Jurnal Gizi dan Pangan

Minimum Acceptable Diet and its Associated Factors among Children Aged 6–23 Months in Indonesia

Rani Fitri Pranita — 2023-03-30

This study aimed to assess the fulfillment of the Minimum Dietary Diversity for children (MDD), the Minimum Meal Frequency (MMF), and the Minimum Acceptable Diet (MAD) and analyze the correlation between individual, socioeconomic, and demographic characteristics and the MAD in children between the ages of 6 and 23 months in Indonesia. This study used a cross-sectional study design. The subjects were 798 children between the ages of 6 and 23 months in Indonesia from a National Total Diet Study. The data collection on the MDD, the MMF, and the MAD used twenty-four-hour dietary recall. The chi-square and multiple logistic regression models were applied in this study with a p-value<0.05 considered significant predictors of outcome variables. The MDD, MMF, and MAD were met by 63.9%, 91.3%, and 61.8% of children, respectively. Significant positive relationships of child's age, mother's educational status, and area of residence (p<0.001) to the MAD. The determinants factors of MAD were the child's age (p<0.05; OR=7.06; 95% CI:3.46–14.38) and area of residence (p<0.05; OR=1.61; 95% CI:1.19–2.15). In conclusion, it is still necessary to improve the fulfillment of the MAD (a combined indicator of the MDD and the MMF). The government's role is to provide balanced nutritional child feeding programs based on local food, strengthen behavior change communication to meet nutritionally balanced complementary foods for children, and improve child nutrition services at posyandu.

Supplementary Biscuits for the Recovery of Malnourished Children in Indonesia

Budi Setyawati — 2023-03-30

The objective of this research was to study the nutritional status of children before receiving biscuits, the biscuit supplementation regularity, the adequacy of the biscuits received and consumed by the children according to recommendations, and the relationship between supplementary biscuits consumption and nutritional status. Using a cross-sectional study design, the study was conducted in 2017 involving 586 children in three regions (11 provinces) in Indonesia. A chi-square test was performed to see the relationship between supplementary biscuits consumption and nutritional status. The most common nutritional problems were stunting-wasting (34.1%), stunting (32.6%), and wasting (23.9%). The nutritional problems occurred most often in the eastern region (96.4%), followed by the central region (95.5%) and the western (87.1%). Within three months, 66–78% of respondents received supplementary biscuits regularly, but only 10–29% received the supplementary biscuits as recommended in the same period. Within the three months’ period, from respondents that received the supplementary biscuits as recommended, the region in which children consumed the biscuits according to the recommendations the most was the eastern region (45.2%), followed by the western (23.3%) and central regions (5.3%). Children who consumed biscuits as recommended in the three months’ period had a 2.9 times possibility of having a normal nutritional status (categorized based on the weight-for-age index) (p-value=0.049).

Hepatoprotective Effect of Parijoto Fruit Extract (Medinilla speciosa Blume) on Male Mice Fed with High-Fat Diet

Inasa Nabila — 2023-03-30

This study aims to determine the effectiveness of parijoto fruit extract (Medinilla speciosa Blume) in improving the condition of fatty liver in male balb/c mice (Mus musculus L.) fed with a high-fat diet. Thirty male balb/c mice weighing 20 to 30 g were randomly divided into six groups, i.e: 1) Standard feed and Carboxymethyl Cellulose Sodium or CMC-Na 0.5% (K1); 2) High-fat diet and CMC-Na 0.5% (K2); 3) High-fat diet and simvastatin 0.026 mg/day (K3); 4) High-fat diet and parijoto fruit extract 5.6 mg/20 g BW (P1); 5) High-fat diet and parijoto fruit extract 8.4 mg/20 g BW (P2); 6) High-fat diet and parijoto fruit extract 11.2 mg/20 g BW (P3). Standard feed, high-fat diet, simvastatin, and parijoto fruit extract were administered for 56 days. On the 57th day, the total of 30 mice were terminated and the livers were then removed for H&E staining histopathological slides. Data on the degree of fatty liver on histopathological slides were collected and analyzed using the Kruskal-Wallis test and followed by the Mann-Whitney test. The histopathological analysis showed Medinilla speciosa Blume extract at a dose of 5.6 mg/20 g BW in group P1 prevent the steatosis degree compared to high-fat feed mice in group K2 (p>0.05). Parijoto fruit extract could act as the potential treatment for fatty liver.

Breastfeeding Trends and it's Related Factors in Indonesia: A National Survey

Yoyok Bekti Prasetyo — 2023-03-30

This cross-sectional study aimed to examine breastfeeding trends and factors in Indonesia using Demographic Health Survey (DHS) data from 2007 to 2017. The research data were obtained from three Indonesia Demographic Health Surveys. The data covered households and women aged 15‒49 years old, including 40,701 households and 32,895 women in 2007; 43,852 households and 45,607 women in 2012; and 47,963 households and 49,627 women in 2017. Descriptive statistics was deployed to analyze the sociodemographic factors of the respondents. A questionnaire was employed to obtain data on the mothers' age, residence, education, economic status, mother working, marital status, literacy, place of delivery, first Antenatal Care (ANC) place, child size at birth, and gender of the child. Multinomial logistic regression analysis was used to analyze factors related to breastfeeding and how big the impact is. The findings indicate that the trend of breastfeeding in Indonesia significantly decreased based on the characteristics of mothers and children. The rates of breastfeeding (exclusive breastfeeding infants aged 0‒5 months who received only breast milk) among mothers living in urban areas decreased significantly from 41.6% in 2012 to 38.4% in 2017. In 2017, children with normal birth weight (OR=0.87, 95% CI:0.53‒1.45), boys (OR=1.01, 95% CI:0.92‒1.10), and non-illiterate mothers (OR=0.50, 95% CI:0.46‒0.55) had higher odds of breastfeeding compared to children with small birth weight, girls, and illiterate mothers. Factors associated with breastfeeding also change every year. In 2012, breastfeeding was related to marital status and delivery, but in 2017 it was not associated with those factors. Factors related to breastfeeding in Indonesia are age, residence, education, weight index, size of child at birth, mother’s occupation, marital status, literacy, place of delivery, and first ANC place. These results are important for developing policies to improve maternal and child health in Indonesia by increasing education and mother training for early initiation of breastfeeding.

Protective Effects of the Polyphenolic-Rich Fraction of Cornsilk against Oxidative Stress in Streptozotocin-Induced Diabetic Rats

Nurraihana Hamzah — 2023-03-30

Diabetes Mellitus (DM) has become a significant public health problem worldwide and primarily correlated to hyperglycaemia and abnormal lipid and antioxidant levels. Fruit and vegetable wastes are rich in phenolic compounds thus suitable for antioxidant sources. Cornsilk (CS), a maize cultivar waste, also contains phenolic compounds. The current study investigated the anti-hyperglycemic and antioxidative properties of the Phenolic-Rich Fraction of Cornsilk (PRF-CS) in Streptozotocin (STZ)-induced diabetic rats. Five groups of 30 male Sprague Dawley rats were employed in this study. A sample size of six rats each is placed in five groups: Normal-Control (NC), Diabetic-Control (DC), Diabetic-PRF-CS treated 100 mg/kg (DPRF100) and 200 mg/kg (DPRF200), and Diabetic-Metformin Treated (Dmet) groups. The PRF-CS was administered at 100 and 200 mg/kg doses for 28 consecutive days to the diabetic rats. Treatment with both doses of PRF-CS (DPRF100 and DPRF200) significantly decreased the blood glucose levels of the rats (p<0.05). Additionally, the PRF-treated rats demonstrated significantly decreased (p<0.05) lipid peroxidation (3.60±0.23 and 3.31±0.56 µmol/g, respectively). The hepatic antioxidant enzyme activities of Superoxide Dismutase (SOD) (169.35±4.75 and 175.30±3.69 U/mg, respectively), Catalase (CAT) (1457.51±152.74 and 2011.99±396.96 U/mg), and Glutathione Peroxidase (GSH-Px) (63.43±2.99 and 78.47±4.51 U/mg) were also elevated in contrast to the DC group. Furthermore, the PRF-CS administration improved the histological alterations in the liver tissues of the DPRF100 and DPRF200 rats. In conclusion, PRF-CS treatment exhibited protective effects in the diabetic rat model by decreasing oxidative stress and preserving liver integrity.

Plant-Based Diet during the Prepubertal Period and Age at Menarche: A Systematic Review

Stefani Christanti — 2023-03-30

This systematic review aimed to analyze the effect of a prepubertal plant-based diet, through dietary patterns and its nutritional components, on the age at menarche. Systematic searches through Medline (EBSCO), Embase, Health & Medical Collection (Proquest), Scopus, and Google Scholar for articles published between January 2000 and September 2022 in English using the keywords of plant-based diet, age at menarche, and their synonyms identified 673 articles. Articles were screened through titles and abstracts, as well as full-text reviews based on inclusion/exclusion criteria and assessment of research quality using the JBI Critical Appraisal Tools with a JBI cut-off final score of >50%, leaving 12 articles in this systematic review presented in the PRISMA 2020 flowchart. Data analysis was conducted descriptively by comparing findings between articles. Age at menarche/puberty was reported as an outcome of food intake through a vegetarian diet, Mediterranean diet, vegetable protein, phytoestrogens and isoflavones, and dietary fiber. Based on the analysis of each subgroup, the plant-based diet did not consistently influence the incidence of menarche. In conclusion, a plant-based diet does not significantly affect age at menarche when it is accompanied by a balanced intake of energy and macro-micronutrients. The principles of balanced nutrition and the assistance of nutritionists are needed in practicing a plant-based lifestyle, especially for children and adolescents who are still in the developmental stage.

Awareness, Knowledge, and Practices towards Reading Snack Food Labels among Malaysian Adolescents

Norazmir Md Nor — 2023-03-30

This study aimed to determine the awareness, knowledge, and practices regarding food labels and factors that influence their use; a cross-sectional study was conducted among 200 Malaysian adolescents aged 10 to 19. Participants completed an online Food Label Use Questionnaire (FLUQ) that included demographic, nutrition knowledge, label use, and factors affecting label use. SPSS version 28.0 was used for data analysis. The results showed that 93% of adolescents correctly identified the consequences of over-consuming calories. Still, only 84.5% performed well on the nutrition use task, struggling to interpret calorie and carbohydrate amounts in certain foods. The main reasons for not using food labels were time constraints (45.5%), unattractive or confusing labels (36%), absence of labels on certain foods (33%), lack of health concerns (32%), and insufficient knowledge (27%). However, 90.5% of adolescents were concerned about product expiration dates and often read this information. Taste and price were the main reasons for referring to food labels, while time constraints were the main barrier to their use. In conclusion, practicing reading food labels can guide adolescents in making informed decisions about their food choices and portion intake. Awareness campaigns can aid in promoting healthy habits and empowering adolescents to make the right choices for their health.

[JGP] Front Matter

Prof. Dr. Dodik Briawan, MCN — 2023-04-04

[JGP] Front Matter

[JGP] Back Matter

Prof. Dr. Dodik Briawan, MCN — 2023-04-04

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