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Fahmi Hafid
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Journal of Nutrition Explorations
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : -     EISSN : 2987761X     DOI : 10.36568
Core Subject :
Journal of Nutrition Explorations, called JoNE is published by Department of Nutrition, Poltekkes Kemenkes Surabaya, Indonesia. This journal is widely exploring nutrition, dietetic, clinical, infection, food technology, food services, communities, environment-related nutrition, and health. JoNE is open access. Scope: Community Nutrition Clinical and Dietetics NUtrition Food Technology Food Industry Nutrition Institution and Management Nutrition in Emergency Health and Diseases related nutrition
Arjuna Subject : -
Articles 107 Documents
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School Context as an Independent Factor Associated with Anemia among Adolescent Girls: A Cross-Sectional Study in Banawa, Donggala, Indonesia Nasrul Nasrul; Taqwin Taqwin; Fahmi Hafid; Sri Rahayu; Hikmah Hikmah; Risma Risma; Sarina Sariman
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.779

Abstract

Anemia among adolescent girls remains a major public health problem, yet prevention often emphasizes individual nutritional factors while overlooking the influence of the school environment. This study aimed to determine whether school context, operationalized as school origin, is independently associated with anemia among adolescent girls in Banawa, Donggala, Indonesia, after adjustment for individual-level factors. An observational analytic study with a cross-sectional design was conducted among 189 adolescent girls recruited through total sampling of all eligible female students in two purposively selected schools, SMP Negeri 3 Banawa (junior secondary) and SMK Negeri 2 Banawa (vocational senior secondary). Hemoglobin was measured by point-of-care testing, with anemia defined as hemoglobin below 12 g/dL. Anthropometry, a semi-quantitative food frequency questionnaire, and self-reported iron tablet consumption were assessed. Data were analyzed using the chi-square test and multivariable binary logistic regression, with model fit evaluated by the Hosmer–Lemeshow test. The overall prevalence of anemia was 41.3%. In the adjusted model, school origin remained independently associated with anemia: students from SMK Negeri 2 Banawa had higher odds than those from SMP Negeri 3 Banawa (adjusted odds ratio 2.47; 95% confidence interval 1.31–4.65; p=0.005), whereas individual nutritional variables were not significant. Because the design is cross-sectional and school context was not measured directly, the findings represent an association rather than causation. Strengthening school-based nutrition education, screening, and supportive environments may complement individual supplementation in adolescent anemia prevention.
Determinants of Stunting and Innovations for Stunting Reduction among Children Under Two Years of Age in Central Sulawesi Amsal Amsal; Fahmi Hafid; Zainul Zainul; Amsal Amsal
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.780

Abstract

Central Sulawesi is one of the Indonesian provinces with the highest stunting prevalence. Based on the 2024 Indonesian Nutritional Status Survey (SSGI), the stunting prevalence in Central Sulawesi reached 26.1%, substantially higher than the national average of 19.8%. This study aimed to analyze the determinants of stunting and identify innovations that have been effective in reducing stunting prevalence among children under two years of age (baduta) across 13 districts/cities in Central Sulawesi. An ecological study design was applied using secondary data analysis of the 2021 and 2024 SSGI datasets, complemented by documentary review of regional innovation programs. The results revealed substantial variation in stunting prevalence between districts/cities, ranging from 16.5% in Tojo Una-Una to 36.9% in Buol in 2024. The main determinants of stunting included young maternal age at pregnancy, low coverage of the sixth antenatal care visit (K6), suboptimal iron-folic acid supplement consumption, high rates of early marriage, and poor dietary diversity among children under two. Districts with the sharpest declines in stunting, such as Tojo Una-Una (-12.8 points), Parigi Moutong (-9.4 points), and Sigi (-7.7 points), implemented innovations based on cross-sectoral collaboration, utilization of local food resources, and digital reporting. It is concluded that convergent, participatory, and data-driven interventions are more effective in reducing stunting than fragmented sectoral approaches.
Organoleptic Characteristics and Nutritional Content of Wet Noodles Substituted with Banggai Yam and Moringa Flour Hepti Muliyati; Nuristha Febrianti; Hardianti
Journal of Nutrition Explorations Vol. 4 No. 1 (2026): February
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i1.783

Abstract

Wet noodles are a boiled noodle product with a moisture content of approximately 35%. Wet noodles are rich in carbohydrates, several minerals, and energy, but their protein, fat, and vitamin contents are relatively low; their nutritional value can therefore be improved by incorporating Banggai yam and moringa leaves. This study aimed to produce Banggai yam and moringa leaf flour, develop wet noodle formulations, evaluate their organoleptic characteristics, and analyze the nutritional composition of the selected formulation. An experimental study using a completely randomized design was conducted from February to October 2020 at the Culinary and Organoleptic Laboratories, Nutrition Study Program, Widya Nusantara School of Health Sciences, Palu, while proximate and dietary fiber analyses were performed at Saraswanti Indo Genetech (SIG), Bogor, West Java. The Banggai yam flour produced was white and resembled wheat flour. Three formulations were prepared using different ratios of Banggai yam flour, moringa leaf flour, and wheat flour: 45%:15%:40% (F1), 50%:10%:40% (F2), and 55%:5%:40% (F3). Based on a hedonic test with 30 semi-trained panelists, formulation F2 was selected as the most preferred. The selected formulation contained 103.30 kcal energy, 4.30% protein, 1.14% fat, 18.96% carbohydrate, 0.39% ash, 25.21% moisture, and 3.86% dietary fiber, meeting the wet noodle quality requirements of the Indonesian National Standard (SNI 01-2987-1992).
Educational Video and Changes in Vitamin D Knowledge and Mid-Upper Arm Circumference Among Pregnant Women Suryani Suryani; Atika Fadhilah Danaz Nst; Murdayah Murdayah; Yuli Suryanti; Alifvirenzi Gigih Ayu Putri
Journal of Nutrition Explorations Vol. 4 No. 2 (2026): May
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i2.785

Abstract

Limited knowledge of vitamin D requirements may hinder appropriate nutritional practices during pregnancy. However, mid-upper arm circumference (MUAC) is an anthropometric indicator of maternal nutritional status rather than a biomarker of vitamin D status. This study examined changes in knowledge of vitamin D requirements and MUAC following video-based education among pregnant women. A quasi-experimental study with a non-equivalent control-group design included 69 pregnant women recruited through total population sampling at the Aur Duri Public Health Center, Jambi City, Indonesia. Participants were non-randomly allocated according to antenatal care schedule clusters to either the intervention group (n = 35) or the control group (n = 34). The intervention consisted of a 4-minute 5-second educational video shown twice and made available via WhatsApp throughout an eight-week follow-up period, while the control group received standard antenatal care. Knowledge was assessed using a 15-item questionnaire developed from national guidelines, although formal psychometric validation of the instrument was not documented. MUAC was measured using a standardized protocol. Linear mixed-effects models were used to estimate between-group differences, adjusting for baseline outcome values, maternal age, gestational age, employment status, and parity. The study received ethical exemption (No. LB.02.06/2/0838/2025), and all participants provided written informed consent. The unadjusted between-group difference in change was 3.07 points for knowledge (95% CI: 2.57–3.57; p < 0.001) and 0.43 cm for MUAC (95% CI: 0.27–0.59; p < 0.001). After adjustment, the corresponding between-group differences were 3.04 points for knowledge (95% CI: 2.52–3.56; p < 0.001) and 0.41 cm for MUAC (95% CI: 0.24–0.59; p < 0.001). Video-based education was associated with greater short-term improvements in knowledge of vitamin D requirements and MUAC than standard antenatal care. However, given the non-randomized allocation and the absence of serum 25-hydroxyvitamin D measurements, the observed difference in MUAC should not be interpreted as evidence of improved vitamin D status.
Sanitation and Sociocultural Correlates of Selected Dietary Behaviors in Rumah Lanting: Cross-Sectional Evidence Mars Khendra Kusfriyadi; Febry Alberto
Journal of Nutrition Explorations Vol. 4 No. 3 (2026): August
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i3.786

Abstract

Stunting reflects cumulative early-life exposures, whereas current dietary behavior is proximal and time-specific. Sanitation and sociocultural exposures may coexist within river-dependent rumah lanting communities. This study examined associations of sociocultural conditions and environmental sanitation with selected dietary behaviors and, secondarily, with quality-controlled height-for-age z-scores (HAZ). The cross-sectional analysis included 193 children aged 3–59 months from Pahandut and Pahandut Seberang, Palangka Raya. The selected dietary-behavior construct comprised AL2, AMS1, and AMS2. PLS-SEM evaluated sociocultural and sanitation associations with this construct using 5,000 bootstrap resamples. HAZ was independently recalculated using sex, completed age in months, and recorded length/height according to the 2006 WHO Child Growth Standards. Implausible HAZ values flagged by WHO criteria (<−6 or >6) were excluded from HAZ analyses, leaving 188 children. Sociocultural factors (β=−0.210, 95% CI −0.375 to −0.064; p=0.008) and environmental sanitation (β=−0.171, 95% CI −0.331 to −0.022; p=0.032) were associated with selected dietary behaviors, jointly explaining 9.1% of the variance (Q²=0.019). In an age-adjusted composite-score sensitivity analysis, the sociocultural association remained statistically significant (β=−0.200, p=0.027), whereas the sanitation estimate was attenuated (β=−0.124, p=0.095). In the quality-controlled HAZ analysis, none of the three constructs was significantly associated with HAZ (R²=0.043); associations remained non-significant after age adjustment (R²=0.048). Sociocultural and sanitation conditions were associated with a narrow set of current dietary behaviors in the primary PLS model. However, the sanitation association was less robust after age adjustment, and the measured constructs explained little variation in concurrent HAZ. These cross-sectional findings should not be interpreted causally.
Mung Bean Porridge Supplementation and Child Growth: A Randomized Controlled Trial Cut Linar; Zulkifli Zulkifli; Idar Sri Afriyanti Zebua; Rohana Rohana
Journal of Nutrition Explorations Vol. 4 No. 2 (2026): May
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i2.787

Abstract

Mung beans are locally available, culturally familiar pulses that contribute energy and plant protein as supplementary food; however, controlled evidence regarding their short-term effects on linear and ponderal growth in Indonesian children remains limited. This parallel randomized controlled pretest-posttest trial evaluated the effects of mung bean porridge supplementation on anthropometric outcomes among 70 children aged 12–59 months in Mongeudong Village, Lhokseumawe City, who were allocated equally to an intervention or control group. The intervention group received one ~250-mL serving daily for eight weeks (prepared from 25 g dry mung beans, 50 mL coconut milk, and 15 g sugar; providing ~250–270 kcal and 6–7 g protein), whereas the control group received routine services. Primary (HAZ) and secondary outcomes (body weight, length/height, WAZ, WHZ, and stunting classification transitions) were analyzed using ANCOVA with baseline value adjustments, following an intention-to-treat approach. All 70 participants completed the follow-up. Adjusted mean differences favored the intervention group for body weight (0.48 kg; 95% CI: 0.25–0.71; p < 0.001), length/height (0.45 cm; 95% CI: 0.14–0.76; p = 0.005), HAZ (0.13; 95% CI: 0.01–0.25; p = 0.036), and WAZ (0.16; 95% CI: 0.02–0.30; p = 0.026). The WHZ difference was not statistically significant (0.15; 95% CI: -0.01–0.31; p = 0.068). Among baseline-stunted children, 8 of 17 in the intervention group and 2 of 16 in the control group transitioned to non-stunted status (Fisher’s exact p = 0.057; OR = 6.22; exact 95% CI: 0.89–69.22). In conclusion, mung bean porridge supplementation yields short-term improvements in key anthropometric outcomes, though it does not significantly improve overall stunting classification or guarantee durable recovery.
Risk-Stratified Anemia Prevention among Adolescent Girls: Hemoglobin, Ferritin, and Supplement Adherence Ruwiah; Suhadi; Fithria
Journal of Nutrition Explorations Vol. 4 No. 2 (2026): May
Publisher : Politeknik Kesehatan Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/jone.v4i2.790

Abstract

Uniform school-based anemia programs may not adequately address differences in iron status, menstrual blood loss, diet, adherence barriers, and social support. This study evaluated a risk-stratified, multicomponent anemia prevention program among adolescent girls. In this parallel-group randomized controlled trial, 80 girls at SMP Negeri 6 Kendari City were classified as being at low, moderate, or high risk based on hemoglobin, ferritin, C-reactive protein, menstrual bleeding, dietary, adherence, nutritional, and social-support indicators, and were allocated 1:1 to the intervention or routine-services group. Intervention intensity increased according to risk level through education, reminders, counseling, supervised supplementation, support, and referral. Seventy-six participants completed the week-12 assessment, while all 80 were retained in the intention-to-treat analysis. Baseline anemia prevalence was 37.5% in each group. At week 12, adjusted hemoglobin was 0.40 g/dL higher in the intervention group (95% CI 0.12–0.68; Holm-adjusted p=0.010), and the adjusted ferritin geometric mean ratio was 1.28 (95% CI 1.08–1.52; Holm-adjusted p=0.010). Adherence of at least 80% was achieved by 82.5% of participants in the intervention group and 50.0% of controls (RR 1.65; 95% CI 1.17–2.32; p=0.004). Reductions in anemia (RR 0.50; p=0.118) and iron deficiency (RR 0.54; p=0.130) were not statistically significant. The program was associated with improved biomarkers and substantially higher adherence, but evidence of a reduction in anemia prevalence remained inconclusive. Multicenter trials with longer follow-up and economic evaluation are warranted.

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