Pemberian makanan tambahan subtitusi tepung ikan gabus (PMT-tibus) dalam meningkatkan status gizi anak balita

Nadimin Nadimin* -  Jurusan Gizi Politeknik Kesehatan Kemenkes Makassar, Jalan Paccerakkang Km 14 Daya, Makassar, Sulawesi Selatan, Indonesia

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Stunting is caused by inadequate nutrient intake in children and low parental knowledge, so it is necessary to provide additional food and nutrition education for parents. This study aims to determine the effect of providing supplementary food of snakehead fish flour substitution (called PMT-Tibus) on the nutritional status of children under five stunted. The study design used a randomized pretest-posttest control design. The study was conducted in Makassar City in 2019, using a sample of 24 people in each group. Group-1 was given PMT-Tibus with online nutrition education, while group-2 was only given online nutrition education. PMT-Tibus is given every day while the mother’s nutrition education is conducted periodically for one month. Nutritional status data was collected using anthropometric methods—processing and analyzing data using SPSS. WAZ of group-1 was increased by 0,11 ± 0,28. Otherwise, the WAZ of group-2 was decreased by -0,11 ± 0,42. HAZ of group-1 and group-2 increased (0,22 ± 0,31 vs 0,24 ± 0,31). WHZ of group-1 increased by 0,4 ± 0,04 and group-2 was decreased by -0,37 ± 0,68. There was a significant difference in WAZ and WHZ scores between the two groups, respectively, whit all p values < 0,05. Snakehead fish flour-based supplementary feeding (PMT-Tibus) and online nutrition education can improve the nutritional status of WAZ and WHZ in stunted toddlers.

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Keywords : Nutritional Status, Supplementary Food, Toddlers

  1. Abuya, B. A., Ciera, J., & Kimani-Murage, E. (2012). Effect of mother’s education on child’s nutritional status in the slums of Nairobi. BMC Pediatrics, 12(80), 1–10. https://doi.org/10.1186/1471-2431-12-80
  2. Aini, Q., Rimbawan, & Vera, U. S. (2014). Formulasi biskuit blondo dan tepung ikan gabus (Channa striata) yang berpotensi mengatasi gizi buruk pada balita [Institusi Pertanian Bogor]. In Institusi Pertanian Bogor. http://repository.ipb.ac.id/handle/123456789/69180
  3. Al Rahmad, A. H., Miko, A., Labatjo, R., Fajriansyah, F., Fitri, Y., & Suryana, S. (2020). 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, 49(3), 263. https://doi.org/10.4038/sljch.v49i3.9145
  4. Arbie, F. Y., & Labatjo, R. (2019). Examining the nutrition levels and stunting problem in Indonesian children. AcTion: Aceh Nutrition Journal, 4(2), 89–98. https://doi.org/10.30867/action.v4i2.126
  5. Budiastutik, I., & Nugraheni, A. (2018). Determinants of stunting in Indonesia: A review article. International Journal Of Healtcare Research, 1(1), 2620–5580. http://journal2.uad.ac.id/index.php/ijhr/article/view/753
  6. Christian, P., Shaikh, S., Shamim, A. A., Mehra, S., Wu, L., Mitra, M., Ali, H., Merrill, R. D., Choudhury, N., Parveen, M., Fuli, R. D., Hossain, M. I., Islam, M. M., Klemm, R., Schulze, K., Labrique, A., De Pee, S., Ahmed, T., & West, K. P. (2015). Effect of fortified complementary food supplementation on child growth in rural Bangladesh: A cluster-randomized trial. International Journal of Epidemiology, 44(6), 1862–1876. https://doi.org/10.1093/ije/dyv155
  7. Dangmei, J. (2016). Social entrepreneurship and social net-works for sustainable rural development in India. Paripex - Indian Journal of Reserach, 5(10), 622–624. https://doi.org/10.15373/22501991
  8. Engle-Stone, R., Ndjebayi, A. O., Nankap, M., Killilea, D. W., & Brown, K. H. (2014). Stunting prevalence, plasma zinc concentrations, and dietary zinc intakes in a nationally representative sample suggest a high risk of zinc deficiency among women and young children in Cameroon. Journal of Nutrition, 144(3), 382–391. https://doi.org/10.3945/jn.113.188383
  9. Herman, S. (2012). Review on the problem of zinc defficiency , program prevention and its prospect. Media Litbang Kesehatan, 19(2), S75–S83. http://hellis.litbang.kemkes.go.id:8080/handle/123456789/79878
  10. Imdad, A., Yakoob, M. Y., & Bhutta, Z. A. (2011). Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health, 11(S25), 1–14. https://doi.org/10.1186/1471-2458-11-S3-S25
  11. Iron-Segev, S., Lusweti, J. N., Kamau-Mbuthia, E., & Stark, A. H. (2018). Impact of community-based nutrition education on geophagic behavior and dietary knowledge and practices among rural women in Nakuru Town, Kenya: A pilot study. Journal of Nutrition Education and Behavior, 50(4), 408-414.e1. https://doi.org/10.1016/j.jneb.2017.10.013
  12. Kemenkes RI. (2018). Riset Kesehatan Dasar (Riskesdas) tahun 2018. In Balitbangkes Kemenkes RI. https://www.litbang.kemkes.go.id/laporan-riset-kesehatan-dasar-riskesdas/
  13. Kusdalinah, K., & Suryani, D. (2021). Asupan zat gizi makro dan mikro pada anak sekolah dasar yang stunting di Kota Bengkulu. AcTion: Aceh Nutrition Journal, 6(1), 93–99. https://doi.org/10.30867/action.v6i1.385
  14. Miko, A., & Al-Rahmad, A. H. (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia, 40(1), 21–34. https://doi.org/10.36457/gizindo.v40i1.222
  15. Nadimin, Amir, A., Rahmah, S., & Sirajuddin. (2020). The effect of virtual nutrition education for the improvement of mother’s knowledge about complementary feeding: Randomized control trial. Systematic Reviews in Pharmacy, 11(9), 825–829. https://doi.org/10.31838/srp.2020.9.117
  16. Nadimin, Kartini, T. D., & Salam, A. (2019). Efek pemberian jajanan lokal substitusi tepung ikan gabus dan konseling gizi virtual terhadap pertumbuhan dan status gizi anak balita stunting. In Politeknik Kesehatan Kemenkes Makassar.
  17. Nadimin, N., Dewi, K. B., Salam, A., & Adam, A. (2021). Local snacks and virtual nutrition counseling services increasing growth of stunting children. Open Access Macedonian Journal of Medical Sciences, 9(B), 331–336. https://doi.org/10.3889/oamjms.2021.5875
  18. Nadimin, N., & Lestari, R. S. (2019). Peningkatan nilai gizi mikro kudapan lokal melalui subtitusi tepung ikan gabus untuk pencegahan stunting di Sulawesi Selatan. Media Kesehatan Politeknik Kesehatan Makassar, 14(2), 152. https://doi.org/10.32382/medkes.v14i2.1021
  19. Nadimin, N., Nurjaya, N., & Lestari, R. S. (2018). Daya terima terhadap jajanan lokal Sulawesi Selatan subtitusi tepung ikan gabus (Channa striata). AcTion: Aceh Nutrition Journal, 3(2), 141–148. https://doi.org/10.30867/action.v3i2.115
  20. Nugent, R., Levin, C., Hale, J., & Hutchinson, B. (2020). Economic effects of the double burden of malnutrition. The Lancet, 395(10218), 156–164. https://doi.org/10.1016/S0140-6736(19)32473-0
  21. Nugraha, D., Sukandar, D., & Amalia, L. (2012). Influence of biscuit consumption on nutritional status and morbidity level of under five children that had severe nutritional status or less nutritional status on three typology’s of Sukabumi District Area [Institut Pertanian Bogor]. In Institut Pertanian Bogor. https://repository.ipb.ac.id/handle/123456789/54381
  22. Oktovina, R., Wirjatmadi, B., & Adriani, M. (2015). Pengaruh pemberian makanan tambahan biskuit dan bolu tepung tempe terhadap peningkatan berat badan dan tinggi badan pada balita gizi kurang. Jurnal Ilmiah Kedokteran”, 4(1), 16–24. https://repository.unair.ac.id/56911/
  23. Richard, S. A., Black, R. E., Gilman, R. H., Guerrant, R. L., Kang, G., Lanata, C. F., Mølbak, K., Rasmussen, Z. A., Sack, R. B., Valentiner-Branth, P., Checkley, W., Moore, S. R., Lima, A. A. M., Pinkerton, R. C., Aaby, P., Cabrera, L. Z., Bern, C., Sterling, C. R., Epstein, L. D., … Verastegui, H. (2012). Wasting is associated with stunting in early childhood. Journal of Nutrition, 142(7), 1291–1296. https://doi.org/10.3945/jn.111.154922
  24. Sastroasmoro, S., & Ismael, S. (2016). Dasar-dasar metodologi penelitian klinis. In Sagung Seto (ke-5). Sagung Seto.
  25. Wicaksono, F., & Harsanti, T. (2020). Determinants of stunted children in Indonesia: A multilevelanalysis at the individual, household, and community levels. Kesmas, 15(1), 48–53. https://doi.org/10.21109/kesmas.v15i1.2771

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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
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