Approaches to Address Malnutrition among Children: a Systematic Review
DOI:
https://doi.org/10.30994/jgrph.v11i1.598Keywords:
Childhood, Malnutrition, InterventionsAbstract
Childhood malnutrition is a major public health problem associated with increased illness and death in children. Its effects may occur early, including disease, disability, and mortality, or persist long term, resulting in impaired cognitive development, higher disease risk, and reduced economic productivity. Malnutrition arises from a complex interaction of nutrition specific factors such as inadequate dietary intake, poor feeding and caregiving practices, and infectious diseases and nutrition sensitive factors, including food insecurity, limited caregiving resources, poor access to health services, and unhealthy living environments. Therefore, reducing childhood malnutrition requires the effective integration of both nutrition-specific and nutrition-sensitive interventions. The purpose of this systematic review is to determine the intervention strategies in addressing childhood malnutrition. The research design used was the Systematic Review method. Science direct, Pubmed, Proquest, Google Scholar was data based which was used in article search. The articles obtained were filtered based on full text, 20 articles were found, and ten articles were analyzed through analysis of objectives, suitability of topics, research methods used, characteristics of respondents, and the results of each article, published 2013-2024, in English and Indonesia. Intervention strategies in addressing malnutrition in childhood could be education, homebased therapy, and nutrition therapy. Education, homebased therapy, and nutrition therapy could manage of malnutrition in childhood.
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References
Alkhatib, A., & Obita, G. (2024). Populations : Prevalence , Prevention and Lifestyle Intervention Guidelines. 1–18.
Ciliberto, M. A., Sandige, H., Ndekha, M. J., Ashorn, P., Briend, A., Ciliberto, H. M., & Manary, M. J. (2005). Comparison of home-based therapy with ready-to-use therapeutic food with standard therapy in the treatment of malnourished Malawian children: A controlled, clinical effectiveness trial. American Journal of Clinical Nutrition, 81(4), 864–870. https://doi.org/10.1093/ajcn/81.4.864
Das, J. K., Padhani, Z. A., Khan, M., Mirani, M., Rizvi, A., Chauhadry, I. A., Yasin, R., Ismail, T., Akhtar, S., Begum, K., Iqbal, J., Humayun, K., Naseem, H. A., Malik, K. A., & Bhutta, Z. A. (2024). Efficacy of Zinc Fortified and Fermented Wheat Flour (EZAFFAW): A randomized controlled trial protocol. PLoS ONE, 19(6), 1–17. https://doi.org/10.1371/journal.pone.0304462
Emlek Sert, Z., & Bayık Temel, A. (2020). The effects of the training program to improve healthy nutrition and physical activity behaviors of school children on weight management. Progress in Health Sciences, 10(2), 29–38. https://doi.org/10.5604/01.3001.0014.6584
Gelli, A., Margolies, A., Santacroce, M., Roschnik, N., Twalibu, A., Katundu, M., Moestue, H., Alderman, H., & Ruel, M. (2018). Using a Community-Based Early Childhood Development Center as a Platform to Promote Production and Consumption Diversity Increases Children’s Dietary Intake and Reduces Stunting in Malawi: A Cluster-Randomized Trial. Journal of Nutrition, 148(10), 1587–1597. https://doi.org/10.1093/jn/nxy148
Kang, Y., Kim, S., Sinamo, S., & Christian, P. (2017). Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial. Maternal and Child Nutrition, 13(1), 1–15. https://doi.org/10.1111/mcn.12349
Lozada-Tequeanes, A. L., Théodore, F. L., Kim-Herrera, E., García-Guerra, A., Quezada-Sánchez, A. D., Alvarado-Casas, R., & Bonvecchio, A. (2024). Effectiveness and Implementation of a Text Messaging mHealth Intervention to Prevent Childhood Obesity in Mexico in the COVID-19 Context: Mixed Methods Study. JMIR MHealth and UHealth, 12(1). https://doi.org/10.2196/55509
Mahfuz, M., Alam, M. A., Das, S., Fahim, S. M., Hossain, M. S., Petri, W. A., Ashorn, P., Ashorn, U., & Ahmed, T. (2020). Daily supplementation with egg, cow milk, and multiple micronutrients increases linear growth of young children with short stature. Journal of Nutrition, 150(2), 394–403. https://doi.org/10.1093/jn/nxz253
Nirmala, Wulandari, R. F., & Africia, F. (2024). Pola Konsumsi dan Status Nutrisi pada Remaja. Jurnal Keperawatan Dan Kesehatan, 15(1), 1–12. https://doi.org/10.54630/jk2.v15i1.320
Nwachan, M. B., Ejoh, R. A., Noumo, N. T., & Njong, C. E. (2024). The effects of nutrition and health education on the nutritional status of internally displaced schoolchildren in Cameroon: a randomised controlled trial. Journal of Nutritional Science, 13(2). https://doi.org/10.1017/jns.2024.8
Sawyer, W., Ordinioha, B., & Abuwa, P. (2013). Nutrition intervention program and childhood malnutrition: A comparative study of two rural riverine communities in Bayelsa State, Nigeria. Annals of Medical and Health Sciences Research, 3(3), 422. https://doi.org/10.4103/2141-9248.117949
UNICEF. (2017). Global Nutrition Report. https://data.unicef.org/resources/global-nutrition-report-2017-nourishing-sdgs/
UNICEF. (2023). Malnutrition in Children. https://data.unicef.org/topic/nutrition/malnutrition/
UNICEF, W. (2019). Levels and trends in child malnutrition. https://www.unicef.org/media/60626/file/Joint-malnutrition-estimates-2019.pdf
World Health Organization. (2017). Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition
Alkhatib, A., & Obita, G. (2024). Populations : Prevalence , Prevention and Lifestyle Intervention Guidelines. 1–18.
Ciliberto, M. A., Sandige, H., Ndekha, M. J., Ashorn, P., Briend, A., Ciliberto, H. M., & Manary, M. J. (2005). Comparison of home-based therapy with ready-to-use therapeutic food with standard therapy in the treatment of malnourished Malawian children: A controlled, clinical effectiveness trial. American Journal of Clinical Nutrition, 81(4), 864–870. https://doi.org/10.1093/ajcn/81.4.864
Das, J. K., Padhani, Z. A., Khan, M., Mirani, M., Rizvi, A., Chauhadry, I. A., Yasin, R., Ismail, T., Akhtar, S., Begum, K., Iqbal, J., Humayun, K., Naseem, H. A., Malik, K. A., & Bhutta, Z. A. (2024). Efficacy of Zinc Fortified and Fermented Wheat Flour (EZAFFAW): A randomized controlled trial protocol. PLoS ONE, 19(6), 1–17. https://doi.org/10.1371/journal.pone.0304462
Emlek Sert, Z., & Bayık Temel, A. (2020). The effects of the training program to improve healthy nutrition and physical activity behaviors of school children on weight management. Progress in Health Sciences, 10(2), 29–38. https://doi.org/10.5604/01.3001.0014.6584
Gelli, A., Margolies, A., Santacroce, M., Roschnik, N., Twalibu, A., Katundu, M., Moestue, H., Alderman, H., & Ruel, M. (2018). Using a Community-Based Early Childhood Development Center as a Platform to Promote Production and Consumption Diversity Increases Children’s Dietary Intake and Reduces Stunting in Malawi: A Cluster-Randomized Trial. Journal of Nutrition, 148(10), 1587–1597. https://doi.org/10.1093/jn/nxy148
Kang, Y., Kim, S., Sinamo, S., & Christian, P. (2017). Effectiveness of a community-based nutrition programme to improve child growth in rural Ethiopia: a cluster randomized trial. Maternal and Child Nutrition, 13(1), 1–15. https://doi.org/10.1111/mcn.12349
Lozada-Tequeanes, A. L., Théodore, F. L., Kim-Herrera, E., García-Guerra, A., Quezada-Sánchez, A. D., Alvarado-Casas, R., & Bonvecchio, A. (2024). Effectiveness and Implementation of a Text Messaging mHealth Intervention to Prevent Childhood Obesity in Mexico in the COVID-19 Context: Mixed Methods Study. JMIR MHealth and UHealth, 12(1). https://doi.org/10.2196/55509
Mahfuz, M., Alam, M. A., Das, S., Fahim, S. M., Hossain, M. S., Petri, W. A., Ashorn, P., Ashorn, U., & Ahmed, T. (2020). Daily supplementation with egg, cow milk, and multiple micronutrients increases linear growth of young children with short stature. Journal of Nutrition, 150(2), 394–403. https://doi.org/10.1093/jn/nxz253
Nirmala K.S, Wulandari, R. F., & Africia, F. (2024). Pola Konsumsi dan Status Nutrisi pada Remaja. Jurnal Keperawatan Dan Kesehatan, 15(1), 1–12. https://doi.org/10.54630/jk2.v15i1.320
Nwachan, M. B., Ejoh, R. A., Noumo, N. T., & Njong, C. E. (2024). The effects of nutrition and health education on the nutritional status of internally displaced schoolchildren in Cameroon: a randomised controlled trial. Journal of Nutritional Science, 13(2). https://doi.org/10.1017/jns.2024.8
Sawyer, W., Ordinioha, B., & Abuwa, P. (2013). Nutrition intervention program and childhood malnutrition: A comparative study of two rural riverine communities in Bayelsa State, Nigeria. Annals of Medical and Health Sciences Research, 3(3), 422. https://doi.org/10.4103/2141-9248.117949
UNICEF. (2017). Global Nutrition Report. https://data.unicef.org/resources/global-nutrition-report-2017-nourishing-sdgs/
UNICEF. (2023). Malnutrition in Children. https://data.unicef.org/topic/nutrition/malnutrition/
UNICEF, W. (2019). Levels and trends in child malnutrition. https://www.unicef.org/media/60626/file/Joint-malnutrition-estimates-2019.pdf
World Health Organization. (2017). Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition














