PENGARUH PEMBERIAN PANGAN FORTIFIKASI ZAT MULTI GIZI MIKRO PADA IBU HAMIL TERHADAP PERTUMBUHAN LINIER, TINGGI LUTUT DAN STATUS ANEMIA BAYI

Abstract

EFFECT OF MULTI MICRONUTRIENTS FORTIFIED SUPPLEMENTARY FOOD IN PREGNANT WOMEN ON LINEAR GROWTH, KNEE HEIGHT AND ANEMIA STATUS OF INFANTS Like in many developing countries, macro and micro nutritional deficiencies are the serious problem, especially for Indonesian pregnant women and young age children. Early nutritional intervention strategy through supplementary fortified foods for pregnant women is one of alternative nutritional improvement interventions for the next generation. The objective of this study is to analize the impact of multi micronutrients fortified supplementary food in pregnant mothers on linear growth, knee height and anemia status of infants. This study was conducted in three sub-districts of Bogor Distritcs namely: Leuwiliang, Leuwisadeng and Ciampea. This prospective cohort study follow up 120 infants. The total of infants has been followed up was 120. From 120 born infants, 40 infants were selected as a fortified group in which their mothers during pregnancy received fortified food (consists of vermicelli, milk and biscuit with multi-nutrients i.e. iron, iodine, zinc, folic acid, vitamin C and vitamin A), 40 infants as unfortified groups in which their mothers was received non fortified foods, and 40 infants as control groups (their mothers did not receive any experiment food). Data analyzed using SPSS 13.0. Z-score were calculated for the length-for-age (HAZ) of WHO 2006 growth reference. The result of study showed that multi micronutrients fortified supplementary food for pregnant mothers had significant effect on infants linear growth which was 2.18 cm taller compared to control group and 1.53 cm taller compared to unfortified group. The mean of liniear growth and HAZ fortified group up to 6 months infants was better than unfortified and control. Earlier complementary food intoduction were associated with the decrease of infants’ linear growth and HAZ. Stunting (5.0%) was found at two months of infants’ age in control group. Fortified food supplementation for pregnant women had significant effect on infant knee height gain. Infant knee height (< 14.248 cm) at 6 months was categorized as stunting. Multi micronutrients fortified supplementary food in pregnant mother had an retention effect of decreased infants Hb at up to 6 months. Keywords : Multi micronutrients, pregnancy, infant, breast feeding, linear growth, knee height, hemoglobin