Local Snacks and Virtual Nutrition Counseling Services Increasing Growth of Stunting Children

Nadimin Nadimin; Kartini B. Theresia Dewi; Abdul Salam; Adriyani  Adam

doi:10.3889/oamjms.2021.5875

Authors

Nadimin Nadimin Department of Nutrition, Health Polytechnic of Makassar, South Sulawesi, Indonesia
Kartini B. Theresia Dewi Department of Nutrition, Health Polytechnic of Makassar, South Sulawesi, Indonesia https://orcid.org/0000-0002-4644-717X
Abdul Salam Nutrition Science Study Program, Faculty of Public Health, Hasanuddin University, Indonesia https://orcid.org/0000-0003-3844-0821
Adriyani Adam Department of Nutrition, Health Polytechnic of Makassar, South Sulawesi, Indonesia https://orcid.org/0000-0003-0226-6147

DOI:

https://doi.org/10.3889/oamjms.2021.5875

Keywords:

Tibus, Nutrition counseling, Stunting

Abstract

BACKGROUND: The conducive factor of stunting is the deficiency in nutrient intake due to the lack of quantity and quality of food consumed by the children. Children’s food consumption is strongly influenced by the mother’s nutritional knowledge and children’s feeding practices.

AIM: The aims of this study were to determine the effect of providing local snacks in South Sulawesi with a substitute of snakehead fish flour (Tibus) and virtual nutrition counseling on the growth of stunting children.

METHODS: The design of this study used a randomized pretest-posttest control design. The sample was divided in two groups using systematic random sampling. The first group was given local Tibus snacks and nutritional counseling virtually and the second group was only given virtual nutrition counseling. The intervention was carried out every day until 1 month. The sample of this research was mothers who have stunting children under five of age.

RESULTS: Nutrition knowledge of mothers in group one increased significantly before and after intervention (63.78 ± 1.68 vs. 73.70 ±1.35 points), but this was not the case in group two. The increase in maternal nutritional knowledge was higher in group one than in group two, although it was not significant (p = 0.91). The comparison of the weight gain of children in group one versus group two was 0.37 ± 0.49 kg versus 0.07 ± 0.39 kg (p = 0.021). The increase in the height of the children in group one before and after was 84.15 ± 7.79 cm versus 85.97 ± 7.95 cm (p = 0.000). The ratio of the increase in the height of the children in group one and group two was 1.82 ± 0.94 cm versus 1.53 ± 0.68 cm (p = 0.402).

CONCLUSIONS: Nutrition counseling virtual can increase nutrition knowledge. The providing of local snacks (Tibus) accompanied by virtual nutrition counseling can increase growth in body length and weight of stunting children. The efforts to accelerate prevention stunting in children under five can be done with utilization of local snacks.

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References

Kementerian Kesehatan Republik Indonesia. 2018 Indonesian National Basic Health Survey. Jakarta: Kementerian Kesehatan Republik Indonesia; 2019. https://doi.org/10.21109/kesmas.v9i3.568

Kementerian Kesehatan Republik Indonesia. 2013 Indonesian National Basic Health Survey. Jakarta: Kementerian Kesehatan Republik Indonesia; 2013. https://doi.org/10.21109/kesmas.v9i3.568 DOI: https://doi.org/10.21109/kesmas.v9i3.568

Hanifah L, Wulansari R, Meiandayati R, Laksminingsih E. Stunting trends and associated factors among Indonesian children aged 0-23 months: Evidence from Indonesian Family Life Surveys (IFLS) 2000, 2007 and 2014. Malays J Nutr. 2018;24(3):315-22.

Herman S. Review on the problem of zinc defficiency, program prevention and its prospect. Media Health Res Dev. 2009;14(Suppl 2):575-83.

Ayana G, Moges T, Samuel A, Asefa T, Eshetu S, Kebede A. Dietary zinc intake and its determinants among Ethiopian children 6-35 months of age. BMC Nutr. 2018;4:30. https://doi.org/10.1186/s40795-018-0237-8 PMid:32153891 DOI: https://doi.org/10.1186/s40795-018-0237-8

Dewi C, Adhi T. Effect of protein and zinc consumption and history of infectious disease of stunting children among 24 – 59 months in Nusa Dua Health Cennter Penida III. Arch Community Health. 2016;3(1):36-46. https://doi.org/10.36457/gizindo.v37i2.161 DOI: https://doi.org/10.36457/gizindo.v37i2.161

Rizky O, Wirjatmadi B, Adriani M. Effect of giving additional food for tempe flour and biscuits on increase body weight and height in malnourished toddlers in 2015. Medicine Journal. 2015;4(1):16-24. https://doi.org/10.36456/embrio.vol.9.no1.a722 DOI: https://doi.org/10.30742/jikw.v4i1.11

Kusharto CM, Marliyati A. Biscuit formulation with catfish dumbo (Clarias gariepinus) flour and soy (Glycine max) protein isolatesas a potential food for undernourished young children. Journal of food technology. 2012;23(1):9-16.

Nadimin, Nurjaya, Sahariah SR. The effect of local snacks enriched with shell flour on the nutritional status of stunting children. Dama Int J Res. 2017;2(7):5762.

Aini Q. Biscuit Formulation with Blondo and Snakehead Fish (Channa striata) Flour Substitution as an Alternative to Solved Undernourished Problem in Children Under Five. Bogor: Institut Pertanian Bogor; 2014.

Saeed F, Hussain M, Arshad MS, Afzaal M, Munir H, Imran M, Tufail T, Anjum FM. Functional and nutraceutical properties of maize bran cell wall non-starch polysaccharides. International Journal of Food Properties. 2021; 24(1):233-48. DOI: https://doi.org/10.1080/10942912.2020.1858864

Nadimin N, Lestari RS. Acceptability of South Sulawesi’s local snacks substituted with snakehead fish (Channa striata). J Aceh Nutr. 2018;3(2):141-8. DOI: https://doi.org/10.30867/action.v3i2.115

Candra AA, Setiawan B, Rizal M. The effect of snack feeding, nutrition education, and iron supplementation to nutritional status, nutrition knowledge, and anemia status in elementary school students. J Gizi Pangan. 2013;8(2):103-8. DOI: https://doi.org/10.25182/jgp.2013.8.2.103-108

Hestuningtyas TR. The influence of nutrition counseling to mother’s knowledge, attitude, practice in children feeding and nutrient intake of stunted children among 1-2 years in east Semarang district. J Nutr Coll. 2014;3(1):17-25. DOI: https://doi.org/10.24947/baojn/2/1/00112

Sastroasmoro S, Ismael S. Dasar-Dasar Metodologi Penelitian Klinis. 5th ed. Jakarta: Sagung Seto; 2014.

Imdad A, Yakoob MY, Bhutta ZA. Impact of maternal education about complementary feeding and provision of complementary foods on child growth in developing countries. BMC Public Health. 2011;11(Suppl 3):S25. https://doi.org/10.1186/1471-2458-11-s3-s25 PMid:21501443 DOI: https://doi.org/10.1186/1471-2458-11-S3-S25

Snetselaar LG. Nutrition Counseling Skill for the Nutrition Care Process. 4th ed. USA: Jones and Bartlett Publishers; 2009. p. 3-4.

PERSAGI. Penuntun Konseling Gizi. Jakarta: PT, Abadi; 2011. p. 25-47.

Ibnu Zaki HP. Social media-based nutrition education improves knowledge and energy - protein intakes of adolescent girl with chronic energy deficiency (CED). Gizi Indones. 2019;42(2):111-22. DOI: https://doi.org/10.36457/gizindo.v42i2.469

Nadimin, Sirajuddin, Amir A, Rahmah S,. The effect of virtual nutrition education for the improvement of mother’s knowledge about complementary feeding: Randomized control trial. Sys Rev Pharm. 2020;11(9):825-9.

De Onis M, Branca F. Childhood stunting: A global perspective. Matern Child Nutr. 2016;12(Suppl 1):12-26. https://doi.org/10.1111/mcn.12231 PMid:27187907 DOI: https://doi.org/10.1111/mcn.12231

Saarilehto S, Lapinleimu H, Keskinen S, Helenius H, Talvia S, Simell O. Growth, energy intake, and meal pattern in five-year-old children considered as poor eaters. J Pediatr. 2004;144(3):363- 7. https://doi.org/10.1016/j.jpeds.2003.12.028 PMid:15001944 DOI: https://doi.org/10.1016/j.jpeds.2003.12.028

Hapsari LN. Kontribusi Makanan Jajanan Terhadap Tingkat Kecukupan Asupan Energi dan Protein pada Anak Sekolah Yang Mendapat PMT-AS di SD Negeri Plalan 1 Kota Surakarta. Surakarta: Universitas Muhammadyah Surakarta; 2013. https://doi.org/10.47718/gizi.v11i01.754 DOI: https://doi.org/10.47718/gizi.v11i01.754

Nadimin, Retno Sri L. Improving the nutritional value of micro local breast through subtitution of fish flours cabled for prevention of stunting in Sulawesi Selatan. Media Kesehatan Polit Kesehatan Makassar. 2019;14(2):152-7. https://doi.org/10.32382/medkes.v14i2.1021 DOI: https://doi.org/10.32382/medkes.v14i2.1021

Díaz-Gómez NM, Doménech E, Barroso F, Castells S, Cortabarria C, Jiménez A. The effect of zinc supplementation on linear growth, body composition, and growth factors in preterm infants. Pediatrics. 2003;111(5 Pt 1):1002-9. https://doi.org/10.1542/peds.111.5.1002 PMid:12728080 DOI: https://doi.org/10.1542/peds.111.5.1002

Syam A, Burhan FK, Hadju V, Citrakesumasari C, Akhmar AM. The effect of biscuits made from pumpkin seeds flour on serum zinc levels and weight in malnutrition wistar rats. Open Access Maced J Med Sci. 2020;8(A):428-33. https://doi.org/10.3889/oamjms.2020.4402 DOI: https://doi.org/10.3889/oamjms.2020.4402

Christian P, Shaikh S, Shamim AA, Mehra S, Wu L, Mitra M. Effect of fortified complementary food supplementation on child growth in rural Bangladesh: A cluster-randomized trial. Int J Epidemiol. 2015;44(6):1862-76. https://doi.org/10.1093/ije/dyv155 PMid:26275453 DOI: https://doi.org/10.1093/ije/dyv155

Ayuk J, Sheppard MC. Growth hormone and its disorders. Postgr Med J. 2006;82(963):24-30. PMid:16397076 DOI: https://doi.org/10.1136/pgmj.2005.036087

Brown KH, Peerson JM, Baker SK, Hess SY. Preventive zinc supplementation among infants, preschoolers, and older prepubertal childre. Food Nutr Bull. 2009;30(1):12-36. https://doi.org/10.1177/15648265090301s103 PMid:19472600 DOI: https://doi.org/10.1177/15648265090301S103

Kementerian Kesehatan Republik Indonesia. Standar Antropometri Anak. Jakarta: Kementerian Kesehatan Republik Indonesia; 2020. p. 16-74.