The Efficacy of Complementary Foods Instant Kanji rumbi Porridge on Increasing Hemoglobin Levels and Reducing Anemia Status in Underweight Toddlers: Efikasi Makanan Pendamping Bubur Kanji rumbi Instan dalam Meningkatkan Kadar Hemoglobin dan Menurunkan Status Anemia pada Balita Berat Badan Kurang
Efikasi Makanan Pendamping Bubur Kanji rumbi Instan dalam Meningkatkan Kadar Hemoglobin dan Menurunkan Status Anemia pada Balita Berat Badan Kurang: The Efficacy of Complementary Foods Instant Kanji rumbi Porridge on Increasing Hemoglobin Levels and Reducing Anemia Status in Underweight Toddlers
Background: Cases of underweight and anemia in Acehnese toddlers are high, requiring urgent intervention. A viable alternative is local food-based supplemental feeding, using high-protein and iron-rich meals. One of the examples is the innovative instant kanji rumbi porridge, which is made from Aceh's local protein sources. Objectives: The study aimed to analyze the effect of instant kanji rumbi porridge on hemoglobin (Hb) levels and the anemia status of underweight toddlers through a cluster-randomized control trial design. Methods: The study was conducted in three community health centers in Aceh Besar district and 15 posyandu (integrated service posts) clusters. 46 subjects selected based on the inclusion and exclusion criteria (23 in the intervention group and 23 in the control group). The intervention of instant kanji rumbi porridge was administered for 3 months, with each participant consuming it twice daily. Results: The instant kanji rumbi porridge intervention was successful in reducing the anemia rate from 92.3% of anemic toddlers at baseline to 60.7% by the end of the study. The consumption of instant kanji rumbi porridge significantly increased the energy and nutrient intake of the toddlers both before and after the intervention, as well as within the intervention groups. All groups exhibited an increase in Hb levels; however, the rise in the intervention group was substantially greater than that in the control group (p-value=0.013). Conclusions: Instant kanji rumbi porridge has the potential to be used as a complementary food for toddlers to increase macro and micronutrient intake, especially iron, hence elevating hemoglobin levels and reducing anemia in this age group.
Indonesian
Latar Belakang: Kasus gizi kurang dan anemia pada balita Aceh cukup tinggi, sehingga memerlukan penanganan segera. Salah satu solusinya adalah pemberian makanan pendamping ASI berbasis pangan lokal, dengan memanfaatkan bahan pangan yang tinggi protein dan kaya zat besi. Salah satu contohnya adalah bubur instan kanji rumbi yang inovatif, terbuat dari sumber protein lokal Aceh. Tujuan: Penelitian ini bertujuan untuk menganalisis pengaruh bubur instan kanji rumbi terhadap kadar Hb dan status anemia balita gizi kurang dengan menggunakan rancangan penelitian cluster-randomized control trial. Metode: Penelitian dilakukan di tiga puskesmas di Kabupaten Aceh Besar dan 15 klaster posyandu. Subjek penelitian sebanyak 46 orang yang dipilih berdasarkan kriteria inklusi dan eksklusi (23 kelompok intervensi, 23 kelompok kontrol). Intervensi bubur instan kanji rumbi dilakukan selama 3 bulan, masing-masing subjek mengonsumsi 2 kali sehari. Hasil: Intervensi bubur instan kanji rumbi berhasil menurunkan angka anemia dari 92,3% balita anemia pada awal penelitian menjadi 60,7% pada akhir penelitian. Konsumsi bubur kanji rumbi instan secara signifikan meningkatkan asupan energi dan zat gizi balita sebelum dan sesudah intervensi, dan juga pada kelompok intervensi. Terjadi peningkatan kadar Hb pada semua kelompok, namun peningkatan kadar Hb pada kelompok intervensi secara signifikan lebih tinggi dibandingkan kelompok kontrol (p-value=0,013). Kesimpulan: Bubur kanji rumbi instan berpotensi untuk dijadikan makanan pendamping ASI bagi balita untuk meningkatkan zat besi dan kadar hemoglobin serta menurunkan anemia pada balita.
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