MAKANAN TAMBAHAN IBU HAMIL UNTUK MENCEGAH STUNTING DALAM UPAYA MENINGKATKAN KUALITAS SDM BAGI PERTAHANAN NEGARA

Authors

  • Arfiyanti Universitas Pertahanan Republik Indonesia
  • Dita Ariyanti Universitas Pertahanan Republik Indonesia

DOI:

https://doi.org/10.51544/kimia.v6i2.3494

Keywords:

pregnant women, cookies, stunting, food supplementary, Fortification

Abstract

Anak dengan stunting memiliki kemampuan verbal dan IQ rendah, disabilitas kognitif, penurunan kemampuan motorik dan gangguan fungsi imunitas. Perlu pemberian makanan tambahan (PMT) sebagai pendamping program suplementasi pemerintah pada ibu hamil untuk meningkatkan status gizi ibu hamil dan mencegah stunting dalam upaya meningkatkan kualitas SDM bagi pertahanan negara.  Mendapatkan formulasi fortifikasi cookies yang sesuai kebutuhan ibu hamil untuk mencegah stunting. Formulasi cookies berawal dari  pembuatan tepung (tempe, kacang hijau, ikan tuna, pisang), dilanjutkan dengan formulasi tepung  komposit. Rancangan metode optimasi tepung komposit RSM mixture design D-optimal, menggunakan software Design Expert 7.0 trial (DX 7 trial). Kandungan zat gizi bahan pangan yang digunakan lalu dibandingkan dengan jumlah zat gizi yang ingin ditambahkan. Formula tepung komposit dipilih berdasarkan kandungan gizi dan rasa. Substitusi tepung beras dengan tepung komposit terpilih pada resep  standar. Cookies berbentuk bulat, aroma, rasa, warna, kenampakan sesuai SNI01-2891-1992, BUTIR1.2. Kandungan protein, energi, vitamin A, B12, calsium, pospor, iodium, asam folat memenuhi AKG ibu hamil trimester II dan persyaratan BPOM. 70% ibu hamil trimester II menyukai cookies. Cookies ikan tuna dapat digunakan sebagai PMT ibu hamil pendamping program suplementasi pemerintah untuk mencegah stunting 180 HPK.

Downloads

Download data is not yet available.

References

Allen, L.H. 2012. B vitamins in breast milk: relative importance of maternal status and intake, and effects on infant status and function. Adv Nutr. 3:362–369.

Arfiyanti, Rahmawati B. 2002. Peranan status vitamin A terhadap keberhasilan suplementasi besi pada ibu hamil, FMIPA, UNDIP, Semarang.

Arfiyanti,2012, The effect of Iron-folic acid supplementation on the status of Zn : A study of pregnant women in demak municipality, The 6 th Asia-Pacific Symposium on Ion Analysis. UNAND, Padang, 2012 .

BAPPENAS RI. 2012. Pedoman Perencanaan Program Gerakan Sadar Gizi dalam Rangka Seribu Hari Pertama Kehidupan (1000 HPK). Jakarta.

BAPPENAS, 2020. The Importance of the Golden Period of 1000 First Days for The Growth and Development of A Child [WWW Document]. URL https://cegahstunting.id/en/news/the-importance-of-the-golden-period-of-1000-first-days-for-the-growth-and-development-of-a-child/

Bicakci Z. 2015. Growth retardation, general hypotonia, and loss of acquired neuromotor skills in the infants of mothers with cobalamin deficiency and the possible role of succinyl-CoA and glycine in the pathogenesis. Medicine (Baltimore). 94(9):e584.

Breymann C, 2013,Iron deficiency anemia in pregnancy, Expert Rev, Obstet, Gynecol,;8(6):587–596.

Chawla D., 2015,Fetal effects of maternal iron deficiency. Indian J Pediatr.;82 (12):1080-1

Christian P, Stewart CP.2010. Maternal micronutrient deficiency: fetal development and risk of chronic disease. J Nutr.,140:437-45.

Cunningham FG, et. al.2014, Williams Obstetrics 24th ed. New York: McGraw-Hill Companies.

Dawodu A, Salameh KM, Al-Janahi NS, Bener A, Elkum N. 2019. The effect of high-dose postpartum maternal vitamin D supplementation alone compared with maternal plus infant vitamin D supplementation in breastfeeding infants in a high-risk population. A randomized controlled trial. Nutrients. 11(7). pii: E1632.

De Onis, M., Dewey, K. G., Borghi, E., Onyango, A. W., Blössner, M., Daelmans, B., Piwoz, E. and Branca, F.2013, The World Health Organization's global target for reducing childhood stunting by 2025: rationale and proposed actions. Maternal & Child Nutrition;9: 6–26.

Erick M. 2008. Nutrition during pregnancy and lactation.Dalam: Mahan LK, Escott-Stump SE. Krause’s Food and Nutrition Therapy.edisi 12.Missouri: Saunders Elsevier.hal.160-84.

Ji Y, Wu Z, Dai Z, Wang X, Li J, Wang B, et al.2017, Fetal and neonatal programming of postnatal growth and feed efficiency in swine. Journal of Animal Science and Biotechnology.2017; 8: 42.

Keikha M, Bahreynian M, SalekiM, Kelishadi R. 2017. Macro- and micronutrients of human milk composition: Are they related to maternal diet? A comprehensive systematic review. Breastfeed. Med. 12, 517–527.

Kemenkes RI, 2017. Kualitas Manusia Ditentukan Pada 1000 Hari Pertama Kehidupannya [WWW Document]. URL https://www.kemkes.go.id/article/view/17012300003/kualitas-manusia-ditentukan-pada-1000-hari-pertama-kehidupannya.html

Lonnerdal Bo, 1988. vitamin-mineral Interactions. Di dalam : Bodwell CE, Erdman JW Jr, editor. Nutrient Interactions. Macel Dekker, Inc. New York and Basel.

Millward, D. J. 2017. Nutrition, infection and stunting: the roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews. 30(1):50–72.

Mosites E, Dawson-Hahn E, Walson J, Rowhani-Rahbar A, Neuhouser ML. 2017. Piecing together the stunting puzzle: a framework for attributable factors of child stunting. Paediatr Int Child Health.37:158–65.

Nahar B., Hossain M., Mahfuz M., Islam M. M., Hossain M. I., Murray-Kolb L E, Seidman J C, Ahmed T., 2019, Early childhood development and stunting findings form MAL-ED birth cohort study in Bangladesh, Maternal & Child Nutrition. e12864.

Papathakis P C, Singh L N, Manary M J. 2016. How maternal malnutrition affects linear growth and development in the offspring. Mol. Cell. Endocrinol.10.1016.

Prendergast AJ, Humphrey JH., 2014, The stunting syndrome in developing countries, Paediatr Int Child Health, 2014; 34(4): 250-65.

Rahmawati, B., Arfiyanti. 2002. Peranan status Zn terhadap keberhasilan suplementasi besi pada ibu hamil. Pusat penelitian kesehatan. Lembaga penelitian UNDIP. Semarang

Schjoldager JG, Paidi MD, Lindblad MM, Birck MM, Kjaergaard AB, Dantzer V, et al.,2015, Materal vitamin C deficiency during pregnancy results in transient fetal and placental growth retardation in guinea pigs. Eur J Nutr.; 54:667-76.

Sjarif DR., Yuliarti K., Lestari ED., Sidiartha IGL., Nasar SS., Mexitalia M., 2015, Pedoman Ikatan Dokter Anak Indonesia. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia

UNICEF, 2019. Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analysis [WWW Document]. URL https://www.unicef.org/media/60806/file/SOWC-2019.pdf

WHO, 2012, Guideline: Daily iron and folic acid supplementation in pregnant women,Geneva, World Health Organization.

WHO, 2020. Complementary Feeding [WWW Document]. URL https://www.who.int/health-topics/complementary-feeding#tab=tab_1

Wild CP, Miller JD, Groopman JD, Lyon FR. 2015,Child stunting in developing countries. IARC Working Group.

Yakoob, M.Y.; Lo, C.W. 2017. Nutrition (micronutrients) in child growth and development: A systematic review on current evidence, recommendations and opportunities for further research. J. Dev. Behav. Pediatr. 38, 665–679.

Yakoob, M.Y.; Lo, C.W. 2017. Nutrition (micronutrients) in child growth and development: A systematic review on current evidence, recommendations and opportunities for further research. J. Dev. Behav. Pediatr. 38, 665–679.

Young MF, Nguyen PH, Gonzalez Casanova I, Addo OY, Tran LM, Nguyen S, et al. 2018. Role of maternal preconception nutrition on offspring growth and risk of stunting across the first 1000 days in Vietnam: A prospective cohort study. PLoS One. 13:e020320

Downloads

Published

2022-12-20