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  • Webinar Gizi - Patho Stunting

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    Miftahul Hikmah
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    This document discusses stunting prevalence and interventions in Indonesia. It notes that Indonesia has the 5th highest stunting rate in the world at 30.8%, despite various nutrition programs. Interventions like supplementation, counseling, and food programs have not optimally reduced stunting. The document suggests increasing understanding of stunting pathophysiology, like how lower amino acid concentrations can inhibit growth pathways, despite adequate reported protein intake. Altered gut microbiomes may impact amino acid levels and bone formation. Evidence of stunting-related genes in Asian countries is mentioned as well. More research is needed to understand stunting mechanisms and decrease prevalence.

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    This document discusses stunting prevalence and interventions in Indonesia. It notes that Indonesia has the 5th highest stunting rate in the world at 30.8%, despite various nutrition programs. Interventions like supplementation, counseling, and food programs have not optimally reduced stunting. The document suggests increasing understanding of stunting pathophysiology, like how lower amino acid concentrations can inhibit growth pathways, despite adequate reported protein intake. Altered gut microbiomes may impact amino acid levels and bone formation. Evidence of stunting-related genes in Asian countries is mentioned as well. More research is needed to understand stunting mechanisms and decrease prevalence.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    57 views16 pages

    Webinar Gizi - Patho Stunting

    Uploaded by

    Miftahul Hikmah
    This document discusses stunting prevalence and interventions in Indonesia. It notes that Indonesia has the 5th highest stunting rate in the world at 30.8%, despite various nutrition programs. Interventions like supplementation, counseling, and food programs have not optimally reduced stunting. The document suggests increasing understanding of stunting pathophysiology, like how lower amino acid concentrations can inhibit growth pathways, despite adequate reported protein intake. Altered gut microbiomes may impact amino acid levels and bone formation. Evidence of stunting-related genes in Asian countries is mentioned as well. More research is needed to understand stunting mechanisms and decrease prevalence.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 16

    Pathogenesis Stunting

    Dr. rer. nat. Ikhwan R. Sudji, M.Si


    Stunting Have Unbroken Cycle If We Don’t
    End It
    What is Stunting and Why We should Worried
    with Stunting
    Stunting Prevalence Worldwide

    Indonesia
    30,8%
    Stunting Prevalence in Indonesia No.5

    Source:  Global  Nutri0on  Report,  2018  


    Child Nutritional Problems in Indonesia

    Sources:  Riskesdas  &  Dir.  Gizi  Kemenkes  


    The Nutrition Intervention Programs Result
    Was Not Optimal In Reducing Stunting
    •  IFA  supplementa0on   •  Counseling-­‐  EBF  
    •  Calcium  supplementa0on   •  Ins0tu0onal  birth   •  Counseling  Complementary  
    •  Food  supplementa0on   •  Birth  conducted  by  skill   feeding  
    • Iron  and  folic  acid   •  Counseling  on  nutri0on   health  personnel   •  Immuniza0on  
    • (IFA)  supplementa0on   during  pregnancy   •  Delayed  cord  clamping   •  Vitamin  A  supplementa0on   Healthy    
    Deworming   •  Counseling  on  EIBF   •  Counseling-­‐  EIBF   •  IFA  supplementa0on  
    •  IFA  supplementa0on    
    Childrren  
    • For0fica0on  (Iodized   •  Malaria  preven0on   •  ORS  with  zinc  during  diarrhea  
    •  Deworming   •  Calcium  supplementa0on   •  Growth  monitoring  
    salt)  
    •  Maternity  benefits   • Food  supplementa0on   •  Food  supplementa0on  
    •  Management  of  SAM  
    •  Management  of  MAM  
    •  Deworming  in  children  
    •  Sanita0on  

    30,8%  
    StunBng  

    WHY???

    Indonesian  Nutri0on  Interven0on  Programs  


    We Need Increase Understanding Pathophysiology
    of Stunting To Decrease Prevalence
    Poorly  Understood  
    The Lower Concentration Of Amino Acids
    Failed In Activated mTORC1, mTORC2, IGF1
    Lower  concentraBon    
    in  serum  

    Survey  said  
    Protein  intake    
    adequate  
    Why The Protein Consumed Does Not Become an Amino Acid
    Needed For Children Growth?
    Alterated Gut Microbiome
    Gut Microbiome Induced Bone Formation
    Evidence of stunting genes in Asian
    countries
    Recomendation

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