http://localhost:8080/xmlui/handle/123456789/12109 Wed, 08 Apr 2026 21:50:53 GMT 2026-04-08T21:50:53Z http://localhost:8080/xmlui/handle/123456789/12201 Title: VERY LOW CALORIE DIETS AFFECT LONG TERM WEIGHT LOSS AND HEALTH OUTCOMES: A SYSTEMATIC REVIEW Authors: Amara Putri, Sheila; Yunita Arini, Shintia; Raditya Atmaka, Dominikus; Raihan Kusuma, Ardyanisa; Firdaus Rahmawati, Anisah; Arsya Vidianinggar Wijanarko, Mutiara Abstract: ABSTRACT Introduction: In Indonesia, obesity numbers increased from 10.5% in 2007 to 14.8% in 2013 and 21.8% in 2018. Very low calorie diets (VLCD) are currently gaining popularity to reduce weight, but can lead to inadequate nutrition and potentially negative health consequences. This systematic review aims to evaluate VLCD effect on weight loss and overall health outcomes. Method: Data were sourced from research journal articles in databases like Crossref, PubMed, Google Scholar, and ScienceDirect, published within the last 10 years either Indonesian or English language. Only studies involving adult subjects with minimum overweight nutrition status (BMI > 23 kg/m2 ) were included. Result: Ten from 1063 studies qualified the selection criteria. VLCD success in weight loss depends on treatment type, duration, physical activity, and genetics. Longer and fewer-calorie VLCDs lead to more significant weight reduction, but maintaining long-term success requires a structured weight management program. VLCD benefits include improved insulin sensitivity, reduced fat, and better heart function, but it may have temporary negative effects on metabolism, aortic elasticity, constipation, sensitivity to cold, headache, and dizziness. Conclusion: VLCDs can be an effective approach in achieving significant weight reduction and positive health outcomes, especially if combined with long-term weight maintenance programs and appropriate follow-up treatment. However, the decision to undergo VLCD should be made with wisely considering individual health conditions and in consultation with dietitian or health professionals, as there are potential side effects and factors that may influence long-term success. Keywords: VLCD, Weight loss, Health outcome, Fad diets, Weight management, Obesity Tue, 01 Apr 2025 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/12201 2025-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12200 Title: VULVA HYGIENE BEHAVIOR DETERMINED BY HEALTH LITERACY AMONG ADOLESCENT GIRLS Authors: Maria Wijaya, Yosi; Regina Hesti Sintiasari, Maria; Triastuti, Lidwina Abstract: ABSTRACT Introduction: Teens as young as 15-24 are vulnerable to reproductive system infections due to poor teenage vulva hygiene, exacerbated by a lack of understanding of the vulva's functioning. According to estimates, teenagers worldwide report reproductive channel infections. Previous research revealed that 46% of teenagers had poor reading skills. Aim: The goal of this study is to assess the association between healthy habits and vulva cleanliness in teenage girls. Methods: The study employs quantitative approaches, with 289 responses from high school students obtained by proportionally organized random sample processes. The HLS-EU-16Q Indonesian instruments and the vulva hygiene behavior scale have been approved as reliable. Results: This study discovered a significant relationship between health literacy and vulva hygiene practices (p-value= 0.05). Furthermore, 46% of the subjects have adequate health literacy, whereas 58.8% practice intermediate vulva hygiene activities. Conclusion: Proper health literacy can impact how teenage girls clean up their vulva. Researchers propose that young women can improve their vulva hygiene by seeking information, undergoing therapy, and consulting with healthcare providers. Keywords: adolescents, health literacy, vulva hygiene Tue, 01 Apr 2025 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/12200 2025-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12199 Title: SELF-DISCLOSURE OF ADOLESCENTS AS THE MOST INFLUENTIAL FACTOR IN THE PROVISION OF REPRODUCTIVE HEALTH INFORMATION TO ADOLESCENTS Authors: Anitasari Indah Kusumaningrum, Tanjung; Taufik Hidayat, Muhamad; Fauziyah, Anny; Setyaningrum, Rahmawati; Aulianisa Hidayat, Tasya; Widya Saputri, Mayang Abstract: ABSTRACT Introduction: Adolescents with all their characteristics make them are vulnerable to reproductive health problems. Parents have the responsibility to provide reproductive health information to adolescents, but 52.67% of parents have not conveyed it. Aims: This study aimed to analyze the factors that most influence parent-to-adolescent communication regarding reproductive health. Methods: This type of research uses cross-sectional, which was conducted offline in 2022 in Jrakah Boyolali Village. The population of this study was 422 parents of teenagers, and the sample was 230 parents with adolescents aged 11-19 years. The sampling technique used was proportional random sampling. Data collection was carried out using validated instruments. The independent variables were communication patterns, joint activities, and adolescents’ self-disclosure, with parents' behavior in providing reproductive health information as the dependent variable. Data analysis was carried out with multiple logistic regression tests, with a significance level of 5%. Results: The study found that adolescent self-disclosure to their parents was the most influential factor in the provision of reproductive health information by parents to their adolescent children (OR=2.537 (95% CI OR:1.423-4.522). Parents with teenagers who are less open about telling their parents can increase the risk 2.537 times of not communicating reproductive health to teenagers. Adolescents' openness to their parents can increase the closeness between parents and adolescents, making it more possible to discuss reproductive health between the two. Conclusion: Parents need to learn communication techniques with teenagers so that teenagers are not embarrassed to discuss things. Keywords: self-disclosure, adolescents, reproductive health, parents Tue, 01 Apr 2025 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/12199 2025-04-01T00:00:00Z http://localhost:8080/xmlui/handle/123456789/12198 Title: HEALTH EDUCATION OF NO SMOKING BEHAVIOR IN ADOLESCENTS WITH A SOCIAL COGNITIVE THEORY (SCT) APPROACH Authors: Riyadi, Sujono; Ru’iya, Sutipyo Abstract: ABSTRACT Introduction: Smoking behavior is an action that can harm the smoker himself and can even harm others (passive smokers). Someone who is exposed to cigarettes for a long time will result in health problems and disease, Out of 800 junior high school youth in Kulon Progo, 5.3% are smokers. Aims: To determine the factors that influence directly or indirectly on the behavior of not smoking in adolescents. Methods: This case-control study was conducted in Kulon Progo Regency, Yogyakarta Special Region Province, Indonesia. The samples were 400 teenagers, 200 teenagers who smoked (cases) and 200 other teens who didn't smoke (controls). Data were collected using a questionnaire filled out by teenagers who are still active in school in junior high and high school. There are six variables studied including knowledge, media exposure, non-smoking attitudes, selfefficacy, non-smoking intentions and non-smoking behavior. Data were analyzed multivariately using STATA 13 Result: There are two variables (intention and self-efficacy) that have a direct influence on adolescents' nonsmoking behavior, while the other three variables (knowledge, media exposure and attitude) have an indirect influence on adolescents' non-smoking behavior. Conclusion: Intention variable has the biggest contribution in influencing adolescent behavior not to smoke. Keywords: Adolescent, Social Cognitive Theory, Smoking behavior Tue, 01 Apr 2025 00:00:00 GMT http://localhost:8080/xmlui/handle/123456789/12198 2025-04-01T00:00:00Z