Status ketersediaan makanan dan status gizi ibu sebagai faktor risiko kegemukan pada anak prasekolah

https://doi.org/10.22146/ijcn.23291

Yunita Indah Prasetyaningrum(1*), Nyoman Kertia(2), I Made Alit Gunawan(3)

(1) Program Studi Ilmu Gizi, Fakultas Ilmu Kesehatan Universitas Respati Yogyakarta
(2) Departemen Ilmu Penyakit Dalam, Rumah Sakit Umum Pusat Dr. Sardjito
(3) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Yogyakarta
(*) Corresponding Author

Abstract


Background: Childhood obesity is a strong predictor of adult obesity incidence and can increase risk factors for getting chronic diseases. The causes of obesity are multifactor, determined by genetic and food environment changes. Risk factors believed to be the cause of obesity are home food availability status and maternal obesity.

Objective: To analyze the risk of home food availability status and maternal obesity to obesity in preschool children aged 3-5 years. 

Method: This study was a matched case-control study. The case of this study was obese preschool children (Z-score WHZ > 2 SD) and control of this study was non-obese preschool children (Z-score WHZ -2 ≤ SD ≤ 2). Control group was taken by an age and gender matching with the case group. Based on the nutritional status screening result of 53 early childhood education (ECD) schools on 13 sub-districts in Kota Yogyakarta, there were 101 obese children and 101 non-obese children. Those schools were chosen by cluster sampling method and PPS (Probability Proportional to Size). Besides, information about home food availability status and maternal obesity was collected using questionnaire. The data were analyzed using McNemar test and conditional logistic regression. 

Results: Home food availability status (OR = 1.85; p=0.03; 95% CI=1.08-3.16) and maternal obesity (OR=2.5; p=0.003; 95% CI=1.37-4.55) were the most dominant risk factor related to the incidence of obesity in preschool children aged 3-5 years.

Conclusion: Home food availability status and maternal obesity significantly increase the risk for getting obese in preschool children aged 3-5 years.


Keywords


home food availability status; maternal obesity; obesity; preschool

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References

  1. Biro FM, Wien M. Childhood obesity and adult morbidities. Am J Clin Nutr 2010;91(5):1499S-505S.
  2. Brisbois TD, Farmer a P, McCargar LJ. Early markers of adult obesity: a review. Obes Rev 2012;13(4):347-67.
  3. Saha AK, Sarkar N, Chatterjee T. Health consequences of childhood obesity. Indian J Pediatr 2011;78(11):1349-55.
  4. Ebbeling CB, Pawlak DB, Ludwig DS. Childhood obesity: public-health crisis, common sense cure. The Lancet 2002;360(9331):473-482.
  5. Badan Penelitian Pengembangan Kesehatan. Laporan hasil riset kesehatan dasar (RISKESDAS) Indonesia-Tahun 2013. Jakarta: Departemen Kesehatan Republik Indonesia; 2014.
  6. Dinas Kesehatan Provinsi DIY. Rekapitulasi hasil pemantauan status gizi (PSG) balita di Provinsi DIY Tahun 2013. Yogyakarta: Dinas Kesehatan DIY; 2014.
  7. Flynn MAT, Mcneil DA, Maloff B, Mutasingwa D, Wu M, Ford C, et al. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with “best practice” recommendations. Obes Rev 2006;7 Suppl 1:7-66.
  8. Spiegelman BM, Flier JS. Obesity and the regulation of energy balance. Cell 2001;104:531-43.
  9. James KS, Matsangas P, Connelly CD. Childhood obesity risk in overweight mothers :support for screening. ICAN: Infant, Child, & Adolescent Nutrition 2013;5:375-82.
  10. Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, et al. Early life risk factors for obesity in childhood: cohort study John. BMJ 2005;330:1357.
  11. Campbell KJ, Crawford DA, Salmon J, Carver A, Garnett SP, Baur LA, et al. Associations between the home food environment and obesity-promoting eating behaviors in adolescence. Obesity 2007;15(3):719-30.
  12. Rosenkranz RR, Dzewaltowski DA. Model of the home food environment pertaining to childhood obesity. Nutr Rev 2008;66(3):123-40.
  13. Adair LS, Popkin BM. Public health and public policy are child eating patterns being transformed globally? Obes Res 2005;13:1281-99.
  14. Poti JM, Popkin BM. Trends in energy intake among US Children by eating location and food source, 1977-2006. J Am Diet Assoc 2011;111:1156-64.
  15. Lindsay AC, Sussner KM, Kim J, Gortmaker S. The role of parents in preventing childhood obesity. Spring 2006;16(1):169-86.
  16. Gattshall ML, Shoup JA, Marshall JA, Crane LA, Estabrooks PA. Validation of a survey instrument to assess home environments for physical activity and healthy eating in overweight children. Int J Behav Nutr and Phys Act 2008;13:1-13.
  17. Cullen KW, Baranowski T, Owens E, Marsh T, Rittenberry L, Moor Cde. Availability, accessibility, and preferences for fruit, 100 % fruit juice, and vegetables influence children’ s dietary behavior. Health Educ Behav 2003;30:615-26.
  18. Grimm GC, Harnack L, Story M. Factors associated with soft drink consumption in school-aged children. J Am Diet Assoc 2004;104:1244-9.
  19. Spurrier, NJ, Magarey AA, Golley R, Curnow F, Sawyer MG. Relationships between the home environment and physical activity and dietary patterns of preschool children: a cross-sectional study. Int J Behav Nutr and Phys Act 2008;5:31.
  20. Ding D, Sallis JF, Norman GJ, Saelens BE, Harris SK, Kerr J, et al. Community food environment, home food environment, and fruit and vegetable intake of children and adolescents. J Nutr Educ Behav 2012;44(6):634-8.
  21. Kasjono HS, Yasril. Teknik sampling untuk penelitian kesehatan. Yogyakarta: Graha Ilmu; 2013.
  22. Direktorat Bina Gizi. Keputusan Menteri Kesehatan Republik Indonesia Tentang Standar Antropometri Penilaian Status Gizi Anak. Jakarta: Kemenkes RI; 2011.
  23. Bryant MJ, Ward DS, Hales D, Vaughn A, Tabak RG, Stevens J. Reliability and validity of the healthy home survey: a tool to measure factors within homes hypothesized to relate to overweight in children. Int J Behav Nutr and Phys Act 2008;5:1-11.
  24. Dinas Tenaga Kerja dan Transmigrasi DIY. Upah minimum kabupaten/kota di DIY Tahun 2015. [series online] 2014 [cited 2015 Mar 10]. Available from: URL: http://www.nakertrans.jogjaprov.go.id
  25. Onis M De, Blo M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr 2010;92:1257-64.
  26. Lyu Y, Ouyang F, Ye XY, Zhang J, Lee SK, Li Z. Trends in overweight and obesity among rural preschool children in Southeast China from 1998 to 2005. Public Health 2013;7(38):3-10.
  27. Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980 – 2013 : a systematic analysis for the Global Burden of Disease Study 2013. Lancet 2014;384:766-81.
  28. Arcan C, Hannan PJ, Fulkerson JA, Himes JH, Rock BH, Smyth M, et al. Associations of home food availability, dietary intake, screen time and physical activity with bmi in young American-Indian Children. Public Health Nutr 2012;16(1):146-55.
  29. Yutanti WT. Perilaku pemberian makan ibu dan asupan makan sebagai faktor risiko kegemukan pada anak prasekolah di Kota Yogyakarta [Tesis]. Yogyakarta: Fakultas Kedokteran Universitas Gadjah Mada; 2016.
  30. Schrempft S, Jaarsveld CHM Van, Fisher A, Wardle J. The obesogenic quality of the home environment : associations with diet, physical activity, TV viewing, and BMI in preschool. PLoS One 2015;10(8):1-17.
  31. Haire-Joshu D, Nanney M. Prevention of overweight and obesity in children: influences on the food environment. Diabetes Educ 2002;28(3):415-23.
  32. Whitaker RC, Wright J, Pepe MS, Seidel K, Dietz W. Predicting obesity in young adulthood from childhood and parental obesity. J Med 1997;337(13):869-73.
  33. García EG, López M-Á, Galera Martínez R, Alias I, Martín González M, Bonillo Perales A, et al. Prevalence of overweight and obesity in children and adolescents aged 2–16 years. Endocrinol Nutr 2013;60(3):121-6.
  34. Jiang J, Rosenqvist U, Wang H, Greiner T, Ma Y, Toschke AM. Risk factors for overweight in 2-to 6-year-old children in Beijing , China. Int J Pediatr Obes 2006;1(2):103-8.
  35. Strauss RS, Knight J. Influence of the home environment on the development of obesity in children. Pediatrics 1999;103(6):e85.
  36. Couch SC, Glanz K, Zhou C, Sallis JF, Saelens BE. Home food environment in relation to children’s diet quality and weight status. J Acad of Nutr Diet 2014;114(10):1569-79.
  37. Byrd-Bredbenner C, Abbot JM. Differences in food supplies of u.s. households with and without overweight individuals. Appetite 2009;52:479-84.
  38. Ihmels MA, Welk GJ, Eisenmann JC, Nusser SM. Development and preliminary validation of a family nutrition and physical activity (fnpa) screening tool. Int J Behav Nutr and Phys Act 2009;6:1-10.
  39. Shrewsbury V, Wardle J. Socioeconomic status and adiposity in childhood : a systematic review of cross-sectional studies 1990–2005. Obesity 2008;16:275-84.
  40. Semmler C, Ashcroft J, Jaarsveld CHM Van, Carnell S, Wardle J. Development of overweight in children in relation to parental weight and socioeconomic status. Obesity 2009;17(4):814-20.



DOI: https://doi.org/10.22146/ijcn.23291

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