HUBUNGAN INDEKS MASSA TUBUH DENGAN KEJADIAN STRIAE GRAVIDARUM
DOI:
https://doi.org/10.31004/jkt.v5i2.27093Keywords:
Kehamilan, striae gravidarum, wanitaAbstract
Latar Belakang : Striae gravidarum adalah kondisi yang dialami oleh seorang wanita dimulai sejak terjadinya konsepsi hingga kelahiran. Striae gravidarum diperkirakan mencapai hingga 90% wanita hamil yang mengalami masalah umum yang terjadi saat kehamilan. Striae gravidarum dapat terjadi di bagian perut, payudara, bokong, pinggul dan paha. Perkembangan striae gravidarum biasanya terjadi pada trimester kedua atau ketiga kehamilan dan sebelum minggu ke-24 selama kehamilan. Metode Penelitian : Analitik observasional dengan menggunakan pendekatan metode cross sectional menggunakan teknik total sampling. Pengambilan data dimulai pada bulan Januari 2024. Penelitian ini dilakukan di RSUD Dr. H. Abdul Moeloek. Data statistik uji chi-square menggunakan SPSS 27. Hasil Penelitian: Distribusi frekuensi IMT pada wanita hamil di RSUD Dr. H. Abdul Moeloek dari 35 responden didapatkan responden terbanyak ialah IMT normal sebanyak 20 responden (57,1%) dan diikuti oleh IMT overweight sebanyak 15 responden (42,9%). Lalu pada nilai rata-rata responden didapatkan 25,7 kg/m2 dengan IMT terendah sebesar 21,2 kg/m2 dan IMT tertinggi sebesar 33,1 kg/m2. Sedangkan pada distribusi frekuensi tingkat kejadian striae gravidarum pada wanita hamil di RSUD Dr. H. Abdul Moeloek dari 35 responden didapatkan sebanyak 22 responden (62,9%) memiliki striae gravidarum. Lalu dari 22 responden tersebut didapatkan tingkatan paling banyak pada tingkatan ringan sebesar 10 responden (45,4%) diikuti oleh tingkatan berat pada 9 responden (40,9%) dan terendah pada tingkatan sedang pada 3 responden (13,6%). Diketahui terdapat pengaruh IMT dengan tingkat derajat keparahan striae gravidarum pada uji Chi Square didapatkan p-value=0,000 (nilai p?0,05). Kesimpulan : Terdapat pengaruh IMT dengan tingkat derajat keparahan striae gravidarum.References
Abbas A., Kamel F., Khalifa M., Salman S.(2020).Atwal Striae Gravidarum Score for Prediction of Perineal Tears During Vaginal Delivery : A Cross-Sectional Study.World Journal of Gynecology & Womens Health. DOI:10.33552/WJGWH.2020.04.000587
Ahsan, U., Jamil, A. and Rashid, S., 2016. Cutaneous Manifestations in obesity. Journal.of Pakistan Association of Dermatology, 24(1), pp.21-24.
Amada M. Oakley, & Bhupendra C. Patel. (2023). Stretch Mark. National Library of Medicine.
Antoszewski, B., Sobczak, M., & Kasielska-Trojan, A. (2015). Self-assessment of striae gravidarum prophylaxis. Advances in Dermatology and Allergology, 6, 459–464. https://doi.org/10.5114/pdia.2015.56100
Aryunisari, C.G., Putra, I.B. and Jusuf, N.K., 2020. The relationship between age of, menarche with striae among female students. Chest, 5, pp.3-7.
Asia Zierle-Gosh, & Arif Jan. (2022). Physiology, Body Mass Orang. National Library of Medicine.
Atef, A., & Moustafa, R. (2015). Expression of Estrogen Receptor Beta in Striae Distensae of Different Sites of the Body. Journal of Clinical & Experimental Dermatology Research, 06(06). https://doi.org/10.4172/2155-9554.10000312
Brennan, M., Clarke, M., Devane, D., & Dowling, M. (2020). A qualitative study of the factors influencing recruitment to a pilot trial on the prevention of striae gravidarum. BMC Pregnancy and Childbirth, 20(1), 103. https://doi.org/10.1186/s12884-020-2781-x
Centers for Disease Control and Preventions (CDC), 2016 About Child & TeenBM.,I. United States, accessed 09 Maret 2024, available at : https://www.cdc.gov/healthyweight/assessing/bmi/adult_bmi/index.html.
Chang, A. L. S., Agredano, Y. Z., & Kimball, A. B. (2004). Risk factors associated with striae gravidarum. Journal of the American Academy of Dermatology, 51(6), 881–885. https://doi.org/10.1016/j.jaad.2004.05.030
Cho S, Park ES, Lee DH, Li K, Chung JH.,2021 . Clinical Features and Risk Factors for Striae Distensae in Korean Adolescent J Eur Acad Derm atol V enereol ;20(9):1108-1113.
Cordeiro, R. C. T., Zecchin, K. G., & De Moraes, A. M. (2020). Expression of estrogen, androgen, and glucocorticoid receptors in recent striae distensae. Orang Journal of Dermatology, 49(1), 30–32. https://doi.org/10.1111/j.1365- 4632.2018.04005.x
Cordeiro, R.C.T.,,and de Moraes , A.M., 2019 Striae distensae fisiopatologia Surgical & Cosmetic Dermatology , 1(3) , pp 137-140.
Dai, H., Liu, Y., Zhu, Y., Yu, Y., & Meng, L. (2021). Study on the methodology of striae gravidarum severity evaluation. BioMedical Engineering Online, 20(1). https://doi.org/10.1186/s12938-021-00945-w
Elias PM. Skin Barrier Function. Current Allergy and Asthma Report. 2018; 8:299- 305
Ellysa, TO, 2021. Analisis Faktor Risiko Terjadinya Stretch Mark.
Ersoy, E., Ersoy, A. O., Celik, E. Y., Tokmak, A., Ozler, S., & Tasci, Y. (2016). Is it possible to prevent striae gravidarum? Journal of the Chinese Medical Association, 79(5), 272–275. https://doi.org/10.1016/j.jcma.2015.12.007
Evans S.Early life programming of health and disease : The long-term consequences of obesity in pregnancy.(2022).J Hum Nutr Diet.35(5):816-832. 10.1111/jhn.13023.
Farahnik, B., Park, K., Kroumpouzos, G., & Murase, J. (2017). Striae gravidarum: Risk factors, prevention, and management. Orang Journal of Women’s Dermatology, 3(2), 77–85. https://doi.org/10.1016/j.ijwd.2016.11.001
Fernandes, L. B., & Amaral, W. N. Do. (2015). Clinical study of skin changes in low and high risk pregnant women. Anais Brasileiros de Dermatologia, 90(6), 822–826. https://doi.org/10.1590/abd1806-4841.20153570
Hawkesworth S, Medicine T. Definition, Etiology, and Assessment. London Sch Hyg . 2013;2:389–92.
Kemenkes RI. 2018. Hasil Utama RISKESDAS 2018. Badan Penelitian Dan Pengembangan Kesehatan. https://kesmas.kemkes.go.id/assets/upload/dir_519d41d8cd98f00/files/Hasil-riskesdas-2018_1274.pdf
Kocaoz S, Gordeles Beser N, & Kizilirmak. (2019). Striae Gravidarum in primigavid women: prevalence, risk factors, prevention interventions and body image. J Matern Neonatal Med.
Korgavkar, K., & Wang, F. (2015). Stretch marks during pregnancy: a review of topical prevention. British Journal of Dermatology, 172(3), 606–615. https://doi.org/10.1111/bjd.13426
Lerdpienpitayakul R., Manusirvithaya S., Lorwatthanasirikul. Prevalence and Risk Factors of Striae Gravidarum in Primparae.(2009)70.70-79.
Lesmana, UT, 2020. Hubungan antara determinan fisik, status gizi dengan kejadian stretch mark pada usia 17-25 tahun. SKRIPSI-2019 .
Liping Liu, Jianling Huang, Ying Wang, & Yumei Li. (2018). Risk factors of striae gravidarum in Chinese primiparous women.
Macia?czyk-Paprocka, K., Stawi?ska-Witoszy?ska, B., Kotwicki, T., Sowi?ska, A., Krzy?aniak, A., Walkowiak, J. and Krzywi?ska- Wiewiorowska, M., 2017. Prevalence of. incorrect t body posture in children and adolescents with overweight and obesity. European journal of pediatrics, 176(5), p.563.
Melasma and their effects on quality of life. Journal of Cosmetic Dermatology, Vol.2,603-612. DOI: https://doi.org/10.1111/jocd.14783
Miriam Brennan, Mike Clarke, & Declan Devane. (2016). The use of anti stretch marks’ products by women in pregnancy: a descriptive, cross-sectional orang. 16–276.
Nusrat, U., Ahmed Asim, S., Soomro, S., Nuruddin Gitay, M., Iqbal, S., Waqar, F., Hameed, A., Iqbal, T., & Mansoor, M. (2019). STRIA GRAVIDARUM; The Professional Medical Journal, 26(01). https://doi.org/10.29309/TPMJ/2019.26.01.2586
Ozturk P, Kiran H, Kurutas EB, Mulayim K, & Avci F. (2021). Serum kolagenase- 2 and BMI levels in pregnant women with striae gravidarum. J Cosmet.
Partuhip, AT, 2021. Hubungan Tingkat Obesitas dengan Terjadinya Striae Di stensae pada Usia Dewasa Muda. Skripsi. Universitas Sumatera Utara.
Pascual Z., Langaker D. Physiology, Pregnancy.(2023).National Library of Medicine
Picard D, MD, PhD.(2015).Incidence and risk factors for striae gravidarum.Journal of The American Academy of Dermatology.73(4),699-700.DOI: https://doi.org/10.1016/j.jaad.2015.06.037
Putra, I.B., Jusuf, N.K. and Aryunisari, C.G., 2020 Correlation between body mass index with striae in female adolescent. Age (median= 19), 18(1), pp.0-6., Bali Medical Journal, 9(3), doi: 10.15562/bmj.v9i3.2071.
Rabinerson D, Melzer H, Gabbay-Ben-Ziv R. [STRIAE GRAVIDARUM - ETIOLOGY, PREVALENCE AND TREATMENT]. Harefuah. 2018 Dec;157(12):787-790. Hebrew. PMID: 30582313.
Rathod S, Gega L, Degnan A, Pikard J, Khan T, Husain N, Munshi T, Naeem F. The current status of culturally adapted mental health interventions: a practice-focused review of meta-analyses. Neuropsychiatr Dis Treat. 2018 Jan 4;14:165-178. doi: 10.2147/NDT.S138430. PMID: 29379289; PMCID: PMC5757988.
Ren P., Zhao W., Dai X., Wang X., Yu J., Yuan Y., Wu Y. (2019). Risk factors for the formation of striae gravidarum in women in Jiangsun Province of China. Taiwanese Journal of Obstetrics ad Gynecology.58(5),640-644. DOI : https://doi.org/10.1016/j.tjog.2019.07.010
Rongioletti F, Romanelli P, 2023. Dermal Infiltrates. In: Kerdel FA, Jimenez A. In Dermatology Just The Facts. New York, Mcgraw-Hill.; 266
Sastroasmoro S dan Ismael S.,2017, Dasar-Dasar Metodologi Penelitian Kesehatan Edisi 5, Sagung Seto, Jakarta
Simko, M., Totka, A., Vondrova, D., Samohyl, M., Jurkovicova, J., Trnka, M., Cibulkova, A., Stofko, J., & Argalasova, L. (2019). Maternal body mass orang and gestational weight gain and their association with pregnancy complications and perinatal conditions. Orang Journal of Environmental Research and Public Health, 16(10). https://doi.org/10.3390/ijerph16101751
Thring TSA, Hili P, Naughton D., 2019 Anti-collagenase, anti-elastase and antioxidant activities of extracts from 21 plants. BMC Complementary and Alternative Medicine.;9(27)
Tung, J.Y., Kiefer, A.K., Mullins, M., Francke, U. and Eriksson, N., 2013. Genome-wide association analysis implicates elastic microfibrils in the development of.,nonsyndromic striae distensae. The Journal of.,inv estigative dermatology, 133(11), p.2628..
Türkmen & Yörük (2023). Risk factors of striae gravidarum and chloasma
Valani FB, Sutyarso, Rahmanisa S, dan Mustofa S. 2018. Hubungan Tingkat Obesitas Terhadap Fungsi Seksual Wanita Usia Subur di Kota Bandar Lampung. Majority, 7(2), 101–107.
Vora, R., Gupta, R., Mehta, M., Chaudhari, A., Pilani, A., & Patel, N. (2014). Pregnancy and skin. Journal of Family Medicine and Primary Care, 3(4), 318. https://doi.org/10.4103/2249-4863.148099
Watson, R.E., Parry, E.J., Humphries, J.D., Jones, C.J., Polson, D.W., Kielty, C.M. and Griffiths, C.E., 2023. Fibrillin microfibrils are reduced in skin exhibiting striae distensae. The British journal of dermatology, 138(6), pp.931-937.
WHO. 2019. Body Mass Index. France: World Health Organization.
Yu, Y., Wu, H., Yin, H., & Lu, Q. (2022). Striae gravidarum and different modalities of therapy: a review and update. Journal of Dermatological Treatment, 33(3), 1243–1251. https://doi.org/10.1080/09546634.2020.1825614
Yuksel M, Aktun H, Balevi A, Cakiki C & Ulfer G. (2020). Investigation of coenzyme Q10 levels and predisposing factors in patients with striiae gravidarum. J Cosmet Dermatol, 19(1),241-245
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