1.Relationship between intra-household food distribution and coexistence of dual forms of malnutrition.
Yulianti WIBOWO ; Bambang SUTRISNA ; Hardinsyah HARDINSYAH ; Ratna DJUWITA ; Mondastri KORIB M ; Ahmad SYAFIQ ; Atmarita TILDEN ; Mardiati NAJIB
Nutrition Research and Practice 2015;9(2):174-179
BACKGROUND/OBJECTIVES: The relationship between food intake and nutritional status has been clearly established. Yet, there are only limited studies on food intake among family members and their nutritional status. The study examined the relationship between intra-household food distribution and coexistence of dual forms of malnutrition (DFM) in the same household. SUBJECTS/METHODS: Households with a malnourished child and overweight mother were categorized as DFM. Intra-household food distribution among family members was reported using ratios, which are a measure of individual intakes as compared to all household member intakes adjusted to RDA. RESULTS: A 1,899 families were included in the study. The prevalence of DFM was 29.8% (95%CI 26.5-31.2). Children consumed lower amounts of energy (OR 1.34; 95%CI 1.06-1.69, P = 0.011), carbohydrates (OR 1.2; 95%CI1.03-1.61, P = 0.022), protein (OR 1.3; 95%CI 1.03-1.64, P = 0.026), and fat (OR 1.3; 95%CI 1.05-1.66, P = 0.016) than their mothers and other family members. In contrast, mothers consumed more carbohydrates than children and other family members (OR1.24; 95%CI 1.02-1.51, P = 0.03). CONCLUSIONS: This study is the first to report on the food distribution among family members and its relationship with occurrence of DFM in Indonesia. The results confirm the occurrence of an unequal food distribution between children and mothers, which increases risk of DFM in the household. The results also demonstrate that nutritional education at the household level is important to increase awareness of the impact of DFM.
Carbohydrates
;
Child
;
Eating
;
Education
;
Family Characteristics
;
Humans
;
Indonesia
;
Malnutrition*
;
Mothers
;
Nutritional Status
;
Overweight
;
Prevalence
2.Relationship between intra-household food distribution and coexistence of dual forms of malnutrition.
Yulianti WIBOWO ; Bambang SUTRISNA ; Hardinsyah HARDINSYAH ; Ratna DJUWITA ; Mondastri KORIB M ; Ahmad SYAFIQ ; Atmarita TILDEN ; Mardiati NAJIB
Nutrition Research and Practice 2015;9(2):174-179
BACKGROUND/OBJECTIVES: The relationship between food intake and nutritional status has been clearly established. Yet, there are only limited studies on food intake among family members and their nutritional status. The study examined the relationship between intra-household food distribution and coexistence of dual forms of malnutrition (DFM) in the same household. SUBJECTS/METHODS: Households with a malnourished child and overweight mother were categorized as DFM. Intra-household food distribution among family members was reported using ratios, which are a measure of individual intakes as compared to all household member intakes adjusted to RDA. RESULTS: A 1,899 families were included in the study. The prevalence of DFM was 29.8% (95%CI 26.5-31.2). Children consumed lower amounts of energy (OR 1.34; 95%CI 1.06-1.69, P = 0.011), carbohydrates (OR 1.2; 95%CI1.03-1.61, P = 0.022), protein (OR 1.3; 95%CI 1.03-1.64, P = 0.026), and fat (OR 1.3; 95%CI 1.05-1.66, P = 0.016) than their mothers and other family members. In contrast, mothers consumed more carbohydrates than children and other family members (OR1.24; 95%CI 1.02-1.51, P = 0.03). CONCLUSIONS: This study is the first to report on the food distribution among family members and its relationship with occurrence of DFM in Indonesia. The results confirm the occurrence of an unequal food distribution between children and mothers, which increases risk of DFM in the household. The results also demonstrate that nutritional education at the household level is important to increase awareness of the impact of DFM.
Carbohydrates
;
Child
;
Eating
;
Education
;
Family Characteristics
;
Humans
;
Indonesia
;
Malnutrition*
;
Mothers
;
Nutritional Status
;
Overweight
;
Prevalence
3.Effect of high-intensity interval training and pre-meal water consumption on lipid profile in overweight and obese students
Nazhif Gifari ; Hardinsyah ; Drajat Martianto ; Mury Kuswari
Malaysian Journal of Nutrition 2021;27(No.1):159-168
Introduction: Obesity and overweight in adolescents and adults are associated
with chronic diseases. The objective of this study was to determine the effect of
high-intensity interval training and pre-meal water intake on the lipid profile of
overweight and obese students. Methods: This was a pre-post experimental study.
Twenty-seven overweight and obese students (mean BMI 26.0±3.1 kg/m2 and mean
age 19.7±0.7 years) were divided randomly into three groups. The first group (n=9;
BMI=26.6±3.6 kg/m2) received Plain Water Intake (PWI) intervention, whereby
students received three bottles of plain water (600 mL) per mealtime (total 1.8 L/
day) and consumed ad libitum 30 to 45 minutes before mealtime (breakfast, lunch,
and dinner). The second group (n=9; BMI=25.9±2.4 kg/m2) received High-Intensity
Interval Training (HIIT) intervention and underwent three exercise sessions per
week (18 minutes/day; 70–85% of HRmax) that was introduced through a video
recording. The last group (n=9; BMI= 25.7±3.4 kg/m2) received a combination of
PWI+HIIT intervention. Nutritional status, nutrient intake, and lipid profile [total
cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C),
and low-density lipoprotein cholesterol (LDL-C)] were assessed before and after
the interventions. Data were analysed using paired sample t-test and Analysis of
Variance (ANOVA). Results: The PWI group showed a significant increase in HDL-C,
while the HIIT group showed a significant reduction in TC (p<0.05). On the other
hand, the PWI+HIIT group showed significant improvements in lipid profile (TC, TG
and HDL-C) (p<0.05). Conclusion: A combination of PWI+HIIT intervention may be
effective in improving lipid profile.
4.Status of probiotic regulations in Southeast Asia countries
Tee E Siong ; Hardinsyah ; Cyndy Au Sook Sum
Malaysian Journal of Nutrition 2021;27(No.3):507-530
This review summarises the key components of the available probiotic regulations in six Southeast Asia countries (Indonesia, Malaysia, Philippines, Singapore, Thailand and Vietnam). Diverse approaches have been undertaken by the countries in regulating the marketing and sale of probiotics in foods and health supplements. Only Indonesia, Malaysia, Philippines and Thailand have enacted specific regulations which include their respective legal definition of probiotics. Only Malaysia, Philippines and Thailand publish a list of microorganisms permitted to be used as probiotics in foods or health supplements; the approved microorganisms are not harmonised among these countries. All six countries allow the application for new microorganisms to be used, but have adopted differing requirements and approaches. A common requirement is that all applications must be accompanied by scientific data to demonstrate clinically that the microorganisms are safe and provide health benefits. All the countries, except Indonesia and Vietnam permit the use of a small number of pre-approved generic function claims. It is noted that the countries have different specific labelling requirement for products containing probiotics. The divergent probiotic regulations in the region, either for foods or health supplements, creates inconsistencies and difficulties for all stakeholders including regulators, academia, industries and consumers, as well as impacting trade among countries. This review highlights the importance of having regulatory control to ensure consumers have access to safe, genuine and efficacious probiotic products. We propose working towards a harmonised probiotics regulation in the region to enable further development and progress of probiotics in the region.
5.A review of national plans of action for nutrition in Southeast Asian countries
Tee E Siong ; Rodolfo F Florentino ; Hardinsyah ; Ismail Mohd Noor ; Lwin Mar Hlaing ; Saipin Chotivichien ; Le Thi Hop
Malaysian Journal of Nutrition 2020;26(No.3):501-524
This review describes national plans of action for nutrition (NPANs) in six Southeast
Asia countries (Indonesia, Malaysia, Myanmar, Philippines, Thailand and Vietnam)
in order to provide an understanding of the approach and framework undertaken
by these countries in the formulation and implementation of NPANs, as well as
the similarities and differences in various NPAN components. The six countries
recognised the persistent undernutrition and escalating rates of obesity and
other diet-related chronic diseases as the key drivers for nutrition action plan
implementation. The prioritisation of nutrition interventions outlined in these
NPANs are based on respective country context and needs. Although differing in
strategies and targets set, these countries show similarities in several components
including objectives, stakeholder involvement, nutritional issues to be addressed,
implementation, monitoring and evaluation mechanism, programme/ activities
identified and challenges in implementing NPANs. Countries have recognised that
effective implementation, monitoring and evaluation are essential to successfully
address both extremes of the challenging nutrition situation. Several important
similarities in the NPANs studied suggest that closer collaboration among countries
and stakeholders on NPANs would be beneficial. Opportunities should be created
for periodic exchanges to enable sharing of experiences in the development and
implementation of NPANs among the countries. Recommendations and conclusions
drawn from this review could serve as useful reference for nutrition policy and
planning in the future.
6.Review of recommended energy and nutrient intake values in Southeast Asian countries
E Siong Tee ; Rodolfo F Florentino ; Nalinee Chongviriyaphan ; Hardinsyah Ridwan ; Mahenderan Appukutty ; Truong Tuyet Mai
Malaysian Journal of Nutrition 2023;29(No.2):163-241
This review summarises the officially published recommended energy and nutrient
intake values in five Southeast Asia (SEA) countries namely Indonesia, Malaysia,
Philippines, Thailand and Vietnam. The background information, general approaches
and references used for setting up recommendations and the recommended intakes
levels for energy, protein, fat and carbohydrate, dietary fibre, sugars,14 vitamins
and 15 minerals of these countries were tabulated and compared. The recommended
intake values show remarkable similarities in terms of approaches and principles
taken, as well as references used as the basis for the recommendations development
and the application of the recommendations in respective country. There are
nevertheless some differences in age groupings, reference height and weight used,
as well as the final recommendations of the intake levels for some nutrients, after
adjustment to suit local situations. All five countries had provided recommendations
in terms of recommended nutrient intakes (RNI) or recommended dietary allowance
(RDA) for almost all the nutrients. Due to the limited availability of local data and
resources, countries in the region have referred to several references, including those
from Food and Agriculture Organization/World Health Organization (FAO/WHO)
consultation report and recommendations from research organisations in United
States and Europe and adapted the values for local uses. Opportunities should be
created to enable closer dialogue and collaboration regarding future developments
in nutrient recommendations for populations in the region. These could include
consideration of establishing more appropriate nutrient recommendations and the
call for setting up harmonised approaches to establishing recommended nutrient
intake values for the region.