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Trias Mahmudiono, SKM., MPH (Nutr), GCAS., PhD
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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
Kajian Literatur: Berhubungankah mikrobiota saluran cerna dengan stunting pada anak balita? Kajian Literatur: Berhubungankah Mikrobiota Saluran Cerna dengan Stunting pada Anak Balita? Betty Yosephin Simanjuntak; Rahma Annisa; Arie Ikhwan Saputra
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.343-351

Abstract

Background: Stunting, one of the malnutrition that started since in pregnant until 2 first life's years and made worse by repeated infection disease.  Objectives: This study aims to identify the correlation between the presence of gut microbiota and stunting.  Discusion: This study explored article Pubmed database, Science Direct, Sage Journal, Springer Link, through keywords “stunting, gut microbiota, under 5 years”.  Furthermore, the studies found are 5 open access articles, and were filtered since 2016 until 2021. The guts microbiota may contribute to stunting in children. Gastrointestinal infection has spesific mechanism that causing postnatal stunting. Immaturity and deficiency of non-pathogenic microbiota in the gut are the main causes. Decreased gastrointestinal microbiota diversity in children who suffer diarrhea and stunting. Conclusions: composition change of the gut bacteria of children have been associated with an increase in the number of gastrointestinal infections resulting in chronic growth disorders.
Praktik Pemberian Makan dan Status Gizi Balita di Masa Pandemi Covid 19 : Praktik Pemberian Makan dan Status Gizi Balita di Masa Pandemi Covid 19 Salma Rasyidah; Anugrah Novianti; Dudung Angkasa; Idrus Jus'at; Harna
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.92-98

Abstract

Background: Nutritional problems in children under five in Indonesia, such as stunting, obesity, and wasting, are still nutritional problems that are a concern to be addressed, especially during this Covid-19 pandemic. There are limitations in several ways, including access to get healthy food. These influences mothers' feeding practices to fulfill their children's needs less to fulfilled. The feeding practiced  to children under five is one of the indirect factors which changes in nutritional status. Objectives: To identify the association between feeding practices and the nutritional status children under five during the Covid-19 pandemic. Methods: The research design was using cross-sectional with a sample of 57 respondents of mothers with children 3-5 years old in Cikupa Health Center Tangerang District. Feeding practice data using the CFPQ (Comprehensive Feeding Practice Questionnaire) from 12 aspects of feeding practiced characteristics there are giving pressure when eating, limitations food for controlling body weight, using food for rewards, using food for controlling children's emotions, limitations food for healthy, controlling children eating behavior, education about food nutrition, encourage children eating variations and balanced food, using the healthy environment for eating healthy at home, influence children for planning and serving food, monitoring children intake, and giving the example of good and right eating and for the nutritional status data using the Z-score indicators of weight for age, height for age, and weight for height. For bivariate analysis using Spearman rho correlation. Results: The results of the analysis using Spearman rho correlation showed there is a positive relationship between feeding practices where mothers involved children in meal planning and nutritional status of weight for age (p=0,019; r=0,3116), monitoring intake and nutritional status of height for age (p=0,005; r=0,366), encouraging varied and balanced children's food intake in weight for height (p=0,012; r=0,331). Conclusion: Feeding practice with aspect of involving children in meal planning, a monitoring children intake and encouraging varied and balanced diet of children has a positive relationship with children nutritional status changes in pandemic Covid-19.
Studi Karakteristik Siswi Penerima Program Tablet Tambah Darah sebagai Antisipasi Stunting: Studi Karakteristik Siswi Penerima Program Tablet Tambah Darah sebagai Upaya Pencegahan Anemia pada Remaja Guntari Prasetya; Ali Khomsan; Hadi Riyadi; Faisal Anwar
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.1-7

Abstract

Background: Efforts to accelerate stunting reduction involve specific and sensitive nutrition interventions. School adolescent girls are the target group in reducing stunting through anemia prevention. Iron folic acid (IFA) supplementation program is the specific nutrition intervention to prevent anemia in adolescent girls. Objectives: This research aims to study the characteristics of students who received the IFA supplementation program. Methods: Research design was a cross sectional that involved 123 students from 12 public high schools in Cianjur District, West Java Province. Student’s characteristics consist of knowledge on anemia and their adherence on IFA supplementation program. Data collection is carried out by self-administering questionnaires monitored by enumerator. Data is performed by using mean ± SD and n (%). Results: Student’s knowledge on anemia mostly (61.8%) were categorized as low, as 30.9% were moderate, and only 7.3% were high. Students (44.7%) knew how to detect anemia is by measuring blood hemoglobin levels. As of 59.3% and 51.2% students knew the main causes of anemia are inadequate iron intake and blood loss during menstruation. Approximately 60-80% students recognized the common symptoms and sign of anemia. Most students (76.8%) have received IFA on a weekly basis and 41.2% students acknowledge their adherence in the IFA consumption with aim to prevent anemia (85.1%), the rest 23.4% and 14.9% due to the advice by the teachers and health officers. Students who have no adherence were due to their fear on the side effects, the tablet taste, forgetfulness, and feeling healthy. Conclusions: Iron folic acid supplementation program have been conducted and well targeted, however, student’s understanding on the objectives, benefit, and their adherence is needed to be gained.
Efektivitas WFH (Work from Home) saat Pandemi Covid-19 sebagai penunjang pemberian praktek ASI eksklusif secara direct breast feeding (DBF) pada ibu bekerja: Efektivitas WFH (Work From Home) saat Pandemi Covid-19 sebagai Penunjang Pemberian Praktek ASI Eksklusif secara Direct Breast Feeding (DBF) pada Ibu Bekerja Megah Stefani
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.64-70

Abstract

Background: The work pattern that occurs during the pandemic is working from home (Work from Home). Before the pandemic, breastfeeding mothers who worked normatively had the right to leave for three months. This regulation often becomes an obstacle for breastfeeding mothers who work to practice exclusive breastfeeding for 6 months using Direct Breast-Feeding (DBF). Objectives: This study aims to analyze the effectiveness of WFH on the implementation of exclusive breastfeeding with DBF in working mothers. Methods: The research design is a retrospective case control. The subject category was divided into two treatments: full WFH mothers and partial WFH mothers. The subject treatment groups were divided based on the method of breastfeeding: direct breastfeeding (DBF) and mixed feeding (MF). The subjects of this study were 27 working mothers, 20 mothers as cases, and 7 mothers as controls which were determined purposively. Results: The difference test between the DBF breastfeeding method during the exclusive breastfeeding period and the WFH treatment showed a significant difference (p=0.000) between the partial WFH treatment and the choice of the exclusive breastfeeding method for DBF in infants. On the other hand, there was no significant difference (p=0.083) between the full WFH treatment and the choice of exclusive breastfeeding method for DBF in infants. The difference test between the WFH partial treatment and the DBF breastfeeding method during the exclusive breastfeeding period showed a significant difference (p=0.030). The difference test between the full WFH treatment and the DBF breastfeeding method during the exclusive breastfeeding period showed a significant difference (p=0.005). The mixed feeding method also showed that there were differences (p=0.000) in working mothers who were fully WFH. Conclusions: Full WFH affects the success of exclusive breastfeeding with the DBF method. Full WFH during the Covid-19 pandemic in breastfeeding mothers proved effective for implementing the practice of exclusive breastfeeding using the DBF method.
Pengaruh Metode Pemberian ASI Eksklusif pada Ibu Bekerja secara WFH terhadap Status Gizi Bayi Masa Pandemi COVID-19: Metode ASI Eksklusif Ibu WFH terhadap Status Gizi Bayi Adi Iskandar; Megah Stefani
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.226-234

Abstract

Background: Food intake, exclusive breastfeeding, and nutritional adequacy can affect normal nutritional status in children, especially during the first 1000 days of life. Objectives: Analyzing the effect of the exclusive breastfeeding method on the nutritional status of infants in Work From Home (WFH) working mothers Methods: The study was conducted quantitatively descriptively with a cross-sectional study design. Research respondents were selected mothers during the Covid-19 pandemic (PSBB or PPKM levels 3-4, namely from April 2020 to October 2021) who provided exclusive breastfeeding, and respondents worked under the WFH scheme. Respondents totaled 27 people who were divided into direct-breastfeeding (DBF) and mixed-feeding (MF) groups. Respondents have selected purposively sampling. meetings online namely by using platforms, namely Whatsapp and Zoom. Results: Significant relationship between exclusive breastfeeding methods with a weight-for-height z score (WHZ) (P = 0.031; R = -0.417) and a bmi-for-age z score (BAZ) (P = 0.044; R = -0.391), In addition, a significant difference was found between the mean of the DBF and MF groups on the WHZ (P=0.031) and WHZ (P=0.044) with the mean nutritional status of MF on the BB/TB or BB/PB index of 0.490. ± 0.970SD (at risk of overweight). Conclusions: Exclusive breastfeeding method has a significant relationship with normal baby weight. In addition, there are significant differences in the nutritional status of infants between the DBF and MF breastfeeding methods. babies with the MF method tend to be at risk of more nutrition. Mothers who work WFH are expected to maximize exclusive breastfeeding for babies, especially with the DBF breastfeeding method. In addition, the researchers hope that this research can serve as an advocate for the draft government regulation regarding 6 months of maternity leave to maximize exclusive breastfeeding for babies.
Evaluasi Elemen Penilaian Praktik Pemberian Makanan Pendamping ASI untuk Pencegahan Risiko Stunting di Era Pandemi Covid-19: Studi Pada Balita Indonesia, < 5 tahun (Rapid Review): Kajian Elemen Pemberian Makan Balita sebagai Upaya Pencegahan Stunting di Saat Pandemi Covid-19: Studi pada Balita di Indonesia (Rapid Review) Dwipajati -; Nurfarida Yuliana Agustin; Harisa Dian Nurani; Rizki Fitriani Ayundari
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.324-335

Abstract

Background: The prevalence of stunting under five in Indonesia is still below the government's target for 2024, which is 14%. The problem of the availability of food ingredients to make nutritious food as a result of a decrease in family income during the Covid-19 pandemic became the main factor in providing toddler food. Improper feeding of toddlers can affect the growth and development of toddlers including stunting. The main components of toddler feeding according to WHO standards consist of time to introduce food, diversity of food ingredients, frequency of feeding, breastfeeding up to 2 years, and sanitation hygiene in preparing toddler food. However, the components of toddler feeding are still very diverse. Objective: To examine the components of toddler feeding that can be used in efforts to prevent stunting in toddlers in Indonesia Discussion: Through the PubMed database, Science Direct, and Google Scholar with the keywords complementary feeding during covid, 11 observational studies were found with cross-sectional, case-control and case study designs Components in toddler feeding related to stunting during the Covid-19 pandemic are the introduction of food, minimum food diversity (MDD), minimum meal frequency (MFF), portion standards, and appetite. While the level of knowledge, family income, caregivers, history of breastfeeding, conducive eating situations, and the use of instant porridge are other components that have the potential to cause stunting in toddlers. Conclusion: The introduction of food, a certain amount of variety in the diet, and a minimum number of meals per day are the general elements of toddler feeding that must be taken into account in order to prevent stunting during a pandemic.
Gambaran Pola Makan, Tabu, Infeksi dan Status Gizi Balita Suku Anak Dalam di Propinsi Jambi : Gambaran Pola Makan, Tabu, Infeksi dan Status Gizi Balita Suku Anak Dalam di Provinsi Jambi Siti Fatimah Pradigdo; Martha Irene Kartasurya; Mahalul Azam
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.126-132

Abstract

Background: In Sarolangun District, the prevalence of short nutritional status for toddlers in 2021 is 21.4%, and the prevalence of malnutrition is 14.3%, almost similar with Jambi Province data. Objectives: To determine eating habits, taboos, infection rates, and nutritional status of SAD (Suku Anak Dalam) toddlers who live in Jambi Province. Methods: This analytic descriptive study used a cross-sectional design and incidental sampling approach. The subject of 39 settled down SAD toddlers and 33 nomadic SAD toddlers was obtained. Data were gathered from interview to Demang, a trusted source for SAD, equipped with structured questionnaires and anthropometric measurements with digital scales and microtoise, which were then processed with WHO Anthro. Due to the lack of information on the age of nomadic SAD toddlers, nutritional status was determined using WHZ scores. Data analysis was carried out using the Independent T Test which was then displayed in the form of cross tabulations and diagrams. Results: SAD toddlers who are settled down usually eat rice as the staple food (2 to 3 times per day, along with vegetables, animal source food and fruit. The main food source of nomadic SAD Toddlers is tubers and boiled vegetables, and fish, which were caught during their hunting. Except fish, all animal dishes, including beef and chicken, are prohibited for nomadic SAD toddlers. None of the nomadic SAD toddlers had infection, whereas 7.69% of settled down SAD toddlers had. The incidence of poor nutritional status based on WHZ was higher in nomadic SAD toddlers (42.4%) compared to settled down SAD toddlers (28.2%), but not significant based on the Independent T Test results. Conclusions: Settled down SAD toddlers have diverse eating habits, some of them had infections, and are generally malnourished, while all of the nomadic SAD toddlers avoid to eat animal products other than fish.
The Interaction of Three Types of Undernutrition and Health Insurance Subscriptions at the Children in the Karawang Coastal Area, Indonesia: Interaksi Tiga Jenis Kekurangan Gizi dan Langganan Asuransi Kesehatan pada Anak di Pesisir Karawang, Indonesia Linda Riski Sefrina; Ratih Kurniasari; Milliyantri Elvandari; Annisa Ratri Utami; Asep Malinda Aiboga; Neng Ulya
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.19-24

Abstract

Background: Three types of undernutrition including stunting, underweight, and wasting, are a global public health problem. In terms of policies, guidance, programming, and financing, they are mostly separated while all of them are caused by poor diet. Objectives: This study aimed to identify the association of underweight and wasting status with stunting of the children and health insurance subscriptions in the Coastal Area. Methods: This was a cross-sectional study involving children aged 6 to 59 months. Demographic backgrounds were obtained from parents through a questionnaire. Height and weight were measured. Z-scores for height-for-age, weight-for-age, and weight-for-age were determined and classified using WHO AnthroPlus software. The binary logistic regression test was used to identify the association of variables. Results: A total of 108 children participated in the study. The prevalence of stunting, being underweight, and wasting was 21.3%, 21.3%, and 13.9% respectively. It was found that most demographic characteristics (age, gender) and health insurance were similar in each of the undernutrition types, except for age level in stunting children. The risk of stunting in underweight children is significant differences, but not for wasting children in the coastal area. This study also shows that there is a significant correlation between the incidence of stunting with wasting and being underweight in children in the coastal area of Karawang. Conclusions: Overall, underweight children tend to have a stunting risk. The policy and community-based program need to not focus on one category of undernutrition only, but also on other types of undernutrition simultaneously, with the aim that nutritional problems in children can be handled holistically.
Karakteristik Fisik, Kimiawi dan Sensoris Nuget Bandeng Tinggi Protein dan Zat Besi dengan Penambahan Tepung Kelor untuk Intervensi Gizi Pencegahan Stunting: Karakteristik Fisik, Kimiawi, dan Sensoris Nuget Bandeng Tinggi Protein dan Zat Besi dengan Penambahan Tepung Kelor untuk Intervensi Gizi Pencegahan Stunting Melvina Aristiani; Hiasinta Anatasia Purnawijayanti; Fransisca Shinta Maharini
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.298-305

Abstract

Background: Stunting can be prevented with specific nutritional interventions for young women as future mothers. Iron deficiency anemia in expectant mothers is a risk factor for stunting, and its incidence in adolescents in Indonesia is still high. It is necessary to develop products that are sources of protein and iron that teenagers like, such as nuggets. Milkfish and moringa are rich in protein and iron which have the potential to be processed into nuggets as a source of protein and iron so that they can be used in nutritional interventions in adolescents to prevent stunting. Objectives: Knowing the physical, chemical, and sensory characteristics of milkfish nuggets with the addition of moringa flour. Methods: An experimental study with a completely randomized design with 5 levels of moringa flour content (0-10%) and 3 treatment repetitions. The data included water holding capacity and cooking losses, protein and iron content, and sensory properties of the nuggets (appearance, texture, taste, aftertaste, and overall acceptability). Physical and chemical test data were analyzed by Variant Analysis or Kruskal Wallis according to the data category, sensory test data were analyzed by Friedman test Results: The addition of moringa flour did not affect the protein and iron content of the nuggets. Nuget protein content ranges from 12.78–13.62%, and iron content between 3.81-5.41% mg. The addition of moringa flour affected the nuggets' cooking shrinkage and water-holding capacity. The higher the content of Moringa flour, it tends to reduce the water holding capacity and increase the cooking shrinkage of the nuggets. The addition of moringa flour affected all the sensory properties of the nugget. The higher the moringa flour content tends to lower the nugget sensory score. Conclusions: High protein and a source of iron nuggets for stunting prevention interventions can be developed from milkfish with the addition of moringa flour.
Faktor Berkaitan dengan Stunting dan Wasting pada Pasien Onkologi Anak: Faktor Berkaitan dengan Stunting dan Wasting pada Pasien Onkologi Anak Maya Utami Widhianti; Listiyani Eka Tyastuti; Meika Rahmawati Arifah; Karima Rizqi Alviani; Hagnyonowati
Amerta Nutrition Vol. 6 No. 1SP (2022): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 2nd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v6i1SP.2022.133-139

Abstract

Background: Stunting and wasting occurring together in the pediatric oncology population are common and have an adverse effect on them. However, there is limited study regarding stunting and wasting of oncology pediatric in Indonesia. Objectives: This study aims to determine associated factors of stunting and wasting in pediatric oncology population. Methods: A retrospective cross-sectional study was conducted at Kariadi General Hospital. Subjects were pediatric oncology inpatients during 2020-2022 aged 1-5 years. Stunting and wasting were defined as height for age < -2 SD and weight for height < -2 SD. The category of age, gender, parents’ employment status, parents’ age, residential area, payment arrangement, energy intake, and cancer type were analyzed for the relationship by chi-square and regression logistic. Results: Out of 194 patients, 52.1 % was male, 78.4% was aged 2 to 5 years. The prevalence of stunting, wasting, and stunting and wasting occurring together in this population was 31.4 %, 39.2 % dan 13.4 %, respectively. In multivariate analysis, energy intake less than 75 % was associated with stunting and wasting (OR = 2.75, 95 % CI = 1.14-6.58, p = 0.023). Conclusions: The factor associated with stunting and wasting occurring together in pediatric patients with cancer is energy intake of less than 75 %.

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