Inadequacy of Macronutrient and Micronutrient Intake in Children Aged 12-23 Months Old: An Urban Study in Central Jakarta, Indonesia
Authors: Dewi Fatmaningrum, Ade Wiradnyani
Abstract:
Optimal feeding, including optimal micronutrient intake, becomes one of the ways to overcome the long-term consequences of undernutrition. Macronutrient and micronutrient intake were important to a rapid growth and development of young children. The study objective was to assess macro and micronutrient intake and its adequacy in children aged 12-23 months. This survey was a cross-sectional study, involving 83 caregivers with children aged 12-23 months old in Senen Sub-district, Central Jakarta selected through simple random sampling. Data on nutrient intake was obtained through interview using single 24-hour recall. Repeated 24- hour recall to sub-sample was done to estimate the proportion of nutrient inadequacy. The highest prevalence of nutrient inadequacy was iron (52.4%), followed by vitamin C (30.9%) and zinc (28.8%). Almost 12% children had inadequate energy intake. More than half of children (62.6%) were anemic (25.3% were severely anemic). Micronutrient inadequacy, especially iron, was more problematic than macronutrient inadequacy in the study area.
Keywords: Micronutrient, macronutrient, children under five, urban setting.
Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1107121
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1603References:
[1] Kimmons, J. E., Dewey, K. G., Haque, E., Chakraborty, J., Osendarp, S. J. M., & Brown, K. H. (2005). Community and International Nutrition Low Nutrient Intakes among Infants in Rural Bangladesh Are Attributable to Low Intake and Micronutrient Density of Complementary Foods 1, (April 2004), 444-451.
[2] Pelletier, D. L., &Frongillo, E. A. (2003). Community and International Nutrition Changes in Child Survival Are Strongly Associated with Changes in Malnutrition in Developing Countries 1, 2, (August 2002), 107-119.
[3] Moench-pfanner, R., Martini, E., Sari, M., Stormer, A., Kosen, S., &Bloem, M. W. (2002). Breastfeeding and Complementary Feeding Practices in Indonesia Nutrition & Health Surveillance System Annual Report 2002.
[4] Lutter, C. K., & Rivera, J. A. (2003). Nutrient Composition for Fortified Complementary Foods Nutritional Status of Infants and Young Children and Characteristics of Their Diets 1, (1), 2941-2949.
[5] Ruel, M. T. (2003). Animal Source Foods to Improve Micronutrient Nutrition and Human Function in Developing Countries Operationalizing Dietary Diversity: A Review of Measurement Issues.
[6] WHO. 2005. Guiding Principles For Feeding Non-Breastfed Child 6-24 Months of Age (p. 42). Geneva.
[7] Gibson, R.S., Ferguson, E.L. (1999) An interactive 24-Hour recall for assessing the adequacy of iron and zinc intakes in developing countries. ILSI Press, Washington D.C.
[8] WHO, 2002. Infant and young child nutrition: Global strategy on infant and young child feeding (Vol. 53, p. 18). Geneva.
[9] Dewey, K. G., & Brown, K. H. (2003). Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food and nutrition bulletin, 24(1), 5-28. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/12664525
[10] WHO, 2010. Children: Reducing Mortality. Retrieved from http://www.who.int/mediacentre/factsheets/fs178/en/index.html
[11] Savy, M., Kameli, Y., Sawadogo, P. S., Martin-pre, Y., Delpeuch, F., Traissac, P., & Traore, A. S. (2006). Community and International Nutrition An Infant and Child Feeding Index Is Associated with the Nutritional Status of 6- to 23-Month-Old Children in Rural Burkina Faso 1, (December 2005), 656-663.
[12] Kar, B. R., Rao, S. L., & Chandramouli, B. a. (2008). Cognitive development in children with chronic protein energy malnutrition. Behavioral and brain functions: BBF, 4, 31. doi:10.1186/1744-9081-4- 31
[13] Mitra, M., Kumar, P. V., Chakrabarty, S., &Bharati, P. (2007). Nutritional status of Kamar tribal children in Chhattisgarh. Indian journal of pediatrics, 74(4), 381-4. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/17476084
[14] Bilsborough, S. a, & Crowe, T. C., 2003. Low-carbohydrate diets: what are the potential short- and long-term health implications?. Asia Pacific journal of clinical nutrition, 12(4), 396-404. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/14672862
[15] Nestel, P., Briend, A., Benoist, B. D., Decker, E., Ferguson, E., Fontaine, O., Micardi, A., et al. (2003). Complementary Food Supplements to Achieve Micronutrient Adequacy for Infants and Young Children, (March), 316-328.
[16] Osório, M. M. (2002). Determinant factors of anemia in children, 78, 269-278.
[17] Brunken, G. S., Guimarães, L. V., &Fisberg, M., 2002. Anemia in children under 3 years of age in public day care centers, 78, 50-56.
[18] Wintergerst, E. S., Maggini, S., &Hornig, D. H., 2006. Immuneenhancing role of vitamin C and zinc and effect on clinical conditions. Annals of nutrition & metabolism, 50(2), 85-94.