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Agus Hendra Al Rahmad, SKM, MPH
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AcTion: Aceh Nutrition Journal
Published by Politeknik Kesehatan Kemenkes Aceh
ISSN : 25273310     EISSN : 25485741     DOI : http://dx.doi.org/10.30867
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health
AcTion: Aceh Nutrition Journal merupakan jurnal gizi dan kesehatan dengan E-ISSN 2548-5741 dan ISSN 2527-3310. Jurnal ini bertujuan untuk meningkatkan kemampuan dalam penyampaian hasil penelitian sebagai media yang dapat digunakan untuk meregistrasi, mendiseminasi, dan mengarsipkan karya peneliti tenaga gizi dan kesehatan di Indonesia, Aceh pada khususnya.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 21 Documents
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Search results for , issue "Vol 10, No 1 (2025): March" : 21 Documents clear
The effect of preoperative carbohydrate loading on pediatrics clinical conditions: Systematic Review Maudyana Nisa Pranindyasari; Leny Budhi Harti
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2208

Abstract

Preoperative fasting was implemented to reduce the gastric residual volume (GRV) and mitigate the risk of pulmonary aspiration and hyperglycemia. Hyperglycemia can contribute to systemic infections and surgical wounds in pediatric patients, potentially extending the duration of hospitalization. Preoperative carbohydrate loading within the Enhanced Recovery After Surgery (ERAS) protocol has demonstrated efficacy in reducing the risk of postoperative complications in both adult and pediatric patients. However, scientific studies focusing on pediatric patients remain limited. This study aimed to provide a comprehensive synthesis of the effects of preoperative carbohydrate loading on preoperative GRV and pre- and postoperative blood glucose levels in pediatric surgical patients. Literature was extracted using the PRISMA method, identifying relevant studies from ScienceDirect, PubMed, Sage Journal, and ProQuest databases, using predefined keywords. Articles were screened and reviewed if they included pediatric surgical patients, were randomized controlled trials (RCTs), and had a prospective design following the PICOs model, published between 2014 and 2024. The findings indicate that preoperative carbohydrate loading does not significantly affect preoperative GRV, as evidenced by the absence of residuals (0–12,7 mL), and contributes to the stabilization of pre- and postoperative blood glucose levels (<99 mg/dL). In conclusion, preoperative carbohydrate loading is safe for pediatric patients and may serve as an optimal strategy for improving postoperative outcomes. This approach is expected to support the implementation of preoperative dietary protocols for pediatric patients in hospital settings.
Effectiveness of synbiotic red dragon fruit yogurt on glucose and oxidative stress in metabolic syndrome rats Rustanti, Ninik; Armelinda, Nyoman Putri Ari; Febriandina, Kharisma Dwi; Ardiaria, Martha; Rahadiyanti, Ayu; Susilo, Mursid Tri; Pramono, Adriyan
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2231

Abstract

Metabolic syndrome is still a global health problem, especially in Indonesia. Oxidative stress is related to metabolic syndrome because it is triggered by hyperglycemia. Synbiotic yogurt containing the whole red dragon fruit has antioxidant and synbiotic potential. This study aimed to determine the effect of synbiotic yogurt with whole red dragon fruit on fasting blood glucose (FBG) and malondialdehyde (MDA) levels in rats with metabolic syndrome. The design of this study was true-experimental, with a pre-post test and randomized control group design. A total of 24 male Sprague Dawley rats were divided into four groups (K-, K+, P1, P2). Groups K+, P1, and P2 were fed a high-fat, high-fructose diet (HFHFD) for 2 weeks. Groups P1 and P2 were administered synbiotic yogurt intervention of 0,009 mL/gBB/day and 0,018 mL/gBB/day, respectively, for 4 weeks. GOD-PAP method for FBG analysis and TBARS method for MDA analysis.  Data were analyzed using the paired t-test and One-Way ANOVA test. The P1 and P2 groups experienced a significant decrease in FBG levels by 63,45% and 76,07%, respectively (p<0,001), and a significant decrease in MDA by 26,1% and 37,2%, respectively (p<0,001). In conclusion, the administration of synbiotic yogurt at 0,018 mL/gBB/day (200 mL/day for humans) for four weeks was effective in reducing FBG and MDA levels.
Fiber content evaluation and consumer preference of broiler chicken dim sum enriched with wood ear mushrooms Annisa Yumna Fauzi; Ninna Rohmawati; Lirista Dyah Ayu Oktafiani
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.1895

Abstract

Broiler chicken (Gallus domesticus) dim sum is a popular food known for its diverse composition and low fiber content. To increase fiber content, ear mushrooms (Auricularia sp.) were added to the dim sum. This study aimed to determine the fiber content, panelists' preference, and the appropriate portion of broiler dim sum as a side dish. The experimental study involved four treatment levels and six replicates with each sample weighing 20 g. This study was conducted in January, 2024. The fiber content test used an enzymatic method, whereas the preference test used a hedonic test assessed by 30 panelists. Data analysis was performed using the Friedman and Wilcoxon tests, as well as one-way ANOVA. The results showed an increase in fiber content, with the highest fiber content found in sample X3 at 2,43 grams. There were differences in color and texture (p<0,05), whereas there were no differences in taste and aroma (p>0,05). Sample X2 is the preferred sample. Therefore, the recommended portion of broiler chicken dim sum (X2) as a comfort food for men and women aged 19-29 years is two pieces. In conclusion, the addition of ear mushrooms can significantly increase the fiber content and preference of broiler chicken dim sums.
Association of dietary intake, nutritional status and physical activity on sarcopenia in pre-elderly and elderly Lestari Suryaningsih; Ani Margawati; Ahmad Syauqy
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2327

Abstract

Sarcopenia is a decrease in muscle mass, strength, and function, which has an impact on reducing physical performance and quality of life and is influenced by dietary intake and physical activity. This study aimed to analyze the relationship between diet, nutritional status, physical activity, and the incidence of sarcopenia.  A cross-sectional study was conducted in Simpati District, West Sumatra, from October to November 2024. The sample consisted of 167 pre-elderly individuals, and the elderly were selected through simple random sampling. Measurements included muscle and fat mass using a digital body composition scale, muscle strength using a handgrip dynamometer, dietary intake using the SQ-FFQ, physical activity using the GPAQ, waist circumference using a waist ruler, and physical performance assessed through the sit-to-stand test. Chi-square test and logistic regression were used for the analysis. Results: The prevalence rate of sarcopenia was 9,6%.  After adjusting for age and sex, waist circumference (p= 0,019; OR= 4,2) was associated with sarcopenia, while after adjusting for age, physical activity (p= 0,016; OR= 4,5), and waist circumference (p= 0,042; OR= 3,3) were associated with sarcopenia. After adjusting for sex, energy intake (p= 0,050; OR= 3,1), physical activity (p= 0,006; OR= 5,7), and waist circumference (p= 0,007; OR= 4,8) were associated with sarcopenia. Conclusion: Energy intake, physical activity, and waist circumference were associated with sarcopenia in elderly and pre-elderly individuals. Appropriate nutritional intervention, increased physical activity, and waist circumference monitoring are essential for sarcopenia management.
The inflammatory effects of diet, nutritional status, and severity of chronic kidney disease at Bogor City Hospital Ade Hikmah; Mira Dewi; Cesilia Meti Dwiriani; Erwindo Rinaldo
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2132

Abstract

Diet and nutritional status play an important role in chronic kidney disease (CKD). Pro-inflammatory foods are linked to a decline in kidney function, whereas the nutritional status of obesity is a risk factor for CKD. This study aimed to analyze the relationship between  (DII), nutritional status, and CKD severity. This cross-sectional study was conducted between April and May 2023 at Bogor City Hospital.  A total of 64 patients with CKD were selected using accidental sampling.  Consumption data were collected from the SQ-FFQ, nutritional status was assessed using Body Mass Index (BMI), and disease severity was assessed using creatinine and estimated glomerular filtration rate (eGFR) levels. Data were analyzed using ANOVA, Kruskal-Wallis, Pearson, and Spearman correlation tests. Results: All subjects had positive DII scores, their nutritional status was mostly in the normal range (59,4%), and almost all subjects had CKD stage 5 (95,3%). No relationships were found between the DII score and creatinine level (p= 0,986) and eGFR (p= 0,359). There was also no relationship between nutritional status and creatinine (p= 0,985 ) and eGFR (0,442). In conclusion, a positive DII score indicated that all subjects consumed more pro-inflammatory foods. Actions are needed to get CKD patients with CKD  who consume more anti-inflammatory foods.
Literature Review: Correlation of decreased glomerular filtration rate to malnutrition risk in pre-dialysis chronic kidney disease patients Yenny Darmawaty Pangaribuan; Inggita Kusumastuty
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2209

Abstract

Chronic kidney disease (CKD) is a condition characterized by a decreased glomerular filtration rate (GFR), which can cause the breakdown of protein reserves, resulting in malnutrition. This study aimed to determine the mechanism underlying the relationship between decreased GFR and the risk of malnutrition in pre-dialysis CKD patients.  Scoping review method using PubMed, ScienceDirect, and SpringerLink databases with the criteria of articles published from 2014 to 2024 and using RCTs or cross-sectional studies. Relevant articles were selected through the PRISMA method. The results showed that a decrease in GFR was strongly associated with malnutrition in pre-dialysis CKD through three main mechanisms: increased protein catabolism, decreased serum creatinine/cystatin C ratio, and increased number and diversity of drug prescriptions. Malnutrition due to changes in GFR can be observed through BMI, MUAC, muscle and fat mass, and handgrip strength. In conclusion, the lower the GFR, the higher the risk of malnutrition in pre-dialysis CKD and the lower the BMI value and MUAC size, reduced muscle mass and fat, and decreased handgrip strength and worsening kidney function, as indicated by the lower GFR.
Tradition and nutrition: How Aceh’s culture shape child condition Nouval Ramadhan; Rosaria Indah; Marisa Marisa
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.1681

Abstract

The prevalence of stunting cases in Aceh is still very high at 29,4% (2023).  One of the social factors that influence stunting is the local culture in feeding practices. This study aimed to determine the culture that influences feeding practices among children diagnosed with stunting. Qualitative research using ethnographic tools was conducted in Kota Sigli, Aceh in 2022. Data were collected through 112 hours of observation, semi-structured interviews with eight mothers of stunted children, and informal interviews with five community leaders. The data were analyzed using NVivo, and several themes were generated. Results: Child-feeding culture in Aceh plays a role in child growth, both positively and negatively. The tradition of peucicap with dates and breast milk contributes to gut health through the production of bacteriocins that inhibit the growth of pathogenic bacteria. The 'rice and water' belief encourages breastfeeding from both breasts, increasing colostrum production. The consumption of star gooseberry leaves and banana rice mix contributes to increased weight gain in children. However, some practices, such as ie mom adék and poor hygiene habits, can have a negative impact. Meanwhile, other cultures, such as peutrôn tanôh and superstitious beliefs, tend to be neutral towards child growth. In conclusion, the local culture in Aceh influences the feeding of stunted children, with positive, negative, or neutral effects, depending on practices such as peucicap, consumption of star gooseberry leaves, or poor hygiene.
Effect of energy adequacy level and hydration status on occupational fatigue in fisherman Delina Krisnauli Safitri; Nur Fitri Widya Astuti; Ana Islamiyah Syamila
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2005

Abstract

Fatigue is a risk factor that can reduce the health status of workers and cause accidents. Fatigue can be caused by inadequate energy and hydration levels. This study aimed to determine the relationship between the level of energy adequacy, hydration status, and work fatigue among fishermen in Puger Wetan Village in February to April 2024. This was a cross-sectional study of 106 fishermen.  The data collected were fisherman’s characteristics, Swedish Occupational Fatigue Index (SOFI), self-urine check card, and 2×24 hour food recall. Data were analyzed using Spearman’s rank correlation test. The results showed that more than half (54,7%) of the fishermen experienced moderate fatigue and mild dehydration (41,5%). In addition, the level of energy adequacy (p < 0,0001; r=-0,449) and hydration status (p= 0,003; r= 0,289) were correlated to occupational fatigue. The conclusion is that there is a significant relationship between energy sufficiency and hydration status to   occupational fatigue among fishermen. Fishermen are expected to focus on consuming a variety of foods with balanced nutrition and sufficient body fluid intake. Future research should explore other factors related to occupational fatigue, such as workload, job stress, shift work, and sleep quality.
Factors influencing the nutritional status of children aged 6–23 months based on the Composite Index of Anthropometric Failure (CIAF) Rizki Maulidya; Zulfan Zulfan; Sarah Nadya; Amelia Zahara
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2094

Abstract

Lhokseumawe City still experiences the nutritional problems of being underweight, stunting, and wasting, so it is necessary to know the factors that cause it, especially in the Banda Sakti Health Center. The aim of this study was to determine the factors that affect the nutritional status of children aged 6-23 months according to the Composite Index of Anthropometry (CIAF). This cross-sectional study was conducted at the Banda Sakti Health Center in 2023. A total of 314 children aged 6-23 months were randomly selected. Data were collected via interviews, questionnaires, and anthropometric measurements (weight and height). Nutritional status data were processed using WHO Anthro 2005 software. Data were analyzed using the chi-squared test and logistic regression analysis. Results: The prevalence of growth failure in children at Banda Sakti Health Center was 23,2%. The determinants of growth failure were ANC (p=0,000; OR=20,8), birth weight (p=0,000; OR=8,44), complementary feeding diversity (p=0,000; OR=10,3), animal protein consumption (p=0,000; OR=17,23), and complete immunization (p=0,000; OR=4,41). Antenatal Care (ANC) examination was the dominant factor affecting the incidence of growth failure in children aged 6-23 months (OR= 20,8). In conclusion, incomplete ANC examination is the dominant factor associated with the incidence of growth failure in children aged 6-23 months at the Banda Sakti Health Center, Lhokseumawe City.
Formulation of functional instant pumpkin cream soup with moringa leaves as nutritional support for breastfeeding mothers Atikah Fajriani; Sri Anna Marliyati; Budi Setiawan
AcTion: Aceh Nutrition Journal Vol 10, No 1 (2025): March
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.v10i1.2200

Abstract

The exclusive breastfeeding rate has declined, partly due to mothers' perceptions of inadequate breast milk production. Optimal nutrition is crucial to enhance breast milk production. This study aimed to develop instant pumpkin cream soup with moringa leaves, which contains beta-carotene, flavonoids, and phenols as galactagogues and supports meeting the nutritional needs of breastfeeding mothers. Conducted from January to April 2024 in Bogor, West Java, the study used a Randomized Design (CRD) with moringa leaf concentrations of 1%, 2%, and 3%. A sensory evaluation by 35 semi-trained panelists indicated that the highest moringa concentration (F3) achieved the best taste, consistency, and overall acceptability scores. Statistical analysis revealed significant differences in moisture and protein contents between fresh and instant cream soups (p<0,05). The selected formula contained 0,22 mg/g iron, antioxidant activity (IC50:167,79 ppm), 50,95 mg GAE/g total phenols, 20,33 mg QE/g total flavonoids, and 40,50 mcg/g beta-carotene, with a protein digestibility of 43,57%. One serving (25 g) of cream soup provided 5% of the Recommended Dietary Allowance (RDA) for breastfeeding mothers. In conclusion, cream soup formula with 3% moringa leaves was the most preferred, containing nutrients and antioxidants that support increased breast milk production and meet the nutritional needs of breastfeeding mothers.

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