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Prevalensi stunting pada toddler dengan keluhan sulit makan dan hubungannya dengan asupan nutrisi pada satu tahun pertama



Abstract

Latar belakang: Kesulitan makan merupakan masalah yang sering dialami oleh anak terutama pada masa toddler. Hal ini akan berdampak negatif terhadap pertumbuhan anak yang dapat menyebabkan stunting. Prevalensi stunting di Indonesia masih cukup tinggi dan erat kaitannya dengan malnutrisi jangka panjang.

Tujuan: Untuk mencari prevalensi stunting pada toddler dengan keluhan sulit makan dan dihubungkan dengan jenis asupan nutrisi pada satu tahun pertama

Metode: Uji potong lintang pada 87 toddler (anak berusia 1-3 tahun) dengan keluhan sulit makan yang kontrol ke poli anak RSUP Sanglah Denpasar sejak bulan Februari 2012 sampai Juli 2012. Hubungan stunting dengan asupan nutrisi 1 tahun pertama dianalisis dengan chi square test dan analisis multivariat dengan uji regresi logistik. Dianggap signifikan bila P<0,05

Hasil: Prevalensi stunting sebesar 33,3%, lelaki sebesar 50,6% dan perempuan sebesar 49,4%. Hubungan antara stunting dengan pemberian ASI tidak eksklusif secara statistik bermakna dengan nilai PR=4,61 (IK 95%: 1,23-17,22, p=0,023). Pada usia awal MPASI < 4 bulan atau > 6 bulan berhubungan dengan stunting dengan PR=8,39 (IK 95%: 2,11-33,37, p=0,003). Jenis awal MPASI berupa makanan tidak terforti kasi berhubungan secara signi kan dengan stunting dengan PR = 4,57 (IK 95%: 1,45-14,41, p=0,009).

Simpulan: Prevalensi stunting pada toddler dengan keluhan sulit makan sebesar 33%. Kejadian stunting berhubungan dengan riwayat pemberian ASI tidak eksklusif dan usia awal dimulainya pemberian MPASI yang lebih dini atau lebih lambat, serta berhubungan dengan pemberian MPASI yang tidak terfortifikasi pada anak.


Background: Feeding di culty is a common problem among children, especially during toddler. The feeding complication will impact the growth of children, which leads to stunting. The prevalence of stunting in Indonesia is still high and closely related to long-term malnutrition.

Objective: To determine the prevalence of stunting in a toddler with feeding di culty complaints and its correlation with the toddler type of nutrition in the rst year.

Method: Cross-sectional study in 87 toddlers (children aged 1-3 years) with feeding di culty complaints in Sanglah Hospital from February 2012 to July 2012. The relationships of stunting and nutrition of the rst year analyzed using the Chi-square test and logistic regression and signi cant if P value < 0.05.

Result: The prevalence of stunting was 33.3%. Male was 50.6%, and the female was 49.4%. The relationship between stunting and the non-exclusive breastfeeding was statistically signi cant PR=3.367 (IK 95%:1.24-9.10, p=0.012). The relationship between stunting and rst ages of nutrition intake of < 4 months or > 6 months was statistically signi cant with PR=8.39 (IK 95%: 2.11-33.37, p=0.003). The relationship between stunting and the types of rst nutrition intake of forti ed food was statistically signi cant PR = 4.57 (IK 95%: 1.45-14.41, p=0.009).

Conclusion: The prevalence of stunting on the toddler with feeding di culty complaints was 33%. Stunting events are associated with a non-exclusive breastfeeding history and early-onset of early or slower breastfeeding complementary feeding and associated with unforti ed breastfeeding supplementation in children.

 

Keywords: feeding difficulty complaints stunting toddler exclusive breast feeding food fortified

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How to Cite

Saputri, N. K. D., Sidiartha, I. G. L., & Pratiwi, I. E. (2019). Prevalensi stunting pada toddler dengan keluhan sulit makan dan hubungannya dengan asupan nutrisi pada satu tahun pertama. Medicina, 50(2). https://doi.org/10.15562/medicina.v50i2.60
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Ni Komang Diah Saputri
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I Gusti Lanang Sidiartha
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IGAP Eka Pratiwi
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