Background: The government has made provisions to improve the nutrition of stunted children under the age of five nationally by providing iron folic acid (IFA) tablet since conception. However, these drugs were not able to reduce the incidence of stunted growth. The aim of this study is to assess the effect of moringa intervention during pregnancy on the incidence of stunted growth in children between the ages of 36 to 42 months.Design and Methods: This study is a follow-up to an experimental RCT-DB study during pregnancy. The interventions given were PG (Moringa Flour), EG (Moringa Extract) and IG (IFA) which was used as control.Results: The highest number of children that had stunted growth after taking the PG by IG and EG extracts were 66 (41.5%), 53 (33.3%) and 40 (25.2%), respectively. The stunted risk factor analysis did not show a significant relationship to the stunted incidence. Furthermore, the consumption and dietary patterns of children were based on only fat consumption which was associated with stunted incidence (p<0.05). The results of multivariate analysis showed that the EG extract was effective in reducing the incidence of stunted growth (p<0.005) and as a protective factor of 0.431 times the incidence of stunted growth (LL-UL=0.246-0.754).Conclusions: The administration of Moringa oleifera extract during pregnancy prevents the incidence of stunted growth in children.

RINGKASANRemaja rentan mengalami masalah gizi karena berbagai hal. Salah satu cara untuk mengatasi masalah gizi tersebut adalah dengan menerapkan pola hidup gizi seimbang. Teman sebaya menjadi salah satu mediator yang prospektif untuk mengupayakan perubahan nilai dan perilaku kesehatan pada remaja. Namun sebelum edukator sebaya melakukan edukasi pada temannya, mereka perlu memperbaiki pengetahuannya tentang gizi seimbang. Penelitian ini ingin melihat efektifitas pelatihan educator sebaya terhadap pengetahuan siswa tentang gizi seimbang. Penelitian ini dilaksanakan di SMUN 16 Makassar. Penelitian ini merupakan studi intervensi. Pengambilan sampel dilakukan dengan metode purposive sampling dan jumlah sampel yang terpilih adalah 40 siswa. Analisis data dilakukan dengan SPSS versi 16 menggunakan uji T berpasangan untuk menilai perbedaan pengetahuan responden sebelum dan setelah intervensi.  Hasilnya menunjukkan bahwa bahwa setelah pelatihan edukator sebaya, terjadi peningkatan pengetahuan responden tentang gizi seimbang pada kategori baik, yaitu dari 17,5% sebelum pelatihan menjadi 70% setelah pelatihan, meningkat sebesar 52,5%. pengetahuan responden yang pada kategori cukup mengalami penurunan, yaitu dari 45% sebelum pelatihan menjadi 25% setelah pelatihan, menurun sebesar 20%. Pengetahuan responden pada kategori kurang mengalami penurunan juga, yaitu dari 37,5% sebelum pelatihan menjadi 5% setelah pelatihan dilakukan, menurun sebesar 32,5%. Dari penelitian ini disimpulkan, bahwa pelatihan yang dilakukan efektif untuk meningkatkan pengetahuan responden. Edukator gizi yang telah dilatih diharapkan dapat menularkan pengetahuan yang dimilikinya kepada teman-teman sebayanya. Selain itu, program-program promosi kesehatan, terutama gizi seimbang harusnya gencar dilakukan di sekolah, mengingat sekolah merupakan tempat membentuk perilaku sehat yang diharapkan akan terus bertahan hingga remaja memasuki fase dewasa.Key Word: remaja, gizi, pelatihan, sebaya, pola makan

Pendahuluan Pemberian ASI secara dini dan eksklusif akan membantu mencegah berbagai penyakit anak, terutama gangguan lambung, saluran nafas dan asma pada anak. Faktor – faktoryang dapat mempengaruhi pemberian ASI eksklusif antara lain karakteristik ibu (pengetahuan,pendidikan, pekerjaan, usia, paritas dan etnis), karakteristik bayi (berat lahir dan kondisikesehatan bayi), lingkungan (keyakinan, dukungan keluarga, tempat tinggal dan sosial ekonomi)dan pelayanan kesehatan (pemeriksaan kehamilan, konseling laktasi, tempat persalinan,penolong persalinan dan kebijakan). Tujuan: Penelitian ini adalah untuk mengetahui hubunganfaktor ibu dan inisiasi menyusu dini (IMD) dengan pemberian ASI eksklusif. Bahan danMetode: Jenis penelitian ini adalah analitik cross sectionalstudy. Penelitian ini dilakukan pada95 ibu yang memiliki bayi usia 6-11 bulan di Wilayah Kerja Puskesmas Sudiang Makassar.Analisis dilakukan dengan uji chi-square untuk menentukan hubungan antar variable. Hasil:Hasil penelitian ini menunjukkan bahwa terdapat 50,5%bayi tidak mendapatkan ASI eksklusifdan 49,5% bayi mendapatkan ASI eksklusif. Terdapat hubungan antara pengetahuan ibu (p =0,015), pekerjaan ibu (p = 0,049), psikologis (p = 0,031), dan inisiasi menyusui dini (IMD) (p= 0,007) dengan pemberian ASI eksklusif. Tidak terdapat hubungan antara sikap ibu (p =0,748), umur ibu (p = 0,325), dan pendidikan ibu (p = 0,558) dengan pemberian ASI eksklusif.Kesimpulan: Terdapat hubungan antara faktor ibu yaitu pengetahuan ibu, pekerjaan ibu,psikologis ibu dan inisiasi menyusu dini (IMD) dengan pemberian ASI eksklusif dan tidakterdapat hubungan faktor ibu yaitu sikap ibu, umur ibu dan pendidikan ibu dengan pemberianASI eksklusif di Wilayah Kerja Puskesmas Sudiang Makassar.

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Both under-and over-nutrition problems exist among Indonesian adolescent girls which was around 7.5% at aged 16-18 years was thin, and 5.7% was obese. The problem of the menstrual disorder is also common among adolescent girls as 13.5% of Indonesian women aged 10-59 years had an irregular menstrual cycle. This research aims to investigate the relationship between nutritional status and macronutrient intake and menstrual disorders at adolescent girls. The study design was a cross-sectional with chisquare test. A total of 114 convenience sample was recruited from high school girls at grade 1 and 2 who attended Islamic Boarding School. The collected data was macronutrient intakes, body weight, height, and menstrual disorders which respectively using a semi-quantitative food frequency questionnaire, a weighing scale and a microtoice, and a self-administrative questionnaire. The results showed that the majority of school girls reported menstrual disorders (61.4%). A significant relationship between inadequate fat intake and menstrual disorders (p=0,033) was discovered. Meanwhile, no significant relationship was found between carbohydrate intake (p=0,348), protein intake (p=0,667), and nutritional status (p=0,178) and menstrual disorders. The researchers concluded that inadequate macronutrient intakes and menstrual disorders could be the critical nutrition and reproductive health issues to be addressed among adolescent girls at a boarding school setting.

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Adolescent Metabolic syndrome began an alarming rate in accordance to the increased incidence of overweight in this population group. Given the continued impact of increased risks of degenerative diseases in adulthood, the treatment of metabolic syndrome during adolescence becomes very important to be considered. However, research related to adolescent metabolic syndrome is still very limited and there is no recommendation for its management. This unsystematic narrative review design aimed to find out the magnitude of the problem of adolescent metabolic syndrome and explored the potential of lifestyle changes as an intervention to address the problem. Narrative overview was conducted among research articles and literature review articles published within last ten years. This review found that interventions targeting lifestyle changes, such as dietary changes and changes in physical activity patterns, provide considerable opportunities to overcome metabolic syndrome in adolescents. The intervention components such as cognitive aspects, action planning, and duration were identified as keys to the success of the intervention. This review provides updated information with regards to appropriate lifestyle interventions for management of metabolic syndrome in adolescents.

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