Evaluation of Weaning Practice Elements for Stunting Risk Prevention in Covid-19 Pandemic: Study on Indonesian Toddlers (Rapid Review)
Kajian Elemen Pemberian Makan Balita sebagai Upaya Pencegahan Stunting di Saat Pandemi Covid-19: Studi pada Balita di Indonesia (Rapid Review)
Downloads
Background: The prevalence of stunting under five in Indonesia is still below the government's target for 2024, which is 14%. The problem of the availability of food ingredients to make nutritious food as a result of a decrease in family income during the Covid-19 pandemic became the main factor in providing toddler food. Improper feeding of toddlers can affect the growth and development of toddlers including stunting. The main components of toddler feeding according to WHO standards consist of time to introduce food, diversity of food ingredients, frequency of feeding, breastfeeding up to 2 years, and sanitation hygiene in preparing toddler food. However, the components of toddler feeding are still very diverse.
Objective: To examine the components of toddler feeding that can be used in efforts to prevent stunting in toddlers in Indonesia
Discussion: Through the PubMed database, Science Direct, and Google Scholar with the keywords complementary feeding during covid, 11 observational studies were found with cross-sectional, case-control and case study designsComponents in toddler feeding related to stunting during the Covid-19 pandemic are the introduction of food, minimum food diversity (MDD), minimum meal frequency (MFF), portion standards, and appetite. While the level of knowledge, family income, caregivers, history of breastfeeding, conducive eating situations, and the use of instant porridge are other components that have the potential to cause stunting in toddlers.
Conclusion: The introduction of food, a certain amount of variety in the diet, and a minimum number of meals per day are the general elements of toddler feeding that must be taken into account in order to prevent stunting during a pandemic.
Kramer CV, Allen S. Malnutrition in developing countries. Paediatrics and child health. 2015;25(9):422-427.
Koyuncu A, Simuyandi M, Bosomprah S, Chilengi R. Nutritional status, environmental enteric dysfunction, and prevalence of rotavirus diarrhoea among children in Zambia. PloS one. 2020;15(10):e0240258.
Cusick S, Georgieff MK. The first 1,000 days of life: The brain's window of opportunity. UNICEF Office of Research–Innocenti, https://www unicef-irc org/article/958-the-first-1000-days-of-life-the-brains-window-of-opportunity html. Published online 2016.
Gautam KP, Adhikari M, Khatri RB, Devkota MD. Determinants of infant and young child feeding practices in Rupandehi, Nepal. BMC research notes. 2016;9(1):1-7.
Eshete T, Kummasa G, Bazezew Y, Mihretie A, Marie T. Determinants of inadequate minimum dietary diversity among children aged 6–23 months in Ethiopia: secondary data analysis from Ethiopian Demographic and Health Survey 2016. Agriculture & Food Security. 2018;7(1):1-8.
Unicef. Malnutrition rates remain alarming: stunting is declining too slowly while wasting still impacts the lives of far too many young children. New York, NY: UNICEF[Google Scholar]. Published online 2018.
Kemenkes R. Hasil utama RISKESDAS 2018. Jakarta: Kemenkes RI. Published online 2018.
Williams J, Namazova-Baranova L, Weber M, et al. The Importance of Continuing Breastfeeding during Coronavirus Disease-2019: In Support of the World Health Organization Statement on Breastfeeding during the Pandemic. The Journal of Pediatrics. 2020;223:234-236. doi:10.1016/j.jpeds.2020.05.009
Marriott BP, White A, Hadden L, Davies JC, Wallingford JC. World Health Organization (WHO) infant and young child feeding indicators: associations with growth measures in 14 low"income countries. Maternal & child nutrition. 2012;8(3):354-370.
Arini D, Nursalam N, Mahmudah M, Faradilah I. The incidence of stunting, the frequency/duration of diarrhea and Acute Respiratory Infection in toddlers. Journal of Public Health Research. 2020;9(2):jphr-2020.
World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. World Health Organization; 2009.
Damanik SM, Wanda D, Hayati H. Feeding practices for toddlers with stunting in Jakarta: A case study. Pediatric Reports. 2020;12(s1):8695.
Rahmadhita K. Permasalahan Stunting dan Pencegahannya. Jurnal Ilmiah Kesehatan Sandi Husada. 2020;9(1):225-229.
Kuchenbecker J, Jordan I, Reinbott A, et al. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Paediatrics and international child health. 2015;35(1):14-23.
Wangiyana NKAS, Karuniawaty TP, John RE, et al. PRAKTIK PEMBERIAN MP-ASI TERHADAP RISIKO STUNTING PADA ANAK USIA 6-12 BULAN DI LOMBOK TENGAH [THE COMPLEMENTARY FEEDING PRACTICE AND RISK OF STUNTING AMONG CHILDREN AGED 6-12 MONTHS IN CENTRAL LOMBOK]. Penelitian Gizi Dan Makanan (The Journal of Nutrition and Food Research). 2020;43(2):81-88.
Hasanah S, Masmuri M, Purnomo A. Hubungan Pemberian ASI dan MP ASI dengan Kejadian Stunting pada Baduta (Balita Bawah 2 Tahun) di Wilayah Kerja Puskesmas Kampung Dalam. Khatulistiwa Nursing Journal. 2020;2(1).
Rahmah FN, Rahfiludin MZ, Kartasurya MI. Pmasan Praktik Pemberian Makanan Pendamping ASI Terhadap Status Gizi Anak Usia 6-24 Bulan di Indonesia: Telaah Pustaka. MEDIA KESEHATAN MASYARAKAT INDONESIA. 2020;19(6):392-401.
Mufida L, Widyaningsih TD, Maligan JM. Prinsip Dasar Makanan Pendamping Air Susu Ibu (MP-ASI) Untuk Bayi 6–24 Bulan: Kajian Pustaka [In Press September 2015]. Jurnal Pangan dan Agroindustri. 2015;3(4).
Akande OA, Nakimbugwe D, Mukisa IM. Optimization of extrusion conditions for the production of instant grain amaranth"based porridge flour. Food science & nutrition. 2017;5(6):1205-1214.
WFP FI. The state of food insecurity in the world: how does international price volatility affect domestic economies and food security. FAO, IFAD, WFP, Italy. Published online 2011.
World Health Organization. Infant and Young Child Feeding: Model Chapter for Textbooks for Medical Students and Allied Health Professionals. World Health Organization; 2009.
Wantina M, Rahayu LS, Yuliana I. Kmasagaman konsumsi pangan sebagai faktor risiko stunting pada balita usia 6-24 bulan. ARGIPA (Arsip Gizi dan Pangan). 2017;2(2):89-96.
Rah JH, Akhter N, Semba RD, et al. Low dietary diversity is a predictor of child stunting in rural Bangladesh. European journal of clinical nutrition. 2010;64(12):1393-1398.
Haryati ACP, Mahmudiono T. Frekuensi Pemberian MP-ASI pada Baduta Stunting dan Non-Stunting Usia 6-24 Bulan di Wilayah Kerja Puskesmas Sidotopo Kota Surabaya. Media Gizi Kesmas. 2021;10(2):180-186.
Trisasmita L, Sudiarti T, Sartika RAD, Setiarini A. Identification of dietary diversity associated with stunting in Indonesia. Malaysian Journal of Nutrition. 2020;26(1).
Abeshu MA, Lelisa A, Geleta B. Complementary feeding: review of recommendations, feeding practices, and adequacy of homemade complementary food preparations in developing countries–lessons from Ethiopia. Frontiers in nutrition. 2016;3:41.
Asrat U. Promoting Home Prepared Soy-dishes for Fighting Protein-Energy Malnutrition: Evidence from Demonstration Training. Published online 2021.
Michaelsen KF, Hoppe C, Roos N, et al. Choice of foods and ingredients for modmasately malnourished children 6 months to 5 years of age. Food and nutrition bulletin. 2009;30(3_suppl3):S343-S404.
Widaryanti R. Pemberian Makan Bayi Dan Anak. Deepublish; 2019.
Thobias IA, Djokosujono K. KMASAGAMAN MAKAN MINIMUM SEBAGAI FAKTOR DOMINAN STUNTING PADA ANAK USIA 6-23 BULAN DI KABUPATEN KUPANG. JKG. 2021;3(2):136-143. doi:10.35451/jkg.v3i2.592
Thobias IA, Djokosujono K. Kmasagaman Makan Minimum Sebagai Faktor Dominan Stunting Pada Anak Usia 6-23 Bulan Di Kabupaten Kupang. Jurnal Kesmas Dan Gizi (Jkg). 2021;3(2):136-143.
World Health Organization. Indicators for Assessing Infant and Young Child Feeding Practices Part 3: Country Profiles. World Health Organization; 2010.
Widyawati W, Febry F, Destriatania S. Analisis Pemberian MP-ASI dengan Status Gizi pada Anak Usia 12-24 Bulan Di Wilayah Kerja Puskesmas Lesung Batu, Empat Lawang. Jurnal Ilmu Kesehatan Masyarakat. 2016;7(2):139-149.
Limardi S, Hasanah DM, Utami NMD, Sidiartha IGL. Investigating Minimum Acceptable Diet and Infant and Child Feeding Index as indicators of stunting in children aged 6-23 months. Paediatrica Indonesiana. 2020;60(5):259-268.
Nai HM, Gunawan IMA, Nurwanti E. Praktik pemberian makanan pendamping ASI (MP-ASI) bukan faktor risiko kejadian stunting pada anak usia 6-23 bulan. Jurnal Gizi dan Dietetik Indonesia (Indonesian Journal of Nutrition and Dietetics). 2016;2(3):126-139.
Rohner F, Bradley AW, Grant JA, et al. Infant and young child feeding practices in urban Philippines and their associations with stunting, anemia, and deficiencies of iron and vitamin A. Food and nutrition bulletin. 2013;34(2_suppl1):S17-S34.
Noorhasanah E, Tauhidah NI, Putri MC. Faktor-Faktor Yang Berhubungan Dengan Kejadian Stunting Pada Balita Di Wilayah Kerja Puskesmas Tatah Makmur Kabupaten Banjar. Journal of Midwifery and Reproduction. 2020;4(1):13-20.
Ayuningtyas A, Simbolon D, Rizal A. Asupan zat gizi makro dan mikro terhadap kejadian stunting pada balita. Jurnal Kesehatan. 2018;9(3):445-450.
Sirajuddin S, Hadju V, Sudargo T, Hartono R, Ipa A, Ishak SIZS. Complemetary feeding practices influences of stunting children in Buginese ethnicity. Indian Journal of Forensic Medicine & Toxicology. Published online 2020.
Ramirez-Silva I, Pérez Ferrer C, Ariza AC, et al. Infant feeding, appetite and satiety regulation, and adiposity during infancy: a study design and protocol of the ‘MAS-Lactancia' birth cohort. BMJ Open. 2021;11(10):e051400. doi:10.1136/bmjopen-2021-051400
Dranesia A, Wanda D, Hayati H. Pressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, Indonesia. Enfermería Clínica. 2019;29:81-86. doi:10.1016/j.enfcli.2019.04.013
Farhanidiah S, Arief YS, Kurnia ID. Feeding Behavior Among Stunting Toddler's Mothers. Pediomaternal Nurs J. 2021;7(1):26. doi:10.20473/pmnj.v7i1.21501
Cetthakrikul N, Topothai C, Suphanchaimat R, Tisayaticom K, Limwattananon S, Tangcharoensathien V. Childhood stunting in Thailand: when prolonged breastfeeding intmasacts with household poverty. BMC pediatrics. 2018;18(1):1-9.
Imelda I, Rahman N, Nur R. Faktor risiko kejadian stunting pada anak umur 2-5 tahun di Puskesmas Biromaru. Ghidza: Jurnal Gizi dan Kesehatan. 2018;2(1):39-43.
Adhi KT, Widarini NP, Suariyani NLP, Suandana I, Januraga PP. Nutritional status, nutrient density, and dietary diversity of children under five during COVID-19 pandemic in. Jurnal Gizi Klinik Indonesia. 18(3):11.
Widyaningrum R, Safitri RA, Ramadhani K, Suryani D, Syarief F. Complementary Feeding Practices During COVID-19 Outbreak in Damasah Istimewa Yogyakarta, Indonesia, and Its Related Factor. Asia Pac J Public Health. 2021;33(1):150-153. doi:10.1177/1010539520976518
Amalia ID, Lubis DPU, Khoeriyah SM. HUBUNGAN PENGETAHUAN IBU TENTANG GIZI DENGAN KEJADIAN STUNTING PADA BALITA. JKSI. 2021;12(2):146-154. doi:10.55426/jksi.v12i2.153
Murti LM, Budiani NN, Darmapatni MWG. HUBUNGAN PENGETAHUAN IBU TENTANG GIZI BALITA DENGAN KEJADIAN STUNTING ANAK UMUR 36-59 BULAN DI DESA SINGAKERTA KABUPATEN GIANYAR. 2020;8(2):8.
Darwis D, Abdullah R, Amaliah L, Bohari B, Rahman N. Experience of Mother in Taking Care of Children with Stunting at Majene Regency, Indonesia. Open Access Maced J Med Sci. 2021;9(E):33-38. doi:10.3889/oamjms.2021.5521
Copyright (c) 2022 Amerta Nutrition
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
AMERTA NUTR by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.