Mesh : Humans Child, Preschool Dietary Supplements Growth Disorders / epidemiology prevention & control Male Female Indonesia / epidemiology Infant Prevalence Fish Products Animals Fishes

来  源:   DOI:10.1038/s41598-024-61462-z   PDF(Pubmed)

Abstract:
The government of Serdang Bedagai Regency initiated a supplementation program to reduce the high prevalence of stunting in the area by delivering extra supplementation, which were nutritious biscuits from national government and fish-based supplement produced from local resources. A 6-month study from April 2022 to September 2022 was conducted to monitor and evaluate the government program that involved 219 under-5-year-old children with height-for-age Z-score (HAZ-score) below - 2. We observed the stunting prevalence reduction by 37.00%, where 81 children recovered from stunting (HAZ-score ≥ - 2). Furthermore, the mean HAZ-score and WHZ-score (Weight-for-Height Z-score) were monitored to significantly improve by 0.97 ± 1.45 (P-value = 1.74e-14) and 1.00 ± 2.18 (P-value  = and 2.40e-8), subsequently. The most significant improvement in HAZ-score was monitored among children receiving fish-based supplements with 1.04 ± 1.44 improvement (P-value = 6.59e-17). Then, a significant WHZ-score improvement was reported from children consuming fish-based supplements and a combination of fish-based supplements with nutritious biscuits (P-value = 2.32e-8 and 5.48e-5) by 1.04 ± 2.29 and 0.83 ± 1.84, respectively. The results of the observation become evidence that the program could effectively reduce the prevalence of stunting in children below five years old, especially among children who received locally produced fish-based supplements.
摘要:
SerdangBedagaiRegency政府启动了一项补充计划,通过提供额外的补充来减少该地区发育迟缓的高患病率,这是国家政府生产的营养饼干和当地资源生产的鱼类补充剂。从2022年4月至2022年9月进行了为期6个月的研究,以监测和评估政府计划,该计划涉及219名身高年龄Z分(HAZ分)低于2的5岁以下儿童。我们观察到发育迟缓患病率减少了37.00%,其中81名儿童从发育迟缓中恢复(HAZ评分≥-2)。此外,监测平均HAZ评分和WHZ评分(体重身高Z评分)显着提高了0.97±1.45(P值=1.74e-14)和1.00±2.18(P值=和2.40e-8),随后。在接受鱼基补充剂的儿童中监测HAZ评分的最显著改善,改善为1.04±1.44(P值=6.59e-17)。然后,据报道,服用鱼基补充剂和鱼基补充剂与营养饼干的组合(P值=2.32e-8和5.48e-5)的儿童的WHZ评分分别显著改善了1.04±2.29和0.83±1.84.观察结果证明,该方案可有效降低五岁以下儿童发育迟缓的发生率,特别是在接受当地生产的鱼类补充剂的儿童中。
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