Skip to main content Skip to main navigation menu Skip to site footer

Hubungan status nutrisi dengan gangguan pubertas pada remaja panti asuhan di Kota Denpasar

  • I Komang Prayoga Ariguna Dira ,
  • I Made Arimbawa ,
  • I Made Darma Yuda ,

Abstract

Background: Puberty is a transition period between childhood and adulthood influenced by various complex factors. Nutrition is one of the most important factors affecting pubertal development. Overweight or obese children are more likely to enter puberty earlier. Severe primary or secondary malnutrition can also delay the onset and progression of puberty. This study aims to determine the relationship between nutritional status and pubertal disorders in Denpasar city orphanage children.

Methods: This study was conducted using an analytic research design with a cross-sectional design to determine the relationship between nutritional status and pubertal disorders in Denpasar city orphanage children. This study involved all children in Denpasar city orphanages, Bali, between November and December 2022. Subjects who met the inclusion and exclusion criteria were included in the study. Data were analyzed using SPSS version 25.0 for Windows.

Results: This study involved 160 adolescents who had reached the age of puberty in an orphanage in Denpasar City. The sample was classified as having normal puberty, 93.75%, and as many as 10 research samples were found to have puberty disorders (6.25%). The samples were classified as well-nourished (75.00%) and malnutrition (25.00%). This study shows that nutritional status has a significant relationship with pubertal disorders, with a p-value of 0.003 and a prevalence ratio of 7.00 and CI95% (1.90-25.79).

Conclusion: This study found that there is a significant relationship between nutritional status and the occurrence of puberty disorders. Adolescents with malnutrition nutritional status have a seven times greater risk of experiencing puberty disorders compared to adolescents with good nutritional status.

 

Latar Belakang: Pubertas merupakan masa transisi antara masa anak-anak dengan dewasa yang di pengeruhi oleh berbagai faktor kompleks. Nutrisi merupakan salah satu faktor terpenting yang mempengaruhi perkembangan pubertas. Anak yang kelebihan berat badan atau obesitas lebih cenderung memasuki masa pubertas lebih awal. Malnutrisi primer atau sekunder yang parah juga dapat menunda permulaan dan perkembangan pubertas. Penelitian ini bertujuan untuk mengetahui hubungan antara status nutrisi dengan gangguan pubertas pada anak panti asuhan kota Denpasar.

Metode: Penelitian ini dilakukan menggunakan rancangan penelitian analitik dengan desain potong lintang untuk mengetahui hubungan antara status nutrisi dengan gangguan pubertas pada anak panti asuhan kota Denpasar. Penelitian ini melibatkan semua anak pada panti asuhan kota Denpasar, Bali, diantara periode penelitian November hingga Desember 2022. Subjek yang memenuhi kriteria inklusi dan eksklusi dimasukkan ke dalam penelitian.

Hasil: Penelitian ini melibatkan 160 remaja yang telah mencapai usia pubertas di Panti Asuhan yang terletak di Kota Denpasar. Sampel tergolong memiliki pubertas normal 93,75%, sebanyak 10 sampel penelitian ditemukan mengalami gangguan pubertas (6,25%). Sampel tergolong memiliki gizi baik (75,00%) dan malnutrisi (25,00%). Penelitian ini menunjukkan status nutrisi memiliki hubungan signifikan dengan gangguan pubertas dengan nilai p sebesar 0,003 dan prevalence ratio sebesar 7,00 dan IK95% (1,90-25,79).

Simpulan: Penelitian ini menemukan bahwa terdapat hubungan yang signifikan antara status nutrisi dengan terjadinya gangguan pubertas. Remaja dengan status nutrisi malnutrisi memiliki risiko tujuh kali lebih besar untuk mengalami gangguan pubertas dibandingkan dengan remaja dengan status nutrisi baik.

References

  1. Worthman CM, Dockray S, Marceau K. Puberty and the Evolution of Developmental Science. J Res Adolesc. 2019;29(1):9-31.
  2. Radha SS, Chellappan V. Age at menarche and its relation with nutritional and socioeconomic status—A study among adolescent school girls. Int J Med Sci Public Health 2015;4(6):777-780
  3. Koopman-Verhoeff ME, Gredvig-Ardito C, Barker DH, Saletin JM, Carskadon MA. Classifying Pubertal Development Using Child and Parent Report: Comparing the Pubertal Development Scales to Tanner Staging. Journal of Adolescent Health 2020;66(5):597-602.
  4. Brito VN, Latronico AC. Puberty: When is it normal? Arch Endocrinol Metab 2015;59(2):93–94.
  5. Gluckman PD, Hanson MA. Evolution, development and timing of puberty. Trends Endocrinol Metab. 2006;17(1):7-12.
  6. Latronico AC, Brito VN, Carel JC. Causes, diagnosis, and treatment of central precocious puberty. Lancet Diabetes Endocrinol. 2016;4(3):265-274.
  7. Campisi SC, Humayun KN, Wasan Y, Soofi SB, Islam M, Hussain A, et al. The relationship between pubertal timing and under‐nutrition in rural Pakistan. J Adolesc 2020;88(1):58–66.
  8. Sutinah, S. Analisa keberadaan lembaga kesejahteraan sosial anak (LKSA) di Kabupaten Sidoarjo. Jurnal Sosiologi Dialektika. 2020;13(1):66–78.
  9. Tanner JM, Whitehouse RH. Clinical longitudinal standards for height, weight, height velocity, weight velocity, and stages of puberty. Arch Dis Child. 1976;51(3):170-179.
  10. Mul D, Fredriks AM, van Buuren S, Oostdijk W, Verloove-Vanhorick SP, Wit JM. Pubertal development in The Netherlands 1965-1997. Pediatr Res. 2001;50(4):479-486.
  11. Herman-Giddens ME, Slora EJ, Wasserman RC, Bourdony CJ, Bhapkar MV, Koch GG, et al. Secondary sexual characteristics and menses in young girls seen in office practice: a study from the Pediatric Research in Office Settings network. Pediatrics. 1997;99(4):505-12.
  12. Kulin HE, Bwibo N, Mutie D, Santner SJ. The effect of chronic childhood malnutrition on pubertal growth and development. Am J Clin Nutr. 1982;36(3):527-536.
  13. Lee PA, Guo SS, Kulin HE. Age of puberty: data from the United States of America. APMIS. 2001;109(2):81-88.
  14. He Q, Karlberg J. Bmi in childhood and its association with height gain, timing of puberty, and final height. Pediatr Res. 2001;49(2):244-251.
  15. Hakimi, Siregar CD, Deliana M, Rahmawati L. Ukuran besar testis anak laki-laki pada saat awitan pubertas. Sari Pediatri. 2016;7(2):68-72.
  16. Wirawan, Susatyo D, Machfudz S. Pola perkembangan seksual sekunder siswa laki-laki Sekolah Dasar di Kotamadya Yogyakarta [Tesis]. Universitas Gadjah Mada. 2003.
  17. Wood CL, Lane LC, Cheetham T. Puberty: Normal physiology (brief overview). Best Pract Res Clin Endocrinol Metab. 2019;33(3):101265.
  18. Kaplowitz PB, Slora EJ, Wasserman RC, Pedlow SE, Herman-Giddens ME. Earlier onset of puberty in girls: relation to increased body mass index and race. Pediatrics. 2001;108(2):347-353.
  19. Indaryani W, Susanto R, Susanto JC. Hubungan awitan pubertas dan status sosial ekonomi serta status gizi pada anak perempuan. Sari Pediatri. 2016;11(5):374-378.
  20. Barros BS, Kuschnir MCMC, Bloch KV, Silva TLND. ERICA: age at menarche and its association with nutritional status. J Pediatr (Rio J). 2019;95(1):106-111.
  21. Alam S, Syahrir S, Adnan Y, Asis A. Hubungan Status Gizi dengan Usia Menarche pada Remaja Putri. Jurnal Ilmu Kesehatan Masyarakat. 2021;10(3):200-207.
  22. Hall CM. Applied physiology: the control of puberty. Current Paediatrics. 2003;13(5):371-375.
  23. Das JK, Salam RA, Thornburg KL, Prentice AM, Campisi S, Lassi ZS, et al. Nutrition in adolescents: physiology, metabolism, and nutritional needs. Ann N Y Acad Sci. 2017;1393(1):21-33.
  24. Handayani MS, Dwiriani CM, Riyadi H. Hubungan komposisi tubuh dan status gizi dengan perkembangan seksual pada remaja putri di perkotaan dan perdesaan. Jurnal Gizi dan Pangan. 2013;8(3):181-186.
  25. Wang Y. Is obesity associated with early sexual maturation? A comparison of the association in American boys versus girls. Pediatrics. 2002;110(5):903-910.
  26. Falorni A, Bini V, Cabiati G, Papi F, Arzano S, Celi F, et al. Serum levels of type I procollagen C-terminal propeptide, insulin-like growth factor-I (IGF-I), and IGF binding protein-3 in obese children and adolescents: relationship to gender, pubertal development, growth, insulin, and nutritional status. Metabolism. 1997;46(8):862-871.
  27. Pozo J, Argente J. Delayed puberty in chronic illness. Best Pract Res Clin Endocrinol Metab. 2002;16(1):73-90.
  28. Triyanto E, Prabandari YS, Yuniarti KW, Wedarti S. Identification factors affecting adolescent’s reproductive health behavior: A qualitative study. Bali Medical Journal. 2019;8(3):672-678.
  29. Parisudha RD, Suwedagatha IG. High incidence of varicocele among young men in Public Police Hospital Denpasar, Bali, Indonesia: A descriptive study. Bali Medical Journal. 2019;8(3):623-627.
  30. Aryunisari CG, Putra IB, Jusuf NK. The relationship between age of menarche with striae among female students. Bali Medical Journal. 2020;9(1):400-403.

How to Cite

Dira, I. K. P. A., Arimbawa, I. M., & Yuda, I. M. D. (2023). Hubungan status nutrisi dengan gangguan pubertas pada remaja panti asuhan di Kota Denpasar. Intisari Sains Medis, 14(3), 1016–1022. https://doi.org/10.15562/ism.v14i3.1829

HTML
0

Total
0

Share

Search Panel

I Komang Prayoga Ariguna Dira
Google Scholar
Pubmed
ISM Journal


I Made Arimbawa
Google Scholar
Pubmed
ISM Journal


I Made Darma Yuda
Google Scholar
Pubmed
ISM Journal