EFEKTIFITAS SUPLEMENTASI ZINC TERHADAP STATUS BIOKIMIA DAN ASUPAN ZAT GIZI ANAK BALITA PASCA PEMBERIAN VITAMIN A DOSIS TINGGI
Abstract
Abstrak
The incidence of stunting toddlers in Indonesia tends to increase, namely 35.6% in 2010 to 37.6% in 2013. In 2018 of stunting babies is still 36%.
One form of nutrition services for toddlers in Indonesia is the provision of high doses of Vitamin A. This program can overcome the problem of Xeropthalmia but has not helped much in overcoming stunting. Zinc supplementation is recommended supplementation for overcoming growth problems in children. Provision of high doses of vitamin A should be followed by zinc supplementation. The relationship between these two vitamins and minerals is closely related to the process of absorption of these two elements. In a state of vitamin A deficiency, there is a decrease in Zink-Binding Protein so that deficiency of vitamin A can cause disruption of zinc absorption. Zinc plays a role in the metabolism and transport of vitamin A and is needed in the synthesis of retinol transport protein (PTR), namely cellular hepatic PTR (cPTR) is an intracellular retinol transport protein in liver cells and PTR holo that carries retinol from the liver into the blood and other tissues.
This study aims to determine the effect of zinc supplementation on stunting toddlers after the administration of high doses of vitamin A on nutrient intake and biochemical status. The design of the research was pre and post design, the research was carried out for one month, namely the administration of zinc syrup supplementation of 10 mg / day, at stunting children aged 2-4 years after administration of high doses of Vitamin A. Sample of 45 people. Indicators measured are energy intake, macro nutrient intake which includes carbohydrates, fats and proteins. Biochemical status such as zinc, albumin, total protein and hemoglobin.
The results showed that the provision of zinc supplementation after administration of high doses of vitamin A in stunting toddlers was quite epective on biochemical status and not epective on energy intake and macro nutrients.
Keywords : Biochemical status , High doses of Vitamin A ,Nutrient intake, , Stunting, Zinc
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Agustian Leon, Tiangsa Sembiring, Ani Ariani, 2009, Peran Zirkum Terhadap Pertumbuhan Anak, Sari Pedriati, Vol.11.No 4. Desember 2009: hlm 244-249
Aritonang Irianto. 2010. Menilai Status Gizi Untuk Mencapai Sehat Optimal. Leutika dengan CEBios, hlm 1-8
As anti 2013. Pengaruh Suplementasi Seng dan Vitamin Terhadap Kejadian ISPA dan Diare pada Anak. Seri Pediatrik, Vol.15, No 2, Agustus 2013; p 93 -98
Barasi Maria E. 2009.At a Glance Ilmu Gizi.Jakarta ; Erlangga, hlm 124-129
Bapenas. 2011. Rencana Aksi Nasional Pangan dan Gizi 2005-2015. ISBN 978-979-3767-68-9
Bentley Margaret E, dkk, 1996, Zink Supplementation Affects the Actvity Patterns of Rural Guatemalan Infants, Community and International Nutrition, American Society For Nutritional Sciences, 1333-1338
Cornelius M Smuts, Carl J. Lombard, A.J.Spinnler Benade et.al. ( 2005), “Efficacy of a Foodlet-Based Multiple Micronutrient Suplement for Preventing Growth Faltering,Anemia, and Mikronutrient Deficiendy of Infants : The Four Country IRIS Trial Pooled Data Analysis,” J. Nutri.135 , p. 631S-638S
E.Huskisson,s, Maggini and M.Rof. ( 2007)., “The Role of Vitamin and Minerals in energy metabolism and well-being.” The Journal of inlternational Medical Research 95, p. 277-289
Elizabeth W. Kimani-Murage, Crispin Ndedda, Katherine Raleigh and Peninan Masibo. ( 2012), “Vitamin A Supplementation and stunting levels among two year olds in Kenya : Evidence from the 2008-09 Kenya Demographic and Health Survey,” International journal of Child Health and Nutrition ,1,p. 136-147
Gibson Rosalinds. (2006), Prinsiples of Nutritional Assessment. New York Oxford, Oxford University Press.
George Wolf, Malcoln D Lane and Conner J,ohnson. ( 2006), “Studis on the function of Vitamin A in metabolism”. J. Biol, Chemi. 225 p. 995-1008
Imdad,Aamer Zulfiqar A Bhutta, .(2010), Effect of preventif zinc supplementation on linear growth in children under 5 years of age in developing countries : Meta analisis of studies for input to the lives saved tool
Joanne E.Arsenault, Daniel Lopez de Romana, et al. ( 2008), Additional Zinc Delivered in Liquid Suplement,but Not in Fortified Porridge Increased Fat-Free Mass Accrual Among Young Peruvian Children with Mild-to-Moderate Stunting, J.Nutr.138 p. 108-114
Linder Maria C. (2006), Biokimia Nutrisi dan Metabolisme. EGC Jakarta
Lind Torbojorn, et al, 2003, A Community –Based Randomized Controlled Trial Of Iron and Zink Supplementation in Indonesian Infants : Interaction Between Iron and Zink, Am J Clin Nutr 2003 : 77 : 883-890
Macdonald Ian A and Helen M Roche.(2007), Nutrition and Metabolism, edited Michael J.Gibney. NS Blackwell Publisshing.
Mary E Penny, R Margot Marin, Augusto Duran, Janet M Peerson, Claudio F Lanata, Bo Lonnerdal, Robert E Black and Kenneth H Brown. (2006). Randomized controlled trial of the effect of daily supplementation with zinc or multiple micronutrients on the morbidity, growth, nad micronutrient status of young Peruvian children, Am J Clin Nutr : 79 ,p. 457-465
MCA- Indonesia 2014. Proyek Kesehatan dan Gizi Berbasis Masyarakat untuk Mengurangi Stunting, MCA-Indonesia Versi 01-2 April 2014.
Meera K Chhagan, Jan Van Den Broeck, Kany-Kany A Luabeya, Notobeko Mponstershane, Andrw Tomkins and Michael L Bennish. (2010), Effec on longitudinal growth and anemia of zinc or multiple mikronutrien added to vitamin A : a randomized controlled trial in children age 6-12 mont, BMC Public Health 2010, 10: 145 p: 1-11
Ninh Nguyen Xuan,dkk, 1996, Zink Suplementation Increases Growth and Cirkulating Insulin-Like Growth Factor I (IGF-1) in Growth-Related Vietnamese Children, Am J Clin Nutr 1996 :63:514-519
Riyadi Hadi. (2010), Zinc (Zn) untuk Pertumbuhan dan Perkembangan Anak, Penanggulangan Masalah Defisiensi Seng (Zn), Departemen Gizi Masyarakat, Fakultas Ekologi Manusia-IPB. Bagor, p. 33-59
Salgueiro Maria J, et all. (2006), The Role of Zinc in the Growth and Development of Children. Nutrition 18,p. 510-519
Sanjaya,dkk,2009. Kamus Gizi . Pelengkap Kesehatan Keluarga. Jakarta: Kompas Media Nusantara, hlm 185-229
Seth Owusu-Agyei, Sam Newton, Emmanuel Mahama et al. (2013), Impact of Vitamin A with zinc supplementation on malaria morbidity in Ghana, Nutrition Journal, 12,131 p. 1-9
Sunita Taneja, Tor A.Strand ,Halvor Sommerfelt, Rajiv Bahl and Nita Bhandari, (2010) Zinc Supplementation for four months does not affect growth in young north Indian children. The Journal of Nutrition 140.,p. 630-634
Solomon Noel W, M.D and Robert M. Russell, M.D. (2009), The Interaction of Vitamin A and Zinc implication for human nutrition, The Amarican Journal of Clinical Nutrition 33 p; 2031-2040
Solomon Noel W. ( 2013). The importance of dietary and environmental zinc for human health can be ignored only at signifkant peril to child well-being throughtout the word, Ann Nutr Metab , 62 (suppl 1) 8-17
Supariasa (2010). Penentuan Status Gizi edisi Revisi EGC Jakarta
Tejasari. 2005. Nilai Gizi pangan. Yogjakarta : Graha Ilmu : hlm 160-170
Wapnir Raul A, 2000, Zink Deficiency, Malnutrition and The Gastrointestinal tract, Zink and Health : Current Health and Future Direction, American ociety for Nutritional Sciences, 2000 : p1388S-1392S
Yu Qin Msc, Alida Melse-Boonstra Ph.D, Ming Wu MSc,Xiaoshu Hu Msc, Frans J Kok PhD.( 2009), Stunting and Zinc Deficiency Among Primary Scholl Children in Rural Areas With Low soil Zinc Consentrations in Jiangsu Province, China, Asia Pac J Clin Nutr , 18 (1) p. 15-21
DOI: https://doi.org/10.32382/mgp.v27i1.1343
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