Jurnal Gizi Klinik Indonesia最新文献

{"title":"Kualitas diet dan kontrol glikemik pada orang dewasa dengan diabetes melitus tipe dua","authors":"Dodik Briawan, Mahfuzhoh Fadillah Heryanda, Sudikno Sudikno","doi":"10.22146/ijcn.62815","DOIUrl":"https://doi.org/10.22146/ijcn.62815","url":null,"abstract":"Diet quality and glycemic control in adults with type two diabetes mellitusBackground: As assessed by Alternate Healthy Eating Index (AHEI), diet quality is correlated with glycemic control through its effect on glucose-insulin homeostasis. Studies are evaluating the diet quality index in Indonesia, especially its relation to glycemic control in those with type 2 diabetes mellitus (T2DM), are lacking. Objective: To analyze the association between diet quality and glycemic control T2DM in adults. Methods: This research was a cross-sectional study using data from \"Cohort study of non-communicable disease risk factors\" in 2016 by the Indonesia Ministry of Health. Hundred and five (105) subjects diagnosed with T2DM, aged 25-65, were recruited in this study. A 24-hour dietary recall was collected, and a diet quality index referred to the USA adapted AHEI-2010 was assessed. The portion of food components was modified based on the Indonesian Dietary Guidelines. Glycemic control was evaluated according to fasting blood glucose (FBG) and 2-hours-post-75-g glucose load (2h-PG). Spearman correlation test was applied in this analysis. Results: A mean age of subjects was 51 years, and 77.1% out of 105 subjects were women. Mean value of FBG 123.5 and 2h-PG 228.9 mg/dL. The total score of AHEI was 53.8. There was not a significant correlation between the total score of AHEI with FBG (r= -0.079) and 2h-PG (r= -0.069) (p>0.05). However, there was a significant association between the fruits score and 2h-PG (r= -0.224) (p<0.05). Most of the subjects consumed fruits containing low-moderate fructose, such as bananas, oranges, papayas. Conclusions: In T2DM, there was no significant association between the total score of current diet quality and poor glycemic control, except for the fruits component.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49244330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Edukasi gizi menggunakan media booklet dengan atau tanpa konseling terhadap pengetahuan orangtua dan konsumsi sayur dan buah anak prasekolah di wilayah urban","authors":"H. Herawati, Azhari Silvia Novita Anggraeni, Nurul Pebriani, Arantika Meidya Pratiwi, Tri Siswati","doi":"10.22146/ijcn.63338","DOIUrl":"https://doi.org/10.22146/ijcn.63338","url":null,"abstract":"Nutrition education using booklet media with and without counseling on parental knowledge, amount and frequency of consumption of vegetables and fruits of preschool children in urban areasBackground: Consumption of vegetables and fruit in preschool children in Indonesia is still less than recommended. Nutrition education through booklets and counseling media will clarify information and understanding of parents about the importance of consuming vegetables and fruit in preschool children, resulting in parental feeding behavior to increase the amount and frequency of consumption of vegetables and fruits in preschool children. Purpose: This study aims to determine the effect of nutrition education using booklet media with counseling and without counseling on parental knowledge, amount, and frequency of consumption of vegetables and fruits of preschool children in urban areas. Methods: This type of research was a quasi-experimental research design with pre and post-test with the control group. The selection of respondents used purposive sampling to select the sub-districts that had the percentage of excess nutrition in Yogyakarta, namely the Danurejan District, and simple random sampling to choose children and preschools (kindergarten). The number of respondents was 56 people consisting of 28 experimental and 28 controls from 4 kindergartens. Nutrition education in the experimental group gave booklets and counseling, once for 30-60 minutes and at each respondent's home. The control group was only assigned a booklet without counseling. The instruments used consisted of booklets, knowledge questionnaires, and SQ-FFQ. The statistical tests used were paired t-test, Wilcoxon, Mann Whitney, independent t-test, and Pearson. Results: This study showed increased parental knowledge before and after nutrition education in the experimental group (p<0.05). In addition, the amount and frequency of consumption of vegetables and fruits of preschool children in the experimental group increased between before and after being given nutrition education (p<0.05). Knowledge, amount, and frequency of consumption of vegetables and fruit also showed differences between the experimental and control groups (p<0.05). Conclusions: Nutrition education using booklets and counseling media affects parents' knowledge and the amount and frequency of consuming vegetables and fruit in preschool children compared to using only booklets without counseling.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47109596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kadar gula darah atlet sepak bola remaja setelah pemberian diet beban glikemik","authors":"R. Lestari, Deny Yudi Fitranti, Nurmasari Widyastuti, A. Syauqy, Binar Panunggal, Fillah Fithra Dieny, Hartanti Sandi Wijayanti, Dewi Marfu'ah Kurniawati","doi":"10.22146/ijcn.58277","DOIUrl":"https://doi.org/10.22146/ijcn.58277","url":null,"abstract":"Effect of diets with glycemic load arrangement on blood glucose levels in young soccer athletes Background: Carbohydrate arrangement considering the glycemic index (GI) and glycemic load (BG) are important to support the performance of athletes.Objective: To examine the effect of diets with glycemic load arrangement on blood glucose levels in young soccer athletes.Methods: Quasi-experimental study on 14 male young soccer players aged 15-18 years old at Terang Bangsa Soccer School. Each subject completed 4 trials separated by at least 7 days as a washout period. Diets provided consist of high GI with high GL diet (H-H), low GI with high GL diet (L-H), high GI with low GL (H-L), and low GI with low GL diet (L-L). Collected data were fasting blood glucose level (BGL 0), blood glucose level one hour after intervention (BGL 1), blood glucose level two hours after intervention (BGL 2), and blood glucose level after exercise (BGL 3).Results: The results of paired t-test analysis showed that there were differences between fasting blood glucose level and blood glucose level one hour after intervention, blood glucose level one hour after intervention and blood glucose level two hours after intervention, blood glucose level two hours after intervention and blood glucose level after exercise in the H-H and L-H diet group. In the L-L diet group, there were differences between BGL 2 and BGL 3. One-Way ANOVA analysis showed that there were no significant differences in blood glucose levels one hour after the intervention, blood glucose level two hours after intervention, and blood glucose level after exercise between groups.Conclusions: High glycemic load diets influence the increase in blood glucose levels at 1 hour postprandial and after exercise. Low glycemic load diets influence the increase in blood glucose levels after exercise. Diets with the arrangement of glycemic index and glycemic load did not affect blood glucose levels between diet groups. ","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42159034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh pemberian jelly mengandung glukomanan porang (Amorphophalus oncophyllus) dan inulin sebagai makanan selingan terhadap berat badan, IMT, lemak tubuh, kadar kolesterol total, dan trigliserida pada orang dewasa obesitas","authors":"Rissa Saputri, Rizka Qurrota A’yun, Emy Huriyati, L. Lestari, Sri Rahayoe, Yusmiati Yusmiati, Okta Haksaica Sulistyo, E. Harmayani","doi":"10.22146/ijcn.58343","DOIUrl":"https://doi.org/10.22146/ijcn.58343","url":null,"abstract":"Effect of jelly containing of porang (Amorphophalus oncophyllus) glucomannan and inulin as a snack to the body weight, BMI, body fat, total cholesterol, and triglyceride levels in obese adultBackground: Obesity is a major risk factor for noncommunicable diseases, especially cardiovascular disease. Porang glucomannan and inulin are water-soluble fibers that have been widely studied for their health benefits. Jelly products that contain both types of fiber are expected to have the ability to support the diet program in adults with obese nutritional status. Objective: To determine the effect of giving jelly containing a combination of glucomannan porang and inulin on body weight, BMI, body fat, total cholesterol, and triglyceride levels in obese adults.Methods: This research is a randomized controlled trial using a pre and post-test design. A total of 55 subjects who live in the Special Region of Yogyakarta, participated in the study until the end of 8 weeks. Subjects were divided into 3 groups; 18 people in the group who were given jelly containing glucomannan porang and inulin (porang-inulin jelly group), 17 people in the group who were given placebo jelly (placebo jelly group), and 20 people in the negative control group who did not get jelly (negative control group). All subjects received a low-calorie diet intervention of 1,500 kcal in the first month and 1,200 kcal in the second month. Results: There was a significant reduction in body weight and BMI (p<0.05) in all groups, but there was no difference in the effect between the porang–inulin jelly group and the other groups (p>0.05). Clinically, there was a significant decrease in body fat percentage in the porang-inulin jelly group, in subjects with the category of an excess fat percent (-0.90 ± 0.49%) and obesity (-1.48 ± 0.83%). A significant decrease in fat percentage also occurred in the porang-inulin jelly group, both in male subjects (-1.42 ± 0.50%) and female (-1.15 ± 0.82%), while in the placebo jelly group and negative control, the decrease did not occur in all categories and genders. There was an increase in total cholesterol levels in the negative control group (p<0.05) after the study (+7.45 ± 13.18 mg/dL). In the porang-inulin jelly group, the increase in cholesterol levels did not occur significantly either in general or based on clinical categories and gender. Conclusion: Consumption of porang-inulin jelly may support weight loss programs, BMI, percent body fat, and inhibit the increase of total cholesterol and triglyceride levels in adults with obese nutritional status.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43999933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh puasa intermiten 5:2 terhadap kadar malondialdehida pada karyawan pria dewasa dengan obesitas","authors":"Karima Yudhistina, Erfi Prafiantini, Novi Silvia Hardiany","doi":"10.22146/IJCN.61765","DOIUrl":"https://doi.org/10.22146/IJCN.61765","url":null,"abstract":"Effect of intermittent fasting 5:2 on plasma malondialdehyde levels in adult male employees with obesityBackground: Obesity is a major risk factor for various non-communicable diseases such as type 2 diabetes mellitus and cardiovascular disease. In obesity, the free radical product will be produced, such as malondialdehyde (MDA) which plays a role in the pathogenesis of various diseases. Intermittent fasting (IF) is an alternative way to reduce free radical levels in the body therefore it can prevent complications of obesity. However, the effect of IF on MDA level in an obese adult male in Jakarta has not been reported.Objective: The objective of this study was to determine the effect of IF on malondialdehyde levels in adult male employees with obesity in Jakarta.Methods: This study used a randomized controlled clinical trial. The subjects were men aged 19-59 years with a body mass index (BMI) ≥ 25 kg/m2, divided into fasting and control groups, each group consists of 25 subjects. Intermittent fasting 5:2 is calorie restriction up to 20-25% was done every Monday and Thursday, and not allowed to eat and drink during 14 hours of fasting. Before the intervention, both groups were given education about balanced nutrition. Association of intermittent fasting with MDA and catalase was analyzed by means of difference formula with a significance limit of 5%.Results: MDA levels post-intervention significantly decreased compared to the pre-intervention both in the fasting group [1,3(0,9-2) nmol/mL to 0,4(0,3-0,6) nmol/mL] and in the control groups [1,4(0,9-1,9) nmol/mL to 0,5(0,3-0,7) nmol/mL]. MDA level post-intervention in the fasting group was significantly lower (p<0,05) compared to the control group.Conclusions: Intermittent fasting 5:2 during 8 weeks can decrease MDA levels in adult males with obesity in Jakarta.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48651484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Status kesehatan dan asupan mikronutrien vegetarian dan nonvegetarian di Bali","authors":"Ni Ketut Sutiari, A. Khomsan, Hadi Riyadi, Faisal Anwar, Desak Putu Yuli Kurniati, W. Astuti","doi":"10.22146/IJCN.64443","DOIUrl":"https://doi.org/10.22146/IJCN.64443","url":null,"abstract":"Health status and micronutrient intake among vegetarian and non-vegetarian in BaliBackground: Several studies have reported that vegetarian diets have health benefits for those adopting the diets.Objective: This study aimed to compare anemia status and micronutrient intake between vegetarians and non-vegetarians in Bali.Methods: This cross-sectional study was conducted in Bali. A total of 240 samples consisting of 160 vegetarians and 80 non-vegetarians were randomly selected. Hemoglobin (Hb) and fasting blood sugar levels were measured using the cyanmethemoglobin method and enzymatic colorimetric, respectively. Meanwhile, the data on micronutrient intakes were collected by interviews using the semi-quantitative food frequency questionnaire (SQFFQ). The data were analyzed using descriptive statistics, and the Mann-Whitney test was performed to analyze the differences.Results: The study’s results showed that the mean Hb levels in the vegetarian group were significantly lower than non-vegetarians (p=0.002; p<0.05), and the anemia status in vegetarian women were higher (22.5%) than non-vegetarian women (2.5%). The mean fasting blood glucose level in non-vegetarians was significantly higher than in the vegetarian group (p=0.000; p<0.05). There were no differences in zinc (Zn) intake between vegetarians and non-vegetarians, but there were significant differences (p<0.05) in vitamin C, vitamin D, vitamin B12, folic acid, magnesium (Mg), calcium (Ca), and iron (Fe) intakes.Conclusions: There were differences in anemia status and fasting blood glucose levels between vegetarians and non-vegetarians. The fasting blood glucose levels of non-vegetarians were higher than vegetarians, and there were differences in the intake of certain micronutrients between vegetarians and non-vegetarians.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43911379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pengaruh program multi-exercise terhadap fungsi kognitif pada lansia overweight dan tidak overweight","authors":"Tri Mei Khasana, A. Astuti","doi":"10.22146/ijcn.64759","DOIUrl":"https://doi.org/10.22146/ijcn.64759","url":null,"abstract":"The effect of the multi-exercise program on cognitive function in overweight and non-overweight elderlyBackground: Cognitive function is the factor that determines the disability of the elderly to live a healthy and independent life. The results of studies regarding the protective effect or detrimental effects of overweight or obesity on cognitive function in the elderly are still controversial. Objective: This study aims to determine the effect of the multi-exercise program on cognitive function in the elderly based on nutritional status.Methods: This quasi-experimental study with a pretest-postest design study involved 37 elderly aged 60-74 years. Body mass index (BMI) derived from the measurement of body weight and height were grouped into overweight and not-overweight. Both groups received a multi-exercise in the form of gymnastic exercise (30 minutes), square stepping exercise (30 minutes), and puzzle games (30 minutes). The intervention was given 12 times with a frequency of 3 times per week. Cognitive function was measured by using the Mini-Mental State Examination (MMSE) questionnaire. Data analysis used paired sample t-test and independent t-test. Results: The multi-exercise program intervention given affected improving cognitive function in the overweight elderly group (p=0.003). However, it is different from the non-overweight elderly group who did not show a significant effect of the multi-exercise program on the cognitive function (p=0.184) even though there was an increase in the mean cognitive function at the end of the intervention. Conclusions: Multi-exercise program intervention for 4 weeks with a frequency of three times per week can improve the cognitive function of the elderly, but statistically only significant in the overweight elderly group.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47811216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The risk of inappropriate timing of complementary foods introduction is increased among first-time mothers and poor households","authors":"Puspitorini Puspitorini, Prasetya Lestari, B. A. Paramashanti","doi":"10.22146/IJCN.53443","DOIUrl":"https://doi.org/10.22146/IJCN.53443","url":null,"abstract":"Background: Global recommendations suggest mothers provide the first complementary food to infants when they reach six months of age. Failure to introduce complementary foods promptly may put infants in adverse health and nutrition outcomes. Objective: This study aimed to analyze factors associated with inappropriate timing of complementary foods introduction in Kebumen Regency. Methods: This study used a cross-sectional design. A multistage cluster sampling was employed to select 355 mothers of children aged 6-23 months in Kebumen Regency. Our dependent variable was the timing of complementary food introduction. Meanwhile, independents variables included factors at the child, parental, and household levels. Univariate and multiple logistic regressions were performed in this study. Results: There was 39.15% of young children received inappropriate timing of complementary feeding. Being the second-born child or above (OR=0.56; 95%CI: 0.33-0.95) and coming from high-income households (OR= 0.57; 95%CI: 0.36-0.90) were protective factors of inappropriate timing of complementary foods introduction. Other variables such as maternal age, maternal education, maternal occupation, father’s education, and family support were not significantly associated with incorrect timing of complementary feeding. Conclusions: The proportion of inappropriate timing of complementary foods introduction in Kebumen Regency is alarming and is mainly explained by child’s birth rank and household economic status suggesting the importance of targeting nutritional education to first-time mothers as well as poor households.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49282464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korelasi asupan makronutrien dengan indeks massa tubuh, kadar gula darah, dan protein total darah pada pengguna narkoba","authors":"Ginta Siahaan, Tiarlince Bakara, Yusnita Yusnita, Kasmiyeti Kasmiyeti","doi":"10.22146/IJCN.42623","DOIUrl":"https://doi.org/10.22146/IJCN.42623","url":null,"abstract":"Correlation of macronutrient intake with body mass index, blood sugar levels, and total blood protein in drug usersBackground: Random blood sugar level and total blood protein need to be measured among drug users because their macronutrient intakes (carbohydrates, fat, protein, and energy) are not appropriate to the pattern of daily habits before uses drugs. Drug users had decreased appetite during the influence and withdrawal symptoms of drugs with the impacts on their body mass index (BMI). Objective: To analyze the correlation of macronutrient intakes between the random blood sugar level, total blood protein, and BMI drug users.Methods: This research was conducted with a cross-sectional design and observational study. 73 drug users were included in the study with the screening by inclusion criteria. 24-hour food recall was used to collect the macronutrient intakes, random blood sugar levels and total blood protein were monitored by the GOD-PAP method, and BMI was measured by weight and height. Data analysis used Pearson’s correlation test in bivariate and multivariate was carried out by multiple linear regressions. Results: Pearson’s correlation analysis showed that there was a significant correlation between macronutrient intakes (energy, carbohydrate, fat) with random blood sugar level, total blood protein, and BMI. BMI was the most affected by energy (β=0.531), random blood sugar level was the most affected by carbohydrates (β=0.073), and total blood protein was the most affected by protein (β=0.837).Conclusions: Macronutrient intake is significantly related to BMI, random blood sugar levels, and total blood protein in drug users. Community collaboration with related parties such as the public health service and National Narcotics Agency will very quickly detect drug side effects early on eating disorders that will affect the nutritional status of its users.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44866941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hambatan pemberian ASI ekslusif pada ibu bekerja: teori ekologi sosial","authors":"Rakhmawati Agustina, Yayi Suryo Prabandari, Toto Sudargo","doi":"10.22146/IJCN.50155","DOIUrl":"https://doi.org/10.22146/IJCN.50155","url":null,"abstract":"Obstacles of providing exclusive breastfeeding among working mothers using social-ecological theoryBackground: The coverage of exclusive breastfeeding (EBF) in Indonesia was increased to 38% but it was lower than the Millennium Development Goals (MDGs) target (80%). One of the influence factors is to return to work. Society assumed that a mother who stays at home more successful to provide EBF than working mothers. A previous study indicated that some obstacles become early cessation factors among working mothers.Objective: To explore the obstacle of breastfeeding using social-ecological theory.Methods: Qualitative research inquiry based on phenomenology design. Informants were chosen through purposive sampling. Inclusion criteria were working mothers who succeeded provide exclusive breastfeeding, had children age 6-24 months, lived, and formally worked at Manado. Data triangulation was conducted through in-depth interviews with the manager/supervisor/colleague. Data collected using in-depth interviews and observation.Results: A total of twelve informants have interviewed consists of six working mothers and six triangulation informants. The result indicated that lack of confidence was related to providing exclusive breastfeeding. This is caused by family influence, culture, health provider, and lack of awareness from the working place. A support group was the main factors that influence the mother to overcome all obstacles.Conclusions: The main obstacles for working mothers to provide EBF come from interpersonal factors that determined by other factors: intrapersonal, organizational, community. Therefore working mothers need breastfeeding preparation since early pregnancy to decrease breastfeeding obstacles.","PeriodicalId":31591,"journal":{"name":"Jurnal Gizi Klinik Indonesia","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}