Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin

Mursalim Mursalim; Muhammad Juffrie; Nenny Sri Mulyani

doi:10.22146/ijcn.17771

Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin

https://doi.org/10.22146/ijcn.17771

Mursalim Mursalim^(1*), Muhammad Juffrie⁽²⁾, Nenny Sri Mulyani⁽³⁾

(1) Direktorat Bina Gizi, Kementerian Kesehatan RI
(2) Instalasi Kesehatan Anak RSUP Dr. Sardjito Yogyakarta
(3) Instalasi Kesehatan Anak RSUP Dr. Sardjito Yogyakarta
(*) Corresponding Author

Abstract

Background: Underfives from poor communities are susceptible group that will unlikely have suffcient nutrition (micronutrient) meanwhile this micronutrient is essential for growth. Some studies show the supplementation of micronutrient has good effects to child growth. Therefore it is necessary to study the supply of fortified multi-micronutrient and its effect to growth of underfives from poor communities.

Objective: To identify the supply of fortifed multi micronutrient and its effect to growth of underfves of 6-59 months from poor communities.

Method: The study was a pre-experiment that used a group pre test-post test design. Subject were underfives of 6-59 months from poor communities that got fortifed multi micronutrient. The intervention of fortifed multi micronutrient supply was given once a week (1 sachet/day) within 4 months. Data of family characteristics and identity of the subject were collected at the beginning of the study. Measurement of physical weight and height/length, consumption recall, collection of data on disease infection (acute respiratory tract and diarrhea) were carried out at the beginning and end of the study.

Results: The result of statistics test showed there was signifcant increase (p<0.05) in weight, height/length and nutrition status (z-score) to index of weight for height/length, height for age, and that there was signifcant descent to acute respiratory tract infection and diarrhea of underfves of 6-59 months from poor communities after the supply of fortifed micronutrient containing vitamin A, B1, B2, B3, B6, B12, folate acid, vitamin C, D3, E, Fe and zink.

Conclusion: The supply of fortifed multi micronutrient could increase weight, height/length and nutrition status (z-score), index of weight for height/length and index of weight for age and decreased of acute respiratory tract infection and diarrhea disease in underfives of 6-59 months from poor communities.

Keywords

fortified multi micronutrient; growth of underfives, nutrient intake; infectious disease (acute respiratory tract infection and diarrhea)

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References

Untoro R. Kebijakan dan program gizi anak di Indonesia. Dalam: Prosiding Inovasi Pangan dan Gizi untuk Optimalisasi Tumbuh Kembang Anak. Jakarta: ILS, Depkes, IPB & American Soybean Association; 2004.

Departemen Kesehatan & Biro Pusat indikator gizi dalam Susenas. Jakarta: Departemen Kesehatan & Biro Pusat Statistis; 2005.

Departemen Kesehatan. balita. Jakarta: Depkes; 2003.

Badan Perencanaan Pembangunan Nasional. Rencana aksi nasional pangan dan gizi 2006-2010. Jakarta: BPPN; 2007.

Untoro R. Masalah gizi mikro di Indonesia dan potensi penanggulangannya. Dalam: Prosiding Fortifikasi Tepung Terigu dan Minyak Goreng. Jakarta: Pusat Studi Kebijakan Pangan dan Gizi, Komisi Fortifkasi Nasional & ADB-Manila dan Keystone Centre-USA; 2002.

Lemeshow S, Hosmer Jr.DW, Klar J, Lwanga SK. Besar subjek dalam penelitian kesehatan. Pramono D. 1997 (Alih bahasa). Yogyakarta: Gadjah Mada University Press; 1997.

Jahari AB, Jus’at I. Review: antropometri secara nasional dan internasional. Dalam: Prosiding Diskusi Pakar Bidang Gizi tentang ASI, MP-ASI, Antropometri dan BBLR. Cipanas: PERSAGI, LIPI, dan UNICEF; 2000.

Hadi H, Stoltzfus RJ, Dibley MJ, Moulton LH, West KP, Kjolhede CL, Sadjimin T. Vitamin A supplementation selectively improves the linear growth of Indonesia preschool children : from a randomized controlled trial. Am J Clin Nutr 2000; 71(2): 507-13.

Thu BD, Schultink W, Dillon D, Gross R, Leswara ND, Khoi HH. Effect of daily and weekly micronutrient supplementation in micronutrient defficiency and growth in young Vietnamese children. Am J Clin Nutr 1999; 69(1): 80-6.

Smuts CM, Lombard CJ, Benade AJS, Dhansay MA, Berger J, Hop LT, de Romana GL, Untoro J, Karyadi E, Enhardt J, Gross R. Effcacy of a foodlet-based multiple micronutrient supplement for preventing growth faltering, anemia and micronutrient defciency of infants: the four country IRIS trial pooled data analysis. J Nutr 2005; 135(3): 631S-8S.

Rivera JA, Cossio TG, Flores M, Romero M, Rivera M, Rojo MMT, Rosado JL, Brown KH. Multiple micronutrient supplemen increase the growth of Mexican infans. Am J Clin Nutr 2001; 74(5): 657-63.

Amiruddin R.Tumbuh kembang anak [serial online] 2007 [cited 2008 Jul 6]. Available from: http:// ridwanamiruddin.wordpress.com/2007/05/05/tumbuh- kembang-anak.

Estivariz CF, Ziegler TR. Nutrition and the insulin-like growth factor system. Endocrine 1997; 7(1): 65-71.

Golden BE, Golden MHN. Relationship among diitary quality, children’s appetites, growth stunting, and effciency of growth in poor populations. Food Nutr Bull 1991; 3: 105-9.

Smuts CM, Dhansay MA, Faber M, Van Stuijvenberg ME, Swanevelder S, Gross R, Benede AJS. Effcacy of a multiple micronutrient supplementation for improving anemia micronutrient status, and growth in South African Infants. J Nutr 2005; 135(3): 653S-9S.

Bhandari N, Bahl R, Taneja S. Effect of micronutrient supplementation on linear growth of children. British Journal of Nutrition 2001; 85(Suppl 2): S131-7.

Hardinsyah. Analisis kebutuhan konsumsi pangan. Bogor: Pusat Studi Kebijakan Pangan dan Gizi, Institut Pertanian Bogor, Badan Ketahanan Pangan Departemen Pertanian; 2002.

Riyadi H. Buku ajar metode penilaian status gizi secara antropometri. Bogor: Gizi Masyarakat dan Sumber Daya Keluarga, IPB; 2001.

Long KZ, Rosado JL, Montoya Y, Solano ML, Hertzmark E, Dupont HL, Santos JI. Effect of vitamin A and zink supplementation on gastrointestinal parasitic infections among Mexican children. Pediatrics 2007; 120(4): 846-55.

Rivera JA, Hotz C, Cossio TZ, Neufald L, Guirerra AG. The effect of micronutrient defciencies in child growth: a review of results from community-based supplementation trials. J Nutr 2003; 133(11): 4010S-20S.

Widajanti L, Hartini S, Kartasurya MI, Kartini A, Kusbiyantoro, Pradigdo FS, Widjasena B, Nurhayati F. Suplementasi zat besi, vitamin A dan vitamin C untuk mempercepat penyembuhan infeksi saluran pernapasan akut (ISPA) bagian bawah. Dalam: Prosiding Widyakarya Nasional Pangan dan Gizi VIII. Jakarta: Lembaga Ilmu Pengetahuan Indonesia; 2004.

Kartasasmita CB. Morbiditas dan faktor risiko infeksi saluran pernapasan akut (ISPA) pada Balita di Cikutra, suatu daerah urban di Kotamadya Bandung. Majalah Kedokteran Bandung 1993; 25(4): 135-42.

Muhilal, Sulaeman A. Penentuan kebutuhan gizi dan kesepakatan harmonisasi di Asia Tenggara. Dalam: Prosidng Widyakarya Nasional Pangan dan Gizi VIII. Jakarta: Lembaga Ilmu Pengetahuan Indonesia; 2004.

Atmarita, Falah TS. Analisis situasi gizi dan kesehatan masyarakat. Dalam: Prosiding Widyakarya Nasional Pangan dan Gizi VIII. Jakarta: Lembaga Ilmu Pengetahuan Indonesia; 2004.

Subijanto MS, Ranuh R, Djupri L, Soeparto P. Manajemen diare pada bayi dan anak. Bulletin Ilmu Kesehatan Anak 2003; 3(11): 508-18.

DOI: https://doi.org/10.22146/ijcn.17771