scholarly journals THE FIRST 6TH-MONTH NUTRITIONAL STATUS OF A FULL-TERM CHILD IN EXCLUSIVE BREASTFEEDING: A LITERATURE REVIEW

2021 ◽  
Vol 7 (1) ◽  
pp. 1-21
Author(s):  
Relisa Nuris Shifa ◽  
Sulistiawati ◽  
Endyka Erye Frety ◽  
Astika Gita Ningrum

Background: The first six months after birth are part of the first 1000 days, a golden period for child development. In this period, the child needed proper nutrition to support optimal development and as nutrition programming. WHO recommends exclusive breastfeeding (EBF) for the first 6th-month. Adequacy of nutrition and optimal growth can be assessed using the nutritional status.  Aim: This study analyzes the relationship between EBF for the first 6 months with the nutritional status of a full-term infant aged 0-6 months. The nutritional status assessed using anthropometric measurements and child growth standards. Methods: This type of literature review research uses the PRISMA, PICO, and Boolean Operator methods. The research question with PICO standard "What is a relationship between exclusive breastfeeding practice and nutritional status of children aged 0-6 months?". Relevant literature was obtained from 8 databases: Scopus, Portal Garuda, Proquest, Mendeley, Pubmed, Oxford, Science Direct, and Sage. Literature was limited to the last 10 years. There are 6 relevant pieces of literature included for review. The literature quality assessment uses a quantitative study quality assessment tool released by the EPHPP (Effective Public Health Practice Project) and produces 5 pieces of literature worthy of review.  Results: From 5 kinds of literature, there were various indicators of nutritional status such as weight-for-age (WAZ), length-for-age (LAZ), weight-for-length (WLZ), Body Mass Index (BMI)-for-age, and head circumference (HC)-for-age. The results were dominated by insignificant results, except the HC-for-age indicator stated that there were significant results. The author explores the causes of insignificant results. Explores based on the indicators that include in studies, the information based on studies, and the possible consequences that adjusted to the data based on the studies. The Author found that the mother plays an important role in the production and provision of breast milk. The quality of breastmilk depends on the mother, also how she gives it to their infant. It has to be based on the WHO recommendation. Conclusion: The result of these studies affirms that EBF didn't significantly affect the indicators of WAZ, LAZ, WLZ, and BMI-for-age, but significantly affected the head circumference-for-age indicator.

2020 ◽  
Vol 1 (2) ◽  
pp. 61-68
Author(s):  
Niswa Salamung ◽  
Nessy Anggun Primasari ◽  
Melinda Restu Pertiwi ◽  
Siti Riskika

Introduction: Stunting is a problem of chronic malnutrition caused by insufficient nutrition in a long time due to feeding that is not in accordance with nutritional needs. One of the problems in feeding infants is the cessation of breastfeeding breastmilk and insufficient complementary feeding. The purpose study literature review is to identify thecomplementary feeding with the incidence of stunting in children. Method: The authors conducted a relevant literature review in various data using the keywords “complementary feeding, stunting, child”. Data based on SCOPUS, Science Direct, Proquest, Pubmed and Scholar.The criteria consisted of full text published in criteria were five years limit journal (2013-2018) use article using English. Result:The Results as much as 2.090 articles found, and selected 15 article that suitable with criteria. On the process of the analysis of the articles showed that timely complementary foods, frequency of food and drinks, diversity of foods and drinks associated with the incidence of stunting. in the study of the dietary patterns of all children using the 24-hour recall food questionnaire. Interventions focusing on optimal nutrition during the complementary feeding stage, exclusive breastfeeding, and the use of deworming tablets. Good complementary feeding potential to improve children's nutritional status and can prevent stunting in children after 0-59 month. Conclusion: stunting is influenced by the accuracy of complementary feeding, exclusive breastfeeding for 6 months, frequency of eating and drinking, diversity of iron and vitamin A-rich foods and regular administration of worm medicine.


Author(s):  
Mathieu Ouimet ◽  
Pierre-Olivier Bédard

This chapter highlights literature review. Reviewing the published literature is one of the key activities of social science research, as a way to position one’s academic contribution, but also to get a bird’s eye view of what the relevant literature says on a given topic or research question. Many guides have been created to assist academic researchers and students in conducting a literature review, but there is no consensus on the most appropriate method to do so. One of the reasons for this lack of consensus is the plurality of epistemological attitudes that coexist in the social sciences. Before initiating a literature review, the researcher should start by clarifying the need for and the purpose of the review. Once this has been clarified, the actual review protocol, tools, and databases to be used will need to be determined to strike a balance between the scope of the study and the depth of the review.


2021 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Frisna Dwika Maheni Maheni ◽  
Abdiana ◽  
Rafika Oktova

World Health Organization (WHO) recommends that babies remain given exclusive breast milk for the first six months of a baby's life. However, there were some obstacles that cause the mother to be unable to give exclusive breast milk to her baby. By the time the baby becoming 4 to 6 months, the opportunity to provided exclusive breast milk is reduced because of many factor such as working mother can be an obstacle to providing exclusive breast milk. Often for mothers prefer to provide formula milk or complementary food for their babies to make it simply.This literature review aims to determine the differences in nutritional status of infants who were exclusively breastfed and those who were not exclusively breastfed at the age of 4 to 6 months. This literature review is semi-quantitative using the narrative review method. The search for articles accessed from the PubMed, Google Scholar, and Science Direct database found 40 articles that met the criteria. There were differences in the nutritional status of infants who were exclusively breastfed and those who were given non-exclusive breastfeeding. Babies who were exclusively breastfed at the age of 4 to 6 months had a better nutritional status than babies who were given nonexclusive breastfeeding.


2021 ◽  
Vol 7 (Khusus) ◽  
pp. 12
Author(s):  
I Made Sudarta ◽  
Syafruddin Ali Salaka

The incidence of short toddlers commonly referred to as stunting is one of the nutritional problems worldwide. In 2017 22.2% or about 150.8 million toddlers in the world experienced stunting. The Integrated Toddler Nutrition Status Survey (SSGBI) by Balitbangkes Kemenkes Republik Indonesia in 2019 shows that the highest proportion of stunting is found in East Nusa Tenggara, West Sulawesi, and West Nusa Tenggara. The districts in West Sulawesi with the highest percentage of very short and short toddlers at the age of 0 – 59 months in 2018 were Mamuju Regency which is 20.08% and 26.38%. This study aims to determine the influence of protein and energy intake and exclusive breastfeeding history of breastfeeding on stunting events. This research is a literature review that summarizes some relevant literature. Articles searched using google scholar database. After the screening, 21 articles were eligible and met the criteria. There is an influence of protein and energy intake and exclusive breastfeeding on stunting. It is expected that the results of this study will become one of the educational materials and nursing interventions that can be applied in the health service in preventing stunting.


2021 ◽  
Vol 7 (1) ◽  
pp. 52-64
Author(s):  
Relisa Nuris Shifa ◽  
Sulistiawati ◽  
Endyka Erye Frety ◽  
Astika Gita Ningrum ◽  
Isa Anshori

Masa emas bagi tumbuh kembang anak terjadi 1000 Hari Pertama Kehidupan (HPK), dimulai sejak konsepsi sampai usia 24 bulan. Air Susu Ibu (ASI) mengandung komponen “nutrisi” dan “non-nutrisi” yang dapat mendukung tumbuh-kembang pasca lahir. World Health Organization (WHO) merekomendasikan anak memperoleh ASI ekslusif selama 6 bulan pasca lahir. Kecukupan nutrisi dan pertumbuhan optimal dapat dinilai menggunakan penilaian status gizi. Studi ini bertujuan untuk menganalisa hubungan pemberian ASI eksklusif selama 6 bulan pertama setelah lahir dengan  status gizi anak usia 6 -24 bulan. Studi tinjauan pustaka ini menggunakan metode PRISMA, PICO, dan Boolean Operator. Literatur yang relevan diperoleh dari 8 database elektronik dan terbatas pada 10 tahun terakhir. Kualitas literatur dinilai menggunakan Quantitative Study Quality Assessment Tool yang dirilis EPHPP. Hasil penelitian menunjukkan, diperoleh 3  dari 3.218 artikel yang sesuai kata kunci dan 127 yang membahas pertanyaan penulis. Tiga literatur tersebut menggunakan indikator dan standar status gizi, yakni Berat Badan menurut Usia (BB/U), Panjang Badan menurut Usia (PB/U), Berat Badan menurut Panjang Badan (BB/PB), dan Indeks Massa Tubuh untuk Usia (IMT/U).  Pada hasil didominasi oleh hubungan yang signifikan. Hasil studi menunjukkan bahwa status gizi BB/U, PB/U, BB/PB, dan IMT/U memiliki hubungan yang signifikan.


2019 ◽  
Vol 3 (4) ◽  
pp. 263
Author(s):  
Ivanda Glanny Anindya ◽  
Harsono Salimo ◽  
Yulia Lanti Retno Dewi

Background: Measurement of head circumference is highly crucial during the early years of life which considered as an anthropometric parameter substantially correlated with brain size. The emergence of head circumference aberration functions to warn of abnormal brain development. Breast milk is the ideal nutritional provider that babies need for optimal healthy growth. Nursing mothers with good nutrition will affect their nutritional status. The nutritional status will determine the quantity and quality of dairy products that indirectly play a role in determining children’s nutritional status.Objective: Analyzing the relationship between exclusive breastfeeding and maternal nutritional status with the growth of the head circumference of 6 months old infants.Method: Using a cross-sectional design in the Kaliwates, Jember. Subjects were 6 months old infants in which 128 babies were selected by purposive sampling. Data on maternal nutritional status were based on Body Mass Index (BMI). Data on exclusive breastfeeding were based on interviews and KMS data. The baby’s head circumference data were based on direct measurements and those were interpreted using WHO growth charts. Then, the data were analyzed using Chi-Square test.Results: The results showed that there was a significant relationship between exclusive breastfeeding (p<0.001) and maternal nutritional status (p=0.028) with the growth of the baby’s head circumference.Conclusion: Exclusive breastfeeding and maternal nutritional status are associated with the growth of the baby’s head circumference. ABSTRAKLatar Belakang : Pengukuran lingkar kepala sangat penting selama tahun awal kehidupan, hal ini merupakan parameter antropometri yang sangat berkorelasi dengan ukuran otak. Terjadi penyimpangan pada lingkar kepala, maka memperingatkan perkembangan otak yang tidak normal. Air susu ibu merupakan penyedia nutrisi ideal yang dibutuhkan bayi untuk pertumbuhan yang sehat secara optimal. Ibu menyusui dengan pemenuhan gizi yang baik akan mempengaruhi status gizinya. Status gizi tersebut akan menentukan kuantitas dan kualitas produk susu yang secara tidak langsung berperan dalam menentukan status gizi anak.Tujuan : Menganalisis hubungan pemberian ASI eksklusif dan status gizi ibu dengan pertumbuhan lingkar kepala bayi usia 6 bulan.Metode : Menggunakan desain cross-sectional di wilayah Kecamatan Kaliwates, Kabupaten Jember. Subjek penelitian adalah bayi usia 6 bulan, 128 bayi dipilih dengan purposive sampling. Data status gizi ibu berdasarkan IMT. Data pemberian ASI eksklusif berdasarkan wawancara dan data KMS. Data lingkar kepala bayi berdasarkan pengukuran langsung dan diinterprestasikan menggunakan grafik pertumbuhan WHO. Analisis data menggunakan uji Chi-Square.Hasil : Hasil penelitian menunjukkan bahwa ada hubungan yang bermakna antara pemberian ASI eksklusif (ρ = <0,001 dan OR 9,58) dan status gizi ibu (ρ = 0,028 dan OR 0,28) dengan pertumbuhan lingkar kepala bayi usia 6 bulan.Kesimpulan : Pemberian ASI eksklusif pada bayi akan memberikan pertumbuhan lingkar kepala yang normal dibandingkan bayi yang tidak diberikan ASI eksklusif dan pada ibu yang memiliki status gizi baik juga akan memberikan pertumbuhan lingkar kepala bayi yang normal dibandingkan dengan ibu berstatus gizi kurang dan gemuk. Kata kunci : status gizi, ASI eksklusif, lingkar kepala


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 627-627
Author(s):  
Megan Bragg ◽  
Bess Caswell ◽  
Charles Arnold ◽  
Matthews George ◽  
Brian Bennett ◽  
...  

Abstract Objectives Choline has been positively associated with child growth and development, but few studies have been in areas of high stunting and low choline intake. This secondary analysis examines the association of plasma choline with growth/development in Malawian children enrolled in a randomized trial of 1 egg/day versus nonintervention control. Methods Venous blood, anthropometric, and developmental measures were collected at enrollment (at age 6–9 mos) and at endline 6 mos later. Plasma choline, betaine, dimethylglycine, and trimethylamine N-oxide were measured using untargeted metabolomics among 400 children. Length, weight, and head circumference were converted to z-scores using WHO Growth Standards. Developmental measures included fine and gross motor, personal social, and language skills (measured and normed using the Malawi Developmental Assessment Tool), memory (elicited imitation [endline only] and visual paired comparison tasks), and attention (Infant Orienting with Attention [IOWA] task). Generalized linear models, adjusted for covariates including group assignment, were used to examine the association of plasma choline with growth/developmental outcomes. Results In cross-sectional models including both time points (baseline, endline) and adjusting for repeated measures, a 1 SD-unit increase in plasma choline was negatively associated with length-for-age z-score (–0.11 SD [95% CI: –0.20, –0.02]) and positively associated with IOWA reaction time (8.8 ms [1.7, 16.0]), meaning slower shifts in attention with higher plasma choline. In predictive models, higher baseline plasma choline predicted lower endline fine motor z-scores (–0.13 SD [–0.22, –0.04]). There were no associations of plasma choline with weight-for-age, head-circumference-for-age, weight-for-length, or the other developmental outcomes. Analysis of other biomarkers revealed few significant associations with growth/development. Conclusions Plasma choline was not strongly associated with growth or development in this sample of Malawian children. The few significant associations suggested poorer growth/development with higher plasma choline. Further research in various contexts is needed. Funding Sources Bill and Melinda Gates Foundation; Egg Nutrition Center.


2019 ◽  
Vol 4 (1) ◽  
pp. 28
Author(s):  
Seni Rahayu ◽  
Henni Djuhaeni ◽  
Gaga Irawan Nugraha ◽  
Gurid Eko Mulyo

Exclusive breastfeeding is very beneficial for babies. The impact is not given exclusive breastfeeding could be increased morbidity and mortality, nutritional problems, impaired child growth, loss generation, increase the burden of family and state expenditures for the expenditure of formula milk and much more. The purpose of this study was to analyze the relationship of knowledge, attitudes, behaviors and characteristics of mothers towards exclusive breastfeeding with infant nutritional status. This study used a quantitative method with analytic observational design with a case control.. The study was conducted by 110 mothers who had babies aged 6-12 months in the Cibangkong Bandung village. It was consisting of 55 mothers who had babies with nutritional problems and 55 mothers who had babies with normal nutritional status. Data retrieval used a questionnaire. Assessment of nutritional status used the standard WHO child growth standards. The sample was taken by simple random sampling technique. Data analysis using logistic regression test. The results of the analysis showed that there was a relationship between knowledge (p= 0,006), and exclusive breastfeeding behavior (p= 0,013) with the nutritional status of the baby. In addition, maternal characteristics had an effect  of 4,3 times to age and parity in the nutritional status of infants. By knowing the relationship between knowledge factors, attitudes, behaviors and characteristics of mothers with infant nutritional status, it is expected to have leverage to improve the nutritional status of infants. ASI eksklusif sangat bermanfaat bagi bayi, dampak yang dapat terjadi apabila bayi tidak diberikan ASI eksklusif adalah meningkatnya angka kesakitan dan kematian bayi, masalah gizi, gangguan tumbuh kembang anak, terjadinya loss generation, meningkatkan beban pengeluaran keluarga serta negara untuk  pengeluaran susu formula dan masih banyak lagi.  Tujuan penelitian untuk menganalisis hubungan pengetahuan, sikap, perilaku dan karakteristik Ibu terhadap pemberian ASI eksklusif dengan status gizi bayi. Penelitian menggunakan metode kuantitatif dengan desain observasional secara kasus kontrol. Penelitian dilakukan 110  ibu yang memiliki bayi usia 6-12 bulan di kelurahan Cibangkong Bandung yang terdiri dari 55 ibu yang memiliki bayi dengan masalah gizi dan 55 ibu yang memiliki bayi dengan status gizi normal.  Pengambilan data menggunakan kuesioner. Penilaian status gizi menggunakan standar WHO child growth standards. Sampel diambil dengan teknik simple random sampling. Analisis data menggunakan Uji Regresi logistik. Hasil menunjukkan bahwa terdapat hubungan antara pengetahuan (p= 0,006), dan  perilaku pemberian ASI eksklusif (p=0,013) dengan status gizi bayi.  Selain itu, karakteristik ibu yaitu umur dan paritas berpengaruh sebesar 4,3 kali dalam status gizi bayi. Dengan diketahuinya hubungan faktor pegetahuan, sikap, perilaku dan karakteristik ibu dengan status gizi bayi, diharapkan mempunyai daya ungkit terhadap peningkatan status gizi bayi.


Author(s):  
Salam Ullah Khan ◽  
Kifayat Ullah ◽  
Mahvash Arsalan Lodhi ◽  
Sadaqat Ali Khan Bangash

Tremendous proliferation in data generation in the past few years has paved the way for new research and the development of new and improved techniques and algorithms in different fields of science and education. Initially terms like educational data mining emerged as a branch of data mining borrowing techniques from its ancestor. The challenges brought about by this large and heterogeneous data are diverse and needs a greater serious technical treatment. New and emerging fields like learning analytics have been introduced to manage the complexities of this data deluge. Learning analytics deals with data in the context of learner and the learning environment to improve the overall learning experience.  The ultimate aim of the field is to make use of the data about learners and their environments to gain insights into the learning process using some of the well-known techniques and algorithms from the fields of data mining and machine learning.  The process involves collecting, analysis of data and reporting the results to understand and optimize the learning experience.  The fields of data mining and academic analytics closely related to learning analytics. Systematic Literature Review (SLR) is a robust, organized and rigorous literature review and reporting process aimed at identifying, collecting and synthesizing the relevant literature on a research question according to specified criteria. The process is more unbiased and balanced by systematic sequence of steps. This paper presents a systematic literature review by first developing the systematic literature review protocol and then discussing the main findings of the literature review by especially focusing on the applications and uses of machine learning and data mining techniques in the domain of learning analytics.   Index Terms—Systematic Literature Review (SLR), Learning Analytics (LA), Big Data, Educational Data Mining (EDM), Machine Learning (ML).


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