The University of Queensland, Brisbane, Queensland, Australia.
Research Institute of Socio-Economic Development, Surabaya, East Java, Indonesia.
Asia Pac J Public Health. 2022 Jan;34(1):25-35. doi: 10.1177/10105395211041001. Epub 2021 Oct 12.
The Indonesian Government's targets to reduce the prevalence of child malnutrition are unlikely to be met based on current progress. Adequate dietary intake is key to meeting these targets. This systematic review aimed to provide a comprehensive overview of the nutrient and food intake of Indonesian children under five years of age. Peer-reviewed and gray literature published between 2007 and 2019 were collected. Of 1500 records, 38 articles met the study inclusion criteria and a narrative analysis was conducted. Children under five years were reported to have ranging energy and macronutrient intakes, some with adequate protein intake. Micronutrient deficiencies, particularly iron, zinc, calcium, and vitamin C, were reported. Animal-source foods, fruits, and vegetables were consumed by children, but frequency and/or volume of consumption was low, and it is among the probable causes of micronutrient deficiency among children under five years. The absence of reporting micronutrient intake in the national survey limited evidence to inform nutrition-related policies. The implementation of a national micronutrient survey will be beneficial in informing policy and practice aimed at reducing the prevalence of child malnutrition in line with national targets, through improvement in dietary intake.
基于目前的进展，印度尼西亚政府降低儿童营养不良患病率的目标不太可能实现。充足的饮食摄入是实现这些目标的关键。本系统评价旨在全面概述 5 岁以下印度尼西亚儿童的营养和食物摄入量。收集了 2007 年至 2019 年期间发表的同行评议和灰色文献。在 1500 份记录中，有 38 篇文章符合研究纳入标准，并进行了叙述性分析。报告称，5 岁以下儿童的能量和宏量营养素摄入量存在差异，一些儿童的蛋白质摄入量充足。报告了微量营养素缺乏症，特别是铁、锌、钙和维生素 C。儿童食用了动物源性食物、水果和蔬菜，但食用频率和/或量较低，这也是 5 岁以下儿童微量营养素缺乏的可能原因之一。国家调查中缺乏微量营养素摄入量的报告限制了为营养相关政策提供信息的证据。实施国家微量营养素调查将有助于通过改善饮食摄入，为减少儿童营养不良的流行提供信息，以符合国家目标。
