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Agus Hendra Al Rahmad, SKM, MPH
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Jln. Soekarno-Hatta, Kampus Terpadu Poltekkes Kemenkes Aceh, Lampeunerut, Aceh Besar. Kode Pos: 23352 Provinsi Aceh, Indonesia.
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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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Inadequate protein and milk consumption related to stunting in children aged 24–59 months in Tanjung Priok, Jakarta Sheila Octavia; Sandra Fikawati; Aurelia Yoshadara
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.v11i2.3303

Abstract

Evidence on the combined association of nutrient intake and specific protein-source foods with stunting in densely populated Indonesian urban communities is limited, hindering the implementation of locally targeted nutritional interventions. This study aimed to examine the association between nutrient intake and protein-source food consumption and stunting among children aged 24–59 months in Tanjung Priok, North Jakarta. Methods: This cross-sectional study included 184 children selected by cluster random sampling from three subdistricts between January and July 2023. Stunting was defined as a height-for-age below −2 standard deviations of the World Health Organization growth standard. Dietary intake was assessed using a 24-hour recall and protein-source food frequency questionnaire. Chi-square tests and logistic regression were used to analyzed. Of the 184 children, 43 (23.4%) were stunted. Rare milk and dairy consumption (<4 times/week) was associated with higher odds of stunting (adjusted odds ratio [aOR], 2.911; 95% confidence interval [CI], 1.260–6.723; p=0.012). Inadequate protein intake was also associated with higher odds (aOR, 2.268; 95% CI, 1.024–5.023; p=0.044). Other adjusted dietary associations were not found to be statistically significant. In conclusion, rare milk and dairy consumption and inadequate protein intake were associated with stunted growth. Improving access to affordable and diverse protein-rich foods, including appropriate dairy products, may support child nutrition in similar urban communities.
Effect of moringa oleifera leaf powder and egg supplementation on weight gain and hemoglobinin undernourished children aged 36-59 months Hawa Lessy; Etika Ratna Noer; Ahmad Syauqy; Diana Nur Afifah
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.v11i2.2944

Abstract

Malnutrition and anemia remain major public health challenges among children under the age of five, adversely affecting their growth and overall health. In East Nusa Tenggara Province, particularly in South Central Timor, these conditions are prevalent. Moringa oleifera leaves are rich in protein, iron, and essential micronutrients, suggesting their potential as a local food-based intervention. This study aimed to evaluate the effect of Moringa leaf powder combined with egg consumption on weight gain and hemoglobin levels in undernourished children aged 36–59 months at the Batuputih Health Center, South Central Timor, from March to May 2025. A quasi-experimental pre–post test with a control group design was conducted with 40 children, divided equally into an intervention group (15 g/day moringa leaf powder + 1 egg) and a control group (1 egg) for 60 days. Paired and independent t-tests were used, with significance set at p<0.05. The results demonstrated significant weight gain in both groups (p<0.001), with a greater increase in the intervention group (p=0.001). Height and hemoglobin levels increased within groups (p=0.596; p=0.225) but did not differ significantly between the groups. In conclusion, daily supplementation with Moringa leaf powder and eggs for 60 days effectively enhanced body weight but did not significantly affect height or hemoglobin levels in undernourished children.
Development and nutritional evaluation of a tempeh and sweet potato leaf-based functional beverage for adolescent nutrition Nur Khoiriyah; Rizaluddin Akbar; Muhammad Zakaria
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.v11i2.3218

Abstract

Adolescent anemia remains a nutritional problem in Indonesia. Anemia affects 16.2% of the population in the country. Tempeh and sweet potato leaves are rich in iron, protein, and antioxidants, making them beneficial for adolescent nutrition. Few studies have combined these two ingredients in beverages. This study aimed to develop a beverage product using tempeh and sweet potato leaves to support adolescent nutrition. This study was conducted from August to October 2025 using a completely randomized design with three replications. The proportions of tempeh to sweet potato leaves were 100:0 (F0, control), 90:10 (F1), 80:20 (F2), 70:30 (F3), and 60:40 (F4). The product formulation was conducted at the Nutrition Laboratory of the Universitas Muhammadiyah Cirebon. The analysis included sensory evaluation (30 semi-trained panelists), proximate, iron, and antioxidant content, formulation selection, and nutritional contribution to the needs of adolescents. Data were analyzed using ANOVA and Duncan’s test. Significant differences were observed in color, aroma, taste, texture, overall preference, moisture, ash, fat, protein, iron, and antioxidant activity among the formulations (p<0.05). Meanwhile, carbohydrate content did not differ significantly (p=0.184). F1 was selected, yielding 3.43% protein, 4.84 mg/100 g iron, and 17494.73 ppm antioxidant activity (IC50). In conclusion, F1 is recommended as the best formulation to support adolescent nutrition.
The impact of dietary acid load on kidney function in individuals with chronic kidney disease: A literature review Faza Yasira Rusdi; Harnavi Harun
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.v11i2.2724

Abstract

Chronic Kidney Disease (CKD) has been increasingly associated with dietary patterns, particularly a high Dietary Acid Load (DAL). Diets rich in animal protein and low in fruits and vegetables may contribute to metabolic disturbances that negatively affect the kidney function. This literature review aimed to evaluate the relationship between DAL and kidney function in individuals with CKD. A literature search was conducted using PubMed, ScienceDirect, and Google Scholar for studies published between January and June 2025. A total of 19,040 articles were included. After screening and eligibility assessment using the PRISMA approach, six studies were included. Review articles, clinical trials, and animal studies were excluded from the study. Data were analyzed descriptively to identify the association between DAL and renal outcomes in patients with CKD. The findings consistently indicated that a high DAL was associated with impaired kidney function, including lower serum bicarbonate levels, reduced glomerular filtration rate (GFR), and increased serum creatinine concentrations. Variations in study outcomes were observed due to differences in DAL assessment methods, such as dietary intake analysis and urinary net endogenous acid production (NEAP) measurement. In conclusion, a High DAL may contribute to CKD progression. Further longitudinal and interventional studies are required to clarify the causal effects of DAL reduction on renal health.
Local cultural practices of the sasak community and their potential role in stunting prevention in Lombok Mukminah Mukminah; Najah Sholehah; Pahrurrozi Pahrurrozi
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.v11i2.3177

Abstract

Stunting is a persistent public health concern in Indonesia. Although national efforts to reduce stunting have been widely implemented, the integration of local cultural practices into community-based prevention strategies has received limited attention. This study aimed to identify the local wisdom of the Sasak people that can provide sustainable solutions for stunting prevention. This study employed a descriptive qualitative design and an exploratory ethnographic approach. The study was conducted in two high-burden stunting districts, East Lombok and North Lombok, Indonesia, from August to December 2025. Ten participants, including mothers, community health volunteers, and Sasak traditional leaders, were purposively selected. Data were collected through in-depth interviews, observations, and document analysis. The data were analyzed using thematic analysis, which involved data reduction, categorization, and interpretation. Several forms of local wisdom related to maternal and child health were identified, including traditional postpartum care practices, the consumption of nutritious local foods, breastfeeding traditions extending up to 24 months, and culturally based food taboos. Sasak local wisdom plays an important role in preventing stunting. In particular, the consumption of nutritious local foods and traditional postpartum practices supports maternal and child health. Furthermore, breastfeeding practices up to 24 months, which are influenced by cultural and religious values, promote exclusive breastfeeding and sustained optimal infant feeding practices. In conclusion, the local wisdom of the Sasak ethnic community has the potential to serve as a sustainable approach to stunting prevention, as these practices are deeply embedded in the community’s cultural and social lives.
Give us raw food materials: Qualitative analysis of stunting prevention challenges at Mandala Health Center Suhartina Suhartina; Chris Cahyani Lase; Putranto Manalu; Buenita Sinurat
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.v11i2.2976

Abstract

Stunting remains a critical public health concern in Indonesia, with long-term implications for children's physical and cognitive development, despite governmental efforts that have failed to meet national targets. This study evaluated the effectiveness of the stunting prevention program at the Mandala Community Health Center in Medan and identified the supporting and inhibiting factors in its implementation. A qualitative case study was conducted from February to April 2025, gathering data through in-depth interviews, observations, and document analysis with five key informants, including health officials, community health cadres, and mothers. Edward III’s implementation theory (encompassing communication, resources, disposition, and bureaucratic structure) guided the analysis, with thematic patterns identified and validity ensured via triangulation and member checking. The results revealed effective program socialization across levels, adequate budget allocation offset by challenges from processed food assistance over raw materials, strong implementer commitment, and consistent adherence to standard operating procedures. The study concluded that the program was administratively robust, but reliance on processed food posed a key barrier, recommending policy shifts to prioritize raw food provision for greater effectiveness.
Impact of a culturally adapted health belief model-based nutrition intervention on nutritional status among children under five in rural Indonesia Elly Dwi Masita; Esteve Adrian Estiva; Annif Munjidah; Uke Maharani Dewi; Hinda Novianti
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.v11i2.3261

Abstract

Child malnutrition is a major public health concern in Indonesia. The 2024 Indonesian Nutritional Status Survey reported stunting, wasting, and overweight prevalence among children under five years of age at 19.8%, 7.4%, and 3.4%, respectively, indicating persistent nutritional challenges despite national improvements. This study aimed to assess the effectiveness and contextual implementation of a culturally adapted Health Belief Model–based nutrition intervention on child nutritional status in rural Indonesia. A quasi-experimental mixed-methods study with a one-group pre-test and post-test design was conducted among 179 caregiver–child dyads in rural East Java from January to April 2025 without a control group. The nutritional status of the children was assessed using weight-for-age, height-for-age, weight-for-height, and BMI-for-age z-scores. Quantitative data were analyzed using the Marginal Homogeneity Test, while qualitative data were analyzed thematically. The intervention was associated with a statistically significant shift in the distribution of nutritional status (χ²=114.94; df=4; p<0.001; Cramer’s V=0.40; 95% CI=0.32–0.47), indicating a moderate effect. Normal nutritional status increased from 12.3% to 70.9%, whereas underweight decreased from 50.3% to 6.7%. Qualitative findings indicated that cultural beliefs, family decision-making, food insecurity, and economic constraints influenced child-feeding practices. In conclusion, the intervention was associated with improved child nutritional outcomes and caregiver readiness; however, the findings should be interpreted cautiously, given the absence of a control group and the short intervention period.
Comparative of storage time and prebiotic sources (Inulin and Unripe Banana Flour) on the nutritional content of synbiotic yogurt Ratih Putri Damayati; Stephani Nesya Renamastika; Firda Agustin; Ayu Febriyatna; Sekar Ayu Wulandari; M. Rizal Permadi
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.v11i2.2768

Abstract

The consumption of synbiotic yogurt continues to rise; however, Indonesia's reliance on imported inulin as a prebiotic source has also increased by 25.24%. Raw Berlin banana flour (UBF) contains resistant starch that has the potential to serve as a local alternative to inulin. This study aimed to investigate the effects of storage duration and prebiotic sources on the nutritional composition of synbiotic yogurt. A 2 × 3 factorial design was employed, with prebiotic type (Inulin and UBF) and storage time (days 0, 7, and 14) as factors. Each treatment was replicated twice with duplicate analyses. Proximate analyses included moisture, ash, carbohydrate, fat, protein, total energy, and fat energy contents. Data were analyzed using SPSS version 16 with independent t-tests and ANOVA, with significance set at p < 0.05. Results indicated that Storage time significantly affected the moisture, carbohydrate, fat, protein, total energy, and energy from fat contents (p < 0.05). The prebiotic sources inulin and UBF differed significantly in moisture and carbohydrate content on day 7, ash content on day 14, fat and energy from fat on days 0 and 7, and total energy on day 0. In conclusion, both storage duration and prebiotic source influenced the nutritional composition of the synbiotic yogurt.
Rapid decline in antioxidant activity of freshly prepared strawberry (Fragaria x ananassa) juice during short-term cold storage: a DPPH study Henny Erina Saurmauli Ompusunggu; Febrina D. N. Zebua; Ana Stela Yofani Brahmana
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.v11i2.3211

Abstract

Strawberries (Fragaria × ananassa) are rich in phenolic antioxidants, particularly anthocyanins, which degrade during processing and storage. However, the rate of antioxidant loss in freshly prepared strawberry juice during the first few days of typical home refrigeration—the exact period a consumer would drink it—remains insufficiently quantified. This study evaluated the antioxidant activity of freshly prepared strawberry juice stored at 4°C (chiller) for 0, 1, 3, and 5 days using the DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging assay. Sample concentrations of 100–500 ppm (w/v) were tested in triplicates. The presence of flavonoids was qualitatively confirmed using the Shinoda test. IC50 values were derived from the linear regression of the percentage of inhibition versus concentration. Fresh juice exhibited the highest antioxidant capacity (IC50 = 140 ppm; moderate activity). After only one day of chiller storage, the IC50 increased substantially to 225 ppm, a ~61% increase, indicating a significant loss of potency. Further increases to 257 ppm (day 3) and 272 ppm (day 5) placed the samples in the weak activity category (IC50 > 150 ppm per Yuslianti, 2018). An anomalous decrease in the% inhibition at 500 ppm in the fresh sample was noted and discussed as a likely measurement artifact. In conclusion, these findings demonstrate that strawberry juice loses a substantial proportion of its antioxidant potency within 24 h of preparation. Strawberry juice should ideally be consumed within one day of preparation for meaningful antioxidant benefit.
Nutritional status, maternal knowledge, and chewing habits as factors associated with primary tooth persistence in children aged 6–12 aears Elfi Zahara; Andriani Andriani; Intan Liana; Cut Ratna Keumala; Agus Hendra Al Rahmad
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.v11i2.2965

Abstract

Primary tooth persistence during the mixed dentition phase may influence occlusion and functional masticatory patterns. There is little community-based evidence for the combined effects of nutrition, maternal knowledge, and chewing behavior. This study aimed to determine the relationship between these factors and primary tooth persistence in children aged 6–12 years. A cross-sectional study was conducted in elementary schools in the Ingin Jaya District of Aceh Besar from September to October 2025. The sample included 120 children. They were identified during clinical examination as having persistent primary teeth. Anthropometric analysis was performed to assess nutritional status using BMI-for-age z-scores (BAZ), and a structured questionnaire was used to assess maternal knowledge and chewing habits. All data were analyzed using chi-square tests, and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. The prevalence of primary tooth persistence was 60.0%, which is relatively high compared to several school-based reports. Underweight (OR= 4.6) and overweight/obese children (OR= 4.2) were more likely to have persistent asthma than children with normal nutritional status (p= 0.002). Low maternal knowledge and poor chewing habits were also significantly linked, with chewing habits showing the strongest association (OR= 7.0; p < 0.001). In conclusion, nutritional status, maternal knowledge, and chewing behavior were significantly related to the persistence of primary teeth. Longitudinal studies are suggested to clarify these causal associations.

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