印度尼西亚12-24月龄儿童营养状况的随机对照试验研究:食道强化及母亲营养教育的影响

Yulia Wahyuni, M. Mexitalia, M. Z. Rahfiludin
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引用次数: 0

摘要

摘要背景:母亲的营养知识和父母的喂养方式会影响儿童的饮食行为,从而影响儿童的生长发育。目的:本研究的目的是确定在东努沙登加拉Waipare公共卫生中心,Taburia强化和母亲营养教育对儿童营养状况的影响。材料与方法:本研究为随机对照试验。共有180名营养不良的母亲及其12-24个月大的孩子(z-得分-3至-2)。实验组分为干预组(IG) (n=90)和对照组(CG) (n=90)。监察长进行了三个月的干预。母亲们接受了营养教育,而她们的孩子则接受了taburia。母亲们接受了营养教育。数据喂养规则采用自我管理喂养实践问卷(FPQ)获得。在干预前后进行了饮食摄入评估,包括大量营养素和微量营养素三天食物记录、营养状况和儿童生病天数的百分比。结果:研究结果显示,干预后IG组与CG组知识得分的平均上升幅度无显著差异(P> 0.01)。IG组儿童发病率低于CG组。干预后IG组的平均营养摄取量、WAZ(0.97±0.52)、WLZ(1.02±0.42)均高于对照组。IG的LAZ值升高(0.34±0.66 SD),而CG的LAZ值下降(0.27±0.31 SD)。结论:Taburia强化干预可改善营养不良儿童的WAZ、LAZ、WLZ,而母亲的干预营养教育可提高WAZ和WLZ。
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THE EFFECT OF TABURIA FORTIFICATION AND NUTRITION EDUCATION OF MOTHERS TO ON NUTRITIONAL STATUS OF 12-24 MONTHS OLD CHILDREN IN INDONESIA : RANDOMIZED CONTROLLED TRIAL STUDY
ABSTRACTBackground: Mother's nutritional knowledge and parents' feeding practices will influence children's eating behavior which have an impact on the child's growth.Objective: The purpose of this study was to determine the effects of Taburia fortification and nutrition education of mothers on the nutritional status of children in Waipare Public health center in East Nusa Tenggara.Materials and Methods: This study was a randomized controlled trial. A total of 180 mothers and their children aged 12-24 months who had malnourished (z-score -3 to -2). The group divided into teams were the intervention group (IG) (n=90) and the control group (CG) (n=90). The IG give intervention for three months. The mothers were given nutrition education, while their children were given taburia. The CG, mothers were given nutrition education. Data feeding rules obtained using a self-administered feeding practice-Questionnaire (FPQ). Dietary intake assessment of macronutrient and micronutrient three-day food records, nutritional status, and percentage of child's sick day was conducted before and after the intervention.Results: The result of the study showed that there was no significant difference in the mean increase (P> 0.01) between knowledge scores in IG and CG, post-intervention. Lower percentage of sickness among children in IG than CG. The average nutrient intake, WAZ (0.97±0.52), WLZ (1.02±0.42) of IG increased and was higher than CG after the intervention. The LAZ of IG increased (0.34±0.66 SD) while on the CG declined (0.27±0,31 SD).Conclusion: Thus, The Taburia fortification intervention was useful in improving WAZ, LAZ, WLZ in children who experienced malnutrition, but the intervention nutrition education of mothers can increase WAZ and WLZ. 
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