scholarly journals Assessment of malnutrition by different anthropometric method and effect of poverty and maternal education as a barrier to healthy nutritional status among children under five years of age.

2020 ◽  
Vol 27 (10) ◽  
pp. 2122-2128
Author(s):  
Hassan Ali ◽  
Saadia Khan ◽  
Ibad Ali ◽  
Asad Abbas ◽  
Reema Arshad ◽  
...  

Objectives: Pakistan is facing double burden of malnutrition. The purpose of current study was to access the nutritional status by different anthropometric methods and common barriers that affect the nutritional status of children. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Multan, Pakistan. Period: From 1st March 2019 to 1ST January 2020. Material & Methods: The study contained of 405 children with 216 boys and 187 girls. The data was collected by trained nutritionist in OPD of Children Hospital & Institute of Child Health and data was analyzed by using SPSS version 21.0. Results: The study showed that malnutrition is caused by poor socioeconomic status and low education level of care giver. The data showed that 318 (78.51%) participants involved in this study were malnourished. Nutritional status mostly affected during first birthday (36.79%). In this study 50.12% participants belonged to poor nutritional status and 47.65% mother were uneducated. Conclusion: The mother education and good socioeconomic status can prevent children from malnutrition. Feeding practices and weaning starting time also play role in defining nutritional status of children. Children under five year of age are at very sensitive of age and more prone to diseases so well balance diet and mother feeding upto-2 years of age can prevent children from chronic diseases and improve nutritional status.

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Rona Firmana Putri ◽  
Delmi Sulastri ◽  
Yuniar Lestari

AbstrakStatus gizi anak balita salah satunya dipengaruhi oleh faktor kondisi sosial ekonomi, antara lain pendidikan ibu, pekerjaan ibu, jumlah anak, pengetahuan dan pola asuh ibu serta kondisi ekonomi orang tua secara keseluruhan. Penelitian ini dilakukan untuk mengetahui apakah ada hubungan kondisi sosial ekonomi keluarga terhadap status gizi anak balita. Penelitian ini adalah survei analitik menggunakan desain cross sectional study dengan jumlah sampel 227 orang yang terdiri dari anak balita dan ibu balita di Wilayah Kerja Puskesmas Nanggalo Padang. Data dikumpulkan melalui kuesioner yang telah diisi oleh ibu balita yang kemudian di analisis secara bivariat dan multivariat. Berdasarkan analisis bivariat didapatkan pendidikan ibu (p=0,022), pekerjaan ibu (p=0,000), pendapatan keluarga (p=0,012), jumlah anak (p=0,008) dan pola asuh ibu (p=0,000). Sementara dari analisis multivariat didapatkan pendidikan ibu (p=0,004; OR=2,594; CI95%=1,356-4,963), pekerjaan ibu (p=0,000; OR=74,769; CI95%=24,141-231,577), pendapatan keluarga (p=0,013; OR=3,058; CI95%=1,246-7,4) dan pola asuh ibu (p=0,000; OR=15,862; CI95%=5,973-42,128). Analisis bivariat menunjukan bahwa terdapat hubungan antara pendidikan ibu, pekerjaan ibu, pendapatan keluarga, jumlah anak dan pola asuh ibu dengan status gizi anak balita. Berdasarkan hasil analisis multivariat faktor pekerjaan ibu merupakan faktor yang paling berhubungan dengan status gizi anak balita.Kata kunci: status gizi, anak balita, faktor sosial ekonomiAbstractNutritional status of children under five years has affected by a political and socio-economic condition factors, among others, maternal education, maternal occupation, number of children, maternal knowledge and parenting also parents' economic conditions as a whole. This research is conduct to determine whether there is a relationship between the socio-economic conditions of families on the nutritional status of children under five.This research is a analytic survey using a cross sectional study design with the number of samples are 227 people consisting of children under five and the mothers in the working areas Puskesmas Nanggalo Padang. Data were collected through questionnaires which is completed by mothers whose later been analyzed in bivariate and multivariateBased on bivariate analysis we can get the maternal education (p = 0.022), maternal occupation (p = 0.000), household income (p = 0.012), number of children (p = 0.008) and maternal parenting (p = 0.000). While the multivariate analysis obtained from the maternal education (p = 0.004; OR = 2.594; CI95% = 1.356 to 4.963), maternal occupation (p = 0.000; OR = 74.769; CI95% = 24.141 to 231.577), household income (p = 0.013; OR = 3.058; CI95% = 1.246 to 7.4) and maternal parenting (p = 0.000; OR = 15.862; CI95% = 5.973 to 42.128).Bivariate analysis showed that there is a relationship between maternal education, maternal occupation, family income, number of children and parenting mothers with a nutritional status of children under five. Based on the results of the multivariate analysis, maternal occupation is the most associated factor with nutritional status of children under five.Keywords: Nutritional Status, Children Under Five, Socio-economic Factor


Author(s):  
Ambar Dwi Retnoningrum ◽  
◽  
Ike Nurrochmawati ◽  
Dewi Indriani ◽  
◽  
...  

ABSTRACT Background: Regular visit to the integrated health post is essential to monitor health and nutritional status of children under five years of age. However, the frequency of visits remained low in Nganjuk District, East Java. This study aimed to determine the factors affecting health visit of children under five at the integrated health post in Nganjuk District, East Java. Subjects and Method: This was a cross-sectional study conducted at Ngetos Integrated Health Post, Nganjuk, East Java, in April 2019. A sample of 100 children under five was selected for this study. The dependent variable was visit to the integrated health post. The independent variables were child age, maternal education, maternal work status, and motivation. The data were collected using questionnaires. The data were analyzed by multiple logistic regression. Results: Visit of children under five years of age to the integrated health post increased with child age (OR= 1.60; 95% CI= 0.90 to 12.20; p= 0.071), higher maternal education (OR= 4.66; 95% CI= 2.13 to 28.14; p= 0.002), working mothers (OR= 2.90; 95% CI= 1.57 to 26.45; p= 0.010), and higher motivation (OR= 2.45; 95% CI= 1.35 to 19.05; p= 0.016). Conclusion: Visit of children under five years of age to the integrated health post increases with child age, higher maternal education, working mothers, and higher motivation. Keywords: children under five years of age, mothers, integrated health post Correspondence: Ike Nurrochmawati. School of Health Sciences Satria Bhakti, Nganjuk. Jl. Panglima Sudirman VI Nganjuk, East Java. Email: [email protected]. Mobile: +6282141578108. DOI: https://doi.org/10.26911/the7thicph.03.71


2018 ◽  
pp. 233-242
Author(s):  
Kristiawan Prasetyo Agung Nugroho ◽  
Bagus P. S. Adi ◽  
Ria Angelina

ABSTRAK Kelompok usia yang sangat rentan terhadap masalah status gizi adalah kelompok anak usia 1–5 tahun. Status gizi pada balita berkaitan langsung dengan pola konsumsi dan penyakit infeksi. Penyakit infeksi terkait lingkungan dapat meliputi diare, Infeksi Saluran Pernapasan Atas (ISPA),dan pneumonia. Rendahnya status gizibalita dapat meningkatkan kejadian sakit pada balita. Tujuan penelitian ini adalah untuk mengetahui hubungan gizi terhadap kejadian penyakit pada balita usia 12-60 bulan Metode yang digunakan adalah pendekatan deskriptif dengan rancangan cross sectional study. Populasi penelitian yaitu seluruh balita di Desa Batur, Kecamatan Getasan, Kabupaten Semarang yang mengikuti penimbangan Posyandu Balita yang tersebar di 19 dusun. Teknik pengambilan sampel secara random sampling dengan responden penelitian adalah ibu yang memiliki balita berusia 12 – 60 bulan dengan status gizi kurang. Data didapat dari sumber sampel sebanyak 35 balita dengan status gizi kurang. Faktor-faktor yang mempengaruhi status gizi diantaranya umur ibu, pendidikan, pekerjaan, kebiasaan makan balita, dan lingkungan fisik rumah. Permasalahan Gizi kurang erat kaitannya dengan kejadian penyakit pada balita, namun kondisi badan panas (demam), batuk, dan pilek kerap dialami oleh balita yang menandai gejala ISPA. Kasus status gizi kurang pada balita di Desa Batur dikategorikan masih tinggi dilihat dari hasil penimbangan bulan september 2017 sebesar 10,29%.   Kata kunci: cross sectional study, random sampling, status gizi, ISPA, pneumonia     ABSTRACT The age groups that are particularly vulnerable to nutritional status are groups of children aged 1 - 5 years. The nutritional status of children under five is directly related to consumption pattern and infectious diseases. Illnesses related to environmental condition may include diarrhea, upper respiratory tract infections (ISPA), and pneumonia. The low nutritional status of children under five can increase the incidence of illness in toddlers. The purpose of this study was to determine the relationship of nutrition to disease incidence in children aged 12 - 60 months. The method used is descriptive approach with cross sectional study design. The research population is all children under five in Batur Village, Getasan Subdistrict, Semarang Regency which follow Balita Posyandu weighing spread in 19 hamlets.Sampling was done by random sampling with the respondents of the researchwere mothers who have children aged 12 - 60 months with less nutritional status. Data obtained from the sample source as many as 35 children under-five with less nutritional status. Factors that affect nutritional status include maternal age, education, occupation, toddler eating habits, and the physical environment of the house. Problems Nutrition is less closely related to the incidence of disease in toddlers, but the condition of fever, coughs, and colds are often experienced by toddlers that indicate symptoms of upper respiratory tract infections. Cases of underweight status of children under five in Batur village are still considered high in terms of weighing in September 2017 of 10.29%.   Keywords: cross sectional study, random sampling, nutritional status, ISPA,pneumonia


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Ni Putu Eny Sulistyadewi ◽  
Dylla Hanggaeni Dyah Puspaningrum

<p>ABSTRAK<br />Pengaturan pola makan pada anak balita sangat bergantung dengan tingkat pengetahuan ibu dalam memilih, mengolah serta mengatur makanan yang dibutuhkan oleh balita. Hal ini menunjukkan bahwa pengetahuan yang dimiliki ibu tentang gizi balita akan mendasari pemberian makan pada anak, sehingga akan menentukan pola makan anak dan selanjutnya akan menentukan status gizi anak tersebut. Tujuan dari penelitian ini adalah untuk mengetahui tingkat pengetahuan terhadap pola makan dan status gizi anak balita di taman kanak – kanak Denpasar Selatan. Penelitian ini termasuk jenis penelitian observasional analitik dengan rancangan penelitian cross-sectional. Hasil penelitian dari 31 orang responden mempunyai status gizi baik dan pola makan sesuai dengan tingkat pengetahuan ibu yang kurang. Hal ini menunjukkan bahwa tidak ada hubungan tingkat pengetahuan ibu terhadap pola makan dan status gizi anak balita taman kanak – kanak Denpasar Selatan yang ditunjukkan dengan nilai p&gt;0,05.<br />Kata Kunci : Pola makan, Status Gizi, Tingkat Pengetahuan Ibu, Balita<br />ABSTRACT<br />Dietary adjustments in children under five is very dependent on the level of knowledge of mothers in selecting, processing and arranging food needed by toddlers. This suggests that knowledge of mothers about infant nutritional would constitute feeding the child, so that will determine the child's diet and will determine the nutritional status of the child. The purpose of this study was to determine the level of knowledge of diet and nutritional status of children under five in kindergarten - childhood South of Denpasar. This research is observational analytic study with cross-sectional study design. The results of the 31 respondents have good nutritional status and diet according to the mother's level of knowledge is lacking. This shows that there is no relationship between the level of knowledge of the mother's diet and nutritional status of children under five kindergarten - childhood South of Denpasar indicated by the value of p&gt; 0.05.<br />Keyword : Diet, Nutritional Status, Knowledge Level Mother, Toddler</p>


2022 ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Yudi Chadirin

Abstract Background: Composite Index of Anthropometric Failure (CIAF) can assess anthropometric failure by combining the three conventional index measurements of weight-for-age, length/height-for-age, and weight-for-length/height to determine the nutritional status of children under five years. This study aims to assess undernutrition using the CIAF and its determinants on children under five years in the rural area of ​​Bogor District, in Indonesia.Methods: A cross-sectional study was conducted during February-May 2019 among 330 pairs of mother-children (under five years). Sample selected by systematic random sampling from four villages as undernutrition pockets in the rural area of ​​Bogor District, Indonesia. The nutritional status of children was assessed by measuring weight and length/height. Then, Z-score was calculated using WHO Anthro software and categorized based on conventional indices that included weight-for-age (WAZ), length/height-for-age (HAZ), weight-for-length/height (WHZ). CIAF is measured based on a combination of conventional index measurements. In addition, the characteristics of mother’s and child, and clean living behavior measured by structured questionnaires. Meanwhile, environmental sanitation is assessed by the environment meter. Binary logistic regression analysis with SPSS version 22.0 was used to analyze the dominant factors associated with undernutrition.Results: The prevalence underweight, stunted, and wasted was 27.8%, 29.7%, and 10.6% respectively. Children who are undernutrition are 42.1% according to the CIAF of which about a quarter (17.8%) of undernutrition children experience a single anthropometric failure, about half (22.2%) had dual failure, and 2.1% had multiple failures. The most dominant factor associated with underweight, stunted, and wasted is family income [p-value=0.018; AOR=5.44; 95% CI: 1.34-22.11], mother's height [p-value=<0.001; AOR=3.29; 95% CI:1.83-5.91], and child's age [p-value=0.013; AOR=2.59; 95% CI: 1.22-5.47] respectively. Mother's height is the most dominant factor associated with anthropometric failure (CIAF) [p-value=0.008; AOR=1.95; 95% CI: 2.19-3.19].Conclusion: CIAF is worthwhile in preventing undernutrition in children under five years. The CIAF can identify more malnourished children than the conventional index. CIAF can use more widely in various regions in Indonesia and other developing countries. Furthermore, improvements in improving nutrition for mother’s in the child since the First 1000 days of life period are needed to determine optimal nutritional status as an indicator of growth success.


2019 ◽  
Vol 1 (1) ◽  
pp. 16-22
Author(s):  
Falerius Jago

Aesesa Sub-district is one of the Subdistricts in Nagekeo District that has high nutritional problems and occurs every year.Nutrition problems that occur are influenced by several factors, namely mother's knowledge of nutrition, diet of children under five, and family income.This study aims to determine what factors are related to the nutritional status of children under five years in the working area of Puskesmas Danga, Aesesa Sub-district, Nagekeo Regency in 2016.This research was conducted in the working area of Puskesmas Danga, Aesesa Sub District, Nagekeo District.The study period starts from December 2016 to August 2017.This research method is analytic survey by using cross sectional study design.Sample in this research is mother who have toddler which amounted 93 people. Sampling method using systematic random sampling technique.Instrument of data collecting by using questioner and analyzed by univariat and bivariat.The results showed that there was a correlation between mother's knowledge (ρ = 0,003), diet (ρ = 0,000), and family income (ρ = 0,029) with nutritional status in toddler in working area of Puskesmas Danga Aesesa Sub-district of Nagekeo Regency 2016.Based on the results of this study, it can be concluded that there is a relationship between mother's knowledge about nutrition, eating pattern of children under five, and income of family with nutritional status at under five years in working area of Puskesmas Danga Aesesa District of Nagekeo Regency.


Author(s):  
Manish Jain ◽  
Jagdish Singh Bhati ◽  
Mayank Jain ◽  
Vinod Kumar ◽  
Kapil Garg ◽  
...  

Background: Adequate nutrition is essential in early childhood to ensure healthy growth and development, proper organ functions and a strong immunity. Accurate assessment of nutritional status of children is a requisite in appropriate planning and effective implementation of nutrition interventions. The objective of this study is to assess nutritional status of children under five year of age in rural area and to identify the socio-demographic factors associated with under nutrition.Methods: A cross sectional study was conducted among children aged six months to five years in rural area of Jhalawar, Rajasthan. Nutritional status of the children was assessed by measurement of mid upper arm circumference and information like birth order of children, birth weight and number of siblings was collected using a pre-coded and semi structured questionnaire.Results: Moderate under-nutrition was present in 16.8% children. Under-nutrition was present among 9.9% male and 24.2% female children. 38.1% children with birth weight less than 2.5 kg were under-nourished. Proportion of under-nutrition was 27.7% among children with number of siblings more than 2 while it was only 11.1% among those with 2 or less number of siblings.Conclusions: Gender, number of siblings and birth weight of children were significantly associated with nutrition status of children. 


2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.


2020 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Arum Sekar Rahayuning Putri ◽  
Trias Mahmudiono

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK  Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus.  Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.


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