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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 Infection and Environmental Sanitation on Stunting in Rural Toddlers   Rahardjo, Setiyowati; Erna Kusuma Wati; Aisyah Apriliciciliana Aryani
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.5

Abstract

The surge in COVID-19 cases among children poses a risk of malnutrition, especially stunting, and even mortality. According to Banyumas Health Data in 2019, the highest prevalence of stunting in rural areas (25.9%) was at the Cilongok I Primary Health Center. Nutritional problems in urban and rural areas are influenced by differences in healthcare facilities and food availability. This study aimed to examine the effect of infection and environmental sanitation on the incidence of stunting among toddlers in rural areas during the COVID-19 pandemic. A case-control approach was used in this study. The case group consisted of stunted toddlers based on Height-for-Age Z-score (HAZ) measurements in February 2021, and the control group was toddlers with normal nutrition who were the closest neighbors of the cases. A total of 30 stunted toddlers and 30 controls were selected using simple random sampling. Data were analyzed using multivariate, bivariate, and univariate analysis with logistic regression. The results showed that infection and environmental sanitation influenced the occurrence of stunting among toddlers in rural areas. Infection was the most dominant factor, with an OR value of 16.34, meaning that infected toddlers faced 16.34 times higher risk of becoming stunted than those without infections.
Factors Causing Anemia in Pregnant Women: A Narrative Review with Systematic Elements Rahmiwati, Anita; Putri Sabila, Virgina
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.2

Abstract

Anemia is a significant health problem among pregnant women and is associated with complications such as low birth weight, delivery risks, and high maternal and infant morbidity. The prevalence of anemia among pregnant women in Indonesia remains high. This review aimed to identify and synthesize factors influencing anemia in pregnant women through a systematic review approach. A systematic search was conducted in PubMed, ScienceDirect, and Google Scholar for articles published between 2019 and 2024 using the keywords “causing factors” OR “anemia” OR “pregnant women.” A total of 1,963 records were identified, 1,212 screened, 467 full-text articles assessed for eligibility, and 6 studies were finally included. The included studies reported anemia prevalence ranging from 24.1% to 83.5%. Quantitative findings indicated significant associations between anemia and delayed first ANC visit in the third trimester (OR = 10.42; CI: 4.27-25.4), history of anemia before pregnancy (OR = 4.64), living in urban areas (OR = 1.8), low income with inadequate dietary diversity (OR = 1.94), inadequate vegetable intake (OR = 2.62), meat (OR = 2.71), eggs (OR = 2.98), fish (OR = 2.38), lack of formal education (OR = 3.86), non-use of iron tablets (OR = 2.64), Plasmodium vivax infection (OR = 7.58), and chronic energy deficiency (OR = 12.75-24). These risk factors were categorized into internal factors (maternal age, gestational age, parity, pregnancy spacing, nutritional status), external factors (iron supplementation, antenatal visits, nutritional intake/consumption), and sociodemographic factors (economic status, education level). Maternal age, gestational age, poor compliance with iron supplementation, and inadequate nutritional intake were the most consistently associated with anemia.
Modified High-Protein Diet and Their Impact on Sarcopenia and Prognosis in Breast Cancer Patients: A Scoping Review Sujiati Kurnia, Eva; Hofifa Sevira Wulandari; Inggita Kusumastuty; Kanthi P. Tritisari; Fuadiyah Nila Kurniasari; Fajar Ari Nugroho
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.1

Abstract

Breast cancer rank as the second most frequently diagnosed cancer worldwide and remains the leading cause of cancer-related deaths among women, with high incidence rates, including in Indonesia. A prevalent complication is sarcopenia, characterized by decreased muscular strength and volume, which increases the possibility of postoperative complications, reduces therapy response, lowers overall health status, and elevates the risk of death. One potential strategy to counter sarcopenia is increasing protein intake through dietary modification. This scoping review aimed to evaluate the impact of a diet rich in protein on sarcopenia progression and the prognosis of breast malignancy patients, using a Scoping Review approach. Literature was sourced from PubMed and Oxford Academic databases from 2014 to 2024 with specific keyword combinations: “Breast Cancer” OR “Breast Neoplasm” with “High Protein Diet” AND “Sarcopenia” OR “Sarcopenias” AND “Prognosis” OR “Prognoses”, then filtered using inclusion and exclusion criteria. Analysis of 12 selected studies shows that increased dietary protein intake (≥2-2.5 g/kg body weight/day) positively affects breast cancer patients with sarcopenia. Sarcopenia worsens prognosis by increasing mortality risk and therapy toxicity: however, higher protein intake, especially when combined with physical activity, improves muscle mass and function. The modified high-protein diet is essential in managing breast cancer, particularly for those at risk of or experiencing sarcopenia. Further research is needed to reinforce current findings and determine optimal dietary strategies for this patient group.
Knowledge, Preferences, Consumption Behavior of Ultra-Processed Foods and Their Association with Adolescents’ Nutritional Status Gunawan, Caroline Ferisca; Melani, Vitria; Sitoayu, Laras; Wahyuni, Yulia; Ronitawati, Putri
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.6

Abstract

Excessive consumption of ultra-processed foods (UPFs), which are typically high in fat content, and insufficient physical activity may adversely influence adolescents’ nutritional status and lead to abdominal obesity. This condition can occur due to individual’s lack of knowledge and eating preferences, which in turn influence adolescents’ consumption behavior. This research aimed to determine the relationship between knowledge, eating preferences, UPF consumption behavior, and nutritional status among students at Citra Kasih Junior High School, Tangerang. This research was cross-sectional with a sample of 102 students carried out in January 2024. The inclusion criteria were students who were physically healthy, willing to participate, not on a specific diet, and not taking diuretic drugs. Data were analyzed using Pearson and Spearman correlation tests. The results showed most respondents had normal nutritional status (58.8%) and low levels of knowledge about UPFs (53.9%). No significant correlations were found between knowledge, UPF eating preferences, and BMI-for-age, nor between knowledge, UPF eating preferences, UPF consumption behavior, and WHR (p > 0.05). However, a significant correlation was observed between UPF consumption behavior and BMI-for-age (p < 0.05). In conclusion, UPF consumption behavior was significantly correlated with adolescents’ nutritional status based on BMI-for-age.
Effect of Turkey Berry (Solanum torvum Swartz) on Cholesterol, Hemoglobin, and Leukocyte Levels of Rabbits with Atherogenic Diet ol, Hemoglobin (Hb) and Leukocyte Levels in Rabbits with Atherogenic Diet Nur Rahman; Khairuddin; Yohanes Kristianto; Ibnu Fajar; Faisya Raihanah; Karina Muthia Shanti
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.7

Abstract

Atherosclerosis is likely to cause oxidative stress due to an imbalance between free radicals and antioxidants that results in decreased hemoglobin and leukocyte levels and increased cholesterol in the blood. Turkey berry (Solanum torvum) has the potential to overcome these problems. This study aimed to analyze the effect of turkey berry administration on cholesterol, hemoglobin, and leukocyte levels in rabbits. The research used a Completely Randomized Design (CRD) using 30 rabbits fed an atherogenic diet for five weeks. The results showed that turkey berry administration has a significant effect on cholesterol levels (p<0.05). Supplementation with 60 mg/kg BW/day of turkey berry powder in the atherogenic diet reduced cholesterol more effectively than the 40 mg/kg BW/day dose. The inclusion of turkey berry to an atherogenic diet increased the hemoglobin levels (p>0.05); the average hemoglobin level was 12.9 ± 0.09 g/dL across all groups. Although the effect of turkey berry powder on raising hemoglobin was more significant in rabbits on a normal diet, its administration in rabbits fed an atherogenic diet successfully decreased average cholesterol levels to 219.42 mg/dL and caused a slight increase in average leukocyte levels to 8.655. In conclusion, turkey berry supplementation lowered cholesterol levels, had a minimal effect on leukocyte counts, and did not significantly influence hemoglobin levels in rabbits fed an atherogenic diet.
Factors Associated with Anemia in Breastfeeding Mothers: A Narrative Systematic Review Rahmiwati, Anita; Kartika Sari, Devy
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.3

Abstract

Anemia among breastfeeding women has the potential to reduce both the volume and nutritional quality of breast milk. This systematic narrative review aimed to explore and summarize the determinants related to anemia in lactating mothers. The review was conducted in accordance with PRISMA guidelines. Literature searches were carried out through PubMed and Google Scholar between March 10 and 12, 2024, using the keywords “associated factors”, “anemia”, and “lactating or breastfeeding mothers.” A total of 8,215 studies were initially identified, and seven met the final inclusion criteria. Reported prevalence of anemia among lactating women ranged from 28% to 63%. Major contributing factors included older maternal age, absence of iron supplementation during the lactation period, inadequate antenatal care visits, lower educational attainment, and limited household economic resources.
A Cross-Sectional Study of the Correlation between Nutritional Status and Length of Hospital Stay among Pediatric Patients at The Srikandi Ward of Jombang General Hospital Cahyaningtyas Dwi Hariani, Evi; Sakdiyah, Siti; Ditya Erliana, Ummu
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.8

Abstract

Malnutrition remains a significant global health challenge and continues to show a relatively high prevalence. Nutritional status can impact the length of hospital stays in pediatric patients, as poor nutritional status often leads to longer hospital stays. This study aimed to explore the correlation between nutritional status and the length of hospital stays in pediatric patients at the Srikandi Ward of Jombang General Hospital. A cross-sectional study design was used, and data were collected from 36 patients through total population sampling. Among these patients, 1 child was identified with severe wasting, 23 were wasted, 9 had normal nutritional status, and 3 were overweight. Results showed a statistically significant negative correlation between nutritional status and length of stay (Spearman rho = -0.409, p=0.013), indicating that poorer nutritional status was moderately associated with longer hospitalization. Keywords: Length of stay, Nutritional status, Pediatric patients, Wasting, Overweight, Malnutrition
Analysis of Iron Content and Acceptability of Ambon Banana Cookies with Red Bean Flour Substitution Vania Rifky Ardhita; Nur Fitri Widya Astuti; Septy Handayani
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.9

Abstract

Iron deficiency anemia results in insufficient levels of hemoglobin in the blood. Iron levels can be improved by the consumption of snacks rich in iron. Bananas (Musa paradisiaca L.) and red beans are plant sources rich in iron and have the potential to enhance the nutritional value of cookies. The purpose of the study was to analyze differences in iron content and acceptability, determine the best formula, and provide consumption recommendations for cookies made with Ambon banana and red bean flour. This true experimental research used a post-test-only control design with a completely randomized design. This study involved semi-trained female panelists aged 19-25 years. Four cookie formulations in this study consisted of one control group and three treatment groups. One-way ANOVA statistical test results showed no significant difference (p = 0.446) in iron content, which ranged from 3.38-4.93 mg/100g. The Friedman statistical test results showed no significant difference in color (p = 0.722) and aroma (p = 0.808), but significant differences (p < 0.0001) were found in flavor and texture. Based on the Exponential Comparison Method, X2 formulation (80% wheat flour: 20% red bean flour) was identified as the best formula. According to the RDA recommendations, consuming 3-4 cookies can fulfill 10% of daily iron requirements for women.
Organoleptic Assessment and Chemical Content of Mullet Cheese Sticks for Infectious Diseases Siahaan, Ginta; Leni Astria; Mahdiah; Sri Heriyanto; Emi Inayah
Indonesian Journal of Human Nutrition Vol. 12 No. 1 (2025)
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.2025.012.01.10

Abstract

Infectious diseases are a global health problem and significantly contribute to mortality rates in Indonesia, including typhoid, HIV AIDS, hepatitis, pulmonary tuberculosis, and malaria in certain areas. According to the WHO in 2022, 84.2 million people have been infected with HIV, and around 40.1 million people have died. In Indonesia, the HIV prevalence in 2021 was 36,902 cases. An appropriate nutritional diet can prevent disease progression and complications, one of which is by providing high-protein snacks from mullet such as Keibel Sticks. This study aims to evaluate the organoleptic properties and analyze the chemical quality of Keibel Sticks, including zinc, albumin, iron content, and color characteristics as an alternative snack for people with infectious diseases. A Completely Randomized Design (CRD) was used, consisting of three treatments and two repetitions. The experimental units, which consisted of formulations A, B, and C, differed in main ingredient compositions and were then organoleptically tested by 60 panelists. Data were analyzed using the Kruskal-Wallis test followed by the Mann-Whitney test, and results were presented descriptively in tables. The findings showed that formulation B, consisting of 50 g of mullet fish flour, 50 g of tapioca flour, and 75 g of cheese, was the most preferred. This formulation contained 1.085 mg of zinc (0.9% RDA contribution), 3.91 g of albumin, and 0.072 g of iron (8% RDA contribution). Keibel Sticks had a light yellow-brown color, a distinctive fish aroma, a dense and crunchy texture, and a savory flavor.  

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