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Amerta Nutrition
Published by Universitas Airlangga
ISSN : 25801163     EISSN : 25809776     DOI : -
Core Subject : Health, Education,
Health Professions Medicine & Pharmacology Nursing Public Health Other
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.
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Articles 926 Documents
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Eksplorasi Mediator Potensial Perilaku dalam Adopsi Gaya Hidup Sehat pada Wanita dengan Risiko Sindrom Metabolik di Komunitas Kebugaran, Provinsi Lampung : Eksplorasi Mediator Potensial Perilaku dalam Adopsi Gaya Hidup Sehat pada Wanita dengan Risiko Sindrom Metabolik di Komunitas Kebugaran, Provinsi Lampung Rusyantia, Anggun; Wahyuni, Endang Sri; Bertalina; Juherman, Yulia Novika
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.58-67

Abstract

Background: Metabolic syndrome (MetS) is a risk factor for Non-Communicable Diseases (NCDs). Lifestyle modifications through healthy dietary regulation and physical activity, supported by nutrition education interventions, effectively reduce the prevalence of MetS. To promote participation in lifestyle modifications, designing effective interventions requires a deeper understanding of people’s potential behavioral mediators associated with MetS. Objectives: The purpose of the study was to investigate potential behavioral mediators of healthy lifestyle adoption among adult women at risk for MetS. Methods: This study employed a qualitative-descriptive design, using semi-structured interviews to elicit in-depth perspectives from 18 participants. Thematic analysis was conducted using an inductive approach to formulate themes. Results: Participants’ understanding of MetS risks and prevention was limited. Participants had high confidence in physical exercise, but it was not yet aligned with the suggested frequency, duration, and techniques, while self-efficacy for healthy eating habits remained low. Conclusions: Participants expressed a significant need for further information and guidance on the prevention and management of MetS. Knowledge, intention, self-efficacy, and result expectations were recognized as primary internal possible behavioral mediators. A behavior-based intervention guided by Social Cognitive Theory is recommended to inform the design of contextual and effective nutrition education programs that support sustainable behavior change.
Edukasi Gizi Ibu dan Pemberian Makanan Tambahan terhadap Pengetahuan, Praktik Ibu dan Pertumbuhan Anak: Studi Kuasi-Eksperimental di Kupang: Edukasi Gizi Ibu dan Pemberian Makanan Tambahan terhadap Pengetahuan, Praktik Ibu dan Pertumbuhan Anak: Studi Kuasi-Eksperimental di Kupang Nur, Astuti; Louisa Sine, Juni Gressilda; Sanjiwani, Putu Amrytha; Costa, Santa Luciana Diaz Vera Da; Loaloka, Meirina Sulastri
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.112-121

Abstract

Background: Stunting remains a major nutritional problem in Indonesia, particularly in East Nusa Tenggara (NTT), with a prevalence of 37.9% in 2023. Nutritional deficiencies in the first 1000 days of life affect children's physical growth, cognitive development, and productivity. Causative factors include exclusive breastfeeding practices, complementary feeding, daily protein intake, immunization, infectious diseases, and household economic and environmental conditions. Maternal education is considered important for improving knowledge and practices of good feeding.Objective: To determine the effectiveness of nutrition education interventions for mothers and the provision of supplementary feeding on mothers' knowledge and practices, as well as the growth of children under five in Kupang City, East Nusa Tenggara. Methods: A quasi-experimental study with a pre-test post-test control design, involving 60 toddlers (30 intervention, 30 control). Interventions include maternal nutrition education (CGM, CDM, IYCF) and protein supplementation (eggs). The data includes maternal knowledge and practices, as well as child anthropometry. The analysis used t-tests and chi-square tests (p<0.05).Results: The intervention significantly improved mothers' knowledge, as evidenced by an increase in scores on CGM by 11.37, CDM by 13.13, and IYCF by 13.93. There was also an improvement in parenting practices, particularly in CGM (36.67) and CDM (25.67), while the improvement in IYCF practices was relatively slower and only reached significance at the second follow-up. For child anthropometry, the changes were limited, with a significant increase in height in post-test 1 of 0.49 cm, while the weight changes did not reach significance. Conclusion: Interactive nutrition education is effective in improving mothers' knowledge and practices, but its impact on child growth requires long-term intervention, environmental support, and sustainable nutritional fulfillment
Impact Pengaruh Intervensi Aplikasi “Anem SIP” Terhadap Pengetahuan, Perilaku Kepatuhan Mengomsumsi Tablet Tambah Darah dan Kadar Hemoglobin Pada Remaja Putri: Quasy Experiment: The Effect of the “Anem SIP” Application Intervention on Knowledge, Adherence to Iron Tablet (TTD) Consumption, and Hemoglobin Levels in Female Adolescents: A Quasi-Experimental Study Sarinah Siregar; Witi Karwiti; Agraini; Egy Sunanda Putra; Larasti Putri Umizah
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.90-95

Abstract

Background: Anemia among women of reproductive age is a significant public health problem, with a global prevalence of 30% according to the 2021 World Health Organization (WHO) data. Although the iron tablet (TTD) supplementation program has been implemented, consumption coverage remains suboptimal due to low adherence and limited knowledge, affecting 18% of female adolescents in Indonesia. This low adherence is influenced by several factors, including forgetfulness, perception that supplementation is unnecessary, or consumption only during menstruation. At the policy level, the challenges are further increased by the distribution of TTD by health workers to schools without adequate follow-up. Objectives: This study aims to determine the effect of the Anem SIP application intervention on knowledge, adherence to TTD consumption, and hemoglobin (Hb) levels in female adolescents. Methods: A quasi-experimental study with a pretest-posttest design and no control group was conducted among 138 female adolescents at the Tangkit and Olak Kemang Community Health Centers in Muaro Jambi Regency in 2024. Data collection used a valid questionnaire to assess knowledge, while adherence to TTD consumption was determined through the Anem SIP application. Hb levels were measured using a hematology analyzer at the Jambi Ministry of Health Polytechnic Laboratory. Subsequently, data were analyzed using the Wilcoxon test with a 95% confidence interval. Results: The results showed that there was an increase in average knowledge from 56% to 87%, while adherence to TTD consumption improved before and after the intervention. Laboratory tests showed an increase in Hb levels from 12.4 g/dl to 13.3 g/dl. This study found a significant difference in knowledge and Hb levels between pre- and post-treatment. Conclusions: The implementation of the Anem SIP application showed the potential to improve knowledge, adherence to TTD consumption, and Hb levels as an effort to prevent anemia in female adolescents.
Efek Antihiperglikemik Kombinasi Ekstrak Etanol Cocor Bebek (Kalanchoe pinnata) dan Lidah Buaya (Aloe vera) pada Mencit yang Diinduksi Aloksan: Antihyperglycemic Effects of Combined Ethanolic Extracts of Cocor Bebek (Kalanchoe pinnata) and Lidah Buaya (Aloe vera) in Alloxan-Induced Mice Agusriani; Halimatusa'diyah; Karin Tika Fitria; Egy Sunanda Putra
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.82-89

Abstract

Background: Hyperglycemia is a hallmark of diabetes mellitus and contributes significantly to the development of systemic complications. Plant-based antihyperglycemic agents have gained increasing attention as alternative therapies due to their bioactive compounds and relatively low side effects. However, evidence on the combined effects of Kalanchoe pinnata (cocor bebek) and Aloe vera (lidah buaya) remains limited. Objectives: This study aimed to evaluate the glucose-lowering effects of combined ethanolic extracts of Kalanchoe pinnata and Aloe vera leaves in alloxan-induced hyperglycemic mice. Methods: Leaves were dried, powdered, and extracted with 96% ethanol via maceration, followed by filtration, evaporation, and freeze-drying. A total of 25 male mice were randomly divided into five groups (n=5 per group): negative control, positive control (glibenclamide), and three treatment groups receiving combined extracts at doses of 200, 400, and 800 mg/kg body weight. Hyperglycemia was induced using alloxan (150 mg/kg BW), and mice were considered hyperglycemic when blood glucose exceeded 176 mg/dL. Blood glucose levels were measured at 0, 30, 60, and 90 minutes post-treatment. Results: Minimal glucose reduction was observed in the negative control group (1.64-3.63%), while the positive control showed the greatest decrease (29.81-59.28%). The treatment groups demonstrated a dose-dependent effect, with reductions of 17.61%, 24.52%, and 32.80% at doses of 200, 400, and 800 mg/kg BW, respectively. Statistical analysis showed significant differences among groups (p<0.001) and between doses (p=0.016). Conclusions: These findings suggest that combined extracts of Kalanchoe pinnata and Aloe vera exhibit significant antihyperglycemic activity in alloxan-induced mice.
Ketahanan Pangan, Pola Konsumsi Pangan, dan Peran Ibu pada Keluarga yang Memiliki Balita di Daerah Lokus Stunting dan Non Lokus di Kabupaten Lombok Timur, Nusa Tenggara Barat: Food Security, Dietary Practices, and Maternal Roles among Households with Children Under Five in Stunting Locus and Non Locus Areas in East Lombok District, Indonesia Lalu Juntra Utama; I Nyoman Adiyasa; Ni Ketut Sri Sulendri; Luh Suranadi
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.105-111

Abstract

Background: Food security is a fundamental challenge to improving the health of children and adolescents. West Nusa Tenggara (NTB) Province, Indonesia, and East Lombok Regency face child nutrition issues, with one in three under-fives suffering from stunting linked to food security. Objectives: This study will analyse food security, dietary patterns, and the role of mothers with under-fives in stunting-prone and non-stunting-prone areas. Methods: A cross-sectional study involving 228 families with children under five years of age. Data collected included maternal characteristics (age, education, occupation, income and nutritional status) and child characteristics (age, sex, nutritional status and health status, maternal knowledge level, dietary patterns, household food security and data on the mother’s role in infant care). Maternal nutritional status was determined using BMI-for-age, whilst infant nutritional status was determined using weight-for-age, height-for-age and weight-for-height indices. Data analysis was performed using the chi-square test and t-test.  Results: A total of 59.7% of mothers were overweight and 64.0% of children were underweight. Families with varying levels of vulnerability (mild, moderate and severe) accounted for 75.0%, whilst only 25.0% were food secure; 71.1% of families had inadequate dietary patterns, and 54.4% of mothers practised good childcare practices. There was a significant difference between mothers’ knowledge, parenting practices and household food security (p-value<0.001). Conclusions: A mother’s role in her child’s upbringing determines the child’s nutritional status. This upbringing encompasses appropriate feeding, health monitoring and emotional support. Strengthening the mother’s role in her child’s health could serve as a strategy to reduce stunting rates. 
Rasio Protein Nabati dengan Protein Hewani dalam Kaitannya dengan Marker Gangguan Ginjal: Tinjauan Sistematis Studi Kohort: Rasio Protein Nabati dengan Protein Hewani dalam Kaitannya dengan Marker Gangguan Ginjal: Tinjauan Sistematis Studi Kohort Utami, Fista; Rusydiana, Hamidah Aula; Dini, Cleonara Yanuar; Bertalina; Wahyuni, Endang Sri
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.138-148

Abstract

Background: The nutritional management of CKD has traditionally focused on total protein intake. While animal proteins provide high bioavailability, their acid load production may contribute to CKD. Plant proteins serve as alternative sources due to their protective properties. Thus, the optimal plant-to-animal protein ratio is essential for developing dietary strategies that balance nutritional requirements with long-term renal preservation. Objectives: This review aimed to synthesize current evidence on the association between plant protein intake and kidney-related outcomes across different populations and CKD stages. Methods: Cohort studies were included, investigating adult populations with or without CKD. Exposure variables comprise plant protein intake or the proportion of plant-to-total protein, compared with lower plant protein or higher animal protein consumption. Outcomes assessed included eGFR, CKD incidence, and all-cause mortality. Literature searches used predefined keywords related to protein sources and kidney outcomes. Data were extracted and narratively synthesized following the Joanna Briggs Institute (JBI) guidelines. Results: Seven studies conducted between 2016 and 2025 across China, Iran, the United States, Australia, and the United Kingdom were included. Higher intake of plant protein was consistently associated with better kidney outcomes, including higher eGFR, slower decline in kidney function, reduced CKD, and lower mortality risk among individuals with impaired kidney function. Additionally, plant protein intake may mitigate the negative impact of sedentary behavior on CKD risk. Conclusions: Plant proteins play a protective role in kidney health. Incorporating plant-based protein into a healthy lifestyle may be a modifiable strategy for preventing and managing CKD.
Efek Hepatoprotektif Polifenol Coklat terhadap Gambaran Histopatologi Tikus Diabetes : Efek Hepatoprotektif Polifenol Coklat terhadap Gambaran Histopatologi Tikus Diabetes Restuti, Arisanty Nur Setia; Yulianti, Adhiningsih; Ratri, Putri Rahayu
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.74-81

Abstract

Background: Diabetes mellitus is a growing global health concern, including in Indonesia, where its prevalence continues to rise. Persistent hyperglycemia and the resulting oxidative stress contribute to hepatic injury, including steatosis and hepatocellular necrosis. Cocoa contains polyphenolic compounds such as catechin and epicatechin, which are known to exert antioxidant effects and may help attenuate oxidative damage. Objective: This study evaluated the effect of chocolate drink administration on liver histopathological changes, particularly necrosis and steatosis, in a diabetic rat model. Methods: A post-test-only control group design was employed using 25 male Sprague Dawley rats divided into five groups: normal control (K–), diabetic control (K+), and three treatment groups receiving chocolate drinks at concentrations of 2%, 4%, and 6% (equivalent to 40, 80, and 120 mg/200 g body weight/day) for 14 days. Diabetes was induced through a high-fat diet followed by streptozotocin injection. Liver tissues were stained with hematoxylin–eosin. Necrosis was assessed using the Manja Roenigk scoring system, while steatosis was evaluated based on percentage criteria. Results: A significant difference in hepatocyte necrosis was observed among groups (p=0.016), with treated groups showing lower necrosis compared to the diabetic control. In contrast, steatosis did not differ significantly between groups (p=0.515). Conclusion: Chocolate drink administration was associated with reduced hepatocellular necrosis in diabetic rats, suggesting a protective effect likely mediated by antioxidant mechanisms. However, no significant improvement in steatosis was observed within the short intervention period. Longer treatment duration or alternative dosing strategies may be required to influence lipid accumulation in the liver.
Hubungan Antara Food Coping Strategi dan Ketahanan Pangan Rumah Tangga Miskin di Wilayah Pesisir, Hutan Tropis dan Perkotaan Provinsi Kalimantan Timur: Hubungan Antara Food Coping Strategi dan Ketahanan Pangan Rumah Tangga Miskin di Wilayah Pesisir, Hutan Tropis dan Perkotaan Provinsi Kalimantan Timur Aryatika, Karera; Pijaryani, Indria; Wahyuni, Leny Eka Tyas
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.122-137

Abstract

Background: Food security remains a major challenge for low-income households, especially in geographically and socioeconomically diverse regions such as tropical forests, coastal areas, and urban settings. Food coping strategies are crucial mechanisms used by households to address food insecurity. Objectives: This study aims to examine the relationship between food coping strategies and food security among low-income households in coastal, tropical forest, and urban areas of East Kalimantan Province, Indonesia. Methods: A cross-sectional quantitative study was conducted in three regions: Samarinda City (urban), Muara Badak (coastal), and Muara Wahau (tropical forest). Respondents were selected using simple random sampling. Data were collected using structured questionnaires on socio-demographics, food coping strategies (RCSI), and food security status (US-HFSSM). Statistical analyses included chi-square tests, t-tests, ANOVA, and correlation analysis. Results : The majority of households in tropical forest areas demonstrated high coping strategies (72.5%) and good food security (82.4%). Coastal households had the lowest coping capabilities (56.4%) and the highest rate of food insecurity (50%). In urban areas, 44.3% of households remained food insecure despite better access to food markets. Conclusions:There is a significant relationship between food coping strategies and food security, particularly in tropical forest and urban areas. Households in tropical forests benefit from local natural resources and traditional knowledge, enhancing their food security. In contrast, coastal and urban areas require targeted interventions to strengthen adaptive capacities and food access among low-income households.
Asupan Makan, Status Gizi dan Penanda Inflamasi pada Penyakit Ginjal Kronik dengan Terapi Hemodialisis: Asupan Makan, Status Gizi dan Penanda Inflamasi pada Penyakit Ginjal Kronik dengan Terapi Hemodialisis Isnawati, Muflihah; Larasati, Meirina Dwi; Hendriyani, Heni
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.96-104

Abstract

Background: Hemodialysis therapy in patients with chronic kidney disease carries a high risk of malnutrition and chronic inflammation, contributing to poor clinical outcomes. Dietary intake is a key consideration in nutritional management, yet its relationship with nutritional status and inflammation remains inconsistent. Objectives: This study examined the relationship between dietary intake, nutritional assessment, and inflammatory markers in chronic kidney disease patients undergoing hemodialysis. Methods: This study employs a cross-sectional design, involving 80 adult patients on maintenance hemodialysis. Data on macronutrient and micronutrient intake were obtained using a 24-hour dietary recall method. Nutritional assessment was evaluated using body fat percentage, mid-upper arm circumference, serum albumin and the Malnutrition Inflammation Score. Inflammatory profile was assessed using hs-CRP and TIBC. Spearman correlation and multivariate linear regression analyses was applied. Results: Energy and protein intake per kilogram of body weight were inversely correlated with body fat percentage (r=−0.379 and −0.417, respectively; p-value<0.01) and MUAC (r=−0.270 and −0.338; p-value<0.05). Multivariate analyses showed that dietary intake, age and dialysis duration were not independent predictors of serum albumin or MIS. However, regression models for body fat percentage and MUAC were significant (p-value<0.05), explaining 17% of the variance. No statistically significant associations were observed between dietary intake and inflammatory profiles. Conclusions: Dietary intake contributes to variations in body composition but is not an independent determinant of biochemical or inflammatory indicators. Nutritional and inflammatory status in hemodialysis patients is multifactorial, highlighting the need for comprehensive nutritional assessment.
Spirulina sebagai Agen Kardioprotektif Potensial terhadap Dislipidemia Akibat Minyak Goreng Bekas: Studi Eksperimental dengan Wawasan Mekanistik: Spirulina sebagai Agen Kardioprotektif Potensial terhadap Dislipidemia Akibat Minyak Goreng Bekas: Studi Eksperimental dengan Wawasan Mekanistik Royhanaty, Isy; Prayogo, Fitra Adi; Amelia, Poppy Fransisca; Elza, Stefani; Wijayanti, Eka Anita; Falasifah, Falasifah
Amerta Nutrition Vol. 10 No. 1SP (2026): AMERTA NUTRITION SUPPLEMENTARY EDITION
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v10i1SP.2026.68-73

Abstract

Background: Repeatedly heated cooking oil promotes dyslipidemia and oxidative stress, both major risk factors for cardiovascular disease. Spirulina platensis, a microalga rich in bioactive compounds, has been proposed as a protective agent against these effects. Objectives: This study evaluated the protective effects of Spirulina platensis on dyslipidemia and oxidative stress induced by repeatedly heated cooking oil in Wistar rats. Methods: Eighteen male Wistar rats (220–250 g) were divided into three groups (n=6): a negative control (standard diet), a positive control (standard diet plus heated cooking oil, 2 mL/rat/day), and a treatment group (heated oil plus spirulina, 330 mg/kg BW/day). After 28 days, total cholesterol, triglycerides, HDL-C, LDL-C, atherogenic index, MDA, GSH, and SOD were measured spectrophotometrically. Results: Compared with the positive control, spirulina lowered total cholesterol from 180.0±15.6 to 140.0±9.5 mg/dL (−22.2%, p-value<0.001), triglycerides from 150.0±18.7 to 100.0±10.3 mg/dL (−33.3%, p-value<0.001), and LDL-C from 120.0±16.8 to 80.0±8.7 mg/dL (−33.3%, p-value<0.001). HDL-C rose from 30.0±4.2 to 45.0±6.1 mg/dL (+50.0%, p-value<0.001), while the atherogenic index fell from 5.0±0.8 to 2.1±0.4 (−58.0%, p-value<0.001). Oxidative stress markers also improved: MDA decreased from 7.28±0.92 to 4.33±0.58 nmol/mL (−40.5%), GSH increased from 2.20±0.38 to 3.44±0.46 µmol/L (+56.4%), and SOD from 4.18±0.72 to 6.97±0.83 U/mL (+66.7%) (all p-value<0.001). Conclusions: Spirulina supplementation (330 mg/kg BW/day) significantly attenuated dyslipidemia and oxidative stress induced by repeatedly heated cooking oil, improving lipid parameters by 22–50% and antioxidant status by 40–67%. These findings suggest spirulina has cardioprotective potential against oxidized dietary fats.

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