HUBUNGAN BERAT BADAN LAHIR RENDAH DENGAN STATUS GIZI ANAK USIA 0-24 BULAN DI KABUPATEN MAJENE

RELATIONSHIP BETWEEN LOW BIRTH WEIGHT AND THE NUTRITIONAL STATUS OF CHILDREN UNDER TWO YEARS OLD IN MAJENE REGENCY

https://doi.org/10.47539/jktp.v7i2.456

Authors

  • Nur Zakiah Program studi Gizi, Fakultas Ilmu Kesehatan, Universitas Sulawesi Barat
  • Novi Aryanti Program studi Gizi, Fakultas Ilmu Kesehatan, Universitas Sulawesi Barat
  • Nurul Annisa Program studi Gizi, Fakultas Ilmu Kesehatan, Universitas Sulawesi Barat
  • Supiyati Program studi Gizi, Fakultas Ilmu Kesehatan, Universitas Sulawesi Barat
  • Rahmaniah Program studi Gizi, Fakultas Ilmu Kesehatan, Universitas Sulawesi Barat

Keywords:

Berat badan lahir rendah, stunting, wasting, underweight, anak

Abstract

Masalah gizi pada anak usia dini merupakan isu kesehatan masyarakat yang masih menjadi tantangan di berbagai daerah, termasuk di Kabupaten Majene. Salah satu faktor risiko utama yang dapat memengaruhi status gizi anak adalah riwayat berat badan lahir rendah (BBLR), yang diketahui dapat berdampak terhadap pertumbuhan dan perkembangan anak. Penelitian ini bertujuan untuk menganalisis hubungan antara riwayat BBLR dengan status gizi anak usia 0–24 bulan di Kabupaten Majene. Penelitian ini menggunakan desain observasional dengan pendekatan potong lintang dan dilaksanakan pada bulan Agustus–September 2024 di Kecamatan Banggae Timur. Sampel terdiri atas 91 anak yang dipilih menggunakan teknik purposive sampling. Analisis data dilakukan menggunakan uji chi-square dan perhitungan odds ratio (OR) dengan interval kepercayaan 95%. Hasil penelitian menunjukkan bahwa riwayat BBLR berhubungan signifikan dengan kejadian stunting (p = 0,012; OR = 3,30; 95% CI: 1,37–7,94) dan underweight (p = 0,006; OR = 3,41; 95% CI: 1,40–8,33). Hubungan antara BBLR dan wasting juga menunjukkan kecenderungan signifikan (p = 0,055; OR = 2,55; 95% CI: 0,96–6,71). Temuan ini mengindikasikan bahwa anak dengan riwayat BBLR memiliki risiko lebih tinggi mengalami masalah gizi dibandingkan anak yang lahir dengan berat badan normal. Upaya pencegahan BBLR melalui peningkatan gizi ibu hamil dan pemantauan kehamilan secara berkelanjutan perlu diperkuat untuk menurunkan risiko gangguan gizi pada anak usia dini.

Childhood malnutrition remains a major public health concern, particularly in regions such as Majene Regency. One of the key risk factors influencing nutritional outcomes in early life is a history of low birth weight (LBW), which has been associated with impaired growth and development. This study aimed to analyze the relationship between LBW history and the nutritional status of children aged 0–24 months in Majene Regency. A cross-sectional observational design was employed, and data collection was conducted in Banggae Timur Subdistrict during August–September 2024. A total of 91 children were selected through purposive sampling. Data were analyzed using the chi-square test and odds ratios (OR) with 95% confidence intervals. The results showed that LBW was significantly associated with stunting (p = 0.012; OR = 3.30; 95% CI: 1.37–7.94) and underweight (p = 0.006; OR = 3.41; 95% CI: 1.40–8.33). A near-significant association was also observed between LBW and wasting (p = 0.055; OR = 2.55; 95% CI: 0.96–6.71). These findings indicate that children with a history of LBW are at higher risk of experiencing nutritional problems compared to those born with normal weight. Strengthening efforts to prevent LBW through improved maternal nutrition and antenatal care is essential to reduce the risk of early childhood malnutrition.

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References

Aboagye, R. G., Ahinkorah, B. O., Seidu, A. A., Frimpong, J. B., Archer, A. G., Adu, C., ... Yaya, S. (2022). Birth weight and nutritional status of children under five in sub-Saharan Africa. PLOS ONE, 17(6), e0269279. https://doi.org/10.1371/journal.pone.0269279

Aryastami, N. K., Shankar, A., Kusumawardani, N., & Besral. (2017). Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. Nutrition Journal, 16, 89. https://doi.org/10.1186/s12937-017-0305-6

Barker, D. J. P. (2024). The developmental origins of adult disease. Journal of the American College of Nutrition, 23(6 Suppl), 588S–595S. https://doi.org/10.1080/07315724.2004.10719428

Black, R. E., Victora, C. G., Walker, S. P., Bhutta, Z. A., Christian, P., de Onis, M., ... Uauy, R. (2023). Maternal and child undernutrition and overweight in low-income and middle-income countries. The Lancet, 382(9890), 427–451. https://doi.org/10.1016/S0140-6736(13)60937-X

Blencowe, H., Krasevec, J., De Onis, M., Black, R. E., An, X., Stevens, G. A., ... Lawn, J. E. (2015). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: A systematic analysis. The Lancet Global Health, 7(7), e849–e860. https://doi.org/10.1016/S2214-109X(18)30565-5

Chowdhury, M. R., Khan, M. M. H., Khan, M. A., Islam, M. M., & Karim, F. (2022). Low birth weight in developing countries: Trends, risk factors, and prevention strategies. International Journal of Public Health, 67, 1604558. https://doi.org/10.3389/ijph.2022.1604558

Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., Strupp, B., & International Child Development Steering Group. (2022). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369(9555), 60–70. https://doi.org/10.1016/S0140-6736(07)60032-4

Hendrawan, Y. (2021). Pengaruh berat badan bayi baru lahir terhadap kejadian stunting di usia balita berdasarkan studi literatur tahun 2016–2021. Jurnal Gizi Kesehatan Indonesia. [Volume dan issue tidak dicantumkan]

Li, X., Shen, Y., Liu, Y., Wu, H., & Zhang, Q. (2020). Maternal malnutrition and low birth weight in China: A multi-regional study. Journal of Maternal-Fetal & Neonatal Medicine, 33(8), 1309–1316. https://doi.org/10.1080/14767058.2018.1500546

Mireku, M. O., Barker, M., Moffatt, M., & Power, C. (2020). The impact of low birth weight and poor childhood growth on cognitive function in adulthood. BMC Public Health, 20, 220. https://doi.org/10.1186/s12889-020-8327-5

Muhammad, W., van Eijsden, M., Vrijkotte, T. G. M., & Bonsel, G. J. (2021). Educational inequalities in perinatal outcomes: The mediating effect of smoking and environmental tobacco exposure. PLOS ONE, 7(5), e37002. https://doi.org/10.1371/journal.pone.0037002

Nakamura, A., Pryor, L., Ballon, M., Lioret, S., Heude, B., Charles, M.-A., Melchior, M., & El-Khoury Lesueur, F. (2020). Maternal education and offspring birth weight for gestational age: The mediating effect of smoking during pregnancy. European Journal of Public Health, 30(3), 537–543. https://doi.org/10.1093/eurpub/ckz233

Namiiro, F. B., Mugalu, J., & Atuhairwe, C. (2023). Nutritional status and low birth weight among children under five years in rural Uganda: A cross-sectional study. BMC Pediatrics, 23, 127. https://doi.org/10.1186/s12887-023-03854-1

Novita, M. R., & Sarwinanti, S. (2022). The relationship between low birth weight (LBW) and the level of maternal knowledge about nutrition with the incidence of stunting in toddlers. International Journal of Health Science and Technology, 4(2), 166–173. https://doi.org/10.31101/ijhst.v4i2.2787

Paneth, N. (1995). The problem of low birth weight. The Future of Children, 5(1), 19–34. https://doi.org/10.2307/1602504

Shibata, M., Ogawa, K., Kanazawa, S., Kawasaki, M., Morisaki, N., Mito, A., ... Arata, N. (2021). Association of maternal birth weight with the risk of low birth weight and small-for-gestational-age in offspring: A prospective single-center cohort study. PLOS ONE, 16(5), e0251734. https://doi.org/10.1371/journal.pone.0251734

Supariasa, I. D. N., Bakri, B., & Fajar, I. (2012). Penilaian status gizi. EGC.

Sundari, R. M. (2018). Hubungan berat badan lahir rendah (BBLR) dan perilaku pemberian ASI eksklusif dengan kejadian stunting baduta di Puskesmas Sangkrah Kota Surakarta [Skripsi, Universitas Muhammadiyah Surakarta].

Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., & Kerac, M. (2022). Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition. BMJ Global Health, 7, e008415. https://doi.org/10.1136/bmjgh-2021-008415

van den Berg, G., van Eijsden, M., & Vrijkotte, T. G. M. (2022). Educational inequalities in perinatal outcomes: The mediating effect of smoking and environmental tobacco exposure. PLOS ONE, 7(5), e37002. https://doi.org/10.1371/journal.pone.0037002

Zhang, M., Gazimbi, M. M., Chen, Z., Zhang, B., Chen, Y., & Yu, Y. (2022). Association between birth weight and neurodevelopment at 1–6 months. Frontiers in Pediatrics, 10, 789123. https://doi.org/10.3389/fped.2022.789123

Published

2024-12-29

How to Cite

Zakiah, N., Aryanti, N. ., Annisa, N., Supiyati, & Rahmaniah. (2024). HUBUNGAN BERAT BADAN LAHIR RENDAH DENGAN STATUS GIZI ANAK USIA 0-24 BULAN DI KABUPATEN MAJENE: RELATIONSHIP BETWEEN LOW BIRTH WEIGHT AND THE NUTRITIONAL STATUS OF CHILDREN UNDER TWO YEARS OLD IN MAJENE REGENCY. JURNAL KEPERAWATAN TROPIS PAPUA, 7(2), 168–173. https://doi.org/10.47539/jktp.v7i2.456

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Article Research