Tingkat kecemasan, asupan makan, dan status gizi pada lansia di Kota Yogyakarta

https://doi.org/10.22146/ijcn.23022

Ninna Rohmawati(1*), Ahmad Husein Asdie(2), Susetyowati Susetyowati(3)

(1) Jurusan Gizi Politeknik Kesehatan Kementerian Kesehatan Jember
(2) Departemen Ilmu Penyakit Dalam Rumah Sakit Umum Pusat Dr. Sardjito / Fakultas Kedokteran Universitas Gadjah Mada
(3) Departemen Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Psychological factors such as anxiety have significant contributions in determining dietary intake and nutritional status of elderly. Prevalence of malnutrition in elderly has achieved significant level.

Objective: To determine the correlation between anxiety level with dietary intake and nutritional status of elderly in Yogyakarta municipality.

Method: This research was observational with cross sectional design. Subjects were elderly in Yogyakarta municipality who fulfilled inclusion criteria. Research subjects consisted of 214 people. Anxiety level was measured with trait-manifest anxiety scale (T-MAS) form, dietary intake with semi-quantitative food frequency questionnaire (SQFFQ) method, and nutritional status was determined based on body mass arm span (BMA). Data were analyzed with Chi-Square test and multiple logistic regression.

Results: A percentage of 26.2% subjects had moderate anxiety level. Most dominant factors that influenced anxiety level was sex (OR=3.37). Bivariate analysis showed a significant correlation between anxiety level and nutritional status (p<0.05), subjects with moderate anxiety level were more likely to have higher nutritional status (OR=3.54) and lower nutritional status (OR=2.29). Significant correlation was found between moderate anxiety level with excessive dietary intake (p<0.001; OR=6.22). Significant correlation was also found between dietary intake with nutritional status (p<0.05), subjects with excessive dietary intake were more likely to have higher nutritional status (OR=6.15).

Conclusion: Significant correlation was found between anxiety level and nutritional status. Significant correlation was also found between anxiety level and dietary intake, and significant correlation was found between dietary intake and nutritional status.


Keywords


anxiety level; dietary intake; elderly; nutritional status

Full Text:

PDF


References

  1. BPS (Badan Pusat Statistik). Statistik penduduk lanjut usia, 2009. Jakarta: BPS; 2010.
  2. Dinas Kesehatan Provinsi DIY. Profil kesehatan provinsi D.I Yogyakarta tahun 2009. Yogyakarta: Dinkes DIY; 2010.
  3. BPS Provinsi DIY. Daerah Istimewa Yogyakarta dalam angka 2010. Yogyakarta: BPS DIY; 2010.
  4. BPS Kota Yogyakarta. Kota Yogyakarta dalam angka. Yogyakarta: BPS Kota Yogyakarta; 2010.
  5. Martono H. Gangguan kesadaran dan kognitif pada usia lanjut (konfusio akut dan dementia). Dalam: Martono H, Pranaka K. Buku ajar Boedhi-Darmojo geriatri (ilmu kesehatan usia lanjut). Jakarta: Balai Penerbit FKUI; 2010.
  6. Fatmah. Gizi usia lanjut. Jakarta: Erlangga; 2010.
  7. Nugroho HW. Keperawatan gerontik & geriatrik. Jakarta: EGC; 2012.
  8. Hastuti L, Hakimi M, Dasuki D. Hubungan antara kecemasan dengan aktifitas dan fungsi seksual pada wanita usia lanjut di Kabupaten Purworejo. Berita Kedokteran Masyarakat 2008;24(4):176-90.
  9. Macdonald AJD. Kesehatan mental pada lanjut usia. Dalam: Davies T, Craig T. editor. ABC Kesehatan Mental. Jakarta: EGC; 2009.
  10. Hakkarainen R, Partonen T, Haukka J, Virtamo J, Albanes D, Lonnqvist J. Food and nutrient intake in relation to mental wellbeing. Nutr J 2004;3:14.
  11. Kaplan HI, Sadock BJ. Comprehensive Textbook of Psychiatry/VI. Philadelphia: Lippincott Williams & Wilkins; 1995.
  12. Blackburn M, Davidson KM. Cognitive therapy for depression & anxiety. Boston Melbourne: Blackwell Scientific Publication; 1994.
  13. Fatimah-Muis S, Puruhita N. Gizi pada lansia. Dalam: Martono H, Pranaka K. Buku ajar Boedhi-Darmojo: geriatri (ilmu kesehatan usia lanjut). Jakarta: Balai Penerbit FKUI; 2010.
  14. Kubzansky LD, Kawachi I, Weiss ST, Sparrow D. Anxiety and coronary heart disease: a synthesis of epidemiological, psychological, and experimental evidence. Ann Behav Med 1998; 20(2):47-58.
  15. Roest AM, Martens EJ, Jonge P, Denollet J. Anxiety and risk of incident coronary heart disease: a meta-analysis. JACC 2010;56(1):38–46.
  16. Riyadi A, Wiyono P, Budiningsari RD. Asupan zat gizi dan status gizi sebagai faktor risiko hipertensi esensial pada lansia di Puskesmas Curup dan Perumnas Kabupaten Rejang Lebong Propinsi Bengkulu. Jurnal Gizi Klinik Indonesia 2007;4(1):43-51.
  17. Surilena, Agus D. Faktor-faktor yang memengaruhi depresi pada lansia di Jakarta. Majalah Kedokteran Damianus 2006;5(2):115-29.
  18. Marliyati SA, Kustiyah L, Madanijah S. Kesehatan dan gizi di usia emas. Bogor: Departemen Gizi Masyarakat Fakultas Ekologi Manusia IPB; 2008.
  19. Morley JE, Silver AJ. Nutritional issues in nursing home care. Ann Intern Med 1995;123:850-59.
  20. Enny E, Elnovriza D, Hamid S. Faktor-faktor yang berhubungan dengan status gizi usila di Kota Padang tahun 2006. Jurnal Kesehatan Masyarakat 2006;1(1):5-8.
  21. Saniawan IM. Status gizi pada lanjut usia pada Banjar Paang Tebel di Desa Peguyangan Kaja Wilayah Kerja Puskesmas III Denpasar Utara. Jurnal Ilmiah Keperawatan 2009;2(1):45-9.
  22. Lemeshow S, Hosmer DWJr, Klar J, Lwanga SK. Besar sampel dalam penelitian kesehatan. Pramono D (Alih bahasa). Yogyakarta: Gadjah Mada University Press; 1997.
  23. Rabe B, Thamrin MH, Gross R, Solomons NW, Schultink W. Body mass index of the elderly derived from height and from armspan. Asia Pac J Clin Nutr 1996;5:79-83.
  24. Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H. Prevalence of mental disorders in Europe: Results from the European study of the epidemiology of mental disorders (ESEMeD) project. Acta Psychiatrica Scandinavica. Supplementum 2004;21-7.
  25. Lynch SM. Measurement and prediction of aging anxiety, Research on aging. Sage Publications 2000;22(5):533–58.
  26. Zellner DA, Loaiza S, Gonzalez Z, Pita J, Morales J, Pecora D, Wolf A. Food selection changes under stress. Physiology & Behavior 2006;87:789-93.
  27. Merikangas KR, Pollock RA. Anxiety disorders in women. Women & Health 2000;1010-23.
  28. Cartwright M, Wardle J, Steggles N, Simon AE, Croker H, Jarvis MJ. Stress and dietary practices in adolescents. Health Psychol 2003;22(4):362-9.
  29. Sanlier N, Unusan N. The relationship between body weight and stress and nutritional status in Turkish women. Pak J Nutr 2007;6(4):339-44.
  30. Tirta M, Wirasto RT, Huriyati E. Status stres psikososial dan hubungannya dengan status gizi siswa SMP Stella Duce 1 Yogyakarta. Jurnal Gizi Klinik Indonesia 2010;6(3):138-44.
  31. Chaput JP, Tremblay A. Acute effects of knowledge-based work on feeding behavior and energy intake. Physiology & Behavior 2007;90:66-72.
  32. Pollard TM, Steptoe A, Canaan L, Davies GJ, Wardle J. Effects of academic examination stress on eating behavior and blood lipid levels. Int J Behav Med 1995;2(4):299-320.
  33. Hakkarainen R, Partonen T, Haukka J, Virtamo J, Albanes D, Lonnqvist J. Food and nutrient intake in relation to mental wellbeing. Nutr J 2004;3:14.
  34. Dwiyanti D, Hadi H, Susetyowati. Pengaruh asupan makanan terhadap kejadian malnutrisi di rumah sakit. Jurnal Gizi Klinik Indonesia 2004;1(1):1–7.
  35. Berkey CS, Rockett HRH, Field AE, Gillman MW, Fraizer AL, Camargo JrCA, Colditz GA. Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics 2000;105(4):1-9.
  36. Duvigneaud N, Wijndaele K, Matton L, Philippaerts R, Lefevre J, Thomis M, Delecluse C, Duquet W. Dietary factors associated with obesity indicators and level of sport participation in Flemish adults: a cross-sectional study. Nutr J 2007;6(26):1-12.
  37. Riyanto A. Penerapan analisis multivariat dalam penelitian kesehatan. Yogyakarta: Nuha Medika; 2012.



DOI: https://doi.org/10.22146/ijcn.23022

Article Metrics

Abstract views : 15055 | views : 39155

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