Perbedaan Skor Developmental Quotient Menggunakan Cognitive Adaptive Test/Clinical Linguistic Auditory Milestone Scale pada Anak Stunting di Surakarta

Prima Evita Juwitasari, Harsono Salimo, Hari Wahyu Nugroho

Sari


Latar belakang. Anak stunting berisiko mengalami gangguan perkembangan. CAT/CLAMS merupakan alat skrining gangguan perkembangan yang efektif dan akurat mendeteksi keterlambatan kognitif global dan bahasa.
Tujuan. Menganalisis perbedaan skor DQ anak stunting dan tidak stunting menggunakan CAT/CLAMS.
Metode. Penelitian deskriptif observasional dengan desain studi potong lintang yang dilakukan di beberapa puskesmas dan posyandu di Surakarta Agustus 2018-Mei 2019 terhadap anak usia 3-36 bulan dengan kriteria inklusi dan eksklusi. Hasil penelitian dikatakan bermakna jika nilai p<0,05.
Hasil. Penelitian melibatkan 120 anak dengan rerata umur 19,7 + 9,49 bulan, terdiri dari 20% anak stunting dan 80% tidak stunting. Skor CAT pada anak dengan stunting rata-rata 93,15+5,24 dan tidak stunting 94,37+5,89, p=0,203 (p>0,05). Skor CLAMS pada anak stunting rata-rata 92,98+6,32 dan tidak stunting 92,76+6,61, p=0,933 (p>0,05) Skor DQ pada anak stunting rata-rata 93,06+5,44 dan tidak stunting 93,57+5,84, dengan nilai p=0,539 (p>0,05).
Kesimpulan. Tidak terdapat perbedaan yang signifikan pada skor DQ anak stunting dna tidak stunting menggunakan CAT/CLAMS.


Kata Kunci


stunting; Developmental Quotient (DQ); CAT/CLAMS

Teks Lengkap:

PDF

Referensi


Kementrian Kesehatan RI. Laporan riset kesehatan dasar. Badan penelitian dan pengembangan kesehatan kementrian kesehatan RI. Jakarta: Kemkes RI; 2013.

Prendergast AJ, Humprey JH. The stunting syndrome in developing countries. Pediatr Int Child Health 2014;34:250-65.

Black MM, Walker SP, Fernald LC, dkk. Advancing early childhood development: from science to scale 1, early childhood development coming of age: science through the life course. Lancet 2017;389:77-90.

Casale D, Desmond C. Recovery from stunting and cognitive outcomes in young children:evidence from south African Birth to twenty cohort study. J Dev Orig Health Dis 2016;7:163-71.

Accardo PJ, Capute AJ. The capute scale: cognitive adaptive test/ clinical linguistic & auditory milestone scae (CAT/CLAMS). Baltimore: Paul H Brookes Publishing Co; 2005.h.1-45.

Leppert ML, Shank TP, Shapiro BK, Capute AJ. The Capute Scales: CAT/CLAMS-a pediatric assessment tool for the early detection of mental retardation and communicative disorders on Mental retardation and developmental disabilities research reviews. Wiley-Liss Inc; 1998.h.14-19.

Dhamayanti M, Herlina M. Skrining gangguan kognitif dan bahasa dengan menggunakan Capute Scales (Cognitive Adaptive Test/Clinical Linguistic & Auditory Milestone Scale- CAT/CLAMS). Sari Pediatri 2009;11:189-98.

Kar BR, Rao SL, Chandramouli BA. Cognitive development in children with chronic protein energy malnutrition. BMC Behaviour and brain function 2008;4:31.

Santos IS, Matijasevich A, Domingues MR, Barros AJD, Victora CG, Barros FC. Late preterm birth is a risk factor for growth faltering in early childhood: a cohort study. BMC Pediatrics 2009;9:71.

Selina L, Pamela D, Richard H. Lancet early childhood development series steering committee. A good start will ensure sustainable future for all. Lancet 2017;389:8-9.

Victora CG, Adair L, Fall C, dkk. Maternal and child undernutrition: consequences for adult health and human capital. Lancet 2008;371:340-57.

Wasaraka YNK, Prawirohartono EP, Soenarto Y. Perbedaan proporsi stunting pada anak usia 12-24 bulan berdasarkan pemanfaatan pelayanan posyandu di Kabupaten Jayapura, Papua. Jurnal gizi klinik Indonesia 2015;12:72-8.

American academy of Pediatrics. Council on children with disabilities. Identifying infants and young children with developmental disorders in the medical home:an algorithm for developmental surveillance and screening. Pediatrics 2006;118:405-19.

WHO. Nutrition landscape information system (NLIS) country profile indicators: interpretation guide. Geneva: WHO; 2011.

Departemen Kesehatan RI. Pedoman pelaksanaan stimulasi. deteksi dan intervensi dini tumbuh kembang anak di tingkat pelayanan kesehatan dasar. Jakarta : Depkes RI; 2009.

McGregor SG, Cheung YB, Cueto S, dkk. Child development in developing countries 1, developmental potential in the first 5 years for children in developing countries. Lancet 2007; 369:60-70.

Hudaini, Ahmad A, Gustiana. Hubungan stunting dan stimulasi dengan perkembangan motorik kasar pada anak taman kanak-kanan usia 3-5 tahun di Banda Aceh. J Politek Kesehat 2011;3-6.

Manji S, Arnold C, Gowani S. How are we doing and how do we get in right for children? Evolution of the roles of the public and private sector in early childhood care and education in efforts to achieve EFA goal1. Unites Nations Educational, Scientific and Cultural Organization 2015;88:24-34.

Casale D, Desmond C. Recovery from stunting and cognitive outcomes in young children: evidence from The South African Birth to Twenty Cohort Study. J Dev Orig Health Dis 2016;7:163-71.

Hoddinott J, Maluccio JA, Behrman JR, Flores R, Martorell R. Effect of nutrition intervention during early childhood on economic productivity in Guatemalan adults. Lancet 2008;317:411-6.

Lu C, Black MM, Richter LM. Risk of poor development in young children in low-income and middle-income countries: an estimation and analysis at the global, regional, and country level. Lancet Global Health, 2016. 4, e916-22.

Hackman DA, Gallop R, Evans GW, Farah MJ. Socioeconomic status and executive function: developmental trajectories and mediation. Dev Sci: 2015;18:686-702.

Glascoe FP, Marks KP, Bauer NS. Developmental behavioral screening and surveillance. Dalam: Kliegman, Stanton S, Geme St, Schor, penyunting. Nelson textbook of pediatrics Edisi ke-20 volume 1. Philadelphia: Elsevier Saunders; 2016.h.90-101.

Sameroff A, penyunting. The transactional model of development: how children and context shape each other. Washington DC: American Psychological Association 2009.h.78-89.

Noble KG, Houston SM, Brito NH, dkk. Family income, parental education and brain structure in children and adolescents. Nat Neurosci 2015;18:773-8.

Pavlakis AE, Noble K, Pavlakis SG, Ali N, Frank Y. Brain imaging and electrophysiology biomarkers: is there a role in poverty and education outcome research?. Pediatr Neurol 2015;52:383-8.

Pantaleon MG, Hadi H, Gamayanti IL.. Stunting berhubungan dengan perkembangan motorik anak di kecamatan Sedayu, Bantul, Yogyakarta. Jurnal Gizi dan Dietetik Indonesia 2015;3:10-21

Cheung Y, Yip P, Karlberg J. Fetal growth, early postnatal growth and motor development in Pakistan infants. Int J Epidemiol 2001;30:66-74.

Dahlan. Langkah-langkah membuat proposal penelitian bidang kedokteran dan kesehatan seri 2. Edisi ke-3. Jakarta: Sagung Seto; 2012.h.79-97.

Hendarto A, Sjarif D. Antropometri anak dan remaja. Dalam: Buku ajar Nutrisi pediatrik dan penyakit metabolik. Jilid I cetakan kedua revisi. IDAI; 2014.h. 27.

American Academy of Pediatrics. Committee on children with disabilities. Developmentan surveillance and screeing of infants and young children. Pediatrics 2001;108:192-6.

Soetjiningsih. Skrining dan pemantauan perkembangan anak. Dalam: Soetjiningsih, Ranuh IGN. Tumbuh kembang anak. Edisi 2. Jakarta: EGC; 2012.h.168-77.

Soedjatmiko. Deteksi dini gangguan tumbuh kembang balita. Sari Pediatri 2001;3:175-88.

Hairunis MH, Salimo H, Dewi YLR. Hubungan status gizi dan stimulasi tumuh kembang dengan perkembangan balita. Sari Pediatri 2018;20:146-51.

Windiani IGA, Soetjiningsih. Penilaian CAT (Cognitive Adaptive Test)/ CLAMS (Clinical Linguistic & Auditory Milestone Scale) pada anak di tempat penitipan anak Werdhi Kumara I Denpasar. Sari Pediatri 2010;12:228-32.

Susanti Dwi. Language and visuomotor development in children aged 1-3 years in subdistrick Bulak, Surabaya. Folia Medica Indonesiana 2016;52:94-7.




DOI: http://dx.doi.org/10.14238/sp22.6.2021.371-7

Refbacks

  • Saat ini tidak ada refbacks.


##submission.copyrightStatement##

##submission.license.cc.by-nc-sa4.footer##

Informasi Editorial:
Badan Penerbit Ikatan Dokter Anak Indonesia
Jl. Salemba I No 5, Jakarta 10430, Indonesia
Phone/Fax: +62-21-3912577
Email: editorial [at] saripediatri.org

Lisensi Creative Commons
Sari Pediatri diterbitkan oleh Badan Penerbit Ikatan Dokter Anak Indonesia
Ciptaan disebarluaskan di bawah Lisensi Creative Commons Atribusi-NonKomersial-BerbagiSerupa 4.0 Internasional.