Amerta Nutrition <p>Amerta Nutrition (<a href="[]=MUST=default=amerta+nutrition&amp;search_id=18366822">ISSN International Centre</a>; <a href="" target="_blank" rel="noopener">p-ISSN:2580-1163</a>; <a href="" target="_blank" rel="noopener">e-ISSN: 2580-9776</a>) is a peer-reviewed open-access scientific journal published by <strong>Universitas Airlangga</strong>. We provide a forum for original research, systematic reviews, and meta-analysis of nutrition and other health-related profession. Each volume of Amerta Nutrition is counted in each calendar year with four issues and is published every March, June, September, and December. Our journal has been indexed by DOAJ, Dimension, EBSCO, and many more. We welcome all articles from diverse sectors, such as registered dietitians (RD), nutritionists, public health workers, public health nutritionists, researchers, lecturers, students, and other health professionals emphasizing nutrition issues in <strong>Asia and emerging nations.</strong></p> Universitas Airlangga en-US Amerta Nutrition 2580-1163 <p><a href="" rel="license"><img style="border-width: 0;" src="" alt="Creative Commons License" /></a></p><p><span>AMERTA NUTR</span> by <a href="" rel="cc:attributionURL">Unair</a> is licensed under a <a href="" rel="license">Creative Commons Attribution-ShareAlike 4.0 International License</a>.</p><p align="justify">1. <span>The journal allows </span><span class="m_-8872622167488361851m_3889253648079045002m_3801934354951983127m_-2782718132241447849m_-7691471417709598651m_7256872056212528454m_3794665997207553305gmail-animated">the author to hold the copyright of the article without restrictions</span><span>.</span></p><p align="justify"><span>2. T<span>he journal allows the author(s) to retain publishing rights without restrictions</span></span></p><p align="justify">3. The legal formal aspect of journal publication accessibility refers to Creative Commons <span>Attribution </span><span>Share-Alike</span> (CC BY-SA).</p><p align="justify">4. <span>The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under “the same, similar or a compatible license”.</span> Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.</p> Back Matter Vol. 7 No. 3SP, 2023 Amerta Nutrition Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP Relationship between Anemia Status, Sleep Quality, and Cognitive Ability among Young Women Aged 15-24 Years in Indonesia (Analysis of Indonesian Family Life Survey (IFLS) 5) <p><strong>Background: </strong>Anemia is still one of the nutrition problems in Indonesia. Women of reproductive age, including the age group 15-24 years, is a group with higher risk of anemia. Iron deficiency anemia is a common cause of anemia. Iron is one of the micronutrients that important for the body, including brain. Some studies suggest that iron deficiency is associated with sleep quality and cognitive ability. Iron has a complex effect on the dopaminergic system by being a cofactor of tyrosine hydroxylase which is part of dopamine D2 receptor function. Neuromodulation by the dopaminergic system plays an important role in sleep regulation. It can also interfere with the brain's ability to spread nerve impulses that have potential to cause several disorders, one of which is motor and cognitive disorders.</p> <p><strong>Objectives: </strong>This study aims to determine the relationship of anemia status with sleep quality and cognitive abilities in young women aged 15-24 years in Indonesia based on IFLS 5.</p> <p><strong>Methods: </strong>This study used cross sectional design and secondary data from IFLS 5 with subjects totaling 2016 young women aged 15-24 years. This study used chi-square as statistical test with significance level p&lt;0.05.</p> <p><strong>Results:</strong> The prevalence of anemia in young women aged 15-24 years was 39.93%. It was found that there was no relationship between anemia status and sleep quality consisting of sleep disturbance (p=0.624) and sleep quality (p=0.693) and there was no relationship between anemia and cognitive ability (p=0.702).</p> <p><strong>Conclusions: </strong>Anemia status has no significant relationship with sleep quality and cognitive ability.</p> Siti Helmyati Lutfi Afida Fauziah Pinaes Kadibyan Nova Lidia Sitorus Charisma Dilantika Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 1 9 10.20473/amnt.v7i3SP.2023.1-9 The Development of Multivitamin Mineral Jelly Candy “Previmin” for Stunting Prevention <p><strong>Background: </strong>The prevalence of stunting in Yogyakarta province has decreased in 2022, although it hasn't reached the target of 14%. The Taburia supplementation program, implemented by the Indonesian government in 2010, aimed to address this issue, but its effectiveness remains a concern. Therefore, in 2017 jelly candy with fortification of Taburia and prebiotics fructooligosaccharides was developed as well as an organoleptic test in preschool and kindergarten children. Subsequently, in 2022, the production of the same jelly candy, named "Previmin" was upscaled and carried out in a factory. Production on a factory scale can change the nutritional contents and organoleptic properties of the product.</p> <p><strong>Objectives: </strong>To evaluate the organoleptic properties, acceptability, and nutritional content of factory-scale “Previmin” jelly candy.</p> <p><strong>Methods: </strong>This was true experimental study carried out in Kalurahan Sumberarum, Kapanewon Moyudan, Sleman District, Yogyakarta to evaluate the organoleptic properties and acceptability of jelly candy “Previmin'' on 59 toddlers. The production process was conducted by PT Natural Food Success, whereas nutritional content analysis was carried out in BBSPJIA Laboratory Bogor.</p> <p><strong>Results: </strong>Based on organoleptic tests, the color, flavor, taste, and texture score were above 5 points hence respondents liked “Previmin”. As many as 75% of respondents could consume the product hence Previmin’s acceptability was good. Nutritional content, heavy metals, and microbial count have good results and comply with SNI standards.</p> <p><strong>Conclusions: </strong>Most toddlers like and can consume “Previmin” jelly candy. “Previmin” jelly candy contains a good source of macronutrients and micronutrients as well as has complied with SNI standards.</p> Aurellia Ryveka Lily Arsanti Lestari Dessy Pratiwi Tonny Sundjaya Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 10 19 10.20473/amnt.v7i3SP.2023.10-19 Risk Factors for Stunting among Infants on Java Island: A Cross-Sectional Study Using the 2021 Indonesian Nutritional Status Survey Data <p><strong>Background: </strong>Stunting is a malnutrition problem that requires attention, with a prevalence of 24.4% in 2021. As the most populous island in Indonesia, Java Island has a significant impact on the incidence of stunting.</p> <p><strong>Objectives: </strong>This study aims to determine the prevalence of stunting in infants and to identify factors associated with the incidence of stunting in each province of Java.</p> <p><strong>Methods: </strong>This study used secondary data from the Indonesian Nutrition Status Study (INSS) conducted in 2021 with a cross-sectional design. A logistic regression test with weighting was conducted to determine the relationship between each variable and the incidence of stunting.</p> <p><strong>Results: </strong>The prevalence of stunting in infants was measured in several regions of Indonesia, including DKI Jakarta (11.9%), West Java (16.3%), Central Java (13.2%), DI Yogyakarta (12.1%), East Java (15.9%), and Banten (14.6%). Risk factors for stunting were identified in DKI Jakarta, namely economic status in quintile 1 (p = 0.001), and in West Java, namely snack consumption (p = 0.002) and economic status in quintile 1 (p &lt; 0.001). In Central Java, the risk factor was economic in quintile 1 (p = 0.048), while in the Special Region of Yogyakarta, it was age 12-23 months (p = 0.022). In East Java, infants aged 9-11 months (p = 0.013) and 12-23 months (p &lt; 0.001) with low (p = 0.010) and middle (p = 0.017) mother’s education level and economic status in quintile 1 (p = 0.005) were found to be at risk. In Banten were male infants (p = 0.011) in rural areas (p = 0.039) and with economic status in quintile 1 (p = 0.019) were found to be at risk.</p> <p><strong>Conclusions: </strong>Economic status is a risk factor for stunting on Java Island. Interventions can be targeted towards improving economic status.</p> Muthia Paramita Siti Helmyati Ray Wagiu Basrowi Charisma Dilantika Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 20 29 10.20473/amnt.v7i3SP.2023.20-29 Contribution of the Sustainable Food Yard Program (P2L) to Accelerating the Stunting Reduction in Sleman Regency during Covid-19 Pandemic <p><strong>Background:</strong> There are disparities in the level of household food security achievements between regions and getting worse with Covid-19 pandemic which has also inhibited nutritional improvement acceleration. The P2L is one of the priority programs in maintaining community food security. However, the implementation of this program is still vulnerable to sustainability.</p> <p><strong>Objectives:</strong> This study aims to examine the contribution of P2L during Covid-19 pandemic in maintaining community food and nutrition security and its role to accelerate stunting reduction in Sleman Regency.</p> <p><strong>Methods:</strong> This research was a descriptive qualitative with case study approach. Sample selection used a purposive maximum variation sampling method for parties actively involved in the P2L. Data collection methods were carried out using in-depth interviews, closed question types questionnaires, documentation, and participatory observation by directly involved in group activities.</p> <p><strong>Results:</strong> The P2L acted as a living food barn that can provide food during Covid-19 pandemic. Vegetables were the main commodity that were able to fulfill household needs at 60% and 40% at the medium level. Meanwhile, other food commodities had not been developed optimally in the yard. However, the P2L not only had a positive impact on improving nutrition and the household economy of KWT members, but also for vulnerable communities in the surrounding area. To accelerate stunting reduction, the results from P2L were also used to support Integrated Healthcare Center activities such as providing PMT.</p> <p><strong>Conclusions:</strong> The P2L program has a positive impact for the community, but it is necessary to innovate crop-livestock-fruit integration in each area and strengthen institutions in order to make the program sustainable.</p> Renita Renita Siti Helmyati Digna Niken Purwaningrum Nova Lidia Sitorus Charisma Dilantika Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 30 40 10.20473/amnt.v7i3SP.2023.30-40 Front Matter Vol. 7 No. 3SP, 2023 Amerta Nutrition Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP Public Search Interest in Stunting Interventions as an Effort to Reduce the Incidence of Stunting in Indonesia during 2018-2022: A Google Trends Analysis <p><strong>Background</strong>: In 2018, the prevalence of stunting in Indonesia was 30.8%, which has led to renewed focus on targeted interventions. Although specific measures such as exclusive breastfeeding, complementary feeding, and immunization have been prioritized, achieving optimal coverage remains a challenge. Limited knowledge has been identified as a potential barrier to the interventions. This study acknowledges the effectiveness of internet platforms in providing stunting prevention information. </p> <p><strong>Objectives: </strong>To analyze search interest trends for exclusive breastfeeding, complementary feeding, and immunization from 2018 to 2022 using Google Trends.</p> <p><strong>Methods: </strong>Google Trends was used to analyze search trends for the keywords 'exclusive breastfeeding', 'complementary feeding', and 'immunization' in Indonesia and three provinces with the highest number of searches, namely Central Sulawesi, East Nusa Tenggara, Southeast Sulawesi, Yogyakarta, Central Java, Bangka Belitung, and Bengkulu. The data were compared with the prevalence of stunting and coverage of interventions.<strong> </strong></p> <p><strong>Discussion: </strong>Searches for exclusive breastfeeding tended to be stable, while searches for complementary feeding and immunization tended to spike at certain times. Analysis of the provinces with the highest number of searches showed that the high search volume did not necessarily correspond to the trends in the performance of interventions in the regions<strong>. </strong></p> <p><strong>Conclusions: </strong>Searches for 'exclusive breastfeeding', 'complementary feeding', and 'immunization' from 2018 to 2022 showed different trends. It’s impossible to compare the data with the prevalence of stunting because of different trends. However, the data on search interest can illustrate community perceptions and practices around these interventions.</p> Najla Aurora Prameswari Magdalena Sabda Prawesti Sukma Dewi Astuti Jennifer Yapita Siti Helmyati Gifani Rosilia Mitha Aristyarini Nova Lidia Sitorus Dessy Pratiwi Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 41 49 10.20473/amnt.v7i3SP.2023.41-49 Acceptance of Iron Supplementation Program among Adolescent Girls in Indonesia: A Literature Review <p><strong>Background:</strong> Anemia poses a significant challenge to the health and productivity of adolescent girls. This has prompted the Indonesian government to initiate a program to distribute iron and folic acid (IFA) supplements. Therefore, it is necessary to address the level of acceptance of or compliance with IFA supplementation among adolescent girls. </p> <p><strong>Objectives:</strong> This study aims to assess the acceptance level of the program among adolescent girls in Indonesia.</p> <p><strong>Methods:</strong> A PRISMA-guided literature search was conducted in the NCBI, PubMed, Scopus, ScienceDirect, and Garuda databases for experimental or observational research published in Scopus-indexed journals from Q1 to Q4 or in Sinta 1 to Sinta 3 from 2013 to 2023. </p> <p><strong>Discussion:</strong> Eight studies conducted in five provinces in Indonesia showed that the coverage of IFA supplement distribution programs was less than 50%, with acceptance levels between 0% and 25.2% according to the Indonesian standard. The majority of IFA supplement distribution programs were not implemented in accordance with the standard. In addition, the supplements were not consistently provided every week, nor were they taken immediately at school. Factors that influence the consumption of IFA supplements among adolescent girls included knowledge, motivation, self-efficacy, attitude, parental influence, peer pressure, school policies and commitments, and the IFA supplements provided. Positive factors encouraged consumption, while negative factors discouraged consumption.</p> <p><strong>Conclusions:</strong> The acceptance level of the IFA supplement distribution program remains low. To improve this, it is essential to increase the knowledge of adolescent girls and their parents about anemia, including its definition, causes, side effects, and symptoms, as well as the benefits and risks of not taking IFA supplements. Other necessary measures include improving the distribution system and providing supporting facilities.</p> Siti Helmyati Cut Alima Syarifa Nisa Ayu Rizana Nova Lidia Sitorus Dessy Pratiwi Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 50 61 10.20473/amnt.v7i3SP.2023.50-61 Biochemistry Indicators for the Identification of Iron Deficiency Anemia in Indonesia: A Literature Review <p><strong>Background:</strong> The World Health Organization (WHO) states that adolescents are at risk of developing anemia. The initial step in identifying iron deficiency anemia (IDA) is through screening. In addition, the WHO framework aims to accelerate the reduction of anemia worldwide by achieving specific goals, including an increase in anemia screening.</p> <p><strong>Objectives: </strong>This study aims to determine the use of biochemical indicators in screening for the identification of IDA status in Indonesia.</p> <p><strong>Methods: </strong>Literature searches were conducted in the PubMed, Scopus, ScienceDirect, and Garuda databases following the PRISMA guidelines. Articles from journals indexed in Scopus Q1 to Q4 or Sinta 1 to Sinta 3 with an experimental or observational research design in Indonesia were reviewed.</p> <p><strong>Discussion: </strong>Anemia screening was performed to determine IDA status, which was measured by the following parameters: hemoglobin (Hb), mean corpuscular volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC). Hb is an indicator of IDA in populations with a high prevalence of IDA. MCV is calculated by dividing hematocrit by red blood cell count. MCH refers to the average absolute hemoglobin content of the red blood cells, while MCHC refers to the concentration of hemoglobin in the red blood cells. Serum ferritin (SF) is a highly reliable and sensitive indicator for assessing iron stores and clinical status in the field. In addition, serum transferrin receptor (STfR) is a more stable indicator than serum transferrin (ST). SF can differentiate between IDA caused by anemia or chronic diseases.</p> <p><strong>Conclusions:</strong> Combining hemoglobin and SF improves sensitivity and specificity in detecting the severity of IDA. STfR can also be used as an indicator for IDA. The use of the STfR and SF indicators is the best biochemical approach to IDA.</p> Siti Helmyati Fina Cahya Hasanah Febriani Putri Tonny Sundjaya Charisma Dilantika Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 62 70 10.20473/amnt.v7i3SP.2023.62-70 The Relationship between Nutrition Literacy and Nutrition Knowledge with the Incidence of Stunting: A Scoping Review <p><strong>Background:</strong> Globally, the incidence of stunting in children under five has declined over the past few decades. However, there are regional and in-country disparities. In Indonesia, the prevalence of stunting increased from 25.7% to 30.8% between 2013 and 2018. This upward trend is associated with negative consequences such as reduced academic potential, increased risk of noncommunicable diseases, increased healthcare costs, and reduced productivity. Maternal nutrition literacy is a contributing factor to stunting. Therefore, strengthening maternal nutrition literacy can help reduce stunting.</p> <p><strong>Objectives: </strong>This study aims to examine the relationship between maternal nutrition literacy and maternal nutrition knowledge with the incidence of stunting in children under five.</p> <p><strong>Methods</strong>: The literature search was conducted using databases, namely PubMed, Scopus, and ScienceDirect, and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Population, Intervention, Comparison, Outcome, and Study Design (PICOS) frameworks.</p> <p><strong>Discussion: </strong>Only 13 out of 630 articles were eligible. Among them, four articles showed a significant correlation between nutrition knowledge and literacy with the incidence of stunting in lower-middle-income countries. In upper-middle-income countries, seven articles showed a significant correlation between nutrition literacy and knowledge with the incidence of stunting.</p> <p><strong>Conclusions:</strong> There is a significant relationship between nutrition literacy and nutritional knowledge with the incidence of stunting. Nutrition literacy and knowledge can be related to infant and young child feeding, selection and preparation of nutritional and healthy foods, child growth and development, stunting prevention, access to health services, food security, and traditional food nutrition knowledge.</p> Fani Cahya Wahyuni Ulfatul Karomah Ray Wagiu Basrowi Nova Lidia Sitorus Lily Arsanti Lestari Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 71 85 10.20473/amnt.v7i3SP.2023.71-85 YouTube Video as a Media of Anemia Education in Indonesia: A Narrative Review <p><strong>Background: </strong>The effectiveness of Anemia program in Indonesia must be supported by good public knowledge. YouTube can be used as a learning source to educate people about anemia. Anemia educational videos on YouTube have different characteristics that are interesting to analyze.</p> <p><strong>Objectives:</strong> To identify the availability and describe the characteristics of anemia educational videos on YouTube.</p> <p><strong>Methods: </strong> Videos were searched via and with the keywords "anemia education in Indonesia". Videos were screened according to the criteria. Video form, type of uploader, duration, and number of views were identified. The educational contents were analyzed based on 5 points of anemia information.</p> <p><strong>Discussion: </strong>Among 115 videos obtained, 28 videos met the criteria. Most anemia videos on YouTube were animated videos (51.72%), found on non-government/private channels (41.38%), and had more than 3 minutes duration (55.17%). The average video length was 190.68 seconds, ranging from 1,033 to 77,628 number of views, and each video was viewed 24 times a day. The highest number of views were videos featuring presenters/health care professionals, videos from non-government channels, and videos with 3-6 minutes duration. Over 60% of videos explained the definition, causes, impacts, signs/symptoms, and the prevention of anemia.</p> <p><strong>Conclusions:</strong> There were many different characteristics of anemia educational videos on YouTube. Besides duration and number of views, the quality of information and feasibility are important aspects in producing educational videos. Further research is needed to see the relationship between duration, video form and type of uploader on people engagement.</p> Siti Helmyati Lintang Aryanti Ray Wagiu Basrowi Dessy Pratiwi Copyright (c) 2024 Amerta Nutrition 2024-02-15 2024-02-15 7 3SP 86 94 10.20473/amnt.v7i3SP.2023.86-94