Astuti Nur
Department of Nutrition, Poltekkes Kemenkes Kupang, Indonesia

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Body Image and Macronutrient Intake as Predictors of Chronic Energy Deficiency in Adolescent Girls: A Cross-Sectional Study Yustina Eno Bei; Astuti Nur; Asmulyati S Saleh
Journal of Community Nutrition Intervention Vol. 1 No. 1 (2025)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jcni.v1i1.1197

Abstract

Chronic Energy Deficiency (CED) is a serious nutritional problem to which adolescent girls are susceptible, and it can have detrimental effects on health and productivity. The prevalence of CED in Indonesia, particularly in Nusa Tenggara Timur (NTT), remains high. The factors causing CED are multifactorial, including direct factors such as macronutrient intake and indirect factors such as body image, which can trigger unhealthy dieting behaviors. This study aimed to analyze the relationship between body image and intake of energy, protein, fat, and carbohydrates with the incidence of CED in adolescent girls at SMAN 7 Kupang. This quantitative study employed a cross-sectional design and was conducted from February to June 2025 at SMAN 7 Kupang. A sample of 93 female students from grades X and XI was selected using the Simple Random Sampling technique. Body image data were collected using the MBSRQ-AS questionnaire, macronutrient intake using a 24-hour food recall form, and CED status was measured with a Mid-Upper Arm Circumference (MUAC) tape (cutoff <23.5 cm). Data analysis was performed using the chi-square test at a significance level of p<0.05. The majority of respondents were aged 15-16 years (66.7%) and came from families with income below the regional minimum wage (77.4%). Bivariate analysis results showed a significant relationship between negative body image (p=0.009), insufficient energy intake (p=0.016), insufficient protein intake (p=0.000), insufficient fat intake (p=0.024), and insufficient carbohydrate intake (p=0.030) with the incidence of CED.
The Relationship Between Maternal Self-Efficacy and Feeding Patterns and the Incidence of Wasting among Children Under Five at the Penfui Community Health Center Margarince Katupu; Astuti Nur; Asweros Umbu Zogara
Journal of Community Nutrition Intervention Vol. 1 No. 2 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jcni.v1i2.1228

Abstract

Wasting remains a serious public health problem in Indonesia, particularly in East Nusa Tenggara Province. Maternal factors, such as self-efficacy (confidence in one’s own abilities) and feeding practices, are believed to play a crucial role in determining young children's nutritional status. This study aimed to analyze the relationships among maternal self-efficacy, feeding patterns, and the incidence of wasting among children under five in the working area of the Penfui Community Health Center. An observational analytic study with a cross-sectional design was conducted. A total of 56 children were selected using simple random sampling. Maternal self-efficacy and feeding patterns were assessed using structured questionnaires, and wasting status was determined from anthropometric measurements using the weight-for-height index (WH). Data were analyzed using the chi-square test with a significance level of p < 0.05. The results showed a statistically significant association between maternal self-efficacy and the incidence of wasting (p < 0.05). The association between feeding patterns and wasting could not be statistically analyzed because the sample was entirely homogenous, with all respondents reporting appropriate feeding practices. In conclusion, maternal self-efficacy is an important factor associated with wasting among children under five. Therefore, nutrition interventions should emphasize strengthening maternal capacity and confidence in implementing appropriate child-feeding behaviors.