The Effect of Taburia Supplementation on Weight Gain and Nutrient Intake among Underweight Children Aged 6–24 Months in the Working Area of Karang Jati Health Center
DOI:
https://doi.org/10.56303/habitusfoodandmedica.v1i1.1196Keywords:
Nutrient Intake, Toddlers, Body Weight, Taburia, UnderweightAbstract
Underweight in toddlers remains both a global and national health issue. In Balikpapan, the prevalence of underweight increased from 14.1% (2023) to 16.2% (2024). One of the government's efforts to address this problem is through Taburia, a multimicronutrient powder formulated to increase nutritional intake and support growth. However, its effectiveness has never been evaluated locally at the Karang Jati Health Center, Balikpapan City. This study is a quasi-experiment with a one-group pre-test and post-test design involving 30 underweight toddlers aged 6–24 months. The intervention consisted of Taburia administration for 30 days at a dose of 1 sachet every two days. Weight data were measured weekly, while nutrient intake was assessed using a 2x24-hour food recall. Analysis was performed using the Wilcoxon test. The results showed that Taburia administration had a significant effect on increasing the toddlers' body weight (p=0.005). The average weight gain for the 6–11 month age group was 400.0 ± 141.4 grams, and for the 12–24 month group, it was 376.9 ± 127.4 grams. Taburia also significantly increased protein intake (p=0.021) and fat intake (p=0.002), while increases in energy and carbohydrates were not significant (p>0.05). Taburia administration has a positive effect on weight gain and the improvement of protein and fat intake in underweight toddlers aged 6–24 months. This intervention has potential as a public nutrition strategy, especially in areas with a high prevalence of underweight. As a follow-up, the Taburia program needs to be expanded with family nutrition education and long-term monitoring, as well as further research with an RCT design and longer duration to strengthen the evidence of its effectiveness
Downloads
References
UNICEF. Levels and trends child malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates. Geneva: WHO. 2020;24(2):1–16.
UNICEF, WHO. Levels and trends in child malnutrition. Asia-Pacific Population Journal. 2025;24(2):51–78.
Balitbangkes RI. Laporan Riskesdas 2018 Nasional.pdf. Lembaga Penerbit Balitbangkes. 2018.
Kesehatan BKP. Survei Kesehatan Indonesia. Kota Kediri Dalam Angka. 2023;1–68.
Safaei M, Sundararajan EA, Driss M, Boulila W, Shapi’i A. A systematic literature review on obesity: Understanding the causes & consequences of obesity and reviewing various machine learning approaches used to predict obesity. Computers in Biology and Medicine. 2021;136(August):104754.
Black RE, Victora CG, Walker SP, Bhutta ZA, Christian P, De Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet. 2013;382(9890):427–51.
Zhang X, Liu J, Ni Y, Yi C, Fang Y, Ning Q, et al. Global Prevalence of Overweight and Obesity in Children and Adolescents: A Systematic Review and Meta-Analysis. JAMA Pediatrics. 2024;178(8):800–13.
Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatrics and International Child Health. 2014;34(4):250–65.
Ayuningtyas D, Hapsari D, Rachmalina R, Amir V, Rachmawati R, Kusuma D. Geographic and Socioeconomic Disparity in Child Undernutrition across 514 Districts in Indonesia. Nutrients. 2022;14(4):1–17.
Setyoningsih D. Malnutrisi Pada Anakh DIbawah Lima Tahun dan Pemberian Suplementasi Mikronutrien. Jurnal Keperawatan GSH. 2024;13(1):46–55.
Wahyuningsih SE, Margawati A, Mexitalia M, Noer ER, Syauqy A. Effectiveness of Zinc Suplementation on Linear Growth of Stunting Toddlers in Semarang City. Jurnal Aisyah : Jurnal Ilmu Kesehatan. 2022;7(4):1273–80.
Kementerian Desa, Pembangunan Daerah Tertinggal dan T. Buku Saku desa dalam Penanganan Stunting untuk. 2017;
Sahdani F, Isaura ER, Sumarmi S. Association Between Exclusive Breastfeeding Practice, Taburia Supplementation, and Stunting Prevalence Among Children Aged 24–60 Months in Sidotopo Wetan, Surabaya. Media Gizi Indonesia. 2021;16(2):175–81.
Inayati DA, Scherbaum V, Purwestri RC, Wirawan NN, Suryantan J, Hartono S, et al. Combined intensive nutrition education and micronutrient powder supplementation improved nutritional status of mildly wasted children on Nias Island, Indonesia. Asia Pacific Journal of Clinical Nutrition. 2012;21(3):361–73.
Wahyuni Y, Mexitalia M, Rahfiludin MZ. the Effect of Taburia Fortification and Nutrition Education of Mothers To on Nutritional Status of 12-24 Months Old Children in Indonesia : Randomized Controlled Trial Study. Journal of Nutrition College. 2023;12(3):198–206.
Ramakrishnan U, Goldenberg T, Allen LH. Do multiple micronutrient interventions improve child health, growth, and development? Journal of Nutrition. 2011;141(11):2066–75.
Tam E, Keats EC, Rind F, Das JK, Bhutta ZA. Micronutrient supplementation and fortification interventions on health and development outcomes among children under-five in low-and middleincome countries: A systematic review and meta-analysis. Nutrients. 2020;12(2).
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Maternal and Child Nutrition. 2018;14(4):1–10.
Laksono AD, Izza N, Trisnani T, Paramita A, Sholikhah HH, Andarwati P, et al. Determination of appropriate policy targets to reduce the prevalence of stunting in children under five years of age in urban-poor communities in Indonesia: a secondary data analysis of the 2022 Indonesian national nutritional status survey. BMJ Open. 2024;14(9):1–8.
Beal T, Massiot E, Arsenault JE, Smith MR, Hijmans RJ. Global trends in dietary micronutrient supplies and estimated prevalence of inadequate intakes. PLoS ONE. 2017;12(4):1–20.
WHO. WHO guideline: use of multiple micronutrient powders for point-of-use fortification of foods consumed by infants and young children aged 6–23 months and children aged 2–12 years. World Health Organization (WHO). 2016. 60 p.
Goyena EA, Barba CVC, Talavera MTM, Paunlagui MM, Rola AC, Tandang NA. Effects of micronutrient powder and complementary food blend on growth and micronutrient status of Filipino rural children: A randomised controlled trial. Malaysian Journal of Nutrition. 2018;24(4):475–92.
Keats EC, Das JK, Salam RA, Lassi ZS, Imdad A, Black RE, et al. Effective interventions to address maternal and child malnutrition: an update of the evidence. The Lancet Child and Adolescent Health. 2021;5(5):367–84.
Dewey KG, Vitta BS. Strategies for ensuring adequate nutrient intake for infants and young children during the period of complementary feeding. Washington: Alive & Thrive. 2013;7(7):14.
Faber M, Rothman M, Laubscher R, Smuts CM. Dietary patterns of 6–24-month-old children are associated with nutrient content and quality of the diet. Maternal and Child Nutrition. 2020;16(2):1–12.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Fetmi Fetmi, Astri Ayu Novaria, Riana Pangestu Utami
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
All published articles are licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes.
- ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
