scholarly journals The Effect of Green Bean Extract To Increase of Pregnant Women's Upper Arm Circumference in The Primary Health Care Center of Gubug I Grobogan Regency

2020 ◽  
Vol 2 (2) ◽  
pp. 54-60
Author(s):  
Siti Nur Khasanah ◽  
Dhita Aulia Octaviani ◽  
Intan Nugraheni

Chronic energy deficiency (KEK) is a nutritional problem caused by lack of food intake in a long time. Based on the Basic Health Research (Riskesdas) in 2018 in Indonesia containing pregnant women with Chronic Energy Deficiency reaching 17.3%. This shows that there are still quite a lot of pregnant women who are malnourished in Indonesia. One of local foodstuffs that can be an alternative to meet the nutrition of pregnant women with mung beans. Mung beans are rich in macro, micro nutrients, vitamins B1, B2, amino acids, folic acid, protein, carbohydrates, Ca and phosphorus. This study discusses how to increase mungbean extract to increase upper arm circumference in pregnant women Energy Deficiency in the working area of the Public Health Center Gubug 1. This study was a study of one group with pre and post tests. The population of this study is pregnant women with Chronic Energy Deficiency according to inclusion criteria. The sampling technique is to use a purposive sampling technique. Giving mung bean extract is done for 30 days. The study showed the results of the measurement of the circumference of the upper arm before training (pre test) with after administration (post test) after being involved using paired t-test obtained p value (0.001) α (0.05). Means there is a significant difference between the circumference of the upper arm before the treatment round. From the research that is expected from health workers need to educate pregnant women for nutritious food, so pregnant women do not need Chronic Energy Deficiency. Nutritious food sources can be obtained from the environment around pregnant women and are easily available at affordable prices. Keywords: Mung bean extract; Chronic Energy Deficiency; Upper Arm Circumference

2021 ◽  
Vol 9 (E) ◽  
pp. 145-149
Author(s):  
Meitria Syahadatina Noor ◽  
Ayu Riana Sari ◽  
R. Akbar Agustriyanto ◽  
Rezeki Norwinardi ◽  
Diah Agustina ◽  
...  

AIM: The objective of this study was to analyze the role of cadres as an effort to increase knowledge and attitudes about chronic energy deficiency among adolescents in Mali-Mali village. METHODS: This type of research is quasi experimental. Researchers trained five cadres who provide education to junior high school students. The sampling technique used a total sampling of 38 female students. The treatment duration was 4 months with the evaluation of knowledge, attitude, and upper arm circumference measurement each month. RESULTS: This study’s results were that 21.1% of respondents had good knowledge about chronic energy deficiency before treatment. The evaluation of respondents who had good knowledge about chronic energy deficiency at 1st month was 57.9%. The 2nd month was 2 94.7%, the 3rd month was 100%, and the 4th month was 100%. Wilcoxon test showed a significant difference in knowledge at months 1, 2, and 3 with p < 0.05. There was no significant difference at month 4 with a result of p > 0.05. The evaluation results of respondents who had a good attitude about chronic energy deficiency before treatment were 26.3%. In comparison, after treatment was 42.1% in the 1st month, 57.9% in the 2nd month, 57.9% in the 3rd month, and 78.9% in the 4th month. The Chi-square test results showed no differences in attitudes at month 1, 2, and 3, while at month 4 found a significant relationship. The upper arm circumference measurement showed that the number of respondents who suffer from chronic energy deficiency was 25 people for 4 months. CONCLUSION: Cadres could improve knowledge and attitudes about chronic energy deficiency in female adolescents in Mali-Mali Village.


2020 ◽  
Vol 2 (3) ◽  
pp. 138-144
Author(s):  
Ida Ayu Eka Padmiari

 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 


2012 ◽  
Vol 7 (2) ◽  
pp. 83
Author(s):  
Diny Eva Ariyani ◽  
Endang Laksmining Achadi ◽  
Anies Irawati

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


2018 ◽  
Vol 5 (1) ◽  
pp. 1-11
Author(s):  
Sumini Sumini

There are several factors that occur Chronic Energy Deficiency incident (CED),one of them is parity. Based on preliminary data generated from pregnant women's visitbook in January - December 2016 at BPM Mrs. "A" Gombang Village, Slahung Subdistrict,Ponorogo Regency, 115 pregnant women with K1, 48 pregnant women with anupper arm circumference <23.5 cm, with wires of 28 nullipara, 17 primiparas and 3multiparas. From the incidence of CED cases 50% have abortion and BBLR. This studyaims to determine the relationship parity with chronic energy deficiency incident (CED)in pregnant women in BPM Mrs. "A" Village Gombang Slahung District PonorogoRegency.The type of this research is analytic with retrospective approach using totalsampling technique. The population is all pregnant women who visit Antenatal Care atBPM Mrs. "A" Gombang Village Slahung District Ponorogo Regency from January toDecember in 2016 with the number of 115 pregnant women. The number of samples ofthis study was 115 pregnant women. Method of data analysis using ContingencyCoefficient statistical test with significance determined by value ρ <0,05. The variables ofthis research are parity (independent) and CED (dependent). The measuring tool used inthis study is to use the cohort register of pregnant women.Based on the results of the study, obtained the number of parity in pregnantwomen in BPM Mrs. "A" Gombang Village Slahung District Ponorogo regency almosthalf as many as 45 respondents (39.1%) is primipara. Meanwhile, Chronic EnergyDeficiency incident (CED) in BPM Mrs. "A" Gombang Village Slahung DistrictPonorogo Regency almost half of which is 48 respondents (41.7%) with an upper armcircumference <23.5 cm. So that the value obtained from statistical test ContingencyCoefficient with the significance level of 0.05 is ρ = 0,00 so that ρ <α then H0 is rejectedso that there is relation between parity with Chronic Energy Deficiency incident (CED) inpregnant woman in BPM Mrs. "A" Gombang Village Slahung District Ponorogo Regencyand obtained the value of Contingency Coefficient 0.374 which means the level ofcloseness of the low relationship.In this research, it is expected that the prospective mother and parity make aneffort to pay attention to nutritional condition during pregnancy that is at the time ofAntenatal Care there is measurement of upper arm circle to know whether the mother isrisk of KEK or not, do regulation of food consumption, Hb level examination, Andpregnant upper arm circumference Mother before pregnancy is less than that number,cariudara postponed because do not risk giving birth.


2020 ◽  
Vol 16 (4) ◽  
pp. 168
Author(s):  
Weni Kurdanti ◽  
Tri Mei Khasana ◽  
Lastmi Wayansari

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.


2020 ◽  
Vol 12 (01) ◽  
pp. 111
Author(s):  
Herdini Widyaning Pertiwi ◽  
Tri Martini ◽  
Sri Murni Handayani

ABSTRAKLatar belakang penelitian ini adalah masih banyak ibu hamil yang kekurangan energi kronik (KEK). KEK mempunyai dampak kesehatan terhadap ibu dan janin antara lain dapat meningkatkan resiko tinggi BBLR, Keguguran, lahir premature, kematian ibu dan bayi baru lahir. Tujuan penelitian ini adalah untuk mengetahui hasil pemberian makanan tambahan (PMT) dan perubahan lingkar lengan atas ibu hamil kekurangan energi kronik (KEK). Desain penelitian ini adalah eksperimen sebelum dan sesudah di berikan PMT. Populasi penelitian ini adalah seluruh ibu hamil KEK yaitu 24 responden. Dengan teknik penelitian total sampling yang berjumlah 24 responden. Pemberian makana tambahan dilakukan selama 90 hari. Teknik pengambilan data dengan metode observasi langsung. Uji statistik yang digunakan pada penelitian ini adalah Chi Square. Dari hasil analisis univariat didapatkan resonden dengan umur terbanyak <30 tahun (20 responden), pendidikan terbanyak SMP (17 responden), pekerjaan terbanyak yaitu ibu rumah tangga (14 responden), berat badan ibu hamil KEK mengalami peningkatan setelah di beri PMT sealam 3 bulan (43,6±5,04 kg) dan peningkatan LILA pada ibu hamil KEK setelah diberikan PMT selama 3 bulan (22,6±1,23 cm). Untuk analisis bivariat menggunakan Chi Square didapatkan hasil nilai signifikan (p=0,000) yang berarti ada hubungan pemberian makanan tambahan (PMT) dengan perubahan lingkar lengan atas ibu hamil kekurangan energi kronik (KEK) di wilayah kerja Puskesmas Plupuh II tahun 2019.Kata Kunci: pemberian makanan tambahan (PMT), lingkar lengan atas, ibu hamil kekurangan energi kronik (KEK).RELATIONSHIP OF SUPPLEMENT OF SUPPLEMENTARY FOOD (PMT) WITH A CHANGE OF ARMS TO PREGNANT WOMEN LACK OF CHRONIC ENERGYABSTRACTThe background of this study is that there are still many pregnant women who lack chronic energy (KEK). KEK has health impacts on the mother and the fetus, among others, can increase the high risk of LBW, miscarriage, premature birth, death of mothers and newborns. The purpose of this study was to determine the results of supplementary feeding (PMT) and changes in the upper arm circumference of chronic energy deficiency pregnant women (KEK). The design of this study was an experiment before and after being given PMT. The population of this study were all pregnant women in KEK, namely 24 respondents. With the total sampling research technique, amounting to 24 respondents. Additional feeding was carried out for 90 days. The data collection technique used direct observation method. The statistical test used in this study is Chi Square. From the results of univariate analysis, it was found that respondents with the most age were <30 years (20 respondents), the most education was junior high school (17 respondents), the most occupations were housewives (14 respondents), the weight of pregnant women in KEK had increased after being given PMT for 3 months (43.6 ± 5.04 kg) and the increase in LILA in pregnant women with KEK after being given PMT for 3 months (22.6 ± 1.23 cm). For bivariate analysis using Chi Square, a significant value was obtained (p = 0.000), which means that there is a relationship between supplemental feeding (PMT) and changes in the upper arm circumference of chronic energy deficiency pregnant women (KEK) in the work area of Plupuh II Public Health Center in 2019. Keywords: supplementary feeding (PMT), upper arm circumference, pregnant women with chronic energy deficiency (KEK).


2020 ◽  
Vol 6 (4) ◽  
pp. 157-162
Author(s):  
Ellyani Abadi ◽  
Linda Ayu Rizka Putri

Background: Chronic Energy Deficiency (CED) in pregnant women is characterized by the size of middle-upper arm circumference  (MUAC) 23.5 cm. In 2017, the prevalence of CED in Indonesia was 17.3%, 21.9%, 14.37%, and 11.04%, respectively, in Southeast Sulawesi, Kendari, and Puuwatu Health Center, which were still above the national target of 5%. Thus, there is a need to overcome the CED problems by administering nutrition assistance to pregnant women.Objective: This research aimed to understand the effect of nutrition assistance on the size of the middle-upper circumference of pregnant women with CED in the working area of Puuwatu Health Center, Kendari, Indonesia.Methods: This study was a pre-experimental study with one group pretest-posttest design conducted from June to August 2020 in the working area of Puuwatu Health Center. As many as 35 pregnant women with CED living in the work area of Puuwatu Health Center during a period of January-August were enrolled in the study through a purposive sampling method. Later, the data were analyzed using a Wilcoxon sign rank test.Results: There was an effect of nutrition assistance to the size of the middle-upper arm circumference of pregnant women with CED with a p-value= 0.000.Conclusion: The nutrition assistance increases the size of the middle-upper arm circumference of pregnant women with CED in the working area of Puuwatu Health Center.


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.


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