Efektivitas Pemberian Makanan Tambahan Terhadap Lingkar Lengan Atas pada Ibu Hamil Kekurangan Energi Kronik (KEK) di Kabupaten Sleman

Lidwina Pandhita Febriyani; Dittasari Putriana; Ibtidau Niamilah

doi:10.61132/corona.v4i1.2128

Authors

Lidwina Pandhita Febriyani Universitas ‘Aisyiyah Yogyakarta
Dittasari Putriana Universitas ‘Aisyiyah Yogyakarta
Ibtidau Niamilah Universitas ‘Aisyiyah Yogyakarta

DOI:

https://doi.org/10.61132/corona.v4i1.2128

Keywords:

Chronic Energy Deficiency, Local Food, Pregnant Women, Supplementary Food, Supper Arm Circumference

Abstract

Chronic Energy Deficiency (CED) in pregnant women remains a health problem in Indonesia, including in Sleman District. CED can be overcome through the provision of supplementary foods (PMT) based on local foods that are high in energy and protein. This study aims to determine the effectiveness of local PMT on upper arm circumference (UAC) in pregnant women with CED. The study design used an analytical observational approach with a cross-sectional approach. The sampling technique used in this study was total sampling, involving 47 pregnant women with CEM who received local PMT for at least 90 days in 2024 at the Cangkringan and Sleman Community Health Centers. The secondary data in this study were the results of LILA measurements before and after the provision of local PMT. The Wilcoxon Signed Test was used to analyze the difference in LILA. The results showed that the median LILA before PMT administration was 22 cm and after PMT administration was 23.6 cm, with an increase of 1.6 cm. There was a significant difference between LILA before and after local PMT administration (p = 0.000). After local PMT administration, 51.06% of pregnant women had LILA > 23.5 cm. It is hoped that further research can explore the intake of pregnant women with KEK during local PMT administration as additional data to examine the effectiveness of local PMT on LILA in pregnant women with KEK.

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References

Adfar, T. D. A., Nova, M., & Adriani, I. (2022). Efektivitas pendampingan ibu hamil kurang energi kronis terhadap peningkatan status gizi. Jurnal Pangan Kesehatan dan Gizi Universitas Binawan, 2(2), 37–47. https://doi.org/10.54771/jakagi.v2i2.426

Alhasani, N. F., Yanti, L., & Surtininsih. (2022). Formula kacang hijau untuk penambahan LILA ibu hamil dengan kekurangan energi kronik (KEK). Seminar Nasional Penelitian dan Pengabdian kepada Masyarakat, 1–8. https://prosiding.uhb.ac.id/index.php/SNPPKM/article/view/1013

Amadou, I., & Lawali, S. (2022). Smart management of malnutrition using local foods: A sustainable initiative for developing countries. Frontiers in Sustainable Food Systems, 6, 1–8. https://doi.org/10.3389/fsufs.2022.725536

Bustan, W. N., Salam, A., Jafar, N., Virani, D., & Mansur, M. A. (2021). Hubungan pola konsumsi dan pengetahuan gizi dengan kejadian kurang energi kronik pada ibu hamil di wilayah kerja Puskesmas Sudiang Kota Makassar. The Journal of Indonesian Community Nutrition, 10(1), 34–51.

Fakhriza, I., Karnasih, I. G. A., & Aby R, D. (2024). Hubungan ukuran lingkar lengan atas dengan kejadian anemia pada ibu hamil: Literature review. Jember Maternal and Child Health Journal, 1(1), 40–47. https://doi.org/10.31290/jmch.v1i1.4939

Fine, K. S., Wilkins, J. T., & Sawicki, K. T. (2024). Circulating branched chain amino acids and cardiometabolic disease. Journal of the American Heart Association, 13(7), 1–12. https://doi.org/10.1161/JAHA.123.031617

Hardiansyah, & Supariasa, I. D. N. (2017). Ilmu gizi: Teori dan aplikasi. EGC.

Hasanah, U., Monica, O. T., Susanti, D., & Hariyanti, R. (2023). Hubungan pendidikan dan pekerjaan dengan kejadian kekurangan energi kronik (KEK) pada ibu hamil di Puskesmas Putri Ayu. MAHESA: Malahayati Health Student Journal, 3(8), 2375–2385. https://doi.org/10.33024/mahesa.v3i8.10832

Hasyim, H., Aulia, D. G., Agustine, F. E., Rava, E., Aprillia, N., & Iswanto, I. (2023). Faktor-faktor yang berhubungan dengan kekurangan energi kronik (KEK) pada ibu hamil: Literatur review. JIK: Jurnal Ilmu Kesehatan, 7(1), 87–94. https://doi.org/10.33757/jik.v7i1.637

Iskandar, I., Rachmawati, R., Ichsan, I., & Khazanah, W. (2022). Perbaikan gizi pada ibu hamil kekurangan energi kronis (KEK) melalui pendampingan pemberian makanan tambahan di wilayah kerja Puskesmas Lampisang Aceh Besar. Jurnal PADE: Pengabdian & Edukasi, 4(1), 34–40. https://doi.org/10.30867/pade.v4i1.900

Kementerian Kesehatan Republik Indonesia. (2018). Petunjuk teknis pendidikan gizi dalam pemberian makanan tambahan lokal bagi ibu hamil dan balita. https://kesmas.kemkes.go.id/assets/uploads/contents/others/20230516_Juknis_Tatalaksana_Gizi_V18.pdf

Kementerian Kesehatan Republik Indonesia. (2019). Laporan Riskesdas 2018 nasional. Lembaga Penerbit Balitbangkes.

Kementerian Kesehatan Republik Indonesia. (2022). Kehamilan. Ayo Sehat Kemenkes. https://ayosehat.kemkes.go.id/1000-hari-pertama-kehidupan/home

Khofi, K. R. (2022). Hubungan antara usia dan pendidikan dengan kejadian kurang energi kronik pada ibu hamil trimester I. Jurnal Mahasiswa Kesehatan, 4(1), 83–91. https://doi.org/10.30737/jumakes.v4i1.3516

Marshall, N. E., Abrams, B., Barbour, L. A., Christian, P., Friedman, J. E., Hay, W. W., Purnell, J. Q., Roberts, J. M., & Soltani, H. (2022). The importance of nutrition in pregnancy and lactation: Lifelong consequences. American Journal of Obstetrics and Gynecology, 226(5), 607–632. https://doi.org/10.1016/j.ajog.2021.12.035

Mulyono, A., Aji, A. S., Irwanti, W., Afifah, E., & Lipoeto, N. I. (2024). Hubungan status lingkar lengan atas ibu hamil dengan antropometri bayi baru lahir di Sumatera Barat, Indonesia. Amerta Nutrition, 8(3SP), 151–161. https://doi.org/10.20473/amnt.v8i3sp.2024.151-161

Mutalazimah, M., Wijaya, Y. A., & Suswardany, D. L. (2020). Energy, protein intake and mid-upper arm circumference in pregnant women in Boyolali Regency, Indonesia. Malaysian Journal of Medicine and Health Sciences, 16(9), 77–83.

Nasaru, J., Sutiningsih, D., Setiani, O., Sakundarno Adi, M., & Agushybana, F. (2024). Factors associated with chronic energy deficiency (CED) in pregnant women: A study in North Gorontalo Regency, 2023. BIO Web of Conferences, 133, 1–17. https://doi.org/10.1051/bioconf/202413300003

Pastuty, R., & Herawati, T. (2018). Efektivitas program pemberian makanan tambahan pemulihan pada ibu hamil kurang energi kronik di Kota Palembang. Jurnal Kesehatan, 9, 179–188.

Pratiwi, V., Pabidang, S., & Program Studi Kebidanan Magister STIKES Guna Bangsa Yogyakarta. (2023). Hubungan antara kejadian kekurangan energi kronis (KEK) dan anemia pada ibu hamil dengan panjang badan lahir pendek di Kabupaten Sleman. Jurnal Ners, 7(1), 293–302.

Putri, R. H., Candradewi, A., Sofiyatin, R., & Darawati, M. (2019). Pemberian biskuit berbasis bahan pangan lokal untuk meningkatkan berat badan dan LILA ibu hamil KEK. Jurnal Kesehatan Prima, 13(1), 32–38. https://doi.org/10.32807/jkp.v13i1.214

Rahman, R., Masfufah, M., & Kariani, N. K. (2024). Asupan energi dan protein terhadap kekurangan energi kronik (KEK) pada ibu hamil. Jurnal Kesehatan, 17(1), 79–85.

Rai, P. (2023). Role of essential amino acids in protein synthesis and muscle growth. Journal of Biochemistry Research, 6(4), 92–96. https://doi.org/10.37532/oabr.2023.6(4).92-96

Reid-McCann, R. J., Brennan, S. F., McKinley, M. C., & McEvoy, C. T. (2022). The effect of animal versus plant protein on muscle mass, muscle strength, physical performance and sarcopenia in adults: Protocol for a systematic review. Systematic Reviews, 11(1), 1–9. https://doi.org/10.1186/s13643-022-01951-2

Setiyowati, N., & Ulvie, Y. N. S. (2018). Pengaruh pemberian makanan tambahan biskuit sandwich terhadap status gizi ibu hamil kurang energi kronis (KEK) di wilayah UPT Puskesmas Bantarbolang Kabupaten Pemalang. Repository Universitas Muhammadiyah Semarang.

Ummi Kulsum, & Wulandari, D. A. (2022). Upaya menurunkan kejadian KEK pada ibu hamil melalui pendidikan kesehatan. Jurnal Pengemas Kesehatan, 1(1), 27–30. https://doi.org/10.52299/jpk.v1i01.6

UNICEF. (2013). Improving child nutrition.

UNICEF. (2023). Malnutrition in mothers soars by 25 per cent in crisis-hit countries, putting women and newborn babies at risk. https://www.unicef.org/press-releases/malnutrition-mothers-soars-25-cent-crisis-hit-countries-putting-women-and-newborn

Widyastuti, S. D., & Sugiarto, H. (2021). Kaitan pendidikan, umur, dan gravida dengan kurang energi kronik. Nursing News: Jurnal Ilmiah Keperawatan, 5(3), 124–132.

Wu, G. (2016). Dietary protein intake and human health. Food & Function, 7(3), 1251–1265. https://doi.org/10.1039/c5fo01530h