NUTRITION ASSISTANCE INCREASES THE SIZE OF MIDDLE-UPPER ARM CIRCUMFERENCE OF PREGNANT WOMEN WITH CHRONIC ENERGY DEFICIENCY

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.

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

Kesmas National Public Health Journal ◽

10.21109/kesmas.v7i2.67 ◽

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

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The Effect of Moringa Oleifera Leaf Biscuit on the Increase of Body Weight and Upper Arm Circumference for Chronic Energy Deficiency among Pregnant Women in Bontoramba District Jeneponto Regency

Indian Journal of Public Health Research & Development ◽

10.5958/0976-5506.2019.00842.8 ◽

2019 ◽

Vol 10 (4) ◽

pp. 1018

Author(s):

Fitriani Kasim ◽

Saifuddin Sirajuddin ◽

Ridwan Amiruddin

Keyword(s):

Body Weight ◽

Pregnant Women ◽

Moringa Oleifera ◽

Upper Arm ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference

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Hubungan Kejadian Bayi Berat Lahir Rendah dengan Riwayat Ibu Hamil Kekurangan Energi Kronis di Wilayah Puskesmas Pantoloan

Jurnal Bidan Cerdas (JBC) ◽

10.33860/jbc.v1i1.49 ◽

2020 ◽

Vol 1 (1) ◽

pp. 21-26

Author(s):

Widya Pani

Keyword(s):

Birth Weight ◽

Pregnant Women ◽

Health Center ◽

Community Health Center ◽

Sampling Technique ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Work Area ◽

History Of ◽

Relationship Of

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

Jurnal Pengabmas Masyarakat Sehat (JPMS) ◽

10.33992/ms.v2i3.1035 ◽

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

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Analysis of the Characteristics of Chronic Energy Deficiency in Pregnant Women during the Covid 19 Pandemic

Jurnal Kesehatan Komunitas ◽

10.25311/keskom.vol7.iss2.941 ◽

2021 ◽

Vol 7 (2) ◽

pp. 170-175

Author(s):

Hardianti Mukkadas ◽

I Made Cristian B ◽

Wa Ode Salma

Keyword(s):

Pregnant Women ◽

Health Center ◽

Bivariate Analysis ◽

P Value ◽

Cross Sectional ◽

Causal Factors ◽

Energy Deficiency ◽

Factors Associated ◽

Risk Of Death ◽

Chronic Energy Deficiency

Pregnant women who experience chronic energy deficiency (KEK) tend to give birth to LBW babies and have a greater risk of death. Objective: This study was to analyze the factors associated with the incidence of KEK in pregnant women. Methods: The study was conducted for 2 months, in 2020 at Anggaberi Health Center and Soropia Health Center in Konawe district. Design: cross sectional, quantitative data collection and secondary data. The research sample was pregnant women who were registered in the maternal cohort data, which were taken randomly as many as 115 people. Univariate data analysis was carried out descriptively to see the distribution of the values of the causal factors, bivariate analysis was carried out to analyze the relationship between the causal factors and the incidence of KEK through statistics, namely Chi-square test and cross tabulation with a significance value of 0.05. The results of the study found that the factors associated with the incidence of KEK were age (p-value = 0.000), education level (p-value = 0.000), employment status (p-value = 0.000), and pregnancy weight (p-value = 0.000 ). The incidence of KEK is more likely in mothers who have characteristics such as age < 20 years and > 35 years, low education, not working and low pregnant weight. Therefore, it is hoped that an increase in food security at the family level can be socialized through providing information to preconception women through counseling, flip-charts and posters.

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The Relationship Of Knowledge Of Nutritional Intake And The Even Of Chronic Energy Deficiency In Pregnant Mothers In Kalijaga Public Health Center Working Area Cirebon City

Jurnal Kesehatan Mahardika ◽

10.54867/jkm.v8i1.20 ◽

2021 ◽

Vol 8 (1) ◽

pp. 1-6

Author(s):

Siti Elfiyah ◽

Ani Nurhaeni ◽

Lely Nurlaili

Keyword(s):

Pregnant Women ◽

Health Center ◽

The Body ◽

Nutritional Intake ◽

P Value ◽

Energy Deficiency ◽

Spearman Rank ◽

Chronic Energy Deficiency ◽

Relationship Of ◽

The Relationship

Knowledge of nutritional intake of pregnant women is the result of knowing about the amount of nutrition that enters through daily food consumption by pregnant women. Chronic lack of energy is an occurrence where pregnant women experience a shortage of nutrients that lasts for a long time or is caused by an imbalance in nutritional intake, so that the nutrients needed by the body are not fulfilled. This study aims to determine the relationship of nutritional intake knowledge with chronic energy deficiency events in pregnant women at Kalijaga Health Center. This research method uses analytical survey, with a cross-sectional research design. The population is children of pregnant women the total sample is 24 pregnant women. The sampling technique used total sampling. The instruments used were questionnaire sheets, Upper arm circumference and observation sheets. Data analysis used Spearman rank with significance value α = 0.05. The results of univariate analysis, knowledge of good nutritional intake (70.8%), those who have sufficient knowledge (12.5%), and those who have less knowledge (16.7%), while pregnant women who experience chronic energy deficiency amounted to (16.7%) and pregnant women who do not experience chronic energy deficiency (83.3%). Bivariate analysis with the Spearman rank test shows the p-value <ᾳ (p-value = 0,000: ᾳ = 0.05) r0.808, so that H0 is rejected, meaning that there is a very strong and positive relationship between knowledge of nutrient intake with less energy events chronic in pregnant women at UPT. Kalijaga Health Center, Cirebon City.

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Hubungan Paritas dengan Kejadian Kekurangan Energi Kronik (KEK) pada Ibu Hamil Di BPM Ny. “A” Desa Gombang Kecamatan Slahung Kabupaten Ponorogo.

Jurnal Delima Harapan ◽

10.31935/delima.v5i1.3 ◽

2018 ◽

Vol 5 (1) ◽

pp. 1-11

Author(s):

Sumini Sumini

Keyword(s):

Pregnant Women ◽

Statistical Test ◽

Upper Arm ◽

Significance Level ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Arm Circumference ◽

Contingency Coefficient ◽

Measuring Tool ◽

The Relationship

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.

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Determinant Of Chronic Energy Deficiency (Kek) In Pregnant Women In The Working Area Of Siak Hulu Iii Health Center Of Kampar Regency

Jurnal Kesehatan Komunitas ◽

10.25311/keskom.vol7.iss1.775 ◽

2021 ◽

Vol 7 (1) ◽

pp. 64-69

Author(s):

Sintia Sintia ◽

Winda Septiani ◽

Novita Rany ◽

Elmia Kursani

Keyword(s):

Infectious Disease ◽

Pregnant Women ◽

Health Center ◽

Family Income ◽

Hyperemesis Gravidarum ◽

Nutritional Deficiencies ◽

P Value ◽

Energy Deficiency ◽

Chronic Energy Deficiency ◽

Disease Family

Chronic Energy Deficiency (CED) pregnant women is a situation where a pregnant woman experiences nutritional deficiencies (calories and protein) that have long or chronic competition. In 2018, national the prevalence of CED in pregnant women is 17,3%, and the Siak Health Center prevalence of CED deficiency in pregnant women was 21,4%. The purpose of this research was to determine the factors that influence the CED in pregnant women in the working area of the Siak Hulu III Health Center of Kampar district. The method of this research was a descriptive quantitative analytical study with a cross-sectional design. The sample was 70 respondents in the working area Puskesmas Siak Hulu III. The sampling technique was consecutive sampling with the dependent variable, namely pregnant women with CED if the upper circumference <23,5 cm, and the dependent variable was knowledge, infectious disease, family income, parity, and hyperemesis gravidarum. The data analysis was a bivariate analysis with the Chi-Square test. The instrument used questionnaires and data processing using computerized. The results showed a correlation between knowledge on pregnant women CED (p-value 0,158 OR = 2,602), the influence of infectious diseases on pregnant women CED (p-value 0,003 OR = 5,881), family income (p-value 0,025 OR = 0,231), parity) (p-value 0,025 OR = 4,333), and hyperemesis gravidarum (p-value 0,017 OR = 3,934). It can be concluded that there is an influence between infectious disease, family income, parity, hyperemesis gravidarum, and health workers, in particular, are expected to be able to provide information.

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

Jurnal Gizi Klinik Indonesia ◽

10.22146/ijcn.49314 ◽

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.

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