Abstract

Gizi buruk yang merupakan masalah penting di semua negara-negara miskin dan berkembang bertanggung jawab terhadap 60 persen kematian balita. Prevalensi balita gizi buruk di Indonesia tergolong tinggi, pada 2005, berbagai propinsi di Indonesia melaporkan 76.178 balita mengalami gizi buruk. Kasihan adalah salah satu kecamatan di kabupaten Bantul berbatasan dengan Kotamadya Yogyakarta yang menghadapi permasalahan gizi buruk. Tujuan penelitian adalah mengetahui angka kejadian dan faktor risiko gizi buruk di Kecamatan Kasihan, Kabupaten Bantul. Penelitian ini menggunakan desain studi kasus kontrol meliputi kelompok kasus 54 balita malnutrisi dan kelompok kontrol 54 balita gizi baik. Status gizi ditentukan berdasarkan Z score berat badan menurut umur. Hasil penelitian menunjukkan bahwa tingkat pendidikan ibu yang tinggi (OR = 0,4 ; 95% CI = 0,19 - 0,79), jarang kelahiran lebih dari 60 bulan (OR = 0,3; 95% CI = 0,11 - 0,90), berat lahir normal (OR = 0,2; 95% CI = 0,10 - 0,60), dan riwayat penyakit kronis (OR = 0,3; 95% CI = 0,14 - 0,80) merupakan faktor protektif malnutrisi pada balita. Malnutrisi tidak berhubungan dengan umur ibu, paritas, tingkat pendidikan ayah, pendapatan keluarga, riwayat ASI, anggota keluarga yang merokok dan imunisasi campak. Malnutrition is one of the leading causes of morbidity and mortality in children under five years of age in developing countries. Malnutrition significantly increases the risk of infant and child death. Although the incidence of malnutrition in Yogyakarta lower than other provinces in Indonesia, the prevalence of severe malnutrition of children under five years of age was 1.14%. the objective of this study were to identify and determine the risk factors for malnutrition in children under the five years of age in Kasihan 1, Bantul District. Case control design was conducted among 54 children under the age of five with malnutrition (z score <-2 Deviation Standart) and 54 comparison children from Kasihan 1. The data were collected using structured questionnaire. The children’s weight and length were measured using standardized and calibrated device. Nutrition state classified using Z score (weight for age) Anthropometry WHO software version 2011. The protective factors for malnutrition were high maternal education (OR = 0.4 ; 95% CI = 0.19 - 0.79), birth space more than 60 months (OR = 0.3; 95% CI = 0.11- 0.90), normal birth weight (OR = 0.2; 95% CI = 0.10 - 0.60), and no history of chronic disease (OR = 0.3; 95% CI = 0.14 - 0.80). There are no relationship between malnutrition with maternal age, parity, paternal education, income, history of breastfeeding, smoking member of family and measles immunization.

References

1. Atmarita. Nutrition Problems in Indonesia. An Integrated International Seminar and Workshop on Lifestyle- Related Diseases. Yogyakarta. Gadjah Mada University, 19-20 Maret 2005. Yogyakarta: UGM; 2005.

2. Mamoun N, Homedia S, Mabyou M, Muntasir HMA, Salah T, Adam I. Prevalence, types and risk factors for malnutrition in displaced Sudanese children. American Journal of Infectious Disease. 2005; 1(2): 84-6.

3. Amsalu S, Tigabu Z. Risk factors for severe acute malnutrition in children under the age of five: a case-control study. Ethiopian Journal of Health Development. 2008; 22(1): 121-5.

4. Direktorat Bina Gizi Masyarakat. Sistem kewaspadaan dini (SKD) KLBgizi buruk. Jakarta: Direktorat Bina Gizi Masyarakat Kementerian Kesehatan Republik Indonesia; 2008.

5. Rayhan MI, Khan MSH. Factors causing malnutrition among under five children in Bangladesh. Pakistan Journal of Nutrition. 2006; 5 (6): 558- 62.

6. Rodriguez L, Cervantes E, Ortiz R. Malnutrition and gastrointestinal and respiratory infections in children: a public health problem. International Journal of Environmental Research and Public Health. 2011; 8: 1174-205.

7. Pasricha SR, Biggs BA. Undernutrition among children in South and South-East Asia. The Journal of Physical Chemistry. 2010; (46): 497-503.

8. Ramachandran P, Gopalan HS. Undemutrition & risk of infections in preschool children. Indian Journal of Medical Research. 2009; 130 (50: 579-83.

9. Schmidt WP, Genser B, Luby SP, Chalabi Z. Estimating the effect of recurrent infectious diseases on nutritional status: sampling frequency, sample-size, and bias. Journal of Health Population and Nutrition. 2011; (4): 317-26.

10. Ernawati A. Hubungan faktor sosial ekonomi, higiene sanitasi lingkungan, tingkat konsumsi dan infeksi dengan status gizi anak usia 2-5 tahun di Kabupaten Semarang 2003 [tesis]. Semarang: Universitas Diponegoro; 2006.

11. De Aquino RC, Phillippi ST. Identification of malnutrition risk factors in hospitalized patients. Review Association Medical Bras. 2011; 57(6): 623-9.

12. Emiralda. Pengaruh pola asuh anak terhadap terjadinya balita malnutrisi di Wilayah Kerja Puskesmas Montasik Kecamatan Montasik Kabupaten Aceh Besar tahun 2006 [tesis]. Medan: Universitas Sumatera Utara; 2005.

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