ASUPAN GIZI DAN POLA MAKAN ANAK STUNTING USIA 12-23 BULAN DI DESA LOKASI KHUSUS (LOKUS) KABUPATEN CIREBON
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Abstract
Stunting is a health problem in Cirebon Regency, 24.9 percent of er two years old are stunted. The problem of stunting that occurs during the age period of er two years old is the lack of nutrient intake which is influenced by the mother's upbringing in feeding her child. The purpose of this study was to determine the nutritional intake and diet of stunting children aged 12-23 months in the locus village of Cirebon Regency. The design is a mixed-method with a sequential explanatory strategy. Quantitative research to see the food intake of stunting children while qualitative research was used to determine the diet of stunting. Quantitative samples were 40 people, carried out in total sampling, while qualitative as many as 10 people were done by purposive sampling. Quantitative data collection is done through child height measurements and multiple 24-hour recalls for 3 days. Qualitative data collection is done by in-depth interviews. Quantitative data analysis was carried out descriptively, while qualitative data analysis was carried out through transcription, coding, categorization, theme making. The results showed that the nutritional intake of stunting children aged 12-23 months in the locus village of Cirebon Regency was <80% AKG (inadequate) for energy, protein, vitamin A, vitamin C, calcium, and zinc. The dietary pattern of stunting children aged 12-23 months in the locus village of Cirebon Regency is a non-varied menu, the frequency of inappropriate feeding, the number of less, types that are not diverse and irregular schedules than recommended. Nutritional intake does not meet the needs of children, while the dietary pattern is not following the standards of the Ministry of Health.
Keywords: nutritional intake, dietary pattern, stunting children, ages 12-23 months
ABSTRAK
Stunting menjadi masalah kesehatan di Kabupaten Cirebon, sebanyak 24,9% baduta mengalami stunting. Permasalahan stunting yang terjadi selama periode usia baduta adalah kurangnya asupan nutrisi yang dipengaruhi oleh pola asuh ibu dalam pemberian makan pada anaknya. Tujuan penelitian ini untuk mengetahui asupan gizi dan pola makan anak stunting usia 12-23 bulan di desa lokus Kabupaten Cirebon. Desain penelitian ini adalah adalah mixed method dengan strategi sequential explanatory. Penelitian kuantitatif untuk melihat asupan makan anak stunting sedang penelitian kualitatif digunakan untuk mengetahui pola makan anak stunting usia 12-23 bulan. Jumlah sampel kuantitatif 40 orang, dilakukan secara total sampling, sedang kualitatif sebanyak 10 orang dilakukan secara purposive sampling. Pengumpulan data kuantitatif dilakukan melalui pengukuran tinggi badan anak dan multiple 24 hour recall selama 3 hari. Pengumpulan data kualitatif dilakukan dengan wawancara mendalam. Analisis data kuantitatif dilakukan secara deskriptif, sedang analisis data kualitatif dilakukan melalui transkripsi, koding, kategorisasi, pembuatan tema. Hasil penelitian menunjukkan bahwa asupan gizi anak stunting usia 12-23 bulan di desa lokus Kabupaten Cirebon adalah tidak adekuat untuk energi, protein, vitamin A, vitamin C, kalsium, dan seng. Pola makan anak stunting usia 12-23 bulan di desa lokus Kabupaten Cirebon adalah menu yang tidak variatif, frekuensi pemberian makan yang tidak sesuai, jumlah yang kurang, jenis yang tidak beragam dan jadwal yang tidak teratur dari yang dianjurkan. Asupan gizi belum memenuhi kebutuhan anak, sedangkan pola makan belum sesuai dengan standar Kemenkes.
Kata kunci: asupan gizi, pola makan, anak stunting, usia 12-23 bulan
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Dwi Kusumayanti Dwi Kusumayanti, 1.Program Studi Magister Ilmu Kesehatan Masyarakat Fakultas Kedokteran Universitas Padjadjaran 2. Dinas Kesehatan Kabupaten Cirebon
google scholarReferences
Gibney MJ, Margetts BM, Kearney JM, Arab L. Gizi Kesehatan masyarakat. Probolinggo; EGC: 2013
Fenske N, Burns J, Hothorn T, Rehfuess EA. Understanding child stunting in India: a comprehensive analysis of socio-economic, nutritional and environmental determinants using additive quantile regression. PLoS One. 2013; 8(11): 78692. https://doi.org/10.1371/journal.pone.0078692
UNSCN. Nutrition targets and indicators for the post-2015 sustainable development goals. Standing Committee on Nutrition: Switzerland; 2015
Remans R, Wood SA, Saha N, Anderman TL, De Fries RS. Measuring nutritional diversity of national food supplies. Global Food Security. 2014; 3(3-4):174-82. https://doi.org/10.1016/j.gfs.2014.07.001
Kemenkes RI. Badan Penelitian dan Pengembangan Kesehatan. Riset Kesehatan Dasar : 2013.
Seksi Gizi Dinas Kesehatan Kabupaten Cirebon. Laporan bulan penimbangan balita. Kabupaten Cirebon : 2016.
Seksi Gizi Dinas Kesehatan Kabupaten Cirebon. Laporan bulan penimbangan balita. Kabupaten Cirebon: 2017.
Dewi KJ, Triska SN. Asupan energi dan protein berhubungan dengan gizi kurang pada anak usia 6-24 bulan. Nutrition. 2017; 1(2): 124-132. http://dx.doi.org/10.20473/amnt.v1i2.2017
I T Angeles, W J Schultink, P Matulessi, R Gross, S Sastroamidjojo. Decreased rate of stunting among anemic Indonesian preschool children through iron supplementation. American Journal of Clinical Nutrition. 1993; 58(3) : 339-42. doi: 10.1093/ajcn/58.3.339.
Sari M, de Pee S, Bloem MW, Sun K, Thorne-Lyman AL, Moench-Pfanner R, et al. Higher household expenditure on animal-source and nongrain foods lowers the risk of stunting among children 0-59 months old in Indonesia: implications of rising food prices. The Journal of Nutrition. 2010; 140(1) ;196S-200S. https://doi.org/10.3945/jn.109.110858
Oswari H, Djer MM, Dewi R, Harijadi. Kiat membuat anak sehat, tinggi, dan cerdas. Ikatan Dokter Anak Indonesia Cabang Dki Jakarta: Jakarta; 2016.
Carol B. The state of the world’s children. Unicef by Oxford University Press: 1998
Engle PL, Menon P, Haddad L. Care and nutrition: concept and measurement. International Food Policy Research Institute. Washington DC, USA. 1999.
Almatsier S. Prinsip dasar ilmu gizi. Gramedia Pustaka Utama; Jakarta: 2002.
Woge, Yoseph, Sudargo T. Faktor-faktor yang berhubungan dengan status gizi anak balita di Kecamatan Kelimutu Kabupaten Ende Flores Provinsi Nusa Tenggara Timur (Tesis). Universitas Gadjah Mada; Yogyakarta: 2007.
Riyadi H, Martianto D, Hastuti D, Damayanthi E, Murtilaksono K. Faktor – faktor yang mempengaruhi status gizi anak balita di Kabupaten Timor Tengah Utara Proinsi Nusa Tenggara Timur. Jurnal Gizi dan Pangan. 2011; 6(1): 66-73. https://doi.org/10.25182/jgp.2011.6.1.66-73
Picauly I, Mainan SM. Analisis determinan dan pengaruh stunting terhadap prestasi belajar anak sekolah di Kupang Dan Sumba Timur, NTT. Jurnal Gizi dan Pangan. 2013; 8(1): 55-62. https://doi.org/10.25182/jgp.2013.8.1.55-62.
Theresa A. N, Tom B, Karen W. Cullen, Gerald B. Eating patterns, dietary quality and obesity. Journal of the American College of Nutrition. 2001; 20(6): 419-39. https://doi.org/10.1080/07315724.2001.10719064
Regar E, Sekartini R. Hubungan kecukupan asupan energi dan makronutrien dengan status gizi anak usia 5-7 tahun di Kelurahan Kampung Melayu Jakarta Timur tahun 2012. e Journal Kedokteran Indonesia. 2013;1(3):184–189. https://doi/org/10.23886/ejki.1.3001.
Nurhasanah N, Rachmawati DA, Sutejo IR. Severe Deficit in Energy and Protein Intake Correlates wih Stunting among Children Aged 12-24 Months in Plerean Sumberjambe Jember. Journal Of Agromedicine And Medical Asiences. 2021; 7(2): https://doi.org/10.19184/ams.v7i2.24828
Sulistya HK, Sunarto. Hubungan tingkat asupan energi dan protein dengan kejadian gizi kurang anak usia 2-5 tahun. Jurnal Gizi Universitas Muhammadiyah Semarang. 2013; 2(1). https://doi.org/10.26714/jg.2.1.2013.%25p
Rahim FK. Faktor risiko underweight balita umur 7-59 bulan. Jurnal Kesehatan Masyarakat 2014; 9(2): 115–21. https://doi.org/10.15294/kemas.v9i2.2838
Baculu EPH, Juffrie M, Helmyati S. Faktor risiko gizi buruk pada balita di Kabupaten Donggala Provinsi Sulawesi Tengah. Jurnal Gizi dan Dietetik Indonesia. 2015; 3(1): 51–9. http://dx.doi.org/10.21927/ijnd.2015.3(1).51-59
Whitney E, Rolfes SR. Understanding nutrition. 12 th edition. Kanada: Wadsworth. 2007.
Nyankovskyy S, Dobryanskyy D, Ivakhnenko O, Iatsula M, Javorska M, Shadryn O, et al. Dietary habits and nutritional status of children from Ukraine during the first 3 years of life. Pedriatic nutrition. 2014; 89(6): 395–405. Doi.10.1016/j.pepo.2014.08.003
Koletzko B, von Kries R, Closa R, EscribanoJ, Scaglioni S, Giovannini M, et al. Lower protein in infant formula is associated with lower weight up to age 2 y: arandomized clinical trial. The American Journal of Clinical Nutrition. 2009; 89(6): 1836–45. https://doi.org/10.3945/ajcn.2008.27
Demissie S, Worku A. Magnitude and factors associated with malnutrition in children 6-59 months of age in pastoral community of Dollo Ado District, Somali Region, Ethiopia. Science Journal of Public Health. 2013; 1(4): 175-183. DOI: 10.11648/j.sjph.20130104.12
Mukabutera A, Thomson DR, Hedt-Gauthier BL, Basinga P, Nyirazinyoye L, Murray M. Risk factors associated with underweight status in children under five: an analysis of the 2010 Rwanda Demographic Health Survey (RDHS). BMC Nutrition. 2016; 2(1): 40. DOI: 10.1186/s40795-016-0078-2
Aries M, Herdinsyah H, Tuhiman H. Determinan gizi kurang dan stunting anak Umur 0 – 36 bulan berdasarkan data Program Keluarga Harapan (PKH ) 2007. Jurnal Gizi dan Pangan. 2012; 7(1): 19–26. https://doi.org/10.25182/jgp.2012.7.1.20-27
Wamani H, Astrøm AN, Peterson S,Tumwine JK, Tylleskär T. Boys are more stunted than girls in Sub-Saharan Africa: ameta-analysis of 16 demographic and health surveys. BMC pediatrics. 2007;7:17. DOI: 10.1186/1471-2431-7-17
Ersulessy V, Mursyid A, Wijanarka A.Tingkat pendapatan dan pola makan berhubungan dengan status gizi balita di daerah Jayapura Utara Kota Jayapura. Jurnal Gizi dan Dietetik Indonesia. 2013; 1(3):143-150. http://dx.doi.org/10.21927/ijnd.2013.1(3).143-150