The Effectiveness of Counseling and Mung Bean (Vigna radiata L) Premix Cookies as Complementary Food to Prevent Stunting

Page: [317 - 323] Pages: 7

  • * (Excluding Mailing and Handling)

Abstract

Some factors that cause malnutrition in 1-2-year-old children are inadequate provisions of complementary food and early/late weaning. Appropriate complementary feeding from the age of 6 months and breastfeeding until at least the age of 2 years is considered the best feeding pattern for a child’s growth and development. Education and the right food choices are needed to fulfill children’s nutritional needs in this period to prevent malnutrition which can lead to stunting. This research was conducted on 52 mothers with 1-2 years old children using a quasi- experimental design by counseling and providing premix cookies that were produced using mung bean (Vigna radiata l) as an intervention for 3 months. Data were analyzed using the Chi- Square correlation test and T-test. This research objective was to determine the effectiveness of counseling and premix cookies as a complementary food to prevent stunting. The result shows that premix cookies were 82.14% effective in increasing the children’s body weight and achieving good nutritional status, therefore preventing the incidence of stunting. This condition was also supported by the improvement of their mothers’ knowledge and attitude (p = 0.011) in their concern about complementary feeding. Consuming the given premix cookies can fulfill children’s nutritional needs: 27.69% protein, 56.59% fat, 24.04% carbohydrates and 56.89% energy. These findings conclude that mung bean premix cookies are considered effective as a complementary food in reducing the incidence of stunting.

Keywords: Stunting, complementary food, weaning, nutrition, mung bean, malnutrition

Graphical Abstract

[1]
Ministry of Health Department of Republic of Indonesia. The national movement for nutrition awareness policy framework for the first thousand days of life 2012. Available from: https://www.bappenas.go.id/files/7713/8848/0483/KERANGKA_KEBIJAKAN_-_10_Sept_2013.pdf (Accessed on June 6, 2022).
[2]
Moore T, Noushin A, Alana D, et al. The first thousand days: an evidence paper. Centre for Community Child Health 2017; pp. 48-9.
[3]
Walker JL, Littlewood R. Pragmatic implementation studies to improve nutrition practices and policies: Childcare during the first 1000 days as a contributor to long-term health. Public Health Nutr 2018; 21(7): 1209-11.
[http://dx.doi.org/10.1017/S1368980018000022] [PMID: 29642971]
[4]
World Health Organization. Infant and young child feeding. 2019. Available from: https://apps.who.int/iris/handle/10665/44117
[5]
Sunguya BF, Poudel KC, Mlunde LB, et al. Effectiveness of nutrition training of health workers toward improving caregivers’ feeding practices for children aged six months to two years: A systematic review. Nutr J 2013; 12(1): 66.
[http://dx.doi.org/10.1186/1475-2891-12-66] [PMID: 23688174]
[6]
Karmacharya C, Cunningham K, Choufani J, Kadiyala S. Grandmothers’ knowledge positively influences maternal knowledge and infant and young child feeding practices. Public Health Nutr 2017; 20(12): 2114-23.
[http://dx.doi.org/10.1017/S1368980017000969] [PMID: 28578753]
[7]
Sanghvi T, Martin L, Hajeebhoy N, et al. Strengthiening systems to support mothers in infant and young child feeding at scale. Food Nutr Bull 2013; 34(3) (Suppl.): S156-68.
[http://dx.doi.org/10.1177/15648265130343S203] [PMID: 24261074]
[8]
Arikpo D, Edet ES, Chibuzor MT, Odey F, Caldwell DM. Educational interventions for improving primary caregiver complementary feeding practices for children aged 24 months and under. Cochrane Database Syst Rev 2018; 5(5): CD011768.
[http://dx.doi.org/10.1002/14651858.CD011768.pub2] [PMID: 29775501]
[9]
Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: A multilevel analysis of the 2013 Indonesia basic health survey. Nutrients 2019; 11(5): 1106.
[http://dx.doi.org/10.3390/nu11051106] [PMID: 31109058]
[10]
Oot L, Kavita S, Jay R, et al. The effect of chronic malnutrition (Stunting) on learning ability, a measure of human capital: a model in profiles for country-level advocacy. Food and Nutrition Technical Assistance III Project 2016.
[11]
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr 2018; 14(4): e12617.
[http://dx.doi.org/10.1111/mcn.12617] [PMID: 29770565]
[12]
World Health Organization. Complementary feeding family foods for breastfed children The Department of Child and Adolescent Health and Development and the Department of Nutrition for Health and Development. Geneva: Annex 2016.
[13]
de Onis M, Branca F. Childhood stunting: A global perspective. Matern Child Nutr 2016; 12(1): 12-26.
[http://dx.doi.org/10.1111/mcn.12231] [PMID: 27187907]
[14]
Ministry of Health Departement of Republic of Indonesia. Basic Health Research. RISKESDAS 2018.
[15]
Ministry of health departement of republic of Indonesia. Recommended dietary allowance: Energy, protein, fat, mineral and vitamin for Indonesian. Attached to Regulation of the Minister of Health Departement of Republic of Indonesia 2013; 75
[16]
Binns C, Lee MK, Yun Low W, et al. Guidelines for complementary feeding of infants in the asia pacific region: APACPH public health nutrition group. Asia Pac J Public Health 2020; 32(4): 179-87.
[http://dx.doi.org/10.1177/1010539520931328] [PMID: 32475150]
[17]
Michaelsen KF, Grummer-Strawn L, Bégin F. Emerging issues in complementary feeding: Global aspects. Matern Child Nutr 2017; 13(2): e12444.
[http://dx.doi.org/10.1111/mcn.12444] [PMID: 29032617]
[18]
Yu C, Binns CW, Lee AH. The early introduction of complementary (Solid) foods: A prospective cohort study of infants in Chengdu, China. Nutrients 2019; 11(4): 760.
[http://dx.doi.org/10.3390/nu11040760] [PMID: 30939733]
[19]
Lee MK, Binns C. Breastfeeding and the risk of infant ill-ness in Asia: A review. Int J Environ Res Public Health 2019; 17(1): E186.
[http://dx.doi.org/10.3390/ijerph17010186] [PMID: 31888064]
[20]
Lassi ZS, Das JK, Zahid G, Imdad A, Bhutta ZA. Impact of education and provision of complementary feeding on growth and morbidity in children less than 2 years of age in developing countries: A systematic review. BMC Public Health 2013; 13(S3) (Suppl. 3): S13.
[http://dx.doi.org/10.1186/1471-2458-13-S3-S13] [PMID: 24564534]
[21]
Hurley KM, Cross MB, Hughes SO. A systematic review of responsive feeding and child obesity in high-income countries. J Nutr 2011; 141(3): 495-501.
[http://dx.doi.org/10.3945/jn.110.130047] [PMID: 21270360]
[22]
Harbron J, Booley S. Responsive feeding: establishing healthy eating behaviour early on in life. South African J Clin Nutr 2013; 26: S141-9.
[23]
Tang M, Sheng XY, Krebs NF, Hambidge KM. Meat as complementary food for older breastfed infants and toddlers: A randomized, controlled trial in rural China. Food Nutr Bull 2014; 35(4): S188-92.
[http://dx.doi.org/10.1177/15648265140354S304] [PMID: 25639137]
[24]
Nasution Z, Lubis Z, Mutiara E. Efforts in settling anemia to pregnant women through the empowerment of the use of ronggeng shrimp (Harpiosquilla raphidea) as functional food. Int J of Sci Technol Res 2019; 8(09): 1258-61.
[25]
Abiyu C, Belachew T. Level and predictors of mothers’ knowledge and attitude on optimal complementary feeding in west Gojjam zone, northwest Ethiopia. Nutr Diet Suppl 2020; 12: 113-21.
[http://dx.doi.org/10.2147/NDS.S257206]
[26]
Abiyu C, Belachew T. Effect of complementary feeding behavior change communication delivered through community-level actors on dietary adequacy of infants in rural communities of West Gojjam Zone, Northwest Ethiopia: A cluster-randomized controlled trial. PLoS One 2020; 15(9): e0238355.
[http://dx.doi.org/10.1371/journal.pone.0238355] [PMID: 32881945]
[27]
Aguayo VM, Menon P. Stop stunting: Improving child feeding, women’s nutrition and household sanitation in South Asia. Matern Child Nutr 2016; 12 (Suppl. 1): 3-11.
[http://dx.doi.org/10.1111/mcn.12283] [PMID: 27187906]
[28]
From the first hour of life: Making the case for improved infant and young child feeding everywhere. New York: UNICEF 2016.
[29]
Rukmana R. Mung Bean: Cultivating and Post-Harvesting. Yogyakarta: Kanisius Publisher 2016.
[30]
Yi-Shen Z, Shuai S, FitzGerald R. Mung bean proteins and peptides: Nutritional, functional and bioactive properties. Food Nutr Res 2018; 62(0): 1290.
[http://dx.doi.org/10.29219/fnr.v62.1290] [PMID: 29545737]
[31]
Widjajaseputra AI, Widyastuti TEW, Trisnawati CY. Potency of mung bean with different soaking times as protein source for breastfeeding women in Indonesia. Food Res 2019; 3(5): 501-5.
[http://dx.doi.org/10.26656/fr.2017.3(5).105]
[32]
Food Compotition Table of Indonesia. Jakarta: Elex Media Kompution Publisher 2017.
[33]
Hou D, Yousaf L, Xue Y, et al. Mung Bean (Vigna radiata L.): Bioactive polyphenols, polysaccharides, peptides, and health benefits. Nutrients 2019; 11(6): 1238.
[http://dx.doi.org/10.3390/nu11061238] [PMID: 31159173]
[34]
Dahiya PK, Nout MJR, Martinus VB, et al. Nutritional characteristics of mung bean foods. Br Food J 2014; 116(6): 1031-46.
[http://dx.doi.org/10.1108/BFJ-11-2012-0280]
[35]
Nafa’ani R. Utilization of Mung Bean Flour as a Substitute in Mung Bean Nastar Cookie Products. State University of Yogyakarta 2019.
[36]
Kumar KA, Sharma GK, Khan MA, Govindaraj T, Semwal AD. Development of multigrain premixes-its effect on rheological, textural and micro-structural characteristics of dough and quality of biscuits. J Food Sci Technol 2015; 52(12): 7759-70.
[http://dx.doi.org/10.1007/s13197-015-1950-9] [PMID: 26604349]
[37]
Mahalingam P, Veluppilai S, Ekanayake S. Study on preparation of rice-wheat bread using premix. J Agric Sci 2014; 9(1): 31-6.
[38]
Valduga E, Sfredo MA, Di Luccio M. Assessment of flow and technological behaviour of French bread premixes. Braz J Food Nutr 2004; 15(1): 1-6.
[39]
Nasution Z, Ida N, Eva F. The effect of pregnant women empowerment to achıeve the nutrıtıon fulfıllment based on balanced nutrıtıon prıncıples towards the new borns nutrıtıon status. Int J Adv Sci Technol 2020; 29(7): 289-95.
[40]
Zipora E, Mardiana A, Healthy H, et al. The effect of biscuit made with mung beans (Vigna radiata), and star gooseberry (Sauropus androgynous) leaves on infant weight. Eur J Mol Clin Med 2020; 7(8): 3725-36.
[41]
Iannotti LL, Lutter CK, Stewart CP, et al. Eggs in early complementary feeding and child growth: A randomized controlled trial. Pediatrics 2017; 140(1): e20163459.
[http://dx.doi.org/10.1542/peds.2016-3459] [PMID: 28588101]
[42]
McLean J, Michaux K, Smith L. The implementation of home fortification and nutrition education to combat anaemia and micronutrient deficiencies among children 6-23 months in Rwanda: Endline report. Vancouver: Micronutrient Project. University of British Columbia 2013.
[43]
Fahmida U, Kolopaking R, Santika O, et al. Effectiveness in improving knowledge, practices, and intakes of “key problem nutrients” of a complementary feeding intervention developed by using linear programming: Experience in Lombok, Indonesia. Am J Clin Nutr 2015; 101(3): 455-61.
[http://dx.doi.org/10.3945/ajcn.114.087775] [PMID: 25733629]