Pemberian Diet Tambahan pada Anak dengan Penyakit Jantung Bawaan Asian (Food supplementation for children with acyanotic congenital heart disease)

Abstract

Background: Children with Congenital Heart Disease (CHD) have a high risk for growth faltering. The prevalence of undernutrition in children with acyanotic CHD on the Pediatric Cardiology Clinic Dr. Kariadi Hospital Semarang is 80.4%. The purpose of the study is to define the benefit of food supplementation to children with acyanotic CHD to improve their growth. Methods: Clinical trial with one group pre and post test design study were conducted in children with CHD in the Pediatric Cardiology Clinic Dr. Kariadi Hospital Semarang during 2005-2006. Twenty-two children aged 6-57 months were involved in this study. Besides their daily intake, they had been given biscuit as food supplementation for 3 months, 20% above their Requirement Daily Allowance (RDA). Their weight and length/height were measured every months. The data was analyzed using Wilcoxon test. Results: The mean of Weight of Age z score (WAZ), Height of Age z score (HAZ), and Weight of Height z score (WHZ) before the supplementation were -1.570.9; -0.751.97; and -0.891.7 respectively. After 3 months there were an increased on WAZ 0.16 and HAZ 0.33 significantly but the improvement of WHZ is 0.01 (not significant). During the supplementation the calorie and protein intake were increased 14.6% and 8.4% respectively. Conclusion: Food supplementation with biscuit 14.6% above the RDA for 3 months improve the growth of children with acyanotic CHD.