Factors Influencing Malnutrition in Children at the out Patient Clinic of the Pediatric Nutrition Sub Division, Dr. Pirngadi Hospital Medan in 1985 - 1989

  • Rosmaida S. Sitanggang Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Tjut Dharmawati Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Robroy Nasution Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Endang D. Hamid Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • Sjarikat Tarigan Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Keywords: malnutrition; influencing factors; severe malnutrition; diluted milk; gastroenteritis; respiratory tract infection

Abstract

A retrospective study on the incidence of malnutrition and the influencing factors had been carried out on 1081 children attending the outpatient clinic of the Pediatric Nutrition, Dr. Pirngadi Hospital Medan during 1985-1989.

Mild and moderate malnutrition were found in 69.96% of the children, severe malnutrition in 33. 77% while well nourished children were found in only 0.27% of cases. The highest incidence of malnutrition was in 12-24 months age group (43. 76%) (p<0.05). About half (49.08%) of cases were breastfed, and in 85.66% of them breast feeding were given until 6 months old.

Most of the malnourished children were given very diluted milk (63.4%), while low protein supplementary feeding was given to 62.89% of children, and both types of food mentioned above were given to 52.52% of cases. The most prevalent accompanying diseases in malnourished children were gastroenteritis (58.25%), followed by respiratory tract infection (52.59%). The majority of father's occupation was  seasonal workers (60.12%).

Factors associated with malnourished children in this study were early weaning, low protein supplementary feeding and accompanying diseases especially diarrhea.

References

1. Husaini YK, Husaini MA. Sumbangan gizi untuk pembangunan peningkatan kwalitas manusia Indonesia. Media. 2 Feb 1987;179-84.
2. Tarigan S. Penyebab dan follow up anak dengan gizi kurang di RS Dr. Pirngadi Medan. Presented at KONIKA IV, 1978, Jogjakarta.
3. Enoch M, Pardede MI. Pola penyapihan Mangunkusumo, Presented at KONIKA, dan status gizi anak di bawah tiga tahun (Balita), dikelurahan kampung Bali Jakarta Pusat. Medika 3 Maret 1982; 178-269.
4. Abas B, Djumaidas Abunain IG Tarwotjo. Masalah kurang kalori protein. Journal Gizi Indonesia. Vol XIII No. 1 (1988):40-53.
5. Sitepu N, Karo-karo M, A Rajali, Siregar. Poli Gizi anak RS Dr. Pirngadi Medan tahun 1976-1978. Presented at KONIKA V, 1981, Medan.
6. Lubis CP, Siregar H, Siregar A and Lubis RM. Measuring malnutrition and Intestinal Helminthiasis on Tobacco Plantation Workesrs. Pediatr Indones 1979; 19: 84-90. at KONIKA VII, 1987 -Jakarta.
7. Jellife DB. Indirect nutritional assessment of human groups. In: Text book the assessment of the nutritional status of the community. Geneva, WHO, 1966: 97-105.
8. Djatnika and Samsudin. Pembeiran ASI dan susu formula pada bayi berobat di Poliklinik Bagian Ilmu Kesehatan Anak RS Cipto Mangunkusumo. Presented at KONIKA, 1987, Jakarta.
9. Enoch M, Djumaidisias Abunain. Pemberian air susu ibu, susu botol dan makanan sapihand alam hubungannya dengan diare pada bayi di Jakarta. Medika 1 Januari 1986:46-53.
10. Hansen JDL, Buchanan N, Pettifor JM. Protein malnutrition (PEM). In: Mc. Laren DR. Burman D. Text book of Pediatrics Nutrition. Edinburg: Churchill Livingstone; 1976: 119-45.
11. Syamsul Arief, Ratna I, Bruhan H, Netty EP. Defisiensi protein kalori pada anak di RSU Dr. Sutomo selama 5 tahun. Presented at KONIKA VII, 1987, Jakarta.
Published
2018-12-11
How to Cite
1.
Sitanggang R, Dharmawati T, Nasution R, Hamid E, Tarigan S. Factors Influencing Malnutrition in Children at the out Patient Clinic of the Pediatric Nutrition Sub Division, Dr. Pirngadi Hospital Medan in 1985 - 1989. PI [Internet]. 11Dec.2018 [cited 22Nov.2024];33(1-2):1-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/2048
Section
Pediatric Nutrition & Metabolic Disease
Received 2018-12-10
Published 2018-12-11