Efforts to Improve Nutritional Status in Stunting Under-Fives with Hb and Microbiot Examination as an Effort to Implement the Anti Stunting Movement
Abstract
Stunting, a type of malnutrition that begins in the womb until the first two years of life and is worsened by recurrent infectious diseases after birth. Children in tropical countries experience more worm infections which can cause blood loss through the digestive tract due to the number of bad microbiota in the digestive tract. Cumulatively, bad microbiota can cause malnutrition and blood loss which results in decreased body resistance and causes problems with children's growth and development. The aim of this community service is to examine the presence of gastrointestinal microbiota and HB which is associated with nutritional status in stunted toddlers. The method/stage of the activity is a screening examination starting with anamnese and physical examination, then Hb and feces examinations are carried out on stunted toddlers in the Kaliwates Health Center area, Kebonagung village. The number of stunted toddlers targeted was 17 aged 24 – 60 months out of 30 children whose parents were willing to have their Hb and feces checked. The result of this community service is that the number of bad microbiota is greater than the good microbiota in stunted toddlers and in this condition the Hb levels also decrease. Conclusion: Shifts in the composition of toddlers' intestinal bacteria have been associated with an increase in the number of gastrointestinal infections which resulted in a decrease in Hb levels in stunted toddlers.
References
Dietert, R.R., Dietert, J.M. 2015. Review: The microbiome and sustainable healthcare. Healthcare, 3: 100-129.
Dinh, D. M. et al. 2016.Longitudinal analysis of the intestinal microbiota in persistently stunted young children in south India. PLoS One 11, 1–17
Global Burden of Disease. 2015. Global, regional, and national age-sex specific all-cause and causespecific mortality for 240 causes of death, a systematic analysis for the Global Burden of Disease Study 2013. Lancet (London, England) 385
Global Nutrition Report. 2020.Global Nutrition Report 2020?: Action on equity to end malnutrition-Launch presentation
Power, S.E. et al. 2014. Intestinal microbiota, diet, and health. British Journal of nutrition, 111(3): 387-402. doi: 10.1017/S0007114513002560.
Riskesdas. 2013. Riset Kesehatan Dasar. Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan RI Tahun 2013 doi:10.1517/13543784.7.5.803.
Shinsugi, C. et al. 2015. Factors associated with stunting among children according to the level of food insecurity in the household: A crosssectional study in a rural community of Southeastern Kenya Global health. BMC Public Health 15.
Sotelo, J. 2014. A Cross-Sectional Study of CoInfection with Helminths and Malaria: The Effect on Hemoglobin Levels among Luo Children in Rural Western Kenya (Doctoral dissertation).
Surono. 2021. Gut microbiota profile of Indonesian stunted children and children with normal nutritional status. PLoS One 16, 1–18
Thahir, A. I. A., Gordon, A. & Salam, A. 2020. Does gut microbiome associate with the growth of infants? A review of the literature. Enferm. Clin. 30, 66–70
Vaivada, T. et al. 2020. Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. Am. J. Clin. Nutr. 112, 777S-791S
Zambruni, M. et al. 2019. Stunting is preceded by intestinal mucosal damage and microbiome changes and is associated with systemic inflammation in a cohort of Peruvian infants.Am. J. Trop. Med. Hyg. 101, 1009–1017)
