- Pendahuluan
- Patofisiologi
- Etiologi
- Epidemiologi
- Diagnosis
- Penatalaksanaan
- Prognosis
- Edukasi dan Promosi Kesehatan
Penatalaksanaan Stunting
Penatalaksanaan stunting meliputi perbaikan nutrisi, mengatasi infeksi dan penyakit kronis yang ada, perbaikan sanitasi dan lingkungan, serta edukasi ibu atau pengasuh utama tentang perilaku hidup bersih dan sehat.
Perbaikan Nutrisi
Nutrisi merupakan komponen yang penting dalam penatalaksanaan stunting. Perbaikan nutrisi dapat dilakukan dengan pemberian MPASI berkualitas dan suplementasi vitamin.
Referensi
1. World Health Organization. 2017. Nutrition. Stunting in a nutshell. https://www.who.int/nutrition/healthygrowthproj_stunted_videos/en/
2. Batubara JRL, Tjahjono HA, Aditiawati. Panduan Praktek Klinis Perawakan Pendek pada Anak dan Remaja di Indonesia.Badan Penerbit IDAI. 2017.
4. Childhood Stunting: Context, Causes and Consequences. WHO Conceptual framework. September 2013. Ref: Stewart CP, Iannotti L, Dewey KG, Michaelsen KF & Onyango AW. Contextualising complementary feeding in a broader framework for stunting prevention. Matern Child Nutr. 2013;9(Suppl 2):27-45.
8. World Health Organization. 2014. Global Nutrition Targets 2025: Stunting policy brief. https://www.who.int/nutrition/topics/globaltargets_stunting_policybrief.pdf
13. Marquis GS, Habicht J-P, Lanata CF, Black RE, Rasmussen KM. Breast milk or animal-product foods improve linear growth of Peruvian toddlers consuming marginal diets. Am J Clin Nutr. 1997;66:1102–9.
14. Dror DK, Allen LH. The importance of milk and other animal-source foods for children in low-income countries. Food Nutr Bull. 2011;32:227–43.
income countries: a systematic review. Hossain M, et al. Arch Dis Child 2017;102:903–909. doi:10.1136/archdischild-2016-311050
16. Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child H, 2014;34 (4):250-265.
22. Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, et al. (2016) Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Med 13(11): e1002164. doi:10.1371/journal.pmed.1002164
32. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik Ikatan Dokter Anak Indonesia (UKK NPM IDAI). Pemberian makanan pendamping air susu ibu (MPASI). IDAI. 2018.
33. United Nation Children’s Fund (UNICEF). Infant and young child feeding. New York: 2011.
34. Roberts JL, Stein AD. The impact of nutritional interventions beyond the first 2 years of life on linear growth: a systematic review and meta-analysis. Adv Nutr. 2017;8:323–36; doi:10.3945/an.116.013938.
35. Peraturan Menteri Kesehatan Republik Indonesia tentang Angka Kecukupan Gizi yang Dianjurkan Bagi Bangsa Indonesia. https://peraturan.bkpm.go.id/jdih/userfiles/batang/PMK%20No.%2075%20ttg%20Angka%20Kecukupan%20Gizi%20Bangsa%20Indonesia.pdf
36. Sjarif DR, Yuliarti K, Iskandar WJ. Daily consumption of growing-up milk is associated with less stunting among Indonesian toddlers. Med J Indones. 2019;28:70–6.
37. Michaelsen KF, Grummer-Strawn L, Bégin F. Emerging issues in complementary feeding: Global aspects. Matern Child Nutr. 2017;13(S2):e12444.
38. Devaera Y, Syaharutsa Dm, Jatmiko HK, Sjarif DR. Comparing compliance and efficacy of isocaloric oral nutritional supplementation using 1,5kcal/mL or 1 kcal/mL sip feeds in mildly to moderately malnourished Indonesian children: a randomized controlled trial. Pediatr Gastroenterol Hepatol Nutr. 2018;21(4):315-320.
39. Wirahmadi A. 2017. Perlukah suplementasi vitamin dan mineral pada bayi dan anak. http://www.idai.or.id/artikel/klinik/pengasuhan-anak/perlukah-suplementasi-vitamin-dan-mineral-pada-bayi-dan-anak
40. Sjarif DR, Lestari ED, Mexitalia M, Nasar SS. Buku ajar nutrisi pediatrik dan penyakit metabolic jilid I revisi. IDAI. Jakarta: 2014.
41. Imdad A, Bhutta ZA. Effect of preventive zinc supplementation on linear growth in children under 5 years of age in developing countries: a meta-analysis of studies for input to the lives saved tool. BMC Public Health. 2011;11 (Suppl 3):S22. doi: 10.1186/1471-2458-11-S3-S22.
(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)