https://doi.org/10.4081/hls.2024.13077

The effect of providing multi nutrient functional biscuits on the nutritional status of malnourished toddlers

Early Access
Submitted: 10 September 2024
Accepted: 27 October 2024
Published: 6 December 2024
Tumiz biscuits, nutritional status, malnourished children
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Authors

Nadimin Nadimin
nadimin@poltekkes-mks.ac.id
Department of Nutrition, Poltekkes Kemenkes Makassar, Indonesia.
Hijra Asikin
Department of Nutrition, Poltekkes Kemenkes Makassar, Indonesia.

The main cause of malnutrition in Indonesia is the lack of nutrient intake, making it necessary to address this through the provision of supplementary foods. On the other hand, Indonesia has various local food resources that have not been optimally utilized, which need to be processed to enrich the nutritional content of snacks that can be used to prevent malnutrition. This study aims to determine the effect of Tumiz functional biscuits on the nutritional status of malnourished toddlers. The research was conducted as a clinical trial using a randomized control group pretest-posttest design, involving malnourished toddlers divided into two groups. Each group consisted of 35 children, with each group receiving the following treatment: K1 (Tumiz biscuits + nutrition education for their mothers), and K-2 (only nutrition education for their mothers). The intervention lasted for 4 weeks, nutrition status and albumin levels, before and after the intervention. The effect of the intervention within each group was analyzed using paired sample t-tests, while the effect between groups was analyzed using independent sample t-tests. The results showed a significant improvement in the z-score of BB/TB in the intervention group (p=0.007), but there was no significant difference in the z-scores of BB/U and TB/U between the two groups. Albumin levels decreased significantly in both groups, with no significant difference (p=0.312). In conclusion, the administration of Tumiz biscuits improved nutritional status based on BB/TB, but did not have a significant effect on BB/U and TB/U. Decreased albumin may be caused by a metabolic response due to prolonged malnutrition.

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Citations

Crossref
Scopus
Google Scholar
Europe PMC
Kementerian Kesehatan RI. Hasil Utama RISKESDAS 2018. Jakarta; 2018.
Black RE, Victora CG, Walker SP, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet 2013;382:427–51. DOI: https://doi.org/10.1016/S0140-6736(13)60937-X
Victora CG, Adair L, Fall C, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet 2010;371:340–57.
Baker DJ. The origins of the developmental origins theory. J Intern Med 2007;261:412–7. DOI: https://doi.org/10.1111/j.1365-2796.2007.01809.x
Gluckman PD, Hanson MA, Cooper C, Thornburg KL. Effect of in utero and early-life conditions on adult health and disease. N Engl J Med 2008;359:61–73. DOI: https://doi.org/10.1056/NEJMra0708473
Victora CG, Adair L, Fall C et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet. 2008;371:340–570. DOI: https://doi.org/10.1016/S0140-6736(07)61692-4
Osendarp SJ, Baghurst KI, Bryan J, et al. Effect of a 12-mo micronutrient intervention on learning and memory in well-nourished and marginally nourished school-aged children: 2 parallel, randomized, placebo-controlled studies in Australia and Indonesia. Am J Clin Nutr 2007;85:1072–9.
Jang DH, Greenwood-Van Meerveld B, Johnson AC, et al. Malnutrition during postnatal development increases oxidative stress and intestinal inflammation in a murine model. Nutr Res. 2018;55:26–35.
Luthfiyah F, Widjajanto E. Serbuk Daun Kelor Memulihkan Kondisi Fisik Gizi Buruk pada Tikus Model Kurang Energi Protein. J Kedokt Brawijaya 2013;26:131–5. DOI: https://doi.org/10.21776/ub.jkb.2011.026.03.2
Luthfiyah F. Kurang GiziPengaruh Serbuk Daun Kelor Nusa Tenggara Barat Pada Tikus Kurang Gizi. Indones J Hum Nutr 2013;1–8.
Bustaman S. Potensi ulat sagu dan prospek pemanfaatannya. 2008;27(10).
Anjani G, Achasan M, Adji S, Djamiatun K. Tepung ulat sagu (Rhyinchophorus ferrugineus) imunomodulator Nitric Oxide (NO) sirkulasi mencit terapi antimalaria standar. J Gizi Indones 2018;6:131–8. DOI: https://doi.org/10.14710/jgi.6.2.131-138
Sani Silwanah. Sago Larvae Flour (Rhynchophorus Ferruginenus) Potency As Basic Ingredients Alternative. Universitas Hasanuddin; 2016.
Makanan P, Air P, Ibu S, Berbasis M. Pengembangan MPASI berbasis PURY Trina Astuti. 2009;32:22–9.
Astuti T. Tepung pupa-mulberry (pury) sebagai bahan pangan alternatif kaya gizi. 2009;4:29–32. DOI: https://doi.org/10.25182/jgp.2009.4.1.29-32
Rifqi MA, Kusharto CM, Astuti T. Formulation of Tofu Nugget with Pury (Nugget Tapury) as Alternative of High Protein Snack. Amerta Nutr 2017;22–30. DOI: https://doi.org/10.20473/amnt.v1i1.2017.22-30
Aisyah, Marliyati SA, Kusharto CM. Formulasi Deppatori Pury Kudapan Tradisional Sulawesi Selatan yang Disubtitusi Tepung Pury (Pupae Mulberry). Institut Pertanian Bogor; 2014.
Wang X. Sensitive detection of molybdenum through its catalysis and quenching of gold nanocluster fluorescence. Spectrochim Acta - Part A Mol Biomol Spectrosc 2020;229. DOI: https://doi.org/10.1016/j.saa.2019.117909
Black M, Brown L, White S, Green P. Nutrition intervention packages and child dietary diversity. Glob Heal J 2021;34:45–56.
Liu S. Characterization of amaranth and bean flour blends and the impact on quality of gluten-free breads. J Food Meas Charact 2019;13:1440–50. DOI: https://doi.org/10.1007/s11694-019-00060-4
Gupta E. Functional food with some health benefits, so called superfood: A review. Curr Nutr Food Sci 2021;17:144–66. DOI: https://doi.org/10.2174/22123881MTA4nMjQ8w
Brown HM. A review of pregnancy apps freely available in the Google Play Store. Heal Promot J Aust 2020;31:340–2. DOI: https://doi.org/10.1002/hpja.270
Lopez G, Smith R, Yamamoto T. The Role of Environmental Factors in the Effectiveness of Nutritional Interventions in Low-Income Countries. Public Health Nutr 2023;38:253–61.
Zhang Q. Prenatal perception of breastfeeding recommendations predicts early breastfeeding outcomes of participants in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Am J Clin Nutr 2021;114:1949–59. DOI: https://doi.org/10.1093/ajcn/nqab268
Smith J. Impact of Obesity on Cognitive Function. J Cogn Heal 2021;5:134–46.
Brown J, Smith K, Yamamoto T. The Role of IGF-1 in the Growth and Development of Malnourished Children. J Pediatr Endocrinol Metab 2020;33:727–36.
Fernandes MS, Pedroza AA, de Andrade Silva SC, et al. Undernutrition during development modulates endoplasmic reticulum stress genes in the hippocampus of juvenile rats: Involvement of oxidative stress. Brain Res 2022;1797:148098. DOI: https://doi.org/10.1016/j.brainres.2022.148098
Johnson MJ, Yamamoto T, Green B. Early indicators of recovery in malnourished children: the role of weight-for-height Z-scores. J Glob Heal Nutr 2023;44:217–25.
Kumari P, Jain M, Kumar A, Agarwal KN. Impact of malnutrition on serum albumin levels in pediatric patients: a cross-sectional study. J Clin Diagnostic Res 2021;15:SC01–4.
Carvalho CN, Ferreira HS, Cavalcante SD, Silva SA. Nutritional Interventions in the Management of Malnourished Children: A Randomized Controlled Trial. Nutr J 2020;19:45.
Teme SR, Mupfasoni D, Ngom E. Malnutrition and Its Impact on Nutrient Absorption in Children Under Five: A Systematic Review. BMC Pediatr 2022;22:210.
Smith J, Brown P, Davis Q. Long-term effects of nutrition support on child dietary diversity. Public Health Nutr 2021;24:456–68.
Smith LC, Ruel MT, Ndiaye A. Why is child malnutrition lower in urban than in rural areas? Evidence from 36 developing countries. World Dev 2021;33:1285–305. DOI: https://doi.org/10.1016/j.worlddev.2005.03.002

How to Cite

Nadimin, N., & Asikin, H. (2024). The effect of providing multi nutrient functional biscuits on the nutritional status of malnourished toddlers. Healthcare in Low-Resource Settings. https://doi.org/10.4081/hls.2024.13077
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