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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 23 Documents
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Search results for , issue "Vol 9, No 3 (2024): September" : 23 Documents clear
Dietary pattern and gut microbiota in type 2 diabetes mellitus: A literature review Martha Pitaloka Putri; Endang Sri Lestari; Diana Nur Afifah
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1915

Abstract

Nutrition has been identified as the primary modifiable factor, and the type of food, macronutrients, and micronutrient composition of the diet have distinct effects on gut microbiota and related metabolites. These effects significantly influence the mechanisms that regulate hyperglycemia and insulin resistance, influencing gut microbiota remodeling and the development of T2DM. This study aimed to gather information on changes in gut microbiota composition (Lactobacillus and Bifidobacterium) and describe the beneficial or detrimental effects, impacts, and outcomes of macronutrients (carbohydrate, protein, and fat) and fiber on gut microbiota composition in T2DM. Nine English articles were obtained from the literature review. Lactobacillus and Bifidobacterium can positively reduce the blood glucose levels. Changes in the gut microbiota and its metabolites, which are influenced by carbohydrate, protein, lipid, and fiber intake, can worsen or decrease biochemical parameters and improve T2DM complications. The conclusion of this literature review is that gut microbiota  can be crucial in the future treatment of diabetes mellitus, especially in combination with other therapeutic options.
Effects of healthy eating patterns based nutrition education and providing structured suplementary feeding on improving the nutritional status of stunted children Mahfuzhoh Fadillah Heryanda; Nur Khoiriyah
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1749

Abstract

Nutrition education can improve mothers' knowledge in fulfilling nutritional needs among children under five years through provision of supplementary feeding. Local ingredients based supplementary feeding which had high nutritional value can contribute to improving the nutritional status of children. The aim of this study was to analyze the effect of healthy eating patterns nutritional education and provision of supplementary feeding on improving the nutritional status of stunted children under five years. This study used a quasi-experimental design with a pre-posttest with control group design carried out in Sidawangi Village in August-October 2023. The subjects were children under five years and their mothers (10 intervention group: 10 control group). The interventions were nutritional education and supplementary feeding for a month. Nutritional knowledge data was obtained from interviews using a questionnaire, and nutritional status data (Height-for-Age) was obtained based on z-score calculations. Data was analyzed using Wilxocon, Mann-Whitney, and independent t-test.  The average difference in HAZ index in the intervention group (z-score: 0,81 SD) compared to the control group (z-score: -0,50 SD). There was a significant difference between the average difference in the HAZ index in the intervention group and the control group (p=0,001). Nutrition education improved nutritional knowledge of mothers in understanding nutrition education and supplementary feeding (p=0,042). In conclusion, nutritional education intervention can improve the nutritional knowledge of mothers and supplementary feeding can improve the nutritional status of children.
Food taboo for pregnant and lactating mothers: A study on indigenous peoples in South Sulawesi Nurbaya Nurbaya; Yudianti Yudianti; Hapzah Hapzah; Najdah Najdah; Zaki Irwan; Juhartini Juhartini; Icha Dian Nurcahyani
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1698

Abstract

Indigenous people believe in and practice food taboos as part of traditional culture. Food taboos are associated with cultural beliefs and are passed on to every generation, particularly pregnant and lactating women. Food taboos in the Ammatoa Kajang and Kaluppini indigenous communities are specific to pregnant and lactating mothers. This study aimed to explore traditional knowledge and food taboos concerning maternal health among indigenous people in South Sulawesi. This study uses a qualitative method with purposive sampling. Data collection used in-depth interviews (IDIs) and focus group discussion (FGDs) guidelines. This study was conducted in Bulukumba, Enrekang Regency, South Sulawesi Province, from November 2017 to June 2018. The informants were mothers of children under five years, traditional birth attendants (TBAs), local midwives, and customary leaders. The data were analyzed in three categories:  coding process, categorization, and theme generation using Dedoose. We found that these two communities believed in and practiced food taboos that could prevent them from consuming various nutritious foods that are important during pregnancy and lactation. In conclusion, food taboos were practiced by both indigenous mothers, which may have prevented individuals from ingesting a variety of nutrient-dense foods that are crucial during nursing and pregnancy.Keywords: Belief, qualitative study, nutrition, taboo
Effect of skipping on body mass index, waist to hip ratio and muscle strength in overweight adolescent girls Dhiya Fadhila Rahmah; Hadi Riyadi; Hardinsyah Hardinsyah
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1837

Abstract

Overweight problems in adolescents tend to increase, with obese nutritional status prevalence for Indonesian teenagers in group aged–13-15 and 16-18 years respectively 11,2% and 9,5%. This study aimed to analyze the effect of skip training on body mass index for age z-score (BAZ), waist-to-hip ratio (WHR), and muscle strength in overweight adolescent girls. The method of this research was a quasi-experimental design using a subject study of 28 female students, who were divided into two groups: those age between 15-18 years old. This study was conducted at Senior High School 1 West Sumatra and Batipuh from October to December 2023. The skipping group received 4-8 minutes of exercise 3 times per week for 8 weeks of intervention. The statistical analysis employed a paired t-test and simple linear regression test. The results of this study revealed that the skipping intervention had a significant effect on the reduction of BAZ (p<0,05; R2=0,286) and WHR (p<0,05; R2=0,174) in the skipping group compared to the control group. There was no significant difference in the muscle strength between the skipping and control groups (p>0,05; R2=0,049). In conclusion, skipping for a duration–4-8 minutes was conducted three times a week for 8 weeks, which reduced the value of BAZ and WHR in adolescent girls.
Effectiveness of rumoh gizi gampong and positive deviance in improving the nutritional status of toddlers in Aceh Wirda Hayati; Nurhayati Nurhayati; Anita Anita
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1651

Abstract

Stunting is a chronic nutritional problem that is a priority to address because it can affect the quality of children. Fulfilling the nutritional needs of children under five through positive family habits, including through family improvement and Rumoh Gizi Gampong (RGG), can significantly reduce stunting rates. The purpose of the study was to identify the effectiveness of Rumoh Gampong Nutrition and positive deviance in efforts to improve the nutritional status of toddlers in Aceh, with a quasi experimental design conducted in Merduati village, Kutaradja sub-district, Banda Aceh with 50 samples (25 intervention groups and 25 controls) using purposive sampling technique carried out on October 15, 2020-15 January 2021. Data collection using questionnaires with interview techniques, food record documentation studies and weight measurements using Dacin and height using microtoise. Data processing with paired T test, the results showed a significant difference in the intervention group on how to fulfill toddler food (p = 0,000), food intake (p = 0,000), and nutritional status (p = 0,000), there were differences in how to fulfill food in the intervention and control groups (p = 0,00), there were differences in food intake in the intervention and control groups (p = 0,001) and there were differences in body weight in the intervention and control groups (p = 0,001). It is recommended to the head of the puskesmas to support the positive deviance program and Rumoh Gampong Nutrition for all posyandu in their working area.
Nutritional status of children in Central Sulawesi post-earthquake and tsunami: A study based on e-PPGBM data Mujayanto Mujayanto; Fahmi Hafid
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1986

Abstract

The earthquake and tsunami on September 28, 2018, in Central Sulawesi had a severe impact on children's health and nutrition, particularly concerning malnutrition and micronutrient deficiencies. This study compared the nutritional status of children in disaster-affected and unaffected areas. This study employed a cross-sectional design to assess changes in the prevalence of stunting, underweight, and wasting among children aged 6-23 months in Sigi Regency using data from the e-PPGBM System. The study analyzed data from three periods: before and after the disaster, with data from 10,894 children and 10,894 children. Statistical tests were used to identify changes in stunting, underweight, and wasting. The results showed that after the disaster, the average Z-scores of Height-for-Age (HAZ) and Weight-for-Height (WHZ) was significantly lower in the disaster-affected areas than in the unaffected areas (p = 0,00), indicating a sustainable impact on the growth and nutritional status of children. The conclusion of this study shows a significant decline in children's nutritional status in disaster-affected areas compared with unaffected areas. Prompt action and sustained recovery efforts are crucial to address the long-term impacts on children's growth and nutrition
Enhancing stunting prevention: Health promotion at Bandarharjo Health Center Nurlian Ramadhanty; Syamsulhuda Budi Musthofa; Ani Margawati
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1815

Abstract

Stunting is a serious public health problem that affects child growth in many countries. Health promotion programs are key strategies for raising awareness and encouraging behavioral changes to address stunting. This study aimed to analyze the implementation of health promotion programs to prevent stunting. The research design was qualitative with a case study method, and information was collected through in-depth interviews with 13 informants at Bandarharjo Community Health Center (PHC) from October to December 2023 and then analyzed through a series of stages: collection, reduction, presentation, and conclusion drawing. Results: In terms of human resources, Integrated Service Post (ISP) cadres have not received equal training in the use of anthropometric tools. Educational media such as posters and flip sheets are not provided to cadres for use. The facilities and infrastructure at the ISP are inadequate for toddlers. After the Covid-19 pandemic, the implementation of health promotion was strengthened and improved. Increased training for program holders and cadres to improve competence. Educational media have not been fully optimized to convey information about stunting to program targets. Some areas do not have ISP buildings. After the pandemic, the focus of the program implementation was more oriented towards health promotion. Increased supervision is required in health promotion programmes to prevent stunting.
Preventive effect of mulberry (Morus alba) leaf tea on low-density lipoprotein and malondialdehyde levels in dyslipidemic sprague-dawley rats Tia Rahmania Virdias; Mohammad Sulchan; Ahmad Ni’matullah Al-baarri
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1737

Abstract

A high-fat diet can lead to dyslipidemia, which is characterized by elevated levels of Low-Density Lipoprotein (LDL).  LDL is rapidly oxidized, resulting in oxidative stress. This increase in oxidative stress can lead to lipid peroxidation, ultimately producing Malondialdehyde (MDA). One way to prevent increased LDL and MDA levels is to consume mulberry leaf tea (MLT). This study aimed to analyze the effects of MLT administration on LDL and MDA levels in dyslipidemic Sprague-Dawley rats fed a high-fat diet (HFD). This study was conducted in 2021 at the Laboratory of the Center for Food and Nutrition Studies at Gadjah Mada University, Yogyakarta. True experimental research with a randomized pre- and post-test control-group design was used in this study. Thirty male Sprague-Dawley rats were used in this study. After 21 days of intervention, LDL and MDA levels were analyzed using CHOD-PAP and ELISA, respectively. One-way ANOVA and Kruskal-Wallis tests were used for statistical analyses. The administration of 36 mg and 72 mg of MLT for 21 days was able to have a significant effect on reducing LDL (p= 0,000) and MDA (p= 0,000) levels. In conclusion, mulberry leaf tea decreased the LDL and MDA levels in Sprague-Dawley rats fed a high-fat diet.
Exposure and knowledge on peanut aflatoxin B1 among urban consumer in Jakarta, Indonesia Dwi Nastiti Iswarawanti; Tegar Prakasa Putra Masloman; Drupadi HS Drupadi HS
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1812

Abstract

Groundnut (Arachis hypogaea L), an important food in the Indonesian diet, has been reported to be contaminated with the carcinogenic Aflatoxin B1. However, research on consumer knowledge of and exposure to AfB1 from peanuts in Indonesia is limited. This study aimed to assess the exposure to aflatoxin B1 (AfB1) in peanuts consumed by urban Jakarta and their knowledge of aflatoxin risk. This observational study had a cross-sectional design and involved 192 randomly selected respondents. Peanut intake frequency was measured using a semi-quantitative FFQ instrument. Questionnaires were used to collect data regarding knowledge and income. The AfB1 content was analyzed using HPLC. Pearson Chi-Square test was used for analysis. The results showed that AfB1 contaminants were present in all the samples. Respondents who frequently consumed high amounts of peanuts and processed products were exposed to AfB1, with a median of 22,55 ppb bb/day.  There were no significant relationships between knowledge and AfB1 exposure (p= 0,874), age (p= 0,884), or income (p= 0,355). In conclusion, aflatoxin B1 exposure was high in urban areas. No relationship was found between knowledge of and exposure to AfB1 peanuts. Inter-sectoral strengthening of the empowerment and control of aflatoxin exposure is needed, as are economic and health impact studies on AfB1 exposure.
Factors associated with preconception nutritional readiness in prospective brides in Bantul District, Indonesia Fina Dewi Sundari; Yhona Paratmanitya; Effatul Afifah
AcTion: Aceh Nutrition Journal Vol 9, No 3 (2024): September
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.v9i3.1667

Abstract

Nutritional support was required at a higher concentration in the preconception period than in the earlier period. However, awareness about preconception nutrition remains low. Sociodemographic factors are thought to be related to preconception nutritional readiness. Objective, to identify the factors that influence preconception nutritional readiness in prospective brides. Method, this cross-sectional study was conducted from August to December 2023 and involved 111 prospective brides in Bantul Regency. Data collected included socio-demographic data and preconception nutritional readiness, measured by 10 indicators, including nutritional status, hemoglobin (Hb) level, nutrients intake, preconception nutrition knowledge, and iron and/or folate supplement consumption. Hemoglobin level were determined by Hb examination at the Community Health Center, whereas dietary and supplement intake were measured using a semi-quantitative food frequency questionnaire (SQ-FFQ). Data were analyzed using the chi-square test with statistical significance set at p-value <0,05. Results, the majority of subjects could only fulfill the five indicators of preconception nutrition readiness. Knowledge, calcium and folate intake were the lowest 3 indicators that could be met (<40%). There was no significant relationship between socio-demographic factors, educational history, and preconception nutritional readiness (p>0,05).  In conclusion, socio-demographic factors, and education had no association with preconception nutritional readiness in prospective brides.

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