Skrining Status Gizi dan Usia Menarche sebagai Upaya Deteksi Dini Masalah Gizi Reproduksi pada Remaja Putri SMAN 06 Makassar

Nurleli Nurleli; Andi Sani  Silwanah; Tiara Tiara; Nanda Putri  Ayu; Jana Sofhia  Katipana

doi:10.65280/jscp.v3i1.60

Authors

Nurleli Nurleli Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan Makassar, Indonesia Author
Andi Sani Silwanah Prodi Kesehatan Masyarakat, Sekolah Tinggi Ilmu Kesehatan Makassar, Indonesia Author
Tiara Tiara Prodi Ilmu Keperawatan, Sekolah Tinggi Ilmu Kesehatan Makassar, Indonesia Author
Nanda Putri Ayu Prodi Ilmu Keperawatan, Sekolah Tinggi Ilmu Kesehatan Makassar, Indonesia Author
Jana Sofhia Katipana Prodi Ilmu Keperawatan, Sekolah Tinggi Ilmu Kesehatan Makassar, Indonesia Author

DOI:

https://doi.org/10.65280/jscp.v3i1.60

Keywords:

Deteksi dini, lingkar lengan atas, menarche, remaja putri, status gizi

Abstract

Abstrak

Remaja putri merupakan kelompok yang rentan mengalami masalah gizi yang dapat berdampak pada kesehatan reproduksi di masa mendatang. SMAN 06 Makassar belum memiliki program skrining status gizi dan kesehatan reproduksi yang terstruktur sebagai upaya deteksi dini masalah tersebut. Kegiatan pengabdian masyarakat ini bertujuan mengidentifikasi status gizi dan usia menarche pada remaja putri sebagai langkah preventif terhadap masalah gizi reproduksi. Kegiatan dilaksanakan pada Desember 2025 dengan melibatkan 57 siswi kelas X dan XI. Skrining dilakukan melalui pengukuran antropometri yang meliputi berat badan, tinggi badan, dan lingkar lengan atas (LiLA), serta wawancara terstruktur mengenai riwayat menarche. Hasil skrining berdasarkan indikator IMT/U WHO AnthroPlus menunjukkan bahwa sebagian besar siswi memiliki status gizi normal (73,7%). Namun demikian, pengukuran LiLA menunjukkan bahwa 26,3% siswi berisiko mengalami Kekurangan Energi Kronis (KEK). Dari aspek kesehatan reproduksi, mayoritas responden mengalami menarche pada usia normal 12–14 tahun (90,9%), sedangkan proporsi menarche dini dan menarche lambat masing-masing sebesar 3,6% dan 5,5%. Temuan ini menunjukkan bahwa skrining status gizi dan usia menarche dapat menjadi upaya deteksi dini untuk mengidentifikasi risiko masalah gizi reproduksi pada remaja putri sehingga intervensi yang tepat dapat dilakukan secara lebih dini.

Abstract

Adolescent girls are a vulnerable group at risk of nutritional problems that may affect their future reproductive health. SMAN 06 Makassar does not yet have a structured nutritional and reproductive health screening program for the early detection of such problems. This community service activity aimed to identify the nutritional status and age at menarche of adolescent girls as a preventive measure against reproductive nutrition problems. The activity was conducted in December 2025 and involved 57 female students from grades X and XI. Screening was carried out through anthropometric measurements, including body weight, height, and mid-upper arm circumference (MUAC), as well as structured interviews regarding menarche history. Nutritional status assessment based on the WHO AnthroPlus BMI-for-age indicator showed that most students had normal nutritional status (73.7%). However, MUAC measurements identified that 26.3% of the students were at risk of Chronic Energy Deficiency (CED). Regarding reproductive health, the majority of respondents experienced menarche at the normal age range of 12–14 years (90.9%), while the proportions of early and delayed menarche were 3.6% and 5.5%, respectively. These findings indicate that regular screening of nutritional status and age at menarche can serve as an effective early detection strategy for identifying reproductive nutrition problems among adolescent girls, enabling timely and appropriate interventions.

References

AFTAR PUSTAKA

[1] Kementerian Kesehatan Republik Indonesia, Hasil Survei Status Gizi Indonesia (SSGI) 2022. Jakarta, Indonesia: Kemenkes RI, 2023. [Online]. Available: https://www.kemkes.go.id/ssgi2022

[2] UNICEF, WHO, and World Bank, Levels and Trends in Child Malnutrition: Key Findings of the 2023 Edition. Geneva, Switzerland: World Health Organization, 2023. [Online]. Available: https://www.who.int/publications/i/item/9789240073791

[3] Kementerian Kesehatan Republik Indonesia, “Laporan Survei Kesehatan Indonesia (SKI) 2023,” 2024. [Online]. Available: https://kemkes.go.id/id/survei-kesehatan-indonesia-ski-2023

[4] A. S. Rahma, R. Fitriani, Irnawati, and A. Az-zahrah, “Prevalensi dan faktor yang mempengaruhi kejadian anemia pada remaja putri di Kota Makassar, Sulawesi Selatan,” Jurnal Kesehatan Reproduksi, vol. 15, no. 1, 2023, doi: 10.58185/jkr.v15i1.191. DOI: https://doi.org/10.58185/jkr.v15i1.191

[5] S. Di et al., “Association between BMI and age at menarche or spermarche among both sexes: Findings from six successive national surveys in China,” J. Glob. Health, vol. 14, p. 4099, 2024, doi: 10.7189/jogh.14.04099. DOI: https://doi.org/10.7189/jogh.14.04099

[6] X. Ning, Q. Huang, D. Guo, Y. Zhou, Y. Li, and X. Li, “The role of adipose tissue in puberty and reproductive health,” Front. Endocrinol. (Lausanne)., vol. 16, p. 1543787, 2025, doi: 10.3389/fendo.2025.1543787. DOI: https://doi.org/10.3389/fendo.2025.1543787

[7] M. Asrullah, M. L’Hoir, E. J. M. Feskens, and A. Melse-Boonstra, “Trend in age at menarche and its association with body weight, body mass index and non-communicable disease prevalence in Indonesia: Evidence from the Indonesian Family Life Survey (IFLS),” BMC Public Health, vol. 22, p. 628, 2022, doi: 10.1186/s12889-022-12995-3. DOI: https://doi.org/10.1186/s12889-022-12995-3

[8] Y. Widyastuti, A. Rachmadewi, and F. Ernawati, “Determinants of menarche age among adolescent girls in Indonesia: Role of nutritional status, dietary intake, and physical activity,” Nutrients, vol. 16, no. 5, p. 703, 2024, doi: 10.3390/nu16050703. DOI: https://doi.org/10.3390/nu16050703

[9] L. de L. Pereira et al., “Associations between socioeconomic status, dietary habits and health-related quality of life among children in rural riverside communities: The mediation role of food insecurity,” Quality of Life Research, vol. 35, no. 2, p. 41, 2026, doi: 10.1007/s11136-025-04137-0. DOI: https://doi.org/10.1007/s11136-025-04137-0

[10] F. Yudrika, “The relationship between nutritional status (BMI) and age at menarche among junior high school adolescent girls,” Indonesian Health Issue, vol. 5, no. 1, pp. 59–69, 2026. DOI: https://doi.org/10.47134/inhis.v5i1.155

[11] D. A. P. S. Sutari, “Gambaran Status Gizi Remaja Putri Berdasarkan Hemoglobin, Lingkar Lengan Atas dan Indeks Massa Tubuh,” Jurnal Medika Usada, vol. 8, no. 1, pp. 35–39, 2025. DOI: https://doi.org/10.54107/medikausada.v8i1.387

[12] L. F. Fauziah, A. D. R. Arifin, A. M. Duwairoh, and I. A. Falentina, “Hubungan Asupan Zat Besi dengan Lingkar Lengan Atas pada Remaja Putri,” Jurnal Mitra Kesehatan (JMK), vol. 6, no. 2, pp. 105–115, 2024. DOI: https://doi.org/10.47522/jmk.v6i2.303

[13] C. Yulia, D. S. Rosdiana, M. Muktiarni, and D. R. Sari, “Reflections of well-being: Navigating body image, chronic energy deficiency, and nutritional intake among urban and rural adolescents,” Front. Nutr., vol. 11, p. 1346929, 2024, doi: 10.3389/fnut.2024.1346929. DOI: https://doi.org/10.3389/fnut.2024.1346929

[14] M. Mulianingsih et al., “Nutritional deficiency anemia status among adolescent girls in North Lombok District, West Nusa Tenggara, Indonesia,” Open Public Health J., vol. 17, p. e18749445353728, 2024, doi: 10.2174/0118749445353728241130164045. DOI: https://doi.org/10.2174/0118749445353728241130164045

[15] S. Hafizha, D. I. Angraini, D. Mayasari, and R. R. W. Perdani, “Factors influencing early menarche in adolescent girls,” Medula, vol. 14, no. 12, pp. 2236–2248, 2025.