226 Sari Pediatri, Vol. 19, No. 4, Desember 2017 Pengaruh Pemberian Amylase Resistant Starch Terhadap Durasi Diare dan Kadar Secretory Immunoglobulin A pada Anak dengan Diare Akut Trisna Resti Yanti, Yusri Dianne Jurnalis, Fadil Oenzil,* Gustina Lubis Departemen Ilmu Kesehatan Anak, *Pasca Sarjana Ilmu Biomedik Fakultas kedokteran Universitas Andalas/RSUP dr. M. Djamil Padang Latar belakang. Cairan rehidrasi oral (CRO) merupakan terapi utama dalam tata laksana diare. Berbagai upaya dilakukan untuk penyempurnaan CRO agar menjadi lebih efektif dengan penambahan probiotik, prebiotik, zink, dan protein polimer. Amylase resistant starch adalah polisakarida yang tidak dapat dihidrolisis oleh enzim α-amilase dan berperan sebagai prebiotik. Tujuan. Mengetahui pengaruh pemberian amylase resistant starch terhadap durasi diare dan kadar secretory immunoglobulin A (sIgA) pada anak dengan diare akut Metode. Studi eksperimental tidak tersamar pre and post-test group design dilakukan pada 24 anak diare akut dehidrasi sedang berumur 6 - 60 bulan yang dirawat di RSUP dr. M. Djamil dan RSUD Rasidin Padang pada bulan Maret 2016 - Juni 2017. Subjek dibagi dalam 2 kelompok, yaitu kelompok kontrol dan intervensi yang diberikan amylase resistant starch. Uji statistik digunakan t test dan Mann-Whitney test. Hasil. Kelompok intervensi memiliki durasi diare yang lebih pendek (72,67±19,04) jam dibandingkan dengan kontrol (85,08±11,05) jam. Perubahan kadar sIgA lebih tinggi pada kelompok intervensi (8,13 ng/ml) dibandingkan dengan kelompok kontrol (4,27 ng/ml). Kesimpulan. Pemberian amylase resistant starch pada anak dengan diare akut akan memperpendek durasi diare meningkatan kadar secretory immunoglobulin A. Sari Pediatri 2017;19(4):226-30 Kata kunci: amylase resistant starch, durasi diare akut, secretory immunoglobulin A, anak Te Efcacy of Amylase Resistant Starch on Diarrhea Duration and Secretory Immunoglobulin a Level in Children with Acute Diarrhea Trisna Resti Yanti, Yusri Dianne Jurnalis, Fadil Oenzil,* Gustina Lubis Background. Oral rehydration solution (ORS) is the major therapy in the management of diarrhea. Various eforts are being made to improve ORS to be more efective by the addition of probiotics, prebiotics, zinc and polymer proteins. Amylase-resistant starch is a polysaccharide that cannot be hydrolyzed by the α-amylase enzyme and acts as a prebiotic. Objective. To determine the efect of amylase-resistant starch on diarrhea duration and secretory immunoglobulin A (sIgA) level in children with acute diarrhea. Method. An experimental study with unblind pre and post-test group design was performed on 24 of acute diarrhea children with moderate dehydration, aged 6 months to 60 months was treated in RSUP dr. M. Djamil and RSUD Rasidin Padang in March 2016 until June 2017. Subject divided into 2 groups were a control group and intervention group given amylase resistant starch. Te statistical test was using t-test and Mann-Whitney test. Result. Te intervention group had a shorter duration of diarrhea (72,67 ± 19,04 h) compared with control (85,08 ± 11,05 h). Te change in sIgA levels was higher in the intervention group (8,13 ng/ml) compared with the control group (4,27 ng/ml) Conclusion. Amylase-resistant starch administration in children with acute diarrhea can shorten diarrhea duration and increase secretory immunoglobulin A level. Sari Pediatri 2017;19(4):226-30 Keywords: amylase resistant starch, duration of acute diarrhea, secretory immunoglobulin A, children Alamat korespondensi: r. Trisna Resti Yanti. Departemen Ilmu Kesehatan Anak FK-UNAND/RSUP dr.M.Djamil Jl.Perintis Kemerdekaan. Padang, Sumatera Barat. Email: trisnarestiyanti@yahoo.co.id