scholarly journals Relationship Factor Enabling Giving Complementary Foods for Breast Milk with Baby Nutrition Status in Makassar City

2020 ◽  
Author(s):  
Anto J. Hadi ◽  
Matius Rantesalu ◽  
Endang Maryanti ◽  
Erni Yetti R ◽  
Saskiyanto Manggabarani ◽  
...  

Introduction: Poor nutritional status is a major nutritional problem in infants and has an impact on growthdisorders and is a problem that needs to be addressed seriously, age 6-18 months is a very important periodas well as a critical period in the process of growth and development both physically and intellectually.Therefore, every baby at this time must obtain nutritional intake according to their needs. Aim; to prove therelationship between enabling factors and infant nutritional status.Method: Type of research used analytical survey with a cross-sectional study approach. This research wascarried out in Maccini Sawah Sub-District, Makassar Sub-District, Makassar City. The sample of this studywas infants with exhaustive sampling with 62 samples. Results: The study found that the age of starting complementary food for breast milk was related to thenutritional status of the baby with a p-value (0,000), the type of complementary foods for breast milk relatedto the nutritional status of the baby with a p-value (0,015), the frequency of complementary foods for breastmilk related to nutritional status with p-value 0.004), and the variation of complementary foods for breastmilk administration is related to nutritional status with p-value (0.001).Conclusion: It was found that there was a strong relationship between age, starting, giving, type, frequency,and variation of complementary feeding with infant nutritional status.


2020 ◽  
Vol 14 (1) ◽  
pp. 29-37
Author(s):  
Linawati Novikasari ◽  
Hardono Hardono ◽  
Heru Sapto Adi

Complementary foods on infant breast milk intake and nutrition status in infants 6 to 12 months oldBackground: Based on pre-survey data for January 2019 in the Karang City Health Center for 30 infants aged 6-12 months, 12 infants (40%) had normal nutritional status, and 18 infants (60%) with undernourished status, based on data from interviews with people parents who have children aged 6-12 months with poor nutritional status, 10 mothers (55.5%) said they did not know about the importance of giving MP-ASI such as the right time in giving MP-ASI, food menu for MP-ASI, and the portion MP-ASI for babies, and 8 mothers (44.5%) said they only gave formula milk as a substitute for breast milk.Purpose: Knowing to the relationship of complementary feeding (MP-ASI) with nutritional status in infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019.Method: Quantitative research type. Analytic survey research design with cross sectional design. The population of all mothers who have infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019 amounted to 86 respondents, a sample of 86 respondents. The sampling technique used is total sampling. Chi-square test data analysis.Results: Known in the working area of Karang Bandar Lampung Health Center in 2019, there were 45 respondents given MP-ASI well, 27 respondents (60.0%) had good nutrition and 18 respondents (40.0%) had poor nutrition, while there were 41 respondents given MP-ASI are not good, 10 respondents (24.4%) have good nutrition and 31 respondents (75.6%) have poor nutrition. Statistical test results, obtained p-value 0.002 or p-value <0.05.Conclusion: There is a relationship between complementary feeding (MP-ASI) with nutritional status in infants aged 6-12 months in the working area of Karang Bandar Lampung Health Center in 2019 with a p-value of 0.002. It is expected that the Puskesmas will be able to make a list of MP-ASI gift menus and provide infrastructure facilities on the MP-ASI menu according to the baby's needs.Keywords: Complementary foods; Breast milk; Nutritional status; Infants 6 to 12 months oldPendahuluan: Berdasarkan data prasurvey bulan Januari 2019 Di Puskesmas Kota Karang terhadap 30 bayi yang berusia 6-12 bulan, diketahui 12 bayi (40%) status gizi normal, dan 18 bayi (60%) dengan status gizi kurang, berdasarkan data wawancara terhadap orang tua yang mempunyai anak usia 6-12 bulan dengan status gizi kurang, 10 ibu (55,5%) mengatakan kurang mengetahui tentang pentingnya pemberian MP-ASI seperti waktu yang tepat dalam pemberian MP-ASI, menu makanan untuk MP-ASI, serta porsi MP-ASI untuk bayi, dan 8 ibu (44,5%) mengatakan hanya memberikan susu formula sebagai pengganti ASI.Tujuan: Diketahui hubungan pemberian makanan pendamping ASI (MP-ASI) dengan status gizi Pada Bayi usia 6-12 bulan Di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019.Metode: Jenis penelitian kuantitatif. Rancangan penelitian survey analitik dengan desain cross sectional. Populasi seluruh ibu yang mempunyai Bayi usia 6-12 bulan yang berada di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019 berjumlah 86 responden, Sampel 86 responden. Teknik sampling yang digunakan total sampling. Analisa data uji chi-square.Hasil: Diketahui bahwa di wilayah kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019, terdapat 45 responden yang diberikan MP-ASI dengan baik, 27 responden (60,0%) mengalami gizi baik dan 18 responden (40,0%) mengalami gizi kurang baik, sedangkan terdapat 41 responden yang diberikan MP-ASI kurang baik, 10 responden (24,4%) mengalami gizi baik dan 31 responden (75,6%) mengalami gizi kurang baik. Berdasarkan hasil uji statistik, didapatkan p-value 0,002 atau p-value < 0,05.Simpulan: Ada hubungan pemberian makanan pendamping ASI (MP-ASI) dengan status gizi pada bayi usia 6-12 bulan Di Wilayah Kerja Puskesmas Kota Karang Bandar Lampung Tahun 2019 dengan p-value 0,002. Diharapkan kepada pihak Puskesmas agar dapat membuat daftar menu pemberian MP-ASI dan menyediakan fasilitas sarana prasarana tentang menu MP-ASI sesuai dengan kebutuhan bayi.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Andrew Matchado ◽  
Kathryn Dewey ◽  
Christine Stewart ◽  
Per Ashorn ◽  
Ulla Ashorn ◽  
...  

Abstract Objectives 1) to estimate the probability of inadequate amino acid intake among infants 9–10 months of age in rural Malawi 2) to evaluate whether dietary amino acid intake or protein quality are associated with length gain from 6 to 12 months of age Methods We assessed total amino acid intake from breast milk and complementary foods in 285 infants. Breast milk intake and complementary foods were estimated using dose-to-mother deuterium oxide dilution method and repeat 4-pass interactive 24-hour recall interviews, respectively. Amino acid composition values were taken from FAO human milk profile, Tanzania Food Composition table and International Minilist. Protein quality was estimated using Digestible Indispensable Amino Acid Score (DIAAS). Probability of intake below Estimated Average Requirement (EAR) for each amino acid was estimated using National Cancer Institute (NCI) method. We estimated protein quality of complementary food using median DIAAS. We assumed a DIAAS of ≥0.75 to represent a diet or food with good protein quality. Relationships between amino acid intake or protein quality with length gain were assessed using regression models. Length was measured at 6 and 12 months of age and length for age z-score (LAZ) velocity was calculated (ΔLAZ/months). Results The probability of inadequate amino acid intake from breast milk and complementary food that included a lipid-based nutrient supplement (LNS) was 3% for lysine, 0% for tryptophan, threonine, valine, histidine, isoleucine, leucine, sulfur containing amino acids (SAA), and aromatic amino acids (AAA). Without LNS, the probability was 7% for lysine and 0–2% for the other amino acids. The median (interquartile range) DIAAS for complementary food with and without LNS was 0.70 (0.28) and 0.64 (0.32), respectively. Dietary amino acid intake and protein quality were not significantly associated with length gain velocity from 6 to 12 months even after adjusting for confounding factors. Conclusions The prevalence of inadequate amino acid intake in 9–10 months old infants in rural Malawi is very low. However, in conditions of frequent clinical or sub-clinical infections this situation may be different. Linear growth at 6–12 months does not appear to be limited by dietary amino acid intake or protein quality in this setting. Funding Sources The Bill & Melinda Gates Foundation.


2019 ◽  
Vol 12 (1) ◽  
pp. 67-76 ◽  
Author(s):  
N. Makori ◽  
A. Matemu ◽  
M. Kimanya ◽  
N. Kassim

Early exposure to aflatoxins through complementary food is linked to impaired growth in childhood. The current study assessed the household’s practices on management of complementary foods in relation to the risk of aflatoxin exposure and poor nutritional status among infant and young children in Tanzania. A cross-sectional study of complementary feeding practices, aflatoxin exposure and nutritional status was conducted to 101 infants and young children aged between 6-23 months in Dodoma region of Tanzania. The intake of complementary food was estimated by using repeated 24 h dietary recall. Flour used as complementary food was sampled from each of the 101 families and aflatoxins were analysed using high-performance liquid chromatography. A deterministic approach was used to estimate dietary exposure of aflatoxins in the complementary foods. Anthropometric measurements were taken and rates of stunting, underweight and wasting estimated according to the WHO standard procedures. Multivariate logistic regression analysis was used to assess the association between feeding practices and aflatoxin exposure or the growth performance among subjects. The average consumption of complementary flour was 118 g per child per day and 52% of the flours contained groundnuts. AFB1was detected in 42.5% of the flour and levels ranged from 0.3 to 2,128.0 μg/kg (mean 228.11±49.84 μg/kg). Dietary exposures of aflatoxin B1ranged from 0.1 to 23,172.81 ng/kg body weight per day (mean 1,337±392.5 ng/kg). Of the subjects, 40.4% (95% CI; 29.8; 50.9) were stunted and significant association was found between stunted growth and dietary exposure of AFB1(adjusted odd ratio (AOR)=5.9; 95% CI: 0.019-0.028). Early introduction of cereal-and groundnut-based complementary foods in Tanzania is associated with high risk of aflatoxin exposure and impaired growth in children. There is need to integrate aflatoxin management measures in the guidelines for Infant and Young Children Feeding of Tanzania.


2017 ◽  
Vol 1 (3) ◽  
pp. 180
Author(s):  
Mahmudah Wati Sugito ◽  
Agus Sri Wardoyo ◽  
Trias Mahmudiono

Background: Underweight is a public health problem caused by many factors. The prevalence of underweight in East Java in 2016 was 17.3%, wich was higher than the program’s targetted (12.9%). Breast milk is the best food to support the growth and development of the baby. Coverage of Exclusive Breast Milk in East Java in 2015 decreased (68.8%), compared to 2014 (72.89%). Early supplementary feeding in infants under 6 months may affect nutritional status. Objectives: The purpose of this study was to analyze the relationship of Exclusive Breast milk with the incidence of underweight in infants aged 0-23 months in East Java Province in 2016. Method: This study is a secondary data analysis of Nutrition Status Monitoring in East Java Province. The study population was all babies in East Java. Total sample is 4738. The data were analyzed using Chi-square test and Logistic Regression, with 95% CI (α = 0.05). Results: The results showed there was a significant relationship between exclusive breastfeeding only from birth until before the last 24 hours in infants aged 0-23 months with the incidence of underweight, with (p=0.000010;OR=1.654;95%CI=1.319–2.052), there was a significant  relationship of first to provide a food other than breast milk in infants aged 0-23 months  with the occurrence of underweight, (p = 0.000;OR=0.272; 95%CI=0.217–0.341).Conclusion: In conclusion, breastfeeding only in infants from birth until before the last 24 hours and first provide food other than breast milk in infants aged 0-23 months associated with underweight. Because breast milk is sufficient nutritional needs of infants aged 0-6 months.ABSTRAK Latar Belakang: Masalah gizi kurang merupakan masalah kesehatan masyarakat yang disebabkan oleh banyak faktor. Prevalensi underweight di Jawa Timur tahun 2016 sebesar 17,3%, lebih tinggi dari target program Dinas Kesehatan Provinsi Jawa Timur sebesar 12,9%. ASI merupakan makanan terbaik untuk mendukung pertumbuhan dan perkembangan bayi. Cakupan ASI Eksklusif di Jawa Timur tahun 2015 menurun (68,8%), dibandingkan tahun 2014 (72,89%). Pemberian makanan pendamping ASI dini pada bayi di bawah 6 bulan dapat mempengaruhi status gizi. Tajuan: Tujuan penelitian untuk menganalisis hubungan ASI Ekslusif dengan kejadian underweight pada bayi usia 0-23 bulan di Provinsi Jawa Timur tahun 2016.Metode: Penelitian ini merupakan analisis data sekunder survei Pemantauan Status Gizi Provinsi Jawa Timur. Populasi penelitian adalah semua bayi berusia 0-59 bulan yang ada di Jawa Timur. Total sampel sebanyak 4738 bayi.  Analisis data dilakukan dengan menggunakan uji Chi-square dan Regresi Logistik.Hasil: Hasil penelitian menunjukkan ada hubungan antara pemberian ASI saja sejak lahir sampai sebelum 24 jam terakhir pada bayi usia 0-23 bulan dengan kejadian underweight (p=0,000010;OR=1,654;95%CI=1,319–2,052), ada hubungan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan dengan kejadian underweight,  (p = 0,000;OR=0,272; 95%CI=0,217–0,341).Kesimpulan: Simpulan yaitu pemberian ASI saja pada bayi sejak lahir sampai sebelum 24 jam terakhir dan pertama kali memberikan makanan selain ASI pada bayi usia 0-23 bulan berhubungan dengan kejadian underweight. Pemberian ASI saja sudah mencukupi kebutuhan nutrisi bayi usia 0-6 bulan.


2021 ◽  
Vol 6 (5) ◽  
pp. 701-706
Author(s):  
Ida Nuraidah ◽  
Fransisca Noya ◽  
Nilda Yulita Siregar ◽  
Sony Bernike Magdalena Sitorus ◽  
Christina Entoh

The nutritional needs of infants 6-24 months can be met by providing complementary foods with breast milk (MP-ASI). One of the causes of the increasing incidence of malnutrition at 12 to 24 months of age in the world and in Indonesia is the provision of complementary foods that are not in accordance with WHO standards. The purpose of this activity is to increase the knowledge of mothers about complementary foods. This activity was held in Mapane Village on November 7, 2020. The target of this activity is 5 mothers of toddlers. The method of this activity was distributing pre-test questionnaires to participants, distributing leaflets then conducting counseling, and evaluating activities through post-tests. The results of the counseling obtained an increase in the knowledge of mothers under five about complementary foods. The average of knowledge before extension was 74% and the average after extension was 96%. The results of this service recommend that village midwives in Mapane Village be able to provide continuous counseling at each posyandu


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