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Trias Mahmudiono, SKM., MPH (Nutr), GCAS., PhD
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INDONESIA
Amerta Nutrition
Published by Universitas Airlangga
ISSN : 25801163     EISSN : 25809776     DOI : -
Core Subject : Health, Education,
Amerta Nutrition (p-ISSN:2580-1163; e-ISSN: 2580-9776) is a peer reviewed open access scientific journal published by Universitas Airlangga. The scope for Amerta Nutrition include: public health nutrition, community nutrition, clinical nutrition, dietetics, food science and food service management. Each volume of Amerta Nutrition is counted in each calendar year that consist of 4 issues. Amerta Nutrition is published four times per year every March, June, September, and December.
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Articles 879 Documents
Penerapan Sistem Hazard Analysis Critical Control Point (HACCP) pada Produk Banana Cake di Aerofood ACS Surabaya Annisa Salsabila Setya Budi; Trias Mahmudiono
Amerta Nutrition Vol. 5 No. 3 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i3.2021.211-222

Abstract

ABSTRACTBackground: Aerofood ACS Surabaya as an international inflight catering service is required to have good food safety standards to ensure the quality of the products. The food safety system implemented by Aerofood ACS Surabaya on all its product is Hazard Analysis Critical Control Point (HACCP), including the banana cake. HACCP needs to be applied to prevent the possibility of physical, chemical, and biological contamination on food product that can cause foodborne disease.Objectives: The purpose of this research is to identify the application of HACCP system to banana cake in Aerofood ACS Surabaya.Methode: The method of this research is a qualitative descriptive method including field observation, interviews, and analyzes HACCP documents of aerofood ACS Surabaya.Result: There are 18 steps to produce banana cake until it can distributed to airlines and can be consumed by consumers: receiving of eggs, receiving of banana, receiving of dry goods (flour, sugar, baking soda, and oil), eggs storage, banana storage, dry goods storage, egg cracking, flour sifting, weighing, mixing, baking, chilling, shaping, packaging, storage of banana cake, setting in the tray, holding room, and delivery to plane. From 18 steps to produce banana cake, there are six critical control points: receiving of eggs, eggs storage, baking, cooling, storage of banana cake, and holding room.Conclusions: Physical, chemical, and biological contamination on banana cake can be prevented by paying attention to each steps, especially the critical control point. Aerofood ACS Surabaya has implemented the HACCP system properly and accordance with the established HACCP plan.Keywords: HACCP, food safety, airlines catering service, foodborne diseaseABSTRAKLatar Belakang: Aerofood ACS Surabaya sebagai perusahaan jasa boga penerbangan bertaraf internasional diharuskan memiliki standar keamanan pangan yang baik untuk menjamin mutu produk yang dihasilkan. Sistem keamanan pangan yang diterapkan oleh Aerofood ACS Surabaya pada semua produknya adalah Hazard Analysis Critical Control Point (HACCP), termasuk pada banana cake. HACCP perlu diterapkan untuk mencegah kemungkinan kontaminasi fisik, kimia, dan biologi pada produk pangan yang dapat menyebabkan foodborne disease.Tujuan: Tujuan penelitian ini adalah untuk mengidentifikasi penerapan sistem HACCP pada produk banana cake di Aerofood ACS Surabaya.Metode: Metode dari penelitian ini adalah metode deskriptif kualitatif yang meliputi observasi lapangan, wawancara, dan menganalisis dokumen HACCP Aerofood ACS Surabaya.Hasil: Terdapat 18 tahap produksi banana cake hingga produk dapat didistribusikan ke peswat dan dapat dinikmati oleh konsumen, yaitu penerimaan telur, penerimaan buah pisang, penerimaan bahan baku kering (tepung, gula, baking soda, dan minyak), penyimpanan telur, penyimpanan buah pisang, penyimpanan bahan baku kering, pemecahan telur, pengayakan tepung, penimbangan, mixing, baking, pendinginan, pembentukan, pengemasan, penyimpanan banana cake, penataan pada tray, penyimpanan pada holding room, dan delivery ke pesawat. Dari 18 tahap produksi banana cake, terdapat enam titik kritis yaitu penerimaan telur, penyimpanan telur, baking, pendinginan, penyimpanan banana cake, dan penyimpanan pada holding room.Kesimpulan: Kontaminasi fisik, kimia, dan biologi pada produk banana cake dapat dicegah dengan memerhatikan setiap langkah terutama titik kritis. Aerofood ACS Surabaya telah melaksanakan sistem HACCP dengan baik dan sesuai dengan HACCP plan yang telah ditetapkan.Kata Kunci: HACCP, keamanan pangan, jasa boga penerbangan, foodborne disease
Association between Infectious Disease and Hygiene Practice on Stunting Toddler Aged 24-59 Months Natasya Putri Audiena; Marintan Laura Siagian
Amerta Nutrition Vol. 5 No. 2 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i2.2021.149-157

Abstract

Background : Child nutrition problem is still a major health problem in Indonesia. Toddlers are a period where children experience rapid growth and development, so they need a high nutrient. The problem of malnutrition can be identified from the children’s slow growth, one of which is in terms of body length or height. A condition where a children’s length or height is not optimal is called stunting. The incidence of stunting affected by several factors, such as infectious disease and bad hygiene practices.Method : The method of this study is observational research with case control research design. The sample of this study was grouped into two, case group and control group, with the number of each group is 28 respondents. The case group was a group of toodlers with stunting ages 24 – 59 months, while the control group was a group of toodlers ages 24 – 59 months with no stunting case. The study was conducted in Bulak Banteng Public Health work area from January -  May 2019. Data collection was carried out by collecting questionnaire about infectious disease and hygiene practices which were carried out by interview and observation method. Results : The result showed that there was an influence between the incidence of infectious disease (p=0,000) (OR= -3.402), and hygiene practices (p=0,000) (OR= -2.442) on stunting.Conclusion : The conclusion in this study is that there is a significant relationship between infectious diseases and hygiene practices with the incidence of stunting in toddler aged 24-59 months  (in Bulak Banteng Health Center, Surabaya).
Pantangan Makanan pada Suku Muyu di Papua Agung Dwi Laksono; Ratna Dwi Wulandari
Amerta Nutrition Vol. 5 No. 3 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i3.2021.251-259

Abstract

ABSTRACT Background: Food for the Muyu tribe was an actualization of daily life over the belief in the religious dimension that is adopted and lived. This study aims to explore the food taboo among the Muyu tribe in Indonesia.Methods: The authors conducted the case study in Mindiptana, Boven Digoel, Papua. The study carried out data collection by participatory observation, in-depth interviews, and document searches. The authors carried out the report using an ethnographic approach an emically perspective.Results: Belief in the lord of wild animals, the lord of fruits and plants, and the lord of sago, was so thick that many spells appear to hunt and search for food in the forest, which was a form of recognition of the power of these. The Muyu tribe had restrictions on several types of food. Food can be taboo based on its physical form; meanwhile, because of Muyu people's belief that there was a bad quality inherent in these food ingredients. It was especially closely related to ritual practice for men as a process of undergoing initiation as a big man. The Muyu intended women taboo for mothers who are pregnant and breastfeeding. Abstinence for pregnant Muyu women was often related to the fetus in the womb. For children, especially for boys, it was almost the same as abstinence for adult Muyu men. This abstinence applies to boys who were prepared to be tómkót, especially when undergoing the initiation process.Conclusions: The food taboo applies to all Muyu people, both men, women, and children.
Front Matter Vol 5 No 2, 2021 Front Matter
Amerta Nutrition Vol. 5 No. 2 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i2.2021.%p

Abstract

Association among Neck Circumference and Percent Body Fat with Fasting Blood Glucose in Obese Female College Students Fillah Fithra Dieny; Iin Indartiningsih; Nuryanto Nuryanto; Ayu Rahadiyanti
Amerta Nutrition Vol. 5 No. 2 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i2.2021.121-126

Abstract

Background: Neck circumference could describe upper-body subcutaneous fat, correlated with obesity and diabetes mellitus.Objective: The purpose of this study was to determine the correlation between percent body fat and neck circumference with fasting blood glucose in obese female college students.Methods: The study was cross-sectional, conducted at Diponegoro University in June-August 2019. 119 participants were female, aged 17-21 years selected using the purposive sampling method. Measurement of waist circumference was used as an indicator of obesity. Percent body fat was measured using Bioelectrical Impedance Analysis (BIA), and neck circumference was measured using a met line. Fasting blood glucose was examined after the subject fasted for 8-12 hours, the amount of blood taken was 5 cc. Data were analyzed with the Rank-Spearman correlation test.Results: As many as 84% of subjects had excess percent body fat. The median neck circumference was 32.5 cm. The median fasting blood glucose was 87 mg / dL. There was a significant correlation between percent body fat with fasting blood glucose (r = 0.231) (p = 0.012). There was no correlation between neck circumference with fasting blood glucose (r = 0.137) (p = 0.137).Conclusion: Percent of body fat had a significant relationship with fasting blood glucose, and the greater the circumference of the neck, the greater fasting blood glucoseKeywords: Obesity, Neck Circumference, Percent Body Fat, Fasting Blood Glucose
Pemanfaatan Paket ddp di Software R untuk Analisis Pola Pangan Harapan Weksi Budiaji; Rifqi Ahmad Riyanto; Suherna Suherna
Amerta Nutrition Vol. 5 No. 3 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i3.2021.303-312

Abstract

Background: Desirable dietary pattern (DDP) is a variety of food nutrition intake that is calculated based on energy (calory) consumption. A DDP index close to 100 has a meaning that the food intake varies. Badan Ketahanan Pangan RI (BKP) and Nutrisurvey have developed a DDP index calculation software. As an alternative, ddp package of R software can be also calculated ddp index.Objectives: To apply the ddp package of Software R in calculating and analyzing DDP of individuals both descriptive and inferential analyses and to compare the ddp package with the application of PPH Susenas and Nutrisurvey Software. Methods: This research applied survey and simulation methods. The survey was conducted on the 3rd-semester students of the Food Technology Department, University of Sultan Ageng Tirtayasa via an online survey. They administered both closed questions about dietary patterns and opened questions of a list of their daily food intake. Calculation and analysis of the DDP applied in the valid data in the ddp package of software R. The DDP analyses were followed by both descriptive and inferential analyses including t-test and simple linear regression.Results: The ddp packaged required 7 minutes to input the menu data of each person per day. Compared to Nutrisurvey, it required only 5 minutes. There were different results between the ddp package and Nutrisurvey because a category of food could absent in the Nutrisurvey databases. The harmonization application of the DDP analysis Susenas, on the other hand, had similar results. Both descriptive and inferential analyses as a further analysis can be applied easily. The descriptive analysis showed that the majority of respondents had a low value of energy, protein, and carbohydrate, while the inferential statistic resulted in that the food expenditure more than 70% significantly affected the DDP score.Conclusions: The ddp package could calculate and analyzed the DDP very well and had an equal result with the harmonization application of the DDP analysis susenas. Although the application process of the ddp package required a longer time than that of Nutrisurvey, the databases of the ddp package were more precise and suitable for the DDP calculation and analysis in Indonesia.
Hubungan Screen Based Activity dan Perilaku Makan dengan Status Gizi Anak Usia 10-12 Tahun (Studi di SDI Darush Sholihin Kabupaten Nganjuk) Silvia Alfinnia; Lailatul Muniroh; Dominikus Raditya Atmaka
Amerta Nutrition Vol. 5 No. 3 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i3.2021.223-229

Abstract

ABSTRAK Latar Belakang: Anak usia sekolah mengalami peningkatan kebutuhan gizi untuk tumbuh kembang. Di usia ini, anak-anak bisa memilih makanan maupun media bermain sesuai keinginan mereka. Aktivitas menggunakan layar yang berlebih serta perilaku makan yang buruk dapat memicu terjadinya obesitas.Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan Screen Based Activity (SBA) dan perilaku makan dengan status gizi anak usia sekolah.Metode: Penelitian ini merupakan penelitian observasional analitik dengan desain penelitian cross sectional. Penelitian dilakukan di SDI Darush Sholihin Kabupaten Nganjuk. Besar sampel sebanyak 48 siswa yang dipilih secara proportional random sampling. Pengumpulan data meliputi berat badan, tinggi badan, kuesioner SBA, Food Frequency Questionnaire (FFQ), serta food recall 2x24 jam. Data dianalisis menggunakan uji korelasi Spearman dan Kendall’s tau dengan nilai signifikansi 0,05.Hasil: Hasil penelitian menunjukkan bahwa tidak ada hubungan SBA (p=0,151), perilaku makan makanan pokok (p=0,101), perilaku makan lauk hewani (p=0,212), perilaku makan lauk nabati (p=0,829), perilaku makan sayuran (p=0,751) dan perilaku makan jajanan (p=0,109) dengan status gizi. Namun, terdapat hubungan perilaku makan buah (p=0,040) dengan status gizi.Kesimpulan: Konsumsi buah-buahan yang sering tanpa memperhatikan kandungan gula dan cara penyajian dapat memberikan risiko obesitas pada anak. Diperlukan pendidikan gizi kepada pihak sekolah maupun orang tua mengenai pembatasan SBA dan perilaku makan sehat terutama buah untuk mencapai tumbuh kembang yang optimal dan terhindar dari obesitas.
The Effect of Intermittent Fasting 5: 2 on Body Weight and Insulin Resistance among Obese Employees in Jakarta Anni Rahmawati; Fiastuti Witjaksono; Erfi Prafiantini
Amerta Nutrition Vol. 5 No. 2 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i2.2021.158-165

Abstract

Latar Belakang: Prevalensi penduduk dewasa di Indonesia yang obesitas mengalami peningkatan dari tahun ke tahun. Sementara itu, angka obesitas pada pekerja, terutama di perkotaan juga makin meningkat. Puasa intermiten dapat menjadi alternatif solusi dalam tatalaksana obesitas untuk menurunkan berat badan, sehingga parameter metabolik lainnya seperti resistensi insulin juga bisa menurun.Tujuan: Mengetahui efek puasa intermiten 5:2 terhadap perubahan berat badan resistensi insulin pada karyawan obesitas di JakartaMetode: Penelitian ini menggunakan rancangan uji klinis acak terkontrol. Sampel penelitian ialah karyawan di Jakarta yang  berusia 19-59 tahun,memiliki IMT ≥ 25 kg/m2, dan memiliki lingkar pinggang ≥ 90 cm. Sampel dibagi menjadi kelompok intervensi (n=25) dan kelompok kontrol (n=25). Kelompok intervensi diminta untuk berpuasa pada hari senin dan kamis selama 8 minggu, sementara kelompok kontrol melanjutkan pola makan seperti biasa. Tidak terdapat pembatasan kalori pada kedua kelompok.  Pengumpulan data melalui proses wawancara, pengukuran tubuh serta pemeriksaan laboratorium.  Analisis data untuk melihat perbedaan rerata antar kelompok dengan menggunakan uji t tidak berpasangan atau uji Mann-Whitney, sementara untuk melihat perubahan dalam kelompok menggunakan uji t berpasangan atau Wilcoxon.Hasil: Perubahan berat badan pada kelomok intervensi ialah -0,8kg (-5,1- 2,2), sementara perubahan berat badan pada kelompok kontrol -0,3kg(-7,9 – 2,8). Perubahan kadar HOMA-IR pada kelompok intervensi ialah -0,29 (-17,78 – 6,84), sementara perubahan kadar HOMA-IR pada kelompok kontrol -0,46 (-18,94 – 10,55). Tidak terdapat perbedaan bermakna rerata perubahan berat badan dan resistensi insulin pada kelompok yang berpuasa dibandingkan kelompok yang tidak melakukan puasa (p>0,05). Terdapat perbedaan berat badan pada kelompok intervensi dengan p = 0,026.Kesimpulan: Tidak terdapat perbedaan perubahan berat badan dan kadar HOMA-IR pada kelompok yang berpuasa dibandingkan kelompok yang tidak melakukan puasa, walaupun perbedaan berat badan pada kelompok intervensi turun bermakna. Perlu dilakukan promosi dan edukasi kesehatan  secara berkala untuk meningkatkan pengetahuan dan mengubah perilaku karyawan akan gizi seimbang sehingga dapat mencegah terjadinya obesitas serta penyakit metabolik terkait obesitas.
How Gut Microbiota Supports Immunity, Growth and Development of Preterm Infants: A Narrative Review Ariani Dewi Widodo
Amerta Nutrition Vol. 5 No. 1SP (2021): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i1SP.2021.14-20

Abstract

ABSTRACTBackground: Gut microbiota, a complex ecosystem consisting of abundant microorganisms, plays a role in preterm infants’ immunity, growth, and development. Dysbiosis or disruption of the gut microbiota can precipitate various diseases, such as allergy or autoimmune disorders in premature infants. Purpose: This study aimed to review gut microbiota in preterm infants and its role in supporting the infants’ immunity, growth, and development. Discussion: Bifidobactericeae is the predominant microbiota in GI tract of preterm infants. However, various factors can influence this gut microbiota e.g., genetics, lifestyle of the mothers (smoking, diet, use of antibiotic, obesity), birth mode, type of feeding, and environmental factors. Gut dysbiosis can result in impaired immune system which predisposes the preterm infants to infections, even fatal adverse event. Furthermore, the growth and development might be affected as well as lead to various neurodevelopmental and psychiatric disorders. Human milk is a prebiotic source which can stimulate the growth of Baifidobactericeae and Bacteroidetes. If the human milk is inadequate or unavailable, the recommended interventions for gut dysbiosis in premature infants are probiotics, prebiotics, or both supplementations (synbiotics). The administration of prebiotics and probiotics associates with lower morbidity and death rates in preterm infants, as well as shorter duration of hospital stay and duration to achieve full enteral feeding. Conclusions: Immunity as well as growth and development of preterm infants are affected greatly by gut microbiota The less diverse microbiota in preterm infants’ gut predispose them to various health problems. Hence, this problem should be managed properly, one of which is prebiotic and probiotic supplementation Keywords: Gastrointestinal Microbiome, Premature, Immunity, Growth, Development
The Roles of Prebiotics on Impaired Immune System in Preterm Infants: A Narrative Literature Review Zakiudin Munasir
Amerta Nutrition Vol. 5 No. 1SP (2021): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i1SP.2021.21-26

Abstract

ABSTRACT Background: After birth, preterm infants face numerous challenges, including short and long-term morbidities, to survive and grow well with impaired immune and gastrointestinal systems. According to data from 184 countries, preterm birth rate ranges from 5-18%, accounting for 35% of all new born deaths. Purpose: This literature review aimed to summarize the evidence for the impact of prematurity on immune system development and the benefit of prebiotics on gut microbiota and immune responses. Discussion: Various studies in this narrative literature review showed that preterm infants have both qualitative and quantitative immune response deficits compared to term infants. Preterm newborns also have impaired intestinal immunity, underdeveloped intestinal mucosa barrier, and gut dysbiosis, which predisposes them to life-threatening infections. Early balanced gut microbiota in infants believed to be essential for adequate intestinal physiological functions and immune system maturation. The use of prebiotics, including human milk oligosaccharides (HMOs) in human breast milk, has been found to decrease the risk of various infections and cognitive impairment. A previous study found that prebiotic oligosaccharides supplementation was well-tolerated, significantly increased Bifidobacteria growth, and reduced the presence of gut pathogens. Conclusions: There was robust evidence that breast milk and prebiotics supplementation may support the gut microbiome and immune system in preterm infants. However, different types of synthetic prebiotics offer different benefits, and the protective effect seems to depend on the supplementation duration and dosage.

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