The Effect of Tactile – Kinesthetic Stimulation on Bone Mineralization, Osteocalcin Levels and Body Height Among Stunting Children Aged 6-11 Months

Sutarmi Sutarmi, Hardhono Susanto, Maria Mexitalia, Bernie Medise

Abstract


Introduction: Stunting is growth faltering caused by as poor nutrition, recurrent infections, a lack of psychosocial stimulation. Growth faltering is associated to bone growth disorder.  In order to prevent and overcome stunting not only nutrition but also an adequate stimulation is needed. Objective: This study looked at the effects of tactile–kinesthetic stimulation on bone mineralization, osteocalcin levels and body height among stunting children. Methods: Eighty (80) stunting children (mean of age 8 ± 1,71) were randomly assigned into two groups. Tactile–Kinesthetic Stimulation (TKS) was administrated by trained parents twice daily for three months in the intervention group. The control group was given a routine care of stunting program from public health center. The bone mineralization (osteocalcin serum) and length of body in both groups were measured at enrollment and after week twelve. Results: During three (3) months TKS period, the intervention group had a significant increment in length and osteocalcin serum compared to control group (p < 0.005) at 3.17 cm and 11.5 ng/ml respectively. Moreover, this study also showed that providing TKS demonstrated a strong correlation in a positive direction to length. The TKS treatment could increase the body height of stunting children by 86.5%. There was a positive correlation among osteocalcin levels, intake of vitamin A, protein and calcium on improving length (p<0.05). Conclusion: TKS was significantly effective in promoting bone mineralization particularly osteocalcin levels and length among stunting children. There was also a strong correlation that TKS could elevate the length of 0.865-times. 


Keywords


Bone formation; Tactile-Kinesthetic; Length; Osteocalcin; Stunting

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References


Álvarez-Álvarez, M. J., Fernández-García, D., Gómez-Salgado, J., Ordás, B., Rodríguez-González, M. D., & Martínez-Isasi, S. (2019). Effectiveness of the application of massage therapy and kinesitherapy by parents on premature neonates: A research protocol. Journal of Advanced Nursing, 75(11), 3097–3104.

Aryastami, N. K., & Tarigan, I. (2017). Kajian Kebijakan dan Penanggulangan Masalah Gizi Stunting di Indonesia Policy Analysis on Stunting Prevention in Indonesia. Buletin Penelitian Kesehatan, 45(4), 233–240.

Asmarani, R. I., Irwanto, Suryawan, A., Irmawati, M., & Utomo, M. T. (2020). Effect of massage on salivary cortisol level in preterm neonates. Iranian Journal of Neonatology, 11(1), 12–16.

Chahla, S. E., Frohnert, B. I., Thomas, W., Kelly, A. S., Nathan, B. M., & Polgreen, L. E. (2015). Higher daily physical activity is associated with higher osteocalcin levels in adolescents. Preventive Medicine Reports, 2, 568–571.

Chen, H. L., Lee, C. L., Tseng, H. I., Yang, S. N., Yang, R. C., & Jao, H. C. (2010). Assisted exercise improves bone strength in very low birthweight infants by bone quantitative ultrasound. Journal of Paediatrics and Child Health, 46(11), 653–659.

De Onis, M., Dewey, K. G., Borghi, E., Onyango, A. W., Blössner, M., Daelmans, B., Piwoz, E., & Branca, F. (2013). The world health organization’s global target for reducing childhood stunting by 2025: Rationale and proposed actions. Maternal and Child Nutrition, 9(S2), 6–26.

De Onis, M., & Garza, C. (2003). WHO | The WHO Child Growth Standards. In Acta Pædiatrica International Journal of Pædiatrics (Vol. 95, Issue Supplement 450, pp. 1–104). http://www.who.int/childgrowth/standards/en/

Diego, M. A., Field, T., & Hernandez-Reif, M. (2014). Preterm infant weight gain is increased by massage therapy and exercise via different underlying mechanisms. Early Human Development, 90(3), 137–140.

Djauhari, T. (2017). Gizi Dan 1000 Hpk. Saintika Medika, 13(2), 9.

Elabscience. (n.d.). Elabscience ® (FOR RESEARCH USE ONLY. DO NOT USE IT IN CLINICAL DIAGNOSTICS !) Human OC/BGP(Osteocalcin) ELISA Kit. www.elabscience.com

El-Farrash, R. A., Abo-Seif, I. S., El-Zohiery, A. K., Hamed, G. M., & Abulfadl, R. M. (2020). Passive Range-of-Motion Exercise and Bone Mineralization in Preterm Infants: A Randomized Controlled Trial. American Journal of Perinatology, 37(3), 313–321.

Erdem, E., Tosun, Ö., Bayat, M., Korkmaz, Z., Halis, H., & Güneş, T. (2015). Daily physical activity in low-risk extremely low birth weight preterm infants: positive impact on bone mineral density and anthropometric measurements. Journal of Bone and Mineral Metabolism, 33(3), 329–334.

Field, T., Diego, M., & Hernandez-Reif, M. (2010). Moderate pressure is essential for massage therapy effects. International Journal of Neuroscience, 120(5), 381–385.

Haley, S., Beachy, J., Ivaska, K. K., Slater, H., Smith, S., & Moyer-Mileur, L. J. (2012). Tactile/kinesthetic stimulation (TKS) increases tibial speed of sound and urinary osteocalcin (U-MidOC and unOC) in premature infants (29-32weeks PMA). Bone, 51(4), 661–666.

Haley, S., Gulliver, K., Baldassarre, R., Miller, S., Lane, R. H., & Moyer-Mileur, L. J. (2013). Tactile and kinesthetic stimulation (TKS) intervention improves outcomes in weanling rat bone in a neonatal stress model. Journal of Musculoskeletal Neuronal Interactions, 13(2), 157–165.

Harahap, H., Sandjaja, N., & Soekatri, M. (2015). Kepadatan Tulang, Aktivitas Fisik Dan Konsumsi Makanan Berhubungan Dengan Kejadian Stunting Pada Anak Usia 6 – 12 Tahun. Gizi Indonesia, 38(1), 1.

Hartanto, T. D. F., & Bahtera, T. (2015). Level of insulin-like growth factor-1 (IGF-1) on full term infant following massage stimulation. European Journal of Paediatric Neurology, 19, S130.

IAIM International Association of Infant Massage. (2011). Massage and the Growing Child.

Kemenkes RI. (2020). Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 Tentang Standar Antropometri Anak (Issue 1).

Kementrian Kesehatan RI. (2020). Buku Kia Kesehatan Ibu dan Anak (p. 16).

Komori, T. (2020). What is the function of osteocalcin? Journal of Oral Biosciences, 62(3), 223–227.

Lee, S. C., Hsiao, J. K., Yang, Y. C., Haung, J. C., Tien, L. Y., Li, D. E., & Tsai, S. M. (2021). Insulin-like growth factor-1 positively associated with bone formation markers and creatine kinase in adults with general physical activity. Journal of Clinical Laboratory Analysis, 35(8), 1–5.

Litmanovitz, I., Erez, H., Eliakim, A., Bauer-Rusek, S., Arnon, S., Regev, R. H., Sirota, G., & Nemet, D. (2016). The Effect of Assisted Exercise Frequency on Bone Strength in Very Low Birth Weight Preterm Infants: A Randomized Control Trial. Calcified Tissue International, 99(3), 237–242.

Liza Munira, S. (2023). Hasil Survei Status Gizi Indonesia (SSGI) 2022.

Martorell, R., & Zongrone, A. (2012). Intergenerational influences on child growth and undernutrition. Paediatric and Perinatal Epidemiology.

Millward, D. J. (2017). Nutrition, infection and stunting: The roles of deficiencies of individual nutrients and foods, and of inflammation, as determinants of reduced linear growth of children. Nutrition Research Reviews, 30(1), 50–72.

Montaseri, S., Barati, R., Edraki, M., & Hemmati, F. (2020). The effects of massage therapy with or without physical exercises on the weight of premature infants admitted to the neonatal intensive care unit: A randomized clinical trial. Shiraz E Medical Journal, 21(2).

Moriishi, T., Ozasa, R., Ishimoto, T., Nakano, T., Hasegawa, T., Miyazaki, T., Liu, W., Fukuyama, R., Wang, Y., Komori, H., Qin, X., Amizuka, N., & Komori, T. (2020). Osteocalcin is necessary for the alignment of apatite crystallites, but not glucose metabolism, testosterone synthesis, or muscle mass. PLoS Genetics, 16(5), 1–29.

Ndiaye, B., Lemonnier, D., Sall, M. G., Prudhon, C., Diaham, B., Zeghoud, F., Guillozo, H., Leite, N., & Wade, S. (1995). Serum osteocalcin regulation inprotein-energy malnourished children. Pediatric Research, 37(5), 606–610.

Rosmalina, Y., Luciasari, E., Aditianti, A., & Ernawati, F. (2018). Upaya Pencegahan Dan Penanggulangan Batita Stunting: Systematic Review. Gizi Indonesia, 41(1), 1.

Sezer Efe, Y., Erdem, E., & Güneş, T. (2020). The Effect of Daily Exercise Program on Bone Mineral Density and Cortisol Level in Preterm Infants with Very Low Birth Weight: A Randomized Controlled Trial. Journal of Pediatric Nursing, 51(xxxx), e6–e12.

Shaw, S. C., Sankar, M. J., Thukral, A., Natarajan, C. K., Deorari, A. K., Paul, V. K., & Agarwal, R. (2018). Assisted Physical Exercise for Improving Bone Strength in Preterm Infants Less than 35 Weeks Gestation: A Randomized Controlled Trial. Indian Pediatrics, 55(2), 115–120.

Sjarif, D. R. (2022). Tatalaksana Nutrisi ACS 2022 (Vol. 29, Issue 11, pp. 1496–1501).

Sridharaswari, I. D. A. A., Irmawati, M., Suryawan, A., Idris, I., & Retnowati, E. (2019). Increased Insulin Like Growth Factor -1 and Antropometri in Premature Infants With Breast Milk. Indonesian Journal of Clinical Pathology and Medical Laboratory, 26(1), 107.

Sudarmi, St Halimatusyaadiah, Ni Putu Dian Ayu Anggraeni, & Sutarmi. (2021). BUKU PANDUAN PIJAT BAYI OBISA BAGI ORANG TUA (Vol. 1). Poltekkes Kemenkes Mataram.

Sutarmi, Kusmini, W, M. N., Sutarmi, Kusmini, & W, M. N., Sutarmi, Kusmini, & W, M. N. (2014). Mom Massage, Baby Massage and Spa. IHCA.

Sutarmi, S., Astuti, Y., Siswanto, S., Kunarti, E., & Susilowati, D. (2022). The Effectiveness of Healthy Massage on Growth and Development among Stunting Babies. Malaysian Journal of Medicine and Health Science, 18(SUPP3), 24–30. https://medic.upm.edu.my/jurnal_kami/malaysian_journal_of_medicine_and_health_sciences_mjmhs/mjmhs_vol18_supp_3_february_2022-65634

Syed, S., Manji, K. P., McDonald, C. M., Kisenge, R., Aboud, S., Sudfeld, C., Locks, L., Liu, E., Fawzi, W. W., & Duggan, C. P. (2018). Biomarkers of systemic inflammation and growth in early infancy are associated with stunting in young Tanzanian children. Nutrients, 10(9), 1–14.

Tripathi, T., Gupta, P., Rai, P., Sharma, J., Gupta, V. K., & Singh, N. (2017). Osteocalcin and serum insulin-like growth factor-1 as biochemical skeletal maturity indicators. Progress in Orthodontics, 18(1).

Trisna-Windiani, I. G. A., Soetjiningsih, S., Mantik-Astawa, N., & Rusmil, K. (2015). the Effect of Massage Stimulation To Reduction of Tumor Necrotic Factor-Alfa (Tnf-Α) and Interleukin-6 (Il-6) in Preterm, Low Birth Weight Appropriate With Gestational Age Infants. Indonesia Journal of Biomedical Science, 9(2), 1–20.

Tritos, N. A., & Klibanski, A. (2016). Effects of Growth Hormone on Bone. In Progress in Molecular Biology and Translational Science (Vol. 138, pp. 193–211). Elsevier B.V.

UNICEF; WHO; World Bank Group. (2023). Levels and trends in child malnutrition.

Walker, S. P., Walker, S. P., Chang, S. M., Powell, C. A., & Grantham-Mcgregor, S. M. (n.d.). Effects of early childhood psychosocial stimulation and nutritional supplementation on cognition and education in growth-stunted Jamaican children: prospective cohort study. Www.Thelancet.Com, 366, 1804–1811.

Wang, J. S., Mazur, C. M., & Wein, M. N. (2021). Sclerostin and Osteocalcin: Candidate Bone-Produced Hormones. Frontiers in Endocrinology, 12(March), 1–15.

WHO. (2015a). Stunting in a Nutshell. In Https://Www.Who.Int/News/Item/19-11-2015-Stunting-in-a-Nutshell (Issue November, pp. 4–6).

WHO. (2015b). Stunting in a nutshell.

WHO. (2018). Reducing stunting in children: Equity considerations for achieving the Global Nutrition Targets 2025. In WHO Library Cataloguing in Publication Data.

Wiederschain, G. Ya. (2009). The ELISA guidebook. Biochemistry (Moscow).

Yoanita, R., Gunardi, H., Rohsiswatmo, R., & Setyanto, D. B. (2021). Effect of Tactile–Kinesthetic Stimulation on Growth, Neurobehavior and Development among Preterm Neonates. Journal of Bodywork and Movement Therapies.

Young, M. F., Nguyen, P. H., Gonzalez Casanova, I., Addo, O. Y., Tran, L. M., Nguyen, S., Martorell, R., Ramakrishnan, U., P, H. N., I, G. C., Addo, Y., L, T. M., Nguyen, S., Martorell, R., & Ramakrishnan, U. (2017). Role of preconception nutrition in offspring growth and risk of stunting across the first 1000 days in Vietnam. PloS One, 71(Supplement 2), 538.




DOI: https://doi.org/10.17509/jpki.v10i1.71210

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