What Does School-Based Nutritious Meals Program Reveal about Nutritional Status and Micronutrient Biomarkers in School-Aged Children? Implications for Indonesia’s MBG Program
Literature Review
DOI:
https://doi.org/10.55175/cdk.v53i10.2367Kata Kunci:
Indonesia, MBG, micronutrient biomarkers, nutritional status, school-aged childrenAbstrak
Nutritional problems among school-aged children in Indonesia continue to reflect a double burden of malnutrition, marked by the coexistence of undernutrition, overweight, and micronutrient deficiencies. In response, the Free Nutritious Meals (Makan Bergizi Gratis/MBG) Program was introduced as a cross-sectoral initiative that provides daily balanced meals designed to meet children’s energy, protein, and essential micronutrient requirements. Existing studies consistently suggest that school feeding interventions are associated with improvements in anthropometric indicators, including weight-for-age, height-for-age, and body mass index-for-age, as well as favorable changes in micronutrient biomarkers such as hemoglobin, ferritin, and serum vitamin A. These outcomes are supported by physiological mechanisms related to adequate intake of animal-based protein, iron, zinc, and vitamin C, which are essential for growth, cognitive function, and immune competence. Nevertheless, implementation quality influences program effectiveness, including food safety, menu diversity, consistency of meal provision, and intersectoral coordination. Limited local biomarker data remain a key challenge, underscoring the need for longitudinal evaluations to assess MBG's biological impact. Overall, the MBG Program has the potential to contribute to improving the nutritional status of school-aged children and supporting Indonesia’s long-term human capital development.
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Referensi
Kementerian Kesehatan Republik Indonesia. SSGI 2024: survei status gizi Indonesia dalam angka. Jakarta: Kementerian Kesehatan RI; 2024. p. 1–295.
Kementerian Kesehatan Republik Indonesia. Survei kesehatan Indonesia. Jakarta: Kementerian Kesehatan RI; 2023.
Popkin BM, Laar A. Nutrition transition’s latest stage: are ultra-processed food increases in low- and middle-income countries dooming our preschoolers’ diets and future health? Pediatr Obes. 2025;20(5):e70002. doi: 10.1111/ijpo.70002.
Anyanwu OA, Naumova EN, Chomitz VR, Zhang FF, Chui K, Kartasurya MI, et al. The socio-ecological context of the nutrition transition in Indonesia: a qualitative investigation of perspectives from multi-disciplinary stakeholders. Nutrients. 2023;15(1):25. https://doi.org/10.3390/nu15010025.
Paramastri R, Hsu CY, Lee HA, Lin LY, Kurniawan AL, Chao JCJ. Association between dietary pattern, lifestyle, anthropometric status, and anemia-related biomarkers among adults: a population-based study from 2001 to 2015. Int J Environ Res Public Health. 2021;18(7):3438. https://doi.org/10.3390/ijerph18073438.
Soans JS, Noronha JA, Mundkur SC, Nayak BS, Garg M, Jathanna RD, et al. Mapping evidence on the impact of junk food on anaemia among adolescent and adult population: a scoping review. BMC Nutr. 2025;11(1):96. doi: 10.1186/s40795-025-01079-1.
Mehta S, Allen LH, Bailey RL, Boushey CJ, Duggan CP, Crouter SE, et al. Application of an ecological approach to assessment of nutrition in school-aged children — a report from the “biomarkers of nutrition for development: knowledge indicating dietary sufficiency (BOND-KIDS)” project working group 3. J Nutr. 2025;S0022-3166(25)00678-9. doi: 10.1016/j.tjnut.2025.10.030.
Ranisavljev M, Kurniawan AL, Ferrero E, Shinde S, Zhao S, Partap U, et al. Community-based interventions addressing multiple forms of malnutrition among adolescents in low- and middle-income countries: a scoping review. Nutr J. 2025;24(1):69. doi: 10.1186/s12937-025-01136-2.
Rozak A, Izzah ANL, Chusna CA. Dampak program makan bergizi gratis terhadap konsentrasi siswa kelas III sekolah dasar. J Basic Edu. 2025;9(5):1603–12. https://doi.org/10.31004/basicedu.v9i5.10744.
Widyadhana NM, Putry RA. Tinjauan nilai gizi dari program makan bergizi gratis (MBG) Presiden RI. J Kesehat Tambusai. 2025;6(4):14843–53. https://doi.org/10.31004/jkt.v6i4.51554.
Nichita. 371 Dapur gizi disiapkan di Kaltim, pemprov gaspol percepat program makan bergizi gratis menyeluruh [Internet]. 2025. Available from: https://www.kaltimprov.go.id/detailberita/371-dapur-gizi-disiapkan-di-kaltim-pemprov-gaspol-percepat-program-makan-bergizigratis-menyeluruh.
Samarinda Pos. Program MBG diperluas, 5.770 siswa di Kaltim siap terima makan bergizi gratis [Internet]. 2025 [cited 2025 Oct 15]. Available from: https://www.sapos.co.id/metropolis/2456125389/program-mbg-diperluas-5770-siswa-di-kaltim-siap-terima-makanbergizi-gratis.
Lendra IW, Husni D, Fitriani Y. Kebijakan makan bergizi gratis dan relevansinya terhadap nilai-nilai good governance: analisis kualitatif dalam administrasi publik. Arus J Sos Hum. 2025;5(1):937–45. https://doi.org/10.57250/ajsh.v5i1.1252.
Agustini U, Mulyani S. Efektivitas dan tantangan kebijakan program makan bergizi gratis sebagai intervensi pendidikan di Indonesia. J Kiprah Pendidik. 2025;4(3):362–8. https://doi.org/10.33578/kpd.v4i3.p362-368.
Notha M, Sari SM, Zahraini Z. Penerapan implikasi MBG (makan bergizi gratis) di sekolah dasar. Edu Soc. 2025;5(3):1302–10. https://doi.org/10.56832/edu.v5i3.2344.
Rimbawan R, Nurdiani R, Rachman PH, Kawamata Y, Nozawa Y. School lunch programs and nutritional education improve knowledge, attitudes, and practices and reduce the prevalence of anemia: a pre-post intervention study in an Indonesian islamic boarding school. Nutrients. 2023;15(4):1055. doi: 10.3390/nu15041055.
Osei AK, Rosenberg IH, Houser RF, Bulusu S, Mathews M, Hamer DH. Community-level micronutrient fortification of school lunch meals improved vitamin a, folate, and iron status of schoolchildren in himalayan villages of India. J Nut. 2010;140(6):1146–54. doi: 10.3945/jn.109.114751.
Malik ZI, Ghafoor MU, Shah SHBU, Abid J, Farooq U, Ahmad AMR. Unlocking iron: nutritional origins, metabolic pathways, and systemic significance. Front Nutr. 2025;12:1637316. doi: 10.3389/fnut.2025.1637316.
Obeagu EI. Iron homeostasis and health: understanding its role beyond blood health – a narrative review. Ann Med Surg (Lond).2025;87(6):3362–71. doi: 10.1097/MS9.0000000000003100.
Ayuni DT. Dilema pelaksanaan program makan bergizi gratis pada siswa. Triwikrama. 2025;8(8):21–30. doi: 10.9963/mmxf6b34.
Fatimah S, Rasyid A, Anirawan A, Qamal Q, Arwakon HO. Kebijakan makan bergizi gratis di Indonesia Timur: tantangan, implementasi, dan solusi untuk ketahanan pangan. J Gov Policy Innov. 2024;1(4):14–21. https://doi.org/10.51577/jgpi.v4i1.641.
Achmad IA, Emirati, Basra J. Polemik program makan bergizi gratis (MBG) dan kesenjangan akses pada sekolah nonformal: studi kasus PKBM dalam program paket a. Intelektual. 2025;1(4):24–32. https://doi.org/10.64690/intelektual.v1i4.318.
Dewi HKO, Ahmala M. Tantangan implementasi program makan bergizi gratis (MBG) di sekolah: antara penerimaan siswa dan kasus keamanan pangan. EDUKATIF Jurnal Penelitian dan Pembelajaran. 2026;2(1):18–26.
Srimiati M, Fayasari A, Telaumbauna MA, Gabriella A. Determinan daya terima menu program makan bergizi gratis pada siswa SD dan SMP di Jakarta Utara. Jurnal Ilmiah Kesehatan (JIKA). 2026;8(1):40–54. https://doi.org/10.36590/jika.v8i1.1989.
Institute for Development of Economics and Finance (INDEF). Efek pengganda program makan bergizi gratis [Internet]. 2024. Available from: https://indef.or.id/wp-content/uploads/2024/11/Final-Report-Efek-Pengganda-Program-MBG.pdf.
World Food Programme. School meals [Internet]. 2025 [cited 2025 Oct 15]. Available from: https://www.wfp.org/school-meals.
World Food Programme. The state of school feeding worldwide 2022 [Internet]. 2025 [cited 2025 Oct 15]. Available from: https://publications.wfp.org/2022/state-of-school-feeding/.
Suprapto FA, Praditya E, Dewi RM, Adiyoso W. A policy implementation review of the free nutritious meal (MBG) program. J Indones Sustain Dev Plan. 2025;6(2):297–312. https://doi.org/10.46456/jisdep.v6i2.798.
Rudatin, Adrianto Y, Afriansyah N, Anggiruling DO, Pratiwi GCI, Rosari AR, et al. Standar gizi dan makanan: program makan bergizi gratis. 1st ed. Jakarta: Kementerian Kesehatan RI; 2024. p. 1–56.
Saavedra JM, Prentice AM. Nutrition in school-age children: a rationale for revisiting priorities. Nutr Rev. 2023;81(7):823–43. doi: 10.1093/nutrit/nuac089.
Lourencao LFP, de Paula NC, Cardoso MA, Santos PR, de Oliveira IRC, Fonseca FLA, et al. Biochemical markers and anthropometric profile of children enrolled in public daycare centers. J Pediatr (Rio J). 2022;98(4):390–8. doi: 10.1016/j.jped.2021.09.006.
Puri S, Shaheen M, Grover B. Nutrition and cognitive health: a life course approach. Front Public Heal. 2023;11:1023907. doi: 10.3389/fpubh.2023.1023907.
Saputra R, Sanjaya RA, Maina AD, Ulyah RT, Fikriah I, Khotimah S, et al. Intervensi pencegahan stunting pada anak di Kutai Kartanegara dan Samarinda. Kumawula J Pengabdi Masy. 2023;6(2):254–62. doi: 10.24198/kumawula.v6i2.42526.
Speckauskiene V, Trisauske J, Grincaite M, Kriaucioniene V, Petrauskiene A. Changes of anthropometric indicators of lithuanian first-graders in 2008–2019 according to international obesity task force (IOTF) and world health organization (WHO) definitions. BMC Publ Health. 2023;23(1):2097. doi: 10.1186/s12889-023-17031-6.
Wang D, Shinde S, Young T, Fawzi WW. Impacts of school feeding on educational and health outcomes of school-age children and adolescents in low- and middle-income countries: a systematic review and meta-analysis. J Glob Health. 2021;11:04051. doi: 10.7189/jogh.11.04051.
Dewi NU, Mahmudiono T. Effectiveness of food fortification in improving nutritional status of mothers and children in Indonesia. Int J Environ Res Publ Health. 2021;18(4):2133. doi: 10.3390/ijerph18042133.
Yusriadi Y. The impact of free nutritious meal programs on food security: a systematic review. J Indones Sch Soc Res. 2025;5(1):92–7. https://doi.org/10.59065/jissr.v5i1.177.
Gomes MM, da Silva MMR, de Araujo IM, de Paula FJA. Bone, fat, and muscle interactions in health and disease. Arch Endocrinol Metab.2022;66(5):611–20. doi: 10.20945/2359-3997000000550.
Vari B, Gyori F, Katona Z, Berki T. The impact of age and body composition on bone density among office worker women in Hungary. Int J Environ Res Publ Health. 2023;20(11):5976. doi: 10.3390/ijerph20115976.
Harris S, DePalma J, Barkoukis H. Protein and aging: practicalities and practice. Nutrients. 2025;17(15):2461. doi: 10.3390/nu17152461.
Mocini E, Cardinali L, Di Vincenzo O, Moretti A, Baldari C, Iolascon G, et al. An integrated nutritional and physical activity approach for osteosarcopenia. Nutrients. 2025;17(17):2842. https://doi.org/10.3390/nu17172842.
Nugroho MI, Handini LS. The effectiveness of micronutrient supplementation in improving nutritional status. J Divers Med Res. 2025;2(3):97–103. https://doi.org/10.33005/jdiversemedres.v2i3.143.
Arif L, Hamza M, Iqbal E, Kaleem Z. Role of micronutrients (vitamins & minerals). Int J Multidiscip Sci Arts. 2024;3(2):333–7. https://doi.org/10.47709/ijmdsa.v3i1.3769.
Zheng J, Wu F, Wang F, Cheng J, Zou H, Li Y, et al. Biomarkers of micronutrients and phytonutrients and their application in epidemiological studies. Nutrients. 2023;15(4):970. https://doi.org/10.3390/nu15040970.
Ramaswamy G, Yadav K, Goel AD, Yadav V, Arora S, Vohra K, et al. Effect of iron‑fortified rice on the hemoglobin level of the individuals aged more than six months: a meta‑analysis of controlled trials. J Fam Med Prim Care. 2022;11(12):7527–36. doi: 10.4103/jfmpc.jfmpc_409_22.
Fungo R. Implementation of school feeding programs in Uganda and the contribution of school meals to RDA of children. African J Food Sci. 2023;17(5):85–101. https://doi.org/10.5897/AJFS2022.2187.
United Nations Children’s Fund (UNICEF). Pusat unggulan nasional program makan bergizi gratis: menguatkan basis bukti untuk mendorong agenda gizi. Jakarta: UNICEF; 2025. p. 1–4.
Aji WT. Makan bergizi gratis di era Prabowo-Gibran: solusi untuk rakyat atau beban baru? Naafi J Ilm Mhs. 2025;3(1):215–26. https://doi.org/10.62387/naafijurnalilmiahmahasiswa.v2i2.134.
Haliza TN, Rochaida E, Lestari D. Determinants of animal protein consumption in the cities of East Kalimantan Province, 2020–2025. Jurnal Economina. 2026;5(9):7530–43. https://doi.org/10.55681/economina.v5i9.4433.
Casari S, Di Paola M, Banci E, Diallo S, Scarallo L, Renzo S, et al. Changing dietary habits: the impact of urbanization and rising socioeconomic status in families from Burkina Faso in Sub-Saharan Africa. Nutrients. 2022;14(9):1782. doi: 10.3390/nu14091782.
Mahmud S, Hidayani M, Syakhrani AW. Evaluation of the effectiveness of school meal program on nutritional status and learning concentration of elementary school students. Indones J Educ. 2024;3(3):632–42.
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