The tendency of parents’ perception about underestimating the body weight and height of their own children under five years old

Siti Helmyati, Setyo Utami Wisnusanti, Dominikus Raditya Atmaka

Abstract


ABSTRAK

Latar belakang: Proporsi balita gizi lebih dan gizi kurang masih cukup tinggi di Indonesia. Penanggulangan masalah gizi sangat penting dilakukan karena memiliki dampak kesehatan jangka panjang. Penyelesaian masalah gizi buruk dan gizi lebih di Indonesia terkendala dengan kurangnya efektivitas program intervensi dan pola asuh yang diberikan orang tua kepada anak. Salah satu hal yang mempengaruhi keberhasilan penanggulangan masalah gizi adalah persepsi orang tua terhadap status gizi balita.

Tujuan: Penelitian ini bertujuan untuk menilai persepsi orang tua terhadap status gizi balita yang dikelompokkan antara berat badan atau tinggi badan menurut umur.

Metode: Penelitian menggunakan desain potonglintang dengan memberikan kuesioner penilaian persepsi kepada orangtua yang memiliki anak balita dan datang ke posyandu di 11 Padukuhan di Kecamatan Seyegan, DI Yogyakarta. Penelitian berfokus pada penilaian persepsi orang tua terhadap berat badan dan tinggi badan anak menurut umur dan apakah orang tua mengalami underestimasi atau overestimasi terhadap status gizi anak-anaknya.

Hasil: Terdapat 89 responden yang bersedia mengikuti penelitian ini. Dari jumlah tersebut, 27 orang tua (30%) memiliki overestimasi bahwa anaknya gemuk atau normal, padahal apabila menurut kurva z-skor, anak tergolong kurus. Terdapat 10 orang tua (11,2%) underestimasi terhadap tinggi badan anak yang sebenarnya normal atau tinggi namun dianggap pendek. Sebaliknya, 5 orang tua (5,6%) mengalami overestimasi dengan menganggap tinggi badan anaknya normal atau tinggi padahal sebenarnya tergolong pendek menurut kurva z-skor.

Kesimpulan: Masih terdapat kesalahan persepsi orang tua terhadap status gizi anaknya. Penelitian lebih lanjut diperlukan untuk mendalami faktor-faktor yang mempengaruhi persepsi dan bagaimana cara mengubahnya sehingga pola asuh orang tua dan penerimaan terhadap program perbaikan gizi menjadi lebih baik.

KATA KUNCI: persepsi; berat badan; tinggi badan; balita; status gizi


ABSTRACT

Background: The proportion of over- and under-nutrition is still high in Indonesia. Overcoming the nutritional problems is important since it can lead to long term health impacts. However, there are some problems that inhibit the intervention program such as low effectiveness and inappropriate parenting. One thing that affects the success of the program is about parents’ perception of the nutritional status of their children.

Objectives: The study aimed to identify the perception of the parents towards the nutritional status of their children, which is categorized as body weight and height to age.

Methods: The research use cross-sectional design by giving the questionnaire to the parents who have children under-five and go to Posyandu in 11 villages in Seyegan, DI Yogyakarta. The study focused on the judgment of the parents towards the height and weight to the age of their children and whether the parents under- or overestimate the nutritional status of their children.

Results: There were 89 respondents following the study. From the number, there were 27 parents (30%) who overestimate their children by assuming the children to be overweight while according to z-score they was categorized as wasted. There were 10 parents (11.2%) who underestimate the height of their children by assuming that their children was stunted while they was not. On the other hand, 5 parents (5.6%) overestimate the height of their children by saying they had normal height while the fact they were stunted.

Conclusion: There is still misperception among the parents about the nutritional status of their children. Further study is needed to identify what factors affecting the perception and how to change it so that the nutritional intervention program and parenting can be better.

KEYWORDS: perception; body weight; body height; children under-five; nutritional status


Keywords


persepsi; berat badan; tinggi badan; balita; status gizi; perception; body weight; body height; children under-five; nutritional status;

References


Visser J. The effect of childhood stunting on adult life [Internet]. Radboud Universiteit Nijmegen; 2016. Available from: https://pdfs.semanticscholar.org/ca37/fa311e8752632244263515dcf027813560c7.pdf

World Health Organization. Reducing Stunting in Children: Equity considerations for achieving the Global Nutrition Targets 2025 [Internet]. Geneva; 2018. Available from: https://apps.who.int/iris/bitstream/handle/10665/260202/9789241513647-eng.pdf;jsessionid=8A8195E340031DD344313D01691E8D02?sequence=1

Daniels SR. The Consequences of Childhood Overweight and Obesity. Futur Child [Internet]. 2006;16(1):47–67. Available from: http://muse.jhu.edu/content/crossref/journals/future_of_children/v016/16.1daniels.html

Simmonds M, Llewellyn A, Owen CG, Woolacott N. This is a repository copy of Predicting adult obesity from childhood obesity : A systematic review and meta-analysis. Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. 2015; Available from: http://eprints.whiterose.ac.uk/94942/

Kementrian Kesehatan Repbulik Indonesia; HASIL UTAMA RISKESDAS 2018 [Internet]. 2018. Available from: http://www.depkes.go.id/resources/download/info-terkini/materi_rakorpop_2018/Hasil Riskesdas 2018.pdf

TNP2K, National T for the A of PR. 100 Priority Regencues/Cities fot Stunted Children Intervention. 2017.

TNP2K, National T for the A of PR. National Strategy for Accelerating Stunting Prevention 2018-2024 [Internet]. 2018. Available from: http://tnp2k.go.id/filemanager/files/Rakornis 2018/Sesi 1_01_RakorStuntingTNP2K_Stranas_22Nov2018.pdf

Jellmayer K, De Piano Ganen A, Alvarenga M. Influence of behavior and maternal perception on their children’s eating and nutritional status. Mundo da Saude [Internet]. 2017;41(2):180–93. Available from: http://bvsms.saude.gov.br/bvs/periodicos/mundo_saude_artigos/influence_behavior_maternal.pdf

Démuth A. Perception Theories [Internet]. Applications of Case Study Research. 2012. 1-19 p. Available from: http://issafrica.org/crimehub/uploads/3f62b072bd80ab835470742e71a0fcb5.pdfnhttp://www.cdc.gov/ViolencePrevention/pdf/SchoolViolence_FactSheet-a.pdfnwww.sace.org.za

Chávez Caraza KL, Rodríguez De Ita J, Guzmán S, Segovia Aguirre JG, Altamirano Montealvo DC, Matías Barrios VM, et al. Altered perception of the nutritional status of preschoolers by their parents: A risk factor for overweight and obesity. Arch Argent Pediatr. 2016;114(3):237–42.

Pedroso J, Toral N, Gubert MB. Maternal perception of children’s nutritional status in the Federal District, Brazil. Wiley AS, editor. PLoS One [Internet]. 2017 Apr 26;12(4):e0176344. Available from: https://dx.plos.org/10.1371/journal.pone.0176344

Francescatto C, Santos NS, Coutinho VF, Costa RF. Mothers’ perceptions about the nutritional status of their overweight children: a systematic review. J Pediatr (Versão em Port [Internet]. 2014 Jul;90(4):332–43. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2255553614000858

Maynard LM, Galuska DA, Blanck, H. M. &, Serdula MK. Maternal perceptions of weight status of children. Pediatrics. 2003;111(5 Part 2):1226–31.

Birch LL, Davison KK. Family environmental factors influencing the developing behavioral controls of food intake and childhood overweight. Pediatr Clin [Internet]. 2001 Aug 1;48(4):893–907. Available from: https://www.pediatric.theclinics.com/article/S0031-3955(05)70347-3/abstract

Golan M, Crow S. Targeting Parents Exclusively in the Treatment of Childhood Obesity: Long-Term Results. Obes Res [Internet]. 2004 Feb 1;12(2):357–61. Available from: http://doi.wiley.com/10.1038/oby.2004.45

Garcia DM, Mekitarian Filho E, Gilio AE, Lotufo JPB, Lo DS. Nutritional status, nutritional self-perception, and use of licit drugs in adolescents. Rev Paul Pediatr (English Ed [Internet]. 2015 Sep 1;33(3):332–9. Available from: https://www.sciencedirect.com/science/article/pii/S2359348215000032

Aparício G, Cunha M, Duarte J, Pereira A, Bonito J, Albuquerque C. Nutritional status in preschool children: current trends of mother’s body perception and concerns. Atención Primaria [Internet]. 2013 May;45:194–200. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0212656713700222

Baughcum AE, Chamberlin LA, Deeks CM, Powers SW, Whitaker RC. Maternal Perceptions of Overweight Preschool Children. Pediatrics. 2000 Dec 1;106(6):1380–6.

Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: recommendations from an expert committee. Am J Clin Nutr [Internet]. 1994 Feb 1;59(2):307–16. Available from: https://academic.oup.com/ajcn/article/59/2/307/4731960




DOI: http://dx.doi.org/10.21927/ijnd.2019.7(1).%25p

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