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> The Effect of Herbal Tea Formulation Made of Mangosteen Pericarp (Garcinia mangostana), Cinnamon (Cinnamon verum), and Clove (Syzygium aromaticum) on Panelist Acceptance Level <p><strong>Background: </strong>Herbal tea Is one of the herbal drinks that has been widely consumed by Indonesian people and known as tea that have functional properties, one of them is source of antioxidants. Antioxidants can be obtained from a lot of sources, such as the mixture of mangosteen pericarp, cinnamon, and cloves. The use of cinnamon and clove expected to increase the consumers’ preference towards this tea.</p> <p><strong>Objectives: </strong>This research aims at evaluating the acceptance level of several sensory parameters of tea made of mixture of mangosteen pericarp, cinnamon, and clove.</p> <p><strong>Methods: </strong>The experimental design used in this research was completely randomized design with three replications, resulting in 27 samples of herbal tea. Besides, the data obtained from panelists will be analyzed by using Analysis of Varian (ANOVA) and followed by Duncan’s Multiple Range Test (DMRT) in SPSS 25.0 software.</p> <p><strong>Results: </strong>The results show that the addition of cinnamon and cloves showed a significant difference. The more addition of spices will lower the panelist score. It can be seen in the sample containing 24 grams of mangosteen pericarp, 3 grams of cinnamon (B4) which had the highest panelist score in color, taste, and bitterness aspects. While the lowest panelist score was obtained by a sample containing 12 grams of mangosteen pericarp, 3 grams of cinnamon and cloves (A1).</p> <p><strong>Conclusions: </strong>The more spices added, especially cloves will reduce the liking score. The result obtained by this research can be used for optimization of the best formula so maximum points can be known.</p> Yunita Satya Pratiwi Yushinta Aristina Sanjaya Rahmawati Rahmawati Larestananda Asmaul Husna Hizaumi Putri Ririef Mutiara Syari Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 1 7 10.20473/amnt.v8i1.2024.1-7 Smokers’ Diet Pattern and Nutritional Status in Sulawesi Tengah: Analysis of 2018 Basic Health Research <p><strong>Background: </strong>According to the National Basic Health Research of Indonesia (Riskesdas) in 2018, the prevalence of non-communicable diseases (NCDs) in Central Sulawesi Province surpassed the national rate. This province is also home to 31.3% of active smokers. The main risk factor for NCDs is an unhealthy lifestyle such as physical inactivity, smoking, alcohol consumption, and unhealthy diet pattern.</p> <p><strong>Objectives: </strong>This study aims to investigate diet patterns and nutritional status of adults in Central Sulawesi based on their smoking status.</p> <p><strong>Methods: </strong>This is a cross-sectional study using data from Riskesdas 2018. Smoking status, diet pattern and nutritional status were the variables assessed from 12,211 respondents. The statistical analyses used in this study were chi-square test and Generalized Linear Model (GLM).</p> <p><strong>Results: </strong>Thirty-six-point two per cent of the respondents were active smokers. The prevalence of overweight (BMI ≥25 kg/m<sup>2</sup>) and central obesity in smokers were significantly lower than that in the non-smoker group (p&lt;0.05). The smoker group consumed sweetened drinks at least once a week, which increased the prevalence ratio as the weekly consumption frequency increased (PR=1.17 to 1.49; p&lt;0.05). They also had a lower prevalence ratio of consumption a maximum of 3-4 portions/day of vegetable and consuming salty food (high sodium) 1-2 times a week.</p> <p><strong>Conclusions: </strong>Although the prevalence ratio of overweight and central obesity are lower in smokers, they have unhealthy diet patterns, which are shown in lower consumption of vegetables and high in salty food. In the future, an advanced longitudinal study with representative number of respondents is needed to explore the causality of these variables.</p> Dian Kurniasari Nitro Galenso Fahmi Hafid Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 8 16 10.20473/amnt.v8i1.2024.8-16 A Comparison of Adherence Levels of Pregnant Women to Consuming Multiple Micronutrient Supplements and Iron Folic Acid at Mulyorejo Public Health Center, Surabaya <p><strong>Background: </strong>The level of adherence is an indicator of the successful implementation of a program to provide both multiple micronutrient supplements (MMS) and iron folic acid (IFA). Moreover, factors that may have an impact on the level of adherence are knowledge level, consumption acceptability, characteristic acceptability, and family support.</p> <p><strong>Objectives: </strong>To analyze the relationship and differences in the level of adherence of pregnant women to consuming MMS and IFA in the work area of Mulyorejo Public Health Center, Surabaya.</p> <p><strong>Methods: </strong>This study is an observational study (prospective cohort design). A total of 244 samples from each of the two sample groups, which are the MMS group and the IFA group, were observed for 30 days. This study was expected to discover the adherence level of pregnant women to consuming MMS or IFA. In addition, the Mann-Whitney test was used in the comparative analysis, and the chi-square test was used in the relationship analysis.</p> <p><strong>Results: </strong>According to the findings, it was discovered that pregnant women who consumed MMS had a higher average adherence rate (79.9%) compared to those who consumed IFA (71.2%). However, the results showed that there was no significant difference between the two (p-value = 0.400), and identical results applied for knowledge level, consumption acceptability, and characteristic acceptability. Moreover, in comparison to the IFA group (32.2), the MMS group had a higher average family support (34.9). Additionally, there was a relationship between the adherence level and both knowledge level and consumption acceptability (p-value&lt;0,05), but there was no relationship between the adherence level and family support (p-value&gt;0.05).</p> <p><strong>Conclusions: </strong>There was no significant difference among the variables. In addition, there was a relationship between the adherence level and both knowledge level and consumption acceptability, but not between the adherence level and family support.</p> Nisrina Abidah Sri Sumarmi Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 17 25 10.20473/amnt.v8i1.2024.17-25 Vitamin A Content and Hedonic Test of Modified Modisco Slurp Pudding with Various Carrot Extract Additions <p><strong>Background: </strong>A Modisco is PMT-P as treatment for malnutrition and severe malnutrition. To increase acceptance and function of nutritional sources, Modisco is done by modifying shape and composition to become Modisco slurp pudding with the addition of carrot juice.</p> <p><strong>Objectives: </strong>The purpose of this study was to analyze the content of vitamin A and the results of the favorite test of the modisco suction pudding with the addition of carrot juice variations of 0%, 5%, 10%, and 15%.</p> <p><strong>Methods: </strong>The research design applied was true experimental with 12 experimental units. The vitamin A (beta carotene) content of the samples was determined using Atomic Absorption Spectrophotometry (AAS), and the acceptance test used the Hedonic Scale Test on 80 student aged 9-10 years. The Friedman and Wilcoxon Signed Ranks tests were used to examine the acceptance test results. Vitamin A content were determined using the One Way Anova and multiple comparisons Turkey HSD with a 5% (= 0.05) significant level. The proportion of extract carrot on Modisco slurp pudding was 0% (X0), 5%, 10% and 15% (X1, X2, and X3).</p> <p><strong>Results: </strong>The results of the study of vitamin A levels through statistical tests using one-way ANOVA showed that there was a significant difference in vitamin A content compared to variation in the addition of carrot extracts in modisco slurp pudding (p value = 0.0001 &lt;0.05). The results of the hedonic test showed a significant difference in aroma and taste, while color and texture did not differ significantly.</p> <p><strong>Conclusions: </strong>The addition of carrot juice to modisco slurp pudding increases vitamin A levels and is preferred in terms of aroma and taste. Based on the vitamin A content test, the addition of 5% (X1) of carrot extracts is more preferred and closest to the daily vitamin A needs of toddlers.</p> Eryka Maryta Videricka Farida Wahyu Ningtyias Ninna Rohmawati Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 26 32 10.20473/amnt.v8i1.2024.26-32 Correlation between Vitamin D Levels and Completion of COVID-19 Vaccines with Recurrent COVID-19 Infections in Lecturers at the University of Malahayati <p><strong>Background: </strong>There is a continued increase in the fatality rate of COVID-19 pandemic despite the apparent containment of the virus. In September 2022, the death toll from this disease has exceeded 150 thousand individuals. Furthermore, Vitamin D has been observed for its correlation with the immune system.</p> <p><strong>Objectives: </strong>This study aimed to analyze correlation between blood vitamin D levels, completeness of COVID-19 vaccine, and compliance with health protocols for recurrent infection.</p> <p><strong>Methods: </strong>This analytical observational study with a cross-sectional method examined correlation between blood vitamin D levels, vaccine completeness status, as well as compliance with health protocols, age, and gender. The population consisted of 62 lecturers at Malahayati University, Bandar Lampung, who were willing to volunteer as subjects. The method used was non-probability sampling and the inclusion criteria were individuals infected with COVID-19 in 2022, resulting in 47 samples. The collected data was analyzed using the chi-square test and logistic regression test.</p> <p><strong>Results: </strong>The results showed that there was a significant correlation between the completeness status of COVID-19 vaccine (p-value=0.001) with an OR of 8.24 and 8.47, as well as low levels of vitamin D in the blood (p-value=0.007) and recurrent infection.</p> <p><strong>Conclusions: </strong>The possibility of recurrent COVID-19 infection was increased when there were lower levels of vitamin D in the bloodstream and a less comprehensive response to vaccine.</p> Siti Nurjanah Dessy Hermawan Nurul Aryastuti Nova Muhani Prima Dian Furqoni Lolita Sary Slamet Widodo Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 33 39 10.20473/amnt.v8i1.2024.33-39 Association between Nutrient Intake and Height among Adolescent Athlete in Indonesia: A Cross-Sectional Study <p><strong>Background: </strong>Adequate nutritional intake in young athletes is important to support physical activity, growth, development, recovery, and performance. Inadequate intake may result in non-optimal growth and performance.</p> <p><strong>Objectives: </strong>This study aimed to assess the association between nutrient intake and height among adolescent athletes in Indonesia.</p> <p><strong>Methods: </strong>This cross-sectional study was conducted during May-August 2022 in 5 athlete training centers in Indonesia. There were 330 athletes aged 12-18 years old who participated in study. The primary variables consisted of sociodemographic status, body height, nutritional status and nutrient intake.</p> <p><strong>Results: </strong>Median age of subjects was 16 years old, and predominately participating in sports more as strength athletes (66.1%) compared to endurance. Median height was 165 (140.4–191.5) cm, and the proportion of stunted was 3% and overweight-obese was 15.2%. Nutrient intakes per day were energy as 2,050 (582–4,355) kcal, protein 70.9 (15.9–184.4) g, fat 74.9 (11.3–230) g, carbohydrate 263.9 (65.1–708.4) g, calcium 347.6 (21.1–4507.5) mg, and vitamin D 1.80 (0–62.80) mg. The adequacy of energy was 71.2 (18.1–209.7)%, protein 67.5 (13.2–162.1)%, fat 61.3 (6.3–255.6)%, and carbohydrate 87.9 (13.8–352.9)%. Macronutrient intakes were significantly higher in endurance than strength subjects. Significant associations were found between energy, fat and carbohydrate intake with height and z-score height for age (<em>p</em>&lt;0.05); while protein intake was significantly associated with body height.</p> <p><strong>Conclusions: </strong>Energy, protein, fat, and carbohydrate intake were significantly associated with adolescent athletes' height. Optimizing macronutrients among athletes, especially height-oriented sports, is necessary for supporting athletes’ performance.</p> Mirza Hapsari Sakti Titis Penggalih Raden Isnanta Bayu Rahadian Margono Margono Dadi Sujadi Sifa Aulia Wicaksari Vigur Dinda Yulia Reswati Sinta Indriyani Ibtidau Niamilah Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 40 48 10.20473/amnt.v8i1.2024.40-48 The Relationship between Fad Diet, Body Image, Stress, Peer Pressure with Eating Disorders in Adolescent Girls Aged 16-18 Years <p><strong>Background: </strong>Girls experience increases in body fat and weight from puberty through late adolescence. In order to achieve their ideal body weight, young women as a consequence changed their eating habits, exercised, took care of their bodies, and used diet pills among other things. Eating disorders are caused by this practice. Persistent eating disorders can result in illness among those affected.</p> <p><strong>Objectives: </strong>The aim of this research was to examine how eating disorders in female teenagers are related to fad diets, body image, stress, and peer pressure.</p> <p><strong>Methods: </strong>An observational research methodology employing a cross-sectional analytic polling design was utilized. Purposive sampling Simple random sampling was used to collect data from a total of 111 individuals. From July to August 2022, the study was carried out in several secondary schools in Malang City.</p> <p><strong>Results: </strong>Research results revealed a significant connection between binge eating disorder and body image (p=0.002), stress (p=0.001), and social pressure (p=0.000). However, there was no observed association between fad diets and binge eating disorder. Eating disorders exhibited a multivariate relationship with fad dieting, body image, stress, and peer pressure, as evidenced by a Nagelkerke R square value of 0.595.</p> <p><strong>Conclusions: </strong>There is a correlation between eating disorders and fad diets, as well as stress, peer pressure, and body image.</p> Berliana Puspita Anik Lestari Tri Rejeki Andayani Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 49 57 10.20473/amnt.v8i1.2024.49-57 Restriction of Rice Portion and Consumption Pre-Meal Fruit with HbA1c Levels and Abdominal Fat for Type 2 Diabetes Mellitus Patient in Malang City <p><strong>Background: </strong>Glycemic control is the basis for managing diabetes to prevent chronic complications in diabetes.HbaA1c levels reaching ≤7% is an indicator of achieving good glycemic control. The 3J principles (right type, amount, and schedule) in the pillars of meal management are not easy to apply, causing diabetes to have difficulty achieving glycemic targets.</p> <p><strong>Objectives: </strong>Analyzing rice portion restriction and pre-meal fruit with HbA1c levels and abdominal fat in people with diabetes in Malang City.</p> <p><strong>Methods: </strong>Experimental study type 'randomized controlled trial' with pre-posttest control group design involved 16 people with diabetes who were active in Prolanis activities at the Malang city health center. Respondents were randomly divided into 2 groups. HbA1c levels were taken 2 times, before and after the intervention. The t test and paired t test with a pvalue&lt;0.05 were used to test the effect of the intervention on HbA1c levels, abdominal fat and abdominal circumference in people with diabetes for 3 months.</p> <p><strong>Results: </strong>Both forms of intervention can reduce HbA1c levels in diabetic patients. Limiting the portion of rice significantly reduced HbA1c levels (p=0.003) and visceral fat levels. However, determining the amount of rice with added pre-meal fruit did not significantly decrease visceral fat and abdominal circumference (p&gt;0.05).</p> <p><strong>Conclusions: </strong>Limiting the portion of rice eaten by itself or combining it with pre-meal fruit may help diabetics lower their HbA1c levels.</p> Dwipajati Dwipajati Sutomo Rum Teguh Kaswari Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 58 66 10.20473/amnt.v8i1.2024.58-66 Physical and Sensory Characteristics of Soybean and Glucomannan Based Meat Analogue for Obesity Intervention <p><strong>Background: </strong>Foods low in calories, low in fat, high in protein and fiber can be an option for treating obesity. Soy protein is high quality and low fat, while glucomannan is a fiber with low energy density. In this research, artificial meat based on soybeans and glucomannan was developed with low calories and fat but high protein and fiber for obesity intervention.</p> <p><strong>Objectives: </strong>This research aims to develop soybean and glucomannan-based meat analogue for obesity interventions and determine the physical and sensory characteristics of soy and glucomannan-based meat analogue.</p> <p><strong>Methods: </strong>This study was an experimental study with a completely randomized design, four treatment proportions (%) of soybean protein isolate-glucomannan (30:0, 29:1, 27:3, and 25:5) and three treatment replications. The data collected included physical test data (water holding capacity and cooking loss), and sensory test data (appearance, texture, aftertaste, and preferences). According to the data category, physical test data were analyzed using Variance Analysis or Kruskal Wallis. Sensory test data were analyzed using analysis of variance followed by the post hoc Duncan Multiple Range Test<strong>.</strong></p> <p><strong>Results: </strong>The proportion of soy protein isolate-glucomannan did not affect the water binding capacity and cooking loss. The water binding capacity ranges from 12.44 to 34.61%, and the cooking loss ranges from 2.17 to 4.44%. The sensory score for the appearance, taste, and texture was neither resembling (score 2) nor somewhat resembling (score 3) chicken meat. The proportion of soy protein isolate-glucomannan influences the appearance and texture but does not influence the taste, aftertaste, and level of liking. The aftertaste scores are strong and moderate. The liking score was between dislike and somewhat like.</p> <p><strong>Conclusions: </strong>Meat analogue for obesity intervention can be developed using soybeans and glucomannan. The cooking loss and water-holding capacity of artificial meat are proper, while the sensory characteristics of meat analogue do not yet resemble real meat.</p> Hiasinta Anatasia Purnawijayanti Veronica Ima Pujiastuti M.I. Ekatrina Wijayanti Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 67 73 10.20473/amnt.v8i1.2024.67-73 Factors Affecting Abdominal Circumference in Adolescent Girls <p><strong>Background: </strong>Central obesity was a health problem in Indonesia. One of indicator to find out central obesity was abdominal circumference. According to preliminary research, 28.4% of students had abdominal circumference &gt;80 cm. Central obesity cause is multifactorial.</p> <p><strong>Objectives: </strong>To identify factors related to abdominal circumference in adolescent girls.</p> <p><strong>Methods: </strong>The design research was a cross-sectional. The total sample was 89 respondents, using the Lemeshow formula. The Sampling was taken by purposive sampling. The abdominal circumference data was measured by a metline. The percentage of body fat was analyzed with the Omron body fat analyzer. Food consumption patterns used Semi Quantitative Food Frequency (SQ-FFQ). Emotional overeating used the Adult Eating Behaviour Questionnaire (AEBQ), diet attitude, and oral control with the Eating Attitude Test (EAT)-26. The Data was analyzed by STATA 13 with the spearman test.</p> <p><strong>Results: </strong>Relationship of BMI (p=0.000; r=0.677), percentage of body fat (p=0.000; r=0.56), kind of junk food (p=0.02; r=0.23). frequency of junk food (p=0.04; r=0.21), energy intake from junk food (p=0.0061, r=0.28), fat intake from junk food (p=0.018, r=0.24), total enery intake (p=0.036; r=0.222), total fat intake (p=0.01; r=0.24); total fiber (p=0.17; r=0.14); overeating (p=0.018, r=0.25); diet attitude (p=0.000; r=-0.52), and oral control (p=0.0001; r=0.39) with abdominal circumference.</p> <p><strong>Conclusions: </strong>There was a relationship between BMI, body fat percentage, junk food consumption pattern (type, frequency, amount of intake and fat), energy intake, fat intake, emotional overeating, diet attitude, and oral control of the abdominal circumference. There was no significant relationship between fiber intake and abdominal circumference.</p> Lulu' Luthfiya Kartika Pibriyanti Hafidhotun Nabawiyah Fathimah Fathimah Safira Kholifatul Ummah Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 74 81 10.20473/amnt.v8i1.2024.74-81 Analysis of Knowledge Level, Consumption Habits, Sugar and Calories Content in Ice Cream on the Nutritional Status of Depok Students <p><strong>Background: </strong>Obesity is a nutritional problem in Indonesia. A factor that influences the incidence of obesity is a high-sugar diet (ex: ice cream products). The consumption rate of ice cream increases every year and is also accompanied by an increasing number of outlets providing ice cream products. Added sugar in ice cream contributes to an increased intake of high-calorie foods that leads to obesity.</p> <p><strong>Objectives: </strong>To analyze level of knowledge, consumption habits, sugar and calorie content of ice cream on the nutritional status of Depok students.</p> <p><strong>Methods: </strong>Observational research with cross-sectional design, analyzed with frequency distribution and chi-square test. Data were obtained using online questionnaire. The research was conducted in the city of Depok, involving 939 samples of Depok students selected with purposive sampling methods.</p> <p><strong>Results: </strong>667 (71.0%) students have a good level of nutritional knowledge and 578 (61.6%) students unusually eat ice cream. There is no relationship between the level of nutritional knowledge (p-value: 0.609) and ice cream consumption habits (p-value: 0.211) on the nutritional status of students. Vanilla ice cream cup with cookies and cream topping is the most preferred ice cream, containing 13.28 grams of sugar and 154.11 kcal calories.</p> <p><strong>Conclusions: </strong>Depok students have good nutritional knowledge and unusually eat ice cream. The sugar and calorie content of the ice cream are high.</p> Salsabila Firdausiyah Nur Habieb Ibnu Malkan Bakhrul Ilmi Nanang Nasrulloh Avliya Quratul Marjan Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 82 88 10.20473/amnt.v8i1.2024.82-88 Description of Parental Feeding Style and Eating Behavior of Under Five Children with Obese in Regency of Kebumen <p><strong>Background: </strong>The prevalence of overweight among under-five children in Indonesia continues to increase. According to the Indonesian Nutrition Status Survey (SSGI), in 2022, overweight among those was 3.5%, up 1.3% from 2017, while in Kebumen, it was 3.3%, up 0.9% from 2017. Overweight children have a risk of gross motor development disorders 12 times greater than normal. Currently, few health programs focus on addressing children's obesity.</p> <p><strong>Objectives: </strong>To understand the parenting and eating behaviors of obese under five children, serving as a reference for the obesity prevention programs in the Regency of Kebumen.</p> <p><strong>Methods: </strong>This research was a descriptive study using qualitative with an in-depth interview approach. The informants were ten individuals, consisting of parents of obese children and nutritionists or midwives from local health centers.</p> <p><strong>Results: </strong>Most parents did not force their children to eat. They rarely promised anything to make the children willing to eat and often allowed them to choose their preferred foods. They provided the opportunity to increase their food portions. The frequency of main meals for children was 2 to 3 times a day, with formula milk consumption exceeding 8 bottles per day. Additionally, there was a tendency to consume high-calorie and sugary snacks. Children under one year had a history of consistently providing commercially produced complementary feeding starting at the age of 6 months.</p> <p><strong>Conclusions: </strong>An education program based on parenting of demandingness and responsiveness, and appropriate eating habits, is crucial to reducing the prevalence of overweight children in the Regency of Kebumen.</p> Ulfatul Karomah Suparno Suparno Teguh Imani Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 89 97 10.20473/amnt.v8i1.2024.89-97 Factor Analysis of Stunting Toddler Feeding Patterns using Transcultural Nursing Approach <p><strong>Background: </strong>In 2022, prevalence of stunting in Indonesia reach 21.6%. The direct causes of stunting was nutritional intake. The problem of nutritional intake was related to the cultural practices of Indonesian, so this research used a transcultural nursing.</p> <p><strong>Objectives: </strong>This study aimed to identify factors influencing feeding patterns in stunting children based on transcultural nursing.</p> <p><strong>Methods: </strong>Cluster sampling was used for this cross-sectional with 145 mother-child pairs. The independent variables were maternal education, economics, regulations and policies, cultural values and lifestyle, social and family support, religiosity and philosophy and technology. The dependent variable was feeding pattern. The instrument used was a questionnaire. Spearman Rho (p-value=0.05) was used to analyze the relationship between variables.</p> <p><strong>Results: </strong>Economic factors (p=0.031; r=0.250), government policies and norms (p=0.034; r=0.180), cultural and lifestyle values (p=0.001; r=0.540), social support and family (p=0.000; r=0.270), religious and philosophical beliefs (p=0.000; r=0.321), and technological developments (p=0.002; r=0.210) were associated with feeding pattern, no correlation between feeding pattern and mother’s education (p=0.689).</p> <p><strong>Conclusions: </strong>Economy, regulation and policy, cultural value and lifestyle, religiosity and philosophy, social support and family, and technology associated stunting child's feeding pattern. Cultural beliefs and lifestyle were the most important factors for stunting children's feeding patterns so it is envisaged that paramedics continue to expand their preventive and persuasive efforts by providing health consultations to moms and families.</p> Rifzul Maulina Reny Retnaningsih Rani Safitri Waifti Amalia Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 98 103 10.20473/amnt.v8i1.2024.98-103 The Relationship between Nutritional Status, Junk Food Consumption, and Exercise Habits of Adolescent Girls in Jakarta with the Incidence of Primary Dysmenorrhea <p><strong>Background: </strong>Every one in six people in the world is an adolescent, and as many as 85% of adolescents live in developed countries, which often experience menstrual disorders such as primary dysmenorrhea. Primary dysmenorrhea is menstrual pain in the absence of pathological conditions in the pelvis that often occurs at a young/adolescent age triggered by various factors such as nutritional status, diet, exercise habits, and stress.</p> <p><strong>Objectives: </strong>To analyze the association between nutritional status (BMI-for-age), junk food consumption, and exercise habits of adolescent girls in Jakarta with the incidence of primary dysmenorrhea.</p> <p><strong>Methods: </strong>This study used a cross-sectional design, the population of this study was all grade 11 students in Jakarta (East Jakarta, South Jakarta, West Jakarta, Central Jakarta, North Jakarta). The method of obtaining samples used was purposive sampling. The instrument used was a questionnaire regarding nutritional status, exercise habits and junk food consumption patterns assessed using the Food Frequency Questionnaire (FFQ) through Google Forms.</p> <p><strong>Results: </strong>The results showed a significant relationship between nutritional status (p = 0.022), junk food consumption (p = 0.000), and exercise habits (p = 0.000) with the incidence of primary dysmenorrhea.</p> <p><strong>Conclusions: </strong>There was a correlation between nutritional status, junk food consumption, and exercise habits on the incidence of primary dysmenorrhea in adolescent girls in Jakarta. Further research is needed on the relationship between nutritional status, junk food consumption and exercise habits with the incidence of primary dysmenorrhea in other age groups, and with different methods to expand knowledge related to factors that cause primary dysmenorrhea.</p> Ariela Primalova Megah Stefani Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 104 115 10.20473/amnt.v8i1.2024.104-115 The Association of Current Knowledge on Gene-Based Nutrition Services with Involvement and Confidence Levels among Nutrition Workers in Indonesia <p><strong>Background: </strong>The knowledge, involvement, and self-confidence of nutrition professionals are highly required in the implementation of gene-based nutrition services. The limited number of nutrition professionals applying gene-based nutrition services poses a unique challenge in the developmental process of gene-based nutrition services in Indonesia.</p> <p><strong>Objectives: </strong>This study aims to identify the association between the knowledge, engagement, and confidence levels of nutrition workers with gene-based nutrition services in Indonesia.</p> <p><strong>Methods: </strong>This cross-sectional study was conducted in May-June 2023. The participants consisted of nutrition workers from five provinces in Indonesia. The instrument of this study used structured questionnaires encompassing socio-demographic information, knowledge, engagement, and confidence levels of nutrition workers distributed using the Qualtrics Survey platform. Data analysis employed the chi-square test with the help of Statistical Package for the Social Sciences (SPSS) version 25.0.</p> <p><strong>Results: </strong>This study involved a total of 423 respondents. Findings indicated that 53.4% of nutrition workers possessed limited knowledge, 60.0% exhibited minimal engagement, and 51.8% held low confidence levels in gene-based nutrition services. Notably, a significant correlation was identified between knowledge and confidence in gene-based nutrition services (p=0.001; PR=2.0; CI=1.35-2.94). Additionally, a significant association was present between knowledge and engagement in gene-based nutrition services (p=0.001; PR=2.00; CI=1.34-2.96).</p> <p><strong>Conclusions: </strong>This study highlights the association of low nutritionists’ knowledge with low personal involvement and confidence levels to gene-based nutrition services in Indonesia. Nutrition professionals are encouraged to enhance their grasp of genetics and its relevance to nutrition through dedicated training, participation in seminars, and ongoing education initiatives.</p> Alfina Ulfah Farhan Rafiqah Dwita Hafizhah Arif Sabta Aji Yulinda Kurniasari Herni Dwi Herawati Ifana Fitria Zulfa Sintia Aurilia Putri Rina Alfiana Copyright (c) 2023 Amerta Nutrition 2024-03-08 2024-03-08 8 1 116 123 10.20473/amnt.v8i1.2024.116-123 The Relationship between Ultra-Processed Food Consumption with Diet Quality and Overweight Status in Young Adults <p><strong>Background: </strong>A transition in diet habits towards a greater intake of ultra-processed processed foods is prone to transpire during adulthood. An elevated intake of ultra-processed processed foods affected poor diet quality and elevates the risk of developing obesity.</p> <p><strong>Objectives: </strong>To ascertain the correlation between the intake of ultra-processed food, the quality of one's diet, and the prevalence of overweight in young adults.</p> <p><strong>Methods: </strong>The study was undertaken using a cross-sectional design. A total of 87 participants in the study were college students between the ages of 18 and 25. They were selected using a purposive sampling technique. The data was collected using the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to assess ultra-processed food intake. The Diet Quality Index-International (DQI-I) was used to evaluate the total diet quality. The Body Impedance Analyzer (BIA) was employed to measure body fat percentage and identify the nutritional status. The statistical analysis employed the Mann-Whitney and ANOVA tests.</p> <p><strong>Results: </strong>There are 9.1% of the participants were classified as overweight, with a diet of low quality at a level of 62.15%. Additionally, 64.4% of the participants consumed ultra-processed foods that fell inside quintile 3. The higher the intake of ultra-processed foods, the higher the total intake of energy, carbs, proteins, and fats, which affects diet quality (r=-0.480). There is a correlation between the consumption of ultra-processed processed foods and excess nutritional status (p=0.022) and low quality of the subject's diet (p=0.000).</p> <p><strong>Conclusions: </strong>High levels of ultra-processed food intake is correlated with lower diet quality and overweight nutritional status.</p> Aryanti Setyaningsih Indri Mulyasari Puji Afiatna Happy Risa Putri Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 124 129 10.20473/amnt.v8i1.2024.124-129 Efforts Undertaken by Several ASEAN Countries to Address Childhood and Adolescent Obesity in School-Based Programs: A Systematic Review <p><strong>Background: </strong>Childhood and adolescent obesity is on the rise in Southeast Asia. Necessitating stronger actions from ASEAN governments to address this issue, because the significant financial and social welfare implications. Schools provide an effective platform for targeted interventions among children and adolescent groups.</p> <p><strong>Objectives: </strong>This study provides an overview of school-based nutrition interventions implemented in ASEAN countries to address childhood and adolescent obesity.</p> <p><strong>Methods: </strong>A literature review was conducted by searching multiple databases (Google Scholar, PubMed, ProQuest, ScienceDirect, and Web of Science) between April 1 and May 1, 2023. The search included computer-based searches and manual search in relevant journals. The articles considered were limited to publications from the past 10 years.</p> <p><strong>Discussion: </strong>School-based nutrition interventions in ASEAN countries require further development, with attention to key factors such as intervention duration, sample size, and family involvement.</p> <p><strong>Conclusions: </strong>Urgent large-scale research is needed to evaluate the effectiveness of existing school-based nutrition programs. Integrated and effective programs require support and collaboration from families, the private sector, and the government.</p> Alinda Rahmani Siti Rahayu Nadhiroh Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 151 160 10.20473/amnt.v8i1.2024.151-160 The Association between Maternal Dietary Diversity and Minimum Acceptance Diet on Toddlers to Prevent Undernutrition in Developing Countries: A Systematic Review <p><strong>Background: </strong>The MAD in children has an important role in preventing the risk of undernutrition. MAD in children is often associated with MDD in mothers because the mother's consumption pattern continues to feed the child who is born.</p> <p><strong>Objectives: </strong>This systematic review aims to examine the relationship between MDD in mothers and MAD in children, and its role in undernutrition prevention.</p> <p><strong>Methods: </strong>Articles were selected using the PRISMA method. Articles were obtained from Sciencedirect, Medline, and Embase in the 2017-2022 timeframe without data restrictions. The vocabulary used in the search is "Maternal Dietary Diversity" and "Minimum Acceptable Diet", and undernutrition, and only researched articles in English. Table matriculation was carried out to obtain an overview of the relationship between MDD in mothers and children's MAD in undernutrition prevention.</p> <p><strong>Discussion: </strong>Research from 7 selected studies was conducted in five developing countries with high levels of food insecurity. Samples were obtained of 167 to 10,291 children aged 6-59.9 months. Six studies indicate the level of food insecurity in the area studied. Four of the seven studies showed significant results between MDD in mothers with MAD and undernutrition in children.</p> <p><strong>Conclusions: </strong>Maternal MDD has a significant role in MAD in children and can be one of the factors that influence undernutrition, especially in developing countries which are highly food insecure.</p> Dominikus Raditya Atmaka Fatqiatul Wulandari Nandia Firsty Dhorta Qonita Rachmah Stefania Widya Setyaningtyas Mahmud Aditya Rifqi Rian Diana Anisa Lailatul Fitria Azizah Ajeng Pratiwi Tiara Tivany Simangunsong Nila Reswari Haryana Aliffah Nurria Nastiti Asri Meidyah Agustin Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 161 170 10.20473/amnt.v8i1.2024.161-170 Front Matter Vol. 8 No. 1, March 2024 Amerta Nutrition Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 Back Matter Vol. 8 No. 1, March 2024 Amerta Nutrition Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 The Relationship between Quality of Nutrition Care and Length of Hospitalization: a Literature Review <p><strong>Background: </strong>Inpatients’ needs for nutrition are fulfilled by providing food services based on their specific requirements. Further, interventions focusing on improving their nutritional wellbeing can reduce their length of stay and at the same time improve the hospital’s service quality.</p> <p><strong>Objectives: </strong>The objective of this study is that to identify the relationship between quality of nutritional care and the patient's length of stay.</p> <p><strong>Methods: </strong>This research reviews past quantitative studies available in the databases of NCBI-PUBMED, Springer Link, Cochrane and Google Scholar. They must be peer-reviewed articles published in English from 2017 to 1 October 2022, and the mean age of the patients being discussed is 18 years or more. As this study only reviews full articles, abstract-only texts were excluded. In addition, the data form the selected papers were extracted by three researchers.</p> <p><strong>Discussion: </strong>From many factors influencing patient’s length of stay, besides the fact that comorbidities affect the duration of the disease suffered by the patient, malnutrition during illness is the most dominant one. Comorbidities affect the duration of the disease suffered by the patient. Length of stay is influenced by patients’ nutritional intake, so screening on which at hospital admission is crucial for their health status and length of stay.</p> <p><strong>Conclusions: </strong>For hospitals, improving the quality of their nutrition services helps focus their attention to nutritional care, and rapid intervention can shorten length of stay. In addition, malnutrition is significantly worsened by mealtime barriers and poor food intake and prolongs length of stay.</p> Fitri Yenni Martalena BR. Purba Ahmad Syauqy Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 130 138 10.20473/amnt.v8i1.2024.130-138 The Effectiveness of Low-Carb Diet vs Low-Fat Diet on Body Composition in People with Obesity: A Literature Review <p><strong>Background: </strong>Obesity is still become a serious problem today. Obesity is caused by excessive adipose tissue. One of many factors that contribute to a person's obesity is food intake. Excess carbohydrate and fat intake will be stored in the form of triglycerides in adipose tissue. In the meantime, Low-Carb Diet (LCD) and Low-Fat Diet (LFD) are one of the most popular treatments on obesity. However there are many pros and cons related to each diet based on several studies.</p> <p><strong>Objectives: </strong>The indicated study aims to determine the effectiveness of LCD and LFD on body composition in people with obesity.</p> <p><strong>Methods: </strong>The study was conducted through journal and literature review, based on five journal publications, filtered by related keywords. In accordance to inclusion and exclusion criteria within the last ten years in Pubmed/Medline database, Science Direct, and Wiley Online Library with the keywords "Low-Carb Diet", "Low-Fat Diet", "Body Mass Index", "Lipid Levels", "Adipose Tissue", "Obese", and "Body Water".</p> <p><strong>Discussion: </strong>Total body mass and fat mass decreased significantly after being given LCD intervention compared to LFD. The group that was given two dietary interventions also losing weight, but there was no changes in body water. In addition, negative effects were found from the LCD and LFD interventions such as constipation, fatigue, polyuria, nausea, vomiting, changes in appetite, and headaches. Kidney failure, ketosis, and premature coronary artery also occurred in the group that was given with LCD intervention.</p> <p><strong>Conclusions: </strong>LCD and LFD interventions can affect body composition of people with obesity.</p> Tutut Rizki Indriyani Atika Rahmawati Luthfiani Khoirunnisa Izka Sofiyya Wahyurin Copyright (c) 2024 Amerta Nutrition 2024-03-08 2024-03-08 8 1 139 150 10.20473/amnt.v8i1.2024.139-150