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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 507 Documents
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Water, sanitation, and hygiene (WASH) factors associated with stunting among under-fives: A hospital-based cross-sectional study in Banda Aceh, Indonesia Desi Purnama Sari; Sulaiman Yusuf; Rusdi Andid; Dora Darussalam; Herlina Dimiati; Eka Yunita Amna
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.v9i3.2022

Abstract

Stunting remains a major public health threat among children under five years of age in developing countries, including Indonesia. Studies have shown that water, sanitation, and hygiene (WASH) interventions are essential for reducing the prevalence of the disease. This study aimed to identify WASH-related risk factors associated with stunting among under-fives. This hospital-based cross-sectional study included 133 randomly sampled children who attended outpatient clinics or were admitted for treatment at Rumah Sakit Umum Daerah (Regional Public Hospital-RSUD) dr. Zainoel Abidin Banda Aceh between April and May 2024. Data were collected using structured questionnaires and anthropometric measurements. The bivariate chi-square test and multivariate logistic regression analysis were used to analyze the data. Statistical significance was set at P < 0.05, with a 95% confidence interval (CI). The results showed that the prevalence of stunting was 35.3% among children under fives attended RSUD dr. Zainoel Abidin Banda Aceh. Bivariate analysis showed that stunting was associated with the main source of drinking water {p=0.04, OR 2.29 (95% CI = 1.07 – 4.89). Multivariate regression analyses revealed the WASH-related risk factor for stunting, which was the child’s fecal disposal {p= 0.03, OR= 0.26 (95% CI 0.08 – 0.85)}. In conclusion, child’s fecal disposal is a WASH-related risk factor for stunting  among children who attended RSUD dr. Zainoel Abidin Banda Aceh. This risk factor can be modified through health policies that consider WASH interventions to manage stunting prevalence.
Factors associated with stunting among children 0-23 months in Aceh: A cross-sectional study using SSGI 2021 Aripin Ahmad; Abidah Nur; Teuku Muliadi; Nelly Marissa; Iflan Naufal; Marisa Marisa; Junaidi Junaidi; Fitrah Reynaldi; Eva Fitriyaningsih; Husnah Husnah; Muhammad Rizal Martua Damanik; Ardi Adji; Syuja&#039; Rafiqi; Devita Annisa
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.v9i3.1824

Abstract

Stunting is a chronic health problem that affects children and has long-term implications for their cognitive development. The multifactorial causes of stunting require identification of the most dominant factors to facilitate effective interventions. This study aimed to analyze the factors associated with stunting in children under two years old in Aceh. This was a cross-sectional study involving 2,395 subjects aged 0-23 months. Data were obtained from the 2021 SSGI National Survey, consisting of stunting prevalence, child and family characteristics, household sanitation, universal health insurance ownership, breastfeeding and complementary feeding practices, immunization status, parenting and pregnancy classes, supplementary feeding, and food security. Logistic regression analysis was performed using 95% confidence intervals. The results showed a significant association between stunting and child sex, sanitation conditions, parental education, exclusive breastfeeding, complementary feeding practices, immunization status, micronutrient supplementation, and breastfeeding duration (p<0,05). In conclusion, the factors associated with stunting in children aged 0-23 months in Aceh are sanitation, parental education, exclusive breastfeeding, complementary feeding practices, immunization, micronutrient supplementation, and breastfeeding duration. This study highlights the importance of improved nutrition education, family support, immunization coverage, and environmental sanitation to reduce the prevalence of stunting among young children in Aceh
Innovation in making wet noodles chia seed flour on chemical, physical, and organoleptic quality for the prevention of obesity Priscilia Reni A.F; Fransisca Shinta Maharini; Rijantono Franciscus Maria
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.v9i3.1791

Abstract

Excessive fat accumulation due to a prolonged imbalance of energy intake and energy expenditure. Obesity can be controlled with foods high in fiber. The addition of chia seed flour is a food preparation that increases dietary fiber and reduces the risk of obesity. The aim is to determine the effect of adding chia seed flour on physical, chemical, and organoleptic characteristics. This research is a completely randomized design research design. Research location of STIKes Panti Rapih Yogyakarta Culinary Nutrition Laboratory and research time April-August 2022. Data collection technique through tensile strength analysis using the Universal Testing Machine, water content gravimetric method, Soxhlet method fat content test, Kjehdahl method protein test, carbohydrate method by. difference, and testing total dietary fiber content using the AOAC method, determining energy value by calculating the composition of carbohydrates, fats, and proteins, and organoleptic testing using the Hedonic Test. Data were analyzed using ANOVA, Kruskall Wallis, Mann Whitney, Friedman, and Wilcoxon. Statistical results of tensile strength (p=0.546), water content (p=0,066), ash (p=0,101), fat (p=0,297), protein (p=0,244), carbohydrates (p=0,052), energy (p= 0,268), aroma (p=0,181), texture (p=0,358) and taste (p=0,355), dietary fiber (p=0,019), organoleptic appearance (p=0,002) and overall liking (p=0,038). In conclusion, there is an effect of adding chia seed flour on food fiber content, appearance, and overall.
Eating behaviour: How health concern, self-control and gender influence healthy food choice Theresia Cristina Sinaga; Anna Undarwati
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.v9i3.1883

Abstract

Most Indonesians are unable to control their food choice. This factor is due to individual indifference to maintaining health, self-control, and gender. This study aimed to examine the personal factors that can influence healthy food choices. The research method used a quasi-experimental with post-test-only control group design; the total sample included 143 participants aged between 17-25 years. This study was conducted at the Psychology Laboratory of Semarang State University in September 2023. Health concerns and self-control were measured by filling out a questionnaire, and an experimental test was conducted to choose healthy food using the Fake Food Buffet. Data analysis was performed using GLM univariate test. The results of this study indicate that there is a significant influence of health concern and self-control on healthy food choices, but the results of gender analysis on healthy food choices are not significant. This means that individuals who care about health and have strong self-control choose healthy food. However, there were no differences in food choice behaviors between women and men. It can be concluded that personal factors, such as health concerns and self-control, significantly influence the choice of healthy food. This could reduce the level of obesity that will occur in the future.
Associated between hypertension and body mass index, cholesterol, and blood sugar levels in elderly women Sufyan Anwar; Teuku Alamsyah; Safrida Safrida; Maiza Duana; Khairunnas Khairunnas; Enda Silvia Putri; Marniati Marniati; Teuku Muliadi
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.v9i3.1605

Abstract

Hypertension is a major public health problem in Indonesia, with the highest number of elderly female patients. This study aimed to assess the relationship between BMI, cholesterol, and blood sugar levels, and systolic and diastolic blood pressure in elderly women. An observational study was conducted using a cross-sectional design, in which 330 women in West Aceh District aged 60 years or older were included. Data were analyzed using simple linear regression and multiple linear regression tests to determine the relationship between independent variables (systolic and diastolic blood pressure) and dependent variables (BMI, cholesterol, and blood sugar levels). The results showed that the correlation between BMI, cholesterol, and blood sugar levels and systolic blood pressure was weak (r ≤ 0.25). The BMI with diastolic blood pressure was moderate (r=0.272). Conversely, the correlation between cholesterol and blood sugar levels and diastolic blood pressure was weak (r ≤ 0.25).  Multivariate analysis showed that BMI (p<0.001), cholesterol (p<0.001), and blood sugar levels (p ≤ 0.013) were significantly associated with systolic blood pressure. Furthermore, diastolic blood pressure was significantly associated with BMI (p <0.001). In conclusion, BMI is associated with systolic and diastolic blood pressure, while cholesterol and blood sugar levels only contribute to systolic blood pressure but not diastolic blood pressure.
Health promotion in stunting prevention efforts in South Kluet, South Aceh Said Usman; Tarkhi Tarkhi; Ismail Ismail
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.v9i3.2160

Abstract

The Government of Indonesia has made stunting one of the priority health problems that must be dealt with seriously. Stunting in South Aceh in 2022 is 34,8%, which will decrease to 5,03% in 2023. However, this figure is still below the target value. This study aimed to explore health promotion through stunting prevention efforts in South Kluet, South Aceh. This study uses a qualitative method with purposive sampling. Data collection involved in-depth interviews and observations. The research was conducted in South Kluet District, South Aceh Regency, in May–July 2024. The informants were the head of the health office, sub-district head, and head of the health center. The data were analyzed using inductive content analysis methods. The results of the study show several themes, namely, improving the nutritional quality of individuals, families, and communities, taking joint action, health and nutrition education strategies through family independence, accelerating stunting reduction carried out through the healthy living community movement, the first 1000 days of life movement to accelerate stunting reduction, implementation in stunting reduction, and obstacles in the implementation of stunting reduction. In conclusion, health promotion in the implementation of stunting prevention has been going well, but needs to increase socialization efforts are required to prevent stunting. 
The impact of diet, physical activity, and sleep habits on obesity risk among female teachers in Lhokseumawe City Cut Nurasiah; Etti Sudaryati; Zulhaida Lubis
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.v9i3.1897

Abstract

Unhealthy living behaviors and the double workload of female teachers have led to lifestyle changes that have an impact on the risk of obesity. This study aimed to determine the influence of diet, physical activity, and sleep habits on obesity risk among female teachers in Lhokseumawe. This cross-sectional study was conducted in Lhokseumawe City from November 2023 to April 2024 with 289 female teachers, using multistage random sampling. Eating patterns were measured using the semi-FFQ, physical activity using the International Physical Activity Questionnaire (IPAQ), sleeping patterns using the Pittsburgh Sleep Quality Index (PSQI), and body mass index (BMI) using anthropometric measurements. Bivariate analysis was performed using the chi-square test and multivariate analysis with multiple logistic regression. The results showed that Physical activity (p=0,023, RP=2,295) and fat intake (p=0,007, RP=0,484) influenced the incidence of obesity, whereas carbohydrate intake (p=0,622), energy (p=0,524), protein (p=0,225), food type (p=0,066), and sleep patterns (p=0,138) did not affect the incidence of obesity among female teachers in Lhokseumawe City. In conclusion, physical activity is the dominant risk factor for obesity. The risk of obesity was 2,295 times higher among female teachers who were not physically active.
The differences in diet quality and physical activity for COVID-19 survivors and non-survivors in Semarang City Novitasari Dwi Ajeng; Fillah Fithra Dieny; Rachma Purwanti; Ani Margawati; Nariswari Prajna Paramitha
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.v9i3.1203

Abstract

The COVID-19 pandemic triggered lifestyle changes, namely diet quality and physical activity, which showed improvements in COVID-19 survivors. This study aimed to analyze the differences in diet quality and physical activity among COVID-19 survivors and non-survivors in the city of Semarang between March and April 2022. The study design was cross-sectional, with as many as 100 Semarang City residents aged 22-45 years (50 survivors and 50 non-survivors of COVID-19) using a purposive sampling technique. Semi-quantitative food frequency questionnaire (SQ-FFQ) interview data were collected, followed by diet quality assessment using the Diet Quality Index-International (DQI-I). Physical activity data were collected using the International Physical Activity Questionnaire-Short Form (IPAQ-SF). Data were analyzed using the Mann-Whitney and Spearman's methods. The diet quality of the two groups showed a difference (p=0,012), with the diet quality of the survivor group being better. Variations in dietary quality components showed significant differences (p<0,001), including the subcomponents of overall (p=0,005) and protein (p<0,001). Physical activity in both groups showed no significant difference (p=0,639), including heavy, moderate, and walking activities. There was a significant difference in sedentary activity between the two groups (p=0,035). Conclusion: The dietary quality of the two groups showed differences, the majority of which was better in the COVID-19 survivor group. Physical activity in both groups showed no difference, but sedentary activity differed between the two groups
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.

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