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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 550 Documents
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Effect of digital nutrition education via WhatsApp and mHealth on maternal nutrition literacy and child feeding practices: A systematic review Fathimah Az Zahra Faiq; Nia Novita Wirawan; Fajar Ari Nugroho
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.v11i1.3144

Abstract

Suboptimal infant and young child feeding practices remain a major contributor to child malnutrition, particularly in low- and middle-income countries (LMICs). Maternal nutritional literacy plays a key role in shaping appropriate feeding behaviors. Digital platforms, such as WhatsApp and mobile health (mHealth) applications, have emerged as potential tools for delivering nutrition education. This systematic review followed the PRISMA 2020 guidelines. PubMed, Scopus, and Google Scholar were searched for studies published between 2020 and 2025. Eligible studies included digital nutrition education interventions targeting mothers of infants and young children and reported outcomes related to maternal nutrition literacy and/or child feeding practices. Due to the heterogeneity of the study designs and outcome measures, the findings were synthesized narratively. Fourteen studies were included in the review. Most were conducted in LMIC settings and involved WhatsApp-based or mobile health interventions. Digital education is generally associated with improved maternal nutrition literacy, dietary diversity, timely initiation of complementary feeding, and feeding frequency. Theory-based and interactive interventions have demonstrated stronger engagement than passive approaches. Digital nutrition education via WhatsApp and mHealth shows promising evidence for supporting maternal nutrition literacy and child feeding practices, although methodological variability warrants cautious interpretation.
The association between household food security, dietary diversity, and stunting among toddlers in West Bandung Regency Yasmin Putri Prasanti; Asti Dewi Rahayu F; Widya Astuti; Ahdiyatul Fauza
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.v11i1.2614

Abstract

Stunting remains a major public health issue in Indonesia, particularly in rural areas such as Cihanjuang Rahayu Village, West Bandung Regency, where a high prevalence of stunting coincides with a declining food-security index. This study aimed to analyze the relationship between household food security, dietary diversity, and the incidence of stunting in toddlers aged 24–59 months. A cross-sectional design was employed, involving 94 toddlers selected through proportional stratified random sampling method. Toddler height was measured using a stature meter and analyzed using WHO Anthro software. Household food security was assessed using the Household Food Insecurity Access Scale (HFIAS), and dietary diversity was measured using a 24-hour recall and the Household Dietary Diversity Score (HDDS). Logistic regression analysis (SPSS v29) was conducted to control for potential confounders. Results: The prevalence of stunting in the study area was 30.9%. Food insecurity was significantly associated with stunting (p = 0.022; OR = 3.130; 95% CI: 1.182–8.284), as was low dietary diversity (p = 0.009; OR = 5.881; 95% CI: 1.564–22.107). In conclusion, these findings highlight the importance of improving household food access and dietary quality through targeted family based nutrition education and community-level interventions to effectively reduce the prevalence of stunting.
Association of dietary intake and physical activity with hypercholesterolemia among prolanis participants Sutrio Sutrio; Arie Nugroho; Endang Sri Wahyuni; Sefanadia Putri
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.v11i1.3063

Abstract

Cholesterol levels are vital indicators of the risk of metabolic disease. However, data on specific lifestyle determinants contributing to hypercholesterolemia within the Chronic Disease Management Program (Prolanis) population remain limited, despite their enrollment in routine monitoring programs. This study aimed to analyze the association between cholesterol intake, fiber intake, and physical activity with cholesterol levels in Prolanis participants.  This cross-sectional study involved 42 Prolanis participants aged 42–76 years at the Kedato Community Health Center in Bandar Lampung. Nutrient intake was measured using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ), physical activity was assessed using the Physical Activity Level (PAL) assessment, and cholesterol levels were measured enzymatically.  Bivariate analysis indicated significant associations between cholesterol intake (OR=11.000; 95%CI: 2.366–51.141), fiber intake (OR=5.600; 95%CI: 1.218–25.751), and physical activity (OR=4.750; 95%CI: 1.226–18.406) with cholesterol levels. BMI and central obesity were not significantly associated with each other. However, in the multivariate logistic regression model, physical activity emerged as the sole independent correlate (Adjusted OR 4.848; 95% CI: 1.026–22.909), whereas the associations for dietary variables were attenuated and lost statistical significance.  Although dietary factors showed initial associations, physical activity was identified as the most robust independent correlate of cholesterol levels among the Prolanis participants in this study. These findings suggest that emphasizing physical activity is a critical component of strategies to address hypercholesterolemia in this population
Association of iron and nutritional status with sleep quality in adolescent girls: A cross-sectional study Alika Shobrina Hanif; Ani Margawati; Nuryanto Nuryanto
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.v11i1.2966

Abstract

Adolescent girls tend to have a higher risk of anemia because their nutritional demands increase during growth and the onset of menstruation. Both anemia and nutritional status have been proposed to affect sleep quality through various physiological pathways. Therefore, this study was designed to examine the relationship between ferritin and hemoglobin levels and nutritional status and how these factors are associated with sleep quality among adolescent girls. A cross-sectional study will be conducted in April–May 2025 with a total of 80 participants from Pekalongan Regency. Information on sleep quality was obtained using the Pittsburgh Sleep Quality Index (PSQI) questionnaire, ferritin levels were examined using the Enzyme-Linked Immunosorbent Assay (ELISA), and hemoglobin levels were assessed using a hematology analyzer. To explore the relationships among ferritin levels, hemoglobin, and nutritional status with sleep quality, a multivariate regression analysis was employed. Bivariate analysis revealed that hemoglobin levels (p= 0.005) and nutritional status (p= 0.007) were significantly associated with sleep quality, whereas ferritin levels were not (p= 0.054). In the multivariate analysis, only hemoglobin level was significantly associated with sleep quality (p < 0.001). These results indicate that lower hemoglobin levels may play a role in worsening sleep quality among adolescent girls, underscoring the need to promote anemia prevention through enhanced nutritional intake.
Innovation of functional cookies for substitution of soybean flour (Glycine max), chicken liver and purple sweet potato (Ipomoea batatas L.) for pregnant women with anemia Inggi Arulia Yoso; Astrid Noviana
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.v11i1.2566

Abstract

Iron deficiency anemia remains a health problem among pregnant women, with a prevalence of 27.7% in Indonesia. Consuming iron-and vitamin C can help prevent anemia. This study aimed to develop cookies formulated with soybean flour, chicken liver, and purple sweet potato to improve their nutritional values. Soybeans and chicken liver are rich in iron, whereas purple sweet potatoes are rich in vitamin C. This study employed an experimental method with a completely randomized design. The cookies were prepared at Universitas Negeri Semarang, and their nutritional content was analyzed at Universitas Muhammadiyah Semarang in January–February 2025. Iron, vitamin C, and crude fiber were analyzed using colorimetry, iodometric titration, and enzymatic gravimetry, respectively. Data were analyzed using one-way ANOVA and Duncan's test. The results showed significant differences in the iron, vitamin C, and crude fiber contents among the formulas (F1, F2, F3, and F4) (p = 0.000). The highest values were found in F4, with 12.48 mg/100 g iron, 43.66 mg/100 g vitamin C, and 9.88% crude fiber. In conclusion, F4 has the potential to prevent anemia during pregnancy. With a serving size of 20 g, it can provide 92.4% of the daily iron requirement and 102.7% of the vitamin C requirement per snack portion for pregnant women.
Acceptability and iron content of catfish-based wonton as a potential iron-rich snack Nuning Marina Pengge; Nurul Hindaryani; Nur Hatijah
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.v11i1.3081

Abstract

Anemia remains a health problem among adolescent girls, partly due to low iron intakes. The development of snacks based on local ingredients that are rich in iron and acceptable in terms of their sensory properties is a potential approach. However, studies integrating acceptability evaluation and analysis of actual iron content in a single snack product are limited. This study aimed to analyze the acceptability and iron content of catfish wontons with variations in catfish and wood ear mushroom formulations. An experimental study with three formulations (F1B, F2B, and F3B) was conducted and tested on 25 trained panelists. Organoleptic data were analyzed using the Kruskal–Wallis test, followed by the Mann–Whitney U test at a 5% significance level. The iron content was analyzed using the ICP-OES method with replication. The results showed that formulation F3B had the highest level of acceptance. No differences were observed in color, aroma, and texture (p > 0.05); however, significant differences were observed in taste attributes (p < 0.05). The iron content in F3B was 2.22 mg/100 g, which is equivalent to approximately 14–15% of the daily iron requirement for adolescent girls. In conclusion, the F3B formulation has the potential to be an alternative source of iron based on local ingredients with good sensory acceptance. Further research is needed to evaluate the bioavailability and contribution of actual consumption to iron adequacy
Association of mental health and nutritional knowledge with drug abuse risk among islamic boarding school adolescents Abdul Gani; Sri Andala; Liza Wahyuni; Agusri Agusri
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.v11i1.3199

Abstract

Drug abuse remains a significant public health concern among adolescents, including those attending Islamic boarding schools. Mental health and nutritional knowledge are important factors related to risky behaviors. This study aimed to examine the mental health status and nutritional knowledge in relation to drug abuse risk among adolescents. A cross-sectional study was conducted among 152 students at the Ihyauussunnah Islamic Boarding School in Lhokseumawe, Indonesia, selected using simple random sampling. Data were collected using a structured questionnaire assessing mental health, nutritional knowledge, and drug abuse risk. Descriptive statistics and chi-square tests with odds ratios were performed. Most participants had good nutritional knowledge (80.3%) and mental health status (86.8%), whereas 84.2% were categorized as having a low risk for drug abuse. Poor nutritional knowledge was associated with a higher risk of drug abuse (odds ratio [OR] =1.88; p=0.021), and poor mental health was associated with an increased risk (OR=1.72; p=0.042). Male students had a higher risk compared to female students (P =0.032). In conclusion, mental health status and nutritional knowledge were significantly associated with drug abuse risk among adolescents. These findings highlight the importance of integrated health education and mental health support programs in Islamic boarding schools.
Explainable Stacked Ensemble Machine Learning for predicting monthly Gross Death Rate using aggregated clinical and operational hospital indicators in Indonesia Sri Murdiati; Safrizal Rahman; Yoga Yuniadi; Nirwana Lazuardi Sary
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): 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.v11i2.3304

Abstract

Accurate hospital-wide mortality prediction is important for institutional clinical governance, quality improvement and resource planning. However, most machine learning studies have focused on patient-level data, intensive care populations, or disease-specific cohorts, with limited integration of hospital operational indicators. This retrospective single-center predictive modeling study used 36 monthly institutional observations from January 2022 to December 2024 at a regional referral hospital in Indonesia. Aggregated clinical severity indicators were combined with operational performance metrics, including length of stay, bed occupancy rate, and bed turnover rates. Random Forest, XGBoost, and feedforward neural network models were developed and compared with a linear regression baseline. The performance was internally evaluated using time-aware five-fold cross-validation with R², root mean squared error (RMSE), and mean absolute error (MAE). GDR and error metrics were expressed as deaths per 1,000 admissions. The stacked ensemble achieved the highest R² (0.841) and the lowest RMSE (4.49 deaths per 1,000 admissions), while the neural network achieved the lowest MAE (2.74 deaths per 1,000 admissions). In conclusion, operational indicators had modest direct effects but improved the model robustness through interaction effects. These findings support the use of explainable ensemble machine learning for institutional-level mortality prediction and hospital decision support.
Effect of nanonization on physicochemical, sensory, and nutritional properties of Ginger (Zingiber officinale) and Sappan Wood (Caesalpinia sappan) powdered drink Adhila Fayasari; Mia Srimiati; Gina Tsania Al Madany; Aji Humaedi; Etyca Rizky Yanti
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): 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.v11i2.2985

Abstract

Ginger and sappanwood contain high levels of antioxidants with recognized immunomodulatory and antidiabetic properties; however, their bioavailability is limited. Nanonization has the potential to enhance absorption by reducing the particle size. This study evaluated the differences in the physicochemical, sensory, and nutritional properties of nano and non-nano ginger–sappanwood powdered drink formulations. A completely randomized design (CRD) with four ratios (F1:50:40, F2:60:40, F3:70:30, and F4:80:20) was applied, and the formulations were processed into powders and powdered drinks. Sensory evaluation was conducted using semi-trained panelists. The proximate composition and antioxidant activity were determined. Statistical differences were analyzed using two-way analysis of variance (ANOVA) (α = 0.05). Nano-milling improved sensory attributes in the powder form, particularly color and texture (p < 0.05). Differences in flavor were observed only in the drink form, whereas taste and overall acceptability were not significantly affected. Formula 4 (80:20) achieved the highest hedonic and organoleptic ratings. Antioxidant activity was generally low across all formulations; however, the nano-milled powders exhibited slightly higher values than their non-nano counterparts. In conclusion, nanonization enhanced selected sensory qualities and modestly improved antioxidant performance, particularly in the powdered form.
Effectiveness of printed nutrition education media on dietary knowledge, dietary adherence, and glycemic control among patients with type 2 diabetes mellitus: A narrative literature review Wahyu Ria Wijayanti; Intan Yusuf Habibie
AcTion: Aceh Nutrition Journal Vol 11, No 2 (2026): 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.v11i2.3240

Abstract

Type 2 diabetes mellitus is a chronic metabolic disorder with increasing prevalence, necessitating appropriate dietary management to prevent complications. Evidence indicates that most patients exhibit low dietary adherence, which directly affects glycemic control, and limited dietary knowledge remains a primary barrier. Print-based nutrition education, including leaflets, booklets, and pocket guides, is widely employed because of its practicality, affordability, and capacity for repeated consultation. This narrative literature review examines the effectiveness of print-based nutrition education in enhancing dietary knowledge, adherence, and glycemic outcomes in patients with type 2 diabetes. Literature searches were conducted in Google Scholar, Taylor & Francis, and Dimensions using relevant keywords, and selections were made following the PRISMA framework. Of the 510 identified articles, three met the inclusion criteria. The findings consistently demonstrate that print-based nutrition education improves dietary knowledge among patients. Pocket guides were generally more effective than leaflets, offering convenient and repeatable use. Improvements in dietary adherence and blood glucose levels were more pronounced when printed materials were supplemented with repeated counseling and dietary monitoring. In conclusion, print-based nutrition education effectively enhances dietary knowledge and is a viable tool for diabetes care.

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