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All Journal Jurnal Gizi dan Pangan Indonesian Journal of Human Nutrition Universa Medicina GIZI INDONESIA Jurnal Sinergitas PkM & CSR Prosiding Konferensi Nasional PKM-CSR Kesmas: Jurnal Kesehatan Masyarakat Nasional (National Public Health Journal)
Siti Muslimatun
Indonesia International Institute For Life Sciences
Humanities Control & Systems Engineering Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : GIZI INDONESIA

 1 
IRON-ZINC SUPPLEMENTATION AMONG ADOLESCENT GIRLS AT ELEMENTARY SCHOOL IN KUPANG CITY, EAST TIMOR PROVINCE. Indriastuti Kurniawan, Yustina Anie; Muslimatun, Siti
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i2.17

Abstract

Anemia is the main micronutrient deficiency problem among adolescent girls in Indonesia. Anemia due to iron deficiency often coexists with zinc deficiency. Both iron deficiency anemia and zinc deficiency can increase the risk of obstetric complications among pregnant women i.e. bleeding during labor and post-partum hemorrhage. Iron-folate supplementation among pregnant women had been conducting since long time ago throughout this country; however, effort to improve the nutritional status particularly among adolescent girls prior to pregnancy is still lack behind. Iron and zinc have antagonistic interaction. Therefore it was challenging to alleviate anemia problem among adolescent girls with appropriate ratio of iron-zinc supplementation, and will give a benefit to improve their nutritional status. This study was aimed to investigate the different ratios of ironzinc supplementation on reducing the prevalence of anemia as improving the nutritional status of adolescent school girls.A female elementary school students age 10-12 years old (n= 137) were screened in rural area of Kupang City, East Timor Province. Subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks; Group 1 (iron; 60 mg/day), Group 2 (iron and zinc; 30 mg and 15 mg/day), Group 3 (iron and zinc; 60 mg and 15 mg/day). Hemoglobin concentration was measured by cyanmethemoglobin method (Hemocue) to determine the prevalence of anemia (Hb level 120 g/L), while anthropometric assessment was conducted for measuring weight and height to determine the nutritional status. General characteristics was assessed through interview. At base line, 29.1% of subjects suffered from anemia and in general, the prevalence was reduced to around 13.1% after they took iron supplements with or without zinc. Hemoglobin concentration was significantly increased among all subjects euther suffered from anemia or not. The result of this study showed that subject who received iron/zinc supplement with ratio 4: 1 for 12 weeks asa “blanket approach” significantly increased hemoglobin conc. higher than to who received iron alone. Similar result occurred when supplement was received to anemic adolescent. Although there were significantly increased of weight, height and BMI for age among all groups, the percentage of subjects were underweight, stunted and wasted remains high after supplementation that 54.6%, 36.9% and 39.2% respectively. Anemia seems to be a health problem among adolescent school girls in Kupang City, East Timor Province and iron-zinc supplementation with appropriate ratio is promising to increase hemoglobin level. A large scale of cohort study was recommended for female student, to investigate the effect iron/zinc supplementation with ratio 2: 1 on iron, zinc status and growth performance among adolescent girls.Key Words: Iron, Zinc, Adolescent, Girls
NUTRITION AND HEALTH STATUS AND COGNITIVE PERFORMANCE OF SCHOOL CHILDREN IN JAKARTA AND TANGERANG RECEIVING WORLD FOOD PROGRAM – NUTRITION REHABILITATION PROGRAMME (WFP-NRP) Muslimatun, Siti; Fahmida, Umi; Maskar, Dadi Hidayat; Phan Ju Lan, Maria Chatarina; Izushi, Keiko
GIZI INDONESIA Vol 29, No 1 (2006): Maret 2006
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (247.927 KB)

Abstract

UN World Food Programme (WFP)melalui Nutrition Rehabilitation Programme (NRP)melakukan inisiasi pemberian makanan tambahan pada anak sekolah tahun 2004 dengan mendistribusikan biskuit yang difortikasi 9 vitamin dan 4 mineral di sekolah dasar di lingkungan penduduk miskin di Jakarta dan Tangerang. Untuk menilai dampak dari program ini dilakukan evaluasi perubahan status gizi dan kesehatan dan juga pengaruhnya pada asupan gizi serta kognitif dari anak setelah satu tahun pelaksanaan program. Data dari 691 anak (335 laki-laki, 356 perempuan) diperoleh dari  Jakarta  Barat  (N=243),  Kota  Tangerang  (N=81)  dan  Kabupaten Tangerang  (N=367). Sebagian anak merasakan lapar pada waktu sekolah dan lebih dari 80% sangat senang untuk mendapat  biscuit  setiap  hari.  Ditemukan  70%  anak  dapat  menghabiskan  1  pak,  20%  anak menghabiskan ½-1 pak, 10% <½ pack pak biskuit dengan asupan zat besi, zink, kalsium dan vitamin yang lebih tinggi dari biasanya. Dibanding dengan data dasar, terlihat terjadi penurunan prevalensi anemia dari 23,9% menjadi 10% dan cadangan besi yang rendah dari 25,7% menjadi 19,6%, serta untuk anak-anak di kabupaten Tangerang berkurangnya keluhan sakit. Nilai rata-rata kognitif anak yang dinilai berdasarkan % nilai maksimummembaik untuk semua aspek (seperti: kemampuan berbahasa, kemampuan memberikan alasan, penglihatan, konsentrasi, menghafal dan mengingat) untuk anak di kabupaten Tangerang, demikian juga di Jakarta Barat dan Kota Tangerang kecuali untuk kemampuan memberikan alasan dan mengingat. Dari studi ini dievaluasi bahwa prevalensi gizi kurang tidak berubah (21.8% Jakarta Barat, 23.5% Kota Tangerang, 39.0% kabupaten Tangerang). Hasil temuan lainnya adalah pengetahuan anak untuk kesehatan dan gizi masih  belum  baik  dan  prevalensi  kecacingan  yang  masih  30%  di  kabupaten  Tangerang. Direkomendasikan  agar  partisipasi  institusi  terkait  perlu  dioptimalkan  untuk  meningkatkan pendidikan atau pengetahuan tentang kesehatan dan gizi kepada guru sekolah, penjaja makanan di sekolah dan juga  sosialisasi untuk  orang tua murid. Keberadaan materi penyuluhan atau pendidikan  tentang  pentingnya  fasilitas  sanitasi  serta  program  kecacingan  juga akan  dapat meningkatkan keefektifan program.
IRON-ZINC SUPPLEMENTATION AMONG ADOLESCENT GIRLS AT ELEMENTARY SCHOOL IN KUPANG CITY, EAST TIMOR PROVINCE. Indriastuti Kurniawan, Yustina Anie; Muslimatun, Siti
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (149.778 KB)

Abstract

Anemia is the main micronutrient deficiency problem among adolescent girls in Indonesia. Anemia due to iron deficiency often coexists with zinc deficiency. Both iron deficiency anemia and zinc deficiency can increase the risk of obstetric complications among pregnant women i.e. bleeding during labor and post-partum hemorrhage. Iron-folate supplementation among pregnant women had been conducting since long time ago throughout this country; however, effort to improve the nutritional status particularly among adolescent girls prior to pregnancy is still lack behind. Iron and zinc have antagonistic interaction. Therefore it was challenging to alleviate anemia problem among adolescent girls with appropriate ratio of iron-zinc supplementation, and will give a benefit to improve their nutritional status. This study was aimed to investigate the different ratios of ironzinc supplementation on reducing the prevalence of anemia as improving the nutritional status of adolescent school girls.A female elementary school students age 10-12 years old (n= 137) were screened in rural area of Kupang City, East Timor Province. Subjects were assigned randomly to one of the three groups for daily iron-zinc supplementation for 12 weeks; Group 1 (iron; 60 mg/day), Group 2 (iron and zinc; 30 mg and 15 mg/day), Group 3 (iron and zinc; 60 mg and 15 mg/day). Hemoglobin concentration was measured by cyanmethemoglobin method (Hemocue) to determine the prevalence of anemia (Hb level < 120 g/L), while anthropometric assessment was conducted for measuring weight and height to determine the nutritional status. General characteristics was assessed through interview. At base line, 29.1% of subjects suffered from anemia and in general, the prevalence was reduced to around 13.1% after they took iron supplements with or without zinc. Hemoglobin concentration was significantly increased among all subjects euther suffered from anemia or not. The result of this study showed that subject who received iron/zinc supplement with ratio 4: 1 for 12 weeks asa “blanket approach” significantly increased hemoglobin conc. higher than to who received iron alone. Similar result occurred when supplement was received to anemic adolescent. Although there were significantly increased of weight, height and BMI for age among all groups, the percentage of subjects were underweight, stunted and wasted remains high after supplementation that 54.6%, 36.9% and 39.2% respectively. Anemia seems to be a health problem among adolescent school girls in Kupang City, East Timor Province and iron-zinc supplementation with appropriate ratio is promising to increase hemoglobin level. A large scale of cohort study was recommended for female student, to investigate the effect iron/zinc supplementation with ratio 2: 1 on iron, zinc status and growth performance among adolescent girls.Key Words: Iron, Zinc, Adolescent, Girls
NUTRITION AND HEALTH STATUS AND COGNITIVE PERFORMANCE OF SCHOOL CHILDREN IN JAKARTA AND TANGERANG RECEIVING WORLD FOOD PROGRAM – NUTRITION REHABILITATION PROGRAMME (WFP-NRP) Siti Muslimatun; Umi Fahmida; Dadi Hidayat Maskar; Maria Chatarina Phan Ju Lan; Keiko Izushi
GIZI INDONESIA Vol 29, No 1 (2006): Maret 2006
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v29i1.26

Abstract

UN World Food Programme (WFP)melalui Nutrition Rehabilitation Programme (NRP)melakukan inisiasi pemberian makanan tambahan pada anak sekolah tahun 2004 dengan mendistribusikan biskuit yang difortikasi 9 vitamin dan 4 mineral di sekolah dasar di lingkungan penduduk miskin di Jakarta dan Tangerang. Untuk menilai dampak dari program ini dilakukan evaluasi perubahan status gizi dan kesehatan dan juga pengaruhnya pada asupan gizi serta kognitif dari anak setelah satu tahun pelaksanaan program. Data dari 691 anak (335 laki-laki, 356 perempuan) diperoleh dari  Jakarta  Barat  (N=243),  Kota  Tangerang  (N=81)  dan  Kabupaten Tangerang  (N=367). Sebagian anak merasakan lapar pada waktu sekolah dan lebih dari 80% sangat senang untuk mendapat  biscuit  setiap  hari.  Ditemukan  70%  anak  dapat  menghabiskan  1  pak,  20%  anak menghabiskan ½-1 pak, 10% ½ pack pak biskuit dengan asupan zat besi, zink, kalsium dan vitamin yang lebih tinggi dari biasanya. Dibanding dengan data dasar, terlihat terjadi penurunan prevalensi anemia dari 23,9% menjadi 10% dan cadangan besi yang rendah dari 25,7% menjadi 19,6%, serta untuk anak-anak di kabupaten Tangerang berkurangnya keluhan sakit. Nilai rata-rata kognitif anak yang dinilai berdasarkan % nilai maksimummembaik untuk semua aspek (seperti: kemampuan berbahasa, kemampuan memberikan alasan, penglihatan, konsentrasi, menghafal dan mengingat) untuk anak di kabupaten Tangerang, demikian juga di Jakarta Barat dan Kota Tangerang kecuali untuk kemampuan memberikan alasan dan mengingat. Dari studi ini dievaluasi bahwa prevalensi gizi kurang tidak berubah (21.8% Jakarta Barat, 23.5% Kota Tangerang, 39.0% kabupaten Tangerang). Hasil temuan lainnya adalah pengetahuan anak untuk kesehatan dan gizi masih  belum  baik  dan  prevalensi  kecacingan  yang  masih  30%  di  kabupaten  Tangerang. Direkomendasikan  agar  partisipasi  institusi  terkait  perlu  dioptimalkan  untuk  meningkatkan pendidikan atau pengetahuan tentang kesehatan dan gizi kepada guru sekolah, penjaja makanan di sekolah dan juga  sosialisasi untuk  orang tua murid. Keberadaan materi penyuluhan atau pendidikan  tentang  pentingnya  fasilitas  sanitasi  serta  program  kecacingan  juga akan  dapat meningkatkan keefektifan program.
Co-Authors Alianto, Daniel Christopher Asih Setiarini Bewintara, Emilia Dadi Hidayat Maskar Dadi Hidayat Maskar, Dadi Hidayat Djakababa, Nelden Endang Achadi Endang Achadi Goyudianto, Bryan Ashley Harjadi, Kenn Rafael Judhiastuty Februhartanty Junaida Astina Katherine Kho Keiko Izushi Keiko Izushi, Keiko Maria Chatarina Phan Ju Lan Maria Chatarina Phan Ju Lan, Maria Chatarina Maria Damayanti G Mariyasari Septiari, Mariyasari Putu Virgina Partha Devanthi Rulina Suradi, Rulina Shankar, Anuraj H Siti Aisyah FD Siti Arifah Siti Arifah Solmaz Aslanzadeh Trisari Anggondowati Umi Fahmida Umi Fahmida Yustina Anie Indriastuti Kurniawan, Yustina Anie