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INDONESIA
Journal of Health and Nutrition Research
ISSN : -     EISSN : 28299760     DOI : https://doi.org/10.56303/jhnresearch
Core Subject : Health,
The Journal of Health and Nutrition Research (ISSN: 2829-9760) is an international peer-reviewed, scientific, and open-access journal managed by Media Publikasi Cendekia Indonesia. Journal of Health and Nutrition Research aims to provide forum exchanges and interfaces between researchers and related practitioners in the field of medicine, health, and nutrition. The journal only accepts articles from original research, review articles, and case study articles. Journal of Health and Nutrition Research is a scientific journal and focuses on medicine, health, and nutrition including: Medical and clinical research, Public health research Nursing research Food and nutrition research, Midwifery research Pharmacy research
Articles 359 Documents
Effect of Foot Exercise and Sago-Based Dietary Education on Fasting Blood Glucose Among Patients with Diabetes: A Quasi-Experimental Study in Ambon, Indonesia Tubalawony, Syulce Luselya; Lilipory, Mevi; Lameky, Vernando Yanry
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.826

Abstract

Diabetes Mellitus (DM) is a chronic metabolic disorder and a major global health challenge, with its prevalence continuing to rise in both developed and developing countries. This increase contributes to high morbidity and mortality rates, underscoring the importance of effective and sustainable management strategies. Conventional DM management typically includes health education, regular physical activity, dietary modification, pharmacological therapy, and routine blood glucose monitoring. In addition, non-pharmacological interventions that utilize local resources and cultural practices are gaining attention for their role in supporting glycemic control and improving patients’ quality of life. This study aimed to analyze the effectiveness of foot exercise and sago-based dietary education on blood glucose levels among diabetic patients at Belakang Soya and Waai Health Centers, Ambon. A quasi-experimental design was employed involving 152 respondents (93 intervention, 59 control) selected through purposive sampling. The intervention was conducted over seven days, and blood glucose levels were measured using a GlucoDr glucometer. The Wilcoxon test showed a significant difference in fasting blood glucose levels (p<0.001) before and after the intervention, while the Mann-Whitney test indicated a significant difference in fasting blood glucose levels (p<0.001) between the intervention and control groups. These findings suggest that integrating foot exercise with sago-based dietary education may serve as an effective complementary strategy in DM management. By combining simple physical activity with culturally relevant dietary practices, this approach has the potential for broader application in community health programs. Further research is needed to assess its long-term effects, scalability, and cultural adaptability in community-based diabetes care.
Flipbook-Based Nutrition Education: A Strategy to Improve Self-Efficacy for Stunting Prevention Among Pregnant Women During the First 1,000 Days of Life Simarmata, Mesrida; Agussamad, Indra; Seriati Situmorang, Tetti; Br Ginting, Astaria; Herani, Zahara; Herawati, Fahrunnisa
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.836

Abstract

Maternal self-efficacy is a critical determinant in the application of nutritional knowledge to prevent stunting during the first 1,000 days of life. Innovative educational tools are needed to bolster pregnant women's confidence in managing their nutritional needs. This study aimed to evaluate the effectiveness of a flipbook-based nutritional education intervention on pregnant women's self-efficacy in preventing stunting. This quantitative study employed a quasi-experimental design with a two-group pre-post test. A total of 40 pregnant women at the Medan Denai Health Center were selected using total sampling and randomly assigned into two groups: a treatment group (n=20) receiving flipbook-based education and a control group (n=20) receiving education without flipbooks. Self-efficacy was measured using a validated 15-item questionnaire. Data analysis was performed using the Wilcoxon and Mann-Whitney tests due to the non-normal distribution of the data. In the treatment group, self-efficacy scores significantly improved from a pre-test mean of 35.75 to a post-test mean of 51.05 (Wilcoxon test, p=0.000). The control group showed a minimal increase from 35.35 to 36.25 (Wilcoxon test, p=0.041). A comparison between the two groups revealed that the treatment group achieved a significantly higher mean rank (29.88) compared to the control group (11.13). The Mann-Whitney test confirmed a significant difference (p<0.001), indicating that the flipbook intervention was more effective in increasing maternal self-efficacy than conventional methods. Flipbook-based educational innovation is an effective and promising tool for enhancing the self-efficacy of pregnant women in practicing stunting prevention during the first 1,000 days of life.
Association Between Uric Acid Levels and Stenosis Severity in Patients With and Without Renal Insufficiency Abduh , M Saugi; Prasada, Muh Adytia; Alfaruq, Ahmad Umar; Nabih, Dimas Irfan
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.842

Abstract

Hyperuricemia is associated with an increased risk of atherosclerosis and coronary stenosis, particularly in the presence of renal insufficiency. However, the independent relationship between serum uric acid levels and the severity of coronary stenosis, when stratified by renal function, remains poorly understood. This study aimed to evaluate the association between serum uric acid concentrations and the extent of coronary stenosis in patients with and without renal insufficiency. A cross-sectional study was conducted on 853 patients diagnosed with acute coronary syndrome (ACS) who underwent coronary angiography. Elevated uric acid was defined as ≥ 7.1 mg/dL, while renal insufficiency was defined as an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m². The associations between variables were analyzed using Chi-square tests and logistic regression models. The 853 patients, 386 (45.3%) presented with renal insufficiency. In the overall cohort, elevated uric acid levels were significantly associated with coronary stenosis of 50% or greater (p = 0.005). However, upon subgroup analysis, this association lost statistical significance in both the renal insufficiency (p = 0.319) and non-renal insufficiency (p = 0.154) groups. Conversely, traditional cardiovascular risk factors—specifically advanced age (p < 0.001), male sex (p < 0.001), and smoking history (p = 0.008)—remained significantly associated with coronary stenosis across both subgroups. While elevated serum uric acid levels correlate with coronary stenosis in the general ACS population, this relationship does not remain independently significant when patients are stratified by renal function. Traditional risk factors, such as age, sex, and smoking, serve as more robust predictors for the progression of coronary stenosis.
Anticancer Activity of Phanera semibifida Extract Evaluated by Brine Shrimp Lethality Test (BSLT) and Molecular Docking Studies Suhendra, Meyla; Juliandi, Berry; Darusman, Huda Shalahudin; Sadiah, Siti; Fitmawati, Fitmawati; Rianti, Puji
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.850

Abstract

Indonesian people use plants as medicine because they are considered to have fewer side effects. The Lingga island community used Phanera semibifida (Roxb.) traditionally to make therapeutic drugs. P. semibifida has the potential to be a medicinal plant. We extracted stems and leaves with three different solvents and tested their cytotoxic activity. The ethanolic stem extract showed the highest value of LC₅₀ in the moderate toxicity category. The ethanolic steam extract continued to be subjected to in silico analysis, using molecular docking. We selected four compounds for molecular docking studies against five cancer-related proteins. The proteins are Estrogen receptor α, CDK2, Human Cytochrome P450 CYP17A1, Cyclin A, and BCL-2. The result showed that Ellagic acid bound strongly to Estrogen receptor α, CDK2, CYP17A1, and Cyclin A protein. Cyanidanol showed the highest affinity to BCL-2. These results suggest that P. semibifida contains compounds that can target multiple cancer-related proteins. Our findings highlight its potential as a source of anticancer agents. We recommend isolating these compounds and testing their efficacy through in vitro and in vivo studies to confirm their therapeutic potential in future studies.
Multifactorial Predictors of Stunting Among Children Under Five Years: Evidence from Batanghari District, Jambi, Indonesia Harahap, Huntari; Darmawan, Armaidi; Puspasari, Anggelia; Ayudia, Esa Indah; Adnyana, I Made Dwi Mertha; Yonera, Asrica Fitri; Hasanah, Nurul Uswatun
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.852

Abstract

Stunting is a public health problem with a high prevalence in Indonesia. The Batanghari District has a stunting rate of 26.3%, exceeding the national target; however, specific regional determinants have not been comprehensively identified. This study aimed to identify multifactorial predictors of stunting in children under five years in Batanghari District. A cross-sectional study was conducted in Batanghari District from August to October 2024, involving 64 children aged 0–60 months selected through purposive sampling. Data were collected via structured questionnaires, anthropometric measurements via WHO standards, and 24 h dietary assessment food recall. Stunting was defined as a height-for-age z score < -2 SD. For statistical analysis, binary logistic regression was used to calculate odds ratios (ORs) and 95% confidence intervals (CIs). The prevalence of stunting was 70.3% (n=45). Inadequate energy density was the strongest predictor (OR = 11.389; 95% CI: 2.906–44.627; p < 0.001), followed by poor drinking water quality (OR = 8.705; 95% CI: 1.668–45.445; p = 0.004), history of problematic pregnancy (OR = 8.250; 95% CI: 0.799–85.165; p = 0.041), poor type of food (OR = 5.123; 95% CI: 1.449–18.110; p = 0.011), calcium density (OR = 4.242; 95% CI: 1.181–15.234; p = 0.021), income below the regional minimum wage (OR = 3.681; 95% CI: 1.146–11.832; p = 0.025), and authoritarian parenting (OR = 3.523; 95% CI: 1.056–11.762; p = 0.036). These findings suggest that stunting in Batanghari District is associated with a complex interplay of nutritional deficiencies, socioeconomic factors, environmental conditions, maternal health, and behavioral factors
Analysis of Human Resources, Infrastructure, Budget, and Procedures on the Implementation Process of the PHBS Program in South Kalimantan Laily, Nur; Putri, Andini Octaviana; Wulandari, Anggun; Rahman, Fauzie; Anggraini, Lia; Jannah, Nidaul; Billa, Lisa Salsa; Maimunah, Siti; Wulandari, Sri; Nuralpisah, Nuralpisah; Alkamaliah, Fitrya Hayati 
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.853

Abstract

The Clean and Healthy Living Behavior Program (PHBS) is a strategic initiative of the Indonesian government aimed at improving the population’s health status through promotive and preventive approaches. In South Kalimantan, its implementation still faces tangible challenges, such as the high incidence of acute respiratory infections (ARI) and dengue hemorrhagic fever (DHF), as well as the low coverage of household PHBS practices. This study aims to evaluate the supporting and inhibiting factors affecting the implementation of PHBS in the region. The study employed a qualitative descriptive method with a purposive sampling technique. Eight informants were involved, consisting of officials from the Provincial Health Office, PHBS coordinators at the district/city level, health center staff from areas with the highest and lowest coverage, and community representatives. Data were collected through in-depth interviews, observation, and documentation, and then analyzed thematically. The results show that PHBS implementation is influenced by the interaction of supporting and inhibiting factors. Supporting factors include the availability of regulations, the commitment of health workers, and community participation. This condition results in the program’s implementation not yet being optimal, despite the existence of a policy framework. Therefore, improvements are needed in human resource capacity based on local needs, more stable funding mechanisms, and updated technical guidelines to ensure that PHBS implementation becomes more adaptive and effective in supporting community health development
The Association Between Chronotype and Physical Activity with Type of Obesity on Healthcare Students in Samarinda Septiana, Risda; Lestari, Anik; Anantanyu, Sapja
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.854

Abstract

Obesity is a major global health problem, including in Indonesia, and is linked to increased risks of degenerative diseases and reduced quality of life. Based on the Asia-Pacific BMI classification from World Health Organization, Type I Obesity is defined as a BMI of 25–29.9 kg/m², while Type II Obesity (≥30 kg/m²) poses higher risks of degenerative diseases. In Indonesia, adult obesity prevalence has risen from 14.8% in 2013 to 23.4% in 2023, with East Kalimantan (29%) and Samarinda (25.9%) exceeding national averages. University students are a vulnerable group due to lifestyle transitions involving irregular sleep, dietary changes, and low physical activity. Among them, health sciences students hold a critical role in obesity prevention, yet their credibility may be challenged if they themselves engage in unhealthy behaviors. This study aims to determine the correlation between chronotype and physical activity with the type of obesity on healthcare students in Samarinda city. The research method used is quantitative with a cross-sectional study design. The study population consisted of 7,728 students from six universities with healthcare faculties in Samarinda City, from which a sample of 105 respondents was selected using a purposive sampling technique. Data collection was conducted using MEQ-SA and IPAQ-SF questionnaires. Data were analyzed using the logistic regression test. This study found a statistically significant relationship between physical activity and obesity type among healthcare students in Samarinda (p < 0.05). In contrast, no significant associations were observed between chronotype and obesity type (p > 0.05) on healthcare students in Samarinda.
The Impact of Social Support on HIV Care, Support, and Treatment (CST) Service Utilization Among Men Who Have Sex with Men (MSM): A Cross-Sectional Study in Medan City Bukit, Dhani Syahputra; Khairani, Ayudiah; Rochadi, R Kintoko
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.856

Abstract

Men who have sex with men (MSM) remain a key population with a heightened risk of HIV infection, underscoring the importance of HIV care, support and treatment (CST) services in improving health outcomes. However, the utilization of CST services among MSM is often hindered by stigma, discrimination, and fear of receiving a positive HIV diagnosis. These barriers highlight the need to understand the role of social support in encouraging service uptake. This cross-sectional study involved 83 MSM in Medan City, selected through purposive accidental sampling. Data were collected using structured questionnaires and analyzed through univariate, chi-square bivariate test, and logistic regression test. The results showed that all assessed forms of social support—emotional, appraisal, informational, and instrumental— were significantly associated with the use of HIV CST Services. Among these, informational support was identified as the most influential factor in increasing service utilization (p=0,007, OR=4,3). In conclusion, informational support plays a dominant role in enhancing the utilization of HIV CST services among MSM. Strengthening the provision of accurate information and guidance is therefore essential in improving service engagement. Recommendations include expanding outreach efforts, enhancing social support mechanisms for MSM, and promoting safe and supportive environment to reduce stigma and encourage access to CST services.
Comparison of Knowledge and Attitudes Regarding Free Sexual Behavior Among Male and Female University Students Susilowati, Yuanita Ani; Nugraha, Emanuel Ade; Sihombing, Ferdinan; Wijaya, Yosi Maria; Septiawan, Stepanus Prihasto; Putrawangsa, Dian
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.862

Abstract

Free sexual behavior among adolescents encompasses activities such as hugging, kissing, and intercourse, which are influenced by knowledge and attitudes. This issue is particularly concerning among university students, who are at a developmental stage characterized by heightened sexual drive. This study aimed to analyze differences in knowledge and attitudes toward free sexual behavior between male and female university students. A comparative quantitative study was conducted using a convenience sampling technique involving 398 students aged 18–25 from a private university in Bandung. Data were collected through a validated and reliable questionnaire consisting of 15 knowledge questions and 15 attitude questions. The Mann–Whitney test was used to assess the differences in average scores between the groups. The results showed that female students had higher average scores in both knowledge (Mean = 9.77 vs. 9.18; p = 0.009) and attitudes (Mean = 49.12 vs. 44.02; p < 0.000) compared to male students. Only a small proportion of students had good knowledge, and most male students exhibited negative attitudes, indicating approval or willingness to engage in such behavior. These findings suggest that knowledge and attitudes play a critical role in shaping sexual behavior among university students.  These findings underscore the urgency of developing gender-responsive sexual health education interventions in higher education settings.
Relationship Between Behavioral and Emotional Problems Using the Strengths and Difficulties Questionnaire (SDQ) and Academic and Sports Achievement Index Among Students at State Sports-Talented High School in Aceh Kuine, Mestika; Dimiati, Herlina; Thaib, T.M.; Andid, Rusdi; Yusuf, Sulaiman; Amna, Eka Yunita
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.866

Abstract

Adolescence represents a vulnerable developmental period characterized by rapid behavioral and emotional changes that significantly influence academic achievement and sports performance. The Strengths and Difficulties Questionnaire (SDQ) is a standardized screening instrument widely utilized to assess emotional symptoms, conduct problems, hyperactivity, peer relationship difficulties, and prosocial behavior in adolescents. This study aimed to investigate the relationship between behavioral and emotional problems measured by SDQ and academic and sports achievement indices among students at State Sports-Talented High School in Aceh. An observational analytical study with cross-sectional design was conducted involving 108 students aged 15-18 years. Data collection utilized SDQ self-report questionnaire, academic records, and sports achievement documentation. Statistical analysis employed Mann-Whitney test for academic achievement and Fisher's exact test for sports achievement with 95% confidence level. Total difficulties score demonstrated significant associations with academic achievement (p=0.035) and sports achievement (p=0.010). Emotional problems subscale showed significant correlations with both academic (p=0.007) and sports achievement (p=0.038). Conduct problems and peer relationship difficulties exhibited highly significant associations with sports achievement (p=0.001 and p<0.001 respectively). The findings indicated that 26.9% of participants reported abnormal total difficulties scores, suggesting a need for intervention. Behavioral and emotional problems significantly correlate with academic achievement and sports performance among talented sports students. These findings emphasize the importance of routine mental health screening using SDQ in sports-specialized schools to enable early identification and timely intervention