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adanya pengaruh variabel jumlah energi dan jumlah protein teghadap perubahanstatus gizi.Dalam penelitian ini ditemukan bahwa PMT selama 60 hari dapatmenurunkan tingkat KEP balita dari KEP tingkat sedang dan berat (indeks persentasemedian BBU rujukan WHO-NCHS <70%) menjadi KEP ringan sebanyak 44.4%.Namun demikian tidak diketemukan satupun subyek penelitian yang sembuh dariKEP (indeks persentase median BBU menunjukkan WHO-NCI-IS >80%).Dari penelitian ini dapat disimpulkan bahwa PMT selama 60 hari bagi balitaKEP tingkat sedang dan berat dapat meningkatkan indeks persentase median BBUrujukan WHO-NCHS balita KEP tetapi tidak bisa menyembuhkan KEP balita.Disarankan agar program PMT bagi balita KEP tingkat sedang dan berat di masamendatang diberikan lebih dad 60 hari. Perlu dilakukan penelitian lain untukmengetahui dampak PMT tersebut setelah diberikan selama 90 hari.

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AbstractSupplementary feeding (Pemberian Makanan Tambahan = PMT) is a kind ofnutrition intervention to overcome the problem of protein-energy-malnutrition(PEM), in children under five years. Since 1997, Ministry of Health in Indonesiapublished the manual book of controlling PEM and the standard operationalprocedures for supplementary feeding in children under five years, but until nowthere has not any reaserch been done on the effect of supplementary feeding to thenutrition status. This research was done to know the effect of the supplementaryfeeding on nutrition status changes.The research was done in the community based, who five in the regency offour health centers in Sidoarjo-East Java from September until Nopember 1998. Thisresearch design was a clinical trial with PMT (complete meals frequency, energyamount, protein amount, the given sequence) as the experimental variabel, thenutrition status changes as the non-experimental variabel, and the ages, sex, energyconsumption, protein consumption, mother education, and food outcomes as theintervening variabel. The research subjects was the moderate and the severe level ofPEM (<70% of the median weight for age ofthe WHO-NCHS reference) childrenunder five whose age between 12-36 months, The 36 six experimental subjects weregiven PMT every day for 90 days, the food werw varied between snack (300 kcal and 5 grams protein) and meals (400 kcal and S grams protein). The 37 controlledsubjects who came from other regency of health centers were not given PMT.The research results showed that we could not analyzed the research morethan day-60. The 60 day of the observation showed that the nutrition status of theexperimental subject which had been given PMT for 60 days (approx-= 9.0 timescomplete meals, 2.75 kcal energy, 4.8 grams protein, 58 days) had an increaseapprox as big as 3.55 3.46 % of the median weight for age of the WHO-NCHSreference, while the controlled subject increased approx as big as 2.01 5 2.73 % ofthe median weight for age of the WHO-NCHS reference. There was significantly adifference between experimental subject and controlled subject (p< 0.05). The linierregression test showed that there was an effect of the energy amount variabel and theprotein amount to the nutrition status changes.There are 44.4% moderate and severely PEM children (<70% of the medianweight for age of the WHO-NCHS reference) who received PMT during 60 daysbecame mild PEM (70-79% of the median weight for age of the WHO-NCHSreference). However, there was none of the subject released from PEM (>=80% ofthe median weight for age ofthe WHO-NCHS reference).PMT during 60 days increased the WAM-index of those who were moderateand severely PEM at base line, but not released from PEM. These Findings suggestthat PMT-program on the next time should be held more than 60 days."