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All Journal GIZI INDONESIA Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research)
Abas Basuni Jahari
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Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences

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Journal : GIZI INDONESIA

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ASALAH GAGAL-TUMBUH PADA ANAK BALITA MASIH TINGGI: ADAKAH YANG “KURANG” DALAM KEBIJAKAN PROGRAM GIZI DI INDONESIA? Abas Basuni Jahari
GIZI INDONESIA Vol 31, No 2 (2008): September 2008
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v31i2.53

Abstract

WHAT’S WRONG WITH NUTRITION PROGRAM POLICY? WHY GROWTH FALTERING AMONG UNDER-FIVE CHILDREN REMAINS HIGH? The indicator of nutritional status used in the large scale survey is weight-for-age (W/A) orunderweight indicator. The question is why the prevalence of underweight among children underfives is still high, while the prevalence of overweight tends to increase? This analysis is carried outto find out what is the hidden characteristic of growth faltering among Indonesian children below 5years of age. The analysis used anthropometry data from different sources that collecting bothlength or height and weight dataThe anthropometry data is converted into standardized values(z_score) using WHO-2006 child growth standard. The prevalence of underweight (W/A), stuntingbased on length of height-for-age (H/A) and wasting based on weight-for-length or height (W/H)were calculated based on cut-off points suggested by the WHO child growth standard. Crosstabulation between any pair of two indicators was made to understand the characteristics ofgrowth faltering.The obvious problem in growth faltering among Indonesian under-five children isstunting. The prevalence of stunting is the highest among the prevalence of underweight andwasting. In general it was found that about 85 percent underweight children were also stunted, andaround 80 percent underweight children were having normal weight-for-height (not wasted). Fromthe results of the analysis It is clear that most of the underweight children were stunted and mostof the underweight children had normal weight-for-height. The problem of underweight is stronglyrelated with the problem of stunting. Efforts to reduce the prevalence of underweight should alsotake into account the efforts to reduce problem of stunting. Using weight-for-age (W/A) alone asthe basis of nutrition intervention is not enough, therefore, measuring length or height is stronglyrecommended to understand clearly the characteristics of growth problems among under-fivechildren.KEYWORDS: anthropometry, underweight, stunting, wasting
KURVA PERTUMBUHAN ANAK SEHAT USIA 3-18 BULAN DARI KELUARGA EKONOMI MENENGAH KE ATAS: Bagaimana Posisinya terhadap Standar Antropometri WHO-2005? Abas Basuni Jahari; Jajah K. Husaini
GIZI INDONESIA Vol 31, No 1 (2008): Maret 2008
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v31i1.48

Abstract

GROWTH CURVE OF HEALTHY CHILDREN 3-18 MONTHS OF AGE FROM WEALTHY FAMILIES:How Close to WHO Child Growth Standard 2005?On April 26, 2006 the WHO published a new Child Growth Standard from 0 to 60 months of age.The new child growth standard is developed based on Mulicentre Growth Reference Study(MGRS) 1997-2003 in 6 countries: Brazil, Ghana, India, Norway, Oman and the United States ofAmerica. The MGRS is unique because it was designed to develop standard based on healthychildren living in situation that provide possibility for them to grow normally according to theirgenetic potential. For this reason the WHO recommended that the new child growth standard beused as a new anthropometric reference replacing the existing NCHS-WHO growth reference. Inresponse to WHO recommendation some analyses were done to confirm the suitability of the newWHO child growth standard with local situation. One of the analyses is presented in this paper.The main objective of the analysis is to identify the position of growth curve of healthy Indonesianchildren 3-18 months of age relative to the new WHO child growth standard. The specificobjectives are: to identify the position of Weight-for-Age (W/A) curve, Length or Height-for-Age (L/A or H/A) curve. This analysis is based on growth data of healthy children from Study on “TheDevelopment of Norm of Motor Milestone Achievements in Healthy and Wellnourished Children 3-18 Months of Age 2003 in Bandung, Bogor, Malang and Surabaya (Yayah K.H, Abas B.J., HusainiM.A. et.al.)”. Children characteristics are having normal Length-for-Age, normal Weight-for-Age,and normal Weight-for-Length according to NCHS Anthropometric Reference, not suffering fromchronic diseases, not sick in the previous month, have permanent housing in good sanitation,ventilation, clean water, good toilet, etc., not twin and have normal birth-weight, their parents havegood job, and their families have no constraint in health care and economic condition. A number of1155 boys and 1097 girls were included in the analysis. The children weights and lengths wereconverted into Z_Scores using New WHO Growth standard. The sample median and standarddeviation of the Z_Score values were generated and plotted against median and standarddeviation of New WHO standard. In general the Growth Curve of Healthy Indonesian Childrenfrom mid-upper economic status families fits better in WHO Curve for both sexes, particularly atyounger ages (9 Months) in the Median Length-for-age and Weight-for-age, girls fit better thanboys in both Median length-for-age and weight-for-age, boys and girls curves fit better in medianZ_Score Weight-for-Length.Keywords: growth curve, anthropometric standard, WHO standard
Co-Authors Amalia Safitri Astuti Lamid Djoko Kartono Djumadias Abunain Dwi Prijatmoko Fitrah Ernawati Heryudarini Harahap Iman Sumarno Jajah K. Husaini Krisnawati Bantas Made Dewi Susilawati Mashari Sudjono Nurfi Afriansyah Salimar Salimar Sri Mulyati Sri Murni Prastowo Sri Prihatini Syafrudin Syafrudin Tjetjep syarif Hidayat Vita Kartika Y. Krisdinamurtirin