Determinants of Chronic Energy Deficiency among Adolescent Girls: A Cross-Sectional Study at SMP Negeri 44 Surabaya

Jazilah Nur Arifah; Fahmi Hafid; Ani Intiyati; Taufiqurrahman Taufiqurrahman

doi:10.36568/jone.v3i6.621

Authors

Jazilah Nur Arifah Poltekkes Kemenkes Surabaya https://orcid.org/0009-0005-1690-4842
Fahmi Hafid Politeknik Kesehatan Kemenkes Surabaya
Ani Intiyati Politeknik Kesehatan Kemenkes Surabaya
Taufiqurrahman Taufiqurrahman Politeknik Kesehatan Kemenkes Surabaya

DOI:

https://doi.org/10.36568/jone.v3i6.621

Keywords:

Chronic Energy Deficiency (CED), Adolescent Girls, Nutrient Intake Levels

Abstract

Chronic Energy Deficiency (CED) is a nutritional issue with long-term implications for the health and productivity of adolescent girls. This study aimed to analyze the determinants associated with CED among seventh- and eighth-grade students at SMP Negeri 44 Surabaya. Using an analytical observational design with a cross-sectional approach, the study involved 69 respondents selected via stratified random sampling. Data were collected through mid-upper arm circumference measurements, dietary intake questionnaires, assessments of nutritional knowledge, physical activity, and sociodemographic factors. Statistical analysis was conducted using the Chi-square test. The results showed a CED prevalence of 81.2%, with most respondents experiencing deficits in energy (89.9%) and carbohydrate intake (98.6%). Significant associations were found between energy intake (p=0.012), carbohydrate intake (p=0.037), and nutritional knowledge (p=0.015) with CED status. Other variables, including protein and fat intake, physical activity, parental education and income, and body image perception, were not significantly associated. The study concludes that low energy and carbohydrate intake, along with limited nutritional knowledge, are key contributors to CED. School-based nutritional interventions and parental involvement are essential strategies to prevent CED in adolescents.

References

Yulia C, Rosdiana DS, Muktiarni M, Sari DR. Reflections of well-being: navigating body image, chronic energy deficiency, and nutritional intake among urban and rural adolescents. Front Nutr [Internet]. 2024 May 1;11. Available from: https://www.frontiersin.org/articles/10.3389/fnut.2024.1346929/full

Angkasa D, Iswarawanti DN, Santika O. Food taboo, dietary diversity and prevalence of chronic energy deficiency in pregnant women living in rural area Indonesia. J Keperawatan Padjadjaran [Internet]. 2024 Apr 30;12(1):13–22. Available from: https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/2263

Angraini DI, Sulastri D, Hardisman H, Yusrawati Y. Angraini Model as Effort to Early Detection of Chronic Energy Deficiency in Pregnancy. J Kesehat Masy [Internet]. 2023 Jul 9;19(1):102–12. Available from: https://journal.unnes.ac.id/nju/kemas/article/view/42212

Dewan DM. Determinants of Chronic Energy Deficiency In India: Causes, Impacts and Interventions. J Popul Ther Clin Pharmacol [Internet]. 2019 Feb 12;26(3):40–6. Available from: https://www.jptcp.com/index.php/jptcp/article/view/6381

Garbett KM, Craddock N, Saraswati LA, Diedrichs PC. Body Image among Girls in Indonesia: Associations with Disordered Eating Behaviors, Life Engagement, Desire for Cosmetic Surgery and Psychosocial Influences. Int J Environ Res Public Health [Internet]. 2023 Jul 19;20(14):6394. Available from: https://www.mdpi.com/1660-4601/20/14/6394

BKPK. Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka. Kementrian Kesehat RI. 2023;

Badan Penelitian Dan Pengembangan Kesehatan Republik Indonesia. Laporan Riskesdas 2018 Nasional. Lembaga Penerbit Balitbangkes. 2018. p. hal 156.

Amoadu M, Abraham SA, Adams AK, Akoto-Buabeng W, Obeng P, Hagan JE. Risk Factors of Malnutrition among In-School Children and Adolescents in Developing Countries: A Scoping Review. Children. 2024 Apr 15;11(4):476.

Andrestian MD, Noor MS, Dina RA, Ferdina AR, Dewi Z, Hariati NW, et al. Qualitative Study on Adolescent Marriage and The Risk of Stunting in South Kalimantan. Pharmacogn J. 2023;15(6):1016–23.

Harna H, Rahmawati R, Irawan AMA, Sa’pang M. Prevalence and determinant factors of Chronic Energy Deficiency (CED) in pregnant women. AcTion Aceh Nutr J. 2024;9(1):65.

Shirleyana S, Hawken S, Sunindijo RY. City of Kampung: risk and resilience in the urban communities of Surabaya, Indonesia. Int J Build Pathol Adapt. 2018;36(5):543–68.

Agestika L, Ratnayani R. Snacking Habits, Strict Diet, BMI, and Body Image of Adolescents in Three Sub-Districts in Depok and Bogor. Amerta Nutr. 2023 Mar 3;7(1):14–9.

Dagne S, Menber Y, Wassihun Y, Dires G, Abera A, Adane S, et al. Chronic Energy Deficiency and Its Determinant Factors among Adults Aged 18–59 Years in Ethiopia: A Cross-Sectional Study. Valdés-Ramos R, editor. J Nutr Metab. 2021 Jan 6;2021:1–8.

Shaluhiyah Z, Indraswari R, Kusumawati A. Factors Influence on Dietary Intake and Practices of Adolescent Girls Aged 15-19 in Rural Area Central Java. Amerta Nutr. 2021 Jun 21;5(2):105.

Febry F, Etrawati F, Arinda DF. The Determinant of Chronic Energy Deficiency Incidence in Adolescent Girls in Ogan Komering, Ilir Regency. In: Proceedings of the 2nd Sriwijaya International Conference of Public Health (SICPH 2019). Paris, France: Atlantis Press; 2020.

Arni CC, Angraini DI, Zuraida R. Analysis of the Variables Affecting Chronic Energy Deficiency (CED) in Adolescent Girls: a Systematic Review. Int J Curr Sci Res Rev. 2023;06(01).

Areta JL. Physical Performance During Energy Deficiency in Humans: An Evolutionary Perspective. Comp Biochem Physiol Part A Mol Integr Physiol [Internet]. 2023 Oct;284:111473. Available from: https://linkinghub.elsevier.com/retrieve/pii/S109564332300106X

Puspita Sari B, Dian Khairani M. Hubungan Tingkat Pengetahuan Gizi Dan Body Image Dengan Kurang Energi Kronik Remaja Putri Di SMAN 2 Pringsewu. Innovative. 2024;4:6700–8.

Amoadu M, Abraham SA, Adams AK, Akoto-Buabeng W, Obeng P, Hagan JE. Risk Factors of Malnutrition among In-School Children and Adolescents in Developing Countries: A Scoping Review. Children [Internet]. 2024 Apr 15;11(4):476. Available from: https://www.mdpi.com/2227-9067/11/4/476

Wahidah SA. Hubungan Tingkat Kecukupan Energi, Protein, Dan Aktivitas Fisik Dengan Risiko Kurang Energi Kronis (KEK) Pada Remaja Putri di SMAN 13 Semarang [Internet]. Universitas Islam Negeri Walisongo; 2023. Available from: https://eprints.walisongo.ac.id/id/eprint/22573

Angkasa D, Iswarawanti DN, Santika O. Food Taboo, Dietary Diversity and Prevalence of Chronic Energy Deficiency in Pregnant Women Living in Rural Area Indonesia. J Keperawatan Padjadjaran [Internet]. 2024 Apr 30;12(1):13–22. Available from: https://jkp.fkep.unpad.ac.id/index.php/jkp/article/view/2263

Ilhami A. Kesadaran Orang Tua tentang Pentingnya Gizi Seimbang untuk AnakUsia 2-4 Tahun. J Tumbuh Kembang Kaji Teor dan Pembelajaran PAUD. 2024;Volume 11 Nomor 1:30–42.

Armansyah NA, Rahayuwati L, Witdiawati W. Hubungan Tingkat Pendidikan dan Pendapatan Orangtua dengan Praktik Pemberian Makan pada Balita dalam Upaya Pencegahan Stunting. Malahayati Nurs J. 2023;5(5):1428–39.

Angraini DI, Sulastri D, Hardisman, Yusrawati. Angraini Model as Effort to Early Detection of Chronic Energy Deficiency in Pregnancy. Kemas. 2023;19(1):102–12.

Suminar E, Wibowo AR. The Correlation Between Infection Diseases History and Nutritional Status in Toddler. Fundam Manag Nurs J [Internet]. 2021 Apr 1;4(1):18. Available from: https://e-journal.unair.ac.id/FMNJ/article/view/215587