scholarly journals HUBUNGAN PEMBERIAN MAKANAN TAMBAHAN (PMT) DENGAN PERUBAHAN LINGKAR LENGAN ATAS IBU HAMIL KEKURANGAN ENERGI KRONIK (KEK)

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).

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


2021 ◽  
Vol 12 (1) ◽  
pp. 39-47
Author(s):  
Avliya Quratul Marjan ◽  
Antania Hermada Aprilia ◽  
Iin Fatmawati

Chronic Energi Deficiency (CED) is a nutritional problem in pregnant women with a prevalence of 17,3% based on Indonesia Basic Health Research or Riset Kesehatan Dasar (Riskesdas) in 2018. Based on age groups, pregnant women who experienced the highest CED were 15-19 years (38,5%). So it is very important to know what factors are related to CED in pregnant women. The purpose of this study was to analyze determinants factors with the incidence of chronic energy deficiency in pregnant women at Gunung Sindur Bogor. This study was an observational study with a cross-sectional approach. Respondents in this study were 70 pregnant women who were selected by purposive sampling. Bivariate analysis was performed using the Chi-Square test and logistic regression for Multivariat analysis. The bivariate analysis showed that there were a relationship between age (p = 0.009), parity (p = 0.027) nutritional knowledge (p = 0.045), energy intake (p = 0.001), and protein intake (p = 0.007) with the incidence of CED in pregnant women. The multivariat results show that energy intake is the most dominant factor associated with the incidence of CED (p = 0.001) in pregnant women at Mount Sindur Bogor.


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.


Author(s):  
Oktriyani Oktriyani ◽  
Muhammad Juffrie ◽  
Dewi Astiti

<p>ABSTRACT</p><p>Background: Chronic energy deficiency (CED) is a chronic malnutrition in calorie and protein that become a nutritional problem in pregnant women. Prevalence of CED in Indonesia in 2013 is 23.4% and Sedayu Subdistrict is 11.4%. Impact of CED in pregnant women is the risk of low birth weight and its relationship with increase chronic desease in the future. Dietary pattern and food taboo are factor risks of nutritional problem of pregnant women.</p><p>Objectives: To analyze association between dietary pattern and food taboo with chronic energy deficiencies in pregnant women in Sedayu Subdistrict, Bantul,Yogyakarta.</p><p>Methods: This was an observational study with cross sectional design with approachment in quantitative and qualitative. Qualitative method used focus group disscussion (FGD) with 14 CED and non CED in pregnant women. Samples were 201 pregnant women in Sedayu Subdisctrict that were collected by total sampling methods. This research was held in April until June 2014. Data were analyzed using univariate analysis (descriptive), bivariate (chi-square and Mann Whitney), and multivariate (multiple logistic regression). Intake of energy and carbohydrate was analyzed by using Nutrisurvey software.</p><p>Results: Chi-square showed that there was no significant association between dietary pattern and food taboo with CED in pregnant women (p&gt;0.05). A number of 17.91% pregnant women had the risk of CED, 20.99 % had less of source prime energy, and 20.22% had food taboo. Food taboo is food that rich in protein, vitamin and mineral (fruit and vegetable) and energy.</p><p>Conclusions: There was no significant association between dietary pattern and food taboo with CED in pregnant women.</p><p>KEYWORDS: dietary pattern, food taboos, pregnant women, chronic energy deficiencies</p><p>ABSTRAK</p><p>Latar belakang: Kekurangan energi kronis (KEK) merupakan keadaan kekurangan zat gizi terutama energi dan protein yang masih menjadi masalah gizi pada ibu hamil. Prevalensi KEK di Indonesia tahun 2013 sebesar 23,4 % dan Kecamatan Sedayu sebesar 11,4% masih merupakan masalah kesehatan. Ibu<br />hamil yang KEK berisiko melahirkan bayi dengan berat badan rendah dan meningkatkan risiko penyakit kronis di masa depan. Pola makan dan pantangan makan merupakan salah satu faktor risiko dari masalah gizi ibu hamil.</p><p>Tujuan: Mengetahui hubungan antara pola makan dan pantangan makan dengan kejadian KEK pada ibu hamil di Kecamatan Sedayu, Bantul, Yogyakarta.</p><p>Metode: Jenis penelitian ini adalah observasional analitik dengan rancangan cross sectional dengan pendekatan kuantitatif dan kualitatif. Sampel pada penelitian ini adalah seluruh ibu hamil yang berada di Kecamatan Sedayu Kabupaten Bantul. Metode kualitatif dengan menggunakan focus group disscussion (FGD) kepada kelompok ibu hamil yang KEK dan tidak KEK yang berjumlah 14 orang. Penelitian kuantitatif menggunakan metode pengambilan sampel total sampling, yang berjumlah 201 orang ibu hamil. Penelitian dilaksanakan pada bulan April hingga Juni 2014. Data dianalisis dengan menggunakan analisis univariat (deskriptif), bivariat (chi-square dan Mann Whitney) dan multivariat (regresi logistik). Data asupan energi dan protein dianalisis dengan menggunakan software Nutrisurvey.</p><p>Hasil: Hasil uji chi-square menunjukkan tidak ada hubungan antara pola makan dan pantangan makan dengan kejadian KEK pada ibu hamil (p&gt;0,05). Sebanyak 17,91% ibu hamil berisiko KEK, 20,99% diantaranya mempunyai pola makan pokok (nasi) yang kurang dan 20,22% masih mempunyai pantangan makan. Makanan yang dipantang yaitu makanan sumber protein, sumber vitamin dan mineral (buah dan sayur), dan bahan makanan sumber energi.</p><p>Kesimpulan: Pola makan dan pantangan makan pada ibu hamil tidak berhubungan dengan kejadian KEK.</p><p>KATA KUNCI: pola makan, pantangan makan, ibu hamil, KEK</p>


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 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


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