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Trias Mahmudiono, SKM., MPH (Nutr), GCAS., PhD
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amertanutr@fkm.unair.ac.id
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Kota surabaya,
Jawa timur
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 926 Documents
Front Matter Vol. 9 No. 1SP, 2025: Front Matter Vol. 9 No. 1SP, 2025 Nutrition, Amerta
Amerta Nutrition Vol. 9 No. 1SP (2025): AMERTA NUTRITION SUPPLEMENTARY EDITION Special 5th Amerta Nutrition Conferenc
Publisher : Universitas Airlangga

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Abstract

Efek Pemberian Air Kelapa dan Air Alkalin pada Kadar Asam Laktat Pasca Aktivitas Fisik Intensitas Tinggi: The Effect of Coconut Water and Alkaline Water Intake on Lactic Acid Levels After High Intensity Physical Activity Sofi, Moh Sofyan; Pribadi, Heri Purnama; Fitria, Anisa Lailatul
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.15-22

Abstract

Background: Lactic acid is a primary biomarker of fatigue, produced as a byproduct of anaerobic energy metabolism. Elevated lactic acid levels are associated with muscle fatigue and reduced performance. Consuming alkaline drinks can help speed up the reduction of lactic acid levels. Coconut water, which is rich in nutrients and electrolytes, can also be an alternative for recovery after intense physical activity. Objectives: Evaluate the effect of coconut water and alkaline water on lactic acid after high-intensity physical activity. Methods: Study participants were male university students divided into two groups: alkaline water group (K1) and coconut water group (K2), each consisting of 13 participants with similar characteristics. K1 was given 350 ml of alkaline water and K2 was given 350 ml of coconut water. Lactic acid levels were measured before and after performing a 35-meter sprint running six times. Differences in lactic acid levels between groups were analyzed using an independent t-test. Results: Pre-activity lactic acid levels were 2.55 ± 0.54 mmol/L for the K1 group and 3.2 ± 0.53 mmol/L for the K2 group. Post-intervention, the levels rose to 6.63 ± 2.54 mmol/L for K1 and 8.3 ± 3.15 mmol/L for K2. There was no statistically significant difference in the increase of lactic acid levels between groups (p-value=0.414). Non-significant results indicate that both liquids have an influence on changes in lactic acid levels. Conclusions: Both alkaline water and coconut water demonstrated similar effects in inhibiting the accumulation of lactic acid following high-intensity physical activity.
Pengaruh Konsumsi Ikan terhadap Peningkatan Tinggi Badan Balita Stunting (Studi Intervensi): The Effect of Fish Consumption on Increasing the Height of Stunted Toddlers (Intervention Study) Witradharma, Tetes Wahyu; Mahyuddin, Meriwati
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.156-162

Abstract

Background: The proportion of stunted toddlers is 19.8%, and 12.9% in Bengkulu Province and Bengkulu City, respectively. Indicating that the prevalence of stunting among toddlers remains high in Indonesia. Stunted toddlers experience impaired growth, dysfunctional immune system and are more susceptible to diseases. Maternal lack of knowledge on dietary needs reduces their role in meeting toddler nutritional requirements, exclusive breastfeeding and fish-based complementary foods. Objectives: To determine the effects of fish consumption on height of stunted toddlers. Methods: The study used a quasi-experimental non-equivalent (pretest and post-test) control group design, conducted on intervention and control groups for 2 months (8 weeks). The intervention group received the Toddler Feeding Program, while the control group received local Community Health Center Program. The sample consisted of all stunted toddlers aged 6-18 months in North Bengkulu Regency Health Office's work area. Data analysis was performed using Stata 16. For univariate analyses, variables including education, occupation, gender, age of mother and toddler, and toddler fish consumption patterns were considered. Bivariate analyses were conducted using independent t-test to assess differences in body length. Results: Consumption of freshwater, saltwater, and brackish water fish in the intervention group was higher than those in the control group (28.13±48.43 and 19.17±16.89; 23.54±26.92 and 14.79±12.47; 1.88±5.07 and 0.21±0.79). Maternal behaviors towards toddlers, including knowledge (7.83±4.62), attitudes (8.71±5.12), and actions (7.63±4.62) in the intervention group was higher than those in the control group (4.96±4.70; 5.46±5.13; 4.83±4.58). The height of stunted toddlers in the intervention group (0.71±0.59) was higher than the control group (0.46±0.48) with a Pearson coefficient of 0.002. Conclusions: This study shows that fish consumption is associated with improved growth of stunted toddlers.
Faktor Determinan Kejadian Stunting dan Overweight-Obesitas Pada Siswi Remaja Putri: Determinants of Co-Occurrence Stunting and Overweight-Obesity in School-Aged Adolescent Females Patimah, Sitti; Yasin, Yade Kurnia; Sharief, Suchi Avnalurini; Rachmat, Muhammad
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.36-43

Abstract

Background: The nutritional transition has led to a shift from a single nutritional problem to a double burden of malnutrition, particularly in adolescent females. Objectives: This study aims to explore the determinants of the co-occurrence of stunting and overweight-obesity in adolescent females. Methods: A cross-sectional method was applied to all female adolescents of school age (n = 360) from 4 secondary schools in Majene, West Sulawesi, Indonesia, between March and April 2021. Data were obtained through the use of a structured questionnaire, 24-hour dietary recall, and measurements of body weight and height. Analysis of the data was conducted using SPSS, NutriSurvey, and WHO AnthroPlus, with statistical significance at the 5% level (95% confidence interval). Results: The results showed that among participants aged 10–19 years, 31.7% were stunted, 14.2% were overweight, 2.2% were obese, and 2.5% experienced both stunting and overweight-obesity. Intake of protein, fat, and magnesium was significantly related to stunting and overweight-obesity (p-value = 0.004, 0.049, and 0.016, respectively). According to the multilevel regression analysis, nutritional knowledge (AOR=6.880; 95% CI: 1.189–39.804; p-value=0.031) and fiber intake (AOR=25.830; 95% CI: 1.565–426.370; p-value=0.023) were significant contributors to the co-occurence. Conclusions: Nutritional knowledge and dietary intake are significant predictors of stunting and overweight-obesity in adolescent females. Therefore, the enhancement of school-based nutritional literacy programs and the creation of a supportive school environment that promotes nutritional status are recommended.
Studi Komparasi Booklet Konvensional dan Digital dalam Peningkatan Pemahaman dan Perubahan Sikap Ibu terhadap ASI Eksklusif di Kota Mataram: Comparative Study of the Effectiveness of Convensional and Booklet Digitals in Increasing Understanding and Changing Maternal Attitudes towards Exclusive Breastfeeding in Mataram City Paramita, Farah; Al-Irsyad, Muhammad; Laksana, Dian Puspitaningtyas; Katmawanti, Septa; Sharoni, Siti Khuzaimah Ahmad; Samah, Dea Aflah; Wahyuni, Oktavia Sri; Putri, Fatiya Rizka; Rabbani, Muhammad Fahmi; An-Khofiyya, Nida; Pahlevi, Reza
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.6-14

Abstract

Background: Child malnutrition is a global challenge in Indonesia, specifically in Mataram City, primarily attributed to the low coverage of exclusive breastfeeding. One potential strategy to address this challenge is increasing health knowledge through health promotion media, such as conventional and digital booklet. Objectives: This study aims to implement interventions using both conventional and digital booklet media, compare the two types of booklet, and determine which type is more accepted by the community. Methods: A pre-experimental method with a cross-sectional design was conducted using a one-group pretest-posttest approach comprising 96 mothers with infants aged 6 to 24 months in the Cakranegara and Ampenan Puskesmas areas. Data were collected using questionnaires to assess maternal knowledge and attitude both before and after the intervention. The differences in knowledge and attitude were analyzed using the Wilcoxon Test. Results: The results showed that the intervention of digital booklet did not produce a statistically significant difference in the enhancement of knowledge or attitude among the respondents (p-value>0.05). Conversely, the intervention of conventional booklet showed a statistically significant difference in attitude (p-value<0.05), and no significant difference was observed in knowledge (p-value>0.05). Conclusions: The intervention of conventional booklet produced a greater increase in knowledge and attitude compared to digital booklet. Therefore, it can be concluded that conventional booklet is more accepted by the community than digital.
Evaluasi Modul Pelatihan S.E.E.D: Meningkatkan Kompetensi Manajemen untuk Dietisien Menggunakan Kerangka Kerja ADDIE: Perception-Based Evaluation of the S.E.E.D Training Module on Management Skills Development for Dietitians Using the ADDIE Framework Rusali, Roszanadia; Yusop, Nor Baizura Md; Ghazali, Hazrina; Omar, Noraida; Jamaluddin, Rosita
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.172-179

Abstract

Background: As the role of dietitians in clinical and operational settings continues to expand, administrative and management skills have become increasingly important. Therefore, the Skills Enhancement for the Excellent Dietitians (S.E.E.D) training module was developed to strengthen dietitians’ management competencies. Objectives: This study was conducted to evaluate the newly developed Skills Enhancement for the Excellent Dietitians (S.E.E.D) training module through participants’ perception-based assessment of management skills development, guided by the ADDIE framework. Methods: A descriptive cross-sectional study was conducted in April 2021 to evaluate S.E.E.D training module using a structured questionnaire. Fifteen government dietitians (U41 and U44) with at least two years of work experience were purposively selected. The module was evaluated using a government assessment form covering five aspects: (i) content, (ii) implementation, (iii) technical and methodology, (iv) benefits, and (v) facilitator effectiveness. Results: Participants reported high satisfaction across all aspects, with mean scores for training content ranging from 4.9 to 5.0. Implementation scores varied between 4.7 and 4.9, with Session 3 (Managing Challenging Behavior) receiving the highest rating (4.9 ± 0.27), while Session 4 (Motivation) had the lowest (4.5 ± 0.33). Most participants indicated being “Very satisfied” or “Satisfied” with the training techniques used. Conclusions: The S.E.E.D training module was well received by participants and demonstrated a high level of satisfaction, aligning with the evaluation objectives. These results provide a strong foundation for further improvement of the module before wider implementation.
Dampak Program Gizi Berbasis Sekolah terhadap Status Gizi, Anemia, dan Pengetahuan Gizi pada Anak Sekolah Dasar di Kabupaten Pidie, Aceh, Indonesia: The impact of School-Based Nutrition Program on Nutritional Status, Anemia, and Nutrition Knowledge Among Elementary School Children in Pidie District, Aceh, Indonesia Ahmad, Aripin; Arifin, Syuja' Rafiqi; Fitrianingsih, Eva; Arnisam, Arnisam
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.23-35

Abstract

Background: School-age children in Aceh are vulnerable to malnutrition, with 24.1% experiencing stunting and 12.3% exhibiting wasting, primarily due to unbalanced diets, skipping breakfast, and unhealthy snacking habits. Objectives: This study evaluates the impact of a School-Based Nutrition Program on nutritional status, anaemia, nutrition knowledge, and Clean and Healthy Behaviour (CHB) among elementary students in Pidie District, Aceh. Methods: A quasi-experimental pre–post study was conducted among 290 elementary students as part of the School-Based Nutrition Program, which included thrice-weekly meal provision, nutrition education, and CHB promotion. Nutritional status (BMI-for-age, height-for-age), anemia (hemoglobin levels), nutrition knowledge, and CHB practices (interviews) were assessed. Data were analyzed using chi-square and t-tests at a 95% confidence level. Results: Anemia prevalence decreased by 4.4%, stunting by 2.0%, and overweight by 4.9%. The height-for-age z-score slightly improved from -1.84±0.93 to -1.78±0.91. Students also showed better nutrition knowledge and CHB practices. While the program had no significant impact on reducing anemia, stunting, and BMI-for-age (p-value=0.120; p-value=0.887; p-value=0.148), it significantly improved nutrition knowledge and CHB behavior (p-value=0.015; and p-value=0.012). Conclusions: The School Based Nutrition Program effectively improved nutrition knowledge and Clean and Healthy Living Behaviour (CHLB). However, the short-term implementation did not yet lead to measurable improvements in nutritional and anemia status. To enhance future program outcomes, structured monitoring is crucial to ensure food adequacy, food safety, and the effective integration of nutrition education.
Hubungan Pola Makan dan Citra Tubuh dengan Status Gizi pada Remaja Sekolah Menengah Atas di Kota Padang: Eating Patterns and Body Image in Relation to Nutritional Status among Adolescents in Padang City High Schools Elda, Frima; Novirsa, Randy; Kasra, Kamal; Azmi, Fadilla; Delviana, Adelia; Surya, Rezi Fatrima
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.44-51

Abstract

Introduction: In Indonesia, especially in urban areas, lifestyle and environmental changes contribute to a triple burden of nutritional problems among adolescents, where undernutrition (9.8%) coexists with increasing cases of overweight and obesity (8.6%). This condition reflects a growing imbalance between adolescents’ eating patterns and body perception. Objective: This study aimed to explore the relationship between body image and eating patterns among adolescents with normal, overweight, and obese nutritional status. Methods: A cross-sectional study was applied in this study and data were analyzed using the Chi-square test by comparing observed and expected frequencies. The data collected included the  nutritional status as the dependent variable, body image, socioeconomic factors, and eating patterns as independent variables. The study was conducted in two selected public high schools in Padang City, involving 1,299 population students aged 15–18 years, with a total sample of 377 respondents were selected. Data collection was conducted from August 2024 to March 2025. Results: Results showed that 33.7% of students experienced either undernutrition or overnutrition, 64.5% had poor eating behaviors, and 42.2% reported a negative body image. There were significant associations between eating patterns (p-value=0.049; POR=1.63) and body image (p-value=0.001; POR=29.2) with nutritional status among high school students in Padang City. Conclusion: Understanding the relationship between eating patterns, body image, and nutritional status is essential for developing effective school-based interventions and health promotion strategies.
Pengembangan Poster sebagai Media Nudging untuk Mengurangi Sisa Makanan pada Remaja di Sekolah Asrama: Development of Posters as Nudging Media for Reducing Food Waste among Teenagers in Boarding Schools Yunianto, Andi Eka; Riyadi, Hadi; Khomsan, Ali; Baliwati, Yayuk Farida
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.60-71

Abstract

Background: Young people, especially at boarding schools, generate a large amount of food waste that may be addressed through targeted and persuasive education strategies based on context. Objectives: This study aimed to develop and evaluate nudging posters to reduce food waste behavior among adolescents. Methods: A descriptive design was used to assess the validity and reliability of four posters. Three expert panelists provided feedback to the researchers to determine the validity of the posters' content. To assess poster reliability, 60 adolescents rated the posters using a Likert scale. Data were analyzed in Excel for Aiken's V analysis and in SPSS version 25 for Spearman’s correlation and Cronbach's alpha (CCA). Results: According to the validity test, Posters 2 and 4 had the highest Aiken’s V value (0.889) for color harmony, layout, and content flow. The most valid components were the contextually appropriate and scientifically accurate content. The least valid components were the completeness of content and how well the message was emphasized (Aiken’s V=0.444 to 0.666). Language was generally the weakest component, but its validity improved when using a style that matched adolescent characteristics. Reliability analysis confirmed that the evaluation instruments were valid and reliable. Posters 1, 2, and 4 showed significant item correlations (p-value<0.05) with Cronbach’s Alpha of 0.983, indicating excellent internal consistency. Poster 3 contained one invalid item, though this did not affect overall reliability. Conclusions: The study concluded that the developed posters are valid and reliable as a form of nudging media. They demonstrate potential as effective educational tools to influence teenagers’ behavior and reduce food waste in boarding school settings.
Dampak Program GENIUS terhadap Pengetahuan Gizi Siswa: Bukti dari Kota Binjai tahun 2023: Impact of the GENIUS Program on Students’ Nutrition Knowledge: Evidence from Binjai City, 2023 Haryana, Nila Reswari; Matanari, Grace Ballanceya Margaretha; Emilia, Esi; Purba, Edy Marjuang
Amerta Nutrition Vol. 10 No. 1 (2026): AMERTA NUTRITION (Bilingual Edition)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1.2026.148-155

Abstract

Background: Children’s nutrition knowledge is closely associated with dietary consumption patterns and susceptibility to infections, both of which influence nutritional status. Structured educational interventions, such as the Gerakan Edukasi dan Pemberian Pangan Bergizi untuk Siswa (GENIUS) program, represents one strategy to improve nutrition knowledge among school-aged children. Objectives: This study aimed to evaluate changes in elementary school students’ nutrition knowledge after participating in the nutrition education component of the GENIUS Program. Methods: The GENIUS Program is a school-based intervention consisting of nutrition education (thematic materials and healthy snack-related materials) and the provision of nutritious snacks (20 sessions) for elementary school children. The program was initiated by the National Food Agency (Badan Pangan Nasional [BAPANAS]) and its implementation, monitoring, and evaluation were coordinated by the Indonesian Association of Higher Education Institutions in Nutrition (Asosiasi Institusi Pendidikan Tinggi Gizi Indonesia [AIPGI]) in collaboration with local universities in the program areas. This quantitative study used a secondary data design based on the implementation of the GENIUS Program conducted from October to November 2023 in three public elementary schools in Binjai City, North Sumatra. The researchers were also involved in data collection. A total of 205 students in grades 4–6 were included in the study. Pre- and Post-test knowledge data were collected using a questionnaire. Data were analyzed using a paired t-test (for normally distributed data) or the Wilcoxon signed-rank test (for non-normally distributed data), as well as the Kruskal–Wallis test. Results: The findings showed a significant increase in nutrition knowledge scores before and after the intervention (p-value<0.05). In addition, there were significant differences in knowledge improvement among schools (p-value=0.008). Further post-hoc analysis indicated that some schools achieved greater improvements in knowledge scores than others. Conclusions: The GENIUS Program was effective in improving nutrition knowledge among elementary school students, although the magnitude of improvement varied across schools.

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