Perbedaan asupan makan balita di perkotaan dan perdesaan pada provinsi dengan beban gizi ganda

https://doi.org/10.22146/ijcn.46304

Puji Lestari(1*), Susetyowati Susetyowati(2), Mei Neni Sitaresmi(3)

(1) Program Studi Gizi, Fakultas Psikologi dan Kesehatan, Universitas Islam Negeri Walisongo, Semarang
(2) Departemen Gizi dan Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(3) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta
(*) Corresponding Author

Abstract


Differences in food intake among children under five years in urban and rural areas in provinces with the double burden of malnutrition

Background: The double burden of malnutrition is one of the nutritional problems in children at national and global levels. Food intake is the main cause of the double burden of malnutrition. Differences in residence in urban and rural areas will affect food access which will have an impact on different food intake.

Objective: To analyze the differences in energy, protein, fat, and carbohydrate intake of children under-fives in urban and rural areas in provinces with the double burden of malnutrition.

Methods: This research used secondary data analysis using the Total Diet Study (TDS) 2014. The subjects of this study were 813 children in provinces with a dual burden of malnutrition that fulfilled the inclusion and exclusion criteria. Provinces with the double burden of malnutrition are provinces with a prevalence of underweight children aged ≥24-59 months at >22.36% and a prevalence of overweight children age ≥24-59 months at >1.23%. Total Diet Study (TDS) data will provide information on food intake of children through recall results, differences in residence obtained from district classification data, the double burden of malnutrition data obtained from children nutritional status is overweight and underweight based on weight and age data of children processed using WHO-ANTRO software.

Results: The average intake of energy, protein, and fat in the urban area are higher than in a rural area, but the average carbohydrate intake in an urban area is lower than in a rural area. The average intake of energy in urban was 1300.01 kcal, in rural areas was 1223.23 kcal (p=0.0008). The average intake of protein in urban was 55.03 g, in rural areas was 47.67 g (p<0.0001). The average intake of fat in urban was 47.99 g, in rural areas was 37.12 g (p<0.0001). The average intakes of carbohydrate in urban were 163.61 g, in rural areas was 178.88 g (p=0.0042).

Conclusions: There are differences in energy, protein, fat, and carbohydrate intake of children under five years in urban and rural areas in provinces with the double burden of malnutrition.


Keywords


children under five; double burden of malnutrition; food intake; rural; urban

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References

  1. The World Bank Indonesia. Indonesia menghadapi beban gizi ganda malnutrisi. Jakarta: Bank Indonesia; 2012.
  2. World Health Organization (WHO). Global and regional trends by UN regions, 1990-2025. Jeneva: WHO; 2016.
  3. Badan Penelitian dan Pengembangan Kesehatan. Riset kesehatan dasar tahun 2013. Jakarta: Kementerian Kesehatan RI; 2013.
  4. Badan Penelitian dan Pengembangan Kesehatan. Survei konsumsi makanan individu tahun 2014. Jakarta: Kementerian Kesehatan RI; 2014.
  5. Kementerian Kesehatan RI. Standar antropometri penilaian status gizi anak. Jakarta: Kementerian Kesehatan RI; 2010.
  6. Djaiman SP, Fuada N. Faktor-faktor pembeda provinsi yang mengalami beban gizi ganda (BGG) pada anak balita di Indonesia. Jakarta: Pusat Teknologi Intervensi Kesehatan Masyarakat, Balitbangkes; 2015.
  7. Hanandita W, Tampubolon G. The double burden of malnutrition in indonesia: social determinants and geographical variations. SSM Population Health. 2015;1:16–25. doi: 10.1016/j.ssmph.2015.10.002
  8. Dean WR, Sharkey JR. Rural and urban differences in the associations between characteristics of the community food environment and fruit and vegetable intake. J Nutr Educ Behav. 2011;43(6):426-33. doi: 10.1016/j.jneb.2010.07.001
  9. Smith C, Miller H. Accessing the food systems in urban and rural minnesotan communities. J Nutr Educ Behav. 2011;43(6):492-504. doi: 10.1016/j.jneb.2011.05.006
  10. Liu JH, Jones SJ, Sun H, Probst JC, Merchant AT, Cavicchia P. Diet, physical activity, and sedentary behaviors as risk factors for childhood obesity: an urban and rural comparison. Child Obes. 2012;8(5):440-8. doi: 10.1089/chi.2012.0090
  11. Ford R, Faber M, Kunneke E, Smuts CM. Prostaglandins, leukotrienes and essential fatty acids dietary fat intake and red blood cell fatty acid composition of children and women from three different geographical areas in South Africa. Prostaglandins, Leukotrienes and Essential Fatty Acids. 2016;109(2):13-21. doi: 10.1016/j.plefa.2016.04.003
  12. Kim SH, Kim JY, Keen CL. Comparison of dietary patterns and nutrient intakes of elementary schoolchildren living in remote rural and urban areas in Korea: their potential impact on school performance. Nutrition Research. 2005;25(4):349-63. doi: 10.1016/j.nutres.2005.01.003
  13. Liu H, Fang H, Zhao Z. Urban-rural disparities of child health and nutritional status in China from 1989 to 2006. Econ Hum Biol. 2013;11(3):294-309. doi: 10.1016/j.ehb.2012.04.010
  14. Leal KK, Schneider BC, Gigante DP, Santos I, Assunção MCF. Diet quality of preschool children aged 2 to 5 years living in the urban area of Pelotas, Brazil. Rev Paul Pediatr. 2015;33(3):311-8. doi: 10.1016/j.rpped.2015.05.002
  15. Apriani S, Baliwati YF. Faktor-faktor yang berpengaruh terhadap konsumsi pangan sumber karbohidrat di perdesaan dan perkotaan. Jurnal Gizi dan Pangan. 2011;6(3):200-7. doi: 10.25182/jgp.2011.6.3.200-207
  16. Doku DT, Neupane S. Double burden of malnutrition: increasing overweight and obesity and stall underweight trends among Ghanaian women. BMC Public Health. 2015;15(670):1-9. doi: 10.1186/s12889-015-2033-6
  17. Wong CY, Zalilah MS, Chua EY, Norhasmah S, Chin YS, Nur'asyura AS. Double-burden of malnutrition among the indigenous peoples (Orang Asli) of Peninsular Malaysia. BMC Public Health. 2015;15:680. doi: 10.1186/s12889-015-2058-x
  18. Liese AD, Weis KE, Pluto D, Smith E, Lawson A. Food store types, availability, and cost of foods in a rural environment. J Am Diet Assoc. 2007;107(11):1916-23. doi: 10.1016/j.jada.2007.08.012



DOI: https://doi.org/10.22146/ijcn.46304

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