M Mexitalia
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The effect of soybean formula and formula 100 supplementation on the growth of preschool children M Mexitalia; Yohanes Tri Nugroho; J C Susanto
Paediatrica Indonesiana Vol 45 No 6 (2005): November 2005
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi45.6.2005.256-63

Abstract

Background Preschool children are vulnerable in growth. Soy-bean formula (SF) and formula-100 (F100) are supplementary foodswhich contain of high energy and are available at low price; how-ever, they are not widely used for preschool children.Objectives To investigate the effect of SF compared to F100 onthe growth of preschool children.Methods A cross-over trial was conducted on 96 preschool chil-dren aged 4-7 years. Subjects were randomly divided into 2 groupswhich received 200 ml soybean formula (n=49) or F100 (n=47) for1 month and crossed-over after a six-week wash-out period. Bodyweight was measured weekly. Body height and food analysis by 3-day food recall were measured at the beginning and the end of thestudy. The criteria of the acceptability of the formula was eithergood or poor.Results Supplementation with SF as well as F100 induced catchup growth as shown by the increase of Δz-score. There were nosignificant difference of Δ weight for age z-score, Δ height for agez-score, and Δ weight for height z score between groups duringthe first and second phases of the trial. The acceptability of F100was significantly better than that of SF at the beginning; neverthe-less, the difference was not significant at the second phase trial.Conclusions Soybean formula and F100 given for a one monthperiod can induce catch-up growth in preschool children. Soybeanformula as an alternative health food can be accepted by preschoolchildren
The influence of intensive nutritional counseling in Posyandu towards the growth 4-18 month old children Noviati Noviati; J C Susanto; H Selina; M Mexitalia
Paediatrica Indonesiana Vol 46 No 2 (2006): March 2006
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.14238/pi46.2.2006.57-63

Abstract

Introduction Under 5 years is a critical period for child growth,when growth faltering often occurs. Periodical growth monitoringand nutritional counseling can detect growth faltering earlier, de-termine the cause, and find alternatives to solve such problems.Objective To determine the benefit of nutritional counseling onknowledge, attitude, practice of mothers, and child growth.Methods A randomized controlled trial was conducted inSendangguwo, Semarang on 143 children of the treatment groupand 135 children of the control group. Nutritional counseling wasgiven to mothers in the treatment group by trained health volun-teers. Changes of weight for age Z-score (WAZ), height for age Z-score (HAZ), and weight for height Z-score (WHZ) were analyzedrepeatedly by using ANOVA. The differences of ΔWAZ, ΔHAZ, andΔWHZ between groups were compared by student t-test. GEE (gen-eralized estimating equation) analysis was used to analyze theeffect of confounding variables on the changes of WAZ.Results After 6 months of counseling, knowledge, attitude, andpractice of nutrition in the treatment group significantly increasedcompared to that of the control group (P<0.001). The WAZ, HAZ,and WHZ curves in the control group decreased. However, in thetreatment group, WHZ increased and there was stabilization ofWAZ. At the end of the study, treatment group had significantlyimproved their WAZ (P<0.001), HAZ (P=0.004), and WHZ(P<0.001) compared to that of the control group.Conclusion Nutritional counseling can improve knowledge, atti-tude, and practice of mothers, and has beneficial effects on childgrowth by WAZ, HAZ, and WHZ