PENGARUH PEMBERIAN PANGAN FORTIFIKASI ZAT MULTI GIZI MIKRO PADA IBU HAMIL TERHADAP PERTUMBUHAN LINIER, TINGGI LUTUT DAN STATUS ANEMIA BAYI

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Bernatal Saragih
Hidayat Syarief
Hadi Riyadi
Amini Nasoetion

Abstract

EFFECT OF MULTI MICRONUTRIENTS FORTIFIED SUPPLEMENTARY FOOD IN PREGNANT WOMEN ON LINEAR GROWTH, KNEE HEIGHT AND ANEMIA STATUS OF INFANTS


Like in many developing countries, macro and micro nutritional deficiencies are the serious
problem, especially for Indonesian pregnant women and young age children. Early nutritional
intervention strategy through supplementary fortified foods for pregnant women is one of
alternative nutritional improvement interventions for the next generation.
The objective of this study is to analize the impact of multi micronutrients fortified supplementary
food in pregnant mothers on linear growth, knee height and anemia status of infants. This study
was conducted in three sub-districts of Bogor Distritcs namely: Leuwiliang, Leuwisadeng and
Ciampea. This prospective cohort study follow up 120 infants. The total of infants has been
followed up was 120. From 120 born infants, 40 infants were selected as a fortified group in which
their mothers during pregnancy received fortified food (consists of vermicelli, milk and biscuit with
multi-nutrients i.e. iron, iodine, zinc, folic acid, vitamin C and vitamin A), 40 infants as unfortified
groups in which their mothers was received non fortified foods, and 40 infants as control groups
(their mothers did not receive any experiment food). Data analyzed using SPSS 13.0. Z-score
were calculated for the length-for-age (HAZ) of WHO 2006 growth reference.
The result of study showed that multi micronutrients fortified supplementary food for pregnant
mothers had significant effect on infants linear growth which was 2.18 cm taller compared to
control group and 1.53 cm taller compared to unfortified group. The mean of liniear growth and
HAZ fortified group up to 6 months infants was better than unfortified and control. Earlier
complementary food intoduction were associated with the decrease of infants’ linear growth and
HAZ. Stunting (5.0%) was found at two months of infants’ age in control group. Fortified food
supplementation for pregnant women had significant effect on infant knee height gain. Infant knee
height (< 14.248 cm) at 6 months was categorized as stunting. Multi micronutrients fortified
supplementary food in pregnant mother had an retention effect of decreased infants Hb at up to 6
months.


Keywords: Multi micronutrients, pregnancy, infant, breast feeding, linear growth, knee height,
hemoglobin

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