A quasi-experimental study on fortified tempeh: A nutritional intervention for fetal growth in Indonesia

Abstract

BACKGROUND AND OBJECTIVES: Stunting is a global health challenge, especially in developing countries like Indonesia, where its prevalence reached 21.6% in 2022. This condition stems from malnutrition, recurrent infections, and inadequate care during the first 1,000 days of life. Maternal nutrition is critical for fetal growth, as deficiencies can lead to low birth weight and short birth length, increasing the risk of stunting. This study evaluates the potential of fortified tempeh as a nutritional intervention to improve birth outcomes. METHODS AND STUDY DESIGN: A quasi-experimental study with a quantitative approach was conducted to compare the effects of regular and fortified tempeh on BW and BL among pregnant women in Kuningan Regency. Participants were divided into two groups: one receiving fortified tempeh and the other regular tempeh. BW and BL were measured at birth and statistically analyzed for differences. RESULTS: The results showed no statistically significant differences in BW and BL between the two groups. However, the fortified tempeh group exhibited a positive trend, with an average BW of 2.92 kg and an average BL of 49.1 cm, compared to the regular tempeh group. CONCLUSIONS: Fortified tempeh demonstrates potential as a cost-effective, locally sourced intervention to support fetal growth and reduce stunting risks. Its integration into public health programs could enhance maternal nutrition and improve birth outcomes in Indonesia.

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