Intervensi biskuit tempe kurma bagi peningkatan status gizi balita penderita tuberkulosis

https://doi.org/10.22146/ijcn.18361

Fatmah Fatmah(1*)

(1) Departemen Gizi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat Universitas Indonesia
(*) Corresponding Author

Abstract


Background: Weight gain as an indicator of nutritional status during tuberculosis drugs management has a significant relationship with the rapid conversion of sputum smear, low incidence of relapse and duration of anti tuberculosis drugs in patients with tuberculosis. Low intake of food in patient suffering from an infectious disease is caused by the emergence of anorexia, nausea, vomiting, and increased body temperature. Inadequate nutrient intake affects the immune system, lower resistance to infection and slow healing resulting progressive tuberculosis (TB).

Objective: To assess the effect of tempeh dates biscuit consumption on the change of nutritional status of tuberculosis preschoolers patients.

Method: A quasi-experimental design towards 52 under five children with TB status and who were underweight was done in all sub-districts at Depok City. There were three groups participated in the study i.e tempeh dates biscuits as intervention group, and two groups of control (tempeh and placebo biscuits). The nutritional status of subjects was assessed each biweekly by giving daily 50 grams of biscuits within four weeks. Data analysis was using paired t-test and Anova.

Results: There was greatest weight gain in a subject who received tempeh dates biscuit by 0.5 kg and largest height improvement in the tempeh biscuits group by 1.8 cm. Weight, height and z-score weight/age had significant differences in the three groups at the end of the study. There were significant differences in carbohydrate intake in the intervention group at pre and post-intervention. The tempeh biscuits group had different levels of mothers’ knowledge on nutrition and TB at the end of the study.

Conclusion: Tempeh dates biscuit can be recommended as an alternative supplementation feeding program for TB and non-TB under five children with underweight status.


Keywords


tempeh dates biscuit; underfive tuberculosis children; underweight

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References

WHO. WHO report 2009. [series online] 2009 [cited 2013 Jan 5]. Available from: URL: http.//www.who.int/tb/publications/global_report/2009

Gupta KB, Gupta R, Atreja A, Verma M, Vishvkarma S. Tuberculosis and nutrition. Lung India 2009;26(1):9-16.

Vasanta M, Gopi PG, Subramani R. Weight gain inpatients with tuberculosis under directly observed treatment short-course (DOTS). Indian J Tuberc 2009;56(1):5-9.

Yew WW, Leung CC. Antituberculosis drugs and hepatotoxicity. Respirology 2006;11(6):699-707.

Dinas Kesehatan Kota Depok. Laporan penilaian status gizi (PSG) Depok. Depok: Dinkes Depok; 2010.

Taslim AN. Nutrition campaign, soy protein supplementation and rehabilitation on tuberculosis patients in Makassar, South Sulawesi. J Med Nus 2006;25:59-64.

Fatmah, Diva F, Dian P, Ivonne MI, Triyani. Tempeh–dates biscuits effect on the gained weight of moderate underweight children. Int J Med Med Sci 2012;2(8):165-72.

Fatmah. Laporan penelitian pengaruh biskuit tempe kurma pada status gizi balita TBC. Depok: FKM-UI; 2012.

Condé Nast-Self Nutrition Data. Nutrition facts of tempeh. [series online] 2013 [cited 2013 Feb 2]. Available from: URL: http.//www.nutritiondata.self.com facts/legumes-and-legume-products/4381/2

NICUS (Nutrition Information Center). Tuberculosis (TB) and nutrition. Tygerberg: University of Stellenbosch; 2007.

Badwilan AS. The miracle of dates: the natural healthy secret with date. Bandung: Mizan; 2008.

WHO. World health organization multicentre growth reference study group. WHO child growth standards: length/height-for-age, weight-for-age, weight-for-length, weight-for-height and body mass index-for-age: methods and development. Geneva, Switzerland: WHO; 2006.

Rizal E, Hidayanti L. Dampak pemberian makanan tambahan (PMT) lokal terhadap peningkatan status gizi (BB/TB skor z) pada balita gizi kurus [Skripsi]. Tasikmalaya: Universitas Siliwangi; 2012.

Kemendikbud. Sistim Pendidikan Nasional (SISDIKNAS) 2012. Jakarta: Nuansa Aulia; 2012.

WHO. WHO anthroplus software license manual. Geneva, Switzerland: WHO; 2009.

Departemen Kesehatan RI. Widyakarya nasional pangan dan gizi (WNPG) tahun 2004. Jakarta: Depkes RI; 2004.

Munthofiah S. Hubungan antara pengetahuan, sikap, dan perilaku ibu dengan status gizi anak balita [Tesis]. Surakarta: Universitas Negeri Sebelas Maret; 2008.

Appoh LY, Krekling S. Maternal nutritional knowledge and child nutritional status in the Volta region of Ghana. Matern Child Nutr 2005;1(2):100-10.

Frost MB, Forste R, Haas DW. Maternal education and child nutritional status in Bolivia. Soc Sci Med 2005;60(2):395-407.

Mursalim, Juffrie M, Nenny Sri M. Pemberian fortifikasi multi-mikronutrien berpengaruh terhadap pertumbuhan balita keluarga miskin. Jurnal Gizi Klinik Indonesia 2011;8(2):65-76.

Beisel WR, Fiser RH. Lipid metabolism during infectious illness. Am J Clin Nutr 1970;23(8):1069-107.



DOI: https://doi.org/10.22146/ijcn.18361

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