HUBUNGAN UMUR PEMBERIAN PERTAMA MAKANAN PENDAMPING ASI (MP-ASI) DENGAN STATUS GIZI ANAK 7-36 BULAN
ABSTRACT: One of health
problem in Indonesia is malnutrition in under five children. Malnutrition
appeared in rural areas caused by poverty, nutrition knowledge, complementary
feeding and environmental sanitation. We studied whether the first ages of
introduction complementary food (MP-ASI) is associated with nutritional status
in 7-36 mo of children. It was a Case Control study. Data used came from
Hearth/Positive Deviance Study Monitoring and Evaluation research conducted by
SEAMEO TROPMED RCCN-UI. Children malnutrition (n=192) as research subject. Children
with severe malnutrition (< -3 SD) as case group compared to moderate
malnutrition (<-2 SD until -3 SD) with 1:1 comparison. Nutritional status
counted by WAZ (WHO-NCHS). Main independent variable was first age of MP-ASI
with covariate were children characteristics (age, sex, diarrhea, energy
consumption, immediate breastfeeding); mother’s characteristics (education,
knowledge, personal hygiene, and active feeding behavior) and family’s
characteristics (number of children, family member, housing and sanitation
facilities). The data analysis is done by chi-square and multivariate logistic
regression. Results : the analysis shown significant association between first
ages of MP-ASI (OR=0,187; 95% CI :0,052-0,673), personal hygiene (OR=2,053; 95%
CI : 1,109-3,800) and number of underfive children (OR=2,067; 95% CI :
1,060-4,029) toward nutritional status.
The study found protective effect to children with first age of MP-ASI
< 6 mo compared to >= 6 mo although controlled by housing, diarrhea,
mother’s education, family member, personal hygiene, immediate breastfeeding
and number of underfive children (P=0,003). The first ages of introducing
complementary food < 6 mo was protective effect to savere malnutrition in
under five children compare to >= 6 mo, especially in low social economic
status.
Penulis: Ummi Kalsum
Kode Jurnal: jpkedokterandd150500
