Pemenuhan Pola Makan Gizi Seimbang Dalam Penanganan Stunting Pada Balita Di Wilayah Puskesmas Kecamatan Rawalumbu Bekasi

Stunting (pendek) berdasarkan umur adalah tinggi badan yang berada di bawah minus dua standar deviasi (<-2SD) berdasarkan tabel status gizi WHO child growth standard. Stunting dapat menjadi ancaman utama terhadap kualitas manusia Indonesia dan juga ancaman terhadap kemampuan daya saing bangsa. Hal ini dapat terjadi karena anak stunted bukan hanya terganggu pertumbuhan fisiknya saja, melainkan juga terganggu perkembangan otaknya yang sangat mempengaruhi kemampuan dan prestasi di sekolah, produktivitas dan kreativitas di usia produktif. Asupan gizi seimbang dari makanan memegang peranan penting dalam proses pertumbuhan anak. Penerapan pola makan dengan gizi seimbang menekankan pola konsumsi pangan dalam jenis dan jumlah prinsip keanekaragaman pangan untuk mencegah masalah gizi. Komponen yang harus dipenuhi dalam penerapan pola makan gizi seimbang mencakup cukup secara kuantitas, kualitas, mengandung berbagai zat gizi dalam kehidupan sehari-hari serta dapat menyimpan zat gizi untuk mencukupi kebutuhan tubuh. Penelitian ini adalah penelitian epidemiologi analitik observasional menggunakan desain cross sectional. Populasi dalam penelitian ini 200 responden dimana pengambilan sampel menggunakan quota sampling. Selanjutnya dilakukan analisis bivariat menggunakan chie suquare. Hasil penelitian menunjukkan bahwa pemenuhan pola makan gizi seimbang berhubungan dengan penanganan stunting pada balita dengan p value sebesar 0,035 dan Odds Ratio 2.304. Kata Kunci : Gizi Seimbang, Stunting, Balita

Nutritional Status of Pediatric Patients in Ramathibodi Hospital Using the WHO Child Growth Standard and the Thai Growth Reference

Background: The appropriate assessment of nutritional status in children is an essential aspect of health supervision. Currently, there are two references used for growth assessment in Thailand. The WHO child growth standard, which has been widely used since 2007, and the Thai growth reference developed by the Ministry of Public Health, which has been used since 1998. However, there were very few studies that made a direct comparison between both tools. Objective: To compare the nutritional status of healthy pediatric patients in Ramathibodi Hospital assessed by the World Health Organization (WHO) child growth standard and the Thai growth reference. Materials and Methods: The present study was a cross-sectional study. The data were collected from all pediatric patients registered in the outpatient department (OPD) of Faculty of Medicine, Ramathibodi Hospital between January 2013 and December 2018. All healthy children (aged 0 to 15 years) were included. Exclusion criteria of possibly chronically ill children were defined by those who were 1) visiting subspecialty clinics, 2) OPD and emergency room (ER) visits more than ten times per year, 3) having ICD-10 of chronic conditions, or 4) had been admitted in the hospital during the study. The weight and height or length data were extracted from the Electronic Medical Record system. All data were analyzed by the Stata Statistical Software focusing on age and sex-specific Z-scores, which references the WHO child growth standard and the Thai growth reference. Results: Sixty-two thousand one hundred four OPD visits were divided into 31,662 OPD visits for boys and 30,442 OPD visits for girls. Percent of weight for age and height or length for age more than +2 Z-score of both boys and girls when using the Thai growth reference was greater than that using the WHO child growth standard, especially for children aged 0 to 12 months. The Thai growth reference classified as overweight were approximately 10.26% to 31.12% more than using the WHO child growth standard. There was no difference in classification of height by both standards. Conclusion: There was a difference in classification of nutritional status between the Thai growth reference and the WHO child growth standard. Keywords: Nutritional status, Pediatric growth reference, Assessment tool, Overweight

High C-reactive protein/albumin ratio increased risk of acute malnutrition during hospitalization in pediatric patients

Pediatric patients with malnutrition commonly have poor prognosis related to the inflammation and catabolism state. This study investigated the relationship between high C-Reactive Protein/Albumin ratio on admission with the risk of acute malnutrition during hospitalization in pediatric patients. A cohort study in patients aged 1 month to 18 years old who met the study criteria was done. On admission, the level of serum C-Reactive Protein and Albumin were measured and calculated the C-Reactive protein/Albumin ratio which was divided into the high and low ratio. Acute malnutrition was determined according to the weight-for-height or body mass index-for-age z-score less than 2 SD below the WHO Child Growth Standard median. A total of 110 patients were analyzed, 50% male and the mean aged was 77.7 months. Patients with acute malnutrition on admission and discharge were 24.5% and 32.7%, respectively. Acute malnutrition on discharge in patients with high and low ratio were 51.6% and 25.3%, respectively (adjusted Relative Risk, 9.1; 95% CI: 1. 9 to 42.7; p = 0.005). High C-Reactive Protein/Albumin ratio on admission increased the risk of acute malnutrition during hospitalization in pediatric patients.