Asupan protein, kalsium dan fosfor pada anak stunting dan tidak stunting usia 24-59 bulan
Endah Mayang Sari(1*), Mohammad Juffrie(2), Neti Nurani(3), Mei Neni Sitaresmi(4)
(1) Minat Utama Gizi dan Kesehatan, Program Studi S2 Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Gadjah Mada
(2) Departemen Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito / Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito / Fakultas Kedokteran Universitas Gadjah Mada
(4) Departemen Ilmu Kesehatan Anak Rumah Sakit Umum Pusat Dr. Sardjito / Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: Indonesia is one of developing country which still facing a serious problem concerning stunting. Causes of stunting is a complex things, one of the cause is protein intake which is have effect on the level plasma insulin growth factor I (IGF-I), protein bone matrix and growth factor, also calcium and phosphorus that has an important role in bone formation. One of the province in Indonesia which has stunting prevalence above level of National prevalence is West Borneo. Pontianak as the capital city of West Borneo is still facing serious problem concerning stunting and the low level of food security.
Objective: Analyze protein, calcium and phosphorus intake of stunting and non stunting children aged 24-49 months in Pontianak.
Method: The study was an analytical observational with cross sectional design. Samples of the study were children aged 24-59 months in the districts of East Pontianak and North Pontianak, West Borneo, as much as 90 samples have been chosen by using simple random sampling technique. The research was conducted from July - August 2015. Statistical analysis was performed by using chi square and t-test.
Results: Protein, calcium and phosphorus intake are lower to the stunting compare to non stunting children (p<0,05). Stunting prevalence of lower protein group is higher 1,87 times than adequate protein intake group. Stunting prevalence of low calcium intake group is higher 3,625 times than adequate calcium intake group. Moreover, the stunting prevalence of low phosphor intake group is higher 2,29 times than adequate phosphor intake group.
Conclusion: Protein, calcium and phosphor intake significant lower to the stunting compare to non stunting children aged 24- 59 months in Pontianak.
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- Black RE, Allen LH, Bhutta ZA, Caulfield LE, de Onis M, Rivera J, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 2008; 371(9608):243-60.
- Black RE, Victoria CG, Walker SP, Bhutta ZA, Christian P, Uauy R, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013;382(9890):427-51.
- Kementrian Kesehatan. Laporan hasil riset kesehatan dasar nasional 2013. Jakarta: Kemenkes; 2013.
- Trihono, Atmarita, Tjandrarini DH, Irawati A, Utami NH, Nurlinawati I, et al. Pendek (stunting) di Indonesia, masalah dan solusinya. Jakarta: Balitbangkes; 2015.
- Stuijvenberg ME, Nel J, Schoeman SE, Lombard CJ, du Plessis LM, Dhansay MA. Low intake of calcium and vitamin D, but not zinc, iron or vitamin A, is associated with stunting in 2-5 years old children. Nutrition 2015;31:841-846.
- World Health Organization. WHA global nutrition targets 2025: Stunting policy brief. Geneva: WHO; 2014.
- Mikhail WZA, Sabhy HM, El-sayed HH, Khairy SA, Salem HYHA, Samy MA. Effect of nutritional status on growth pattern of stunted preschool children in Egypt. Acad J Nutr 2013;2(1):1-9.
- Souganidis E. The relevance of micronutrients to the prevention of stunting. Sight and life 2012;26(2).
- Khairy SAM, Mattar MK, Refaat LAM, El-Sherbeny SA. Plasma micronutrient levels of stunted Egyptian school age children. Kasr El Aini Med J 2010;16(1).
- Prentice A, Bates CJ. An appraisal of the adequacy of dietary mineral intakes in developing countries for bone growth and development in children. Nutr Res Rev 1993;6(1):51-69.
- Dinas Kesehatan Kota Pontianak. Profil dinas kesehatan Provinsi Kalimantan Barat. Pontianak: Dinkes Kota Pontianak; 2014.
- Akbar R, Kusrini N, Yurisinthae E. Analisis konsumsi pangan Kota Pontianak. J Socio Economic of Agriculture 2014;3(1).
- Muhilal, Hardinsyah. Angka kecukupan zat gizi. Prosiding Widya Karya Nasional Pangan dan Gizi VIII, ed. Soekirman dkk. Jakarta: LIPI; 2004.
- Burckhardt P, Dawson-Hughes B, Weaver C. Nutritional influences on bone health. New York: Springer; 2010.
- Nabuasa CD. Hubungan riwayat pola asuh, pola makan, asupan zat gizi terhadap kejadian stunting pada anak usia 24-59 bulan di Kecamatan Biboki Utara Kabupaten Timor Tengah Utara Propinsi Nusa Tenggara Timur [Tesis], Yogyakarta: Universitas Gadjah Mada; 2011.
- Asrar M, Hadi H, Boediman D. Hubungan pola asuh, pola makan, asupan zat gizi dengan status gizi anak balita masyarakat Suku Nuaulu di Kecamatan Amahai Kabupaten Maluku Tengah Provinsi Maluku. Jurnal Gizi Klinik Indonesia 2009;6(2):84-94.
- Black RE, Williams SM, Jones IE, Goulding A. Children who avoid drinking cow milk have low dietary calcium intakes and poor bone health. Am J Clin Nutr 2002;76(3):675-680.
- Bourrin S, Ammann P, Bonjour JP, Rizzoli R. Dietary protein restriction lowers plasma insulin-like growth factor I (IGF-I), impairs cortical bone formation, and induces osteoblastic resistance to IGF-I in adult female rats. Endocrinology 2000;141(9):3149-3155.
- Dawson-Hughes B, Harris SS, Rasmussen HM, Dallal GE. Comparative effects of oral aromatic and branchedchain amino acids on urine calcium excretion in humans. Osteoporos Int 2007;18(7):955-961.
- Hardinsyah, Riyadi H, Tambunan V. Kecukupan energi, protein, lemak dan karbohidrat dalam angka kecukupan gizi yang dianjurkan bagi bangsa Indonesia. Jakarta: Direktorat Jenderal Bina Gizi dan Kesehatan Ibu dan Anak Kemenkes; 2014.
- Linder MC. Biokimia nutrisi dan metabolisme. Jakarta: Penerbit Universitas Indonesia; 2010.
- Gibson RS, Manger MS, Krittaphol W, Pongcharoen T, Gowachirapant S, Winichagoon P, et al. Does zinc deficiency play a role in stunting among primary school children in Thailand. Br J Nutr 2007;97(1):167–175.
- Peacock M. Calcium metabolism in health and disease. Clin J Am Soc Nephrol 2010;5(Suppl 1):S23–S30.
- Li j, Yuan J, Guo Y, Sun Q, Hu X. The influence of dietary calcium and phosphorus imbalance on intestinal NaPi-IIb and Calbindin mRNA Expression and tibia parameters of broilers. Asian-Aust J Anim 2012;25(4):552 -558
- Puspita Y. Hubungan riwayat penyakit infeksi saluran pernafasan akut dengan kejadian stunting pada anak balita di Kabupaten Rejang Lebong Provinsi Bengkulu [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2014.
- Hidayah F. ASI eksklusif sebagai risiko kejadian stunting pada anak usia 6-24 bulan di Kota Yogyakarta [Tesis] Yogyakarta: Universitas Gadjah Mada; 2013
- Schwarz NG, Grobusch MP, Decker ML, Goesch J, Poetschke M, Lell B. WHO 2006 child growth standards: implication for the prevalence of stunting and underweight for age in a birth cohort of Gabonese children in comparison to the center for disease control and prevention 2000 growth charts and the national center for health statistic 1978 growth reference. Public Health Nutrition 2008;11(7):714-719.
DOI: https://doi.org/10.22146/ijcn.23111
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