Jurnal Gizi dan Pangan

The Potential use of Anthropometric Parameters to Predict the Anemia Status of Adolescent Girls

Melda Oktaviana — 2023-11-30

The study assesses the potential use of anthropometric parameters and their optimal cut-off value for predicting the anemia status of adolescent girls. This cross-sectional study analyzed data from 2,184 adolescent girls aged 15‒19 years from West Bandung and Sumedang districts of Indonesia who participated in the Better Investment for Stunting Alleviation Program (BISA). Anemia is defined as a Haemoglobin (Hb) level <12 g/dl and was analyzed by HemoCue® 201+. Anthropometric parameters studied were Body Weight (BW), BMI-for-Age z-Score (BAZ), Waist Circumference (WC), Waist-to-Hip Ratio (WHR), and Waist-to-Height Ratio (WHtR) and all were measured according to WHO procedure. Receiver Operating Characteristics (ROC) was used to analyze the potential of anthropometric parameter to predict anemia status. Based on multivariate analysis, a significant correlation was found between age (OR=0.88; 95% CI:0.79‒0.97) and WHtR (OR=0.12; 95% CI:0.02‒0.63) with anemia status. The ROC analysis revealed that the WHtR parameter had the highest Area Under the Curve (AUC) for predicting anemia, although with a very low accuracy (AUC=0.529). The optimal cut-off with value of WHtR for adolescent girls was ≤0.44. This study suggests that WHtR is a potential parameter for early detection of anemia status among adolescent girls and needs to be confirmed with further studies.

Determinants of Poor Diet Quality among Elderly with Low Socioeconomic Status

Nurul Syahidah Nazri — 2023-11-30

The purpose of this study was to evaluate the factors that contribute to the elderly with low socioeconomic status eating poor-quality diets. Two hundreds and ninety three (293) senior citizens, including 136 men and 157 women, were sought out from five districts in Kelantan. Data on socio-demography, medical history, empty nest, depressive symptoms and diet history were obtained through an interview-administered method. Anthropometry measurement including height, weight and circumferences (waist, hip, calf and mid-upper arm) were measured. Body composition were measured using body composition monitor to obtain muscle mass and fat mass. Blood pressure were measured using blood pressure monitor. The Asian Working Group for Sarcopenia (AWGS) algorithm was used to determine the diagnosis of sarcopenia. 48.8% of the participants were underweight. The majority of participants fell short of the suggested daily calorie consumption. 42% of the participants had poor diet quality according to Healthy Eating Index (HEI) score. Hypercholesterolemia and poor Short Physical Performance Battery (SPPB) score were found to be risk factors of poor diet quality. Therefore, nutrition interventions are important to help low-income families especially with older adults to improve their nutritional status for reducing risk of sarcopenia and chronic diseases.

Undernourishment Needs Overemphasis: Lived Experiences of Elementary Teachers and Parents Having Undernourished Schoolchildren

Avril Alys Cuba — 2023-11-30

This present study aimed to explore the lived experiences of parents and elementary teachers with undernourished children or pupils. These pupils are enrolled in two elementary schools in the 4th District of Santa Catalina under the Division of Negros Oriental, Philippines. Employing the descriptive phenomenological design through the unstructured in-depth interview method on the experiences of teachers and parents with undernourished schoolchildren, twelve participants agreed to participate in this study. Digitally recorded interviews were thematically analyzed to generate the themes and subthemes. We generated four themes: (a) pupils' poor class performance and behavior; (b) teachers' strategic initiative aimed at enhancing performance and behavior; (c) Department of Education’s (DepEd) support for pupils' well-being; and (d) children's poor eating behavior. Teachers were challenged in handling pupils who are undernourished as the latter becomes mentally and physically absent in the classroom. To ensure that these pupils are not left behind, teachers make some interventions, like peer tutoring, to help the pupils cope with every day’s lesson. With the intention of improving the nutritional status of undernourished pupils, schools implemented the school-based feeding program and the giving of nutritious foods that may be brought home for pupils’ breakfast or supper. We conclude that despite the challenges encountered, teachers and parents devise interventions to lessen the negative effects of undernutrition with the help of DepEd.

Potential Maternal Risk Factors for Low Birth Weight in Indonesia: A Systematic Review

Yuni Nurwati — 2023-11-30

This review was conducted with the aim of summarizing the articles on the potential maternal risk factors for Low Birth Weight (LBW) in Indonesia. All observational studies conducted in Indonesia between 2010 and 2022 were thoroughly reviewed in this study. The articles were retrieved from "PubMed", "ScienceDirect", "Web of Science", and "Garuda". The retrieval was supplemented by snowball sampling technique. This review was constructed according to the PRISMA guidelines and the quality of the articles was assessed according to the STROBE guidelines. Of the 129 articles, only 12 articles met the inclusion criteria. Maternal variables such as education (50%), household wealth (33.3%), nutritional status (33.3%), age (25%), pregnancy complications (25%), marital age (16.7%), gestational weight gain (16.7%), ANC visit (16.7%), weight at third trimester (16.7%), twin birth (16.7%), birth interval (16.7%), iron supplementation (8.3%), parity (8.3%), and anemia status (8.3%) were found to be the risk factors for LBW incidence. This review found that almost all potential maternal risk factors contributing to LBW are preventable. It may help policy makers to design a more effective LBW prevention intervention and early risk identification for pregnant women. Appropriate follow-up by health workers for clinical intervention will also help to improve their pregnancy outcomes.

Validation of a Questionnaire on Knowledge and Barriers of Breast Milk Expression among Mothers of Premature Infants

Wan Haiera Wan Nor — 2023-11-30

This study aimed to develop and validate a Malay language questionnaire to assess mothers' knowledge in providing breast milk for premature infants, and barriers to breast milk expression while the infants are in the Neonatal Intensive Care Unit (NICU). Two tertiary hospitals in Kelantan, Malaysia participated in this cross-sectional study. Relevant items of knowledge and barriers were identified through a literature search, clinical observations, and expert opinion. Ten breastfeeding experts validated the content of the knowledge and barriers to breast milk expression questionnaire.The effectiveness of the questionnaires was tested for face validity among ten mothers, followed by reliability tests comprising 50 mothers who gave birth prematurely. The 20 knowledge items and 16 barrier items have an Item-level Content Validity Index (I-CVI) of 0.99, indicating good relevance of the knowledge and barrier items. The knowledge and barrier questionnaires had Item-level Face Validity Indexes (I-FVIs) of 1.00 and 0.99, respectively, suggesting clear and comprehensible items. The questionnaires obtained a Cronbach alpha score of 0.726 for knowledge and 0.736 for barriers, showing that they are reliable tools for assessing knowledge and breast milk expression barriers. The validity and reliability of the newly developed Malay version of the questionnaire have been established for evaluating breastfeeding knowledge and barriers to expressing breast milk among mothers with premature infants.

Geophagia in Nigeria: Perceptions and Practices of Pregnant Mothers versus Possible Health Outcomes

Eridiong Ogbonna Onyenweaku — 2023-11-30

This study aimed at ascertaining the perceptions and practices of pregnant mothers on geophagia, as well as highlighting possible health outcomes. For the cross-sectional survey, a structured questionnaire was designed, content-validated by experts, pre-tested and used for data collection. The questionnaires were administered to 200 pregnant mothers at health care facilities in southern Nigeria (particularly in Calabar and Onitsha), who consented to be part of the study. The findings of this study show that about 75% of the pregnant mothers admitted to consuming edible clays both during and after pregnancy with 60% of them stating that it was a safe practice during pregnancy. Also, the results show that income level and educational attainment significantly (p<0.05) influenced the perception and practices of the respondents regarding geophagia. Of the 2 edible clays explored in this study, kaolin clay was more popularly consumed than bentonite clay. With regards to respondents’ health status, none of them admitted to developing anaemia or any chronic disease during pregnancy. In conclusion, edible clays are still commonly consumed by women in Southern Nigeria, irrespective of age and exposure. Scientific reports show that these clays contain appreciable amounts of certain anti-nutrients and heavy metals, hence it is necessary to create awareness on the possible dangers related to their increased consumption, particularly during pregnancy.

Nutrient Profiling Model Towards Recommendation of A Healthy Diet: A Scoping Review

Ruhaya Salleh — 2023-11-30

The objective of this study is to identify the availability of Nutrient Profiling (NP) models worldwide and discuss their application. This scoping review is based on the Preferred Reporting Items for Systematic Review and Meta-Analyses Extension for the Scoping Review (PRISMA-ScR) and the Arksey and O’Malley framework. Articles related to NP among adults published from 2012 to 2022, written in English, were retrieved from the Web of Science, Science Direct, Scopus, and Pubmed databases. Mendeley software was used for database acquisition and MS Excel for the syntesis process. Only 17 articles out of 2,019 article titles identified met the inclusion criteria for the review. This review discovers that the applications of NP in nutrition policies include food labelling, Front-Of-Pack (FOP), and regulations on food marketing, health, and nutrition. Fibre is the nutrient that needs to be included in the NP application compared to saturated fats, fatty acids, sodium, and total sugar. This scoping review demonstrates the scientific basis of the NP model’s development in public health policy, leading to advocacy and the recommendation of healthy diets.

[JGP] Front Matter

Prof. Dr. Dodik Briawan, MCN — 2023-11-30

[JGP] Back Matter

Prof. Dr. Dodik Briawan, MCN — 2023-11-30