Faktor-faktor yang berhubungan dengan kejadian GAKY pada anak sekolah dasar di pinggiran pantai Kota Palu Provinsi Sulawesi Tengah

https://doi.org/10.22146/ijcn.17611

Normawaty Patuti(1*), Toto Sudargo(2), Deddy Nur Wachid(3)

(1) Dinas Kesehatan Singgani, Sulawesi Tengah
(2) Magister Gizi Kesehatan Universitas Gadjah Mada
(3) Bagian Penyakit Dalam, Fakultas Kedokteran, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Iodine deficiency disorder (IDD) is one of serious health problems considering that it has great impact to survival and quality of human resources. The core problem of IDD is initially caused by lack of iodine in water and soil, then heightened by goitrogenic substances in the food consumed, more pollutants as side effects of industrial waste, the blocking agent which naturally exists in water and soil in the surrounding dwelling places.

Objective: The study aimed to identify factors affecting the prevalence of IDD among elementary school children at coastal region.

Method: The study was analytic observational with cross sectional design. Population and samples of the study were elementary school children of grade 4-6 proportionally chosen that fulfiled inclusion criteria. Variables observed were consumption pattern, environment (drinking water plumbum), and children’s hemoglobin. Data analysis used computer software at signifiance level p<0.05 and confience interval 95% and estimation of risk level (Odds Ratio) with chi square. The result of analysis was presented in frequency distribution table and percentage. Analysis of food nutrient was done with recall 24 hours, dietary history. Examination was made to thyroid gland palpation and hemoglobin using
cyanomethemoglobin and drinking water plumbum using Atomic Absorption Spectrophotometer.

Result: The result of independent and dependent statistical test showed that there was signifiant effect of consumption pattern of protein source to the prevalence of IDD (p<0.05), iron source to the prevalence of IDD (p<0.05), zinc source to the prevalence of IDD (p<0.05), iodine source to the prevalence of IDD (p<0.05) and hemoglobin source to the prevalence of IDD (p<0.05). Meanwhile, there was no effect of source goitrogenic (thiocyanate) to the prevalence of IDD (p>0.05), drinking water plumbum level to the prevalence of IDD (p>0.05).

Conclusion: There was signifiant effect of consumption pattern of protein, iodine and hemoglobin level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality. There was no effect of drinking water plumbum level to the prevalence of IDD among elementary school children at coastal region of Palu Municipality.


Keywords


iodine dificiency disorder; elementary school children; coastal region

Full Text:

PDF


References

Departemen Kesehatan RI. Penanggulangan Gangguan Akibat Kurang Yodium (GAKY) di Indonesia. Jakarta: Direktorat Bina Gizi Masyarakat Departemen Kesehatan RI; 2001

Departemen Kesehatan RI. Rencana Aksi Nasional Kesinambungan Program Penanggulangan Gangguan Akibat Kurang Yodium. Jakarta:Tim Penanggulangan GAKY Pusat; 2005.

Hetzel SB, Clugston AG. Iodine in Modern Nutrition in Health and Disease. Ninth Edition. Baltimore: Lippincott Williams & Wilkins 1999. pp 253-64.

Djokomoeljanto R. Evaluasi Masalah Gangguan Akibat Kurang Yodium (GAKY) di Indonesia. Jurnal GAKYurnal GAKY Indonesia 2002; 3 (1):31-9.

Soeharyo H, Margawati A, Setiawan H, Djokomoelyanto. Aspek Sosial Kultur Pada Program Penanggulangan GAKY, Jurnal GAKY Indonesia 2002; 1 (1):41 -6

WHO, UNICEF, ICCIDD. Assesment of Iodine Defiiency Disorders and Monitoring their Elimination, Second edition. U S A: WHO; 2001.

Greenspan SF. Endokrinologi Dasar dan Klinik. Wijaya, C.,Maulany, R., Samsudin, S. 2000 (Alih Bahasa). Edisi 4, EGC: Jakarta; 2000.

Widodo SU. Membangun Survailens GAKY di Tingkat Kabupaten /Kota. Magelang: Balai Pengobatan GAKY; 2004.

Departemen Kesehatan RI. Rencana Aksi Nasional Kesinambungan Program Penanggulangan Gangguan Akibat Kurang Yodium. Tim Penanggulangan GAKY Pusat: Jakarta; 2005.

Dinkes Propinsi Sulawesi Tengah. Profil Kesehatan Sulawesi Tengah: Dinkes Sulawesi Tengah; 2005.

Dinkes Kota Palu. Profi Kesehatan Kota Palu: Dinkes Kota Palu; 2005.

Lemeshow S, David WH, Janelle K. Sample Size Determination in Health Studies A Practical Manual. Geneva: WHO; 1997.

Sirajuddin, Rauf S, Salim A. Kadar Iodium Urine dan Pembesaran Kelenjar Gondok Anak Sekolah Dasar di Daerah Pantai Polmas. Makassar: Media Pangan Gizi 2007; 4(2).

Djokomoeljanto R. Evaluasi Masalah Gangguan Akibat Kurang Yodium (GAKY) di Indonesia. Jurnal GAKY Indonesia.Vol 3 No 1 2002; pp.31-9.

Thaha RA, Dachlan, MD, Jafar N. Analisis Faktor Risiko Coastal Goiter, Jurnal GAKY Indonesia 2002;1(1): 9-17.

Mayes PA. Pencernaan dan Absorpsi Dalam Biokimia Harper, Hartono, A. (Alih Bahasa). EGC: Jakarta; 2003.

Picauly I. Suatu Tinjauan Ontologi dan Aksiologi Iodium dalam tubuh serta Gambaran GAKI Masyarakat Endemik GAKI Pesisir Pantai Kabupaten Maluku. Iodium dan Gangguan Akibat Kekurangan Iodium. Pasca Sarjana Institut Pertanian Bogor; 2002.

Zimmermann MB et al. Dual Fortification of Salt with Iodine and Micronized Ferric Pyrophosphate: a randomized, double-blind,controlled trial. American Journal Clinical Nutrition 2003; 80 : 952-9.

Subekti I. Faktor-faktor yang Berpengaruh Terhadap Timbulnya Gangguan Akibat Kekurangan Yodium di Daerah Pantai. JKPKBPPK. [serial online] 2002 [cited 2007 Jul 26].

Maryanes, Lestariana W, Widodo SU. Hubungan Antara Status Gangguan Akibat Kekurangan Yodium (GAKY) Anak SD Pada Daerah Endemik GAKY Kabupaten Dairi. Jurnal Gizi Klinik Indonesia 2007; 4 (3): 123.

Adriani M, Wirjatmadi B, Gunanti RI. (Identifiasi Gondok di Daerah Pantai : Suatu Gangguan Akibat Kekurangan Yodium: Jurnal GAKY Indonesia Vol 3 No 1 2002; pp.17-30.

Esvanti M. Hubungan Kandungan Yodium, Selenium, Seng, Nitrat dan Timah Hitam Terhadap Kejadian Gondok di Daerah Endemik Gondok dan Non Endemik Gondok di Kabupaten Madiun. [Serial online] 2004 [cited 2008 May 9]. Available from: jiptunairgdl-s2-2004-esvantimir-1 221-Airlangga univesity Library-GDL 4.0.

Lagahu F, Trisnowo, JE, Iswani S, Djokowidodo. Unsur Kelumit Dalam Bahan Lingkungan Hidup dan Tubuh Manusia Pada Penduduk Daerah GAKY di Kabupaten Magelang Dalam Kumpulan Naskah Lengkap Simposium GAKY, Kongres Nasional III Perkumpulan Endokrinologi Indonesia (PERKENI). Semarang: Badan Penerbit Universitas Diponegoro; 1993.

Zimmermann MB, Adou P, Zeder C, Torresani T, Hurrel RF. Persistence of Goiter Despite Oral Iodine Supplementation in Goitrous Children with Iron Defiiency Anemia in the Cote d’lvoire. Am J Clin Nutr 2000; 71 :88-93.

Widagdo D, Latifah L, Setyani A. Peranan Konsumsi Tablet Fe inhibitor dan Infeksi Parasit Terhadap Kejadian Anemia pada ibu hamil di daerah Endemis GAKY Kabupaten Magelang. Prosiding Temu Ilmiah Kongres XIII PERSAGI. Bali: Persatuan Ahli Gizi Indonesia; 2004.

Hess, Sonya Y, Zimmermann BM, Arnold M, Reduces Thyroid Peroxidase Activity in Rats. The American Society for Nutritional Sciences J.Nutr B2002; 132: 1951-5.



DOI: https://doi.org/10.22146/ijcn.17611

Article Metrics

Abstract views : 5534 | views : 5512

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 Jurnal Gizi Klinik Indonesia (The Indonesian Journal of Clinical Nutrition)

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
 Crossref   Google Scholar Indonesian Scientific Journal Database (ISJD) Indonesia OneSearch (IOS)  CORE   

  Creative Commons License

JGKI is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

free
web stats View My Stats