STATUS KESEHATAN, INFLAMASI, DAN STATUS GIZI ANAK UMUR 0,5 – 12,9 TAHUN DI INDONESIA
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Abstract
Penyakit infeksi dan konsumsi makanan merupakan penyebab langsung kurang gizi pada anak-anak yang masih merupakan masalah kesehatan masyarakat Indonesia. Dalam Studi SEANUTS dikumpulkan 9 penyakit infeksi, sebagian besar merupakan 10 penyakit utama penyebab kematian dan kesakitan, dengan wawancara adanya penyakit dalam waktu 1, 6, atau 12 bulan terakhir sesuai jenis penyakitnya baik yang didiagnosa tenaga kesehatan ataupun gejala penyakit. Sampel adalah anak umur 0,5-12,9 tahun dari 48 kabupaten/kota. Hasil studi menunjukkan prevalensi tertinggi diagnosa adalah ISPA (11,8-27,7%) dan diare (5,2-22,4%). Sedangkan 7 penyakit lainnya yaitu pneumonia, demam tifoid, malaria, campak, tuberkulosis paru, demam berdarah, dan hepatitis dengan prevalensi di bawah 5 persen. Pada kelompok umur anak yang lebih muda ditemukan prevalensi penyakit ISPA dan diare lebih tinggi dibandingkan pada kelompok umur di atasnya. Kemudian, prevalensi lebih tinggi di perdesaan dibanding perkotaan. Pada kelompok anak yang menderita lebih banyak penyakit ditemukan prevalensi kurang gizi (underweight) yang lebih tinggi. Kadar CRP di atas normal sebagai biomarker inflamasi terjadi pada 4,2-10,4 persen anak
ABSTRACT
HEALTH STATUS, INFLAMATION, AND NUTRITIONAL STATUS OF INDONESIAN CHILDREN 0.5 – 12,9 YEARS OLD
Infection and dietary intake are directly associated with malnutrition. Both are still major public health problems among children in Indonesia. SEANUTS showed that 9 types of infections are included in the 10 leading causes of morbidity and mortality among children 0.5-12.9 year old. The data collected through interview comprised of diagnosed or apparent symptoms of different types of diseases over previous 1, 6, or 12 months. The results showed high period prevalence of ARI (11.8-27.7%) and diarrhoea (5.2-22.4%). The prevalence of 7 other diseases (pneumonia, thypoid fever, malaria, measles, tuberculosis, dengue hemmoraghic fever, and hepatitis) was below 5 percent. The prevalence of ARI and diarrhrea was higher in younger children than older children, and the prevalence was higher in rural compared to urban areas. Elevated CRP as a sign of inflammation was found in 4.2-10.4 percent children. The prevalence of underweight was higher among children suffering more diseases compared to healthy children.
Keywords: health status, inflammation, infectious diseases, nutritional status
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