Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya
Background: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achi...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2024-11-01
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| Series: | Amerta Nutrition |
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| Online Access: | https://e-journal.unair.ac.id/AMNT/article/view/50902 |
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| author | Lama'ah Azzahra' Nur Aisiyah Widjaja Yasmine Nurfirdaus Eva Ardianah Edi Hermanto Aziza Zahrotul Adha |
| author_facet | Lama'ah Azzahra' Nur Aisiyah Widjaja Yasmine Nurfirdaus Eva Ardianah Edi Hermanto Aziza Zahrotul Adha |
| author_sort | Lama'ah Azzahra' |
| collection | DOAJ |
| description | Background: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achievement.
Objectives: To describe the regulations and distributions of ONS as a strategy to reach the optimal catch-up growth in children under 5 years-old in private hospital in Surabaya based on the Minister of Health Regulation No. 29 year 2019. Also to determine the effect of ONS on insulin-like growth factor-1 (IGF-1) as a growth marker and lymphocytes as immune cells involved in immune response.
Methods: A quasi-experiment with pre-post design involving children aged 12-60 months old. The subjects received 400 ml of ONS (~400 kcal/day with estimated nutritional requirement of 1000 kcal/day) under the provision of the pediatrician as an adjuvant to cover their nutrients deficits.
Results: ONS intervention along with dietary counselling for nutritional therapy and medication improved the children’s growths parameters, including body weight (from 10.38±2.28kg at day-0 to 11.27±2.38 at day-90, p-value=0.000) and body length/height significantly (from 82.94±9.58cm to 85.75±8.93 at day-90, p-value=0.000). ONS also improved IGF-1 in children with growth failure.
Conclusions: ONS intervention was proved to improve the IGF-1 levels, but not with the number of lymphocyte cells. The regulation of ONS must be under professional provision as it has the effect to increase body weight rapidly and must be stopped when the children receive the prescription reached their catch-up growth. |
| format | Article |
| id | doaj-art-fd2093ff30fb485595ecbc2a1164c117 |
| institution | OA Journals |
| issn | 2580-1163 2580-9776 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Amerta Nutrition |
| spelling | doaj-art-fd2093ff30fb485595ecbc2a1164c1172025-08-20T02:28:00ZengUniversitas AirlanggaAmerta Nutrition2580-11632580-97762024-11-018461161810.20473/amnt.v8i4.2024.611-61849060Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in SurabayaLama'ah Azzahra'0https://orcid.org/0009-0003-6283-2443Nur Aisiyah Widjaja1https://orcid.org/0000-0002-4253-8760Yasmine Nurfirdaus2Eva Ardianah3https://orcid.org/0000-0003-3648-2008Edi Hermanto4Aziza Zahrotul Adha5Department of Child and Maternal Health, Faculty of Public Health, Universitas Airlangga, SurabayaChild Health Department, Faculty of Medicine, Universitas AirlanggaMaster Student, Faculty of Public Health, Universitas Airlangga, Mulyorejo Street Campus C, SurabayaDepartment of Biostatistics and Population, Faculty of Public Health, Universitas Airlangga, SurabayaDepartment of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Airlangga, SurabayaDepartment of Health Promotion and Behavioral Science, Faculty of Public Health, Universitas Airlangga, SurabayaBackground: Oral Nutrition Supplements (ONS) in the Minister of Health Regulation No. 29 year 2019 which was made as the guidance of nutritional management for children with nutritional problems, especially growth failure (still prevalent) and became one of Indonesia governments’ goal for MDG’s achievement. Objectives: To describe the regulations and distributions of ONS as a strategy to reach the optimal catch-up growth in children under 5 years-old in private hospital in Surabaya based on the Minister of Health Regulation No. 29 year 2019. Also to determine the effect of ONS on insulin-like growth factor-1 (IGF-1) as a growth marker and lymphocytes as immune cells involved in immune response. Methods: A quasi-experiment with pre-post design involving children aged 12-60 months old. The subjects received 400 ml of ONS (~400 kcal/day with estimated nutritional requirement of 1000 kcal/day) under the provision of the pediatrician as an adjuvant to cover their nutrients deficits. Results: ONS intervention along with dietary counselling for nutritional therapy and medication improved the children’s growths parameters, including body weight (from 10.38±2.28kg at day-0 to 11.27±2.38 at day-90, p-value=0.000) and body length/height significantly (from 82.94±9.58cm to 85.75±8.93 at day-90, p-value=0.000). ONS also improved IGF-1 in children with growth failure. Conclusions: ONS intervention was proved to improve the IGF-1 levels, but not with the number of lymphocyte cells. The regulation of ONS must be under professional provision as it has the effect to increase body weight rapidly and must be stopped when the children receive the prescription reached their catch-up growth.https://e-journal.unair.ac.id/AMNT/article/view/50902growth failurenutritional statusnutritional managementinsulin-like growth factor-1 |
| spellingShingle | Lama'ah Azzahra' Nur Aisiyah Widjaja Yasmine Nurfirdaus Eva Ardianah Edi Hermanto Aziza Zahrotul Adha Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya Amerta Nutrition growth failure nutritional status nutritional management insulin-like growth factor-1 |
| title | Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya |
| title_full | Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya |
| title_fullStr | Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya |
| title_full_unstemmed | Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya |
| title_short | Oral Nutrition Supplements: Regulation and Distribution in Indonesia – a Study in a Private Hospital in Surabaya |
| title_sort | oral nutrition supplements regulation and distribution in indonesia a study in a private hospital in surabaya |
| topic | growth failure nutritional status nutritional management insulin-like growth factor-1 |
| url | https://e-journal.unair.ac.id/AMNT/article/view/50902 |
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