Suplementasi Tempe Meningkatkan Status Besi dan Perkembangan Anak

Lidya Diah Wulandari Sidharta, JC Susanto

Sari


Latar belakang. Anemia defisiensi besi dapat menyebabkan dampak negatif pada kesehatan terutama anak-anak, baik menurunkan
daya tahan tubuh maupun mengganggu konsentrasi belajar dan perkembangan anak.
Tujuan. Mengetahui manfaat pemberian tempe yang diberikan bersamaan makan pada anak terhadap peningkatan kadar hemoglobin,
kadar serum iron, feritin, status antropometri, dan perkembangan pada anak.
Metode. Penelitian one group pre and post test design dilakukan di daerah Bululor Semarang pada 30 anak usia 12 -18 bulan yang
memenuhi kriteria inklusi, diberikan tempe goreng 25 gram tiga kali sehari bersamaan makan selama 6 bulan. Sebelum dan setelah
perlakuan dilakukan pengukuran antropometri berupa WAZ, HAZ, WHZ, dan pemeriksaan laboratorium kadar hemoglobin,
serum iron, feritin, serta pemeriksaan perkembangan dengan tes Bayley berupa mental developmental index (MDI) dan psychomotor
developmental index (PDI). Analisis statistik menggunakan Paired t test dan uji t tidak berpasangan bila sebaran data normal, Wilcoxon
test dan Mann Whitney bila sebaran data tidak normal.
Hasil. Terjadi kenaikan status antropometri (WAZ, HAZ, WHZ), status besi (serum besi, feritin) dan status perkembangan (MDI,
PDI) yang bermakna secara statistik (p<0,05), walaupun didapatkan juga peningkatan kadar hemoglobin yang tidak bermakna secara
statistik (p=0,057) dengan rerata delta kenaikan hemoglobin sebesar 0,2±0,55 gr/dL.
Kesimpulan. Pemberian tempe pada anak usia 12-18 bulan saat makan selama enam bulan dapat meningkatkan kenaikan kadar
hemoglobin, serum besi, feritin, WAZ, HAZ, WHZ, dan MDI, PDI.

 


Kata Kunci


anemia defisiensi besi; tempe; kadar hemoglobin; serum besi; feritin; MDI; PDI

Teks Lengkap:

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Referensi


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DOI: http://dx.doi.org/10.14238/sp18.3.2016.169-74

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