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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 582 Documents
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Associations of energy, protein, and zinc intake adequacy with SOFA scores and length of hospital stay in patients with major burns at Ngoerah General Hospital, Denpasar Anak Agung Sagung Mirah Prabandari; Agustinus I Wayan Harimawan; I Wayan Weta; Ni Ketut Sumartini; Syuma Adhy Awan; I Wayan Gede Sutadarma; I Gusti Putu Hendra Sanjaya
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3352

Abstract

Major burn injuries induce hypermetabolic and hypercatabolic responses that increase nutritional requirements. This retrospective cohort study aimed to evaluate the association between the adequacy of energy, protein, and zinc intake and the Sequential Organ Failure Assessment (SOFA) score and length of hospital stay in patients with major burns. Medical record data were obtained from patients treated at the Burn Unit of the Ngoerah General Hospital, Denpasar, between February 2025 and February 2026. Eligible patients were aged ≥17 years, had burns involving ≥20% of the total body surface area, received enteral nutrition, and were hospitalized for at least three days. Multivariable analyses were performed using negative binomial regression for SOFA scores and a generalized linear model with a gamma distribution and log link for the length of hospital stay. A total of 150 patients were included in the analysis. Energy, protein, and zinc adequacy were achieved by 31.3%, 41.3%, and 90.0% of the patients, respectively. None of the nutritional adequacy measures were independently associated with the length of hospital stay. Protein adequacy (adjusted IRR, 0.196; 95% CI, 0.038–0.999; P = 0.049) and zinc adequacy (adjusted IRR, 0.043; 95% CI, 0.017–0.109; P < .001) were independently associated with lower SOFA scores. In conclusion, adequate protein and zinc intakes were associated with lower SOFA scores; however, causality cannot be inferred from this retrospective study design. Prospective studies with temporally defined nutritional exposure are needed.
Animal-source food consumption and stunting among children aged 6–23 months in coastal Kotawaringin Barat, Indonesia Novy Cahyani; Nia Novita Wirawan; Widya Rahmawati
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3281

Abstract

Stunting remains prevalent in Indonesian coastal communities despite the abundance of fish. This study examined animal-source food consumption and factors associated with stunting in children aged 6–23 months in coastal Kotawaringin Barat, Indonesia. A mixed-methods sequential explanatory study was conducted from March to May 2025, involving 55 mother–child dyads. Nutritional status was assessed using anthropometry, and dietary intake was evaluated using a semi-quantitative food frequency questionnaire. Quantitative data were analyzed using the Mann–Whitney U test, Fisher’s Exact Test, and binary logistic regression, while qualitative data were analyzed thematically. The prevalence of stunting was 20.0%, although 98.2% of the children met the Estimated Average Requirement (EAR) for protein. The median protein intake was lower among stunted than non-stunted children (22.60 vs. 29.35 g/day; p < 0.001). Higher protein intake was associated with lower odds of stunting (OR = 0.268; 95% CI: 0.095–0.754). Fish, eggs, and milk were the main animal-source foods consumed, whereas iron-rich foods were rarely consumed. Low maternal nutritional literacy, ultra-processed food consumption, unstable fishing income, and poor sanitation emerged as major barriers. In conclusion, protein adequacy alone may not ensure optimal linear growth among children in coastal communities. Improving dietary quality, caregiver nutritional literacy, and sanitation conditions may be important components of stunting reduction strategies in these settings.
Effect of pineapple (Ananas comosus) juice containing flesh and core on serum total cholesterol in overweight and obese working women: a quasi-experimental study Nadia Rachmawati Ciptaningtyas; Nurul Muslihah; Irma Sarita Rahmawati
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3092

Abstract

Obesity among Indonesian adults is increasing, with a higher prevalence in women than in men, contributing to elevated total cholesterol levels and cardiometabolic risk. Working women may also experience greater stress, which can adversely affect cholesterol levels through hormonal responses and unhealthy eating habits. Pineapple contains bromelain and dietary fiber that may support cholesterol control, with bromelain occurring in greater amounts in the core than in the flesh of the fruit. This study aimed to evaluate the effect of pineapple juice prepared from both the flesh and core on total cholesterol levels in working women. Methods: A quasi-experimental pre-posttest study was conducted among 34 working female employees at Great Giant Food. The participants received the assigned intervention for 14 days at a dose equivalent to 142 g/70 kg body weight. Data were analyzed using paired t-tests or Wilcoxon signed-rank tests for within-group comparisons and independent t-tests or Mann–Whitney U tests for between-group comparisons. The change in total cholesterol levels differed significantly between the groups (p = 0.041). However, within-group changes were not significant in either the control (p = 0.053) or intervention group (p = 0.268). In conclusion, pineapple juice containing both flesh and core may favorably influence total cholesterol levels; however, the absence of significant within-group changes indicates that the findings should be interpreted cautiously.
The effect of kalangkala seed (Litsea angulata) biscuits containing flavonoids and unsaturated fatty acids on low-density lipoprotein cholesterol levels (LDL-C) in hypercholesterolemic wistar rats Sajiman Sajiman; Zulfiana Dewi
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3374

Abstract

Cardiovascular disease remains a leading cause of death, and elevated low-density lipoprotein cholesterol (LDL-C) is a major modifiable risk factor. Kalangkala (Litsea angulata), a native Kalimantan plant, contains flavonoids and unsaturated fatty acids with potential hypolipidemic activity. This study aimed to evaluate the effects of kalangkala seed biscuits on serum LDL-C levels in hypercholesterolemic Wistar rats. A randomized pretest-posttest control group experiment was conducted from January to April 2021 at the Faculty of Pharmacy Laboratory, Lambung Mangkurat University. Eighteen male Wistar rats were allocated to three groups (n = 6 each): control, kalangkala seed biscuit (BBK), and kalangkala seed biscuit with duck egg yolk (BBKKT). LDL-C levels were measured before and after a 10-day intervention and analyzed using ANOVA after assumption testing, and Tukey’s test was utilized to examine differences between groups for ΔLDL-C. Lowering of LDL-C levels was observed in both kalangkala seed biscuit groups, with a greater decrease in the biscuit treatment group than in the group undergoing continuous hypercholesterolemic induction. In contrast, LDL-C levels increased in the control group. This implies that LDL-C changes were significantly different between the groups. Kalangkala seed biscuits could lower LDL-C levels however the underlying pathways are unclear.
Changes in hemoglobin levels in relation to self-efficacy and adherence to weekly iron tablet supplementation among female high school students: a pre-experimental study Mahfuzhoh Fadillah Heryanda; Faradina Aghadiati; Devieka Rhama Dhanny; Devi Ardila; Widya Lestari Nurpratama
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3076

Abstract

Iron deficiency anemia (IDA) is a major public health problem, particularly among adolescent girls. The effectiveness of iron (Fe) tablet supplementation programs largely depends on adherence to consumption, which is influenced by behavioral factors such as self-efficacy. Low adherence reduces the success of iron tablet supplementation. This study aimed to analyze the changes in hemoglobin levels associated with self-efficacy and adherence to iron tablet consumption among adolescent girls. This study employed a pre-experimental, one-group, pretest–posttest design without a control group. The intervention consisted of administering iron tablets (60 mg elemental iron and 0.25 mg folic acid) once a week for one month. The study population included female adolescents from the Aulia Cendekia Talang Jambe Integrated Islamic Senior High School in Palembang City. A total of 33 subjects were selected using purposive sampling based on the inclusion and exclusion criteria. The variables in this study included participant characteristics, self-efficacy, adherence to iron tablet consumption, and changes in hemoglobin levels. Wilcoxon and chi-square tests were used for the data analysis. The results showed that 70.4% of patients with high self-efficacy experienced an increase in hemoglobin levels; however, there was no statistically significant relationship between self-efficacy and changes in hemoglobin levels (p = 0.338). In contrast, adherence to iron tablet consumption was significantly associated with changes in hemoglobin levels (p = 0.021). Non-adherent subjects were six times more likely to experience stable or decreased hemoglobin levels than adherent subjects (PR = 6.0; 95% CI: 1.2–28.9). In conclusion, adherence to iron tablet consumption is a significant factor influencing hemoglobin levels among the subjects.
Development and evaluation of a blenderized enteral formula based on tempeh and pumpkin flour compared with a commercial enteral formula for a high-energy, high-protein (HEHP) diet: Nutritional, physical, and sensory characteristics for nutrition support Aliyya Salma Putri; Destriana Putri Ayu Ningtyas; Adinda Oktaviana Milawati; Lola Ayu Istifiani
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3167

Abstract

Natural food-based enteral formulas are gaining attention; however, their use in patients with cancer has not been widely reported. This study aimed to determine the nutritional, physical, and sensory characteristics of a blenderized enteral formula (EBF) based on local foods (tempeh flour and pumpkin flour) compared with a commercial enteral formula (CEF). This experimental study was conducted from September to December 2025 at the Faculty of Health Sciences and the Faculty of Agricultural Technology, Brawijaya University. Energy and protein content, viscosity, flow characteristics, and sensory acceptability of the EBFs and CEF were evaluated. Sensory acceptability was assessed by 32 untrained panelists. The costs of three EBF formulations (F1–F3) were compared with that of the commercial formula (F0). F1 had the highest energy density (1.21 kcal/mL) and protein content (5.75 ± 0.12%), as well as the lowest flow time (162.67 ± 2.08 s) and viscosity (127.67 ± 2.52 cP) among the EBFs. Sensory scores for F2 included color (5.59 ± 1.7), aroma (6.28 ± 1.3), texture (6.47 ± 1.4), and flavor (5.34 ± 1.9). F3 had the lowest cost. In conclusion, F1 was identified as the best EBF for an HEHP diet based on its nutritional and physical characteristics; however, further formulation improvement and testing in patients with cancer are required.
Early changes in serum electrolytes after ileostomy in patients with colorectal cancer: implications for hydration and nutritional care Andrio Suhadi; Asrul Asrul; Safruddin Safruddin
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3485

Abstract

Ileostomy reduces colonic fluid and electrolyte reabsorption and could increase the risk of early postoperative dehydration and electrolyte disturbances. This study described early changes in serum sodium, potassium, and chloride levels after ileostomy in patients with colorectal cancer and their implications for hydration and nutritional care. This retrospective longitudinal study reviewed medical records at H. Adam Malik General Hospital, Medan, Indonesia, during 2025; data were extracted from April to June 2026. Of 263 patients with ileostomy identified, 75 patients with colorectal cancer who met the eligibility criteria and had complete electrolyte measurements preoperatively and on postoperative days 1 and 3 were analyzed. Global temporal differences were assessed using the Wilcoxon test at α = 0.05. Results, mean sodium decreased from 141.6 ± 5.7 mmol/L preoperatively to 137.9 ± 6.9 mmol/L on day 3, while chloride decreased from 104.7 ± 3.5 to 101.0 ± 9.3 mmol/L; both showed significant temporal differences (p < 0.001). Potassium showed no significant difference (p = 0.573). On day 3, normal sodium, potassium, and chloride values were observed in 56%, 60%, and 68% of patients, respectively. In conclusion, early post-ileostomy electrolyte changes were most apparent for sodium and chloride. These findings support serial electrolyte and hydration monitoring and integration of hydration assessment with nutritional care.
Changes in nutritional status among children aged 11–59 months participating in a local food-based supplementary feeding program in Sebangki Subdistrict Wahyu Aulia Hasibuan; Praningrum Kinasih; Miftahul Jannah; Afifa Naura Harahap
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3333

Abstract

Undernutrition among children under five years of age remains a major public health challenge in Indonesia. The Local Food-Based Supplementary Feeding Program (PMT) is a government intervention aimed at improving child nutritional status. This study described changes in the nutritional status of children aged 11–59 months who participated in the program in Sebangki Subdistrict, Landak Regency. This retrospective, secondary-data, pre–post evaluation used a descriptive quantitative approach. Data were drawn from the 2023 PMT program records collected between December 2023 and March 2024 in the working area of Sebangki Community Health Center, Landak Regency, West Kalimantan. The study included 91 children aged 11–59 months, selected through total sampling. Nutritional status was assessed using weight-for-age (WAZ) and weight-for-height (WHZ) z-scores, which were analyzed descriptively as frequencies and percentages. Results based on WAZ showed that severely underweight children decreased from 12.1% to 4.4% and underweight from 87.9% to 63.7%, while 31.9% became normal weight. Based on WHZ, wasting decreased from 29.7% to 14.3%, whereas the normal status increased from 70.3% to 85.7%. In conclusion, program participation was accompanied by favorable changes in nutritional status based on WAZ and WHZ. As this pre–post evaluation lacked a comparison group, findings should be interpreted descriptively rather than as evidence of program effectiveness.
Correlation between calcium intake and severity of premenstrual syndrome in female students in boarding high schools Syaleisha Yasmine Razi; Yudi Feriandi; Yafma Femin Helta Heriady; Eva Rianti Indrasari; Mirasari Putri
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3168

Abstract

Premenstrual Syndrome (PMS) is a multifactorial condition that occurs during the luteal phase and affects the daily activities of women of reproductive age. Calcium plays a role in PMS symptom severity, but its intake among adolescents, particularly boarding school students with limited dietary diversity, is often below the recommended RDA. This study aimed to identify the relationship between calcium intake and PMS symptom severity among female students at a boarding high school in Bogor during the 2025/2026 academic year. A quantitative observational study with a cross-sectional design was conducted among 85 respondents selected using the Proportionate Random Sampling method. Calcium intake data were collected using 3×24-Hour Estimated Food Records, and PMS symptom severity was measured using the Shortened Premenstrual Assessment Form (SPAF). The average calcium intake of respondents was 121±63 mg/day, and the average PMS score was 26±7.7. Spearman correlation analysis showed a significant relationship (p=0.04), negative correlation (r=–0.21), and weak correlation strength (CI: -0.413 to 0.005) between low calcium intake and increased PMS symptom severity. In conclusion, these findings support the association between low calcium intake and increased PMS symptom severity, highlighting the importance of adequate calcium intake among adolescents, especially those living in boarding school environments.
Enhancing anti-diabetic properties of purple sweet potato through pre-gelatinization and yogurt fermentation: A systematic review Aloisia Lovy Widiati; Irma Sari Rahmawati; Kiki Fibrianto
AcTion: Aceh Nutrition Journal Vol 11, No 3 (2026): September
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.v11i3.3110

Abstract

The prevalence of diabetes mellitus in Indonesia reached 11.7% in 2023. Purple sweet potatoes contain antidiabetic bioactive compounds whose levels and bioavailability are affected by processing methods such as pre-gelatinization and fermentation. This study aimed to evaluate whether the combination of these two processes can improve the antidiabetic properties of these tubers. This systematic review followed the guidelines of PRISMA and PICO, with a literature search for 2015–2025 on PubMed, ScienceDirect, Scopus, and Web of Science. The inclusion criteria were experimental studies that evaluated the effects of pre-gelatinization or fermentation of sweet potatoes on antidiabetic indicators, while review articles were excluded. Eighteen studies met the inclusion criteria. The quality assessment of the study used ToxRTool modification (in vitro) and SYRCLE (in vivo). The results showed that fermentation was beneficial for the antidiabetic potential of these tubers, whereas the effects of pre-gelatinization varied depending on the method. Methods that have proven to be beneficial include steaming and retrogradation. The combination of these two processes shows potential synergistic effects, but the evidence is still limited. Because these findings are based on in vitro and in vivo studies, the results must be interpreted carefully.

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