scholarly journals Macro- and micronutrient intakes among severely malnourished under-five children during the economic crisis in Yogyakarta

2016 ◽  
Vol 43 (5) ◽  
pp. 186
Author(s):  
Endy P Prawirohartono ◽  
Atiek Werdiningsih

Objective To evaluate macro and micronutrient intakes amongunder five-year children with severe malnutrition during the periodof economic crisis.Methods We conducted a longitudinal study from August untilNovember 2000 in Bantul and Sleman districts, Yogyakarta Spe-cial Territory of Indonesia. Two-weekly home visits were performedto collect data about food intakes.Results Of 46 children, 26 experienced an improvement in nutri-tional status, whereas 20 children did not. The median intakes ofmacro and 8micronutrients were lower than the RecommendedDaily Allowances (RDA), ranged from 22% (vitamin C) to 69%(phosphorus), except for vitamin A (406%). The median intakes ofprotein, vitamin A, thiamin, vitamin C, calcium, iron and phospho-rus were higher in severely malnourished children who experiencedimprovement in nutritional status compared to children who didnot, and in breastfed compared to non-breastfed, but Mann WhitneyU-test was not able to detect significant differences (p>0.05). Strati-fication using age group showed that calories and thiamin intakesof older children (348 months) were lower than those of youngerchildren (Kruskal Wallis tests p = 0.016 and 0.022 respectively).Conclusions The macro and micronutrients intakes of severelymalnourished under five-year children were lower than RDA, ex-cept for vitamin A. There were differences in nutrient intakes ac-cording to the improvement in nutritional status and age group

2020 ◽  
pp. 51-54
Author(s):  
T. Pravin ◽  
P.K. Govindarajan ◽  
A. John William Felix

Background: Under-five children are more vulnerable to malnutrition especially in rural areas resulting in more morbidity and mortality among them. The present study is aimed to assess the prevalence of malnutrition among children of 1-5 years of age in tribal hamlets of Valparai block, Coimbatore district in Tamil Nadu. Methods: A community-based, cross-sectional study was conducted among 95 children in the age group of 1-5 years during December-January 2020. Anthropometric measurements were taken. The indicators of nutritional status of children like stunting, underweight, and wasting were expressed using WHO growth standards. Results: The overall prevalence of malnutrition in our study was 31.6%. Among the 30 (31.6%) malnourished children, 40% were underweight, and 6.67% were severely underweight. 40% were stunted, of which 13.3% were severely stunted. Wasting was present in 23.3% of malnourished children. Severe wasting was not seen. Socio-demographic factors including the type of house, maternal education, BMI of the mother, age of mother at childbirth and place of delivery had significant association with malnutrition among under-five tribal children. Conclusions: Malnutrition poses a serious threat to under-five children. Though many known risk factors of malnutrition have been studied, understanding the local factors linked with malnutrition is so crucial while planning information, education, and communication programs in this area.


2016 ◽  
Vol 45 (3) ◽  
pp. 107
Author(s):  
Nurhayati Masloman ◽  
Stefanus Gunawan

Background Severe malnutrition in children is closely related todelayed physical growth and mental development. Very few re-ports mention the effects of mild to moderate malnutrition on mo-tor development.Objective The objective of this study was to determine the rela-tionship between nutritional status and motor development in earlychildhood.Methods In this cross-sectional study, we examined body weightof children under 5 years of age, the ability to sit or walk withoutsupport, and parachute sign in those under 2 years of age whocame to community child health surveillance posts in TumintingSubdistrict, Manado, Indonesia.Results Among 359 under-five children, 296 were well-nourishedand 63 had mild to moderate malnutrition. The ability to sit withoutsupport in malnourished children was significantly delayed com-pared to that in well-nourished ones (P=0.03). The ability to walkwithout support and parachute sign were not significantly differentbetween the two groups.Conclusion The ability to sit without support in children with mildto moderate malnutrition is delayed compared to that in well-nour-ished ones


1993 ◽  
Vol 25 (3) ◽  
pp. 351-357 ◽  
Author(s):  
Abu Yusuf Choudhury ◽  
Abbas Bhuiya

SummaryThis study examined the effects of biosocial variables on changes in nutritional status of rural Bangladeshi children, aged less than 2 years, pre- and post-1987 monsoon flooding. Nutritional status was measured by weight for age: variables included were age, sex, sickness during 2 weeks preceding the survey, intake of vitamin A capsules, socioeconomic status of household, and mother's education. A multivariate logistic regression analysis revealed an adverse effect of flood on nutrition and the effect was dependent on sex of child and intake of vitamin A. After the flood the proportion of severely malnourished children was significantly greater among those who had not taken vitamin A. For boys the proportion with severe malnutrition increased after the flood and the increase was greater than for girls; however, boys always had a lower risk of severe malnutrition than girls.


Jurnal GIZIDO ◽  
2020 ◽  
Vol 12 (1) ◽  
pp. 9-17
Author(s):  
Irza Nanda Ranti ◽  
Meildy Estevanus Pascoal ◽  
Mizzy Christania Wowor

  ABSTRACT Stunting is a chronic nutritional problem in the period of growth and development since the beginning of life or in the First 1000 Days of Life. This situation is presented with a height z-score by age (TB / U) less than -2 standard deviations (SD) based on growth standards according to WHO (WHO, 2010). Based on the latest Riskesdas data in 2013, the prevalence of stunting in Kotamobagu City was 38.1%. This study aims to determine the relationship of diarrhea and nutrient intake (Protein, Vitamin A, Zinc, Calcium, Iron) to the incidence of stunting in children under five. This type of observational analytic study with cross sectional design. The number of samples as many as 41 toddlers taken with nonprobability techniques with purposive sampling method. The results showed that 70.7% of children with stunting nutritional status and 29.3% of children with normal nutritional status. 70.7% of children have had diarrhea and 29.3% of children have never had diarrhea. The results showed no relationship between intake of Protein, Vitamin A, Iron on the incidence of stunting in children under five in the Gogagoman Community Health Center. As for Diarrhea, Zinc intake, and Calcium have a significant relationship to the incidence of Stunting in children under five in the Gogagoman Community Health Center. Conclusion, there is a relationship between diarrhea, zinc intake, and calcium intake on the incidence of stunting. While the intake of protein, vitamin a, and iron has no relationship with the incidence of stunting. Keywords: Stunting, Diarrhea, Protein, Vitamin A, Zinc, Calcium, Iron


2012 ◽  
Vol 52 (6) ◽  
pp. 362
Author(s):  
Yoga Devaera

Background Severe malnutrition contributes to child mortalityrates, especially in children under five HIV infection further increases the risk of death.Objective To evaluate the impact of HIV infection on mortality,length of hospital stay and improvement of nutritional status inseverely malnourished inpatients under five Methods This retrospective study included children aged less than5 years and admitted to a terti ary hospital for severe malnutrition.We excluded those with incomplete data, as well as thosetransferred to other hospitals or discharged against medical advice.Outcome measures were live/death status, length of hospital stayand improvement of nutritional status (weight gain and improvedweight􀁀for􀁀height Z score).Results Of 104 eligible patients, 97 were included as studysubjects. Their mean ages were 25.8 (SD 17.3) months forHIY-infected children and 16.3 (SD 15.3) months for HIYuninfectedchildren. Death occurred in 31.8% and 18.7% ofHIV􀁀infected and uninfected subjects, respectively. Medianlength of hospital stay was 14.5 (range 5􀁀51) days and 11(range 1􀁀99) days, respectively. There were no statisticallysignificant differences in between the two groups. Weight􀁀for􀁀height Z scores (WHZ) onadmission and discharge in HIV􀁀infected children were lowerthan those of uninfected children, but the weight gain (medianweight gain of 0.45 (-0.26 to 1.9) kg vs 0.38 (-0.81 to 2.2) kgin HIV􀁀infected and uninfected children, respectively) andimprovement of WHZ [1 (SD 1.1) vs 0.9 (SD 1), respectively]were similar.Conc l usion Severely malnourished children with HIVinfection had higher mortality rate, and longer hospitalizationsthan the uninfected group, although the differences were notstatistically signific ant. They also had lower mean WHZ scoresat admission and discharge, butnutritionalimprovement wassimilar to those who were HIV􀁀negative. [Paediatr Indones.2012;52:362-6].


2012 ◽  
Vol 1 (1) ◽  
pp. 373-381
Author(s):  
Farida Fitriyanti ◽  
Tatik Mulyati

ABSTRACTBackground : Severe malnutrition is often happened in children under five. It is the most serious stage from process of malnutrition, especially energy and protein. Those do not appropriate with requirement and happen for a long time. Malnutrition is showed by weight and height where those  have linear relation. And those are showed with z-score value by weight-for-height and weight-for-age. An effort to overcome malnutrition is Supplementary Feeding Program of Recovery (PMT-P) where its nutritional value has been measured. So that requirement can be achieved.Method : This study was included on community nutrition with observational research and cohort approach. Subjects were 22 malnourished children under five including on inclusion criteria in Department of Health in Semarang during 60 days (2months). PMT-P was given on formula and biscuit form. It has nutritional value which can contribute 70% of energy requirement and 80% of protein requirement in one day.Result : There was different nutritional status before and after gving PMT-P based on weight-for-height and weight-for-age with p=0.000 and p=0.002. Difference of nutritional status based on weight-for-height happening after PMT-P was from 100% of very thin to 18.2% normal; 40.9% thin; and 40.9% very thin. Whereas it based on weight-for-age was from 86.4% severe malnutrition to 40.9% mild malnutrition. PMT-P also gived contribution of energy of 54.60±15.42% and protein of 79.17±37.75% from daily need.Conclusion : PMT-P for 2 months gives effect for changing of nutritional status based on weight-for-height and weight-for-age of malnourished children under five. It gives contribution of energy of 54.60±15.42% and protein of 79.17±37.75%.Keywords : PMT-Pecovery, severe malnutrition, formula WHO F100


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110217
Author(s):  
Indah K. Murni ◽  
Endy P. Prawirohartono ◽  
Rina Triasih

Background. Vitamin C, E, D, A, zinc are considered to be essential in preventing and treating of acute respiratory infections (ARI) including COVID-19. Methods. We reviewed published studies evaluating the potential roles of these vitamin and zinc for ARIs and COVID-19 using Medline database, medRxiv, and bibliographic references. Results. Vitamins C, D, and E did not reduce incidence of common cold in general, but vitamin C reduced by half in population with physical and environment stresses. Vitamins C and E shortened duration and reduced severity of common cold. A large-dose vitamin A had no effect on recovery from pneumonia. Zinc improved clinical deterioration and pneumonia duration in under five. The effect on preventing COVID-19 morbidity and related-death was lacking. Conclusions. Although the effects of vitamins and zinc on ARIs including COVID-19 were inconclusive, taking these for a short period during pandemic may be beneficial when there is risks of deficiency.


Author(s):  
Siti Zakiah Zulfa ◽  
◽  
Cesa Septiana Pratiwi ◽  

Background: In developing country, malnutrition of under five children was still a severe problem because it may have an impact on the quality of human resources in the future. Various program has been tried in many places to overcome this problem, one of which is through a home visit program, which is very necessary for educational purposes to manage malnutrition. This study aimed to determine how to implement a home visit program to improve the nutritional status of under five children in developing countries. Subjects and Method: A scoping review method was conducted using Arksey and O’malley (2005) framework with five steps: (1) Identify the scoping review question; (2) Identify relevant articles; (3) Article selection; (4) Mapping; (5) Present the results, discussion and conclusion. The search included Pubmed, Wiley, Ebsco, Science Direct, and Google scholar databases. The inclusion criteria were original articles in Indonesian and English from developing countries published from 2010 to 2019. The data were reported by PRISMA flow chart. Results: Five of the 159 articles were selected, and found that five themes were summarized, namely: (1) effective implementation of home visits, (2) types of rehabilitation of nutritional status of under-five children on home visits, (3) home visit officers 4) time and activities for conducting home visits and 5 ) constraints on home visits for malnutrition education purposes. Conclusion: Home visit program is an effective and significant strategy to reduce the incidence of underweight, moderate and severe malnutrition, stunting and wasting in under five children only when combined with other programs. Several knowledge gaps identify which confirm through further research. Keywords: home visit, nutritional status of under-five children, malnutrition, developing countries Correspondence: Siti Zakiah Zulfa. Universitas ‘Aisyiyah Yogyakarta. Jl. Ringroad Barat No.63, Mlangi, Nogotirto, Gamping, Sleman, Yogyakarta. Email: [email protected]. Mobile: 085641349694. DOI: https://doi.org/10.26911/the7thicph.02.11


2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.


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