Pola asuh, pola makan, asupan zat gizi dan hubungannya dengan status gizi anak balita masyarakat Suku Nuaulu di Kecamatan Amahai Kabupaten Maluku Tengah Provinsi Maluku

Abstract

Background: Nomadic life of Nuaulu Tribe results in rearing pattern, eating pattern, and food consumption which affect their nutritional status.Objective: To identify the relationship between rearing pattern, eating pattern, nutrient intake, and nutritional status of under-fives of Nuaulu tribal community at Subdistrict of Amahai, District of Maluku Tengah, Province of Maluku.Method: This was an observational analytical study with cross sectional design. Subjects of the study were 68 under-fives of age 12 to 60 months from Nuaulu Tribal community at Sub district of Amahai. Data of rearing pattern were obtained from interviewing using questionnaire, data of eating pattern from food frequency questionnaire, data of nutrient intake from recall 24 hours, and data of nutritional status from anthropometric measurement. Data analysis used bivariable with chi-square, multivariate with double logistic regression.Results: Most samples had low category of rearing pattern (77.9%) and eating pattern (66.2%); whereas samples intake of energy and protein belonged to adequate category, that were 73.6% and 72.0%, respectively. Nutritional status based on index of weight/age of 20.6% samples belonged to undernourished category and 51.5% samples belonged to stunted category based on index of length/age. There were no significant relationship between rearing pattern and nutritional status based on index of weight/length and weight/age (p > 0.05), but there was relationship between them based on index of length/age (p < 0.05). Eating pattern and nutritional status based on index of weight/length and weight/age had no relationship (p > 0.05), but between eating pattern and nutritional status based on index of length/age had relationship (p < 0,05). There was significant relationship between energy intake and nutritional status based on index of weight/age and length/age (p < 0.05), but there was not based on weight/length index (p > 0.05). There was significant relationship between protein intake and nutritional status based on index of weight/age and length/age (p < 0.05); however the relationship was insignificant based on index of weight/length.Conclusion: There was significant relationship between rearing pattern and nutritional status based on index of length/age and so was between eating pattern and nutritional status based index of length/age. Energy, protein intake and nutritional status based on index of weight/age and length/age also had significant relationship.

Relationship of Exclusive Breastfeeding, Complementary Feeding and Nutritional Intake with Stunting in Children in Karanglewas Health Center

“…The results of this study suggested that the majority of children under five in Karanglewas Health Center got an adequate nutritional intake of 55.2%, while the remaining low nutritional intake of 44.8%. This is Advances in Health Sciences Research, volume 20 consistent with research conducted on toddlers in the Maluku region which explains that most toddlers get an adequate nutritional intake of 73.6% [20].…”

Karakteristik Keluarga Dan Tingkat Kecukupan Asupan Zat Gizi Sebagai Faktor Risiko Kejadian Stunting Pada Baduta

“…14 Anak dengan pola asuh yang kurang baik akan lebih berisiko memiliki status gizi pendek dibandingkan dengan anak dengan pola asuh yang baik. 15 Pendapatan keluarga merupakan salah satu faktor yang memiliki hubungan dengan status gizi anak.…”

“…Keluarga dengan status ekonomi tinggi memiliki kemampuan lebih baik dalam memenuhi kebutuhan asupannya dibandingkan dengan keluarga dengan pendapatan rendah. 14,15 Penelitian-penelitian terkait hubungan antara karakteristik keluarga 4,13-15 dan asupan makanan [7][8][9] dengan stunting telah dilakukan di berbagai daerah, namun sejauh pengamatan kami belum ada penelitian yang menggabungkan karakteristik keluarga dan asupan makanan dalam satu penelitian di kota Semarang. Berdasarkan uraian diatas maka peneliti tertarik melakukan penelitian untuk melihat hubungan antara karakteristik keluarga berupa pengetahuan gizi ibu, pola asuh dan pendapatan keluarga serta tingkat kecukupan asupan zat gizi makro (energi, karbohidrat, lemak dan protein) dan mikro (Vitamin A, Kalsium, Seng dan Zat Besi) dengan kejadian stunting pada baduta.…”

“…Penelitian di Maluku menunjukkan risiko stunting 3,7 kali pada anak dengan asupan protein yang rendah. 15 Penelitian di Pontianak dan Nusa Tenggara Timur juga menunjukkan bahwa anak dengan asupan protein yang rendah akan lebih berisiko mengalami stunting. 11,24 Protein adalah salah satu zat gizi makro yang berfungsi sebagai reseptor yang dapat mempengaruhi fungsi-fungsi DNA yang mengendalikan proses pertumbuhan.…”

“…29,30 Penelitian di Maluku yang menunjukkan bahwa anak dengan pola asuh pemberian makan yang tidak baik akan berisiko 10,7 kali mengalami stunting. 15 Penelitian ini menunjukkan bahwa tidak ada hubungan yang signifikan antara pola asuh pemberian makan dengan kejadian stunting. Hal itu dikarenakan pada penelitian ini diketahui bahwa pola asuh pemberian makan yang dilakukan oleh ibu baduta sebagian besar dikategorikan baik.…”