Picky eating dan status gizi pada anak prasekolah

Rahma Hardianti -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
*Fillah Fithra Dieny -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Hartanti Sandi Wijayanti -  Departemen Ilmu Gizi, Fakultas Kedokteran, Universitas Diponegoro, Indonesia
Received: 27 Apr 2018; Published: 1 Aug 2018.
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Abstract

Background : Picky eater tended to reject new or unfamiliar foods. They had preferred food that lead to less food intake diversity. Futhermore, inadequate variation and amount of food intake could distrupt the growth of children.

Objective : To determine the correlation between picky eating  and nutritional status in preschool children.

Methods : This was an observational studies with cross sectional design. Sixty-three subjects were randomly selected based on the inclusion criteria. Data collected included socio-demographic information. Picky eating was obtained through the Children’s Eating Behavior Questionnaire. Nutritional status was measured based on weight-for-height z-score (WHZ), weight-for-age z-score (WAZ), and height-for-age z-score (HAZ).Nutrition intake was assessed by 2x24h dietary recall. Physical activity was obtained using Early Years-Physical Activity Questionnaire. Data were analyzed using Chi-square and Fisher's test.

Results : The prevalence of picky eater was 52.4% in preschoolers. WHZ, WAZ, and HAZ mean were -0.3±1.5SD, -0.2±1.3SD, and HAZ -0.2±1.3SD, respectively. Picky eating was associated with carbohydrate and fiber intake (p<0.05). There was no correlation between picky eating and nutritional status of WHZ, WAZ and HAZ (p>0.05). Meanwhile, food intake associated with nutritional status of BB/U was energy, protein and fat intake (p<0.05).

Conclusion : There was no relation between picky eating  with nutritional status of WHZ, WAZ and HAZ in preschool children.

Keywords
picky eating, nutritional status, preschool

Article Metrics:

  1. Brown JE. Nutrition through the life cycle. 4th ed. Fluoride. Cengage Learning; 2011. p. 296-309.
  2. Xue Y, Lee E, Ning K, Zheng Y, Ma D, Gao H, et al. Prevalence of picky eating behaviour in Chinese school-age children and associations with anthropometric parameters and intelligence quotient. A cross-sectional study. Appetite. 2015;91:248–55.
  3. Cooke L, Carnell S, Wardle J. Food neophobia and mealtime food consumption in 4–5 year old children. Int J Behav Nutr Phys Act. 2006 Mar 17;3(14).
  4. Northstone K, Emmett P. The associations between feeding difficulties and behaviours and dietary patterns at 2 years of age: The ALSPAC cohort. Matern Child Nutr. 2013;9(4):533–42.
  5. Wright CM, Parkinson KN, Shipton D, Drewett RF. How do toddler eating problems relate to their eating behavior, food preferences, and growth? Pediatrics. 2007;120(4):1069-75.
  6. Antoniou EE, Roefs A, Kremers SPJ, Jansen A, Gubbels JS, Sleddens EFC, et al. Picky eating and child weight status development: A longitudinal study. J Hum Nutr Diet. 2016;29(3):298–307.
  7. Mikhail WZ, Khairy SA, Salem HYHA, Samy MA. Effect of nutritional status on growth pattern of stunted preschool children in Egypt National Nutrition Institute ( NNI ), Cairo , Egypt. Academic Journal of Nutrition. 2013;2(1):1–9.
  8. Kwok FYY, Ho YYF, Chow CM, So CYN, Leung TF. Assessment of nutrient intakes of picky-eating Chinese preschoolers using a modified food frequency questionnaire. World J Pediatr. 2013;9(1):58–63.
  9. Fitriani F, Febry F, Mutahar R. Gambaran penyebab kesulitan makan pada anak prasekolah usia 3-5 tahun di perumahan top amin mulya jakabaring palembang tahun 2009. J Publ Ilm Fak Kesehat Masy Univ Sriwij. 2009.
  10. Telaumbanua LK. Faktor-Faktor Yang Mempengaruhi Sulit Makan Pada Usia Prasekolah Di TK Islam Nurul Hikmahbantar Gebang Bekasi Tahun 2013 [Skripsi]. Bekasi: STIKES Medistra Indonesia; 2013.
  11. Kesuma A, Novayelinda R, Sabrian F. Faktor Faktor yang Berhubungan dengan Perilaku Kesulitan Makan Anak Prasekolah. [Skripsi] Riau: Universitas Riau; 2015.
  12. Kusuma HS, Ma’shumah N. Status gizi balita berbasis status pemilih makan di wilayah kerja puskesmas kedungmundu semarang. Dalam: The 2nd University Research Coloquium 2015; 2015. p 184-9.
  13. Ekstein S, Laniado D, Glick B. Does picky eating affect weight-for-length measurements in young children? Clin Pediatr. 2010;49(3):217–20.
  14. Jansen PW, Roza SJ, Jaddoe VW, Mackenbach JD, Raat H, Hofman A, et al. Children’s eating behavior, feeding practices of parents and weight problems in early childhood: results from the population-based Generation R Study. Int J Behav Nutr Phys Act. 2012;9(1):130.
  15. National Institute for Health Research & Development. Riset Kesehatan Dasar (National Health Survey). Minist Heal Repub Indones. 2013;(1):1–303.
  16. Dinkes Kota Semarang. Profil Kesehatan Kota Semarang Tahun 2013. Dinas Kesehat Kota Semarang; 2014:72.
  17. Wardle J, Guthrie CA, Sanderson S, Rapoport L. Development of the children’s eating behaviour questionnaire. J Child Psychol Psychiatry. 2001;42(7):963–70.
  18. Tharner A, Jansen PW, Jong JCK, Moll HA, Ende J Van Der, Jaddoe VW V, et al. Toward an operative diagnosis of fussy / picky eating : a latent profile approach in a population-based cohort. International Journal of Behavioral Nutrition and Physical Activity. 2014;1–11.
  19. Kementerian Kesehatan RI. Keputusan Menteri Kesehatan Republik Indonesia, No.1995/Menkes/SK/XII/2010 tentang Standar Antropometri Penilaian Status Gizi Anak; 2011.
  20. Gibson RS. Principles of nutritional assessment. 2nd ed. New York: Oxford University Press; 2005. 208 p.
  21. Hardinsyah, Riyadi H, Napitupulu V. Kecukupan Energi, Protein, Lemak dan Karbohidrat. Dalam Widyakarya Nasional Pangan dan Gizi X; 2015.
  22. Bingham DD, Collings PJ, Clemes SA, Costa S, Santorelli G, Griffiths P, et al. Reliability and validity of the Early Years Physical Activity Questionnaire (EY-PAQ). Sports. 2016;1–14.
  23. Xue Y, Zhao A, Cai L, Yang B, Szeto IM., Ma D, et al. Growth and development in Chinese pre-schoolers with picky eating behaviour: a crosssectional study. PLoS One: 2015; 10(4).
  24. Centre for Population Health. Caring for children birth to 5 years (food, nutrition and learning experiences). NSW Ministry of Health. p. 72-77.
  25. Mascola AJ, Bryson SW, Agras WS. Picky eating during childhood: a longitudinal study to age 11 years. Eat Behav. 2010;11:253-7.
  26. Taylor CM, Wernimont SM, Northstone K, Emmett PM. Picky / fussy eating in children : Review of definitions, assessment prevalence and dietary intakes. Appetite. 2015;95:349–59.
  27. Jacobi C, Schmitz G, Agras WS. Is picky eating an eating disorder? Int J Eat Disord. 2008;41:626-34.
  28. Taylor CM. Northstone K, Wernimont SM, Emmet PM. Macro- and micronutrient intakes in picky eaters: a cause for concern? Am J Clin Nutr: 2016.
  29. Heart Foundation. Kids at Play-Active Play and Eating Well Project. [Internet]. 2007. [cited 2018 Mar 9]. Available from: http://www.dhhs.tas.gov.au
  30. Van der Horst K, Deming DM, Lesniaukas, Carr BT, Reidy KC. Picky eating : Associations with child eating characteristics and food nntake. Appetite. 2016; 103: 286-293.
  31. Jones LR, Steer CD, Rogers IS, Emmett PM. Influences on child fruit and vegetable intake : sociodemographic , parental and child factors in a longitudinal cohort study. Public Health Nutr. 2010; 13: 1122–1130.
  32. Arisman. Buku ajar ilmu gizi : gizi dalam daur kehidupan. 2nd ed. Jakarta: Penerbit Buku Kedokteran EGC; 2008.
  33. Hunter JG, Cason LK. Picky Eaters. [Internet]. 2008. [cited 2018 Mar 9]. Available from: https://hgic.clemson.edu/factsheet/picky-eaters/
  34. Supariasa IDN, Bakri B, Fajar I. Penilaian status gizi. 1st ed. Jakarta: Penerbit Buku Kedokteran EGC; 2001: 56-58.
  35. Almatsier, S. Prinsip dasar ilmu gizi. Jakarta : Penerbit PT Gramedia. Pustaka Utama; 2009.
  36. Harbran J, Booley S, Najaar B, Day CE. Responsive feeding: establishing healthy eating behaviour early on life. South Africa Journal of Clinical Nutrition. 2013; 26(3)(Supplement): 141-149.
  37. Aboud FE, Akhter S. A cluster-randomized evaluation of a responsive stimulation and feeding intervention in Bangladesh. Pediatrics. 2011;127: 1191–1197.
  38. Unit Kerja Koordinasi Nutrisi dan Penyakit Metabolik. Rekomendasi Praktik Pemberian Makan Berbasis Bukti pada Bayi dan Batita di Indonesia untuk Mencegah Malnutrisi. Rekomendasi Praktik Pemberian Makan Berbasis Bukti pada Bayi dan Batita di Indonesia untuk Mencegah Malnutrisi. Ikatan Dokter Anak Indonesia; 2015.
  39. Bentley ME, Wasser HM, Creed-Kanashiro HM. Responsive feeding and child undernutrition in low and middle income countries. Journal of Nutrition. 2011; 141: 502–507.
  40. Aboud FE, Shafique S, Akhter S. Responsive feeding intervention increases children’s self-feeding and maternal responsiveness but not weight gain. Journal of Nutrition. 2009; 139: 1738–1743.
  41. McMaster Children’s Hospital. Still a picky eater? Helping children who are selective eaters. Hamilton Health Sciences: 2012.