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  • Pengaruh Suplementasi Fe, Zinc Dan Vitamin A Terhadap Status Gizi Anak SD Stunted Di Imogiri, Kabupaten Bantul, Daerah Istimewa Yogyakarta

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    This study examined the effect of iron supplementation alone or in combination with zinc and vitamin A on the growth and nutritional status of stunted elementary school children in Bantul Regency, Indonesia. Stunted children aged 11-12 years were randomly assigned to receive iron alone, zinc and iron, iron and vitamin A, or all three micronutrients. The improvement in height-for-age Z-score was higher for children receiving iron and vitamin A compared to iron alone. There was no significant difference between other groups. The effect of iron and vitamin A on height-for-age Z-score was greater for children with initial hemoglobin levels below 12.0 g/L. The study concluded that iron and vitamin A

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    This study examined the effect of iron supplementation alone or in combination with zinc and vitamin A on the growth and nutritional status of stunted elementary school children in Bantul Regency, Indonesia. Stunted children aged 11-12 years were randomly assigned to receive iron alone, zinc and iron, iron and vitamin A, or all three micronutrients. The improvement in height-for-age Z-score was higher for children receiving iron and vitamin A compared to iron alone. There was no significant difference between other groups. The effect of iron and vitamin A on height-for-age Z-score was greater for children with initial hemoglobin levels below 12.0 g/L. The study concluded that iron and vitamin A

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    Pengaruh Suplementasi Fe, Zinc Dan Vitamin A Terhadap Status Gizi Anak SD Stunted Di Imogiri, Kabupaten Bantul, Daerah Istimewa Yogyakarta

    Uploaded by

    irma
    This study examined the effect of iron supplementation alone or in combination with zinc and vitamin A on the growth and nutritional status of stunted elementary school children in Bantul Regency, Indonesia. Stunted children aged 11-12 years were randomly assigned to receive iron alone, zinc and iron, iron and vitamin A, or all three micronutrients. The improvement in height-for-age Z-score was higher for children receiving iron and vitamin A compared to iron alone. There was no significant difference between other groups. The effect of iron and vitamin A on height-for-age Z-score was greater for children with initial hemoglobin levels below 12.0 g/L. The study concluded that iron and vitamin A

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    © All Rights Reserved
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    Pengaruh Suplementasi Fe, Zinc dan Vitamin A terhadap Status Gizi Anak

    SD Stunted di Imogiri, Kabupaten Bantul, Daerah Istimewa Yogyakarta

    Tri Siswati, Hamam Hadi

    Abstract

    Background : The prevalence of stunting in Indonesian elementary school children is still


    high. It has been reported that micronutrient deficiency was associated with growth
    retardation. However, the effect of micronutrient supplementation on growth remains unclear.

    Objective : The-study was conducted to examine the effect of iron supplementation in


    combination with Zn and Vitamin A on growth nutritional status of stunted elementary
    school children.

    Method : The study was a randomized double blind placebo-controlled trial conducted in
    Bantul Regency in 2002. Stunted children aged 11-12 years were randomly assigned into four
    treatment groups : Iron group (n=38), Zinc + Iron group (n=41), iron + Vitamin A group
    (n=39), and Iron + Zinc + Vitamin A group (n=39). This study was done in August 2002-
    September 2003. Weight and height of each child were measured every month. Hb levels,
    Zinc plasma and Serum Retinol were measured at the start and the end of the study. Nutrient
    intakes of each child were collected by using multiple 24 hour recall.

    Result : The improvement in height for age Z-Score (HAZ) of children who received iron and
    vitamin A supplementation was higher than that of children who received Fe only (p=0.026).
    There was no significant difference in the improvement of height for age Z-score between
    children who received zinc + iron, or zinc + viaminvitamin A + iron and those who received
    Fe only (p>0.05). The effect of vitamin A and iron supplementation on HAZ the height for
    age z-score was modified by hemoglobin level;. T the effect of iron and vitamin A
    supplementation on the improvement of HAZ appeared mainly in children with initial
    hemoglobin level < 12.0 g/ There was no significant difference in the improvement of weight
    for age z-score and weight for height z-score between treatment groups.

    Conclusion :Iron and Vitamin A supplementation significantly improved Height for Age Z-
    Score (HAZ) of stunted elementary school children.

    Keywords: Supplementation, stunted, nutritional status, school children.

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