The Difference in Protein and Zinc Intake in Stunted and Non-Stunted Toddlers in Dawarblandong District, Mojokerto

Rizqy Abidah Ramdlaniyah; Choirul Anna Nur Afifah

Authors

Rizqy Abidah Ramdlaniyah Universitas Negeri Surabaya
Choirul Anna Nur Afifah Universitas Negeri Surabaya

Abstract

Stunting is a health problem caused by several factors, one of which is a lack of nutrition in the long term. The nutrients that have been linked to influencing the incidence of stunting are protein and zinc. Protein is a macronutrient containing essential amino acids that are useful for growth, cell turnover, and maintenance of the body. Zinc is also useful for growth because zinc plays a role in the metabolism of Growth Hormone (GH). This study aims to determine differences in protein and zinc intake in stunted and non-stunted toddlers in Dawarblandong District, Mojokerto Regency. The type of research used is quantitative with an observational method and a case-control research design. The total sample was 54 toddlers consisting of 27 stunted toddlers and 27 non-stunted toddlers who were selected using a purposive sampling technique. Protein and zinc intake of toddlers were taken through 24-hour food recall interviews for three days and then the data were analyzed using the Wilcoxon Rank Sum Test. The results showed that there was a significant difference in protein intake (p value 0.014) and zinc intake (p value 0.020) between stunted and non-stunted toddlers. This difference in intake is thought to be influenced by differences in toddler eating patterns. Stunted toddlers consume more plant-sourced foodstuffs than animal-based ones, while non-stunted toddlers consume a combination of foods from plant and animal sources in a day's meal so that the nutrients they get are better. This difference in eating patterns is associated with differences in the parenting style of each toddler where mothers of non-stunted toddlers understand more about intakes that are rich in nutrients that are useful for children's bodies and are more patient in controlling children's eating patterns. Meanwhile, the parenting style of stunted toddler mothers frees the child to choose whatever food the child likes even though the food has less nutritional value.

References

A. Asiah, G. Yogisutanti, and A. I. Purnawan, “Asupan Mikronutrien Dan Riwayat Penyakit Infeksi Pada Balita Stunting Di Uptd Puskesmas Limbangan Kecamatan Sukaraja Kabupaten Sukabumi,” J. Nutr. Coll., vol. 9, no. 1, pp. 6–11, 2020, doi: 10.14710/jnc.v9i1.24647.

A. Satriani dan Yuniastuti, “Risk Factor of Stunting in Toddlers ( Study of Differences Between Low and Highlands ),” J. world Nutr., vol. 3, no. 1, pp. 32–41, 2020.

A. Sulistianingsih and D. A. M. Yanti, “Kurangnya Asupan Makan Sebagai Penyebab Kejadian Balita Pendek (Stunting),” J. Dunia Kesehat., vol. 5, no. 1, pp. 71–75, 2016.

R. Agus Kundarwati, A. Prima Dewi, D. Ambar Wati, P. A. Studi Gizi Fakultas Kesehatan Universitas Aisyah Pringsewu Jl Yani No, A. Tambahrejo, and G. Rejo, “Hubungan Asupan Protein, Vitamin A, Zink, dan Fe dengan Kejadian Stunting Usia 1-3 Tahun,” J. Gizi, vol. 11, no. 1, p. 2022, 2022.

K. N. Berawi, M. N. Hidayati, Susianti, R. R. W. Perdami, T. Susantiningsih, and A. M. Maskoen, “Decreasing zinc levels in stunting toddlers in Lampung Province, Indonesia,” Biomed. Pharmacol. J., vol. 12, no. 1, pp. 239–243, 2019, doi: 10.13005/bpj/1633.

D. I. Panti, S. Trisna, W. Melania, and D. Olivia, “Hubungan antara,” vol. 18, no. 4, pp. 1–27, 2010.

S. G. Park, H. N. Choi, H. R. Yang, and J. E. Yim, “Effects of zinc supplementation on catch-up growth in children with failure to thrive,” Nutr. Res. Pract., vol. 11, no. 6, pp. 487–491, 2017, doi: 10.4162/nrp.2017.11.6.487.

A. Jihan, “Amalia, J : Suplementasi Zink Tiga Bulan Berpengaruh Pada...,” vol. 4, no. 3, pp. 243–255, 2021.

N. Khairani and S. U. Effendi, “Family characteristics as risk factors of stunting among children age 12-59 month,” J. Aisyah J. Ilmu Kesehat., vol. 4, no. 2, pp. 119–130, 2019, doi: 10.30604/jika.v4i2.188.

U. Azmy and L. Mundiastuti, “Konsumsi Zat Gizi pada Balita Stunting dan Non- Stunting di Kabupaten Bangkalan Nutrients Consumption of Stunted and Non-Stunted Children in Bangkalan,” Amerta Nutr., pp. 292–298, 2018, doi: 10.20473/amnt.v2.i3.2018.292-298.

M. Watford and G. Wu, “Protein,” Adv. Nutr., vol. 9, no. 5, pp. 651–653, 2018, doi: 10.1093/ADVANCES/NMY027.

L. Agustin and D. Rahmawati, “Hubungan Pendapatan Keluarga dengan Kejadian Stunting,” Indones. J. Midwifery, vol. 4, no. 1, p. 30, 2021, doi: 10.35473/ijm.v4i1.715.

N. Putri, Nurlinawati, and I. Mawarti, “Gambaran Tingkat Pendidikan dan Tinggi Badan Orangtua Balita Stunting Usia 24-59 Bulan Pendahuluan Masa ketika anak berada di bawah umur lima tahun ( balita ) merupakan masa kritis dari perkembangan dan pertumbuhan didalam siklus hidup manusia . Masa bali,” J. Ilm. Ners Indones., vol. 2, no. 1, pp. 24–32, 2021.

R. M. Manikam, “Perbedaan Asupan Seng (Zn), Zat Besi (Fe), dan Vitamin C Anak Stunting dan Normal Umur 6-12 Tahun di provinsi Nisa Tenggara Timur,” J. Gizi Kesehat., vol. 7, no. November, pp. 28–34, 2019.

A. Pramono, B. Panunggal, N. Anggraeni, and M. Z. Rahfiludin, “Asupan Seng, Kadar serum Seng, dan Stunting pada Anak Sekolah di Pesisir Semarang,” J. Gizi Pangan, vol. 11, no. 1, pp. 19–26, 2016.

H. Hadi, M. Julia, and S. Herman, “Defisiensi Vitamin A dan Zinc sebagai Faktor Risiko Teerjadinya Stunting pada Balita di Nusa Tenggara Barat,” Media Penelit. dan Pengemb. Kesehat., vol. XIX, no. Suplemen II, pp. S84–S94, 2009, [Online]. Available: http://ejournal.litbang.depkes.go.id/index.php/MPK/article/view/759/1693.

I. D. Supariasa Nyoman and H. Purwaningsih, “Faktor-Faktor Yang Mempengaruhi Kejadian Stunting pada Balita di Kabupaten Malang,” Karta Rahardja, J. Pembang. dan Inov., vol. 1, no. 2, pp. 55–64, 2019, [Online]. Available: http://ejurnal.malangkab.go.id/index.php/kr.