Efikasi Intervensi Suplementasi Zat Gizi terhadap Pencegahan Stunting pada Anak Usia < 5 tahun - Studi Literatur

Authors

  • Belinda Ardianti Universitas Airlangga
  • Sri Sumarmi Universitas Airlangga

DOI:

https://doi.org/10.33651/jpkik.v9i2.539

Abstract

Stunting is a chronic nutritional problem in children under five whose nutritional status is measured based on height for age. One of the efforts to prevent stunting is through intervention or nutritional supplementation. In this review, we will discuss some of the efficacy of supplementation interventions in children under 5 years of age as an effort to reduce the incidence of stunting. This literature review was carried out through a search for journals on the PubMed database in the last 10 years (2011-2021) which resulted in 15 journals that fall into the inclusion criteria in this review. The results of the review show that there are 4 nutritional supplementation intervention methods applied to children under 5 years, including zinc supplementation, LNS supplementation (Lipid-Based Nutrient Supplements), MNP supplementation (Micronutrient Powder) and vitamin D supplementation. Zinc and MNP supplementation interventions, the results showed that there was no effect between the intervention group and the control group on the incidence of stunting or linear growth in children. While the LNS supplementation method, the majority of journals show that there is a significant effect on reducing the incidence of stunting in children. This is because LNS is a supplementation product that combines macro and micro nutrients so that the handling of stunting or for prevention is more optimal. This literature study conclude intervention that has high efficacy in reducing the incidence of stunting is LNS supplementation.

References

Sugeng HM, Tarigan R, Sari NM. Gambaran Tumbuh Kembang Anak pada Periode Emas Usia 0-24 Bulan di Posyandu Wilayah Kecamatan Jatinangor. JSK. 2019;4(3):6.

Kandowangko H, Nelly M, Maureen I. Hubungan Antara Pemberian Makanan Pendamping Asi (MP-ASI) Dengan Status Gizi Anak Usia 12-24 Bulan di 5 Puskesmas Kota Manado. Jurnal Kesmas. 2019;7(4).

WHO. WHO. World Health Organization; 2019 [cited 2020 Sep 16]. WHO | Child malnutrition. Available from: http://www.who.int/gho/child-malnutrition/en/

Kemenkes. Laporan Nasional RISKESDAS 2018. Kementerian Kesehatan Republik Indonesia; 2018.

Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the Stunting of Children Under Two Years Old in Indonesia: A Multilevel Analysis of the 2013 Indonesia Basic Health Survey. Nutrients. 2019 May 18;11(5):1106.

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in INDONESIA. Matern Child Nutr. 2018 Oct;14(4):e12617.

Widyaningsih N, Kumandar, Sapja A. Keragaman pangan, pola asuh makan dan kejadian stunting pada balita usia 24-59 bulan. Jurnal Gizi Indonesia. 2018;7(1):22–9.

TNP2K. 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting). Jakarta; 2017.

Tam E, Keats EC, Rind F, Das JK, Bhutta AZA. Micronutrient Supplementation and Fortification Interventions on Health and Development Outcomes among Children Under-Five in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis. Nutrients. 2020 Jan 21;12(2).

Chaparro CM, Dewey KG. Use of lipid-based nutrient supplements (LNS) to improve the nutrient adequacy of general food distribution rations for vulnerable sub-groups in emergency settings. Maternal & Child Nutrition. 2010;6(s1):1–69.

Barffour MA, Hinnouho GM, Kounnavong S, Wessells KR, Ratsavong K, Bounheuang B, et al. Effects of Daily Zinc, Daily Multiple Micronutrient Powder, or Therapeutic Zinc Supplementation for Diarrhea Prevention on Physical Growth, Anemia, and Micronutrient Status in Rural Laotian Children: A Randomized Controlled Trial. J Pediatr. 2019 Apr;207:80-89.e2.

Locks LM, Manji KP, McDonald CM, Kupka R, Kisenge R, Aboud S, et al. Effect of zinc and multivitamin supplementation on the growth of Tanzanian children aged 6-84 wk: a randomized, placebo-controlled, double-blind trial. Am J Clin Nutr. 2016 Mar;103(3):910–8.

Radhakrishna KV, Hemalatha R, Geddam JJB, Kumar PA, Balakrishna N, Shatrugna V. Effectiveness of zinc supplementation to full term normal infants: a community based double blind, randomized, controlled, clinical trial. PLoS One. 2013;8(5):e61486.

Kejo D, Petrucka P, Martin H, Mosha TCE, Kimanya ME. Vol. 2019, Scientifica. Hindawi; 2019 [cited 2021 Jan 23]. p. e8979456 Efficacy of Different Doses of Multiple Micronutrient Powder on Haemoglobin Concentration in Children Aged 6–59 Months in Arusha District. Available from: https://www.hindawi.com/journals/scientifica/2019/8979456/

Lanou HB, Osendarp SJM, Argaw A, De Polnay K, Ouédraogo C, Kouanda S, et al. Micronutrient powder supplements combined with nutrition education marginally improve growth amongst children aged 6-23 months in rural Burkina Faso: A cluster randomized controlled trial. Matern Child Nutr. 2019 Oct;15(4):e12820.

Suchdev PS, Ruth LJ, Woodruff BA, Mbakaya C, Mandava U, Flores-Ayala R, et al. Selling Sprinkles micronutrient powder reduces anemia, iron deficiency, and vitamin A deficiency in young children in Western Kenya: a cluster-randomized controlled trial. Am J Clin Nutr. 2012 May;95(5):1223–30.

Gera T, Pena-Rosas JP, Boy-Mena E, Sachdev HS. Lipid based nutrient supplements (LNS) for treatment of children (6 months to 59 months) with moderate acute malnutrition (MAM): A systematic review. PLoS One [Internet]. 2017 Sep 21 [cited 2021 Jan 24];12(9). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608196/

Hess SY, Abbeddou S, Jimenez EY, Somé JW, Vosti SA, Ouédraogo ZP, et al. Small-quantity lipid-based nutrient supplements, regardless of their zinc content, increase growth and reduce the prevalence of stunting and wasting in young burkinabe children: a cluster-randomized trial. PLoS One. 2015;10(3):e0122242.

Prudhon C, Langendorf C, Roederer T, Doyon S, Mamaty AA, Woi-Messe L, et al. Effect of ready-to-use foods for preventing child undernutrition in Niger: analysis of a prospective intervention study over 15?months of follow-up. Matern Child Nutr. 2017 Jan;13(1).

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 Jan;99(1):198–208.

Mangani C, Maleta K, Phuka J, Cheung YB, Thakwalakwa C, Dewey K, et al. Effect of complementary feeding with lipid-based nutrient supplements and corn-soy blend on the incidence of stunting and linear growth among 6- to 18-month-old infants and children in rural Malawi. Matern Child Nutr. 2015 Dec;11 Suppl 4:132–43.

WFP. Wawa Mum: From The Factory To The Field | World Food Programme [Internet]. 2011 [cited 2021 Jan 23]. Available from: https://www.wfp.org/videos/wawa-mum-factory-field

Khan GN, Kureishy S, Ariff S, Rizvi A, Sajid M, Garzon C, et al. Effect of lipid-based nutrient supplement-Medium quantity on reduction of stunting in children 6-23 months of age in Sindh, Pakistan: A cluster randomized controlled trial. PLoS One. 2020;15(8):e0237210.

Yu EA, Huey SL, Peña?Rosas JP, Mehta S. The effects of oral vitamin D supplementation on linear growth and non?communicable diseases among infants and children younger than five years of age. Cochrane Database Syst Rev [Internet]. 2017 Nov 16 [cited 2021 Jan 24];2017(11). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6486017/

Kumar GT, Sachdev HS, Chellani H, Rehman AM, Singh V, Arora H, et al. Effect of weekly vitamin D supplements on mortality, morbidity, and growth of low birthweight term infants in India up to age 6 months: randomised controlled trial. BMJ. 2011 May 31;342:d2975.

Crowe FL, Mughal MZ, Maroof Z, Berry J, Kaleem M, Abburu S, et al. Vitamin D for Growth and Rickets in Stunted Children: A Randomized Trial. Pediatrics. 2021 Jan;147(1):e20200815.

de Onis M, Borghi E, Arimond M, Webb P, Croft T, Saha K, et al. Prevalence thresholds for wasting, overweight and stunting in children under 5 years. Public Health Nutr. 2019 Jan;22(1):175–9.

Whitney EN, Rolfes SR. Understanding nutrition. 12th ed. Belmont, CA: Wadsworth, Cengage Learning; 2011. 1 p.

Roohani N, Hurrell R, Kelishadi R, Schulin R. Zinc and its importance for human health: An integrative review. Journal of Research in Medical Sciences?: The Official Journal of Isfahan University of Medical Sciences. 2013 Feb;18(2):144.

Liu E, Pimpin L, Shulkin M, Kranz S, Duggan CP, Mozaffarian D, et al. Effect of Zinc Supplementation on Growth Outcomes in Children under 5 Years of Age. Nutrients [Internet]. 2018 Mar 20 [cited 2021 Jan 24];10(3). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5872795/

HFTAG. Programmatic Guidance Brief On Use Of Micronutrient Powders (MNP) For Home Fortification [Internet]. 2011. Available from: https://sites.unicef.org/nutrition/files/HFTAG_Micronutrient_Powder_Program_Guidance_Brief.pdf

Salam RA, MacPhail C, Das JK, Bhutta ZA. Effectiveness of Micronutrient Powders (MNP) in women and children. BMC Public Health. 2013 Sep 17;13(3):S22.

WFP. Lipid-based Nutrient Supplement - Small Quantity (LNS-SQ) [Internet]. WFP; 2020. Available from: https://docs.wfp.org/api/documents/WFP-0000106806/download/

WFP. Lipid-based Nutrient Supplement - Medium Quantity (LNS-MQ) [Internet]. WFP; 2020. Available from: https://documents.wfp.org/stellent/groups/public/documents/manual_guide_proced/wfp281192.pdf

Bendabenda J, Alho L, Ashorn U, Cheung YB, Dewey KG, Vosti SA, et al. The effect of providing lipid-based nutrient supplements on morbidity in rural Malawian infants and young children: a randomized controlled trial. Public Health Nutrition. 2016 Jul;19(10):1893–903.

Galasso E, Weber AM, Stewart CP, Ratsifandrihamanana L, Fernald LCH. Effects of nutritional supplementation and home visiting on growth and development in young children in Madagascar: a cluster-randomised controlled trial. The Lancet Global Health. 2019 Sep;7(9):e1257–68.

Ganmaa D, Stuart JJ, Sumberzul N, Ninjin B, Giovannucci E, Kleinman K, et al. Vitamin D supplementation and growth in urban Mongol school children: Results from two randomized clinical trials. PLoS One. 2017;12(5):e0175237.

Published

2023-10-09

How to Cite

Ardianti, B., & Sumarmi, S. (2023). Efikasi Intervensi Suplementasi Zat Gizi terhadap Pencegahan Stunting pada Anak Usia < 5 tahun - Studi Literatur. Jurnal Penelitian Dan Kajian Ilmiah Kesehatan Politeknik Medica Farma Husada Mataram, 9(2), 46-56. https://doi.org/10.33651/jpkik.v9i2.539

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