DOI: https://doi.org/10.14710/jnc.v12i3.34518

THE EFFECT OF TABURIA FORTIFICATION AND NUTRITION EDUCATION OF MOTHERS TO ON NUTRITIONAL STATUS OF 12-24 MONTHS OLD CHILDREN IN INDONESIA : RANDOMIZED CONTROLLED TRIAL STUDY

1Department of Nutrition, Faculty of Health Sciences, Universitas Esa Unggul, Indonesia

2Department of Pediatrics, Faculty of Medicine, Universitas Diponegoro, Indonesia

3Faculty of Public Health, Universitas Diponegoro, Indonesia

Received: 23 Jun 2022; Published: 31 Aug 2023.

Citation Format:
Abstract
ABSTRACT

Background: Mother's nutritional knowledge and parents' feeding practices will influence children's eating behavior which have an impact on the child's growth.

Objective: The purpose of this study was to determine the effects of Taburia fortification and nutrition education of mothers on the nutritional status of children in Waipare Public health center in East Nusa Tenggara.

Materials and Methods: This study was a randomized controlled trial. A total of 180 mothers and their children aged 12-24 months who had malnourished (z-score -3 to -2). The group divided into teams were the intervention group (IG) (n=90) and the control group (CG) (n=90). The IG give intervention for three months. The mothers were given nutrition education, while their children were given taburia. The CG, mothers were given nutrition education. Data feeding rules obtained using a self-administered feeding practice-Questionnaire (FPQ). Dietary intake assessment of macronutrient and micronutrient three-day food records, nutritional status, and percentage of child's sick day was conducted before and after the intervention.

Results: The result of the study showed that there was no significant difference in the mean increase (P> 0.01) between knowledge scores in IG and CG, post-intervention. Lower percentage of sickness among children in IG than CG. The average nutrient intake, WAZ (0.97±0.52), WLZ (1.02±0.42) of IG increased and was higher than CG after the intervention. The LAZ of IG increased (0.34±0.66 SD) while on the CG declined (0.27±0,31 SD).

Conclusion: Thus, The Taburia fortification intervention was useful in improving WAZ, LAZ, WLZ in children who experienced malnutrition, but the intervention nutrition education of mothers can increase WAZ and WLZ.

 

Fulltext View|Download
Keywords: Dietary intake; Feeding practice; Intervension study; Malnutrition; Taburia fortification

Article Metrics:

Article Info
Section: Articles
Language : EN
Recent articles
HUBUNGAN PENGETAHUAN DAN SIKAP HYGIENE SANITASI DENGAN PERILAKU PERSONAL HYGIENE PADA PENJAMAH MAKANAN KAKI LIMA DI KECAMATAN TAPOS KOTA DEPOK PROFIL KANDUNGAN MAKRONUTRIEN DAN GULA TAMBAHAN PADA PRODUK SUSU CAIR DAN KONTRIBUSINYA TERHADAP KECUKUPAN HARIAN BATITA HUBUNGAN ANTARA FOOD TABOO DAN KEPATUHAN MENGKONSUMSI TABLET TAMBAH DARAH DENGAN KEJADIAN ANEMIA PADA IBU HAMIL More recent articles
  1. United Nations-World Health Organization-The World Bank Group. UNICEF-WHO-The World Bank: Joint child malnutrition estimates - Levels and trends. UNICEF,2019;p.1-15. Available from: https://www.who.int/nutgrowthdb/estimates/en/
  2. Grantham-mcgregor S, Cheung YB, Cueto S, Glewwe P, Richter L, Strupp B. Developmental potential in the first 5 years for children in developing countries. Lancet 2007; 369: 60-70. https://doi.org/10.1016/S0140-6736(07)60032-4
  3. Black RE, Cousens S, Johnson HL, Lawn JE, Rudan I, Bassani DG, et al. Global, regional, and national causes of child mortality in 2008: A systematic analysis. Lancet. 2008; 375(9730): 1969–87. http://dx.doi.org/10.1016/S0140-6736(10)60549-1
  4. District B, Bengal W, Sinhababu A, Mukhopadhyay DK, Panja TK, Saren AB, et al. Infant- and Young Child-feeding Practices in Bankura District, West Bengal, India. 2010; 28(3): 294–9. https://doi.org/10.3329/jhpn.v28i3.5559
  5. Phuka JC, Maleta K, Thakwalakwa C, Yin BC, Briend A, Manary MJ, et al. Postintervention growth of Malawian children who received 12-mo dietary complementation with a lipid-based nutrient supplement or maize-soy flour. Am J Clin Nutr. 2009; 89(1): 382–90. https://doi.org/10.3945/ajcn.2008.26483
  6. Indonesia, Ministry of Health (MOH). Presentation of Principles of Basic Health Research Results 2013. Kementrian Kesehatan RI: Jakarta, 2013. Available from: http://kesga.kemkes.go.id/images/pedoman/Data%20Riskesdas%202013.pdf
  7. Sullivan NPO, Lelijveld N, Rutishauser-perera A, Kerac M, James P. Follow-up between 6 and 24 months after discharge from treatment for severe acute malnutrition in children aged 6-59 months : A systematic review. 2018;1–18. https://doi.org/10.1371/journal.pone.0202053
  8. Phuka JC, Maleta K, Thakwalakwa C, Cheung YB, Briend A, Manary MJ, Ashorn P. COmplementary feeding with fortified spread and incidence of severe stunting in 6- to 18-month-old rural Malawians. Arch Pediatr Adolesc Med. 2008;162(7):619–26. https://doi.org/10.1001/archpedi.162.7.619
  9. Adu-Afarwuah S, Lartey A, Brown KH, Zlotkin S, Briend A, Dewey KG. Randomized comparison of 3 types of micronutrient supplements for home fortification of complementary foods in Ghana: Effects on growth and motor development. Am J Clin Nutr. 2007; 86(2): 412–20. https://doi.org/10.1093/ajcn/86.2.412
  10. Iannotti LL, Dulience SJL, Green J, Joseph S, François J, Anténor ML, et al. Linear growth increased in young children in an urban slum of Haiti: A randomized controlled trial of a lipid-based nutrient supplement. Am J Clin Nutr. 2014; 99(1): 198–208. https://doi.org/10.3945/ajcn.113.063883
  11. Indonesia, Ministry of Health (MOH). What and why about Taburia. Direktorat Jenderal Bina a Kesehatan Masyarakat. 2012
  12. Hennessy E, Hughes SO, Goldberg JP, Hyatt RR, Economos CD. Permissive Parental Feeding behavior is associated with an increase in intake of low-nutrient-dense foods among American children living in rural communities. J Acad Nutr Diet. 2012;112(1):142–8. http://dx.doi.org/10.1016/j.jada.2011.08.030
  13. Yabancı N, Kısaç İ, Karakuş SŞ. The Effects of Mother’s Nutritional Knowledge on Attitudes and Behaviors of Children about Nutrition. Procedia - Soc Behav Sci. 2014; 116: 4477–81. https://doi.org/10.1016/j.sbspro.2014.01.970
  14. Shroff MR, Griffiths PL, Suchindran C, Nagalla B, Vazir S, Bentley ME. Does maternal autonomy influence feeding practices and infant growth in rural India? Soc Sci Med. 2011; 73(3): 447–55. https://doi.org/10.1016/j.socscimed.2011.05.040
  15. Donner A KN. Pitfalls of and Controversies in Cluster Randomization Trials. Am J Public Health. 2004; 94(3). https://doi.org/10.2105/ajph.94.3.416
  16. World Health Organization. WHO Anthro growth and development of the. World Health: 2010. Available from: https://www.who.int/childgrowth/software/anthro_pc_manual.pdf
  17. Erhardt Juergen GR. Nutrition Surveys and Calculations [Internet]. 2010. Available from: http://www.nutrisurvey.de/
  18. Walker CLF, Fontaine O, Black RE. Measuring Coverage in MNCH : Current Indicators for Measuring Coverage of Diarrhea Treatment Interventions and Opportunities for Improvement. Plos Medicine. 2013; 10(5): 1–6. https://doi.org/10.1371/journal.pmed.1001385
  19. Toivonen Laura, Karppinen Sinikka, Havupalo S Linnea, Jaakkola T Tamara, Vuononvirta Juho, Mertsola Jussi, He Qiushui, Waris Matti PVP. Burden of Recurrent Respiratory Tract Infections in Children. Pediatr Infect Dis J. 2016; 35(12) :362–9. https://doi.org/10.1097/INF.0000000000001304
  20. World Health Organization. Indicators for Assessing Infant and Young Child Feeding Practices – Part I: Definitions. Geneva; 2008
  21. Ministry of Republic of Indonesia. Regulation of the minister of health of the republic of indonesia number 28 of 2019 concerning nutritional fitness successfully recommended for indonesian communities. Carbohydr Polym. 2019;
  22. Shi L, Zhang J. Recent Evidence of the Effectiveness of Educational Interventions for Improving Complementary Feeding Practices in Developing Countries. J Trop Pediatr. 2011; 57(2). https://doi.org/10.1093/tropej/fmq053
  23. Menon P, Bamezai A, Subandoro A, Ayoya MA, Aguayo VM. Original Article Age-appropriate infant and young child feeding practices are associated with child nutrition in India : insights from nationally representative data. Matern Child Nutr. 2015; 73–87. https://doi.org/10.1111/mcn.12036
  24. Ramakrishnan U, Goldenberg T, Allen LH. Do multiple micronutrient interventions improve child health, growth, and development? J Nutr. 2011; 141(11): 2066–75. https://doi.org/10.3945/jn.111.146845
  25. Sazawal S, Dhingra P, Dhingra U, Gupta S, Iyengar V, Menon VP, et al. Compliance with home-based fortification strategies for delivery of iron and zinc: Its effect on haematological and growth markers among 6-24 months old children in North India. J Heal Popul Nutr. 2014; 32(2): 217–26. Available from: https://pubmed.ncbi.nlm.nih.gov/25076659/
  26. Bilukha O, Howard C, Wilkinson C, Bamrah S, Husain F. Effects of multimicronutrient home fortification on anemia and growth in Bhutanese refugee children. 2011; 32(3): 264–76. https://doi.org/10.1177/156482651103200312
  27. Yousafzai AK, Rasheed MA, Rizvi A, Armstrong R, Bhutta ZA. Effect of integrated responsive stimulation and nutrition interventions in the Lady Health Worker programme in Pakistan on child development , growth , and health outcomes : A cluster-randomised factorial eff ectiveness trial. 2014; 384(9950): 1–12. https://doi.org/10.1016/S0140-6736(14)60455-4

Last update:

No citation recorded.

Last update:

No citation recorded.