Skripsi
PERUBAHAN STATUS ANTROPOMETRI ANAK-ANAK TK USIA 4–6 TAHUN YANG DIBERIKAN MAKAN BERGIZI GRATIS SETELAH 3 BULAN
Background: Nutritional problems among preschool-aged children remain a public health concern because they affect children’s growth and development. The Free Nutritious Meal Program (Makan Bergizi Gratis, MBG) is a school-based nutrition intervention initiated by the government to improve the quality of children’s dietary intake. However, data on changes in the anthropometric status of kindergarten children following the implementation of MBG, particularly in the Ilir area of Palembang City, remain limited. This study aimed to examine changes in the anthropometric status of kindergarten children aged 4–6 years after receiving MBG for three months. Methods: This study employed an analytical observational design with a retrospective cohort approach. The sample consisted of 160 kindergarten children aged 4–6 years selected using consecutive sampling. Anthropometric data included body weight, height, and nutritional status based on the Body Mass Index-for-Age (BMI-for-Age) index, collected before and after three months of MBG implementation. Data were analyzed using the paired t-test, Wilcoxon signed-rank test, and the Chi-square test or Fisher’s Exact Test, according to data distribution. Results: After three months of MBG implementation, a statistically significant increase in body weight and changes in children’s nutritional status were observed (p < 0.001). Prior to the intervention, approximately 30% of the children were classified as having severe malnutrition, which subsequently decreased after the program was implemented. Improvements in nutritional status were more evident among children aged 5 and 6 years, indicated by an increased proportion of normal nutritional status and a reduced proportion of severe malnutrition. Among 4-year old children, the observed changes mainly involved improvements in anthropometric indicators without changes in nutritional status categories. Although height increased significantly (p < 0.001), these changes did not yet reflect long-term growth during the observation period. Conclusion: The implementation of the Free Nutritious Meal Program among kindergarten children aged 4–6 years showed changes in children’s anthropometric conditions following the program period. These findings suggest that school-based feeding programs may serve as a supportive approach in monitoring and improving the nutritional status of preschool-aged children. Keywords: Free Nutritious Meal Program, anthropometric status, nutritional status, Body Mass Index-for-Age, preschool children.
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