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INDONESIA
Jurnal Media Gizi Indonesia (MGI)
Published by Universitas Airlangga
ISSN : -     EISSN : -     DOI : -
Core Subject : Health,
Health Professions
Arjuna Subject : -
Articles 476 Documents
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Effect of Ozone Treatment on The Quality and Shelf Life of Spiced Fish Floss Using Arrhenius-Based Accelerated Shelf-Life Testing Puan Mutia Ayunisa; Dewi Sartika; Gusri Akhyar Ibrahim; Sri Hidayati; Sussi Astuti
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.396-409

Abstract

Spiced fish floss is a nutritious and practical food product combining animal protein with local spices. However, information regarding its quality changes and shelf life remains limited. This study aimed to evaluate the effect of ozone treatment on the quality and shelf life of spiced fish floss during accelerated storage. An experimental study with two replications was conducted using two treatments: ozone treatment and no ozone treatment. The products were packed in aluminium foil and stored at 30°C, 40°C, and 50°C for 28 days. Quality evaluations were conducted on days 0, 7, 14, 21, and 28 by measuring moisture content, free fatty acid content, total plate count, and sensory attributes. Shelf life was estimated using Arrhenius-based Accelerated Shelf-Life Testing, with calculations performed in Microsoft Excel 2021. The results showed that spiced fish floss without ozone treatment had the longest estimated shelf life, reaching 206.31 days at 30°C. In contrast, ozone-treated products showed a shorter estimated shelf life of 205.33 days at the same temperature. Ozone treatment was associated with increased lipid oxidation and faster quality deterioration, particularly in this high-fat product. Therefore, spiced fish floss without ozone treatment demonstrated better quality stability and a longer estimated shelf life than ozone-treated products.
The Relationship Between Depression Levels and Physical Activity with Hypertension Among the Elderly at Institutional Care Surabaya Ines Aulia Latifah; Farapti Farapti; Eveline Gracela; Zuraini Mat Issa
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.429-438

Abstract

Introduction: Hypertension in the elderly can be influenced by several factors, including a lack of physical activity. Older adults with low physical activity levels tend to engage in monotonous daily routines, which may negatively affect their mental health by increasing stress levels. Prolonged stress can increase the risk of depression among older adults. Aim: To examine the relationship between depression levels, physical activity, and hypertension in older adults. Methods: This analytical observational study had a cross-sectional design and involved 63 proportionally selected participants through random sampling. Data collection included questionnaires to assess depression levels and physical activity, as well as blood pressure measurements. The study was conducted from May to June 2024 at a public institutional care facility in Surabaya. Results: A significant correlation was found between physical activity levels and hypertension (p = 0.000; OR = 62.000), whereas depression levels showed no significant relationship with hypertension (p = 0.515). Conclusion: Based on these findings, it can be concluded that hypertension in older respondents is significantly associated with daily physical activity levels, although depression levels do not appear to be related to hypertension in this population.
Peer Educators’ Roles and Challenges in Promoting Students’ Healthy Dietary Behavior in School-Based Nutrition Program Tisa Rahma Sari; Lilis Permatasari; Luh Ade Wiradnyani; Judhiastuty Februhartanty
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.292-302

Abstract

Background: Adolescents in Indonesia face a triple burden of malnutrition which is aggravated by poor dietary behaviors. In West Java, adolescents commonly exhibit low dietary diversity, a habit of skipping meals, and frequent consumption of unhealthy snacks. The school setting offers strategic opportunities for health promotion through peer education. Objective: This study aims to explore the roles and challenges experienced by peer educators in promoting healthy dietary behavior in schools implementing the Nutrition Goes to School (NGTS) program in West Java. Methods: A qualitative study with an interpretive descriptive approach was applied. Data were collected through in-depth interviews with teachers and program stakeholders as well as focus group discussions involving peer educators and peer learners from each school. The data were analyzed thematically using NVivo 12. Results: The findings indicate that peer educators perform diverse and adaptive roles, including acting as healthy school advocates, health educators, influencers, role models, and school-based health facilitators. However, they encountered both internal and external challenges. Internally, they experienced low motivation, difficulty in maintaining healthy behavior, and lack of confidence. Externally, barriers included peer ignorance, limited availability of healthy food option at school, limited continuous training, and poor coordination with related stakeholders. Conclusion: These findings highlight the essential role of peer educators in promoting healthy dietary behavior, while underscoring the need for stronger institutional frameworks, continuous training, and improved collaboration between schools, stakeholders and families to ensure the sustainability of school-based nutrition programs.
Development of Responsive Feeding Knowledge, Attitude, and Practices Questionnaire (RF-KAP Q) for Toddlers in Indonesia Rachma Purwanti; Ani Margawati; Ayu Rahadiyanti; Dewi Marfu'ah Kurniawati
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.360-371

Abstract

There is a need for instruments with good validity and reliability to assess three domains of responsive feeding practices in early childhood in Indonesia. This study aims to analyze the validity and reliability of the responsive feeding knowledge, attitude, and practice instrument, which was developed for children under three years old. A cross-sectional design examined the validity among diverse toddler parents. The variables studied include knowledge, attitude, and practice of responsive feeding. The questionnaire is structured as doing or not doing practice, attitudes in true or false statements, and knowledge in multiple-choice questions. The construct validity of the Responsive Feeding Knowledge, Attitude, and Practice questionnaire (RF-KAP Q) was evaluated by determining the Pearson correlation coefficient values for each item with the overall score. Additionally, a reliability test was performed to assess the internal consistency of the questionnaire. Cronbach's alpha coefficient measured internal consistency. The 20 items of responsive feeding knowledge questions were categorized as valid; two items were categorized as constant (K6 and K7), and one other was classified as invalid (K14). A total of 25 attitude statement items were considered valid. All practice indicators consisting of 12 statement items were categorized as valid (p-value<0.05). The Cronbach's alpha of the responsive feeding knowledge, attitude, and practices questionnaire was 0.677, 0.699, and 0.778, indicating reliability. The RF-KAP Q has been tested as valid and reliable in measuring three domains of responsive feeding based on evidence-based recommendations in Indonesia. However, development is still needed to improve its validity.
FAD2 and FUT1 Gene Expression in Breastmilk Cells are Associated with Maternal Dietary Intake Toto Sudargo; Ali Rosidi; Atika Anif Prameswari; Bianda Aulia; Adisti Qamahadlina Larasati; Mutia Ulfah; Shofarina Adilah; Sri Sugiharti; Urip Tri Wijayanti; Sheila Rosmala Putri; Rio Jati Kusuma; Uliana Noor Setiawati Ulvie
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.347-359

Abstract

Background: Breastfeeding provides babies with the best nutrients possible and is essential for promoting their development. Objectives: The purpose of this study was to investigate the connection between the expression of the fatty acid desaturase (FAD) and FUT genes in breast milk cells and the nutritional status, dietary consumption, and growth of the newborn. Methods: In Jombang, East Java, Indonesia, 52 pairs of nursing women and their babies participated in a cross-sectional study. Breast milk samples were collected for mRNA expression analysis using RT-qPCR, while dietary, sociodemographic, anthropometric, and child growth data were assessed using standardized protocols. Results: The majority of mothers had inadequate energy (78.8%) and protein (42.3%) intake, while 76.9% met adequate iron intake. Higher maternal energy (69.5% vs. 59.5%, p<0.001), protein (95.5% vs. 80.3%, p=0.033), and iron intake (136% vs. 105%, p=0.023) were significantly associated with increased FUT1 gene expression. Additionally, higher FAD2 gene expression was linked to increased maternal energy intake (p=0.045) and older maternal age (p=0.004). Interestingly, FUT3 gene expression was elevated in mothers of lower-birth-weight infants (3003 ± 551 g vs. 3302 ± 411 g, p=0.031). Conclusions: These findings emphasize the influence of maternal nutrition on functional gene expression in breastmilk, with potential implications for infant health and development.
Dietary Fat Intake and Individual Double Burden of Malnutrition in the form of Obesity and Anemia among Indonesian Adolescents Siti Aminah; Qonita Rachmah; Soraya Tri Widayani; Azizah Ajeng Pratiwi; Trias Mahmudiono
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.372-381

Abstract

This study assessed the correlation between saturated fat intake and the double burden of malnutrition (DBM) among Indonesian adolescents, specifically focusing on obesity and anemia. The research examined the prevalence of DBM and its association with saturated fat consumption in this population. Anemia was collected using a finger-pick, a Semi-quantitative Food Frequency Questionnaire (SFFQ) was employed to analyze the dietary intake. Data analysis univariately and regression for bivariate analysis. Six hundred and twenty-one adolescents were collected for anemia screening, and only 107 completed dietary assessments. Adolescent girls who live alone and have lower food expenses are more risk to DBM. The results found that overall fat intake was significantly linked to the occurrence of DBM in Indonesian adolescents, with those consuming higher levels of fat being more likely to experience both obesity and anemia simultaneously. This finding highlights the complex nutritional challenges faced by developing countries, where both overnutrition and undernutrition coexist. The study emphasizes the importance of limiting fat intake, and reducing the prevalence of DBM among adolescents in Indonesia.  
Unintentional Weight Loss and Its Role in Malnutrition Among Patients with Chronic Kidney Disease: A Narrative Review Syafrida Nur Rochma; Kurnia Agustina Sitompul
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.418-428

Abstract

Unintentional weight loss is an important clinical indicator of malnutrition in patients with chronic kidney disease and frequently reflects the development of protein-energy wasting. This narrative review summarizes current evidence on its prognostic value, underlying mechanisms, and management strategies. A total of 17 studies published between January 2021 and March 2025 were identified through PubMed, Scopus, and Web of Science. Eligible studies included adults with chronic kidney disease in whom unintentional weight loss was examined in relation to nutritional status, protein-energy wasting, muscle mass, or mortality. The evidence consistently demonstrated that weight loss identified using the Subjective Global Assessment, Malnutrition-Inflammation Score, or Global Leadership Initiative on Malnutrition criteria was associated with increased mortality, functional decline, and poorer clinical outcomes. Contributing mechanisms include chronic inflammation, metabolic and hormonal alterations, nutrient losses during dialysis, and inadequate dietary intake resulting from gastrointestinal or sensory symptoms. Early recognition depends on regular weight monitoring supported by body composition and functional assessments. Management focuses on individualized nutritional therapy, rehabilitation, correction of metabolic acidosis, and symptom control. Overall, unintentional weight loss represents a practical, inexpensive, and reliable prognostic marker in chronic kidney disease. Routine screening and prompt intervention may improve clinical outcomes and quality of life.
Frozen Rice Consumption Reduces Blood Glucose Response: Glycemic Index and Glycemic Load Analysis Purbowati; Septiani; Sri Siska Mardiana
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.410-417

Abstract

Rice is a staple food for most Indonesians. Freezing rice for 24 hours and then reheating it will lower glucose levels and increase resistant starch (RS), thus affecting the glycemic index (GI) and glycemic load (GL). This quantitative study used a crossover design, with subjects acting as both the control and intervention groups. The GL and GL analysis involved 10 healthy respondents, aged 19-29 years with normal nutritional status and fasting blood glucose levels. The data were normally distributed, so an independent sample T-test was used to examine the differences in GL and GL between rice and frozen rice. The results of the analysis of carbohydrate, glucose, and RS content in rice were rice (34.01%, 43.57%, 20.06%), frozen rice (25.94%, 39.62%, 23.59%), and rice (25.94%, 39.62%, and 23.59%), respectively. There was a significant difference in GI between regular rice (82.61) and frozen rice (76.41) p-value 0.005 (>0.05), as well as a significant difference (p-value 0.001 (<0.05)) between BG of regular rice (28.1) and frozen rice (19.82). It was concluded that rice and frozen rice differed in the rate of increase in blood glucose per gram of carbohydrate and in the total impact on blood glucose levels.
Indonesia’s Makan Bergizi Gratis Program: Nutrition, Food Safety, and Hygiene Management Eunjeong Park; Ki Han Kwon
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.275-291

Abstract

Introduction: Indonesia introduced the Free Nutritious Meals (Makan Bergizi Gratis, MBG) program in January 2025 to address stunting, undernutrition, and the double burden of malnutrition among children and vulnerable groups. Aims: This review evaluates early nutritional outcomes, food safety, hygiene management, and operational challenges of MBG. Methods: A narrative review of peer-reviewed studies, policy documents, government reports, and international agency materials published up to September 2025 was conducted. Sources were synthesized by three domains: nutritional improvement, food safety and hygiene management, and operational and governance challenges. Results: Early evidence suggests improvements in dietary diversity and protein and iron intake, with potential benefits for growth, attendance, and learning concentration. However, reported foodborne illness incidents indicate weaknesses in kitchen capacity, cold-chain logistics, food handling, and local monitoring. Low budget absorption and regional disparities further challenge rapid nationwide scale-up. Conclusions: Strengthening standardized menus, kitchen certification, food-safety protocols, real-time monitoring, and inter-ministerial coordination is essential to improve MBG implementation and sustainability
Father Involvement in Complementary Feeding and Growth Follow-Up to Avoid Stunting in Rural Brebes, Indonesia: A Qualitative Study Taufik Maryusman; Suhartono; Sri Achadi Nugraheni; Apoina Kartini
Media Gizi Indonesia Vol. 21 No. 3 (2026): MEDIA GIZI INDONESIA
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgi.v21i3.303-316

Abstract

There is little literature on fathers’ roles in complementary feeding and monitoring children’s growth in rural areas aged 6-23 months. This study aimed to understand the role of fathers in complementary feeding behaviors and growth-monitoring behaviors, such as household nutrition decision-making and attendance at primary health services in rural Brebes, Central Java, Indonesia. We conducted a qualitative study using direct observation, focus group discussions, and document review with fathers of children at risk of stunting and key stakeholders (community leaders, heads of community health centers, nutrition workers, and district health officials). Thematic analysis of the data was conducted to identify patterns in caregiving and decision-making. Fathers determined household food distribution and health-seeking behavior, helped with access to social support systems, and influenced parenting behavior in terms of stimulation and caregiving. Active involvement of fathers increased family communication and compliance with recommended nutrition and health practices, whereas community-based programs that aligned with community sociocultural standards increased participation and acceptability. In summary, primary health care and community-based strategies to combat stunting, aimed at enhancing complementary feeding and growth monitoring practices, must prioritize father-targeted strategies.

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