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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.
Arjuna Subject : -
Articles 879 Documents
Association of Ultra Processed Food Consumption and Body Mass Index for Age among Elementary Students in Surabaya Azizah Ajeng Pratiwi; Dian Novita Chandra; Helda Khusun
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.140-147

Abstract

Background: Childhood obesity became a major nutritional problem in the last decades and growing rapidly in many countries, including Indonesia. Processed food especially ultra-processed food (UPF) as part of NOVA classification had known to contain obesogenic nutrients which were high energy-dense, fatty, sugary, and salty may lead to higher body mass index-for-age (BAZ). Objective: The study aimed to assess the correlation between UPF and BAZ among school-age children 10-12 years old in Surabaya. Methods: A cross-sectional study and data collection were conducted in three public and private schools in Surabaya, East Java Indonesia from March-April 2020. Elementary students in the 4th and 5th grades were enrolled and 136 students were randomly selected as respondents. Weight and height measurements were obtained for calculating the BAZ, and UPF consumption was obtained by food frequency questionnaire. Structured questionnaires and physical activity questionnaires for children (PAQ-C) were used to assess socio-demographic status, physical activity level, energy intake, and sedentary screen time. ANOVA test was done for bivariate analysis and linear regression for multivariate analysis, all data analyzed used SPSS version 20. Results: The result found a mean of BAZ was 0.31 SD; 35.3% of respondents were in the 1st tercile of UPF consumption. Most of the respondents had inadequate TEI and low PAL. No significant association was found between UPF consumption and BAZ (p=0.217). Only physical activity that significant in multivariate analysis (p=0.032) Conclusion: It was necessary to distinguish the type of obesogenic and non-obesogenic UPF to get a clear correlation between UPF consumption and BAZ among school-age children.
Are Glycaemic Response, Glycaemic Index, and Glycaemic Load of Traditional Palm Sugar (Arenga pinnata) Different from Cane Sugar?: An Oral Glucose Tolerance Test Luh Desi Puspareni; A'immatul Fauziyah; Sofia Wardhani
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.206-211

Abstract

Background: Palm sugar (Arenga pinnata) is believed to benefit people with diabetes mellitus since they believe it has a low glycemic index. However, the total carbohydrates in palm sugar, particularly sucrose, are high. Thus, offering palm sugar to diabetic people still needs further studies. Objectives: The purpose of this study was to examine differences in the glycemic response, glycemic index, and glycemic load of palm sugar compared to cane sugar. Methods: This study used an experimental design. Measurement of the oral glucose tolerance test (OGTT) through the finger-prick capillary blood test method. The main materials in this study were commercial white cane sugar as reference food and traditional palm sugar product of Lebak District, Banten Province, as a test food. Reference food and test food were provided equivalent to 50 g available carbohydrate dissolved in 250 ml mineral water subjected to 5 men and 5 women. The glycemic response was determined by the area under the curve (AUC) of the trapezoid method. The difference in glycemic response between the reference food and the test food was assessed using the independent sample t-test. Results: The peak of the increase in blood glucose occurred at 30 minutes. There was no difference in glycemic response between the reference food and the test food (p-value 0.685). The palm sugar glycemic index was 98.71 and was categorized into the high glycemic index category. Meanwhile, the glycemic load of palm sugar and cane sugar was 11.80 and 12.22, those categorized into the medium glycemic load category. Conclusions: No differences in glycemic response between palm sugar and cane sugar. The glycemic index of palm sugar was considered high and was not different from cane sugar. The glycemic load of palm sugar and cane sugar was classified as moderate due to the small serving size. Using palm sugar less than cane sugar was expected to provide a lower glycemic response, glycemic index, and glycemic load.
Factors Associated with Goiter Incidence in Farmers in Kismantoro Sub-District, Wonogiri Regency Ahshaina Ramadhaningtiyas; Yulia Lanti Retno Dewi; Sugihardjo Sugihardjo
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.148-154

Abstract

Background: Kismantoro Sub-district has been an endemic area of ​​severe goiter since 1982, with a total goiter rate of 35.5% until 2007, when was declared a mild endemic goiter area (TGR 10.79%). Monitoring in 2017 on salt circulating in Wonogiri exposed that there were still 26.01% of brands that did not meet the Indonesian national standard. Objective: This study aimed to analyze the factors associated with goiter incidence in Kismantoro Sub-district, Wonogiri Regency. Methods: This research applied analytic observational with a case-control design. The samples were 41 respondents in the case group and 41 respondents in the control group, taken by purposive sampling. The history of goiter was obtained from the medical records of Kismantoro Community Health Center. The data analysis method employed was logistic regression analysis. Results: The results showed a significant correlation between age (p 0.005, OR 5.88, 95%CI 1.53-22.62), gender (p 0.003, OR 0.15, 95%CI 0.04-0.58), and salt iodine content (p 0.007, OR 0.14, 95%CI 0.03-0.68) with the goiter incidence in farmers in Kismantoro. Moreover, the multiple logistic regression test results revealed that age was the most dominant variable influencing the goiter incidence (p 0.006, OR 8.103, 95%CI (1.799-36.499). Conclusion: There was a relationship between age and the goiter incidence, gender with the goiter incidence, and iodine content in household salt with the goiter incidence, the multiple logistic regression test results indicated that the age variable most influenced goiter incidence among farmers in Kismantoro Sub-District, Wonogiri Regency.
Nutrition Knowledge, Breastfeeding and Infant Feeding Practice of Mothers in Cirebon Regency Karina Rahmadia Ekawidyani; Ali Khomsan; Mira Dewi; Yughni Azizah Thariqi
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.173-182

Abstract

Background: Exclusive breastfeeding should be supported by early initiation of breastfeeding (EIBF), provision of colostrum and not providing pre-lacteal feeding.   Objectives: The study objective was to analyze nutritional knowledge and factors related to breastfeeding and feeding practices of lactating mothers. Methods: A cross-sectional study was conducted in March–November 2020 in Sibubut, Kedungdalem, and Bayalangu Kidul Villages, Cirebon Regency. Study respondents were 44 lactating mothers with under six months infants. Mothers’ nutritional knowledge of breastfeeding and breastfeeding/feeding practice were obtained using a validated questionnaire, while the food consumption data of mothers was obtained from two days of 24-hour food recall (weekday and weekend). Spearman’s correlation test and Chi-Square analysis were used to analyze the correlation between variables, while the Mann-Whitney test was used to analyze the difference in nutritional knowledge and breastfeeding/infant feeding practice variables based on education level. Results: Family characteristics (age, mother’s education and occupation, household income, parity, family size, and Body Mass Index (BMI) were not correlated with breastfeeding/infant feeding practice (p=0.427; 0.136; 0.481; 0.056; 0.699; 0.241; 0.547, respectively). There was no significant correlation between nutritional knowledge and breastfeeding/infant feeding practice of mothers (p=0.728). No significant difference was found in the nutritional knowledge of breastfeeding (p=0.828) and breastfeeding/feeding practice of infants (p=0.572) between mothers with education > elementary school and < elementary school. More mothers with low education provided pre-lacteal food than mothers with higher education (p =0.046). Conclusions: The breastfeeding/feeding practice of mothers are still poor regardless of education level. Nutrition education for breastfeeding mothers is required to encourage good breastfeeding/infant feeding practices.
The Substitution of Fresh Moringa Leaves and Moringa Leaves Powder on Organoleptic and Proximate Characteristics of Pudding Mia Srimiati; Lina Agestika
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.164-172

Abstract

Background: Moringa Oleifera leaves "Marungga" contain fiber, vitamins, minerals, and polyphenol compounds that potential to fulfill nutritional requirements among children and adults. The product development often utilized Moringa leaves powder rather than the fresh ones. The powdering process might reduce the nutritional content while using fresh Moringa leaves is more applicable for the local community. However, the strong taste and aroma of Moringa leaves could influence the individual acceptance of a food product. Pudding is a simple and easy-to-make food product at the household level. Purpose: This study aimed to compare the effectiveness of fresh Moringa leaves substitution compared with Moringa leaves powder on pudding product acceptance and proximate characteristics. Methods: This was an experimental study with a complementary randomized design. The substitution of fresh Moringa leaves was 0%,20%,30%, while Moringa leaf powder was 0%, 5%, 10%. We conducted an organoleptic test, hedonic test, and proximate analysis of chosen formulations. Statistical analysis included Analysis of Variance (ANOVA), Duncan's multiple range test, and t-test. Results: The chosen formula based on the hedonic test was the 20% of fresh Moringa leaf substitution (FML2) with a score of 3.64, and 5% of Moringa leaf flour (FMP1) with a score of 4.10. A significant difference between the two formulations was their texture; FMP1 had a hard texture than FML2. The protein, fat, carbohydrate, and total calorie content of those formulations were significantly different, but not for the ash content. Conclusion: Substitution used fresh leaves utilized more Moringa leaves and improved pudding nutrients contents than powder type.
The Correlation between Body Image and Physical Activity in Female Students of State Senior High School 2 Surabaya (SMA Negeri 2 Surabaya) Nandia Firsty Dhorta; Lailatul Muniroh
Amerta Nutrition Vol. 5 No. 4 (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.v5i4.2021.370-376

Abstract

ABSTRACTBackground: Nutritional problems, such as over-nutrition and under-nutrition, will raise the risk of non-communicable diseases. Adolescence happens to be one of the most important phase in life since it is a transition phase to adulthood so that nutritional status at this phase could define the health status in adulthood. The limitation of outdoor activities during the pandemic has been done as an effort to break the chain of the Covid-19 virus spread causes decline in physical activity, increase in sedentary behavior and stressful events in the form of a negative body image. Changes in physical activity and the presence of a negative body image, especially in adolescent girls, will likely cause changes in nutritional status and increase the risk of nutritional problems in both over-nutrition and under-nutrition.Objective: To analyze the relationship of body image and physical activity of female students in State Senior High School 2 Surabaya (SMA Negeri 2 Surabaya).Methods: The study design was a cross-sectional study, with a total sample of 61 female students of SMA Negeri 2 Surabaya, aged 15-17 years who were randomly selected using the simple random sampling method. The study instruments were BSQ-16a, IPAQ-short form, personal data including body height and body weight which were designed online. Data analysis were cross tab analysis and the fisher’s exact test using IBM SPSS Statistics v23.Results: There were seven out of ten (70.5%) students that had a negative body image; most of them had normal nutritional status (77%), but the prevalence of overweight (14.8%) was high and the levels of physical activity varied (light=32.8, moderate=31.1%, strenuous=36.1% ). In addition, there was a correlation between body image (p = 0.011) and physical activity (p = 0.006) with nutritional status of female students in SMA Negeri 2 Surabaya.Conclusion: Negative body image and lower physical activity or sedentary behavior contributed to overweight and obesity in female students of State Senior High School 2 Surabaya (SMA negeri 2 Surabaya).
Feeding Practices of School-aged Children during COVID-19 Pandemic: A Qualitative Study Khoirun Nisa Alfitri; Judhiastuty Februhartanty; Fariz Nurwidya
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.155-163

Abstract

Background: Coronavirus disease-19 (COVID-19) pandemic caused the government to implement social movement restrictions affecting the household economy and school closure that will lead to change in the home food environment, parental feeding practices, and the end will influence child’s eating behavior. Objectives: This study aimed to explore the parental feeding practices among young school-aged children during the COVID-19 pandemic. Methods: Eighteen informants consisting of mothers and a grandmother have participated in the online in-depth interview. Moreover, 4 fathers had also been interviewed to triangulate the data and to increase the meaningful insight. A question guideline was used to guide the in-depth interview process. Thematic analysis using an inductive approach was applied to analyze the transcripts. Results: Five themes were identified around changes in food restriction, pressure to eat, giving the explanation, child involvement, and modeling. Conclusions: During the COVID-19 pandemic, parents demand their children to have good eating behavior. However, they tend to give autonomy more often to their child to get the snacks. It would make the children lead to having poor and unhealthy eating behaviors.
The Effect of Trehalose Sugar on Insulin Resistance in Old Rats by Assessing HOMA-IR (Homeostasis Model Assessment-Insulin Resistance) Desya Faradila Ismi; Aminuddin Aminuddin; Arif Santoso; Suryani As'ad; Ika Yustisia; Irfan Idris
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.198-205

Abstract

Background: Insulin resistance is a condition in which insulin cannot take up glucose, increasing blood glucose. Elderly people are more exposed to insulin resistance, requiring dietary interventions that extend longevity. Trehalose, a naturally occurring sugar, showed potentially reduce insulin resistance which can be measured using the HOMA-IR index. Objectives: This study aimed to assess HOMA-IR levels as a parameter of insulin resistance in old rats after giving trehalose sugar. Methods:  Experimental research with 28 male Wistar rats (Rattus novergicus) was separated into 4 groups, the control group of young rats (Group A), the control group of old rats (Group B), a group of old rats that were given 2% Trehalose solution (Group C), and a group of old rats that given 2% sucrose solution (Group D) that observed for 8 weeks. Results: The results showed differences in HOMA-IR levels (p<0.001) between old and young subjects. The intervention in Group C was optimal in reducing levels of HOMA-IR (p<0.001) by 18.2% compared with the old control, while Group D increased levels of HOMA-IR by 14.3% (p<0.001) compared with the old control. The age of the subjects with HOMA-IR level is positively correlated (p<0.001; r=0.721) and the weight of subjects with the HOMA-IR level is also positively correlated (p<0.001; r=0.698), indicating that the older and the greater weight of subject resulting in the bigger of HOMA-IR value. Conclusion: Trehalose is effective in reducing HOMA-IR levels as a parameter of insulin resistance in old rats.
Food Choice Motives among Workers during COVID-19 Pandemic in Jakarta Nurulita Aida Rahmasari; Dian Novita Chandra; Helda Khusun
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.130-139

Abstract

Background: COVID-19 pandemic has affected many countries globally. This crisis may influent food choice motives due to the stressful events, prolonged duration of quarantine, lack of in-person contact, fears of infection, and financial loss. Meanwhile, food choice motives remain important as the basic information to form efficient and adaptable dietary intervention to maintain health and well-being, especially among workers to improve their productivity. Purpose: To assess the food choice motives among office workers during the COVID-19 pandemic in Jakarta. Methods: This was an online cross-sectional study on 290 workers aged 25-54 years old in Jakarta. Subjects were recruited through a consecutive sampling method. Food choice motives were assessed using a validated Food Choice Value questionnaire on January-February 2021. Its association with the sociodemographic characteristics was also being analyzed using Spearman, Mann-Whitney, and Kruskal Wallis test to get a complete picture. Results: Safety has become important during this pandemic due to high concern on COVID-19 (p<0.001, r: 0.232). Older worker tend to give more concern on organic (p<0.001, r: 0.254), weight control/health (p<0.05, r: 0.124), and tradition motives (p<0.01, r: 0.161) in choosing food. Meanwhile, access was important to younger (p<0.001, r: -0.205) and single respondents (p<0.01). Married respondents were having significantly higher scores on organic motive (p<0.01). Females were putting more concerned about inconvenience (p<0.01). Tradition motive as the least one reported by the respondents was significantly related to income (p<0.05). Conclusion: Concern on food safety has become the most important due to pandemic conditions. Different motives emerged among different sociodemographic characteristics.
The Effect of Trehalose Supplementation on Macrovascular Inflammation Biomarker in Old Rats by Assessing NFκB-p65 Expression Inggrid -; Aminuddin -; Arif Santoso; Nurpudji A Taslim; Ika Yustisia; Irfan Idris
Amerta Nutrition Vol. 6 No. 2 (2022): 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.v6i2.2022.183-190

Abstract

Background: Vascular inflammation is one of contributing factors to the pathogenesis of arterial aging. Age-related activation of the inflammatory process can lead to various macro-and microvascular pathologies. The pro-inflammatory microenvironment generated in the vascular wall can lead to the pathogenesis of vascular diseases due to an increase in vascular dysfunction. Trehalose is a disaccharide that has several functions, protecting against stressors (one of them is reactive oxygen species/ROS) and preventing the inflammatory responses induced by endotoxic shock. Objectives: To analyze the effect of trehalose supplementation on macrovascular inflammatory processes related to the aging process. Methods: The experimental study used 28 male Wistar rats (Rattus novergicus) which were divided into 4 groups, young control group (Group A), old control group (Group B), 2% sucrose group (Group C), and 2% trehalose group (Group D); were then observed for 8 weeks. Results: The results showed that there were no significant differences in aortic tissue NFκB-p65 expression between old and young subjects (p=0.247). The 2% trehalose group had 40% lower aortic tissue NFkB-p65 expression compared to the old control group (p=0.012); while the group given 2% sucrose solution had a 30% higher aortic tissue NFkB-p65 expression compared to the trehalose group (p=0.018). Conclusion: Trehalose has a good effect on aging-associated vascular inflammatory processes that can be seen from the low aortic tissue NFκB-p65 expression in old rats.

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