scholarly journals DETERMINANTS OF CHRONIC ENERGY DEFICIENCY AND LOW BODY MASS INDEX OF PREGNANT WOMEN IN INDONESIA

2020 ◽  
Vol 10 (2) ◽  
pp. 173-180
Author(s):  
Teti Tejayanti
Keyword(s):  
Body Mass Index ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Body Mass ◽  
Economic Status ◽  
Reproductive Age ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Low Body Mass Index

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

scholarly journals Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia

2012 ◽  
Vol 7 (2) ◽  
pp. 83
Author(s):  
Diny Eva Ariyani ◽  
Endang Laksmining Achadi ◽  
Anies Irawati
Keyword(s):  
Body Mass Index ◽  
Pregnant Women ◽  
Body Mass ◽  
P Value ◽  
Adult Women ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Lingkar lengan atas (LiLA) telah digunakan sebagai indikator proksi terhadap risiko kekurangan energi kronis (KEK) untuk ibu hamil di Indonesia karena tidak terdapat data berat badan prahamil pada sebagian besar ibu hamil. Selama ini, ambang batas LiLA yang digunakan adalah 23,5 cm. Penelitian ini bertujuan untuk menguji validitas LiLA terhadap indeks massa tubuh (IMT) yang merupakan indikator yang lebih baik untuk mengetahui status gizi wanita dewasa. Penelitian ini menggunakan data Riset Kesehatan Dasar tahun 2007 pada perempuan dewasa usia 20 – 45 tahun di seluruh Indonesia. Hasil penelitian ini ialah ambang batas LiLA yang paling optimal untuk mendeteksi risiko KEK di Indonesia berada pada titik 24,95 cm (Se = 85%; Sp = 75%). Terdapat perbedaan ambang batas antarprovinsi tetapi tidak lebih dari 2 cm, terendah di Provinsi Nusa Tenggara Timur (23,95 cm) dan tertinggi di Provinsi Sulawesi Utara dan Gorontalo (25,95 cm). LiLA mempunyai korelasi yang kuat (r = 0,67; nilai p < 0,000) dengan IMT. Direkomendasikan untuk menggunakan ambang batas LiLA 24,95 cm untuk mendeteksi risiko KEK wanita usia 20 – 45 tahun, sementara23,5 cm untuk outcome kehamilan, yaitu morbiditas dan mortalitas bayi.Kata kunci: Lingkar lengan atas, indeks massa tubuh, kekurangan energi kronisAbstractMid-upper arm circumference has been used in Indonesia as an proxy indicator of chronic energy malnutrition risk for pregnant women because there isn’t any data of prepregnancy weight in most of pregnant women. The boundary used was 23,5 cm. The objective of the study is to validate the currentboundary related to body mass index (BMI) indicator, which is believed as a better indicator in identifying women nutritional status. The study is using Riset Kesehatan Dasar 2007 data on Indonesian adult women aged 20 – 45 years old. The study found the boundary is 24,95 cm for detecting chronic energy malnutrition risk among adult women (Se = 85%; Sp = 75%). There are differences among provinces but not more than 2 cm, the lowest is in Nusa Tenggara Timur (23,95 cm) and the highest is in North Sulawesi and Gorontalo (25,95 cm). Mid upper arm circumference has a strong relationto BMI (r = 0,67; p value < 0,000). It is recommended to use mid-upper arm circumference boundary 24,95 cm to detect chronic energy malnutrition on 20 – 45 years old women and 23,5 cm to pregnancy outcome, baby morbidity, and mortality.Key words: Mid-upper arm circumference, body mass index, chronic energy deficiency

scholarly journals Lingkar lengan atas, indeks massa tubuh, dan tinggi fundus ibu hamil sebagai prediktor berat badan lahir

2020 ◽  
Vol 16 (4) ◽  
pp. 168
Author(s):  
Weni Kurdanti ◽  
Tri Mei Khasana ◽  
Lastmi Wayansari
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Pregnant Women ◽  
Body Mass ◽  
Pearson Correlation ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference ◽  
Child Hospital

Upper arm circumference, body mass index, and fundal height of pregnant women to estimate birth weightBackground: Accuracy of estimated infant’s birth weight is one of the most important measurements at the beginning of labor. Some anthropometric measures of pregnant women are upper arm circumference (MUAC) as a screening tool for chronic energy deficiency, body mass index (BMI) for assessment of chronic energy deficiency status, and indicators of fundal height to estimate birth weight. However, many studies with varying results are related to the accuracy of estimated birth weight.Objective: The study aimed to compare the capacity of MUAC, BMI, and fundal height indicators in predicting birth weight.Methods: The type of research is a cross-sectional study carried out at the Sadewa Maternal and Child Hospital in Yogyakarta in June-August 2018 with a 376 sample. The independent variables were MUAC, BMI, and fundal height, and the dependent variable is birth weight. Bivariate analysis using Pearson correlation and AUC and ROC curve tests.Results: There is a relationship between BMI and the fundal height of pregnant women with birth weight. The AUC BMI value (AUC=0.519) was found to be the highest compared to the MUAC (AUC=0.496) and fundal height (AUC=0.466) measurements.Conclusions: Pre-pregnancy BMI had a better capacity for predicting birth weight than MUAC and fundal height.

scholarly journals Penyuluhan Gizi Dan Pemeriksaan Kadar Hb Serta KEK Pada Remaja Putri Di Kecamatan Sukawati, Kabupaten Gianyar Tahun 2019

2020 ◽  
Vol 2 (3) ◽  
pp. 138-144
Author(s):  
Ida Ayu Eka Padmiari
Keyword(s):  
Pregnant Women ◽  
Community Service ◽  
Adolescent Girls ◽  
Young Women ◽  
Reproductive Age ◽  
Deficiency Anemia ◽  
Upper Arm ◽  
Energy Deficiency ◽  
Chronic Energy Deficiency ◽  
Arm Circumference

 Nutritional anemia generally occurs in women of reproductive age and children. This situation has the greatest overall effect in terms of health problems. Iron deficiency anemia is prone to occur in young women due to the increased need for iron during their infancy. The proportion of Chronic Energy Deficiency (KEK) in pregnant women in Sukawati District in 2017 was 34 mothers and in 2018 increased to as many as 40 pregnant women experiencing KEK, while the proportion of KEK in adolescent girls was not yet available. Likewise with the Proportion of Anemia in young women there is no data yet. Therefore, the servants will carry out Hb examination and measurement of LILA (Upper Arm Circumference) on young women in Sukawati sub-district, Gianyar Regency. The purpose of the Community Service is to provide counseling on nutrition, especially in the prevention of Anemia and KEK as well as examining hemoglobin levels in young women in Sukawati District, Gianyar Regency. The method used to achieve the objectives of community service is the method of lecture, discussion and examination of Hb levels and measurement of MUAC.Examination of hemoglobin levels was performed to determine the anemia status of the target. The average Hb level was 12.85 g / dl while the lowest value was 9.1 g / dl while the highest was 14.6 g / dl. Of the 50 targets examined found 14 targets (28%) anemia and 36 targets (72%) were not anemic. Determination of KEK status is done by measuring the target upper arm circumference (MUAC). Of the 50 targets measured there were 17 targets (34%) experienced KEK and 33 targets (66%) did not experience KEK. The conclusion of this community service counseling about Anemia and KEK in the prevention of anemia and KEK has succeeded in increasing good knowledge to be above 50%, Adolescent girls who have anemia by 28%, Adolescent girls who experience chronic Less Energy (KEK) by 34% in Sukawati District Gianyar RegencyKeywords: Anemia, Chronic Energy Deficiency, Adolescent Girls 

Maternal Body Mass Index (BMI) and Mid-Upper Arm Circumference (MUAC) in Early Pregnancy as Predictors of Low Birth Weight Infants

2018 ◽  
Vol 24 (8) ◽  
pp. 6203-6205
Author(s):  
Yoga Dwi Oktavianda ◽  
Syahru Ramadhan ◽  
Thalia Mufida ◽  
Ummul Mukminin ◽  
Rima Irwinda
Keyword(s):  
Body Mass Index ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Early Pregnancy ◽  
Upper Arm ◽  
Maternal Nutritional Status ◽  
Arm Circumference ◽  
Mid Upper Arm Circumference

Low birth weight is one of the determinants of infant mortality, morbidity, and disability, which can even have an impact on the future. Several studies have suggested that the condition of low birth weight (LBW) infants is influenced by the lack of maternal nutritional status in early pregnancy. Moreover, the prevalence of malnutrition in Indonesia is still high. Therefore, this study attempted to analyze the relationship of maternal nutritional status in early pregnancy as a predictor of LBW infants. Using a cross-sectional study design, this study involved 62 pregnant patients aged 20–35 years who had antenatal visits and a term delivery at Puskesmas Kecamatan Cakung. The measurements of body mass index (BMI) and mid-upper arm circumference (MUAC) in early pregnancy are used to determine the maternal nutritional status. Pregnant women with BMI <18.5 or MUAC <23.5 cm are considered to have less nutritional status. Meanwhile, LBW infants are defined as babies with birth weight <2500 grams. This study proves that the risk of birth of LBW infants is increased in pregnant women with BMI <18.5 (underweight) (OR 5.37) and less MUAC (OR 20.4).

scholarly journals GAMBARAN PENGETAHUAN IBU HAMIL TENTANG KEKURANGAN ENERGI KRONIS (KEK) DI KLATEN

2020 ◽  
Vol 8 (1) ◽  
pp. 48-51
Author(s):  
Isnani Nurhayati ◽  
Anas Rahmad Hidayat ◽  
Tri Hartati
Keyword(s):  
Data Analysis ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Frequency Distribution ◽  
Premature Birth ◽  
Energy Deficiency ◽  
Research Results ◽  
Chronic Energy Deficiency ◽  
Expectant Mothers ◽  
Pregnant Mothers

Background : The need during pregnancy affects the nutritional status of pregnant women due to lack of intake in one of the substances will lead to the need for something impaired nutrients and the need for nutrients that are not constant during gestation. Unbalanced nutritional consumption in pregnant women will result in nutritional problems such as chronic energy deficiency (KEK) that will allow miscarriage, premature birth, BBLR and bleeding after childbirth.Objective : knowing the knowledge of pregnant mothers about chronic energy deficiency in Kebondalem Lor District Puskesmas Klaten Regency.Methods : This research is a descriptive analytic with a crosssectional approach. Population is all expectant mothers in Kebondalem Lor District Puskesmas in Klaten Regency as much as 167 people. Sampling with sample clusters obtained 42 respondents. Instruments using Quesioner contain knowledge of expectant mothers about chronic energy deficiency. Univariic data analysis is the frequency distribution of pregnant women knowledge about KEK, where the research results are conducted interpretation of the data of the question ite m by calculating the answer percentage.Result : From 42 expectant mothers of pregnant women knowledge about chronic energy deficiency are largely a good as much as 18 people (42.9%) and a small portion of respondents 9 people (21.4%) Less knowledgeable.Conclusion : The knowledge of pregnant women about chronic energy deficiency in the area of KebondalemLor District, Klaten Regency most are knowledgeable well.

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
Keyword(s):  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Significant Relationship ◽  
Economic Status ◽  
Sampling Technique ◽  
Chi Square ◽  
Energy Deficiency ◽  
Maternal Nutritional Status ◽  
Chronic Energy Deficiency ◽  
Relationship Of

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

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