Six Strategies for Optimizing Linear Growth through Improving Awareness of Breastfeeding, Dietary Diversity in Complementary Feeding, and Growth Monitoring during Early Life

Only one-fourth of the countries under the Sustainable Development Goal are ‘on track’ to reduce the burden of malnutrition as of 2020. A deficit in linear growth during the first 5 years of life is mainly due to growth faltering in the first 1000 days. This deficit has been consistently reported to be linked to suboptimal cognitive neurodevelopment, while its improvement in early childhood has been reported to offer an opportunity for rescuing neurocognitive potential. This paper describes the perspectives of multidisciplinary experts, representing a range of disciplines related to child growth and nutrition, from Nigeria, Indonesia, and Malaysia, who convened virtually to review and discuss measures aimed at preventing a further increase in growth faltering, including stunting, among children aged 0-3 years under the current prevailing circumstances. Based on the latest evidence of practices and knowledge, the expert panel proposed six strategies to support linear growth in early life which consists of 2 new initiatives: 1) increasing peer-to-peer knowledge transfer among HCP via digital engagement; 2) increasing knowledge transfer from HCPs to caregivers via social media; while maintaining the existing strategies: 1) stimulating initiatives to support breastfeeding during the first 6 months of life; 2) improving quality of complementary feeding; 3) strengthening growth monitoring to detect suboptimal growth in early childhood; 4) optimizing public-private engagement. The recommended solutions presented herein are the culmination of the collective insights of the expert panel. These recommendations offer invaluable approaches on addressing the critical public health issue of malnutrition, specifically growth faltering, and can benefit not only the three countries concerned but also other low and middle-income countries facing similar nutritional challenges

Pengaruh Konsumsi Beras Indeks Glikemik Rendah Terhadap Pengendalian Metabolik Diabetes Melitus Tipe-1

Latar belakang. Pengendalian metabolik yang baik dapat mengurangi komplikasi diabetes mellitus tipe-1 (DMT1). Diet dengan indeks glikemik rendah menunjukkan perbaikan pengendalian glikemik secara bermakna. Pemeriksaan fruktosamin merupakan salah satu pemeriksaan laboratorium untuk mengetahui kontrol metabolik pasien DMT1. Tujuan. Menilai perubahan kadar fruktosamin setelah mengkonsumsi beras herbal ponni dengan indeks glikemik rendah pada pasien DMT1 Metode. Studi prospektif di Divisi Endokrinologi Ilmu Kesehatan Anak FKUI/RSUPN Cipto Mangunkusumo dengan sampel pasien DMT1 yang berusia ≥2 tahun. Dilakukan pengukuran berat badan, tinggi badan, analisis dan anjuran diet selama 2 minggu, serta pemeriksaan kadar fruktosamin sebelum dan sesudah pemberian beras herbal ponni. Kriteria eksklusi adalah penderita DMT1 yang sakit berat/dirawat di rumah sakit atau menolak ikut penelitian. Analisis data menggunakan uji t berpasangan atau uji Wilcoxon Signed Ranks. Hasil. Diantara 24 pasien didapatkan 11/24 memiliki riwayat keluarga DM, 19/24 memiliki riwayat ketoasidosis diabetes, 21/24 memakai insulin suntik secara teratur, dan hanya 9/24 anak yang mengawasi kadar gula darahnya secara teratur. Rerata kadar fruktosamin sebelum pemberian beras herbal ponni (506,6±134,2) sedangkan rerata kadar fruktosamin sesudah pemberian beras herbal ponni (458,1±106,7) (p< 0,01) Kesimpulan. Didapatkan penurunan kadar fruktosamin secara bermakna setelah dua minggu mengkonsumsi beras herbal ponni dengan indeks glikemik rendah pada pasien DMT