BOX PENGHANGAT MAKANAN PENDAMPING AIR SUSU IBU MENGGUNAKAN TERMOELEKTRIK

The importance of complementary foods as complementary feeding for babies has become breastfeeding mother’s common knowledge. Impaired growth and development of infants and children aged 12-24 months is the low quality of complementary foods caused by unsanitary storage areas and uncontrolled temperatures. Therefore, a research was made in the form of designing a complementary food warmer box which aims to maintain the quality of complementary foods for breastfeeding, especially for career women who spend most of their time outside the home and not with babies. The MPASI heating box is made using a Peltier module with a thermoelectric working concept powered by an electric current or battery so that it can be used anywhere and anytime. Keywords: MPASI; Thermal Sensor; Thermoelectric; Warming Box Abstrak: Pentingnya MPASI sebagai asupan pendamping bayi sudah menjadi pengetahuan umum setiap ibu menyusui. Gangguan tumbuh kembang bayi dan anak usia 12-24 bulan disebabkan rendahnya mutu MPASI karena tempat penyimpanan yang kurang bersih dan suhu yang tidak terjaga. Dengan demikian dibuatlah penelitian berupa rancang bangun box penghangat MPASI dengan tujuan agar makanan pendamping ASI dapat terjaga kualitasnya, terutama bagi wanita bekerja yang menghabiskan sebagian besar waktunya diluar rumah tanpa bersama bayi. Box penghangat MPASI menggunakan konsep kerja termoelektrik dalam bentuk modul Peltier dengan sumber tegangan arus listrik atau baterai, sehingga dapat digunakan kapanpun dan dimanapun. Kata kunci: Box Penghangat; MPASI; Sensor Suhu; Termoelektrik

Hubungan Proses Penyiapan Makanan Pendamping ASI Dengan Kejadian Diare Pada Bayi Usia 7-24 Bulan

Diarrhea is a symptom with signs of changes in shape and consistency of liquid stools and frequency of defecation more than usual (3 times a day) throwing water five times a day and soft stools. Babies are said to be diarrhea if they have defecated more than three times a day, the effects of the disease are not only for the health of the baby, but also for the process of baby growth and development. This study aims to determine the relationship between the process of preparing complementary foods with the incidence of diarrhea in infants aged 7-24 months in Pandanlandung Village, Wagir District, Malang Regency. The research method uses correlative descriptive with a case control approach. The sample in this study were 130 respondents, with simple random sampling technique. From the Spearman statistical test between the incidence of diarrhea with the preparation process of complementary foods ASI obtained p value = 0,000 (<a = 0,05) with the value of r +.456 so it can be concluded that there is a relationship between the incidence of diarrhea with the process of preparing complementary foods with the incidence of diarrhea in infants aged 7-24 months in Pandanlandung Village, Wagir District, Malang Regency. Means that the worse the process of preparing complementary foods, the higher the incidence of diarrhea. Suggestions from this study are expected respondents can find out the risk factors that can cause diarrhea, as well as the preparation process of MP ASI that is good for babies.

Priority Micronutrient Density of Foods for Complementary Feeding of Young Children (6–23 Months) in South and Southeast Asia

Background: Given their high nutrient requirements and limited gastric capacity, young children during the complementary feeding period (6–23 months) should be fed nutrient-dense foods. However, complementary feeding diets in low- and middle-income countries are often inadequate in one or more essential micronutrients. In South and Southeast Asia infants' and young children's diets are commonly lacking in iron, zinc, vitamin A, folate, vitamin B12, and calcium, hereafter referred to as priority micronutrients.Objective: This study aimed to identify the top food sources of priority micronutrients among minimally processed foods for complementary feeding of children (6–23 months) in South and Southeast Asia.Methods: An aggregated regional food composition database for South and Southeast Asia was built, and recommended nutrient intakes (RNIs) from complementary foods were calculated for children aged 6–23 months. An approach was developed to classify foods into one of four levels of priority micronutrient density based on the calories and grams required to provide one-third (for individual micronutrients) or an average of one-third (for the aggregate score) of RNIs from complementary foods.Results: We found that the top food sources of multiple priority micronutrients are organs, bivalves, crustaceans, fresh fish, goat, canned fish with bones, and eggs, closely followed by beef, lamb/mutton, dark green leafy vegetables, cow milk, yogurt, and cheese, and to a lesser extent, canned fish without bones.Conclusions: This analysis provided insights into which foods to prioritize to fill common micronutrient gaps and reduce undernutrition in children aged 6–23 months in South and Southeast Asia.

Gestational Age, Exclusive Breastfeeding, Attitude Complementary Foods Associated with Stunting Infants

Introduction : Many factors influence the occurrence of stunting in toddlers, but the most important factor influencing the incidence of stunting comes from the mother. Objective: This study aims to analyze the relationship between gestational age of infants, exclusive breastfeeding and mother's attitude in giving complementary foods with the incidence of stunting in infants aged 6-24 months. Method: The research design is Cross Sectional. The sampling technique used was purposive sampling involving 125 mothers of infants aged 6-24 months. Result: The results found that gestational age (p value = 0.016), exclusive breastfeeding (p value = 0.027) and complementary feeding (p value = 0.00) have positive correlation with attitude and complementary feeding. The babies born with a small gestational age are at risk of stunting. Exclusive breastfeeding for infants aged 0-6 months followed by a positive mother's attitude in preparing and providing quality complementary foods can reduce the risk of babies experiencing stunting, so nurses' efforts are needed to provide health education to mothers to optimize their role in infant care and nutrition. Recommendation: Health workers, both nurses and midwives, should increase their role in providing health education to mothers with babies aged 6-24 months about the importance of Antenatal Care, health education about the benefits of breastfeeding and forming of breastfeeding motivators and providing health education to mothers under five how to arrange a supplementary food menu for toddlers

Weaning among Colonists from Montreal and Environs

This paleochemical study explores the differences and similarities in weaning practices between two colonist populations buried in Montreal and its environs: the rural village cemetery of Pointe-aux-Trembles (PT, 1709–1843) and the urban Notre-Dame cemetery (ND, 1691–1796). Forty-six teeth (or individuals) were microsampled in both crown and root parts of the dentine (one to four and four to six sampling sites for deciduous and permanent teeth, respectively), totaling 56 microsamples for PT (seven M1, seven m1, and three m2) and 102 for ND (22 M1 and seven m1). For both sites, a general decrease of 1.3‰ in δ15N (ranging from 0.5‰ to 2.6‰) was observed between the first and last samples for permanent teeth (PT: five out of seven individuals; ND: 14 out of 22), and weaning seems to end around 2 years of age. As expected, in both parishes, weaning was mainly gradual (80%: PT; 86%: ND). An introduction of complementary food was also identified after 6 months of age (73%: PT; 81%: ND). The variation in δ15N profiles suggested other scenarios such as introduction of complementary foods just after birth (four PT and four ND), absence of breastfeeding (three PT and nine ND), and abrupt weaning (three ND). Environmental and socioeconomic factors might explain these individual variations, as infant feeding practices might have changed over time in these two growing and closely related parishes. Cette étude paléochimique explore les différences et les similitudes dans les pratiques de sevrage entre deux populations de colons enterrées à Montréal et ses environs : le cimetière rural du village de Pointe-aux-Trembles (PT, 1709–1843) et le cimetière urbain de Notre-Dame (ND, 1691–1796). Quarante-six dents (ou individus) ont été micro-échantillonnées dans la dentine de la couronne et des racines (1 à 4 et 4 à 6 sites d'échantillonnage pour les dents de lait et les dents permanentes respectivement), totalisant 56 micro-échantillons pour PT (7 M1, 7 m1 et 3 m2) et 102 pour ND (22 M1 et 7 m1). Pour les deux sites, une diminution du d 15N d’une moyenne de 1,3‰ (allant de 0,5 à 2,6‰) a été observé entre le premier et le dernier micro-échantillon pour les dents permanentes (PT : 5 sur 7 individus ; ND : 14 sur 22), et le sevrage semble se terminer vers l'âge de deux ans. Comme attendu, dans les deux paroisses, le sevrage a été principalement progressif (80 % : PT ; 86 % : ND). Une introduction d'aliments complémentaires a également été identifiée après l'âge de six mois (73 % : PT ; 81 % : ND). La variation des profils des valeurs de δ15N permet également de suggérer d'autres scénarios tels que : l'introduction d'aliments complémentaires juste après la naissance (4 PT et 4 ND), l'absence d'allaitement (3 PT et 9 ND) et un sevrage abrupt (3 ND). Des facteurs environnementaux et socio-économiques pourraient expliquer ces variations individuelles, car les pratiques d'alimentation des nourrissons pourraient avoir changé au fil du temps dans ces deux paroisses en pleine croissance et étroitement liées.

Organic Food Consumption During the Complementary Feeding Period and Respiratory or Allergic Diseases Up to Age 5.5 Years in the ELFE Cohort

Objectives: To assess (1) whether a history of allergy is associated with feeding with organic foods (OFs) during the complementary feeding period and (2) whether OF consumption in infancy is related to the incidence of respiratory and allergic diseases up to age 5.5 years.Study Design: Analyses involved more than 8,000 children from the nationwide Étude Longitudinale Française depuis l'Enfance (ELFE) birth cohort. Associations between family or infant history of allergy and frequency of OF consumption during the complementary feeding period were assessed with multinomial logistic regression. Associations between OF consumption in infancy and respiratory or allergic diseases between age 1 and 5.5 years were assessed with logistic regression.Results: A family history of allergy or cow's milk protein allergy at age 2 months was strongly and positively related to feeding with OF during the complementary feeding period. Feeding with OF during the complementary feeding period was not related to respiratory diseases or eczema up to age 5.5 years. Compared to infrequent consumption of both organic and commercial complementary foods, frequent OF consumption without commercial complementary foods was associated with a higher risk of food allergy, whereas frequent commercial complementary food consumption without OF use was associated with a lower risk of food allergy.Conclusions: This study suggests that a history of allergy strongly affects feeding with OF during the complementary feeding period. However, OF consumption was not associated with reduced odds of food allergy later in childhood but could be associated with increased odds, which should be examined more deeply.

Pendidikan Kesehatan tentang Pemberian Makanan Pendamping ASI pada Ibu yang Mempunyai Bayi 6-24 Bulan

Growth in infants and nutritional problems in children are often caused by the inaccuracy of parents in their habits of inappropriate breastfeeding and complementary feeding, and mothers are less aware that babies aged 6 months already need complementary feeding. mothers in good quantity and quality. At the age of 6 months apart from breastmilk, the baby can start to be given complementary foods, because at this age the baby already has a chewing reflex with stronger digestion. In giving baby food, it is necessary to pay attention to the punctuality of delivery, frequency, type, quantity, foodstuff, and method of manufacture, improper infant feeding habits, such as feeding too early or too late, insufficient food given and inadequate frequency. this can have an impact on the health and nutritional status of the baby. Based on the data obtained from the health office, it is known that from 12 districts the prevalence of malnutrition and malnutrition based on the BB / U indicator is 17.2% and based on the TB / U indicator is 20.2%. This community service aims to provide information and improve the skills of mothers in complementary feeding of breast milk. This community service was carried out in the Work Area of the Simpang Kawat Puskesmas, at the time of January 2020 the service method used a survey approach, lectures and discussions. The results obtained by mothers can understand the meaning of complementary foods for breast milk, the benefits of complementary foods for breast milk and the schedule for which they are given.

Evaluating the Effect of Appropriate Complementary Feeding Practices on Child Growth in Malawi Using Cross-Sectional Data: An Application of Propensity Score Matching

Introduction: Appropriate complementary foods have been found to provide infants and young children with nutritional needs for their growth and development. In the absence of a randomized control trial (RCT), this study used observational data to evaluate the effect of appropriate complementary feeding practices on the nutritional status of children aged 6–23 months in Malawi using a propensity score matching statistical technique.Methods: Data on 4,722 children aged 6 to 23 months from the 2015–16 Malawi Demographic and Health Survey (MDHS) were analyzed. Appropriate complementary feeding practices were assessed using the core indicators recommended by the World Health Organization (WHO)/United Nations Children's Fund (UNICEF), and consist of the introduction of complementary feeding, minimum dietary diversity, minimum meal frequency and minimum acceptable diet based on a dietary intake during a most recent 24-h period.Results: The prevalence of stunting (height-for-age z-score &lt; −2 SD) was 31.9% (95% CI: 29.3%, 34.6%), wasting (weight-for-height z-score &lt; −2 SD) 3.5% (95% CI: 2.6%, 4.7%) and underweight (weight-for-age z-score &lt; −2 SD) 9.9% (95% CI: 8.4%, 11.8%). Of the 4,722 children, 7.7% (95% CI: 6.9%, 8.5%) were provided appropriate complementary foods. Appropriate complementary feeding practices were found to result in significant decrease in stunting (OR = 0.7, 95% CI: 0.4, 0.95). They also resulted in the decrease of wasting (OR = 0.4, 95% CI: 0.1, 1.7) and underweight (OR = 0.6, 95% CI: 0.2, 1.7).Conclusion: Appropriate complementary feeding practices resulted in a reduction of stunting, wasting, and underweight among children 6 to 23 months of age in Malawi. We recommend the continued provision of appropriate complementary foods to infants and young children to ensure that the diet has adequate nutritional needs for their healthy growth.

Type of Milk Feeding and Introduction to Complementary Foods in Relation to Infant Sleep: A Systematic Review

Inconsistent conclusions from infant sleep and feeding studies may influence parents feeding-related decisions. This study aimed to systematically review the existing literature on infant sleep and its relation to the timing of introduction to complementary foods and type of milk feeding to better understand their role(s) in infant sleep. Cohort, longitudinal, cross-sectional studies, and controlled trials were identified using online searches of five databases up to April 2020. Twenty-one articles with a total of 6225 infants under 12 months-of-age were eligible. Exclusively breastfed infants (≤6 months-of-age) had a greater number of night wakings, but most studies (67%) reported no difference in night-time and 24 h sleep duration compared to formula-fed infants. However, after 6 months-of-age, most studies (>65%) reported breastfed infants to sleep less in the night-time and over 24 h compared to formula-fed infants. Furthermore, studies reported no association between the timing of introduction to complementary foods and infant sleep duration (<12 months-of-age). Future studies using standardized methodologies and definitions, transdisciplinary expertise, and longitudinal design are required to better understand the complex role of feeding on sleep.