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Kualitas diet, kurang energi kronis (KEK), dan anemia pada pengantin wanita di Kabupaten Semarang

Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro, Indonesia

Received: 30 Oct 2018; Published: 6 Feb 2020.

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Abstract

Introduction: Pre-conception women are potential mothers or vulnerable groups who need special attention. The less of nutrients Intake than necessary can lead to nutritional problems such as Chronic Energy Deficiencyand nutritional anemia that have an impact on the next phase of life such as the risk of giving birth to babies with low birth weight (LBW), babies stunting, and growth disruption and development of the fetus / baby during pregnancy or after that.

Objective: To analyze the relationship between diet quality, chronic energy malnutrition status with anemia in the bride.

Methods: A cross-sectional study with 70 subjects who were brides aged 16-30 years. Selection of subjects with consecutive sampling method. Dietary quality data was measured through the Semi Quantitative Food Frequency Questionnaire (SQ-FFQ) and Diet Quality Index - International (DQI-I) forms, SEZ status assessed from body mass index (BMI) and upper arm circumference (LiLA). Anemia status was measured from hemoglobin levels, MCV, MCH, and MCHC. To examine the relationship between diet quality, chronic energy malnutrition, and anemia using a linear regression test.

Results: The subject aged 16-30 years, and 41.4% are still <20 years old. A total of 10 subjects (14.3%) belonged to Chronic Energy Deficiency. Haemoglobin level measurements showed there were 8 subjects (11.4%) who had low Hb levels, and 4 of them had anemia with microcytic hypychromic type which was characterized by low MCV, MCH and MCHC values. Based on the calculation of intake was known that 55 subjects (78.6%) had a low quality diet. This study showed no relationship between diet quality and anemia, but the sub-components of diet quality were adequacy of protein intake (p = 0.007), iron intake (p = 0.009) and upper arm circumference (p = 0.018) indicating a significant relationship with anemia (hemoglobin level) in the bride.

Conclusion: the less protein and iron intake and lower upper arm circumference associated with a decrease in the bride's hemoglobin level

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Keywords: Anemia; chronic energy shortages; diet quality; preconception

Article Metrics:

  1. Depkes RI. Pedoman Penanggulangan Anemia Gizi Untuk Remaja Putri,Wanita Usia Subur dan Calon Pengantin. Jakarta: Depkes RI ; 2011
  2. Depkes. Profil Kesehatan Indonesia tahun 2014 [Internet]. 2015. Available from: http://www.depkes.go.id/resources/download/pusdatin/profil-kesehatan-indonesia/profil-kesehatan-indonesia-2014.pdf
  3. Aisah S, Sahar J. Pengaruh Edukasi Kelompok Sebaya Terhadap Perubahan Perilaku Pencegahan Anemia Besi pada Wanita Usia Subur Di Kota Semarang. J Unimus. 2010;2:35–44
  4. Asyumdah. Gambaran Faktor-faktor Risiko BBLR Di Puskesmas Sumowono, Kabupaten Semarang [Tesis]. Stikes Ngudi Waluyo. 2016;
  5. Balarajan Y, Ozaltin E, Shankar A, Subramanian S. Anaemia in low-income and middle-income countries. Dep Glob Heal an Popul. 2011;
  6. Dinkes. Profil Kesehatan Provinsi Jawa Tengah Tahun 2014 [Internet]. Semarang; 2014. Available from: http://www.dinkesjatengprov.go.id/v2015/dokumen/profil2014/Profil_2014.pdf
  7. Dinas Kesehatan kota Semarang. Profil Kesehatan Kota Semarang 2014 [Internet]. Semarang; 2015. Available from: http://www.depkes.go.id/resources/download/profil/PROFIL_KAB_KOTA_2014/3374_Jateng_Kota_Semarang_2014.pdf
  8. Dinas Kesehatan kabupaten Semarang. Profil Kesehatan Kabupaten Semarang 2015. Semarang; 2015
  9. Djamil A. Peraturan Direktur Jendral Bimbingan Masyarakat Islam Nomor:DJ.II/542. 2013
  10. Kesehatan K. Kesehatan Reproduksi dan Seksual bagi Calon Pengantin. Jakarta; 2015
  11. WHO. Hemoglobin Concentrations For the Diagnosis Of Anaemia and Assesment Of Severity. 2011;
  12. Dinkes. Profil Kesehatan Kabupaten Semarang [Internet]. 2014. Available from: http://www.semarangkab.go.id/skpd/dinkes/
  13. Kemenkes RI. Pedoman Interpretasi Data Klinik. Kemenkes RI; 2011
  14. Indonesia R. Pedoman Perencanaan Program Gerakan Sadar Gizi Dalam Rangka Seribu Hari Pertama Kehidupan (1000 HPK). Jakarta; 2012
  15. Rahman DR, M.Thaha AR, Syam A. Asupan gizi mikro terhadap kepatuhan konsumsi di Kota Makassar [Tesis]. Program Studi Ilmu Gizi Fakultas Kesehatan Masyarakat Universitas Hasanuddin; 2013
  16. Santals, A et all. Body Mass Index ad Chronic Energy Deficiecny among Adult Santals of Purulina Distrit, West Bengal, India.2010Jurnal correlation between....
  17. Rahmi L. Faktor-Faktor yang Berhubungan Dengan Kekurangan Energi Kronik (KEK) pada Ibu Hamil di Puskesmas Belimbing Padang. J Kesehat Med Saintika. 2016;8:35–46
  18. Ariyani DE, Achadi EL, Irawati A. Validitas Lingkar Lengan Atas Mendeteksi Risiko Kekurangan Energi Kronis pada Wanita Indonesia. Kesmas Natl Public Heal J. 2012;7(2):83–90
  19. Marizal. Anemia Defisiensi Besi. J Kesehat Masy. 2007;2
  20. Soekirman. Ilmu Gizi dan Aplikasinya Untuk Keluarga dan Masyarakat. Jakarta: Departemen Pendidikan Nasional; 2000
  21. Laghari ZA, et al. Correlation of BMI and MUAC with Anemia among Sindh University Students, Jamshoro, Pakistan. Sindh Univ Res Jour. 2017: 49 (3): 553-556
  22. J.Corwin E. Buku Saku Patofisiologi. 3 ed. Jakarta: Penerbit Buku Kedokteran EGC; 2007
  23. Kathleen L, Escott-Stum S. Krause’s, Food and Nutrition Therapy. Saunders Elsevier. 2008. 865-872 p
  24. Murray R, W.Rodwell V. Biokimia Harper. 27th Ed. Jakarta: Penerbit Buku Kedokteran; 2009
  25. S S, Aryani. Konsumsi Makanan dan Kejadian Anemia pada Siswi Salah Satu SMP di Kota Makassar. J Kesehat Masy Nas. 2010;4
  26. Qin Y, Melse-Boonstra A, Xiaoqun Pan, YuanB, Dai Y, Zhao J, Zimmermann MB, Kok FJ, Xzhao M & Shi Z, Anemia inrelation to body mass index and wais circumeference among Chinese women. J Nutr 12: 2013: 10
  27. Kamruzzaman, Rabbani G, Saw A, Sayem A & Hossain G, Differentials inthe prevalence of anemia among nonpregnant,ever-married women in Bangladesh: multilevel logistic regressionanalysis of data from the 2011 BangladeshDemographic and Health Survey. BMCWomen’s Health; 2015
  28. Gupta A, Parashar A, Thakur A & Sharma D, Anemia among adolescent girls inShimla hills of North India: Does BMI andonset of menarche have a role? Indian J MedSci; 2012; 66(5): 126-130
  29. Neggers Y & Goldenberg RL, Somethoughts on body mass index, micronutrientintake and pregnancy outcome. Am J ClinNutr; 2003; 133: 1737S-1740S
  30. Black RE, Allen LH, Bhutta ZA, Caufield LE,De Onis M, Ezzati M, Rivera J, Maternal and child under nutrition: Global and regional exposures andhealth consequences. The Lancet Serieson Maternal and Child Undernutrition 1.Lancet, 2008; doi: 10.1016/S0140-6736(07)61690-0
  31. Alkerwi A. Diet Quality Concept. J Nutr; 2013 (30)
  32. Dieny, FF. 2014. Permasalahan Gizi pada Remaja Putri. Yogyakarta: Graha Ilmu
  33. Ghose and Yaya. 2018. Fruit and vegetable consumption and anemia among adult non-pregnant women: Ghana Demographic and Health Survey. PeerJ 6:e4414; DOI 10.7717/peerj.4414
  34. Syed S, Yaw Addo O. 2016. Determinants of Anemia among School-Aged Children in Mexico, the United States and Colombia. Nutrients 8(7):387 DOI 10.3390/nu8070387
  35. Chang, J.-S., Chen, Y.-C., Owaga, E., Palupi, K. C., Pan, W.-H., & Bai, C.-H. 2014. Interactive Effects of Dietary Fat/Carbohydrate Ratio and Body Mass Index on Iron Deficiency Anemia among Taiwanese Women. Nutrients, 6(9), 3929–3941. http://doi.org/10.3390/nu6093929
  36. Walmsley, R.N., Watkinson LR., Cain HJ., 1999, Plasma Iron: Case in chemical pathology a diagnostic approach, 4 th edition, 46.238
  37. DeLoughery TG. Microcytic Anemia. New England Journal of Medicine 2014; 371:1324-31

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