AbstrakDi Indonesia, kekurangan Vitamin A masih menjadi masalah kesehatan masyarakat yang penting seperti terlihat pada balita penderita vitamin A defisiensi subklinis yang tinggi (50%). Hal tersebut akan berpengaruh terhadap berbagai fungsi tubuh yang antara lain meliputi sistem imun, penglihatan, sistem reproduksi dan diferensiasi sel. Tujuan dari penelitian ini adalah untuk mengetahui kontribusi konsumsi minyak yang diperkaya vitamin A dalam memperbaiki status vitamin A dan hemoglobin balita. Penelitian dengan disain studi intervensi Before-After ini dilaksanakan pada anak sehat berusia 7-10 tahun yang diberi obat cacing sebelum intervensi dilakukan. Pengukuran serum retinol dan hemoglobin dilakukan sebelum dan 3 bulan setelah intervensi . Minyak yang difortifikasi vitamin A telah disediakan di warung/ toko di sekitar tempat tinggal responden. Untuk meningkatkan demand, penelitian ini dilengkapi dengan pendekatan pemasaran sosial yang dilakukan pihak lain. Secara umum tidak terlihat perubahan status gizi, tetapi prevalensi anemia turun dari 21,8% menjadi 11,6%. Sementara, prevalens vitamin A defisiensi ditemukan lebih rendah pada anak yang mengkonsumsi ≥12 minggu (26,6%) daripada yang mengkonsumsi < 12 minggu (42%) . Hasil tersebut dapat dijadikan pertimbangan untuk merekomendasikan agar minyak difortifikasi vitamin A. Kata kunci : Defisiensi vitamin A, anak sekolah, minyak fortifikasi AbstractVitamin A deficiency (VAD) remains as one of significant public health problems in Indonesia. Around 50% of under five children are suffering from subclinical VAD. Deficiency of vitamin A will affect several important role in the body, such as immune system, vision, reproductive system and cell differentiation. Therefore, guarding Indonesian children to be free from VAD is crucial for their quality as Human Resources. We assessed the impact of the consumption of vitamin A fortified cooking oil on the improvement of vitamin A and hemoglobin status among school children in urban slum area in Makassar City. The study was an intervention design Before-After. Healthy school children 7-10 years were selected from schools and de-wormed before the intervention. Serum retinol and hemoglobin was measured at baseline and at 3 months after. Fortified oil was made available through distribution at shops and accompanied with social marketing. Eventhough overall there was no change in VAD prevalence, the VAD prevalence is lower among children who consumed fortified oil ≥12 weeks (26.6%) compared to those who consumed <12 weeks (42%). Prevalence of anemia decreased from 21.8% to 11.6%. We recommended that fortified oil is made mandatory.
Vegetable consumption of the Indonesian population is still low in the teen age group both in rural and urban areas. Consumption of fruits and vegetables in adolescents is important for preventing degenerative diseases. The aim of the study was to determine the factors associated with fruit and vegetable consumption in adolescents in rural-urban areas. This study used a cross-sectional research design in Yogyakarta with 196 rural-urban teens. The analysis used was univariate, bivariate, analysis. The results showed that teenagers in urban areas ate less vegetables. Whereas in teenagers in rural areas, they consume less fruit. There is a significant relationship between vegetable consumption in adolescents in rural areas with father's education level (p = 0.031) and self-image perception (p = 0.041), while in urban areas there is a significant relationship between vegetable consumption and self-image perception (p = 0.049) and education in adolescents (p = 0.047). Fruit consumption in adolescents in rural areas that are significantly related is the perception of body image (p = 0.016), while in adolescents in urban areas that are significantly related is monthly money (p = 0.003). Suggestions that can be given are provide health education about the importance of the benefits of vegetables and fruit.
Introduction: Stunting has become one of the world's most discussed health topics. Dietary diversity takes on an important role in increasing the nutrition fulfilment of young children aged 6-59 months for their optimal growth. This study aims to understand the association between dietary diversity and stunting in children aged 6-59 months old in Babakan Madang subdistrict, Bogor district of West Java, Indonesia. Methods: This study used a cross-sectional design and was conducted in May 2019 in Babakan Madang subdistrict. The subjects chosen for this study were 200 children aged 6-59 months, and they were selected using the probabilityproportional-to-size sampling technique. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of four or more food groups out of the total seven groups. Data were analysed using descriptive statistics and chi-square test. Results: Poor dietary diversity was significantly related with stunting (p=0.023; OR=2.182; 95% CI: 1.152-4.134). In addition, age <2 years was a significant protective factor against stunting (p=0.011; OR=0.445; 95% CI: 0.246-0.806). Conclusion: The risk of stunting in children can be reduced by providing a variety of foods in their diets, which includes at least four food groups a day. There is a need to increase awareness among the population about appropriate nutrition through dietary education.
Background: The program for giving Fe tablets is one of the efforts to overcome anemia based on WHO recommendations, one of the targets is the adolescent girl. Indicators of the success of this program are decreasing the incidence of anemia in adolescent girls and increasing adherence to iron tablets consumption. Objectives: This research aims to determine the implementation of the Fe tablets program for adolescent girls in 2019 in Pekanbaru City. Methods: This research uses a qualitative method which is then presented with a descriptive narrative. The data obtained are primary data obtained and collected by in-depth interviews with informants and secondary data by document review and then analyzed by content analysis. Results: The results showed that the implementation of the Fe tablets program for young women in Pekanbaru City has been running, but there are still many obstacles in its implementation so that the scope of success of this program has not reached the national target. Constraints in its implementation include the lack of coordination of cross-sectoral cooperation, the lack of provision of IEC media in socialization, and the low level of compliance of adolescent girls in consuming iron tablets.Conclusions: It is necessary to strengthen coordination and control in the implementation of the Fe tablets program for adolescent girls in Pekanbaru City, it is necessary to increase the procurement of IEC media to support the success of this program and there is a need for improvement providing education to the adolescent girl and even parents or guardians on the knowledge about the importance of this Fe tablets program.Keywords: Fe tablets, adolescent girl, IEC
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