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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

Show Abstract | Download Original | Original Source | Check in Google Scholar

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.
Efikasi Intervensi Suplementasi Zat Gizi terhadap Pencegahan Stunting pada Anak Usia < 5 tahun - Studi Literatur Belinda Ardianti; Sri Sumarmi
Jurnal Penelitian dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram Vol. 9 No. 2 (2023): Oktober
Publisher : Politeknik Medica Farma Husada Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33651/jpkik.v9i2.539

Abstract

Stunting is a chronic nutritional problem in children under five whose nutritional status is measured based on height for age. One of the efforts to prevent stunting is through intervention or nutritional supplementation. In this review, we will discuss some of the efficacy of supplementation interventions in children under 5 years of age as an effort to reduce the incidence of stunting. This literature review was carried out through a search for journals on the PubMed database in the last 10 years (2011-2021) which resulted in 15 journals that fall into the inclusion criteria in this review. The results of the review show that there are 4 nutritional supplementation intervention methods applied to children under 5 years, including zinc supplementation, LNS supplementation (Lipid-Based Nutrient Supplements), MNP supplementation (Micronutrient Powder) and vitamin D supplementation. Zinc and MNP supplementation interventions, the results showed that there was no effect between the intervention group and the control group on the incidence of stunting or linear growth in children. While the LNS supplementation method, the majority of journals show that there is a significant effect on reducing the incidence of stunting in children. This is because LNS is a supplementation product that combines macro and micro nutrients so that the handling of stunting or for prevention is more optimal. This literature study conclude intervention that has high efficacy in reducing the incidence of stunting is LNS supplementation.
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.
Onset Laktasi, Inisiasi Menyusui Dini, dan Frekuensi Antenatal Care sebagai Penentu Keberhasilan Pemberian ASI Eksklusif pada Ibu Primipara: The Onset Lactation, Early Initiation Breastfeeding, and Frequency of Antenatal Care as Determinants of Successful Exclusive Breastfeeding in Primipara Mothers Shofiya, Dian; Sumarmi, Sri; Sulistyono, Agus; Suyanto, Bagong; Rachma, Rizky Aulia; Rosyida, Ade Riezma Amrina
Amerta Nutrition Vol. 8 No. 2SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2SP.2024.15-24

Abstract

Background: Since 2016 the City of Surabaya has provided assistance and mentoring for pregnant mothers and infants during the first 1000 days of life. This initiative aims have been to alleviate stunting on children and increase exclusive breastfeeding coverage on breastfeeding mothers. However, the target for exclusive breastfeeding coverage has yet been achieved, and the level of coverage remains low despite these efforts. Objectives: The aim of this study was to determine the effect of the onset of lactation, early initiation breastfeeding frequency of antenatal care on exclusive breastfeeding in primipara mothers. Methods: The research design was cross-sectional; the samples were 130 of 378 primipara mothers and lactating pregnant women who were selected by cluster random sampling. The data were analyzed using both Chi-Square and Logistic Regression analysis α=0.05. data was collected in April 2021. Results: The results showed that there was a significant relationship between ANC, EIB, and onset of lactation with EB (x2=3.145; p-value=0.008, x2=18.745; p-value<0.001, and x2=47.147; p-value<0.001). Conclusions: ANC, EIB, and onset of lactation are determining the success of EB.
FAKTOR YANG MEMPENGARUHI BERAT BADAN BAYI LAHIR DI PUSKESMAS TAMAN SIDOARJO Irba, Prajda Bahira; Sumarmi, Sri
Jurnal Kesehatan Tambusai Vol. 5 No. 4 (2024): DESEMBER 2024
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jkt.v5i4.33901

Abstract

Bayi dengan berat lahir rendah (BBLR) adalah bayi yang lahir dengan berat badan <2.500 gram. Faktor langsung penyebab berat badan bayi lahir rendah adalah paritas, penambahan berat badan selama kehamilan, dan status gizi ibu (LILA). Penelitian ini bertujuan untuk menganalisis faktor-faktor yang mempengaruhi berat badan bayi lahir di wilayah kerja Puskesmas Taman Sidoarjo. Jenis penelitian ini observasional analitik dengan desain cross-sectional. Lokasi penelitian berada di wilayah kerja Puskesmas Taman Sidoarjo. Sampel penelitian berjumlah 59 ibu baduta pada yang diambil secara acak (proportional random sampling). Pengumpulan data karakteristik responden menggunakan kuesioner. Data penambahan berat badan selama kehamilan dan lingkar lengan atas diambil melalui buku kesehatan ibu dan anak (KIA). Analisis data pada penelitian ini menggunakan Uji korelasi Chi Square pada aplikasi SPSS. Hasil penelitian ini menunjukkan terdapat hubungan signifikan antara paritas (p=0,013), LILA (0,004), dan penambahan berat badan selama hamil (p=0,000). Kesimpulan dari penelitian ini adalah bayi yang lahir dengan berat badan rendah sebagian besar lahir pada ibu dengan LILA berisiko kurang energi kronis (KEK), penambahan berat badan kurang selama hamil kurang, status ekonomi rendah, dan tingkat pengetahuan ibu kurang. Orang tua disarankan untuk lebih memperhatikan asupan zat gizi pada masa kehamilan dan sebelum mempersiapkan kehamilan untuk mencegah dan mengurangi risiko berat badan lahir rendah (BBLR).
Effect of Fruits Consumption on Malondialdehyde (MDA) Reduction Among Athletes: A Systematic Review and Meta-Analysis Kartika Indaswari Dewi; Sri Sumarmi; Sri Adiningsih
STRADA : Jurnal Ilmiah Kesehatan Vol. 10 No. 1 (2021): May
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/sjik.v10i1.579

Abstract

One of the most prominent health problems for athletes is excellent fitness; thus, to meet such conditions, training is carried out with High-Intensity Interval Training. However, if it is done excessively, negative effects such as oxidative stress may result. External antioxidant, such as fruits, is therefore needed to reduce oxidative stress. This study further aims to pore over the effects of fruit consumption on the decrease of the MDA level of athletes during the HIIT with systematic review and meta-analysis as the research designs. The data is obtained through literary studies: PubMed, Semantic Scholar, Google Scholar, Elsevier, BMC, and PMC-NCBI. Furthermore, seven articles are reviewed by utilizing the PICOS and PRISMA principles. The data are further processed by using the RevMan 5.4 software. The summary effect results in CI 95% = -2.19 [-3.09, -1.29], which implies that there is a significant effect of fruit consumption on the athletes’ MDA level.
TINJAUAN KRITIS INTERVENSI MULTI MIKRONUTRIEN PADA 1000 HARI PERTAMA KEHIDUPAN Sri Sumarmi Sri Sumarmi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 40 No. 1 (2017)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v40i1.6374.

Abstract

Indonesia is one of 35 countries which join Scaling Up Nutrition (SUN) movement, a global movement worldwide effort to end under-nutrition, emphasizing on the first 1000 days of life. There are several critical notes in term of program implementation. This article will discuss the critical point view of the implementation of SUN movement in Indonesia focussing on the importance of nutrition intervention during preconception period, particularly with multi microminutrients supplementation. Several literature-based evidences as well as the author’s research evidence will be discussed in this paper. Based on literature review, there were many prospective cohort studies in several countries provided evidence that women who consumed multivitamin supplement during preconception period had 50% reduced risk of prematurity compared to those did not consume multivitamin supplement (RR= 0,050); reduced risk of preeclampsia about 45-71% (OR=0,029-0,55); and reduced risk of small for gestational age (SGA) by 36%. Current randomized double blind community based trial conducted in Probolinggo East Java revealed that extended multi micronutrients intervention 2-6 month prior to pregnancy provided better effect on birth weight and placental weight, as well as maternal endocrine and immune response. Those evidences ensure the plaucibility that multi micronutrients supplementation begin at preconception period is more important then just during pregnancy. Otherwise, many evidences were also revealed that multi micronutrients supplementation better effect to improves pregnancy outcomes. It was implied when the intervention is provided only during pregnancy, it means that critical period of early pregnancy (peri-conceptional period) is missing. Furthermore, it might be better to use multi micronutrients begin at preconception period and during pregnancy, instead of iron folic acid. Indonesia merupakan salah satu dari 35 negara di dunia yang mendukung gerakan global  Scaling Up Nutrition (SUN), yang intinya  untuk menyelamatkan 1000 hari pertama kehidupan (1000 HPK). Ada beberapa catatan dalam pelaksanaan gerakan penyelamatan 1000 HPK di Indonesia.  Artikel ini berisi analisis kritis terhadap kebijakan program intervensi 1000 HPK, dengan fokus  pentingnya pemenuhan gizi pada periode prakonsepsi (preconception nutrition), terutama suplementasi multi mikronutrien dalam menunjang keberhasilan program.  Berbagai evidence disajikan melalui studi literatur maupun evindence dari hasil penelitian yang dilakukan oleh penulis. Penelitian prospective cohort di beberapa negara membuktikan bahwa wanita hamil yang mengkonsumsi suplemen multivitamin pada masa prakonsepsi mengalami penurunan risiko kelahiran prematur sebesar 50% (RR = 0,50) dibandingkan wanita yang tidak mengkonsumsi multivitamin. Konsumsi multivitamin pada masa prakonsepsi dapat menurunkan risiko pre-eklampsia sebesar 45% hingga 71% (OR = 0,029-0,55) dan  menurunkan risiko small for gestational age (SGA) sebesar 36%. Penelitian randomized trial terbaru yang dilakukan di Kabupaten Probolinggo Jawa Timur membuktikan bahwa suplementasi multi-mikro nutrient 2-6 bulan sebelum hamil memberikan efek yang lebih baik terhadap respon imun maternal, serta hormon human placental lactogen (hPL) yang akhirnya meningkatkan berat plasenta dan berat bayi lahir, serta penurunan risiko aborsi dan prematuritas. Berbagai bukti empiris tersebut meyakinkan plausibilitas bahwa pemberian suplementasi zat gizi mikro sejak periode prakonsepsi lebih penting dibandingkan hanya diberikan pada masa kehamilan. Di sisi lain, berbagai penelitian telah membuktian keunggulan suplementasi multi mikronutrien dalam meningkatan luaran kehamilan jika dibandingkan suplementasi tablet besi asam folat. Hal ini menunjukkan bahwa apabila intervensi diberikan pada saat kehamilan, maka periode kritis awal kehamilan (perikonsepsi) telah terlewatkan. Selain itu, perlu dipikirkan untuk menggantikan suplemen zat besi asam folat dengan suplemen multi mikronutrien yang diberian sejak masa prakonsepsi. 
Adherence to iron supplementation and associated factors among pregnant women in Cambodia: Insights from the 2021–2022 Demographic and Health Survey Buanasita, Annas; Sumarmi, Sri; Mahmudiono, Trias; Melaniani, Soenarnatalina; Salim, Lutfi A.; Sokvy, Ma; Sari, Nur MW.
Narra J Vol. 5 No. 2 (2025): August 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i2.1659

Abstract

Iron deficiency is the leading cause of anemia during pregnancy, a major public health concern in many developing countries. To mitigate anemia, iron supplementation for at least 90 days is recommended for pregnant women. The aim of this study was to evaluate adherence to iron supplementation during pregnancy and to identify its key determinants in Cambodia. A cross-sectional study was conducted using secondary data from the 2021–2022 Cambodia National Demographic and Health Survey. Key variables assessed included maternal age, education level, ethnicity, wealth index, number of pregnancies, age at first pregnancy, prenatal care provider, timing of the first antenatal care (ANC) visit, and frequency of ANC visits. Multivariate logistic regression was employed to evaluate associations between adherence and independent variables. A total of 4,475 women aged 15–49 years who had been pregnant in the past five years were included in the analysis, with 91.2% adhering to iron supplementation for at least 90 days. Multivariate logistic regression showed that those with primary and higher education had greater odds of adherence (odds ratio (OR)=1.38; 95%CI: 1.00–1.90; OR=3.07; 95%CI: 1.39–6.79, respectively) compared to women with no education. There was a positive relationship between education level and adherence. Women who attended four or more ANC visits were more likely to adhere (OR=2.93; 95%CI: 2.27–3.77), and those who initiated ANC in the first trimester had higher adherence compared to those who started later (OR=1.78; 95%CI: 1.35–2.36). This study highlights that education level, frequency, and timing of ANC visits significantly influenced adherence to iron supplementation. Strengthening maternal education and promoting early and regular ANC follow-up should be prioritized to improve adherence and prevent anemia during pregnancy.
Hubungan Asupan Mikronutrien dengan Kejadian Diabetes Melitus Tipe 2 pada Dewasa di Wilayah Kerja Puskesmas Mojo Surabaya: Relationship between Micronutrient Intake and the Incidence of Type 2 Diabetes Mellitus among Adults in Mojo Public Health Centre Surabaya Kamila, Salwa Naura; Sumarmi, Sri
Jurnal Ilmu Gizi dan Dietetik Vol 4 No 3 (2025)
Publisher : Departemen Gizi Masyarakat, Fakultas Ekologi Manusia, IPB dan PERGIZI PANGAN Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jigd.2025.4.3.204-212

Abstract

Type 2 Diabetes Mellitus is a health problem that has long-term impacts, causing damage to blood vessels in the liver, eyes, kidneys, and nerves. The mechanism of type 2 diabetes is caused by two main factors: imperfect insulin secretion by pancreatic β-cells and the inability of insulin-sensitive tissues to respond to insulin. The risk of type 2 diabetes increases with age. However, the onset of type 2 diabetes now occurs earlier in individuals, starting at the age of twenty. In addition to the effects of high sugar consumption, micronutrient deficiencies are also a factor in the occurrence of type 2 diabetes. Micronutrients play a role in increasing the work of the insulin hormone in regulating blood sugar in the body. This study aims to analyze the relationship between micronutrient intake and the incidence of type 2 diabetes in adults in the Mojo Health Center work area, Surabaya. This study employs a case-control study design with a sample size of 33 respondents for each case and control group, resulting in a total of 66 respondents. Data collection was carried out using an SQ-FFQ. Random blood sugar level data were obtained through blood tests with a glucometer. Data analysis was carried out using the Chi-square correlation test. The results show that there is a relationship between zinc intake (p=0.014; OR=4.025) and manganese (p=0.049; OR=3.316) with the incidence of type 2 diabetes. There is no relationship between selenium intake (p=1.000) and chromium intake (p=1.000) with the incidence of type 2 diabetes. Based on the results of the study, it can be concluded that insufficient zinc intake increases the risk of type 2 diabetes 4.025 times, and insufficient manganese intake increases the risk of type 2 diabetes 3.316 times. Diabetes mellitus patients can consume foods containing high levels of zinc and manganese, such as shellfish, beef, nuts, milk, eggs, and brown rice in an effort to reduce the severity of the disease.
Compliance with Fe tablet consumption, pregnancy spacing, frequency of antenatal care, and anemia in pregnant women Amaral, Pedro; Sumarmi, Sri; Isaura, Emyr Reisha
BKM Public Health and Community Medicine Vol 41 No 05 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i05.18395

Abstract

Purpose: This study aims to determine the effect of compliance with Fe tablet consumption, pregnancy spacing, and frequency of antenatal care (ANC) visits on hemoglobin anemia in pregnant women at the Comoro Community Health Center, Dili, Timor-Leste. Methods: We used discriminant analysis on a randomly selected 84 out of 250 pregnant women. Results: The statistical analysis using discriminant analysis revealed that compliance with Fe tablet consumption (p = 0.00), pregnancy spacing (p = 0.000), and frequency of ANC visits (p = 0.002) all had significance values less than 0.05, indicating that these three factors significantly affect hemoglobin levels in pregnant women with anemia. Conclusion: Compliance with the consumption of Fe tablets was obtained by the “Abnormal” group value, namely a mean or average of 84.31, while the “Normal” group value was a mean or average of 93.29, and the distance between maternal pregnancy and anemia in pregnant women was obtained with the mean or average value of 18.10 (abnormal group) and 23.3 (normal group), so it can show that there is an influence on compliance with the consumption of Fe tablets and the interval between pregnancies and anemia in pregnant women.
Co-Authors Abidah, Nisrina Adiningsih, Sri Agung Dwi Laksono Agus Sulistyono Airin Levina Ali Khomsan Alfian Destiadi Amaral, Pedro Andhita Riana Andriani, Merryana Annas Buanasita Arum, Ristanti Sekar Arvia, Aurelita Dwiokti Bagong Suyanto Bambang Wirjatmadi Belinda Ardianti Dadang Sukandar Dea Dellyana Wahyutia Ady Dhita Kusuma Astuti Dzulkifli, Achmad Fadilah, Annisa Nur Fahmi Hafid Firdaus, Hadiq Fitria Laras Azadirachta Galuh Purwaningsih Hana Dwi Prastika Haryana, Nila Reswari Hidayatush Sholiha husna, kholidatul Imaculata Tinneke Tandiono Irba, Prajda Bahira Irohatul A'ila Isaura, Emyr Reisha Isnaini Fajariah Kamila, Salwa Naura Kartika Indaswari Dewi Khasanah, Putri Wardani Zumratul Kusumawardani, Hastin Dyah Mahmudah Mahmudah Manuputty, Njesela Hobertina Kartika Mardlotillah, Ika Auliya Maulidyah, Anastesya Putri Karenina Melaniani, RR Soenarnatalina Mohamad Samsudin Nadia Shafira Ristyaning Putri Novianto Novianto Novira Widajanti, Novira Nuansa, Maria Khana Nunik Puspitasari Nur Laila Syarifah Nuramalia, Salma Aulia Rizqi Oky Nor Sahana Pramita, Adiene Qurratu'aini, Afifah Detyasputri Rachma, Rizky Aulia Ratih Wirapuspita Wisnuwardani Rimbawan , Riska Mayang Saputri Ginting Rohmah, Nikmatur Rosyida, Ade Riezma Amrina Salim, Lutfi A. Salmiah Ibrahim Baswedan Salwa Salwa Sari, Nur MW. Setyanurlia, Anggita Rifky Shofiya, Dian Siti Rahayu Nadhiroh Soenarnatalina Melaniani Sokvy, Ma Sri Wahyu Angga Dewi Sudiarmanto, Andri Rahmad Suryadinata, Rivan Virlando Syahdana, Achidah Nur Sylvi Natalia Trias Mahmudiono Triska Susila Nindya Widati Fatmaningrum Yuvienta Ernovitania