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Karomah, Ulfatul
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Efektivitas Fortifikasi Pangan terhadap Kadar Hemoglobin pada Remaja: Tinjauan Sistematis dan Meta-Analisis: Effectiveness of Food Fortification to Anemia in Adolescents: A Systematic Review and Meta-Analysis Karomah, Ulfatul; Dewi, Ni Made Putri Kusuma; Putri, Likke Prawidya
Amerta Nutrition Vol. 8 No. 3SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 4th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3SP.2024.466-477

Abstract

Background: Anemia is still a global problem with nearly 2 billion people worldwide experiencing anemia by 2021. The population most vulnerable to anemia is adolescent girls. Anemia is prevalent in low- and middle-income countries. Food fortification is an anemia prevention strategy that is considered the most effective, economical, and able to reach the wider community. Objectives: To assess the effectiveness of iron (Fe)-fortified foods, whether or not supplemented with other micronutrients, on adolescent anemia in low- and middle-income countries. Methods: This research follows the PRISMA protocol and PICO rules. The databases used were PubMed, Scopus, Science Direct, and Cochrane. Study participants were adolescent girls aged 10-18 who received Fe-fortified food intervention. The comparison was adolescents who were given non-fortified food or a placebo. The outcome of interest was hemoglobin (Hb) level. Discussions: Of the 482 studies obtained, 10 studies were eligible, and eight studies proceeded to meta-analysis. The results of the meta-analysis showed that the mean change in Hb was higher in the intervention group compared to the control group. However, the variation between studies was heterogeneous (I2=97%, p-value<0.01). The highest mean difference value was fortification in soy sauce with 40 mg NaFeEDTA with Standardized Mean Difference (SMD)=2.88 mg/dL, while the lowest was rice fortification with SMD=0.01 mg/dL. Conclusions: This study can serve as a reference for creating intervention programs for fortification of foodstuffs to prevent anemia in adolescent girls in developing countries and upper-middle-income countries.
Gambaran Pola Asuh Orang Tua dan Perilaku Makan Balita Obesitas di Kabupaten Kebumen: Gambaran Pola Asuh Orang Tua dan Perilaku Makan Balita Obesitas di Kabupaten Kebumen Karomah, Ulfatul; Suparno, Suparno; Imani, Teguh
Amerta Nutrition Vol. 8 No. 1 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1.2024.89-97

Abstract

Background: The prevalence of overweight among under-five children in Indonesia continues to increase. According to the Indonesian Nutrition Status Survey (SSGI), in 2022, overweight among those was 3.5%, up 1.3% from 2017, while in Kebumen, it was 3.3%, up 0.9% from 2017. Overweight children have a risk of gross motor development disorders 12 times greater than normal. Currently, few health programs focus on addressing children's obesity. Objectives: To understand the parenting and eating behaviors of obese under five children, serving as a reference for the obesity prevention programs in the Regency of Kebumen. Methods: This research was a descriptive study using qualitative with an in-depth interview approach. The informants were ten individuals, consisting of parents of obese children and nutritionists or midwives from local health centers. Results: Most parents did not force their children to eat. They rarely promised anything to make the children willing to eat and often allowed them to choose their preferred foods. They provided the opportunity to increase their food portions. The frequency of main meals for children was 2 to 3 times a day, with formula milk consumption exceeding 8 bottles per day. Additionally, there was a tendency to consume high-calorie and sugary snacks. Children under one year had a history of consistently providing commercially produced complementary feeding starting at the age of 6 months. Conclusions: An education program based on parenting of demandingness and responsiveness, and appropriate eating habits, is crucial to reducing the prevalence of overweight children in the Regency of Kebumen.
Hubungan Literasi Gizi dan Pengetahuan Gizi terhadap Kejadian Stunting: A Scoping Review: Hubungan Literasi Gizi dan Pengetahuan Gizi terhadap Kejadian Stunting: A Scoping Review Wahyuni, Fani Cahya; Karomah, Ulfatul; Basrowi, Ray Wagiu; Sitorus, Nova Lidia; Lestari, Lily Arsanti
Amerta Nutrition Vol. 7 No. 3SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3SP.2023.71-85

Abstract

Background: Globally, the incidence of stunting in children under five has declined over the past few decades. However, there are regional and in-country disparities. In Indonesia, the prevalence of stunting increased from 25.7% to 30.8% between 2013 and 2018. This upward trend is associated with negative consequences such as reduced academic potential, increased risk of noncommunicable diseases, increased healthcare costs, and reduced productivity. Maternal nutrition literacy is a contributing factor to stunting. Therefore, strengthening maternal nutrition literacy can help reduce stunting. Objectives: This study aims to examine the relationship between maternal nutrition literacy and maternal nutrition knowledge with the incidence of stunting in children under five. Methods: The literature search was conducted using databases, namely PubMed, Scopus, and ScienceDirect, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Population, Intervention, Comparison, Outcome, and Study Design (PICOS) frameworks. Discussion: Only 13 out of 630 articles were eligible. Among them, four articles showed a significant correlation between nutrition knowledge and literacy with the incidence of stunting in lower-middle-income countries. In upper-middle-income countries, seven articles showed a significant correlation between nutrition literacy and knowledge with the incidence of stunting. Conclusions: There is a significant relationship between nutrition literacy and nutritional knowledge with the incidence of stunting. Nutrition literacy and knowledge can be related to infant and young child feeding, selection and preparation of nutritional and healthy foods, child growth and development, stunting prevention, access to health services, food security, and traditional food nutrition knowledge.
Co-Authors Basrowi, Ray Wagiu Dewi, Ni Made Putri Kusuma Imani, Teguh Likke Prawidya Putri Lily Arsanti Lestari Sitorus, Nova Lidia Suparno Suparno Wahyuni, Fani Cahya