Identification Of Nutritional Status In Children Under Five Based On The Weight/Height Index With Screening Of Delivery Outcome History

Dewi Ayu Ningsih* -  Bachelor of Midwifery Study Program, STIKes Panca Bhakti, Lampung, Indonesia
Sirlii Diana -  Diploma of Midwifery Study Program, Muhammadiyah Pringsewu University, Lampung, Indonesia
DOI : 10.33024/jkm.v10i10.17792

Latar Belakang:  Prevalensi malnutrisi pada anak balita secara global dan nasional masih tinggi. Secara nasional prevalensi stunting mencapai 30,79%, wasting 10,2%, underweight 17,7%, overweight 8,0% dan menurun ditahun 2022 menjadi 21,6% (stunting), 7,7% (wasting), 17,1% (underweight) dan 3,5% (overweight). Kasusnya ditemukan lebih banyak di kabupaten Pesawaran, Provinsi Lampung yaitu 25,1% (stunting), 9,4% (wasting), 20,6% (underweight). Angka ini masih jauh dari target Rencana Pembangunan Jangka Menengah Nasional (RPJMN) bidang kesehatan 2020-2024 dengan target 14% (stunting) dan 7% (wasting). Kabupaten Pesawaran menduduki posisi pertama dengan kasus wasting terbanyak.

Tujuan: Penelitian ini bertujuan untuk melihat hubungan riwayat luaran persalinan yaitu usia kehamilan dan berat badan lahir dengan status gizi anak balita berdasarkan indeks Berat Badan/Tinggi Badan (BB/TB).

Metode: Penelitian ini merupakan penelitian observasional analitik dengan pendekatan cross-sectional. Variable independen yang diteliti pada penelitian ini adalah riwayat luaran persalinan berupa usia kehamilan ibu dan berat badan lahir bayi dan variabel dependen pada penelitian ini adalah status gizi balita. Analisis pada penelitian ini menggunakan analisis bivariate dengan uji chi square.

Hasil Penelitian: Analisis bivariate menunjukan riwayat usia kehamilan dan riwayat Berat Badan Lahir terbukti secara statistik berhubungan dengan status gizi balita berdasarkan indeks BB/TB dengan nilai p masing-masing sebesar 0,001 dan 0,000.

Kesimpulan: terdapat hubungan riwayat usia kehamilan dan riwayat Berat Badan Lahir bayi dengan status gizi balita berdasarkan indeks BB/TB.

Saran: Hasil ini dapat digunakan sebagai parameter preventif dalam upaya pencegahan malnutrisi pada balita.

 

Keywords: Berat Badan Lahir, Gizi Kurang, Malnutrisi, Outcome Persalinan, Usia Kehamilan

 

ABSTRACT

 

Background: The prevalence of malnutrition among children under five remains high globally and nationally. Nationally, rates of stunting, wasting, underweight, and overweight are significant, with stunting at 30.79%, wasting at 10.2%, underweight at 17.7%, and overweight at 8.0%. Projections for 2022 indicate a decrease to 21.6% for stunting, 7.7% for wasting, 17.1% for underweight, and 3.5% for overweight.In Pesawaran district, Lampung Province, rates are notably higher, with 25.1% for stunting, 9.4% for wasting, and 20.6% for underweight children. These figures underscore a significant gap from the 2020-2024 National Medium Term Development Plan (RPJMN) health targets of 14% for stunting and 7% for wasting. Pesawaran Regency specifically reports the highest incidence of wasting cases among these areas.

Aims: This study aims to examine the relationship between birth outcomes, specifically gestational age and birth weight, and the nutritional status of children under five based on the Body Weight/Height (BW/TB) index.

Method: This research employs an analytical observational study with a cross-sectional approach. The independent variables investigated are maternal gestational age and infant birth weight, while the dependent variable is the nutritional status of toddlers. Bivariate analysis using the chi-square test was conducted for data analysis.

Results: The bivariate analysis demonstrated statistically significant relationships between both gestational age (p = 0.001) and birth weight (p = 0.000) with the nutritional status of toddlers based on the BB/TB index.

Conclusion: There exists a significant association between gestational age and birth weight with the nutritional status of toddlers based on the BW/TB index.

Suggestion: These findings suggest that these factors can serve as crucial indicators for preventive measures against malnutrition in toddlers.

 

Keywords: Birth Weight, Wasting, Malnutrition, Birth Outcome, Gestational Age

 

Keywords : Birth Outcome, Gestational Age, Birth Weight, Wasting, Malnutrition

  1. Afifah, L. (2019). Hubungan Pendapatan, Tingkat Asupan Energi dan Karbohidrat dengan Status Gizi Balita Usia 2-5 Tahun di Daerah Kantong Kemiskinan. Amerta Nutr, 3(3), 183–188.
  2. Aisy, R. R., & Kurniasari, L. (2022). Hubungan Riwayat Persalinan Dan Riwayat Bblr Dengan Kejadian Stunting Pada Anak: Literature Review. Borneo Studies and Research, 3(2), 1734–1745. https://journals.umkt.ac.id/index.php/bsr/article/view/3046
  3. Andini, E. N., Udiyono, A., Sutiningsih, D., & Wuryanto, M. A. (2020). Factors Associated with Nutritional Status in Children Age 0-23 Months Based on the Composite Index of Anthropometric Failure (CIAF) in the Karangayu Community Health Center Work Area, Semarang City. Jurnal Epidemiologi Kesehatan Komunitas, 5(2), 104–112.
  4. Borah, M., & Baruah, R. (2014). Physical Growth of Low Birth Weight Babies in First Six Months of Life: a Longitudinal Study in a Rural Block of Assam. Natl J Community Med, 5(4), 397–400.
  5. Dewi, N.K., Widyasih, H., M. (2016). Kejadian Bayi Berat Lahir Rendah dan Status Gizi Balita. Kesehatan Ibu Dan Anak, 7(1), 59 – 63.
  6. Dinkes Prov. Lampung. (2022). Profil Dinas Kesehatan Provinsi Lampung. Angewandte Chemie International Edition, 6(11), 951–952., Mi, 5–24.
  7. Eka Puji Lestari, H., & Villasari, A. (2020). Historical Relationship of Premature Labor and Low Born Weight with Nutrition Status of Children Under Three Years Old. International Summit on Science Technology and Humanity (ISETH) , 50–57.
  8. Gusti, N. W., & Kasih, H. A. (2019). Faktor – faktor yang berhubungan dengan Tumbuh Kembang Balita (1-24 Bulan) di Posyandu Kelurahan Bojong Gede. Jurnal Ilmiah Kesehatan Stikes Bhakti Pertiwi Indonesia, 21, 59–64. https://stikes-bhaktipertiwi.e-journal.id/Kesehatan/article/view/39
  9. Jana, A., Dey, D., & Ghosh, R. (2023). Contribution of low birth weight to childhood undernutrition in India: evidence from the national family health survey 2019–2021. BMC Public Health, 23(1), 1–14. https://doi.org/10.1186/s12889-023-16160-2
  10. Kemenkes RI. (2018). Hasil Utama Riset Kesehata Dasar (RISKESDAS). Journal of Physics A: Mathematical and Theoretical, 44(8), 1–200. https://doi.org/10.1088/1751-8113/44/8/085201
  11. Kemenkes RI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kemenkes, 1–150.
  12. Khayati, Y.N. dan Sundari, S. (2019). Hubungan Berat Badan Lahir dengan Pertumbuhan dan Perkembangan. Indonesian Journal of Midwifery, 2(2), 58−63.
  13. Marshall, N. E., Abrams, B., Barbour, L. A., Christian, P., Friedman, J. E., Jr, W. W. H., Purnell, Q., Roberts, J. M., & Soltani, H. (2022). The importance of nutrition in pregnancy and lactation: lifelong consequences. 226(5), 607–632. https://doi.org/10.1016/j.ajog.2021.12.035.The
  14. Nengsih, U., Noviyanti, Djamhuri, D. S. (2016). Hubungan Riwayat Kelahiran Berat Bayi Lahir Rendah dengan Pertumbuhan Anak Usia Balita. Midwife Journal, 2(2), 59−67.
  15. Ntenda, P. A. M. (2019). Association of low birth weight with undernutrition in preschool-aged children in Malawi. Nutrition Journal, 18(1), 1–15. https://doi.org/10.1186/s12937-019-0477-8
  16. Raghavan, R., Dreibelbis, C., Kingshipp, B. L., Wong, Y. P., Abrams, B., Gernand, A. D., Rasmussen, K. M., Siega-Riz, A. M., Stang, J., Casavale, K. O., Spahn, J. M., & Stoody, E. E. (2019). Dietary patterns before and during pregnancy and maternal outcomes: A systematic review. American Journal of Clinical Nutrition, 109, 705S-728S. https://doi.org/10.1093/ajcn/nqy216
  17. Rahman, M.S., Howlader, T., Masud, M.S., Rahman, M. (n.d.). Assocoation of Low Birth Weight with Malnutrition in Children under Five Years in Bangladesh: Do Motheer’s Education, Socio Economic Status, and Birth Interval Matter? Jurnal Plos One, 11(6), 1–16.
  18. Rahman, M. S., Howlader, T., Masud, M. S., & Rahman, M. L. (2016). Association of low-birth weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLoS ONE, 11(6), 1–16. https://doi.org/10.1371/journal.pone.0157814
  19. Rizyana, N. P. and Y. (2018). Hubungan Pola Asuh Terhadap Status Gizi Balita di Wilayah Kerja Puskesmas Dadok Tunggul Hitam Kota Padang. Jurnal Ilmu Kesehatan (JIK), 2, Hal. 100-107.
  20. Rokhimawaty, A., Martono, S. U., & Utomo, T. (2021). Hubungan Berat Badan Lahir Dan Status Gizi Bayi Umur 1-6 Bulan Berdasarkan Indeks Bb/U. Indonesian Midwifery and Health Sciences Journal, 3(1), 62–69. https://doi.org/10.20473/imhsj.v3i1.2019.62-69
  21. Sania, A., Spiegelman, D., Rich-Edwards, J., Hertzmark, E., Mwiru, R. S., Kisenge, R., & Fawzi, W. W. (2015). The contribution of preterm birth and intrauterine growth restriction to childhood undernutrition in Tanzania. Maternal and Child Nutrition, 11(4), 618–630. https://doi.org/10.1111/mcn.12123
  22. Santosa, A., Kep, S., Kep, M., Arif, E. N., Kep, S., Ghoni, D. A., & Kep, S. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and experimental pediatrics, 65(2), 90. Clin Exp Pediatr, 65(2), 90–97. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841971/pdf/cep-2021-00094.pdf
  23. Stoody, E. E., Spahn, J. M., & Casavale, K. O. (2019). The Pregnancy and Birth to 24 Months Project: A series of systematic reviews on diet and health. American Journal of Clinical Nutrition, 109, 685S-697S. https://doi.org/10.1093/ajcn/nqy372
  24. Sulfianti S, Sutrio S, Novela V, Saragih E, Junita D, S. C. (2021). Penentuan Status Gizi . Sumatera Utara: Yayasan Kita Menulis. Yayasan Kita Menulis.
  25. The Joint Child Malnutrition Estimates (JME). (2023). Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates: Key Findings of the 2023 Edition. UNICEF, World Health Organization and World Bank Group, 24(2), 32. https://www.who.int/publications/i/item/9789240073791
  26. Tri purnani, W., & Nur Afifi, D. (2023). Hubungan Berat Badan Lahir Dengan Status Gizi Dan Perkembangan Pada Balita. Jurnal Bidan Pintar, 4(2), 519–525. https://doi.org/10.30737/jubitar.v4i2.5166
  27. Usrina, Nora; Norisa, Nanda ;Zahara, Evi ; Raisah, P. (2024). Hubungan Faktor Maternal dengan Status Gizi Anak Usia 6-23 Bulan Di Wilayah Kerja Puskesmas Ingin Jaya Kabupaten Aceh Besar. MAHESA: MALAHAYATI HEALTH STUDENT JOURNAL, 4(2), 409–425. https://ejurnalmalahayati.ac.id/index.php/MAHESA/article/view/12133
  28. WHO. (2015). Transforming our world: the 2030 Agenda for Sustainable Development. https://sdgs.un.org/2030agenda
  29. WHO. (2024). Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition
  30. Zoleko-Manego, R., Mischlinger, J., Dejon-Agobe, J. C., Basra, A., MacKanga, J. R., Diop, D. A., Adegnika, A. A., Agnandji, S. T., Lell, B., Kremsner, P. G., Matsiegui, P. B., Gonzalez, R., Menendez, C., Ramharter, M., & Mombo-Ngoma, G. (2021). Birth weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life. PLoS ONE, 16(2 February), 1–15. https://doi.org/10.1371/journal.pone.0246694

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