GIZI BURUK

Masalah Gizi menurut Siklus Kehidupan Risiko Stunting Ibu Hamil Bayi lahir Anemia, kurang gizi mikro lainnya KEP BBLR Underweight Stunting Anemia KVA Remaja dan WUS Stunting Anemia BALITA Low birthweight infants have a much higher risk of dying. If they do survive, they are more likely to be underweight or stunted in later life, and more prone to disease. Malnourished women give birth to offspring that suffer from low birth weight and stunting, who in turn grow into malnourished adolescents and adults, thus perpetuating the cycle. Maternal under-nutrition is also linked to reduced cognitive development in the child. It was earlier believed that stunting was the result of long term under-nutrition. Nutrition programmes have therefore previously focused on young children. The critical intrauterine period has been largely neglected. As a result, efforts to address malnutrition in children have come too late in the life cycle to make a significant impact. Pertumbuhan lambat, Stunting Anemia, cognitive deficits Anak Usia sekolah

Periode Kritis Pertumbuhan Kehamilan & Pertumbuhan Janin Pertumbuhan Bayi & Anak Membangun tinggi badan potensial (rapid increase in cell number) Membangun berat badan potensial (rapid increase in cell size) Untuk Mencapai Tinggi dan Berat badan optimal Butuh Kalori Dibutuhkan seluruh zat gizi (makro dan mikro) secara seimbang Butuh gizi mikro & protein Konsepsi 20 mg LAHIR 2 TAHUN

Status gizi, mengapa rendah? Analisis status gizi dan kesehatan wanita, sejak remaja, pra-nikah, hamil, menyusui Analisis pemberian ASI: menyusui dini, frekuensi, dan lamanya. Analisis pemberian Makanan Pendamping ASI: kualitas dan kuantitasnya Analisis Pola Asuh terhadap bayi/anak (terkait pendidikan, pengetahuan, dan kebiasaan di masyarakat) Analisis sanitasi lingkungan, higienis, dan kaitannya dengan infeksi yang berulang.

Mengapa status gizi? Nutrition as an investment Indikator penting untuk MDGs, point pertama Indikator keberhasilan pembangunan secara keseluruhan Sangat terkait dengan Penyakit Degeneratif di usia dewasa (obesitas, hipertensi, diabetes, jantung koroner, stroke)

Penyebab Utama Kematian di dunia Deaths associated with undernutrition 60% Sources: For cause-specific mortality: EIP/WHO. For deaths associated with malnutrition: Caulfield LE, Black RE. Malnutrition and the global burden of disease: underweight and cause- specific mortality. Sources: EIP/WHO, Caulfield LE, Black RE. Year 2000

Dampak Gizi dan Kesehatan terhadap Pertumbuhan dan Perkembangan Otak Gizi kurang & infeksi “Otak Kosong” bersifat permanen “Irreversible loss of opportunity” LOST GENERATION (Generasi yg. hilang/Pekerja kasar) Gizi cukup & sehat Anak cerdas Mutu SDM Penghasilan Tinggi Beban Sumberdaya