Amerta Nutrition

Correlation between Exclusive Breastfeeding, Complementary Feeding, Infectious Disease with Wasting among Toddlers: a Cross-Sectional Study

Ani Intiyati — 2024-12-30

Background: Wasting, an acute nutritional deficiency, is assessed using weight-for-height with a z-score of <-2SD from growth standards. The prevalence of wasting in Puskesmas Kendit is 14.31%, with Kukusan Village at 29%.

Objectives: This study examined the correlation between exclusive breastfeeding, Complementary Feeding (CF), infectious diseases, and wasting in young children.

Methods: Conducted with a cross-sectional design, the study sampled 51 toddlers through simple random sampling and analyzed the data using Spearman's correlation.

Results: Findings revealed no significant correlation between exclusive breastfeeding and wasting (p-value=0.105). However, there was a significant correlation between CF and wasting (p-value=0.026). Nutrient intake, including energy (p-value<0.001), protein (p-value<0.001), fat (p-value=0.002), and carbohydrates (p-value=0.025), was significantly correlated with wasting, as was the presence of infectious diseases (p-value=0.001).

Conclusions: While exclusive breastfeeding tends to reduce wasting, appropriate CF and adequate intake of energy, protein, fat, and carbohydrates are associated with a lower prevalence of wasting. Recommended actions include improving exclusive breastfeeding practices, enhancing the quality of CF, and increasing preventive measures for infectious diseases.

Design of Stunting Prevention Education Media Package Based on Technology and Local Wisdom

Lia Nurcahyani — 2024-12-30

Background: Stunting leads to increased morbidity and mortality among children. To accelerate stunting reduction, family assistance teams support at-risk families, requiring engaging and accessible educational resources. However, existing educational media materials are fragmented and lack a comprehensive approach, resulting in gaps during family assistance sessions. To improve accessibility and efficacy, a comprehensive, technology-based educational tool is necessary.

Objectives: To develop a Stunting Prevention Education Media Package (PaSti PenTing) based on technology and local wisdom.

Methods: This study used a Research and Development approach conducted in Cirebon City. The stages included the formulation of basic concepts, and in-depth interviews with experts, namely the Chairman of the Central Board of the Indonesian Midwives Association, the Head of the Cirebon City Health Office, the Head of the Cirebon City Women's Empowerment, Child Protection, Population Control and Family Planning Office and lecturers with S3 backgrounds. These interviews provided input related to the materials used for designing the PaSti PenTing. The research instrument uses in-depth interview guidance and data analysis was carried out using content analysis.

Results: Based on expert input, the PaSti PenTing design was developed. The main menu consists of an introduction and a menu for target groups (teenagers, brides-to-be, pregnant women, postpartum mothers, and toddlers). Each menu contains educational materials.

Conclusions: PasTi PenTing is a comprehensive media that can be used by the assistance team and families at risk of stunting to improve knowledge, attitudes, and behaviors in stunting prevention.

The Onset Lactation, Early Initiation Breastfeeding, and Frequency of Antenatal Care as Determinants of Successful Exclusive Breastfeeding in Primipara Mothers

Dian Shofiya — 2024-12-30

Background: Since 2016 the City of Surabaya has provided assistance and mentoring for pregnant mothers and infants during the first 1000 days of life. This initiative aims have been to alleviate stunting on children and increase exclusive breastfeeding coverage on breastfeeding mothers. However, the target for exclusive breastfeeding coverage has yet been achieved, and the level of coverage remains low despite these efforts.

Objectives: The aim of this study was to determine the effect of the onset of lactation, early initiation breastfeeding frequency of antenatal care on exclusive breastfeeding in primipara mothers.

Methods: The research design was cross-sectional; the samples were 130 of 378 primipara mothers and lactating pregnant women who were selected by cluster random sampling. The data were analyzed using both Chi-Square and Logistic Regression analysis α=0.05. data was collected in April 2021.

Results: The results showed that there was a significant relationship between ANC, EIB, and onset of lactation with EB (x²=3.145; p-value=0.008, x²=18.745; p-value<0.001, and x²=47.147; p-value<0.001).

Conclusions: ANC, EIB, and onset of lactation are determining the success of EB.

Health Concerns as the Fundamental Dietary Choices for Potential Stunting Preventions: a Qualitative Study

Inne Soesanti — 2024-12-30

Background: Pasongsongan Village lies in the Regency of Sumenep on the Island of Madura. It is a village bordered on the north by the Java Sea which is abundant of fish majorly consumed by adults. Whereas, children under two years old are scarcely served with fish in their diets.

Objectives: The study aims to observe any factors relevant to mothers’ choices in serving meals for children under two years of age.

Methods: This study used a qualitative approach with an ethnographic design. The informants were eleven mothers and grandmothers whose children were under two years old. Data was collected by way of interviews and observations. Subsequent to the data collection, the triangulation was carried out. Data were analyzed using thematic analysis.

Results: The results showed that children under two years of age were provided with complementary foods prior to the age of 6 months old. Four children were barely fed with fish due to numerous myths regarding worm infestation in toddlers of below two years old if they consume fish or any types of animal food. Moreover, six children were served with fish and animal food due to health issues.

Conclusions: In conclusion, the mothers’ choices for children’s meals under two years of age in this village were highly influenced by cultural and health concerns. The implication of this study was that selecting food for toddlers under two years old should bring up a positive impact on their growth.

The Correlation between Macronutrient Intake and Physical Activity with Overnutrition among Fifth-Grade Students at Banjarbendo State Elementary

Mujayanto Mujayanto — 2024-12-30

Background: Overweight status, which falls under the category of overweight and obesity, has become a serious and growing global health problem, especially among school-aged children. Unbalanced nutrition and low physical activity are the main factors contributing to the increasing prevalence of malnutrition among children in Indonesia.

Objectives: This study aims to analyze the correlation between macronutrient intake and physical activity with nutritional status (overweight and obesity) in fifth-grade students at Banjarbendo State Elementary School, Sidoarjo.

Methods: This study employed an observational analytical method with a cross-sectional design. The sample consisted of 64 fifth-grade students who were randomly selected through simple random sampling. Data were collected through anthropometric measurements to determine nutritional status based on body mass index-for-age (BMI-for-age) as well as interviews to assess food intake using a 2x24 hour food recall and physical activity using a 2x24 hour physical activity recall. Data analysis was carried out using Spearman’s correlation test with a 95% confidence level (α=0.05).

Results: The results indicated a significant correlation between macronutrient intake, physical activity, and nutritional status. Most students with excessive macronutrient intake and low physical activity were found to be overweight or obese

Conclusions: A significant correlation between macronutrient intake, physical activity level, and nutritional status was observed. It is important to raise awareness of balanced nutrition and encourage physical activity in children to prevent overnutrition and its associated health problems in the future.

The Effect of Continuity of Midwifery Care (CoMC) Based on EDUGARLIN Application and Booklet on Postpartum Fitness Quality

Junengsih Junengsih — 2024-12-30

Background: The puerperium is the period between the delivery of the placenta and the return of the uterus to its pre-pregnancy condition, which lasts for 6 weeks or 42 days. During this recovery period, mothers often experience several physiological and physical changes that cause discomfort. Several studies have shown that the discomfort experienced can lead to pathological development and complications when not treated properly. To prevent complications, information technology from smartphones with Android-based applications can be used to improve the quality of postpartum well-being.

Objectives: This study aimed to analyze the effect of utilizing EDUGARLIN (postpartum fitness education) application on the knowledge, attitudes, and quality of postpartum fitness in TPMB (Independent Midwife Practice).

Methods: The study procedures were carried out using a Quasi-experimental design with a nonequivalent posttest-only control group method. The purposive sampling was then used to select a total of 84 respondents, who were divided into 2 groups, namely EDUGARLIN application (intervention) and booklet (control). The data obtained in this study were analyzed using the Mann-Whitney test.

Results: The results showed that there were significant differences in knowledge, attitudes, and postpartum fitness quality between the intervention and control groups. In the intervention group, 36 respondents (85.7%) had good knowledge, compared to 22 respondents (52.4%) in the control group (p-value<0.05). A total of 36 respondents (85.7%) also showed positive attitudes, compared to 34 (81%) in the control group (p-value<0.05). In addition, 38 respondents (90.5%) in the intervention group had good postpartum fitness quality, compared to 26 (61.9%) in the control group (p-value<0.05).

Conclusions: The android-based EDUGARLIN application was effective in improving knowledge, attitudes, and behavior of postpartum mothers in terms of the quality of postpartum fitness.