[ABSTRAK
Kegemukan dan obesitas merupakan salah satu masalah kesehatan yang bisaberlanjut sampai dewasa. Kegemukan dan obesitas pada anak berdampak seriusterhadap kesehatan, yang merupakan faktor risiko untuk menderita penyakitjantung, diabetes dan darah tinggi pada usia muda. Proporsi kegemukan danobesitas pada anak sekolah Taman Kanak-kanak di Wilayah kerja PuskesmasLubuk Buaya yaitu 17,8%. Tujuan Penelitian ini adalah untuk mengetahuihubungan antara durasi pemberian ASI dengan kejadian kegemukan pada anakTaman Kanak-kanak dengan mengontrol covariat (ASI eksklusif, jenis kelamin,berat badan lahir, urutan kelahiran, berat badan ibu, pendidikan ibu, pekerjaan ibu,pendapatan keluarga dan pola konsumsi makanan). Penelitian ini dilaksanakanmulai bulan Maret sampai April di Wilayah Kerja Puskesmas Lubuk Buaya KotaPadang Tahun 2010. Penelitian ini mengunakan desain kasus kontrol. Kasusadalah anak taman kanak-kanak yang termasuk dalam kategori gemukberdasarkan indeks BB/TB dengan kelompok > 2 SD - ≤ 3 SD dan kontrol adalahanak taman kanak-kanak yang termasuk dalam kategori normal berdasarkanindeks BB/TB dengan kelompok ≥ -2SD - ≤ 2SD (baku rujukan WHO 2005).Dalam penelitian ini jumlah sampel sebanyak 366 (kasus 101 dan kontrol 265).Data dianalisis dengan analisis univariat, bivariat dan multivariat dengan ujiregresi logistik ganda. Hasil penelitian menunjukan adanya hubungan antaradurasi pemberian ASI dengan kejadian kegemukan. Anak yang diberi durasi ASI> 6-12 bulan memiliki risiko 0,54 kali dan > 12 bulan memiliki risiko 0,31 kaliuntuk terjadinya kegemukan dibanding anak yang mendapatkan durasi ASI ≤ 6bulan (faktor protektif) setelah dikontrol oleh ASI eksklusif, berat badan ibu danjenis kelamin. Upaya pencegahan kegemukan dan obesitas pada anak untukmenghindari masalah kesehatan pada usia kehidupan selanjutnya dapat dilakukansecara dini, salah satunya dengan pemberian ASI. Perlunya kerjasama antaraPuskesmas dengan Sekolah Taman Kanak-kanak dengan melibatkan orang tuadalam mensosialisasikan pentingnya ASI dan dalam menjalankan program UsahaKesehatan Sekolah (UKS), sehingga dapat mengetahui status kesehatan anakTaman Kanak-kanak.
ABSTRACT
Overweight and obesity is one health problem that may continue into adulthood.Overweight and obesity in children have serious consequences on health, which isa risk factor for heart disease, diabetes and high blood pressure at a young age.The proportion of overweight and obesity among school children in kindergartenregional heath center Lubuk Buaya is 17,8%. The purpose of this studi is todetermine the relationship between duration of breastfeeding and the occurrenceof obesity in children kindergarten by controlling covariat (exclusivebreastfeeding, sex, birth weight, birt order, maternal weight, maternal education,maternal occupation, family income and food consumption patterns). Thisresearch was conducted from March to April in the working area health centerLubuk Buaya Padang year 2010. This research of case control design. The case isa child in kindergarten is included in the overweight category according to theindex weight / height with a group of> 2 SD - ≤ 3 SD and controls werekindergarten children who are included in the normal category based on the indexweight / height with the group ≥-2SD - ≤ 2SD (standard reference WHO 2005). Inthis study there were 366 samples (101 cases and 265 controls). Data wereanalyzed by univariate analysis, bivariate and multivariate logistic regression test.The result showed that there was a relationship between duration of breastfeedingand the occurrence of obesity. Children are given the duration of breastfeeding>6-12 months have a risk 0,54 times and > 12 months had 0,31 times the risk forthe occurrence of obesity than children who received ≤6 months duration ofbreastfeeding (protective factor) after being controlled by exclusive breastfeeding,weight loss mother and sex. Efforts to prevent overweight and obesity in childrento avoid health problems at the age of the next life may be one of them with earlybreastfeeding. The necessity of cooperation between the health center with akindergarten School by involving parents in disseminating the importance ofbreastfeeding and in running the business school health program (UKS), so it canknow the health status of kindergarten children.;Overweight and obesity is one health problem that may continue into adulthood.Overweight and obesity in children have serious consequences on health, which isa risk factor for heart disease, diabetes and high blood pressure at a young age.The proportion of overweight and obesity among school children in kindergartenregional heath center Lubuk Buaya is 17,8%. The purpose of this studi is todetermine the relationship between duration of breastfeeding and the occurrenceof obesity in children kindergarten by controlling covariat (exclusivebreastfeeding, sex, birth weight, birt order, maternal weight, maternal education,maternal occupation, family income and food consumption patterns). Thisresearch was conducted from March to April in the working area health centerLubuk Buaya Padang year 2010. This research of case control design. The case isa child in kindergarten is included in the overweight category according to theindex weight / height with a group of> 2 SD - ≤ 3 SD and controls werekindergarten children who are included in the normal category based on the indexweight / height with the group ≥-2SD - ≤ 2SD (standard reference WHO 2005). Inthis study there were 366 samples (101 cases and 265 controls). Data wereanalyzed by univariate analysis, bivariate and multivariate logistic regression test.The result showed that there was a relationship between duration of breastfeedingand the occurrence of obesity. Children are given the duration of breastfeeding>6-12 months have a risk 0,54 times and > 12 months had 0,31 times the risk forthe occurrence of obesity than children who received ≤6 months duration ofbreastfeeding (protective factor) after being controlled by exclusive breastfeeding,weight loss mother and sex. Efforts to prevent overweight and obesity in childrento avoid health problems at the age of the next life may be one of them with earlybreastfeeding. The necessity of cooperation between the health center with akindergarten School by involving parents in disseminating the importance ofbreastfeeding and in running the business school health program (UKS), so it canknow the health status of kindergarten children., Overweight and obesity is one health problem that may continue into adulthood.Overweight and obesity in children have serious consequences on health, which isa risk factor for heart disease, diabetes and high blood pressure at a young age.The proportion of overweight and obesity among school children in kindergartenregional heath center Lubuk Buaya is 17,8%. The purpose of this studi is todetermine the relationship between duration of breastfeeding and the occurrenceof obesity in children kindergarten by controlling covariat (exclusivebreastfeeding, sex, birth weight, birt order, maternal weight, maternal education,maternal occupation, family income and food consumption patterns). Thisresearch was conducted from March to April in the working area health centerLubuk Buaya Padang year 2010. This research of case control design. The case isa child in kindergarten is included in the overweight category according to theindex weight / height with a group of> 2 SD - ≤ 3 SD and controls werekindergarten children who are included in the normal category based on the indexweight / height with the group ≥-2SD - ≤ 2SD (standard reference WHO 2005). Inthis study there were 366 samples (101 cases and 265 controls). Data wereanalyzed by univariate analysis, bivariate and multivariate logistic regression test.The result showed that there was a relationship between duration of breastfeedingand the occurrence of obesity. Children are given the duration of breastfeeding>6-12 months have a risk 0,54 times and > 12 months had 0,31 times the risk forthe occurrence of obesity than children who received ≤6 months duration ofbreastfeeding (protective factor) after being controlled by exclusive breastfeeding,weight loss mother and sex. Efforts to prevent overweight and obesity in childrento avoid health problems at the age of the next life may be one of them with earlybreastfeeding. The necessity of cooperation between the health center with akindergarten School by involving parents in disseminating the importance ofbreastfeeding and in running the business school health program (UKS), so it canknow the health status of kindergarten children.] |
