Ni Made Indah Dwijayanti Atmaja, - and Roedi Irawan, - The effect of high-calorieformula on head circumference and body length on young children with stunted due to feeding problem. SURABAYA MEDICAL JOURNAL(SMJ IDI SURABAYA), 1 (1). ISSN 2986-7584

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Abstract

Abstract Background: Feeding is a complex process which requires the coordination of several organ systems. However, special conditions lead to feeding problems which increase risk of nutrition problems and growth retardation, resulting in undernutrition. Objectives: This study was performed to investigate young children's length and head circumference. More specifically, this study investigated children stunted due to feeding problems in their first two years and with over three months of nutritional and medicative intervention. Methods: A cross-sectional study was conducted from January 2019-December 2020 on healthy young children. These children were aged 6 to 24 months and brought in by their parents for nutritional consultations due to constant body weight or feeding problems. Subject numbers were determined using total sampling during the study period. The feeding problem diagnosis and physical examination were done by a pediatrician specialized in nutrition and metabolic syndromes. Results: There were 139 infants and young children recruited, of which 65 were boys and 74 were girls. Their mean age was 15.11, give or take 0.53 months. There were 32 subjects selected based on their experience with at least three months of nutritional intervention and medication. Microcephaly was detected in three subjects (23.08%). Nutritional intervention increased the head circumference-for-age z-score (HCAZ) from -0.77 + 1.19 to -0.27 + 1.05 (p = 0.012). After 90 days of intervention, there was no microcephaly detected despite no significant difference. Nutritional intervention also increased the height-for-age z-score. Conclusion: Feeding problems contributes to constant body weight gain and feeding problems. Nutritional intervention can be done by giving children high calorie formula to prevent growth faltering and restore growth during the first two years of life. Nutritional intervention improved the growth parameters, including head circumference z-scores.

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