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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
Asupan Protein Hewani berhubungan dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Minggir: Asupan Protein Hewani Berhubungan dengan Stunting pada Balita di Wilayah Kerja Puskesmas Minggir Haryani, Verrenisa Melati; Putriana, Dittasari; Hidayati, Ririn Wahyu
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.139-146

Abstract

Background: Stunting in children under fives years of age still become crucial problem. One of the factors that influenced directly to stunting is lack of nutritional intake especially protein. Most of protein consumed by under-fives children must be in high quality such as animal-based protein because it has more complete composition of essential amino acids than plant-based protein. Objectives: The study aimed to analyzed the association between animal-based protein and stunting in children in Primary Health Care of Minggir. Methods: This study was analytical observational with cross-sectional design. A total of 50 mothers that have 24–59 months old children were involve in this study and taken by using purposive sampling. Data of animal-based protein intake were collected by SQ-FFQ for the last three months. Height-for-age in z-score was used to determine stunting that were obtained from the last measurement and recorded in Maternal and Child Book. The association between stunting and the animal-based protein intake was analyzed descriptively through cross-tabulation. Results: More than half of under-five children were stunting (56%). Inadequate animal-based protein intake was observed in 46% of under-fives children. Sources of animal-based protein were eggs, chicken, catfish, ice cream and UHT milk. Children who have adequate animal-based protein intake were not stunted (67%), however children who have inadequate animal-based protein intake were stunted (83%). The prevalence of stunting in children who consume inadequate animal-based protein is 2 times greater than in children who consume adequate animal-based protein (PR: 2.478). Conclusions: Based on this study, animal-based protein intake is associated with stunting in under-fives children in Primary Health Care of Minggir. Mothers should improve their children's animal-based protein intake by local food sources supplied from side dishes to prevent stunting.
LITERATURE REVIEW: ANALISIS PENYEBAB KEJADIAN STUNTING PADA BALITA DI PROVINSI JAWA TIMUR: Literature Review: Analisis Penyebab Kejadian Stunting pada Balita di Provinsi Jawa Timur Pertiwi, Aisyah Noer Auliyah Madani; Hendrati, Lucia Yovita
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.320-327

Abstract

Background: The prevalence of stunting in East Java Province in 2022 reached 19.2%, showing a decrease compared to 2021, which recorded a prevalence rate of 23.5%. Despite the declining trend in stunting prevalence in East Java, the province has not yet achieved the Renstra target, which stipulates that the prevalence of stunting should decrease to 18.4% by 2022. Objectives: This study aims to investigate further the causes of stunting incidents in East Java Province. Methods: The method employed in this research is a literature review, where data sources are obtained using the Google Scholar electronic database. The research search process follows the PICOS protocol, formulating keywords using Boolean Operator techniques. The keywords used are "factors" AND "causes" OR "relationships" OR "risks" AND "stunting" AND "infants" OR "toddlers" OR "children." The selection of studies to be included in the review is adjusted to inclusion criteria: studies published in the last ten years (2013-2023), written in Indonesian and English, full-text, published, and open access. Exclusion criteria include age range, non-observational research, and studies that do not discuss the causes of stunting. Results: A total of 13 studies were used in compiling this review. The location characteristics of the studies were found in 10 Districts/Cities in the East Java Province. Over the past ten years, various factors have been recognized as causes of stunting based on the identified research publications. These factors include parenting styles, Clean and Healthy Living Behavior (PHBS), economic status, educational history of birth, history of infectious diseases, and maternal pregnancy history. Conclusions: The primary research focus on stunting incidents in toddlers in East Java Province is the parenting style provided by mothers. The level of maternal knowledge regarding Exclusive Breastfeeding (ASI), provision of Complementary Feeding (MPASI), and the intake of foods consumed by toddlers has a significant correlation with the occurrence of stunting and the developmental progress of children.
The Relationship between the Frequency of Formula Feeding and the Use of Milk Bottle Size with the Nutritional Status of Infants Aged 0-24 Months at Puskesmas Merdeka, Bogor City: Hubungan Frekuensi Pemberian Susu Formula dan Penggunaan Ukuran Botol Susu dengan Status Gizi Bayi Usia 0-24 Bulan di Puskesmas Merdeka, Kota Bogor Anwar, Khoirul; Salsabilla, Alya; Syah, Muh. Nur Hasan
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.92-99

Abstract

Background: An infant (aged 0-24 months) is in a growth phase prone to nutritional problems if the infant's food intake is improper. Based on the data in Bogor City, the number of babies exclusively breastfed in 2020 was only 54.7%. A 100 ml formula milk has energy and protein contents of 10-18% and 55-80%, respectively, higher than breast milk, causing infant obesity. Objectives: Analyze the relationship between the frequency formula consumption and use bottle size with the nutritional status of infants aged 0-24 months. Methods: The study was conducted quantitatively (descriptive) with a Cross-Sectional Study design with mothers of children aged 0-24 months as willing and active respondents coming to posyandul. Respondents amounted to 66 people who were divided into groups with different formula milk frequencies: 1-4 bottles and > four bottles per day and use ≤180 ml and >180 ml bottle sizes per day. Respondents were selected by purposive sampling. The statistical test uses Mann withney for the difference test and Spearman rank for the relationship test. Results: There was a significant relationship between the frequency of formula feeding and the growth index of WHZ (P=0.005; R=0.338). There was a significant relationship between the use of formula bottle size and HAZ growth index (P=0.021; R=0.283), WHZ (P=0.023; R=0.280), and BAZ (P=0.004; R=0.353). Conclusions: There are differences in nutritional status in using milk bottle sizes. Nutritional Status Infants with WHZ growth index showed significant results leading to obesity in infants given formula milk >4 bottles per day.
Konsumsi Gula Tambahan Menurunkan Asupan Zat Besi dan Seng pada Anak Usia 24-59 Bulan di Jawa Tengah: Konsumsi Gula Tambahan Menurunkan Asupan Zat Besi dan Seng pada Anak Usia 24-59 Bulan di Jawa Tengah Aila, Safrina Luthfia; Dieny, Fillah Fithra; Candra, Aryu; Wijayanti, Hartanti Sandi
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.47-57

Abstract

Background: High sugar consumption was found among children in Indonesia. Excessive intake of added sugars was predicted to cause micronutrient dilution, a negative potential effect compromising micronutrient intake such as iron and zinc. Objectives: This study examined the association between added sugar consumption and iron and zinc intake among children aged 24-59 months. Methods: This study was a secondary data analysis of the 2014 Total Diet Study in Central Java Province. The subjects were 394 children aged 24-59 months. Dietary intake and sociodemographic data were assessed using the 24-hour food recall and household questionnaire. Added sugars consumption was classified into six cut-offs based on its contribution to daily energy (%E), namely: C1 (<5%E), C2 (5%E - <10%E), C3 (10%E - <15%E), C4 (15%E - <20%E), C5 (20%E - 25%E), and C6 (>25%E). Results: 48% of subjects had added sugar intake exceeding the WHO recommendation. Subjects with iron and zinc intake below the Estimated Average Requirement (EAR) were 15.2% and 24.1%, respectively. As the added sugar consumption increased, iron and zinc intake decreased significantly (p<0.05). This study found a significant decrease in the intake of iron occurred at added sugar consumption ≥20%E (C5 and above) while decreasing the intake of zinc at added sugar consumption ≥15%E (C4 and above) (p<0,05). Conclusions: Added sugar consumption had an inverse association with iron and zinc intake among children aged 24-59 months, which showed the occurrence of micronutrient dilution.
Hubungan Kualitas Diet dengan Kadar Glukosa Darah pada Pasien Diabetes Mellitus Tipe 2 di Kota Yogyakarta: Hubungan Kualitas Diet dengan Kadar Glukosa Darah pada Pasien Diabetes Mellitus Tipe 2 di Kota Yogyakarta Wahyuni, Bierliana Rieska; Dewi, Agil Dhiemitra Aulia; Hariawan, Muhammad Hafizh
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.252-260

Abstract

Background: Diet quality is an important component in blood sugar regulation. Effective blood sugar regulation can effectively reduce the risk of developing additional complications and chronic diseases. The number of people suffering from type 2 diabetes mellitus (T2DM) in Yogyakarta City, Special Region of Yogyakarta (DIY) in 2021 will be 10,635 people and in 2022 it will be 15,588 people. Objectives: This study aims to determine the correlation between diet quality and blood glucose levels in Type 2 Diabetes Mellitus patients living in Yogyakarta, Indonesia. Methods: This research applied a cross-sectional design and is an analytical observational study. Purposive sampling was used to select participants, resulting in a sample size of 63 individuals. Blood glucose levels obtained from secondary sources at the Community Health Center were used as the dependent variable. The Diet Quality Index-International Questionnaire (DQI-I Q) and the Semi-Qualitative Food Frequency Questionnaire (SQ-FFQ) were used to assess the independent variables of food quality. The data was statistically analyzed using STATA version 14 and the Chi-Square test. Results: 35.38% of respondents who reported eating healthy food had normal blood glucose levels (current blood glucose levels below 200 mg/dL), while 12.3% of respondents who reported eating poor food reported hyperglycemic blood glucose levels (current blood glucose levels exceeding 200 mg/dL). In T2DM patients, there was no association between dietary quality and blood glucose levels (p-value=0.397). However, correlations could be observed between blood glucose levels and DQI-I variation components (p-value=0.000) and overall balance (p-value=0.018). Conclusions: In contrast to transient blood glucose levels, the overall component of variation and balance was related to diet quality.
Faktor-Faktor Yang Mempengaruhi Status Gizi Pada Remaja Gizi Lebih: Faktor-Faktor Yang Mempengaruhi Status Gizi Pada Remaja Overweight dan Obese Kamaruddin, Iriyani; Kustiyah, Lilik; Riyadi, Hadi; Junus, Ruqayah
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.311-319

Abstract

Background: One of the target groups at risk of becoming overweight and obese is teenagers. East Kalimantan is one of the largest provinces in Indonesia with a prevalence of overweight and obesity in children aged 13-15 years with a body massa indeks for age ( BMI/A)  indicator of 19.1% in 2018, where overweight was 12.0% and obesity was 7.1%. Objectives: To analyze the factors that influence nutritional status in overweight and obese adolescents aged 11-15 years. Methods: This study is a cross-sectional survey conducted at State Junior High Schools in Samarinda City from January to March 2021. The sample size was 290 students, determined using the Lemeshow and David formula, and selected through simple random sampling. Data collection includes the characteristics of the subject and their parents, measurement of body weight and height, food consumption, nutritional behavior, physical activity, and exercise habits using interviews using questionnaires. Data were analyzed using the Kruskal-Wallis test and Logistic Regression test. Results: There are differences in the nutritional status of boys and girls (p=0.006), mother's education and occupation (p=0.007; p=0.007), father's and mother's nutritional status (p=0.001; p=0.014), exercise habits (p=0.009), protein adequacy level (p=0.000), and fat adequacy level (p=0.016). Conclusions: Gender, occupation, education, nutritional status, eating habits, exercise habits, level of protein adequacy, and level of fat adequacy influence the occurrence of overweight and obesity in adolescents. It is necessary to increase sports activities which must be done at least 3-5 times a week for 30 minutes intensively and get used to consuming 3-4 portions of vegetables and fruit daily, as well as paying attention to appropriate meal portions.
Indeks Massa Tubuh (IMT) Sebagai Prediktor Hipertensi: Perbandingan Standar WHO dan Asia-Pasifik : Indeks Massa Tubuh sebagai Prediktor Hipertensi: Perbandingan Standar World Health Organization dan Asia-Pasifik Mulyasari, Indri; Afiatna, Puji; Maryanto, Sugeng; Aryani, Aisyah Nur
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.247-251

Abstract

Background: BMI is associated with increase in blood pressure. Asia-Pacific BMI recommendation has lower cut-off for overweight and obesity categories than WHO standard. Objectives: To analyze sensitivity of BMI based on WHO and Asia-Pacific recommendation for predicting hypertension. Methods: This study was diagnostic research. Population of this study was women employees in a Garment company in Semarang Regency aged 19-54 years. Total sample was 180 taken using simple random sampling technique. Sensitivity of BMI was analyzed using ROC. Results: Prevalence of overnutrition based on WHO criteria is 30.6% and 87.8% based on Asia-Pacific criteria. Sample with hypertension are 85% and not hypertension 15%. BMI is very good on predicting hypertension with AUC 95.5%. WHO and Asia-Pacific BMI recommendation are associated with blood pressure (p<0.001, r=0.278, 0.450 respectively). Asia-Pacific BMI recommendation has better sensitivity than WHO recommendation (Se=95.4%, Se=35.9%). Conclusions: Asia-Pacific BMI recommendation is more suitable for predicting hypertension in adult women in Indonesia.
P Pola Makan, Aktivitas Fisik dan Obesitas pada Pekerja Urban di Indonesia: Dietary Patterns, Physical Activity, and Obesity among Indonesian Urban Workers Rosmiati, Risti; Haryana, Nila Reswari; Firmansyah, Hardi; Purba, Rasita
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.164-170

Abstract

Background: The increasing prevalence of obesity has become a significant public health concern in Indonesia, particularly among urban workers who often lead sedentary lifestyles and adopt unfavorable dietary patterns. Objectives: To analyze the correlation between dietary patterns, physical activity levels, and obesity among urban workers in Indonesia. Methods: Major dietary patterns were derived using principal component analysis from a 17-item food frequency completed by urban workers in the fifth wave of Indonesia Family Life Survey (IFLS). Self-reported physical activity is assessed by the International Physical Activity Questionnaire (IPAQ). Height and weight were measured to determine nutritional status based on Body Mass Index (BMI), which is then categorized into obese and non-obese urban workers. The association between dietary patterns, physical activity levels, and obesity was analyzed using logistic regression. Results: A total of 10,381 urban workers participated in the study. Four major dietary patterns were identified: a Western dietary pattern characterized by a high intake of fast food, meat, sugary snacks, dairy, and soft drinks; a prudent dietary characterized by fruit and vegetables; a modern dietary pattern characterized by instant noodles, fried snacks, and eggs consumption; and a traditional Indonesian pattern characterized by rice, vegetables, sambal (chili sauce), and fish consumption. Participants adhering to the Western dietary pattern had higher odds of obesity. In contrast, those adhering to the prudent dietary pattern and active physical activity showed lower odds of obesity. Conclusions: Western dietary patterns are associated with an increased risk of obesity, while prudent dietary patterns and active physical activity are inversely associated with obesity in Indonesian urban workers.
Pengaruh Aksesibilitas Bahan Pangan Terhadap Praktik Pemilihan Makanan Keluarga Selama Masa Pandemi: Pengaruh Aksesibilitas Bahan Pangan terhadap Praktik Pemilihan Makanan Keluarga di Kota Semarang selama Masa Pandemi Kholidah, Laili Nur; Pangestuti, Dina Rahayuning; Lisnawati, Naintina; Asna, Alfi Fairuz
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.238-246

Abstract

Background: The COVID-19 pandemic has changed behavior and community's economic activities in Indonesia, resulting in a decrease in family food security. Good family food security is indicated by adequate food availability both in quantity and quality. Food resources should be safe, diverse, nutritious, evenly distributed, and accessible. Objectives: This study aims to analyze the effect of accessibility to family groceries on family diet practices in Semarang City during the COVID-19 pandemic. Methods: This cross-sectional study was conducted online in Semarang City in 2022. A total of 108 mothers of elementary school students were recruited using a purposive sampling technique. Data on general characteristics were obtained from an online questionnaire, while data on distance, affordability, sources of health information, and diet practices were obtained using a questionnaire which was then scored. The statistical analysis was conducted using the Chi-Square test with a significance level of 0.05. Results: The age of the mothers ranged from 36-45 years (64.8%); most of the mothers had a bachelor's degree (93.5%); the mothers worked (50.9%); the family income level was above Rp 2,800,000 (89.8%). Accessibility to information sources was limited in most cases (57.4%); the mothers' purchasing accessibility was high (63.9%); and they mostly could access food sources (71.3%). Most of the mothers had good diet practices (66.7%). Variables that showed a significant relationship with diet practices were accessibility to foodstuff (p = 0.001). Other variables that contributed to diet practices were the mothers' education (p = 0.040), occupation (p = 0.002), and family income (p = 0.006). Conclusions: There was a relationship between accessibility to food and diet practices.
Determinan Gizi Lebih dan Obesitas pada Remaja Usia 13-15 Tahun di DKI Jakarta (Analisis Data Riskesdas 2018): Determinan Gizi Lebih dan Obesitas pada Remaja Usia 13-15 Tahun di DKI Jakarta (Analisis Data Riskesdas 2018) Ramadhany, Risya Amelia; Wahyuningsih, Utami; Sufyan, Dian Luthfiana; Simanungkalit, Sintha Fransiske
Amerta Nutrition Vol. 7 No. 2SP (2023): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 3rd Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v7i2SP.2023.124-131

Abstract

Background: In 2018, the province of DKI Jakarta ranked first in obesity with a prevalence rate of 10% and second in overweight with a prevalence rate of 15.1% among adolescents aged 13-15 years. These figures exceed the national prevalence rate. Obesity has a negative impact on their quality of life. These effects include reduced mobility, academic performance, and various factors that can influence the occurrence of overweight and obesity in adolescents. Objectives:The objective of this study is to determine the determinants of overweight and obesity among adolescents aged 13-15 years in DKI Jakarta. Methods: This research design is a cross-sectional study that utilizes secondary data obtained from the 2018 Riskesdas (Indonesia basic health research) survey, with a sample size of 597 adolescent respondents aged 13-15 years. Bivariate analysis was conducted using chi-square, and multivariate analysis was performed using logistic regression. Results:The results of the bivariate analysis show that maternal education (p=0.001) and energy drinks (p=0.036) have an influence on the occurrence of obesity in adolescents. In the multivariate analysis, it is revealed that the variable that most significantly and statistically affects the occurrence of obesity in adolescents is mother's education, with an odds ratio (OR) value of 1.895 and a CIf1.305-2.752. Conclusions: The determinants of overweight and obesity among adolescents aged 13-15 years in DKI Jakarta are mother's education, with an ap value of 0.001 and an odds ratio (OR) value of 1.895. This means that mothers with lower education levels have a 1.895 times higher risk of having adolescents with obesity status.

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