Hubungan status gizi dengan perkembangan mental dan psikomotor anak usia 12 sampai 24 bulan di daerah endemis GAKI
Sri Desfita(1*), Toto Sudargo(2), Maria Goretti Adiyanti(3)
(1) STIKES Hang Tuah, Pekanbaru
(2) Program Studi Ilmu Gizi Kesehatan Fakultas Kedokteran Universitas Gadjah Mada
(3) Fakultas Psikologi Universitas Gadjah Mada
(*) Corresponding Author
Abstract
Background: Malnutrition is one of major public health problem in Indonesia. Prevalence of malnutrition in Indonesia in 2005 was 23.8% and in the Province of Yogyakarta Special Territory in 2002 was 15%. District of Sleman had prevalence of malnutrition as much as 11.39% and Cangkringan as one of heavy iodine deficiency disorder endemic areas at district level had 12.5% of malnutrition prevalence. Children at iodine deficiency disorder endemic areas might likely have growth and development disorder.
Objective: To identify relationship between nutritional status and mental psychomotoric development of children of 12 to 24 months old at iodine deficiency disorder endemic areas.
Method: The study was observational with cross sectional design carried out at Subdistrict of Cangkringan, District of Sleman. Subjects of the study were 75 children aged 12–24 months chosen by using consecutive sampling technique. Dependent variables of the study were mental and psychomotoric development, independent variable was nutritional status of children based on anthropometry with length/age indicator. Confounding variables were birth weight, mothers’ iodine status, level of education, job and family economic status. Other independent variable affecting nutritional status of children was mothers’ height. Data were analysed using chi square, Fisher’s exact test, and independent t-test.
Results: Prevalence of low nutritional status was 13.33%. Children with normal nutritional status had average mental development index (MDI) 2.49 points and psychomotoric development index (PDI) 5.37 points higher than those with low nutritional status. However, relationship between nutritional status and mental and psychomotoric development was statistically insignificant.
Conclusion: Relationship between nutritional status and mental and psychomotoric development of children of 12–24 months old was not statistically significant. Children with normal nutritional status tended to have higher MDI and PDI score than those with low nutritional status.
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Grantham-McGregor SM, Grantham-McGregor SM, Cheung YB, Cueto S, Glewwe P, Richter L, et al. Developmental Potential in the First 5 Years for Children in Developing Countries. Lancet 2007;369:60-70.
Walker SP, Wachs TD, Gardner JM, Lozoff B, Pollit E, Carter JA. Child Development: Risk Factors for Adverse Outcomes in Developing Countries. Lancet 2007;369:145-57.
Departemen Kesehatan RI. Gizi dalam Angka.Jakarta:Depkes RI;2003.
Menteri Kesehatan. Lampiran Keputusan Menkes RI tentang Klasifikasi Status Gizi Anak Bawah Lima Tahun 2002.Jakarta:Menkes RI;2002.
United Nations Administrative Committee on Coordination/Sub-Committee on Nutrition. Fourth Report on the World Nutrition Situation: Nutrition Throught out the Life Cycle: 2000.
Atmarita. Nutrition Problems in Indonesia: An Integrated International Seminar and Workshop on Lifestyle-Related Diseases. Yogyakarta: Gadjah Mada University; 2005.
ICCIDD. Tracking Progress towards Sustainable Elimination of Iodine Deficiency Disorders in Rajasthan 2004.
Gorman KS. Malnutrition and Cognitive Development: Evidence from Experimental/Quasi Experimental Studies among the Mild to Moderately Malnourished. J Nutr 1995;125:2239S-44S.
Lemeshow S, Hosmer D, Klar J. 1990. Adequacy of Sample Size in Health Studies. (Terjemahan) Pramono D. Yogyakarta: UGM Press; 1997. h. 49-52.
Bayley N. Bayley Scales of Infant Development. San Antonio: Harcourt Brace & Company; 1993.
ACC/SCN (United Nations Administrative Committee on Coordination/Sub-Committee on Nutrition). Summary of Results for the Third Report on the World Nutrition Situation. SCN News 1997 Jul 14;7-9.
Gibson RS. Principles of Nutritional Assessment. New York: Oxford University Press; 2005.
Hartono B, Djokomoeljanto R, Njiokiktjien, Veerman AJP, Sonneville LD. The Influence of Iodine Deficiency during Pregnancy on Child Neurodevelopment 0-24 Months of Age in East Java, Indonesia. Neurol Asia 2005;10:113-24.
Huda SN, Grantham-McGregor SM, Tomkins A. Cognitive and Motor Functions of Iodine Deficient but Euthyroid Children in Bangladesh Do Not Benefit from Iodized Poppy Seed Oil (Lipiodol). J Nutr 2001;131:72-7.
Chatoor I, Surles J, Ganiban J, Beker L, Paez LM, Kerzner B. Failure to Thrive and Cognitive Development in Toddlers with Infantile Anorexia. Pediatr 2004;113(5):440-7.
Pediatric Nutrition Surveillance. System Summary Report: 1998.
Dangour AD, Hill HL, Ismail SJ. Height, Weight and Haemoglobin Status of 6 to 59-Month-Old Kazakh Children Living in Kzyl-Orda Region, Kazakhstan. Eur J Cardiovasc Nurs 2002;56(10):1030-8.
Watanabe K, Flores R, Fujuwara J, Tran LTH. Early Childhood Development and Cognitive Development of Young Children in Rural Vietnam. J Nutr 2005;135:1918-25.
Mendez MA, Adair LS. Severity and Timing in the First Two Years of Life Affect Performance on Cognitive Tests in Late Childhood. J Nutr 1999;129:1555-62.
Grantham-McGregor SM, Powell CA, Walker SP, Himes JH. Nutritional Supplementation, Psychosocial Stimulation and Mental Development of Stunted Children: The Jamaican Study. Lancet 1991;338(8758):1-5.
Pearce MS, Deary IJ, Young AH, Parker L. Growth in Early Life and Childhood IQ at Age 11 Years: The Newcastle Thousand Families Study. Int J Epidemiol 2005;34(3):673-7.
Peng Y, Huang B, Biro F, Feng L, Guo Z, Slap G. Outcome of Low Birthweight in China: A 16-Year Longitudinal Study. Acta Paediatr 2005;94(7):843-9.
Lima MC, Eickman SH, Lima AC, Guerra MQ, Lira PI, Huttly SR, et al. Determinants of Mental and Motor Development at 12 Months in a Low Income Population : A Cohort Study in Northeast Brazil. Acta Paediatr 2004;93(7):969-75.
Gorstein J. Consideration of Indicators to Track Progress towards the Elimination of Iodine Deficiency in Indonesia. Washington: Faculty of International Health, The University of Washington; 2005.
Tuhumena FS. Hubungan Status Gizi dengan Perkembangan Anak Balita di Kecamatan Imogiri, Kabupaten Bantul [Tesis]. Yogyakarta: Universitas Gadjah Mada; 2004.
Muljati S, Heryudarini, Sandjaja, Irawati A, Sudjasmin. Faktor-Faktor yang Mempengaruhi Perkembangan Mental dan Psikomotor pada Anak Batita Gizi Kurang. Jurnal Penelitian Gizi dan Makanan 2002; 25(2):31-7.
DOI: https://doi.org/10.22146/ijcn.17563
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