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All Journal Amerta Nutrition Berita Kedokteran Masyarakat
Dewi, Ni Made Putri Kusuma
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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.
Maternal behavior in providing sweet foods and beverages to toddlers: A case study in Jembrana, Bali Dewi, Ni Made Putri Kusuma; Prabandari, Yayi Suryo
BKM Public Health and Community Medicine Vol 41 No 04 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i04.19462

Abstract

Purpose: This study aims to explore maternal behavior in providing sweet foods and beverages to toddlers in Jembrana, Bali. Method: A qualitative case study design was employed, guided by the Health Belief Model to structure data collection and analysis. Twenty participants, including mothers of toddlers and health workers, were selected using purposive sampling from two primary health centers. Data were collected through in-depth interviews and analyzed using qualitative content analysis supported by NVivo 12 Plus. Results: Maternal behavior varied in the frequency and types of sweet food and beverage provision, often influenced by perceptions of susceptibility, seriousness, benefits, and barriers. Some mothers showed low perceived susceptibility, believing their children were not at risk, while others recognized the negative health impacts. Perceived benefits included preventing illness and controlling eating habits, while barriers included limited supervision and environmental influences. Family communication, social media, and personal experiences shaped cues to action. Conclusion: Maternal behavior in feeding toddlers sweet foods and beverages is shaped by a combination of personal perceptions, family dynamics, and environmental context. Efforts to promote healthier feeding practices should address these multifaceted influences through community-based education and supportive family engagement.
Co-Authors Karomah, Ulfatul Likke Prawidya Putri Yayi Suryo Prabandari