Hubungan Antara Kesulitan Makan Dengan Gangguan Tidur Pada Anak Bawah Lima Tahun

HUBUNGAN ANTARA KESULITAN MAKAN DENGAN GANGGUAN TIDUR
PADA ANAK BAWAH LIMA TAHUN

Emmy Rosa Depari*, Tiangsa Sembiring, Hakimi, Tri Faranita, Winra Pratita
Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Universitas
Sumatera Utara, Rumah Sakit Haji Adam Malik, Medan, Indonesia
Abstrak
Latar BelakangKesulitan makan dan gangguan tidur merupakan hal yang umum
dijumpai pada anak usia muda yang sehat. Meskipun terdapat kesamaan dalam
etiologi, prevalensi dan distribusi usia, hubungan antara keduanya masih sangat
jarangditeliti.
TujuanUntuk mengetahui hubungan antara kesulitan makan dengan gangguan tidur
pada anak bawah lima tahun (balita) dan untuk mengetahui hubungan antara
tingkat pendidikan ibu dengan kesulitan makan.
MetodeStudi cross-sectional dilaksanakan pada bulan April 2013 di 10 sekolah
Pendidikan Anak Usia Dini di Kota Medan. Sampel adalah anak balita yang
mengalami kesulitan makan berdasarkan kuesioner The Montreal Children’s
Hospital Feeding Scale (MCH-Feeding Scale). Anak balita yang tidak mengalami
kesulitan makan diambil sebagai pembanding. Kedua kelompok diwawancarai
dengan menggunakan kuesioner The Tayside children’s sleep questionnaire
(TCSQ) untuk mendeteksi adanya gangguan tidur pada anak. Data dianalisa

dengan menggunakan uji chi-squaredan fisher’s exact test.
Hasil 140 anak disertakan dalam penelitian ini, 70 anak dengan kesulitan makan
dan 70 anak tanpa kesulitan makan. Gangguan tidur lebih banyak dijumpai pada
kelompok kesulitan makan (47.1% vs 27.1%). Hasil analisa chi-square menunjukkan
hubungan bermakna antara kesulitan makan dengan gangguan tidur pada anak
balita (P= 0.014). Tidak dijumpai hubungan antara kesulitan makan dengan tingkat
pendidikan ibu (P> 0.05).
KesimpulanTerdapat hubungan antara kesulitan makan dengan gangguan tidur
pada anak balita. Tidak dijumpai hubungan antara tingkat pendidikan ibu dengan
kesulitan makan pada anak balita.
Kata kunci: kesulitan makan, gangguan tidur, MCH-Feeding Scale, TCSQ

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ASSOCIATION BETWEEN FEEDING DIFFICULTIES AND SLEEP DISTURBANCE
IN CHILDREN AGED UNDER 5 YEARS

Emmy Rosa Depari*, Tiangsa Sembiring, Hakimi, Tri Faranita, Winra Pratita
Department of Child Health, Medical School, University of Sumatera Utara,
Haji Adam Malik Hospital, Medan, Indonesia

Abstract
Background Feeding difficulties and sleep disturbance are commonly found in
healthy young children. Although there are similarities in the natural course, etiology,
prevalence and age distribution, the association between the two is very rarely
studied.
Objective To determine association between feeding difficulties and sleep
disturbance in children aged under 5 years and association between maternal
education and feeding difficulties.
Methods We conducted a cross-sectional study in April 2013 at 10 early education
in Medan city. Participants were children aged under 5 years who had feeding
difficulties based on The Montreal Children's Hospital Feeding Scale (MCH-Feeding
Scale) questionnaire. Matched age children without feeding difficulties were taken as
control group. Both groups were interviewed using The Tayside Children's Sleep
Questionnaire (TCSQ) to detect the presence of sleep disturbances. Association
between variables were analized using chi-square test and fisher’s exact test.
Results Of 140 children enrolled to the study, 70 children with feeding difficulties
and 70 remains children without feeding difficulties. Sleep disturbance was found
higher in the group with feeding difficulties (47.1% vs. 27.1%). The results of chi
square analysis showed a significant association between feeding difficulties and
sleep disturbance ( P=0.014). There was no association between feeding difficulties

and maternal education (P> 0.05).
Conclusion There was association between feeding difficulties and sleep
disturbance in children aged under 5 years. There was no association between
maternal education and feeding difficulties.
Keywords: feeding difficulties, sleep disturbance, MCH- Feeding Scale, TCSQ.

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