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Prelabor rupture of membranes (PROM) remains one of the most frequently encountered obstetric complications and continues to contribute substantially to maternal and neonatal morbidity and mortality. Numerous factors have been associated with PROM; however, the available evidence presents considerable variation, highlighting the need to re-evaluate these determinants using recent empirical findings. This review aims to identify and synthesize the principal factors influencing PROM based on ten studies published within the last five years. A systematic search was conducted across PubMed, Scopus, Web of Science, and Google Scholar using predefined keywords, followed by screening through established eligibility criteria. Relevant data from each study including study design, geographical setting, assessed risk factors, and statistical outcomes such as odds ratios or relative risks  were extracted and compared. The review indicates that reproductive and urinary tract infections, inadequate nutritional status, high-risk obstetric history, and short interpregnancy intervals consistently emerge as major determinants. Social factors and the quality of antenatal services were also shown to heighten the likelihood of PROM. Overall, the findings emphasize that PROM arises from a combination of medical and non-medical influences, reinforcing the need for preventive strategies that adopt a comprehensive and integrated approach.

Moringa (Moringa Oleifera) is a plant that is easily found in the surrounding environment and grows in Java, Sunda, Bali, Lampung, Madura, Sulawesi and Flores. In Flores, especially in Sikka Regency, moringa is a plant that is being cultivated. Moringa leaves also contain phytochemicals such as tannins, steroids, triterpenoids, flavonoids, saponins and alkaloids. These compounds have the ability as antibiotics, anti-inflammatory, detoxification and antibacterial drugs. One product that can be developed from moringa leaves is moringa tea. Moringa leaves can be used as a basic ingredient in making tea. In making tea, a drying process is carried out which aims to reduce the water content in the raw materials. This study aims to determine the nutritional content of moringa tea from several places in Sikka Regency so that it can help in the use of moringa as tea. This study was conducted in 3 locations for sampling moringa leaves, namely Talibura District, Alok Timur District and Paga District. The study used descriptive methods and laboratory tests on moringa tea. The results of the study were then compared with the quality parameters of tea according to the Indonesian National Standard (SNI) for tea. The output of the study is a national publication so that the community, especially in Sikka Regency, can use moringa leaves as a drink. The test was carried out at the Food Quality and Safety Laboratory, Faculty of Agricultural Technology, Brawijaya University, Malang. The results of the study showed differences in the nutritional content of moringa tea from the three locations. The highest protein content was in Paga District with a value of 25.86%, the highest fat content was in Talibura District with a value of 4.43%, water content was in Alok Timur District with a value of 8.42%, ash content in Paga District with a value of 8.20% and carbohydrate content in Alok Timur District with a value of 57.08%.

Abstract. This study originates from the low awareness among early childhood learners regarding the importance of consuming nutritious and minimally processed Real Food. The purpose of this design project is to create an engaging educational medium in the form of a 2D animation titled “Kebun Imajinasi: Teman Realfoodku” to introduce the concept of Real Food to five-year-old children. A mixed-method approach (qualitative and quantitative) was applied through observation, interviews, and questionnaires involving children, parents, and professional animators. The collected data served as the foundation for designing characters, storylines, illustration styles, colors, and audio suitable for young audiences. The results show that 2D animation featuring bright visuals, playful characters, and educational narration effectively increases children’s interest and understanding of healthy food. The implication of this study highlights the potential of animation as an effective visual communication tool to promote nutritional education and healthy lifestyle habits from an early age.

Nutritional problems during the growth phase of adolescent are mostly caused by consumption patterns. The most commonly used eating patterns during adolescent are foods that are high in calories, fat, sugar and salt. The habits of an unhealthy eating pattern can affect nutritional status. The foods most consumed by adolescent are often junk food and caffeinated beverages. All kinds of food and drinks are easily found around campuses surrounded by student. The purpose of this study was to determine the relationship between junk food consumption and caffeinated beverages to the nutritional status of students of the Faculty of Technology and Food Industry at Slamet Riyadi University, Surakarta. The respondents involved were students aged 18-24 years. Data was collected using a questionnaire and interview to the student. Data were analyzed using Chi-Square test. The results showed that factor affecting the nutritional status of student was mother’s education (p=0,000) and father’s education (p=0.000). Factors that do not affect nutritional status were energy intake (p=0.545), protein (p=0.085), fat (p=0.204) and carbohydrate (p=0.112), the amount of pocket money (p=0.310), the consumption level of junk food (p=0.671) and caffeinated drinks (p=0.535). The results showed that there was no significant relationship between the consumption patterns of junk food and caffeinated drinks on the nutritional status of students of the Faculty of Food Technology and Industry at Slamet Riyadi University, Surakarta. Permasalahan gizi yang terjadi saat pertumbuhan fase remaja lebih banyak disebabkan karena pola konsumsi.  Pola makan yang sering diterapkan pada masa remaja adalah makanan tinggi kalori, lemak, gula, dan garam. Pola makan yang tidak sehat dapat mempengaruhi status gizi seseorang. Makanan yang paling banyak dikonsumsi oleh kalangan remaja masuk dalam kategori junk food dan juga minuman berkafein. Makanan dan minuman kategori ini mudah ditemukan di sekitar kampus yang dikelilingi mahasiswa. Tujuan pada penelitian ini ialah menentukan hubungan pola konsumsi junk food dan minuman berkafein terhadap status gizi mahasiswa Fakultas Teknologi dan Industri Pangan di Universitas Slamet Riyadi, Surakarta. Responden yang terlibat ialah mahasiswa berusia 18-24 tahun. Pengumpulan data menggunakan kuesioner dan wawancara kepada mahasiswa. Analisis data menggunakan uji Chi-Square. Hasil penelitian menunjukkan bahwa faktor yang mempengaruhi status gizi mahasiswa adalah pendidikan ibu (p=0.000) dan pendidikan ayah (p=0.000). faktor yang tidak mempengaruhi status gizi ialah asupan energi (p=0.545), protein (p=0.085), lemak (p=0.204) and karbohidrat (p=0.112), jumlah uang saku (p=0.310), tingkat konsumsi junk food (p=0.671) dan minuman berkafein (p=0.535). Hasil penelitian menunjukkan tidak terdapat hubungan signifikan antara pola konsumsi junk food dan minuman berkafein terhadap status gizi mahasiswa Fakultas Teknologi dan Industri Pangan Universitas Slamet Riyadi, Surakarta.

Mochi is a cake made from glutinous rice flour with other ingredients and then steamed. White sweet potato flour is used as a substitute because it contains high levels of fiber, with the addition of elephant ginger extract, which is expected to be able to neutralize the unpleasant taste and scent of white sweet potato flour. The aim of this study was to determine the right formulation in order to obtain white sweet potato flour substitution mochi and a high concentration of elephant ginger extract. This study used a completely randomized design (CRD), which consisted of two factors, namely the concentration of glutinous rice flour and white sweet potato flour (90:10, 80:20, and 70:30) and the percentage of elephant ginger extract (to 100 ml of water) (1.5%, 3%, and 4.5%). The best results of the chemical analysis were white sweet potato flour 30 g and ginger extract 4.5%, with a moisture content of 23.66%, an ash content of 0.25%, a total sugar content of 7.64%, and fiber of 2.60%. Based on the results of the physical analysis, the colour L*47.62 (bright brown), a* -4.68 (slightly green), b* 12.20 (yellowish) and a hardness value of 8.90 N, gumminess of 6.27 N, chewiness of 1.73 N, cohesiveness of 0.71 N, and adhesiveness of 1.17 N. Mochi with white sweet potato flour substitution and concentration of elephant ginger extract can be a nutritions food and a source of fiber.

Nutritional problems in toddlers remain a public health challenge in Indonesia, including in Tarakan City, North Kalimantan. The 2018 Basic Health Research (Riskesdas) data shows a high prevalence of malnutrition, severe malnutrition, and stunting in toddlers, with data showing that based on the body weight index (BB/A) the prevalence of malnourished toddlers is 3.9% while 13.8% of toddlers are undernourished. Based on the height-for-age (H/A) index, there are 11.5% of toddlers with very short nutritional status and 19.3% of toddlers with stunted nutritional status. Meanwhile, based on the weight-for-height (BB/H) index, the proportion of very wasted children is 3.5%, undernourished children are 6.7%, and overweight children are 8% (Riskesdas, 2018). Because of these problems, early nutrition education efforts are needed. This community service activity aims to increase the knowledge of toddler mothers about the importance of balanced nutrition for children, especially through the use of UHT milk as a nutritional supplement, as well as strengthening the role of integrated health posts (Posyandu) in monitoring child growth and development. Thus, this community service activity contributes to raising public awareness of the importance of meeting toddler nutritional needs and is expected to support government programs to reduce the prevalence of stunting in Tarakan City.

Anemia is one of the most common nutritional problems in the world and is mainly caused by iron deficiency. In Indonesia, the prevalence of anemia among adolescents remains high, especially in adolescent girls who have greater iron requirements due to growth and menstruation. Low levels of knowledge, unbalanced dietary patterns, and poor adherence to iron supplementation are the main factors contributing to anemia in this group. Therefore, efforts to increase knowledge through health education activities are needed. This Community Service activity aimed to increase the knowledge of adolescent girls about anemia prevention through improving iron intake and adopting a healthy lifestyle. The activity was carried out in Bongohulawa, Limboto District, Gorontalo Regency, on November 3, 2025, involving 40 adolescent girls. The methods used included health education, interactive discussions, demonstrations, and distribution of educational media. Evaluation was conducted using a pre-test and post-test. The pre-test results showed that only 25% of participants had good knowledge, while 45% had moderate knowledge and 30% had poor knowledge. After the educational intervention, the percentage of participants with good knowledge increased to 75%, moderate knowledge decreased to 20%, and poor knowledge decreased to 5%. It can be concluded that this educational activity was effective in increasing adolescent girls’ knowledge of anemia prevention and the importance of iron intake and a healthy lifestyle as early preventive measures.

Anemia is one of the most common nutritional problems in the world and is mainly caused by iron deficiency. In Indonesia, the prevalence of anemia among adolescents remains high, especially in adolescent girls who have greater iron requirements due to growth and menstruation. Low levels of knowledge, unbalanced dietary patterns, and poor adherence to iron supplementation are the main factors contributing to anemia in this group. Therefore, efforts to increase knowledge through health education activities are needed. This Community Service activity aimed to increase the knowledge of adolescent girls about anemia prevention through improving iron intake and adopting a healthy lifestyle. The activity was carried out in Bongohulawa, Limboto District, Gorontalo Regency, on November 3, 2025, involving 40 adolescent girls. The methods used included health education, interactive discussions, demonstrations, and distribution of educational media. Evaluation was conducted using a pre-test and post-test. The pre-test results showed that only 25% of participants had good knowledge, while 45% had moderate knowledge and 30% had poor knowledge. After the educational intervention, the percentage of participants with good knowledge increased to 75%, moderate knowledge decreased to 20%, and poor knowledge decreased to 5%. It can be concluded that this educational activity was effective in increasing adolescent girls’ knowledge of anemia prevention and the importance of iron intake and a healthy lifestyle as early preventive measures.

Nutritional problems can occur due to two factors, namely direct factors and indirect factors. Direct factors are unbalanced nutritional intake and infectious diseases. The achievement of Exclusive Breastfeeding in Pesawaran Regency during 2014-2019 fluctuated. In 2014, babies who received exclusive breastfeeding were 30.19%, in 2015 it decreased to 20.85%, in 2016 it increased to 49.76% and in 2019 it was 50.48% and still below the expected national target of 80% 11. Based on the results of a pre-survey of 30 breastfeeding mothers, there were 17 mothers (56.6%) with an average age of 15-25 years and most of them with low levels of education who did not provide exclusive breastfeeding on the grounds that the mother worked and did not get support from her husband to provide exclusive breastfeeding (Pesawaran Regency Health Office). The purpose of this community service activity is to increase mothers' knowledge about fulfilling balanced nutrition and exclusive breastfeeding so that toddlers are free from stunting.

Anemia in pregnant women remains a global public health problem, particularly in developing countries. Iron supplementation is the main intervention recommended for the prevention and management of anemia during pregnancy. This literature review aims to analyze the effectiveness of iron supplementation in preventing anemia among pregnant women using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) approach. Article searches were conducted through scientific databases and the attached journals, with a publication range from 2019 to 2024. The selection process resulted in 10 articles that met the inclusion criteria. Narrative synthesis showed that iron supplementation, whether administered alone or combined with vitamin C or other supportive nutritional interventions, was effective in increasing hemoglobin levels in pregnant women. Adherence to supplementation and nutritional education support were significant factors influencing the success of the intervention.

This community service activity aims to optimize the Free Nutritious Meal Program (MBG) at SMK Negeri 1 Jember as an effort to improve the quality of human resources and student productivity. The main problems identified include low nutritional literacy, undeveloped healthy consumption habits, and weak synergy between schools, families, and local food businesses. The community service was implemented using the Participatory Rural Appraisal (PRA) approach through the Plan, Act, Observe, and Reflect stages, involving teachers, students, parents, and SPPG. The results of the activity showed an increase in the knowledge and skills of school residents regarding nutrition management and food safety, the formation of a healthy consumption culture, and the strengthening of the nutritious food supply chain involving MSMEs and local farmer groups. In addition, collaboration between parties has become more solid, thus supporting the program. This activity demonstrates that the participatory approach can strengthen the institutional capacity of schools while serving as a model for implementing adaptive and replicable nutrition programs for other educational institutions.

Diabetes mellitus is one of the health problems whose incidence is increasing and is often complained about by people around the world. Globally, Indonesia ranks fifth in the number of diabetes mellitus cases with 19.5 million people. Dietary patterns, including energy intake, carbohydrates, protein, fat, and nutritional status, play a role in the incidence of diabetes mellitus. The purpose of this study was to determine the relationship between dietary patterns and nutritional status with the incidence of diabetes mellitus at the Bahteramas Regional General Hospital in Southeast Sulawesi Province. The study design used a cross-sectional method with purposive sampling. The study respondents were inpatients aged ≥ 20 years. Data analysis used the chi-square test. The study was conducted in April-May 2025. The results of the analysis showed that there was a significant relationship between dietary patterns (p=0.008) and the incidence of diabetes mellitus. However, no significant relationship was found between nutritional status (p=0.421) and the incidence of diabetes mellitus. Thus, it is important to pay attention to nutrient consumption patterns and nutritional status in the prevention and management of diabetes mellitus.

Adolescent obesity is a health problem that arises due to an imbalance between energy intake and expenditure, one of which is influenced by a diet high in fat and low in fiber. This condition needs attention because it has an impact on the risk of chronic diseases in adulthood. This study aims to analyze the effect of substitution of katuk leaf flour and yellow sweet potato flour on the nutritional content and acceptability of muffins as a healthier alternative to high-fiber and low-fat snacks for adolescents. This laboratory's experimental research used a Complete Random Design (RAL) with four formulations (P0, P1, P2, P3). The analysis carried out included a proximate test to determine the nutritional content and an organoleptic test to assess the level of acceptance of panelists. The results of the study show that the substitution of katuk leaf flour and yellow sweet potato flour can increase fiber content and significantly reduce fat content. The best formulation is found in P2 with the highest level of preference. Thus, the use of these two types of flour has been proven to be able to improve the nutritional quality of muffins without reducing the acceptance of panelists, so that it has the potential to be a nutritious snack choice for teenagers.

Anemia is a problem of health in young women. Anemia is a condition in the concentration levels of hemoglobin in the blood is low, one of the efforts to improve the levels of Hemoglobin by non Pharmacology given soy edamame. Is a kind of soy beans which the iron content of substance more than other types. In addition to iron, also contained Vit C, B12, and folic acid, which is also a constituent of hemoglobin in the blood. The purpose of this research is to know the effect of granting soy edamame to increased levels of hemoglobin in on young women. The research design used was quasy eksperiment. Population of young women who are experiencing anemia in boarding schools of Tahfiz Hisbah Al Fatih as many as 20 people, with the total sampling techniques. Research instrument is the observation sheet and tool checks digitally Hemoglobin. Results of the study were analyzed using paired t-test Test and independent t Test. The results obtained from this research is the following value mean increased levels of Hb after given Soy edamame was 0.46 gdl and mean increased levels of Hb after administering a local soybean is 0.18 gdl. This indicates that after the granting of the soy edamame tablet better if compared to a local soybean delivery after this. Research analysis of Hb levels after administering a local soybean or edamame soybeans gained ρ-value 0.006 (α = 0 .05), then it can be inferred that H0 is rejected and there is meaning accepted H1 influence awarding of soy edamame to increased levels of Hb teen daughter in boarding schools of Tahfiz Hisbah Al Fatih. For young women in particular are expected to eat green vegetables and legumes, especially soy edamame to prevent as well as treat mild anemia.

Stunting is a significant public health problem in Indonesia, especially among toddlers. Stunting can have long-term effects on children's quality of life, including physical growth and cognitive development disorders. The Puuwatu Community Health Center in Kendari City has recorded a high rate of stunting. Therefore, it is important to identify the factors associated with stunting in this area. This study aims to identify factors associated with stunting in toddlers in the working area of the Puuwatu Health Center in Kendari City. This study uses an analytical study design with a cross-sectional approach. The sample in this study consisted of 73 respondents, and sampling was conducted using stratified random sampling taken from each urban village. Data were collected through interviews with parents of toddlers experiencing stunting, as well as measurements of the toddlers' nutritional status. Data analysis was performed using the chi-square statistical test to examine the relationship between the variables studied. This study shows that nutritional intake (p value = 0.002), exclusive breastfeeding (p value = 0.000), and income (p value = 0.439) are related to stunting. It can be concluded that there is a relationship between nutritional intake and exclusive breastfeeding with the incidence of stunting, while income is not related to the incidence of stunting in the working area of the Puuwatu Community Health Center.

Anemia in pregnant women is a health problem that contributes significantly to Low Birth Weight (BBLR), a serious issue in Indonesia with a prevalence exceeding 15% according to WHO, and is a major contributor to the high Neonatal Mortality Rate. This study aims to examine the relationship between anemia in pregnant women and the incidence of BBLR at the Sungai Durian Health Center, Sintang Regency. Using a case control analytical research design with secondary data from medical records in 2024, the sample used was 116 respondents, consisting of 58 pregnant women with BBLR babies as the case group and 58 pregnant women with normal birth weight babies (BBLN) as the control group, which were taken by total sampling technique. Data analysis was carried out using the Chi-Square test and the Odds Ratio (OR) with a significance level of 95%. The results of the study show that the incidence rate of BBLR at the Sungai Durian Health Center in 2024 is 25.8%, and the incidence of anemia in pregnant women is 46.6%. Statistical tests showed a significant relationship between anemia in pregnant women and the incidence of BBLR (p < 0.05). Pregnant women with anemia had a 21.758 times greater risk of giving birth to a BBLR baby compared to non-anemic mothers (OR=21.758; CI 95% = 1.45–7.08). The study concluded that there was a relationship between the nutritional status of pregnant women and the incidence of preeclampsia at the Sungai Durian Sintang Health Center.

The Free Nutritious Meal Program (MBG) is a national initiative to strengthen human resource quality, yet its success depends on schools’ capacity to plan, manage, and sustain implementation. This community engagement program aims to build the institutional capacity of SMP Negeri 7 Jember in planning and executing MBG, enhancing nutrition literacy among teachers, students, and parents, and fostering a sustainable collaboration model with relevant stakeholders. Using a Participatory Rural Appraisal (PRA) approach with a Plan–Act–Observe–Reflect cycle, the activities included baseline mapping of nutrition management, development of an action plan, training and mentoring for MBG SOP formulation, implementation of healthy eating practices, and reflective sessions for sustainability planning. The program resulted in improved managerial capacity, as evidenced by the development and initial application of MBG SOPs, stronger internal coordination, and increased nutrition knowledge, based on pre- and post–training scores. Parental involvement strengthened alignment between school and home practices, supporting the emergence of a healthy nutrition culture.

Stunting in toddlers is a chronic nutritional problem caused by lack of nutritional intake due to feeding that does not meet basic needs. UNICEF data in 2024 shows that the infant mortality rate for toddlers is 48 per 1,000 live births and the neonatal mortality rate is 23 per 1,000 live births. Conditions that cause mortality and morbidity in infants and toddlers include malnutrition, sepsis, pneumonia, and premature birth (WHO, 2023). Factors that cause stunting include nutrition, health, environment, and socio-economy, such as malnutrition in pregnant women and children, recurrent infections, poor sanitation, and limited access to health services and nutritious food (Sari, 2023). The effects of stunting include brain development inhibitions, weakened immune systems, delayed psychosocial and motor development, and suboptimal physical growth. Based on a preliminary study at the Sungai Raya Dalam Health Center, there were 134 children under five who were stunted. This study aims to determine the relationship between maternal nutritional status during pregnancy and the incidence of stunting in toddlers aged 0–24 months. The research design used case control with a retrospective approach, involving 58 mothers with toddlers aged 0–24 months. The results showed that mothers with nutritional status with KELK had a higher risk of giving birth to stunted toddlers (72.7%) compared to mothers with good nutritional status (19.1%). The Fisher Exact test yielded a value of p = 0.000 (p < 0.05), which means that there is a significant relationship between the nutritional status of pregnant women and the incidence of stunting.

Stunting remains a significant child health issue in Indonesia, particularly in Bulungan Regency, with prevalence rates demanding multisectoral interventions. Low socioeconomic factors play a crucial role in stunting incidence due to limited access to nutritious food and healthcare services. This community service aims to optimize rice waste, especially straw and husks, as alternative energy sources to empower local economies and prevent stunting in Sajau Hilir Village. A participatory method was employed through direct education and training involving the PKK women's group. The activities focused on socializing the processing of rice waste into economically valuable products such as rice husk charcoal briquettes and biosensitizers from rice straw. The results showed increased knowledge and skills among community members in converting waste into environmentally friendly and marketable alternative energy products. Utilizing rice waste not only reduces agricultural waste but also opens new economic opportunities sustainably and independently, strengthening family economic resilience and enhancing the ability to meet children's nutritional and healthcare needs. Thus, optimizing rice waste provides a strategic contribution to integrating environmental management and accelerating stunting reduction through local economic empowerment. Recommendations include strengthening community institutions, developing joint business units, and fostering collaboration between universities and local governments.

Adolescents are a vulnerable age group to nutritional problems due to increased nutritional requirements during periods of rapid growth. Suboptimal nutritional status, including undernutrition and anaemia, can negatively affect health and academic performance. This study aimed to describe the nutritional status of adolescents at SMA Negeri 2 Kendari, Southeast Sulawesi Province. This study employed a descriptive observational design conducted from August to September 2025 with a total sample of 226 twelfth-grade students’ selected using proportionate stratified random sampling. Data were collected through measurements of body weight and height to determine nutritional status based on the BMI-for-Age indicator and haemoglobin levels were assessed using a digital haemometer. Data were analyzed using univariate analysis. The results showed that most respondents had normal nutritional status (52.2%), while a considerable proportion were undernutrition (47.8%). In addition, more than half of the respondents were anaemia (50.9%). These findings indicate that although anthropometric nutritional status was generally normal, anemia remains a health problem that requires attention among adolescents. Regular monitoring of nutritional status and hemoglobin levels accompanied by nutrition education is recommended. Further studies are recommended to use an analytical study design to identify factors associated with nutritional status and anaemia.