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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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Based nutrition education on Binge Eating Disorder in young adults: Literature review Dewi, Laila Rifdiana
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2464

Abstract

Binge Eating Disorder (BED) is one of the most common psychological and social eating disorders worldwide and is recognized as a serious public health problem. One approach to improving BED is mindful eating (ME)-based nutrition education, which helps reduce emotional eating behaviors and improve the quality of food intake. This study aimed to determine the effects and changes obtained from ME-based nutrition education interventions in managing BED among young adults. This study was a narrative literature review. Articles were searched through databases such as Google Scholar, ScienceDirect, ProQuest, and PubMed using the PRISMA flow diagram. The inclusion criteria were experimental studies published between 2019 and 2024. The Joanna Briggs Institute (JBI) checklist was used to assess article quality. Two articles met the selection criteria. The review findings indicate that ME-based nutrition education can reduce the frequency of binge eating and improve eating behaviors. However, because these findings are based on a limited number of studies, generalization should be approached with caution. In conclusion, ME-based nutrition education has the potential to be an effective intervention for managing BED in young adults. Further research with larger sample sizes, rigorous experimental or longitudinal designs, and long-term evaluations is needed to confirm its effectiveness and widespread application.
Risk factors for stunting in toddlers from a family perspective: A qualitative study in at-risk urban areas Kunaepah, Uun; Sulistiyono, Priyo; Azzahra, Rahmani; Alviani, Eva Dwi
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.3075

Abstract

Childhood stunting remains a major public health problem, and previous quantitative studies have not adequately captured family level experiences and risk dynamics. This study aimed to explore the risk factors for stunting in children under five years of age from the family perspective using an exploratory qualitative approach in the working area of Argasunya Primary Health Center in August 2025. Nine families with stunted children aged 0–59 months were purposively selected based on low socioeconomic status, low birth weight, and limited access to health services. Data were collected through in-depth interviews and home observations, validated by triangulation, and analyzed using inductive thematic analysis. The analysis generated key themes: mothers had adequate knowledge about stunting but did not fully translate it into optimal feeding and breastfeeding practices; families depended on unstable informal income; nutrition decisions were influenced by other family members; and children experienced recurrent infections in poor sanitation settings. The central conceptual finding, “know but can’t afford,” reflected the gap between what families knew and what they could do. The study concluded that vulnerability to stunting resulted from the interaction of internal and external family factors and highlighted the need for integrated, family centered prevention through social protection, improved sanitation and hygiene, and contextual family nutrition counseling
Association between Global Diet Quality Score (GDQS) and nutritional status among indonesian adolescents: A case study in Bogor District Sardi, Lorita Amanda; Kustiyah, Lilik; Dwiriani, Cesilia Meti
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2995

Abstract

Adolescents are a population group highly vulnerable to nutritional problems due to rapid physical growth, increased nutrient needs, and the formation of long-term eating habits. Understanding the quality of their diet is essential for preventing both nutrient deficiencies and diet-related non-communicable diseases (NCDs). This study aimed to assess adolescent diet quality using the Global Diet Quality Score (GDQS) and its Indonesian modification (GDQS-I) and examine their association with nutritional status. The GDQS was developed to meet the need for a concise, sensitive, and globally applicable metric capable of evaluating both undernutrition and the risk of NCDs. This cross-sectional study was conducted from August to September 2025 and included 61 eighth-grade students from SMPN 2 Ciomas, Bogor. Dietary intake was assessed using repeated 2×24-hour food recalls, and nutritional status was determined through anthropometric measurements using the BMI-for-age index. The results showed that most adolescents had a normal nutritional status (82%); however, their diet quality was generally poor, with 67.2% categorized as high-risk based on the GDQS and 95.1% based on the GDQS-I. The Wilcoxon signed-rank test indicated significantly lower GDQS-I scores than GDQS scores (p<0.001). The Spearman correlation test found no significant association between diet quality and nutritional status (p>0.05). In conclusion, these findings suggest that the GDQS-I may be useful for screening dietary risks among Indonesian adolescents, although further validation is required.
The effect of the school meal program on knowledge, attitudes, and practices of balance nutrition among adolescent girls Zulfani, Zahida Azmi Zaqia; Tanziha, Ikeu; Riyadi, Hadi
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2834

Abstract

Anemia among adolescent girls remains a public health concern in Indonesia and is linked to low dietary diversity and inadequate nutrient intake. Despite existing school meal programs, evidence of their effects without formal nutrition education remains limited. This study aimed to evaluate the impact of a school meal program on knowledge, attitudes, and practices (KAP) related to balanced nutrition, anemia, and hygiene among female students. A quasi-experimental one-group pre–post test design was conducted with 80 grade-10 students at the State Vocational High School 1 Bogor, selected purposively during a four-week period from July to August 2025. KAP scores were collected using validated questionnaires and analyzed using the Wilcoxon test. The results showed a significant increase in knowledge (mean score 6,0 to 7.0; p= 0,043) and attitudes (median 8,0 to 10,0; p= 0,020) after one month of intervention, while practices remained unchanged (mean score 24,0 to 24,0; p= 0,371). Exposure to school meals and external nutritional information, particularly from social media, likely contributed to the improvement in knowledge and attitudes. However, unchanged practices may be due to short intervention duration, low household income, and limited access to diverse healthy foods. In conclusion, these findings highlight that free school meals can enhance knowledge and attitudes even without direct education; however, sustained behavioral change requires longer interventions, supportive environments, and parental involvement
Effect of high temperature heating on free fatty acid content and peroxide number of packaged and bulk palm cooking oil Amanda, Tiara Dia; Firdaus, M Lutfi; Nursaadah, Euis; Nurhamidah, Nurhamidah; Ruyani, Aceng
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.3158

Abstract

Palm cooking oil is widely used in food processing, particularly for high-temperature frying. Although the thermal degradation of palm oil has been extensively studied, no previous study has specifically compared the degradation rates of bulk and packaged palm oil under extreme heating conditions. Repeated use at high temperatures may induce chemical changes that affect food safety and public health. This study aimed to analyze the effect of heating on changes in free fatty acid (FFA) levels and peroxide value (PV) in palm cooking oil and assess their implications for food quality. An experimental study was conducted in January 2026 at the Chemistry Education Laboratory, University of Bengkulu, using a factorial design with two main factors: oil type (packaged and bulk) and heating temperature (100, 180, and 200°C). Six repetitions were performed at 10-minute intervals over a total heating duration of 60 min. Data were analyzed using the Shapiro–Wilk normality test and two-way ANOVA in SPSS (version 25). At 200°C after 60 min, the packaged oil showed an increase in FFA to 0.31% and PV to 13.6 meqO₂/kg. Bulk oil exhibited more severe deterioration, with FFA and PV reaching 0.37% and 19 meqO₂/kg, respectively. Temperature significantly affected the increase in FFA (p = 0.000) and PV (p = 0.004) values. In conclusion, both parameters exceeded the national safety standards (SNI) threshold. Limiting the repeated use of heated palm oil is essential for protecting consumer health.
Dietary patterns and diabetes mellitus risk in Indonesian adolescents: A literature review Azzahra, Aulia Diva; Nastaina, Hayu Iyaka
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2598

Abstract

Adolescents in Indonesia increasingly consume high-sugar, saturated fat, and ultra-processed foods, contributing to a rising risk of type 2 Diabetes Mellitus (DM). Low attention to healthy eating and poor awareness of its impact remain major gaps in the literature. This systematic review aimed to determine the association between dietary patterns and DM risk among adolescents and promote early prevention. A systematic review was conducted using Google Scholar, PubMed, ScienceDirect, and ProQuest with the following inclusion criteria: discussing the influence of diet on DM among Indonesian adolescents, written in English or Indonesian, published between 2020-2025, full-text and open access, and excluding reviews, theses, dissertations, or proceedings. Selection followed the PRISMA method, yielding six studies for analysis. The results showed that adolescents consuming sugary drinks >3 times/week had a 2.91 higher risk of abnormal blood glucose, while similar soft drink intake increased the risk of obesity (OR = 8.53), which is directly linked to type 2 DM. Most adolescents also failed to meet the daily fruit and vegetable intake recommendations. In conclusion, adolescent diets are high in sugar and low in fiber, worsened by poor nutritional literacy. School-and family based interventions, restriction of sugary drink availability, and promotion of fruit and vegetable consumption are recommended for early DM prevention.
Effectiveness of communication pathways and educational media in promoting nutrition-related behavioral change among mothers of toddlers: A systematic review Diana, Nadiya Novitania Putri; Wirawan, Nia Novita; Rahmawati, Widya
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.3032

Abstract

Stunting remains a major public health problem in many developing countries, primarily due to inadequate nutrition. Nutrition education has been widely implemented; however, comparative evidence on the effectiveness of different communication pathways and educational media in promoting sustained maternal behavioral change remains limited. This study aimed to analyze the effectiveness of communication pathways and educational media in supporting behavior changes related to toddler nutrition. Studies were identified using the PICO framework through searches in PubMed and Scopus, following PRISMA guidelines.  The inclusion criteria were open-access articles published between 2020 and 2025 that assessed behavioral outcomes and evaluated communication pathways or educational media. The methodological quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tools. Of the 2,500 articles identified, 14 studies met the inclusion criteria. The results indicate that interpersonal communication provides the most consistent evidence to support sustained nutrition-related behavioral change through personalized two-way interactions. Community and mass communication pathways mainly improve awareness and attitudes, with less consistent effects on long-term behavior. Educational media, particularly video-based media, enhance engagement and comprehension but are most effective when integrated into interactive communication pathways. Combining communication pathways with educational media appears to be the most effective approach for improving maternal feeding practices.
Theory of planned behavior–based nutrition education to enhance knowledge and fruit-vegetable consumption determinants among elementary school children in Bogor Regency Zafira, Tsuraya; Dwiriani, Cesilia Meti; Khomsan, Ali
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2900

Abstract

Nutritional problems among school-age children remain significant, mainly due to unbalanced diets and low vegetable and fruit intake. In Indonesia, 97.7% of students do not meet the recommended consumption levels, with West Java reaching 98.3%. Most nutrition education programs emphasize knowledge improvement without considering the psychological factors influencing eating behavior. The Theory of Planned Behavior (TPB), which highlights the role of intention in shaping behavior, has rarely been applied in Indonesia. This study examined the effect of TPB-based nutrition education on knowledge, attitude, subjective norm, perceived behavioral control, and intention to consume vegetables and fruits among elementary students in Bogor District. Using a quasi-experimental design with multiple random sampling, 70 fifth-grade students were divided into treatment and control groups (n=35 each). The instruments showed good validity (r-count > r-table) and reliability (Cronbach’s alpha > 0.7). The results indicated significant improvements in all TPB constructs (p < 0.05), except for subjective norm in the control group, with higher Cohen’s d values in the treatment group. TPB-based nutrition education effectively enhanced students’ intentions and behaviors toward consuming fruits and vegetables. Further research should consider longer interventions, follow-up evaluations, and the inclusion of additional influencing factors.
Determinants of suboptimal complementary feeding practices among children aged 6–24 months in Natuna: A Case-control study Afifah, Effatul; Aji, Arif Sabta; Nabiella, AD; Paratmanitya, Yhona; Herawati, Herni Dwi; Rahayu, Herwinda Kusuma
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.2597

Abstract

Stunting affects more than 22% of children under five years of age globally, including approximately 6.3 million in Indonesia. The 2024 SSGI reported a decline in the national prevalence of stunting from 21.5% to 19.8% in 2023, surpassing the 20.1% target, with a further reduction goal of 14.2% by 2029. However, Natuna Regency reported a prevalence of 16.1% in 2023, exceeding the national target and highlighting the need for evidence-based intervention.  This study aimed to investigate the association between maternal knowledge, attitudes, involvement, and self-confidence in complementary feeding practices among stunted children aged 6–24 months. This study employed a case–control design involving 122 mothers (60 cases and 62 controls). The study was conducted in the working areas of Puskesmas Serasan and Puskesmas Serasan Timur from September to November 2024. Data were collected using structured questionnaires and analyzed using chi-square tests and logistic regression.  Most case group mothers had low knowledge (21.3%), unfavorable attitudes (48.4%), limited involvement (42.6%), and low self-confidence (50%). The results also showed significant associations between maternal factors and feeding practices (p ≤ 0.001). Poor knowledge was the strongest predictor of stunting (OR = 24.0), followed by low self-confidence (OR = 8.8), negative attitude (OR = 7.29), and limited involvement (OR = 5.6). Strengthening maternal capacity is essential for improving feeding practices.
Formulation and evaluation of sensory characteristics of functional food 'Ceremoringa Bar' made from moringa leaves (Moringa oleifera) Shofiya, Dian; Soesanti, Inne; Rahman, Nur; Rahmadani, Lohita Adinda; Rosyida, Ade Riezma Amrina
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): 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.v11i1.3082

Abstract

The success of breastfeeding is mediated by several variables, including maternal nutritional status. Moringa oleifera leaves are a nutrient-rich, locally available food source that may be cultivated as a functional snack for the maternal diet during pregnancy and lactation. Moringa dietary snack foods with acceptable sensory attributes are still limited in the market. This study attempted to produce a functional food product from moringa leaves (Ceremoringa Bar) and evaluate its sensory behavior for possible formulations with suitable acceptance. This experimental laboratory study was conducted at the Poltekkes Kemenkes Surabaya Food Processing Laboratory between August and October 2025. Nine Ceremoringa moringa formulations were prepared according to three processing processes (no heating, cooking without water addition, and cooking with water addition) added to dried apple, papaya, or strawberry. Sensory evaluation was conducted by 25 trained panelists using a 5-points hedonic scale covering color, aroma, taste, and texture. Data analysis relied on the Friedman test, followed by the Wilcoxon signed-rank test with Bonferroni correction. The participants assessed the sensory attributes significantly differently (p < 0.05). Post-hoc analysis was performed but found no differences between the formulation pairs. Formulation 3C also appeared to have the highest consistency of sensory acceptance, especially regarding texture, based on median and interquartile range assessments. In conclusion, Ceremoringa Bar displayed good sensory tolerance and can be used as a moringa-based functional snack to aid maternal nutrition. However, its biological effects on lactation have not yet been measured.

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