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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The nutritional status in children is an indicator of the development level and potential future of the community&#46; The nutritional status of infants and under-five children is the particular concern since the early of essential life for optimal growth and development&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">1&#44;2</span></a> The lack of nutrition affects long-term physical growth and development and can cause the advanced disease or the end of stage of disease and disability in adult life&#46; Moreover&#44; the high prevalence of malnutrition jeopardizes the future of economic growth by reducing the intellectual and physical potential of whole population&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Nutrition in under-five children is affected by socio-economic factors and socio-cultural backgrounds related to dietary and nutrition&#46; Inadequate nutrition in the first five years of life caused to irreversible disturbances in growth and physical&#44; mental and brain development&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">5&#44;6</span></a> The measure of success in fulfilling nutrition is nutritional status&#46; The nutritional status of under-five children reflects the level of development and welfare of society in a country and is related to the health status of children in the future&#46;<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">2&#44;7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Generally&#44; malnutrition refers to condition of less nutrition&#44; bad nutrition and over nutrition&#46; This condition is one of the causes of mortality and morbidity for under-five children in developing countries&#44; with 54&#37; or 10&#46;8 million children death from malnutrition&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">3&#44;4&#44;8</span></a> Malnutrition in under-five children has an impact on decreasing the immune system so that they are easy to infectious diseases&#46; Infectious diseases such as diarrhea&#44; pneumonia&#44; malaria&#44; measles and AIDS are known to cause the most deaths in under-five children with malnutrition&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">9&#44;10</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Supplementary food provision &#40;SFP&#41; is an activity carried out to overcome malnutrition in under-five children group&#46; Soybean is one of the alternative supplementary food in which has been analyzed the nutritional content of soybean&#46; The nutrients analyzed by soybean are carbohydrates&#44; protein&#44; fat&#44; vitamin C&#44; and iron&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">11&#8211;13</span></a> The results of research on the protein contained in tempeh can stimulate thermogenesis which leads to an increase in body metabolism&#46; In addition&#44; tempeh has rich in prebiotics&#44; which is a type of fiber that can help the growth of good bacteria in the digestive system&#44; so that it can reduce digestive problems in your children&#46; The content of dietary fiber and enzymes produced by yeast or <span class="elsevierStyleItalic">Rhizopus oligosporus</span> fungi after the fermentation process is believed to be very good for children&#39;s digestion&#46;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">7&#44;14&#44;15</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Based on the result of study that conducted by Fadillah&#44; Syarfaini and Rusmin &#40;2014&#41;&#44; it was shown that there was an increase in body weight after consuming soybean cake or tempeh nuggets in the amount given with provisions for 1&#8211;3 years age group&#44; 4&#8211;5 years age group in the form of tempeh nuggets for one day&#46; Given for 14 days with an average result of an increase in body weight of 0&#46;20<span class="elsevierStyleHsp" style=""></span>kg&#44; which means the same as the results of the study in 2016&#44; it was found that the consumption of tempeh nuggets were effective against weight gain for under-five nutrition children in 2016&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">16</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">This research is also in line with Mariyam &#40;2014&#41; that from the results of research conducted on the effect of giving tempeh juice on malnutrition status in under-five children&#44; there is an effect and an increase in toddler weight after giving tempeh juice on the malnutrition status of KEP under-five children for one month&#46; Giving tempeh juice to mild KEP under-five children increases their nutritional status&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">17</span></a> Giving tempeh juice also increases appetite&#44; in the case group the average increase in energy intake before and after the study was 175&#46;135<span class="elsevierStyleHsp" style=""></span>kcal&#44; while in the control group the average increase in energy intake before and after the study was only 14&#46;282<span class="elsevierStyleHsp" style=""></span>kcal&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="par0035" class="elsevierStylePara elsevierViewall">This research is a quasi experiment with the design used namely the non-equivalent pre test&#8211;post test control group design&#46; The population in this study were all under-five children with a malnutrition status with a total of 118 respondents&#46; The samples in this study was some children aged 36&#8211;60 months who had a malnutrition status that met the sample criteria where the researchers used a purposive sampling technique&#44; the total numbers of samples were 30 respondents&#46; Where 30 samples will be divided into two groups&#44; namely 15 groups who were given treatment and 15 groups as control&#46; The research was conducted at Health Primary Service of Tamalate in March&#8211;June 2019&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Tempeh nuggets were made from grounded soybean&#44; seasoned and covered with bread flour&#46; In the form of nuggets&#44; the nutritional content in soybean cake will be more easily absorbed by the body&#46; Soybean cake &#40;tempeh&#41; nuggets are given for 4 weeks with an intake of 30<span class="elsevierStyleHsp" style=""></span>g per day&#46; Measurement instruments used were observation sheets&#44; scales using steelyard and health cards&#46; The measurement results were then analyzed by using the Mann&#8211;Whitney test to determine whether there was a difference in the average among two sample groups after the intervention&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0045" class="elsevierStylePara elsevierViewall">This research was conducted for 3 months in Health Primary Service of Tamalate&#46; The results obtained are distributed in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows that under-five children as respondents were mostly girls&#44; namely 11 &#40;36&#46;7&#37;&#41; in the intervention group and 10 under-five children &#40;33&#46;3&#37;&#41; in the control group&#46; Meanwhile&#44; based on age&#44; the most under-five children aged 36&#8211;48 months were 10 respondents &#40;33&#46;3&#37;&#41; in the intervention group and 9 &#40;30&#37;&#41; in the control group&#46; Family income is mostly in the low economic group&#44; namely each 13 families &#40;43&#46;3&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">This research in the intervention group the mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD was 846&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>333&#46;524 while the control group had a value mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD 326&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>349&#46;421 &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; The mean rank of each group is at the treatment group of 21&#46;00&#44; was lower than the average value of the control group&#44; which was 10&#46;00&#46; When converted to a <span class="elsevierStyleItalic">Z</span> value&#44; the amount is &#8722;3&#46;449 while <span class="elsevierStyleItalic">p</span>-value is 0&#46;001<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; If the <span class="elsevierStyleItalic">p</span>-value is 0&#46;05&#44; there is a significant difference between the intervention group and the control group&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0060" class="elsevierStylePara elsevierViewall">After the research was conducted&#44; it was shown that there was an increase in the weight of under-five children in the treatment group&#46; The average weight gain of under-five children in the treatment group was 846&#46;67<span class="elsevierStyleHsp" style=""></span>g&#46; In the control group&#44; there was also an increase in average body weight&#44; but the increase was not so significant&#44; namely 326&#46;67<span class="elsevierStyleHsp" style=""></span>g&#46; The weight gain in the treatment group was caused by the carbohydrate and protein content in the soybean cake &#40;tempeh&#41; nuggets consumed and also the content of vitamin A and zinc which increased the children&#39;s appetite&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">12</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Children&#39;s appetite from consumption of tempeh nuggets is an alternative to increase body weight in malnourished under-five children&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">18</span></a> Besides that&#44; tempeh has several advantages over soybeans&#44; the advantages of tempeh include high protein complement&#44; contains 8 essential amino acids&#44; low levels of saturated fat and cholesterol&#44; high vitamin B 12&#44; is easy to digest because of its unique cell texture and contains antibiotics and has the effect of stimulating growth&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">19&#44;20</span></a> The quantity and quality of nutrients can be used by individuals to improve nutritional status&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Increasing nutritional status through the indicator of body weight of under-five children is an increase in body weight from the previous body weight&#44; which is due to the fulfillment of protein needs contained in tempeh nuggets&#46; Body weight is one of the parameters that provide an overview of body mass&#46; The growing mass is very sensitive to sudden changes&#46; For example&#44; because of infectious disease&#44; decreased appetite or decreased amount of food consumed&#46; Body weight is a very unstable anthropometric parameter&#46; Body weight is a very unstable anthropometric parameter&#46; Under normal circumstances&#44; where the state of health is good and the balance between consumption and nutritional needs is guaranteed&#44; body weight develops with age&#46; One of the nutrients that play a role in improving the nutrition of under-five children in tempeh nuggets is protein&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">5&#44;17</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Protein plays an essential role in transporting nutrients in the digestive tract through the walls of the digestive tract into the blood&#44; from blood to tissues&#44; and through cell membranes into cells&#46; Lack of protein causes disturbances in absorption and transportation of nutrients&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">21</span></a> Protein metabolism begins after protein is broken down into amino acids&#44; amino acids will enter the TCA cycle when needed as an energy source or when they are in excess amounts than needed for protein synthesis&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">17&#44;22</span></a> In addition&#44; energy is one of the products of carbohydrate&#44; protein and fat metabolism&#46; Energy functions as a power substance for metabolism&#44; growth&#44; temperature regulation and physical activity&#46; Excess energy is stored in the form of glycogen as a short-term energy reserve and in the form of fat as a long-term reserve&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">9&#44;16&#44;23</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">The results of this study are in line with Mariyam&#39;s research &#40;2017&#41; which showed that there is an increase in the weight of under-five children after consuming soybean cake or tempe nuggets for 1 day with an average result of an increase in body weight of 0&#46;20<span class="elsevierStyleHsp" style=""></span>kg&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">17</span></a> In addition&#44; this research is in line with Mariyam&#39;s research which conducted the research about the effect of giving tempe juice on the nutritional status of under-five children to increase the weight of three years old baby&#46; The result showed that the provision of tempeh juice was effective in increasing the weight of under-five children who lack protein energy&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">10</span></a> Tempeh nuggets can be used as an alternative to additional or supplementary food to help to increase the nutritional status of under-five children&#46; Besides it is cheap and easy to get&#44; the processing of tempeh nugget is quite attractive for under-five children so that it will be easier to give as supplementary food&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusion</span><p id="par0085" class="elsevierStylePara elsevierViewall">Fermented soybean cake nugget &#40;tempeh&#41; provides a good weight gain effect on toddlers&#44; therefore consumption of fermented soybean cake nugget can be recommended and taught to the public&#46; Therefore fermented soybean cake nugget can be given to help supplement food for toddlers&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "fechaRecibido" => "2021-06-28"
    "fechaAceptado" => "2021-07-30"
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec1456655"
          "palabras" => array:3 [
            0 => "Fermented soybean cake nugget"
            1 => "Weight"
            2 => "Toddlers"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:3 [
        "titulo" => "Abstract"
        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This study aims to identify weight gain by giving fermented soybean cake nugget &#40;tempeh&#41; to underweight toddlers&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This study used a quasi-experiment design with non-equivalent pre test&#8211;post test control group design&#46; The sample was taken by using purposive sampling method&#46; The sample size of this study was 30 toddlers&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Based the result of the intervention group the mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD was 846&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>333&#46;524 while the control group had a value mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD 326&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>349&#46;421 while <span class="elsevierStyleItalic">p</span> value is 0&#46;001<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; If the <span class="elsevierStyleItalic">p</span> value is 0&#46;05&#44; there is a significant difference between the intervention group and the control group&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Fermented soybean cake nugget provide a good weight gain effect on toddlers&#44; therefore consumption of fermented soybean cake nugget can be recommended and taught to the public&#46; Therefore fermented soybean cake nugget can be given to help supplement food for toddlers&#46;</p></span>"
        "secciones" => array:4 [
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            "identificador" => "abst0005"
            "titulo" => "Objective"
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          3 => array:2 [
            "identificador" => "abst0020"
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          ]
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      ]
    ]
    "NotaPie" => array:1 [
      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Peer-review under responsibility of the scientific committee of the 3rd International Nursing&#44; Health Science Students &#38; Health Care Professionals Conference&#46; Full-text and the content of it is under responsibility of authors of the article&#46;</p>"
      ]
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                  <table border="0" frame="\n
                  \t\t\t\t\tvoid\n
                  \t\t\t\t" class=""><thead title="thead"><tr title="table-row"><th class="td-with-role" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col">Variable&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " colspan="2" align="center" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Intervention</th><th class="td" title="\n
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                  \t\t\t\t  " colspan="2" align="center" valign="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Frequency&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Frequency&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Sex of under-five children</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Boys&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Girls&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Under-five children age &#40;month&#41;</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>36&#8211;48&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">33&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>49&#8211;60&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="5" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Family income</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Low&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">43&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Middle&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Total&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">100&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Variable</th><th class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Total &#40;<span class="elsevierStyleItalic">N</span>&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Mean rank&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">Z</span>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th><th class="td" title="\n
                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black"><span class="elsevierStyleItalic">p</span> value&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t\t\t</th></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " rowspan="2" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">Increasing weight</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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        "texto" => "<p id="par0095" class="elsevierStylePara elsevierViewall">The team of research would like to thank Poltekkes of the Health Ministry of Makassar and Megarezky University for providing support in conducting this research&#46; Thank you to Rahayu who has helped us in collecting the research data&#46;</p>"
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Fermented soybean cake nugget (tempeh) as an alternative for increasing weight of little children aged 36–60 months
B. Suriania, Jumrah Sudirmanb,c,
Autor para correspondencia
, Sitti Mukarramaha, Syamsyuriyana Sabard, Hasriani Salengb
a Department of Midwifery, Poltekkes Kemenkes Makassar, Indonesia
b Proffession Midwife Study Program, Megarezky University, Indonesia
c Doctoral Program,Faculty of Medicine, Hasanuddin University, Makassar 90245, Indonesia
d Proffession Nurse Study Program, Megarezky University, Indonesia
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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introduction</span><p id="par0005" class="elsevierStylePara elsevierViewall">The nutritional status in children is an indicator of the development level and potential future of the community&#46; The nutritional status of infants and under-five children is the particular concern since the early of essential life for optimal growth and development&#46;<a class="elsevierStyleCrossRefs" href="#bib0120"><span class="elsevierStyleSup">1&#44;2</span></a> The lack of nutrition affects long-term physical growth and development and can cause the advanced disease or the end of stage of disease and disability in adult life&#46; Moreover&#44; the high prevalence of malnutrition jeopardizes the future of economic growth by reducing the intellectual and physical potential of whole population&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">3&#44;4</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">Nutrition in under-five children is affected by socio-economic factors and socio-cultural backgrounds related to dietary and nutrition&#46; Inadequate nutrition in the first five years of life caused to irreversible disturbances in growth and physical&#44; mental and brain development&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">5&#44;6</span></a> The measure of success in fulfilling nutrition is nutritional status&#46; The nutritional status of under-five children reflects the level of development and welfare of society in a country and is related to the health status of children in the future&#46;<a class="elsevierStyleCrossRefs" href="#bib0125"><span class="elsevierStyleSup">2&#44;7</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">Generally&#44; malnutrition refers to condition of less nutrition&#44; bad nutrition and over nutrition&#46; This condition is one of the causes of mortality and morbidity for under-five children in developing countries&#44; with 54&#37; or 10&#46;8 million children death from malnutrition&#46;<a class="elsevierStyleCrossRefs" href="#bib0130"><span class="elsevierStyleSup">3&#44;4&#44;8</span></a> Malnutrition in under-five children has an impact on decreasing the immune system so that they are easy to infectious diseases&#46; Infectious diseases such as diarrhea&#44; pneumonia&#44; malaria&#44; measles and AIDS are known to cause the most deaths in under-five children with malnutrition&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">9&#44;10</span></a></p><p id="par0020" class="elsevierStylePara elsevierViewall">Supplementary food provision &#40;SFP&#41; is an activity carried out to overcome malnutrition in under-five children group&#46; Soybean is one of the alternative supplementary food in which has been analyzed the nutritional content of soybean&#46; The nutrients analyzed by soybean are carbohydrates&#44; protein&#44; fat&#44; vitamin C&#44; and iron&#46;<a class="elsevierStyleCrossRefs" href="#bib0170"><span class="elsevierStyleSup">11&#8211;13</span></a> The results of research on the protein contained in tempeh can stimulate thermogenesis which leads to an increase in body metabolism&#46; In addition&#44; tempeh has rich in prebiotics&#44; which is a type of fiber that can help the growth of good bacteria in the digestive system&#44; so that it can reduce digestive problems in your children&#46; The content of dietary fiber and enzymes produced by yeast or <span class="elsevierStyleItalic">Rhizopus oligosporus</span> fungi after the fermentation process is believed to be very good for children&#39;s digestion&#46;<a class="elsevierStyleCrossRefs" href="#bib0150"><span class="elsevierStyleSup">7&#44;14&#44;15</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">Based on the result of study that conducted by Fadillah&#44; Syarfaini and Rusmin &#40;2014&#41;&#44; it was shown that there was an increase in body weight after consuming soybean cake or tempeh nuggets in the amount given with provisions for 1&#8211;3 years age group&#44; 4&#8211;5 years age group in the form of tempeh nuggets for one day&#46; Given for 14 days with an average result of an increase in body weight of 0&#46;20<span class="elsevierStyleHsp" style=""></span>kg&#44; which means the same as the results of the study in 2016&#44; it was found that the consumption of tempeh nuggets were effective against weight gain for under-five nutrition children in 2016&#46;<a class="elsevierStyleCrossRef" href="#bib0195"><span class="elsevierStyleSup">16</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">This research is also in line with Mariyam &#40;2014&#41; that from the results of research conducted on the effect of giving tempeh juice on malnutrition status in under-five children&#44; there is an effect and an increase in toddler weight after giving tempeh juice on the malnutrition status of KEP under-five children for one month&#46; Giving tempeh juice to mild KEP under-five children increases their nutritional status&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">17</span></a> Giving tempeh juice also increases appetite&#44; in the case group the average increase in energy intake before and after the study was 175&#46;135<span class="elsevierStyleHsp" style=""></span>kcal&#44; while in the control group the average increase in energy intake before and after the study was only 14&#46;282<span class="elsevierStyleHsp" style=""></span>kcal&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="par0035" class="elsevierStylePara elsevierViewall">This research is a quasi experiment with the design used namely the non-equivalent pre test&#8211;post test control group design&#46; The population in this study were all under-five children with a malnutrition status with a total of 118 respondents&#46; The samples in this study was some children aged 36&#8211;60 months who had a malnutrition status that met the sample criteria where the researchers used a purposive sampling technique&#44; the total numbers of samples were 30 respondents&#46; Where 30 samples will be divided into two groups&#44; namely 15 groups who were given treatment and 15 groups as control&#46; The research was conducted at Health Primary Service of Tamalate in March&#8211;June 2019&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Tempeh nuggets were made from grounded soybean&#44; seasoned and covered with bread flour&#46; In the form of nuggets&#44; the nutritional content in soybean cake will be more easily absorbed by the body&#46; Soybean cake &#40;tempeh&#41; nuggets are given for 4 weeks with an intake of 30<span class="elsevierStyleHsp" style=""></span>g per day&#46; Measurement instruments used were observation sheets&#44; scales using steelyard and health cards&#46; The measurement results were then analyzed by using the Mann&#8211;Whitney test to determine whether there was a difference in the average among two sample groups after the intervention&#46;</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Result</span><p id="par0045" class="elsevierStylePara elsevierViewall">This research was conducted for 3 months in Health Primary Service of Tamalate&#46; The results obtained are distributed in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows that under-five children as respondents were mostly girls&#44; namely 11 &#40;36&#46;7&#37;&#41; in the intervention group and 10 under-five children &#40;33&#46;3&#37;&#41; in the control group&#46; Meanwhile&#44; based on age&#44; the most under-five children aged 36&#8211;48 months were 10 respondents &#40;33&#46;3&#37;&#41; in the intervention group and 9 &#40;30&#37;&#41; in the control group&#46; Family income is mostly in the low economic group&#44; namely each 13 families &#40;43&#46;3&#37;&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0055" class="elsevierStylePara elsevierViewall">This research in the intervention group the mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD was 846&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>333&#46;524 while the control group had a value mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD 326&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>349&#46;421 &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#41;&#46; The mean rank of each group is at the treatment group of 21&#46;00&#44; was lower than the average value of the control group&#44; which was 10&#46;00&#46; When converted to a <span class="elsevierStyleItalic">Z</span> value&#44; the amount is &#8722;3&#46;449 while <span class="elsevierStyleItalic">p</span>-value is 0&#46;001<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; If the <span class="elsevierStyleItalic">p</span>-value is 0&#46;05&#44; there is a significant difference between the intervention group and the control group&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Discussion</span><p id="par0060" class="elsevierStylePara elsevierViewall">After the research was conducted&#44; it was shown that there was an increase in the weight of under-five children in the treatment group&#46; The average weight gain of under-five children in the treatment group was 846&#46;67<span class="elsevierStyleHsp" style=""></span>g&#46; In the control group&#44; there was also an increase in average body weight&#44; but the increase was not so significant&#44; namely 326&#46;67<span class="elsevierStyleHsp" style=""></span>g&#46; The weight gain in the treatment group was caused by the carbohydrate and protein content in the soybean cake &#40;tempeh&#41; nuggets consumed and also the content of vitamin A and zinc which increased the children&#39;s appetite&#46;<a class="elsevierStyleCrossRef" href="#bib0175"><span class="elsevierStyleSup">12</span></a></p><p id="par0065" class="elsevierStylePara elsevierViewall">Children&#39;s appetite from consumption of tempeh nuggets is an alternative to increase body weight in malnourished under-five children&#46;<a class="elsevierStyleCrossRef" href="#bib0205"><span class="elsevierStyleSup">18</span></a> Besides that&#44; tempeh has several advantages over soybeans&#44; the advantages of tempeh include high protein complement&#44; contains 8 essential amino acids&#44; low levels of saturated fat and cholesterol&#44; high vitamin B 12&#44; is easy to digest because of its unique cell texture and contains antibiotics and has the effect of stimulating growth&#46;<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">19&#44;20</span></a> The quantity and quality of nutrients can be used by individuals to improve nutritional status&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Increasing nutritional status through the indicator of body weight of under-five children is an increase in body weight from the previous body weight&#44; which is due to the fulfillment of protein needs contained in tempeh nuggets&#46; Body weight is one of the parameters that provide an overview of body mass&#46; The growing mass is very sensitive to sudden changes&#46; For example&#44; because of infectious disease&#44; decreased appetite or decreased amount of food consumed&#46; Body weight is a very unstable anthropometric parameter&#46; Body weight is a very unstable anthropometric parameter&#46; Under normal circumstances&#44; where the state of health is good and the balance between consumption and nutritional needs is guaranteed&#44; body weight develops with age&#46; One of the nutrients that play a role in improving the nutrition of under-five children in tempeh nuggets is protein&#46;<a class="elsevierStyleCrossRefs" href="#bib0140"><span class="elsevierStyleSup">5&#44;17</span></a></p><p id="par0075" class="elsevierStylePara elsevierViewall">Protein plays an essential role in transporting nutrients in the digestive tract through the walls of the digestive tract into the blood&#44; from blood to tissues&#44; and through cell membranes into cells&#46; Lack of protein causes disturbances in absorption and transportation of nutrients&#46;<a class="elsevierStyleCrossRef" href="#bib0220"><span class="elsevierStyleSup">21</span></a> Protein metabolism begins after protein is broken down into amino acids&#44; amino acids will enter the TCA cycle when needed as an energy source or when they are in excess amounts than needed for protein synthesis&#46;<a class="elsevierStyleCrossRefs" href="#bib0200"><span class="elsevierStyleSup">17&#44;22</span></a> In addition&#44; energy is one of the products of carbohydrate&#44; protein and fat metabolism&#46; Energy functions as a power substance for metabolism&#44; growth&#44; temperature regulation and physical activity&#46; Excess energy is stored in the form of glycogen as a short-term energy reserve and in the form of fat as a long-term reserve&#46;<a class="elsevierStyleCrossRefs" href="#bib0160"><span class="elsevierStyleSup">9&#44;16&#44;23</span></a></p><p id="par0080" class="elsevierStylePara elsevierViewall">The results of this study are in line with Mariyam&#39;s research &#40;2017&#41; which showed that there is an increase in the weight of under-five children after consuming soybean cake or tempe nuggets for 1 day with an average result of an increase in body weight of 0&#46;20<span class="elsevierStyleHsp" style=""></span>kg&#46;<a class="elsevierStyleCrossRef" href="#bib0200"><span class="elsevierStyleSup">17</span></a> In addition&#44; this research is in line with Mariyam&#39;s research which conducted the research about the effect of giving tempe juice on the nutritional status of under-five children to increase the weight of three years old baby&#46; The result showed that the provision of tempeh juice was effective in increasing the weight of under-five children who lack protein energy&#46;<a class="elsevierStyleCrossRef" href="#bib0165"><span class="elsevierStyleSup">10</span></a> Tempeh nuggets can be used as an alternative to additional or supplementary food to help to increase the nutritional status of under-five children&#46; Besides it is cheap and easy to get&#44; the processing of tempeh nugget is quite attractive for under-five children so that it will be easier to give as supplementary food&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0055">Conclusion</span><p id="par0085" class="elsevierStylePara elsevierViewall">Fermented soybean cake nugget &#40;tempeh&#41; provides a good weight gain effect on toddlers&#44; therefore consumption of fermented soybean cake nugget can be recommended and taught to the public&#46; Therefore fermented soybean cake nugget can be given to help supplement food for toddlers&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0060">Conflicts of interest</span><p id="par0090" class="elsevierStylePara elsevierViewall">The authors declare no conflict of interest&#46;</p></span></span>"
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    "fechaRecibido" => "2021-06-28"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">This study aims to identify weight gain by giving fermented soybean cake nugget &#40;tempeh&#41; to underweight toddlers&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">This study used a quasi-experiment design with non-equivalent pre test&#8211;post test control group design&#46; The sample was taken by using purposive sampling method&#46; The sample size of this study was 30 toddlers&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Based the result of the intervention group the mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD was 846&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>333&#46;524 while the control group had a value mean<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>SD 326&#46;67<span class="elsevierStyleHsp" style=""></span>&#177;<span class="elsevierStyleHsp" style=""></span>349&#46;421 while <span class="elsevierStyleItalic">p</span> value is 0&#46;001<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#46;05&#46; If the <span class="elsevierStyleItalic">p</span> value is 0&#46;05&#44; there is a significant difference between the intervention group and the control group&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Fermented soybean cake nugget provide a good weight gain effect on toddlers&#44; therefore consumption of fermented soybean cake nugget can be recommended and taught to the public&#46; Therefore fermented soybean cake nugget can be given to help supplement food for toddlers&#46;</p></span>"
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                  \t\t\t\t" scope="col">Variable&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Frequency&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Percentage &#40;&#37;&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">36&#46;7&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">33&#46;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Girls&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">4&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">13&#46;3&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">16&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>36&#8211;48&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">33&#46;3&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">9&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>49&#8211;60&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">5&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">16&#46;7&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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        "texto" => "<p id="par0095" class="elsevierStylePara elsevierViewall">The team of research would like to thank Poltekkes of the Health Ministry of Makassar and Megarezky University for providing support in conducting this research&#46; Thank you to Rahayu who has helped us in collecting the research data&#46;</p>"
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