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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) JURNAL KESEHATAN LINGKUNGAN (Journal of Environmental Health) AcTion: Aceh Nutrition Journal Amerta Nutrition
Rian Diana
1. Program Of Nutrition Science, Graduate School, IPB University, Bogor 16680, Indonesia; 2. Department Of Nutrition, Faculty Of Public Health, Universitas Airlangga, Surabaya 60115, Indonesia
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Other

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Risk Factors of Hypertension among Adult in Rural Indonesia Rian Diana; Naufal Muharam Nurdin; Faisal Anwar; Hadi Riyadi; Ali Khomsan
Jurnal Gizi dan Pangan Vol. 13 No. 3 (2018)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.978 KB) | DOI: 10.25182/jgp.2018.13.3.111-116

Abstract

The aim of this study was to analyse the risk factors of hypertension among adult in rural Indonesia. This cross-sectional study included 112 married couples (112 men and 112 women) aged 45-59 years old and was conducted in Cianjur District, West Java, Indonesia. The measurement of body weight and fat composition used Bioelectrical Impedance Analysis (BIA) monitor (OMRON® Karada Scan Body Composition Monitor HBF-358-BW). Body height was measured by stadiometer, meanwhile waist circumference was measured by measuring tape. Data on the blood pressure measured by an automatic blood pressure monitor (OMRON® Automatic Blood Pressure Monitor Model HEM-7200). All measurement were done twice in repetition. Chi-square was used to analysed the association between variables and logistic regression was used to analyse the risk factors. The prevalence of hypertension was 49.1% (women 54.5%; men 43.7%). Women had a higher proportion of overweight, obesity, abdominal obesity, and hypertension stage 2 than men. BMI (p<0.05), waist circumference (p<0.05), total body fat (p<0.05), and visceral fat (p<0.05) were significantly higher in hypertension subject than not hypertension. Nonetheless, only waist circumference became the risk factor for hypertension (OR=4.005; 95%CI:1.47-10.914 for high risk). There is high prevalence of hypertension among adult in rural area. Adult, particularly women need to pay attention on their body fat to reduce the risk of hypertension.
SMOKING HABIT, PHYSICAL ACTIVITY AND HYPERTENSION AMONG MIDDLE AGED MEN[Kebiasaan Merokok, Aktifitas Fisik, dan Hipertensi pada Laki-laki Dewasa] Rian Diana; Ali Khomsan; Naufal Muharam Nurdin; Faisal Anwar; Hadi Riyadi
Media Gizi Indonesia Vol. 13 No. 1 (2018): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (541.37 KB) | DOI: 10.20473/mgi.v13i1.57-61

Abstract

Hypertension is a global public health problem. Hypertension prevalence increasing with age, particularly in middle aged men. It is important to identify the modifiable risk factors. The aim of this study was to analyse the correlation of smoking habit, physical activity, and hypertension among middle aged men. This study was conducted in Cianjur District, West Java. 112 men aged 45-59 years old were participated in this cross sectional study. Automatic blood pressure (OMRON Model HEM-7200) was used to measure blood pressure. 24-hour physical activity recall was used to assess physical activity (PA). The correlation between smoking habit and hypertension was analyzed by Chi Square.  The correlation between physical activity and hypertension was analyzed by Spearman.  This study found that 83.9% subjects had smoking habit.  More than half of the subjects (57.2%) had heavy PA. Almost half of the subjects (43.7%) were hypertension. Median of systolic 135.0 mmHg and diastolic 85.0 mmHg. There was a significant correlation between smoking habit (p=0.039) and physical activity (p=0.025) with hypertension. Smoking habit and physical activity correlate with hypertension. Having a moderate to vigorous physical activity regularly particularly in smokers among middle aged men are recommend for decreasing the prevalence of hypertension.
KETOGENIC DIET FOR WEIGHT LOSS AND ITS IMPLICATION ON HEALTH: A LITERATURE STUDY Rian Diana; Dominikus Raditya Atmaka
Media Gizi Indonesia Vol. 15 No. 3 (2020): JURNAL MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v15i3.184-193

Abstract

The prevalence of obesity has increased signifi cantly and it has become a public health problem globally. Many strategies were done to overcome obesity. One of them is dietary approach. The popular and widely used weight loss diet is the ketogenic diet. This literature review aimed to discuss the mechanism of ketogenic diet in weight lost as well as its long and short term eff ects on health. Ketogenic diet is a very low-carbohydrate and high-fat diet. This diet restricts the carbohydrate intake up to 50 gram per day. The diet eff ective for losing weight in short term (<6 months), after 6 months there was no signifi cant diff erences compared to other wight-loss diet. Study shows ketogenic diet gives both benefi cial and harmful eff ects in short and long term for ketogenic dieters. This diet is not applicable for anyone, thus people with chronic diseases should receive guidance from dietitian or clinician in implementing this diet. Ketogenic dieters are suggested to replace their carbohydrate intake with complex carbohydrate (whole food-not refi ned), reduce animal-based protein, increasing plant-based protein and polyunsaturated fat, water, fermented foods and beverages.
Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia Rian Diana
Amerta Nutrition Vol. 4 No. 4 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i4.2020.326-334

Abstract

Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously.  Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM.  There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and  social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.
Sugar Intake and Cancer: A Literature Review Nikmah Utami Dewi; Rian Diana
Amerta Nutrition Vol. 5 No. 4 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i4.2021.387-394

Abstract

 ABSTRACTBackground: Cancer is the second leading cause of death after heart disease globally (total death 9.6 million). Cancer prevalence is increasing in Indonesia from 1.4 per 1000 people in 2013 to 1.79 per 1000 people in 2018. Diet is linked with cancer prognosis, particularly carbohydrate intake which stimulates insulin signals that can be potent mitogens.Purpose: This literature review aims to examine sugar intake and cancer incidence.Method: This literature review (traditional review) using the keywords “cancer”,” sugar”, “carbohydrate”, “insulin” and “hyperinsulinemia” in the Sciencedirect database and Google search engine. The inclusion criteria were peer-review articles or documents from credible national and international institutions, the literature uses English or Bahasa (Indonesian Language). The exclusion criteria were that the literature had similar content or redundant with other literature.Result: Sugar increases insulin resistance which enhances the levels of bioactive IGF-I that contribute to raising the risk of cancer. Prolonged hyperinsulinemia reduces the production of growth-promoting factors such as IGFBP-1 and IGFBP-2 which normally bind to and inhibit the action of IGF-I with resultant increases in the levels of free, bio-active IGF-I, and concomitant changes in the cellular environment that favor cancer development, proliferation, and metastatic cancer cells.Conclusion: The mechanism of insulin and IGF-1 stimulate and accelerate cancer cell proliferation may explain the relationship between sugar intake and cancer incidence. Adopting a balanced diet, changing or decreasing sugar intake with healthier food coupled with increased physical activity  reduces the risk of cancer. 
“Apakah Tubuhku Terlihat Baik?” Analisis Fenomena Swafoto pada Social Networking Sites dengan Eating Disorders : Systematic Review Qonita Rachmah; Dominikus Raditya Atmaka, S.Gz, MPH; Stefania Widya Setyaningtyas; Mahmud Aditya Rifqi; Rian Diana; Nila Reswari Haryana; Aliffah Nurria Nastiti; Asri Meidyah Agustin
Amerta Nutrition Vol. 6 No. 3 (2022): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i3.2022.306-314

Abstract

Latar Belakang: Penggunaan sosial media dapat membawa dampak negatif kaitannya dengan ketidakpuasan akan bentuk tubuh dan arahan menuju ke kekurusan (drive to thinness) terutama pada perempuan muda, perhatian belebih pada citra tubuh (body image concern), dan berbagai isu terkait kebiasaan makan yang salah. Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan kebiasaan mengunggah swafoto pada Social Networking Sites (SNS) dengan kejadian eating disorders pada sejumlah negara serta faktor-faktor yang mungkin mempengaruhi. Ulasan:  Kondisi eating disorders sering tidak disadari oleh individu, terutama pada kelompok remaja dan dewasa muda. Data terkait prevalensi eating disorders di Indonesia juga sangat terbatas, padahal, penggunaan media sosial di kalangan remaja dan dewasa muda Indonesia semakin meningkat seiring dengan mudahnya akses internet dan perkembangan platform media sosial. Dari review sistematik yang dilakukan, hanya satu studi yang mendapatkan keterkaitan antara unggahan swafoto (selfie) dengan eating disorders, yaitu bulimia. Namun, hampir semua memiliki kesimpulan bahwa penggunaan sosial media berkaitan dengan rendahnya kepercayaan diri,   ketidakpuasan terhadap bentuk tubuh, citra diri negatif, serta berkaitan dengan karakteristik restriksi pola makan berlebihan. Kesimpulan: Telaah sistematik ini dapat menjadi acuan untuk pengembangan penelitian kedepan dengan memperhatikan fenomena sosial, penggunaan sosial media dan kaitannya dengan eating disorders maupun status gizi remaja dan dewasa awal.
Roles of Vitamins in Immunity and COVID-19: A Literature Review Nila Reswari Haryana; Qonita Rachmah; Mahmud Aditya Rifqi; Rian Diana; Dominikus Raditya Atmaka; Stefania Widya Setyaningtyas; Aliffah Nurria Nastiti; Asri Meidyah Agustin
Media Gizi Indonesia Vol. 17 No. 3 (2022): JURNAL MEDIA GIZI INDONESIA (NATIONAL NUTRITION JOURNAL)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v17i3.224-233

Abstract

SARS-CoV-2 is a severe acute respiratory virus that causes Coronavirus Disease-19 (COVID-19). Even before the COVID-19 pandemic, diet was undeniably important in immunity. In order to be more resilient during and after the pandemic, understanding the role of vitamins is crucial. This review aims to explore the role of vitamins in supporting the immune system and its correlation to COVID-19. The article search was done using five electronic databases (i.e., Google Scholar, Semantic Scholar, ScienceDirect, PubMed, and PMC). Some of the keywords utilized in the literature search were “vitamin A and immunity” OR “vitamin B and immunity” OR “vitamin C and immunity” OR “vitamin D and immunity” OR “vitamin E and immunity”. A total of 51 articles was assessed in this literature review. Research finds vitamin A plays a role in both innate immune system cell function and humoral immunity by regulating, differentiating, and maturing immune system cells. Vitamin B complex primarily reduces inflammation by lowering serum C-reactive protein levels (CRP), while vitamin C strengthens epithelial barriers, phagocytes, T and B lymphocytes, and inflammatory mediators, to improve the immune system. Vitamin D acts as a mediator in the vitamin D receptor (VDR), an inner immune system component that regulates the humoral and adaptive immune systems through unique genetic transcriptions. Finally, vitamin E acts as an antioxidant, lowering the production of reactive oxygen and nitrogen species (ROS and RNS). In conclusion, all vitamins are essential in improving individual’s immune system that prevent from infectious diseases including COVID-19.
HOUSEHOLD FOOD WASTE POLICY: A LITERATURE REVIEW Rian Diana; Drajat Martianto; Yayuk Farida Baliwati; Dadang Sukandar; Agung Hendriadi
JURNAL KESEHATAN LINGKUNGAN Vol. 14 No. 4 (2022): JURNAL KESEHATAN LINGKUNGAN
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jkl.v14i4.2022.218-228

Abstract

Introduction: Food waste (FW) is a serious problem and significantly impacts the environment, economy, and social. Globally, the average FW reaches 121 kg/ capita/year, and households are the main contributors to FW. Several countries have implemented various strategies to prevent household FW. This review aims to explore the household FW prevention policies and their potential to be implemented in Indonesia. Discussion: Three strategies have been widely applied worldwide, including economic incentives, regulations, as well as FW awareness and behavior campaigns. In this case, the economic incentives include landfill tax, incineration tax, and Pay-As-You-Throw (PAYT). Many laws and regulations have been implemented related to waste management, food, economics, and those regulations are either directly or indirectly related to FW. The awareness and behavior change campaign is the most widely applied strategy to prevent household FW globally. Conclusion: Well-designed policies and regulations supported by education and awareness campaigns are the potential strategies for household food waste reduction and prevention in Indonesia.
Household food insecurity and children dietary diversity during the COVID-19 outbreak Suryana Suryana; Lalu Juntra Utama; Yulia Fitri; Andi Eka Yunianto; Rian Diana; Bustami Bustami
AcTion: Aceh Nutrition Journal Vol 8, No 2 (2023): June
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.v8i2.713

Abstract

The COVID-19 pandemic raises the likelihood of food insecurity and affects the nutritional status of children. This study aims to examine the relationship between household food poverty and children's dietary diversity. The cross-sectional study has done at Lhokseumawe City and North Aceh District. A sample of 289 children aged 12–59 months participated in this study. The Food Insecurity Experience Scale (FIES) was used to measure household food insecurity. Meanwhile, the Individual Dietary Diversity Score (IDDS) was done to assess children's dietary diversity. The Chi-square was employed to analyze the association between household food insecurity and children's dietary diversity. The prevalence of household food insecurity was 8,3%, consisting of 5,5% moderate food insecurity and 2,8% severe food insecurity. Most children had diverse food consumption (88,6%). However, 11,4% of children had low dietary diversity. Household food insecurity was significantly correlated with children's dietary diversity (p= 0,002). Conclusion, the COVID-19 pandemic indirectly impacts household food insecurity, which can worsen the condition of food consumption for toddlers, especially regarding diversity in food consumption. A strategy is required to assist food-insecure households to maintain and increase children's dietary diversity.
Kebiasaan Makan Balita dan Ketahanan Pangan Rumah Tangga di Daerah Kesetaraan Gender Rendah dan Tinggi di Indonesia: Children’s Food Habits and Food Security among Households in Low and High Gender Equality in Indonesia Ikeu Tanziha; Ali Khomsan; Titik Sumarti; Resa Ana Dina; Rian Diana; Yeni Rohmaeni
Amerta Nutrition Vol. 7 No. 3 (2023): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i3.2023.365-376

Abstract

Backgrounds: More women experience gender inequality even though they play a significant role in household food security. Women have more limited access to education and employment opportunities, thus affecting economic autonomy and lower bargaining power within the household. Gender inequality experienced by women has an impact on household food insecurity. Objectives: To analyze differences in the eating habits of families and children under five and household food security among households with high and low gender equality. Methods: This cross-sectional study was conducted in areas of low and high gender inequality in Indonesia. A total of 303 households with children under five participated in this study. Data collection included family characteristics, Household Food Insecurity Access Scale (HFIAS), and families and children's eating habits. The Mann-Whitney difference test examined the differences between variables in two areas. Results: Food insecurity prevalence in low gender equality areas (moderately food insecure 45.6%, severe 23.8%), significant differences (p<0.05) within high gender equality areas (moderately food insecure 34.6%, severe 17.3%). Families in areas of high gender equality, more frequently eating three meals a day (p<0.001), eating together (p=0.003), husbands (p<0.001), and children (p<0.001), have a higher role as menu deciders. There were significant differences (p<0.05) in the eating habits of children under five in the two areas. Conclusions: Households in low gender equality areas are more food insecure and have low-income family eating habits than high gender equality areas. Therefore, special attention is needed from the government to improve gender equality through increased education and women's economic empowerment.
Co-Authors Agung Hendriadi Ali Khomsan Anisa Lailatul Fitria Asri Meidyah Agustin Asri Meidyah Agustin Asri Meidyah Agustin Azizah Ajeng Pratiwi Bustami Bustami Dadang Sukandar Dominikus Raditya Atmaka Drajat Martianto Faisal Anwar Fatqiatul Wulandari Hadi Riyadi Haryana, Nila Reswari Ikeu Tanziha Mahmud Aditya Rifqi Nandia Firsty Dhorta Nastiti, Aliffah Nurria Naufal Muharam Nurdin Nikmah Utami Dewi Nila Reswari Haryana Rachmah, Qonita Resa Ana Dina Stefania Widya Setyaningtyas Suryana Suryana Tiara Tivany Simangunsong Titik Sumarti Utama, Lalu Juntra Yayuk Farida Baliwati Yeni Rohmaeni Yulia Fitri Yunianto, Andi Eka