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All Journal World Nutrition Journal Cermin Dunia Kedokteran
Simatupang, Yustina Rossa
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Health Professions Medicine & Pharmacology Public Health

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Validation of a questionnaire to assess mothers’ intentions to purchase iron-fortified cereals for children aged 6-23 months Simatupang, Yustina Rossa; Chandra, Dian Novita; Khusun, Helda
World Nutrition Journal Vol. 8 No. S1 (2024): Selected conference proceedings of the Nutri Symposium 2024
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.S1.0030

Abstract

Mothers introducing solid foods (other than breast milk) to their babies (aged 6 to 23 months) rely heavily on nutrition labels when selecting infant cereals. Therefore, it is crucial to identify maternal knowledge regarding iron and the factors influencing their intentions to purchase iron-enriched cereals using the theory of planned behavior. This information will assist in formulating maternal purchasing decisions for high-iron infant cereals. As the questionnaire has not been validated yet, it needs to be validated. Aim to validate the questionnaire to evaluate mothers' intention to buy iron-fortified cereal for children aged 6-23 months using the theory of planned behavior and iron-related knowledge questionnaires.
Association between mother’s purchase intention of iron-fortified infant cereal and iron intake among children aged 6-23 months in Tangerang, Indonesia Simatupang, Yustina Rossa; Chandra, Dian Novita; Khusun, Helda; Februhartanty, Judhiastuty; Iswarawanti, Dwi Nastiti; Sari, Okky Lupita
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0010

Abstract

Background: Iron deficiency can lead to anemia, negatively impacting children's cognitive and physical development. Mothers' knowledge of iron and the benefits of fortified complementary foods may have influenced their purchase intentions and decisions. Objective: This study aimed to investigate the association between mothers' purchase intentions, actual purchases of iron-fortified infant cereals, and iron intake in children aged 6–23 months in Tangerang, Indonesia. Research on this topic remained limited, emphasizing the need for further studies to strengthen the existing evidence. Methods: This study employed a cross-sectional design involving 162 mothers in pairs with their children aged 6–23 months, recruited consecutively. Data were collected using validated questionnaires. Data analysis was performed using the non-parametric Mann-Whitney test to compare groups and Spearman's correlation test to assess the strength of relationships between variables. A p-value < 0.05 was considered statistically significant. Results: Mothers showed positive attitudes and intentions towards purchasing iron-fortified cereals, with a notable 51.9% having made recent purchases. While these purchase intentions correlate with actual purchases, they did not directly influence children's iron intake. Instead, factors such as mother’s education, occupation, and household income played significant roles in determining iron intake levels. Conclusion: Purchase intentions were associated with actual purchase intention; however, factors such as gender, mother’s education, occupation, and household income did not exhibit a direct relationship with children's iron intake. This study indicates that while mother’s purchase intentions are associated with actual purchases, they do not directly impact children's iron intake.
Nutrisi Enteral Jangka Pendek Tinggi Serat, Khusus Diabetes pada Pasien Lanjut Usia dengan Diabetes Melitus Tipe 2 – Laporan Kasus: Laporan Kasus Simatupang, Yustina Rossa; Wangsa, Andrean; Nareswara, Anastu Regita; Setiyaningrum, Melinda; Putra, Dendy Daffa Anugrah
Cermin Dunia Kedokteran Vol 53 No 03 (2026): Penyakit Dalam
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i03.2069

Abstract

Introduction: High-fiber diabetes-specific formulas (DSFs) are designed to support glycemic control in patients with type 2 diabetes mellitus (T2DM), particularly those requiring nutritional support. Despite their potential benefits, evidence regarding their short-term effects on blood glucose levels and insulin requirements remains limited. This case report explores the impact of an oral DSF on glycemic control in an elderly patient with T2DM over a four-day inpatient period. Case: A 70-year-old overweight woman (BMI 24.6 kg/m²) was hospitalized due touncontrolled hyperglycemia (HbA1c 10.6%, fasting glucose 469 mg/dL) with poor oral intake (< 50% of needs) secondary to nausea and vomiting. A standardized DSF was administered orally alongside a diabetic soft diet for 4 days. DSF was introduced at 150 mL three times daily and titrated to 200 mL twice daily, contributing to a total intake of approximately 1,500 kcal/day. Insulin doses (10 IU regular insulin three times a day) remained unchanged. Monitoring included daily fasting glucose and clinical tolerance. Fasting blood glucose decreased from 469 mg/dL on day 1 to 260 mg/dL by day 4. The patient showed improved oral intake (up to 75% of caloric needs) and better appetite without gastrointestinal complaints. No hypoglycemia episodes or insulin dose adjustments were necessary. Discussion: During the four-day observation period, fasting blood glucose decreased progressively from 469 mg/dL to 260 mg/dL without modification of insulin dosage. Oral intake improved to approximately 75% of estimated needs, and no hypoglycemic episodes or gastrointestinal intolerance were observed. The improvement in glycemic trends occurred alongside structured nutritional support and consistent insulin therapy. Conclusion: Short-term administration of a high-fiber DSF improved glycemic trends and nutritional intake in an elderly T2DM patient without adverse effects. DSF can be an effective adjunct in individualized medical nutrition therapy to support glycemic stabilization during hospitalization.
Co-Authors Chandra, Dian Novita Dwi Nastiti Iswarawanti Helda Khusun Judhiastuty Februhartanty Nareswara, Anastu Regita Putra, Dendy Daffa Anugrah Sari, Okky Lupita Setiyaningrum, Melinda Wangsa, Andrean