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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 550 Documents
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Comparison of food waste using the PDAT and comstock methods in inpatients in Bengkulu Repa Ghina Sonia; Betty Yosephin Simanjuntak; Desri Suryani
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.v11i2.2789

Abstract

Food waste is an indicator of the quality of hospital nutritional services. A high percentage of waste indicates low patient intake and may affect the nutritional status and recovery. This study was conducted in May 2025 at Harapan Dan Doa Hospital, Bengkulu City, in the Safa, Marwah, and Mina wards, where food waste exceeded the standard (<20%). This study aimed to compare the Pictorial Dietary Assessment Tool (PDAT) and Comstock methods for measuring patient food waste. A descriptive cross-sectional design was applied to 50 inpatients selected through accidental sampling method. Data were collected through observation using both methods. The Mann-Whitney test was used to analyze differences, and sensitivity and specificity were assessed using cross-tabulation. The results showed no significant differences between the two methods across all food categories (p > 0.05). PDAT was considered more accurate because it uses photographs of meals before and after consumption, making the assessment more objective. Meanwhile, Comstock relies on visual estimates, which may introduce bias. Both methods had high sensitivity (>80%), indicating good agreement. In conclusion, the PDAT and Comstock tools are suitable for evaluating patient food waste and monitoring the quality of nutrition services in hospitals.
Exclusive breastfeeding and maternal employment as determinants of toddler nutritional status in Banda Aceh, Indonesia Burhanuddin Syam; Evi Dewi Yani; Rahmayani Rahmayani; Ismail Ismail; Nisrina Hanum; Munalita Munalita
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.v11i2.3046

Abstract

Child malnutrition remains a significant public health concern with long-term consequences for growth, cognitive development and morbidity. This study aimed to examine the association between exclusive breastfeeding, maternal employment, and nutritional status of toddlers in the Lampaseh Health Center area of Banda Aceh. A cross-sectional study was conducted on 47 mothers selected through random sampling. Data were collected using structured questionnaires and verified using health records. Nutritional status was assessed using the weight-for-age (WAZ) indicator, based on WHO standards. Data were analyzed using chi-square tests and odds ratios (OR). The results showed that children of employed mothers were more likely to be undernourished than those of unemployed mothers (OR = 5.25; p = 0.029). Similarly, toddlers who were not exclusively breastfed had a higher likelihood of undernutrition than those who were exclusively breastfed (OR = 10.77; p = 0.001). In conclusion, exclusive breastfeeding and maternal employment are significant determinants of the nutritional status of toddlers. However, the cross-sectional design and small sample size limit the causal inference and generalizability of the results. Strengthening breastfeeding support and targeted interventions for working mothers is recommended to improve child nutrition outcomes.
Analysis of Family Nutrition and Physical Activity (FNPA) and food security as predictors of adolescent obesity at SMAN 98 Jakarta Annisa Yuri Ekaningrum; Hilda Carmitha Panjaitan; Dany Permana
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.v11i2.2984

Abstract

Obese adolescents are at an increased risk of obesity in adulthood. The Family Nutrition and Physical Activity (FNPA) screening tool was developed for children and adolescents to identify families at risk and facilitate early obesity counseling and intervention strategies. This study aimed to examine the association between family nutrition and physical activity (FNPA), household food security, and nutritional status among adolescents. A cross-sectional study was conducted at SMAN 98 Jakarta, involving 318 students in June and July 2026. Nutritional status was assessed using BMI-for-age, FNPA was measured using a standardized questionnaire, and food security was assessed using the Household Food Insecurity Access Scale. Data were analyzed using chi-square tests, correlation analysis, and multinomial logistic regression analysis. The results showed No significant association was found between food security and nutritional status (p = 0.448). FNPA scores were not significantly correlated with BMI-for-age Z-scores (r = 0.018; p = 0.751). Multinomial logistic regression analysis showed that sex was the only variable significantly associated with nutritional status, with female adolescents more likely to have a normal nutritional status than undernutrition (p = 0.036; OR = 2.934; 95% CI: 1.073–8.022). In conclusion, these findings suggest that family environment and household food security alone may not sufficiently explain adolescent obesity, highlighting the role of broader behavioral and environmental factors in adolescent obesity.
The effectiveness of bay leaf extract (Syzygium polyanthum (Wight) Walp.) as a local food-based nutritional therapy to reduce hypertension in pregnant women Minarti Minarti; Wa Ode Nesya Jeni Samrida; Sitti Aisyah Ansi
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.v11i2.3262

Abstract

Hypertension during pregnancy requires timely management because it can compromise maternal and fetal health. Local food-based plant preparations are often used as complementary approaches, but evidence of their measurable effects on blood pressure in pregnant women remains limited. This study examined changes in systolic and diastolic blood pressure before and after seven days of treatment with Syzygium polyanthum (Wight) Walp. decoction in pregnant women with hypertension. Methods: A quasi-experimental one-group pretest-posttest study was conducted from June to July 2025 in the working area of the Sulaa Primary Health Center, Baubau City, Indonesia. Twenty pregnant women with hypertension, defined as blood pressure ≥140/90 mmHg, were selected using purposive sampling method. The participants received S. polyanthum decoction for seven days. Systolic and diastolic blood pressures were measured before and after the intervention. Data were analyzed using paired sample t-tests. The mean systolic blood pressure decreased from 143.50 ± 2.33 mmHg to 133.95 ± 2.11 mmHg, with a mean reduction of 9.55 mmHg (p < 0.001). The mean diastolic blood pressure decreased from 94.45 ± 1.50 mmHg to 88.60 ± 2.72 mmHg, with a mean reduction of 5.85 mmHg (p < 0.001). In conclusion, a seven-day administration of S. polyanthum decoction was followed by lower systolic and diastolic blood pressure in this one-group study. The decoction may be considered a complementary local food-based approach to support blood pressure management in pregnant women with hypertension; however, randomized controlled studies are needed to confirm its effectiveness and safety.
Protective effects of pitanga leaf extract on oxidative stress and hepatic-testicular alterations in a rat model of metabolic syndrome Evy Sulistyoningrum; Asri Hendrawati; Mutia Fudhla Karima
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.v11i2.2781

Abstract

The prevalence of metabolic syndrome (MetS) is increasing. Oxidative stress is a major consequence of MetS and can affect multiple organs, including the liver and testes. Pitanga leaves possess potent antioxidant and anti-inflammatory properties and are rich in anthocyanins, phenolic acids, and flavonoids, which may provide protection against oxidative damage. This study evaluated the effects of pitanga leaf extract on oxidative stress markers and liver and testicular histology in a rat model of MetS. Twenty-five male Wistar rats were randomly assigned to five groups: normal, MetS, MetS + telmisartan (8 mg/kg), MetS + pitanga leaf extract (PLE) 50 mg/kg), and MetS + PLE (100 mg/kg). MetS was induced for eight weeks using a high-fat diet, and 20% fructose was administered concurrently with the interventions. Plasma oxidative stress markers were assessed on day 57, after which the tissues were collected for histological examination. Administration of PLE at 50 and 100 mg/kg reduced plasma malondialdehyde levels and increased glutathione peroxidase levels (p < 0.05). It also improved liver and testicular indices (p < 0.05) and reduced hepatic steatosis. In conclusion, pitanga leaf extract ameliorated oxidative stress and liver and testicular damage in rats with MetS, although its testicular effect was limited to reducing the testicular index.
Influence of storage temperature on lipid oxidation kinetics and quality stability of snakehead fish (Channa striata) sausages Sri Iriyanti; Budi Kristanto; Nia Budhi Astuti
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.v11i2.3212

Abstract

Lipid oxidation is the primary cause of quality deterioration in fish-based products, with malondialdehyde (MDA) accumulation posing implications for sensory quality and food safety. This study evaluated the effect of storage temperature on lipid oxidation kinetics in snakehead fish (Channa striata) sausage over 30 d. Room temperature (25 ± 3 °C) and cold storage (10 ± 2 °C) were applied to nine independent samples each. Lipid oxidation was quantified as thiobarbituric acid reactive substances (TBARS) on days 0, 5, 10, 15, 20, 25, and 30, and zero- and first-order kinetic models were evaluated. TBARS increased under both conditions, reaching 0.376 mg MDA/kg at 25 °C and 0.178 mg MDA/kg at 10 °C on day 30, both of which were below the sensory rancidity threshold. Storage temperature, time, and their interaction significantly affected TBARS (p < 0.001; η² = 0.79, 0.85, 0.53). The first-order model fit better at 25 °C (R² = 0.996; k = 0.0598 d ⁻¹), and the zero-order model fit better at 10 °C (R² = 0.981; k = 0.0350 d ⁻¹). The Arrhenius activation energy was measured to be 25.11 kJ/mol. Cold storage reduced the oxidation rate by approximately 41% compared to room temperature, making it a practical option for slowing lipid oxidation in snakehead fish sausage during short-term storage.
Effectiveness of flipchart and leaflet-based nutrition education on knowledge, attitudes, and practices of Posyandu cadres in Central Papua Naning Isroul Fauziah; Sufiati Bintanah; Ary Istiany; Kartika Nugraheni; Rahayu Astuti
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.v11i2.3160

Abstract

Posyandu cadres play a crucial role in promoting balanced nutrition education within communities, particularly in areas with limited access to health services, such as Central Papua. Appropriate educational media are needed to enhance knowledge, attitudes, and practices. This study compared the effectiveness of flipchart- and leaflet-based nutrition education in improving balanced nutrition knowledge, attitudes, and practices among the cadres. A quantitative quasi-experimental study was conducted in the Timika Community Health Center service area in August 2025. Sixty cadres were selected through simple random sampling and assigned to either the flipchart (n=30) or leaflet (n = 30) group. Educational interventions were delivered using flip charts and leaflets. Data were analyzed using Wilcoxon and Mann–Whitney tests. Results: Both media significantly improved the cadres’ knowledge and practices (p<0.001). Knowledge improvement was greater in the flipchart group (mean difference: 3.37±0.32) than in the leaflet group (2.10±1.03; p<0.001). Attitude scores increased significantly in the flipchart group (1.13±2.24; p=0.013), whereas the increase in the leaflet group was not statistically significant (0.53±2.10; p=0.139). Practice improvement was higher in the flipchart group (7.33±1.83) than in the leaflet group (1.20±1.03; p<0.001). In conclusion, flipchart-based education was more effective than leaflets in improving Posyandu cadres’ knowledge and practices regarding balanced nutrition, supporting stronger community-based nutrition promotion in remote areas of Indonesia.
Characterization of texture and microstructure of instant analog rice based on soybean–seaweed formulation Lola Ayu Istifiani; Rahma Micho Widyanto; Aprinia Dian Nurhayati; Irma Sarita Rahmawati; Dita Oktavia Maharani
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.v11i2.2938

Abstract

The prevalence of type 2 Diabetes Mellitus (T2DM) continues to rise, and the consumption of high-glycemic index white rice contributes to postprandial hyperglycemia. Alternatives with a low glycemic index that are practical and nutritionally rich remain limited. This study aimed to evaluate the texture and microstructure of instant analog rice based on soybean and seaweed to support T2DM risk management. A completely randomized design with three replicates per treatment was used. The formulations included soybean: seaweed ratios of 40%:60% (P2), 50%:50% (P3), and 60%:40% (P4), along with 100% instant rice as the control (P1). Texture was analyzed using Texture Profile Analysis, and microstructure was observed with a Scanning Electron Microscope (magnification 2000×, 15 kV). Results, significant differences were observed in hardness (P3: 5.21 N), cohesiveness (P2: 0.62), and resilience (P2: 0.41). SEM images showed more porous granules in P2–P4, which correlated with lower hardness and faster rehydration. Formulation P4 (60% soybean:40% seaweed) exhibited moderate hardness (4.87 N), acceptable cohesiveness, and a porous microstructure, supporting its nutritional value and functional properties. In Conclusion, instant analog rice P4 has the potential to serve as a functional food that is practical for T2DM prevention and management, providing a suitable texture and nutritional benefits that support metabolic health.
Structural determinants of stunting among children aged 0–59 months: A PLS-SEM analysis of family, environmental, and health factors in Banten, Indonesia Adam Sugiharto; Megawati Simanjuntak; Yulina Eva Riany; Muhammad Rizal Martua Damanik; Diah Krisnatuti
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.v11i2.3202

Abstract

Stunting remains a major public health problem among children under five years of age in Indonesia, particularly among socioeconomically vulnerable families. Previous studies have mostly examined stunting determinants separately and rarely analyzed their structural relationships. This study aimed to analyze the structural relationships between family economic pressure, access to health facilities, feeding practices, and child nutritional status using Partial Least Squares Structural Equation Modeling (PLS-SEM). A cross-sectional study was conducted from July to September 2025 in Sumur District, Banten Province, Indonesia, involving 402 mothers with children aged 0–59 months from families at risk of stunting. Data were collected through structured interviews, anthropometric measurements and standardized questionnaires. Data were analyzed using SPSS 23 and SmartPLS 3.0. PLS-SEM analysis showed that family economic pressure significantly influenced feeding practices (β = 0.321; p < 0.001), and access to health facilities positively affected feeding practices (β = 0.130; p = 0.024). However, feeding practices did not significantly influence HAZ (β = 0.015; p = 0.768). Birth weight was associated with the nutritional status of the child. In conclusion, these findings highlight the importance of strengthening economic resilience and improving access to supportive health services in family based stunting prevention strategies.
Risk factors for preeclampsia: A case-control study in Makassar City and Gowa Regency, Indonesia Andi Sitti Rahma; Rini Fitriani; Sari Ifdiana Jalal; Syarifah Intan Nurfitri
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.v11i2.2505

Abstract

Preeclampsia remains a serious pregnancy complication with a high prevalence in Indonesia. This case-control study, conducted in Makassar City and Gowa Regency (August–December 2024), aimed to analyze the risk factors for preeclampsia in 78 pregnant women (>20 weeks gestation), diagnosed based on hypertension and proteinuria. Data on obstetric history, diet (FFQ), and anthropometrics were collected, including serum zinc levels measured using ELISA. Independent t-tests indicated a significantly higher pre-pregnancy Body Mass Index (BMI) in the preeclampsia group (p<0.05). A Chi-square test revealed that a history of preeclampsia served as an absolute predictor within this sample (95% CI: ∞). Multivariate Binary Logistic Regression showed that Weight Gain was the only statistically significant independent risk factor for preeclampsia incidence (p=0.045), with the risk category yielding an Odds Ratio (OR) of 2.928 (95% CI: 1.022–8.387). Other variables, including BMI, were not significant (p>0.05). Dietary patterns (fish intake) also showed an association with preeclampsia in preeclampsia women (p=0,022; OR 9.909 and 95% CI 1.396-70.348). The conclusion is that a history of preeclampsia is an absolute predictor in this study sample. There was a relationship between weight gain during pregnancy and fish intake with the incidence of preeclampsia in the study area.

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