PEMBERIAN NUGGET IKAN TENGGIRI YANG DIFORTIFIKASI TEPUNG DAUN KELOR TERHADAP NILAI Z-SCORE TB/U dan BB/U PADA ANAK BALITA STUNTING
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Abstrak
Stunting is a nutritional problem caused by prolonged malnutrition. Mackerel and Moringa leaves are considered to have many health benefits on children growth. The study aimed to determine the effect of giving mackerel nuggets fortified with moringa flour on the nutritional status of stunted toddlers. The study took place in February and March of 2024, had a pre-post control group. The samples comprised 52 stunted children in West Nias, ranging in age from 24 to 59 months; toddlers with chronic illnesses and those with gluten and seafood allergies were excluded. Four groups were created from the samples: two control groups and two treatment groups. The treatment group received 100 grams of nuggets daily for 60 days, along with the collection of anthropometric data, including height and weight. Height-for-Age (HAZ) data was analyzed using Wilcoxon and Kruskal Wallis test while Weight-for-Age (WAZ) data used Paired T-test and One Way ANOVA test, then followed by a Post Hoc test. There was no significant difference in the increase in HAZ between treatments (p=0.741), but there was an effect of giving nuggets with the addition of moringa leaves at 3% (p=0.046) and 7% (p=0.007) on HAZ at 0,010 and 0,016 respectively. Weight-for-Age (WAZ) value increased differently for each treatment (p=0.001), with the most significant difference in the giving of nuggets fortified with 7% moringa leaves, namely 0,206. The conclusion of this study was that giving mackerel nuggets fortified with moringa flour increased HAZ and WAZ of stunted toddlers.
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Referensi
E. Sari, “Status Gizi Balita Di Posyandu Mawar Kelurahan Darmokali Surabaya,” Jurnal Keperawatan, vol. 6, no. 1, pp. 1–6, Apr. 2017, Accessed: Jan. 25, 2025. [Online]. Available: https://jurnal.stikeswilliambooth.ac.id/index.php/d3kep/article/view/64/57
D. Septiawati, Y. Indriani, and R. Zuraida, “Tingkat Konsumsi Energi dan Protein dengan Status Gizi Balita,” Jurnal Ilmiah Kesehatan Sandi Husada, vol. 10, no. 2, pp. 598–604, Dec. 2021, doi: 10.35816/jiskh.v10i2.660.
R. Handayani, “Faktor-Faktor Yang Berhubungan Dengan Status Gizi Pada Anak Balita,” Jurnal Endurance, vol. 2, no. 2, p. 217, Jun. 2017, doi: 10.22216/jen.v2i2.1742.
Sutarto, D. Mayasari, and R. Indriyani, “Stunting, Faktor Risiko dan Pencegahannya,” Jurnal Agromedicine, vol. 5, no. 1, pp. 540–545, Jun. 2018.
UNICEF, WHO, and World Bank, “Prevalence of Stunting, Height for Age (Modeled Estimate, % of Children Under 5) - Indonesia.,” The World Bank Group.
Riskesdas, “Hasil Utama Riset Kesehatan Dasar,” 2018.
Kemenkes, “Buku Saku Hasil Survei Status Gizi Indonesia (SSGI) 2022,” Jakarta, 2022.
Bappenas, “Rencana Pembangunan Jangka Menengah Nasional (RPJMN) 2020-2024,” Jakarta, 2020.
D. N. Chandra, “Fueling growth and preventing stunting: the role of animal protein in achieving optimal nutrition - Indonesia’s National Nutrition Day 2023 Theme,” World Nutrition Journal, vol. 6, no. 2, pp. i–iii, Feb. 2023, doi: 10.25220/wnj.v06.i2.0001.
Suryana et al., “Energy Deficiency and Protein Intake Related to Stunting and Motor Development in Children Aged Under 5 Years: Cross-Sectional Study In Kaway XVI District, West Aceh District,” Ann Trop Med Public Health, vol. 7, no. 5, pp. 1–8, Nov. 2021, doi: 10.36295/AOTMPH.2021.7501.
E. Eliana, E. Yuniantini, K. Kamsiah, and A. E. Yunianto, “Pengaruh Pemberian Pangan Setengah Jadi Berbasis Ikan (Sosis Analog) Dengan Kecukupan Protein Balita Dalam Upaya Penurunan Stunting Di Kabupaten Seluma,” GIZI INDONESIA, vol. 45, no. 2, pp. 173–182, Sep. 2022, doi: 10.36457/gizindo.v45i2.665.
L. Isra, S. Suraiya, U. Salma, and M. Haq, “Nutritional Evaluation and Shelf-Life Study of Mackerel Tuna (Euthynnus affinis) Fish Pickle,” Agricultural Research, vol. 11, no. 2, pp. 249–257, Jun. 2022, doi: 10.1007/s40003-021-00559-7.
S. Maulu, K. Nawanzi, M. Abdel-Tawwab, and H. S. Khalil, “Fish Nutritional Value as an Approach to Children’s Nutrition,” Dec. 15, 2021, Frontiers Media S.A. doi: 10.3389/fnut.2021.780844.
Z. W. A. Wahab, Elvina, D. Meilvinasvita, H. Sa’diyah, and Irwan, “Pemanfaatan Ikan Sebagai Produk Olahan Frozen Food Bagi Income Generation Masyarakat Desa Kuala Kecamatan Blang Mangat Kota Lhokseumawe,” in Pemanfaatan Ikan sebagai Produk Olahan Frozen Food bagi Income Generation Masyarakat Desa Kuala Kecamatan Blang Mangat Kota Lhokseumawe, Aceh: Proceeding Seminar Nasional Politeknik Negeri Lhokseumawe, Nov. 2021, pp. 58–61.
R. Cahyadi, “Nelayan dan Pertarungan terhadap Sumber Daya Laut,” Jurnal Kependudukan Indonesia, vol. VII, no. 2, pp. 127–144, 2012.
L. Banudi, P. Leksono, and M. A. Anasiru, “Effect of Fish-Based Diet on Malnourished Children: A Systematic Review,” Mar. 01, 2024, Shiraz University of Medical Sciences. doi: 10.30476/ijms.2023.96986.2863.
H. Natsir, A. W. Wahab, P. Budi, S. Dali, and A. R. Arif, “Amino acid and mineral composition of moringa oleivera leaves extract and its bioactivity as antioxidant,” in Journal of Physics: Conference Series, Institute of Physics Publishing, Nov. 2019. doi: 10.1088/1742-6596/1317/1/012030.
E. Suprayitno and T. D. Sulistiyati, Metabolisme Protein, 1st ed. Malang: UB Press, 2017.
L. Gopalakrishnan, K. Doriya, and D. S. Kumar, “Moringa oleifera: A review on nutritive importance and its medicinal application,” Jun. 01, 2016, Elsevier B.V. doi: 10.1016/j.fshw.2016.04.001.
Ż. Ciosek, K. Kot, D. Kosik-Bogacka, N. Łanocha-Arendarczyk, and I. Rotter, “The effects of calcium, magnesium, phosphorus, fluoride, and lead on bone tissue,” Biomolecules, vol. 11, no. 4, pp. 1–26, Apr. 2021, doi: 10.3390/biom11040506.
V. D. F. Febriani, Salmiah, and Zakaria, “Daya Terima Dan Analisa Komposisi Gizi Pada Cookies Dan Brownis Kukus Pandan Dengan Subtitusi Tepung Daun Kelor (Moringa Oleifera Lamk),” Media Gizi Pangan, vol. XII, no. 2, pp. 11–19, 2011.
D. Muliawati and N. Sulistyawati, “Pemberian Ekstrak Moringa Oleifera Sebagai Upaya Preventif Kejadian Stunting Pada Balita,” Jurnal Kesehatan Madani Medika, vol. 10, no. 2, pp. 123–131, 2019.
U. W. Abidin and A. Liliandriani, “Moringa Oleifera Sebagai Makanan Pendamping Asi Pada Balita Stunting,” Jurnal Kesehatan Masyarakat (J-KESMAS, vol. 07, no. 1, pp. 2541–4542, 2021, doi: 10.35329/jkesmas.v7i1.
T. B. Rahayu and Y. A. W. Nurindahsari, “Peningkatan Status Gizi Balita Melalui Pemberian Daun Kelor (Moringa Oleifera),” Jurnal Kesehatan Madani Medika, vol. 9, no. 2, pp. 208–216, Dec. 2018.
B. S. Tandirau, S. Sagita, and S. D. T. Rante, “Pengaruh Pemberian Serbuk Daun Kelor (Moringa Oleifera) terhadap Peningkatan Status Gizi Balita di Wilayah Kerja Puskesmas Naibonat Kabupaten Kupang,” Cendana Medical Journal, vol. 19, no. 1, pp. 156–163, Apr. 2020.
D. N. Afiyah, “Pengaruh Perbedaan Bagian Daging Ayam Broiler terhadap Kandungan Protein dan Sifat Organoleptik Nugget Ayam,” Anoa: Journal of Animal Husbandry, vol. 1, no. 2, pp. 81–87, Aug. 2022, doi: 10.24252/anoa.v1i2.30875.
L. A. H. K. A. O. N. Hadiansyah and R. Y. Rahmawati, “Uji Organoleptik Nugget Daging Sapi Dengan Penambahan Tepung Daun Kelor,” AVES: Jurnal Ilmu Peternakan, vol. 14, no. 1, pp. 9–20, Jun. 2020, doi: 10.35457/aves.v12i1.1132.
H. Priyono, S. Lestari, and Yusnaini, “Kualitas Fisik Dan Organoleptik Nugget Ayam Dengan Fortifikasi Tepung Daun Kelor (Moringa oleifera L),” Cannarium (Jurnal Ilmu-Ilmu Pertanian), vol. 20, no. 1, pp. 17–29, Jun. 2022.
D. S. Haruni, A. M. P. Nuhriawangsa, and R. P. Febrinasari, “Acceptability and Nutritional Value of Mackerel Fish Nugget with Additions of Moringa Leaves Flour for Stunting Children Under-Five Years in West Nias Regency,” in Nusantara Science and Technology Proceedings, Yogyakarta: NST Proceedings, Jun. 2024, pp. 61–71. doi: 10.11594/nstp.2024.4209.
L. R. Vidayana, F. K. Sari, and A. Y. Damayanti, “Pengaruh Penambahan Daun Kelor terhadap Penerimaan, Nilai Proksimat, dan Kadar Zat Besi pada Nugget Lele,” SAGU, vol. 19, no. 1, pp. 27–39, Jun. 2020.
Permenkes, “Peraturan Menteri Kesehatan RI Nomor 2 Tahun 2020 tentang Standar Antropometri Anak,” Jakarta, 2020.
T. Septiana, B. F. Rahmiati, and M. T. Jauhari, “Pengaruh Nugget Ikan Kakap Terhadap Perubahan Tinggi Badan Balita Stunting Usia 24-59 Bulan Di Wilayah Puskesmas Alas,” Nutriology: Jurnal Pangan, Gizi, Kesehatan, vol. 3, no. 1, pp. 10–17, Apr. 2022.
R. I. Idayanti, D. Puspitasari, T. Sukini, and Mundarti, “Pengaruh Nugget Kella (Kelor dan Nila) terhadap Berat Badan dan Tinggi Badan Baduta,” Jurnal Update Keperawatan, vol. 4, no. 1, pp. 9–19, Jun. 2024, [Online]. Available: https://ejournal.poltekkes-smg.ac.id/ojs/index.php/JUK
R. S. Gibson, Principles of Nutritional Assessment 3rd Edition, 3rd ed. New York: Oxford University Press, 2024.
Hendrayati, Nursalim, and S. Martha, “Asupan Energi Dan Zat Gizi Serta Antropometri Balita Stunting Pada Suplementasi Zinc Pasca Vitamin A Dosis Tinggi,” Media Gizi Pangan, vol. 30, no. 2, p. 90, Dec. 2023.
O. Martony, D. Lestrina, and Z. Amri, “Pemberdayaan Ibu untuk Perbaikan Pola Konsumsi Ikan terhadap Peningkatan Asupan Protein, Kalsium, Zink dan Z-Score Tinggi Badan Menurut Umur pada Anak Stunting,” Jurnal Keperawatan Silampari, vol. 3, no. 2, pp. 672–686, May 2020, doi: 10.31539/jks.v3i2.1188.
D. Damayanti, P. Pritasari, and T. L. Nugraheni, Gizi dalam Daur Kehidupan, 1st ed. Jakarta: Kementrian Kesehatan Republik Indonesia, 2017.
A. G. Alamsyah et al., “Pemanfaatan Ekstra Daun Kelor (Moringacae Olievera) Sebagai Upaya Pencegahan Stunting Pada Balita Di Desa Cinta Rakyat Percut Sei Tuan,” MODELING: Jurnal Program Studi PGMI, vol. 9, no. 4, pp. 39–47, Dec. 2022.
Z. E. Y. Anggraeni, H. Kurniawan, M. Yasin, and A. D. Aisyah, “Hubungan Berat Badan Lahir, Panjang Badan Lahir dan Jenis Kelamin dengan Kejadian Stunting,” The Indonesian Journal of Health Science, vol. 12, no. 1, pp. 51–56, Jun. 2020.
Y. Kaimila et al., “Consumption of animal-source protein is associated with improved height-for-age Z scores in rural malawian children aged 12–36 months,” Nutrients, vol. 11, no. 2, Feb. 2019, doi: 10.3390/nu11020480.
W. U. Sindhughosa and I. G. L. Sidiartha, “Asupan protein hewani berhubungan dengan stunting pada anak usia 1-5 tahun di lingkungan kerja Puskesmas Nagi Kota Larantuka, Kabupaten Flores Timur,” Intisari Sains Medis, vol. 14, no. 1, pp. 387–393, Apr. 2023, doi: 10.15562/ism.v14i1.1708.
Y. Mustapa, V. Hadju, R. Indriasari, H. Hidayanti, S. Sirajuddin, and S. S. Russeng, “The effect of moringa oleifera to hemoglobin levels of preconception women in the health center tibawa district tibawa, gorontalo,” Open Access Maced J Med Sci, vol. 8, no. T2, pp. 104–108, 2020, doi: 10.3889/oamjms.2020.5201.
A. Lopez, P. Cacoub, I. C. Macdougall, and L. Peyrin-Biroulet, “Iron deficiency anaemia,” The Lancet, vol. 387, no. 10021, pp. 907–916, Feb. 2016, doi: 10.1016/S0140-6736(15)60865-0.
E. Chairunnisa, A. Candra, and B. Panunggal, “Asupan Vitamin D, Kalsium Dan Fosfor Pada Anak Stunting Dan Tidak Stunting Usia 12-24 Bulan Di Kota Semarang,” Journal of Nutrition College, vol. 7, no. 1, pp. 39–44, 2018, [Online]. Available: http://ejournal3.undip.ac.id/index.php/jnc/
E. K. Dewi and T. Susila Nindya, “Hubungan Tingkat Kecukupan Zat Besi Dan Seng Dengan Kejadian Stunting Pada Balita 6-23 Bulan Correlation Between Iron and Zinc Adequacy Level With Stunting Incidence In Children Aged 6-23 Months,” Amerta Nutr, pp. 361–368, 2017, doi: 10.2473/amnt.v1i4.2017.361-368.
Febrianti, R. S. Wahyuni, and D. S. Dale, “Pemeriksaan Pertumbuhan Tinggi Badan dan Berat Badan Bayi dan Balita,” Celebes Abdimas: Jurnal Pengabdian Kepada Masyarakat, vol. 1, no. 1, pp. 15–20, Apr. 2019, [Online]. Available: http://journal.lldikti9.id/CER/index
D. Muliawati, “Pemanfaatan Ekstrak Daun Kelor (Moringa Oleifera) Dalam Meningkatkan Berat Badan Balita,” Jurnal Kesehatan Madani Medika, vol. 11, no. 01, pp. 44–53, Jun. 2020.
S. P. N. Musa and A. P. Ansokowati, “The Influence Of Moringa Leaf (Moringa Oleifera) Nugget As Supplementary Food On Weight Changes of Toddler At Posyandu Trini Trihanggo Sleman,” Universitas ’Aisyiyah Yogyakarta, Yogyakarta, 2023. Accessed: Jan. 25, 2025. [Online]. Available: http://digilib.unisayogya.ac.id/
Suryati, Dormina, and Irwandi, “Edukasi Pengaruh Pola Tidur terhadap Obesitas pada Remaja,” Jurnal Abdimas Kesehatan (JAK), vol. 6, no. 1, p. 112, Jan. 2024, doi: 10.36565/jak.v6i1.673.
A. G. A. Sá, Y. M. F. Moreno, and B. A. M. Carciofi, “Food processing for the improvement of plant proteins digestibility,” Crit Rev Food Sci Nutr, vol. 60, no. 20, pp. 3367–3386, Nov. 2020, doi: 10.1080/10408398.2019.1688249.
I. Magdalena, Basics Of Nutrition Concept and Application in Nursing Care. 1st edn., 1st ed. Yogyakarta: Pustaka Baru Press, 2021.
U. Kunaepah, P. Sulistiyono, and W. Estuti, “Nutritional Content and Acceptability of Vegetable Sausage as an Alternative Source of Protein and Fiber,” Journal of Medicine and Health Sciences (Medisci), vol. 1, no. 6, pp. 250–259, Jun. 2024, [Online]. Available: https://annpublisher.org/ojs/index.php/medisci
Z. Irwan, A. Salim, and A. Adam, “Pemberian cookies tepung daun dan biji kelor terhadap berat badan dan status gizi anak balita di wilayah kerja Puskesmas Tampa Padang,” AcTion: Aceh Nutrition Journal, vol. 5, no. 1, p. 45, May 2020, doi: 10.30867/action.v5i1.198.
R. D. Semba et al., “Child Stunting is Associated with Low Circulating Essential Amino Acids,” EBioMedicine, vol. 6, pp. 246–252, Apr. 2016, doi: 10.1016/j.ebiom.2016.02.030.