Journal of Health Care and Dietetic

Role of Maternal Nutritional Status in Preventing Stunting During the Golden Growth Period

2025-07-22T04:13:41+00:00

Stunting remains one of the major chronic nutritional problems and a persistent public health challenge in Indonesia. This condition impairs not only physical development but also cognitive abilities, future work capacity, and general life quality. Ensuring adequate maternal nutrition during pregnancy is crucial to minimizing the risk of stunting, especially during the first 1,000 days a critical period for both physical and mental development in children. Poor maternal nutrition during this window can impair fetal development and increase the risk of stunting.

This research seeks to examine the relationship between a mother's nutritional condition and the prevalence of stunting among children, as well as to identify key factors influencing maternal nutrient adequacy during pregnancy. A literature review method was employed, with article searches conducted through the Google Scholar database using the keywords “maternal nutritional status” and “stunting.” Inclusion criteria consisted of accredited national journal articles published within the last ten years, available in full text, open access, and without restriction on study design. Out of 62 identified articles, 10 met the inclusion criteria and were thoroughly analyzed.

The review found a strong link between poor maternal nutritional status particularly chronic energy deficiency (CED) and anemia and higher rates of stunting in children. Additional contributing factors include maternal nutrition knowledge, dietary patterns during pregnancy, and access to healthcare services. Enhancing maternal nutrition through education, nutritional interventions, and improved healthcare access is essential for effective stunting prevention. These efforts should be concentrated during pregnancy through the child’s first two years, recognized as a critical window for optimal growth and development.

Nutrition Management In Children with Chronic Diarrhea, Vitamin D Deficiency, Iron Deficiency Anemia, And Stunting: A Case Study

2025-07-17T09:46:51+00:00

Indonesia is a country that continues to face the problem of stunting. Out of 148.1 million (22.3%) worldwide, 19.8% in Indonesia suffer from stunting, according to the 2024 SSGI results. This study aims to assess nutritional management in children with Chronic Diarrhea, Vitamin D Deficiency, Iron-Deficiency Anemia, and Stunting in the PICU through an observational case study involving one respondent. The results of the nutritional assessment identified nutritional issues, leading to the establishment of dietary diagnoses: NI 2.1, NI 5.1, and NB 1.7. The nutritional intervention plan provided aligns with the established nutritional diagnoses, consisting of a malnutrition management diet in the rehabilitation phase, with a liquid consistency administered orally via the enteral route. Education/counseling and monitoring of the child's condition were also provided. Physical data related to nutrition were monitored and evaluated at each visit using direct observation methods. Monitoring and evaluation of intake were conducted daily using a 24-hour recall, while monitoring and evaluation of biochemical values were conducted according to the latest laboratory tests. The results of the nutritional screening of the respondent indicated the presence of malnutrition and other conditions related to nutrient deficiencies. Standardized nutritional care was provided over 9 days of intervention in the PICU. Anthropometric measurements were taken before the intervention and on the last day of the intervention, showing no changes in LLA and PB measurements in the respondents, thus maintaining their nutritional status in the category of malnutrition. Monitoring and evaluation results also showed significant improvements in physical conditions related to nutrition. The monitoring and evaluation results for patient intake showed that the respondents' intake continued to increase gradually. Meanwhile, the monitoring and evaluation results for nutrition education and counseling for the patients' mothers showed an increase in understanding of nutrition. This case study concludes that the standardized individualized nutrition care process has been proven to increase the respondents' intake, thereby preventing the deterioration of their condition and improving the mothers' understanding of the nutrition management provided.

Nutritional Management of Children With Viral Encephalitis, Hydrocephalus Communicans, Sepsis, Status Epilepticus : Case Study

2025-07-15T14:56:20+00:00

Complications of neurological diseases can have a significant impact on malnutrition, such as stunting. This study aims to assess the effect of nutritional management in pediatric patients with diagnoses of viral encephalitis, hydrocephalus communicans, sepsis, and status epilepticus in a comprehensive nutritional care process (NCP).

This research is a case study with an individual approach to pediatric patients at Wahidin Sudirohusodo General Hospital Makassar. The focus of the study was to conduct nutritional screening, nutritional assessment, nutritional diagnosis, nutritional intervention, nutritional monitoring and evaluation carried out for 10 days.

The results of nutritional screening showed a high risk of malnutrition with disease complications. The nutritional diagnoses are Nutrition Intake, Clinical and Behaviour domains. Anthropometric measurements showed the child's nutritional status in the underweight category based on the percentage of LLA. Biochemical examination is at risk of anaemia and risk of hyponatremia. Physical examination of nutritional focus observed wasting, moderate general illness (minimal mobilisation), gastrointestinal disorders, and anorexia. The child's enteral feeding intake via NGT was gradually increased from 50% to 100% of needs according to the modified ketogenic diet nutrition intervention provided. The results of continuous nutrition education and counselling showed an improvement in the child's feeding practices.

Individualised nutrition management was shown to increase the patient's enteral intake adequately to prevent further muscle mass loss during the intervention and to improve feeding practices by the patient's mother.

Case Study of the Standardized Nutrition Care Process in a Patient with Diabetes Mellitus

2025-07-17T09:52:54+00:00

In Indonesia, the number of people living with DM reached 19.5 million in 2021, making it the country with the fifth highest prevalence worldwide. This study aimed to assess the standardized nutritional care provided to a DM patient at RSAU Dr. Dody Sardjoto through an observational case study involving a single subject. Nutritional assessment indicated the patient was overweight and exhibited elevated blood pressure. Over a three-day monitoring period, nutrient intake exceeded daily requirements: energy intake ranged from 110–120%, protein 96–103%, fat 138–153%, and carbohydrates 106–128%. In conclusion, the patient was prescribed a 1500 kcal diabetic diet (DM RG). A gradual reduction in random blood glucose levels was observed, from 281 mg/dL on day one to 232 mg/dL on day three, although levels remained above the normal range

Standardized Nutritional Care for Pregnant Women with Anemia: Efforts to Increase Protein and Iron Intake at the Biru Community Health Center

2025-07-16T05:31:04+00:00

Anemia remains a critical public health issue among pregnant women, particularly in rural areas. This report investigates the nutritional care provided to pregnant women at Public Health Center Biru, Bone District, focusing on interventions to improve protein intake and prevent anemia. Using a standardized nutritional care process—assessment, diagnosis, intervention, and evaluation—five antenatal care patients were observed between May 26–31, 2025. Results indicated that 60% of participants were anemic, with inadequate daily intake of protein and iron. Dietary prescriptions included balanced meals rich in protein (eg, poultry, meat, fish) and iron, alongside education on healthy eating and iron supplementation. Post-intervention data revealed a significant increase in protein consumption (from 73.32 g to 89.08 g) and iron intake (from 7.16 mg to 9.72 mg), coupled with improved knowledge scores and slight weight gain. These findings highlight the effectiveness of targeted nutritional education in enhancing dietary behavior and reducing anemia risk among pregnant women. Strengthening nutritional care through education and coordinated support from health professionals can play a vital role in promoting maternal health outcomes.

Nutrition Care Process of Malnutrition in Patients with Bronchopneumonia and Atopic Dermatitis

2025-06-29T01:23:01+00:00

Bronchopneumonia and atopic dermatitis due to cow's milk allergy are common comorbidities in children with severe malnutrition. These conditions increase the risk of morbidity and mortality by impairing dietary intake and metabolism. The Nutrition Care Process (NCP) provides a structured approach to identify and address nutritional issues in such complex cases. This descriptive case study aimed to evaluate the effectiveness of NCP in improving nutrient intake and Clinical outcomes were reduced fever and shortness of breath. The study was conducted in the PICU of Dr. Tajuddin Chalid Hospital, Makassar, from April 8–12, 2025, involving a 1-year-old male patient. Nutritional assessment included anthropometric, biochemical, clinical, and dietary intake parameters. Intervention consisted of a high-energy, high-protein liquid diet administered via nasogastric tube in a staged manner. Results showed a weight gain of 200 grams and significant improvements in energy, protein, fat, carbohydrate, vitamin, and mineral intake. Clinical improvements were also observed, including reduced fever and shortness of breath. Although the nutritional status remained in the category of malnutrition, the integrated implementation of NCP proved effective in enhancing nutrient intake and stabilizing clinical condition. Personalized nutritional strategies and caregiver education on food allergy management are essential in treating pediatric patients with complex medical and nutritional needs

Case Study of Nutrition Education for Stunting Children in the UPT Kotu Health Center Area , Enrekang Regency

2025-07-10T01:48:02+00:00

Indonesia is a country that is still face stunting problem . As many as 148.1 million (22.3%) in the world and in Indonesia the results of the 2024 SSGI were 19.8% who suffered from stunting . Research This aiming For evaluate care nutrition the standards given to stunted toddlers at the Community Health Center UPT City Regency Enrekang through studies case observational involving two respondents . The assessment results show that Respondent experiencing stunting, wasting and deficits intake substance nutrition . During research conducted for 4 weeks intake substance nutrition Respondent experience improvement . The conclusion is that education nutrition given to Mother Respondent as much as 4 times for 4 weeks . Intake substance nutrition Respondent experience improvement optimally .

Chicken Tofu Roll Addition Dangke and Carrots Accepted as Food Toddler Alternative

2025-07-12T14:05:49+00:00

Stunting is a condition of impaired growth due to a long-term deficiency of nutrients, particularly energy and protein, characterized by a height that is below the standard for age. The selection of diverse and appropriate food ingredients is a crucial factor in meeting the nutritional needs of toddlers to support optimal growth and development. This study aimed to evaluate the acceptability of chicken tofu roulade with the substitution of dangke (a traditional cheese-like product) and carrots. The research was a pre-experimental study using a post-test only group design, involving 38 panelists , who were employees of the UPT RSUD Massenrempulu Enrekang . The Kruskal- Wallis test showed that there was no significant difference in the acceptability among the different roulade formulas (p > 0.05). The most preferred formula was Formula 123, which contained 150 grams of dangke and 50 grams of carrot. This formula was characterized by a pale yellowish-white color , a savory taste with a milky aroma, and a soft yet chewy texture. The nutritional content per 75-gram serving of Formula 123 was: Protein: 9.31 grams, Zinc (Zn): 4.53 mg.