Metode pemberian ASI eksklusif memengaruhi status gizi

https://doi.org/10.22146/ijcn.33650

Windy Yuniarti(1*), Budiyanti Wiboworini(2), Yulia Lanti Retno Dewi(3), Widardo Widardo(4)

(1) Program Studi Kedokteran, Fakultas Kedokteran Universitas Sebelas Maret
(2) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Sebelas Maret
(3) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Sebelas Maret
(4) Departemen Ilmu Gizi, Fakultas Kedokteran Universitas Sebelas Maret
(*) Corresponding Author

Abstract


Exclusive feeding methods and their effect on nutritional status

Background: Exclusive feeding could be given by human milk expression or direct breastfeeding methods. Recent studies indicate expressed human milk given by bottle in early infancy could lead to excess weight on the next stage of life.

Objective: Determine the differences in nutritional status between exclusively fed infants with direct breastfeeding methods and a combination of breast pumping.

Methods: An analytical observational study with the cross-sectional approach, conducted in Puskesmas Jalan Emas, Tangerang Regency, Banten. The subjects consisted of 68 infants from direct breastfeeding (DB) and the combination of breast pumping (KBP) groups, were selected by purposive sampling. The data obtained from the measurement of nutritional status and infants’ feeding history.

Results: In WAZ, HAZ, and WHZ in DB were -0.48±0.7; -1.47±1.2; and 0.64±1.19 respectively. In WAZ, HAZ, and WHZ in KBP were 0.06±0.75; -1.66±0.85; and 1.23±1.05 respectively. The T-independent analytical test showed significant score (p) in WAZ, HAZ and WHZ indicators were 0.003; 0.470; and 0.035 respectively.

Conclusions: In WAZ and WHZ indicators show significant differences between infants in DB and KBP groups. Meanwhile, in the HAZ indicator, there’s no significant difference between infants in DB and KBP groups.


Keywords


breast pumping combination; exclusive feeding; nutritional status

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References

  1. Marcdante KJ, Kliegman RM, Jenson HB, Behrman RE. Nelson ilmu kesehatan anak esensial. Edisi ke-enam. Singapura: Saunders Elsevier; 2014.
  2. Kementerian Kesehatan Republik Indonesia. Laporan nasional riset kesehatan dasar (Riskesdas) 2010. Jakarta: Badan Penelitian dan Pengembangan Kesehatan; 2010.
  3. Wolfe JL, Fein SB, Shealy KR, Wang C. Prevalence of breast milk expression and associated factor. Pediatrics. 2008;122 Suppl 2:S63-8. doi: 10.1542/peds.2008-1315h
  4. Rasmussen KM, Geraghty SR. The quiet revolution: breastfeeding transformed with the use of breast pumps. Am J Public Health. 2011;101(8):1356-9.
  5. Li R, Fein SB, Grummer-Strawn LM. Association of breastfeeding intensity and bottle-emptying behaviors at early infancy with infants’ risk for excess weight at late infancy. Pediatrics. 2008;122(2):S77-S84. doi: 10.1542/peds.2008-1315j
  6. Li R, Fein SB, Grummer-Strawn LM. Do infants fed from bottles lack self-regulation compared with directly breastfed infants?. Pediatrics. 2010;125(6):e1386-e93. doi: 10.1542/peds.2009-2549
  7. Woo Baidal JA, Locks LM, Cheng ER, Blake-Lamb TL, Perkins ME, Taveras EM. Risk factor for childhood obesity in the first 1,000 days: a systematic review. Am J Prev Med. 2015;50(6):761-79. doi: 10.1016/j.amepre.2015.11.012
  8. Maulida H, Afifah E, Sari DP. Tingkat ekonomi dan motivasi ibu dalam pemberian ASI eksklusif pada bayi usia 0-6 bulan di bidan praktek swasta (BPS) Ummi Latifah Argomulyo, Sedayu Yogyakarta. Jurnal Ners dan Kebidanan Indonesia. 2015;3(2):116-22. doi: 10.21927/jnki.2015.3(2).116-122
  9. Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Edisi ke-5. Jakarta: Sagung Seto; 2014.
  10. Murti B. Desain dan ukuran sampel untuk penelitian kuantitatif dan kualitatif di bidang kesehatan. Yogyakarta: Gadjah Mada University Press; 2010.
  11. Normayanti, Susanti N. Status pemberian ASI terhadap status gizi bayi usia 6-12 bulan. Jurnal Gizi Klinik Indonesia. 2013;9(4):135-43. doi: 10.22146/ijcn.18362
  12. Moral A, Bolibar I, Seguranyes G, Ustrell JM, Sebasatia G, Rios J, et al. Mechanics of sucking: comparison between bottle feeding and breastfeeding. BMC Pediatr. 2010;10(6):1-8. doi: 10.1186/1471-2431-10-6
  13. Sebayang AP. Faktor-faktor yang mempengaruhi rendahnya pemberian ASI eksklusif di Klinik Budi Mulia Medika Palembang tahun 2013. Jurnal Harapan Bangsa. 2013;1(2):1-10.
  14. Torlesse H, Cronin AA, Sebayang SK, Nandy R. Determinants of stunting in Indonesian children: evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health. 2016;16:699. doi: 10.1186/s12889-016-3339-8
  15. DiSantis KI, Collins BN, Fisher JO, Davey A. Do infants fed directly from the breast have improved appetite regulation and slower growth during early childhood compared with infants fed from a bottle? Int J Behav Nutr Phys Act. 2011;8:89. doi: 10.1186/1479-5868-8-89.
  16. Betoko A, Lioret S, Heude B, Hankard R, Carles S, Regnault N, et al. Influence of infant feeding patterns over the first year of life on growth from birth to 5 years. Pediatr Obes. 2017;12(S1):94-101. doi: 10.1111/ijpo.12213
  17. Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak. Pedoman pengelolaan air susu ibu di tempat kerja, Jakarta: Kementerian Kesehatan RI; 2011.
  18. Li R, Magadia J, Fein SB, Grummer-Strawn LM. Risk of bottle-feeding for rapid weight gain during the first year of life. Arch Pediatr Adolesc Med. 2012 May;166(5):431-6. doi: 10.1001/archpediatrics.2011.1665
  19. Section on Breastfeeding and Collaborators. Breastfeeding and the use of human milks. Pediatrics. 2012;129(3):e827-41. doi: 10.1542/peds.2011-3552
  20. Oshiro CES, Novotny R, Grove JS, Hurwitz EL. Race/ethnic differences in birth size, infant growth, and body mass index at age five years in children in Hawaii. Child Obes. 2015 Dec;11(6):683-90. doi: 10.1089/chi.2015.0027
  21. de Beer M, Vrijkotte TGM, Fall CHD, Eijsden MV, Osmond C, Gemke RJBJ. Associations of infant feeding and timing of linear growth and relative weight gain during early life with childhood body composition. Int J Obes (Lond). 2015 Apr;39(4):586-92. doi: 10.1038/ijo.2014.200 
  22. Czajkowska M, Stawarz R, Formicki G, Chrobaczynska M, Wyrzykowska A, Chryc K. Calcium and iron content in human milk fractions. Proceeding Book of X International Scientific Conference; 2010 Sep 13-14; Nitra, Slovak Republic. Nitra: SUA; 2010.
  23. Lönnerdal B. Bioactive proteins in breast milk. J Paediatr Child Health. 2013 Mar;49 Suppl 1:1-7. doi: 10.1111/jpc.12104
  24. Mohebbi SZ, Virtanen JI, Vahid-Golpayegani M, Vehkalahti MM. Feeding habits as determinants of early childhood caries in a population where prolonged breastfeeding is the norm. Community Dent Oral Epidemiol. 2008 Aug;36(4):363-9. doi: 10.1111/j.1600-0528.2007.00408.x
  25. Fakultas Kedokteran Universitas Indonesia. Ilmu kesehatan anak. Jakarta: Bagian Ilmu Kesehatan Anak Fakultas Kedokteran Indonesia; 2007.
  26. Fernald LC, Neufeld LM. Overweight with concurrent stunting in very young children from rural Mexico: prevalence and associated factors. Eur J Clin Nutr. 2007;61(5):623-32. doi: 10.1038/sj.ejcn.1602558



DOI: https://doi.org/10.22146/ijcn.33650

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