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Background: Adolescents experience changes as a response to concerned behaviour about body shape, leading to a restricted diet in their food consumption. It is stated that 76.56% of male students and 82.87% of female students experienced body dissatisfaction. As a result, the students are developing negative eating behaviour despite having a normal nutritional status. Methods: This comparative cross-sectional study was conducted at IPB University dormitories. The study involved selecting samples using a systematic random sampling method. Total samples were 80 students. Results: A significant difference was found in the diversity of food consumption between male and female subject groups (p=0.038). This research also showed other significant differences found in consumption of green leafy vegetable group (p=0.013), fruits and vegetables source of vitamin A group (p=0.000), and meat and fish group (p=0.033) within the male and female subjects. The other significant differences were also found in the frequency of exercise (p=0.000) and in the level of physical activity (p=0.027) between male and female subject groups. There was a significant correlation between nutritional knowledge and nutritional status of male (r=0.784, p=0.045) subjects, and correlation between body dissatisfaction and nutritional status of male (r=0.349, p=0.027) and of female (r=0.383, p=0.015) subjects. Conclusions: There was a significant relationship between nutritional knowledge and nutritional status in male subjects. Furthermore, there is a relationship between body dissatisfaction and the nutritional status of the subject, where subjects with more nutritional status tend to have higher body dissatisfaction scores.
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Background: Stunting is one of the unresolved nutritional problems in Indonesia. The coastal areas of Nabire Regency have a high prevalence of stunting, which is more than 20%. This study aims to further analyze the risk factors for stunting in children aged 6-24 months in the coastal area of Nabire Regency. Methods: The research design used was a case-control study with matching age, gender, socioeconomics, and village monographs, performed in August 2022-June 2023. The number of samples in this study was 112 subjects (children’s 6-24 months). Collected by questionnaires, data of family characteristics, toddler characteristics, maternal characteristics, history of infectious diseases, IYCF practices, nutritional intake of toddlers, complete basic immunization status of toddlers, maternal anemia history, maternal SEZ history, and maternal ANC history. The risk of independent variables was analyzed by logistic regression test by SPSS 16. Results: The results showed that the risk factors for stunting were birth length (OR=6.38), birth weight (OR=6.73), current weight (OR: 15.59), history of anemia during pregnancy (OR=19.60), history of ANC during pregnancy (OR=41.88), frequency of respiratory infection (OR=39.00), frequency of diarrhea (OR=2.37), early initiation of breastfeeding (OR=0.33), exclusive breastfeeding (OR=0.41), 6-24 months breastfeeding (OR=0.39), complementary feeding practices (OR=2.60), protein intake (OR=6.75). Conclusions: Nabire Regency with its diversity of socio-cultural life, and unique geographical conditions, certainly has problems and determinants of stunting that are different from other parts of Indonesia. The most influential risk factor for stunting is the history of ANC during pregnancy and frequency of respiratory infections.
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Background: Nutritional problems had become the major problem for many developing countries such as in Indonesia. One of nutritional problems that brought high concern to date is stunting problem. Result from 2021 Indonesian nutritional status study stated the stunting prevalence of toddlers in Indonesia was 24.4%, where Cianjur regency as one example of regencies in West Java has fairly high stunting rate (33.7%). Methods: This study is applying a cross-sectional design. The research was conducted in May-July 2022 in Cianjur regency. As subjects of this study were 24-59 months toddlers who were selected by a method of clustered sampling. The research data was collected by questionnaires and a direct measurement method. Then, data analysis was conducted by Chi-square and logistic regression analysis. Results: The result showed the prevalence number of stunting in Warungkondang district, Cianjur regency was 40.70%, with influencial factors were the birth weight (p=0.012), history of: cough (p=0.050), fever (p=0.037), diarrhea (p=0.040) during the last 3 months, the mother’s knowledge level (p=0.050), the food diversity (p=0.048) and the health care pattern (p=0.004). Conclusions: There are several influential factors to stunting problem such as birth weight, history of infectious diseases, the level of mother’s nutritional knowledge, the food diversity and health care patterns. For the most dominant factors that influence stunting are mother’s nutritional knowledge and the birth weight of the baby. It indicates the causes of stunting are not only triggered by health factors. Therefore, collaboration with various stakeholders is needed to overcome the stunting problem.
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Background: The indigenous community of Kasepuhan of Ciptagelar lives in villages that still hold the local traditions firmly. In contrast, the indigenous community of Kasepuhan of Sinar Resmi geographically live in more open villages, so they can easily interact with people from other villages. Culture contributes social values to food consumption and nutritional status. Methods: This cross-sectional study was conducted on the two indigenous communities from January 2015 until June 2016. The study involved selecting samples using stratified random sampling. The total sample was as many as 200 households. Results: The study found that 70.3% of mothers in Kasepuhan of Ciptagelar and 48.6% in Kasepuhan of Sinar Resmi have low nutritional knowledge (score <60). The households living in both Kasepuhans had high dietary consumption diversity. However, a household in Ciptagelar had a higher dietary diversity score (6.4�4) than in Sinar Resmi (5.7�0) (p=0.032). The foods taboo for pregnant mothers were meatballs, Reundeu leaves, durian, pineapple, and Ambon banana. The foods taboo for children under five were meat, chicken feet, chicken tail, chicken liver, chicken gizzard, and seafish. The stunting prevalence of children in Ciptagelar was 44.3%, while Sukaresmi was 22.9%. Conclusions: Based on those findings, the mother抯 nutritional knowledge in Kasepuhan of Sinar Resmi was better than in Kasepuhan of Ciptagelar. The diversity of household food consumption in Kasepuhan of Ciptagelar was higher. However, there was a possibility that the nutritional intake of children in Kasepuhan of Ciptagelar was lower. Consequently, the stunting prevalence was higher in Kasepuhan of Ciptagelar than in the Kasepuhan of Sinar Resmi.
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Background: As a part of social cognitive theory (SCT), personal factors can be potential mediators of behavior change. Knowing what motivates adult obese women to carry out healthy life behavior can help program planners develop intervention strategies to overcome obesity. This study examined the personal factors influencing obese women's motivation to adopt healthy life behaviors. Methods: This descriptive-qualitative study was conducted from July to October 2021 in the city of Bogor, Indonesia. Participants were selected by purposive sampling from eight noncommunicable diseases (NCDs) posts (NCDs Posbindu). The data were collected using semi-structured, open-ended questions using a video conference platform. All the recorded interviews were transcribed verbatim. Thematic analysis with deductive coding (theory-driven) was used to analyse the data. Results: A total of 26 obese women aged 19-40 were interviewed within eight discussion groups. Three theory-driven codes were chosen, and four themes were created from nine clustered codes of the transcripts: “health education and promotion,” “the positive and negative impacts of eating healthy food and exercising regularly on the body and finances,” “facilitators in eating healthy food and exercising regularly,” and “barriers to eating healthy food, exercising and weight monitoring regularly”. Lack of knowledge about weight management guidance, time and resources constraint, and low self-efficacy reduce motivation to continue an activity or target behavior. Conclusions: Obese adult women need more weight-management knowledge, skills, and assistance using the concerned potential mediators. These findings could help program planners design effective health intervention strategies to achieve desired behavior change.
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Background: Optimal growth and development of children is an indicator of the quality of human resources. Stunting is a condition of linear growth retardation which is the result of a long-term lack of nutrients. The stunting problem prevention program is prioritized in the first 1000 days of and the bride and groom who will later become pregnant and give birth to offspring. The purpose of this study was to determine the effect of a combination of nutritional education and nutritional supplementation on changes in the nutritional status of the prospective bride and groom to prevent stunting in newborns. Methods: The design was quasi-experimental with a pre-post intervention in Sumbawa Regency, West Nusa Tenggara in June 2020 to October 2021. Sample size: 126 of prospective brides aged 20-30 years who were divided into 3 groups. Data analysis used Paired t-test, Wilcoxon, ANOVA and Kruskal Wallis. Results: Mean BMI after intervention: 22.08±3.12 kg/m2. The intervention reduced the underweight category from 31 (24.6%) to 19 (15.1%). The average weight gain of pregnant women after the intervention was 63.08±7.02 kg. Statistical test there was a difference between groups (p = 0.000). The effect of intervention on infant anthropometry was 13 (11.21%) body length <48 cm and 11 (9.48%) LBW and 10 (8.62%) abnormal head circumference. Conclusions: The intervention can change the parameters of the nutritional status of the subject and there is a relationship between weight gain during pregnancy and infant anthropometry (p=0.000).