Pengaruh taburia terhadap status anemia dan status gizi balita gizi kurang

https://doi.org/10.22146/ijcn.18882

Wahyuni Kunayarti(1*), Madarina Julia(2), Joko Susilo(3)

(1) Dinas Kesehatan Kabupaten Lombok Timur
(2) Departemen Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito/Fakultas Kedokteran Universitas Gadjah Mada
(3) Jurusan Gizi, Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Background: Micronutrient deficiency seriously contributes to child morbidity and mortality. The need for micronutrient can be fulfilled from food, fortified food, and direct supplementation. Taburia is multivitamin multimineral that is aimed to meet the need for micronutrient of undernourished under-fives and to prevent the increased prevalence of undernourishment. It is necessary efficacy and effectiveness study of Taburia to anemia and nutritional status of undernourished under fives of 24-55 months.

Objective: To identify the effect of Taburia supplementation to anemia and nutrition status of under fives at District of Lombok Timur.

Method: The study was experimental with prospective cohort study design carried out at District of Lombok Timur, Province of Nusa Tenggara Barat. The subject of the study was undernourished under fives at the area of Nutrition Improvement Community through Empowerment (NICE) project. The independent variables were Taburia and biscuits; the dependent variables were anemia and nutrition status; and the external variables were the intake of energy, protein, vitamin A, vitamin C, Fe, and zinc. Data analysis used ANOVA and paired t-test.

Results: There was a significant difference in the average level of hemoglobin of the subject after the intervention, either in taburia group, biscuit group, or taburia+biscuit group (p<0.05). There was the difference in average weight after intervention in the three groups (p<0.05). There was no significant difference in the average level of hemoglobin and the average level of weight between biscuit group and Taburia+biscuit group. There was a change in anemia status from anemia to nonanemia; the highest was in Taburia group, i.e. 96%; and better nutrition status at the end of the experiment occurred at Taburia+biscuit group from emaciated to normal (100%).

Conclusion: Taburia supplementation could increase anemia status. Micronutrient supplementation was needed to increase nutrition status.


Keywords


taburia; anemia status; nutrition status

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References

Vijayaraghavan K. Anemia karena defisiensi zat besi, gizi kesehatan masyarakat. Jakarta: EGC; 2004.

Dinas Kesehatan Kabupaten Lombok Timur. Laporan pemantauan status gizi balita. Lombok Timur: Dinkes Kabupaten Lombok Timur; 2008.

Zlotkin S, Arthur P, Antwi KY, Yeung G. Treatment of anemia with microencapsulated ferrous fumarate plus ascorbic acid supplied as sprinkles to complementary (weaning) foods. Am J Clin Nutr 2001;74(6):791-5.

Almatsier S. Prinsip dasar ilmu gizi. Jakarta: PT. Gramedia Pustaka Utama; 2009.

Ip H, Hyder SM, Haseen F, Rahman M, Zlotkin SH. Improve adherence and anemia cure rates with flexible administration of micronutrient Sprinkles: a new public health approach to anemia control. Eur J Clin Nutr 2009;63(2):165-72.

Departemen Kesehatan RI. Proyek perbaikan gizi melalui

pemberdayaan masyarakat. Jakarta: Depkes R1; 2010.

Lemeshow S, Hosmer DW, Klar J, Lwanga S. Adequacy of sample size in health studies. Pramodo D. 1997 (Alih Bahasa). Yogyakarta: Gadjah Mada University Press; 1997.

Soekirman. Ilmu gizi dan aplikasinya. Jakarta: Direktorat Jenderal Pendidikan Tinggi Departemen Pendidikan Nasional; 2000.

Mursalim, Juffrie M, Mulyani NS. Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin. Jurnal Gizi Klinik Indonesia 2011;8(2):69-80.

Rahmadi A. Pengaruh pemberian mikronutrien terhadap pertumbuhan anak gizi kurang usia 12-24 bulan penerima makanan pendamping air susu ibu (MP-ASI) di Kabupaten Lampung Utara [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2008.

Thu BD, Schultink W, Dillon D, Gross R, Leswara ND, Khoi HH. Effect of daily and weekly micronutrient supplementation on micronutrient defficiency and growth in young Vietnamese children. Am J Clin Nutr 1999;69(1):80-6.

Smuts CM1, Lombard CJ, Benadé AJ, Dhansay MA, Berger J, Hop le T, López de Romaña G, Untoro J, Karyadi E, Erhardt J, Gross R. Efficacy of a foodlet-base multiple micronutrient supplement for preventing growth faltering, anemia, and micronutrient deficiency of infants: the four country IRIS trial pooled data analysis. J Nutr 2005;135(3):631S-638S.

Schauer C, Zlotkin S. Home fortification with micronutrient sprinkles-a new approach for the prevention and treatment of nutritional anemias. Pediatric Child Health 2003;8(2):87-90.

Ramakrishnan U, Aburto N, McCabe G, Martorell R. Multimicronutrient intervention but not vitamin a or iron intervention alon improve child growth: result of 3 meta-analysis. J Nutr 2004;134(10):2592-602.

Barasi EM. Nutrition at a glance. Jakarta: Erlangga; 2007.

Mark JM, Noel WS. Aspek kesehatan masyarakat pada gizi kurang. Jakarta: EGC; 2009.

Departemen Kesehatan RI. Proyek perbaikan gizi melalui pemberdayaan masyarakat. Jakarta: Depkes RI; 2007.

Wieringa FT, Berger J, Dijkhuizen MA, Hidayat A, Ninh NX, Utomo B, Wasantwisut E, Winichagoon P. Combined iron and zink supplementation in infants improved iron and zink status, but interaction reduced efficacy in a multicountry trial in South Easth Asia. J Nutr 2007;137(2):466-71.

Bloem W, Semba RD. Nutrition and health in developing countries. Totowa, New Jersey: Human Press; 2001.

Kemenkes RI. Panduan manajemen distribusi dan monitoring taburia kabupaten. Jakarta: Direktorat Jenderal Bina Kesehatan Masyarakat; 2010.

Sunawang, Ngadiarti I, Subarkah, Hasan M, Umniyati H, Soekirman. Perkembangan studi sprinkles di Indonesia. Jakarta: Koalisi Fortifikasi Indonesia; 2012.



DOI: https://doi.org/10.22146/ijcn.18882

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