Effect of Formula Food Supplementation (MP-ASI) with Local Product on Growth and Development Among Indonesia Infants 6 to 9 Month of Ages

Abstract

The purposes of the study were to evaluated the effect formula food supplementation as complementary feeding (MP-ASI) on growth and development of infants 6 to 9 month of ages.  This study setting was in Tanah Datar District West Sumatera Province Indonesia and the participants amount were 355 infants aged 6 to 9 months at beginning of the study. This community trial using Cluster Randomized Control Trial (CRCT) was conducted to 40 clusters  from 5 selected villages were assessed for baseline data . The children were divided into 4 groups: food supplementation group (FS-group), psychosocial stimulation (PS-group), Food and psychosocial stimulation group (FP+PS-group) and control group (C-group). The intervention group received formula food supplementation (MP-ASI)  with local product about 250 to 300 kcal and  6 to 8 gram protein daily for 6 month. The results shows that 271 children completed the study. After 6 month of intervention, for F-Group mean of length is improved 6.61 cm + 2.11 SD and for FP-Group improved 6.27 cm + 2.24 SD. The FP-Group benefitted  in difference Z-score weight for height of nutritional status at baseline and after 6 month of intervention are FP-groups (0.57 + 1.15 SD) compare the F-groups  (-0.16 + 1.12  SD) . There was significant effect of food supplementation and  psychosocial stimulation  on children’s cognitive development,  improving  21.37 + 12.43 SD point and on motoric development improving  20.65 + 18.38 SD point (P<0.001). It can be concluded that the formula food supplementation (MP-ASI) combination with psychosocial stimulation had strong effect to the improvement of  infants’s growth and development.