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INDONESIA
Indonesian Journal of Human Nutrition
Published by Universitas Brawijaya
ISSN : 24426636     EISSN : 23553987     DOI : https://doi.org/10.21776
Core Subject : Health,
Medicine & Pharmacology
Indonesian Journal of Human Nutrition (IJHN) merupakan jurnal ilmiah yang memuat artikel penelitian di bidang gizi manusia dan di terbitkan oleh Jurusan Gizi Fakultas Kedokteran Universitas Brawijaya Malang dan terbit dua kali dalam setahun (bulan Mei dan November).
Arjuna Subject : -
Articles 199 Documents
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Effect of Maternal Child‐Feeding Patterns on the Incidence of Stunting among Toddlers in Jombang Regency and Pasuruan City Sugianti, Elya; Putri, Berliana Devianti; Hidayanti, Henny
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.2

Abstract

Stunting remains a burden on national health development. One contributing factor to stunting is maternal child‐feeding patterns. Identifying maternal child‐feeding patterns is vital for selecting priority interventions. This study aims to analyze which maternal child‐feeding patterns most influence the incidence of stunting among toddlers aged 24-59 months in Jombang Regency and Pasuruan City. The study used a case-control design involving 292 respondents (146 cases and 146 controls) and collected data through interviews with structured questionnaires. Data were analyzed using univariate and multivariate logistic regression. The results showed that family size (p = 0.045), the starting time of early initiation of breastfeeding (p = 0.002), exclusive breastfeeding (p = 0.006), complementary feeding (p = 0.031), and formula feeding before 6 months (p = 0.003) affected the incidence of stunting among toddlers. Multivariate analysis revealed that the start time of early initiation of breastfeeding was the most influential factor in the incidence of stunting (p = 0.029; OR = 0.537; 95% CI: 0.307-0.939). Health workers should encourage mothers to initiate breastfeeding early and maintain it for an adequate duration.
Menstrual Cycle Variations Observed in Obese and Normal-Weight Women Desmawati, Desmawati; Berliani, Hasvia; Utama, Bobby Indra
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.4

Abstract

Obesity plays a significant role in estrogen production, which can lead to menstrual cycle disorders. This study aimed to determine differences in estrogen levels and menstrual cycles between obese and normal-weight female students at the Faculty of Medicine, Universitas Andalas. This study used the comparative cross-sectional design involving 32 obese respondents and 32 respondents with normal-weight status, selected through a systematic random sampling method. The study was conducted from November 2021 to July 2022. Estrogen levels were measured using the enzyme-linked immune assay (ELISA) method, and the menstrual cycle data were collected via interview. Statistical analysis was performed using an unpaired t-test and a Chi-square test. The results showed no significant difference in estrogen levels between the obese group (188.31±47.56 pg/mL) and the normal-weight group (181.76±51.06 pg/mL) (p > 0.05). However, abnormal menstrual cycles were more common in the obese group (29.7%) compared to the normal group (9.4%), with a p-value of 0.002. In conclusion, there are no differences in estrogen levels between the normal nutrition and obese groups; however, the menstrual cycles of these groups are different.
Organoleptic Assessment of Fish-Based Ready-to-Use Supplementary-Food (RUSF) Rich in Essential Fatty Acid for Pregnant Women to Prevent Stunting Sari Kusuma, Titis; Muslihah, Nurul; Rakhmani, Shinta Kirana; Setiawan, Eunike Cecilia; Fahazria, Fanny Hanifa; Fitrinisa, Wida Rizki
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.5

Abstract

Stunting is a critical health issue with short- and long-term impacts on health and economic outcomes. Insufficient nutritional intake during pregnancy and early childhood is a key factor contributing to stunting. This study examines the efficacy of fish-based Ready-to-Use Supplementary Food (RUSF) rich in omega-3 fatty acids in preventing stunting by improving maternal nutrition during pregnancy. One of the determining factors is insufficient food intake in quantity and quality during pregnancy and the early stages of introducing complementary foods alongside breastfeeding. Long-chain omega-3 fatty acids (LCPUFAs) have been shown to positively influence health and linear growth for fetuses and children under two years of age. The use of fish-based functional food for pregnant women and children under two years to prevent stunting has not been widely carried out in Indonesia, in terms of the formulation, product types, or efficacy of Ready-to-Use Supplementary Food (RUSF). The stages of the research method were (1) identifying the content of omega-3 fatty acids and heavy metals in lemuru fish, (2) developing RUSF formulations based on snack bars and lemuru fish sausages made from omega-3-standardized raw materials, and (3) conducting acceptance tests of these RUSF products on children aged 6-35 months and pregnant women. This research is expected to develop nutritional supplements in the form of RUSF based on lemuru fish, mackerel, and tuna to serve as functional food products that help pregnant women prevent and control stunting.
Behavior Analysis and Stunting in Children: A Case-Control Study Herawati, Cucu; Charien Rahayu Lestari; Iin Kristanti; Suzana Indragiri; Awis Hamid Dhani; Nuniek Tri Wahyuni; Supriatin
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.6

Abstract

Stunting is a significant issue that can impact a child’s future quality of life, affecting both brain and physical development, as well as adult productivity and learning capacity. Behavioral factors play a critical role in stunting prevalence. This study aims to examine how behavioral factors affect stunting in children under the age of five. A case-control study design was used, with a population of 118 stunted children. The sample consisted of 30 stunted children as the case group and 30 non-stunted children as the control group, selected through purposive sampling. Data were collected through interviews, and analysis was conducted using Odds Ratio and bivariate analysis. The results showed a significant correlation between stunting and maternal awareness (p = 0.007; OR = 4.571), a history of exclusive breastfeeding (p = 0.004; OR = 4.929), and dietary factors (p = 0.018; OR = 3.596). However, there was no significant correlation between stunting and maternal education level (p = 0.108; OR = 0.416). Children without a history of exclusive breastfeeding were nearly five times more likely to experience stunting (OR = 4.929). It is recommended that community health centers (Puskesmas) enhance health promotion efforts to prevent stunting linked to parental behavior.
Effect of Brown Rice and Oyster Mushrooms Food Formulation on Blood Sugar and Lipid Profiles of Diabetics Kristianto, Yohanes; Sulistyowati, Etik; Sofiani, Siska Dwi
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.7

Abstract

Foods play an important role in managing diabetes. Brown rice and oyster mushrooms are prospective foods for diabetics due to their low glycemic index and high b-glucan content respectively. This study aimed to determine the impact of food for special dietary use (FSDU) developed with brown rice and oyster mushrooms on the blood sugar and lipid profile of diabetics. The research was conducted using a quasi-experimental design on purposively selected 32 subjects. The subjects were equally assigned into one group receiving the FSDU and the other for commercial formula. The energy and nutrient intakes, blood sugar, and lipid profile were then compared. The results showed that most subjects were female, over 50 years old, and had been living with diabetes for more than five years. The energy intake of the FSDU group and the commercial formula was not significantly different (p > 0.05). However, the FSDU group had higher intakes of protein, carbohydrates, fiber, magnesium, and sodium than those of the commercial group (p < 0.05). Brown rice and oyster mushrooms contributed significantly to fiber intake. Blood glucose levels decreased insignificantly, while LDL increased significantly in the FSDU group. The fasting blood glucose, 2-hour post-prandial blood glucose, HbA1C, and HDL levels of the groups after treatment were not statistically different (p > 0.05). The FSDU formula could be proposed as an alternative to commercial products with the advantage of better nutrient content.
Comparison of Oxytocin Massage and Banana Flower Consumption in Increasing Breast Milk Volume Hastuti, Novianti Tri; Intan, Dara; Andarini, Sri; Indrawan, I Wayan Agung
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.8

Abstract

Insufficient breast milk production often occurs during the first week postpartum due to psychological stress, inadequate stimulation of prolactin and oxytocin hormones, and nutritional aspects of the mother’s diet. Efforts to improve and increase breast milk production include providing back massage to induce a relaxing sensation and fulfilling the needs for a balanced nutritious diet, which can effectively stimulate the release of prolactin and oxytocin hormones. This research aims to compare the effectiveness of oxytocin massage and banana flower consumption in increasing breast milk volume. This study used true experimental with a pre-post test design (excluding a control group) and involved 32 postpartum mothers with low-stress levels and low to medium socioeconomic status. Breast milk volume was evaluated by breast pumping for 30 minutes and measuring the output with a measuring cup. Data were analyzed using an independent t-test. There was a 6.375 cc increase in breast milk volume in the banana flower consumption group compared to the oxytocin massage group. However, statistically, both treatments had similar effects, as there were no significant differences between the groups (p = 0.519). Therefore, both oxytocin massage and banana flower consumption can be considered effective alternatives for increasing breast milk volume.
Effectiveness of Banana Blossom Consumption and Oxytocin Massage in Breastfeeding Mothers on Infant Weight Gain Intan, Dara; Hastuti, Novianti Tri; Indrawan, I Wayan Agung; Wardani, Diadjeng Setya
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.9

Abstract

Weight gain serves as one of the indicators of the effectiveness of breastfeeding. Stimulation methods, such as consuming banana blossom and receiving oxytocin massage, have the potential to enhance breast milk production. This research aims to compare the effectiveness of these two interventions, banana blossom consumption and oxytocin massage, in breastfeeding mothers regarding infant weight increase at Dinoyo Health Center in Malang. Previous studies have demonstrated that both interventions can enhance breast milk production and infant weight; thus, this study focuses on determining which intervention is more effective. The study employed a true experimental design without a control group, utilizing a pre- and post-intervention approach during the postpartum period from days four to ten. This timeframe was selected because hormone levels, such as progesterone and estrogen, decrease, allowing for a more rapid increase in prolactin production. This approach aims to ensure that infants receive exclusive breastfeeding while promptly addressing any issues related to breast milk production. A total of 32 participants were selected through purposive sampling, with weight measurements taken at the beginning and end of the intervention. The results of the paired t-test indicated that infants of mothers who consumed banana blossom experienced an average weight gain of 246.75 g (p = 0.000). In contrast, infants whose mothers received oxytocin massage showed a weight gain of 217.81 g (p = 0.000). Further analysis with an independent t-test revealed that the consumption of banana blossom was more effective in increasing infant weight, with a mean difference in weight gain of 28.94 g (p = 0.045). This analysis confirmed a significant difference in weight gain between the two groups: mothers who consumed banana blossom had a greater increase in their infants’ weight. Future research is encouraged to explore the effectiveness of various banana blossom preparations and analyze their nutritional content to identify the most effective preparation for improving infant weight.
Phaleria macrocarpa Fruit Flavonoid Extract on Estrogen Receptor Alpha Expression in Ovariectomized Mice Wijaya, Dyah Ayu Septika; Sutrisno, Sutrisno; Irwanto, Yahya; Anita, Kenty Wantri
Indonesian Journal of Human Nutrition Vol. 11 No. 1 (2024)
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijhn.2024.011.01.10

Abstract

Menopause signifies the cessation of ovarian function, presenting significant health challenges for women globally. Hormonal shifts during menopause impact various systems, including cardiovascular and reproductive health. Changes in reproductive organs increase susceptibility to health issues, necessitating effective management strategies. This study used a true experimental method with a randomized post-test-only control group design to investigate the potential of Phaleria macrocarpa fruit extract, which contains flavonoids, to modulate Estrogen Receptor Alpha (ERa) expression in menopausal mice. Following ovariectomy (OVX), mice treated with flavonoid showed increased ERa expression, with the highest expression observed at a dose of P2 (7.5 mg/mice/day), approaching those in non-OVX control (K-) with a percentage difference of 29.82%. Compared to the OVX control group (K+), the percentage increase was 2387.74%. Therefore, the P2 dose is considered the optimum dose. Regression analysis revealed a significant correlation of 43.3% between flavonoid dosage and ERa expression (p < 0.05). These findings suggest flavonoids as promising natural Selective Estrogen Receptor Modulators (SERMs) for managing menopausal symptoms and reducing endometrial disease risk with ERa modulation. Further research is needed to elucidate the mechanisms of flavonoids, including molecular pathways such as ligand binding and transcription, interactions with other hormones like progesterone, long-term effects, and potential clinical applications. To initiate clinical trials, the author established the P1 dose (3.75 mg/mice/day), which demonstrated expression levels approaching the effects produced by P2. Overall, flavonoids offer potential therapeutic benefits in addressing menopausal health concerns, with the identified optimal dosage providing valuable guidance for future studies and clinical interventions.
Relationship between Pocket Money for Food Purchases and Fast-Food Consumption Frequency among Nutrition Students Ulfi Retno Palupi; Setyaningrum Rahmawaty
Indonesian Journal of Human Nutrition Vol. 11 No. 2 (2024): In Press
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/

Abstract

Students tend to prefer fast foods that contain high energy and fat, despite their awareness of the health issues related to this habit. However, data on the influence of pocket money on fast-food consumption among nutrition students remain limited. This study aimed to determine the relationship between pocket money for food and the frequency of fast-food consumption among nutrition students. An online survey on university students’ eating habits was conducted through Google Forms between June and July 2022 by involving 319 nutrition students at the Department of Nutrition Science, Universitas Muhammadiyah Surakarta (UMS). Data were collected using a pocket money questionnaire and a validated UMS students’ eating habits questionnaire. Most students (60.2%) received pocket money for food from their parents, averaging below IDR 35,000.00 per day. Taste (54.9%) was the primary factor in food selection, and 59.9% of students were categorized as rarely consuming fast food. There was no correlation between the pocket money for buying foods and the frequency of fast-food consumption among nutrition students at UMS (Chi-Square test; p=0.100). Future research should explore taste thresholds across different fast-food types to establish a healthy fast-food policy.
Effects of Sacha Inchi Tempeh on Oxidative Stress in Rats with Metabolic Syndrome Afifah, Diana Nur; Nafisah; Anjani, Gemala; Syauqy, Ahmad; Mahati, Endang; Astawan, Made; Rahmawati, Irma Sarita
Indonesian Journal of Human Nutrition Vol. 11 No. 2 (2024): In Press
Publisher : Department of Nutrition, Faculty of Health Sciences, Universitas Brawijaya Malang

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Metabolic syndrome is a condition caused by metabolic disorders such as overweight, obesity, lack of physical activity, and genetic factors. Increased ROS production in metabolic syndrome causes oxidative stress characterized by decreased antioxidant capacity, increased MDA, and decreased SOD enzymes. Sacha inchi has a high ALA content that can increase omega-3 levels, tocopherols, and antioxidants that can help protect liver tissue from damage caused by oxidative stress in metabolic syndrome.The purpose of this study was to look at how sacha inchi tempeh affected the levels of malondialdehyde, superoxide dismutase enzyme, and overall antioxidant capacity in rats with metabolic syndrome brought on by a diet high in fat and fructose. The method used in the research is an experiment with a pre-and post-control group design on Wistar strain white rats with metabolic syndrome induced by HFFD, with the intervention of sacha inchi tempe (0.9 g; 1.8 g; 3.6 g) for 5 weeks (35 days). The results of the study with paired T-tests were that there was a significant difference in TAC levels before and after the intervention in the intervention group with a p-value of <0.05 compared to the healthy group. MDA and SOD enzyme levels in rat liver tissue also were significant improvement with a p-value of <0.05. When compared to simvastatin medication therapy, sacha inchi tempeh at a dose of 3.6 g had the best results. Therefore, it is established that sacha inchi tempeh is beneficial as a nutraceutical meal in reducing oxidative stress in individuals suffering from metabolic syndrome.

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