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All Journal Jurnal Gizi dan Pangan Jurnal Media Gizi Indonesia (MGI) Amerta Nutrition
Diana, Rian
Departemen Gizi Kesehatan, Fakultas Kesehatan Masyarakat, Universitas Airlangga
Health Professions Medicine & Pharmacology Nursing Public Health Other

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Journal : Amerta Nutrition

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Double-Duty Actions to Reduce the Double Burden of Malnutrition in Indonesia Rian Diana
Amerta Nutrition Vol. 4 No. 4 (2020): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v4i4.2020.326-334

Abstract

Background: : Indonesia is facing a double burden of malnutrition (DBM). Double-duty action was promoted by WHO in 2017 which aims to tackle the double burden of malnutrition simultaneously.  Objectives: This study analyzed factors associated with the double burden of malnutrition and potential of double-duty action (DDA) that is suitable for Indonesia Methods: This study is a provincial-level aggregate data set from Indonesia Basic Health Survey 2018 and National Socio-Economic Survey 2018 which covered 34 provinces. A serious DBM characterized by persistent stunting (children under five) ≥30% and coexisting overweight and obesity in adults ≥30% at the same time. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to analyze factors associated with DBM.Results: High prevalence of stunting and overweight and obesity in almost all provinces di Indonesia. Seventeen provinces were having a serious DBM. Health care access, exclusive breastfeeding and socio-economic associated with DBM.  There were 4 potential DDA for Indonesia: health care which consist of antenatal care, maternal and child care, exclusive breastfeeding, child growth monitoring, and  social safety net. Conclusions: Addressing the DBM through four potential DDA can be a new paradigm, mindset, and critical importance in achieving Indonesia’s target in reducing under and over nutrition simultaneously.
Sugar Intake and Cancer: A Literature Review Nikmah Utami Dewi; Rian Diana
Amerta Nutrition Vol. 5 No. 4 (2021): AMERTA NUTRITION
Publisher : Universitas Airlangga, Kampus C, Mulyorejo, Surabaya-60115, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/amnt.v5i4.2021.387-394

Abstract

 ABSTRACTBackground: Cancer is the second leading cause of death after heart disease globally (total death 9.6 million). Cancer prevalence is increasing in Indonesia from 1.4 per 1000 people in 2013 to 1.79 per 1000 people in 2018. Diet is linked with cancer prognosis, particularly carbohydrate intake which stimulates insulin signals that can be potent mitogens.Purpose: This literature review aims to examine sugar intake and cancer incidence.Method: This literature review (traditional review) using the keywords “cancer”,” sugar”, “carbohydrate”, “insulin” and “hyperinsulinemia” in the Sciencedirect database and Google search engine. The inclusion criteria were peer-review articles or documents from credible national and international institutions, the literature uses English or Bahasa (Indonesian Language). The exclusion criteria were that the literature had similar content or redundant with other literature.Result: Sugar increases insulin resistance which enhances the levels of bioactive IGF-I that contribute to raising the risk of cancer. Prolonged hyperinsulinemia reduces the production of growth-promoting factors such as IGFBP-1 and IGFBP-2 which normally bind to and inhibit the action of IGF-I with resultant increases in the levels of free, bio-active IGF-I, and concomitant changes in the cellular environment that favor cancer development, proliferation, and metastatic cancer cells.Conclusion: The mechanism of insulin and IGF-1 stimulate and accelerate cancer cell proliferation may explain the relationship between sugar intake and cancer incidence. Adopting a balanced diet, changing or decreasing sugar intake with healthier food coupled with increased physical activity  reduces the risk of cancer. 
Co-Authors Ali Khomsan Dominikus Raditya Atmaka Faisal Anwar Hadi Riyadi Naufal Muharam Nurdin Nikmah Utami Dewi