ASI Eksklusif sebagai Faktor Protektif Rinitis Alergi pada Anak

Thrisia Wuryanti, Sumadiono Sumadiono, Tunjung Wibowo

Sari


Latar belakang. Prevalensi rinitis alergi di dunia semakin meningkat termasuk di Indonesia. Rinitis alergi menyebabkan penurunan
kualitas hidup sehingga sedini mungkin dicegah agar proses tumbuh kembang anak optimal. Faktor pencegah di antaranya dengan
pemberian air susu ibu (ASI) secara eksklusif.
Tujuan. Mengetahui apakah pemberian ASI eksklusif merupakan faktor protektif terhadap rinitis alergi pada anak di Provinsi Daerah
Istimewa Yogyakarta.
Metode. Rancang penelitian berupa kasus kontrol berpasangan, analisis Mc.Nemar, dan conditional logistic regression. Populasi target
murid sekolah dasar di Yogyakarta dengan rinitis alergi sebagai kasus (diagnosis berdasarkan kriteria AIRA, kuesioner ISAAC, uji
tusuk kulit). Matching berdasarkan umur dan jenis kelamin. Informasi pemberian ASI dengan wawancara dan kuesioner.
Hasil. Subjek penelitian adalah 55 kasus dan 55 kontrol. Alergen terbanyak menimbulkan alergi adalah kutu rumah. Pemberian
ASI eksklusif terhadap rinitis alergi mempunyai rasio odds 0,23; IK95% 0,08-061; p=0,23. Paparan asap rokok terhadap alergi
mempunyai rasio odds 3,07; IK95% 1,23-7,68; p=0,016.
Kesimpulan. ASI eksklusif merupakan faktor protektif terhadap rinitis alergi pada anak.


Kata Kunci


ASI eksklusif; rinitis alergi; anak

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Referensi


Bousquet J, Cauwenberge PV, Khaltaev N. ARIA

workshop group, World Health Organization initiative,

allergic rhinitis and its impact on asthma. J Allergy Clin

Immunol 2001:S147-276.

Quraishi SA, Davies MJ, Craig TJ. Inflammmatory

responses in allergic rhinitis: traditional approaches and

novel treatment strategies JAODA 2004;104 (suppl):

S57-15.

Yunus F, Antaria R, Rasmin M. Asthma prevalence

among high school students in East Jakarta, based on

ISAAC questionnaire. Med J Indonesia 2001;12:178-

Widodo P, Suprihati. Hubungan antara rinitis alergi dengan faktor-faktor risiko yang mempengaruhi pada

siswa SLTP Kota Semarang usia 13-14 tahun dengan

mempergunakan kuesioner international study of

asthma and allergies in childhood (ISAAC) (Tesis).

Semarang: Bagian Ilmu Penyakit Telinga, Hidung,

dan Tenggorok, Fakultas Kedokteran, Universitas

Diponegoro, 2004.

Departemen Kesehatan Republik Indonesia. Kebijakan

Departemen Kesehatan tentang Peningkatan Pemberian

Air Susu Ibu pada Wanita Pekerja. Pusat Kesehatan Kerja

Depkes RI; 2005.

Hamosh M. Bioactive components in human milk.

Pediatric Basics 2002;99:2-11.

Goldman AS. Modulation of the gastrointestinal tract

of infants by human milk. Interfaces and interaction. an

evoluntary perspective. Symposium: bioactivity in milk

and bacterial interactions in the developing immature

intestine. Am Soc Nutr Sci 2000:426S-31.

Rautava S, Walker WA. Breastfeeding-An extrauterine

link between mother and child. Breastfeed Med

;4:3-10.

Lundback B. Epidemiology of rhinitis and asthma.

Clinical Exp Allergy 1998;28:3-10.

Aberg N. Asthma and allergic rinitis in Swedish

conscripts. Clin Exp Allergy 1989; 19:59-63.

Goycochea V, Tunque CM, Diaz HH, Huaman JC.

Association among prematurity, low birth weight and

exclusive breastfeeding with allergic rhinitis in pediatric

patients from Hospital Nacional Cayetano Heredia, Peru.

Eur Respir J 2005;25:970-7.

Mimouni BA, Mimouni M, Gdalevich M. Does

breastfeeding protect allergic rhinitis during childhood?

A meta-analysis of prospective studies. Acta Paediatr 2002;91:275-9.

Odijk J, Kull I, Borres MP. Breastfeeding and allergic

disease: a mu ltidisciplinary review of the literature

(1966–2001) on the mode of early feeding in infancy

and its impact on later atopic manifestations [review].

Allergy 2003;58:833–43.

Michele, A, Monteil, Gina J, Catherine CK, Gillian W,

Robin MA. Smoking at home is strongly associated with

symptoms of asthma and rhinitis in children of primary

school age in Trinidad and Tobago; Original research;

Rev Panam Salud Publica / Pan Am J Public Health

;16.

Saulyte J, Regueira C, Montes M A, Khudyakov P,

Takkouche B. Active or passive exposure to tobacco

smoking and allergic rhinitis, allergic dermatitis, and

food allergy in adults and children: a systematic review

and meta-analysis. PLoS Med 2014;11:e1001611.

GINA (Global Initiative for Asthma); pocket guide for

asthma management and prevention in children. Diakses

pada 4 Oktober 2014. Didapat dari: www. Ginaasthma.

Org. 2006.

Hesselmar B, Aberg N, Aberg B, Bjorksten BE. Does

early exposure to cat or dog protect against later allergy

development? Clin Exp Allergy 1999;29:611-7.

Sandin A, Bjorksten B, Braback L. Development of atopy

and wheezin symptoms in relation to heredity and early

pet keeping in a Swedish birth Cohort. Pediatr Allergy

Immunol 2004;15:316-22.

Lodge JC, Katrina JA, Adrian JL. Perinatal cat and dog

exposure and the risk of asthma and allergy in the urban

environment: a systematic review of longitudinal studies.

Diakses pada 4 Oktober 2014. Didapat dari: http://www.

hindawi.com/journals/jir/2012/176484/




DOI: http://dx.doi.org/10.14238/sp17.1.2015.59-63

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