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Yessy Aprihatin; Aisyah Putri Gutawa; Aulia Bunga Adri Elisa; Farel Irvan Orvala; Ilyasa Putra +1 more

Nusantara Mengabdi Kepada Negeri 2025 Asosiasi Peneliti dan Pengajar Ilmu Hukum Indonesia

The Community Service Program (Kuliah Kerja Nyata/KKN) implemented in Jorong Padang Rantang, Nagari Koto Tuo, Lima Puluh Kota Regency, represents a tangible contribution of university students in supporting the acceleration of stunting reduction at the local level. This community service activity focused on stunting prevention socialization targeting mothers of toddlers as the primary target group. An educational and participatory approach was employed to encourage active engagement of participants throughout all stages of the activity. The socialization materials covered the definition of stunting, its causes and impacts on child growth and development, the importance of adequate and balanced nutrition, appropriate parenting practices, and the strategic role of families during the First 1,000 Days of Life (1,000 HPK).The implementation of the activity involved cadres from the Amanah Bunda Integrated Health Post (Posyandu), village midwives, and KKN students from Universitas Negeri Padang as facilitators. The methods applied included interactive lectures, group discussions, and simple simulations related to nutritional practices and healthy parenting. The results indicated an increase in participants’ knowledge, awareness, and active community participation in early stunting prevention efforts. Furthermore, the activity strengthened the role of the Posyandu as a primary center for basic health services and community education. This community service initiative is expected to serve as a sustainable community-based intervention model that can be replicated in other areas facing similar challenges.

Najhwa Jananti Alfi; Ismaniar Ismaniar; Lili Dasa Putri

Jurnal Pendidikan Dirgantara 2025 Asosiasi Riset Ilmu Pendidikan Indonesia

Malnutrition among early childhood remains a critical issue that hinders Indonesia’s efforts to realize its Golden Generation. This study aims to describe the current condition of child malnutrition, its impacts, contributing factors, and strategies for prevention involving families, communities, health workers, early childhood education institutions, and the government. This paper uses a literature review method by examining scientific sources related to nutrition, early childhood development, and governmental policies. The findings indicate that severe malnutrition significantly affects children’s physical, cognitive, socio-emotional development, and long-term health. Contributing factors include low nutritional literacy, inadequate parenting practices, poor sanitation, recurrent infections, economic limitations, and suboptimal implementation of nutrition programs. Effective prevention requires an integrated, multisectoral approach involving nutrition education, growth monitoring, improved access to nutritious food, and strengthened interventions during the First 1000 Days of Life. Sustainable collaboration across sectors is essential to reduce malnutrition rates and support the development of a healthy and competitive future generation.

Abdul Arif; St. Syahdan; Siti Maria Ulva; Dady Sulaiman; Ayu Lingga Ratna Sari

Jurnal Pengabdian dan Kesejahteraan Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

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

Irma Yunawati

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

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.

Asyima Asyima; Noviyani Hartuti

Jurnal Inovasi Riset Ilmu Kesehatan 2025 Pusat Riset dan Inovasi Nasional

Anemia during pregnancy is a significant maternal health issue with serious impacts on maternal and perinatal outcomes, including complications such as severe preeclampsia, postpartum hemorrhage, and low birth weight (LBW), all of which contribute to increased morbidity and mortality rates. This literature review aims to analyze the clinical impacts of pregnancy anemia, related complications, and effective management strategies based on the latest scientific evidence (2020-2024). The study examines the relationship between anemia and preeclampsia, LBW, and postpartum hemorrhage, as well as the importance of nutritional fulfillment in prevention and management. Five research articles from indexed journals were collected from the Scopus database, with inclusion criteria of studies with clear designs, focusing on pregnancy anemia, and published in Indonesian or English. The analysis results show that pregnancy anemia is a predisposing factor for preeclampsia through mechanisms such as placental hypoxia and oxidative stress. Anemia is also closely related to an increased incidence of LBW and postpartum hemorrhage, particularly due to lower hemoglobin reserves and uterine contractility issues. Adequate nutritional fulfillment is influenced by socioeconomic barriers, supplementation side effects, and lack of family support. Anemia management requires a comprehensive approach, including routine screening, prophylactic supplementation, nutritional education, and effective referral systems for complex cases. Prevention through early detection and timely intervention is crucial in reducing maternal and perinatal morbidity.

Nurul Hidayat; Abi Dermawan; Siti Nadiah; Dwi Rahmawati; Muhammad Chaidir +3 more

Pemberdayaan Masyarakat: Jurnal Aksi Sosial 2025 Lembaga Pengembangan Kinerja Dosen

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

Nurul Hidayat; Abi Dermawan; Siti Nadiah; Dwi Rahmawati; Muhammad Chaidir +3 more

Pemberdayaan Masyarakat: Jurnal Aksi Sosial 2025 Lembaga Pengembangan Kinerja Dosen

The global increase in life expectancy has significantly contributed to the growth of the elderly population, including in Indonesia, which has now entered the aging population phase with more than 10% of its total population aged 60 years and above. This demographic shift presents challenges in maintaining the quality of life among the elderly, particularly in tropical border regions such as Tarakan City. Karang Anyar Pantai Village, located in West Tarakan District, has a considerable number of elderly residents supported by existing elderly health posts (posyandu lansia). Social and health interventions through elderly exercise programs, nutritional support in the form of mung bean porridge, and regular monthly health check-ups are considered strategic efforts to improve physical health, metabolic function, and psychological well-being among the elderly. This study aims to evaluate the impact of these three interventions on enhancing the quality of life of the elderly in Karang Anyar Pantai. By assessing the effectiveness of these interventions, this research seeks to provide recommendations for improving elderly care programs in similar regions.

Annganing, Elysa Dwi; Widanti, Yannie Asrie; Nuraini, Vivi

Agrobioteknologi 2025 Fakultas Teknologi dan Industri Pangan Unisri Surakarta

Bread is a food product made from wheat flour, water, yeast, and salt processed by mixing them into one dough then fermented and baked in the oven until cooked. Roti has several types, one of which is burger buns. Burger patties are white bread that is round or oval, made from high protein wheat flour, yeast, sugar, bread improver, salt, butter, milk powder, water, and usually with the addition of sesame seeds. The purpose of this study was to determine the formulation of burger patties high in dietary fiber and preferred by consumers. This study used a two-factor Complete Randomized Design (RAL), with a ratio of wheat flour and mocaf 70:30, 60:40, 50:50 with the addition of the percentage of beet tubers 30,40,50. The results of burger buns with high-fiber formulations were obtained from the ratio of wheat flour and mocaf flour at 50%:50% with a percentage of beet puree at 50%, this treatment has a fiber content of 11.47%, the water content of 26.10%, ash content 1.58%, fat content 4.33%, protein content 6.53%, carbohydrate content 61.45%, calories 310.89%, specific development volume 4.42%. Of flavor 3,38, color sensory test 3.73, chewiness 3.81, tenderness 3.11. Burger buns with raw materials of mocaf flour and the addition of beet puree as a source of fiber can be one of the practical foods that have good nutritional value for health.

Indrawiananda Nur Sandrina; Ratih Kurniasari

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

Meeting the nutritional needs of school-age children is an important factor in supporting their health and academic achievement, especially for school children who spend most of their time at school. One form of education about balanced nutrition introduced by the Indonesian government is the Isi Piringku (Fill My Plate) program. This program serves as a dietary guide that emphasizes balanced food consumption in each serving. The main objective of this study was to understand the extent of the influence of educational media such as leaflets, audiovisual videos, and games, considering the use of flashcards in conveying the concept of balanced nutrition and encouraging healthy eating behavior changes in children. Through this approach, the study sought to identify the most effective media so that it could be used as a model for nutrition education in elementary schools. The results of this study found that there was a significant increase in knowledge between the pretest and posttest conducted on the three media (p < 0.05), while a significant change in attitude only occurred in the Leaflet and Video media (p < 0.05). The Kruskal-Wallis test also showed that there was no significant difference between the three educational media (p > 0.05).

Aulia, Wahyu Mafatikhul; Rahma Hafida; Azis Nur Rosyid

Garina 2025 Akademi Kesejahteraan Sosial Ibu Kartini Semarang

The purpose of this study is to analyse the comparison of sensory characteristics between original putu ayu cake and a variant with a 25% substitution of kale leaf flour. The substitution of kale leaf flour is expected to serve as a natural alternative for coloring while also improving the cake's nutritional value. This research utilized a quantitative experimental approach, involving organoleptic testing with 62 panelists from the Brangsong Baru Housing. The panelists evaluated four sensory aspects: aroma, color, taste, and texture. The results from the organoleptic tests showed that substituting kale leaf flour positively influenced the aroma of the putu ayu cake without compromising its texture. However, the color and taste still require improvements to enhance the overall consumer acceptance of the cake. These findings highlight the potential of kale leaf flour as a functional ingredient in traditional cakes, offering a healthier alternative while maintaining the sensory qualities that consumers expect.

Adilla Shafa Az Zahra; Ira Handayani; Ndaru Prasastono

Garina 2025 Akademi Kesejahteraan Sosial Ibu Kartini Semarang

The present study was conducted to assess consumer acceptability of taro-based kue talam supplemented with dragon fruit peel and to describe the ingredient composition and nutritional content of the preferred formulation. An experimental design comprising three formulations was employed. The resulting products were subjected to an organoleptic evaluation by untrained panelists, covering the attributes of color, aroma, taste, texture, and overall acceptability. The findings indicated that Formula A received the highest preference scores. The bottom layer of Formula A consisted of 650 g taro, 130 g dragon fruit peel, 250 ml coconut milk, 110 g tapioca flour, 230 g rice flour, 250 g granulated sugar, ½ tsp salt, and 1 tsp vanilla. The top layer comprised 350 ml coconut milk, 25 g granulated sugar, 30 g tapioca flour, 60 g rice flour, and ½ tsp salt. Nutritional analysis per 100 g of product revealed carbohydrate and protein contents of 48.45% and 2.515%, respectively. The study concludes that taro-based kue talam enriched with dragon fruit peel has promising acceptability and may be considered a potential innovation in local tuber-based food products. Further research is recommended to include cost analysis for pricing determination.

Sayidatul Maslahah; Zidan Ramzy; Yunita Dwi Pebri Arini; Sulastri Juliyah; Talitha Fawnia +2 more

Jurnal Pengabdian Sosial 2025 Lembaga Pengembangan Kinerja Dosen

This community service activity focuses on the utilization of Talas Beneng (Xanthosoma undipes K. Koch), a tuberous plant native to Banten Province, as a healthy alternative food source free from gluten and casein. The program was implemented through the Holistic School Field Introduction (PLP) by students from Sultan Ageng Tirtayasa University at State Special School 02 Serang City. The method employed was qualitative, with a direct practice approach through training in preparing various processed products based on talas beneng, such as steamed cakes, brownies, cookies, and sticks. The activity involved three intellectually disabled students from junior and senior high school levels, along with PLP students and a culinary arts teacher. The primary objectives of the program were to enhance life skills, independence, and awareness of the importance of diversifying healthy local food sources. The results indicate an improvement in participants' abilities to recognize local food ingredients, process them into nutritionally valuable products, and strengthen collaboration between universities and schools in inclusive education. This program demonstrates that the utilization of local food resources can serve as an effective strategy to support food security, social empowerment, and holistic education.

Nur Hikmah; Pasyamei Rembune Kala; Ully Fitria

Jurnal Riset Ilmu Farmasi dan Kesehatan 2025 Asosiasi Riset Ilmu Kesehatan Indonesia

Pneumonia is one of the leading causes of mortality in children under five, especially those living in households with active smokers. This study aims to determine the risk of pneumonia in toddlers from smoking families in the working area of Meuraxa Public Health Center, Banda Aceh City. The research used a case-control design with 33 respondents, consisting of 11 cases (toddlers with pneumonia) and 22 controls (toddlers without pneumonia). Data collection was conducted through a structured questionnaire and analyzed using the chi-square test. The findings revealed that the prevalence of pneumonia among toddlers from smoking households was 33.3%. There were significant associations between pneumonia incidence and several factors, including nutritional status (p = 0.024), immunization status (p = 0.034), exclusive breastfeeding (p = 0.027), parental smoking behavior inside the house (p = 0.009), and household ventilation (p = 0.017). Toddlers who were not exclusively breastfed, had poor nutritional status, incomplete immunization, poor air ventilation, and exposure to cigarette smoke at home were at higher risk of developing pneumonia. This study emphasizes the vital role of the family in creating a healthy, smoke-free home environment that supports children's well-being. Community-based interventions and educational programs are essential to prevent pneumonia and improve the quality of life of children, particularly in urban public health areas like Meuraxa.

Tessa Julia Tifania; Zesika Intan Navelia; Siti Fadhilah

Jurnal Siti Rufaidah 2025 PPNI UNIMMAN

heritage: persistent power Deficiency (CED) among pregnant women is a dietary problem that may have an effect on both maternal and fetal fitness. one of the influencing factors is the mother’s nutritional know-how. This look at aimed to investigate the relationship between nutritional knowledge and the prevalence of CED amongst pregnant ladies in the running area of Tempunak clinic. take a look at methods: This study employed an analytic observational design with a pass-sectional technique. The population consisted of 88 pregnant girls selected the use of purposive sampling. studies gadgets blanketed a dietary understanding questionnaire and Mid-higher Arm Circumference (MUAC) measurement to decide CED fame. statistics analysis turned into executed the use of univariate analysis within the form of frequency distribution, and bivariate analysis with the Chi-rectangular check. effects: maximum respondents had exact nutritional information (fifty nine.09%), and greater than 1/2 did not experience CED (55.68%). The Chi-square check received a p-cost of 0.000 (<zero.05) with a Chi-square fee of 30.410, indicating a massive relationship between dietary knowledge and CED. Pregnant ladies with top dietary understanding were much less in all likelihood to enjoy CED, even as all respondents with terrible information skilled CED. end: there's a large courting between dietary understanding and the incidence of CED amongst pregnant girls. continuous dietary training is vital to lessen the risk of CED and enhance maternal fitness.

Muhammad Ridhwan Izzuddin; Hafizh Padmadika; Octa Viany Putri; Vira Octaviana Achmad; Rosi Oktavia +1 more

Jurnal Pengabdian dan Kesejahteraan Masyarakat 2025 Lembaga Pengembangan Kinerja Dosen

Low nutritional awareness and high consumption of unhealthy snacks remain critical issues among elementary school children, potentially affecting their growth and academic performance. This study aims to evaluate the effectiveness of a nutrition education intervention using poster media and paper-based quizzes in improving nutritional awareness among fourth to sixth grade students. The community service activity was conducted by Universitas Sebelas Maret (UNS) students as part of the Kuliah Kerja Nyata (KKN) program in three elementary schools SD Negeri 1, 2, and 3 Kalirancang, Kebumen Regency. A descriptive-evaluative approach was employed through participatory engagement using simple, low-tech educational media to address technological limitations in the school environment. Data were collected from quiz score analyses and participatory observations during the intervention. The results showed a high participation rate (80–90%) and a substantial improvement in students’ cognitive understanding of nutrition, as indicated by the majority of correct quiz responses. However, behavioral observation revealed a noticeable gap between knowledge and practice, as many students continued to consume unhealthy snacks during school breaks. It can be concluded that poster and quiz-based interventions are effective in enhancing students’ nutritional knowledge but are insufficient to alter behavior without supportive environmental and policy interventions at the school level.

Marcindy Clarita Reppa; Nurdiana Nurdiana; Nuristha Nuristha

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

The first 1000 days are often referred to as the window of opportunities or the golden period, based on the fact that from the fetal stage to the age of two years, there is a period of rapid growth and development that does not occur in other age groups. Meeting nutritional needs during the first 1000 days of a child's life is very important. This study analyzes the relationship between food taboos and LILA in pregnant women with the incidence of stunting in toddlers aged 1-24 months in the working area of the Biromaru Community Health Center in Sigi Regency. The research design used was a case-control study. The independent variables in this study were food taboos and maternal weight during pregnancy. The dependent variable was stunting in children aged 1-24 months. The population in this study consisted of all mothers who had children with stunting, totaling 32 people. The results of the study show that of the 16 stunted respondents, 11 (34.4%) respondents had food taboos and 5 (15.6%) respondents did not have food taboos. Then, out of 16 non-stunted respondents, 4 (12.5%) respondents had food taboos and 12 (37.5%) respondents did not have food taboos. Meanwhile, out of 16 stunted respondents, 10 (31.3%) respondents had KEK and 6 (18.76%) respondents did not have KEK. Then, of the 16 respondents who were not stunted, 3 (9.4%) respondents had KEK and 13 (40.6%) respondents did not have KEK. There is a relationship between food taboos and the incidence of stunting in children aged 1-24 months (p = 0.001), as well as a relationship between maternal height during pregnancy and the incidence of stunting in children aged 1-24 months (p = 0.01). It is hoped that the Biromaru Community Health Center will increase routine visits and provide education and counseling for mothers and infants.

Trisya Widya Tanti; Ni Ketut Kariani; Nuristha Febrianti

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Adolescence is an important phase characterized by physical and behavioral changes, including diet and sleep, which can affect nutritional status. Frequency of fast food consumption and sleep duration are two factors that are thought to contribute to the imbalance of adolescent nutritional status. The purpose of this study was to analyze the relationship between the frequency of fast food consumption and sleep duration with nutritional status in students of SMA Negeri 6 Palu City. This study uses a quantitative approach with cross-sectional design. The population in this study active students in SMA Negeri 6 Palu city from Grade 10 to Grade 12 amounted to 841 students, with a Simple Random Sampling technique, : the results showed that most respondents were female (64.8%), age 16 years (51.7%), as many as (47.2%) students included in the category always consume fast food and (46.1%) have more sleep duration. Most nutritional Status is in the category of over nutrition (39.3%). There was a relationship between fast food consumption and nutritional status (p = 0.010) and there was no relationship between sleep duration and nutritional status (p = 0.813).

Mardayanti Zega; Nurul Sakdah; Kiki Rezeki Amelia

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

The activeness of the elderly in participating in posyandu (integrated health post) activities remains a problem in various regions across Indonesia. The low level of participation is often caused by a lack of family support and the physical limitations faced by elderly individuals. In fact, posyandu for the elderly plays a crucial role in health monitoring, disease prevention, and improving the overall quality of life in old age. Through posyandu, elderly people can receive regular health check-ups, nutritional education, and guidance to maintain both physical and mental well-being. This study employed a descriptive correlational design with a cross-sectional approach. The population consisted of all elderly residents of Gampong Lambro Bileu, totaling 58 participants, all of whom were included as a total sample. The research was carried out from May 28 to June 11, 2025, within the working area of Kuta Baro Health Center, Aceh Besar. Data collection instruments included a family support questionnaire with 10 positive statements and an elderly posyandu attendance sheet covering the last six months. Data were analyzed using univariate and bivariate analysis with the Chi-Square test to determine relationships between variables. The findings indicated that most elderly individuals who received strong family support were very active in attending posyandu activities. The p-value of 0.024 showed a significant relationship between family support and the activeness of the elderly in participating in posyandu (p < 0.05). Therefore, families are encouraged to be more involved in accompanying, motivating, and supporting the elderly to stay active in posyandu for better health and quality of life.

Lutvia Amellia; Khaira Rizki; Muhammad Daud

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Nutrition is crucial for children's growth and development. A mother's ability to serve food dishes can affect nutrition knowledge, economic status, and family income. This study aims to determine if there is a correlation between maternal knowledge and the nutritional needs of children aged 1-4 years in Indrapuri Public Health Center. The study used a correlational analytical design with a cross- sectional approach. The sample consisted of 60 respondents, chosen using the total sampling technique. The research was conducted from April 30 to May 26, 2025. Data was analyzed using univariate and bivariate analyses with the Chi-square test. The results showed that out of 60 respondents, most of the respondents were in the lower category of maternal knowledge level, with 57 respondents (95.0%), and 3 respondents (5.0%) were in the acceptable category. Fisher's Exact Test gave a p- value = 0.558 >0.005. These findings indicated no correlation between maternal knowledge levels and the nutritional needs of children. It is expected that the Public Health Center and health officials provide counseling to mothers on the importance of healthy food and nutritional knowledge from the Integrated Health Service Center (Posyandu).

Nidya Furi; Kiki Rezeki Amelia; Cut Rahmi Muharrina

Jurnal Ilmu Kesehatan 2025 Lembaga Pengembangan Kinerja Dosen

Nutritional problems among preschool children remain a global and national concern. WHO (2017) reported that approximately 54% of child mortality under five is caused by malnutrition, while in Indonesia the prevalence of picky eaters reaches 20%, with West Java recording as high as 41.9%. The 2018 Basic Health Research (Riskesdas) data showed that the national stunting rate was still high at 30.8%, far from the national target of 19% in 2024. This study aimed to examine the relationship between picky eating behavior and physical activity with the nutritional status of preschool children at PAUD Kiddy Kid Center Banda Aceh. This was an analytical study with a cross-sectional design. The population included all 42 preschool children at the institution, selected through total sampling. Data analysis was carried out using univariate and bivariate (Chi-Square test) analyses. The results showed a significant relationship between picky eating behavior and nutritional status (p = 0.001), as well as between physical activity and nutritional status (p = 0.001). Conclusion: There is a significant association between picky eating behavior, physical activity, and the nutritional status of preschool children. It is recommended that schools and parents collaborate in promoting healthy eating patterns and encouraging physical activity from an early age.