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The prevalence of PEM elderly in nursing homes higher than in non-nursing homes, and the prevalence reached 32.97% on a government-ownedsocial houses in Jakarta. This study aims to assess how much the weight gaineffect through the provision of dates-tempeh biscuits and also dates cassavamodified and canavalia ensiformis biscuits .PEM in the elderly Social InstitutionTresna Werdha (PSTW) Budi Mulia 1,2, 3 and 4 of Jakarta.The study design wasquasi-experimental with single-blind measurement techniques. The respondentsamounted to 42 elderly that consist of 21 in treatment group I whom were givendates-tempeh biscuits and 21 elderly in treatment group II that were given cassavamodified and canavalia ensiformis mixed with dates biscuits, with inclusioncriteria are 60 years and over, have a body mass index < 18.5 kg / m² and ≥ 6months as nursing residents. Anthropometric measurements were taken before andafter the intervention. The results show an increase in body weight before andafter the intervention for 1 month in the treatment group I was 0.68 kg (P<0.05).There is growth and significant changes, averages macro nutrient intakeafter the intervention in the treatment groups. The highest weight gain occurreadin the classification of PEM 16-00-16-99 with average increase 0.83 kg .Keywords : Dates-tempeh biscuits, dates-cassava modified and canavalia ensiformis biscuits,increase weight, PEM Elderly
ABSTRAK Risiko Kurang Energi Kronis (KEK) berdampak terhadap ibu dan calon bayi yang dikandungnya. Dampak tersebut antara lain kesakitan pada trimester 3 kehamilan, perdarahan, BBLR, kematian ibu dan bayi, dll. Penelitian ini bertujuan untuk mengetahui faktor dominan yang berhubungan dengan risiko KEK ibu hamil remaja usia 15-19 tahun di Kota Pontianak. Penelitian dilakukan selama bulan Maret ? April 2010) di 23 puskesmas menggunakan desain cross sectional dengan jumlah sampel 104 orang. Data primer merupakan wawancara data karakteristik ibu, tingkat pengetahuan, kondisi sosio ekonomi, asupan zat gizi serta aktifitas fisik. Data dianalisis menggunakan uji regresi logistik. Proporsi ibu hamil remaja usia 15-19 tahun risiko KEK sebesar 56,7%. Terdapat hubungan antara usia menarche, asupan energi, asupan protein dan aktivitas fisik dengan risiko KEK. Asupan protein merupakan faktor dominan setelah dikontrol variabel usia menarche, gynecological age (GA), tingkat pendidikan suami, asupan energi dan aktifitas fisik. Ibu hamil usia remaja dengan asupan protein < 80% AKG berpeluang 13,416 kali risiko KEK dibanding ibu hamil usia remaja dengan asupan protein ≥ 80% AKG. Upaya pencegahan risiko KEK dapat dilakukan dengan melakukan intervensi terhadap wanita usia reproduktif sebelum kehamilan termasuk meningkatkan asupan nutrien dan meningkatkan berat badan sebelum kehamilan.
Abstract Risk of chronic energy deficiency (CED) affected to mother and their fetuses. Impacts of CED are include pain in the third trimester of pregnancy, bleeding, low birth weight (LBW), death in mother and baby, etc. This study purpose to determine the most dominant factors correlated with CED risk on pregnant adolescents aged 15-19 years in Pontianak. Research conducted on March ? April 2010 in 23th health centers and study design was done using cross sectional and subjects were 104. Primary data taken in the form of interview for the data characteristics of pregnant adolescent, the level of knowledge, socio-economic conditions, nutrient intake (energy and protein) and physical activity. Data analyzed using logistical regression . The proportion of pregnant adolescents aged 15-19 years amounted to 56.7% risk of CED. Multivariate analysis showed the correlation between age of menarche, energy intake, protein intake and physical activity with risk of CED. Protein intake is the most dominant factor correlated with CED risk on pregnant adolescents aged 15-19 years in Pontianak in year 2010 after being controlled by the age of menarche, gynecological age (GA), husband's education level, energy intake and physical activity. Pregnant adolescent with protein intake <80% RDA were 13,416 times more likely to have risk CED than there with protein intake ≥ 80% RDA. Prevention of risk CED on pregnant adolescent can be done by intervention before pregnancy including increase intake nutrient and weight gain.
CED) is a condition of insufficient nutrients needed by the body due to long-term food shortage, characterized by an MUAC <23.5 cm. Adolescent girls are one of the groups vulnerable to CED. According to the 2018 Riskesdas, adolescent girls have the highest prevalence of CED in Indonesia (36.3%), which, when categorized based on WHO's classification of public health problems, is considered a high prevalence. This study aims to determine the factors associated with the risk of CED in female high school students in Depok City and its dominant factor. This study used a cross-sectional design with a total sample of 240 respondents. Data were analyzed using chi-square and multiple logistic regression. The results showed that 44.6% of female high school students in Depok City were at risk of CED. There were significant relationships between energy intake, macronutrient intake, parental income, nutrition-related knowledge, body image, and social media influence with the risk of CED in female high school students in Depok City. However, there was no significant relationship between parental education and occupation with the risk of CED in female high school students in Depok City. Nutrition-related knowledge was the dominant factor for CED risk in female high school students in Depok City (OR=10.294).