Effectiveness of Parental Assistance in Providing Food on Nutritional Intake Among Children with Malnutrition

Nurul Chabibah, Milatun Khanifah, Rini Kristiyanti
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Abstract

Background: Prevalence of stunting continues to affect 21.3% of children aged <5 years worldwide. The problem of malnutrition in children is caused by several factors, such as poor access to nutritious food, recurrent infections, and inadequate practice of offering food and care for mothers and children during the first 1,000 days.Objectives: The purpose of the study was to know the effectiveness of feeding parenting style assistance to mothers of toddlers in increasing the nutritional intake of under-nutrition childrenMaterials and Methods: This study used a quasi-experimental design with a pre-test and post-test control group design approach. The population in this study was toddlers with malnutrition (according to weight/height). The sample size for each group was 35 mothers. The sample was divided into two groups. The first group was given parental assistance consisting of nutrition education and food processing guidance for the toddler for 3 months (the intervention group) and the second group was given health education about balanced nutrition for children under five (the control group). Collecting data had used a checklist of identity, nutritional status, and semi-quantitative food frequency questionnaire. Data were analyzed using paired t-test, p-value <0.05 for the 95% confidence interval.Results: The nutritional intakes of children under five showed a significant difference between the group of mothers under five who were given intensive assistance (the intervention group) and the group that was only given nutrition education for children under five (the control group). The differences in nutritional intakes seen in macronutrients were the difference in calorie intake (p-value: 0.042; CI: 4.005-213.543) and protein intake (p-value: 0.040; CI: 0.197-8.065). The differences in micronutrient intakes were seen in the increase in consumption of vitamin E (p-value: 0.000; CI: 0.446-4.416), sodium (p-value: 0.000; CI: 61.859-193.741), potassium (p-value: 0.005; CI: 70.743-373.102), calcium (p-value: 0.000; CI: 51.851-137.863), and phosphor (p-value: 0.041; CI: 2.133-99.604).Conclusion: Food parenting assistance for mothers of toddlers was effective in increasing toddler nutrition
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父母援助在营养不良儿童营养摄入方面提供食物的有效性
背景:全世界有21.3%的5岁以下儿童发育迟缓。儿童营养不良问题是由几个因素造成的,例如难以获得营养食品、反复感染以及在头1000天内为母亲和儿童提供食物和护理的做法不充分。目的:本研究的目的是了解喂养方式对幼儿母亲增加营养不良儿童营养摄入量的有效性。材料与方法:本研究采用准实验设计,采用前测和后测对照组设计方法。本研究的人群是营养不良的幼儿(根据体重/身高)。每组的样本量为35名母亲。样本被分成两组。第一组给予3个月儿童营养教育和食品加工指导(干预组),第二组给予5岁以下儿童均衡营养健康教育(对照组)。收集数据采用身份、营养状况检查表和半定量食物频率问卷。资料采用配对t检验,95%置信区间p值<0.05。结果:五岁以下儿童营养摄入在给予强化援助组(干预组)和仅给予五岁以下儿童营养教育组(对照组)之间存在显著差异。在常量营养素中所见的营养摄入量差异是卡路里摄入量的差异(p值:0.042;CI: 4.005-213.543)和蛋白质摄入量(p值:0.040;置信区间:0.197—-8.065)。微量营养素摄入量的差异体现在维生素E摄入量的增加上(p值:0.000;CI: 0.446-4.416)、钠(p值:0.000;CI: 61.859-193.741),钾(p值:0.005;CI: 70.743-373.102)、钙(p值:0.000;CI: 51.851-137.863)和荧光粉(p值:0.041;置信区间:2.133—-99.604)。结论:为幼儿母亲提供食物育儿援助对提高幼儿营养是有效的
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