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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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Effect of yacon (Smallanthus sossnchifolius) tuber extract addition on chemical and organoleptic characteristics of green tea kombucha Nabilah Hening Prayitno; Irma Sarita Rahmawati; Fajar Ari Nugroho
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.v11i2.3093

Abstract

Kombucha is a fermented beverage produced from tea, sugar, and a symbiotic culture of microorganisms. Yakon tubers have a natural sweetness and contain phenolic compounds, fructooligosaccharides, and inulin, which function as natural prebiotics. However, studies on the incorporation of yakon tubers into green tea kombucha are limited. This study aimed to evaluate the effect of yakon tuber extract on the chemical and organoleptic characteristics of green tea kombucha. A true experimental design with a Completely Randomized Design was applied using four formulations: F0 (0%), F1 (10%), F2 (20%), and F3 (30%). The parameters analyzed included pH, total sugar content (DNS method), total flavonoid content (UV–Vis spectrophotometry), and sensory evaluation by 30 panelists, carried out for 1 month at Universitas Brawijaya. Data were analyzed using one-way ANOVA/Kruskal–Wallis/Mann–Whitney and Duncan’s Multiple Range Test (DMRT), as appropriate. The results showed that the addition of yakon extract reduced the total sugar content (p=0.015) and increased the total flavonoid content (p=0.000). The final pH values were within a safe range (2.54–2.62), with no significant differences in the sensory attributes (p>0.05). Yakon tubers support microbial growth during fermentation. Formulation F3 (30%) was identified as the best treatment based on its acceptable pH, lower sugar content after dilution, and highest panelist preference.
Prevalence and associated factors of anemia among female high school students in Depok City Thesia Ekawati; Sandra Fikawati; Dian Fitri Nurisfanti; Hilmi Friska
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.v11i2.3301

Abstract

Anemia among adolescent girls remains a public health issue that can affect their nutritional status, learning abilities, and reproductive health. However, studies that simultaneously analyze nutritional intake, behavioral, and physiological factors associated with anemia among high school girls in Depok City are limited. This study aimed to identify the factors associated with anemia among female high school students in Depok City, Indonesia. Methods: This cross-sectional study included 165 students from 15 public high schools selected by quota sampling between February and April 2024. Data were collected through hemoglobin measurements using the HemoCue Hb 201+, anthropometry, two 24-hour dietary recalls, and structured questionnaires. Data were analyzed using chi-square tests and multiple logistic regressions. Results: The prevalence of anemia was 53.3%. Low protein intake had the strongest independent association with anemia (odds ratio [OR] = 6.18; 95% confidence interval [CI]: 2.74–13.94; P < 0.001). Other associated factors included undernutrition (OR = 5.27; p = 0.015), low energy intake (OR = 4.84; p = 0.001), insufficient iron intake (OR = 4.76; p = 0.002), nonadherence to weekly iron supplementation (OR = 4.50; p = 0.009), irregular menstrual cycles (OR = 3.95; p = 0.004), and low zinc intake (OR = 2.51; p = 0.034). In conclusion, anemia was prevalent and was associated with nutritional, behavioral, and menstrual factors. Integrated interventions should improve dietary quality, supplementation adherence, menstrual health education, and counseling for undernourished female students.
The role of iron enhancer intake frequency in iron-deficiency anemia among adolescent girls in Purwokerto Izka Sofiyya Wahyurin; Jennifer Novitasari; Hiya Alfi Rahmah
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.v11i2.3116

Abstract

Iron-deficiency anemia remains a critical health concern among adolescents, primarily influenced by dietary patterns that affect the bioavailability of iron. A 2023 screening in the Banyumas District reported a 36.7% prevalence of anemia among adolescent girls. This cross-sectional analytical study, conducted from August to September 2025, aimed to examine the association between the frequency and timing of meals of dietary iron enhancers and inhibitors and the risk of iron-deficiency anemia. Seventy-eight female students aged 14–17 years were selected using proportional purposive sampling. Hemoglobin levels were measured using a Hemoglobin Meter, with anemia defined as Hb <12 g/dL. Dietary intake was assessed using a Food Frequency Questionnaire (FFQ) and 24-hour recalls, focusing on enhancer intake frequency (rarely: score <2.1; frequently: score ≥2.1) and the timing of consumption for both enhancers and inhibitors. Data analysis employed Chi-square and Fisher’s exact tests, with associations reported as Prevalence Ratios (PR). The prevalence of anemia was 39.3%. Frequent consumption of iron enhancers significantly reduced the risk of anemia by 84.7% compared with rare intake (PR = 0.153, p = 0.016). Conversely, frequent intake of inhibitors increased the odds of anemia (OR = 2.315, p = 0.008). Meal timing for both enhancers and inhibitors showed no significant association with anemia (p > 0.05). In conclusion, the frequency of iron enhancer intake is the primary dietary factor influencing anemia risk, outweighing the significance of its timing of consumption.
Effectiveness of synbiotics in obesity management: A literature review Miftahul Jannah; Prananingrum Kinasih; Dhiya Fadhila Rahmah
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.v11i2.3175

Abstract

The increased occurrence of obesity worldwide is playing a major role in the growth of serious illnesses, such as Cardiovascular Disease and Type 2 diabetes. Modulation of gut microbiota using synbiotics is a novel alternative. This study provides evidence for the effectiveness of synbiotics in managing obesity, particularly with respect to body composition and anthropometric measurements. This review focuses on the years 2020-2025. Using the keywords “synbiotic” AND “obesity,” criteria based on inclusion and exclusion were applied to the Title, Abstract, and TEXT to screen publications. Data available in English in the specified years were used. Short-term synbiotic supplementation shows little evidence of affecting body weight or body mass index. However, waist circumference, body fat percentage, and visceral fat loss suggest that short-term to mid-term synbiotic supplementation has a more consistent effect on body composition and central obesity. The positive impact of synbiotics is more noticeable when high-fiber diets are used. In conclusion, ulterior to achieving absolute weight loss, it can be concluded that synbiotics are a safe means of managing obesity as a central means of improving body composition and central obesity.
Intra-and interpersonal determinants of sugar sweetened beverage and daily sugar intake among adolescent girls in Tasikmalaya City: A cross-sectional study Prima Endang Susilowati; Rizka Fikrinnisa; Nisatami Husnul; Lilik Hidayanti
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.v11i2.3181

Abstract

Sugar Sweetened Beverages (SSBs) are a type of high-energy drink favored by adolescents. Determinants within the individual and interactions with others can influence SSB intake. This study aimed to understand the association between intra- and interpersonal determinants of the frequency of SSBs consumption and daily sugar intake in adolescent girls. This study used a cross-sectional design, with 342 subjects selected from1425 junior high school students in Tasikmalaya City. Data collection on daily sugar intake used the SQ-FFQ, while the frequency of SSBs consumption was assessed using a questionnaire. Data analysis was performed using chi-square and logistic regression. The results showed that most participants frequently consumed SSBs (83%) and had excessive daily sugar intake (61.1%). Sweet taste preference (p=0.041; aOR 1.919[1.028–3.585]), advertising influence (p=0.013; aOR 2.141 [1.176–3.898]), and access to SSBs at school (p=0.033; aOR 2.594 [1.082–6.214]) were associated with the frequency of consumption. The frequency of SSBs consumption (p=0.000; aOR 7.293 [3.681–14.452]) and maternal education (p=0.044; aOR 1,662 [1.013 – 2.726]) were associated with daily sugar intake. Access to SSBs at school was the most dominant determinant associated with the frequency of SSBs consumption. School-based interventions can include providing drinking water, especially during lunchtime.
Risk factors of neonatal hypoglycemia in Banda Aceh: A Retrospective Cross-Sectional Study Aidil Fittriani Ayu; Darnifayanti Darnifayanti; Mulya Safri; Sulaiman Yusuf; Syafruddin Haris; T. M. Thaib
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.v11i2.2924

Abstract

Hypoglycemia is the most common metabolic disorder in newborns during the first two days of life, with a global prevalence of 5-15% in at-risk populations. This condition can cause permanent neurological damage and intellectual disabilities. Objective: To analyze the risk factors of neonatal hypoglycemia at Dr. Zainoel Abidin Hospital, Banda Aceh. Methods: This retrospective cross-sectional study used medical records from January to December 2024. The key predictors included gestational age, birth weight, maternal diabetes mellitus, eclampsia, and delivery mode. All eligible records (n=448) were included. Data were analyzed using SPSS version 29 with the chi-square test and multiple logistic regression. Hypoglycemia (blood glucose <45 mg/dL within 24 h of birth) was found in 67 (15.0%) infants. Multivariate analysis identified cesarean section as the strongest independent predictor (AOR=3.850; p<0.001), followed by birth weight <2500 g (AOR=6.345; p=0.004), and prematurity <37 weeks (AOR=3.383; p=0.001). In conclusion, cesarean delivery, prematurity, and low birth weight were independent risk factors for neonatal hypoglycemia after multivariate adjustment.
Implementation of vegetable consumption education in the Elementary School curriculum: A case study G7KAIH program Deris Aprianty; Drajat Martianto; Ali Khomsan; Yayuk Farida Baliwati
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.v11i2.3268

Abstract

Low vegetable consumption among elementary school students in Indonesia persists despite the national policy implemented through the “Gerakan 7 Kebiasaan Anak Indonesia Hebat (G7KAIH).” Previous studies have primarily examined nutritional intake outcomes, whereas limited attention has been paid to how vegetable consumption education policies are translated into classroom practice. This study aimed to analyze the integration of vegetable consumption education into the elementary school curriculum through G7KAIH and identify the implementation factors affecting learning practices and vegetable consumption habituation. A descriptive qualitative case study was conducted at a public elementary school in Tasikmalaya City, Indonesia, from October to December 2025. Data were collected through in-depth interviews and focus group discussions with education officials, school principals, teachers, and a nutritionist. Plate waste was identified through student consumption monitoring and simple recording of food waste at school. Data were analyzed thematically using Edward III’s policy-implementation framework. The findings indicate that policy communication was formally conducted but was not supported by operational guidelines, teacher capacity, or a clear implementation structure. Consequently, vegetable consumption education remained largely administrative and was not fully operationalized in daily learning processes. In conclusion, plate waste may serve as a behavioral indicator reflecting the translation of educational policy messages into classroom practice and students’ eating behaviors.
Acceptability and nutritional value of sorghum–mung bean cookies with variations in sweeteners and fats Taufiq Firdaus Al Ghifari Atmadja; Nur Arifah Qurota A&#039;yunin; Luthfi Yulmiftiyanto Nurhamzah; Almira Nuraelah; Aulia Putri Wahyuningtyas
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.v11i2.2899

Abstract

The main ingredient in cookies is typically wheat flour, which contains gluten and has a high glycemic index. This makes it unsuitable for individuals with gluten intolerance or those requiring low-glycemic index snacks. This study aimed to develop gluten-free cookies using a sorghum–mung bean flour combination while comparing two sweeteners (palm sugar and stevia) and two types of vegetable fats (margarine and virgin coconut oil (VCO)) in terms of sensory quality and nutritional content. The study employed an experimental design using a Randomized Complete Block Design (RCBD) with five treatment formulations and two replicates, totaling ten samples, conducted from May to August 2025. Organoleptic tests were performed at the Food Culinary Laboratory, Faculty of Health Sciences, Universitas Siliwangi, while proximate analyses were conducted at the Food and Nutrition Laboratory, Faculty of Agricultural Technology, Universitas Gadjah Mada, Yogyakarta, Indonesia. The formulations included F0 (wheat–sorghum flour, granulated sugar, margarine), F1 (sorghum–mung bean flour, palm sugar, margarine), F2 (sorghum–mung bean flour, palm sugar, virgin coconut oil (VCO)), F3 (sorghum–mung bean flour, stevia, margarine), and F4 (sorghum–mung bean flour, stevia, VCO). Data were analyzed using the Kruskal–Wallis and One-Way ANOVA tests. The results indicated significant differences in all hedonic parameters (color, texture, aroma, and taste) and nutrient content among the formulations (p < 0.001). Formulation F3, which consisted of sorghum–mung bean flour, stevia, and margarine, demonstrated the highest acceptability. In conclusion, cookies made from sorghum and mung bean flours with natural sweeteners and vegetable fats have the potential to be gluten-free, low-glycemic snacks suitable for functional food development.
Dominant factors and food waste reduction strategies in hospitals: A systematic literature review Afrizal Afrizal; Fajar Ari Nugroho; Irma Sarita Rahmawati; Tita Septi Handayani
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.v11i2.3209

Abstract

Food waste in hospitals is a critical issue because of its economic, environmental, and nutritional service implications. Previous studies have reported inconsistent findings regarding the dominant factors influencing food waste, particularly those related to food quality, patient characteristics, and the delivery of services. This study aimed to identify the dominant determinants of hospital food waste and analyze strategies for reducing it. A Systematic Literature Review (SLR) was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The review included 30 national and international articles published between 2020 and 2025, retrieved from Scopus and ScienceDirect based on pre-defined inclusion and exclusion criteria. The findings indicate that hospital food waste is a multifactorial phenomenon influenced by internal and external factors. Food quality, particularly taste and appearance, emerged as the most frequently reported determinant, followed by patient-related factors such as appetite and clinical condition and service-related factors including staff interaction and food distribution systems. Food waste reduction strategies include improving food quality, implementing waste monitoring systems, enhancing staff competency, and optimizing menu planning according to patient preferences.
The role of erythrocyte indices and red cell distribution width (RDW) as predictors of iron deficiency anemia in children with acyanotic congenital heart disease Hirli Septiana Sari; Herlina Dimiati; Anidar .Anidar; Nora Sovira; Heru Noviat Herdata; Eka Destianti Edward
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.v11i2.3120

Abstract

Congenital heart disease (CHD) affects 9.5 per 1,000 live births worldwide, with Asia showing the highest numbers. Erythrocyte indices such as MCV, MCH, MCHC, and RDW help screen for IDA. This study evaluated erythrocyte indices and RDW as predictors of IDA in pediatric patients. Fifty children aged 1 month to 18 years with acyanotic CHD participated in the study at Dr. Zainoel Abidin Hospital, Banda Aceh, from May to August 2025. IDA diagnosis required age-specific low hemoglobin plus two of the following: ferritin <12 ng/mL, serum iron <50 μg/dL, or TIBC >350 μg/dL. The results showed that 26% of the patients had IDA. The IDA group demonstrated low MCV (84.6%; p=0.001), MCH (53.8%; p=0.001), MCHC (38.5%; p=0.003), and high RDW (76.9%; p=0.001). Logistic regression revealed that low MCV (OR 17.109; 95% CI 2.392–122.397) and high RDW (OR 15.256; 95% CI 2.297–101.320) were the strongest predictors. In conclusion, these parameters effectively predicted IDA in children with cyanotic CHD. Low MCV was the most significant predictor, followed by elevated RDW.

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