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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
Konsumsi Makanan Tinggi Garam Berhubungan dengan Kejadian Double Burden of Malnutrition pada Remaja Usia 16-18 Tahun di DKI Jakarta: High Salt Intake Associated with Double Burden of Malnutrition in Adolescent Aged 16-18 Years in DKI Jakarta Syauqiah, Zulfa; Wahyuningsih, Utami; Arini, Firlia Ayu
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.174-182

Abstract

Background: Double Burden of Malnutrition (DBM) refers to the coexistence of two forms of malnutrition within the same individual. DKI Jakarta is among the provinces reporting a relatively low prevalence of normal nutritional status among adolescents at the national level. The occurrence of DBM is multifactorial and may be influenced by sociodemographic characteristics (including household size, parental occupation, and parental educational attainment), dietary patterns, the consumption of high-risk foods, and physical activity. Objectives: This study aimed to examine the factors associated with the occurrence of the double burden of malnutrition among adolescents aged 16-18 years in DKI Jakarta. Methods: A total of 528 adolescents residing in DKI Jakarta were included, and a cross-sectional study design was employed using secondary data from the 2023 Indonesian Health Survey (Survei Kesehatan Indonesia, SKI). Multivariate logistic regression analysis was conducted to identify factors associated with the occurrence of DBM. Results: Among the 528 adolescents, 0.8% were identified as experiencing DBM, comprising stunting-thinness (0.6%) and stunting-overweight (0.2%). Multivariate analysis revealed that the consumption of foods high in salt was significantly associated with DBM (p-value=0.024; OR=0.058; 95%CI=0.005-0.686). However, the low prevalence of DBM represents a study limitation, indicating that future studies with larger sample sizes are required. Conclusions: The findings indicate that adolescents who frequently consume salty foods had lower odds of experiencing DBM compared to those who rarely consume such foods.
Kualitas Diet sebagai Faktor Penentu Status Gizi pada Remaja di SMAN 2 Bogor: Diet Quality as a Key Determinant of Adolescents Nutritional Status at SMAN 2 Bogor Putri, Nabila Alifia; Marjan, Avliya Quratul; Imrar, Iin Fatmawati
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.1-7

Abstract

Background: One of the causes of nutritional problems in adolescents is an imbalance in food intake, which can be evaluated by diet quality. Objectives: This study aims to assess the quality of diet as one of the important determinants associated with the nutritional status of adolescents at SMAN 2 Bogor. Methods: This study employed an analytical observational cross-sectional design involving 103 students aged 16-18 years. Dietary quality was assessed using a 2×24-Hour Food Recall and analyzed with the Diet Quality Index for Adolescents (DQI-A), modified based on the 2014 Balanced Nutrition Guidelines. Bivariate analysis employed the Spearman test, and differences in diet quality scores were examined using the Mann-Whitney test. Results: Diet Quality Index (DQI) results indicate that 50.5% of respondents had good dietary quality. The average dietary quality score of the respondents was 37.5%, with a score range of 9.86% to 66.36%. Several respondents exhibited poor diet quality due to high-energy, low-nutrient food intake. Most respondents consumed 4-5 of the 7 recommended food groups and less than the recommended portion sizes. No significant difference was found between diet quality on school days and weekends (p-value>0.05). Diet quality was significantly associated with adolescents' nutritional status at SMAN 2 Bogor with p-value<0.001. Conclusions: This study demonstrates that diet quality is a crucial factor in determining the nutritional status of adolescents. Adolescents should prioritise the quality of their diet in terms of food quality, diversity, and balance.
Ketidakberagaman Pangan pada Anak Usia 6-23 Bulan dan Faktor yang Berhubungan di Provinsi Sulawesi Tengah Indonesia: Prevalence of Unmet Minimum Dietary Diversity and Associated Factor among Children Aged 6-23 Months in Central Sulawesi, Indonesia Arini, Firlia Ayu; Sugiatmi, Sugiatmi; Azahra, Nabilla Zalfa; Fatmawati, Iin; Wahyuningsih, Utami
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.263-270

Abstract

Background: Central Sulawesi recorded the highest prevalence of underweight in 2022. One-quarter of children were underweight in this province, which placed them at risk of stunting. Food diversity was a protective factor against stunting. Unmet Minimum Dietary Diversity (MDD) indicates inadequate feeding practices that contribute to undernutrition. Objectives: The purpose of this study was to determine the prevalence of unmet Minimum Dietary Diversity among children aged 6-23 months in Central Sulawesi and its determinants. Methods: This study analyzed secondary data from the Indonesian Nutritional Status Survey in 2022 with a total sample size of 2372 children. The outcome variable was Unmet Minimum Dietary Diversity, and the determinant variables were parental education, occupation, children's age group, and child sex. Multiple logistic regression was used to examine the association between the determinant variables and the outcome. Results: The prevalence of unmet MDD was 75.5%. Children in the age group of 6-11 months, having mothers with the lowest education level, having fathers with an unstable income, and male children were significant determinants of unmet MDD. Children in the age group 6-11 months had a 2.6 times greater risk of having unmet MDD, and it was the most dominant determinant for unmet MDD. Conclusions: This study demonstrated that unmet MDD was more prevalent among children at the beginning of the complementary feeding age. To reduce the risk of undernutrition, strengthened nutrition interventions should be given to improve feeding practices among children in the complementary feeding age.
Implementasi Rekomendasi Diet pada Timbangan Persen Lemak pada Mahasiswa Universitas Muhammadiyah PKU Surakarta: Implementation of Diet Recomendation on Body Fat Scale at the students of Muhammadiyah University PKU Surakarta Noviyanti, Retno Dewi; Prasojo, Ipin; Kusudaryati, Dewi Pertiwi Dyah; Handayani, Sri; Nurrahma, Fina; Rahmayanti, Dilla Sundari Nur
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.388-395

Abstract

Background: Accurate nutritional status assessment is essential for designing appropriate dietary recommendations. Conventional body composition analysis tools are often expensive and less accessible. Therefore, the development of modified body fat scales integrated with dietary recommendation features may provide a practical alternative. Objectives: This study aims to implement an integrated dietary recommendation system into body fat scales for students at Muhammadiyah University of PKU Surakarta and to evaluate the measurement accuracy compared to standard devices. Methods: This comparative experimental study involved 60 samples. Measurements included Body Weight (BW), Height (H), Body Mass Index (BMI), body fat percentage, bone density, body fluid, and muscle mass. Data were analyzed using independent sample t-tests and the Mann-Whitney test to compare results between the modified scales and standard (calibrated) scales. Results: The findings indicate no significant differences in body weight, height, and BMI between the modified scales and standard scales (p-value>0.05). However, there were significant differences in body fat percentage (p-value=0.008), bone density (p-value<0.001), body water content (p-value<0.001), and muscle mass (p-value<0.001). Despite these variations, the integrated system successfully provided tailored dietary recommendations based on BMI and body fat analysis. Conclusions: The body fat scale with integrated dietary recommendation features is accurate for assessing basic parameters such as body weight, height, and BMI, while also offering added value through dietary recommendations. Nevertheless, further refinement is necessary to enhance the accuracy of body composition measurements prior to large-scale application.
Analisis Komparasi Pengaruh Anemia dan Kekurangan Energi Kronis Selama Kehamilan terhadap Berat Badan Lahir Rendah: Meta-Analisis: Comparative Impact of Maternal Anemia and Chronic Energy Deficiency on Low Birth Weight: Meta-Analysis Utami, Citra Tristi; Azrimaidaliza, Azrimaidaliza; Purnakarya, Idral; Dwinatrana, Khiky; Habibi, Nur Ahmad
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.431-440

Abstract

Background: Low birth weight (LBW) remains a major public health problem, particularly in low- and middle-income countries. It contributes substantially to neonatal morbidity and mortality. Some of the risk factors for LBW are maternal anemia and chronic energy deficiency (CED). These conditions are common during pregnancy and preventable. Objectives: This study aimed to analyze the comparation between maternal anemia and chronic energy deficiency during pregnancy and the risk of low birth weight. Methods: A systematic search of PubMed and Scopus was conducted for studies published between January 2020 and July 2025. Of 1,121 records identified, 22 observational studies (case–control and cohort) met the inclusion criteria. Studies evaluating the association of maternal anemia or CED with LBW were included. Data were extracted independently by two reviewers. Meanwhile, data analysis involved multiple methods. For example, pooled odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using meta-analytic models. Heterogeneity was assessed using the I² statistic, and publication bias was evaluated using funnel plots. This study’s protocol was registered in PROSPERO (CRD420251138329). Discussions: From 22 studies, 19 studies assessed maternal anemia (n = 16,219), and 11 studies assessed CED (n = 4,440). Maternal CED was associated with a nearly threefold increased risk of LBW (OR = 2.98; 95% CI: 2.07–4.29; I² = 82%), while maternal anemia increased the risk by 2.4 times (OR = 2.44; 95% CI: 1.73–3.43; I² = 86%). Funnel plots showed no substantial publication bias. Conclusions: Both maternal anemia and chronic energy deficiency are significantly associated with an increased risk of low birth weight, with CED demonstrating a stronger association. Strengthening antenatal nutritional interventions is essential to prevent LBW incidences.
Pengaruh Tiga Hari Pemberian Jus Mentimun Terhadap Penurunan Tekanan Darah Penderita Hipertensi: The Effect of of Three Days Cucumber Juice Administration on Lowering Blood Pressure in Hypertension Patients Lalusu, Erni Yusnita; Balebu, Dwi Wahyu; Nurrachmatika, Ninik Kurniawati; Ramli, Ramli; Sattu, Marselina; Otoluwa, Anang Samudera
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.194-201

Abstract

Background: Hypertension is one of the leading non-communicable diseases worldwide. In general, non-pharmacological therapy is crucial to minimize side effects and the risk of complications. Cucumber (Cucumis sativus L.) has been proposed as an alternative therapy for hypertension due to the high potassium, magnesium, and water content, along with the diuretic and vasodilatory effects, which can help lower blood pressure. Objectives: This study aims to analyze the effect of 3 days of cucumber juice on lowering blood pressure in hypertension patients. Methods: A pre-experimental study was conducted using a one-group pretest-posttest design. The subjects were 40 randomly selected hypertension patients. The intervention comprised 200 ml of cucumber juice once daily in the afternoon for 3 consecutive days. Blood pressure was measured before and after the intervention and analyzed using Wilcoxon test. Results: The results showed that the mean systolic and diastolic blood pressure before intervention were 166.50 mmHg and 99.25 mmHg, respectively. After the intervention, a significant decrease in mean blood pressure was observed (p-value = 0.001), both systolic (150.38 mmHg) and diastolic (87.85 mmHg). Stratification analysis of covariate subcategories also showed a similar trend. The decrease in blood pressure after cucumber consumption was seen in all subcategories. This indicates that the effect of cucumber in lowering blood pressure is not influenced by various covariates. Conclusions: The mean blood pressure of hypertension patients decreased significantly after cucumber juice consumption, both overall and after, leading to differences in subject characteristics. Further studies need to demonstrate the effectiveness of cucumber juice by adding a control group.
Analisis Indeks Glikemik dan Sifat Fisik Beras Analog Sebagai Alternatif Pangan Fungsional pada Penderita Diabetes Mellitus: Analysis of Glycemic Index and Physical Properties of Analog Rice as an Alternative Functional Food for Individuals with Diabetes Mellitus Majid, Vivi Meiliza; Aji, Arif Sabta; Saloko, Satrijo; Aprilia, Veriani; Seftina, Dina; Wahyuningsih, Ika
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.21-30

Abstract

Background: Food diversification is essential for managing Diabetes Mellitus (DM). Analog rice made from sorghum, modified cassava flour (MOCAF), moringa leaves, and glucomannan may serve as a functional food. Objectives: This study aims to evaluate the glycemic index (GI) and physical properties of analog rice as a potential functional food for individuals with DM. Methods: This experimental study employed a Completely Randomized Design (CRD) with two replications, involving six treatment groups with varying moringa leaf flour substitutions: P1 (0%), P2 (2%), P3 (4%), P4 (6%), P5 (8%), and P6 (10%), totaling twelve samples. Thirty male Wistar rats (Rattus norvegicus) were used for GI determination, calculated from the area under the curve (AUC) of postprandial blood glucose responses. Physical properties assessed were cooking time, bulk density, rehydration capacity, stickiness, expansion volume, and color. Results: The GI of analog rice ranged from 8.92 to 32.67 and differed significantly among treatments (p-value≤0.001). Moringa leaf substitution significantly affected rehydration capacity (p-value≤0.001), stickiness (p-value≤0.001), and color parameters—greenness (p-value=0.002), yellowness (p-value=0.004), and lightness (p-value=0.390). Meanwhile, bulk density (p-value=0.198) and expansion volume (p-value=0.153) were not significantly affected. Conclusions: Treatment 2 (2% moringa leaf flour) produces the most favorable analog rice, with low GI, low bulk density, optimal stickiness, bright green color, and 15-minute cooking time. This formulation shows potential as a functional food alternative for individuals with DM.
Dampak Berbagai Pola Asuh terhadap Tingkat Obesitas Anak: Sebuah Tinjauan Literatur: The Impact of Diverse Parenting Styles on Childhood Obesity Rates: A Literature Review Prasiefa, Maghfirahima Ghaniyyahusna; Muriana, Gendhis Rezki Kharim; Budiono, Anastasia Ivannia; Rahmania, Himma Aulia; Witanto, Icasia Izzah Rahmawati; Prasiefa, Mizanurafi’ Ghifarhadi
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.396-409

Abstract

Background: Childhood obesity is a growing global public health concern, affecting more than 20% of children and adolescents aged 5–19 years worldwide. This condition results from interactions among genetic, behavioural, and environmental factors. The family environment plays a crucial role in shaping children’s eating behaviours and self-regulation. Parenting style refers to general child-rearing approaches, whereas feeding practices describe specific parental strategies related to food. Distinguishing between these concepts is essential for understanding behavioural pathways associated with childhood obesity risk. Objectives: This review aimed to synthesise empirical evidence on the association between parenting styles and childhood obesity, as well as to examine the role of feeding practices and psychosocial factors as underlying mechanisms. Methods: A narrative literature review was conducted based on 27 articles published between 2015 and 2025. Studies were retrieved from PubMed, Web of Science, Scopus, and PsycINFO. The included studies employed cross-sectional and longitudinal designs involving children aged 4–18 years and assessed obesity-related outcomes, such as body mass index and eating behaviours. Discussions: Authoritative parenting was consistently associated with healthier dietary patterns and a lower risk of childhood obesity. In contrast, authoritarian, permissive, and uninvolved parenting styles were more frequently associated with an increased risk of obesity, although the strength of these associations varied. Non-responsive feeding practices, including excessive restriction and pressure to eat, were identified as important mediating mechanisms. Conclusions: Parenting style plays a significant role in shaping childhood obesity risk, both directly and indirectly through feeding practices and psychosocial pathways.
Disparitas Regional Gagal Tumbuh pada Balita di Indonesia: Analisis CIAF dan E-CIAF dari SSGI 2022: Regional Disparities of Growth Failure among Children Under Five in Indonesia: Insights from CIAF and E-CIAF Analysis of SSGI 2022 Suyatno, Suyatno; Kartasurya, Martha Irene; Fatimah, Siti; Nugraheni, Sri Achadi; Wijayanti, Lilis; Latifah, Hasna Izdihar
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.8-13

Abstract

Background: Growth failure among children under five years remains a key public health issue in Indonesia and requires appropriate measurement indicators. Conventional parameters such as stunting, wasting, or underweight might not adequately address the multidimensionality of malnutrition. Therefore, the Composite Index of Anthropometric Failure (CIAF) and the Extended Composite Index of Anthropometric Failure (E-CIAF) will provide a better, more detailed, and inclusive population-level representation of growth failure. Objectives: To determine the frequency of growth failure among Indonesian children under five based on CIAF and E-CIAF among the population and in a regionalized setting, and to identify the more sensitive indicator. Methods: Secondary data were obtained from the Indonesian Nutrition Status Survey (SSGI) 2022, which included 281,651 children (aged 0–59 months) in 34 provinces. Nutritional status was assessed using anthropometric failure classification by CIAF and E-CIAF. The difference in prevalence in different regions was ascertained by Chi-square testing, and significance was defined as a p-value<0.05. Results: E-CIAF had a higher rate of failure of Indonesian child growth than CIAF (27.0% vs 25.0%). Prevalence of non-Java-Bali kids was high as compared to the Java–Bali region (E-CIAF=28.1%, CIAF=26.9%). In the Eastern region of Indonesia, it had the high prevalence (E-CIAF) (32.0%, CIAF 30.8%). Conclusions: The finding suggested that E-CIAF is more sensitive than CIAF for assessing growth failure. The highest burden of this disease occurs outside Java Bali in Eastern Indonesia, stressing the importance of localized nutrition interventions.
Faktor-Faktor yang Memengaruhi Tekanan Darah pada Remaja Sekolah Menengah Pertama di Jakarta Tahun 2025: Blood Pressure and Its Associated Factors Among Junior High School Students in Jakarta, 2025 Riode, Cumayo Putri; Fatmawati, Iin; Simanungkalit, Sintha Fransiske
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v9i1SP.2025.235-241

Abstract

Background: Hypertension is a condition characterized by persistently elevated arterial blood pressure and is associated with an increased risk of future cardiovascular disease. This condition is no longer confined to adult populations but has increasingly been identified among adolescents. Key determinants contributing to the development of adolescent hypertension include unbalanced dietary patterns and unhealthy lifestyle behaviors. Objectives: To analyze the factors associated with blood pressure levels among adolescents attending SMP Negeri 182 Jakarta in 2025. Methods: An observational study with a cross-sectional design was conducted using stratified random sampling. The study involved 217 students enrolled at SMP Negeri 182 Jakarta. The main variables assessed included the frequency of Ultra-Processed Foods (UPF) consumption, Body Mass Index-for-age (BMI-for-age), and Mid-Upper Arm Circumference (MUAC). Data were collected through face-to-face interviews using structured questionnaires and anthropometric measurements. Statistical analyses comprised univariate analysis, bivariate analysis using Spearman’s correlation test, and multivariate analysis using logistic regression. Results: Bivariate analysis demonstrated significant correlations between BMI-for-age (p-value=0.000) and MUAC (p-value=0.000) with systolic blood pressure, as well as with diastolic blood pressure. Furthermore, multivariate analysis confirmed that BMI-for-age was the primary factor associated with both systolic (p-value=0.000; OR=2.201; 95% CI=1.670–2.899) and diastolic blood pressure (p-value=0.000; OR=3.373; 95% CI=1.761–6.461). Conclusions: BMI-for-age was identified as the main factor associated with increased blood pressure levels among adolescents at SMP Negeri 182 Jakarta in 2025. Therefore, early monitoring of nutritional status is crucial to prevent the future risk of hypertension.

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