HUBUNGAN ANTARA TEBAL LIPATAN KULIT DENGAN POLA MENSTRUASI PADA SISWI USIA 14-18 TAHUN DI SMA TARUNA NUSANTARA MAGELANG

LEONARDO GREVI TAMARA, dr. Achmad Djunaidi, S.U., AIFM; Dra. Neni T. Rahmawati, M.Kes., Ph.D;

2014 | Skripsi | PENDIDIKAN DOKTER

Latar Belakang: Pada remaja putri, pubertas ditandai dengan menarche yang akan meningkatkan persentase lemak tubuh. Peningkatan persentase lemak tubuh yang berlebihan akan mengganggu siklus menstruasi. Namun hal ini dapat dicegah dengan menjaga ukuran antropometri ideal. Tujuan: Mengetahui adanya hubungan antara tebal lipatan kulit dengan pola menstruasi pada siswi usia 14-18 tahun di SMA Taruna Nusantara Magelang. Metode: Penelitian ini bersifat deskriptif analitik dengan rancangan potong lintang. Pengambilan data dilaksanakan dengan menggunakan kuesioner dan pengukuran antropometri untuk mengetahui tebal lipatan kulit bisep, trisep, subskapula, suprailiaka. Analisis korelasi regresi dilakukan untuk mengetahui hubungan antar variabel. Hasil dianggap signifikan jika p<0,05 dengan CI 95%. Hasil: Terdapat 216 subjek yang dianalisis. Hasil penelitian ini menunjukan bahwa durasi fase menstruasi normal 190 (88%), memanjang 11 (5,1%), dan memendek 15 (6,9%); frekuensi siklus menstruasi normal 168 (77,77%), frekuen 39 (18,05%), dan infrekuen 9 (4,18%); rata-rata tebal lipatan kulit bisep 19,39 mm, trisep 21,81 mm, suprailiaka 24,59 mm, dan subskapula 22,15 mm; % lemak tubuh sangat rendah 158 (73,1%), rendah 39 (18,1%), rata-rata 16 (7,4%), dan tinggi 3 (1,4%). Pada analisa korelasi regresi, durasi fase menstruasi berbanding terbalik dengan persentase lemak tubuh (R2=0,015; p>0,05). Frekuensi siklus menstruasi berbanding lurus dengan persentase lemak tubuh (R2=0,01; p>0,05). Kesimpulan: Tidak terdapat hubungan yang signifikan antara % lemak tubuh dengan durasi fase menstruasi dan frekuensi siklus menstruasi. Variabilitas durasi fase dan frekuensi siklus menstruasi kemungkinan lebih disebabkan imaturitas aksis hipothalamus-pituitari-gonad.

Background: In adolescent girls, menarche starts the puberty phase. Adolescent girls then will have increased body fat composition. Excessive increase of % body fat will disturb menstrual cycle. This could be prevented by keeping ideal anthropometry measurement. Aim: To determine the relationship between thickness of skinfolds and menstrual cycle among students of Taruna Nusantara Senior High School age 14-18 years old in Magelang Municipality. Method: This study was a cross-sectional design with descriptive analysis. The data was collected using questionnaire and anthropometry measurements to obtain the thickness of biceps, triceps, subscapullae, suprailliaca skinfolds. Regression correlation analysis was used to determine the relationship between the variables. The results were considered as significant as p<0.05 with 95% CI. Result: There were 216 subjects. The results showed that duration of normal menstruation were 190 (88%), 11 (5,1%) were prolonged, and 15 (6,9%) were shortened; normal frequency of menses were 168 (77,77%), 39 (18,05%) were frequent, and 9 (4,18%) were infrequent; the average of biceps skinfold was 19,39 mm, triceps was 21,81 mm, suprailiac was 24,59 mm, and subscapulae was 22,15 mm; 158 (73,1%) girls had % as very low body fat, 39 (18,1%) were as low, 16 (7,4%) were as average, 3 (1,4%) were as high. Duration of menstrual phase was inversely related to % body fat (R2=0,015; p>0,05). Frequency of menstrual cycle was positively related to % body fat (R2=0,01; p>0,05). Conclusion: There is no significant relationship between % body fat, duration of menstrual phase, and frequency of menstrual cycle. Variability in duration of menstrual phase and frequency of menstrual cycle is possibly caused by immaturity of hypothalamus-pituitary-gonad axis.

Kata Kunci : tebal lipatan kulit, % lemak tubuh, durasi fase menstruasi, frekuensi siklus menstruasi