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Aisyah Nurjanah
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Journal of Indonesian Specialized Nutrition
Published by Ridwan Institute
ISSN : -     EISSN : 30323878     DOI : https://doi.org/10.46799/jisn
Core Subject : Health, Science,
Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health
Journal of Indonesian Specialized Nutrition (JISN) is an online journal act as the nutrition and scientific publication platform published by Ridwan Institute. JISN aimed to provide a wide-range knowledge of clinical and community nutrition and health with key focus on maternal, child nutrition and health care, hydration and healthy aging. JISN also publishes original and review articles, expert opinion, consensus, literature review, meta-analysis, brief communication and systematic review as well as commentary focusing on various streams of nutrition and community health sciences including public health and safety sciences and research. JISN also open for special edition and supplement volume publication from all over the world.
Arjuna Subject : Kedokteran - Imonologi dan Alergi
Articles 40 Documents
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MILK CONSUMPTION IMPROVES THE NUTRITIONAL ADEQUACY OF 12-24 MONTHS OLD CHILDREN IN BEJI, DEPOK, INDONESIA Syafiq, Ahmad; Septiani, Seala; Fikawati, Sandra; Qirani, Ida Ayu Devi
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Weaning period is crucial to ensure appropriate nutritional status. Proper complementary feeding can help children reach optimal growth. Milk as part of complementary feeding is evidently beneficial. The aim of this study was to determine difference in nutritional status between children who consumed milk as a part of complementary feeding and children who did not. Methods: Cross-sectional study was conducted on 102 children aged 12-24 months in Depok City. Data was obtained from height and weight measurements, 1x24-hour food recall, and validated semi-quantitative food frequency questionnaire. Results: Nutritional status of children who consumed milk was better at all indicators compared to those who did not, especially in length-for-age, shown by the stunting prevalence (not consuming 26.2%; consuming milk 19.5%). Children who consumed milk also had significantly higher nutrient adequacy. Nutrient intake of mothers who still provided breast milk which demand higher nutritional need, turned out to be lower than the requirements. Conclusion: Milk consumption might benefits children aged 12-23 months for their nutritional status and to meet their nutrients adequacy. Results are expected to be consideration to assess regulations related to milk promotion for children
THE RELATIONSHIP BETWEEN RESPONSIVE FEEDING PRACTICES, MOTHER'S SELF-EFFICACY, FOOD DIVERSITY, AND SOCIOECONOMIC STATUS WITH TODDLER NUTRITIONAL STATUS Shidiqah, Raysah Sa’diyah; Novianti, Anugrah; Mulyani, Erry Yudhya; Nadiyah, Nadiyah; Utami, Dessy Aryanti; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Nutritional issues among toddlers, such as stunting, wasting, and underweight, remain significant health challenges in Indonesia, including in East Jakarta. Several factors influence the nutritional status of toddlers, including responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors. This study aims to analyze the relationship between responsive feeding practices, maternal self-efficacy, dietary diversity, and socioeconomic factors with the nutritional status of toddlers in the Duren Sawit Public Health Center, East Jakarta. Methods: This study employed a quantitative approach with a cross-sectional design. Data collection included direct interviews, height/length measurements using a microtoise/infantometer, weight measurements using a digital scale, and a 24-hour dietary recall. Questionnaires were used to assess the independent variables. Data were analyzed using the Chi-Square and Fisher’s Exact Test. Results: The findings indicate that responsive feeding practices, maternal self-efficacy, and dietary diversity significantly influence stunting status (pvalue < 0.05). However, socioeconomic factors (maternal education and household income) did not show a significant relationship on stunting. Furthermore, responsive feeding practices, maternal self-efficacy, dietary diversity, socioeconomic factors (maternal education), and socioeconomic factors (household income) were found to have a significant impact on the wasting status of toddlers. Conclusion: These findings emphasize the importance of interventions based on responsive feeding and enhancing maternal self-efficacy in improving toddler nutritional status. Therefore, educational programs and initiatives focusing on healthy feeding practices and increasing access to nutritious foods are essential to reduce malnutrition rates among toddlers
FACTORS ASSOCIATED WITH EXCLUSIVE BREASTFEEDING IN INDONESIA: A QUALITATIVE STUDY AMONG WORKING MOTHERS Syafiq, Ahmad; Avianty, Selma; Fikawati, Sandra; Japri, Andrew Prasettya; Septiani, Seala; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Exclusive breastfeeding (EBF) is a globally recommended practice, yet its proportion remains low in Indonesia, particularly among working mothers. Various factors, including workplace policies, socioeconomic status, and family support, influence EBF success. This study aims to explore the supporting and inhibiting factors of EBF among working mothers in urban and semi-urban areas in Indonesia. A qualitative study was conducted through in-depth interviews to 14 working mothers with children aged 6–24 months in Jakarta (urban) and Beji-Depok (semi-urban) between October 2016 and January 2017. Participants were selected using purposive and snowball sampling, considering variations in breastfeeding status, occupation, and dwelling location. Data were analyzed through thematic content analysis with expert triangulation. Key factors influencing EBF included postpartum health, maternity leave policies, socioeconomic conditions, family and external support, and access to EBF-related information. White-collar mothers faced workplace-related barriers but benefited from strong internal and external support. Blue-collar mothers, constrained by economic factors, showed higher EBF adherence due to lacked comprehensive EBF knowledge. Health workerrecommendations influenced breastfeeding decisions. Enhancing workplace support, strengthening family engagement, and improving targeted education for working mothers are crucial to increasing EBF adherence. Further research involving healthcare providers is recommended.
IRON ABSORPTION; NATURE, AND NURTURE INTERACTIONS Sanjiwani, Putu Amrytha; Pratiwi, Dessy; Sitorus, Nova Lidia
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
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Background: Iron deficiency anemia (IDA) is a global health concern, particularly affecting women and children. Both genetic and dietary factors contribute to iron absorption and status. Understanding these interactions is vital for effective prevention strategies. Methods: This narrative review examined literature from Scopus-indexed journals (2005–2024) to explore the influence of TMPRSS6 gene polymorphisms—particularly rs855791 and rs4820268—and dietary components (enhancers and inhibitors) on iron absorption. Results: Genetic variations in TMPRSS6, especially rs855791, are associated with increased hepcidin levels, leading to decreased iron absorption and lower hemoglobin. On the dietary side, ascorbic acid and meat proteins significantly enhance non-heme iron uptake, while phytates, polyphenols, and calcium inhibit it. Food processing techniques such as fermentation andgermination can reduce inhibitor effects and improve iron bioavailability. Conclusion: Iron absorption is influenced by both inherited genetic variations and modifiable dietary practices. A combined understanding of these nature and nurture factors is essential to develop personalized and population-based nutritional strategies to prevent and manage IDA effectively
EXPLORING THE LOCAL FOOD CONSUMPTION AND KNOWLEDGE RETENTION FOR STUNTING PREVENTION Pratiwi, Dessy; Muaris, Hindah; Musiawan, Ria; Basrowi, Ray Wagiu; Kinesya, Edwin
Journal of Indonesian Specialized Nutrition Vol. 3 No. 1 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Stunting in children may increase their risk of infection, problem associated with growth and development, and also intelligence. Higher than national stunting rate, Central Kalimantan have 26.9% stunting in 2022. Stunting prevention programs such as utilization of local food are encouraged. Objectives: This study explores behaviour and the impact of education to the knowledge of Central Kalimantan’s resident of local food consumption to decrease stunting in children. Methods: A secondary data from cross-sectional survey conducted by Indonesian Gastronomy Community in two regencies within Central KalimantanProvince was analyzed. Participants voluntarily fulfill immediate survey after education (post-1), and 3-month after education (post-2) survey. Compiled data are further analyzed to explore participants understanding. Results: A total of 152 post-1 survey and 122 post-2 survey are compiled. Participants answers dietary habit consists of fish (97.54%), vegetable (95.90%), fruits (50%), meat (31.97%), tempeh/tofu (28.68%), egg (27.87%), chicken (8.19%), and milk (8.19%), in descending order. Most consumed plant-based protein are tempeh (76.22%) and tofu (72.13%). Decreased score was observed from the immediate test to the three months after education and survey. Conclusion: Residents of Central Kalimantan Province in Indonesia primarily rely on fish, tempeh, and tofu as their main protein sources. These foods are high in protein and readily available in their local environment. To aid in stunting prevention, regular educational programs should be implemented to ensure long-term retention of knowledge
THE RELATIONSHIP BETWEEN COMPLIANCE WITH IRON TABLET CONSUMPTION AND NUTRITIONAL STATUS WITH ANEMIA AMONG PREGNANT WOMEN IN PUTRI AYU HEALTH CENTER, JAMBI CITY Putri Lubis, Izmi Arisa; Basrowi, Ray Wagiu; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
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Background: Anemia during pregnancy remains a significant public health concern in Indonesia, with a high prevalence and adverse outcomes for both mothers and infants. Iron supplementation and maternal nutritional status are key factors in preventing anemia. This study aimed to examine the association between compliance with iron tablet consumption and nutritional status (chronic energy deficiency) with the incidence of anemia among pregnant women. Methods: A cross-sectional study was conducted at Putri Ayu Health Center, Jambi City, involving 100 pregnant women selected using accidental sampling. Data on hemoglobin levels, upper arm circumference (MUAC), and iron tablet intake were collected through interviews and direct measurement. Anemia was defined as Hb <11 g/dL. Nutritional status was categorized based on MUAC <23.5 cm as chronic energy deficiency (CED). Data were analyzed using descriptive statistics and bivariate (Chi-square) analysis. Results: While statistical associations between CED and iron tablet compliance with anemia were not significant, higher proportions of anemia were observed among women with CED and those who consumed fewer than 30 tablets. Additionally, descriptive trends showed that women who began supplementation early in pregnancy—particularly in the first trimester—were less likely to develop anemia compared to those who initiated later. Conclusions: Although not statistically significant, the findings suggest that poor nutritional status and low adherence to iron tablet supplementation may increase the likelihood of anemia in pregnancy. Early and consistent supplementation, particularly from the first trimester, should be emphasized in antenatal care programs to prevent iron deficiency-related complications.
OBESOGENIC ENVIRONMENT IN INDONESIA: A LITERATURE REVIEW OF ENVIRONMENTAL DETERMINANTS OF OBESITY Latifah , Suci; Khusun, Helda; Kekalih, Aria; Basrowi, Ray Wagiu
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
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Background: Obesity is a complex public health issue influenced by multiple determinants, including environmental factors that promote excessive calorie intake and physical inactivity, known as obesogenic environments. Objective: This literature review is to broaden understanding the environmental determinants of obesity in Indonesia. Method: A narrative literature review was conducted focusing on studies published between 1999 and 2024. Sources were retrieved from databases including PubMed, WHO Global Health Observatory, and national health surveys such as Riskesdas. The ecological framework by Swinburn et al. (1999) was used to analyse environmental influences on obesity. Results: Findings indicate that built and food environments play significant roles in shaping obesity patterns in many places. Studies show increasing obesity prevalence in both urban and rural Indonesia, with environment-related factors such as food availability, urbanization, and reduced physical activity opportunities contributing to this trend. Conclusion: Food environment, land use and physical infrastructure were identified as potential proxies for obesogenic environments in Indonesia. Further studies are needed to evaluate and validate these proxies to support the development of environments conducive to healthy lifestyles and to reduce obesity prevalence.
COMPLIANCE WITH IRON TABLET CONSUMPTION AND MACRONUTRIENT INTAKE IN RELATION TO ANEMIA IN FEMALE STUDENTS AT SMAN 2 KOTA JAMBI Merlisia, Mery; Setyarsih, Liani; Lubis, Izmi Arisa Putri; Fatimah, Putri; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
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Background: Adolescent girls are vulnerable to anemia due to increased iron needs during menstruation and often inadequate dietary intake. This study aimed to analyze the relationship between compliance with Iron Tablet (TTD) consumption and macronutrient intake with the incidence of anemia in female students. Methods: This cross-sectional study was conducted at SMAN 2 Kota Jambi with 24 randomly selected female students. Data were collected through a compliance questionnaire, 3x24-hour food recall, and hemoglobin level measurement. Chi-square test was used for analysis. Results: A total of 62.5% respondents were non-compliant with TTD consumption. Macronutrient intake was generally poor: 95.8% lacked energy intake, 79.2% lacked carbohydrates, 66.7% lacked protein, and 87.5% lacked fat. Anemia prevalence was 45.8%. No significant relationship was found between TTD compliance and anemia (p=0.916). However, fat intake was significantly associated with anemia incidence (p<0.05). Conclusion: Anemia in adolescent girls is not significantly associated with iron tablet compliance but is related to fat intake. Interventions should target improving diet quality and fat adequacy alongside supplementation.
PREBIOTICS AND THE GUT-BRAIN AXIS: IMPLICATIONS FOR COGNITIVE DEVELOPMENT IN EARLY CHILDHOOD Pascaramadhani, Addini; Septiani, Seala; Kania R, Rahayu; Basrowi, Ray Wagiu; Sundjaya, Tonny
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
Publisher : Ridwan Institute

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Background: Many factors influence cognitive development in early childhood, one of the latest is including gut health. Recent evidence places the role of a mediator of brain function on the part of the gut-brain axis, with nutrition overall and prebiotics specifically being imperative. Prebiotics stimulate selectively the grow of beneficial bacteria in the gut with potential implications on neurodevelopment. Methods: A narrative review that included peer-reviewed articles between 2010-2024 was conducted using PubMed, Scopus, and Google Scholar. Animal models and human clinical trials, both examining the impact of prebiotics on cognitive measures, were incorporated. Results: Prebiotics such as GOS, FOS, and resistant starch were found to increase the production of short-chain fatty acids, modulate the immune system, and excite neurotransmitter pathways. Clinical trials showed improved attentional ability and emotional control in prebiotic-supplemented formula-fed infants. Preclinical research showed enhanced memory and reduction in anxiety-like behaviors in animal models following ingestion of prebiotics. Conclusion: Prebiotics play a key role in cognitive development in early childhood through modulation of gut microbiota and neuroimmune signaling. Food-based prebiotics offer a sustainable approach to early brain development. Longitudinal studies are needed to demonstrate long-term benefits.
MATERNAL GUT MICROBIOME AND ITS IMPACT ON FETAL OUTCOMES: A FOCUS ON MATERNAL NUTRITION Aulia, Bianda; Ermamilia, Aviria; Sundjaya, Tonny; Pratiwi, Dessy
Journal of Indonesian Specialized Nutrition Vol. 3 No. 2 (2025): Journal of Indonesian Specialized Nutrition
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Background: During pregnancy, maternal microbiota transfer and modifiable factors such as diet may contribute to fetal development. This review aims to clarify how maternal gut microbiota and diet interact to influence fetal nutrition and long-term health outcomes. Methods: A literature review was conducted on PubMed, Scopus, and Google Scholar. The search focused on studies investigating the links between maternal gut microbiota composition, dietary patterns, microbial metabolites, and fetal nutrition outcomes. Keywords included “pregnancy”, “gut microbiota”, “nutrition”, “maternal diet”, and “fetal growth”. Results: The maternal gut microbiota undergoes notable changes in late pregnancy, and its composition can be further influenced by external factors. Maternal diet and microbial transfer may impact fetal immune, metabolic, and neurodevelopment processes. Short-chain fatty acids and trimethylamine N-oxide are among key microbial metabolites implicated in fetal development. Although probiotic and prebiotic interventions during pregnancy show promise, current evidence remains limited and inconsistent across populations. Conclusion: Optimizing maternal gut microbiota through diet may support fetal nutrition and developmental outcomes. However, more longitudinal and ethnically diverse studies are needed.

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