Efektifitas Pemberian Formula Makanan Glikemik Tinggi dalam Penatalaksanaan Gizi Buruk

Tahun 2003 Volume 38 Nomor 1
Oleh : Uken Soetrisno,, Mien Karmini, Ira Juwita, Nuraini Sebayang,

Latar Belakang: Kasus gzi buruk dengan ciri marasmus atau busung lapar muncul kembali sebagai dampak krisis ekonomi yang berkepanjangan. Paket rehabilitasi termasuk pemberian susu kini belum dapat memperbaiki status gizi secara bermakna . Makanan penderita gizi buruk harus ditujukan untuk mengatasi atrofi villi dinding usus yang cenderung sensitif terhadap protein susu. sehingga penatalaksanaan diet harus bertahap sesuai kondisi penderita. Perlu diteliti efekt formula makanan terolah yang bernilai glikemik tinggi yang diberikan bertahap sesuai kondisi penderita gizi buruk.
Tujuan: Mengetahui efekt formula glikemik tinggi yang berbahan dasar karbohidrat dan protein susu terolah yang mudah serap dalam penatalaksanaan diet penderita gizi buruk dibandingkan dengan formula susu
Metode: Sampel anak gizi buruk dipilih secara acak sederhana. masing-masing 30 anak diberi makanan formula glikemik tinggi atau formula susu-gula-minyak sesuai pedoman tatalaksana gizi  buruk. Pengukuran antropometri. masukan zat gizi, jumlah formula yang dimakan serta komponen darah  urin dan feses dilakukan pada awal dan setiap minggu pemeriksaan.
Hasil : Formula glikemiik tinggi dapat diterima dengan baik (tingkat konsumsi Pertambahan berat badan anak setelah pemberian formula selama 35 hari mencapai 50 g per minggu sebagaimana dianjurkan dalam pedoman tatalaksana gizi buruk
Kesimpulan dan Saran: Formula glikemik tinggi efektif digunakan dalam penatalaksanaan gizi buruk. Formula glikemik tinggi untuk tahap stabilisasi cukup diberikan selama 7 hari, sedangkan formula transisi harus >14 han, baru dilanjutkan dengan formula rehabiilitasi.

Background: The number of severe undernourished children is increase following tile economical crisis. The treatment, which includes skim milk supplementation, does not significantly improve their nutritional status. Those children usually have problem with  their intestine brush border, which cause digestion problem and milk protein sensitivity. To overcome such problem, the nutrient density of food should be give,? gradually by reallinientation. Formulated fermented skim milk with dextrinized starches, which has high glycaemiic index, had been proven to increase weight of mild undernourished children.
Objective: To evaluate the effect of high  glycaemic formula on the reallinientation for severe undernourished children.
Methods: Two groups of 30 severe undernourished children were randomly assigned to high glycaenzic formula or hospital formula. Anthroponietry. dietary intake, formula intake, blood Component urine and feces were measured at baseline and every week of evaluation.
Results: High glycaeniic formula can be accepted and digested well by the respondents. The average weights increase were 50 grams a week. Total protein and albumin were in the normal level. The transition formula had to be longer than 14 days to give enough time for the brush border to recover
conclusion: There is no defference stahilically improving heigh and weight betwen hgh glycaemic formula and hospital formula, however high chreamic diet is well acekted and digested