DOES INTEGRATIVE NUTRITION EDUCATION TO MOTHER’S TODDLERS AFFECT KNOWLEDGE AND PRACTICE OF FEEDING VEGETABLES AND FRUITS TO TODDLERS?

##plugins.themes.bootstrap3.article.main##

Maryati Dewi
Yenny Moviana

Abstract

Background : Non-communicable diseases in adulthood must be prevented from as early as possible. Vegetables and fruit have special features in preventing non-communicable diseases because they are rich in phytochemicals, fiber, vitamins and minerals. On the other hand, the intake of vegetables and fruit for the Indonesian population, especially children under five, is still low. Efforts are needed to increase through mothers of toddlers so that their intake increases.


Methods : This study is a quasi-experimental pre-post study with control group design with a total participants of 48 people distributed among 24 people in the control group, 24 people in the treatment group. The control and treatment groups were in four different posyandu. In the research area, there were 8 posyandu that met the requirements and then randomly selected 4 posyandu, 2 control groups and 2 treatment groups. The selection of posyandu was done by random sampling. The intervention provided was in the form of integrative group nutrition education. The tools used are flipcharts, food models, food participants. The educational methods applied to the treatment group were brainstorming, lectures, demonstrations; the control group was given education using the lecture method. The statistical analysis used was the median difference test in groups with the Wilcoxon test, the median difference test between groups with the Mann Whitney test because the data distribution was not normal. research result.


Results : The difference in median values ​​in the group before and after the intervention based on the Wilcoxon test was found to be significant in knowledge, fruit intake, and vegetable intake (p=0.000) except in the control group it was not significant (p=0.194).


Conclusion : Hard and continuously efforts are needed through mothers of toddlers so that toddlers can consume fruits and vegetables according to the recommendations in the balanced nutrition guidelines.

References

Ahmad Esmailzadeh, Masoud Kimiagar, Yadollah Mehrabi, Leila Azadbakht, Frank B Hu, Walter C Willet. 2006. Fruit and vegetable intakes, C-reactive protein, and the metabolic syndrome. Am J Clin Nutr 2006;84:1489-97.

Academy of Nutrition and Dietetics. 2016. Nutrition Intervention

Ariawan, Iwan. 1998. Besar dan Metode Sampel pada Penelitian Kesehatan. Jurusan Biostatistik dan Kependudukan Fakultas Kesehatan Masyarakat Universitas Indonesia.

Arsyad, A. Media Pembelajaran. 2006. Jakarta: Penerbit PT. Rajagrafindo Persada.

Atika, Sumarmi. 2017. Peran Ibu sebagai Edukator dan Konsumsi Sayur Buah pada Anak. Amerta Nutritian : 236-242.

Cornelia, Sumedi E, Nurlita H,Afif I,Ramayulis R, Iwaningsih, et.al. 2010. Penuntun Konseling Gizi. Jakarta: Abadi Publishing & Printing.

De Bourdeaudhuij, S te Velde, J Brug, P Due, M Wind, C Sandvik, L Maes, Awolf, C Perez Rodrigo, A Yngve, I Thorsdottir, M Rasmussen, I Elmadfa, B Franchini and K-I Klepp. 2008. Personal, social and environmental predictors of daily fruit and vegetable intake in 11-year-old children in nine European countries. European Journal of Clinical Nutrition .62:834–841.

Departemen Kesehatan RI. 2009. Laporan hasil riset kesehatan dasar (riskesdas) provinsi Jawa Barat Tahun 2007. Badan penelitian dan pengembangan kesehatan Departemen Kesehatan RI.

Dewi Maryati, Aminah Mimin. 2016. Pengaruh Edukasi Gizi terhadap Feeding Practice Ibu Balita Stunting Usia 6-24 Bulan. IJHN, Juni , vol.3 no.1 suplemen:1-8.

Dewi, Yessica. 2013. Studi Deskriptif: Persepsi dan Perilaku Makan Buah dan Sayuran Pada Anak Obesitas dan Orang Tua. Calyptra. Vol.2 (1):1-17

Epstein LH, Gordy CC, Raynor HA, Beddome M, Kilanowski K, Paluch R. 2001. Increasing Fruit and Vegetable Intake and Decreasing Fat and Sugar Intake in Families at Risk for Childhood Obesity. Available at Wiley Online Library.

Gans, KM, Gorham G, Risica PM, Dulin-Keita A, Dionne L, Gao T, et al. 2016. A Multi-level Intervention in Subsidized housing sites to Increase fruit and vegetable access and intake: Rationale, design and methods of the “Live Well,Viva Bien” cluster randomized trial. BMC Public Health (Downloaded 17 October 2016 )

Gizi Kurang dan Buruk di Kabupaten Kotawaringin Barat Propinsi Kalimantan Tengah. Jurnal Gizi Klinik Indonesia vol.4,no.2, Nopember,2007.


Harper,LJ., Daeton,BJ., Driskel,JA. 1985. Pangan, Gizi dan Pertanian (pent. Suhardjo).Penerbit Universitas Indonesia. Jakarta.

Kementerian Kesehatan RI. 2013. Riset Kesehatan Dasar (Riskesdas). Badan Penelitian dan Pengembangan Kesehatan Kementerian Kesehatan.

Kementerian Kesehatan RI. 2014. Pesan Gizi Seimbang

M Maynard, D Gunnell, P Emmett, S Frankel, G Davey Smith. 2003. Fruit, vegetables, and antioxidants in childhood and risk of adult cancer: the Boyd Orr cohort. J Epidemiol Community Health ;57:218–225 (Downloaded 24 August 2017)

Neville et al. 2015. Participating In A Fruit And Vegetable Intervention Trial Improves Longer Term Fruit And Vegetable Consumption And Barriers to Fruit And Vegetable Consumption: a follow-up of the ADIT study. International Journal of Behavioral Nutrition and Physical Activity; 12:158. (Downloaded 26 March 2018)

Ni Made Dewantari, Ari Widiani. 2012. Fruits and Vegetables Consumption Pattern in School Children. Jurnal Skala Husada vol.8 no.2 September 2011. (Downloaded 21 March 2018)

Notoatmodjo,S. 2010. Promosi Kesehatan Teori dan Aplikasi. Rineka Cipta:Jakarta.

Rahmawati,I., Sudargo,T., Pramastri, I. Pengaruh Penyuluhan dengan Media Audiovisual Terhadap Peningkatan Pengetahuan, Sikap, dan Perilaku Ibu Balita Gizi Kurang dan Buruk di Kabupaten Kotawaringin Barat Propinsi Kalimantan Tengah. Jurnal Gizi Klinik Indonesia, vol.2, no.2, Nopember 2007.

Unicef Indonesia. Gizi Ibu & Anak. Ringkasan Kajian. Oktober. 2012.

Most read articles by the same author(s)