scholarly journals Relationship of Chronic Energy Deficiency, Birthweight and Exclusive Breastfeeding with Stunting in Kedungrejo Village, Pakis District, Malang

2021 ◽  
Author(s):  
Esthi Endah Tri Maulina ◽  
Lucky Radita Alma ◽  
Siti Nurrochmah

n 2018, the average prevalence of stunting in Indonesia ranked sixth in the Asian region, at 36.4%. In the Java region, East Java ranked first with a stunting proportion of 32.81%. Malang is a district that has continued to experience an increase in the proportion of short nutritional status over the past three years: 22.9% in 2016, 28.3% in 2017 and 31.7% in 2018. Factors that affect stunting include income, education, economic status, number of family members, knowledge, exclusive breastfeeding, sanitation, clean water, health services, nutritional status of pregnant women, infections and birthweight. The purpose of this study was to determine the relationship of maternal nutritional status, birthweight and exclusive breastfeeding with the rate of stunting in Kedungrejo Village, Pakis District, Malang. This analytical observational study used a case–control design. The sample size of the case and control groups were 31 and 62 toddlers, respectively, selected using a purposive sampling technique. Data were analysed by Chi-square test. No significant relationship was seen between the maternal nutritional status and the rate of stunting (X2 value 0.151 < X 2 table 3.841), and the birthweight and the rate of stunting (X2 value 0.427 < X 2 table 3.841), however, there was a significant relationship between exclusive breastfeeding and the rate of stunting (X2 value 10.747 > X 2 table 3.841). Keywords: the birthweight of babies, exclusive breastfeeding, mother’s nutritional status, stunting

2020 ◽  
Vol 13 (4) ◽  
pp. 301-305
Author(s):  
Yesi Nurmalasari ◽  
Festy Ladyani Mustofa ◽  
Wulandari Wulandari

Factors associated with stunting among children of age 6 to 59 months in Central Lampung, IndonesiaBackground: Stunting is a chronic condition that describes the inhibition of growth for the long-term malnutrition, causing stunting is two directly and indirectly. Indirect causes are factors of education, history of the antenatal care (ANC), granting exclusive breastfeeding, maternal nutritional status, consumption of iron (Fe), occupational factors, and economic status.Purpose: To determine the Factors associated with stunting among children of age 6 to 59 months in Central Lampung, IndonesiaMethods: Its quantitative descriptive cross-sectional design with total sampling. The sample is toddlers aged 5-59 months of 106 toddlers. The location was conducted in the village of Mataram Ilir, Seputih District, Surabaya, Central Lampung in 2019. Research instruments in the form of questionnaires, scales, Microtois/Staturmeter and midline. This research has passed research ethics with ethics number no. 62 / EC / KEP-UNMAL / 2019.Results: There are of 54,2% of women not  breastfeeding, 74.0%  never pay attention for antenatal care during pregnancy, 71,9% of mothers suffer from chronic energy deficiency (CED), 52,1% of mothers never consume iron (Fe) during pregnant, and there were of 50.0% has a poor knowledge due to less education.Conclusion: Factors of maternal of an indirect cause stunting is exclusive breastfeeding, consumption of iron (Fe), maternal nutritional status, history of the antenatal care and maternal education level can cause stunting to the children of age 6 to 59 Months.Keywords: Socio-Economic; Maternal Nutritional Status; Stunting; Children of age 6 to 59 MonthsPendahuluan: Stunting merupakan kondisi kronis yang menggambarkan terhambatnya pertumbuhan karena malnutrisi jangka panjang, penyebab stunting terbagi dua yaitu secara langsung dan tidak langsung. penyebab tidak langsungnya adalah faktor pendidikan,riwayat ANC,Pemberian asi eksklusif , status gizi ibu,konsumsi zat besi (fe), faktor pekerjaan, dan status ekonomi keluargaTujuan: Untuk mengetahui faktor-faktor riwayat ibu yang menyebabkan terjadinya stunting pada balita 6 – 59  bulan di desa  mataram  ilir kecamatan seputih surabaya  lampung tengah tahun 2019.Metode: Penelitian deskriptif kuantitatif dengan rancangan cross sectional dengan menggunakan total sampling. Sampel penelitian adalah balita usia 5-59 bulan berjumlah 106 balita. Tempat penelitian dilakukan di desa Mataram Ilir , Kecamatan Seputih Surabaya, Lampung Tengah tahun 2019.  Instrumen penelitian berupa kuesioner, timbangan, mikrotois dan midline. Penelitian ini sudah lulus etik penelitian dengan nomor etik no.62/EC/KEP-UNMAL/2019.Hasil: Didapatkan 54,2% ibu yang tidak memberikan ASI Eksklusif,  74,0%  ibu tidak melakukan perawatan ANC Saat hamil, 71,9 % ibu menderita KEK,  52,1% ibu tidak mengkonsumsi zat besi (Fe)  saat hamil, dan terdapat 50,0 % ibu berpendidikan rendah.Simpulan: Faktor-faktor riwayat ibu secara tidak langsung yang menyebabkan stunting yaitu pemberian ASI Eksklusif , riwayat konsumsi zat besi (Fe), status gizi ibu ,riwayat ANC dan tingkat pendidikan ibu dapat menyebabkan terjadinya stunting pada balita usia 6-59.


Parasitology ◽  
1993 ◽  
Vol 107 (S1) ◽  
pp. S159-S167 ◽  
Author(s):  
P. S. Shetty ◽  
N. Shetty

Interactions between infection and nutrition have been well recognized for several years now since they contribute directly to the health of individuals and communities. Malnourished individuals are specially prone to developing infections while infections themselves can lead to profound changes in the nutritional status of the individual. Health workers in developing countries in the tropics have long recognized the mutually aggravating interactions of malnutrition and infection. The importance of this synergistic relationship between infection and nu-tritional status has been studied extensively in the case of young children. The nutritional status of a young child is a critical determinant of both c morbidity and mortality resulting from a wide range of infections: bacterial, viral, or parasitic. Chandra (1983), in his review on the relationship of nutrition, immunity and infection has categorized the wide range of infectious agents (bacterial, viral, fungal and parasitic) into those that are definitely, variably or minimally influenced by the nutritional status of the child.


2019 ◽  
Vol 1 (1) ◽  
pp. 45-50
Author(s):  
Evanata Lina Sinaga ◽  
Rismahara Lubis ◽  
Yusniar Siregar ◽  
Evi Irianti

Stunting is a condition of failure to thrive in children under five due to chronic malnutrition. One cause of stunting is poor parenting patterns such as feeding in the first 2 years after birth. Exclusive breastfeeding is the best nutrition a baby receives in the first 6 months of life. The purpose of this study was to determine the relationship of exclusive breastfeeding with the decrease of stunting in children aged 6-23 months in Sosor Lontung Village, Siempat Nempu District, Dairi Regency.  This study used a cross-sectional study design. The sample of this research was children aged 6-23 months as many as 39 people. Data collection was carried out by interview and measurement of children's length / height. Univariate and bivariate data analysis used Chi Square test with ƿ-value <0.05. Based on the bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with ƿ-value 0.037. The results showed the percentage of stunting in children aged 6-23 months was greater in children who were not given exclusive breastfeeding (50%) than those who received exclusive breastfeeding (17.65%). The results of bivariate analysis showed that there was a significant relationship between exclusive breastfeeding and the incidence of stunting with a value-value of 0.037. That is, exclusive breastfeeding can reduce the risk of stunting is getting smaller. It is hoped that all babies will receive exclusive breastfeeding so that the baby can grow optimally.


2020 ◽  
Vol 11 (1) ◽  
pp. 65-75
Author(s):  
Usep Rusependhi ◽  
Diah Mulyawati Utari

Babies born at LBW (Low Body Event) are at risk of disrupting the growth and development of the baby, as well as the occurrence of hypertension, heart disease and diabetes in old age. One of the factors causing LBW is the condition of CED (Chronic Energy Deficiency) experienced by mothers during pregnancy. The highest prevalence of LBW in Kuningan Regency in 2018 is in the working area of the Manggari Community Health Center, which is 11.8% with the prevalence of pregnant women CED 10.1%. The purpose of this study was to determine the relationship of maternal CED status during pregnancy with LBW events. The study design uses case control from cohort registers of pregnant women. The total sample of the study were 114 infants, consisting of 38 cases and 76 controls who met the inclusion and exclusion criteria. The results of the statistical analysis of the Chi-Square test, obtained p value = 0.002 and OR = 4.317 (95% CI: 1.776-10.495) which means that there is a significant relationship between the status of CED during pregnancy with LBW events, where pregnant women CED risk 4.317 times higher for LBW delivery compared to pregnant women who are not CED. The conclusion of this study is that there is a relationship between the status of CED of mothers during pregnancy with the incidence of LBW.


2020 ◽  
Vol 10 (2) ◽  
pp. 173-180
Author(s):  
Teti Tejayanti

Abstrak   Latar belakang:  Status  gizi  perempuan  di  Indonesia  cenderung  memburuk.  Hasil  Riset  Kesehatan  Dasar (Riskesdas) menunjukkan bahwa kekurangan energi kronis (KEK) pada wanita usia reproduksi meningkat dari 13,6 persen pada 2007 menjadi 20,8 persen pada 2013. Ibu hamil yang kekurangan gizi akan berdampak buruk pada bayinya. Tujuan: Memperoleh determinan status gizi kurang yaitu KEK dan Indeks Massa Tubuh (IMT) rendah dari wanita hamil di Indonesia pada tahun 2013. Metode: Penelitian menggunakan data Riskesdas 2013. Analisis dilakukan dengan multivariat regresi logistik. Jumlah sampel adalah 7236 ibu hamil. Ibu hamil dikatakan KEK jika pertengahan lingkar lengan atas (LILA) < 23,5 cm dan IMT diukur dengan pendekatan metode Broca. Hasil: Determinan ibu hamil KEK dan IMT rendah adalah tinggal di perdesaan (AOR 1,20; 95% CI [1,11-1,13]), usia <20 tahun (AOR 1,62; 95% CI [1,60-1,65]), paritas 1 anak (AOR 2,04; 95% CI [2,02-2,06]), berpendidikan rendah (AOR 1,92; 95% CI [0,91-0,93]) dan status ekonomi rendah (AOR 3,36; 95% CI [3,31- 3,41]). Kesimpulan: Pendidikan harus ditingkatkan minimal hingga sekolah menengah atas sehingga pengetahuan gizi ibu meningkat dan kehamilan dini dapat dicegah. Ibu dengan status ekonomi rendah harus menjadi prioritas dalam pelayanan ibu dan upaya intervensi gizi.   Kata kunci: Sosial ekonomi, lingkar lengan atas, KEK, BMI, gizi ibu hamil.     Abstract   Background: The nutritional status of women in Indonesia tends to worsen. Basic Health Research (Riskesdas) showed that chronic energy deficiency (CED) among women of reproductive age increased from 13.6 percent in 2007 to 20.8 percent in 2013. Pregnant women who are lack of nutrition will have an impact on their babies. Objective: To determine the determinants of poor nutritional status which are CED and low body mass index (BMI) of pregnant women in Indonesia. Method: This study used 2013 Riskesdas data. The analysis was done using multivariate logistic regression. The total  sample  was 7236  pregnant  women.  Pregnant  women  with CED are those who  have mid-upper  arm circumference (MUAC) of less than 23.5 cm and BMI was measured by the Broca method approach. Results: The determinants of pregnant women with CED and low BMI are living in rural area (AOR 1.20; 95% CI [1.11-1.13]), age of <20 years (AOR 1.62; 95% CI [1.60-1.65]), having 1 child (AOR 2.04; 95% CI [2.02- 2.06]), having low education (AOR 1.92; 95% CI [0.91-0.93]) and low economic status (AOR 3.36; 95% CI [3.31- 3.41]). Conclusion: Education must be improved to at least high school degree, so that the mother's nutritional knowledge will increase, and early pregnancy will be prevented. Mothers with low economic status must be priority in maternal cervices and nutrition interventions.   Keywords: Socioeconomic, nutrition, mid-upper arm, CED, BMI, nutrition of pregnant women


2020 ◽  
Vol 1 (1) ◽  
pp. 21-26
Author(s):  
Widya Pani

One that affects fetal growth is the nutrition of pregnant women because during pregnancy the mother must meet the rapid growth needs of the fetus, and so that the output of the pregnancy is successful and perfect. But until now there are still many pregnant women who experience nutritional problems, especially malnutrition, such as Chronic Energy Deficiency (SEZ). The number of pregnant women experiencing SEZs in the Pantoloan Community Health Center Working Area in 2016 was a total of 67 pregnant women who delivered 8 LBWs. The purpose of this study was to determine the relationship of the incidence of low birth weight babies with a history of chronic energy-deficient pregnant women in the work area of Pantoloan Health Center. This research is an Analytical type with Cros Sectional research design with a population of 252 babies born in 2010 in the Work Area of Pantoloan Health Center. Sampling uses the Total Sampling technique. The criteria for the sample are taken if you have birth weight and maternal LILA data during pregnancy, if the data is incomplete, it is not sampled. Samples that meet the requirements are 52 babies. The results showed that pregnant women who experienced SEZ 32 people (61.5%), and LBW as many as 8 babies (15.4%). There was a significant relationship between the incidence of LBW and a history of SEZ pregnant women (p = 0.0017). The conclusion, that the better the nutritional status of pregnant women during pregnancy, the better the weight of the baby will be born. It is recommended for Pantoloan Health Center to improve health education programs about nutrition, and take LILA measurements regularly for pregnant women.


2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Neila Sulung

Stunting is a chronic condition that represent growth retardation due to long-term malnutrition, indicated by a z-score of TB / U less than -2SD. Padang Gelugur is a sub-district located in Pasaman Regency with the highest stunting rate of 27%. The purpose of this study was to determine the factors that caused the incidence of Stunting at the Padang Gelugur health center in Pasaman Regency. Type of analytic descriptive study with cross-sectional design, conducted in April 2019. The population is 1,020 infants. with Multistage random sampling technique and a sample size of 150 infants. Data collection uses questionnaires and anthropometric observations and data analysis includes univariate analysis and bivariate analysis with chi square test. The results of the study obtained the incidence of stunting in infants due to non-exclusive breastfeeding (p = 0.022 and OR = 2.708), lack of food diversity (p = 0.023 and OR = 2.326), and low economic status (p = 0.034 and OR = 3.630.    Based on the results above, it was found that a significant relationship between low economic status, non-exclusive breastfeeding, and lack of food diversity with the incidence of Stunting.


2021 ◽  
Vol 10 (4) ◽  
pp. 335-342
Author(s):  
Ami Monika Sari ◽  
Demsa Simbolon ◽  
Tetes Wahyu

Background: The direct causes of nutritional status problems are infectious diseases and inadequate intake. The prevalence of infectious diseases can be caused by children not getting complete basic immunization and not getting exclusive breastfeeding. Objective: The study aims to determine the relationship between complete basic immunization and exclusive breastfeeding with the nutritional status of underfive children in Indonesia. Methods: This study uses secondary data from Primary health research of Indonesia (Riskesdas 2018). It is an analytical study using a cross sectional study design. The sample in this study is toddlers spread across 34 provinces of Indonesia. The sampling technique in this study is the total population. The independent variables were complete basic immunization coverage and exclusive breastfeeding coverage. The dependent variable is the prevalence of nutritional status based on the index of Weight by age, body length according to age and body weight by length.Results: The results of the analysis found that the complete basic immunization coverage for underfive children in Indonesia was 56.18%, exclusive breastfeeding coverage was 39.59%, and the prevalence of underweight and severely underweight children under five (WHZ) was 16.67%, the prevalence of short and very short toddlers short (WHZ 29.68% and the prevalence of malnutrition and very poor (HAZ)  12.44%. using correlation test and linear regression with a significance degree of p≤0.05. Complete basic immunization coverage was associated with the prevalence of very underweight and underweight (p=0.005), short and very short (p=0.043), very undernourished and undernourished (p=0.000). Conclusion: There is a significant relationship between complete basic immunization and the nutritional status of children under five in Indonesia. There is no significant relationship between exclusive breastfeeding and the nutritional status of children under five in Indonesia.Key words: Complete basic Immunization; Exclusive breastfeeding;  Nutritional status; Underfive years old


2020 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
Larasajeng Permata Sari ◽  
Sarwinanti Sarwinanti ◽  
Sittti Nur Djannah

Maternal deaths in Yogyakarta Special Region are caused by heart disease, bleeding, eclampsia, sepsis/infection. Bleeding is still the number one causes of maternal death. Pregnancy with anaemia is 5 times more at risk of bleeding than who are not. The aims of the research are to determine the relationship of nutritional status with anaemia in pregnant women in Kotagede II Yogyakarta Public Health Center.  This was an observational analytic design and a cross-sectional approach. The sampling method uses accidental sampling technique. The number of respondents was 77 pregnant women in the second and third trimester. The research instrument used questionnaire sheets and medical records. Data were processed by Chi-Square statistical tests. Study found   (p-value) of nutritional status = 0.001.  The conclusion of this study is that there was a significant relationship between nutritional status with the incidence of anaemia at Kotagede II Yogyakarta Health Center 


2017 ◽  
Vol 13 (2) ◽  
pp. 65-70
Author(s):  
Hariani Hariani ◽  
Deris Atma Subrin

Early menstruation in adolescents can be influenced by nutritional status and nutrients consumed by teenagers. This studyaims to determine the relationship of nutrient intake and nutritional status on the incidence of early menstruation at SMPN 1East Kabaena. This research is descriptive analytic with Cross Sectional Study. The population in this study were allstudents of SMPN 1 East Kabaena as many as 94 people. Sampling technique was purposive sampling. Data were obtainedusing a questionnaire and anthropometric measurements. Data were analyzed by using Chi-square test. Results show thatfrom 42 adolescents who consumed enough energy, there were 25 people (59.5%) experienced early menstruation, andfrom 38 adolescents who consumed less protein, there were 29 people (76.3%) experienced early menstruation. While the33 adolescents who consumed less fat, there were 25 people (75.8%) experienced early menstruation, and of 37 teenagerswho consumed more carbohydrates, there were 24 people (64.9%) had normal menstruation, while from 37 teenagers whohad over-nutrition status, there were 24 people (60.0%) had normal menstruation. The results show that there is arelationship between nutritional intake and nutritional status with the incidence of early menstruation in female students atSMPN 1 East Kabaena.


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