Hubungan Kekurangan Energi Kronis (KEK) dengan Kejadian Anemia pada Ibu Hamil di Puskesmas Karangdowo
DOI:
https://doi.org/10.57214/jasira.v4i3.371Keywords:
Anemia, Chronic Energy Deficiency, Mid-Upper Arm Circumference, Nutritional Status, Pregnant WomenAbstract
Anemia among pregnant women remains a maternal health problem that may increase the risk of pregnancy and childbirth complications as well as impaired fetal growth and development. One factor associated with anemia is Chronic Energy Deficiency (CED), which reflects inadequate energy and nutrient reserves. This study aimed to determine the association between Chronic Energy Deficiency and anemia among pregnant women at Karangdowo Public Health Center. This quantitative study employed an analytical observational design with a cross-sectional approach. The sample consisted of 178 pregnant women selected using disproportionate simple random sampling. Secondary data were obtained from medical records for the January–December 2025 period, including Mid-Upper Arm Circumference (MUAC) and hemoglobin (Hb) levels. Data were analyzed using univariate analysis and Fisher’s Exact Test. The results showed that 39 pregnant women (21.9%) were classified as having CED and 13 (7.3%) had anemia. Anemia was found in 17.9% of pregnant women with CED compared with 4.3% of those without CED. Fisher’s Exact Test showed a significant association between CED and anemia (p = 0.009). These findings indicate that maternal nutritional status based on MUAC is associated with anemia and support the integration of nutritional screening and hemoglobin monitoring into antenatal care.
References
Ambreen, S., Yazdani, N., Alvi, A. S., Qazi, M. F., & Hoodbhoy, Z. (2024). Association of maternal nutritional status and small for gestational age neonates in peri-urban communities of Karachi, Pakistan: Findings from the PRISMA study. BMC Pregnancy and Childbirth, 24, 214. https://doi.org/10.1186/s12884-024-06420-3
Ayensu, J., Annan, R., Lutterodt, H., Edusei, A., & Peng, L. S. (2020). Prevalence of anaemia and low intake of dietary nutrients in pregnant women living in rural and urban areas in the Ashanti region of Ghana. PLOS ONE, 15(1), e0226026. https://doi.org/10.1371/journal.pone.0226026
Ayele, K., & Demisew, M. (2024). Dietary factors associated with anaemia among pregnant women attending antenatal care clinics in Sekota town, Northern Ethiopia: A facility-based cross-sectional study. BMJ Public Health, 2(1), e000368. https://doi.org/10.1136/bmjph-2023-000368
Fitriah, I. P., Faridah, B. D., Yuliva, Y., Saputri, L. A., Bebasari, M., Merry, Y. A., & Hayati, N. F. (2023). Anemia dengan kejadian kekurangan energi kronik (KEK) pada ibu hamil. JIK Jurnal Ilmu Kesehatan, 7(1), 124–129. https://doi.org/10.33757/jik.v7i1.704
Kementerian Kesehatan Republik Indonesia. (2025). Petunjuk teknis pemberian makanan tambahan (PMT) berbahan pangan lokal bagi ibu hamil dan balita bermasalah gizi (Edisi ke-3).
Kpewou, D. E., Poirot, E., Berger, J., Som, S. V., Laillou, A., Belayneh, S. N., & Wieringa, F. T. (2020). Maternal mid-upper arm circumference during pregnancy and linear growth among Cambodian infants during the first months of life. Maternal & Child Nutrition, 16(S2), e12951. https://doi.org/10.1111/mcn.12951
Kumera, G., Gedle, D., Alebel, A., Feyera, F., & Eshetie, S. (2018). Undernutrition and its association with socio-demographic, anemia and intestinal parasitic infection among pregnant women attending antenatal care at the University of Gondar Hospital, Northwest Ethiopia. Maternal Health, Neonatology and Perinatology, 4, 18. https://doi.org/10.1186/s40748-018-0087-z
Marjan, A. Q., Aprilia, A. H., & Fatmawati, I. (2021). Analisis determinan faktor yang berhubungan dengan kejadian kurang energi kronik (KEK) pada ibu hamil di wilayah Gunung Sindur, Bogor. Jurnal Kesehatan Terpadu (Integrated Health Journal), 12(1), 39–47. https://doi.org/10.32695/jkt.v12i1.117
Nigrum, E. S., Rahmaningtyas, I., Rahmawati, R. S. N., & Indriani, R. (2026). Kekurangan energi kronik berhubungan dengan kejadian anemia pada ibu hamil. Jurnal ILKES (Jurnal Ilmu Kesehatan), 17(1), 71–79. https://doi.org/10.35966/ilkes.v17i1.499
Novelia, S., Rukmaini, & Annisa, E. (2021). Factors related to chronic energy deficiency among pregnant women. Nursing and Health Sciences Journal, 1(3), 237–241. https://doi.org/10.53713/nhs.v1i3.54
Osman, M. O., Nour, T. Y., Bashir, H. M., Roble, A. K., Nur, A. M., & Abdilahi, A. O. (2020). Risk factors for anemia among pregnant women attending the antenatal care unit in selected Jigjiga public health facilities, Somali Region, East Ethiopia 2019: Unmatched case-control study. Journal of Multidisciplinary Healthcare, 13, 769–777. https://doi.org/10.2147/JMDH.S260398
Putri, D. P., Kusyani, A., & Shobirin, G. A. (2023). Hubungan status gizi (LILA) dengan anemia pada ibu hamil. Jurnal Keperawatan, 21(2), 103–111. https://doi.org/10.35874/jkp.v21i2.1235
Rachmi, R., Marjan, A. Q., Sufyan, D. L., & Wahyuningsih, U. (2024). Factors affecting chronic energy deficiency among pregnant women in East Nusa Tenggara Province, Indonesia. Jurnal Gizi dan Pangan, 19(Suppl. 1), 95–104. https://doi.org/10.25182/jgp.2024.19.Supp.1.95-104
Setia, M. S. (2016). Methodology series module 3: Cross-sectional studies. Indian Journal of Dermatology, 61(3), 261–264. https://doi.org/10.4103/0019-5154.182410
Shi, H., Chen, L., Wang, Y., Sun, M., Guo, Y., Ma, S., Wang, X., Jiang, H., Wang, X., Lu, J., Ge, L., Dong, S., Zhuang, Y., Zhao, Y., Wei, Y., Ma, X., & Qiao, J. (2022). Severity of anemia during pregnancy and adverse maternal and fetal outcomes. JAMA Network Open, 5(2), e2147046. https://doi.org/10.1001/jamanetworkopen.2021.47046
Ubom, A. E., Begum, F., Ramasauskaite, D., Nieto-Calvache, A. J., Oguttu, M., Nunes, I., Malel, Z. J., Beyeza-Kashesya, J., & Wright, A. (2025). FIGO good practice recommendations on anemia in pregnancy, to reduce the incidence and impact of postpartum hemorrhage (PPH). International Journal of Gynecology & Obstetrics, 171(3), 993–1007. https://doi.org/10.1002/ijgo.70529
Wati, E. K., Murwani, R., Kartasurya, M. I., & Sulistiyani. (2024). Determinants of chronic energy deficiency (CED) incidence in pregnant women: A cross-sectional study in Banyumas, Indonesia. Narra J, 4(1), e742. https://doi.org/10.52225/narra.v4i1.742
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