CHICKEN MEAT COOKIES TO IMPROVE NUTRITIONAL STATUS OF PREGNANT WOMEN AND PREVENT STUNTING. BACKGROUND
Keywords:
Chicken, Coockies, Fortified, Pregnancy, Stunting
Abstract
Children with stunting have low IQ, educational performance, and verbal ability. It’s necessary to provide supplementary food with chicken meat cookies as government's supplementation program companion for pregnant women to improve nutritional status of pregnant women and prevent stunting. To obtain fortified cookie formulation with nutritional sources from macro and micronutrients as well as ligands, which are suitable for pregnant women needs in the second trimester. Supplementary food formulation for pregnant women begins with determining energy requirements. Energy contribution is provided by cookies +20% of the RDA for pregnant women. Cookies formulation consisted of making tempeh, green beans, bananas, and chicken meat flour, followed by a composite flour formulation using RSM mixture design optimal using Design Expert 7.0 trial software (DX 7 trial). Chicken meat cookies formula was analyzed chemically, physically, microbiologically and organoleptically in the second trimester of pregnant women. Cookies meet the microbiological requirements of BPOM. Organoleptic test, 66.7% of pregnant women in the second trimester, like cookies. Composition of folic acid, vitamin A, vitamin B12, iodine, calcium, phosphorus, zinc, protein, energy, fulfills RDA of pregnant women in the second trimester. The presence of ligands in cookies can overcome interactions between micronutrients. Cookies in accordance with SNI-2891-1992,BUTIR1,2. because it is round, has color, taste and aroma resembling cookies in general. Chicken meat cookies are safe to use as supplementary food for pregnant women accompanying the government supplementation program.
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References
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Mosites E, Dawson-Hahn E, Walson J, Rowhani-Rahbar A, Neuhouser ML. 2017. Piecing together the stunting puzzle: a framework for attributable factors of child stunting. Paediatr Int Child Health.37:158–65.2017.
Nahar B., Hossain M., Mahfuz M., Islam M. M., Hossain M. I., Murray-Kolb L E, Seidman J C, Ahmed T., 2019, Early childhood development and stunting findings form MAL-ED birth cohort study in Bangladesh, Maternal & Child Nutrition. e12864.
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Papathakis P C, Singh L N, Manary M J. How maternal malnutrition affects linear growth and development in the offspring. Mol. Cell. Endocrinol. 10. 1016.2016.
Prendergast AJ, Humphrey JH., 2014, The stunting syndrome in developing countries, Paediatr Int Child Health, 2014; 34(4): 250-65.
Rahmawati, B., Arfiyanti. Peranan status Zn terhadap keberhasilan suplementasi besi pada ibu hamil. Pusat penelitian kesehatan. Lembaga penelitian UNDIP. Semarang.2002.
Roman-Garcia P, Quiros-Gonzalez I, Mottram L, LiebenL, Sharan K, Wangwiwatsin A, Tubio J, LewisK, Wilkinson D, Santhanam B, et al. Vitamin B12-dependent taurine synthesis regulates growth and bone mass. J. Clin. Investig. 124, 2988–3002.2014.
Schjoldager JG, Paidi MD, Lindblad MM, Birck MM, Kjaergaard AB, Dantzer V, et al., Materal vitamin C deficiency during pregnancy results in transient fetal and placental growth retardation in guinea pigs. Eur J Nutr.; 54:667-76.2015.
Scholl, TO. “Iron status during pregnancy: setting the stage for mother and infant”. Am J Clin Nutr.; 81 (suppl): 1218S-1222S.2005.
Sjarif DR., Yuliarti K., Lestari ED., Sidiartha IGL., Nasar SS., Mexitalia M., 2015, Pedoman Ikatan Dokter Anak Indonesia. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia
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WHO, Guideline : Daily iron and folic acid supplementation in pregnant women, Geneva, World Health Organization, 2012.
Wild CP, Miller JD, Groopman JD, Lyon FR. 2015, Child stunting in developing countries. IARC Working Group.
Yajnik, CS., Deshpande, SS., Jackson, AA., Refsum, H., Rao, S., Fisher, DJ., et al. “Vitamin B12 and folate concentrations during pregnancy and insulin resistance in the offspring: the Pune maternal nutrition study. Diabetologia. 2008; 51:29-38.
Yakoob MY, Khan YP, Bhutta ZA. Maternal mineral and vitamin supplementation in pregnancy, Expert Review of Obstetrics & Gynecology 2010; 5(2):241-256
Yakoob, M.Y.; Lo, C.W. Nutrition (micronutrients) in child growth and development: A systematic review on current evidence, recommendations and opportunities for further research. J. Dev. Behav. Pediatr. 38, 665–6
Arfiyanti, cookies daging ayam sebagai makanan tambahan untuk ibu hamil untuk menanggulangi masalah gizi dan pembuatannya, P00201912153, UPN Veteran Jakarta .2019
Arfiyanti, cookies daging sapi sebagai pendamping program suplementasi besi folat untuk ibu hamil anemia dan pembuatannya, Paten IDP000070592, Universitas Indonesia. 2020.
Arfiyanti, Komposisi cookies ikan gabus untuk kesehatan ibu hamil, Paten. IDP000061311, Universitas Indonesia. 2019
Arfiyanti, macro-micronutrient and dietary ligan fortification of cookies in women during second trimesster of pregnancy, The 6 th Asia-Pacific symposium on ion analysis, UNAND, Padang, 2012.
Arfiyanti, Rahmawati B. 2002. Peranan status vitamin A terhadap keberhasilan suplementasi besi pada ibu hamil. FMIPA. UNDIP. Semarang.
Baile L. B. 2000. New standart for dietary folate intake in pregnant woment. American Jurnal of Clinical Nutrition, Vol. 71, No.5, 1304S-1307 S.
BAPPENAS, 2020. The Importance of the Golden Period of 1000 First Days for The Growth and Development of A Child [WWW Document]. URL https://cegahstunting.id/en/news/the-importance-of-the-golden-period-of-1000-first-days-for-the-growth-and-development-of-a-child/
Beard, JL. “Why Iron deficiency is important in infant development”. J Nutr. 2008; 138: 2534-36.
Bicakci Z. Growth retardation, general hypotonia, and loss of acquired neuromotor skills in the infants of mothers with cobalamin deficiency and the possible role of succinyl-CoA and glycine in the pathogenesis. Medicine (Baltimore). 94(9): e584. 2015.
Chawla D.,Fetal effects of maternal iron deficiency. Indian J Pediatr.;82 (12):1080-1.2015.
Christian P, Stewart CP.2010. Maternal micronutrient deficiency: fetal development and risk of chronic disease. J Nutr.,140:437-45.
Cunningham FG, et. al. Williams Obstetrics 24th ed. New York: McGraw-HillCompanies; 2014.
De Onis, M., Dewey, K. G., Borghi, E., Onyango, A. W., Blössner, M., Daelmans, B., Piwoz, E. and Branca, F., 2013, The World Health Organization's global target for reducing childhood stunting by 2025: rationale and proposed actions, Maternal & Child Nutrition;9: 6–26.
Depkes RI, 2003.Gizi dalam Angka. Direktorat Jendral Bina Kesehatan Masyarakat, Direktorat Gizi Masyarakat. Jakarta.
Erick M. 2008. Nutrition during pregnancy and lactation. Dalam: Mahan LK, Escott-Stump SE. Krause’s Food and Nutrition Therapy. edisi 12. Missouri: Saunders Elsevier. hal.160-84.
Gale, CR., Jiang, B., Robinson, SM., Godfrey, KM., Law, CM., Martyn, CN. “Maternal diet during pregnancy and carotid intima-media thickness in children. Arterioscler Thromb Vasc Biol;26:1877-82. Available from URL.2006
Gropper, SS., Smith, JL., Groff, JL, Advanced Nutrition and Human Metabolism. edisi 5. California: Wadsworth.hal. 355-59, 472-74.2009.
Ji Y, Wu Z, Dai Z, Wang X, Li J, Wang B, et al., Fetal and neonatal programming of postnatal growth and feed efficiency in swine. Journal of Animal Science and Biotechnology. 2017; 8: 42.
Ji Y, Wu Z, Dai Z, Wang X, Li J, Wang B, et al.2017, Fetal and neonatal programming of postnatal growth and feed efficiency in swine. Journal of Animal Science and Biotechnology.2017; 8: 42.
Keikha M, Bahreynian M, SalekiM, Kelishadi R. Macro- and micronutrients of human milk composition: Are they related to maternal diet? A comprehensive systematic review. Breastfeed. Med. 12, 517–527.2017.
Kemenkes RI, 2017. Kualitas Manusia Ditentukan Pada 1000 Hari Pertama Kehidupannya [WWW Document]. URL https://www.kemkes.go.id/article/view/17012300003/kualitas-manusia-ditentukan-pada-1000-hari-pertama-kehidupannya.html
Lee, JI.,Lee, J., Sook Lim, H. “ Effect of time of iniciation and dose of prenatal iron and folic acid supplementation iron and folate nutriture of Korean women during pregnancy”. Am J Clin Nutr. 2005; 82: 843-9.
Lonnerdal Bo. vitamin-mineral Interactions. Di dalam : Bodwell CE, Erdman JW Jr, editor. Nutrient Interactions. Macel Dekker, Inc. New York and Basel.1988.
Millward, D. J. 2017. Nutrition, infection and stunting: the roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews. 30(1):50–72.
Mosites E, Dawson-Hahn E, Walson J, Rowhani-Rahbar A, Neuhouser ML. 2017. Piecing together the stunting puzzle: a framework for attributable factors of child stunting. Paediatr Int Child Health.37:158–65.2017.
Nahar B., Hossain M., Mahfuz M., Islam M. M., Hossain M. I., Murray-Kolb L E, Seidman J C, Ahmed T., 2019, Early childhood development and stunting findings form MAL-ED birth cohort study in Bangladesh, Maternal & Child Nutrition. e12864.
Nalubola, R. and Nestel P. The effect of vitamin A nutriture on health : A Review. ILSI Press. Washington D.C. USA. 1999. pp. 26-27, 74.
Papathakis P C, Singh L N, Manary M J. How maternal malnutrition affects linear growth and development in the offspring. Mol. Cell. Endocrinol. 10. 1016.2016.
Prendergast AJ, Humphrey JH., 2014, The stunting syndrome in developing countries, Paediatr Int Child Health, 2014; 34(4): 250-65.
Rahmawati, B., Arfiyanti. Peranan status Zn terhadap keberhasilan suplementasi besi pada ibu hamil. Pusat penelitian kesehatan. Lembaga penelitian UNDIP. Semarang.2002.
Roman-Garcia P, Quiros-Gonzalez I, Mottram L, LiebenL, Sharan K, Wangwiwatsin A, Tubio J, LewisK, Wilkinson D, Santhanam B, et al. Vitamin B12-dependent taurine synthesis regulates growth and bone mass. J. Clin. Investig. 124, 2988–3002.2014.
Schjoldager JG, Paidi MD, Lindblad MM, Birck MM, Kjaergaard AB, Dantzer V, et al., Materal vitamin C deficiency during pregnancy results in transient fetal and placental growth retardation in guinea pigs. Eur J Nutr.; 54:667-76.2015.
Scholl, TO. “Iron status during pregnancy: setting the stage for mother and infant”. Am J Clin Nutr.; 81 (suppl): 1218S-1222S.2005.
Sjarif DR., Yuliarti K., Lestari ED., Sidiartha IGL., Nasar SS., Mexitalia M., 2015, Pedoman Ikatan Dokter Anak Indonesia. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia
UNICEF, 2019. Evidence on the long-term effects of breastfeeding: Systematic reviews and meta-analysis [WWW Document]. URL https://www.unicef.org/media/60806/file/SOWC-2019.pdf
WHO, 2020. Complementary Feeding [WWW Document]. URL https://www.who.int/health-topics/complementary-feeding#tab=tab_1
WHO, Guideline : Daily iron and folic acid supplementation in pregnant women, Geneva, World Health Organization, 2012.
Wild CP, Miller JD, Groopman JD, Lyon FR. 2015, Child stunting in developing countries. IARC Working Group.
Yajnik, CS., Deshpande, SS., Jackson, AA., Refsum, H., Rao, S., Fisher, DJ., et al. “Vitamin B12 and folate concentrations during pregnancy and insulin resistance in the offspring: the Pune maternal nutrition study. Diabetologia. 2008; 51:29-38.
Yakoob MY, Khan YP, Bhutta ZA. Maternal mineral and vitamin supplementation in pregnancy, Expert Review of Obstetrics & Gynecology 2010; 5(2):241-256
Yakoob, M.Y.; Lo, C.W. Nutrition (micronutrients) in child growth and development: A systematic review on current evidence, recommendations and opportunities for further research. J. Dev. Behav. Pediatr. 38, 665–6
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2021-10-05
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