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LAPSE:2023.24910

Synbiotic Fermented Milk with Double Fortification (Fe-Zn) as a Strategy to Address Stunting: A Randomized Controlled Trial among Children under Five in Yogyakarta, Indonesia

Siti Helmyati, Karina Muthia Shanti, Fahmi Tiara Sari, Martha Puspita Sari, Dominikus Raditya Atmaka, Rio Aditya Pratama, Maria Wigati, Setyo Utami Wisnusanti, Fatma Zuhrotun Nisa’, Endang Sutriswati Rahayu

March 28, 2023

Abstract
Stunting is one of the public health problems that has yet to be solved in Indonesia. This study developed synbiotic fermented milk with iron and zinc fortification that was then tested in a clinical setting. The product was made from skimmed milk and fructooligosaccharides (FOS) and fermented with Lactobacillus plantarum. A sample of 94 stunted children under five years old were randomly assigned to intervention or control groups. The intervention group received double-fortified synbiotic milk, while the control group drank non-fortified milk. After three months, the number of normal children in both groups, according to weight- or height-for-age z-score category, was found to be increasing. However, the difference between the two groups was not significant (p > 0.05). The study suggests that fermented milk may have a good effect on child growth. Further research is needed to deepen the potency of synbiotic fermented milk for stunted children.

Record ID

LAPSE:2023.24910

Keywords

children, double fortification, fermented milk, iron and zinc, stunting, synbiotic

Subject

Process Control

Suggested Citation

Helmyati S, Shanti KM, Sari FT, Sari MP, Atmaka DR, Pratama RA, Wigati M, Wisnusanti SU, Nisa’ FZ, Rahayu ES. Synbiotic Fermented Milk with Double Fortification (Fe-Zn) as a Strategy to Address Stunting: A Randomized Controlled Trial among Children under Five in Yogyakarta, Indonesia. (2023). LAPSE:2023.24910

Author Affiliations

Helmyati S: Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia; Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogya [ORCID]
Shanti KM: Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
Sari FT: Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
Sari MP: Department of Biostatistics, Epidemiology and Population Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia [ORCID]
Atmaka DR: Faculty of Public Health, Airlangga University, Surabaya 60115, Indonesia [ORCID]
Pratama RA: Study Program of Public Health Science, Specialization of Health Informatics System, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
Wigati M: Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia
Wisnusanti SU: Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia; Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogya
Nisa’ FZ: Department of Nutrition and Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia; Center for Health and Human Nutrition, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogya
Rahayu ES: Faculty of Agricultural Technology, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia

Journal Name

Processes

Volume

Issue

First Page

543

Year

2021

Publication Date

2021-03-19

DOI:

https://doi.org/10.3390/pr9030543