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All Journal JOURNAL OF Mother and Child Health Concerns
RR. Ratnasari Dyah Purnomowati
Politeknik Kesehatan Tanjung Karang
Health Professions Nursing Public Health

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Child protein score as an indicator of stunting risks Antun Rahmadi; RR. Ratnasari Dyah Purnomowati
THE JOURNAL OF Mother and Child Health  Concerns Vol. 4 No. 9 (2025): December Edition
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v4i9.1910

Abstract

Background: Stunting remains a major nutritional problem in Indonesia, with a prevalence of 19.8%. One of the key determinants of linear growth in young children is protein quality; however, dietary assessments have largely focused on intake quantity or food diversity, while the biological quality of protein is rarely considered. Purpose: To develop and validate the Toddler Food Protein Score (TFPS) as a practical instrument for assessing protein quality and examining its association with stunting risk. Methods: A cross-sectional study was conducted among 109 children aged 6–59 months attending primary health centers, recruited through consecutive sampling. The sample consisted of 49 stunted and 60 non-stunted children. Stunting status was determined using height-for-age z-scores, while protein quality was assessed using the TFPS derived from a Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ). Data analysis included chi-square tests, logistic regression, and ROC curve analysis. Results: The prevalence of stunting was 44.9%, and TFPS scores were significantly lower among stunted children than non-stunted children (2.4 ± 1.1 vs. 3.9 ± 1.2; p < 0.001). ROC analysis yielded an AUC of 0.79 (95% CI: 0.71–0.87; p < 0.001) with a cut-off ≤3. Multivariate logistic regression showed that children with TFPS ≤3 had a 3.3-fold higher risk of stunting (OR = 3.30; 95% CI: 1.50–7.50; p = 0.004). Conclusion: The TFPS is a valid, discriminative, and practical tool that has potential for use as a stunting risk screening instrument in primary healthcare settings.
Intake of simple sugars as a risk factor for decay in permanent first molars in children Sutrio Sutrio; Antun Rahmadi; RR. Ratnasari Dyah Purnomowati; Dewi Sri Sumardilah; Roza Mulyani
THE JOURNAL OF Mother and Child Health  Concerns Vol. 5 No. 2 (2026): May Edition 2026
Publisher : Indonesian Public Health-Observer Information Forum (IPHORR) Kerjasama dengan Persatuan Perawat Nasional Indonesia (PPNI)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56922/mchc.v5i2.3300

Abstract

Background: Dental caries remains one of the most prevalent oral health problems among school-aged children globally, including in Indonesia. Excessive intake of simple sugars is a major risk factor for dental caries, particularly in the first permanent molars, which erupt early and possess deep pits and fissures that facilitate plaque retention. Purpose: to analyze the relationship between simple sugar intake and the incidence of first permanent molar caries among elementary school students in a stunting locus village in Negeri Sakti. Method: A cross-sectional study was conducted from July to August 2025 involving 150 fourth- and fifth-grade students selected through total sampling. Simple sugar intake was assessed using a 24-hour food recall and analyzed with NutriSurvey. Dental caries examination of the first permanent molars was performed clinically by dental health professionals. Data were analyzed using the Chi-Square test with a significance level of p < 0.05 and Odds Ratio (OR) to determine risk magnitude. Results: Children with high simple sugar intake had a significantly higher risk of developing first permanent molar caries compared to those with low intake (OR = 3.57; p = 0.001). Conclusion: There is a significant relationship between simple sugar intake and the incidence of first permanent molar caries among elementary school children. Reducing simple sugar consumption may play a crucial role in preventing dental caries, particularly in high-risk populations living in stunting locus areas.
Co-Authors Antun Rahmadi Dewi Sri Sumardilah Roza Mulyani Sutrio Sutrio