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ANALISIS KEBUTUHAN DIKLAT (AKD) BAGI APARATUR DI LINGKUNGAN PEMERINTAH PROVINSI RIAU ', Kiswanto; ', Zainuri; ', Gevisioner; Harahap, Heryudarini
Nakhoda: Jurnal Ilmu Pemerintahan Vol 16, No 1 (2017)
Publisher : Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (159.883 KB) | DOI: 10.35967/jipn.v16i1.5797

Abstract

The need to improve the competence of human resources needs to get serious attentithe local government. The human resources is a resources or operates other r available within the organization. Alternative programs commonly used by an organiz improve the capability or competence or human resources is education and training ( The high demands of increasing the competence of apparatus in every SKPD in the Government of Riau bring the consequences to the many need education and training. all the needs of the competences of development that match with the specifications an of the job in the field is certainly difficult to fulfill everything.This is due to various limitations, including a) Limited funds for education and trai Limited facilities and infrastructure of training institutions, and c) Limited man human resources. Paying attention to Mid-Term Plan Develompent (RPJM) of Riau2014-2019 (Bappeda of Riau Province, 2014), it can be put forward the priority ag fulfilling the needs of competence development for the apparaturs in the environme provincial government.  
QUANTITY AND QUALITY OF BREAKFAST OF CHILDREN AGED 2.0 TO 12.9 YEARS IN INDONESIA Harahap, Heryudarini; Widodo, Yekti; Sandjaja, Sandjaja; Khouw, Ilse; Deurenberg, Paul
GIZI INDONESIA Vol 42, No 1 (2019): Maret 2019
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v42i1.355

Abstract

Doing breakfast among children is a public health concern as seen at one of the messages in ‘Indonesian balanced nutrition which state ‘breakfast every day’. The aim of this analysis is to determine the quantity and quality of Indonesian children’s breakfast based on children and parent characteristics, as well as nutritional status. Subjects were 2629 children, aged 2.0–12.9 years, included in the Southeast Asian Nutrition Study. The amount of the breakfast is categorized as very inadequate if 15 percent; inadequate if 15 to 25 percent; or adequate if ≥ 25 percent of the Indonesian RDA. The quality of breakfast was categorized as ‘not good’, if the breakfast skips one or more components of energy, protein and/or vitamins/minerals, or ‘good’ if the breakfast provides energy, protein and vitamins/minerals. The results indicated that on average only 31.6 percent of the children were categorized as having adequate breakfast consumption and 21.6 percent having good quality breakfast. Only 9.2 percent of children have adequate and good quality breakfast. Adequacy of breakfast differed between children, parent characteristics, and nutritional status, but only age has an association with the quality of breakfast (p0.05). The nutrition education about good breakfast should be included as the part of curriculum, and school canteens provided a good food, as well as a campaign about Indonesian balanced nutrition slogan number 1 ‘have breakfast every day’ should be socialized.
GANGGUAN PERTUMBUHAN DAN PERKEMBANGAN PADA ANAK USIA 0,5-1,9 TAHUN TERKAIT DENGAN ASUPAN MAKANAN DAN PENGASUHAN YANG KURANG Harahap, Heryudarini; Budiman, Basuki; Widodo, Yekti
GIZI INDONESIA Vol 41, No 1 (2018): Maret 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v41i1.247

Abstract

Growth and development of children affected by various risk factors include malnutrition, poverty, and a less stimulated home environment. The objective of this analysis was to calculate the proportion of growth and development disorder and to determine the association of food intake and care for children with children’s growth and development. Samples were 247 children aged of 0.5-1.9 years who participated in the South East Asian Nutrition Survey (SEANUTS) in 2011. Growth was assesed by height for age in Z-score of WHO standard. Development was measured using Denver II test. Children were divided into four groups: 1).normal height with normal development (NH-ND); 2).stunting with normal development (S-ND), 3).normal height with suspected underdevelopment (NH-SD), and 4).stunting with suspected underdevelopment (S-SD). Protein intake was divided into adequate (≥80% RDA) and inadequate (80% RDA). Care for children was measured by the length of carrying them, categorized into ≤2 hours or 2 hours. Socio-economic status was categorized into low and high based on quintile. Age was categorized into 0.5–0.9 years and 1.0–1.9 years. Data analysis employed multi-nomial logistic regression. Proportions of NH-SD, S-ND, NH-SD and S-SD were 53.6%, 17.9%, 19.4%, and 9.1%, respectively. S-ND was associated with protein intake (OR=2.2;95%CI:1.1-4.6), aged 1.0–1.9 years (OR=6.9: 95%CI:2.2-22.1). NH-SD was associated with aged 1–1.9 years (OR=0.3; 95%CI:0.1-0.6). S-SD was associated with inadequate protein intake (OR=3.1; 95%CI:1.2-8.2), low SES and duration of carrying them more than 2 hours (OR=6.9; 95%CI:2.5-19.0). Protein intake, SES and care for children were risk factors for growth and development of children.ABSTRAKPertumbuhan dan perkembangan anak dipengaruhi oleh berbagai faktor risiko diantaranya kekurangan gizi, kemiskinan, dan lingkungan rumah yang kurang stimulasi. Tujuan analisis adalah mengetahui proporsi gangguan pertumbuhan dan perkembangan dan mempelajari asosiasi asupan makanan dan pengasuhan dengan pertumbuhan dan perkembangan anak. Sampel adalah 247 anak, berusia 0,5–1,9 tahun dari penelitian South East Asian Nutrition Study tahun 2011. Pertumbuhan dinilai melalui Z-skor tinggi badan (TB) menurut umur standar WHO. Perkembangan diukur menggunakan test Denver II. Anak dikelompokkan menjadi: 1).TB dan perkembangan normal (NH-ND), 2).stunting tetapi perkembangan normal (S-ND), 3).TB normal tetapi perkembangan terganggu (NH-SD), dan 4). stunting dan perkembangan terganggu (S-SD). Asupan protein dikelompokkan atas cukup (≥80% RDA) dan kurang (80% RDA). Pengasuhan diukur dari lama anak digendong, dikelompokkan menjadi ≤2 jam atau 2 jam. Status sosial ekonomi dikategorikan menjadi rendah dan tinggi. Analisis yang digunakan adalah multi-nomial logistic regression. Proporsi NH-ND, S-ND, NH-SD dan S-SD berturut-turut adalah 53,6%, 17,9%, 19,4%, dan 9,1%. S-ND berhubungan dengan kurang asupan protein (OR=2,2;95%CI:1,1-4,6), umur 1–1,9 tahun (OR=6,9: 95%CI:2,2-22,1). NH-SD berhubungan dengan umur 1,0–1,9 tahun (OR=0,3; 95%CI:0,1-0,6). S-SD berhubungan dengan kurang asupan protein (OR=3,1; 95%CI:1,2-8,2), SES rendah dan anak digendong 2 jam (OR=6,9; 95%CI:2,5-19,0). Asupan protein, sosial ekonomi status dan pengasuhan anak merupakan faktor risiko untuk terjadinya pertumbuhan dan hambatan perkembangan pada anak.Kata kunci: konsumsi makanan, pengasuhan anak, perkembangan anak, status gizi 
Normal motor milestone development for use to promote child care Mahdin A. Husaini; Abas B. Bahari; Jajah K. Husaini; Yekti Widodo; Heryudarini Harahap; Susi Suwarti; Dewi Purnomosari; Fawziah A. Hadis
Paediatrica Indonesiana Vol 50 No 6 (2010): November 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (431.052 KB) | DOI: 10.14238/pi50.6.2010.340-6

Abstract

Background Motor behavior is an essential aspect of child development, and usually assessed in terms of age of achievement of motor milestone. The early detection of infants experiencing subtle delays in motor maturation can allow early intervention in developmental problems. Intervention can be more effective if delays are identified early. In order to facilitate the identification of early delays, the Center of Nutrition and Foods Research andDevelopment in Bogor has designed a simple tool to monitor the child (aged 3 to 18 months) motor development.Objective To develop an observable of normal gross motor maturation for use to detect deviance or motor delay.Methods A total of 2100 healthy children, aged 3-18 months, from high socio-economic group, in urban and suburban areas, were studied. Body length, weight and motor development were measured on all children. Gross motor development was measured 17 pre selected milestones: lie, sit, crawl, creep, stand Mth assistance, walk with assistance, stand alone, walk alone, and run.Results There were no differences between males and females in the comparison of attainment motor maturation therefore a sex combined curve was developed.Conclusion The curve of normal motor milestone development can be used as a tool to evaluate motor development over time, and/or as a child development card for use in primary health care.
Effect of nutritonal therapy on Helicobacter pylori infections in severely malnourished children Mahdin A. Husaini; Jajah K. Husaini; Susie Suwarti; Yekti Widodo Heryudarini Harahap
Paediatrica Indonesiana Vol 50 No 5 (2010): September 2010
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (125.339 KB) | DOI: 10.14238/pi50.5.2010.278-83

Abstract

Background Severe malnutrition young children has been a problem in Indonesia for many years. In recent years the condition may be increasing. Besides a lack of nutrition, H. pylori infection may contribute to this condition.Objective To determine if severely malnourished children have high rates of H. pylori infection, and to test if improving nutritional deficiency by drinking skimmed milk can reduce the number of H. pylori cases.Methods A total of 83 children aged 6 - 36 months with severe malnutrition (weight-for-age < -3 Z-scores), who were outpatients at the Nutrition Clinic in fugor served as subjects for this longitudinal study. Out of 83 children, 42 subjects (50%) tested positively for H. pylori infection (Group P) and 41 subjects  (49.4%) tested negatively (Group NP). All subjects received the same nutritional intervention consisting  of medical care, 250 g of skimmed milk, and guidance concerning proper feeding and care of children at every clinic visit, for a duration of 6 months.Results The study revealed that after 6 months of nutritional intervention, the percentage of children suffering from diarrhea was significantly (P < 0.05) reduced in Group P, while no significant change was demonstrated in Group NP. The nutritional intervention also demonstrated a noticeable effect on the incidence of H pylori infection, reducing the number of H. pylori infections by 29% in Group P. In Group Np, 100% of the children remained free of H. pylori infection after intervention. No new cases of H. pylori infection appeared in either group. An improvement in nutritional status was also observed: 23.8% of severely undernourished children in Group P and 3 4.1 % in Group NP improved after intervention.Conclusion Drinking skimmed milk twice daily, as well as parental counseling on proper feeding and child care, led to improved nutritional status of severely malnourished children. We also observed that skimmed (non-fat) milk may have a role in preventing and treating malnourished children with H. pylori infection.
Analisis Kebutuhan Diklat (AKD) bagi Aparatur di Lingkungan Pemerintah Provinsi Riau Kiswanto; Zainuri; Gevisioner; Heryudarini Harahap
Nakhoda: Jurnal Ilmu Pemerintahan Vol 16 No 27 (2017)
Publisher : Laboratorium Jurusan Ilmu Pemerintahan FISIP Universitas Riau

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35967/jipn.v16i27.5797

Abstract

The need to improve the competence of human resources needs to get serious attention from the local government. The human resources is a resources or operates other resources available within the organization. Alternative programs commonly used by an organization to improve the capability or competence or human resources is education and training (Diklat). The high demands of increasing the competence of apparatus in every SKPD in the Province Government of Riau bring the consequences to the many need education and training. Where, all the needs of the competences of development that match with the specifications and needs of the job in the field is certainly difficult to fulfill everything. This is due to various limitations, including a) Limited funds for education and training, b) Limited facilities and infrastructure of training institutions, and c) Limited manpower / human resources. Paying attention to Mid-Term Plan Develompent (RPJM) of Riau Province 2014-2019 (Bappeda of Riau Province, 2014), it can be put forward the priority agenda in fulfilling the needs of competence development for the apparaturs in the environment of the provincial government.
POLA AKTIVITAS FISIK ANAK USIA 6,0–12,9 TAHUN DI INDONESIA Heryudarini Harahap; nFN Sandjaja; Karlina Nur Cahyo
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v36i2.138

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Analisis ini bertujuan untuk memberikan gambaran tentang pola aktivitas fisik anak usia 6–12 tahun di Indonesia menurut jenis kelamin, tempat tinggal dan status sosial ekonomi dengan menggunakan data SEANUTS yang dikumpulkan pada tahun 2011. Aktivitas fisik dikumpulkan dengan menggunakan pedometer. Pedometer dipasang di pinggang anak selama dua hari berturut-turut. Nilai rata-rata dari jumlah langkah yang dihasilkan anak selama dua hari disebut sebagai aktivitas fisik yang dikategorikan menjadi 1) aktif ≥ 15.000 dan 2) tidak aktif 15.000 langkah untuk anak laki-laki dan 1) aktif ≥ 12.000 dan 2) tidak aktif 12.000 langkah untuk anak perempuan. Screen time adalah jumlah waktu anak berada di depan TV/komputer/play station per hari yang dikategorikan 2 jam atau ≥ 2 jam per hari. Lebih dari setengah (57,3%) anak Indonesia dikategorikan tidak aktif dan berada di depan TV/komputer/PS ≥ 2 jam per hari (55,2%). Proporsi anak yang tidak aktif lebih banyak pada anak laki-laki (62,8%) dibanding anak perempuan (52,3%), anak dari ibu dengan pendidikan tinggi (61,0%) dibanding anak dari ibu dengan pendidikan rendah (55,7%), dan anak dari ayah dengan pekerjaan tetap (61,1%) dibanding anak dari ayah dengan pekerjaan tidak tetap (56,1%). Proporsi screen time anak ≥ 2 jam per hari lebih besar pada anak yang tinggal di perkotaan (58,9%) dibanding pada anak yang tinggal di perdesaan (51,6%), dan anak dari sosial ekonomi tinggi (67,4%) lebih besar dari anak dari sosial ekonomi rendah (40,7%). ABSTRACTPHYSICAL ACTIVITY PATTERN OF 6.0 – 12.9 YEARS OLD INDONESIAN CHILDRENThe aimed of this study was to assess the physical activity patterns of 6 -12 years old Indonesian children according to sex, residence, and social economic status. The data of SEANUTS 2011 was analyzed. Physical activity (PA) was measured directly using pedometers for 2 consecutive days. Daily PA was defined as the average of number steps from two consecutive days, then PA was categorized into two groups those were active (average number of steps ≥ 15.000 for boys or and ≥ 12.000 for girls) and inactive (average number of steps 15,000 for boys or 12000 steps/day for girls). Screen time was the amount of time used by children interacted with the TV/computer/play station per day. Then it was categorized as 2 hours or ≥ 2 hours per day. More than half (57.3%) of Indonesian children was categorized as inactive and screen time ≥ 2 hours per day (55.2%). The proportion of inactive children was higher in boys (62,8%) than girls (52,3%), children from high educated mothers more active (61,0%) than children from low educated mothers (55,7%), and children who had father with fix job more active (61,1%) than children who had father with temporary job. The screen time proportion ≥ 2 hours per day was higher in urban children (58,9%) than rural children (51,6%), and children from high socio economic status (SES) (64,6%) than from low SES (40,7%).
PENGGUNAAN BERBAGAI CUT-OFF INDEKS MASSA TUBUH SEBAGAI INDIKATOR OBESITAS TERKAIT PENYAKIT DEGENERATIF DI INDONESIA Heryudarini Harahap; Yekti Widodo; Sri Mulyati
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v28i2.20

Abstract

DETERMINING CUT-OFF POINTS OF BODY MASS INDEX FOR OBESITY ASSOCIATED WITH DEGENERATIVE DISEASES IN INDONESIAObesity now is recognized as a public health problem. Changing diets and decreasing physical activity explain the increasing prevalence of obesity. Method that is commonly used for indentifying obesity is Body Mass Index (BMI). At present, there has been a growing debate on different BMI cut-off points for different ethnic groups, in particular for Asian population. A different cut-off point is needed due to evidence associated with BMI, percentage of body fat, and body fat distribution that differ across population. Therefore, health risks may incrase even below the cutoff point of 25 kg/m2 that now categorized as overweight. The objective of the study was to determine BMI cut-off points and their relationship with degenerative diseases. Data was originally taken from Health National Household Health Survei (SKRT) in 2004. The population were those who were aged 25 to 65 years old. The variable analysed statistically were age, sex, blood pressure, total cholesterol, and Diabetes Mellitus (DM). The analysis used in this study was univariate and bivariate tables to answer the objective. Based on WHO cut-off point, obesity was in BMI =25 kg/m2, and the prevalence of being hypertension, DM and hyperkolestrolemia as risks were 52.3%, 12,7% and 1,6% respectively. However, based on International Obesity Task Force (IOTF) cut-off in which pre obesity was started on BMI 23 kg/m2, the prevalence of each risk was consecutively 40,1%; 11,4% and 0,6%. Respectively cut-off used by Ministry of Health in obesity was 25 kg/m2 with prevalence for each risk was 50.2%, 11.8% and 1.5% respectively. Sensitivity (Se) and Specificity (Sp) were around 22.0-23.0 for all subjects based on sex, age, and education. The highest Se and Sp was found on hypercholesterol. Logistic regresion analysis showed that the increasing of BMI cut-off of 23 to 25 would be followed by the increase of the risk of hypercholesterol up to 0.6 points. On the other hand, decreasing BMI from 25 to 25 in USA may reduce 13% co-morbidity disease associated to obesity. In conclusion this study showed that on BMI =23.5 was related to degenerative diseases. However, the cut-off point still need to be examined in relation to the incidence of degenative diseases.Key Word: body mass index, cut-off point, degenerative diseases
PENGEMBANGAN ALAT SKRINING UNTUK HIPERTENSI Heryudarini Harahap; Yekti Widodo; Sri Muljati; Agus Triwinarto; Imam Effendi
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v33i2.92

Abstract

THE DEVELOPMENT OF SCREENING TOOL FOR HYPERTENSIONThe increasing prevalence of hypertension is an important public health problem contributing to significant excess disease and mortality. The risk factors of high blood pressure were smoking, sex, age, consumption, activity, obesity, and heredity. Studies showed that subjects didn’t aware about their blood pressure as well as subjects’ knowledge about risk and symptom of hypertension was not good. Hypertension prevention can be done by giving screening tools to detect the blood pressure as well asgiving information about risk and symptom of hypertension. The objective of the study was to develop screening tool to detect hypertension. A cross-sectional survey was conducted in Bogor, North Jakarta and Tangerang district. Blood pressure was collected using spyhgmanometer. The JNC 7 was used to classify of hypertension. Screening tool and leaflet was developed based on the result of Basic Health Research data set as well as literature study. The study had three activities that were focus group discussion, validity and reliability, as well as screening tool trial. Results: Validity test showed that over 17 questions only 6 questions were valid (p0,05, r = 0,176). After re-construction of screening tool questions then validity test was done again. Over 15 questions, 12 was valid (p0,05, r = 0,07).Eventhough 3 questions were not valid that questions were still included in that screening tools. Reliabilty of screening tool was realiable (α Cronbach’s = 0.586). The sensitivity (Se) and Specificity (Sp) of subjects that had been have 7 scores or higher was had Se 61.6 and 64.1 Sp respectively. Conclusion: This study implies that hypertension screening tool can be used as screening tool to detect hypertension.Keywords: hypertension, obesity, sensitivity, screening tool, specificity
KEPADATAN TULANG, AKTIVITAS FISIK DAN KONSUMSI MAKANAN BERHUBUNGAN DENGAN KEJADIAN STUNTING PADA ANAK USIA 6 – 12 TAHUN Heryudarini Harahap; nFN Sandjaja; Moesijanti Soekatri
GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36457/gizindo.v38i1.162

Abstract

Studi ini bertujuan untuk menganalisis hubungan antara kepadatan tulang, aktivitas fisik, dan konsumsi makanan dengan kejadian stunting. Analisis menggunakan data anak usia 6.0 – 12.9 tahun (n=192) dari South East Asian Nutrition Survey (SEANUTS) tahun 2011.Kepadatan tulang diukur dengan metoda dual energy X-ray absorptiometry (DXA), yang dikategorikan menjadi rendah (≤ -2 SD) dan normal ( 2 SD). Aktivitas fisik dikumpulkan dengan menggunakan pedometer. Aktivitas fisik yang dikategorikan menjadi rendah ( 11,636 untuk laki-laki dan 10,311 langkah untuk perempuan), sedang (11,636 – 15,891 langkah untuk laki-laki dan 10,311 – 14,070 langkah untuk perempuan) dan tinggi ( 15,891 langkah untuk laki-laki dan 14,070 langkah untuk perempuan). Konsumsi makanan dikumpulkan dengan cara 24 hours dietary recall. Konsumsi protein dikategorikan menjadi rendah ( 80% RDA) dan normal (≥ 80% RDA).  Logistic regression analysis digunakan untuk melihat hubungan antara variabel dependen dan independen. Hasil studi menunjukkan anak dengan kepadatan tulang rendah berisiko untuk menjadi stunting 5,3 kali (OR = 5,325 ; CI= 1,075 – 26,387) dibandingkan dengan anak kepadatan tulang normal.  Aktivitas fisik anak sedang (OR = 0,139 ; CI = 0,037 – 0,521) merupakan faktor protektif untuk kejadian stunting dibandingkan dengan aktivitas tinggi. Anak dengan konsumsi protein 80% dari angka kecukupan gizi (AKG) yang dianjurkan berisiko untuk menjadi stunting 6,4 kali (OR = 6,448 ; CI = 1,756 – 23,672) dibandingkan anak dengan konsumsi protein ≥80%. Selain akibat kekurangan konsumsi protein, perhatian juga perlu diberikan kepada aktivitas fisik dan kepadatan tulang anak untuk mencegah stunting dan akibat jangka panjangnya.ABSTRACT BONE MINERAL DENSITY, PHYSICAL ACTIVITY, AND DIETARY INTAKES ARE ASSOCIATED WITH STUNTING IN 6-12 YEARS OLD CHILDREN This study assessed the association of stunting in schoolage children (6-12 year old) with bone mineral density (BMD), physical activity (PA), and dietary intakes. Data on 6-12 year old children (n=192) from the South East Asian Nutrition Survey (SEANUTS) 2011. BMD was measured using DXA, which was categorized into low (≤-2 SD) and normal ( -2 SD). Physical activity (PA) was measured using pedometers. PA was categorized into low ( 11,636 steps for boys and 10,311 steps for girls), moderate (11,636 – 15,891 steps for boys and 10,311 – 14,070 steps for girls) and high ( 15,891 steps for boys and 14,070 steps for girls). Dietary data was collected by 24 hours dietary recall. Protein consumption is categorized into low ( 80% RDA) and normal (≥ 80% RDA). Logistic regression analysis was used to test the association. The results showed that children with low bone density(≤ -2 SD) had a 5.3 times higher risk to be stunted (OR =5.325; 95% CI=1.075 to 26.387) than children with normal bone density. Moderate physicial activity was a protective factor for stunting (OR =0.139; 95% CI=0.037 to 0.521) than children with high physical activity. Children who consumed 80% of RDA of protein had a higher risk of being stunted (OR =6.448; 95% CI=1.756 to 23.672) than children with protein intake ≥80%.Therefore, next to improving protein intake, attention also is given to physical activity and bone mineral density to prevent stunting and its long-term impact.Keywords: stunting, bone mineral density, physical activity