Background: Diabetes Mellitus (DM) triggers an excessive reaction of free-radicals. It increases reactive oxygen species and reduces antioxidants status as well as the β cell damage. Clear kefir was used for DM therapies, however it limited biomolecular exploration of its bioactive roles. Research aimed to investigate the effects of clear kefir on the biomolecular nature of the glycemic status of T2DM in Bandung. Methods: The randomized pretest-posttest control group was conducted by 106 T2DM patients. Research was done in several hospitals in Bandung and Cimahi, West Java from 2012–2013. Samples were divided randomly into three groups: (1) T2DM with HbA1c < 7 was fed a standard diet, supplemented with 200 ml/day of clear kefir, (2) T2DM with HbA1c > 7 fed standard diet and supplemented 200 ml/day by clear kefir, (3) T2DM with HbA1c was fed a standard diet as a control group. Dose response was obtained from a preeliminary vivo study, and then converted to human dosage by year 2011. Intervention was effectively done for 30 days. HbA1c was measured by HPLC. Fasting blood glucose (FBG) and Postprandial blood glucose levels (PBG) were measured by enzymes levels. C Peptide and insulin were measured by Elisa. Data was analyzed by a statictics programme by significance p<0,05. Study was approved by ethic committee. Results : HbA1c was significantly reduced in delta level (p<0.01) and FBG (p<0.015) among kefir groups. PBG was not significantly reduced among groups. C-Peptide was significantly increased in delta level, except in control group (p<0.014). Insulin was reduced significantly, except in control group (p<0.003).Conclusions : Supplementation of clear kefir reduced blood glucose levels (HbA1c, FBG, PBG) and increased c-peptide. Clear kefir’s biomolecular mechanisms and chemistry characterization is a challenge for future studies.Keywords : Diabetes melitus, hyperglicemia, clear kefir, insulin, c peptide

Effectiveness of Nutrition Education Using Nutrition Card on Knowledge, Attitude, and Behavior of Choosing Snack Food among Elementary School Children. The safety of snack food for elementary school children is a major problem that becomes public attention. Nutrition education using attractive media such as nutrition cards is needed to improve children's knowledge and behavior on consuming a healthy snack. The purpose of this study was to identify the effectiveness of nutrition education using nutrition cards on increasing knowledge, attitudes, and behavior of Elementary School Children. A quasi-experimental of two groups with pretest and posttest study was conducted among 66 elementary school children in Elementary School 154 Citepus Bandung. The intervention was carried out for 3 weeks. The treatment group was given nutrition education using nutrition cards, meanwhile, the control group was given a lecture using powerpoint. Data analysis used in this study was the Wilcoxon test. To identify the effectiveness of increasing knowledge, attitudes, and behavior between the two groups, the Mann Whitney test was used. The results showed an increase in the score of students' knowledge, attitudes, and behavior after intervention among the treatment and control group (p-value<0,05). Based on the Mann-Whitney test, there was a significant difference between the increase in students' knowledge scores in the treatment group and the control group, the knowledge score in the treatment group was higher than the control group (p-value<0,05). The increase in students' attitudes and behavior scores between the treatment group and the control group was statistically no significant difference (p-value>0,05). Nutrition cards can be used as attractive media to increase children's knowledge and attitude toward choosing healthy snacks.

Latar belakang: Anak stunting beresiko mudah sakit, untuk itu diperlukan asupan zat gizi yang dapat meningkatkan respon imun tubuh agar dapat meningkatkan kekebalan tubuhnya. Zat gizi tersebut bisa didapatkan dalam vitamin dan mineral yang seimbang;Tujuan: Mengetahui hubungan antara asupan mikronutrien dengan riwayat penyakit infeksi pada balita stunting;Metode: : Penelitian observasional dengan pendekatan cross sectional di UPTD Puskesamas Limbangan Sukaraja Sukabumi, jumlah sampel 74 balita stunting usia 12-59 bulan, dipilih dengan proportional random sampling dari 4 desa. Data yang dikumpulkan meliputi: asupan mikronutrien yang diperoleh dari formulir recall 2 x 24 jam dan kuesioner riwayat penyakit infeksi, seperti: diare, ISPA dan kecacingan. Data dianalisis dengan uji analisis univariat, analisis bivariate menggunakan uji chi-square;Hasil: Hasil penelitian menunjukkan bahwa asupan mikronutrien pada balita stunting termasuk dalam kategori kurang. Balita yang menderita infeksi sebesar 78,4%. Hasil analisis statistik disimpulkan bahwa terdapat hubungan antara asupan vitamin A, vitamin C, zat besi, zinc dan tembaga (p<0,05) dan tidak ada hubungan antara asupan vitamin B1, B6, B9 dan vitamin E dengan kejadian infeksi balita stunting (p>0,05). Semakin baik asupan mikronutrien pada balita stunting, maka kejadian infeksi semakin menurun. Simpulan: Kejadian infeksi pada balita stunting berhubungan dengan intake mikronutrien yang diperlukan untuk mempertahankan kekebalan tubuh.

Anthropometric Wall Chart (AWC) TB/U is a tool developed to screen nutritional status that is easy and fast to use for children aged 6-12 years in the population. The accuracy of the tool in measuring stunting can be seen from its validity. This study aims to get the validity of AWC in 3 (three) cities representing the West (Medan), Central (Bandung) and East (Kupang), Indonesia so that the results could be used for stunting screening of elementary school children wider coverage. The study was conducted in a cross-sectional manner with a sample of 270 elementary students from grade 1 to grade 6 in 3 cities (Medan, Kupang, and Bandung) whose nutritional status was measured by using AWC TB / U and TB / U index using microtoise. The results of the study of the use of AWC in Medan showed that there were 20 (22.2%) stunting children, with Se value of 68.8% and Sp value of 87.8%, PPV 55%, and NPV 92.9%. In Kupang, there were 21 (23.3%) children who were stunting with a value of Se 60.0% and Sp 98.2%, and in Bandung, there were 12 (13.3%) stunted children with Se value of 72.7% and Sp 94.9%. Combined in 3 (three) cities get Se value 66.0% and Sp 93.3%, PPV 73.6% and NPV 90.3%. AWC TB / U can be used as a stunting screening tool for diagnosis with the aim of a high Sp value. For students who are detected stunted, further treatment is needed to overcome their nutritional problems.

BACKGROUND: Athletes’ achievements require the support of sports science and technology. One of the supporting sciences is sports nutrition services by fulfilling athlete nutrition through foodservice and nutrition education in nutrition counseling or nutrition counseling according to the needs and conditions of athletes. AIM: This study aims to determine the effect of nutrition education on nutritional knowledge and macronutrient intake in Muay Thai athletes in Cimahi city. METHODS: This type of research is a Quasi experiment by applying a one group pre- and post-test design: Nutrition education using leaflets. The sample is Muay Thai athletes in Cimahi city who are actively practicing at the Empire Muaythai Camp as many as ten people. Data were collected by filling in the respondent’s characteristics, knowledge of nutrition, and intake of macronutrients. RESULTS: Based on the Wilcoxon test, it was found that there was an effect of providing nutrition education using leaflets on nutritional knowledge (p = 0.005) and protein intake (p = 0.047). CONCLUSION: It is recommended that regular and periodic nutrition education be given to athletes and coaches as well as collaborate with nutritionists regarding nutritional fulfillment for athletes to increase macronutrient intake so that the performance of Muay Thai athletes in Cimahi city is optimal.