Yhona Paratmanitya’s research while affiliated with Universitas Gadjah Mada and other places

In Southeast Asian countries, where vitamin D deficiency is common, available data on the association between low 25(OH)D concentrations and adverse pregnancy outcomes are limited. This study aimed to identify the relationship between vitamin D levels of pregnant women and pregnancy outcomes in Indonesia and Malaysia. The study applied a prospective cohort approach, including 775 mother-infant pairs from selected public health facilities in West Sumatra (Indonesia) and Selangor and Kuala Lumpur (Malaysia). Blood samples were collected to evaluate serum 25(OH)D concentrations during the third trimester of pregnancy. Generally, the mean concentration of 25(OH)D throughout pregnancy was 18.04 ± 9.97 ng/ml and the prevalence of the vitamin D deficiency, insufficiency, and sufficiency status were 30.50%, 40.10%, and 29.40%, respectively. Infants born to mothers with higher 25(OH)D concentrations had increased birth weight and head circumference (p<0.05), although no significant correlation was found with length at birth. Furthermore, a significant percentage of pregnant women in Indonesia and Malaysia had insufficient vitamin D status. Maternal vitamin D status is associated with newborn anthropometric measurements in birth weight and head circumference. However, additional studies are needed to confirm these results.

In the preconception period, support is required at a higher concentration than in the earlier period. Intergenerational malnutrition can be caused by the nutritional status of the mother during the preconception period. Therefore, there is a need for nutritional readiness in the preconception period to improve the health status of mothers and children in Indonesia. This study aims to obtain the factors that influence preconception nutritional readiness in prospective brides in Bantul regency. This study was a cross-sectional study involving 111 premarital women in Bantul regency, Yogyakarta, Indonesia. Data collected were socio-demographic data and preconception nutritional readiness that measured by 10 indicators including: (1) body mass index/BMI, (2) mid-upper arm circumference/MUAC, (3) hemoglobin level; (4) energy intake, (5) protein intake, (6) calcium intake, (7) iron intake, (8) folate intake, (9) preconception nutrition knowledge, and (10) iron and/or folate supplement consumption. Data were analyzed using chi-square test with statistical significance at p-value < 0,05. The majority of subject could only fulfill 5 indicators of preconception nutrition readiness. Knowledge, calcium and folate intake were the lowest 3 indicators that could be met (<40%). There was no significant relationship between socio-demographic factors and education history with preconception nutritional readiness. Subject with age > 25 years, higher education, work, and had received preconception nutrition education, have a better mean nutritional readiness score.

Introduction: Complementary feeding practice is critical for adequate growth and development in children. Appropriate practices should be maintained, especially during the COVID-19 pandemic. Methods: This cross-sectional study aimed to analyse complementary feeding practices and their related factors, including the impact of the COVID-19 pandemic on household economic aspects. Data were collected via online questionnaires involving 574 mothers of children aged 6–23 months in Indonesia from April to May 2022. Results: In total, 63.6%, 64.6%, 86.6%, and 57.7% of children met the criteria for timely introduction of complementary feeding (INTRO), minimum dietary diversity (MDD), minimum meal frequency (MMF), and minimum acceptable diet (MAD), respectively. Households that had no impact on their ability to provide food during the pandemic had higher odds of meeting MDD and MAD. Having a high household income level, high maternal education, and being a housewife increased the odds of INTRO. The odds of MDD increased in children who lived in Java, had older age, and whose mother had high education level. Older children had higher odds of having appropriate MMF. MAD was associated with mother’s high education level and being a housewife. Conclusion: Several factors during the pandemic, including economic aspects, influenced complementary feeding practices. To prevent child malnutrition, besides ensuring household food security, other strategies to increase complementary feeding quality are also needed.

Purpose Complementary feeding practices was more difficult during the COVID-19 pandemic due to economic instability, especially for animal source foods (ASFs) consumption. According to the problem, the purpose of this study was to determine the economic impact of COVID-19 pandemic on ASFs consumption and ASFs consumption related factors on complementary feeding in Indonesia. Design/methodology/approach This cross-sectional study was targeted at mothers of children aged 6–23 months during pandemic. A total of 574 respondents were obtained through online questionnaire. Findings This study found that flesh food, including fish/seafood, organ meat, meat, poultry and processed meat, were associated with all economic impact of COVID-19 pandemic; in contrast, those economic impacts did not affect the dairy product and egg consumption. Multivariate analysis showed children with older age (AOR: 1.13, 95%CI: 1.04–3.26), meet minimum dietary diversity (AOR: 2.17, 95%CI: 1.56–5.44) and are from high income level household (AOR: 1.14, 95%CI: 1.09–2.10) contributed to ASFs consumption. Practical implications Other strategies aimed at enhancing food security to increase ASFs consumption on complementary feeding. The government may consider short-term emergency purchasing subsidies and macro-control of the ASFs market. Nutrition education is also required to improve knowledge related to importance of ASFs consumption for children. Originality/value This study reveals the association between each food group of ASFs consumption on complementary feeding and the economic impact of COVID-19 pandemic.

BACKGROUND Social restrictions during the COVID-19 pandemic have impacted eating patterns and psychological status, leading to changes in body weight and perceptions of a healthy lifestyle in society. This study aimed to investigate the effect of social restrictions on weight changes and perceptions of a healthy lifestyle in adults during the COVID-19 pandemic in Indonesia. METHODS This cross-sectional study was conducted using convenience sampling on 287 Indonesian adults from June to August 2020. The data were collected using a self-administered online questionnaire using Google Forms. Data were analyzed using the chi-square test and logistic regression analysis. RESULTS There was no effect of social restrictions on weight changes and perceptions of lifestyle in adults (p = 0.900 and 0.748, respectively). However, 112 respondents (78.3%) had positive perceptions or supported adopting a healthy lifestyle under large-scale social restrictions. Multivariable logistic regression demonstrated that adults aged 36–45 years had a 3.6 times higher risk of weight changes than young adults aged 25–35 years (p = 0.004, OR = 3.65, 95% CI = 1.51–8.85). CONCLUSIONS Social restrictions did not affect weight changes and perceptions of a healthy lifestyle in adults during the COVID-19 pandemic in Indonesia. However, older adults might have a higher risk of body weight changes. Controlling body weight is important to prevent further weight gain and the risk of noncommunicable diseases that can aggravate COVID-19.

p align="center"> ABSTRAK Latar Belakang: Praktik pemberian Makanan p endamping ASI (MPASI) yang tepat selama pandemi COVID-19 menjadi tantangan tersendiri karena kebijakan pemerintah untuk mengurangi penularan virus di tempat kerja seperti perubahan status pekerjaan termasuk bekerja dari rumah. Perubahan status pekerjaan, khususnya bagi ibu bekerja, berkaitan dengan keragaman pola makan dalam praktik pemberian MPASI. Tujuan : Penelitian ini bertujuan untuk menganalisis dampak status pekerjaan ibu terhadap Keanekaragaman Gizi Minimum (MDD) selama pandemi COVID-19. Metode: Penelitian cross-sectional dilakukan dan online self-administered questionnaires digunakan untuk mengumpulkan data dari 403 ibu yang memiliki anak usia 6-23 bulan yang tinggal di Jawa, Indonesia. Hasil : Secara keseluruhan, 91,1% anak memenuhi kriteria MDD. Dalam model yang disesuaikan, anak-anak dengan ibu yang bekerja di luar rumah dikaitkan dengan penurunan peluang mengalami MDD (AOR: 0.85, 95%CI: 0.42-0.98). Faktor yang berhubungan dengan MDD pada praktik pemberian MPASI adalah daerah tempat tinggal (AOR: 0.12; 95%CI: 0.03-0.54), usia anak (AOR: 2.93; 95%CI: 1.12-7.67), dan usia ibu (AOR: 1.39 ; 95%CI: 1,16-3,93). Kesimpulan: Praktik pemberian makanan pendamping ASI dipengaruhi oleh status pekerjaan ibu selama pandemi. Namun demikian, strategi lain untuk meningkatkan keragaman pangan MPASI diperlukan untuk mencegah malnutrisi pada anak dengan meningkatkan pengetahuan ibu terkait gizi anak, khususnya pada ibu bekerja. KATA KUNCI: pemberian makanan pendamping ASI; COVID-19; keanekaragaman pangan minimum; status pekerjaan ibu ABSTRACT Background: Appropriate complementary feeding practices during the COVID-19 pandemic are challenging due to government policies to reduce the virus transmission in workplace such as changes of employment status including working from home . The changes of employment status, especially for working mothers was related to the dietary diversity of complementary feeding practice. Objectives: This study aimed to analyze the impact of maternal employment status on Minimum Dietary Diversity (MDD) during the COVID-19 pandemic. Methods: A cross-sectional study was conducted, and online self-administered questionnaires were used to collect data from 403 mothers of children ages 6-23 months who live in Java, Indonesia. Results: Overall, 91.1% of the children met the criteria for MDD. In the adjusted model, children with mothers who work outside of home were associated with a reduced odds of meeting MDD (AOR: 0.85, 95%CI: 0.42-0.98). The factors related to MDD on complementary feeding practices were area of residence (AOR: 0.12; 95%CI: 0.03-0.54), child's age (AOR: 2.93; 95%CI: 1.12-7.67), and maternal ages (AOR: 1.39; 95%CI: 1.16-3.93). Conclusions: Complementary feeding practices were impacted by maternal employment status during pandemic. However, other strategies to increase dietary diversity of complementary feeding are needed to prevent child malnutrition by increasing maternal knowledge related to child nutrition, especially for working mothers. KEYWORDS : complementary feeding; COVID-19; Minimum Dietary Diversity; maternal employment status </p

Background:The rapid development of genetics science provides significant impacts on disease prevention and control. In Indonesia, the application of dietetics is not popular. Thus, the role of nutritionists in the application of nutritional genomics in dietetic work practices is highly needed. The role of nutritionists is important in providing information about how nutrition and genetics interact in influencing healthand providing alternative early nutritional interventions.Objectives:Identify the role of nutritionists in providing gene-based nutrition services in Indonesia.Methods:This qualitative study used a phenomenological approach. This study was carried out in five provinces in Indonesia. Informant data were obtained from quantitative research. The determination of the informant used a purposive sampling technique involving six informants. Data were collected by conducting structured interviews online using Zoom Meeting. Data were analyzed using thematic analysis with NVIVO v.12 software.Results:Most nutritionists who have and have not implemented gene-based nutrition services know about gene-based nutrition services. However, some do not know the meaning of nutrigenetics and nutrigenomics. Besides, they know the role of nutritionists, namely as a counselor to provide counseling, provide advice regarding diet according to the patient's needs, and provide motivation to patients to follow a diet according to the patient's needs.Conclusions:In providing gene-based nutritional services, nutritionists play a role as counselors to provide counseling, provide advice regarding patient needs, and provide motivation to patients to adopt a diet according to patient needs.

Introduction: Covid-19 pandemic impact the ability to reach nutritious food due to social restrictions and economic difficulties situation. Objective: This study determined the relationship between dietary diversity status (DDS) and emotional eating and its association with dietary intake and gestational weight gain (GWG) in Bantul, Indonesia. Methods: The cross-sectional study design conducted from December 2021 to February 2022 in three public health centers. Of 105 third trimester pregnant women were obtained and interviewed for DDS, semi quantitative food frequency questionnaire (SQ-FFQ), and emotional eating questionnaires. Bivariate analysis was used to measure association between variables with SPSS 25.0 version. Results: The majority of pregnant women had an adequate varied diet and an emotional eating with food (59.0% and 56.2%, respectively). The GWG status was mostly (61%) had normal GWG. There was no association of DDS with GWG (p = 0.131). However, there was a significant association between emotional eating and dietary intake status on GWG status (p<0.001 for all comparisons). Conclusion: Dietary intake and emotional eating during pregnancy were linked to GWG status. Pregnant women need to maintain their psychological well-being and dietary intake in order to maintain a normal GWG and prevent adverse pregnancy outcomes.

Latar Belakang: Ilmu genetik berkembang sangat pesat memberikan dampak signifikan teradap suatu penyakit yang dapat dicegah dan dikelola oleh tenaga kesehatan professional, tetapi di Indonesia sendiri pengaplikasian dietetik masih belum banyak diketahui oleh karena itu ahli gizi perlu berperan dalam pengaplikasian nutritional genomics ini di dalam praktik kerja dietetik. Peran ahli gizi penting dalam memberikan informasi mengenai bagaimana gizi dan genetik berinteraksi dalam mempengaruhi Kesehatan dan memberikan alternatif intervensi gizi yang lebih dini. Tujuan: Mengetahui peran ahli gizi dalam memberikan pelayanan gizi berbasis gen di indonesia. Metode: Penelitian ini merupakan penelitian kualitatif dengan pendekatan fenomenologi, yang dilakukan di lima provinsi di Indonesia. Data informan di dapatkan dari penelitian kuantitatif, dengan teknik pengambilan informan yaitu purposive sampling dengan jumlah informan sebanyak enam orang. Pengumpulan data menggunakan structured interview dilaksanakan secara online dengan menggunakan Zoom Meeting. Analisis data yang digunakan yaitu analisis tematik dengan software NVIVO v.12. Hasil: Tenaga gizi yang sudah dan yang belum menerapkan pelayanan gizi berbasis gen ini sebagian besar sudah mengetahui terkait pelayanan gizi berbasis gen. Namun, sebagian dari mereka tidak mengetahui terkait definisi nutrigenetik dan nutrigenomik. sebagiannya mengetahui terkait peran tenaga gizi yaitu sebagai konselor untuk memberikan konseling, memberikan saran terkait pola makan yang sesuai dengan kebutuhan pasien, memberikan motivasi kepada pasien untuk menjalankan diet sesuai dengan kebutuhan pasien. Kesimpulan: Peran tenaga gizi dalam memberikan pelayanan gizi berbasis gen yaitu sebagai konselor untuk memberikan konseling, memberikan saran terkait pola makan yang sesuai dengan kebutuhan pasien, dan memberikan motivasi kepada pasien untuk menjalankan diet sesuai dengan kebutuhan pasien.