Exclusive Breast Milk and Additional Milk For The Nutritional Status of Children Aged 12-23 Months in Limo District, Depok City

Elmina Tampubolon(1*)
(1) Institut Kesehatan Deli Husada Delitua
(*) Corresponding Author
DOI : 10.30604/jika.v6i1.796

Abstract

Stunting is the result of chronic or recurrent malnutrition and often lasts a lifetime. Stunting can be caused by a lack of awareness of mothers in the practice of feeding children. The purpose of this study was to determine the relationship between exclusive breastfeeding and supplementary milk with the nutritional status of children. The research hypothesis is that there is a relationship between exclusive breastfeeding and supplementary milk with the nutritional status of children. The research took place in Limo District, Depok City. The research design was a case-control study. The subjects in this study were children aged 12-23 months. Cases are stunted children aged 12-23 months with a PB/U index with a z score of -3 SD to less than -2 SD, while controls are children with normal nutritional status or who have a PB/U index with a z score of -2 SD to + 3 SD. Based on the sampling formula, a minimum sample of 50 was obtained. The final number of samples was 110 children. Data analysis was carried out univariate, bivariate and multivariate with multiple logistic regression. The results of the analysis showed that there was a relationship between supplementary milk feeding and the frequency of feeding with the nutritional status of the child, while exclusive breastfeeding was not associated with the child's nutritional status. Thus, supplemental feeding and frequency of feeding are related to the nutritional status of children. From these results, the researchers recommend that health workers need to strengthen their educational programs to the community, related to parenting, feeding and clean living patterns so that children's growth and development are optimal.


Stunting merupakan hasil dari kekurangan gizi kronis atau berulang dan sering berlangsung seumur hidup. Stunting dapat disebabkan oleh kurangnya kesadaran ibu dalam praktik pemberian makanan pada anak. Tujuan dari penelitian ini adalah untuk mengetahui hubungan antara pemberian ASI Eksklusif dan susu tambahan dengan status gizi anak. Hipotesis penelitian adalah ada hubungan antara pemberian ASI Eksklusif dan susu tambahan dengan status gizi anak Penelitian berlangsung di Kecamatan Limo, Kota Depok. Desain penelitian adalah studi kasus kontrol. Subyek pada penelitian ini adalah anak usia 12-23 bulan. Kasus adalah anak stunting usia 12-23 bulan dengan indeks PB/U dengan z score -3 SD sd kurang dari -2 SD, sedangkan kontrol adalah anak dengan status gizi  normal atau yang memiliki indeks PB/U dengan z score -2 SD sd + 3SD. Berdasarkanrumuspengambilansampeldiperolehsampel minimal sebanyak 50.Jumlahakhirsampeladalah 110 anak. Analisis data dilakukan secara univariat, bivariat dan multivariat dengan regresi logistik berganda Hasil analisis menunjukkan bahwa ada hubungan antara pemberian susu tambahan dan frekuensi pemberian makan dengan status gizi anak, sedangkan pemberian ASI Eksklusif tidak berhubungan dengan status gizi anak. Dengan demikian Pemberian susu tambahan dan frekuensi pemberian makan berhubungan dengan status gizi anak. Dari hasil tersebut maka peneliti merekomendasikan bahwa Tenaga kesehatan perlu menguatkan program edukasinya kepada masyarakat, terkait pola asuh, pemberian makan dan pola hidup bersih sehingga pertumbuhan dan perkembangan anak optimal.

Keywords


Exclusive breastfeeding; supplementary milk; nutritional status

References


Alderman, H. (2010). The Economic Cost of A Poor Start to Life. J Dev Orig Health Dis, 1(1), 19–25.

Alles, M. S., Scholtens, P. A. M. J., & Bindels, J. G. (2004). Current trends in the composition of infant milk formulas, 51–63. https://doi.org/10.1016/j.cupe.2003.09.007

Andres, A., Casey, P. H., Cleves, M. A., & Badger, T. M. (2013). Body Fat and Bone Mineral Content of Infants Fed Breast Milk, Cow’s Milk Formula, or Soy Formula during the First Year of Life. The Journal of Pediatrics, 163(1), 49–54. https://doi.org/10.1016/j.jpeds.2012.12.067

Bhandari N, Bahl R, Mazumdar S, Martines J, Black RE, Bhan MK.Infant feeding study group. Effect of community-based promotion of exclusive breastfeeding on diarrhoeal illness and growth: a cluster randomized controlled trial. Lancet 2003; 361: 1418–23

Buckley, K. M. (2001). Long-Term Breastfeeding : Nourishment or Nurturance ?, 304–312.

Chunming, C. (2000). Fat intake and nutritional status of children in China 1 – 3. American Journal of Clinical Nutrition, 72, 1368–1372.

De Hoog, ML, van Eijsden M, Stronks K, Gemke RJ, Vrijkotte TG. 2011. The role of infant feeding practices in the explanation for ethnic differences in infant growth: the Amsterdam born children and their development study. Br J Nutr. 106: 1592_601.

EL Taguri, A., Betilma, I., Mahmud, S.M., Momem Ahmed, A., Goulet, O., Galan, P., et al. (2009). Risk Factors For Stunting Among Under-Fives In Libya. Publ Health Nutr. 12 (08): 1141-9. Available from: http://journals.cambridge.org

Fleddermann, M., Demmelmair, H., Grote, V., Nikolic, T., Trisic, B., & Koletzko, B. (2014). Infant formula composition affects energetic ef fi ciency for growth : The BeMIM study , a randomized controlled trial q. Clinical Nutrition, 33(4), 588–595. https://doi.org/10.1016/j.clnu.2013.12.007

Gubbels JS, Thijs C, Stafleu A, van Buuren S, Kremers SP. (2011). Association of breast-feeding and feeding on demand with child weight status up to 4 years. Int J Pediatr Obes. 6: e515_22.

Haider, R., & Saha, K. K. (2016). Breastfeeding and infant growth outcomes in the context of intensive peer counselling support in two communities in Bangladesh. International Breastfeeding Journal, 1–11. https://doi.org/10.1186/s13006-016-0077-6.

Heckman, J.J. (2006). Skill Information and The Economics of Investing in Disadvantaged Children. Science. 312. 1900-1902

Kavanagh-prochaska, K. (2006). Predictors of Bottle-Feeding Practices, Intake and Gowth of Formula-Fed Infants. University of California.

Kramer, M., Guo, T., Platt, R., Sevkovskaya, Z., Dzikovich, I., Collet, J., et al. (2003). Infants Growth and Health Outcomes Associated With 3 Compared With 6 Months Exclusive Breastfeeding. The American Journal of Clinical Nutricion. 78(2):291-295.

Kemenkes RI. 2013. Riset Kesehatan Dasar.

Kemenkes RI. (2018). Riset Kesehatan Dasar.

Mihrshahi, S., Battistutta, D., Magarey, A., & Daniels, L. A. (2011). Determinants of rapid weight gain during infancy : baseline results from the NOURISH randomised controlled trial. BMC Pediatrics, 11(1), 99. https://doi.org/10.1186/1471-2431-11-99

More J., Jenkins C., King C. and Shaw V. (2010). BDA Pediatric Group Position Statement: Weaning Infants onto Solid Foods. Brit. Diet. Assoc., 1.

Nnyepi, M. S. (2000). The Effect of The Motherss Choice and Timing of Complementary Foods on The Growth of Children In Gabane, Botswana. Michigan State University.

Oddy W, Scott J, Graham K, Binns C. (2006). Breastfeeding influences on growth and health at one year of age. Breastfeeding Review: Professional Publication of the Nursing Mothers’ Association of Australia. 14(1):15-23.

Ong, G., Yap, M., Li, F.L., Choo, T.B. (2005). Impact of Working Status on Breastfeeding in Singapore. Eur J Public Health. 14 (1). 17-24.

Pradhan, M., Sahn, D.E., Younger S.D. (2013). Decomposing world health inequality. J Health Econ. 22:271–93.

Rogers, S. L., & Blissett, J. (2017). Breastfeeding duration and its relation to weight gain, eating behaviours and positive maternal feeding practices in infancy. Appetite, 108, 399–406. https://doi.org/10.1016/j.appet.2016.10.020

Ryan, A. S., Zhou, W., & Arensberg, M. B. (2006). The Effect of Employment Status on Breastfeeding In The United States. Womens Health Issues, 16, 243–251. https://doi.org/10.1016/j.whi.2006.08.001

Rzehak, P., Sausenthaler, S., Koletzko, S., Bauer, C.P., Schaaf, B., von Berg, A., et al. (2009). Period-specific growth, overweight and modification by breastfeeding in the GINI and LISA birth cohorts up to age 6 years. Eur J Epidemiol. 24: 449_67.

Sedgh, G., Herrera, M. G., Nestel, P., Amin, A., & Fawzi, W. W. (2000). Community and International Nutrition Dietary Vitamin A Intake and Nondietary Factors Are Associated with Reversal of Stunting in Children. American Society for Nutritional Sciences, (January), 2520–2526.

Shinn, L. M. (2017). Infant Feeding Practices In The First Six Months Of Life And Subsequent Growth Performance. ProQuest Que, (c)

Shrimpton R, Victora CG, de Onis M, Lima RC, Blossner M, Clugston G. (2001). Worldwide Timing of Growth Faltering: Implications For Nutritional Interventions. Pediatrics. 107

Spyrides, M., Struchiner, C., Barbosa, M., Kac, G. (2005). Amamentação e crescimento infantil : um estudo longitudinal em crianças do Rio de Janeiro, Brasil, 1999/2001. Caderno Saúde Pública. 21(3):756-766.

Stettler N, Zemel BS, Kumanyika S, Stallings VA. 2002. Infant weight gain and childhood overweight status in a multicenter cohort study. Pediatrics. 109. 194-199.

WHO, Nutrition Landcape Information System (NLIS) Country Profile Indicators : Interpretation quite (Serial Online) Akses: http://www.WHO.int//nutrition. Tanggal 17 Desember 2013

WHO. (2016). Guidance on Ending The Inappropriate Promotion of Foods for Infants and Young Children. WHO Library Cataloguing-in-Publication Data

Wiegand, M. (2008). Controversies in Nutrition: Breastfeeding and Human Lactation. Union Institute & University.

UNICEF, WHO, & World Bank Group. (2015). Levels and trends in child malnutrition.

Zalla, L.C. (2015). The Prevalence and Social Determinants of Exclusive Breastfeeding and Implications for Infant Growth in Rural Haiti: A Mixed Methods Study. ProQuest LLC.


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