Nutritional status and nutrient intake from complementary foods among breastfed children in Purworejo District, Central Java, Indonesia
Keywords:
complementary food, breastfed children, undernutrition, nutritional status
Abstract
Background The growth rate of Indonesian infants beyond sixmonths of age declines compared with that of the international
reference population.
Objective This study aimed to describe the pattern of nutritional
status among breastfed children and their intake of energy, pro-
tein, and zinc from complementary foods in Purworejo District, Cen-
tral Java, Indonesia.
Methods The study was a cross sectional survey drawing breastfed
children under 24 months old from a well-defined population. Chil-
dren with a history of prematurity or low birth weight were excluded.
Anthropometrical measurements were collected. Intake of comple-
mentary food was assessed using 24-hour recall. Analysis of nu-
tritional intake was only performed in 11-23 month-old children.
Results Of 577 children enrolled, the prevalence of underweight,
stunting, and wasting were 8.1%, 8.8%, and 4.6%, respectively.
The prevalence of undernutrition increased with age. There was
no association between frequency of breastfeeding during 24 hours
in the second year of life and the nutritional status. The average
intake of energy, protein, and zinc from complementary foods was
very low i.e., 30%, 45%, and 5% of the Indonesian recommended
dietary allowance (RDA), respectively.
Conclusion The prevalence of undernutrition in breastfed chil-
dren increases with age. The breastfed children beyond 11 months
of age in Purworejo District need sufficient density of nutrients from
complementary foods.
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(IMCI). 2001. http://www.who.int/child-adolescent-
health/integr.htm
2. Victoria CG, Morris SS, Barros FC, de Onis M. The
NCHS reference and the growth of breast- and bottle-
fed infants. J Nutr 1998;128:1134-8.
3. Dewey KG, Heinig MJ, Nommsen LA, Peerson JM,
Lonnerdal B. Growth of breastfed and formula-fed in-
fants from 0-18 months: The DARLING study. Pedi-
atrics 1992;89:1035-41.
4. Julia M, Surjono A, Hakimi M. Role of breastfeeding
in protecting children from malnutrition: A compara-
tive study of nutritional status in children under two
years of age in two districts in Indonesia. Paediatr
Indones 2002;42:106-12.
5. Kikafunda JK, Walker AF, Collett D, Tumwine JK. Risk
factors for early childhood malnutrition in Uganda. Pe-
diatrics 1998;102:1-8.
6. Simondon KB, Simondon F. Mothers prolong
breastfeeding of undernourished children in rural
Senegal. Int J Epidemiol 1998;27:490-4.
7. Simondon KB, Costes R, Valerie D, Diallo A,
Simondon F. Children’s height, health and appetite
influence mothers’ weaning decisions in rural Senegal.
Int J Epidemiol 2001;30,476-81.
8. Brown KH, Begin F. Malnutrition among weanings of
developing countries: still a problem begging for solu-
tions. J Pediatr Gastroenterol Nutr 1993;17:132-8.
9. Adair LS, Guilkey DK. Age-specific determinants of
stunting in Filipino children. J Nutr 1997;127:314-20.
10. Hornell A, Hofvander Y, Kylberg E. Association with
pattern and duration of breastfeeding. Pediatrics
2001;107:1-7.
11. Unicef. The state of the World’s Children 2001. http:/
/www.unicef.org
12. WHO. Feeding young children. http://www.who.int/
publications/newslet/9/feeding_young_children.htm
13. WHO. Complementary feeding of young children in
developing countries: a review of current scientific
knowledge. WHO/NUT/98.1.p.17-9.
14. Kolsteren PW. Growth faltering in Madura, Indonesia:
a comparison with the NCHS reference and data from
Kasongo, Zaire. Ann Trop Paediatr 1996;16:233–42.
15. Ninuk TSH, Dibley MJ, Sadjimin T, Serdula M. Food
and nutrient intakes of infants and young children in
Central Java, Indonesia. Yogyakarta, Indonesia: Clini-
cal Epidemiology and Biostatistics Unit, University of
Gadjah Mada, 1997.
16. Lind T, Lönnerdal B, Stenlund H, Ismail D, Seswandhana
R, Ekström EC, and Persson LA. A community-based
randomized controlled trial of iron and zinc supplemen-
tation in Indonesian infants: interactions between iron
and zinc. Am J Clin Nutr 2003;77:883-90.
17. Profil Kesehatan Purworejo [Purworejo Health Profile]
1999.
18. Vilalpando S, Alarcon ML. Gowth faltering is pre-
vented by breast-feeding in underprivileged infants
from Mexico City. J Nutr 2000;130:546-52.
19. Simondon KB, Simondon F. Prolonged
breastfeeding and malnutrition. Int J Epidemiol
1997,26:677-84.
20. Marquis GS, Habicht JP, Lanata CF, Black RE,
Rasmussen KM. Association of breastfeeding and stunt-
ing in Peruvian Toddlers: An example of reverse cau-
sality. Int J Epidemiol 1997;26:349-56.
21. Ricci JA, Becker S. Risk factors for wasting and stunt-
ing among children in Metro Cebu, Philippines. Am J
Clin Nutr 1996; 63: 966-75.
22. WHO Expert Committee. Physical status: the use and
interpretation of anthropometry. WHO. Geneva; 1995.
p. 161-255.
23. Dewey KG. Complementary feeding and breastfeeding.
Pediatrics 2000; 106(5):1301.
24. Muhilal, Djalal F, Hardinsyah. Angka kecukupan gizi
yang dianjurkan. Widya Karya Pangan dan Gizi,
Jakarta 1998.
Published
2016-10-10
How to Cite
1.
Lestari E, Hartini TN, Hakimi M, Surjono A. Nutritional status and nutrient intake from complementary foods among breastfed children in Purworejo District, Central Java, Indonesia. PI [Internet]. 10Oct.2016 [cited 26Apr.2024];45(1):31-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/795
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Received 2016-10-05
Accepted 2016-10-05
Published 2016-10-10
Accepted 2016-10-05
Published 2016-10-10
