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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
Pengaruh Determinan Tidak Langsung Stunting dengan Kejadian Stunting Balita di Papua New Guinea Tahun 2018: Indirect Determinant Effects of Stunting with Toddler Stunting Incident in Papua New Guinea in 2018 Khoiriyah, Riza; Mahmudiono, Trias; Nadhiroh, Siti Rahayu
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.433-440

Abstract

Background: Papua New Guinea has a significant problem with stunting, with a prevalence rate of 46.5% in 2018. Objectives: This study aimed to analyze the effect of various factors on stunting in Papua New Guinea in 2018. These factors include characteristics of the child (gender, age, and ownership of health insurance) and household environmental factors such as the mother's education level, number of toddlers in the household, drinking water sources, and availability of restrooms. Methods: This study employed a cross-sectional research design using secondary data from "The Demographic and Health Surveys (DHS) in Papua New Guinea in 2018." The variables of interest were extracted and subjected to data cleaning procedures, resulting in a final sample size of 744 toddler data points available for analysis. The chi-square test and logistic regression were employed for statistical analysis. Results: The study revealed that mothers of toddlers who had never received any formal education were more likely to have toddlers who experienced stunting. The statistical analysis showed a significant association between the lack of maternal education and toddler stunting (p-value=0.012; odds ratio=1.488; 95% confidence interval [1.092; 2.028]). Additionally, toddlers in the age group of 24-59 months were found to be at a higher risk of experiencing stunting. The statistical analysis indicated a strong association between this age group and toddler stunting (p-value<0.001; odds ratio=1.770; 95% confidence interval [1.301; 2.408]). Conclusions: The approach to addressing stunting in toddlers aged 24-59 months emphasizes the implementation of targeted and responsive interventions, with particular emphasis on the significance of investing in the education of toddler mothers in Papua New Guinea. However, in terms of prevention, it is crucial to administer the intervention before the toddler reaches the age of 24-59 months, as stunting is a visible result of long-term malnutrition.
Pemberian ASI terhadap Komposisi Tubuh pada Bayi Prematur: A Systematic Review: Breastfeeding on Body Composition in Premature Infants: A Systematic Review Dzulkifli, Achmad; Nadhiroh, Siti Rahayu; Syahdana, Achidah Nur
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.496-505

Abstract

Background: Premature newborns have a higher susceptibility to metabolic syndrome and cognitive impairment compared to infants born at full term. Breast-feeding is advised as a natural source of nutrition for premature newborns and as a cost-effective approach to decrease illness and financial strain. Assessing preterm children's growth and body composition upon leaving the hospital is crucial and requires great attention due to its sensitivity and significance in determining future care. Objectives: This study aimed to compare the body composition of preterm infants who were fed breast milk against formula.  Methods: This study employed a systematic survey approach, which involved the use of fifteen exploratory diaries covering the period from 2013 to 2023. The search terms employed were "breast-feeding", "body composition", OR "preterm infants".    Discussions: Breast-feeding preterm infants has a positive correlation with the deposition of body fat-free mass. This helps maintain healthy body composition, prevent obesity, prevent loss of brain cell development, and promote optimal growth instead of formula feeding. The body composition of premature newborns undergoes alterations during breast-feeding at ages that correspond to their expected due dates, which may contribute to the mitigation of risk factors associated with metabolic syndrome. Conclusions: Breast-feeding preterm infants results in slower weight gain compared to formula feeding. However, it is more effective in repairing body composition by increasing body fat-free mass, which leads to better metabolic outcomes and neurodevelopment. The care of preterm newborns places a high priority on promoting breastfeeding and providing breastfeeding support.
Tinjauan Literatur: Hubungan Obesitas dan Infertilitas pada Pria Usia Produktif: A Literature Review: Association between Obesity and Infertility in Productive-Aged Men Putri, Allisa Nadhira Permata Arinda; Nadhiroh, Siti Rahayu
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.318-327

Abstract

Background: Obesity is a worldwide epidemic problem that is increasing continuously. Obesity negatively affects several functions in the body, including reproductive function (fertility). The prevalence of infertile couples in Indonesia in 2013 was 15-25% with male infertility accounting for 25-30% of total infertility cases. Objectives: This study aimed to determine the association between obesity and infertility in productive-aged men. Methods: The research results from eight observational studies gathered in accordance with inclusion criteria, credible literature on the topic of obesity and male infertility, were examined in this study using the literature review method. Additionally, the exclusion criteria encompassed references that were not accessible in full text and related to animal studies. Discussion: Obesity can have a direct or indirect effect on male fertility through several mechanisms of hormonal profile changes. Moreover, the excessive conversion of androgens to estrogens caused by obesity can lead to an increase in aromatase activity and subsequent reproduction; this imbalance ultimately results in lower-quality sperm. Additionally, obesity causes high plasma leptin levels. Furthermore, sperm plasma membrane fluidity, impairing sperm motility, and increasing sperm deoxyribonucleic acid (DNA) damage are all negatively affected by leptin-induced increases in oxidative stress and the uncontrolled production of reactive oxygen species (ROS). Conclusions: An increased BMI increases the risk of decreased sperm parameters, which indicates a higher level of infertility in men. Obese men may increase the risk of changes in sperm parameters both quantitatively (volume, number, and concentration) and qualitatively (motility, morphology, and sperm DNA).
Hubungan Asupan Zat Besi, Kadar Hemoglobin, dan Status Gizi terhadap Kebugaran Jasmani Remaja Putri di MA Al-Irsyad Gajah: Correlation between Iron Consumption, Hemoglobin Level, and Nutritional Status on the Physical Fitness of Young Women at MA Al-Irsyad Gajah Hardiansyah, Angga; Khasanah, Arini Noor; Hayati, Nur
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.350-355

Abstract

Background: Good nutritional status, normal hemoglobin levels, and adequate iron consumption will help a person achieve good physical fitness. Lack of iron consumption causes a decrease in hemoglobin production. Low levels of hemoglobin cause disruption of oxygen transport to whole body associated with energy production. Malnutrition or excess nutritional status causes a person to have difficulty moving, which results in a lower level of physical fitness. Objectives: To determine the relationship between iron consumption, hemoglobin level and nutritional status on the physical fitness of female adolescents. Methods: The study used a cross-sectional design, with total sample of 65 respondents. The data were nutritional status from BMI/U, hemoglobin levels using the Easytouch GCHb (Glucose, Cholesterol, and Hemoglobin) tool, iron consumption using food recall, and physical fitness measured using beep test. Bivariate analysis was measured by Gamma correlation test and ordinal logistic regression test for multivariate analysis. Results: Most of respondents had good nutritional status (55.4%), normal hemoglobin levels (69.2%), good iron consumption (58.5%), and sufficient physical fitness (60%). The results of bivariate analysis showed that nutritional status did not correlate with physical fitness (p=0.905). Meanwhile, hemoglobin level and iron consumption correlated with physical fitness (p=0.004). Multivariate analysis explained that hemoglobin levels had a 1.73 effect on physical fitness compared to iron intake which influenced physical fitness by 1.1 times. Conclusions: There is a correlation between iron consumption and hemoglobin levels with physical fitness. There is no correlation between nutritional status and physical fitness.
Penurunan Kadar Malondialdehid Aorta Abdominal Tikus Hiperkolesterolemia yang Diinduksi Mentega Putih setelah Pemberian Probiotik: Penurunan Kadar Malondialdehid Aorta Abdominal Tikus Hiperkolesterolemia setelah Pemberian Probiotik Dewanti, Alfi Brillianti Chrisna; Lusiantari, Rokhima; Pramaningtyas, Miranti Dewi
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.290-294

Abstract

Background: One of the risk factors for hypercholesterolemia is a high-fat diet. Hypercholesterolemia can cause an increase in free radicals in the body, one of which is malondialdehyde (MDA). Probiotics are food additives that have a positive effect on digestive health. The potential of probiotics as antihypercholesterolemia still requires further study. Objectives: To determine the effect of adding probiotics on MDA levels of the abdominal aorta in a hypercholesterolemic rat model. Methods: Nineteen male Wistar rats were divided into 5 groups: negative control (C-), positive control (C+), and three probiotic groups (T1, T2, and T3). The negative control group received standard food while the positive group received standard food and shortening. The probiotic group received standard feed and white butter, with probiotics at three different doses as treatment for 10 weeks. After termination, the abdominal aortic MDA levels were checked. Analysis of the data obtained used the Kruskal-Wallis test. Results: The mean levels of abdominal aortic MDA were 1.78 ± 0.11 nmol/g, 5.23 ± 0.51 nmol/g, 4.02 ± 0.02 nmol/g, 3.46 ± 0.16 nmol/g, and 2.20 ± 0.06 nmol/g for groups C-, C+, T1, T2, and T3, respectively. The statistical analysis showed that there was a significant difference in the abdominal aortic MDA levels (p<0.05). The T3 group showed the lowest abdominal aortic MDA levels of all. Conclusions: The administration of probiotics to male Wistar rats induced by shortening had a significant effect on the abdominal aortic MDA levels.
Pengaruh Konsumsi Susu Coklat terhadap Daya Tahan Kardiorespirasi Atlet Cabang Olahraga Permainan BPPLOP Jawa Tengah: Effect of Chocolate Milk Consumption on Cardiorespiratory Endurance of Central Java BPPLOP Games Athletes Jayaputra, Vitta Maitri Budhi; Putriningtyas, Natalia Desy
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.295-304

Abstract

Background: Sports games with aerobic and anaerobic energy systems require muscular and cardiovascular endurance, as well as high dietary intake. Carbohydrate loading before training can maximize glycogen storage and carbohydrate oxidation, thereby increasing performance. Chocolate milk powder, as much as 45 g, contains 55 g of carbohydrates, contributing to 6-8% of total carbohydrate needs. Objectives: Analyzing the effect of chocolate milk consumption on muscle endurance and maximum oxygen volume capacity (VO2 Max) in sports athletes at the BPPLOP Central Java Student Sports Education and Training Center. Methods: Research with pretest-posttest control design with the same sample with a washout period. A sample of 47 athletes was taken using a total sampling technique, all used as a control group and treated for 6 days with 200 ml 2 hours before training. Measurement of endurance using the multistage fitness test. Test the difference in effect before and after treatment using the Paired Samples T-Test, while testing the difference between control and treatment groups using Mann Whitney. Results:  There was a significant effect between before and after consuming chocolate milk on increasing muscle endurance by 2150.64 ± 420.72 to 2314.47 ± 400.14 m and VO2 Max capacity by 53.95 ± 5.96 to 56.30 ± 5.62 ml/kg/minute with a p-value=0.00. There was a significant difference between the consumption of placebo and chocolate milk in increasing muscle endurance by 163.83 m and VO2 Max capacity by 2.34 ml/kg/minute with a p-value=0.00. Conclusions: Carbohydrate loading by consuming 45 g of chocolate milk in 200 ml containing 55 g of carbohydrates before training for 6 days can affect increasing muscle endurance and VO2 Max capacity in sports athletes.
Hubungan antara Peran Teman Sebaya dan Paparan Media Sosial dengan Tingkat Konsumsi Minuman Berpemanis pada Remaja: Association between the Role of Peers and Social Media Exposure with Level of Sugar-Sweetened Beverages Consumption in Adolescent Fawziya, Vyanadia Rizka; Adi, Mateus Sakundarno; Wurjanto, Moh. Arie; Yuliawati, Sri
Amerta Nutrition Vol. 8 No. 3 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i3.2024.383-388

Abstract

Background: Sugar-sweetened beverages, favored by various groups, particularly adolescents, are associated with an increasing risk of obesity and diabetes mellitus. According to preliminary research conducted at SMAN 1 Serang, approximately 60% of students have a high level of sugar-sweetened beverages consumption. Role of peers and social media exposure is considered to have an association with level of sugar-sweetened beverage consumption in adolescents. Objectives: This research aimed to determine association between role of peers and social media exposure with level of sugar-sweetened beverages consumption in adolescents at SMAN 1 Serang. Methods: The analytic observational research was carried out using a cross-sectional design. The study population consisted of 1,085 students from classes X and XI, while the sample size comprised 300 students who were selected using stratified random sampling and the data obtained were analyzed with chi-square test. Independent variables were measured with a questionnaire consisting of 13 closed-ended questions, while the dependent variable was measured with a Food Frequency Questionnaire. Results: The majority of respondents had a high level of sugar-sweetened beverages consumption (54.3%), bad role of peers (55.7%), and exposure to social media (74.0%). Moreover, this research showed the association between the role of peers (p=0.0001) and social media exposure (p=0.037) with level of sugar-sweetened beverages consumption. Conclusions: This research showed a significant association between role of peers and social media exposure with level of sugar-sweetened beverages consumption in adolescents. Therefore, forming peer groups and using social media were expected to increase students' awareness, causing a substantial reduction in beverages consumption.
Pencegahan Stunting melalui Pemberian ASI Eksklusif di Indonesia: Pendekatan Meta-Analisis: Stunting Prevention through Exclusive Breastfeeding in Indonesia: A Meta-Analysis Approach Simbolon, Demsa; Putri, Nurlita
Amerta Nutrition Vol. 8 No. 1SP (2024): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i1SP.2024.105-112

Abstract

Background: The direct cause of stunting in toddlers is nutritional intake, one of which is because babies do not receive exclusive breastfeeding for up to 6 months. Objectives: The purpose of this study is to measure the effect of exclusive breastfeeding on stunting prevention through a meta-analysis approach. Methods: This study uses a meta-analysis approach by searching for research articles from various databases such as Google Scholar, PubMed, and Science Direct. The keywords used are by the Medical Subject Heading (MeSH), namely "exclusive breastfeeding", "stunting", "infant", "exclusive breastfeeding", "linear growth disorder", and "stunted toddlers". The criteria for the article are publications from 2013 to 2021, can be downloaded in full text, using a cross-sectional and case-control study design, and effect size data is available in the form of Odds Ratio (OR). The process of submitting articles is presented in a PRISMA diagram. Data analysis using the Review Manager 5.4.1 application with a random effect analysis model. Presentation results in the form of forest plots and funnel plots. Discussions: 26 research articles are worthy of analysis, consisting of 9 from international journals and 17 from national journals. The Heterogeneity test results showed a p-value of 0.00001 and an I2 value of 85%. The results of the analysis with a random effect model were obtained from the forest plot which showed a pooled Odds Ratio of 2.90 (95% CI: 2.07-4.08), meaning that babies who did not receive exclusive breastfeeding had a 2.9 times higher risk of stunting compared to babies who received exclusive breastfeeding. These findings show a significant influence of non-exclusive breastfeeding on the incidence of stunting (p-value 0.0001 < 0.05). Conclusions: Exclusive breastfeeding can effectively prevent stunting.
Eating Habits and Age at Menarche in Junior High School Female Students in DKI Jakarta Province in 2023: Kebiasaan Makan dan Usia Menarche pada Siswi Sekolah Menengah Pertama di Provinsi DKI Jakarta Tahun 2023 Christanti, Stefani; Syafiq, Ahmad; Fikawati, Sandra
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.190-198

Abstract

Background: The trend of decreasing age at menarche to be younger can impact on physical and psychological health. Nutritional factors, including dietary habits, are important and modifiable predictors of menarche age. Objectives: To analyze dietary habits' effect on the age at menarche among junior high school students in DKI Jakarta by considering nutritional status, level of physical activity, psychological state, and socio-economic conditions. Methods: A cross-sectional study was conducted on 420 female students from 15 junior high schools in DKI Jakarta in May 2023. Dietary habits were measured using the Semi-Quantitative Food Frequency Questionnaire, while the age at menarche and other factors were obtained through interviews, questionnaires, weight and height measurements. Data were statistically analyzed through the T Test, Mann Whitney Test, Chi-Square Test, as well as Multivariate Logistic Regression Test. Results: The age at menarche ranged from 8.92 to 14.33 years, with an average of 11.74 years. Respondents tend to consume carbohydrates, fat, protein, sugar, and salt ≥100% of Recommended Dietary Allowances (RDA). However, 70.7% of respondents had the habit of consuming dietary fiber <100% of RDA. Low fiber diet (<29 g/day) is significantly related to earlier menarche age based on the T-test (p-value=0.006) and logistic regression test after controlling for dietary habits of fat, protein, and salt (p-value=0.047) with OR=0.569 (95% CI 0.325-0.993). The analysis also found that nutritional status and socio-economic conditions were associated with menarche age. Conclusions: Low fiber diet has a 1.76 times chance of earlier menarche than high fiber diet. A balanced nutritional intake, including vegetables and fruits as source of fiber, is recommended to support adolescent growth and development, puberty, and general health.
Pengaruh Penggunaan Aplikasi "Tentang Anak" Terhadap Pengetahuan, Sikap dan Perilaku Ibu dalam Memantau Status Gizi Baduta: Pengaruh Penggunaan Aplikasi "Tentang Anak” terhadap Pengetahuan, Sikap, dan Perilaku Ibu dalam Memantau Status Gizi Baduta Sevin, Rhut; Humayrah, Wardina
Amerta Nutrition Vol. 8 No. 2 (2024): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v8i2.2024.180-189

Abstract

Background: In Indonesia, malnutrition among under-two children is currently still relatively high. On the other hand, many nutrition applications are available on smartphones. One of the popular applications used by mothers of under-two is "Tentang Anak", which makes it easy to monitor the children's nutritional status and growth. Objectives: This study aimed to analyze the effect of using the "Tentang Anak" application on mothers' knowledge, attitudes, and behavior in monitoring the nutritional status of under-two children. Methods: This study used a cross-sectional design. The data were collected purposively with self-administered questionnaires in the form of a validated Google Form. The data were collected using the official WhatsApp Group of the "Tentang Anak" user community, and 103 respondents of mothers of under-two in Indonesia were selected. The variables analyzed were socio-demographic characteristics, duration of application use, knowledge, attitudes, and behaviors about monitoring the nutritional status of under-two children. The simple linear regression test was used to measure the effect of application use on knowledge, attitudes, and behavior. Results: The scores of respondents' knowledge, attitudes, and behaviors regarding monitoring the nutritional status of under-two were above 75 (good category). The duration of use of all application features had a significant effect (p<0.05) on knowledge, attitudes, and behavior, although the strength of the relationship was weak (R2<0.33). The duration of use of the "growth" and "recipe" features also had a weak significant effect on knowledge and attitudes. The effect of the "ask an expert" feature was not analyzed because it was limited in answering user questions. Conclusions: "Tentang Anak" app could be a good literacy channel for users, reflected in the good knowledge, attitudes, and behavior scores. However, the duration of application use had a weak effect on improving knowledge and attitudes and had no significant effect on behavior.

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