The Analysis of Chronic Energy Malnutrition and Iron Intake with Anemia in Preconception Women of Childbearing Age in Terbanggi Besar Subdistrict, District of Central Lampung

Abstract

The prevalence of anemia among women of childbearing age (WCA) in Lampung Province in 2011 was 25.9%. Anemia in WCA usually continues until the pregnancy that may increase the risk of complications in pregnancy and childbirth. This study aimed to determine the relationship of chronic energy malnutrition and iron intake with anemia in preconception women of childbearing age. The was an observational analytic study using a cross-sectional design. The survey conducted in Terbanggi Besar subdistrict, district of Central Lampung from August to November 2016. Samples were 183 preconception women of childbearing-aged 20- to 40-years-old, taken with sampling cluster techniques. Chronic energy malnutrition data assessed by measurement of the
mid-arm circumference, iron intake obtained through 2x24h food recall, and anemia by measuring hemoglobin levels through blood tests. Data were analyzed using chi-square test and Fisher exact test. The results showed that 26.8% of respondents suffered from anemia, 44.3% chronic energy malnutrition, and 95.7% less iron. The results showed that chronic energy malnutrition had a significant correlation (p = 0.02) with anemia, and iron intake did not correlate (p = 0.53) with anemia. Respondents with chronic energy malnutrition were 2.3 times more likely to have anemia than those without chronic energy malnutrition. There was a significant relationship between chronic energy malnutrition with anemia in preconception women of childbearing age in Terbanggi
Besar sub-district of Central Lampung.



Keywords: Anemia, chronic energy malnutrition, iron intake, women of childbearing age preconceptions

References
[1] WHO. Worldwide Prevalence of Anemia. Geneva. Switzerland: World Health Organization. 2008.


[2] Kiswari R. Hematologi dan Transfusi. Jakarta: Penerbit Erlangga. 2014.


[3] Departemen Kesehatan Republik Indonesia (Depkes RI). Profil Kesehatan Indonesia. Jakarta: Kementrian Kesehatan Republik Indonesia. 2011.


[4] Citrakesumasari. Anemia Gizi, Masalah dan Pencegahannya Cetakan I. Yogyakarta: Kaliaka. 2012.


[5] Fatmah. Gizi dan Kesehatan Masyarakat. Jakarta: Rajagrafindo Persada. 2007.


[6] Mahirawati, V.K. Faktor-faktor yang Berhubungan dengan Kekurangan Energi Kronis (KEK) pada Ibu Hamil di Kecamatan Kamoning dan Tambelangan, Kabupaten Sampang Jawa Timur. Buletin Penelitian Sistem Kesehatan 2014: Vol. 17 No. 2 April 2014: 193–202.


[7] Gibney M. Gizi Kesehatan Masyarakat. Jakarta: Penerbit Buku Kedokteran EGC. 2009.


[8] Gutmaningsih D. Faktor-faktor yang Berhubungan dengan Kejadian Anemia pada Remaja Putri di SMA Negeri 1 Kecamatan Jatibarang Kabupaten Brebes Tahun 2007 [Skripsi]. Semarang: Universitas Negeri Semarang. 2007.


[9] Kementerian Kesehatan Republik Indonesia (Kemenkes RI). Profil Kesehatan Indonesia. Jakarta: Kementrian Kesehatan Republik Indonesia. 2011.


[10] Kementrian Kesehatan Republik Indonesia (Kemenkes RI). Riset Kesehatan Dasar. Jakarta: Badan Penelitian dan Pengembangan Kesehatan Kementrian Kesehatan RI. 2013.


[11] Thompson B. Food-Based Approaches for Combating Iron Deficiency. Food and Agriculture Organization (FAO). 2007;22.


[12] Almatsier S. Prinsip Dasar Ilmu Gizi. Jakarta: Gramedia Pustaka Utama. 2009.


[13] Anari AG, Nazemian N, Vahedian-Ardakani H-A. Association of Body Mass Index with Hemoglobin Concentration and Iron Parameters in Iranian Population. Hindawi Publishing Corporation. 2014;3.


[14] Mendonca EBS, Muniz LF, Arruda IKGd, Diniz A. Hemoglobin Concentrations and Associated Factors in Adolescentes from Recife, Brazil. Nutrition Journal. 2014;27.


[15] Arisman MB. Buku Ajar Ilmu Gizi dalam Daur Kehidupan Edisi 2. Jakarta: Penerbit Buku Kedokteran EGC. 2014.


[16] Supariasa IDN, Bakri B, Fajar I. Penilaian Status Gizi. Jakarta: Penerbit Buku Kedokteran EGC. 2012.