Defisiensi mikronutrien pada anak usia 12-59 bulan di Desa Lebih, Kabupaten Gianyar, Bali
Ni Ketut Sutiari(1*), Ni Made Utami Dwipayanti(2), Putu Ayu Swandewi Astuti(3), Kadek Nuansa Putri Wulandari(4), Widya Astuti(5)
(1) Departemen Kesehatan Masyarakat-Kedokteran Pencegahan (KM-KP), Fakultas Kedokteran, Universitas Udayana, Denpasar-Bali
(2) Departemen Kesehatan Masyarakat-Kedokteran Pencegahan (KM-KP), Fakultas Kedokteran, Universitas Udayana, Denpasar-Bali
(3) Departemen Kesehatan Masyarakat-Kedokteran Pencegahan (KM-KP), Fakultas Kedokteran, Universitas Udayana, Denpasar-Bali
(4) Program Studi Magister Ilmu Kesehatan Masyarakat, Fakultas Kedokteran, Universitas Udayana, Denpasar-Bali
(5) Program Studi Gizi, Fakultas Pendidikan Olahraga dan Kesehatan, Universitas Pendidikan Indonesia, Bandung, Indonesia
(*) Corresponding Author
Abstract
Deficiency of micronutrients in children of age 12-59 months in Lebih Village, Gianyar District, Bali
Background: Lack of food intake, either in quantity or quality, will continuously cause children to get sick easily, such as being susceptible to infectious diseases and ultimately inhibiting the children’s growth.
Objective: This study aimed to describe the status of micronutrients (zinc and iodine) and anemia status among children aged 12-59 months in Lebih Village.
Methods: This analytic observational study used a cross-sectional design conducted in Lebih Village, Gianyar Regency. The study population was all children under five aged 12-59 months. In addition, 91 children under five were selected as research subjects using the probability proportional to size method. The data collected were the identity of the subjects (children under five and their mothers) using the interview method, serum zinc levels, urinary iodine excretion (EIU) levels, and Hb levels.
Results: The results showed that the subjects’ mean age was 37.0±13.3 months, and most subjects (54.9%) were male. The biochemical examination showed that the mean serum zinc levels, the median urine iodine levels, and the mean Hb levels were 72.5±6.3 g/dL, 78.5 g/L, and 12.7±1.8 g/dL, respectively. 17.6% of the subjects had anemia, 14.3% had zinc deficiency, and 60.4% had iodine deficiency.
Conclusion: Children under five aged 12-59 months in Lebih Village had micronutrient deficiencies such as zinc, iodine, and iron.
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- Welasasih BD, Wirjatmadi B. Beberapa faktor yang berhubungan dengan status gizi balita stunting. The Indonesian Journal of Public Health. 2012;8(3):99–104.
- UNICEF. The state of the world’s children. New York: Oxford University Press; 1998.
- Bhutta ZA, Ahmed T, Black RE, Causens C, Dewey K, Giugliani E, et al. Maternal and child undernutrition what works? interventions for maternal and child undernutrition and survival. Lancet. 2008;371(9610):417–40. doi: 10.1016/S0140-6736(07)61693-6
- Dewey KG, Begum K. Long-term consequences of stunting in early life. Matern Child Nutr. 2011;7 Suppl 3(Suppl 3):5–18. doi: 10.1111/j.1740-8709.2011.00349.x
- World Health Organization (WHO). Childhood stunting: context, causes and consequences. [series online] 2013 [cited 2020 March 17]. Available from: URL: https://www.who.int/publications/m/item/childhood-stunting-context-causes-and-consequences-framework
- World Health Organization (WHO). World health statistics 2013. Geneva: WHO; 2013.
- Trihono, Atmarita, Tjandrarini DH, Irawati A, Utami NH, Nurlinawati I, et al. Pendek (stunting) di Indonesia, masalah dan solusi. Jakarta: Balitbangkes; 2015.
- UNICEF. UNICEF’S approach to scaling up nutrition for mother and their children. New York: UNICEF; 2015.
- Govender I, Rangiah S, Kaswa R, Nzaumvilla D. Malnutrition in children under the age of 5 years in a primary health care setting. S Afr Fam Pract. 2021;63(1):1–6. doi: 10.4102/safp. v63i1.5337
- Clark H, Coll-Seck AM, Banerjee A, Peterson S, Dalglish Sl, et al. A future for the world’s children? A WHO–UNICEF–Lancet Commission. Lancet. 2020;395(10224):605–58. doi: 10.1016/S0140-6736(19)32540-1
- Ernawati F, Octaria Y, Widodo Y. Economic status, stunting and diet quality as important determinants of anaemia among Indonesian children aged 6–35 months old: a SEANUTS study. Malays J Med Health Sci. 2020;16(Suppl. 13):23–4.
- Bouis HE, Welch RM. Biofortification—a sustainable agricultural strategy for reducing micronutrient malnutrition in the global south. Crop Sci. 2010;50(suppl 1):S20–S32. doi: 10.2135/cropsci2009.09.0531
- Mayo-Wilson E, Junior JA, Imdad A, Dean S, Chan XHS, Bhutta ZA, et al. Zinc supplementation for preventing mortality, morbidity, and growth failure in children aged 6 months to 12 years of age. Cochrane Database Syst Rev. 2014;15(5):CD009384. doi: 10.1002/14651858.CD009384.pub2
- Kiran B, Kaur H, Bajwa N, Kaur G, Kapoor S, Singh A. Iron and zinc status of 6-month to 5-year-old children from low-income rural families of Punjab, India. Food Nutr Bull. 2015;36(3):254–63. doi: 10.1177/0379572115597396
- Imdad A, Bhutta ZA. Effect of preventive zinc supplementation on linear growth in children under 5 years of age in developing countries: a meta-analysis of studies for input to the lives saved tool. BMC Public Health. 2011;11(Suppl. 3):S22. doi: 10.1186/1471-2458-11-S3-S22
- Dewi EK dan Nindya TS. Hubungan tingkat kecukupan zat besi dan seng dengan kejadian stunting pada balita 6-23 bulan. Amerta Nutr. 2017;1(4):361–8. doi: 10.2473/amnt.v1i4.2017.361-368
- WHO, UNICEF, ICCIDD. Assessment of the iodine deficiency disorders and monitoring their elimination. Geneva: WHO; 2007.
- WHO. Haemoglobin concetrations for the diagnosis of anemia and assessment of severity. [series online] 2011 [cited 2020 March 17]. Available from: URL: https://apps.who.int/iris/handle/10665/85839
- Sulistyaningsih DA, Panunggal B, Murbawani EA. Status iodium urine dan asupan iodium pada anak stunting usia 12-24 bulan. Media Gizi Mikro Indonesia. 2018;9(2):73–82.
- Hendrayati, Adam A, Sunarto. Analisis zat besi, zink, dan kalsium pada formula polimerik untuk pencegahan stunting. Media Gizi Mikro Indonesia. 2021;13(1):51–60.
- Oktavia PD, Suryani D, Jumiyati. Asupan protein dan zat gizi mikro pada anak stunting usia 3-5 tahun. Jurnal Penelitian Terapan Kesehatan. 2020;7(1):27-33. doi: 10.33088/jptk.v7i1.120
- Ackland M L, Agnes A M. Zink and infant nutrition. Arch Biochem Biophys. 2016;611:51–57. doi: 10.1016/j.abb.2016.06.011
- Wang M. Iron deficiency and other types of anemia in infants and children. Am Fam Physician. 2016;93(4):270–8.
- Fitriany J, Saputri AI. Anemia defisiensi besi. Jurnal Averrous. 2018;4(2):1–14.
- Sundararajan S, Rabe H. Prevention of iron deficiency anemia in infants and toddlers. Pediatr Res. 2021;89(1):63–73. doi: 10.1038/s41390-020-0907-5
- FAO. Combating micronutrient deficiencies: food-based approach. Roma: Food and Agriculture Organization of the United Nations and CAB International; 2011.
- Kurniawati T. Langkah-langkah penentuan sebab terjadinya stunting pada anak. PEDAGOGI: Jurnal Anak Usia Dini dan Pendidikan Anak Usia Dini. 2017;3(1):58–69.
- Anindita P. Hubungan tingkat pendidikan ibu, pendapatan keluarga, kecukupan protein, dan zinc dengan stunting (pendek) pada balita usia 6-35 bulan di Kecamatan Tembalang Kota Semarang. Jurnal Kesehatan Masyarakat. 2012;1(2):617–26.
- Hardani M, Zuraida R. Penatalaksanaan gizi buruk dan stunting pada balita usia 14 bulan dengan pendekatan kedokteran keluarga. Medula. 2019;9(3):565–75.
- Stuijvenberg MEV, Nel J, Schoeman SE, Lombard CJ, Plessis LMD, Dhansay MA. Low intake of calcium and vitamin D, but not zinc, iron or vitamin A, is associated with stunting in 2–5 years old children. Nutrition. 2015;31(6):841–6. doi: 10.1016/j.nut.2014.12.011
- Chairunnisa E, Candra A, Panunggal B. Asupan vitamin D, kalsium, dan fosfor pada anak stunting dan tidak stunting usia 12-24 bulan di Kota Semarang. Journal of Nutrition College. 2018;7(1):39–44. doi: 10.14710/jnc.v7i1.2078
- World Health Organization (WHO). Global nutrition targets 2025: low birth weight policy brief (WHO/NMH/NHD/14.5). [series online] 2014 [cited 2020 March 17]. Available from: URL: https://media.tghn.org/articles/WHO_NMH_NHD_14.5_eng.pdf
- Pramono MS, Paramita A. Pola kejadian dan determinan bayi dengan berat badan lahir rendah (BBLR) di Indonesia tahun 2013. Buletin Penelitian Sistem Kesehatan. 2015;18(1):1–10.
- Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan RI Nomor 2 Tahun 2020 tentang Standar Antropometri Anak. Jakarta: Menteri Kesehatan RI; 2020.
- Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Nomor 28 Tahun 2019 tentang Angka Kecukupan Gizi yang Dianjurkan untuk Masyarakat Indonesia. Jakarta: Menteri Kesehatan RI; 2019.
- Siagian CM, Halisitijayani M. Mothers knowledge on balanced nutrition to nutritional status of children in puskesmas (public health center) in the Distric of Pancoran, Southern Jakarta 2014. Int J Curr Microbiol App Sci. 2015;4(7):815–26.
- Abuya BA, Ciera J, Murage EK. Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatr. 2012;12:80. doi: 10.1186/1471-2431-12-80
DOI: https://doi.org/10.22146/ijcn.76336
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