Publication Search

Non-communicable diseases (NCDs) are the leading cause of death globally, with type 2 diabetes being one of the most prevalent conditions. Nutritional management for clients with type 2 diabetes requires strict adherence to the correct schedule, type, and quantity of food. To improve medication adherence, it is essential to implement preventive strategies that promote patient engagement and self-management. One such strategy is the Health Belief Model (HBM), which encourages patients to adopt healthy behaviors based on their perceptions of risk, severity, benefits, and barriers. This study aims to analyze the relationship between the Health Belief Model and medication adherence among type 2 diabetic patients in the Galala Community Health Center (Puskesmas) work area. A quantitative cross-sectional study design was used, with a sample size of 108 participants selected through simple random sampling. The independent variables in this study were perceived susceptibility, perceived severity, perceived benefits, perceived barriers, and cues to action, while the dependent variable was medication adherence. The results revealed significant relationships between all the HBM constructs and medication adherence. Specifically, perceived susceptibility (p=0.000), perceived severity (p=0.000), perceived benefits (p=0.000), perceived barriers (p=0.000), and cues to action (p=0.000) all had strong associations with adherence to medication. The findings suggest that the Health Belief Model is a valuable framework for improving medication adherence among type 2 diabetes patients. Additionally, the use of health information technology is an effective strategy to increase patient awareness of the risks of non-adherence and the importance of regular medication intake. A combination of education, social support, technology, and an individualized approach can create a supportive environment that encourages patients to manage their treatment effectively.

Instant noodles, categorized as part of ready-to-eat cuisine, represent a form of food that is conveniently packaged, easily served, practical, and prepared in a straightforward manner. Despite their convenience, instant noodles fall short of being considered a comprehensive food option due to their inability to fulfill the body's well-rounded nutritional requirements. A typical serving of instant noodles primarily consists of elevated levels of carbohydrates and protein, yet lacks sufficient energy, fiber, vitamins, and minerals. The consumption of instant noodles is driven by the time constraints faced by a majority of consumers, preventing them from indulging in a complete meal and preparing it from scratch. Regularly consuming instant noodles may pose health risks and hazards, given their inclusion of preservatives and low nutritional content. This study employs quantitative research methods, adhering to scientific principles by being concrete, empirical, objective, measurable, rational, and systematic. Quantitative approaches prioritize the analysis of numerical data, subsequently processed through suitable statistical methods. In conclusion, the statistical analysis conducted reveals that both preference (X1) and suitability (X2) jointly exert a significant impact on packaging quality (Y) within the scope of this research. However, it is crucial to note that 51.1% of the variation in Y remains unexplained by these two independent variables, suggesting that other factors may also contribute to determining the quality of packaging.  

Mild anemia in pregnant women remains a common health problem at the primary healthcare level and may negatively affect both maternal health and fetal development. One non-pharmacological approach to managing anemia is the utilization of local food sources rich in iron, such as spinach. This study aimed to determine the effectiveness of spinach extract in increasing hemoglobin levels among pregnant women with mild anemia at Poskesdes Wiritasi. This study employed a quasi-experimental design using a one-group pretest–posttest approach without a control group. The sample consisted of 30 pregnant women diagnosed with mild anemia who were selected through purposive sampling. The intervention involved the regular administration of spinach extract for 14 consecutive days. Hemoglobin levels were measured before and after the intervention using a standard hemoglobin testing device. Data were analyzed to assess differences in hemoglobin levels before and after the intervention. The results showed a significant increase in hemoglobin levels following the administration of spinach extract. These findings indicate that spinach extract has a positive effect on improving hemoglobin levels in pregnant women with mild anemia. Therefore, spinach extract may serve as an effective, safe, and easily applicable local food–based nutritional intervention for the prevention and management of mild anemia among pregnant women at the village healthcare level.

Banana blossoms are a part of banana plants (Musa paradisiaca) that are often underutilized and considered agricultural waste. However, banana blossoms have significant potential as an alternative food source with high nutritional value. This study aims to analyze the nutritional content of banana blossoms, develop optimal processing methods, and evaluate their economic potential. The methods used include laboratory experimental approaches for proximate analysis, organoleptic tests for sensory evaluation, and cost analysis calculations for economic assessment.The research findings indicate that banana blossoms contain high fiber (5.7 g/100g), moderate protein (1.6 g/100g), low fat (0.3 g/100g), and are rich in calcium (50 mg/100g), potassium (553 mg/100g), and antioxidants. The optimal processing method was a combination of initial boiling followed by stir-frying, which preserved 87% of the nutrients and produced the best sensory profile. Product development, including banana blossom floss, chips, and flour, demonstrated high consumer acceptance (>70%) with a profit margin ranging from 35-55%.This study concludes that banana blossoms have great potential as a sustainable alternative food source with high nutritional value and promising economic prospects. Utilizing banana blossoms can contribute to food security, the diversification of functional food products, and the empowerment of community-based economic development. Therefore, further efforts to enhance the utilization of banana blossoms should be encouraged to support the sustainability of the food and economic sectors.

The golden period in the first two years of a child's life can be achieved optimally if supported by proper nutritional intake from birth. Breast milk (ASI) as the only nutrition for babies up to six months of age is considered to play a very important role in growth and development, so that recommendations from the government, even WHO policies on this matter have been established and published throughout the world. The purpose of this study was to increase public knowledge about stunting in mothers of babies aged 6-24 months. The Community Service Method was carried out by means of counseling and practicing making MP-ASI. The results of community service showed that the implementation of MP-ASI training had increased awareness of the importance of MP-ASI to prevent stunting and support optimal child growth. The conclusion of the PKM activity was that on average participants were able to understand the material and practice how to process MP-ASI properly.

Cerebral palsy (CP) is a permanent, non-progressive motor disorder that occurs due to brain damage experienced before, during, or after birth. This condition is generally characterized by activity limitations and can be accompanied by various other disorders, such as delayed cognitive development, visual impairment, speech disorders, and neuromuscular disorders. Management of cerebral palsy is usually multidisciplinary, including physiotherapy, behavioral therapy, speech therapy, nutritional management, pharmacotherapy, and surgical intervention, with the aim of improving the patient's quality of life. This case report discusses a male patient, An. AZ, aged 4 years and 6 months, who was brought by his parents to the Emergency Department of Cut Meutia General Hospital, North Aceh with the chief complaint of seizures that had occurred two days before admission and had worsened in the past day. The patient had been diagnosed with cerebral palsy since early childhood and regularly underwent physiotherapy. From the anamnesis, it was revealed that the patient experienced weakness on the left side of the body, which was more dominant than the right side. This condition is consistent with the manifestation of hemiplegia in cerebral palsy patients. Physical examination revealed delayed motor development, increased muscle tone on the left side, and enhanced pathological reflexes. Acute seizure management included administering anticonvulsant medication according to protocol, monitoring vital signs, and close observation in the inpatient ward. In addition to pharmacological therapy, the patient was advised to continue regular physiotherapy to maintain motor function, prevent contractures, and support the development of daily activities. This case emphasizes the importance of a comprehensive approach to the management of cerebral palsy, particularly when complicated by seizures. Integration of acute medical care, rehabilitative therapy, and family support plays a crucial role in improving the patient's quality of life.

One of the nutritional problems that occur in children under five is stunting, also known as chronic nutritional problems due to insufficient fulfillment for long periods of time. A child under five is considered to have stunted nutritional status if his height is less than minus two median standard deviations of the World Health Organization (WHO) growth standards. Stunting is caused by direct causes, namely nutritional intake, infectious diseases, exclusive breastfeeding, indirect causes, namely sanitation, education, parental knowledge, income, number of family members, resources, technology, and the environment. This study aims to determine the factors that affect the incidence of stunting. This study aims to determine the factors that affect the incidence of stunting. This type of research is observational research analytic case control approach. The research samples were 49 stunted children (case Group) and 49 children without stunting (control group) in the working area of Bukit Gadeng Public Health Center, Bahagia District, South Aceh Regency, Aceh province. The Data were analyzed by performing Chi-square analysis test and the value of (OR) Odds ratio. The results showed a significant value of maternal knowledge (p-value=0.00); (OR=72.45), environmental sanitation hygiene (p-value=0.001); (OR= 2.14), history of exclusive breastfeeding (p-value=0.00); (OR= 19.37), history of infectious diseases (p-value=0.064); (OR= 3.45). Conclusion maternal knowledge, environmental sanitation hygiene, and history of exclusive breastfeeding affect the incidence of stunting and infectious disease history does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency. Knowledge, sanitation hygiene, and Exclusive, breastfeeding, affect the incidence of stunting and infectious disease does not affect the incidence of stunting in the Bukit Gadeng Public Health Center, Bahagia District, and South Aceh Regency.

Sacha inchi (Plukenetia volubilis Linneo) is a plant from the Euphorbiaceae family known for its green star-shaped fruit and brown seeds. This plant has high nutritional value and significant antioxidant activity (Nuha and Sriwidodo 2022). This study aims to identify secondary metabolite compounds and determine the total phenolic content of the methanol extract of Plukenetia volubilis Linneo leaves. The samples were extracted using the maceration method, then phytochemical tests and total phenolic content analysis were carried out using the Folin-Ciocalteu method (Sari et al. 2021). The results of the phytochemical test showed that the methanol extract of sacha inchi leaves contained secondary metabolite compounds such as alkaloids, flavonoids, saponins, and tannins. The total phenolic content obtained from the extract was 19.94%, which indicates the potential for high antioxidant activity. The results of this study indicate that sacha inchi leaves have the potential to be developed as a source of natural bioactive compounds that are beneficial to health.

Stingless bee (Trigona sp.) cultivation presents significant potential for livestock diversification, improved food security, and rural economic development. Although this practice offers clear advantages, including low maintenance requirements, minimal environmental risk, and the high nutritional and commercial value of its honey, its adoption in Lempake Subdistrict, North Samarinda, East Kalimantan, remains limited. This situation is primarily due to a lack of community awareness and technical knowledge in apiculture. In response, a community service program was conducted on 10 May 2025 by lecturers from the Faculty of Agriculture, Mulawarman University, in collaboration with local farmer groups and supported by the Samarinda City Government. The program provided structured training through field visits, lectures, interactive discussions, and practical demonstrations at selected apiaries. Post-training evaluations showed a substantial improvement in participants’ understanding of colony management, hygienic honey harvesting, and the economic prospects of stingless bee products. Additionally, the program encouraged entrepreneurial interest and supported the development of value-added functional food products based on local resources. These findings indicate that targeted training and institutional collaboration are effective in promoting sustainable stingless beekeeping practices. Future initiatives should focus on continued technical support and the integration of apiculture products into local and digital markets to enhance competitiveness and economic impact.

This service activity was conducted in RT 11 Pantai Amal Village, East Tarakan District, Tarakan City, North Kalimantan Province on May 6, 2025 at 13.00-17.00 WITA. This activity was conducted at the house of Mrs. Hadirah with the participation of the local community, especially people who have a history of hypertension. This community service activity aims to empower coastal communities in Pantai Amal RT 11 village through nutrition education and intervention of mung bean porridge for hypertension control. The implementation method includes interactive counseling on mung beans, benefits of mung beans, conditions for limiting mung bean consumption, and demonstration on how to prepare modified mung bean porridge, as well as distribution of mung bean porridge to residents with hypertension accompanied by questions and answers related to hypertension. The results of the activity showed an increase in participants' knowledge about the nutritional value of mung bean porridge. This activity also triggered the formation of a community group committed to continuing the program independently. In conclusion, the combination of nutrition education and local ingredient intervention is an effective strategy to empower coastal communities in sustainable hypertension control.

Stunting is one of the nutritional problems that still occurs in Indonesia. Stunting treatment does not only refer to medical and nutritional aspects, but is also influenced by social and cultural factors, including the social stigma inherent in families with stunted children. This study aims to examine the forms of social stigma against stunting and its impact on prevention and handling efforts in Santur Village. A descriptive qualitative approach was used in this study with an in-depth interview method with parents, posyandu cadres, local health workers, and village officials. The results of the study show that stigma in the form of negative labeling and feelings of shame often hinder parents from accessing health services and being open to information related to child nutrition. This information shows the importance of a community-based approach that not only focuses on the medical aspect, but also targets changes in people's social views on stunting. By overcoming social stigma, it is hoped that efforts to prevent and handle stunting can run more effectively and comprehensively.

Malnutrition significantly disrupts metabolic processes like fasting blood glucose (FBG) regulation, insulin secretion, and insulin resistance (HOMA-IR), especially among the elderly. Aging amplifies these effects through declining β-cell function, reduced insulin sensitivity, and chronic inflammation, increasing the risk of type 2 diabetes and cardiovascular diseases. Globally, malnutrition affects 22% of the elderly, with prevalence reaching 28% in Indonesia due to food insecurity, limited healthcare access, and poor nutrition education. Malnutrition exacerbates glucose-insulin imbalances by causing muscle loss, increasing FBG levels, and inducing insulin resistance through chronic inflammation. Despite its impact, critical knowledge gaps remain, particularly in low- and middle-income countries like Indonesia. This study investigates how malnutrition affects FBG, insulin levels, and HOMA-IR in elderly individuals, focusing on mechanisms like inflammation and muscle loss to inform targeted interventions and improve metabolic health in resource-limited settings. This cross-sectional study evaluated fasting blood glucose, insulin, and HOMA-IR among 31 elderly participants at Panti Werdha Santa Anna. The study found no significant differences in fasting blood glucose, fasting insulin, HOMA-IR, or HbA1c levels across Mini Nutritional Assessment categories (normal, at risk, malnourished; p > 0.05). These results suggest no strong association between nutritional status and metabolic parameters, highlighting the need for further research with larger samples. This study finds no significant association between nutritional status and glycemic control in the elderly, suggesting malnutrition's indirect impact via mechanisms like inflammation and muscle loss. Comprehensive nutritional assessments remain essential to understanding its effects on metabolic health.

Tongkol fish is one of the abundant sources of animal protein and is easily found in coastal areas, including Pantai Amal Village. However, the utilization of tongkol fish by the community is still limited to traditional processing that is less varied. On the other hand, fellow students often face challenges in meeting daily nutritional needs due to economic limitations and instant consumption patterns that are low in nutrition. This study aims to develop innovations in processing tongkol fish into spicy shredded fish as an economical, nutritious, and practical food solution. The research methods include the production process, taste testing, and analysis of production and consumption costs. The results show that spicy shredded fish has a high protein content, a taste that consumers like, and a fairly long shelf life so that it is suitable as a daily food stock. In addition, this product is proven to be more economical than consuming fast food, so it is effective in helping students from out of town manage their expenses while meeting their nutritional needs. This innovation also has the potential to increase the added value of tongkol fish and support local food security in coastal areas.

Land degradation due to intensive agricultural practices is a serious issue threatening food security and ecosystem balance. Monoculture farming systems often lead to soil fertility decline, increased erosion, and reduced soil biodiversity. As an alternative, agroforestry has been developed to enhance agricultural productivity without compromising soil health. Agroforestry integrates agricultural crops with trees or other woody plants in a mutually beneficial system. Several studies have shown that agroforestry improves soil organic matter content, retains soil moisture, and reduces erosion and nutrient loss. This study employs a literature review method to analyze the effectiveness of agroforestry in improving soil health and agricultural productivity. Agroforestry has been found to enhance agricultural productivity through crop diversification, efficient land use, and climate change mitigation. Diversification not only strengthens food security but also increases farmers’ income by minimizing crop failure risks and enhancing nutritional value. Additionally, agroforestry optimizes land use by improving yield per unit area and reducing environmental degradation through natural resource conservation. Agroforestry also plays a crucial role in mitigating climate change by increasing ecosystem resilience, sequestering carbon, and reducing extreme weather impacts. However, the adoption of agroforestry faces challenges, including a lack of farmers’ knowledge, limited policy support, and varying environmental conditions. Addressing these barriers through improved education, supportive policies, and sustainable resource management can accelerate agroforestry adoption. With broader implementation and strong policy support, agroforestry can drive agricultural sustainability and enhance community well-being.

A continuous lack of nutritional intake causes stunting, a condition of malnutrition that leads to growth disorders in infants. Providing pregnant women with balanced nutrition education is one of the preventive measures against stunting. Objective: The research determined the effect of providing education on stunting prevention using the "Meals on My Plate" guidelines at the Mijen public health care. Method: This quantitative method research applied a quasi-experimental with a one-group pretest-posttest design. The sampling technique was accidental sampling. The researchers analyzed both univariate and bivariate data using the Shapiro-Wilk normality test and the Wilcoxon test. Results: the Wilcoxon test obtained a value of 0.000 < 0.05. The result accepts Ha and denies Ho, indicating a significant effect of providing education on stunting prevention using the "Meals on My Plate" guidelines, which has the potential to influence the knowledge level of pregnant women at the Mijen Public Health Care in Semarang by 5.859 times.

This report aims to identify and address the problem of stunting in prospective brides and grooms in the Piyeung Health Center area, Aceh Besar. Stunting is a serious health problem that can affect the growth and development of children. Through the counseling activities carried out, the author seeks to increase the knowledge and awareness of prospective brides and grooms regarding the importance of good nutrition before and during pregnancy to prevent stunting. The methodology used in this report is Quasy Experiment. The results of this activity indicate an increase in understanding of nutrition and reproductive health among prospective brides and grooms. The conclusion of this report emphasizes the importance of appropriate and sustainable nutritional interventions to prevent stunting, as well as the need for support from various parties to improve the quality of public health. It is hoped that this report can be a reference for related parties in efforts to prevent stunting in the future.

Nutrition is very important in human development and growth. The 2021 edition of UNICEF-WHO-WORLD BANK states that 148.2 million children aged 0-5 years worldwide are stunted, 38.9 million are overweight, and 45.4 million are severely wasted. Nutritional problems often occur at the age of 6-24 months due to inadequate nutrition because of lack of mother's knowledge, therefore it is necessary to carry out interventions to increase mother's knowledge regarding balanced nutrition of children under two. The purpose of this study was to determine the effect of health promotion media on changes in the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe. This research method used quasi-experimental quantitative research with a one group pretest-posttest design and involved 51 children under two years. The data collection technique used was purposive random sampling. The data collected is primary data in the form of body weight which is limited to nutritional status based on body weight/age. The results showed that the nutritional status of children under two years was 92.1% in the good nutritional status category after the intervention. The change in nutritional status from malnutrition to normal nutrition from the results of the prostest compared to the pretest was 27.4%. The use of health promotion media has an effect on malnutrition status based on the Wilcoxon test with a p-value of 0.029. The conclusion of this study is that there is an effect of health promotion media on the nutritional status of children under two years in Paloh Punti Village, Muara Satu District, Lhokseumawe.

Frailty is a common syndrome in older adults, marked by declining physiological reserves and increased vulnerability to adverse health outcomes. It impacts quality of life and links to higher morbidity, mortality, and healthcare needs. Identifying frailty markers early helps prevent or delay its onset. In Indonesia, frailty affects 10–20% of the elderly, with higher rates in rural areas and those over 75, driven by poor nutrition, chronic diseases, and limited healthcare access. This study explores these factors and their relationship with frailty in elderly residents of Bina Bhakti Elderly Home. This cross-sectional study analyzed anthropometric measurement, uric acid, vitamin D, albumin, and diabetes mellitus with frailty in 42 elderly residents, excluding those with cognitive impairments, acute illnesses, or psychiatric disorders. The analysis identified fasting blood glucose, HbA1c, and albumin as significant predictors of frailty, highlighting the importance of glucose regulation and nutritional status in frailty risk among the studied population. Fasting blood glucose, HbA1c, and albumin emerged as key predictors of frailty, highlighting the roles of glycemic control and nutritional health in reducing frailty risk. Lower fasting blood glucose and higher albumin levels were protective, while higher HbA1c increased vulnerability. Targeted interventions in these areas may effectively mitigate frailty risk.

Stunting is a condition of growth failure in toddlers due to chronic malnutrition that occurs over a long period of time, especially in the first 1,000 days of life. Several major risk factors for stunting that are often found in Posyandu include the nutritional status of pregnant women, parenting patterns, exclusive breastfeeding, and environmental sanitation. To analyze the Identification of Risk Factors for Stunting in Toddlers: A Study in the Working Area of ​​the Aek Godang Health Center, North Padang Lawas. The type of observational study with a cross-sectional design, the study population was 139 people. This study used samples from all mothers who had stunted toddlers in Hulu Sihapas District, North Padang Lawas Regency, with the total sampling method. Data collection used a research questionnaire. Data were analyzed univariately, bivariate (chi-square), and multivariate (logistic regression) with the enter method. Newborn weight (p = 0.001) and healthy toilets (p = 0.001) significantly influenced the risk of stunting, with low birth weight and poor sanitation increasing the risk of growth disorders in toddlers. This study shows that newborn weight (p = 0.001) and healthy toilets (p = 0.001) have a significant effect on the risk of stunting in toddlers. Babies with low birth weight and environments with poor sanitation increase the likelihood of stunting. More attention is needed to monitor newborn weight and increase access to healthy latrines to reduce the prevalence of stunting. The government and health workers are expected to strengthen nutrition and sanitation programs at the community level. 

Pukis is a traditional cake from Indonesia, made of wheat flour, sugar, eggs, yeast and coconut milk. Cowpeas contains high protein and fiber. Nutrition in cowpea can be used to enrich the nutritional value of pukis. The purpose of this study was to identify characteristics of cowpea flour and mocaf with different yeast concentrations in pukis which are high in protein, fiber and the most preferred by consumers. The experimental design used was a Completely Randomized Design (CRD), the first factor was the ratio of cowpea flour and mocaf (50:50, 70:30, 90:10). The second factor was addition of yeast (2.2; 2.4; and 2.6 g). The analysis indicated that the rasio of cowpea flour to mocaf (50:50, 70:30, 90:10) and the proportion of yeast (2.2; 2.4; and 2.6 g) has a significant effect to chemical analysis of protein, fat, carbohydrate, crude fiber and specific volume, also has a significant effect to sensory tests of color, taste, texture and overall sensory tests. The formulation of pukis which is high in protein, fiber and the most preferred by consumers was found in the ratio of cowpea flour and mocaf 90:10 with the addition of 2.2 g yeast. The best quality of Pukis contain protein 9.12%; fiber 12.75%; moisture content 34.88%; ash content 1.42%; fat 11.45%; carbohydrate 43.14% and specific volume 1.10%. Pukis formulation with the highest level of preference by the panelists has a value of 3.63 (neutral). Pukis from cowpea flour and mocaf with different concentrations of yeast has potency to be a source of protein and dietary fiber.