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Raising Awareness on Children's Immunity and Cognitive Abilities: Nationwide Survey to Indonesian Parents Oktarina, Molly Dumakuri; Ibrahim, Ratih; Kinesya, Edwin; Kartjito, Melissa Stephanie; Wasito, Erika
Journal of Indonesian Specialized Nutrition Vol. 2 No. 2 (2024): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jisn.v1i4.20

Abstract

Early life nutrition influences the development of children's immunity and cognitive abilities. According to PISA 2018, only 29% of Indonesian students have a growth students that have growth mindset. The parent’s inability to understand and improve the multifactorial aspect of cognitive development pose risk to children's cognitive growth. To raise awareness among parents to strengthen their children’s cognitive and immunity through health education. Online survey with pretest and posttest, 4 questions each, distributed to Indonesian parents that attend online seminar about impact of children's immunity toward cognitive development. The data were further analyzed with t-test using SPSS. Survey of 334 participants shows that even before the intervention, Indonesian parents understand the relation between immune system and cognitive development in children thus showing no significant difference after intervention [p-value = 0.226]. However, they did not know how to observe or measure the cognitive score such as the 8 winning skills and growth mindset, also the nutrition needed to support cognitive abilities and immunity. The intervention prove a significant increase of parent's knowledge [Pre = 1.99 ± 0.83; Post = 3.08 ± 1.11; p-value = 0.000. Indonesian parents are aware that immunity affects cognitive growth of their children. However, there is still a lack of awareness or prior knowledge on cognitive measurement tools and components, and nutrition which is beneficial for immunity and cognitive growth.
EXPLORING THE LOCAL FOOD CONSUMPTION AND KNOWLEDGE RETENTION FOR STUNTING PREVENTION Pratiwi, Dessy; Muaris, Hindah; Musiawan, Ria; Basrowi, Ray Wagiu; Kinesya, Edwin
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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

Abstract

Background: Stunting in children may increase their risk of infection, problem associated with growth and development, and also intelligence. Higher than national stunting rate, Central Kalimantan have 26.9% stunting in 2022. Stunting prevention programs such as utilization of local food are encouraged. Objectives: This study explores behaviour and the impact of education to the knowledge of Central Kalimantan’s resident of local food consumption to decrease stunting in children. Methods: A secondary data from cross-sectional survey conducted by Indonesian Gastronomy Community in two regencies within Central KalimantanProvince was analyzed. Participants voluntarily fulfill immediate survey after education (post-1), and 3-month after education (post-2) survey. Compiled data are further analyzed to explore participants understanding. Results: A total of 152 post-1 survey and 122 post-2 survey are compiled. Participants answers dietary habit consists of fish (97.54%), vegetable (95.90%), fruits (50%), meat (31.97%), tempeh/tofu (28.68%), egg (27.87%), chicken (8.19%), and milk (8.19%), in descending order. Most consumed plant-based protein are tempeh (76.22%) and tofu (72.13%). Decreased score was observed from the immediate test to the three months after education and survey. Conclusion: Residents of Central Kalimantan Province in Indonesia primarily rely on fish, tempeh, and tofu as their main protein sources. These foods are high in protein and readily available in their local environment. To aid in stunting prevention, regular educational programs should be implemented to ensure long-term retention of knowledge
Formula Isolat Protein Kedelai dan Serat Pangan untuk Anak dengan Alergi Protein Susu Sapi: Laporan Kasus: Isolate Soy Protein with Dietary Fiber Formula in Children with Cow’s Milk Protein Allergy: Case Report Fauziah, Mira; Dilantika, Charisma; Sundjaya, Tonny; Pratiwi, Dessy; Kinesya, Edwin; Ekasiwi, Firstya Diyah
Amerta Nutrition Vol. 9 No. 3 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i3.2025.533-537

Abstract

Background: Cow's milk protein allergy (CMPA) represents the most frequently encountered food allergy in pediatric populations younger than three years. Clinical presentations vary widely, including gastrointestinal (GI), respiratory, and cutaneous manifestations. Objectives: The purpose of this case report is to determine the effectiveness of an isolated soy protein formula, enriched with dietary fibre, as a dietary alternative for a child afflicted with cow's milk protein allergy (CMPA). Methods: This study presents a case report concerning a 2-week-old infant who presented with gastrointestinal (GI) symptoms, specifically watery loose stools and vomiting. Given the family and socioeconomic circumstances, neither breast milk nor an amino acid or extensively hydrolyzed formula could be provided. Consequently, the infant received an isolated soy protein formula fortified with dietary fiber. This report further includes a review of the current literature on the utilization of dietary fiber in pediatric populations. Results: The use of isolate soy protein with dietary fibre formula may offer a well-tolerated and nutritionally adequate alternative for children with CMPA, providing paediatricians, nutritionists, and the broader healthcare community with an additional dietary option. Conclusions: The use of soy isolate protein formula with additional fibre suggests a beneficial effect to improve gut microbiota diversity and may improve stool consistency for both constipation and diarrhoea. However, further large-scale studies are needed to confirm its long-term effect, efficacy, and impact on growth and gut health.
Perspektif Ibu-Ibu Indonesia tentang Kesehatan Anak Setelah Persalinan Sesar: Sebuah Eksplorasi Deskriptif: Indonesian Mothers’ Perspective on Children’s Health After Caesarean Delivery: A Descriptive Exploration Munasir, Zakiudin; Darus, Febriansyah; Kinesya, Edwin; Kartjito, Melissa Stephanie; Sundjaya, Tonny
Amerta Nutrition Vol. 9 No. 3 (2025): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i3.2025.405-411

Abstract

Background: Cesarean section incidence increases over time in both emergency and elective cases, or with medical indication and social factors. Despite the usefulness of C-section, parents need to be aware of its effect to child health and the countermeasure. Objectives: This study aims to explore mothers’ perspectives about the health effects of C-section to children. Methods: An open-ended survey was conducted on Indonesian mothers as participants in a cross-sectional study. A compilation of descriptive responses was collected at an online parenting community focused on children’s health. The questions are later classified into six particular categories and given an analysis. Results: A total of 175 inquiries were collected and categorized into 6 groups. In declining pattern, we found parental concern regarding the effect of C-section on the child's immune system (57.14%), nutrition and prebiotics/ probiotics/ synbiotic (22.28%), growth and development (8%), and gastrointestinal system (6.28%). A total of 42 questions (24%) can be categorized into more than one category. Conclusions: More than half of parents are concerned about the effect of C-section on children’s immune system, and one out of five mothers is concerned about the role of nutrition for their children’s health. However, the awareness and concern regarding C-section health impact on growth and development, and gastrointestinal system are still very low.
Sindrom Nefrotik Idiopatik Sensitif Steroid pada Anak: Telaah Perbandingan Panduan Klinis Trihono, Partini Pudjiastuti; Fahlevi, Reza; Kinesya, Edwin; Hidayati, Eka Laksmi; Puspitasari, Henny Adriani; Pardede, Sudung Oloan
Sari Pediatri Vol 25, No 4 (2023)
Publisher : Badan Penerbit Ikatan Dokter Anak Indonesia (BP-IDAI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/sp25.4.2023.231-42

Abstract

Latar belakang. Sindrom nefrotik idiopatik merupakan penyakit ginjal tersering pada anak di dunia. Penelitian terkait sindrom nefrotik idiopatik pada anak terus berkembang. Namun, pada praktiknya masih terdapat variasi yang lebar terkait evaluasi dan tata laksana sindrom nefrotik idiopatik pada anak di dunia. Tujuan. Membandingkan panduan klinis sindrom nefrotik idiopatik sensitif steroid pada anak. Metode. Membandingkan empat panduan klinis sindrom nefrotik idiopatik sensitif steroid pada anak, yaitu panduan klinis sindrom nefrotik idiopatik Ikatan Dokter Anak Indonesia tahun 2012, Kidney Disease Improving Global Outcome tahun 2021, International Pediatric Nephrology Association tahun 2022, dan Indian Society of Pediatric Nephrology tahun 2021. Dikembangkan 7 lingkup bahasan kajian, meliputi diagnosis, pemeriksaan penunjang awal, batasan kriteria, dan terapi sindrom nefrotik inisial, sindrom nefrotik relaps jarang, sindrom nefrotik relaps sering dan sindrom nefrotik dependen steroid.Hasil. Didapatkan beberapa perbedaan mendasar yang ditemukan, antara lain, terkait batasan proteinuria dan hipoalbuminemia yang digunakan, dosis maksimal steroid, definisi relaps sering, pilihan terapi imunosupresan pada SN relaps sering, dependen steroid, dan pemeriksaan genetik yang dirasonalisasikan berdasarkan bukti-bukti penelitian terbaru.Kesimpulan. Terdapat beberapa perbedaan mendasar antara panduan klinis sindrom nefrotik idiopatik Ikatan Dokter Anak Indonesia tahun 2012 dengan panduan klinis terbaru lainnya. Perlu dipertimbangkan pembaharuan konsensus sindrom nefrotik di Indonesia dengan menelaah bukti ilmiah terbaru dan disesuaikan dengan ketersediaan obat serta fasilitas pemeriksaan di Indonesia.