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The issue of nutrition among school children remains a public health challenge in Indonesia. As an effort to improve the nutritional status of students, the government launched the Free Nutritious Meal program (MBG) in educational units. However, in its implementation, there are still students who do not take advantage of the program. This study aims to identify the reasons why students do not utilize the Free Nutritious Meal (MBG) program based on the (ABC) theory of antecedent, behavior, consequence at SD Negeri 100 Kendari. This research uses a qualitative method with a case study approach. The number of informants to be studied is 6 people selected through Purposive Sampling, consisting of students, the principal, teachers, SPPG officers, and parents. Data collection is conducted through in-depth interviews, recording, observation, and documentation. The data are analyzed through the stages of data reduction, data presentation, and drawing conclusions. Research results show that the antecedent of students' knowledge about the MBG program is at the level of knowing to understanding, the application of the provided menu has been in accordance with balanced nutrition principles, and the program policy is supported by various parties. Students' behavior shows rejection of the program influenced by negative experiences, perceptions of the halalness of food containers, and parental prohibitions. The consequence of students not participating does not directly have a negative impact on their learning conditions or physical health, because nutritional needs are still met from other sources. Therefore, students have no motivation to utilize the program. In conclusion, students who do not take advantage of the MBG program are influenced by perceptions, experiences, and parental restrictions. Therefore, it is necessary to improve education, strengthen communication, and enhance the quality of program implementation to increase the utilization of the MBG program.

Nutritional problems among children under five remain a public health concern in Indonesia, including in the working area of Semitau Public Health Center, Kapuas Hulu Regency. Nutritional status is an important indicator in assessing child growth and development. Nutritional disorders such as undernutrition, severe undernutrition, and stunting may have long-term impacts on health, cognitive development, and productivity. Therefore, regular monitoring of nutritional status is necessary to determine the nutritional profile of children under five in the Semitau Public Health Center area. Objective: This study aimed to describe the nutritional status of children under five based on Weight-for-Age (W/A), Height-for-Age (H/A), and Weight-for-Height (W/H) indicators, as well as to describe the characteristics of mothers and children. Methods: This study used a descriptive method with a retrospective approach. Data were obtained from the recap of child weighing results in March 2025 in the working area of Semitau Public Health Center. The study population consisted of 395 children aged 0–59 months, with 351 children meeting the inclusion criteria selected using total sampling technique. Data were analyzed univariately to obtain the frequency distribution of nutritional status. Results: Based on W/A, 77% of children had normal nutritional status, 13.5% were undernourished, 6.1% were severely undernourished, and 1.0% were overweight. Based on H/A, 62.1% were normal, 20.8% were stunted, 11.5% were severely stunted, and 1.8% were tall. Based on W/H, 76.4% had normal nutritional status, 7.9% were undernourished, 2.0% were severely undernourished, 3.1% were overweight, and 2.6% were obese. Conclusion: The majority of children under five in the Semitau Public Health Center area had normal nutritional status. However, the stunting prevalence of 32.3% remains high according to WHO classification. Strengthening nutritional monitoring through integrated health posts and providing parental education on balanced nutrition are recommended.

This study evaluates the effectiveness of the Free Nutritious Meal Program (MBG) in improving students' cognitive abilities based on nutritional status in Brangsong Village, Indonesia. The research used a mixed-methods approach, combining quantitative and qualitative designs. Quantitative data were collected from 30 student beneficiaries via questionnaires and analyzed using descriptive statistics and Pearson correlation coefficients. Qualitative data were gathered through in-depth interviews with managers of the Nutrition Fulfillment Service Unit (SPPG), school authorities, students, and parents, and analyzed thematically. The results show a positive and significant relationship between nutritional status and academic achievement, but no significant relationship with students' cognitive ability. Nutrient intake, however, was positively and significantly associated with both cognitive ability and academic achievement. The strongest relationship was observed between cognitive ability and academic achievement. These findings suggest that the MBG program effectively supports academic achievement by improving nutrient intake and cognitive ability. However, its impact on students’ nutritional status has not been uniformly distributed.

Indonesia continues to face a significant burden of stunting that seriously impacts human resource quality and national development. Stunting is defined as a condition of chronic linear growth failure in children under five years, characterized by height-for-age below minus two standard deviations (−2 SD) from the WHO Child Growth Standards median, resulting from prolonged nutritional deficiency during the first 1,000 days of life. Indonesia's national stunting prevalence in 2022 remained at 21.6%, far from the 2024 national target of 14%. This community service activity aimed to improve the knowledge of pregnant mothers and mothers with toddlers regarding the definition, causative factors, impacts, and prevention strategies of stunting in Banyumas Village, Stabat District, Langkat Regency, in 2025. A community-based participatory intervention approach with a pre-post single group design was employed, incorporating interactive health counseling, group discussion sessions, anthropometric examination of toddlers, and pre-test and post-test knowledge assessments using a validated questionnaire. Participants consisted of 21 pregnant mothers and mothers with toddlers, with 7 toddlers undergoing anthropometric examination. Results demonstrated a significant increase in the mean knowledge score from 55.24 (pre-test) to 82.38 (post-test), reflecting an improvement of 27.14 points. Anthropometric examination identified 1 out of 7 toddlers (14.3%) as having poor nutritional status based on the height-for-age index. Beyond measurable knowledge gains, the activity successfully promoted perceptual change among participants, fostered the active role of local health cadres as community change agents, and cultivated collective awareness regarding the importance of multi-stakeholder collaboration in stunting prevention efforts. It is recommended that posyandu cadres actively sustain the 1,000 HPK counseling program on a continuous basis, and that the institution develop more comprehensive follow-up community service programs in the target area.

Teenage pregnancy remains a reproductive health issue in Indonesia, including in Batam City. According to data from the Batam City Health Office in 2024, there were 18 cases of teenage pregnancy (0.06%) with the Lubuk Baja Health Center being one of the highest areas. Pregnant teenagers are at high risk of complications such as anemia, malnutrition, and low birth weight (LBW), which contribute to high rates of maternal and infant morbidity. This study used a descriptive method with a case study approach on Ny. S, an 18-year-old teenager with a pregnancy in the Lubuk Baja Health Center area of Batam City in 2025. Data collection was conducted through interviews, observations, physical examinations, and SOAP documentation following the 7-step Varney obstetric management. The findings revealed that Ny. S experienced mild complaints such as nausea, reduced appetite, and anxiety about her pregnancy. After three visits, the mother's complaints decreased, appetite improved, anxiety decreased, and nutritional status was within normal limits. Comprehensive midwifery care with a biopsychosocial approach was proven effective in improving both the physical and mental health of pregnant teenagers and preventing pregnancy complications.

Tuberculosis (TB) remains a significant health issue in Indonesia, with the number of cases not showing a decline. Pediatric pulmonary tuberculosis is one of the leading causes of morbidity and mortality. In 2018, the number of TB cases in Aceh reached 41,595, with Aceh Utara having the highest number at 4,819 cases, followed by Bireuen with 3,636 cases, while Sabang recorded the lowest at 272 cases. The primary risk factor for pulmonary tuberculosis in children is a history of contact with adult TB patients, as children's immune systems are still weak, allowing the bacteria to enter their bodies easily. This study aims to examine the history of TB contact in children at the Pediatric Clinic of Cut Meutia General Hospital. The research used a descriptive observational design, with 105 respondents, and data was collected from medical records. The results showed that the majority of respondents were toddlers (47.6%), most were male (54.3%), and 58.1% had good nutritional status. A significant percentage of respondents (77.1%) had a history of contact with TB patients, and 83.8% did not receive BCG vaccination. These findings highlight that contact with TB patients is a key factor in the transmission to children.

Type 2 diabetes mellitus in the elderly significantly impacts quality of life (QoL) due to physiological changes in aging, comorbidities,and the risk of chronic complications. Nutritional management is considered a key intervention to improve glycemic control and functional status in the elderly.Objective: To review the current evidence regarding the effect of nutritional interventions on the quality of life in elderly with type 2 diabetes mellitus through a Literature Review approach.Methods: The Literature Review was conducted by identifying articles from the Scopus database published in 2020–2025. The review process included screening based on inclusion-exclusion criteria, eligibility assessment, and narrative synthesis of relevant studies,including controlled trials,quasi-experimental studies, observational studies, and systematic observations.Results: From the selected studies, interventions with a low glycemic index diet and a balanced diet have been shown to reduce HbA1c levels and the risk of complications; a multicomponent program combining diet and exercise produces synergistic effects on glucose control, physical function,and quality of life.Structured nutrition education (DSME) and family involvement improve satisfaction and metabolic outcomes.The use of technology (mobile apps) shows potential in monitoring intake and glucose,although digital literacy challenges and limited sample size and study design are often limitations.Conclusion: Targeted nutrition interventions, especially when combined with exercise, education,family support,and age-friendly technology,have the potential to improve metabolic control and quality of life in older adults with T2DM.Recommendation: Large-scale RCTs and more robust longitudinal studies are needed to establish the long-term effectiveness and cost-effectiveness of multicomponent nutrition interventions and technology adaptations for older adults with multimorbidity.

Tuberculosis (TB) remains a major global health problem with high morbidity and mortality rates, particularly in high-burden countries such as Indonesia. Nutritional status is one of the important factors influencing the incidence and outcomes of TB. This literature review aims to analyze the relationship between nutritional status and pulmonary tuberculosis based on recent national and international studies. Articles were retrieved from Google Scholar, PubMed, and Portal Garuda using the keywords “nutritional status” and “tuberculosis” as well as “status gizi tuberculosis” within the period of 2019–2024. Eligible articles were analyzed descriptively. The findings indicate that poor nutritional status is significantly associated with an increased risk of pulmonary tuberculosis. Malnutrition impairs cellular immunity, particularly T-lymphocyte and macrophage function, thereby increasing susceptibility to Mycobacterium tuberculosis infection. Conversely, active TB infection can worsen nutritional status through increased energy expenditure, decreased appetite, and metabolic alterations. This bidirectional relationship highlights the crucial role of nutritional interventions in TB prevention and management. Therefore, improving nutritional status should be considered an integral component of tuberculosis control strategies.

Nutritional status plays an important role in shaping body image among adolescents, particularly female adolescents who experience rapid physical and psychosocial changes. Adolescents with nutritional problems are more likely to feel dissatisfied withitheiribody shape, whichimay lead to unhealthy behaviors such as strict dieting or excessive eating to gain weight. Thisistudy aimed toianalyze theirelationship betweeninutritional statusiand bodyiimage amongifemale adolescentsiat SMK Negeri 1 Palu. This research employedia quantitativeiapproachiwith aicross-sectionalidesign. Aitotal ofi169 femaleistudentsiwere selected using stratified random sampling. Body image data were collected using the Body Self Relation Questionnaire–Appearance Scale, while nutritional status was assessed using Body Mass Index for Age (BMI-for-Age) and Height for Age (HFA). Data were analyzed using the Spearman Rank correlation test. The results indicated that there was no significant relationship between nutritional status based on BMI-for-Age and body image, with a p-value of 0.329. Similarly, no significant relationship was found between Height-for-Age and body image among female adolescents, with a p-value of 0.892. Most respondents were aged 16–17 years, had a negative body image perception, normal BMI-for-Age nutritional status, and normal Height-for-Age category. These findings suggest that body image among female adolescents is not solely influenced by nutritional status but may also be affected by other psychosocial and environmental factors. Therefore, future research is recommended to apply a cohort study design and explore other determinants of body image, such as social media exposure, peer influence, and infectious diseases, to provide a more comprehensive understanding of factors affecting adolescent body image.

Background: Hand grip strength is an essential indicator of physical capacity and nutritional status that can identify obesity risk. Adipose tissue accumulation in central obesity contributes to decreased hand grip strength quality through impaired muscle force transmission. Previous studies showed inconsistent results regarding the relationship between waist circumference and hand grip strength, especially in populations with high physical activity. Objective: To analyze the relationship between waist circumference and hand grip strength in male construction workers with high physical activity in Medan City. Methods: This descriptive-analytic study with cross-sectional design involved 100 male construction workers aged 30-39 years selected using purposive sampling technique. Waist circumference was measured using measuring tape, while hand grip strength was measured using handgrip dynamometer. Data analysis used Chi-Square test with significance level α=0.05. Results: The majority of respondents had normal waist circumference (64%) with mode 70 cm and normal grip strength category (53%) with mode 41.7 kg. Chi-Square test showed significant relationship between waist circumference and hand grip strength (p=0.039). Conclusion: There is a significant relationship between waist circumference and hand grip strength in construction workers. High physical activity does not completely prevent central obesity, therefore nutritional management and health education programs are needed for optimization of body composition and muscle functional capacity.

Adolescents are a vulnerable group facing nutritional problems, therefore nutritional needs are crucial. Unhealthy lifestyle changes, such as excessive cigarette consumption, can lead to nutritional status problems. This study aims to analyze the relationship between mental health and cigarette consumption with the nutritional status of male adolescents at SMK Negeri 3 Palu. This study was quantitative, using a cross-sectional approach with a population of adolescents at SMK Negeri 3 Palu aged 16-18 years. This study was conducted in December 2024. The sample size was 103 individuals, using a stratified random sampling technique. Based on the results of the Spearman rank test, it shows that the adolescents who experience the most mental health problems are at a mild level with a nutritional status of 42.6% (p = 0.724) > value ∝ 0.05 and the adolescents who have the most heavy cigarette consumption with a nutritional status of 48.8% (p = 0.221) > value ∝ 0.05, which means there is no relationship between mental health and nutritional status and there is no relationship between cigarette consumption and the nutritional status of male adolescents at SMK Negeri 3 Palu.

Background: Preschool age, which is 4-6 years, is a crucial stage in child development. Delays in development and growth in children will have long-term impacts on their cognitive, social, and emotional abilities. Children's diet and parenting styles are greatly influenced by their growth and development. Objective: This study aims to examine how parenting styles and nutritional status are related to the development of preschool children. Method: This study used a quantitative approach with a cross-sectional design and involved fifty parents of preschool children aged between 4 and 6 years. Total sampling was used as the sampling technique. To conduct bivariate analysis, researchers used the Spearman rank correlation test. PSDQ or Parenting Styles and Dimensions Questionnaire was used to collect data on parenting styles, Denver Developmental Screening Test II (DDST II) was used to assess child development, and Z scores were used to determine the child's nutritional status. Results: The majority of respondents indicated an authoritative (democratic) parenting style (88%), good nutritional status (88%), and normal child development (80%). There was a significant correlation between parenting style and child development, with p = 0.004 and r = 0.405. Meanwhile, for nutritional status and child development, the p value was 0.013 with r = 0.351. Conclusion: Nutritional status and democratic parenting style were significantly correlated with preschool children's development. Education on balanced parenting and nutrition needs to be strengthened through family-based nursing interventions.

Malnutrition and stunting among children under five remain major public health challenges in developing countries, including Indonesia. These conditions are associated with increased morbidity, mortality, impaired cognitive development, and reduced productivity in adulthood. Stunting reflects chronic nutritional deficiencies, while severe malnutrition indicates acute or prolonged inadequate nutrient intake, often exacerbated by infections, poor caregiving practices, and unfavorable socioeconomic conditions. This case report aims to describe the clinical condition, contributing factors, management, and outcomes of a 14-month-old female toddler diagnosed with severe malnutrition and stunting without complications in Blang Dalam Geuteung Village, Nisam Subdistrict, North Aceh Regency. The assessment was conducted using a family medicine approach, incorporating detailed history taking, physical examination, anthropometric measurements, and nutritional status evaluation based on World Health Organization Z-score indicators. Interventions included nutritional rehabilitation through appropriate dietary intake, family education on balanced nutrition and proper feeding practices, routine growth monitoring, and optimization of primary healthcare services. The results showed gradual improvement in the child’s nutritional status, evidenced by weight gain, better appetite, and improved feeding patterns following the intervention. This case highlights the importance of early detection, comprehensive family-centered management, and continuous monitoring in addressing malnutrition and stunting at the primary care level. Strengthening community-based interventions, improving caregiver knowledge, and enhancing collaboration between healthcare providers and families are essential to reduce the burden of malnutrition and support optimal child growth and development.

Adolescent reproductive health is an important aspect that requires special attention, especially regarding the problem of dysmenorrhea or menstrual pain. Dysmenorrhea is often considered normal, even though it can reduce the quality of life and disrupt the learning activities of young women. One factor that influences dysmenorrhea is nutritional status and diet. This community service activity aims to increase the knowledge of young women about preventing dysmenorrhea through health promotion using posters with an anti-inflammatory diet approach based on "Healing Through Nutrition". The activity was carried out at the UPT SMA 9 Bulukumba on May 6, 2025, targeting 20 young women. The activity method included the planning, preparation, implementation, and evaluation stages, with a pre-test and post-test to assess the level of knowledge of participants. The results showed a significant increase in adolescent knowledge about preventing dysmenorrhea. Before the activity, 50% of respondents had poor knowledge, 40% had sufficient knowledge, and only 10% had good knowledge. After the intervention, 80% of respondents had good knowledge and 20% had sufficient knowledge, with no category of poor. These results indicate that poster media is effective in increasing adolescents' knowledge about dysmenorrhea and the importance of an anti-inflammatory diet as a non-pharmacological effort to prevent it.

Status gizi ibu dan anak merupakan indikator penting kesehatan masyarakat dan berperan besar dalam pencegahan anemia, kekurangan energi kronis (KEK), dan stunting. Rendahnya literasi gizi serta keterbatasan kemandirian ibu dalam melakukan deteksi dini status gizi masih menjadi tantangan di tingkat komunitas. Kegiatan pengabdian kepada masyarakat ini bertujuan untuk meningkatkan pengetahuan dan kesadaran ibu mengenai gizi seimbang serta kemampuan deteksi dini status gizi ibu dan anak melalui edukasi berbasis teknologi informasi. Metode pelaksanaan meliputi tahap persiapan, pelaksanaan, dan evaluasi. Persiapan dilakukan melalui observasi awal dan pengembangan media edukasi digital. Pelaksanaan dilakukan dengan penyuluhan langsung, diskusi interaktif, serta pengenalan aplikasi edukasi gizi dan deteksi dini pertumbuhan anak. Evaluasi dilakukan menggunakan pre-test dan post-test untuk menilai perubahan tingkat pengetahuan peserta. Kegiatan ini melibatkan 22 ibu sebagai peserta. Hasil menunjukkan peningkatan pengetahuan yang signifikan, ditandai dengan meningkatnya jumlah peserta pada kategori pengetahuan baik dan tidak ditemukannya lagi peserta dengan kategori pengetahuan kurang setelah intervensi. Peserta menunjukkan antusiasme dan komitmen untuk menerapkan prinsip gizi seimbang dalam kehidupan sehari-hari. Edukasi gizi seimbang berbasis teknologi informasi terbukti efektif dalam meningkatkan literasi gizi ibu dan berpotensi mendukung deteksi dini masalah gizi secara mandiri. Kegiatan ini direkomendasikan untuk diintegrasikan secara berkelanjutan dalam program kesehatan ibu dan anak di tingkat komunitas.

Stunting is a chronic nutritional problem that affects children's growth and development and remains a major public health challenge. Posyandu plays a strategic role in the prevention and early detection of stunting through community-based basic health services. This community service activity aims to optimize the role of Posyandu as a strategy for preventing and detecting stunting early in Nagreg Village, Banten. The methods used include anthropometric measurements of children aged 0–59 months and health education on nutrition for parents and Posyandu cadres. Data analysis was conducted descriptively based on age groups. The results show that out of 32 children examined, 37.5% showed indications of stunting risk. This finding suggests that the integration of growth monitoring and nutrition education at Posyandu has the potential to be an effective strategy for the prevention and early detection of stunting, as well as to support the improvement of children's health quality. This activity also enhances parents' and Posyandu cadres' understanding of the importance of monitoring nutritional status to prevent stunting more effectively.

Stunting is a chronic nutritional problem that affects children's growth and development and remains a major public health challenge. Posyandu plays a strategic role in the prevention and early detection of stunting through community-based basic health services. This community service activity aims to optimize the role of Posyandu as a strategy for preventing and detecting stunting early in Nagreg Village, Banten. The methods used include anthropometric measurements of children aged 0–59 months and health education on nutrition for parents and Posyandu cadres. Data analysis was conducted descriptively based on age groups. The results show that out of 32 children examined, 37.5% showed indications of stunting risk. This finding suggests that the integration of growth monitoring and nutrition education at Posyandu has the potential to be an effective strategy for the prevention and early detection of stunting, as well as to support the improvement of children's health quality. This activity also enhances parents' and Posyandu cadres' understanding of the importance of monitoring nutritional status to prevent stunting more effectively.

The health of pregnant and breastfeeding women is a crucial determinant of the quality of future generations, particularly during the first 1,000 days of life. However, nutritional problems, such as deficiencies in iron, protein, and essential vitamins, remain prevalent in many regions, especially in rural areas. These conditions may increase the risk of anemia, impaired fetal growth, and reduced maternal and child health outcomes. This community service program aimed to improve the nutritional status as well as the knowledge and awareness of pregnant and breastfeeding women regarding the importance of balanced nutrition in Sukorejo Village, Bojonegoro Regency. The program was implemented through the provision of free balanced nutritious meals tailored to the nutritional needs of pregnant and breastfeeding women, accompanied by health education activities, including counseling sessions and interactive discussions on healthy dietary patterns, food hygiene, and anemia prevention. Program evaluation was conducted through participatory observation and participant feedback. The results indicated an improvement in participants’ understanding of balanced nutrition and positive behavioral changes in daily food selection and consumption. This community service initiative is expected to serve as a sustainable model for improving maternal and child health and preventing nutritional problems at the village level.

Floods and landslides in Hutanabolon Village, Tukka District, Central Tapanuli Regency have disrupted access to food and health services, particularly for vulnerable groups such as children. Public kitchens, as the frontline of emergency nutrition response, face challenges in providing food that meets the specific nutritional needs of children. This study aims to evaluate the effectiveness of public kitchens at Disaster Emergency Response Posts (TDB) in meeting the nutritional needs of post-disaster children, identify supporting and inhibiting factors, and formulate recommendations for improving the public kitchen management system. The research employed a descriptive evaluative approach using survey methods, structured interviews, direct observation, 24-hour dietary recall, and anthropometric measurements (weight and height). The study subjects included 15 children aged 1–12 years and 8 public kitchen managers selected purposively. Data were analyzed descriptively by comparing nutritional intake against the Recommended Dietary Allowance (RDA) standards and analyzing kitchen management practices based on emergency nutrition guidelines. The findings revealed that children's average energy intake was only 1,140 kcal/day (below the minimum standard of 1,200–2,000 kcal/day) and protein intake was 18.7 g/day (below the standard of 20–35 g/day). A total of 33.3% of children were classified as having malnutrition to severe malnutrition based on weight-for-age indicators. Public kitchen management showed weaknesses in menu planning (100% had no child-specific menu), managers' nutritional knowledge (62.5% categorized as low), food availability (75% relied on instant aid without variation), and limited cross-sectoral coordination (50%). The effectiveness of public kitchens in meeting children's nutritional needs after disasters remains low.

Nutritional problems in adolescents are complex, as evidenced by the high rate of iron deficiency anemia, especially among girls (23%), as well as malnutrition and overnutrition. According to SKI (2023), nutritional problems in adolescents include thinness and extreme thinness reaching 7.6%, while adolescents who are overweight reach 12.1%, and those who are obese reach 4.1%. The objectives are to determine the knowledge of balanced nutrition and eating habits of students in their daily lives and to identify the relationship between knowledge and eating habits with nutritional status. This study used a cross-sectional design with a population of 45 students from the Midwifery Study Program at Harkat Negeri University. The sampling technique used was total sampling. The research instrument was a questionnaire distributed via Google Form, while nutritional status was obtained by measuring BMI. Univariate and bivariate analyses were used. The majority of respondents were aged 20 years (44.5%), had good nutritional knowledge (59.1%), poor eating habits (63.6%), and normal nutritional status (68.2%). In the bivariate analysis, there was no significant relationship between nutritional knowledge and eating habits with the nutritional status of students (p-value >0.05). Conclusion The majority of students had good understanding of nutrition, but not of eating habits. It is hoped that students can maintain eating habits with balanced nutrition in order to achieve normal nutritional status. Keywords: Nutrition Knowledge; Eating Habits; Nutritional Status