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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 31 Documents
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Search results for , issue "Vol 10, No 2 (2025): June" : 31 Documents clear
Application of an information system for inpatient nutrition management: An implementation study based on the Indonesian Minister of Health Regulation No. 26/2013 Lelyana, Nora; Sarjito, Aris
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2554

Abstract

Nutritional management of hospitalized patients is critical for improving the quality of hospital services. The Indonesian Ministry of Health Regulation No. 26 of 2013 established standards for hospital nutrition management; however, its implementation has not been fully documented through digital systems. This study aimed to examine the application of information systems for inpatient nutrition management based on Regulation No. 26/2013. A descriptive qualitative approach was employed using content analysis of secondary data, including policy documents, nutrition unit reports, and outputs from hospital nutrition information systems in a Type B hospital from 2021 to 2023. The hospital was selected purposively based on the criterion of using a nutrition information system for a minimum of two years. The results showed that most components of the nutrition care strategy, such as initial assessment and diet provision, complied with regulatory standards, with over 80% of patients assessed within 24 h and 92,5% of diets appropriately provided. However, digital documentation of nutrition interventions and evaluations remained suboptimal (<40%), mainly because of manual recordkeeping, high workload, and limited training. In conclusion, although progress has been made in the implementation of nutrition management strategies, significant gaps remain in digital documentation. Strengthening information systems, improving human resource capacity through training, and routine monitoring are necessary to ensure compliance with the national standards.
The impact of vegan diet for 21 days on blood uric acid level in adults Tjan, Alvina Putri; Nasution, Fitriyani
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2260

Abstract

One of the risk factors for hyperuricemia is consumption of purine-rich foods. Plant-based sources, such as nuts and legumes, have high amount of purine, in which it is commmonly consumed by vegan’s. The aim of this study is to examine the impact of vegan diet for 21 days on serum uric acid (UA) levels. This research used cross-sectional design. Data were collected from secondary data in Jingsi Books and Café, from October 2021 until January 2022. The population of the study is derived from 21 days vegan diet program by Tzu Chi Buddhist Association with total sample of 95 by using total sampling method. The data in this study is grouped according to age (<50 and ≥50 years old), gender, and both. The statistical test that is used is paired T-tests. The results showed that serum UA (mg/dl) increased in female (both age groups) and male <50 years old with increased mean 0,3, 0,2, and 0,4. For male aged ≥50 years old, there’s reduction in serum UA with reduction mean 0,1. The result is clinically significant with p-value 0,001. In conclusion, 21-day vegan diet increases serum UA levels in all populations, except for male ≥50 years old.
A qualitative study on strategies to overcome demotivation, burnout, and boredom in weight loss among women in reproductive age Mileniati, Fajriati Ramadhini Nur; Nugroho, Fajar Ari; Kurniasari, Fuadiyah Nila
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2332

Abstract

The rising prevalence of obesity among adults, particularly women, highlights the need for effective weight management strategies. While previous studies have explored weight loss adherence, limited research has focused on the psychological strategies that reproductive-age women use to maintain their motivation in diet and physical activity. This qualitative study was conducted from September until October 2024 and employed a narrative approach, involving in-depth interviews with six key informants in Bandung City who had experienced or participated in a weight loss program. Additional informants were also included to support the triangulation method. Data were thematically analyzed using NVivo 12 for coding and Microsoft Excel for data tabulation. The study revealed five strategies for overcoming demotivation, burnout, and boredom. (1) Reflecting on Achievements, (2) taking a break for a while, (3) embracing the flexibility of diet and physical activity, (4) remembering the motivation they started to lose weight, and (5) adjusting the intensity of exercise. In conclusion, reflecting on achievement could be a strategy to overcome demotivation, burnout, or boredom during the weight loss journey. Nevertheless, the effectiveness of these strategies depends on individual characteristics. Personalized approaches to weight loss programs can be integrated into community-based initiatives and healthcare practices to enhance long-term adherence through group support, educational campaigns, coaching in healthier eating practices, and stress management.
Association of chronotype, breakfast habits, and sleep quality with BMI-for-Age in adolescents Selviana, Tasya Ardia; Lestari, Anik; Pamungkasari, Eti Poncorini
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2450

Abstract

Adolescence is prone to nutritional imbalances. Research in SMPN 18 Surakarta showed that 50% of adolescents were thinned, 10% were overweight, and 3,3% were obese. This study aimed to analyze whether chronotype, breakfast habits, and sleep quality contribute to malnutrition among adolescents. This research was conducted in Surakarta City between November 2024-January 2025 and used a cross-sectional as the design with multistage sampling. The Lemeshow Formula showed that the minimum sample size was 106. The instruments used were MEQ, Breakfast Habits, and PSQI questionnaires as well as body weight and height measurements. Kolmogorov-Smirnov test showed that the data is normally distributed. Pearson used as the bivariate test and multiple linear regression as the multivariate test. There was no correlation between chronotype (p = 0,900; r = 0,011), breakfast habits (p = 0,298; r = 0,087), and sleep quality (p = 0,420; r = 0,067) and BMI-for-age. There was no correlation between all independent variables and the dependent variable (F = 0,585). This research concluded that there is no correlation between chronotype, breakfast habits, and sleep quality with BMI-for-age in adolescents. However, further research with more diverse subjects and lifestyle variables is required to confirm these findings.
Determinants of malnutrion in children aged 6-36 months Meliati, Linda; Rahfiludin, Mohammad Zen; Kartini, Apoina; Jati, Sutopo Patria
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2399

Abstract

Stunting in children increases their risk of mortality, cognitive impairment, motor development, and poor body function. This study aimed to examine the relationship between low birth weight, low birth length, sex, age, and weight growth status and the prevalence of stunting, underweight, and wasting in children aged 6–36 months in West Lombok Regency, Indonesia. Methods: A cross-sectional study was conducted between November 2023 and May 2024 with 544 children. Secondary data were obtained from two community health centers in the study area. Data analysis was performed using the Spearman correlation test and chi-square test. Results: Birth weight and length were significantly associated with nutritional status in children. Higher birth weight was positively correlated with a better weight-for-age Z-score (WAZ; p = 0,001), height-for-age Z-score (HAZ; p = 0,009), and weight-for-height Z-score (WHZ; p = 0,0001), indicating a strong influence on overall growth and nutritional outcomes. Similarly, a greater birth length was significantly associated with WAZ (p = 0,0001), HAZ (p = 0,002), and WHZ (p = 0,006). Age was also correlated with HAZ (p = 0,005) and incidence of stunting (p = 0,0001), suggesting an age-related cumulative effect on linear growth. Moreover, children with low birth weight had a significantly higher risk of stunting (p = 0,0007), whereas those with low birth length were more likely to be underweight (p = 0,050). In conclusion, LBW and LBL are significant risk factors for stunting, wasting, and underweight in children aged 6–36 months in West Lombok Regency.
Factors influencing weight regain after weight loss programs: insights from recent studies Ghinaa, Annisa Farhah; Maulidiana, Annisa Rizky
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2235

Abstract

Weight regaining is a challenge for most obese individuals who have successfully lost weight. Understanding the underlying factors contributing to weight gain is essential for developing more effective interventions. This study aimed to identify the factors contributing to weight gain in obese individuals after a weight loss program. A literature review was conducted using a narrative method following the PRISMA guidelines. The relevant international research articles used in this study were published in the last five years and retrieved from PubMed, ScienceDirect, and Wiley Online Library databases, resulting in the inclusion of nine studies that met the eligibility criteria, such as involving individuals with a history of weight loss programs, including dietary changes, physical activity, and cognitive behavioral therapy. The findings highlight multiple contributing factors to weight regain, including 1) loss of fat-free mass, 2) psychological, 3) behavioral and food environment factors, 4) weight loss history, 5) breakfast habits, 6) environmental contaminants, and 7) anti-obesity medication. Therefore, effective long-term weight management must consider these behavioral, metabolic, and environmental factors in obesity treatment programs to enhance their effectiveness in preventing weight regain.
Identification of nutrients and phytochemicals of raja banana (Musa acuminata) peels extracted with ethanol and acetone solvents and its potential as an anti-obesity agent Susilawati, Eva; Indarto, Dono; Susilawati, Tri Nugraha
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2483

Abstract

Banana peel is a waste that has the potential as an anti-obesity agent due to its nutritional and phytochemical content. This study aims to analyze and compare the content of macronutrients, micronutrients, and phytochemical compounds in raja banana peel extracts. The maceration method was performed during the preparation of extracts by using ethanol and acetone solvents. The nutritional and phytochemical contents of the extracts were compared to determine which solvent produced the optimum anti-obesity properties. The ethanol extract consists of water (17,68%), minerals (22,76%), protein (3,50%), carbohydrates (47,98%), and vitamin C (0,82%). The phytochemical content includes flavonoids (73,38 mgQE/g), tannins (0,32%), and chrysin (1,16 mg/L). In conclusion, the ethanol extract of Raja banana peel contains higher nutrients and phytochemicals than the acetone extract, showing greater potential as an anti-obesity agent. Further research is needed to test its bioactivity in vivo or in vitro.
Nutritional status and laboratory characteristics of nephrotic syndrome in children undergoing steroid and non-steroid therapy at Dr. Zainoel Abidin Hospital, Banda Aceh Haris, Syafruddin; Riza, Fahrul; Thaib, T. M.; Anidar, Anidar; Thaib, Bakhtiar; Sovira, Nora
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2478

Abstract

Nephrotic syndrome (NS) is a clinical condition characterized by massive proteinuria, hypoalbuminemia, edema, and hypercholesterolemia. Frequently relapsing NS, steroid-dependent NS, and steroid-resistant NS are categorized as problematic owing to treatment difficulties. These patients require prolonged high-dose steroid therapy or immunosuppressants, resulting in significant side effects. This study evaluated the nutritional status and laboratory characteristics of NS in children undergoing steroid and non-steroid therapies. This study is the first to assess the nutritional status and laboratory characteristics of children with difficult-to-treat NS who received steroid and non-steroid therapy at RSUDZA Banda Aceh. A cross-sectional study was conducted at the outpatient clinic and pediatric ward of Dr. Zainoel Abidin General Hospital, Banda Aceh, in 2019, which was a limitation because it was conducted during the Covid-19 pandemic so that the number of research subjects was limited, which could have caused bias in the study. Statistical analyses included the chi-square test or Fisher’s exact test for categorical variables and the independent sample t-test or Mann-Whitney test for numerical variables, with a 95% significance level (p < 0,05). A total of 60 children aged 2–18 years participated in this study, with 29 receiving steroid therapy and 31 receiving non-steroid therapy. Urine protein levels and relapse incidence differed significantly between the groups (p < 0,001). However, the serum albumin, urea, creatinine, calcium, and total cholesterol levels were not significantly different. No significant differences were observed in the laboratory characteristics between the steroid and non-steroid therapy groups. However, the non-steroid group exhibited a better urine protein status and fewer relapses, indicating potential therapeutic advantages.
Determinants of wasting among children aged 2–5 years in Tanjung Priok, Jakarta, Indonesia Lizamona, Herlinda; Fikawati, Sandra; Silva, Ruth Alpita
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2387

Abstract

Wasting contributes to approximately 13% of the global child mortality. In 2022, the prevalence of wasting in Indonesia was 7,7%, declining from 10% in 2013. However, regions such as DKI Jakarta, particularly North Jakarta, still exhibit a high prevalence rate of 9,4%, indicating ongoing challenges in accessing adequate nutrition and healthcare services. This study aimed to examine the determinants of wasting in children aged 2–5 years. This cross-sectional study was conducted in Tanjung Priok, Jakarta, from June to July 2023. A total of 183 children, aged 2–5 years, were selected using purposive sampling. Data were collected through anthropometric measurements and structured interviews, using validated questionnaires covering dietary intake (SQ-FFQ), household socioeconomic status, and maternal nutrition knowledge. Data analysis included chi-squared tests and logistic regression analyses. The results showed that The prevalence of wasting was 8,7%. Although maternal nutrition knowledge was generally high, it was not significantly associated with wasting (p = 0,171). Energy (p = 0,023) and fat intake (p = 0,022) were significantly associated with wasting. Inadequate energy intake emerged as the dominant factor associated with a 3,7-fold increase in risk (p = 0,032). In conclusion, the primary determinant of wasting among children aged 2–5 years in Tanjung Priok is inadequate energy intake. Although most mothers had high nutrition knowledge, it did not significantly influence their wasting status. Therefore, interventions to prevent wasting should focus on improving energy and fat intake in children.
The effect of social cognitive theory-based nutrition education via whatsapp on increasing knowledge and behavioral determinants of mothers in Kediri: A quasi-experimental study 'Arifah, Dzakiyyatul Fikrah; Baliwati, Yayuk Farida; Khomsan, Ali
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): 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.v10i2.2449

Abstract

Poor dietary patterns and poor nutritional status increase the risk of morbidity and mortality. Obesity and overweight are major nutritional issues in Kediri. The family environment, particularly the mother's role as a food gatekeeper, is crucial for shaping children's eating habits. This study applies Social Cognitive Theory (SCT), which emphasizes the interaction between individuals, behavior, and the environment. Social media platforms, such as WhatsApp, can be utilized to promote health. This study examined the effect of SCT-based nutrition education via WhatsApp on mothers' knowledge, self-efficacy, self-regulation, family support, and outcome expectations in improving children's dietary intake. A pre-post quasi-experimental design was used with 80 mothers of elementary school children in Kediri City. The intervention group (n=40) received WhatsApp-based nutrition education for 20 days, whereas the control group (n=40) received an e-booklet at the end of the study. Data were analyzed using Spearman’s test, Mann-Whitney test, and Wilcoxon Signed Rank test. The results showed that WhatsApp-based nutrition education significantly improved knowledge (p=0,005) and outcome expectations (p=0,039) in the intervention group, whereas no significant effects were observed on self-efficacy and self-regulation. WhatsApp-based nutrition education effectively increased mothers' knowledge and outcome expectations. Future studies should consider the duration of the intervention, including follow-up assessment, refining educational media, combining educational methods, and considering additional SCT components.

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