The influence of intensive nutritional counseling in Posyandu towards the growth 4-18 month old children
Introduction Under 5 years is a critical period for child growth, when growth faltering often occurs. Periodical growth monitoring and nutritional counseling can detect growth faltering earlier, de- termine the cause, and find alternatives to solve such problems. Objective To determine the benefit o...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Indonesian Pediatric Society Publishing House
2016-10-01
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| Series: | Paediatrica Indonesiana |
| Subjects: | |
| Online Access: | https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/902 |
| Summary: | Introduction Under 5 years is a critical period for child growth,
when growth faltering often occurs. Periodical growth monitoring
and 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 on
knowledge, attitude, practice of mothers, and child growth.
Methods A randomized controlled trial was conducted in
Sendangguwo, Semarang on 143 children of the treatment group
and 135 children of the control group. Nutritional counseling was
given 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 analyzed
repeatedly by using ANOVA. The differences of ΔWAZ, ΔHAZ, and
ΔWHZ between groups were compared by student t-test. GEE (gen-
eralized estimating equation) analysis was used to analyze the
effect of confounding variables on the changes of WAZ.
Results After 6 months of counseling, knowledge, attitude, and
practice of nutrition in the treatment group significantly increased
compared to that of the control group (P<0.001). The WAZ, HAZ,
and WHZ curves in the control group decreased. However, in the
treatment group, WHZ increased and there was stabilization of
WAZ. At the end of the study, treatment group had significantly
improved 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 child
growth by WAZ, HAZ, and WHZ |
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| ISSN: | 0030-9311 2338-476X |