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HARBI BIMBI MAHARANI
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HUBUNGAN ASUPAN MAKRONUTRIEN, STATUS GIZI DAN SEDENTARY LIFESTYLE DENGAN MENARCHE DINI PADA REMAJA PUTRI DI SMP NEGERI 6 PURWOKERTO
Abstrak (Bhs. Indonesia)
Latar Belakang: Di Indonesia tercatat 5,8% remaja putri mengalami menarche dini, sedangkan di Jawa Tengah mencapai 19,4%. Usia menarche pada remaja putri dapat dipengaruhi oleh faktor yaitu suku, genetik, keterpaparan media massa, sosial ekonomi, asupan makanan, gaya hidup dan status gizi. Kondisi ini perlu mendapat perhatian karena menarche dini merupakan faktor risiko kanker payudara, kanker ovarium, penyakit kardiovaskular, dan menopause dini. Oleh karena itu, penelitian ini dilakukan untuk mengetahui hubungan asupan makronutrien, status gizi dan sedentary lifestyle dengan menarche dini pada remaja putri di SMP Negeri 6 Purwokerto. Metodologi: Penelitian observasional dengan pendekatan cross sectional pada 75 siswi kelas VII dan VIII di SMP Negeri 6 Purwokerto menggunakan teknik consecutive sampling. Data dikumpulkan menggunakan kuesioner menarche, Food Recall 2 x 24-h untuk data asupan makronutrien dan Adolescent Sedentary Activity Questionnaire (ASAQ) untuk data sedentary lifestyle, serta pengukuran antropometri untuk status gizi. Data dianalisis menggunakan uji Chi Square dan Fisher’s Exact. Hasil Penelitian: Sebagian besar responden memiliki asupan karbohidrat kurang (97,3%), asupan protein kurang (77,3%), asupan lemak kurang (66,7%). Responden memiliki status gizi baik (54,7%), sedentary lifestyle tinggi (69,3%), dan menarche dini (54,7%). Hasil analisis menunjukkan tidak terdapat hubungan signifikan antara asupan karbohidrat (p=1,000), asupan protein (p=0,478), asupan lemak (p=0,173) dengan menarche dini. Terdapat hubungan signifikan antara status gizi (p=0,004), sedentary lifestyle (p=0,030) dengan menarche dini. Kesimpulan: Tidak terdapat hubungan signifikan antara asupan makronutrien dengan menarche dini. Terdapat hubungan signifikan antara status gizi dan sedentary lifestyle dengan menarche dini. Kata Kunci: menarche dini, remaja putri, sedentary lifestyle, status gizi, zat gizi makro
Abtrak (Bhs. Inggris)
Background: In Indonesia, 5.8% of adolescent girls experience early menarche, while prevalence in Central Java reaches 19.4%. The age of menarche in adolescent girls can be influenced by factors such as ethnicity, genetics, exposure to mass media, socioeconomic status, food intake, lifestyle, and nutritional status. This condition requires attention because it is a risk factor for breast cancer, ovarian cancer, cardiovascular disease, and early menopause. Therefore, this study was conducted to determine the relationship between macronutrient intake, nutritional status, sedentary lifestyle with early menarche in adolescent girls at SMP Negeri 6 Purwokerto. Methodology: This cross-sectional observational study involved 75 seventh and eighth grade students selected by consecutive sampling. Data were collected using a menarche questionnaire, a 2 x 24-h Food Recall for macronutrient intake data, the Adolescent Sedentary Activity Questionnaire (ASAQ) for sedentary lifestyle data. Anthropometric measurements were used to assess nutritional status. Data were analyzed using the Chi-Square and Fisher's Exact tests.. Research Result: Most respondents had insufficient carbohydrate intake (97.3%), protein intake (77.3%), fat intake (66.7%). Respondents had good nutritional status (54.7%), high sedentary lifestyle (69.3%), and early menarche (54.7%). No significant relationship was found between carbohydrate intake (p=1.000), protein intake (p=0.478), fat intake (p=0.173) and early menarche. A significant relationship was found between nutritional status (p=0.004), sedentary lifestyle (p=0.030) and early menarche. Conclusion: There was no significant relationship between macronutrient intake and early menarche. A significant relationship was found between nutritional status, sedentary lifestyle and early menarche. Keywords: Early menarche, Adolescent girls, Sedentary lifestyle, Nutritional Status, Macronutrients
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