PENGARUH EDUKASI NUTRISI KEPADA IBU OBESITAS DENGAN ANAK STUNTING TERHADAP PENURUNAN BEBAN GANDA MALNUTRISI DI KECAMATAN SERANG BARU-KABUPATEN BEKASI
DOI:
https://doi.org/10.36805/jpx.v9i1.6815Kata Kunci:
Edukasi nutrisi, Stunting, Ibu obesitas, Beban ganda malnutrisiAbstrak
Beban ganda malnutrisi (ibu obesitas dengan anak stunting) telah menjadi sorotan penting dalam bidang kesehatan masyarakat baik di Indonesia maupun di Dunia. Kecamatan Serang Baru, Kabupaten Bekasi, merupakan salah satu daerah di Indonesia yang memiliki prevalensi stunting dan obesitas yang signifikan. Penelitian ini bertujuan untuk mengetahui efektivitas intervensi edukasi nutrisi kepada ibu obesitas dari anak stunting terhadap perubahan status beban ganda malnutrisi dalam rumah tangga. Penelitian diawali dengan pengumpulan data sosiodemografi, antropometri, dan data asupan makanan selama 2x24 jam ke belakang. Responden yang memenuhi kriteria inklusi kemudian dilakukan intervensi edukasi nutrisi setiap minggu secara tatap muka selama 3 bulan. Pada bulan ke tiga seluruh responden dilakukan pengambilan data kembali berupa data antropometri, dan data asupan makanan. Hasil penelitian menunjukkan setelah dilakukan intervensi eduksi nutrisi terjadi perubahan perubahan Skor HAZ anak yang semula -2,87±0,56 menjadi -2,61±0,62, sedangkan IMT ibu semula 32,52±2,48 menjadi 31,72±2,16 yang berbeda signifikan bila dibandingkan sebelum dilakukan intervensi (P<0,05). Dapat disimpulkan bahwa intervensi edukasi nutrisi dapat menurunkan beban ganda malnutrisi di Kecamatan Serang Baru, Kabupaten Bekasi.
Referensi
Anwar, S., Winarti, E., dan Sunardi, S. Systematic Review Faktor Risiko, Penyebab dan Dampak Stunting Pada Anak. Jurnal Ilmu Kesehatan. 2022, 11(1), 88-94.
Barton, J.R., Sibai, A.J., Istwan, N.B., Rhea, D.J., Desch, C.N., and Sibai, B.M. Spontaneously Conceived Pregnancy After 40: Influence of Age and Obesity on Outcome. American Journal of Perinatology. 2014, 31(9), 795-798.
Barzilai, N., Huffman, D.M., Muzumdar, R.H., and Bartke, A. The Critical Role of Metabolic Pathways in Aging. Diabetes. 2012, 61(6), 1315-1322.
Brown, K.H., and Solomons, N.W. Nutritional Problems of Developing Countries. Infectious disease clinics of North America. 1991, 5(2), 297-317.
Dayib, M., Larson, J., and Slavin, J. Dietary Fibers Reduce Obesity-Related Disorders: Mechanisms of Action. Current Opinion in Clinical Nutrition and Metabolic Care. 2020, 23(6), 445-450.
DeBoer, M.D., Scharf, R.J., Leite, A.M., Férrer, A., Havt, A., Pinkerton, R., et al. Systemic Inflammation, Growth Factors, and Linear Growth in The Setting of Infection and Malnutrition. Nutrition. 2017, 33, 248-253.
Fajzrina, L.N.W., dan Diana, R.R. Analisis Dampak Obesitas Terhadap Perkembangan Fisik Motorik Anak Usia 5 Tahun. Ceria: Jurnal Program Studi Pendidikan Anak Usia Dini. 2022, 11(1), 62-74.
Haslam, D.W., and James, W.P.T. Obesity. The Lancet. 2005, 366(9492), 1197-1209.
Hatijar, H. The Incidence of Stunting in Infants and Toddlers. Jurnal Ilmiah Kesehatan Sandi Husada. 2023, 12(1), 224-229.
Jaya, R., Rijal, A.S., dan Mohamad, I.R. Karakteristik Sosial Ekonomi Masyarakat Sub Das Alo Terhadap Perilaku Pemanfaatan Fisik Lahan. Journal of Humanity and Social Justice. 2020, 2(1), 53-67.
Jura, M., and Kozak, L.P. Obesity and Related Consequences to Ageing. Age (Dordrecht, Netherlands). 2016, 38(1),1-18.
Kristianto, W., Irwanto, dan Hapsara, K.N. Comparison of 2006 WHO Child Growth Standards And 2005 Growth Diagrams of Indonesian Children: Impact on Burden of Malnutrition. Indian Journal of Forensic Medicine and Toxicology. 2020, 14(2),2619-2624.
Mahumud, R. A., Uprety, S., Wali, N., Renzaho, A. M. N., and Chitekwe, S. The Effectiveness of Interventions on Nutrition Social Behaviour Change Communication in Improving Child Nutritional Status Within the First 1000 Days: Evidence from A Systematic Review and Meta-Analysis. Maternal and child nutrition. 2022, 18(1), 1-121.
Merchant, A.T., Vatanparast, H., Barlas, S., Dehghan, M., Shah, S.M., De Koning, L., and Steck, S.E. Carbohydrate Intake and Overweight and Obesity among Healthy Adults. Journal of the American Dietetic Association. 2009, 109(7), 1165-1172.
Muthiyah A.A.M.A. Literature Review: Korelasi Kejadian ISPA Terhadap Stunting. JIKSH: Jurnal Ilmiah Kesehatan Sandi Husada. 2021, 10(2), 728-733.
Nopala, C.A., dan Rachmiyani, I. Pertambahan Berat Badan Berlebih Selama Kehamilan dan Dampaknya Pada Kejadian Preeklampsia. Jurnal Penelitian dan Karya Ilmiah Lembaga Penelitian Universitas Trisakti. 2023, 8(2), 303-309.
Nurmalasari, Y., Utami, D., and Perkasa, B. Picky Eating and Stunting in Children Aged 2 to 5 Years in Central Lampung, Indonesia. Malahayati International Journal of Nursing and Health Science. 2020, 03(1), 29-34.
WHO Multicentre Growth Reference Study Group. WHO Child Growth Standards Based on Length/height, Weight and Age. Acta Paediatrica (Oslo, Norway: 1992). 2006, Supplement, 450, 76-85.
Sacks, G., Swinburn, B., and Lawrence, M. Obesity Policy Action Framework and Analysis Grids for A Comprehensive Policy Approach to Reducing Obesity. Obesity Reviews: An Official Journal of The International Association for The Study of Obesity. 2009, 10(1), 76-86.
Semba, R.D., Moench-Pfanner, R., Sun, K., de Pee, S., Akhter, N., Rah, J.H., et al. Consumption of Micronutrient-Fortified Milk and Noodles is Associated with Lower Risk of Stunting in Preschool-Aged Children in Indonesia. Food and Nutrition Bulletin, 2011, 32(4), 347-353.
Shetty P.S. Nutrition Transition in India. Public Health Nutrition. 2002, 5(1A), 175-182.
Slawik, M., and Vidal-Puig, A.J. Lipotoxicity, Overnutrition and Energy Metabolism in Aging. Ageing Research Reviews, 2006, 5(2), 144-164.
Udani, P.M. Nutritional Problems in Developing Countries. Paediatrician. 1979, 8(Suppl 1), 48-63.
World Bank. 2015. Beban Ganda Malnutrisi Bagi Indonesia, World Bank.