Claim Missing Document
Check
Articles

Found 2 Documents
Search

Effects of Integrated Nutrition-Specific and Nutrition-Sensitive Interventions on Child Growth Outcomes in Low- and Middle-Income Countries: A Systematic Review Nuraini, Dwi Lisa; Ramadianti, Dita Tri; Syukrina, Fatma
Proceedings Book of International Conference and Exhibition on The Indonesian Medical Education Research Institute Vol. 9 No. - (2025): Proceedings Book of International Conference and Exhibition on The Indonesian M
Publisher : Writing Center IMERI FMUI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.69951/proceedingsbookoficeonimeri.v9i-.307

Abstract

Child undernutrition and poor linear growth remain major challenges in low- and middle-income countries (LMICs). Integrated approaches combining nutrition-specific interventions—such as infant and young child feeding (IYCF), supplementation, and counseling—with nutrition-sensitive components including agriculture, cash transfers, WASH, and behavior-change communication are widely promoted, but their effectiveness remains inconsistent. This systematic review, conducted according to PRISMA 2020 guidelines, synthesized evidence from cluster randomized trials, randomized controlled trials, and quasi-experiments evaluating child growth outcomes in LMICs (HAZ, LAZ, WAZ, WHZ). Searches across PubMed, Google Scholar, Cochrane CENTRAL, and OpenAlex identified 4,041 records, from which 12 studies met inclusion criteria; meta-analysis was not performed due to heterogeneity. Nutrition-specific interventions, particularly IYCF and home-based health promotion, improved developmental outcomes and modestly enhanced linear growth (e.g., Tanzania: cognitive SMD 0.15 [95% CI 0.05–0.24]; motor 0.16 [0.03–0.28]). Facility-based counseling increased exclusive breastfeeding (+12.8 pp [2.1–23.6]) and feeding frequency (+14.1 pp [9.0–19.2]) without significant anthropometric effects. Agriculture plus behavior-change programs improved diet quality and growth (Ethiopia: HAZ +0.28 [0.02–0.54]; Ghana: β≈0.40–0.44). WASH-only interventions in Bangladesh, Zimbabwe, and Cambodia showed minimal impact on growth. Integrated nutrition-specific and nutrition-sensitive programs yield modest but meaningful gains in linear growth, particularly with high program intensity and caregiver participation, whereas household-level WASH interventions alone are insufficient. Future efforts should emphasize harmonized intervention frameworks and standardized outcome measures to strengthen comparability and policy relevance.
Analisis Kandungan Gizi Protein dan Kalsium pada Susu Kacang Almond Sebagai Alternatif Pengganti Susu Sapi Syukrina, Fatma; Febrianti, Kamila Dwi; Djannah, Roichatul
Indonesian Journal of Thousand Literacies Vol. 2 No. 12 (2024): Indonesian Journal of a Thousand Literacy
Publisher : Nindikayla Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57254/ijtl.v2i12.72

Abstract

Background: Cow's milk is a widely consumed source of protein and calcium, but it cannot be consumed by individuals with lactose intolerance or a cow's milk protein allergy. Plant-based milks, particularly almond milk, have the potential to be an alternative because they are lactose- and casein-free and contain essential nutrients.Objective: This study aimed to analyze the protein and calcium content of almond milk with varying compositions as an alternative to cow's milk.Methods: This study was an experimental study with a completely randomized, one-factor design. Treatment variations were based on differences in the proportions of raw materials. Protein content was analyzed using the Bradford method, while calcium content was analyzed using the complexometric method. Data were analyzed using a one-way ANOVA test with a 95% confidence level.Results: Almond milk is a plant-based milk product obtained from processed almonds and is known to have high nutritional content and provide various health benefits. This beverage is becoming increasingly popular because many people cannot consume cow's milk due to allergies to cow's milk protein or lactose intolerance. Thus, almond milk is an alternative to cow's milk and a plant-based milk option other than soy milk for individuals with animal lactose intolerance. To assess the quality of almond milk, tests were conducted on the essential mineral content for the body, namely calcium (Ca) and iron (Fe), in commercial almond milk beverage products on a household scale consisting of samples A, B, and C. The milk samples were prepared using a 65% nitric acid solution, then diluted before being analyzed for mineral content. The test results showed that all samples contained calcium and iron minerals. The average calcium levels in samples A, B, and C were 114.92 ppm, 166.07 ppm, and 163.80 ppm, respectively, with the highest levels in sample B and the lowest in sample A. Meanwhile, the average iron levels in samples A, B, and C were 3.78 ppm, 3.42 ppm, and 2.44 ppm, respectively, with the highest iron content in sample A and the lowest in sample C. Based on the results of statistical analysis using one-way ANOVA, it was found that the calcium and iron content in the three commercial almond milk products showed significant differences. Conclusion: Almond milk has potential as an alternative to cow's milk, especially as a source of protein and calcium for individuals with special dietary needs.