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PREDIKSI PENINGKATAN KADAR HB PADA ANAK BAWAH TIGA TAHUN ANEMIA SETELAH MENDAPAT INTERVENSI ZAT BESI DI DESA PAGELARAN, CIOMAS, BOGOR Sri Muljati; Astuti Lamid; Sudjasmin Sudjasmin; Basuki Budiman
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 23 (2000)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1497.

PREDICTION OF HAEMOGLOBIN ELEVATION IN ANEMIA CHILDREN UNDER THREE YEARS AFTER IRON-INTERVENTION A STUDY FROM VILLAGE OF PAGELARAN SUB DISTRICT OF CIOMAS BOGOR.Background: Anenia is one of four nutrition problems in Indonesia. Impact of anemia in children 6-36 months (underthree children) related to their growth and development Program to combat the problem has been made, however data on the effect of such program on haemoglobin improvement are scarce.Objective: To elaborate the effects of oral iron 70 mg given weekly for four months intervention to children 6-36 months old whom suffers from anemia on changes of haemoglobin (Hb).Method: A four months follow up study on iron intervention to anemic children underthree years old had been carried out in the village of Pagelaran, Subdistrict of Ciomas, Bogor in 1999. The anemic children (<10 g%) screened from monthly weighing activity (POSYANDU). The parents consented to participate in tns study and allowed the author taken blood from finger tip of the children. A number of 58 out of 67 records had been performed. The rest dropped due to the uncompleted data; six children were believed not taken the all given iron and three children moved out the village. All children received 70 mg iron powder mixed with 40 mg Vitamin C and 40 mg Folic Acid weekly. Execution of this scheme was supervised every two weeks.Conclusions: There was improvement in haemoglobin level of the children 7-35 months of age after oral iron supplementation weekly for four months.Recommendations: To combat anemia in children 7-35 months of age, a weekly supplementation of iron as much as 70 mg together with 40 mg vitamin C and 40 mg folic acid is recommended as one of the alternative intervention.Key Words: haemoglobin, anemia, iron-intervention, underthree-years children

PROFIL ASAM LEMAK OMEGA-3, OMEGA-6, PERKEMBANGAN MENTAL DAN PSIKOMOTOR ANAK KEP BERAT DAN GIZI BAIK Astuti Lamid; Sri Muljati; Lies Karyadi; Komari Komari; Sri Murni Prastowo; Slamet Budiyanto
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) JILID 22 (1999)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v0i0.1524.

The Profile of Omega-3 and Omega-6 Fatty Acids, Mental and Psychomotor Development of Severe Malnutrition and Well-Nourished Children.It has been carried out the study to find the profile of omega-3, omega-6, mental and psychomotor development of severe malnutrition and well-nourished children. This study was cross-sectional study conducted on children suffering from severe malnutrition at Nutrition Clinic, Nutrition Research and Development Center, Bogor and well-nourished children from the same environment, age and sex. Thirty children of 6-24 months were collected consisting of 15 severe malnutrition children and 15 well-nourished children. Data collected were level of omega-3, omega-6 in blood, mental and psychomotor development, anthropometry, food consumption, food frequency and social economic conditions of the family. Results showed that the level of omega-3 and omega-6 of the severe malnutrition children were lower than those of the well-nourished children. The mental and psychomotor development measured with MDI and PDI scores for the severe malnutrition children were lower compared to the well-nourished children. Non-parametric analysis showed that the level of omega-3, omega-6, MDI and PDI of the severe malnutrition children was significantly difference (p<0,01) compared to the wll-nourished children. The ratio between level of omega-3 and omega-6 for the severe malnutrition children was less than 1/4. Coefficient correlation of ratio omega-3 and omega-6 with MDI and PDI was found 0,458 and 0,581 (p<0,01).Keywords: omega-3, omega-6, MDI, PDI, severe malnutrition

EFEKTIVITAS PENAMBAHAN VITAMIN A DAN ZAT BESI PADA GARAM YODIUM TERHADAP STATUS GIZI DAN KONSENTRASI BELAJAR ANAK SEKOLAH DASAR M. Saidin; Muherdiyantiningsih Muherdiyantiningsih; Endi Ridwan; Nur Ihsan; Astuti Lamid; Sukati Sukati; Lies Karyadi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 25 No. 1 (2002)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v25i1.1417.

THE EFFECT OF VITAMIN A AND IRON ADDED INTO IODIZED SALT ON NUTRITION STATUS AND LEARNING CONCENTRATION OF ELEMENTARY SCHOOL CHILDREN.Background: It was assumed that in some areas of Indonesia previously recognized as area of endemic goitre, thenutrition problem in that area became more complex due to crisis of economy. Probably some people in that area not only suffering from 100 but also vitamin A and iron deficiency. In this condition intervention of multinutrient is more reasonable than of single nutrient in improving nutrition status.Objectives: The aim of this study was to investigate the effect of vitamin A and iron added into iodized salt on iodine status and learning concentration of elementary school children in moderate endemic goiter area.Methods: The study design was "field trial". Study sites covered two subdistricts, namely Nagak subdistrict and Pelabuhan ratu subdistrict of Sukabumi District, West Java. A total of 221 boys and girls students in the fourth, fifth and sixth grades with positive goitre at grade I, by palpation were randomly assigned into four groups. Each group received different treatment. Group I received iodized salt (43 ppm of Iodine) + 180 ppm of vitamin A (A formula), group II received iodized salt (52 ppm) + 1500 ppm of iron (8 formula), group III received iodized salt only (37 ppm) (C formula) and group IV received iodized salt only (20 ppm). Data evaluation was collected 18 week after intervention.Results: The result of study revealed that proportion of goitre measured by palpation decreased in all groups, group I (14%), group II (7%), group III (21%) as well as group IV (19%). The increment of serum tetraiodotirosine (thyroxine) hormone (T4) of group II (5.02 ug/dl) and group I (4.60 ug/dl) were significantly higher than that of group Ill (2.04 ug/dl) or group IV (2.91 ug/dl). There were no significant differences in the increment of serum triiodotirosine hormone (T3) among group. The haemoglobin level of group II increased (0.36 g/dl), while group I and group IV were slightly decreased. The proportion of student suffering from anemia in group I decreased (25%), while in the other groups increased (4.3% to 9.8%).Conclusions: The increment of T4 was not followed by improvement of learning concentration measured by using 'Weschler Intelligence Scale for Children" method.Keywords: 100 (Iodine deficiency disorder), nutrition status; iodine status; learning concentration; endemic goitre area; palpation; tetraiodotirosine (thyroxine); triiodotirosine; Weschler Intelligence Scale for Children".

KOMPOSISI GIZI DAN DAYA TERIMA MAKANAN TERAPI: READY TO USE THERAPEUTIC FOOD UNTUK BALITA GIZI BURUK (NUTRITION COMPOSITION AND ACCEPTANCE TEST OF READY TO USE THERAPEUTIC FOOD FOR SEVERE MALNOURISHED CHILDREN) Komari Komari; Astuti Lamid
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 35 No. 2 (2012)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v35i2.3384.159-167

Abstract Severe malnourished children need special diet which is nutritious, easily digested, and safe to improve their nutritional status. The diet could be Ready-to-Use Therapeutic Food (RUTF), composed by highly digestible component such as milk, vegetable oil, sugar, vitamines, minerals, and indigenous food such as peanut, mungbean and tempeh powder. This study was aimed to examine the nutrients content and the sensory quality of local RUTF. The method utilised were acceptability test on severe malnourished children, chemical analyses to identify nutrient content and safety analysis towards microbial and heavy metal contaminants. The results showed that RUTF contained energy ranging from 521 kcal /100 g to 530 kcal/100 g, and protein ranging from 14,1 g/100 g to 16,9 g/100g. The RUTF was acceptable by malnourished children under five years old. Keywords: ready to use, therapeutic food, malnourished Abstrak Anak gizi buruk memerlukan diet yang khusus untuk meningkatkan status gizinya dengan makanan yang mudah dicerna, bergizi tinggi dan aman. Makanan tersebut dapat berupa Ready to Use Therapeutic Food (RUTF) yang terdiri dari bahan yang mudah dicerna seperti susu, minyak sayur, gula, vitamin dan mineral, dan menggunakan bahan makanan lokal yakni tepung kacang tanah, kacang hijau, dan tempe. Penelitian ini bertujuan menilai komposisi zat gizi dan kualitas sensori produk RUTF lokal. Metode yang digunakan adalah uji daya terima yang dilakukan terhadap anak balita gizi buruk, uji kimia untuk mengukur komposisi gizi dan keamanan terhadap mikroba dan logam berat. Hasil menunjukkan bahwa komposisi gizi untuk RUTF mengandung cukup tinggi energi yaitu berkisar antara 521-530 kkal/100g dan protein berkisar antara 14,1-16,9 g/100g. Makanan tersebut juga dapat diterima oleh anak-anak balita gizi buruk. [Penel Gizi Makan 2012, 35(2): 159-167] Kata Kunci: ready to use, makanan terapi, gizi buruk

PENANGANAN BALITA GIZI BURUK SECARA RAWAT JALAN DI PUSKESMAS DENGAN PEMBERIAN MAKANAN TERAPI : FORMULA-100 DAN READY TO USE THERAPEUTIC FOOD (OUT-PATIENT TREATMENT OF SEVERE MALNOURISHED CHILDREN AT HEALTH CENTER WITH THERAPEUTIC FOOD : FORMULA-100 AND RE Astuti Lamid; Anies Irawati; Arnelia Arnelia
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 35 No. 2 (2012)
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v35i2.3385.168-181

ABSTRACT The study of outpatient treatment of severe malnourished children with therapeutic food: Formula-100 (F-100) and Ready To Use Therapeutic Food (RUTF) had been conducted. The purpose was to optimize the growth of severe malnourished children. Formula-100, milk-based, has been used in health centers. While RUTF, lipid based, has been widely used to improve the nutritional status of severe malnourished children in African countries. The design of this study was quasi experiment and located in ten health centers in Bogor and Subang Regency. Samples were severe malnutrition children, aged 10-54 months with Weight (W) / Height (H) indicator <-3,0 Z-scores or W/H <-2,0 Z-scores with clinical signs of severe malnutrition. There were two treatment groups: F-100 and RUTF which were given to 39 children in each group for 6 weeks. Data collected were anthropometric, consumption of nutrients, diseases and socio-economics aspects, then data were analyzed using t test. Result showed that before treatment the mean of W/H both groups were <-3,0 Z-scores which catagorized as severe wasted, while after treatment the mean became >-3,0 Z-scores which was catagorized wasted. The improvement of nutritional status (W/H) between the RUTF and F-100 group were not significantly different (p>0,05). Almost all of nutrients consumption in both groups fulfilled the recommended dietary allowances, and the nutrient adequancy in both groups were not significantly different after treatment (p>0,05). Therefore RUTF can be used as alternative of F-100. The advantages of RUTF were lower price and containedmore vitamines and minerals compared to F-100. Keywords: malnutrition, wasted, outpatient, Ready to Use Therapeutic Food ABSTRAK Penelitian penanganan balita gizi buruk secara rawat jalan di Puskesmas dengan pemberian makanan terapi Formula-100 (F-100) dan Ready to Use Therapeutic Food (RUTF) telah dilakukan. Tujuannya adalah untuk mengoptimalkan pertumbuhan balita gizi buruk. Formula-100, berbahan dasar susu, telah digunakan di Puskesmas. Sedangkan RUTF, berbentuk pasta, telah digunakan di negara-negara Afrika dan berhasil memperbaiki status gizi balita gizi buruk. Desain penelitian pada studi ini adalah kuasi eksperimen yang berlokasi di 10 Puskesmas di Kabupaten Bogor dan Subang. Sampel adalah balita gizi buruk umur 10-54 bulan dengan indikator BB/PB <-3,0 Z-skor atau BB/PB <-2,0 Z-skor dengan tanda klinis gizi buruk. Terdapat dua kelompok makanan terapi, F-100 dan RUTF yang diberikan kepada 39 anak di dalam setiap grup selama 6 minggu. Data yang dikumpulkan adalah antropometri, konsumsi zat gizi, sosial ekonomi dan penyakit. Data dianalisis menggunakan uji-t. Hasil penelitian menunjukkan rata-rata status gizi awal pada kedua kelompok <-3,0 Z-skor yang dikategorikan sangat kurus, setelah intervensi rata-rata status gizi meningkat menjadi >-3,0 Z-skor yang dikategorikan kurus. Perbaikan status gizi antara kedua kelompok tidak berbeda bermakna (p>0,05). Hampir semua konsumsi zat gizi kedua kelompok mencapai Angka Kecukupan Gizi yang dianjurkan, dan konsumsi zat gizi kedua kelompok tidak berbeda bermakna setelah intervensi (p>0,05). Dengan demikian, RUTF dapat digunakan sebagai alternatif selain F-100. Keunggulan RUTF adalah harga lebih murah dan lebih banyak mengandung vitamin, dan mineral dibandingkan dengan F-100. [Penel Gizi Makan 2012, 35(2): 168-181] Kata kunci: gizi buruk, kurus, rawat jalan, Ready to Use Therapeutic Food

PENGASUHAN ANAK BALITA GIZI SANGAT KURUS YANG MENGIKUTI PEMULIHAN GIZI DI PUSKESMAS Astuti Lamid; Nurfi Afriansyah; Laurentia Konadi
Penelitian Gizi dan Makanan (The Journal of Nutrition and Food Research) Vol. 41 No. 2 (2018): PGM VOL 41 NO 2 TAHUN 2018
Publisher : Persagi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22435/pgm.v41i2.1891

ABSTRACT Severe wasted among children under five is still a public health problem. Treatment of severe wasted at the health center follows the management recommended by the Ministry of Health and WHO. The improvement of nutrition and health status has not been maximized during treatment and it was suspected related to childcare. Therefore it will be studied how caring practice had been done at household. The purpose of this study was to examine caring practice level and their constraints as well. This research was a mix-method with cross-sectional design, located in four provinces. Then in each province, the two highest regencies of severe wasted were selected, and purposively from each district one health center was taken which had a lot of severe wasted cases. Sample were parents whose children suffered from severe wasted and informants were nutritionist of health center and integrated post cadre. Data collected were data of characteristics children and their families, feeding and care for sick children habit and caring parctice level of parents. Data was analyzed descriptively. Results levels of good caring practice were highest in West Java Province (60%), while the other three provinces were lower. The constraints faced were the low mothers education, father’s main job as laborers, the habit of giving prelacteal food and formula milk from birth, solid food given at the beginning children suffered from severe wasted and complaints of some infectious diseases. There needs to be an increase in caring practice level with parenting programs both expected to be at health center or at integrated post. Keywords: caring practice, childcare, parenting, severe wasted, treatment ABSTRAK Status gizi sangat kurus pada balita masih menjadi masalah kesehatan masyarakat dengan prevalensi nasional sekitar 5,3 persen. Penanganannya di puskesmas mengikuti tatalaksana direkomendasikan Kementerian Kesehatan dan WHO. Saat ini peningkatan gizi dan kesehatan belum maksimal melalui pemulihan gizi sangat kurus, diduga masalahnya berkaitan dengan pengasuhan anak. Tujuan penelitian ini mengkaji pengasuhan anak dalam praktik pemberian makan, perawatan anak sakit di rumah tangga dan kendalanya. Penelitian ini merupakan penelitian mix-method dengan desain kros-seksional, berlokasi di empat provinsi dengan prevalensi gizi sangat kurus yang tinggi. Dari tiap provinsi dipilih dua kabupaten yang tinggi prevalensinya, kemudian secara purposive dari tiap kabupaten diambil satu puskesmas yang merupakan kantong gizi sangat kurus. Sampel adalah orang tua yang mempunyai balita gizi sangat kurus yang mengikuti pemulihan gizi di puskesmas. Informan adalah TPG Puskesmas dan kader posyandu. Data yang dikumpulkan adalah data karakteristik balita dan keluarga, kebiasaan pemberian makan dan perawatan anak, dan tingkat pengasuhan anak yang meliputi praktik pemberian makan, perawatan dan perkembangan anak. Data dianalisis secara deskriptif. Hasil tingkat pengasuhan anak yang baik tertinggi di Provinsi Jabar (60%), sedangkan tiga provinsi lainnya lebih rendah dan yang terendah di Provinsi NTT (26%). Kendala yang dihadapi adalah pendidikan ibu yang kurang (banyak yang hanya sampai sekolah dasar), pendidikan ayah terbanyak sebagai buruh, kebiasaan ibu yang memberikan makanan prelakteal, susu formula sejak lahir, kebiasaan memberikan makanan padat ketika anak mengalami gizi sangat kurus dan keluhan timbulnya beberapa penyakit infeksi. Perlu adanya peningkatan pengasuhan anak melalui program parenting untuk ibu balita gizi sangat kurus yang bisa dilakukan di Puskesmas atau posyandu. [Penel Gizi Makan 2018, 41(2):101-112] Kata kunci: pengasuhan anak, parenting, gizi sangat kurus, pemulihan

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