Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia

Abstract Background FAO/WHO introduced food-based dietary guidelines (FBDG) to promote healthy dietary habits. To translate the FBDG, optimized food-based recommendations (FBR) can be developed using linear programming (LP) to address problem nutrients. Despite the importance of local-specific FBR f...

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Main Authors: Dini Suciyanti, Risatianti Kolopaking, Annasari Mustafa, Sugeng Iwan, Fiastuti Witjaksono, Umi Fahmida
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Nutrition Journal
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Online Access:https://doi.org/10.1186/s12937-024-01061-w
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author Dini Suciyanti
Risatianti Kolopaking
Annasari Mustafa
Sugeng Iwan
Fiastuti Witjaksono
Umi Fahmida
author_facet Dini Suciyanti
Risatianti Kolopaking
Annasari Mustafa
Sugeng Iwan
Fiastuti Witjaksono
Umi Fahmida
author_sort Dini Suciyanti
collection DOAJ
description Abstract Background FAO/WHO introduced food-based dietary guidelines (FBDG) to promote healthy dietary habits. To translate the FBDG, optimized food-based recommendations (FBR) can be developed using linear programming (LP) to address problem nutrients. Despite the importance of local-specific FBR for anemia prevention, no study has reported the effect of nutrition education which promoted FBR in adolescent girls. Therefore, this study aimed to investigate the effect of optimized FBR in adolescent girls in improving dietary and nutrient intakes, hemoglobin levels, and memory performance. Methods The intervention study was carried out in Malang District, Indonesia amongst 14–18 year adolescent girls. The study’s Indonesian slogan was Remaja which meant Active, Healthy, Smart, and Creative adolescents. The optimized FBR was developed using LP and translated into six key messages. Twenty-week nutrition education was integrated into the weekly school’s system. Results After 20 weeks, a significant increase in dietary practices (animal protein, liver, plant protein, vegetables), nutrient intakes (protein, fat, iron), and memory performance (digit span forward and backward) were found in the intervention group. In contrast, there was decreases in the control group’s intakes of animal and plant protein. Conclusions This finding shows that nutrition education with optimized FBR increased intakes of nutrient-dense food, protein, fat, iron, and memory performance (concentration). Nutrition education with optimized FBR should be integrated into the school system together with weekly iron supplementation for anemia prevention among these adolescent girls. Trial registration The study was registered on ClinicalTrials.gov (ID No: NCT03946475).
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spelling doaj-art-680814e8a01940c29de1ba0ac0202dae2025-01-26T12:16:16ZengBMCNutrition Journal1475-28912025-01-0124111010.1186/s12937-024-01061-wEffect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, IndonesiaDini Suciyanti0Risatianti Kolopaking1Annasari Mustafa2Sugeng Iwan3Fiastuti Witjaksono4Umi Fahmida5Southeast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON), Pusat Kajian Gizi Regional Universitas IndonesiaFaculty of Psychology, Syarif Hidayatullah State Islamic UniversityDepartment of Nutrition, Health Polytechnic MalangDepartment of Nutrition, Health Polytechnic MalangDepartment of Nutrition, Faculty of Medicine, Universitas Indonesia - Dr. Cipto Mangunkusumo General HospitalSoutheast Asian Ministers of Education Organization Regional Center for Food and Nutrition (SEAMEO RECFON), Pusat Kajian Gizi Regional Universitas IndonesiaAbstract Background FAO/WHO introduced food-based dietary guidelines (FBDG) to promote healthy dietary habits. To translate the FBDG, optimized food-based recommendations (FBR) can be developed using linear programming (LP) to address problem nutrients. Despite the importance of local-specific FBR for anemia prevention, no study has reported the effect of nutrition education which promoted FBR in adolescent girls. Therefore, this study aimed to investigate the effect of optimized FBR in adolescent girls in improving dietary and nutrient intakes, hemoglobin levels, and memory performance. Methods The intervention study was carried out in Malang District, Indonesia amongst 14–18 year adolescent girls. The study’s Indonesian slogan was Remaja which meant Active, Healthy, Smart, and Creative adolescents. The optimized FBR was developed using LP and translated into six key messages. Twenty-week nutrition education was integrated into the weekly school’s system. Results After 20 weeks, a significant increase in dietary practices (animal protein, liver, plant protein, vegetables), nutrient intakes (protein, fat, iron), and memory performance (digit span forward and backward) were found in the intervention group. In contrast, there was decreases in the control group’s intakes of animal and plant protein. Conclusions This finding shows that nutrition education with optimized FBR increased intakes of nutrient-dense food, protein, fat, iron, and memory performance (concentration). Nutrition education with optimized FBR should be integrated into the school system together with weekly iron supplementation for anemia prevention among these adolescent girls. Trial registration The study was registered on ClinicalTrials.gov (ID No: NCT03946475).https://doi.org/10.1186/s12937-024-01061-wAdolescent girlsAnemiaFood-based recommendationsLinear programmingMemory performanceSchool-based nutrition education
spellingShingle Dini Suciyanti
Risatianti Kolopaking
Annasari Mustafa
Sugeng Iwan
Fiastuti Witjaksono
Umi Fahmida
Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
Nutrition Journal
Adolescent girls
Anemia
Food-based recommendations
Linear programming
Memory performance
School-based nutrition education
title Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
title_full Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
title_fullStr Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
title_full_unstemmed Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
title_short Effect of optimized food-based recommendations on nutrient intakes, hemoglobin levels, and memory performance of adolescent girls in East Java, Indonesia
title_sort effect of optimized food based recommendations on nutrient intakes hemoglobin levels and memory performance of adolescent girls in east java indonesia
topic Adolescent girls
Anemia
Food-based recommendations
Linear programming
Memory performance
School-based nutrition education
url https://doi.org/10.1186/s12937-024-01061-w
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