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Picky eating behavior is a common feeding problem among preschool-aged children. Children who exhibit picky eating tendencies often reject various types of food, especially new or unfamiliar ones, placing them at risk of an imbalanced intake of macronutrients such as energy, protein, fat, and carbohydrates. Inadequate nutritional intake over the long term may negatively impact a child's nutritional status and growth. This study aims to examine the relationship between picky eating behavior and the adequacy of macronutrient intake including energy, protein, fat, and carbohydrates and nutritional status among preschool children at Lab School 1 Kindergarten, State University of Surabaya. This research utilized a quantitative design with a cross-sectional approach. The study population consisted of 60 preschool children aged 4–6 years (48–73 months), selected using total sampling. After applying inclusion and exclusion criteria, a total of 37 respondents were included. Data were collected using the Child Eating Behavior Questionnaire (CEBQ) to assess picky eating behavior, interviews with the Semi-Quantitative Food Frequency Questionnaire (SQ-FFQ) to evaluate macronutrient intake, and anthropometric measurements to determine nutritional status. Data analysis was conducted using the Spearman Rank correlation test. The results showed a significant relationship between picky eating behavior and energy intake (p=0.002; r=0.495), fat intake (p=0.002; r=0.502), carbohydrate intake (p=0.006; r=0.443), and nutritional status (p=0.002; r=-0.493) among preschool children at Lab School 1 Unesa. However, no significant relationship was found between picky eating behavior and protein intake (p=0.064; r=0.307).

Hypertension is a non-communicable disease that is still a major health problem in Batam City. This study aims to determine the relationship between energy, carbohydrate, fat, protein, and sodium intake with the incidence of hypertension in the elderly at the Sei Langkai Public Health Center, Batam City. This type of study is observational with a cross-sectional design. A sample of 73 elderly people was selected using a purposive sampling technique based on predetermined inclusion and exclusion criteria. The results showed that the majority of elderly participants had adequate energy intake (54.8%) and carbohydrate intake (57.5%), while inadequate intake was observed for fat (56.2%), protein (52.1%), and sodium (79.5%). In addition, 54.8% of the participants were found to have hypertension. Statistical analysis revealed significant associations between energy intake (p=0.020), carbohydrate intake (p=0.004), fat intake (p=0.009), and protein intake (p=0.015) and the incidence of hypertension among the elderly. However, no significant association was found between sodium intake (p=0.300) and the incidence of hypertension among the elderly. It can be concluded that energy, carbohydrate, fat, and protein intake were significantly associated with the incidence of hypertension among the elderly, whereas sodium intake was not. The elderly are advised to implement a healthy and balanced dietary intake.

Health issues among the elderly are often related to declining bodily functions, digestive disorders, and specific nutritional needs for easily digestible foods. The 60-and-older age group is at high risk for gastrointestinal disorders due to low fiber intake. Therefore, alternative foods are needed that are soft in texture, neutral in taste, safe, and nutritious. One potential solution is the development of food products based on tempeh gembus with the addition of banana hearts, which are rich in fiber, soft in texture, and readily available. This study employed an experimental method using a Completely Randomized Design (CRD) to test three formulation variations (F1, F2, F3). The nutritional content of formulation F1 includes energy 111.575 kcal, carbohydrates 20.185 g, protein 6.91 g, fat 0.355 g, and fiber 6.67 g. Formula F2 contains 88.225 kcal of energy, 14.095 g of carbohydrates, 7.72 g of protein, 0.205 g of fat, 7.3 g of fiber, and 0.0015% flavonoids. Formula F3 has 107.015 kcal of energy, 7.995 g of protein, 0.295 g of fat, 6.88 g of fiber, and 0.0021% flavonoids. In conclusion, the best tempeh with added banana hearts is Formula F2, with its nutritional content, fiber, flavonoids, and BAL >10⁸ CFU/g, which has the potential to serve as a functional food and probiotic source to help improve digestive health in the elderly. Further testing is recommended directly on elderly groups, along with product shelf-life testing.

Snacks consumed by school children are generally high in sugar, salt, and saturated fat, which may negatively affect health. One effort to improve nutritional intake is developing healthier snacks using local food sources, such as tortilla chips substituted with moringa seed flour (Moringa oleifera). This study aimed to analyze the proximate composition and acceptability of moringa seed flour–substituted tortilla chips as a healthy snack alternative for school children. The study employed an experimental design using a Completely Randomized Design with three formulations: F1 (45%), F2 (50%), and F3 (55%). The acceptability test results showed that F1 was the preferred formulation. The selected tortilla chips contained 13.228% protein, 35.415% fat, 20.311% carbohydrates, 4.283% moisture, and 1.4731% ash. Kruskal–Wallis analysis indicated no significant differences in organoleptic parameters among the formulations (p > 0.05). Therefore, tortilla chips with 45% moringa seed flour substitution demonstrated the highest acceptability and potential as a healthy snack for school children.

The intake of macro and micro nutrients is very important because the intake of these macronutrients is the main contributor to energy which is the main source for muscle growth. The purpose of this study is to determine the intake of macro and micro nutrients in the Islamic Islamic Boarding School Padang Garugur Padang Lawas Utara. This type of research is a quantitative descriptive research with the aim of creating a description or descriptive of a state of the research object. Data collection was conducted through interviews using macro and micro nutrient tester questionnaires. The questionnaire was given to students and students. The data were analyzed univariate to determine the distribution and frequency. The results of the study showed that the intake of macronutrients of students was in the protein intake of 19 respondents in the poor category, carbohydrate intake as many as 7 respondents in the poor category, and fat intake in 10 respondents in the poor category. The intake of micronutrients, namely the intake of drinking water consumed by students, was 9 respondents in the category of lack. It is recommended that students need to consume a variety of food and beverage intake that has nutritional content, in order to meet nutritional needs.

The intake of macro and micro nutrients is very important because the intake of these macronutrients is the main contributor to energy which is the main source for muscle growth. The purpose of this study is to determine the intake of macro and micro nutrients in the Islamic Islamic Boarding School Padang Garugur Padang Lawas Utara. This type of research is a quantitative descriptive research with the aim of creating a description or descriptive of a state of the research object. Data collection was conducted through interviews using macro and micro nutrient tester questionnaires. The questionnaire was given to students and students. The data were analyzed univariate to determine the distribution and frequency. The results of the study showed that the intake of macronutrients of students was in the protein intake of 19 respondents in the poor category, carbohydrate intake as many as 7 respondents in the poor category, and fat intake in 10 respondents in the poor category. The intake of micronutrients, namely the intake of drinking water consumed by students, was 9 respondents in the category of lack. It is recommended that students need to consume a variety of food and beverage intake that has nutritional content, in order to meet nutritional needs.

This study examines changes in nutritional knowledge, dietary patterns, nutrient intake, and food acculturation among first-year migrant and non-migrant students. A 5 months prospective cohort design was employed involving 32 students from the Faculty of Public Health, Universitas Airlangga. Students were randomly divided equally into migrant and non-migrant groups. Data were collected using questionnaires, food frequency questionnaires, 3×24-hour food recall, and analyzed using descriptive and inferential statistics. The findings indicated no significant differences or changes in nutritional knowledge between groups throughout the observation period (p > 0.05). However, dietary patterns varied, with migrant students showing increased consumption of practical and fast foods. Nutrient intake, particularly energy and protein, was initially lower among migrant students but improved significantly over time, reflecting adaptation to a new environment. Food acculturation was evident among migrant students, with a significant increase in scores during the study period (p = 0.007), indicating gradual adjustment to local eating habits. These results highlight the influence of environmental adaptation on students’ dietary behavior and emphasize the need for targeted nutrition interventions to promote healthy eating habits during the early university transition.

The Free Nutritious Meal Program (MBG) is one of the government’s strategic policies aimed at improving students’ nutritional status and learning quality, particularly at the junior high school level. Early adolescence, aged 13–15 years, is a critical growth period that requires optimal nutritional intake, while national surveys still indicate deficiencies in energy and protein intake among this age group. This study aims to describe the implementation of the MBG Program and the level of student satisfaction as direct beneficiaries. The research employed a quantitative descriptive design conducted over one month in the working area of SPPG Yayasan Bina Bangsa Semarang, Gunungpati, Semarang City. The sample consisted of 101 junior high school students selected using purposive sampling techniques. Data were collected through structured questionnaires covering program implementation and student satisfaction aspects. The findings revealed that most students assessed the program implementation as high to very high. Student satisfaction was also categorized as high, particularly regarding food quality, portion adequacy, cleanliness, safety, and service. The MBG Program was considered effective in improving learning concentration, reducing unhealthy snacking habits, and encouraging healthy eating patterns. This study concludes that the MBG Program has been implemented effectively and is relevant in supporting sustainable improvements in students’ nutritional status and educational quality.

The Free Nutritious Meal Program (MBG) is one of the government’s strategic policies aimed at improving students’ nutritional status and learning quality, particularly at the junior high school level. Early adolescence, aged 13–15 years, is a critical growth period that requires optimal nutritional intake, while national surveys still indicate deficiencies in energy and protein intake among this age group. This study aims to describe the implementation of the MBG Program and the level of student satisfaction as direct beneficiaries. The research employed a quantitative descriptive design conducted over one month in the working area of SPPG Yayasan Bina Bangsa Semarang, Gunungpati, Semarang City. The sample consisted of 101 junior high school students selected using purposive sampling techniques. Data were collected through structured questionnaires covering program implementation and student satisfaction aspects. The findings revealed that most students assessed the program implementation as high to very high. Student satisfaction was also categorized as high, particularly regarding food quality, portion adequacy, cleanliness, safety, and service. The MBG Program was considered effective in improving learning concentration, reducing unhealthy snacking habits, and encouraging healthy eating patterns. This study concludes that the MBG Program has been implemented effectively and is relevant in supporting sustainable improvements in students’ nutritional status and educational quality.

Household food security and nutrition are crucial determinants of public health, especially in regions with limited access to high-quality animal protein. This study aims to analyze the impact of organic chicken farming and maggot utilization on household food security and family nutrition in Jayapura, Papua. An exploratory case study with a mixed-method approach was used, involving observation, in-depth interviews, and documentation. The findings revealed that maggot-based feed significantly improved chicken growth, health, and egg production while reducing feed costs. Families experienced improved protein intake, reduced food expenditure, and additional income from the sale of eggs, maggots, and compost. Furthermore, the integration of maggot farming into organic poultry systems supported waste management and environmental sustainability through a circular economy model. This research implies that maggot-based organic farming can be replicated as a sustainable community food security strategy in similar regions across Papua and Indonesia.

Preeclampsia remains a major contributor to maternal morbidity and mortality, particularly in developing countries such as Indonesia. Early detection and integrated management at the primary healthcare level are essential to prevent disease progression and improve maternal outcomes.  Modifiable risk factors such as maternal obesity, inadequate calcium intake, and poor clinical management contribute significantly to disease progression (WHO, 2021; Zhang et al., 2020). This study aimed to evaluate the effectiveness of an Integrated Maternal Health Model (IMHM) combining risk assessment, nutritional intervention, and clinical management for early prevention and control of preeclampsia in primary healthcare settings. A quasi-experimental cohort study was conducted among 104 pregnant women, consisting of 52 preeclamptic and 52 normotensive participants in community health centers in Medan, Indonesia. Data were collected across four antenatal visits, including blood pressure measurements, proteinuria (dipstick), calcium intake, supplementation adherence, and antihypertensive therapy. Statistical analyses included bivariate and longitudinal tests. The results showed that maternal obesity, history of preeclampsia, and hypertension were significant risk factors. Adequate calcium intake demonstrated a protective effect against preeclampsia (p < 0.05), consistent with recent evidence indicating that calcium supplementation can reduce the risk of preeclampsia by up to 49%. However, calcium supplementation did not significantly influence blood pressure among normotensive pregnant women. Antihypertensive therapy, particularly intensive nifedipine regimens, showed significant differences in blood pressure patterns across visits (p < 0.05). In addition, proteinuria levels significantly decreased over time (p < 0.001), indicating improvement in renal function. In conclusion, the IMHM is effective in improving maternal outcomes through a multi-component approach integrating clinical, nutritional, and monitoring strategies. This model provides a practical and scalable framework for early prevention and management of preeclampsia in primary healthcare settings.

Data on malnutrition in toddlers at the Amondo Health Center in 2023 were 47 toddlers, then in 2024 from early January to November, malnutrition data increased by 64 toddlers. This study aims to determine the Risk Factors for Malnutrition in Toddlers in the Working Area of ​​the Amondo Health Center, South Palangga District, South Konawe Regency in 2025. The design of this study is quantitative with a cross-sectional approach. The population of this study was all toddlers registered in the working area of ​​the Amondo Health Center, South Palangga District, South Konawe Regency in 2024 with a total of 966 people. The sampling used was Accidental Sampling. To obtain a representative sample, the selection of subjects from each stratum or certain region was determined in a balanced or comparable manner in each matched region. The sample size used was 91 respondents. The data were analyzed using the SPSS application with the Odds Ratio test. The OR test results obtained knowledge values ​​(OR = 1.08), eating habits (OR = 0.70), family income (OR = 1.10), carbohydrate intake (OR = 2.47), protein intake (OR = 0.91) and fat intake (OR = 1.30). The conclusion that maternal knowledge, children's eating habits, family income, and nutrient intake (carbohydrates, proteins and fats) in the past are risk factors for malnutrition. It is recommended that health workers always provide information about malnutrition to the community, carry out vegetable planting movements in the community, do not carelessly give food to toddlers, always consume and provide nutritious food for the family

This study aims to evaluate the growth performance of KUB chickens fed with a combination of fermented agricultural waste, specifically Maggot BSF (Hermetia illucens) and Azolla microphylla. A total of 96 KUB chickens aged 30 days were used in a Completely Randomized Design (CRD) with four treatments and four replications. The treatments consisted of a basal diet substituted with the fermented waste combination at levels of 0% (P0), 5% (P1), 10% (P2), and 15% (P3). Parameters observed included feed consumption, body weight gain (BWG), and Feed Conversion Ratio (FCR). The results showed that increasing the level of waste substitution significantly affected feed consumption due to the bulky nature of the fiber, yet body weight gain remained stable across all treatments. The FCR values ranging from 3.21 to 3.25 indicated that the high-quality protein from Maggot BSF effectively compensated for the reduced feed intake. It is concluded that the substitution of fermented agricultural waste up to 15% (P3) is an optimal and efficient formulation to maintain the growth performance of KUB chickens.

Stunting remains a major nutritional problem in Indonesia, impacting the quality of children's growth and development, both in the short and long term. This impact not only affects physical growth but also affects children's endurance and future productivity. Although the national prevalence of stunting shows a downward trend, cases of stunting are still found in various regions, including Banyusari Village, Tegalrejo District. The stunting problem in this region is closely related to parents' low understanding of fulfilling balanced nutrition, especially protein intake, which plays a crucial role in the growth and development of toddlers. This community service activity aims to increase parents' knowledge and awareness in stunting prevention efforts through applicable nutrition education. The activity was carried out by students of the Community Service Program (KKN) of Tidar University. The method used was a socialization method of presenting material on stunting prevention combined with fun cooking practices as a learning medium for serving balanced nutritious meals. In addition, this activity was also accompanied by the provision of Supplementary Food (PMT). The results of the activity showed that participants participated enthusiastically and were able to understand the material presented. The educational approach of fun cooking has been deemed effective in increasing parents' understanding of balanced nutrition and encouraging a shift in mindset from the "just to get full" paradigm to ensuring quality nutrition. This activity is expected to become a practical and sustainable alternative for nutrition education in supporting community-based stunting prevention efforts.    

Chronic Energy Deficiency (CED) in pregnant women remains a health problem in Indonesia, including in Sleman District. CED can be overcome through the provision of supplementary foods (PMT) based on local foods that are high in energy and protein. This study aims to determine the effectiveness of local PMT on upper arm circumference (UAC) in pregnant women with CED. The study design used an analytical observational approach with a cross-sectional approach. The sampling technique used in this study was total sampling, involving 47 pregnant women with CEM who received local PMT for at least 90 days in 2024 at the Cangkringan and Sleman Community Health Centers. The secondary data in this study were the results of LILA measurements before and after the provision of local PMT. The Wilcoxon Signed Test was used to analyze the difference in LILA. The results showed that the median LILA before PMT administration was 22 cm and after PMT administration was 23.6 cm, with an increase of 1.6 cm. There was a significant difference between LILA before and after local PMT administration (p = 0.000). After local PMT administration, 51.06% of pregnant women had LILA > 23.5 cm. It is hoped that further research can explore the intake of pregnant women with KEK during local PMT administration as additional data to examine the effectiveness of local PMT on LILA in pregnant women with KEK.

This study evaluated the feeding behavior and palatability of Etawa Crossbred (PE) dairy goats fed diets with partial substitution of Cnidoscolus aconitifolius forage. An in vivo field experiment was conducted using a Completely Randomized Design with four dietary treatments and three replications. The treatments consisted of: (T0) Leucaena leucocephala (lamtoro) as the basal forage; (T1) lamtoro supplemented with concentrate; (T2) lamtoro plus concentrate with 10% substitution of lamtoro dry matter by C. aconitifolius; and (T3) lamtoro plus concentrate with 20% substitution of lamtoro dry matter by C. aconitifolius. Parameters observed included feed intake (dry matter, organic matter, crude protein, and crude fiber), body weight change, and feeding behavior related to forage preference. The goats consistently consumed forage prior to concentrate and exhibited a higher preference for diets containing C. aconitifolius. Inclusion of C. aconitifolius reduced lamtoro intake; however, no significant differences were observed among treatments for dry matter, organic matter, crude protein, or crude fiber intake (P>0.05). Body weight change showed a positive tendency in goats receiving 10% and 20% C. aconitifolius substitution, while goats fed the control diet experienced slight weight loss, although these differences were not statistically significant (P>0.05). In conclusion, C. aconitifolius demonstrated good palatability and potential as an alternative forage for PE goats when used as a partial substitute for lamtoro. Nevertheless, its inclusion at the tested levels did not significantly affect nutrient intake or body weight change. Further studies are recommended to optimize inclusion levels and feeding strategies to enhance its practical application in small ruminant production systems.

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.

The consumption of ultra-processed foods (UPF) has been increasing among various age groups, including children and adults. UPF is generally low in iron content and can interfere with iron bioavailability, thereby increasing the risk of anemia. Additionally, the high calorie content of UPF contributes to the development of degenerative diseases. This study aims to analyze the relationship between UPF consumption, iron intake, and the risk of anemia. The study employs a narrative review method. Literature search was conducted using PubMed, Google Scholar, and Scopus databases, using controlled terms. The results showed that high UPF consumption had a negative impact on iron intake and increased the risk of anemia. Similar effects were found in high fat and sodium consumption. Some studies showed varying results regarding protein intake, fiber, and micronutrients such as sodium and calcium. In general, it can be concluded that excessive UPF consumption negatively impacts the quality of nutrient intake, both macro and micro, and contributes to the occurrence of anemia. These findings highlight the need for public health strategies to limit UPF consumption, particularly among vulnerable populations, as a preventive effort against anemia.

The increasing consumption of packaged food products in Indonesia reflects modern lifestyle changes but simultaneously raises public health concerns related to high calorie, sugar, and fat intake. Nutritional information presented on food labels consists of multiple interrelated variables, making it difficult to identify dominant nutritional factors that characterize packaged food products. This study aims to apply Principal Component Analysis (PCA) to reduce the dimensionality of nutritional data and to map the nutritional characteristics of packaged food products in Indonesia. The research employs a quantitative exploratory approach using secondary data obtained from nutrition facts labels of 1,651 packaged food products. Seven nutritional variables were initially analyzed, namely total energy, protein, total fat, total carbohydrates, sugar, sodium, and dietary fiber. Data preprocessing included data cleaning, Z-score standardization, and iterative variable selection based on the Kaiser-Meyer-Olkin (KMO) measure and Bartlett’s Test of Sphericity to ensure sampling adequacy and sufficient correlation among variables. Variables with low sampling adequacy and perfect multicollinearity were eliminated, resulting in five variables retained for the final PCA model. Principal components were extracted using the eigenvalue greater than one criterion and confirmed through a scree plot, followed by Varimax rotation to enhance interpretability. The results indicate the formation of two principal components explaining approximately 69.7% of the total variance. The first component represents energy density and macronutrient richness, while the second component reflects carbohydrate-related characteristics, particularly the contrasting pattern between sugar and dietary fiber. Biplot visualization further illustrates product distribution based on these components. The findings demonstrate that PCA effectively simplifies complex nutritional information and provides a clear nutritional mapping of packaged food products, offering practical insights for consumers, producers, and policymakers in supporting healthier food choices in Indonesia.

This study aims to examine the relationship between occupational nutrition and employee productivity through a systematic literature review. The background of this research lies in the increasing attention to workplace health and the growing evidence that nutritional status can influence physical performance, cognitive function, and work outcomes. A total of 74 articles were initially identified from databases such as PubMed, ScienceDirect, Google Scholar, and Garuda, of which 12 met the inclusion criteria and were analyzed further. The findings indicate that adequate intake of macronutrients and micronutrients—particularly iron, protein, and B vitamins—correlates positively with productivity levels. Interventions such as nutritional education, iron supplementation, and structured meal programs at the workplace showed measurable effects in reducing absenteeism and fatigue while improving concentration and efficiency. The study concludes that occupational nutrition plays a vital role in supporting workforce performance and suggests its integration into workplace health policies. Theoretical and practical implications are discussed, along with recommendations for future research