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Hubungan Aktivitas Fisik dan Durasi Tidur Dengan Status Gizi pada Remaja di SMA Negeri 7 Bandar Lampung Tahun 2024 Pradinda, Audia; Asustuti, Dewi Woro; Puteri, Hidayatusy Syukrina
Journal of Citizen Research and Development Vol 1, No 2 (2024): November 2024
Publisher : CV. Rayyan Dwi Bharata

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57235/jcrd.v1i2.3894

According to the Indonesian Health Survey (2023), the prevalence data on nutritional status (BMI/U) in children aged 16-18 years consists of very thin 1.8%, thin 5.5%, Normal 84.5%, Overweight 6.4%, Obese 1.8% (SKI, 2023). Bandar Lampung City has a high prevalence of obesity in adolescents. Of the 10 districts in Lampung Province, 3 of them have high obesity problems with a prevalence above 10%, namely: West Lampung Regency 10.3% Bandar Lampung City 11.1% and Metro City 9.9%. The purpose of this study was to determine the relationship between physical activity and sleep duration with nutritional status in adolescents at State Senior High School 7 Bandar Lampung. This type of research uses the Descriptive Analytical method with a Cross-Sectional approach. The population of this study was all 90 students of class XI IPS at State Senior High School 7 Bandar Lampung. The sampling technique used the random sampling method with a total sample of 82 respondents. The results of the study showed the effect of physical activity on nutritional status with a p-value of 0.024 and no effect of sleep duration on nutritional status with a p-value of 0.908. It is hoped that students will be able to know the knowledge related to the relationship between physical activity and sleep duration on one nutrient so that it can be a positive encouragement in implementing healthy lifestyle habits.

Edukasi Peningkatan Pengetahuan Ibu Tentang Penerapan Pola Makan Gizi Seimbang Pada Balita Untuk Mengatasi Gizi Kurang di Dusun Sumber Jaya Desa Tanjung Rejo Kabupaten Pesawaran Astuti, Dewi Woro; Hervidea, Radella; Puteri, Hidayatusy Syukrina
Jurnal Mandala Pengabdian Masyarakat Vol. 6 No. 1 (2025): Jurnal Mandala Pengabdian Masyarakat
Publisher : Progran Studi Farmasi Universitas Mandala Waluya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35311/jmpm.v6i1.534

Gizi kurang pada balita merupakan masalah kesehatan masyarakat yang serius dan mendesak di seluruh dunia antara lain Burundi, Yaman, Sudan Nigeria termasuk di Indonesia 31,6 %. Di Kabupaten Pesawaran, terdapat 14 balita dari 169 balita yang mengalami gizi kurang. Rendahnya pengetahuan dan sikap ibu berkontribusi terhadap masalah gizi ini, yang berdampak langsung pada status gizi balita. Pengetahuan ibu yang rendah tentang gizi seimbang pada balita menyebabkan pemberian makan yang salah dan berpengaruh terhadap status gizi balita. Melalui Pendampingan yang dilakukan kepada orang tua Balita bisa membantu untuk meningkatkan pengetahuan dan perhatian orang tua kepada balitanya. Kegiatan PKM ini bertujuan meningkatkan status gizi balita kurang gizi dan meningkatkan pengetahuan ibu tentang gizi seimbang pada balita serta meningkatkan motivasi ibu. Setelah kegiatan pengabdian ini dilakukan, diharapkan ibu memiliki motivasi kuat dalam memenuhi gizi balita yang masih kurang serta memperbaiki sikap dan tindakan ibu dalam memberikan gizi seimbang kepada balita. Kegitan ini dapat memberikan kontribusi positif dalam mengurangi masalah gizi kurang pada 14 balita di dusu Sumber Jaya Desa Tanjung Rejo.

Formulasi, Evaluasi Sensori Dan Komposisi Gizi Food Bar Berbasis Pisang Dan Tepung Jagung Tinggi Mineral Sebagai Alternatif Pangan Darurat Ameliyah, Rantika Yesi; Hervidea, Radella; Puteri, Hidayatusy Syukrina
Journal of Pharmaceutical and Sciences JPS Volume 8 Nomor 3 (2025)
Publisher : Fakultas Farmasi Universitas Tjut Nyak Dhien

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36490/journal-jps.com.v8i3.1012

Background: As a disaster-prone country, Indonesia requires emergency food that meets the nutritional needs of disaster victims. This study develops a food bar based on local ingredients of kepok banana (Musa paradisiaca) and corn flour as a mineral-rich emergency food alternative. Objective: The research aims to analyze the optimal formulation, sensory evaluation, and nutritional composition of banana and corn flour-based food bars as emergency food products. Methods: This experimental study used a Completely Randomized Design (CRD) with three different formulations: F1 (80% banana + 20% corn flour), F2 (70% banana + 30% corn flour), and F3 (20% banana + 80% corn flour). Sensory testing involved 25 panelists evaluating color, aroma, taste, and texture. Data analysis used the Kruskal-Wallis test and Dunn's test, while nutritional composition was analyzed through proximate analysis and potassium testing using Atomic Absorption Spectrophotometry (AAS). Results: The results showed significant differences (p<0.05) in color, taste, and texture parameters, but not in aroma (p>0.05). Formulation F1 received the highest scores for taste (3.52) and texture (2.88). Proximate analysis revealed F1 had the highest water content (6.50%) and crude fiber (4.51%), while F3 had the highest carbohydrate content (72.62%). The potassium content of F1 reached 7.13 mg/g, meeting 10-11% of the daily RDI per 50g food bar. Conclusion: Formulation F1 (80% banana + 20% corn flour) is the best choice as emergency food due to its good sensory acceptance and complete nutritional content, particularly its potassium content which is crucial for emergency conditions.

Hubungan asupan protein hewani, IMT/U, dan waktu tidur dengan kadar hemoglobin pada remaja putri di SMA Rahmawati, Manda Ayu; Puteri, Hidayatusy Syukrina; Astuti, Dewi Woro; Hervidea, Radella
Holistik Jurnal Kesehatan Vol. 19 No. 6 (2025): Volume 19 Nomor 6
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/hjk.v19i6.1360

Background: Anemia is a common nutritional problem in adolescent girls, especially during periods of rapid growth. One of the main factors causing anemia is low intake of animal protein, which contains heme iron and plays a vital role in hemoglobin formation. Adolescent girls have higher iron requirements, putting them at higher risk of anemia if their diets are inadequate. Purpose: To determine the relationship between animal protein intake, BMI/Age, sleep time, and hemoglobin levels in high school adolescent girls. Method: This study used a quantitative approach with a cross-sectional design. The subjects were 87 tenth- and eleventh-grade adolescent girls selected using a total sampling technique. Data on animal protein intake were collected using a semi-quantitative Fast Response Questionnaire (FFQ), and hemoglobin levels were measured using a digital hemoglobin meter. Data were analyzed using the Spearman Rank test with a significance level of 0.05. Results: The majority of respondents (91.9%) had insufficient animal protein intake. 30.2% of respondents had mild anemia, and 4.7% had moderate anemia. Statistical test results showed a significant relationship between animal protein intake and hemoglobin levels (p < 0.05). Conclusion: There is a significant relationship between animal protein intake and hemoglobin levels in adolescent girls. Suggestion: Education on balanced nutrition is important to increase awareness and improve eating habits in adolescents to prevent anemia. Keywords: Adolescent Girls; Anemia; Animal Protein; Hemoglobin. Pendahuluan: Anemia merupakan salah satu masalah gizi yang umum terjadi pada remaja putri, terutama di masa pertumbuhan yang pesat. Salah satu faktor utama penyebab anemia adalah rendahnya asupan protein hewani, yang mengandung zat besi heme dan berperan penting dalam pembentukan hemoglobin. Remaja putri memiliki kebutuhan zat besi yang lebih tinggi, sehingga berisiko lebih besar mengalami anemia apabila pola makan tidak mencukupi. Tujuan: Untuk mengetahui hubungan asupan protein hewani, IMT/U, waktu tidur dengan kadar hemoglobin pada remaja putri di SMA. Metode: Penelitiian menggunakan pendekatan kuantitatif dengan desain cross sectional. Subjek penelitian berjumlah 87 remaja putri kelas X dan XI yang dipilih menggunakan teknik total sampling. Data asupan protein hewani dikumpulkan melalui kuesioner semi kuantitatif FFQ, dan kadar hemoglobin diukur menggunakan alat digital hemoglobin meter. Data dianalisis menggunakan uji Spearman Rank dengan tingkat signifikansi 0.05. Hasil: Sebagian besar responden memiliki asupan protein hewani dalam kategori kurang (91.9%). Sebanyak 30.2% responden mengalami anemia ringan, dan 4.7% mengalami anemia sedang. Hasil uji statistik menunjukkan adanya hubungan yang signifikan antara asupan protein hewani dengan kadar hemoglobin (p < 0.05). Simpulan: Terdapat hubungan yang signifikan antara asupan protein hewani dengan kadar hemoglobin pada remaja putri. Saran: Pentingnya edukasi gizi seimbang untuk meningkatkan kesadaran dan pola makan remaja dalam mencegah anemia. Kata Kunci: Anemia; Hemoglobin; Protein Hewani; Remaja Putri.

Formulasi teh fungsional dari kombinasi daun kelor (Moringa oleifera) dan daun sirsak (Annona muricata) Jaya, Pingkan Mutiara; Kustiani, Ai; Puteri, Hidayatusy Syukrina
JOURNAL OF Qualitative Health Research & Case Studies Reports Vol 5 No 6 (2025): November Edition 2025
Publisher : Published by: Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/quilt.v5i6.1541

Background: Iron deficiency is a major nutritional problem in Indonesia, impacting immunity, productivity, and concentration, particularly in adolescent girls and pregnant women. Preventive measures through the development of functional food products based on natural ingredients rich in iron and antioxidants are an important strategy. Purpose: To formulate a functional tea from a combination of Moringa oleifera leaves and soursop leaves (Annona muricata), and to evaluate the product's organoleptic quality, iron content, and antioxidant activity. Method: This study used a Completely Randomized Design (CRD) using three formulations (F1, F2, F3) and one control. Twenty-five semi-trained panelists conducted a hedonic test covering color, aroma, taste, and texture. Iron content was analyzed using Atomic Absorption Spectrophotometry (AAS), while antioxidant activity was analyzed using the DPPH method. Results: Formulation F2 (2g moringa leaves: 3g soursop leaves: 2g palm sugar) was the best formulation with the highest preference rating: color 3.56, aroma 3.44, taste 3.12, and texture 2.96 (like category). Conclusion: The formulation used has high iron content and antioxidant activity, making it a potential functional beverage to support health and prevent iron deficiency anemia. Keyword: Iron; Moringa Leaves; Soursop Leaves. Pendahuluan: Defisiensi zat besi merupakan masalah gizi utama di Indonesia yang berdampak pada penurunan imunitas, produktivitas, dan konsentrasi, terutama pada remaja putri dan ibu hamil. Upaya preventif melalui pengembangan produk pangan fungsional berbasis bahan alami yang kaya zat besi dan antioksidan merupakan strategi penting. Tujuan: Untuk memformulasi teh fungsional dari kombinasi daun kelor (Moringa oleifera) dan daun sirsak (Annona muricata), serta mengevaluasi kualitas organoleptik, kandungan zat besi, dan aktivitas antioksidan produk. Metode: Penelitian dengan Rancangan Acak Lengkap (RAL) menggunakan tiga formulasi (F1, F2, F3) dan satu kontrol, serta uji hedonik yang meliputi warna, aroma, rasa, dan tekstur oleh 25 panelis semi-terlatih. Kandungan zat besi dianalisis menggunakan metode Spektrofotometri Serapan Atom (SSA), sedangkan aktivitas antioksidan dianalisis menggunakan metode DPPH. Hasil: Formulasi F2 (2g daun kelor: 3g daun sirsak: 2g gula aren) merupakan formulasi terbaik dengan tingkat kesukaan tertinggi: warna 3.56, aroma 3.44, rasa 3.12, dan tekstur 2.96 (kategori suka). Simpulan: Formulasi yang digunakan memiliki kandungan zat besi dan aktivitas antioksidan yang tinggi, sehingga berpotensi menjadi minuman fungsional untuk mendukung kesehatan dan mencegah anemia defisiensi besi. Kata Kunci: Daun Kelor, Daun Sirsak; Zat Besi.

Program Saibatin Solusi Peningkatan Level Keberdayaan Kader Posyandu dan Ibu Hamil tentang Pemberian ASI Eksklusif Ningsih, Dewi Ayu; Sari, Nirma Lidia; Puteri, Hidayatusy Syukrina
Jurnal Abdimas Kesehatan (JAK) Vol. 7 No. 3 (2025): November
Publisher : Universitas Baiturrahim

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36565/jak.v7i3.1025

The SAIBATIN Program is a community empowerment model designed to enhance the success of exclusive breastfeeding through 42-day postpartum assistance provided by trained posyandu (community health post) cadres. This activity was implemented as part of the Community Partnership Empowerment Program (PKM) funded by the Directorate of Research and Community Service (DPPM), Directorate General of Research and Development, Ministry of Education, Culture, Research, and Technology of the Republic of Indonesia, in 2025. The program activities included stakeholder engagement, breastfeeding preparedness education for pregnant women, training for posyandu cadres on best practices in exclusive breastfeeding, and postpartum breastfeeding assistance conducted by the cadres. Evaluation using pre- and post-test methods showed a significant increase in knowledge scores among both cadres and pregnant women, with an average improvement of 24–25%. Cadres also demonstrated enhanced practical skills in breastfeeding counseling and maternal assistance. The SAIBATIN Program proved effective in strengthening the capacity of cadres and mothers to support exclusive breastfeeding success. This model has strong potential to be replicated as a posyandu-based community empowerment strategy to help achieve national maternal and child health targets

The Impact of Nutrition Education on Knowledge and Nutrition Label Comprehension in Adolescents Suci, Puspita; Karyus, Aila; Puteri, Hidayatusy Syukrina
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.786

Introduction: Adolescence is a critical period of growth and development in which nutritional status and health behaviors play an important role in determining future health outcomes. Rapid lifestyle changes and increased consumption of packaged foods have contributed to rising nutritional problems among adolescents, including obesity and other non-communicable diseases. Understanding nutrition information on food labels is therefore essential to support healthy food choices and improve adolescents’ nutritional knowledge. Objective: Adolescents tend to consume packaged foods high in salt, sugar, and fat. One of the contributing factor is their low comprehension of the display of nutrition facts on the packaging and the habit of not reading them. Data from the Lampung Health Office show that the prevalence of obesity among school-aged children increased from 27% to 37% in 2021 and 2023. Reading nutrition facts is part of the Balanced Nutrition Guidelines. This study aims to analyze the effect of nutrition education using animated video media on knowledge and reading comprehension of nutrition facts on packaged foods among eight-grade adolescents at SMPN 2 Bukit Kemuning, Lampung Utara. Method: The study used a quantitative pre-experimental with a one-group pretest- posttest design. Nutrition education was delivered through animated video media, followed by measurement of knowledge and comprehension with a 14-days interval between the pretest and posttest. The study population consisted of 104 eight-grade students. Using a simple random sampling method, 84 samples were selected. However,the intervention was given to entire population to avoid sample loss, resulting in 85 samples collected. Data were analyzed using the Paired Sample T- Test. Result: The results showed a significant increase in the average score knowledge score from 64.05 to 89.07. And in reading comprehension from 59.34 to 85.53. Statitical tests showed a p-value <0.05 for both variables, indicating that nutrition education using animated video media had significant effect on improving adolescents knowledge and comprehension of reading nutrition facts.

The Relationship Between Nutritional Status, Dietary Patterns, and Premenstrual Syndrome in Adolescent Girls Sheilla, Evi; Patria, Armen; Puteri, Hidayatusy Syukrina
Genius Journal Vol. 7 No. 1 (2026): GENIUS JOURNAL
Publisher : Inspirasi Foundation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56359/gj.v7i1.794

Introduction: Premenstrual syndrome (PMS) is a common condition among adolescent girls that causes physical and psychological discomfort and may interfere with daily activities. Nutritional status and dietary habits, particularly the consumption of fast food and junk food, are considered important factors associated with the occurrence of PMS. Changes in adolescents’ eating patterns toward high-calorie, high-fat, and low-fiber foods may increase the risk of nutritional imbalance and PMS symptoms. Therefore, this study aims to examine the relationship between nutritional status, fast food and junk food consumption, and premenstrual syndrome among adolescent girls. Objective: Nutritional status is a state of balance between nutrient intake and needs, expressed using a Z-score value based on BMI/Age. The purpose of this study was to determine the relationship between overweight status of fast food and junk food with premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025. Method: The method used in this study was quantitative with a cross sectional approach which was carried out in May 2025 with a total of 87 female adolescent students, taken through purposive sampling, the research sample was taken according to the inclusion and exclusion criteria. The research instrument used the SPAF questionnaire consisting of 10 questions. Result: Data analysis using univariate analysis with frequency distribution and bivariate analysis with spearman’s rank correlation analysis the results of the study showed that the sig value was 0,021 < p-value 0,05, which means that there is a significant relationship between nutritional status and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025. Based on the results 0f the study, it was found that the sig value was 0,034 < p-value 0,05, which means that there is a significant relationship between junk food and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025. Conclusion: , it was found that the sig value was 0,010 < p-value 0,05, which means that there is a significant relationship between fast food and the incidence of premenstrual syndrome (PMS) in female adolescents at SMA Negeri 1 Sukoharjo in 2025.

Penerapan dietary approaches to stop hypertension (DASH) dan aktivitas fisik sebagai strategi pencegahan hipertensi dan stroke pada lansia Astuti, Dewi Woro; Puteri, Hidayatusy Syukrina; Hervidea, Radella; Jayadi, Ajib; Saleh, Asep Jalaludin
JOURNAL of Public Health Concerns Vol. 5 No. 12 (2026): JOURNAL of Public Health Concerns
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerja sama dengan: Unit Penelitian dan Pengabdian Kep Akademi Keperawatan Baitul Hikmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/phc.v5i12.2480

Background: Hypertension is a major health problem among the elderly and a key risk factor for stroke and cardiovascular disease. Its prevalence increases with age, with high sodium intake, low fiber diet, and lack of physical activity as modifiable risk factors. Educational interventions through Dietary Approaches to Stop Hypertension (DASH) diet and regular physical activity have been proven effective in reducing blood pressure, improving healthy behaviors, and enhancing quality of life. Elderly populations in rural areas face limited access to health information, making community-based approaches essential for improving knowledge, attitudes, and behaviors in preventing hypertension and stroke. Purpose: Improving the knowledge, attitudes, and behavior of the elderly in implementing a healthy lifestyle through education on dietary approaches to stop hypertension (DASH) and physical activity. Method: The study was conducted on November 2, 2025, at Tanjung Rejo Village Hall, Pesawaran District, Lampung, involving 60 elderly participants aged ≥60 years selected using purposive sampling. A quasi-experimental pretest–posttest one group design was applied, with interventions including health education, Dietary Approaches to Stop Hypertension (DASH) diet menu demonstrations, simple physical activities, and two weeks of mentoring. Data were collected using questionnaires to assess knowledge and behavior, while blood pressure was measured with a digital sphygmomanometer. Analysis was performed using descriptive and inferential statistics. Results: Significant improvements were observed in knowledge, healthy eating behavior, and physical activity after the intervention. Knowledge increased from 40% (fair) at pre-test to 70% (good) at post-test, healthy eating behavior from 45% (fair) to 60% (good), and physical activity from 70% (inactive) to 65% (active). Mean systolic blood pressure decreased from 152 ± 12 mmHg to 138 ± 10 mmHg, and diastolic from 94 ± 8 mmHg to 86 ± 6 mmHg, with paired t-test results showing significant differences (p < 0.05). Conclusion: DASH diet education and physical activity proved effective in improving knowledge, healthy behaviors, and reducing blood pressure among the elderly. This intervention can serve as a relevant preventive strategy against hypertension and stroke, focusing on lifestyle modification through healthy diet and regular physical activity. The significant reduction in blood pressure highlights meaningful clinical impact, supporting the recommendation of community-based educational programs to enhance elderly quality of life. Suggestion: Sustainable DASH diet and physical activity programs should be integrated into elderly health services at the community level. Strengthening the role of families and health cadres, supported by culturally adapted modules and innovative educational media, is essential. Future research should employ more comprehensive designs, larger samples, and longer evaluation periods to provide stronger scientific evidence, while community-based programs are recommended to maintain healthy lifestyle changes among the elderly. Keywords: DASH; Diet; Elderly; Hypertension and stroke; Physical activity; Prevention Pendahuluan: Hipertensi merupakan masalah kesehatan utama pada lansia yang menjadi faktor risiko penting terhadap stroke dan penyakit kardiovaskular. Prevalensi hipertensi terus meningkat seiring bertambahnya usia, dengan pola makan tinggi natrium dan rendah serat serta kurangnya aktivitas fisik sebagai faktor risiko yang dapat dimodifikasi. Intervensi berbasis edukasi melalui pola makan Dietary Approaches to Stop Hypertension (DASH) dan aktivitas fisik teratur terbukti efektif dalam menurunkan tekanan darah, memperbaiki perilaku hidup sehat, serta meningkatkan kualitas hidup lansia. Lansia di pedesaan menghadapi keterbatasan akses informasi kesehatan sehingga pendekatan berbasis komunitas menjadi strategi penting untuk meningkatkan pengetahuan, sikap, dan perilaku dalam pencegahan hipertensi dan stroke. Tujuan: Meningkatkan pengetahuan, sikap, dan perilaku lansia dalam menerapkan gaya hidup sehat melalui edukasi dietary approaches to stop hypertension (DASH) dan aktivitas fisik. Metode: Kegiatan dilaksanakan pada 2 November 2025 di Balai Desa Tanjung Rejo Kabupaten Pesawaran, Lampung dengan melibatkan 60 lansia berusia ≥60 tahun yang dipilih menggunakan teknik purposive sampling. Desain penelitian menggunakan quasi-experimental pretest–posttest one group design, dengan intervensi berupa penyuluhan kesehatan, demonstrasi menu diet Dietary Approaches to Stop Hypertension (DASH), praktik aktivitas fisik sederhana, serta pendampingan selama dua minggu. Instrumen berupa kuesioner digunakan untuk mengukur pengetahuan dan perilaku, sedangkan tekanan darah diukur dengan tensimeter digital, kemudian dianalisis menggunakan statistik deskriptif dan inferensial uji paired t-test. Hasil: Adanya peningkatan signifikan pada pengetahuan, perilaku pola makan sehat, dan aktivitas fisik lansia setelah intervensi edukasi diet DASH dan aktivitas fisik sederhana. Mayoritas tingkat pengetahuan meningkat dari kategori cukup (40%) pada pre-test menjadi baik (70%) pada post-test, perilaku pola makan sehat dari cukup (45%) menjadi baik (60%), serta aktivitas fisik dari kurang aktif (70%) menjadi aktif (65%). Selain itu, rata-rata tekanan darah sistolik menurun dari 152 ± 12 mmHg menjadi 138 ± 10 mmHg dan diastolik dari 94 ± 8 mmHg menjadi 86 ± 6 mmHg, dengan hasil uji paired t-test menunjukkan perbedaan signifikan (p-value<0.05). Simpulan: Edukasi diet DASH dan aktivitas fisik terbukti efektif dalam meningkatkan pengetahuan, perilaku hidup sehat, serta menurunkan tekanan darah pada lansia. Intervensi ini dapat dijadikan strategi preventif yang relevan dalam pencegahan hipertensi dan stroke, dengan fokus pada perubahan gaya hidup melalui penerapan pola makan sehat dan aktivitas fisik teratur. Penurunan tekanan darah yang signifikan menunjukkan adanya dampak klinis yang bermakna, sehingga program edukasi berbasis komunitas direkomendasikan untuk mendukung peningkatan kualitas hidup lansia. Saran: Perlunya program edukasi diet DASH dan aktivitas fisik yang berkelanjutan melalui integrasi dengan layanan kesehatan lansia di masyarakat. Peran keluarga dan kader kesehatan perlu diperkuat, dengan dukungan modul berbasis budaya lokal dan media edukasi inovatif. Penelitian selanjutnya disarankan menggunakan desain lebih komprehensif, sampel lebih besar, dan periode evaluasi lebih panjang agar bukti ilmiah lebih kuat, sementara program berbasis komunitas direkomendasikan untuk mempertahankan gaya hidup sehat lansia.

Potential of lindur flour (Bruguiera gymnorrhiza) for gluten-free cookies (Kulinur) as an alternative snack for children with autism spectrum disorder Puteri, Hidayatusy Syukrina; Nurhartanto, Adhi; Dewi, Yunita Dinda
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.2871

Autism Spectrum Disorder (ASD) affects about 2.4 million individuals in Indonesia, with 500 new cases annually. Children with ASD often experience gluten and casein intolerance, leading to a restricted diet and inadequate protein and carbohydrate intakes. Lindur flour (Bruguiera gymnorrhiza), containing 2.57–2.68% protein and 80–82% carbohydrates, may serve as a local gluten-free substitute for wheat flour. This quasi-experimental study used a Completely Randomized Design (CRD) with five formulations (F0–F4) combining lindur and modified cassava (mocaf) flours. Proximate composition, gluten content (ELISA), and sensory attributes were analyzed in duplicate and evaluated using one-way ANOVA (p<0.05) and the Kruskal–Wallis test. Increasing the substitution of lindur significantly affected the moisture, ash, protein, fat, crude fiber, and carbohydrate contents. The 100% lindur formulation (F4) exhibited the highest protein (11.54%) and fiber (7.82%) contents, whereas all products were gluten-free (<3 ppm). Sensory evaluation indicated that formulations with 25–50% lindur flour (F1–F2) achieved the highest acceptability in terms of taste, texture, and overall preferences. This study is the first to utilize lindur flour in gluten-free cookie development for children with ASD, demonstrating its potential as a nutritious, locally sourced ingredient for functional food innovation in gluten-free diets

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