Kecukupan zat gizi makro, status gizi, stres, dan siklus menstruasi pada remaja

https://doi.org/10.22146/ijcn.17867

Laras Sitoayu(1), Dewi Ayu Pertiwi(2*), Erry Yudhya Mulyani(3)

(1) Program Studi Ilmu Gizi, Fakultas Ilmu-Ilmu Kesehatan Universitas Esa Unggul
(2) Program Studi Ilmu Gizi, Fakultas Ilmu-Ilmu Kesehatan Universitas Esa Unggul
(3) Program Studi Ilmu Gizi, Fakultas Ilmu-Ilmu Kesehatan Universitas Esa Unggul
(*) Corresponding Author

Abstract


Background: Adolescence is the transition period from children to adults which is characterized by the occurrence of changes in the body that allowed it to reproductive health problems. One of reproductive health problems is menstrual cycle disorders. Menstrual cycle disorder due to several factors including food intake, nutritional status, and stress.

Objective: This research supposed to know the association the sufficient of macro-nutrients, nutritional status and stress with the menstrual cycle on adolescent at SMA Negeri Jakarta 21, 2016.

Method: This design research is observation analytic with cross sectional approach. Sampling technique used proportionate random sampling and obtained 83 respondents adolescent. The technique of data collection used menstrual cycle questionnaire, DASS 14, food recall 3x24 hours (2 weekdays and 1 weekend), standardized food ingredient photos, and nutrisurvey.

Results: There is 68.7% of respondents have an abnormal menstrual cycle. Based on statistical analysis of Chi-Square test, there is a significant relation between sufficient intake of carbohydrates (p=0.030), sufficient intake of protein (p=0.001), sufficient intake of fat (p=0.003), nutritional status (p=0,004), stress (p=0.000) and menstrual cycle. Based on logistic regression test results obtained the factors that most influence the menstrual cycle i.e. nutritional status (OR=20.16).

Conclusion: Sufficient intake of macronutrients, nutritional status, and stress can affect menstrual cycle on adolescent, and nutritional status is the dominant factor that can affect the menstrual cycle.


Keywords


macronutrients; menstrual cycle; nutritional status; stress

Full Text:

PDF


References

  1. Dieny. Permasalahan gizi pada remaja putri. Yogyakarta: Graha Ilmu; 2014.
  2. Kementrian Kesehatan RI. Infodatin pusat data dan informasi kesehatan RI situasi kesehatan reproduksi remaja. Jakarta: Pusat Data dan Informasi; 2013.
  3. Wiknjosastro H. Ilmu kandungan. Jakarta: Yayasan Bina Pustaka Sarwono Prawirohardjo; 2006.
  4. Indiarti MT. Kehamilan, persalinan dan perawatan bayi. Yogyakarta: Diglossia Media; 2007.
  5. Deligeoroglou E, Tsimaris P, Deliveliotou A. Menstrual disorders during adolescence. Pediatr Endocrino 2009;3(1):150-9.
  6. Gudmundsdottir SL, Flanders WD, Augestad LBA. Longitudinal study of physical activity and menstrual cycle characteristics in healthy norwegian women – the nord-trøndelag health study. Norsk Epidemiologi 2011;20(2):163–71.
  7. Mesarini BA, Astuti VW. Stres dan mekanisme koping terhadap gangguan siklus menstruasi pada remaja putri. Jurnal STIKES 2013;6(1):31-42.
  8. Cakir M, Mungan I, Karakas T, Girisken L, Okten A. Menstrual pattern and common menstrual disorders among university students in Turkey. Pediatr Int 2007;49(6):938-42.
  9. Sanjay VW, Dharampal G, Jayesh YD. Age at marche and menstrual cycle pattern among school adolescent girls in central india. Global Journal of Health Sciene 2011;4(1):105-11.
  10. Paath EF. Gizi dalam kesehatan reproduksi. Jakarta: EGC; 2005.
  11. Felicia, Hutagaol E, Kundre R. Hubungan status gizi dengan siklus menstruasi pada remaja putri di PSIK FK UNSRAT Manado. Journal Keperawatan 2015;3(1):1-7.
  12. Allsworth JE, Clarke, Peipert JF, Hebert R, Crnp AC, Boardman LA. The influence of stress on the menstrual cycle among newly incarcerated women. Womens Health Issues 2007;17(4):202-9.
  13. Rachmawati PA. Hubungan asupan zat gizi, aktivitas fisik, dan presentase lemak tubuh dengan gangguan siklus menstruasi pada penari [Skripsi]. Semarang: Program Studi Ilmu Gizi Universitas Dipenogoro; 2014.
  14. Cheikh, Al-hourani, Lightwoler. Energy and nutrient intakes during different phases of the menstrual cycle in females in the United Arab Emirates. J Ann Nutr Metab 2009;54:124-8.
  15. Cohen IT, Sherwin BB, Fleming AS. Food cravings, mood, and the menstrual cycle. Horm Behav 1987;21(4):457-70.
  16. Mazarina D. Hubungan kebiasaan makan dengan kejadian sindrom pramenstruasi pada remaja putri. Jurnal Teknologi dan Kejuruan 2009;32(2):197-208.
  17. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Protein intake and ovulatory infertility. Am J Obstet Gynecol 2008;198(2):210.e1-7.
  18. Chavarro JE, Rich-Edwards JW, Rosner BA, Willett WC. Diet and lifestyle in the prevention of ovulatory disorder infertility. Obstet Gynecol 2007;110(5):1050-8.
  19. Dewantari NM. Peran gizi dalam kesehatan reproduksi. Jurnal Skala Husada 2013;10(2):219-24.
  20. Nagata C, Takatsuka N, Kawakami N, Shimizu H. Total and monounsaturated fat intake and serum estrogen concentrations in premenopausal japanese women. Nutr Cancer 2000;38(1):37-9.
  21. Nagata C, Oba S, Shimizu H. Associations of menstrual cycle length with intake of soy, fat, and dietary fiber in japanese women. Nutr Cancer 2006;54(2):166-70.
  22. Dars S, Sayed K, Yousufzai Z. Relationship of menstrual irregularities to BMI and nutritional status in adolescent girls. Pak J Med Sci 2014;30(1):140-4.
  23. Wei S, Schdmidt MD, Dwyer T, Norman RJ, Venn AJ. Obesity and menstrual irregularity: associations with SHBG, testosterone and insulin. Obesity 2009;17(5):1070-6.
  24. 24. Sheela J, Sunita G, Savita S, Sulbha J. Association of body mass index with menstrual cycle irregularities in women between 16 – 40 year age. PJMS 2014;4(1):59-61.
  25. Chang PJ, Chen PC, Hsieh CJ, Chiu LT. Risk factors on the menstrual cycle of healthy Taiwanese college nursing students. Australian and New Zealand Journal of Obstetrics and Gynaecology 2009;49:689-94.
  26. Castillo ML, Lopez AJ, Villa A, Gonzalez J. Menstrual cycle length disorders in 18-to 40-y-old obese women. Nutrition 2003;19(4):317-20.
  27. Nikkmawati E. Analisis perilaku gizi remaja untuk pengembangan model pendidikan gizi yang berintegrasi dengan kegiatan sekolah. Bandung: Penelitian Fakultas Pendidikan Teknologi dan Kejuruan Universitas Pendidikan Indonesia Bandung; 2009.
  28. Fujiwara T. The discrepancy between BMI and self-recognition of adequate body weight may cause insufficient food intake and habits in young women in japan. Bull Ashiya Coll 2005;27:75-80.
  29. Mari J, Rvlaid T. The effect of gynecologic age, body mass index and psychosocial environment on menstrual regularity among teenaged females. Acta Obstet Gynecol Scand 2005;84(7):645-9.
  30. Ekpenyong CE, Davis KJ, Akpan UP, Daniel NE. Academic stress and menstrual disorders among female undergraduates in uyo, south eastern nigeria – the need for health education. Niger J Physiol Sci 2013;26(2):193-8.
  31. Roswendi A. Hubungan stres psikologis dengan siklus menstruasi pada siswi di SMA 5 Cimahi tahun 2011. Jurnal Keperawatan 2011;11(7):9.
  32. Davis JM, Segars J. Menstruation and menstrual disorders: anovulation. Glob Libr Women's Med [series online] 2009 [cited Okt 2016]. Available from: URL: https://www.glowm.com/section_view/heading/Menstruation%20and%20Menstrual%20Disorders:%20Anovulation/item/295



DOI: https://doi.org/10.22146/ijcn.17867

Article Metrics

Abstract views : 52761 | views : 69026

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2017 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats