Association of Body Image and Nutritional Adequacy with Chronic Energy Deficiency among Future Brides in Cibiru District
Downloads
Background: Chronic Energy Deficiency (CED) is a significant nutritional issue affecting women of reproductive age, including future brides. This condition can have negative effects on reproductive health and the well-being of future descent. CED often arises from insufficient nutrient intake and negative perceptions of body image, which can result in unhealthy eating behaviors. In Bandung City, the Cibiru District has the highest prevalence of malnutrition among future brides.
Objectives: This study aimed to analyze the relationship between body image perception and nutrient adequacy (energy, protein, fat, and carbohydrate) with the incidence of chronic energy deficiency among future brides.
Methods: This study used a cross-sectional design and involved 41 respondents who were recruited through consecutive sampling. Data collection included Measuring Mid-Upper Arm Circumference (MUAC), conducting 2x24-hour food recall interviews, and administering the MBSRQ-AS. The dataset was examined using both univariate and bivariate analyses, with Pearson’s and Spearman’s correlation tests employed to assess relationships.
Results: Among the respondents, 29.3% were identified as experiencing chronic energy deficiency, while over half reported a positive body image. However, most respondents did not meet the recommended intake levels for energy and macronutrients. Of all the variables assessed, only adequate fat intake was significantly related to chronic energy deficiency in future brides (p=0.029; r=0.341).
Conclusion: Adequate fat intake is weakly positively related to chronic energy deficiency among future brides. No significant associations were observed between chronic energy deficiency and body image perception or the adequacy of energy, protein, and carbohydrate intake. Therefore, future brides are recommended to meet their nutritional needs, especially fat intake from healthy sources such as mackerel, skipjack tuna, sardines, avocado, and peanuts, to prevent the occurrence of Chronic Energy Deficiency (CED).
Ahsan, F., Rahmawati, N.Y., and Alditia, F.N. (2020) Lawan Virus Corona: Studi Nutrisi untuk Kekebalan Tubuh, Surabaya: Airlangga University Press.
Angraini, D.I., Maulidia, A., and Sutarto (2024) ‘Association between Nutritional Knowledge and Immunonutrients Intake with Immunity Status Post-Pandemic COVID-19 in College Students’, Amerta Nutrition, 8(4), 602–610. https://doi.org/10.20473/amnt.v8i4.2024.602-610
Astuti, C., Majid, R., and Prasetya, F. (2022) ‘Chronic Energy Deficiency in Women from Muna District: Association with Body Image and Knowledge’, Diversity: Disease Preventive of Research Integrity, 76–83. https://doi.org/10.24252/diversity.v2i2.21442
Desmiati, H., Octasila, R., and Siallagan, D. (2020) ‘Risiko Kelahiran Berat Bayi Lahir Rendah (BBLR) Berdasarkan Status Gizi Ibu Hamil’, Jurnal Kesehatan STIKes Banten RI, 6(1), 41–46.
Dienasari, R. Hanundyah (2016) Persepsi Body Image, Kebiasaan Makan, dan Status Gizi pada Penari Remaja Wanita. Institusi Pertanian Bogor.
Dieny, F.F., Rahadiyanti, A., and Kurniawati, D.M. (2019) Gizi Prakonsepsi. Jakarta: Bumi Medika.
Fitriani, Yarmaliza, and Farisni, T.N. (2024) ‘Analyzing the Level of Knowledge, Food Consumption Diversity, And Nutritional Intake on Chronic Energy Deficiency among Pregnant Women in Stunting Prevention’, European Journal of Medical and Health Sciences, 6(2), 62–66. https://doi.org/10.24018/ejmed.2024.6.2.1939
Gurav, P., Shiradkar, S., Rawate, S., and Verma, S. (2022) ‘Factor Affecting Maternal Dietary Protein Intake During Pregnancy and Association of Inadequate Protein Intake and Various Pregnancy Outcomes: The Observational Cross-Sectional Study’, International Journal of Scientific Research, 13(1), 57–59. https://doi.org/10.36106/ijsr/3509851
Hatta, H., Maesarah, Ramadhani, F., and Adam, D. (2023) ‘Faktor yang Berhubungan dengan Kejadian Kekurangan Energi Kronik pada Ibu Hamil di Beberapa Puskesmas di Wilayah Kabupaten Gorontalo’, Graha Medika Public Health Journal, 2(1), 16–22.
Kadmaerubun, H.S., Azis, R., and Genisa, J. (2023) ‘Hubungan Pola Makan dan Asupan Gizi dengan Kekurangan Energi Kronik (KEK) pada Ibu Hamil’, Indonesian Health Journal, 2(2), 127–138. https://doi.org/10.56314/inhealth.v2i12
Kementerian Kesehatan Republik Indonesia (2023) Survei Kesehatan Indonesia (SKI) 2023 Dalam Angka, Jakarta: Badan Kebijakan Pembangunan Kesehatan.
Kementerian Kesehatan Republik Indonesia (2019) Peraturan Menteri Kesehatan Republik Indonesia Nomor 28 Tahun 2019 tentang Angka Kecukupan Gizi yang Dianjurkan untuk Masyarakat Indonesia, Jakarta: Kementerian Keseharan Republik Indonesia.
Kementerian Kesehatan Republik Indonesia (2018) Laporan Riskesdas 2018 Nasional, Jakarta: Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan.
Mahmudah, A., Masrikhiyah, R., and Rahmawati, Y.D. (2022) ‘Hubungan Pengetahuan Gizi, Aktivitas Fisik, dan Asupan Makanan dengan Kejadian KEK pada Calon Pengantin di Wilayah Kerja KUA Tarub’, Jurnal Ilmiah Gizi Kesehatan (JIGK), 4(1), 27–35. https://doi.org/10.46772/jigk.v4i01.787
Meilinasari, Marbun, R.M., Karina, S.M., Rabbani, F.D., and Mulyo, G.P.E. (2024) ‘The Relationship between Energy, Nutrient Intake, and Occupational Status with Chronic Energy Deficiency (CED) in Pregnant Women’, Media Penelitian dan Pengembangan Kesehatan, 34(3), 492–503. https://doi.org/10.34011/jmp2k.v34i3.2287
Murti, F.C., Suryati, S., and Oktavianto, E. (2020) ‘Hubungan Berat Badan Lahir Rendah (BBLR) dengan Kejadian Stunting pada Balita Usia 2-5 Tahun di Desa Umbulrejo Kecamatan Ponjong Kabupaten Gunung Kidul’, Jurnal Ilmiah Kesehatan Keperawatan, 16(2), 52–60. https://doi.org/10.26753/jikk.v16i2.419
Nahdah, R.A., Safitri, D.E., and Fitria, F. (2022) ‘Asupan Lemak, Serat, Kalsium, dan Kualitas Tidur Kaitannya dengan Siklus Menstruasi pada Remaja Putri’, Journal of Nutrition College, 11(2), 163–170. https://doi.org/10.14710/jnc.v11i2.33212
Puspitasari, N., Sumarmi, S., Sulistyorini, Y., and Anon, K. (2020) ‘Health Problems of Prospective Brides in Rural Area of East Java, Indonesia. Indian Journal Public Health Research & Development, 11(1), 1358–1363. https://doi.org/10.37506/v11/i1/2020/ijphrd/194033
Putri, M.M., Musa, D.Th., Darmawan, D.R. (2024) ‘Perawatan Tubuh Tradisional Pra-Nikah Calon Pengantin pada Melayu di Desa Semuntai Kecamatan Mukok Kabupaten Sanggau’, Balale’: Jurnal Antropologi, 5(1), 14–28. https://doi.org/10.26418/balale.v5i1.74608
Safitri, D., Hasbiah, Yunola, S., and Farida, T. (2023) ‘Relationship between Parity, Anemia and Chronic Energy Deficit (CED) with Incidence of Low Birth Weight’, Jurnal Kesehatan dan Pembangunan, 13(25), 15–21. https://doi.org/10.52047/jkp.v13i25.155
Sari, B.P., Khairani, M.D., Abdullah, and Muharrahmah, A. (2024) ‘Hubungan Tingkat Pengetahuan Gizi dan Body Image dengan Kurang Energi Kronik Remaja Putri di SMAN 2 Pringsewu’, Innovative: Journal of Social Science Research, 4(2), 6700–6708. https://doi.org/10.31004/innovative.v4i2.9631
Sari, N., Kelana, D., and Sopiah, P. (2023) ‘Hubungan Citra Tubuh (Body Image) dengan Status Gizi KEK pada Siswi SMKN Sukasari’, Jurnal Kesehatan Tambusai, 4(2), 954–959. https://doi.org/10.31004/jkt.v4i2.15085
Simbolon, D., Lorena, L., and Natan, O. (2024) ‘Interaction of Protein Intake and Number of Family Members as A Risk Factor for Chronic Energy Deficiency in Women of Childbearing Age’, Journal of Preventive Medicine and Hygiene, 65(2), 194–202. https://doi.org/10.15167/2421-4248/jpmh2024.65.2.3065
Sukarti, Afrinis, N., and Apriyanti, F. (2023) ‘Hubungan Pengetahuan Ibu Tentang Gizi, Penyakit Infeksi dan Asupan Pangan dengan Kejadian Kurang Energi Kronis (KEK) pada Ibu Hamil di Wilayah Kerja Puskesmas Purnama Tahun 2023’, Jurnal Kesehatan Terpadu, 2(4), 350–359. https://doi.org/10.31004/sjkt.v2i4.22415
Sumiati, Suindri, N.N., and Mauliku, J. (2021) ‘Hubungan Kurang Energi Kronik pada Ibu Hamil dengan Bayi Berat Lahir Rendah’, Infokes: Info Kesehatan, 11(2), 360–366. https://doi.org/10.30643/info%20kesehatan.v11i2.268
Sun, M. and Yi, Q. (2024) ‘Mediating Role of Anxiety between Body Image Distress and Quality of Life among Women with Polycystic Ovary Syndrome: A Multicentre Cross-Sectional Study’, BMC Womens Health, 24(1), 658. https://doi.org/10.1186/s12905-024-03490-5
Suryadi, Indriani, Y., and Angraini, D.I. (2025) ‘Hubungan Asupan Zat Gizi dan Anemia dengan Kejadian Kurang Energi Kronis (KEK) pada Remaja Putri’, Jurnal Kesehatan Panca Bhakti Lampung, 13(1), 01–10. https://doi.org/10.47218/jkpbl.v13i1.371
Taylor, J., Owen, A., and Mchale, C. (2023) ‘A Qualitative Exploration of Pre-Wedding Body Image Concerns in UK Brides’, Journal of Aesthetic Nursing, 12(3), 116–121. https://doi.org/10.12968/joan.2023.12.3.116
Trop-Steinberg, S., Gal, M., Azar, Y., Kilav-Levin, R., and Heifetz, E.M. (2024) ‘Effect of Omega-3 Supplements or Diets on Fertility in Women: A Meta-Analysis’, Heliyon, 10(8), 1–11. https://doi.org/10.1016/j.heliyon.2024.e29324
Wirawanti, I. Wirya (2022) ‘Kurang Energi Kronik (KEK) Berhubungan dengan Kejadian Anemia Remaja Putri’, Svasta Harena: Jurnal Ilmiah Gizi, 3(1), 1–6. https://doi.org/10.33860/shjig.v3i1.1427
Yulia, C., Rosdiana, D.S., Muktiarni, M., and Sari, D.R. (2024) ‘Reflections of Well-Being: Navigating Body Image, Chronic Energy Deficiency, and Nutritional Intake among Urban and Rural Adolescents’, Frontiers in Nutrition, 11, 01–07. https://doi.org/10.3389/fnut.2024.1346929
Yuliani, N. M. (2023) ‘Pengaruh kualitas pendidikan terhadap tingkat pengangguran di Provinsi Jawa Barat tahun 2017-2021’, Jurnal Pendidikan Ekonomi Indonesia, 5(2), 123–134. https://doi.org/10.17509/jpei.v5i2.63599
Yunita, Y., Pravita, A., Natan, O., and Suryani, D. (2023) ‘Analysis of Macronutrient Intake and The Incidence of Chronic Energy Deficiency (CED) in Pregnant Women in Stunting Village, Argamakmur Sub-District, North Bengkulu Regency, Bengkulu Province’, International Journal of Medical Science and Clinical Research Studies, 03(10). https://doi.org/10.47191/ijmscrs/v3-i10-69
Copyright (c) 2025 Abellinda Putri Pribadi, Syifa F. Syihab, Isti Kumalasari, Hurry Mega Insani
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Media Gizi Kesmas by Unair is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author(s) to hold the copyright and to retain the publishing right of the article without restrictions.
2. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution-Share-Alike (CC BY-SA).
3. The Creative Commons Attribution-Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violations.
