Hubungan Asupan Gizi dengan Kejadian Wasting pada Balita di Wilayah Kerja Puskesmas Toili 1
The Relationship Between Nutritional Intake and the Incidince of Wasting in Children Under Five in the Toili 1 Health Center Working Area
DOI:
https://doi.org/10.51888/jpmeo.v3i2.274Keywords:
Wasting, asupan energi, asupan karbohidrat, asupan protein, asupan lemakAbstract
Asupan zat gizi merupakan jumlah zat gizi yang masuk melalui konsumsi makanan sehari – hari untuk memperoleh energi guna melakukan kegiatan fisik sehari – hari. Penelitian ini bertujuan untuk menganalisis hubungan asupan gizi dengan kejadian wasting pada balita di wilayah kerja Puskesmas Toili I. Jenis penelitian yang digunakan adalah penelitian Observasional Analitik dengan pendekatan Cross Sectional. Populasi penelitian adalah seluruh balita di wilayah kerja Puskesmas Toili I dengan jumlah populasi 1357 orang dan sampel 115 orang. Teknik pengambilan sampel yang digunakan dalam penelitian ini adalah Proporsional Random Sampling. Instrumen penelitian yang digunakan yaitu Kuisioner Food Recall 24 jam yang kemudian dianalisis menggunakan program nutrisurvey dan analisis Univariat serta Bivariat. Hasil penelitian ini menunjukkan Asupan Energi Sesuai pada kelompok balita Tidak Wasting dan Wasting sebanyak 42 orang, dan yang Tidak Sesuai sebanyak 73 orang. Asupan Karbohidrat Sesuai pada kelompok balita tidak Wasting dan Wasting sebanyak 30 orang, dan yang tidak Sesuai sebanyak 85 orang. Asupan Protein Sesuai pada kelompok balita Tidak Wasting dan Wasting sebanyak 98 orang, dan yang Tidak Sesuai sebanyak 17 orang. Asupan lemak sesuai pada kelompok balita tidak Wasting dan Wasting sebanyak 41 orang, dan yang tidak sesuai sebanyak 74 orang. Hal ini menunjukkan bahwa terdapat hubungan yang signifikan antara variabel Asupan Energi, Asupan Karbohidrat, dan Asupan Lemak dengan kejadian Wasting pada Balita dengan nilai signifikan (p-0,00, p-0,00, p-0,00). Tidak terdapat hubungan yang signifikan antara variabel Asupan Protein dengan kejadian Wasting pada Balita dengan nilai signifikan (p-0,648). Saran pada penelitian selanjutnya yaitu alangkah lebih baik lagi jika menggunakan sumber data primer agar mendapatkan hasil lebih berkembang lagi dan penelitian selanjutnya mencoba untuk meneliti zat gizi mikro dengan wasting.
Nutrient intake is the amount of nutrients that enter through daily food consumption to obtain energy to carry out daily physical activities. This study aims to analyze the relationship between nutritional intake and the incidence of wasting in toddlers in the Toili I Community Health Center working area. The type of research used is Observational Analytical research with a Cross Sectional approach. The research population was all toddlers in the Toili I Community Health Center working area with a population of 1357 people and a sample of 115 people. The sampling technique used in this research is Proportional Random Sampling. The research instrument used was the 24-hour Food Recall Questionnaire which was then analyzed using the nutrisurvey program and Univariate and Bivariate analysis. The results of this study showed that the Appropriate Energy Intake in the Non-Wasting and Wasting toddler group was 42 people, and 73 people were Not Appropriate. Appropriate Carbohydrate Intake in the Not Wasting and Wasting toddler group was 30 people, and 85 people were Not Appropriate. Protein intake was appropriate for the Not Wasting and Wasting toddler group, 98 people, and 17 people who were not suitable. Appropriate Fat Intake in the Not Wasting and Wasting toddler group was 41 people, and 74 people were Not Appropriate. This shows that there is a significant relationship between the variables Energy Intake, Carbohydrate Intake and Fat Intake and the incidence of wasting in toddlers with significant values (p-0.00, p-0.00, p-0.00). There is no significant relationship between the protein intake variable and the incidence of wasting in toddlers with a significant value (p-0.648). Suggestions for future research are that it would be better to use primary data sources to get more developed results and for future research to try to examine micronutrients with wasting.
References
Afriyani, R., Malahayati, N., & Hartati, H. (2016). Faktor-faktor yang Mempengaruhi Kejadian Wasting pada Balita Usia 1-5 Tahun di Puskesmas Talang Betutu Kota Palembang. Jurnal Kesehatan, 7(1), 66-72.
Al Rahmad, A. H. (2016). Malnutrisi pada Balita Pedesaan dengan Perkotaan berdasarkan Karakteristik Keluarga: Data PSG 2015. Idea Nursing Journal, 7(3), 43-52.
Akombi, B. J., Agho, K. E., Hall, J. J., Wali, N., Renzaho, A. M., & Merom, D. (2017). Stunting, wasting and underweight in sub-Saharan Africa: a systematic review. International journal of environmental research and public health, 14(8), 863.
Briend, A., Khara, T., & Dolan, C. (2015). Wasting and stunting—similarities and differences: policy and programmatic implications. Food and nutrition bulletin, 36(1_suppl1), S15-S23.
Black, R. E., Allen, L. H., Bhutta, Z. A., Caulfield, L. E., de Onis, M., Ezzati, M., Mathers, C., &
Rivera, J. (2018). Maternal and child undernutrition: global and regional exposures and health consequences. The Lancet, 371(9608), 243-260.
Djerol, I., Talarima, B., & Siahaya, G. C. (2023). Hubungan Pola Makan Dengan Kejadian Hipertensi Pada Lansia Di Wilayah Kerja Puskesmas Siwalima Kabupaten Kepulauan Aru (Doctoral dissertation, Fakultas Ilmu Kesehatan Masyarakat, Universitas Kristen Indonesia maluku).
Dewey, K. G., & Adu‐Afarwuah, S. (2008). Systematic review of the efficacy and effectiveness of complementary feeding interventions in developing countries. Maternal & child nutrition, 4, 24-85.
Erika, Y. S., & Hajrah, W. O. Analisis Kejadian Wasting pada Balita Usia 6-59 Bulan.
Evitasari, D., Amalia, M., & Rahayu, I. P. (2022). Hubungan Pengetahuan Dan Sikap Terhadap Pemberian Mp Asi Pada Ibu Batita Wasting Di Uptd Puskesmas Majalengka Kabupaten Majalengka. Bunda Edu-Midwifery Journal (BEMJ), 5(2), 44-52.
Febrianto, W., Agustina, L., Faradiba, N., Pawestri, H. P., & Hukum, I. (2022). Pengaruh Angka Kecukupan Gizi (AKG) Terhadap Personal Branding UMKM Makanan Ringan Mr. Gelenk. Jurnal Aplikasi Dan Inovasi Ipteks SOLIDITAS, 5, 136-140.
Ferlina, H., Nurhayati, A., & Patriasih, R. (2020). Asupan Energi Pada Anak Wasting Di Desa Mandalasari Kabupaten Garut. Media Pendidikan, Gizi, Dan Kuliner, 9(1).
Forsyth, D. R., Evans, C., Bhatnagar, S., & McMahon, S. (2019). Impact of increased energy intake on wasting prevalence in children under five: A meta-analysis. Archives of Disease in Childhood, 104(1), 22-28.
Foster, J., & Line, A. D. (2021). The role of digital technology in nutrition education: Maximizing outreach and impact. Journal of Nutrition Education and Behavior, 53(5), 381-389.
Fisher, D. J., & Bennett, C. (2022). Enhancing the sustainability of nutrition interventions in Sub-Saharan Africa: Lessons from current practices. International Journal of Health Policy and Management, 11(4), 540-552.
Grellety, E., & Golden, M. H. (2016). The effect of randomised supplementation with high energy milk versus high carbohydrate food in malnourished children. Journal of Nutrition, 146(2), 249-254
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., & Strupp, B. (2017). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369(9555), 60-70.
Gupta, S., Brazier, C., Lowe, N. M., Zafar, S., & Tahir, B. (2020). Integrating health services and community nutrition: How to address the underlying determinants of malnutrition. Malnutrition Journal, 18(1), 10.
Harrison, G. A., Stormer, A., Herman, D. R., & Winicki, J. (2021). Public health interventions to combat childhood malnutrition in Southeast Asia. Asia Pacific Journal of Clinical Nutrition, 30(2), 316-327.
Jackson, A., Ashworth, A., Mokhtar, N., & Uauy, R. (2014). Severe malnutrition: building on the past for a brighter future. Food and Nutrition Bulletin, 35(2_suppl1), S3-S9.
Johnson, D.B., Beaudoin, S., Smith, L.T., Beresford, S.A., LoGerfo, J.P. (2018). Increasing fruit and vegetable intake in children through community-based intervention. Journal of Epidemiology & Community Health, 72(2), 154-160.
Johnson, A. D., & Markowitz, A. J. (2021). Early childhood nutrition education and the pathway to child health and wellness. Pediatrics, 147(2), e2020030287.
Lestari, D. (2023). Gambaran Pengetahuan, Pola Asuh Pemberian Makan Ibu, Dan Kejadian Wasting Anak Balita (Usia 24-59 Bulan) Di Wilayah Kerja Puskesmas Pacellekang Kabupaten Gowa= Description Of Knowledge, Mother-Feeding Parents, And Wasting In Under-Free Children (Aged 24-59 Months) In The Working Area Of Pacellekang Community Health Center, Gowa Regency (Doctoral dissertation, Universitas Hasanuddin).
Lestari, W. (2022). Faktor–Faktor yang Memengaruhi Wasting Pada Balita Di UPTD Puskesmas Siduaori Kecamatan Siduaori Kabupaten Nias Selatan. Jurnal Keperawatan Mandira Cendikia, 1(1), 190-197.
Lawson, M., Thomas, M., Hardinsyah, R. (2020). Balancing macronutrients for healthier child growth: Insights from new research in the nutrition field. Journal of Pediatric Gastroenterology and Nutrition, 70(5), 643-650.
Miko, A., & Al-Rahmad, A. H. (2017). Hubungan berat dan tinggi badan orang tua dengan status gizi balita di Kabupaten Aceh Besar. Gizi Indonesia, 40(1), 21-34.
Mawitjere, M. C., Amisi, M. D., & Sanggelorang, Y. (2021). Gambaran asupan zat gizi makro mahasiswa semester IV Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi saat pembatasan sosial masa pandemi covid-19. KESMAS, 10(2).
Martin, A. E., Black, R. E., & Smith, L. C. (2021). Impact of caregiver nutrition knowledge on the nutritional status of children under the age of five years: A systematic review. Public Health Nutrition, 24(3), 435-448.
Nata, M. M. W., & Setiadi, Y. (2023, October). Determinan Kejadian Wasting Pada Balita di Provinsi Aceh Tahun 2021. In Seminar Nasional Official Statistics (Vol. 2023, No. 1, pp. 321-330).
Nur, H., & Aritonang, E. Y. (2022). Gambaran Pola Makan Dan Kelelahan Kerja Pada Buruh Angkat Di PT. Karya Mandiri Prima Kabupaten Langkat. Journal of Health and Medical Science, 242-254.
Putri, D. S. K., & Wahyono, T. Y. (2013). Faktor langsung dan tidak langsung yang berhubungan dengan kejadian wasting pada anak umur 6–59 bulan di Indonesia tahun 2010. Media litbangkes, 23(3), 110-121.
Purwadi, H. N., Nurrika, D., Wulandari, M., Novrinda, H., & Febriyanti, H. (2023). Determinants of Wasted Among Age 6-59 Months: The Indonesia Family Life Survey 2014. Amerta Nutrition, 7.
Pradina, N. P. A. Hubungan Pola Makan Dengan Kejadian Stunting Pada Anak Usia 3-5 Tahun Di Desa Mengani 2021.
Rhamadani, R. A., & Adrianto, R. (2020). Underweight, stunting, wasting dan kaitannya terhadap asupan makan, pengetahuan ibu, dan pemanfaatan pelayanan kesehatan. Jurnal Riset Gizi, 8(2), 101-106.
Rica Ariyaningtiyas, R. I. C. A. (2019). Hubungan Citra Tubuh Dan Konsumsi Zat Gizi Makro Dengan Status Gizi Remaja Putri Di SMK Muhammadiyah 5 Surakarta (Doctoral dissertation, Institut Teknologi Sain dan Kesehatan PKU Muhammadiyah Surakarta).
Rotua, M., & Terati, T. (2021). Efektifitas Edukasi Terhadap Pola Asuh Makan, Asupan Zat Gizi Makro Dan Berat Badan Pada Balita Wasting Di Puskesmas Sukarami Kota Palembang. Ghidza: Jurnal Gizi Dan Kesehatan, 5(2), 120-132.
Rochmawati, R., Marlenywati, M., & Waliyo, E. (2016). Gizi kurus (wasting) pada balita di wilayah kerja puskesmas Kota Pontianak. Jurnal Vokasi Kesehatan, 2(2), 132-138.
Reynolds, A., Mann, J., Cummings, J., Winter, N., Mete, E., & Te Morenga, L. (2019). Carbohydrate quality and human health: a series of systematic reviews and meta-analyses. The Lancet, 393(10170), 434-445.
Saleh, C., Petrus, P., & Ahmad, A. (2022). Faktor Risiko Kejadian Wasting pada Baduta umur 7-24 bulan di Wilayah Kerja UPTD Puskesmas Wolo Kabupaten Kolaka. Jurnal Gizi Ilmiah: Jurnal Ilmiah Ilmu Gizi Klinik, Kesehatan Masyarakat dan Pangan, 9(2), 36-44.
Smith, J.D., Leung, C.W. (2021). Impact of Carbohydrate Quality on Child Nutritional Status and Wasting: A Randomized Controlled Trial. The Journal of Nutrition, 151(3), 703-710.
Stewart, C. P., Iannotti, L., Dewey, K. G., Michaelsen, K. F., & Onyango, A. W. (2019). Contextualising complementary feeding in a broader framework for stunting prevention. Maternal & Child Nutrition, 15(3), e12757.
Thompson, B., & Amoroso, L. (Eds.). (2011). Combating micronutrient deficiencies: food-based approaches. Cabi.
Thompson, B., Kratz, M., & Adebamowo, C. (2022). Traditional eating practices and their impact on child nutritional status in sub-Saharan Africa: A review. Nutrition Journal, 21(1), 5.
Victora, C. G., Adair, L., Fall, C., Hallal, P. C., Martorell, R., Richter, L., & Sachdev, H. S. (2016). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427-451.
Webb, P., Rogers, B., Rosenberg, I., Schlossman, N., Wanke, C., Bagriansky, J., ... & Johnson, Q. (2005). Delivering improved nutrition: Recommendations for changes to U.S. food aid products and programs. Nutrition Reviews, 63(10), 333-343.
World Health Organization. (1999). Management of severe malnutrition: a manual for physicians and other senior health workers. World Health Organization.
World Health Organization. (WHO). (2020). WHO Child Growth Standards and the Identification of Severe Acute Malnutrition in Infants and Children. Geneva: World Health Organization.
Williams, P.A., Smith, A.P. (2020). The Role of Carbohydrates in Infant Nutrition and the Prevention of Wasting: A Systematic Review. Pediatric Health, Medicine and Therapeutics, 11, 369-381.
World Health Organization. (2013). Essential nutrition actions: improving maternal, newborn, infant and young child health and nutrition.
World Health Organization. (2020). Malnutrition in children - Key facts. Geneva: World Health Organization.
Wells, J. C., Sawaya, A. L., Wibaek, R., Mwangome, M., Poullas, M. S., Yajnik, C. S., & Demaio, A. (2020). The double burden of malnutrition: aetiological pathways and consequences for health. The Lancet, 395(10217), 75-88.
Webb, P., & Block, S. (2020). Supportive policies for well-being and economic growth: the case of nutrition programmes in the early years. Best Practice & Research Clinical Gastroenterology, 48(4), 101692.
Yuliyawati, D. K., Pangestuti, D. R., & Suyatno, S. (2018). Hubungan Pola Pemberian Mp-Asi Dan Pola Asuh Gizi Dengan Status Gizi Bayi Usia 6-23 Bulan, Studi Kasus Di Kelurahan Langensari, Kecamatan Ungaran Barat, Kabupaten Semarang. Jurnal Kesehatan Masyarakat, 6(5), 342-349.
Zulfiana, Y., Fatmawati, N., & Pratiwi, Y. S. (2024). Hubungan Asupan Protein Dengan Kejadian Wasting Pada Balita. PROFESSIONAL HEALTH JOURNAL, 5(2), 467-475.
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