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World Nutrition Journal
Published by Indonesian Nutrition Association
ISSN : -     EISSN : 25807013     DOI : https://doi.org/10.25220/WNJ
Core Subject : Health,
Medicine & Pharmacology Public Health
World Nutrition Journal was founded in 2016 as the official journal of Indonesian Nutrition Association. It aims to publish high quality articles in the field of community, clinical, and critical care aspects of nutrition sciences. World Nutrition Journal (abbreviated: W Nutr J) is an English language, peer-reviewed, and open access journal upholding recent evidence related to nutrition sciences. The journal accepts manuscripts in terms of original paper, case report, editorial, and letter to editor.
Arjuna Subject : Profesi Kesehatan - Profesi Kesehatan (Lain-Lain)
Articles 404 Documents
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Association between mother’s purchase intention of iron-fortified infant cereal and iron intake among children aged 6-23 months in Tangerang, Indonesia Simatupang, Yustina Rossa; Chandra, Dian Novita; Khusun, Helda; Februhartanty, Judhiastuty; Iswarawanti, Dwi Nastiti; Sari, Okky Lupita
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0010

Abstract

Background: Iron deficiency can lead to anemia, negatively impacting children's cognitive and physical development. Mothers' knowledge of iron and the benefits of fortified complementary foods may have influenced their purchase intentions and decisions. Objective: This study aimed to investigate the association between mothers' purchase intentions, actual purchases of iron-fortified infant cereals, and iron intake in children aged 6–23 months in Tangerang, Indonesia. Research on this topic remained limited, emphasizing the need for further studies to strengthen the existing evidence. Methods: This study employed a cross-sectional design involving 162 mothers in pairs with their children aged 6–23 months, recruited consecutively. Data were collected using validated questionnaires. Data analysis was performed using the non-parametric Mann-Whitney test to compare groups and Spearman's correlation test to assess the strength of relationships between variables. A p-value < 0.05 was considered statistically significant. Results: Mothers showed positive attitudes and intentions towards purchasing iron-fortified cereals, with a notable 51.9% having made recent purchases. While these purchase intentions correlate with actual purchases, they did not directly influence children's iron intake. Instead, factors such as mother’s education, occupation, and household income played significant roles in determining iron intake levels. Conclusion: Purchase intentions were associated with actual purchase intention; however, factors such as gender, mother’s education, occupation, and household income did not exhibit a direct relationship with children's iron intake. This study indicates that while mother’s purchase intentions are associated with actual purchases, they do not directly impact children's iron intake.
Evaluation of the prevalence, and relationship between nutritional status, malnutrition, and quality of life in cancer patients undergoing chemotherapy in Mashhad, Iran in 2023 Zeyghami, Ali; Keikhay Moghadam, Hanieh; Babaei, Arvin; Bari, Ali-Reza; Hamedi‑Shahraki, Soudabeh; Shahidsales, Soodabeh; Dahri, Monir
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0006

Abstract

Introduction: Cancer patients face high risks of malnutrition, low muscle mass, and sarcopenia due to decreased intake and treatment side effects. This malnutrition can lead to longer hospital stays, higher mortality, lower quality of life, and poor treatment tolerance. The purpose of this study is to evaluate the prevalence and relationship between nutritional status, malnutrition and quality of life in cancer patients undergoing chemotherapy in Mashhad, Iran in 2023. Method: In a cross-sectional study, we evaluated 237 cancer patients from Razavi, Nazeran, Qhaem, and Omid Hospitals using the Patient-Generated Subjective Global Assessment (PG-SGA). Data analysis was conducted with SPSS version 21. Results: Among the 237 patients assessed, 61.6% were identified as female. The PG-SGA scores indicated that the prevalence of malnutrition and the risk of malnutrition were 89.9% (n=213) and 7.2% (n=17), respectively. Our findings revealed significant differences in physical function, role function, and emotional status dimensions between the malnourished group and the normal/at-risk malnutrition group (P < 0.001). In contrast, no significant differences were found in cognitive function and social function. Furthermore, there were significant variations in fatigue, pain, and appetite levels between the malnourished group and the normal/at-risk malnutrition group, as assessed by the QoL questionnaire. Conclusion: It was determined that 89.9% of cancer patients across all treatment modalities were malnourished and required immediate care. Gastrointestinal cancer was found to have the highest malnutrition rates when compared to other cancer types.
A qualitative study on the experiences of the prospective brides about nutritional preparation during the preconception period Emirza, Phellia; Wiradnyani, Luh Ade Ari; Ermayani, Evi
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0013

Abstract

Background: Stunting is still a nutritional problem in Indonesia, where maternal malnutrition is one of the causes. Studies show that prospective brides and women of childbearing age in Indonesia are not physically and knowledgeably ready for pregnancy. Nutritional preparation is crucial during preconception, as preconception nutritional status can have cross-generational impacts, yet it is often overlooked. Objective: This study aimed to explore the experiences of prospective brides regarding nutritional preparation during the preconception period. Methods: This qualitative research was conducted in Bogor, Indonesia, using in-depth interviews and participatory methods. The main informants of this study were 20 prospective brides selected through convenience sampling. Additionally, 21 key informants were involved for triangulation. Data analysis was conducted by coding verbatim transcripts using NVivo12 software. The results of this study used a pre-determined theme aligned with the research objectives. Result: Almost all informants agreed that preconception nutritional preparation was crucial before marriage. Several nutritional preparation activities carried out by prospective brides emerged from this study, such as pre-pregnancy weight management and eating nutritious and healthier foods. However, many prospective brides still did not perform these activities optimally. Conclusion: Many prospective brides were already putting efforts to undertake nutritional preparation. However, knowledge gaps and misunderstandings among brides and grooms regarding nutritional preparation persist. There is a need to improve their awareness at preconception period and ensure government programs are accessible, equitable, and effective. This study offers new insights into nutritional preparation for brides, an area that is underexplored.
The implementation and challenges of breastfeeding counselling program in Majene district, West Sulawesi: A qualitative study among health workers Febriyanti, Dyah; Februhartanty, Judhiastuty; Wiradnyani, Luh Ade Ari
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0011

Abstract

Background: Inadequate breastfeeding practices increase the risk of malnutrition, infant deaths, and other related developmental problems. Counselling on breastfeeding promotion is one of the most effective ways to improve breastfeeding practices. Nevertheless, challenges in implementing the counselling hinder its effectiveness. Using the logic model framework, this study examines the implementation and challenges of breastfeeding counselling programs in Majene District, West Sulawesi Objective: This study aims to gain an in-depth understanding of experiences and perspectives regarding the implementation of the breastfeeding counselling program using the Logic Model among health workers in Majene District. Methods: From January to June 2024, a qualitative phenomenological approach was employed. Data collection included in-depth interviews with 12 trained breastfeeding counsellors, eight key informants, and focus group discussions with 24 mothers. Thematic analysis using NVivo 12, guided by the Logic Model framework, which grouped breastfeeding counselling into input, process, outputs, and outcomes aspects. Results: Key challenges included a shortage of trained counsellors, limited infrastructure, and budget constraints. Health workers adapted by integrating counselling into maternal health services, conducting home visits, and collaborating with Posyandu cadres. Exclusive breastfeeding rates showed slight improvements but remained below national targets. Beneficiaries expressed satisfaction but highlighted the need for longer and more frequent counselling sessions. Conclusions: The program faced significant resource challenges, including a shortage of skilled counsellors, budget constraints, and limited facilities. However, adaptive strategies by health workers crucial for overcoming logistical and resource constraints resulted in beneficiaries’ satisfaction and positive developments in breastfeeding rates.
Gender, education, eating patterns, and nutritional status among high school students in the tourist area of Bukittinggi, Indonesia Taufiqa, Zuhrah; Maisa, Benny Alexander; Zam, Zelly Salmiyanti Rahman; Ranza, Fathiya Rizqillah; Alem, Najla Khalisha; Amril, Farah Alya
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0012

Abstract

Background: The well-being of high school students in tourist shapes their eating habits and affects their nutritional status, leading to obesity and malnutrition. Objective: This study aims to examine the association between gender, education, eating patterns, and nutritional status among high school students in tourism areas. Methods: This cross-sectional study was conducted in October 2023 and included 118 students aged 12–18 years from junior and senior high schools in Bukittinggi, West Sumatra. Respondents were selected through multistage stratified clustered sampling. Data on gender, age, education, and eating patterns which assessed using a food frequency questionnaire classified according to the Guttman scale. Nutritional status was determined based on BMI-for-age WHO z-scores following the Indonesian Minister of Health Regulation. Data were collected via interviews using a questionnaire on the KoboToolbox application and analyzed using Chi-square tests. Results: Most high school students (89.8%) had poor eating patterns, with 45.8% having a normal BMI-for-age, 34.7% undernourished, and 19.5% overweight or obese. Gender was significantly associated with nutritional status (p=0.007), with thinness more common in boys and normal BMI-for-age more prevalent in girls, while education and eating patterns showed no significant association. However, frequent consumption of sugary drinks was linked to higher rates of overweight and obesity. Conclusion: There were gender differences in nutritional status among high school students in Bukittinggi, a tourist area, underscoring the need for targeted gender-focused nutrition interventions to address healthier eating patterns in tourism regions.
Leucine-included liquid diet as medical nutrition therapy improved handgrip strength and mid-upper circumference in clinically malnourished pulmonary tuberculosis patient with high neutrophil lymphocyte ratio: A case report from Universitas Indonesia hospital Singal, Anna Maurina; Afifa, Nadhira Nuraini; Wardhani, Wahyu Ika; Baskoro, Hario
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.0005

Abstract

Background and objectives: Muscle weakness delays clinical improvement in pulmonary tuberculosis patients. Higher neutrophil lymphocyte ratio, low handgrip strength, mid-upper arm circumference indicates bad clinical outcome. Weight loss must be managed from the start of treatment. Good muscle condition has benefits to the recovery rate. Leucine provides benefits in increasing the synthesis of muscle mass so as the clinical conditions. Unfortunately, leucine has not been the routine part of medical nutrition therapy in tuberculosis patients. Methods: This is a case report of a female patient with body weight 42 kg and height 150 cm, admitted to Universitas Indonesia Hospital, with lung tuberculosis. Leucine given, started from 1.95 g/day to the maximum amount of 7,34 g/day through the hospital tailored-made liquid food. There was an improvement of clinical signs and symptoms during 14 days of hospitalization. Mid-upper arm circumferences at day 1, 8, and 15 were 21.1, 21.4, and 12.9 21.9 cm in a row. The right and left handgrip strength at day 1, 8, and 15 were 9.7 kg and 8.1 kg, 10.9 kg and 8.9 kg, 15.1 kg and 13.4 kg, respectively. While the neutrophil lymphocyte ratio at day 0, 6, and 9 were increasing, at 6.89, 6.89, and 13.8, in a row. Conclusions: Leucine 1.95–7.34 g/day, in tailored-made liquid food, as part of tuberculosis management therapy, though the NLR 13.8, can improve the mid-upper arm circumference, handgrip strength, clinical signs and symptoms in 14 days of hospitalization.
The role of Artificial Intelligence in nutritional assessment in clinical practice Pansawira, Pittara
World Nutrition Journal Vol. 8 No. i2 (2025): Volume 08 Issue 2, February 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V08.i2.000i

Abstract

Nutrition plays a crucial role in clinical practice, impacting immune function, disease prevention, and treatment. However, assessing a patient’s nutritional status remains challenging due to individual differences and the limitations of traditional methods like dietary recalls and food diaries, which can be subjective and time-consuming. Artificial Intelligence (AI), particularly machine learning, is emerging as a powerful tool to enhance nutritional assessments. AI can quickly and accurately analyze large datasets, enabling both patients and clinicians to track and manage dietary intake, blood sugar levels, and other health metrics through apps and wearable devices. Despite its promise, AI in nutrition faces challenges such as data accuracy, potential misdiagnoses, and ethical concerns related to data privacy and security. Nonetheless, as technology advances, AI is set to play an increasingly significant role in nutrition diagnostics and healthcare, offering new possibilities for personalized and efficient nutritional management.
Effects of probiotics supplementation on reducing inflammation in burn patients: Evidence based case report Afifa, Nadhira Nuraini; Lestari, Wiji
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0001

Abstract

Background: Burn injuries cause significant physical trauma and complex inflammatory responses, accounting for more than 300,000 deaths per year. Probiotics may help modulate inflammation in burn patients by improving biomarkers such as hs-CRP and IgA levels. This case report aims to investigate the effect of probiotics supplementation on reducing inflammation in burn patients. Methods & Materials: A literature search was on three large databases: PubMed, Cochrane Library, and Google Scholar. MeSH terms, advanced search, and eligibility criteria were used for title and abstract screening after removing duplicates. Critical assessment tools and levels of evidence of the final articles are based on the Oxford Center for Evidence-Based Medicine. Results: Two randomized controlled trials (RCTs) met the PICO and eligibility criteria. One RCT found that probiotics supplementation significantly reduced hs-CRP levels (21.38 ± 44.45 vs 36.36 ± 79.03; p < 0.001) and improved wound healing in burn patients. The other RCT found that single and mixed strain probiotic administration significantly increased IgA levels (p < 0.001 and p = 0.025, respectively) in burn patients. Conclusions: Probiotics supplementation demonstrates significant benefits in reducing systemic inflammation and enhancing immune function. Further research is necessary to provide recommendations of probiotic use in burn care.
Association of eating behavior and diet quality among students in Taruna Nusantara Senior High School, Indonesia Triatmoko, Barkah; Chandra, Dian Novita; Khusun, Helda; Pramesthi, Indriya Laras; Sekartini, Rini
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0009

Abstract

Background: Poor adolescent diet quality is influenced by family eating habits, media promoting unhealthy foods, and body image pressures, leading to disordered eating, neglect of health considerations, and obesity. Even in controlled environments like boarding schools. Objective: This study aims to assess association between eating behavior and dietary quality among students in Taruna Nusantara Senior High School (TN-SHS), Indonesia. Methods: A cross-sectional study with 200 subjects aged 15-18 was conducted in January 2024. Participants were purposively sampled from TN-SHS boarding school. Data was collected using the Dutch Eating Behavior Questionnaire (DEBQ) and Diet Quality Index International (DQI-I), along with sociodemographic information, nutritional status, and physical activity. Analysis was performed using SPSS 29, employing multiple linear regression to examine the relationship between eating behaviors and diet quality. Results: There was strong relationship between eating behavior and diet quality on different days, revealing that restrained eating correlates with better diet quality on average days (r=0.158, p=0.026), while external eating is linked to poorer diet quality. The association between eating behavior and diet quality on weekdays is weaker than on weekends. External eating consistently reduces diet quality across all periods (β=–1.380 to –1.854, p<0.01). Males exhibiting lower diet quality (β=–3.021 to –4.904, p≤0.002) and higher pocket money associated with improved diet quality, particularly on weekends (β=–3.633, p=0.021). Conclusion: The study findings highlight the importance of managing external eating behaviors such as emotional eating, social eating, mindless eating, and binge eating, and suggest avenues for targeted interventions to promote healthier dietary habits.
Association of food security and dietary diversity with stunting among toddlers in Gunungkidul regency, Indonesia Rindi Nuryani; Paratmanitya, Yhona; Veriani Aprilia
World Nutrition Journal Vol. 9 No. i1 (2025): Volume 09 Issue 1, August 2025
Publisher : Indonesian Nutrition Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25220/WNJ.V09.i1.0003

Abstract

Background: Stunting is impaired child growth due to prolonged undernutrition. In 2022, Indonesia’s stunting prevalence was 21.46% (SSGI), with Gunungkidul regency in Yogyakarta, Indonesia experiencing the highest rate at 23.5%. food security and dietary diversity can influence the occurrence of stunting in toddlers. Objective: This study aims to determine the association of food security and dietary diversity with stunting among toddlers in Gunungkidul Regency. Methods: This cross-sectional study was conducted in the Wonosari and Gedangsari District, Gunungkidul Regency. The sample of this study were 105 children from 6 Posyandu (integrated health care center), which were selected based on the stunting prevalence. The sample were selected using quota sampling techniques. Household food security was assessed using a questionnaire adapted from the 2012 USDA Household Food Security Survey Module, and dietary diversity was assessed using a questionnaire adapted from the 2011 Food and Agriculture Organization (FAO) guidelines. Data were analyzed using the Chi-Square test. Results: More than 30% of the children were stunted (31.4%), 51.5% had dietary diversity in the low and medium categories, and 44.8% of respondents come from food insecure families. There was a significant relationship between dietary diversity and stunting (p<0.05), however the relationship with food security was not statistically significant (p>0.05). Conclusion: Dietary diversity is significantly associated with stunting among toddler however food security is not related to stunting. Caregiver education promoting diverse toddler diets, especially local foods, is needed.

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