Formula prebiotik berbasis pangan lokal dapat meningkatkan z-skor PB/U pada anak stunting

Edy Waliyo* -  Poltekkes Kemenkes Pontianak, Kalimantan Barat, Indonesia
Shelly Festilia Agusanty -  Poltekkes Kemenkes Pontianak, Kalimantan Barat, Indonesia
Didik Hariyadi -  Poltekkes Kemenkes Pontianak, Kalimantan Barat, Indonesia

Supp. File(s): common.other common.other

Stunting occurs in a chronic small intestinal inflammation syndrome, called pediatric environmental enteropathy, resulting in increased intestinal permeability and the entry of immune cells into the intestinal epithelium. The purpose of this study was to study the types of prebiotic food formulas and their effects on LAZ in stunting children. This type of research is a quasi-experimental design with a pretest-posttest control group design. Held in Sei Ambawang District, Kubu Raya Regency 2019. Samples of stunting children aged 12-24 months were 40 children. The sampling technique was used for purposive sampling. The intervention given is prebiotic formula food given for 30 days. Data processing for LAZ, nutrient intake, and t-independent test statistical analysis each using WHO Anthro 2005, Nutri survey, and SPSS software. The results showed there were differences in LAZ before and after in the group given MF-2 food formula in stunting children (p= 0,034), whereas in the group who received MF-1 showed no difference (p= 0,114). Based on LAZ differences between the two groups after the intervention with independent t-test did not show significant differences (p > 0,05). In conclusion, MF-1 and MF-2 did not differ in increasing LAZ in stunting children, but each group showed MF-2 had an effect on increasing LAZ.

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Keywords : Bananas; Eggs; Fern; Garlic; Prebiotic; Stunting

  1. WHO. Reducing stunting in children: Equity Considerations for Achieving the Global Nutrition Targets 2025. Geneva, Switzerland: Department of Nutrition for Health and Development. World Health Organization; 2018.
  2. Balitbangkes. Laporan Nasional Riskesdas 2018. Jakarta; 2018.
  3. Al-Rahmad AH, Fadillah I. Psychomotor of infant growth age 6-9 months based on exclusive breastfeeding. Aceh Nutrition Journal. 2016;1(2):99-104. doi:
  4. Goudet SM, Griffiths PL, Bogin BA, Madise NJ. Nutritional interventions for preventing stunting in children (0 to 5 years) living in urban slums in low and middle‐income countries (LMIC). The Cochrane Database of Systematic Reviews. 2015;2015(5):54. doi:10.1002/14651858.CD011695.
  5. Vonaesch P, Morien E, Andrianonimiadana L, Sanke H, Mbecko J. Stunted childhood growth is associated with decompartmentalization of the gastrointestinal tract and overgrowth of oropharyngeal taxa. Proceedings of the National Academy of Sciences. 2018;115(36):8489-8498. doi:10.1073/pnas.1806573115.
  6. Hardisari R, Amaliawati N. Manfaat prebiotik tepung pisang kepok (Musa paradisiaca formatypica) terhadap pertumbuhan probiotik lactobacillus casei secara in Vitro. Jurnal Teknologi Laboratorium. 2016;5(2):64-67.
  7. Astawan M. A-Z Ensiklopedia gizi pangan untuk keluarga. Jakarta: Dian Rakyat; 2010.
  8. Dewi R. Pengaruh pemberian telur ayam broiler terhadap penyembuhan luka perineum pada ibu nifas. AcTion: Aceh Nutrition Journal. 2019;4(2):149-153. doi:
  9. Iannotti LL, Lutter CK, Stewart CP, Riofrío CAG, Malo C, Reinhart G, Palacios A, Karp C, Chapnick M, Cox K. Eggs in early complementary feeding and child growth: a randomized controlled trial. Pediatrics. 2017;140(1):101-119. doi:
  10. Arreola R, Quintero-fabián S, López-roa RI, Flores-gutiérrez EO, Reyes-grajeda JP, Carrera-quintanar L, Ortuño-sahagún D. Immunomodulation and Anti-Inflammatory Effects of Garlic Compounds. Journal of immunology research,. 2015;2015(13):1-13. doi:
  11. Washiya Y, Nishikawa T, Fujino T. Enhancement of intestinal IgA production by ajoene in mice. Bioscience, Biotechnology and Biochemistry. 2013;77(11):2298-2301. doi:10.1271/bbb.130408.
  12. Alimentarius C. Standard For Formula Foods For Use In Weight Control Diets Codex Stan 181-1991, Pub. L No Codex Stan. 1991:181-1991.
  13. Ricci JA, Becker S. Risk factors for wasting and stunting among children in Metro Cebu, Philippines. The American journal of clinical nutrition. 1996;63(6):966-975. doi:
  14. Al Rahmad AH, Miko A, Labatjo R, Fajriansyah F, Fitri Y, Suryana S. Malnutrition prevalence among toddlers based on family characteristics: A cross-sectional study in the rural and urban areas of Aceh, Indonesia. Sri Lanka Journal of Child Health. 2020;49(3):263. doi:10.4038/sljch.v49i3.9145.
  15. Semba R, De PS, Sun K, Sari M, Akhter N, Bloem M. Effect of Parental Formal Education on Risk of Child Stunting in Indonesia and Bangladesh: A Cross-Sectional Study. The Lancet. 2008;371(9609):322-328. doi:10.1016/S0140-6736(08)60169-5.
  16. Abuya BA, Ciera J, Kimani-Murage E. Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatrics. 2012;12(1):80. doi:10.1186/1471-2431-12-80.
  17. Ramli, Agho KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fives in North Maluku province of Indonesia. BMC Pediatrics. 2009;9(1):64. doi:10.1186/1471-2431-9-64.
  18. Handayani F, Siagian A, Aritonang EY. Mother ’ s education as a determinant of stunting among children of age 24 to 59 months in north Sumatera Province of Indonesia. 2017;22(6):58-64. doi:10.9790/0837-2206095864.
  19. Shafique S, Sellen DW, Lou W, Jalal CS, Jolly SP, Zlotkin SH. Mineral-and vitamin-enhanced micronutrient powder reduces stunting in full-term low-birth-weight infants receiving nutrition, health, and hygiene education: a 2 3 2 factorial, cluster-randomized trial in Bangladesh 1,2. The American Journal of Clinical Nutrition. 2016;103:1357-1369. doi:10.3945/ajcn.115.117770.
  20. Gat-yablonski G, Phillip M. Nutritionally-Induced Catch-Up Growth. Nutrients. 2015;7(1):517-551. doi:10.3390/nu7010517.
  21. Ngari MM, Iversen PO, Thitiri J, Mwalekwa L, Timbwa M, Fegan GW, Berkley JA. Linear growth following complicated severe malnutrition: 1-year follow-up cohort of Kenyan children. Archives of Disease in Childhood. 2019;104(3):229-235. doi:10.1136/archdischild-2018-315641.
  22. Slavin J. Fiber and prebiotics: mechanisms and health benefits. Nutrients. 2013;5(4):1417-1435. doi:10.3390/nu5041417.
  23. Zhang N, Huang X, Zeng Y, Wu X, Peng X. Study on prebiotic effectiveness of neutral garlic fructan in vitro. Food Science and Human Wellness. 2013;2(3-4):119-123. doi:
  24. Ernalia Y, Dwi Utari L, Restuastuti T. Different intakes of energy and protein in stunted and non-stunted elementary school children in Indonesia. KnE Life Sciences. 2018;4(4):556–562. doi:10.18502/kls.v4i4.2318.
  25. Papanikolaou Y, Fulgoni VL. Egg consumption in infants is associated with longer recumbent length and greater intake of and development. Nutrient. 2018;10(6):719. doi:10.3390/nu10060719.
  26. Mikhail WZA, Sobhy HM, El-Sayed HH, Khairy SA, Salem HYHA, Samy MA. Effect of nutritional status on growth pattern of stunted preschool children in Egypt. Academic Journal of Nutrition. 2013;2(1):1-09. doi:10.5829/idosi.ajn.2013.2.1.7466.
  27. Fadhilah A. Kearifan lokal dalam membentuk daya pangan lokal komunitas Molamahu Pulubala Gorontalo. Buletin Al-Turas. 2018;19(1):23-38. doi:10.15408/bat.v19i1.3696.
  28. Ahmed T, Islam M, Choudhury N, Hossain I, Huq S, Mahfuz M, Sarker SA. Results with complementary food using local food ingredients. Nestle Nutrition Institute Workshop Series. 2017;87:103-113. doi:10.1159/000448960.

Open Access Copyright (c) 2020 Edy Waliyo, Shelly Festilia Agusanty, Didik Hariyadi
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This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
E-mail: [email protected]

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

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