical Mann Whitney tests showed that there were differences in exclusive breastfeeding (p=0.001), immunization (p=0.006), weighing (p=0.000), and childcare practices (p=0.001) between stunted and non-stunted children under five in NTT province. However, there was no difference in early breastfeeding (p=0.405) and age of introduction of first complementary feeding (p=0.028) between stunted and non-stunted children under five in NTT province. Through multivariate tests, it was shown that there was a relationship between exclusive breastfeeding (p=0.003), and age of introduction of first complementary feeding (p=0.011) with stunting in NTT province. Conclusions: There were differences in exclusive breastfeeding, immunization and weighing between stunted and non-stunted children under five in NTT province. Exclusive breastfeeding and age of introduction of first complementary feeding are factors that most influence the occurrence of stunting in NTT province.
Perbedaan Asupan Energi, Protein, Zink, dan Prestasi Belajar pada Anak Stunting dan Non-Stunting Usia Sekolah Dasar di Kecamatan Soko Kabupaten Tuban Ayuni, Intan Nur; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.743-752

Abstract

Background: Stunting is identified as a chronic nutritional problem in Indonesia due to a lack of nutritional intake, which has implications for children's cognitive conditions. Stunting can affect achievement and learning abilities, impacting children's learning achievements at school.   Objectives: To analyze differences in intake of energy, protein, zinc, and learning achievement in stunted and non-stunted children of primary school age in Soko District, Tuban. Methods: This research was an analytic observational type with a cross-sectional design. A sample of 70 children with stunted nutritional status and 70 non-stunted children from 6 elementary schools in Soko District, Tuban, were taken randomly using a simple random sampling technique. Data were collected through anthropometric measurements, interviews with SQ-FFQ, and report cards for Mathematics and Indonesian. Data analysis used SPSS with independent sample t-test. Results: There were differences in energy intake (p-value = 0.006), protein (p-value = 0.001), zinc (p-value = 0.001), learning achievement in Mathematics (p-value = 0.000) and Indonesian (p-value = 0.008) between stunting and non-stunting student groups in Soko District, Tuban. Conclusions: The intake of energy and protein in the stunting group was mainly in the moderate deficit category, while zinc was in the less category. The intake of energy, protein and zinc in most non-stunting groups was in the sufficient category. Learning achievement for Mathematics and Indonesian subjects in the stunting group was mainly in the moderate category, while the non-stunting group was mostly in the adequate category. Overall, the two groups had differences in energy, protein, zinc intake, and learning achievement.
Faktor Risiko Stunting Dilihat dari ASI Eksklusif dan Hygiene Sanitasi Keluarga pada Anak Usia 6-36 Bulan di Wilayah Kerja Puskesmas Sidoarjo Imamaturrodiyah, Rafi' Kunti; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.766-772

Abstract

Background: Growth in children is an indicator to see the health status of children in the future and nutritional status of children. In the growth of the fetus until the age 2 years is a golden period of growth. One of the nutritional problems that many children experience when entering growth is body length or height thait is less than normal or called stunting. Stunting is a chronic malnutrition problem in toddlers which is characterized by low height. Stunting is influenced by various risk factors directly or indirectly. One of the direct risk factors for stunting is history of exclusive breastfeeding and one of the indirect risk factors for stunting is the practice of hygiene and sanitation in the family environment. Objectives: Analyzing the history of exclusive breastfeeding and family sanitation hygiene on the incidence of stunting in children aged 6-36 months in the work area of the Sidoarjo Health Center. Methods: This research is an observational study with a case control approach with a simple random sampling technique which obtained 90 respondents consisting of 45 stunted children and 45 non-stunted children. The research instrument used a questionnaire and microtoise. Results: The results used the chi-square test and odd ratio test. The results of the chi-square test for the history of exclusive breastfeeding were obtained, p=0.000; p<0.05, this explains that there is a significant relationship between a history of exclusive breastfeeding and the incidence of stunting with an OR value of 0.12<1 that exclusive breastfeeding is at risk of 0,12 times experiencing stunting. In addition, the results of the chi-square test on family hygiene and sanitation obtained p value 0.000; p<0.05 which indicates that there is a significant relationship between hygiene and sanitation that is not in accordance with the incidence of stunting and 22.48 times greater risk of experiencing stunting as seen from the results of the OR value. Conclusions: There is a relationship between a history of exclusive breastfeeding and hygiene sanitation in the family environment with the incidence of stunting in children aged 6-36 months in the Sidoarjo Health Center Work Area.
Hubungan Pengetahuan terkait Label Gizi dengan Kebiasaan Membaca Label Gizi pada Siswa SMA Al-Islam Islamiati, Lutfia Puspaningtyas; Sumarmi, Sri
Media Gizi Kesmas Vol 12 No 2 (2023): MEDIA GIZI KESMAS (DECEMBER 2023)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v12i2.2023.833-839

Abstract

Background: Just a few consumers who understand and use nutrition facts according to their function. This is due to lack of exposure and knowledge on consumer which is cause low level of awereness to read nutrition facts. Objectives: This study was to analyze the relationship between students' knowledge related to nutrition facts and reading nutrition facts habit carried out by students of SMA Al-Islam Krian. This study was an observational method using cross sectional design. Methods: Data collected through interviews using a questionnaire and analyzed using Kolmogorov Smirnov test and Spearman test. The sample was 250 students who were selected using a proportional random sampling from the student list. Results: The results showed that majority of students were sufficiently exposed to information related to nutrition facts (54.8%), sufficient nutrition facts knowledge (66%), and sufficient reading's nutrition facts habit (68.8%). There was no significant relationship between knowledge related to nutrition facts and reading nutrition facts habits with p-value 0.124.             Conclusions: It can be concluded that majority of students had been exposed to information related to nutrition facts, will had a good nutrition facts knowledge, and had a good reading nutrition facts habits, but there was no significant relationship between nutrition facts knowledge and reading nutrition facts habits.
Hubungan antara Usia Balita, Pemberian Susu Formula, dan Tempat Tinggal dengan Kejadian Diare: Sebuah Studi Analisis Data DHS: The Relationship Between the Age of Toddlers, the Provision of Formula Milk, and Residence Location with the Occurrence of Diarrhoea: An Analysis of DHS Data Dzulkifli, Achmad; Sumarmi, Sri; Isaura, Emyr Reisha; Syahdana, Achidah Nur; Mahmudiono, Trias; Mahmudah, Mahmudah; Melaniani, RR Soenarnatalina
Amerta Nutrition Vol. 8 No. 4 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i4.2024.574-581

Abstract

Background: Approximately 16% of mortality in children under five years old is associated with diarrhoea. In Ghana, diarrhoea is the third most common cause of death among infants. Ghana is one of the countries in Africa with an estimated 1,700 deaths due to diarrhoea in infants. Objectives: This study aimed to determine the relationship between toddlers' age, formula milk consumption, residence location, and diarrhoea occurrence. Methods: This study was a cross-sectional, analytical, observational study. The data was obtained from the Ghana Demographic and Health Survey (DHS) database in 2019. The total number of respondents in the Ghana Demographic and Health Survey (DHS) was 8,362 individuals. Meanwhile, the total number of respondents who meet the inclusion criteria is 2,263 toddlers. Results: This study demonstrated a significant relationship between the occurrence of diarrhoea in toddlers and characteristics related to the toddler's age (p-value<0.001; OR=0.696; 95% CI=0.579-0.837), formula milk consumption (p-value<0.001; OR=2.056; 95% CI=1.629-2.596), and residence location (p-value<0.001; OR=1.719; 95% CI=1.326-2.245). Conclusions: Based on the results of the study, the incidence of diarrhoea in toddlers was correlated with the age of the toddler, formula feeding, and location of residence. Development of diarrhoea research will be needed in relation to health promotion in preventing diarrhoeal diseases.
Co-Authors Abidah, Nisrina Agus Sulistyono Alfian Destiadi Amaral, Pedro Andhita Riana Andriani, Merryana Annas Buanasita Arum, Ristanti Sekar Arvia, Aurelita Dwiokti Ayuni, Intan Nur Bagong Suyanto Bambang Wirjatmadi Damayanti, Adelina Elsa Dzulkifli, Achmad Fadilah, Annisa Nur Firdaus, Hadiq Fitria Laras Azadirachta Hidayatush Sholiha husna, kholidatul Imaculata Tinneke Tandiono Imamaturrodiyah, Rafi' Kunti Irba, Prajda Bahira Isaura, Emyr Reisha Islamiati, Lutfia Puspaningtyas Isnaini Fajariah Kamila, Salwa Naura Khasanah, Putri Wardani Zumratul Lailatul Muniroh Mahmudah Mahmudah Manuputty, Njesela Hobertina Kartika Margirizki, Shabrina Ayu Maulidyah, Anastesya Putri Karenina Melaniani, RR Soenarnatalina Munirah, Lulu'an Nabillah, Khuriatun Ningsih, Nurul Aini Wurdi Nisa, Julia Fakhrun Novira Widajanti, Novira Nuansa, Maria Khana Nunik Puspitasari Nuramalia, Salma Aulia Rizqi Nurkusumahputri, Renatasaskia Oky Nor Sahana Pramita, Adiene Purwaningsih, Galuh Qurratu'aini, Afifah Detyasputri Rachma, Rizky Aulia Rahmadani, Qurrota A’yun Nur Renda, Belinda Widya Rosyida, Ade Riezma Amrina Salim, Lutfi A. Salwa Salwa Sari, Nur MW. Setya Haksama Setyanurlia, Anggita Rifky Shofiya, Dian Siti Rahayu Nadhiroh Soedarsono, Antasya Muslimah Soenarnatalina Melaniani Sokvy, Ma Sudiarmanto, Andri Rahmad Suryadinata, Rivan Virlando Syahdana, Achidah Nur Syarifah, Nur Laila Sylvi Natalia Trias Mahmudiono Triska Susila Nindya Uluf, Ulfa Al