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

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Journal : Amerta Nutrition

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.
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.