User

Effect of Birthweight, Illness History, and Dietary Pattern, on the Incidence of Anemia in Children Under-Five at Tasikmadu Health Center, Karanganyar, Central Java

Yeni Anggraini, Harsono Salimo, Didik Tamtomo

Abstract

Background: The first five years of life is often regarded as “golden age period†of development. During this period physical, motor, intellectual, emotional, language, and social development proceed  rapidly in children. Brain tissues grow fast to reach 80% of adult brain weight. Anemia occuring during this period can affect health, as well as cognitive and physical development in children. This study aimed to determine the effects of birthweight, illness history, dietary pattern, maternal education, and family income on the incidence of anemia in children under-five years of age.

Subject and Method: This was an analytic observational study using case control design. The study was carried out at Karanganyar District, Central Java, from February to April 2017. A sample of 110 subjects was selected for this study, consisting of 35 children under-five years of age with anemia and 75 children of the same age without anemia. The independent variables were birthweight, illness history, dietary pattern, maternal education, and family income. The dependent variable was anemia. The data were collected by a set of questionnaire. Hemoglobin concentration was measured by Hb meter. The data were analyzed by path analysis on Stata 13.

Results: Anemia in children under-five was directly affected by illness history (b= 2.50; 95% CI = 1.06 to 3.95;  p= 0.001;), dietary pattern (b= -1.89; 95% CI = -3.39 to -0.39;  p=0.013;), and birthweight (b= -0.97; 95% CI = -2.07 to 0.13; p= 0.083). Anemia in children under-five was indirectly affected by maternal educational (b=1.09; 95% CI = 0.14 – 2.04; p= 0.024) and family income (b= -0.90; 95% CI = -1.78 to 0.02; p= 0.044).

Conclusion: Anemia in children under-five is directly affected by illness history, dietary pattern, and birthweight. It is indirectly affected by maternal educational and family income.

Keywords : Anemia, birthweight, illness history, dietary pattern, children under-five

Correspondence: Yeni Anggraini. Masters Program in Public Health, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Indonesia. Email : yenni.anggrainie@gmaill.com. Mobile : 085712329100

Journal of Maternal and Child Health (2017), 2(3): 200-212
https://doi.org/10.26911/thejmch.2017.02.03.02

Full Text:

PDF

References

Abdullah AZ, A. Arsunan Arsin, Lidyawati Dahlan (2012). Risk Factors of Shigellosis Diarrhea in Children Under Five Years Old. Jurnal Kesehatan Masyarakat 7(1):16–21.

Abraham DDL, Nova H Kapantow, Mau-reen I. Punuh (2016). Hubungan Antara Pola Asuh Ibu dengan Status Gizi Anak Umur 2-5 Tahun di Wilayah Kerja Puskesmas Kombos Kota Manado. Fakultas Kesehatan Masya-rakat Universitas Sam Ratulangi Ma-nado.

Adeloye D, Wura Jacobs, Ann O. Amuta, Oluwatomisin Ogundipe, Oluwaseun Mosaku, Muktar A. Gadanya, Gbola-han Oni (2017). Coverage and deter-minants of childhood immunization in Nigeria: A systematic review and meta-analysis. Vaccine 35 (22): 2871-2881.

Agrawal SC, Anita Kumari. Immunization status of children and the influence of social factors: A hospital based study in western Uttar Pradesh. Pediatric Infectious Disease 6(1):25-30.

Al Hasawi Z, M, Sami A. Al-Rehali, Amani M. Mahros, Ali M. Al-Sisi, Khalid D. Al-Harbi, Ahmed M. Yousef. 2015. High prevalence of iron deficiency anemia in infants attending a well-baby clinic in northwestern Saudi Arabia. Saudi Medical Journal 36(9): 1067–1070.

Al Awadh, Hassali MA, Bux SH (2015). Factors Affecting Immunization Time¬liness In Malaysia. Value in Health 18(3) : A104.

Alzain B (2012). Anemia and Nutritional Status of PreSchool Children in North Gaza, Palestine. International Journal of Scientific and Technology Research 1(11):86-91.

Arnisam (2007). Hubungan Berat Badan Lahir Rendah (BBLR) dengan status gizi anak usia 6-24 bulan. available at http://etd.repository.ugm.ac.id. Diakses tanggal 5 Desember 2016.

Artini PP (2015). Penetapan Kadar Hemoglobin Cara Sahli.

Baso I S (2010). Konsep Penelitian Ex-Post Facto. Jurnal Pendi¬di¬kan Matematika 1(2):1-16.

Black RE, Simon Cousens, Hope L Johnson, Joy E Lawn, Igor Rudan, Diego G Bassani, Prabhat Jha, Harry Campbell, Christa Fischer Walker, Richard Cibulskis, Thomas Eisele, Li Liu (2010). Global, Regional, and National Causes of Child Mortality in 2008: a Systematic Analysis 375 (9730): 1969-1987.

Ciptaningtyas R, Arif Sumantri, M Arbi Ramadhan (2012). Evaluation on Failure Weight Gain among Toddlers of Low Economy Family After Complementary Biscuits Feeding Jurnal Kesehatan Masyarakat Nasional 7(5):227-232.

Depkes (2016). Situasi Imunisasi di Indo-nesia. Pusat Data dan Informasi Kementerian Kesehatan RI. ISSN 2442-7659.

Dinkes Prov. Jateng (2014). Profil Kese-hatan Provinsi Jawa Tengah Tahun 2014.

Domellof M, Christian Braegger, Cristina Campoy, Virginie Colomb, Tamas Decsi, Mary Fewtrell, Iva Hojsak, Walter Mihatsch, Christian Molgaard, Raanan Shamir, Dominique Turck, Johannes V Goudeover (2014). Iron Requirements of Infants and Todd-lers. J Pediatr Gastroenterol Nutrition 58(1):119-129.

Donagh MM, PharmD Ian Blazina, Tracy Dana, Amy Cantor, Christina Bou-gatsos (2015). Routine Iron Supple-mentation and Screening for Iron Deficiency Anemia in Children Ages 6 to 24 Months: A Systematic Review to Update the U.S. Preventive Services Task Force Recommendation. Natio-nal Center for Biotechnology Information, U.S. National Library of Medi-cine.

Donnersberger AB (2011). Blood Testing. Laboratory Exercise.

Emerson E and Amber Savage (2017). Acute Respiratory Infection, Diar-rhoea and Fever in Young Children At-Risk of Intellectual Disability in 24 Low and Middle Income Countries. Public Health142:85-93.

IDAI (2011). Suplementasi Besi untuk Anak. Ikatan Dokter Anak Indonesia.

HabibMA, Kirsten Black, Sajid B Soofi, Imtiaz Hussain, Zaid Bhatti, Zulfiqar A. Bhutta, Camille RGreenow (2016). Prevalence and Predictors of Iron Deficiency Anemia in Children under Five Years of Age in Pakistan, A Secondary Analysis of National Nutri-tion Survey Data 20112012. PLOS ONE 11(5):1-13

Janus J, Johns Hopkins, Sarah K. Moerschel (2016). American Aca-demy of Family Physicians 81(2):1463-1471.

Jayanti EN (2015). Hubungan Antara Pola Asuh Gizi dan Konsumsi Makanan dengan Kejadian Stunting pada Anak Balita Usia 6-24 Bulan.

Karaki BK, Rina Kundre Michael Karun-deng (2016). Hubungan Pola Asuh Ibu dengan Perilaku Sulit Makan pada Anak Usia Prasekolah (3-5 tahun) di Taman Kanak-Kanak Desa Palelon Kec. Modoinding Minahasa Selatan. ejournal Keperawatan (e-Kp) 4(1):1-7.

Kemenkes RI (2011). Standar Antopometri Penilaian Status Gizi Anak.

Kemenkes RI (2013). Laporan Akuntabilitas Kinerja Kementrian Kesehatan Tahun 2013.

Kemenkes RI (2016). Profil Kesehatan Indonesia Tahun 2015.

Kemenkes RI (2016). Tahun 2015, Peman-tauan Status Gizi Dilakukan di Seluruh Kabupaten/Kota di Indo-nesia.

Kuhu A, Maureen I. Punuh, Nova H. Kapantow (2016). Hubungan Antara Pola Asuh Ibu dengan Status Gizi Balita di Wilayah Kerja Puskesmas Kakas. Fakultas Kesehatan Masyarakat Universitas Sam Ratulangi Manado.

Lewa AF (2016). Faktor-Faktor yang Berhu-bungan dengan Status Gizi pada Balita Usia 6-23 Bulan di Kelurahan Pantoloan Boya Wilayah Kerja Puskesmas Pantoloan. Jurnal Status Gizi 6(1):9-16.

Mahoney DH (2016). Iron Deficiency in In-fants and Young Children: Screening, Prevention, Clinical Manifestations, and Diagnosis.

Mufida L, Tri D Widyaningsih, Jaya M Maligan (2015). Prinsip Dasar Makanan Pendamping Air Susu Ibu (MP-ASI) untuk Bayi 6 – 24 Bulan: Kajian Pustaka. Jurnal Pangan dan Agro industri 3(4):1646-1651.

Muliati DD, Amatus Y Ismanto, Reginus Malara (2014). Hubungan Keluarga Sadar Gizi dengan Status Gizi Balita di DesaMopu¬ya Selatan Kecamatan Dumoga Utara KabupatenBolaang Mongondow.

Murti B (2013). Desain dan Ukuran Sampel untuk Penelitian Kuantitatif dan Kualitatif di Bidang Kesehatan. Yog-yakarta: Gajah Mada University Press Hal : 119.

Nafratilawati M (2014). Hubungan Antara Pola Asuh dengan Kesulitan Makan pada Anak Pra Sekolah (3–5 Tahun) di TK Leyangan Kabupaten Semarang.

Norsiah W (2015). Perbedaan Kadar Hemoglobin dengan menggunakan Metode Sianmeth hemoglobin dan Tanpa Sentrifugasi pada Sampel Leukositosis. Medical Laboratory Technology Journal 1(2):72-83.

Nur A, Nelly Marissa (2014). Breastfeeding History with Infectious Disease in Toddlers9(2):144-149.

Papachrisanthou MM, Rebecca A. Lorenz, Deborah G. Loman (2016). Increasing Immunization Adherence Among Infants of Low-income Parents: The Ef-fects of Visually Enhanced Education. The Journal for Nurse Practiti-oners12(5):304-310.

Presiden RI (2003). Undang-Undang Republik Indonesia Nomor 20 Tahun 2003 Tentang Sistem Pendidikan Nasional.

Pasricha SR (2014). Anemia: a Com-prehensive Global Estimate. Blood Journal. The American Society of Hematology 123(5): 611-612.

Patil PJ, Girish VT, Sarika PP (2013). Varia-bility and Accuracy of Sahli’s Method in Estimation of Haemoglobin Concentration. National Journal of Integrated Research in Medicine 4(1): 38-44.

Permenkes (2013). Peraturan Menteri Kesehatan Republik Indonesia Nomor 42 (2013) tentang Penyeleng-garaan Imunisasi.

Putri RF, Delmi Sulastri, Yuniar Lestari. 2015.Faktor-Faktor yang Berhubungan dengan Status Gizi Anak Balita di Wilayah Kerja Puskesmas Nanggalo Padang. Jurnal Kesehatan Andalas 4(1):254-261.

Short MW and Jason E Domagalski (2013). Iron Deficiency Anemia: Evaluation and Management. American Family Physician 87(2):98-104.

SjarifDR, Klara Yuliarti, Endang D Lestari, I Gusti L Sidiartha, Sri SNasar Maria Mexitalia (2015).

Rekomendasi Praktik Pemberian Makan Berbasis Bukti pada Bayi dan Batita di Indonesia untuk Mencegah Mal-nutrisi. Rekomendasi Ikatan Dokter Anak Indonesia.

Supariasa, I Dewa Nyoman (2012). Penilaian Status Gizi. Jakarta : EGC Hal : 39-42.

Unicef (2016). Paket Konseling: Pemberian Makan Bayi dan Anak.

Veria VA dan Mubarokah, K (2012). Peran Status Gizi Terhadap Kecerdasan Kognitif pada masa Golden Age Period. Fakultas KesehatanUniversitas Dian Nuswantoro Semarang.

Wahyuni AS (2004). Anemia Defisien Besi Pada Balita.

WHO (2004). Guiding Principles for Feeding NonBreastfed Children 6-24 Months of Age.

WHO (2007). Assessing The Iron Status of Populations.

Zuffo CRK, Mônica M Osório, Cesar A Taconeli, Suely T Schmidt, Bruno H.C da Silvac, Cláudia C.B Almeidaa (2016). Prevalence and Risk Factors of Anemia in Children. Jornal de Pediatria 92(4):353-360.

Refbacks

  • There are currently no refbacks.