Media Ilmiah Kesehatan Indonesia

Association of Dietary Energy Density with Macronutrient and Fiber Intake among Women with Central Obesity in a Community-Based Group Exercise

Anggun Rusyantia — 2026-05-31

Central obesity is a health problem associated with an increased risk of cardiometabolic diseases, particularly among women. One factor that plays a role in weight management and obesity is dietary energy density, defined as the amount of energy contained in each gram of food or beverage consumed. This study aimed to analyze the association between dietary energy density and the intake of macronutrients and fiber among women with central obesity in a fitness community. This study was an observational study with a cross-sectional design involving 30 women aged 19–50 years who were members of the Lampung Workout Community, had a waist circumference of ≥80 cm, and had no history of certain serious diseases. Carbohydrate, protein, fat, and fiber intake was collected using two 24-hour food recalls on one weekday and one weekend day, and then analyzed using NutriSurvey. Dietary energy density was calculated by dividing total energy intake by the total weight of foods and beverages consumed. Bivariate analysis was performed using Pearson’s correlation test with a significance level of p < 0.05. The results showed that most respondents had high dietary energy density, accounting for 63.3%. Carbohydrate, fat, and fiber intake were significantly associated with dietary energy density, whereas protein intake showed no significant association. Fat intake was positively associated with dietary energy density, while fiber intake was negatively associated. These findings indicate that regulating the consumption of low-energy-density, high-fiber, and low-fat foods may serve as a strategy for the prevention and management of central obesity among women.

Effect of ASI Smart Game on Knowledge and Breastfeeding Self-Efficacy in Primiparous Mothers

Lissa Ervina — 2026-05-30

Exclusive breastfeeding (EBF) is a crucial strategy for improving infant health and preventing stunting. However, the coverage of exclusive breastfeeding remains low across various regions in Indonesia. The success of EBF is influenced by several factors, particularly maternal knowledge and Breastfeeding Self-Efficacy (BSE). Primiparous mothers are more vulnerable to breastfeeding challenges due to limited experience and low self-confidence. ASI Smart Game is a game-based health promotion tool designed to improve knowledge and BSE among primiparous mothers. This study aimed to evaluate the effect of ASI Smart Game on knowledge and BSE in primiparous mothers. A pre-experimental design using a one-group pretest–posttest approach was employed. The sample consisted of 33 primiparous mothers with infants aged 0–6 months in the working area of Kandang Public Health Center, selected through purposive sampling. Research instruments included an EBF knowledge questionnaire and the Breastfeeding Self-Efficacy Scale–Short Form (BSES-SF). Data were analyzed using the Wilcoxon signed-rank test with a significance level of p < 0.05. The results indicated an increase in knowledge and BSE scores after the ASI Smart Game intervention (p = 0.001). ASI Smart Game was effective in enhancing both knowledge and BSE among primiparous mothers.

Correlation of Micronutrient Intake with Body Mass Index in Elderly Prolanis Participants

Suryani Agustina Daulay — 2026-05-30

Participants in the Chronic Disease Management Program (Prolanis) are at risk of impaired nutritional status due to metabolic changes, chronic diseases, and imbalanced nutrient intake. Micronutrients play a critical role in body metabolism and may influence Body Mass Index (BMI). This study aimed to analyze the association between micronutrient intake and BMI among Prolanis participants. A quantitative observational study with a cross-sectional design was conducted. The sample consisted of 42 Prolanis participants aged 42–76 years. Micronutrient intake was assessed using a 24-hour food recall, while BMI was calculated from body weight and height measurements. Data were analyzed univariately, bivariately using Pearson’s correlation test, and multivariately using logistic regression. The results showed that sodium, vitamin A, vitamin C, vitamin E, zinc (Zn), and manganese (Mn) were significantly associated with BMI, whereas copper (Cu) showed no significant association. Multivariate analysis indicated that vitamin C, Zn, and Mn were significantly associated with BMI, with Mn being the most dominant factor. These findings suggest that micronutrient intake, particularly vitamin C, Zn, and Mn, plays an important role in the nutritional status of Prolanis participants.

Effect of Film Focus Distance Variation on Anode Heel Effect and Radiographic Image Quality Based on Pixel Value Parameters

Sitti Normawati — 2026-05-24

This study aimed to analyze the effect of variations in focus-to-film distance (FFD) on the anode heel effect and radiographic image quality, based on the Pixel Value (PV) parameter. A quantitative experimental approach was employed. The testing was conducted using a phantom articulatio genu with FFD variations of 90 cm, 100 cm, and 120 cm, and object positions varied between the cathode and anode sides. The results indicated that the anode heel effect was more effectively utilized at shorter FFD when the thick side of the object was positioned on the cathode side. The highest PV value was obtained under this condition, whereas a decrease of approximately 11% was observed when the thick side was positioned on the anode side. Furthermore, an FFD of 100 cm produced lower PV standard deviation (PVSD) values, resulting in more homogeneous images with minimal noise. These findings demonstrate that variations in FFD and object positioning influence the distribution of X-ray intensity and radiographic image quality. Appropriate selection of FFD and placement of the thick side of the object on the cathode side can produce more uniform radiographs in terms of sharpness, brightness, and density.

Relationship Between Digital Health Literacy and Hypertension Preventive Behavior among Adolescents in Urban Areas

Hendra Dwi Kurniawan — 2026-05-23

Hypertension in adolescents is an emerging public health concern because it can increase the risk of cardiovascular complications later in life. The advancement of digital technologies has made digital health literacy an important factor in shaping hypertension prevention behaviors. This study aimed to analyze the association between digital health literacy and hypertension prevention behaviors among adolescents in urban areas. A cross-sectional observational analytic design was employed, with a sample of 225 adolescents selected using purposive sampling. Data were collected using questionnaires on digital health literacy and hypertension prevention behaviors and analyzed using the Chi-square test. The results showed that most respondents had good digital health literacy and demonstrated appropriate hypertension prevention behaviors. Bivariate analysis indicated a significant association between digital health literacy and hypertension prevention behaviors (p < 0.001; OR = 3.225; 95% CI: 1.713–6.071). Adolescents with good digital health literacy were more likely to engage in hypertension prevention behaviors. Enhancing digital health literacy is a crucial strategy for promotive and preventive efforts targeting hypertension among adolescents in urban settings.