1.Validation of a semi-quantitative food frequency questionnaire for estimating dietary omega-3 fatty acids intake among urban Indonesian pregnant women
Dudung Angkasa ; Rina Agustina ; Helda Khusun ; Erfi Prafiantini
Malaysian Journal of Nutrition 2019;25(2):321-335
Introduction: Studies on the development and validation of semi-quantitative food frequency questionnaires (SQ-FFQ) for assessing omega-3 (Ω-3) long-chain polyunsaturated fatty acids (LC-PUFAs) intake by pregnant women are few. This study aimed to determine the validity of a newly developed SQ-FFQ for assessing the LC-PUFA intake among Indonesian urban pregnant women.
Methods: A cross- sectional study was carried out in 2015 on 100 Indonesian pregnant women who were in their late 3rd trimester, living in the urban setting of Jakarta. As a test tool, the SQ-FFQ was administered before the trained nutritionists executed the reference tool of non-consecutive two-day 24-hour dietary recalls (2DRs). The nutrients of interest were a total of Ω-3, eicosapentanoic acid (EPA), docosahexaenoic acid (DHA), alpha-linolenic acid (ALA), total Ω-6, linoleic acid (LA), arachidonic acid (AA), and LC-PUFAs. Statistical correlation, cross-classification and the Bland-Altman plot analysis were done to determine the agreement between tools.
Results: Energy-adjusted correlation coefficients between SQ-FFQ and 2DRs were 0.385, 0.349, 0.352, 0.380, 0.338, 0.408, 0.409, 0.331, 0.341 and 0.341 for fat, total Ω-3, ALA, EPA, DHA, total Ω-6, LA, AA and LC-PUFAs, respectively and were statistically significant (p<0.05). Misclassification of these nutrients from SQ-FFQ and 2DRs was <6%. The Bland-Altman plots showed most of the points fell within the 95% limits of acceptable agreement for DHA, EPA, and LA.
Conclusion: The newly developed SQ-FFQ of this study is a valid instrument for assessing of Ω-3 LC-PUFAs intake among Indonesian pregnant women living in urban area. Its further validation with relevant biomarkers is recommended.
2.‘MAPAGI’ video game upgraded breakfast attitude among urban elementary school children in West Jakarta, Indonesia
Dudung Angkasa ; Riri Amanda Pratiwi ; Idrus Jus&rsquo ; at
Malaysian Journal of Nutrition 2020;26(No.3):341-351
Introduction: Skipping breakfast may contribute to poor academic and nutritional
status among school children. The current study aimed to determine the effect of
the ‘MAPAGI’ (Makan Pagi Bergizi) interactive video game on elementary student’s
breakfast knowledge and attitude. Methods: This was a quasi-experimental
equivalent group study with a pre-post test control group design. In total, 228
students aged 9-11 years were drawn by proportional stratified random sampling
from two urban schools and were distributed equally into intervention (IG) and
control groups (CG). Both groups were administered with similar printed media for
10-15 minutes. Video game was delivered only to IG for two consecutive days, 30
minutes each day. Pre-test (PT0) was performed a day before leaflet administration,
while post-test was performed twice – after leaflet administration (post-test 1/
PT1) and a week after the last video game (post-test 2/PT2). Paired, independent
t-test and analysis of covariance (ANCOVA) were employed to answer the research
questions. Results: The mean changes (PT1-PT0 and PT2-PT0) in knowledge score
for IG (4.82±2.53 and 3.25±2.47) significantly differed compared to CG (1.75±2.66
and 1.25±2.69). The mean changes in attitude score for IG (7.16±7.17 and
7.34±7.11) also significantly differed compared to CG (2.83±6.58 and 2.64±6.90).
After adjustment for potential confounding factors, there was still a significantly
greater score in children’s knowledge and attitude after a week’s administration
of MAPAGI video game in IG. Conclusion: ‘MAPAGI’ improved school children’s
knowledge and attitude, which may lead to the good behaviour of having breakfast.