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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 469 Documents
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Effect of ginger kombucha consumption on blood pressure in patients with essential hypertension Bangun, Herianto; Saragih, Hartaulina
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.3040

Abstract

Essential hypertension remains a major global public health problem that requires effective non-pharmacological management strategies. Fermented functional beverages rich in antioxidants, such as ginger kombucha, have been proposed as potential complementary interventions for blood-pressure control. This study aimed to evaluate the effects of ginger kombucha consumption on blood pressure in patients with essential hypertension. A quasi-experimental pretest–posttest control group design was conducted involving 62 patients with hypertension at Medan Adventist Hospital, Indonesia, in April 2025. Participants were allocated to an intervention group (n = 31), which consumed 200 mL ginger kombucha twice daily for 14 days, and a control group (n = 31), which received no intervention. Blood pressure was measured using a standardized digital sphygmomanometer. Data were analyzed using paired and independent t-tests. The intervention group demonstrated a significant reduction in both systolic and diastolic blood pressure, with mean decreases of 16.2 mmHg and 10.1 mmHg, respectively (p < 0.001), whereas the changes in the control group were not statistically significant. Between-group comparisons showed significantly greater reductions in blood pressure in the intervention group (p < 0.05), indicating a clinically meaningful effect over a short period. In conclusion, ginger kombucha consumption significantly reduced blood pressure in patients with essential hypertension and may serve as a complementary non-pharmacological strategy for hypertension management. Ethical approval was obtained prior to data collection, and all the participants provided written informed consent.
A narrative review of ai-based digital health policies to enhance nutrition service quality in primary healthcare in Indonesia Saragi, Melva
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2940

Abstract

The rising demand for quality nutrition services and increasing burden of NCDs contrast with Indonesia’s limited adoption of AI in primary healthcare, underscoring the need to explore AI-driven policies to enhance nutrition service delivery in resource-constrained settings. This study examines how AI-based digital health policies can improve the efficiency and quality of nutrition services and identifies barriers that hinder their implementation. A total of 42 articles were reviewed using a framework encompassing three major dimensions: digital system readiness, digital competency of health workers, and robustness of health data governance. The review identified three central challenges: (1) inadequate digital system reliability, which limits the optimal use of AI in primary healthcare facilities; (2) insufficient digital literacy among nutrition personnel and patients, which reduces the effectiveness of AI-based tools; and (3) the absence of clear regulations to ensure health data protection, system interoperability, and ethical AI use. This study contributes new insights by highlighting AI-based nutrition services as an emerging field that requires greater attention in Indonesia’s digital health transformation. The findings underscore the need for stronger policies aimed at enhancing digital infrastructure, improving digital competencies among healthcare workers, and establishing clear regulatory frameworks to ensure the safe and effective use of AI in nutrition services in primary healthcare settings.
Nurses’ compliance in intravenous injection among patients with extreme nutritional status: Implications for patient safety Idayanti, Idayanti; Rophi, Kristiyani Herda
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2698

Abstract

Intravenous (IV) injection safety is a critical aspect of nursing practice, particularly for patients with extreme nutritional status. Nutritional imbalance can affect vascular integrity and tissue resistance, potentially reducing adherence to standard procedures. This study aimed to examine the relationship between nurses’ compliance with intravenous injection procedures and patient safety among individuals with extreme nutritional conditions in a hospital setting. This cross-sectional observational study was conducted at Arifin Achmad General Hospital, Pekanbaru, between January and March 2024, and involved 60 adult patients with undernutrition (BMI < 18.5 kg/m²) or obesity (BMI ≥ 30 kg/m²). Compliance was measured using a checklist based on the WHO and Ministry of Health guidelines, and patient safety was assessed through IV-related complications. Data were analyzed using chi-square and multivariate logistic regression analyses. The results showed a compliance rate of 72.5% and a significant relationship between compliance and the incidence of complications (p = 0.008). Noncompliance increased the risk of complications by 2.8 times (OR = 2.8; p = 0.014). In conclusion, nurses’ adherence to IV injection procedures significantly affects patient safety. Continuous training and adaptive protocols that consider patients’ nutritional status are recommended to enhance nursing service quality.
Total lactic acid bacteria, microstructure and texture analysis of probiotic soft cheese with rennet-induced protein gelation Istifiani, Lola Ayu; Widyanto, Rahma Micho; Tsalissavrina, Iva; Erlita, Windi Jinni; Handayani, Bella Agustina Putri
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2578

Abstract

Consumers are becoming increasingly aware of the importance of choosing healthy probiotic-rich functional foods, such as cheese. Total lactic acid bacteria (LAB) is a crucial measure of success in the development of probiotic soft cheese. Furthermore, it is important to analyze the microstructure and texture of products to determine consumer acceptance. In this study, a randomized block design (RBD) was used with four concentrations of Lactobacillus plantarum FNCC 0026 (0%, 5%, 10%, and 20%). Total LAB was quantified using the total plate count (TPC) method. The microstructure and texture were analyzed using field-emission scanning electron microscopy (FESEM) and a texture profile analyzer (TPA), respectively. In this study, 5% concentration yielded the highest LAB count of 8.054 ± 0.54 log CFU/g (2.0 × 108 CFU/g) and optimal texture attributes. The texture values included hardness (32.41–48.89 N), adhesiveness (0.03–2.65 Nmm), and springiness (0.78–0.83). Furthermore, FESEM analysis revealed no differences in the protein and fat distribution in the microstructure of probiotic soft cheese. These results substantiate the potential of probiotic soft cheese as functional foods. A concentration of 5% Lactobacillus plantarum FNCC 0026 yielded optimal results for total LAB count and texture profile attributes, including hardness, adhesiveness, and springiness.
The effect of soybean tempeh and gembus tempeh on obesity parameters, blood glucose, and short-chain fatty acids Sunarti, Sunarti; Aminin, Agustina LN; Rachmawati, Banundari; Sulchan, Mohammad
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2997

Abstract

Obesity contributes to hyperglycemia and metabolic dysfunction globally. Soybean and gembus tempeh, traditional Indonesian fermented foods, contain distinct dietary fiber compositions that may differentially influence metabolic outcomes through short-chain fatty acid (SCFA) production. However, comparative evidence regarding their metabolic effects is limited. This study aimed to compare the effects of soybean and gembus tempeh on obesity parameters, fasting blood glucose, and SCFA profiles in a rat model of hyperglycemic obesity. Methods: A randomized controlled pre–post trial was conducted at the Food and Nutrition Study Center, Universitas Gadjah Mada (April–June 2019). Forty-two rats were assigned to seven groups: normal, hyperglycemic-obese + AIN-93, AIN-93 + gembus tempeh, AIN-93 + soybean tempeh, high-fat high-fructose diet (HFFD), HFFD + gembus tempeh, and HFFD + soybean tempeh. The obesity index, fasting blood glucose, and SCFA concentrations were measured. Both types of tempeh significantly reduced the obesity index and fasting glucose levels in rats fed either the AIN-93 or HFFD diet, with greater reductions observed in the AIN-93 group (p < 0.001). Butyrate levels were significantly higher in the tempeh-supplemented groups than in the control group (p < 0.01), whereas propionate levels did not differ significantly (p = 0.079). In conclusion, soybean tempeh and gembus tempeh improved fasting glucose levels, obesity index, and SCFA production in hyperglycemic-obese rats. Gembus tempeh demonstrated a greater effect on reducing obesity index and fasting blood glucose than soybean tempeh.
Iron intake and anemia as predictors of preeclampsia risk in pregnant women in the second trimester Arafah, Salmah; Dewiyanti, Dewiyanti; Ernawati, Ernawati; Oktaviana, Dina; Kamriana, Kamriana; Alwi, Alwi; Zainuddin, Zainuddin; Syaharani, Nur Hijrah
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2716

Abstract

Preeclampsia remains one of the leading causes of maternal morbidity and mortality worldwide, including in Indonesia. Iron deficiency anemia is considered a modifiable risk factor; however, few studies have specifically examined the relationship between anemia status and iron intake and the risk of preeclampsia during the second trimester of pregnancy. This study aimed to analyze the relationship between anemia status and iron intake and the risk of preeclampsia among second-trimester pregnant women. A cross-sectional analytical design was employed involving 150 pregnant women selected through purposive sampling in the working area of Pattallassang Public Health Center, Takalar Regency, between January and March 2025. Data were collected through hemoglobin level examination, a Food Frequency Questionnaire (FFQ) for iron intake assessment, and medical records for preeclampsia diagnosis. Data were analyzed using chi-square and logistic regression tests to determine the associations and predictive strength. The results showed that 30% of respondents experienced preeclampsia, 42% had anemia, and 64% had an inadequate iron intake. Anemia and inadequate iron intake were significantly associated with an increased risk of preeclampsia (p < 0.05). In conclusion, anemia and iron intake are important predictors of preeclampsia risk, highlighting the need for nutritional screening and early intervention to prevent further complications.
Dietary non-compliance among Indonesian patients with diabetes and kidney disease: A focus on risk-associated eating behaviors Fachruddin, Ismi Irfiyanti; Hardianti, Andi
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2391

Abstract

Chronic illnesses, such as diabetes mellitus (DM), hypertension, and chronic kidney disease (CKD), are increasingly prevalent in Indonesia, partly due to poor dietary habits. This study aimed to analyze the association between risky food consumption and the occurrence of hypertension and CKD in individuals with diabetes and to explore the factors influencing unhealthy food choices. This cross-sectional study used data from the 2023 Indonesian Health Survey. The analysis included 14,935 adults diagnosed with diabetes mellitus, of whom 143 were identified as having both hypertension and CKD. Stratified random sampling was applied based on census blocks. Data were collected through structured interviews and health assessments of dietary patterns and a history of chronic illness. Chi-square tests and logistic regression were performed to assess the associations, with p < 0.05 considered significant. Hypertension was significantly associated with CKD (OR, 2.16; 95% CI: 1.68–2.77; p < 0.001). Risky dietary patterns, particularly high intakes of salty foods, processed meats, and sugary beverages, were significantly associated with hypertension. The major drivers of unhealthy food consumption include taste, affordability, and lack of health awareness. Risky food intake contributes to hypertension and CKD in patients with diabetes. Targeted public health interventions are required to improve dietary behavior and raise awareness.
Effectiveness of a family-centered empowerment-based digital pocketbook on self-efficacy and iron supplement adherence among pregnant women: A quasi-experimental study Fauzianty, Ariska; Situmorang, Friza Novita Sari; Sari, Sonia Novita; Sabiah, Siti; Hasibuan, Vivi Restiyani; Febriyan, Yuliska
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.3039

Abstract

Pregnancy-related anemia remains a major public health problem in Indonesia, largely attributable to low iron supplementation adherence among pregnant women. Evidence regarding digital interventions based on the family centered empowerment model (FCEM) remains limited. This study aimed to evaluate the effectiveness of an FCEM-based digital E-Pocket Book in improving self-efficacy and adherence to iron tablet consumption among pregnant women. A quasi-experimental pretest–posttest control group study was conducted at the Sentosa Baru Community Health Center in Medan, Indonesia, from July to August 2025. A total of 50 pregnant women (gestational age, 14–36 weeks) were allocated to an intervention group (n = 25) and a control group (n = 25). The intervention group received the FCEM-based E-Pocket Book for four weeks, while the control group received standard antenatal education. Data were analyzed using the Wilcoxon signed-rank and Mann–Whitney U tests. The intervention group demonstrated significantly greater improvements in self-efficacy (p = 0.027; d = 0.78) and adherence to iron supplementation (p = 0.001; d = 0.91) than the control group. In conclusion, the family-centered empowerment–based digital pocketbook is effective in improving self-efficacy and adherence to iron supplementation among pregnant women.
Effectiveness of local sago and moringa leaf based complementary foods and maternal nutrition education in preventing stunting in North Aceh Sari, Dian Vita; Fatmawati, Fatmawati; Junaedy, Junaedy
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2950

Abstract

Malnutrition remains a global challenge with far-reaching health and developmental implications. Indonesia continues to experience a high prevalence of stunting, reaching 31.8%, which highlights the need for effective and sustainable interventions. This study aimed to evaluate the effectiveness of a locally based intervention utilizing Metroxylon sp. (aren sago) and Moringa oleifera (moringa leaves) as complementary food additives combined with maternal nutrition education in reducing stunting. A quasi-experimental study was conducted in North Aceh in July 2025, involving 128 mothers and their stunted children aged 6–24 months old. The intervention consisted of nutrition education on complementary foods made with sago and moringa leaves, delivered through modules and videos, along with a four-week provision of complementary foods. Data were analyzed using the Wilcoxon signed-rank test. The findings demonstrated a significant improvement in the nutritional status of children, with the proportion classified as having a good nutritional status increasing from 43.0% to 84.4%, and no cases of severe malnutrition were identified (p < 0.05). Maternal nutrition knowledge also improved, with 35.2% achieving a “good” score (p < 0.05). In conclusion, locally sourced food-based interventions combined with nutrition education effectively improve children’s nutritional status and strengthen maternal knowledge. This approach is recommended as a contextual and sustainable strategy for stunting prevention
Protective effect of Diadema setosum gonad extract against oxidative stress in D-Galactose-induced aging rats Gama, Arlina Wiyata; As'ad, Suryani; Alam, Gemini; Eragradini, Athirah Rinandha
AcTion: Aceh Nutrition Journal Vol 10, No 4 (2025): December
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.v10i4.2832

Abstract

Oxidative stress is a primary mechanism of aging and is characterized by elevated levels of malondialdehyde (MDA). Natural antioxidants are being increasingly explored for the prevention of premature aging. The gonads of the sea urchin Diadema setosum contain bioactive compounds, including omega-3 fatty acids, flavonoids, and phenolics, which possess unique ecological adaptations that enhance secondary metabolite production, making them a promising marine antioxidant source. This study aimed to evaluate the effect of D. setosum gonad extract on MDA levels in male Wistar rats undergoing d-galactose-induced aging. An experimental post-test control group design was conducted from July to November 2024, involving 24 rats divided into four groups: standard control (K1), positive control (K2), and two treatment groups receiving extracts at doses of 100 mg/kg (P1) and 300 mg/kg (P2). D-galactose was used for aging at 150 mg/kg body weight for eight weeks, followed by oral administration of the extract for an additional eight weeks. MDA levels were measured using ELISA at weeks 0, 6, 10, and 14. The results showed a significant increase in MDA levels in the positive control group (K2) compared to the normal group (p=0.002), indicating oxidative stress induction. In contrast, treatment with D. setosum gonad extract, particularly in the P2 group, significantly reduced MDA levels (p<0.05), approaching those of the normal group. In conclusion, D. setosum gonad extract has potential as a natural antioxidant for suppressing oxidative stress associated with aging.

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