Praktik pemberian makan terhadap kejadian kurus pada anak baduta

https://doi.org/10.22146/ijcn.26057

Fithia Dyah Puspitasari(1*), Mei Neni Sitaresmi(2), Susetyowati Susetyowati(3), Iram Barida(4), Kartika Handayani(5)

(1) Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan Indonesia
(2) Departemen Ilmu Kesehatan Anak, Rumah Sakit Umum Pusat Dr. Sardjito
(3) Departemen Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(4) Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan Indonesia
(5) Pusat Penelitian dan Pengembangan Upaya Kesehatan Masyarakat, Badan Penelitian dan Pengembangan Kesehatan Indonesia
(*) Corresponding Author

Abstract


Background: Wasting is an acute malnutrition form that interrupts immune function, prolong duration of infection and in the end increase mortality risk of children. It is not clear yet which risk factor leading to wasting, simply because wasting-suspected risk factors were also involved in another kind of malnutrition such as stunting and underweight.

Objective: To determine whether infant and young child feeding practices is risk factor for wasting in under two year children.

Method: This research was mix method research which used matching case control design for quantitative research and focus group discussion to gather information in qualitative research. Case were wasting children age 3-23 months old (z-score WHZ <-2 SD) while control were non-wasting children age 3-23 months old (z-score WHZ ≥-2 SD). This research involved 106 under-two years old children and 14 nutritionist from 14 community health center which randomly chosen. Control group was matched by age and socio economic to case group.

Results: Case group had more proportion of inappropriate feeding practices (26.41%% vs 20.75%). More than half respondent failed to meet Indonesian recommended dietary allowance for energy (57.55%). Inappropriate infant and young child feeding practice significantly did not increased risk of wasting in under two children at Yogyakarta (OR=1.4; 95% CI:0.62-3.36; p=0.523). Nutritionist from community health center focused in consultation and counseling in effort to increase infant and young child feeding practice.

Conclusion: Feeding practices in under-two children in Yogyakarta was already good. Infant and young child feeding practice was not risk factor for wasting in under two years old children at Yogyakarta.


Keywords


breastfeeding; complementary feeding; infant and young child feeding practice; under two children; wasting

Full Text:

PDF


References

  1. International Food Policy Research Institute (IFPRI). Global Nutrition Report 2015 : actions and accountability to advance nutrition & sustainable development. Washington DC, USA: IFPRI; 2015.
  2. Kerac M, Blencowe H, Grijalva-Eternod C, McGrath M, Shoham J, Cole TJ, et al. Prevalence of wasting among under 6-month-old infants in developing countries and implications of new case definitions using WHO growth standards: a secondary data analysis. Arch Dis Child 2011;96(11):1008-13.
  3. UNICEF, WHO, The World Bank. Levels and trends in child malnutrition. Washington DC, USA: UNICEF, WHO, The World Bank; 2015.
  4. WHO. WHA global nutrition targets 2025: wasting policy brief. Geneva: WHO; 2014.
  5. Badan Litbangkes. Laporan nasional riskesdas 2013. Jakarta: Badan Litbangkes; 2013.
  6. Office of Development Effectiveness. A Window of Opportunity : Australian Aid and Child Undernutrition. Canberra: Department of Foreign Affairs and Trade, Australian Goverment; 2015.
  7. Ng CS, Dibley MJ, Agho KE. Complementary feeding indicators and determinants of poor feeding practices in Indonesia: a secondary analysis of 2007 Demographic and Health Survey Data. Public Health Nutr 2012;15(5):827-39.
  8. Badan Kependudukan dan Keluarga Berencana Nasional, Badan Pusat Statistik, Kementerian Kesehatan, Measure DHS, ICF International. Survei Demografi dan Kesehatan Indonesia 2012. Jakarta: BPS; 2013.
  9. Blaney S, Februhartanty J, Sukotjo S. Feeding practices among Indonesian children above six months of age: a literature review on their magnitude and quality (part 1). Asia Pac J Clin Nutr 2015;24(1):16-27.
  10. Badan Litbangkes. Studi diet total : survei konsumsi makanan individu Indonesia 2014. Jakarta: Badan Litbangkes; 2014.
  11. Novianti, Rizkianti A. Pemberian asupan prelaktealsebagai salah satu faktor kegagalan ASI eksklusif pada pekerja buruh industri tekstil di Jakarta. J Kesehat Reproduksi 2013;5(1):23-36.
  12. Ariawan I. Modul besar : metode sampel pada penelitian kesehatan. Jakarta: Universitas Indonesia; 1998.
  13. Aguayo VM, Badgaiyan N, Dzed L. Determinants of child wasting in Bhutan. Insights from Nationally Representative Data. Public Health Nutr 2015;20(2):315-24.
  14. WHO. Indicators for assessing infant and young child feeding practices. Part 1: definitions. France: WHO Press; 2008.
  15. WHO. Nutrition landscape infromation system country profile indicators: interpretation guide. Geneva: WHO; 2010.
  16. Kemenkes. Standar antropometri penilaian status gizi anak. Jakarta: Kemenkes; 2010.
  17. Pertiwi KI, Hardinsyah, Ekawidyani KR. Konsumsi pangan dan gizi serta skor pola pangan harapan pada anak usia sekolah 7-12 tahun di Indonesia. J Gizi dan Pangan 2014;9(2):117-24.
  18. UNICEF, WHO. Low birthweight: country, regional and global estimates. Geneva: UNICEF, WHO; 2004.
  19. FAO, WHO, UNU. Human energy requirements. Rome: FAO, WHO, UNU; 2001.
  20. Kementerian Kesehatan Republik Indonesia. Permenkes No. 75 tahun 2013 tentang AKG yang dianjurkan bagi Bangsa Indonesia.
  21. WHO. WHO Child Growth Standards. Geneva: WHO; 2006.
  22. Badan Litbangkes. Laporan nasional riset kesehatan dasar 2010. Jakarta: Kemenkes; 2010.
  23. Kementerian Kesehatan Republik Indonesia. Profil Kesehatan Indonesia 2014. Jakarta: Kementerian Kesehatan; 2015.
  24. Barker DJP. Fetal origins of coronary heart disease. Br Med J 1995;311(6998):171-4.
  25. Kemenkes RI. Rencana strategis Kementerian Kesehatan tahun 2015-2019. Jakarta: Kemenkes RI; 2015.
  26. WHO. Sixty-fifth world health assembly : resolutions and decisions annexes. Geneva: WHO; 2012.
  27. Fekadu Y, Mesfin A, Haile D, Stoecker BJ. Factors associated with nutritional status of infants and young children in Somali Region, Ethiopia: a cross- sectional study. BMC Public Health 2015;15:846-54.
  28. Bloss E, Wainaina F, Bailey RC. Prevalence and predictors of underweight, stunting, and wasting among children aged 5 and under in Western Kenya. J Trop Pediatr 2004;50(5):260-70.
  29. Bukania ZN, Mwangi M, Karanja RM, Mutisya R, Kombe Y, Kaduka LU, et al. Food insecurity and not dietary diversity is a predictor of nutrition status in children within semiarid agro-ecological zones in Eastern Kenya. J Nutr Metab 2014;2014.
  30. Motbainor A, Worku A, Kumie A. Stunting is associated with food diversity while wasting with food insecurity among underfive children in East and West Gojjam Zones of Amhara Region, Ethiopia. PLoS One 2015;10(8):1-14.
  31. Wright MJ, Bentley ME, Mendez MA, Adair LS. The interactive association of dietary diversity scores and breast-feeding status with weight and length in Filipino infants aged 6-24 months. Public Heal Nutr 2015;18(10):1762-73.
  32. Wiesmann D, Bassett L, Benson T, Hoddinott J. Validation of the world food programme’s food consumption score and alternative indicators of household food security. IFPRI Discuss Pap 2009;870(June):1-105.
  33. Kumar D, Goel NK, Mittal PC, Misra P. Influence of infant-feeding practices on nutritional status of under-five children. Indian J Pediatr 2006;73(5):417-21.
  34. Haschke F, Haiden N, Detzel P, Yarnoff B, Allaire B, Haschke-Becher E. Feeding patterns during the first 2 years and health outcome. Ann Nutr Metab 2013;62(Suppl 3):16-25.
  35. Chika N, Odinakachukwu N, Eucharia U, Aloysius M. Nutritional assessment of exclusively breastfed and non-exclusively breastfed infants aged (0 – 6 months) at mother of Christ Specialist Hospital, Enugu, Nigeria. Int J Nutr Food Sci 2014;3(5):462-70.
  36. Kuchenbecker J, Jordan I, Reinbott A, Herrmann J, Jeremias T, Kennedy G, et al. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Paediatr Int Child Health 2015;35(1):14-23.
  37. Altare C, Delbiso TD, Guha-Sapir D. Child wasting in emergency pockets: a meta-analysis of small-scale surveys from Ethiopia. Int J Environ Res Public Health 2016;13(2):1-15.
  38. Palda VA, Guise JM, Wathen CN. Interventions to promote breast-feeding: applying the evidence in clinical practice. CMAJ 2004;170(6):976-8.
  39. WHO. Strengthening action to improve feeding of infants and young children 6-23 months of age in nutrition and child health programmes. Report of Proceeding; 2008 October 6-9; Geneva.



DOI: https://doi.org/10.22146/ijcn.26057

Article Metrics

Abstract views : 4478 | views : 4976

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats