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The low level of interest in learning for elementary school students remains a fundamental problem in the implementation of basic education in Indonesia. One factor suspected of contributing to this condition is the lack of optimal fulfillment of students' physical health and nutritional needs. The Free Nutritional Meal Program (MBG) is strategic government policy aimed at improving students' nutritional status as an effort support learning readiness and the quality of learning in schools. This study aims to analyze the effect of the Free Nutritional Meal Program on increasing interest in learning for elementary school students. The study used a quantitative approach with a quasi-experimental design using a one-group pretest-posttest model. The research subjects included elementary school students and teachers directly involved in the implementation of the MBG program. Data collection techniques were carried out through a learning interest questionnaire, observation of student learning activities, and structured interviews with teachers. The data obtained were analyzed using descriptive statistics and inferential statistics in the form of paired t-tests determine differences in learning interest before and after the program implementation. The results of the study are expected to show an increase in student interest learning after participating in the Free Nutritional Meal Program, which is characterized by increased attention, activeness, and motivation in the learning process. These findings are expected to provide empirical evidence that the Free Nutritional Meal Program not only contributes improving students' physical and health conditions, but also has positive impact on the psychological and academic aspects elementary school students.

The increasing proportion of the elderly population in Indonesia has led to a rise in degenerative health problems, one of which is osteoporosis. Osteoporosis is a bone disease characterized by decreased bone density, increasing the risk of fractures, particularly among elderly women. Low calcium intake, lack of physical activity, and limited knowledge regarding osteoporosis prevention are major contributing factors. This community service activity aimed to improve the knowledge of Aisyiyah women in Cirebon Regency regarding osteoporosis in the elderly, including its definition, risk factors, impacts, and prevention strategies through proper nutrition and regular physical activity. The activity was conducted from October to December at the Aisyiyah Study Hall in Cirebon Regency, targeting pre-elderly and elderly women. The methods used included health education through lectures and interactive question-and-answer sessions, supported by laptops, LCD projectors, and PowerPoint presentations. Evaluation of participants’ knowledge was carried out using oral pre-tests and post-tests related to the delivered material. The results indicated an improvement in participants’ understanding of osteoporosis, the importance of adequate calcium intake, and the role of physical activity in maintaining bone health. This community service program is expected to contribute to increasing health awareness and reducing the risk and prevalence of osteoporosis among the elderly.

The nutritional status of toddlers is an important indicator that reflects the level of public health in a region. This study aims to analyze the nutritional status of children aged 0–5 years in Teupin Desa Teupin Gapeuh Kecamatan Tanah Pasir Kabupaten Aceh Utara. This research employed a descriptive quantitative method using secondary data obtained from health records and posyandu (integrated health post) reports. The study involved a total of 60 children under five, consisting of 33 boys and 27 girls. The findings revealed that based on the weight-for-age (W/A) index, 81.7% of children had normal nutritional status, 13.3% were undernourished, and 3.3% were severely undernourished. Based on height-for-age (H/A), 90.0% were normal, 5.0% were short, and 3.3% were very short. According to the weight-for-height (W/H) index, 83.3% were normal, 11.7% were undernourished, and 5.0% were at risk of overweight. Furthermore, the prevalence of stunting, wasting, and underweight were 8.3%, 11.7%, and 16.7% respectively. These results indicate that although most children have normal nutritional status, some still experience nutritional deficiencies that require special attention. Therefore, health workers and local governments need to strengthen nutrition education programs, increase community awareness of balanced nutrition, and improve monitoring of child growth to prevent malnutrition in the area

Nutritional status is a health condition that indicates whether or not nutrients are sufficient in the body. This is influenced by eating habits and the body's ability to absorb nutrients. Nutritional status assessment can be done by body measurements, diet analysis, or laboratory tests. This indicator shows the extent to which nutritional needs are met to support body function and growth. This study aims to determine the nutritional status of toddlers in Keude Nibong Village and the factors that influence it. The research design used a quantitative approach with a correlation method, involving 35 toddlers as samples. The results showed that most toddlers were male (52%) and most were aged 24-35 months and 48-59 months (23.7% each). A total of 29 toddlers (83%) had good nutritional status, while 6 toddlers (17%) were malnourished. The nutritional condition of toddlers was generally good, but regular monitoring by health workers and the village government through integrated health posts (posyandu) is needed. Further research is recommended to examine factors such as diet, economy, and parental education that influence children's nutritional status.

Stunting is a health issue that remains a concern for the government, particularly in supporting the achievement of the Sustainable Development Goals (SDGs), namely the nutritional status of children under five. Stunting, or chronic malnutrition, causes children to fail to grow, which is influenced by mothers' knowledge of nutritional fulfillment in children, especially from the first 1,000 days of birth until the child is 2 years old. The purpose of this study was to determine the effect of health education on parents in preventing stunting in Sumeith Pasinaro Village. The targets of this study were pregnant and breastfeeding mothers and parents who had children aged 1-5 years. This study used a One Group Pre-test-Post-test design with paired sample t-test analysis. There were 12 participants in the activity. Data were collected through a multiple-choice questionnaire administered before and after the socialization with the material “Prevent Stunting from the Heart.” The average pre-test score of the participants was 6.75 and then increased to 9.33 on the post-test, with a difference of 2.58. The paired sample t-test results showed a Sig. (2-tailed) value of 0.014 (< 0.05), indicating a significant increase in participants' knowledge after receiving education. Therefore, health education through socialization activities is effective in increasing mothers' knowledge about stunting prevention. Activities like this are important to continue as an effort to reduce the incidence of stunting in the community.

The production of breast milk is essential for promoting optimal growth and developmental outcomes in infants throughout the first six months of life. Nevertheless, several studies have indicated that some breastfeeding mothers face challenges in producing adequate milk, often influenced by nutritional status, psychological conditions, and environmental support. The katuk plant (Sauropus androgynus), a well-known local herb, has long been recognized for its potential as a natural galactagogue that can stimulate breast milk production. The innovation of processing katuk leaf extract into biscuits offers a more practical, convenient, and potentially acceptable alternative for daily consumption among the community. The present study aimed to examine the impact of katuk leaf biscuits on breast milk production among breastfeeding mothers within the jurisdiction of Kuta Baro Health Center, Aceh Besar District. A pre-experimental design utilizing a one-group pretest–posttest method was implemented, involving 20 breastfeeding mothers who fulfilled the established inclusion criteria. Data collection was carried out through the administration of questionnaires and by measuring breast milk volume using a calibrated measuring cup.The study findings indicated that before the intervention, most participants had relatively low breast milk production, averaging 69.1 ml. After a seven-day intervention, the mean breast milk volume showed a significant increase to 246.5 ml, with a p-value of 0.000 (p < 0.05), the findings indicate that katuk leaf biscuits exert a significant influence on increasing breast milk production. Overall, this study underscores the potential of locally sourced, herbal-based food innovations as an effective and sustainable approach to enhancing breast milk production and supporting the success of exclusive breastfeeding programs.

Stunting remains one of the major chronic nutritional problems in Indonesia, including in Oesapa Village, Kelapa Lima District, Kupang City, East Nusa Tenggara Province. This condition is not only caused by inadequate nutritional intake but is also closely related to chronic infections resulting from poor hygiene and sanitation, particularly intestinal parasitic diseases. To reduce the risk of parasitic infections and improve children’s nutritional status, preventive efforts through education and health promotion are essential.This community service activity aimed to increase public awareness and knowledge, especially among parents and caregivers of stunted children, regarding the importance of maintaining hygiene and sanitation to prevent intestinal parasitic diseases. The methods used included participatory approaches such as interactive lectures, group discussions, and practical demonstrations of clean and healthy living behavior (PHBS), food hygiene, clean water management, and household waste disposal. Evaluation was conducted using pre-test and post-test instruments to measure changes in participants’ knowledge.The activities, carried out from May to September 2025 in Oesapa Village, showed a significant improvement in community understanding of hygiene and sanitation practices. Participants demonstrated greater commitment to maintaining environmental cleanliness and adopting healthier daily behaviors. Continuous educational efforts and multisectoral support are needed to help reduce the prevalence of stunting in the region

Puberty in girls is a developmental stage where sexual maturation occurs as a manifestation of reproductive ability, marked by the first menstruation (menarche), a form of primary sexual maturity in girls. The purpose of this study was to determine whether there is a relationship between nutritional status and maternal menarche history with early menarche in elementary school students in grades 4-6 at SDN 01 Nagrak Gunung Putri Bogor in September 2025. This research was a quantitative, observational analytical study using a cross-sectional approach. It was conducted at SDN 01 Nagrak Gunung Putri Bogor from August to September 2025 with a sample of 49 respondents. Univariate and bivariate data analysis used the Chi-Square Test. The results showed a relationship between nutritional status and early menarche (p-value = 0.001 and OR = 3.7) and maternal menarche history with early menarche (p-value = 0.000 and OR = 7.3). The study concluded that there is a relationship between maternal nutritional status and menarche history with early menarche. It is recommended that SDN 01 Nagrak Gunung Putri Bogor collaborate with the nearest community health center and the Health College to conduct outreach activities on reproductive health.

Toddler age is often called the golden period because during this period brain nerve development occurs, especially myelination, as well as a critical period. The golden period can be achieved if toddlers' nutritional needs are optimally met. On the other hand, if babies and toddlers do not get the food they need, the golden period will change into a critical period, thus disrupting their growth and development. The level of education of parents will affect the health and well-being of children, because this is inseparable from the nutritional status of children. Mothers with a high level of education will have a clearer opportunity to absorb information compared to mothers with less or no education. With a good level of education, it is hoped that a mother will be willing and able to behave well in order to improve her child's nutritional status. This Community Service activity aims to provide health education on balanced nutrition to reduce stunting in the community, especially mothers with toddlers in Desa Cangguk, Kecamatan Tanah Pasir, Kabupaten Aceh Utara. This activity used a participatory approach involving lecturers, students, health workers, and the community. The results showed an increase in public understanding and awareness of stunting prevention. It is hoped that this activity will raise public awareness about balanced nutrition for children

The quality of complementary feeding (MP-ASI) for infants aged 6–23 months is a key factor in supporting growth and preventing early nutritional problems. However, MP-ASI practices that do not comply with recommendations are still common, especially in areas with limited access to nutrition information and education. One of the promotive-preventive efforts developed in primary health care is the implementation of toddler classes. This study aims to analyze the effectiveness of toddler classes in improving the nutritional quality of infants receiving MP-ASI in the working area of the Popayato Timur Community Health Center. This study used a quasi-experimental design with a one-group pretest–posttest approach. The study sample consisted of 33 infants aged 6–23 months selected using a total sampling technique. Data were collected through infant anthropometric measurements to assess nutritional status based on indicators of weight for age (BW/A) and weight for length/height (BW/H), as well as assessing the quality of MP-ASI using quality scores before and after the intervention. Data analysis was carried out descriptively and inferentially using paired statistical tests. The results showed an increase in the quality of complementary feeding (MP-ASI) after the implementation of toddler classes, accompanied by improvements in infant nutritional status based on indicators of weight for age and weight for height, with a statistically significant difference between conditions before and after the intervention. In conclusion, toddler classes are effective in improving the quality of complementary feeding and infant nutritional status, thus potentially being an applicable educational strategy in efforts to improve infant nutrition in primary health care.

Stunting and wasting are nutritional problems in toddlers that remain a double burden of malnutrition in Indonesia and have an impact on the quality of health and future human resource development. Monitoring the nutritional status of toddlers is generally carried out using anthropometric indicators, but the use of this data is still limited to descriptive analysis. This study aims to apply the K-Means algorithm in clustering infants vulnerable to stunting and wasting based on anthropometric indicators, so that groups of infants with different levels of nutritional vulnerability can be identified. The dataset used consists of infant data with variables of gender, age (months), height (cm), and weight (kg). The research stages included data preprocessing, encoding categorical variables, data normalization, determining the optimal number of clusters using the Elbow and Silhouette Score methods, and analyzing the characteristics of each cluster. The evaluation results showed that the optimal number of clusters was four. Each cluster has different anthropometric characteristics and distributions of stunting and wasting status, ranging from groups with relatively normal nutritional conditions, groups with a tendency toward overnutrition, to groups that are vulnerable to acute and chronic malnutrition. These clustering results provide a more comprehensive and segmented mapping of toddlers, which can be used as a basis for formulating more targeted and data-driven nutrition policies and interventions.

This study aims to analyze hematocrit values ​​using a micro method with capillary blood samples in pregnant women with anemia at the Sidodadi Kisaran Barat Community Health Center. This study is a descriptive study with a cross-sectional approach involving 15 pregnant women as respondents. Data collection was carried out through hematocrit laboratory examinations and data collection of respondent characteristics. The results showed that 60% of respondents had hematocrit levels below normal values, while 40% of respondents had hematocrit levels within normal limits. Low hematocrit levels in pregnant women are influenced by several factors, including age, education level, employment status, and level of knowledge about anemia during pregnancy. This condition has the potential to increase the risk of pregnancy complications if not optimally managed. Therefore, it is recommended that health workers continue to increase educational efforts regarding anemia prevention, the importance of regular pregnancy check-ups, and encourage pregnant women to maintain a balanced nutritional consumption pattern and adequate iron intake to support maternal and fetal health.

Low Birth Weight (LBW) remains a critical global health issue that significantly contributes to neonatal morbidity and mortality, particularly in developing countries such as Indonesia. The main challenge in addressing LBW lies in its complex and multifactorial risk profile, which involves biological, social, environmental, and healthcare-related determinants. This study aims to analyze and synthesize the risk factors associated with LBW based on recent scientific literature. A literature review method was applied by searching articles from Portal Garuda, DOAJ, PubMed, and Google Scholar published between 2020 and 2025 using relevant keywords. The findings indicate that maternal age, interpregnancy interval, nutritional status, anemia, preeclampsia, infections, socioeconomic conditions, environmental exposure, and the quality of antenatal care are significant determinants of LBW. The synthesis of evidence confirms that LBW is influenced by the interaction of multiple individual and healthcare system factors rather than a single cause. In conclusion, this study highlights the urgent need to strengthen antenatal care services, improve maternal nutritional status, control maternal diseases during pregnancy, and implement community-based promotive and preventive strategies as key efforts to reduce the incidence of LBW.

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.

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.

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.

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.

This study aims to analyze the influence of parental roles on fulfilling the nutritional needs of children aged 3–4 years at the Asmaul Husna Daycare (TPA) in Gorontalo. The study used a quantitative design with a cross-sectional approach and involved 60 parents as respondents. The role of parents was measured through their active involvement as educators, motivators, and facilitators in fulfilling children's nutritional needs. The results showed that 80% of children whose parents played an active role had good nutritional status based on normal weight for age and height for age indicators. Conversely, in the group of less active parents, only 36% of children achieved good nutritional status. The Chi-square test showed a significant relationship between parental roles and children's nutritional status (p < 0.05). The table data shows a clear disparity, with 32 well-nourished children coming from the active role group, while 14 children with poor nutritional status came from the passive role group. These findings emphasize the importance of monitoring dietary patterns, providing nutritious supplies, and collaboration between parents and the TPA in reducing the risk of malnutrition and stunting. Furthermore, parental involvement contributes to improved immunity, cognitive development, and the formation of long-term healthy eating habits. This study recommends holding nutrition workshops for parents as part of a sustainable TPA program.

Children under two years old (Baduta) are vulnerable to nutritional problems due to their rapid growth and development phase. Supplementary feeding (PMT) using locally sourced foods is an effort that can support adequate nutritional intake during this period. This community service activity aimed to increase mothers' knowledge regarding the importance of PMT and the introduction of nutritious local food ingredients that are easily accessible. The activity was conducted in Lawata Village, Kolaka Utara Regency, involving 30 mothers with Baduta. The method used was educational counseling and interactive discussion covering the definition, benefits, timing of supplementary feeding, and examples of local nutritious foods such as fish, eggs, tempeh, legumes, vegetables, and tubers. The results showed an improvement in participants' understanding of appropriate supplementary feeding practices. Mothers also expressed willingness to apply the knowledge gained in daily feeding practices at home. This program is expected to increase family awareness of balanced nutrition and encourage the use of local food sources to support optimal child growth and nutritional status improvement.

Low Birth Weight (LBW) is one of the leading causes of neonatal mortality and contributes to an increased risk of growth and developmental disorders in later life. Maternal nutritional status during pregnancy and the utilization of antenatal health services are important factors influencing fetal growth and development. Pregnant women with poor nutritional status are at higher risk of delivering low birth weight infants due to insufficient intake of essential nutrients required during pregnancy. In addition, inadequate utilization of antenatal care services may result in delayed detection and management of pregnancy-related complications. This study aimed to determine the relationship between maternal nutritional status and the utilization of health services with the incidence of LBW. The research employed an observational analytic design with a cross-sectional approach. The study population consisted of all women who delivered in the working area of Puskesmas X in 2026. A total of 80 respondents were selected using purposive sampling. Data were collected from maternal and child health (MCH) books and medical records and analyzed using the Chi-square test. The results showed a significant relationship between maternal nutritional status and the incidence of LBW (p=0.002), as well as between the utilization of health services and the incidence of LBW (p=0.004). It can be concluded that maternal nutritional status and compliance with antenatal visits are significantly associated with LBW, highlighting the need to improve nutritional monitoring and the quality of antenatal care services.