Hasil Pencarian  ::  Simpan CSV :: Kembali

Abstrak :
This cross-sectional study was conducted on 204, 60-75 years old free-living elderly, who were randomly selected from 2 suhvillages of Johar Baru, Jakarta Pusat. The overall health, food and biochemical nutrient status of the elderly were poor. Energy intake was law and 53.9 percent of the subjects had energy intake <2/3 of the RDI. The prevalence of chronic energy deficiency (BMI < 18 .5 kg/rn2) was 26.6 percent More than 75 percent of the elderly had iron and vitamin BI intakes < 2/3 of the RDL Using WHO criteria, the overall prevalence of anemia was 28.9 percent and the elderly females were most affected than the elderly males. Low vitamin Br status (ETK stimulation X14 percent), was found in 64.4 percent of the subjects Low biochemical status of vitamins B12, and A were 8.8 and 5.4 percent, respectively. Folate status was adequate as only 2.9 percent of the elderly had low RBCfolate levels. Intakes of vitamins B, and B12 were related with their biochemical nutrient levels Diseases was a risk factor to low thiamin status but increased RBC folate. Widowhood and less than 6 years schooling were associated with low Hb and serum retina concentrations in elderly males BMI r 18.5 kg/nn was associated with low Hb and RBC folate concentrations. Subjects of household with per capita income less than Rp 41,200.00 had the highest prevalence of anemia compared with subjects of households with higher per capita income Low vitamin B12 status was associated with low Hb while serum vitamin B12 was positively associated with RBC folate.

Abstrak :
ABSTRACT
Although iron supplementation exists for pregnant women, the prevalence of anemia during pregnancy remains high. The lack of compliance of the target group is one of the reasons which may reduce the efficacy of the supplementation program.

Recent studies in preschool children and non pregnant women has been reported that the administration of intermittent iron supplement was equally effective in improving the iron status as daily supplement.

This research was to investigate whether a weekly dose of 120 mg iron supplementation would improve the iron status in the same way as a daily dose of 60 mg iron supplementation in pregnant women.

The effect of daily vs weekly iron supplementation was studied in pregnant women in non randomized experimental community trial. The subjects were pregnant women who attended the selected Health Centers for the first time in their current pregnancy. Of the 176 pregnant women enrolled, a complete data set were available for 139 (79 %). Duration of supplementation was 8 - 20 weeks.

Three health centers each, matched with socioeconomic condition were allocated for control group and treatment group. Daily group served as control received 60 mg Fe + 0.25 mg folic acid daily (68 pregnant women), while weekly group received 120 mg Fe + 0.50 mg folic acid weekly (71 pregnant women).

Hemoglobin concentration in both group increased significantly after supplementation (p < 0.001). Improvement of hemoglobin was influenced by initial hemoglobin level (p < 0.001), and hookworm infestation (p < 0.05).

Serum ferritin level decreased in daily and weekly group (p > 0.05). Serum ferritin change was not influenced by initial hemoglobin level (p ] 0.05), however was influenced by hookworm infestation (p < 0.001).

The duration of supplementation had no effect on hemoglobin changes (p > 0.05), but it influenced serum ferritin changes (p < 0.05).

It was concluded that supplementation with 120 mg elemental iron on weekly basis had similar effects as daily dose of 60 mg on hematological status, but was not enough to improve iron stores in pregnant women.

Abstrak :
The effect of weekly iron supplementation and deworming on the hemoglobin level was studied among 289 children aged 2 to 5 years in a randomized double-masked placebo controlled community trial. Subjects were allocated into 3 groups which respectively received iron supplements and deworming, iron supplements only and placebos. Iron supplementation for 8 weeks using 30 mg elemental iron as ferrous sulphate syrup once per week, led to a significant reduction in the prevalence of anemia from 37.2%. to 16.2%. Using unsupervised distribution by mothers, hemoglobin concentration increased significantly in both groups which received iron (p<0.001) and also in the placebo group (p<0.05), but the changes in both treatment groups were significantly higher than the placebo group (p<0.001). No significant difference in hemoglobin changes was found between those who received additional deworming and those who received iron supplement only. Positive iron in stool were confirmed in 68.2% of the children who were reported received iron supplements (n=66). It is concluded that weekly iron supplementation is effective to reduce the prevalence of anemia among preschoolers.

Abstrak :
ABSTRACT
Most poverty prevalence in developing countries is found among people living in rural areas, which depend on agricultural activities as their main source of livelihood (Suryana, 1992, Kuhonta, 1986).

This study assessed the overall condition of the rural community in Pasaman (Jambak and Sarik village) and Sawahlunto/Sijunjung (SP I and SP IV village) district regarding to the poverty and nutritional situation by using an adapted Rapid Rural assessment method which was called RAPID: Rapid Nutritional Assessment for Community Based Poverty Alleviation Projects in Developing Countries, developed by GTZ. The method consists of interviewing key persons, focus group discussion, observation and height measurement of school children (6-9 years old).

Other method to diagnose and analyze the nutritional situation of risk group is a nutritional survey. Interview and anthropometrics measurement of fewer than five children and the mother were done in this method.

A poor state of nutrition and health also leads to lower productivity and reduces the availability of food at the household level, which now forms a vicious cycle. The availability of food can describe the food security status of the household. This study also attempted to look into the main problems of food security on rural community by using food security questionnaire developed by SEARCA (South East Asian Regional Center for Agriculture). The result of interviewing the mothers by this method revealed that current food security status in Jambak and Sarik was better than SP I and SP IV while SP IV was worse than SP I. The similar result was found by other two methods.

RAPID method described the overall condition of the study area in a short time. This method also collected preliminary information on the nature and importance of poverty and nutritional problem, and supply of the resources of the study area. However this method insufficient to describe the relationship between nutritional problem and its determinant factor.

Baseline survey gave the extent of the nutritional problem in the area, nevertheless this method needed some resources; fund, personnel, equipments and time.

Food security method assessed the extent of food security problems in the area, however in this study, it was proved that the questionnaire was not fully applicable, therefore further analyses based on SEARCA method could not be completely applied.

Abstrak :
Seventy six PEM (-2SD WFA) anemic (Hb 8 <10g0d1) children aged 2 - < 5 years were randomly divided into a treatment group and a control group. For two months, the treatment group received Fe + Yrt C (30 mg el. iron + 20 mg Vit C) while the control group received Vit C (20 mg) atone. Neither the subject nor the distributor could distinguish between the two types of supplements. Anthropometrics, hematological, and dietary evaluations were conducted before and after the study. Corrections were made for parasitic infestations before the intervention phase.

Fe + Vd C has showed significant effects on Improving the nutritional status of subjects in terms of hematological (Hb , serum ferritin, and MCV) and anthropometrics indices (weight, and height). It was also found out that it has significant effect on HAZ of subjects as compared with the effect of Vit C. Vit C has showed significant effects on weight and height but not on hematological status.

It was concluded in this study that Fe has significant effect on increasing linear growth since no significant change was found in energy intake.

Abstrak :
ABSTRACT
A total of 40 households with pre-scholars belonging to East Jakarta District were surveyed for their intra household food distribution practices using food weighing and 24 h recall method for three consecutive days. It generally aimed to examine the contribution of intra-household food distribution practices to the nutritional status of the households' members.

Two groups of 20 households represented the study households, one group with low household income (less than Rp 37,500 or US $ 17/capita/month), the other with higher household income (more or equal to Rp 66,000 or US $ 301capitalmoth).

Results revealed that fathers and children of higher income group were better nourished than fathers and children of low-income group, but no difference between the mothers. The energy distributions were more or less equal in both low and higher income group. In low-income group the parents got more protein adequacy (the mothers got 108.7 % and the fathers got 108.4 %) than the children (83.9%). In higher income group, all household members got adequate protein (the fathers got 131.4%; the mothers got 110.4 % and the children got 124.8%). Low-income households assured themselves of sufficient intake of rice; oil; sugar and snacks whereas the higher income households consumed higher intake of milk; meat; egg; fruits & vegetables. Findings seemed to indicate that there were differences in the food distribution patterns between low and higher income group and these patterns closely associated with the nutritional status of household members.

Abstrak :
BACKGROUND
Childhood living conditions have long been recognized to have a long term impact on nutritional and health status (Truswell, 1976, Shannon and Chen, 1988, Lundberg, 1993). The pattern of the urban nutrition condition is probably different compared to the nutrition condition in rural areas. Family income, environment (water supply, sewerage facilities, health services etc) besides cultural background and education could limit growth of the children (Solomons and Gross, 1987, Gross and Monteiro, 1989).

Nutritional problems among schoolchildren will negatively affect their learning skills which is very important in succeeding formal educational processes in school (Pollit, 1990, Lopez et al., 1993). Gross (1989) proposed schoolchildren as one of non-traditional nutritional risk groups which seem to exist in the urban area.

It is noted that one of the important changes in Indonesia is a structural change in the future population structure whereby the number of school-age-children

Abstrak :
The study was carried out among 40 low-income households in East Jakarta. It generally aimed at examining the contribution of intra-household food distribution practices to the differences in nutritional status of individual members within and between urban poor households with underfive year old children. Two groups represented the study households. One group with malnourished (<-2 Z-scores for weight for age indicator) 18-60 months old children and the other group with well-nourished (>:-2 Z-scores) of the same age. A three day household and individual food intake were collected through the use of a combined food weighing and 24-hour food recall method. Results revealed that.malnourished underfive year old children were given less adequate diets in terms of nutrient requirement while parents? diet were sufficiently adequate. In contrast, the well-nourished children were adequately fed while their parents got less. The children's intake were found to have a marginal relationship with their nutritional status while significant associations were seen with parent's energy intake and household's total income. On the whole, findings indicated inequality in the food distribution patterns among urban poor households and these patterns somehow influences the nutritional status of household members particularly the pre-school age children

Abstrak :
ABSTRACT Goiter in school children is one of the symptoms of iodine deficiency for a long period. This condition will have a wide spectrum of mental, psychomotor and growth abnormalities if there is no correction immediately. According to many studies, there is an interaction between selenium, vitamin A and iodine. Indonesia has a program of iodine supplementation to eradicate IDD; however, there is still prevalence of IDD in endemic areas. It can be suspected that goiter is not only caused by low intake of iodine but also by other cause, trace elements such as selenium, calcium and other heavy metals. In Indonesia, the study of trace elements is still needed. Therefore, this study has the main objective to assess the effect of selenium and vitamin A supplementation on the goiter size among school children in Central Java. The study was conducted in Cimanggu sub-district, Cilacap district, Central Java Province, Indonesia from November 1997 till January 1998. School children age 8 - 12 years with palpable goiter was allocated randomly into 2 groups? treatment and control. First group receive once 400 mg iodine capsule and vitamin A (200,000 [ti); Selenium (200p.gram) twice/week for 8 weeks. Second group receive once 400 mg iodine capsule and vitamin A (200,000 IU); placebo. At the beginning and the end of the study, serum selenium, goiter size, UIE, weight and height were measured. The prevalence of goiter based on palpation was 40.5%. By using ultrasound, the subjects with palpable goiter were 57.3% in treatment and 46.7% in control who positively suffering from goiter. Mean of selenium status of both groups was low (29.lpgll in treatment and 30.1 pgll in control) compared with normal value (86-99 µgI1). After two-month supplementation, serum selenium was increased in treatment group (29.1 to 44.1µg11), but decreased in control group (30.1 to 23.2 p,gll). Median of Urinary Iodine Excretion before supplementation was already high, the prevalence of U1 E < 100 ggll was 5.3% in treatment and 6.7% in control. After supplementation the mean of UIE was increased significantly. The change of UlE was not different between treatment and control. Thyroid volume of both groups was decreased significantly (p

Abstrak :
ABSTRACT
The study aimed to investigate the impact of 12 weeks supplementation with multi-micronutrient and iron-folate supplements on hematological status, morbidity and work productivity. Female factory workers were selected as the subjects because: high prevalence of anemia found in this group which might have health and economic consequences since anemia was related to decrease work productivity and decrease resistance to infection, and the increasing number of female workers in developing country.

A preliminary study was conducted to investigate the bioavailability of iron from a multi~micronutrient supplement compared to watery ferrous(II)-sulfate solution. In a randomized cross over design, 14 volunteers received 108 mg elemental iron as four tablets of multi-micronutrient supplements (each tablet contained 27 mg elemental iron) or as a solution of 537.60 mg Ferrous(Il)-sulfate. Serum iron concentrations were measured at 0, 2, 4, 6 and 8 hours after dosing. The maximum serum iron level was significantly lower with multi-micronutrient supplement compared to ferrous sulfate solution but the time to reach the peak" serum iron level was not significantly different between those two treatments. The median relative bioavailability of iron in multi-micronutrient supplement was 32.22%

The main study was conducted in a shoe factory, West Java. A total of 308 subjects were selected and divided randomly into three groups that respectively received multi-micronutrient (each tablet contained 27 mg elemental iron), iron-folate supplements (each tablet contained 200 mg ferrous sulfate equal to 60 mg elemental iron) and placebo. Multimicronutrient supplements and placebo were given time times per week and iron-folate supplements were given once a week. All of the supplementations were supervised and last for 12 weeks. Hematological assessed in sub sample of each group based on Willingness; making a total of 140 subjects.

Significant increments in the levels of hemoglobin, serum ferritin, and serum retinol were observed in multi-micronutrient group (0.6 g/dl, 13.44 ug/l, and 0_6 pmol/l respectively) and iron-folate group (0.3 g/dl, 11.26 ug/l, and 0.4 umolfl respectively); the increments were higher in multi-micronutrient group but not statistically different from iron-folate group. In the placebo group, hemoglobin level was decreased by 0_3 g/dl, serum ferritin was increased by 4.28 ug/1, and serum retinol was relatively constant. The prevalence of anemia and low iron status were decreased after treatment with multi-micronutrient (7% and 20.5%, respectively) or iron-folate supplements (91% and 12.8%, respectively). The anemia prevalence in placebo group was increased by 6.6% while the prevalence of low iron status was decreased by 2.5%. The morbidity was increased in all groups with the lowest increment was observed in multi-micronutrient group (65% in multi-micronutrient group compared to 14.1% in iron group and 22.4% in placebo group). The work productivity was increased by 6.3% in iron group and 3.6% in multi-micronutrient group while it was relatively constant in placebo group. In conclusion, multi-micronutrient supplement had better impact on hematological status and reducing morbidity level compared to iron-folate supplement that had better impact on work productivity.