Pengaruh Suplementasi terhadap Status Gizi dan Pertumbuhan Anak dengan Picky Eating: A Systematic Review
DOI:
https://doi.org/10.55606/jig.v4i3.9160Keywords:
Child growth, Nutritional status, Oral nutritional supplementation (ONS), Picky eating, Preschool childrenAbstract
Picky eating is a problem that can lead to inadequate nutrient intake particularly calories, protein, vitamins, and minerals which can affect childern’s nutritional status. The aim of this study was to analyze the effect of nutritional supplementation on the nutritional status and growth of children with picky eating behaviors. The method used was a systematic review conducted in accordance with the PRISMA guidelines, with preschool children aged 24-72 months who exhibited picky eating as the subjects. The study results indicate that the use of Oral Nutritional Supplements (ONS) in preschool children with selective esating behaviors improves nutritional status indicators, particularly z-scores for weight-for-age, weight-for-height percentiles, and z-score for BMI-for-age. Various studies report significant increases in weight, BMI, and height in children receiving supplements compared to the control group. Supplements also increased appetite and ensured adequate micronutrient intake. However, the impact on linear growth was inconsistent across studies, likely due to the short duration of the intervention and the fact that height growth is influenced by many factors. In conclusion, oral nutritional supplementation can significantly improve nutritional status and support the growth of children with picky eating habits, particularly in terms of weight gain and ensuring adequate nutrition.
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Amanda, S. P., Kurniwati, M., Muharramah, A., & Alamsyah, P. R. (2025). Hubungan perilaku picky eater, pola asuh dan riwayat penyakit diare dengan wasting di TK Al Mumtaza Kecamatan Kalianda Kabupaten Lampung Selatan. Jurnal Gizi Kerja dan Produktivitas, 6(1), 11–23. https://doi.org/10.62870/JGKP.V6I1.30698
Anwar, F., Yalawar, M., Suryawanshi, P., Ghosh, A., Jog, P., Khadilkar, A. V., Kishore, B., Paruchuri, A. K., Pote, P. D., Mandyam, R. D., Shinde, S., & Shah, A. (2023). Effect of oral nutritional supplementation on adequacy of nutrient intake among picky-eating children at nutritional risk in India: A randomized double-blind clinical trial. Nutrients, 15(11). https://doi.org/10.3390/nu15112528
Gan, K., Tithecott, C., Neilson, L., Seabrook, J. A., & Dworatzek, P. (2021). Picky eating is associated with lower nutrient intakes from children’s home-packed school lunches. Nutrients, 13(6), 1759. https://doi.org/10.3390/nu13061759
Ghosh, A. K., Kishore, B., Shaikh, I., Satyavrat, V., Kumar, A., Shah, T., Pote, P., Shinde, S., Berde, Y., Low, Y. L., Tan, V. M. H., & Huynh, D. T. T. (2018a). Continuation of oral nutritional supplementation supports continued growth in nutritionally at-risk children with picky eating behaviour: A post-intervention, observational follow-up study. Journal of International Medical Research, 46(7), 2615–2632. https://doi.org/10.1177/0300060518766982
Ghosh, A. K., Kishore, B., Shaikh, I., Satyavrat, V., Kumar, A., Shah, T., Pote, P., Shinde, S., Berde, Y., Low, Y. L., Tan, V. M. H., & Huynh, D. T. T. (2018b). Effect of oral nutritional supplementation on growth and recurrent upper respiratory tract infections in picky eating children at nutritional risk: A randomized controlled trial. Journal of International Medical Research, 46(6), 2186–2201. https://doi.org/10.1177/0300060518757355
Gumintang Maharani, D., & Candra, A. (2020). Pengaruh suplementasi mikronutrien terhadap tingkat kecukupan energi balita. JNH (Journal of Nutrition and Health), 5(2), 116–128. https://doi.org/10.14710/JNH.5.2.2017.116-128
Hanapi, H. M., Mohd, I., & Teng, F. (2022). Picky eating behaviour and nutritional status of preschool children in Kuala Selangor, Malaysia. Malaysian Journal of Medicine and Health Sciences, 18(1).
Hidayati, I., & KM, S. (2024). Masalah gizi pada masyarakat. Gizi dan Kesehatan Masyarakat.
Houle, S. (2015). An introduction to the fundamentals of randomized controlled trials in pharmacy research. Canadian Journal of Hospital Pharmacy, 68(1), 28–32. https://doi.org/10.4212/CJHP.V68I1.1422
Jelenkovic, A., Sund, R., Yokoyama, Y., Latvala, A., Sugawara, M., Tanaka, M., Matsumoto, S., Freitas, D. L., Maia, J. A., Knafo-Noam, A., Mankuta, D., Abramson, L., Ji, F., Ning, F., Pang, Z., Rebato, E., Saudino, K. J., Cutler, T. L., Hopper, J. L., ... Silventoinen, K. (2020). Genetic and environmental influences on human height from infancy through adulthood at different levels of parental education. Scientific Reports, 10(1), 7974. https://doi.org/10.1038/S41598-020-64883-8
Khanna, D., Yalawar, M., Saibaba, P. V., Bhatnagar, S., Ghosh, A., Jog, P., Khadilkar, A. V., Kishore, B., Paruchuri, A. K., Pote, P. D., Mandyam, R. D., Shinde, S., Shah, A., & Huynh, D. T. T. (2021). Oral nutritional supplementation improves growth in children at malnutrition risk and with picky eating behaviors. Nutrients, 13(10). https://doi.org/10.3390/NU13103590
Khanna, D., Yalawar, M., Verma, G., Baggs, G., Devitt, A., C, B., Bhatnagar, S., Ghosh, A., Jog, P., Khadilkar, A., Kishore, B., Kumar, A., Pote, P., MD, R., Shinde, S., & Shah, A. (2019). Oral nutritional supplementation in picky eating children (P11-114-19). Current Developments in Nutrition, 3(Suppl. 1), nzz048.P11-114-19. https://doi.org/10.1093/CDN/NZZ048.P11-114-19
Nogueira-de-Almeida, C. A., Del Ciampo, L. A., Martinez, E. Z., Contini, A. A., Nogueira-de-Almeida, M. E., Ferraz, I. S., Epifanio, M., & da Veiga Ued, F. (2023). Clinical evolution of preschool picky eater children receiving oral nutritional supplementation during six months: A prospective controlled clinical trial. Children, 10(3), 495. https://doi.org/10.3390/children10030495
Ow, M. Y. L., Tran, N. T., Berde, Y., Nguyen, T. S., Tran, V. K., Jablonka, M. J., Baggs, G. E., & Huynh, D. T. T. (2024). Oral nutritional supplementation with dietary counseling improves linear catch-up growth and health outcomes in children with or at risk of undernutrition: A randomized controlled trial. Frontiers in Nutrition, 11. https://doi.org/10.3389/fnut.2024.1341963
Pratama, B. A. (2023). Literature review: Faktor risiko obesitas pada remaja di Indonesia. Indonesian Journal on Medical Science, 10(2). https://doi.org/10.55181/IJMS.V10I2.443
Pratama, D., Sukaesih, D. S., Nopianti, R., & Maesaroh, T. (2025). Pertumbuhan dan perkembangan anak secara fisik terkait dalam pembentukan kemampuan dan fungsi tubuh anak. Jurnal Pendidikan dan Penelitian Serumpun Mengajar, 2(2), 120–123. https://jurnal.pgsdsm.id/index.php/sm/article/view/162
Sakinah, S., Achdiani, Y., Indah, G., & Nastia, P. (2025). Mengatasi picky eater pada anak usia dini dengan cara yang cerdas. Jurnal Teknologi Pendidikan dan Pembelajaran, 2(3), 781–787. https://jurnal.kopusindo.com/index.php/jtpp/article/view/569
Sambo, M., Madu, Y. G., Kamumu, F., & Rakay, I. W. (2024). Picky eating: Faktor risiko stunting pada anak prasekolah. Bali Medika Jurnal, 11(2), 130–140. https://doi.org/10.36376/BMJ.V11I2.457
Taylor, C. M., & Emmett, P. M. (2019). Picky eating in children: Causes and consequences. Proceedings of the Nutrition Society, 78(2), 161–169. https://doi.org/10.1017/S0029665118002586
Taylor, C. M., Northstone, K., Wernimont, S. M., & Emmett, P. M. (2016). Macro- and micronutrient intakes in picky eaters: A cause for concern? American Journal of Clinical Nutrition, 104(6), 1647–1656. https://doi.org/10.3945/ajcn.116.137356
Widyastuti Hariati, N. (2025). Analysis of parenting patterns and nutritional imbalance as risk factors for stunting in toddlers. Jurnal Ilmiah Kesehatan (JIKA), 7(1), 111–127. https://doi.org/10.36590/JIKA.V7I1.1284
Wulandari, A. A., Mokhtar, S., Nurmadilla, D. N., Bamahry, A. B., & Jafar, A. (2023). Hubungan antara status gizi dengan prestasi belajar anak pada usia 9–12 tahun. Wal’afiat Hospital Journal, 4(1), 23–30. https://doi.org/10.33096/WHJ.V4I1.99
Wulandari, W. P., Kusuma, A., Kameliawati, F., Putri, R. H., et al. (2025). Hubungan picky eating dengan kejadian stunting pada balita di Kecamatan Talang Padang. Health Research Journal of Indonesia, 3(6), 313–320. https://doi.org/10.63004/HRJI.V3I6.573
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