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INDONESIA
Journal of Nutrition and Public Health
ISSN : 31235654     EISSN : 31235654     DOI : https://doi.org/10.64780/jnph.v1i4.143
Core Subject : Health,
Journal of Nutrition and Public Health focuses on publishing high-quality scholarly articles that advance understanding and practice in the fields of nutrition and public health. The journal emphasizes interdisciplinary research and evidence-based approaches that address current and emerging issues related to community nutrition, clinical nutrition, health promotion, food and nutrition policy, food safety, and the social and environmental determinants of health. It also encourages innovative research that integrates technology and community-based solutions to improve health outcomes, particularly in developing and tropical regions. The journal covers a wide range of topics including: Community Nutrition Clinical Nutrition Public Health and Health Promotion Food and Nutrition Policy Food Safety and Hygiene Environmental and Social Determinants of Health Innovative Technologies in Nutrition and Public Health
Arjuna Subject : -
Articles 20 Documents
Analysis of the relationship between feeding patterns and the risk of stunting in toddlers at Piyungan Health Center, Bantul Fitriatul Ulfa; Herlin Fitriana Kurniawati
Journal of Nutrition and Public Health Vol. 1 No. 1 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i1.24

Abstract

Background: Stunting remains a critical public health issue in Indonesia, especially among children under five, due to chronic nutritional deficiencies. Inadequate feeding practices in early childhood are one of the primary contributing factors. Despite existing health interventions, behavioral determinants such as feeding patterns remain underexplored, particularly in rural communities with unique sociocultural dynamics. Aims: This study aims to analyze the relationship between feeding patterns and the incidence of stunting among children aged 1–5 years in the working area of Puskesmas Piyungan, Bantul, Yogyakarta. Methods: A correlational study design with a cross-sectional approach was adopted. Data were collected from 32 purposively selected mother-child dyads from three community health posts. Feeding patterns were assessed through a validated structured questionnaire, and child height was measured using a microtoise. Chi-square tests were applied to examine associations between variables. Results: The study revealed that 83.3% of children with good feeding patterns had normal nutritional status, while 90% of those with poor feeding patterns were stunted. Statistical analysis indicated a significant relationship between feeding patterns and stunting incidence (p = 0.002). Conclusion: The findings underscore the significant influence of maternal feeding behavior on child nutritional outcomes. Improved feeding practices were strongly associated with normal growth, whereas inadequate feeding correlated with high stunting rates. This study advocates for family-centered nutrition education and the reinforcement of community health services, particularly through Posyandu, as strategic measures to combat stunting. The insights contribute to evidence-based policymaking and can inform the design of targeted interventions addressing behavioral causes of malnutrition. Future research with larger samples and longitudinal designs is recommended to evaluate long-term effects and support sustainable nutritional development programs.
A Mental Health Promotion Model through the Interaction of Social Capital and Javanese Cultural Values to Prevent Emotional Distress Adriesti Herdaetha
Journal of Nutrition and Public Health Vol. 1 No. 1 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i1.25

Abstract

Background: Mental health is a vital component of holistic well-being, yet it often remains overlooked in public health strategies. Emotional distress, in particular, significantly impairs individual productivity and quality of life. In Javanese communities, especially in Surakarta, local cultural values and social capital present considerable potential as protective factors against mental health issues. Aims: This study aims to develop a mental health promotion model based on the interaction between social capital and Javanese cultural values to reduce emotional distress among adults. Methods: A sequential exploratory mixed-methods approach was employed. The qualitative phase explored local cultural values and social capital through interviews with key community figures, while the quantitative phase tested variable relationships using path analysis and Partial Least Squares-based Structural Equation Modeling (PLS-SEM). A total of 328 respondents aged 19–59 from Surakarta were selected through multistage random sampling. Validated instruments measured social capital, cultural values, self-efficacy, stress tolerance, coping strategies, risky behavior, and emotional distress. Results: The findings reveal that both social capital and Javanese cultural values have a significant negative correlation with emotional distress (r = -0.462 and r = -0.418, respectively). Path analysis confirmed that these variables influence emotional distress both directly and indirectly via mediators such as self-efficacy, stress tolerance, and coping strategies. Risky behavior was positively associated with emotional distress (β = 0.216). The highest scores were observed in social capital and self-efficacy, while risky behavior and emotional distress showed the lowest. Conclusion: The resulting model demonstrates the effectiveness of a community-based mental health promotion strategy rooted in local cultural wisdom and social engagement. It provides both theoretical and practical contributions by integrating socio-cultural dimensions into mental health promotion efforts, particularly in culturally rich settings such as Indonesia.
The Relationship Between Mental Workload and Length of Service with Occupational Stress Among Health Center Employees in Pucung, Tulungagung Helvy Nauroh Nadzifah
Journal of Nutrition and Public Health Vol. 1 No. 1 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i1.26

Abstract

Background: Occupational stress is a critical issue in healthcare, particularly in community health centers where the workload remains high even after the COVID-19 pandemic. The dual responsibility of administrative duties and patient care exposes employees to persistent mental strain, potentially affecting service quality. Aims: This study aims to examine the relationship between mental workload and length of service with occupational stress among employees of the Pucung Health Center in Tulungagung. Methods: A cross-sectional quantitative design was applied, involving 44 respondents selected randomly from a population of 50. Mental workload was measured using the NASA-TLX questionnaire, while stress levels were assessed using the HSE Questionnaire. Data were analyzed using Chi-Square tests and logistic regression, with significance determined at p < 0.05. Results: Most respondents reported moderate to high mental workload, and stress levels ranged from moderate to very high. Statistical tests revealed a significant relationship between both mental workload and length of service with occupational stress (p < 0.05). Logistic regression showed that high mental workload increased the risk of stress by 5.65 times, and long service tenure by 3.17 times. Conclusion: The findings confirm that mental workload and length of service significantly affect occupational stress among health center workers. These variables interact dynamically: newer employees struggle with adaptation, while senior staff face burnout. Therefore, health centers must adopt proactive strategies, including balanced task allocation, stress management training, and tenure-sensitive HR policies. Regular assessments using validated instruments like NASA-TLX and HSE Questionnaire should inform institutional responses. Implementing structured support systems will not only safeguard employee well-being but also enhance healthcare service delivery and institutional sustainability. Future policies should be tailored to workforce dynamics to reduce stress and foster a healthier work environment.
The Association Between Gadget Use, Physical Activity, and Overnutrition Among Adolescents: A Cross-Sectional Study in Bekasi, Indonesia Naadiyah Khofifah Sari; Arindah Nur Sartikah
Journal of Nutrition and Public Health Vol. 1 No. 1 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i1.45

Abstract

Background: Overnutrition among adolescents has become a growing public health concern in many urban regions of Indonesia. Lifestyle transitions, characterized by decreased physical activity and increased screen time due to gadget use, have contributed to this trend. Adolescents living in metropolitan areas, such as Bekasi, often face greater exposure to sedentary habits, which may elevate their risk of developing nutrition-related disorders. Aims: This study aimed to examine the relationship between gadget use and physical activity with the incidence of overnutrition among adolescents in a junior high school setting in Bekasi, Indonesia. Methods: A cross-sectional analytical observational design was employed with 100 students aged 12–15 years from SMP Negeri 33 Bekasi. Data on gadget usage were collected using a validated questionnaire developed by Khulwia (2018), while physical activity levels were assessed using the Physical Activity Questionnaire for Adolescents (PAQ-A). Nutritional status was determined through anthropometric measurements, with body mass index-for-age z-scores (BMI-for-age) as the reference indicator based on WHO standards. Data were analyzed using the Chi-square test to assess the associations between variables. Results: The analysis showed that 59% of students had high gadget use and 45% engaged in low physical activity. A total of 31% of the respondents were classified as having overnutrition. The Chi-square test revealed no significant association between gadget use and overnutrition (p = 0.452), while a statistically significant relationship was found between physical activity and overnutrition (p = 0.000). Students with lower physical activity levels were more likely to be overnourished compared to those with higher activity levels. Conclusion: The findings highlight that physical inactivity is significantly associated with overnutrition among adolescents, emphasizing the critical role of regular physical activity in maintaining a healthy nutritional status. Although no direct association was found between gadget use and overnutrition, high gadget use may indirectly contribute to a sedentary lifestyle, reinforcing the need for balanced screen time regulations. Public health interventions and school-based programs should prioritize increasing physical activity among adolescents to combat the rising trend of overnutrition in urban areas.
Mobile Health Innovation: An Android-Based Nutritional Grading App to Promote Healthier Food and Beverage Choices Habib Fatkhul Rohman; Pradita Maulidya Effendi
Journal of Nutrition and Public Health Vol. 1 No. 1 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i1.46

Abstract

Background: Unhealthy dietary patterns are one of the leading contributors to non-communicable diseases such as stroke, heart disease, and diabetes in Indonesia. The increasing availability of processed foods, combined with a lack of nutritional awareness, has created an urgent need for tools that support healthier consumption decisions. Aims: This study aims to develop a mobile health application that enables users to assess the nutritional quality of food and beverages through a grading system, thereby promoting healthier dietary choices. Methods: The application was developed using the waterfall software development model and implemented in Kotlin for the Android platform. It features a nutrition label scanning system powered by the device’s camera and applies Nutri-Grade rules to classify products into four categories (A–D) based on sugar and saturated fat content. The app’s architecture follows the Model-View-ViewModel (MVVM) pattern, and data communication is handled via Retrofit. Functional testing was conducted using black-box testing techniques. Result: The application successfully allows users to register, scan nutrition labels, and receive grading results instantly. It provides a user-friendly interface and accurate results according to Nutri-Grade guidelines. All features passed the expected output criteria during the black-box testing phase. Conclusion: This study demonstrates the feasibility and utility of integrating nutrition science into mobile application technology. The Android-based Nutri-Grade app serves as a practical tool to improve public dietary behavior, especially in urban and digital-native populations. It empowers users to make informed dietary choices in real-time and contributes to preventive health strategies through digital innovation. The app’s scalability and adaptability also open future pathways for integrating machine learning to enhance nutritional recognition and grading accuracy.
Impact of Adjuvant Chemotherapy on Nutritional Status and Functional Capacity in Postoperative Stage III Colorectal Cancer Patients Mohammad Dhanny Akbar; Vito Mahendra; Eko Setiawan
Journal of Nutrition and Public Health Vol. 1 No. 2 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i2.76

Abstract

Background: Colorectal cancer is one of the cancers with high prevalence in Indonesia. Management generally involves surgery and adjuvant chemotherapy. However, chemotherapy often causes side effects that can affect the nutritional status and functional capacity of patients. Nutritional status and Karnofsky index are important indicators in assessing the quality of life of post-chemotherapy patients. Aims: This study aims to analyze the relationship between adjuvant chemotherapy with nutritional status and Karnofsky index in patients with stage III colorectal cancer after surgery. Methods: This study used an analytic observational approach with a cross-sectional design. A total of 65 stage III colorectal cancer patients at Sultan Agung Islamic Hospital Semarang who met the inclusion and exclusion criteria were analyzed using medical record data. Nutritional status was assessed through body mass index (BMI), and Karnofsky index was classified into good and bad categories. Data analysis was performed using the Chi-Square test. Results: Most patients had BMI in the normal category (58.5%) and Karnofsky index in the good category (64.6%). Statistical test results showed that there was no significant relationship between adjuvant chemotherapy and nutritional status (p = 0.356) or Karnofsky index (p = 0.841). Conclusion: Adjuvant chemotherapy was not significantly associated with nutritional status and Karnofsky index in post-surgical stage III colorectal cancer patients. This study emphasizes the importance of a holistic care approach and nutritional support in maintaining patients' quality of life.
Overview of Food Management in the Nutrition Installation of Madina General Hospital Bukittinggi in 2024 Patrianisa Utami; Legabina Adzkia; Elsi Susanti
Journal of Nutrition and Public Health Vol. 1 No. 2 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i2.77

Abstract

Background: Hospital nutrition installations play an important role in ensuring the safety and quality of patient food through the application of sanitation and hygiene principles. Non-standardized food management can pose serious health risks, especially in a hospital setting. Aims: This study aims to describe food management in the Nutrition Installation of Madina General Hospital Bukittinggi, including aspects of material selection, storage, processing, transportation, and food presentation. Methods: This study used a descriptive method with a qualitative approach. Data were collected through direct observation and semi-structured interviews with three main informants and triangulation with the head of the nutrition sub-unit. Data analysis techniques followed the stages of data reduction, data presentation, and conclusion drawing according to Miles and Huberman. Result: The results show that the selection of food ingredients is done carefully and according to standards. Storage meets FIFO and FEFO principles with separation of dry and wet warehouses. Food processing follows a 10-day menu cycle and is tailored to the patient's diet, although the main kitchen space is still not physically ideal. Food transportation is done on time using closed containers, and serving is done according to dietary standards and patient portions. Conclusion: In general, the Madina General Hospital Nutrition Installation has carried out food management according to food sanitation principles, although improvement is still needed in the aspects of kitchen facilities and supervision of the use of PPE by officers
Differences in CEA Levels and Nutritional Status in Stage III Rectal Cancer Patients Undergoing Different Types of Therapy Abdullah Rizky; Vito Mahendra; Chodidjah Chodidjah
Journal of Nutrition and Public Health Vol. 1 No. 2 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i2.78

Abstract

Background: Rectal cancer is a type of malignancy with a higher rate of local recurrence compared to colon cancer. Various therapies such as surgery, chemotherapy, and radiotherapy are commonly used for treatment. Monitoring the effectiveness of these therapies can be supported by clinical parameters such as Carcinoembryonic Antigen (CEA) levels and nutritional status measured by Body Mass Index (BMI). Aims: This study aimed to examine the differences in CEA levels and nutritional status among rectal cancer patients receiving different types of therapies. Methods: This was an observational analytic study with a cross-sectional design. The sample consisted of 56 patients with stage III rectal cancer at Sultan Agung Islamic Hospital Semarang during the period of 2018-2024. Data were collected from medical records and included patients who received either surgery + chemotherapy (n = 33) or surgery + chemotherapy + radiotherapy (n = 23). CEA levels were analyzed using the Mann-Whitney U test, and nutritional status was analyzed using the Independent Sample T-Test. Result: The results showed no statistically significant difference in CEA levels between the two therapy groups (p = 0.405). However, a significant difference was found in nutritional status, with patients undergoing radiotherapy showing lower BMI values compared to those without radiotherapy (p = 0.000). Conclusion: CEA levels did not significantly differ between types of therapy in stage III rectal cancer patients. However, radiotherapy was associated with a significant decline in nutritional status. These findings highlight the importance of integrating nutritional monitoring in the management of rectal cancer patients receiving combined therapy
The Relationship Between Family Social Support and Nurse Anxiety Level in the COVID-19 Isolation Room at Klungkung Regency Hospital Ni Made Juliastiti Rahayu; Kadek Nuryanto; Made Rismawan
Journal of Nutrition and Public Health Vol. 1 No. 2 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i2.80

Abstract

Background: Nurses are at the forefront of handling COVID-19 patients, who have a high risk of experiencing psychological pressure in the form of anxiety. Social support from family is considered as one of the protective factors that can reduce anxiety, but its effectiveness in the context of caring for COVID-19 patients still needs further research. Aims: This study aims to determine the relationship between family social support and the anxiety level of nurses assigned to the COVID-19 isolation room at Klungkung Regency Hospital. Methods: This study used a quantitative approach with a correlative descriptive design and cross-sectional design. The sampling technique used total sampling with a total of 62 respondents. Data were collected through two questionnaire instruments: family social support questionnaire (20 items) and Zung Self-Rating Anxiety Scale (SAS). Data analysis was conducted using the Spearman-rho test. Result: Most respondents (90.3%) had a high level of family social support and did not experience anxiety (96.8%). However, the statistical test results showed that there was no significant relationship between family social support and nurses' anxiety level (p = 0.123). Conclusion: This study concludes that family social support does not have a significant relationship with the anxiety level of nurses in the COVID-19 isolation room. Therefore, more attention is needed from institutions and the work environment in providing comprehensive psychological support for health workers.
Case Study: Progressive Muscle Relaxation to Reduce Head Pain in Elderly Hypertension Patient Widiastuti Murdo Saputri; Teguh Anindito
Journal of Nutrition and Public Health Vol. 1 No. 2 (2025): Journal of Nutrition and Public Health
Publisher : CV. Dyoqu Publishing Management

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64780/jnph.v1i2.81

Abstract

Background: Hypertension is one of the most common degenerative diseases suffered by the elderly, with headache as one of the common symptoms. Pharmacological management of headache pain often causes side effects, so that alternative non-pharmacological therapies are needed that are safe, inexpensive, and effective. Aims: This study aims to determine the effectiveness of progressive muscle relaxation intervention in reducing headache pain in elderly patients with hypertension. Methods: This study used a case study approach with participants of an elderly patient with hypertension at PPSLU Cepiring, Kendal. The intervention in the form of progressive muscle relaxation was carried out for six consecutive days. Data were collected through observation of blood pressure and pain scale before and after the intervention, as well as interviews on the subject's condition. Result: The results showed that the subject's blood pressure decreased from 158/100 mmHg to 140/90 mmHg. The headache pain scale also decreased from 6 to 2. In addition, the subject felt an increase in comfort, sleep quality, and emotional relaxation. Conclusion: Progressive muscle relaxation is proven effective as a nonpharmacological intervention in reducing head pain and blood pressure in elderly patients with hypertension. This technique can be integrated in gerontic nursing services to improve the quality of life of the elderly holistically.

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