ISSN / EISSN : 2580-1163 / 2580-9776
Current Publisher: Universitas Airlangga (10.20473)
Total articles ≅ 237
Latest articles in this journal
Amerta Nutrition, Volume 4, pp 280-290; doi:10.20473/amnt.v4i4.2020.280-290
Background: The highest coverage of exclusive breastfeeding data from Bengkulu City Health Office was Nusa Indah Public Health Center (86.9%) and the lowest was Lingkar Barat Public Health Center (63.8%).Objective: The research objective is to determine the implementation of exclusive breastfeeding programs seen from the input, process, output in the city of Bengkulu in 2018.Methods: This was an observational analytic study with a qualitative approach. The informants consisted of nutrition workers, midwives, health promotor, heads of Public helath center and mothers who participated in the exclusive breastfeeding program at the puskesmas. This research was carried out in both Bengkulu City Health Center, starting from July to August 2019. Data analysis was done by data reduction, data presentation and conclusion drawing and verification.Results: The study showed that the executors of the exclusive ASI program consisted of nutrition workers, midwives and promkes, using BOK funds, material on exclusive breastfeeding, tools in the form of infant pantom, breast pantom, breast milk, with counseling, counseling and IMD methods. The implementation process is Exclusive ASI socialization, formation and guidance of ASI Suport group. Implementation with counseling, and counseling. Control by looking at data obtained from posyandu.Conclusion: The Nusa Indah Puskesmas has been successful because the ASI support group has played an active role in assisting the implementation of the Exclusive ASI program, while the West Lingkar Puskesmas was not successful because the officers did indeed obtain real data in the field.
Amerta Nutrition, Volume 4, pp 313-317; doi:10.20473/amnt.v4i4.2020.313-317
Background: Iron tablets have many benefits such as reducing the risk of death during bleeding, preventing anemia, and increasing nutritional intake in the fetus. Pregnant women with adolescence are at higher risk of anemia and death than pregnant women of sufficient age. One impact that occurs due to the low consumption of iron tablets in teenage pregnant women is babies born with conditions such as low birth weight, normal weight, and overweight babies born.Objectives: This study to analyze the correlation between iron consumption tablets of adolescent pregnant women with the weight of new born.Methods: This research is a quantitative study that uses secondary data in the form of data from the 2017 IDHS. There are 692 teenage pregnant female respondents with variable consumption of iron tablets and birth weight of babies. Data analysis in the study used the Chi-Square test.Results: Teenage pregnant women who consume iron tablets by 70.8% and those who do not consume 29.2%. The category of babies born mostly at the weight of normal-born babies is 84.8%. While the low infant weight category is 10.7% with a fairly high amount. Chi-Square statistical test results showed a p value of 0.019 (p = 0.019
Amerta Nutrition, Volume 4, pp 265-270; doi:10.20473/amnt.v4i4.2020.265-270
Background: Tempeh gembus is a food that high in protein and fiber but low in fat. The low content of fat in tempeh gembus is good for adolescent with obesity. Tempeh gembus cookies could be the alternative snack for adolescent girls with obesityObjectives: To analyze the effect of the substitution of tempeh gembus flour on the nutrient content of tempeh gembus cookies and the acceptability of the best formula on the tempeh gembus cookiesMethods: This was an experimental research with one factor complete randomized design, which was the formulation of cookies with tempeh gembus flour of 0%, 25%, 50%, and 100% as the variation of substitution, then analyzed the nutrients and acceptance. The statistic method used were One-way Anova test to analyze the nutrients and Friedman test to analyze the acceptanceResults: There were significant effects the formulation of cookies with tempeh gembus flour on total fat, carbohydrate, total crude fiber, ash content, and reducing sugar. In acceptance test, there were significant effects of tempeh gembus cookies formulation on color, appearance, tenderness, aroma, and flavorConclusions: Cookies with tempeh gembus flour formulation of 100% was the best formulation to meet total energy, carbohydrate, low fat and high fiber acceptance which were good for adolescent girls with obesity. Whereas cookies with tempeh gembus flour formulation of 25% and 50% based on acceptance were still acceptable and preferred
Amerta Nutrition, Volume 4, pp 271-279; doi:10.20473/amnt.v4i4.2020.271-279
Background: Adolescent girls' anemia is a public health challenge. Anemia has an impact on cognitive abilities to reduce intelligence and results in adolescent achievement is down.Objective: The purpose of this study was to analyze the determinants of anemia in early adolescent girls in Kendari City.Methods: This study used a cross-sectional design with a sample of 97 students. Data on parental characteristics, breakfast habits, nutritional status, menstrual status, and history of infectious diseases were collected by interview using a questionnaire. Data on nutrient intake (iron, protein, vitamin C) obtained through the 2x24 hour recall method then compared to the Indonesian standard (AKG). Hemoglobin level was measured using the EasyTouch heamoglobin meter device. Data analysis was done by chi-square analysis and multiple logistic regression analysis.Results: The results showed 28.9% of adolescent girls had anemia. The results of chi-square analysis obtained that there was a relationship between the incidence of anemia on mother's education (p=0.010,), parental income (p=0.017), iron intake (p=0,000), protein intake (p=0,000), vitamin C intake (p=0.023), breakfast habits (p=0.006), menstrual status (p=0.007) and history of infection diseases (p=0,000). While the results of multiple logistic regression analysis obtained that there was a relationship between iron intake (p=0.005,OR=3.009), protein intake (p=0.007,OR=2.012), vitamin C intake (p=0.038,OR=1.167), menstrual status (p=0.002,OR=3.181) with anemia.Conclusion: The dominant determinant of anemia in early adolescent girls in Kendari City is menstrual status. It is recommended to intervene in risk factors (mother's education, parental income, iron intake, protein, vitamin C, breakfast habits, menstrual status and history of infectious disease) to reduce the prevalence of anemia among adolescent girls.
Amerta Nutrition, Volume 4, pp 257-264; doi:10.20473/amnt.v4i4.2020.257-264
Background: Diarrhea disease is one of gastrointestinal disorders which is the second leading cause of death in children under five years. Food and beverage contamination is the biggest cause of diarrhea in developing countries. Nanas madu (Ananas comosus Merr.) and cinnamon (Cinnamomum burmannii) have antibacterial properties that can inhibit the growth of Escherichia coli and Salmonella typhi causing diarrhea.Objective: This study aimed to analyze the total differences of Lactic Acid Bacteria (LAB) and antibacterial activity in yoghurt with the addition of nanas madu and cinnamon extract.Methods: This was an experimental study with various treatment in adding honey cream pineapple (0%, 20%, 40%, and 60%) and cinnamon extract (4% and 6%). Total LAB was calculated using the Total Plate Count (TPC) method and antibacterial activity was tested using Kirby Bauer method.Results: There was no significant difference in yoghurt with the addition of honey cream pineapple and cinnamon extract. Yoghurt with the highest LAB was yoghurt with addition 40% of honey cream pineapple and 6% of cinnamon extract (N40M2) with total LAB 1,43 x 1019 CFU/ml. The results of the antibacterial activity showed no significant difference of inhibition zone against S. typhi¸ while there was significant difference of inhibition zone against E. coli. The highest activity against S. typhi was yoghurt with addition 60% of honey cream pineapple and 4% of cinnamon extract (N60M1) resulting 6,81 mm inhibition zone and the highest activity against E. coli was N40M1 resulting 6,77 mm of inhibition zone. Conclusion: Total LAB yoghurt with the addition of nanas madu and cinnamon extract have met FAO and SNI standards with LAB minimum 107 CFU/ml. Antibacterial activity of all yoghurt treatment categorized as medium inhibition (5-10 mm).
Amerta Nutrition, Volume 4, pp 326-334; doi:10.20473/amnt.v4i4.2020.326-334
Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously. Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM. There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.
Amerta Nutrition, Volume 4, pp 342-350; doi:10.20473/amnt.v4i4.2020.342-350
Background: Physical inactivity is one of the most crucial global problems in spite of the approved impact of physical activity in enhancing health and preventing NCDs, osteoporosis and many other diseases. Thus, WHO encouraged the countries to set their own physical activity guidelines based on the international physical activity recommendations, however, many countries do not have their national Physical activity recommendations such as Yemen in Eastern Mediterranean Region.Objectives: To suggest proper physical activity recommendations for adults in Yemen based on physical activity recommendations in different countries in WHO regions particularly the Eastern Mediterranean Region.Discussion: Prevalence of national physical activity guidelines and physical activity factors vary among WHO regions. The absence of physical activity recommendations and statistical data in Yemen is obvious and surveillance using validated tools should be done to assess the recent PA and related factors. However, although Yemen has its own issues such as Khat chewing habit and conflict, it shares many factors with other Eastern Mediterranean Region countries in general and Qatar in particular such as unsupportive physical activity environment and limited outdoor activities for women. Conclusion: Qatar national physical activity guidelines can be suggested as applicable and affordable guidelines for adults in Yemen. According to Qatar guidelines, adults should do (30–60) min of moderate exercise ≥ 5 days per week or (20–60) min of vigorous exercise for ≥3 days per week and in case of promoting or maintaining weight loss, they should do (50-60) minutes daily exercise. Many studies should be done to assess recent physical activity and related barriers to draw evidence-based physical activity guidelines for adults in Yemen.Background: Physical inactivity is one of the most crucial global problems in spite of the approved impact of physical activity in enhancing health and preventing NCDs, osteoporosis and many other diseases. Thus, WHO encouraged the countries to set their own physical activity guidelines based on the international physical activity recommendations, however, many countries do not have their national Physical activity recommendations such as Yemen in Eastern Mediterranean Region.Objectives: To suggest proper physical activity recommendations for adults in Yemen based on physical activity recommendations in different countries in WHO regions particularly the Eastern Mediterranean Region.Discussion: Prevalence of national physical activity guidelines and physical activity factors vary among WHO regions. The absence of physical activity recommendations and statistical data in Yemen is obvious and surveillance using validated tools should be done to assess the recent PA and related factors. However, although Yemen has its own issues such as Khat chewing habit and conflict, it shares many factors with other Eastern Mediterranean Region countries in general and Qatar in particular such as unsupportive physical activity environment and limited outdoor activities for women. Conclusion: Qatar national physical activity guidelines can be suggested as applicable and affordable guidelines for adults in Yemen. According to Qatar guidelines, adults should do (30–60) min of moderate exercise ≥ 5 days per week or (20–60) min of vigorous exercise for ≥3 days per week and in case of promoting or maintaining weight loss, they should do (50-60) minutes daily exercise. Many studies should be done to assess recent physical activity and related barriers to draw evidence-based physical activity guidelines for adults in Yemen.
Amerta Nutrition, Volume 4, pp 307-312; doi:10.20473/amnt.v4i4.2020.307-312
Background: Malnutrition is one of serious public health problems that still need treatment priority. Besides the problem of over-nutrition continues to increase, the problem of under-nutrition has not been resolved properly. Utilization of local food such as galohgor can be an alternative to meet the nutritional needs. Objectives: The present study was aimed to analyze the effect of galohgor cookies intake by postpartum mothers on the newborn’s growth. Methods: The design was quasi-experimental design. There were two groups including the control group (CG) (n = 9) and the intervention group (GG) (n = 9). Postpartum mothers aged 20-35 years (parity between 2 and 5) with normal delivery and had no medical indication were involved in this study. A total of four pieces of cookie (~ 4 g of galohgor powder) were consumed daily from the 1st day until the 40th day after delivery. Anthropometric data (height, body weight, and head circumference) were obtained on day 0, 14 and 40 after delivery. Meanwhile, human milk samples were taken on day 14 and 40 to analyze the levels of human milk insulin-like growth factor-I (IGF-I). Results: The newborns in the GG had significantly heavier weight and larger head circumference than CG on day 14 and 40 after delivery (p 0.05). Conclusions: Intake of galohgor cookies by postpartum mothers might support the newborn’s growth.
Amerta Nutrition, Volume 4, pp 318-325; doi:10.20473/amnt.v4i4.2020.318-325
Background: The compliance of Alternate Healthy Eating Index (AHEI) 2010 influences their risk of complications in type two diabetes mellitus (T2DM). In Indonesia, AHEI-2010 has not been widely used in evaluating the diet quality in people after diagnosed T2DM.Objectives: To analyze changes in diet quality of adults patients with T2DM. Methods: This study was analyzed using a secondary data from “Cohort Study of Non-Communicable Diseases Risk Factors” by Indonesian Ministry of Health, on 105 adults newly diagnosed with T2DM. The diagnosis of T2DM was assessed based on the results laboratory tests of fasting blood glucose (FBG) ≥126 mg/dL and 2-hours post-75-g glucose load (2h-PG) ≥200 mg/dL. Dietary intake data was collected twice (at the beginning and the end of monitoring) using a 24-hour recall. The assessment of diet quality uses modified AHEI-2010 USA according to the Indonesians Dietary Guidelines, especially in the portion of the food components. Results: The total score for diet quality was higher at the beginning of monitoring 54.9 than the end of monitoring 53.3 and there was no statistical significance differences (p≥0.05). The total score from diet quality decreased 1.1 points, 53.4% of subjects showed score deterioration (deteriorating diet quality) and 46.7% showed score improvement (improved diet quality). There was a significant differences at the beginning and the end of monitoring only to components score of red/processed meat (p
Amerta Nutrition, Volume 4, pp 335-341; doi:10.20473/amnt.v4i4.2020.335-341
Background: Highly plate waste in hospitalized patients has become a problem in Hospitals’ nutrition service department, this causes adding treatment time for patient’s recovery and making the hospital service inefficient.Objectives: This research strives to develop a set of recommendations to improve the nutrition department service quality by reducing plate wastes in hospitals. Methods: This research uses a cross-sectional approach. The constraint causing analysis is done by observing dominant waste in each menu’s component and conducting FGD with the management team, nutrition department, and other related departments. The research population is 3000 plates.Results: One of the success indicators in the hospital’s nutrition services is less than 20% of plate waste. It was found that 26,65% or 327 of 1230 observed plates have more than 20% plate waste. The constraint was set with low scale value, food’s aroma, with 2,7 which make food’s aroma as a first priority problem to solve.Conclusions: The solution recommendation about constraint causes was sent to the nutrition department and hospital directors to review the hospital’s policies and SOP. The improvement can be focused on the hospital’s internal policies, Standard Operating procedures, employee competencies, obedience to set procedures, and also chefs and cooks skill