Weight Changes in Hormonal Contraceptive Users at Rosmiati Independent Practice in Palopo City
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Abstract
Background: Hormonal contraception refers to contraceptive methods that aim to prevent pregnancy using agents possessing estrogen and progesterone. This study aimed to determine the effect of hormonal contraceptive use on changes in body weight among acceptors at Praktik Mandiri Bidan Rosmiati, Palopo City.
Methods: This was an analytical observational study using a retrospective cohort approach. The total population of injectable contraceptive users was 445. A purposive sampling technique was employed, with a case-to-control ratio 1:1, resulting in 208 cases and 208 controls. The study was conducted at Praktik Mandiri Bidan Rosmiati, Palopo City, in 2024.
Results: Based on age distribution, among the 208 case participants, 189 (90.9%) were under 35, while in the control group, 169 (81.3%) were under 35. Regarding the duration of use, 145 participants (69.7%) in the case group and 155 participants (74.5%) in the control group had used hormonal contraception for more than two years. Statistical analysis using odds ratio showed that both age and duration of use significantly influenced body weight changes among hormonal contraceptive acceptors at the study site.
Conclusion: The majority of hormonal contraceptive acceptors experienced changes in body weight following long-term use. Age and duration of contraceptive use were significant factors, with those under the age of 35 having a higher risk of experiencing weight changes compared to older users.
Keywords: Acceptors, Hormonal Contraception, Body Weight
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References
Fatimah, Nuryaningsih. Buku Ajar Konsep Kependudukan dan Pelayanan KIE dalam KB. Sidoarjo: UMSIDA Press; 2021.
Zaini HH, Theng CA, Manaf AHA. Weight Change at 12 Months among Hormonal Contraceptive Users at Nur Sejahtera Clinics of National Population and Family Development Board (LPPKN): A Retrospective Study. Malaysian J Med Heal Sci. 2023;19(5):104–10.
Brabaharan S, Veettil SK, Kaiser JE, Raja Rao VR, Wattanayingcharoenchai R, Maharajan M, et al. Association of Hormonal Contraceptive Use with Adverse Health Outcomes: An Umbrella Review of Meta-analyses of Randomized Clinical Trials and Cohort Studies. JAMA Netw Open. 2022;5(1):1–19.
Ratna R, Muzakkir M, Allo S, Suhartatik S. Akseptor KB Suntik dengan Kenaikan Berat Badan. J Keperawatan Prof. 2022;3(1):74–80.
Simarmata VP, Udjung GIVW. The relationship between the Use of Hormonal Contraceptives with Changes in the Menstrual Cycle and Weight Gain in Acceptors in Leuwingggung Village in 2018. J Drug Deliv Ther. 2021;11(4):161–9.
Nasution P, Harahap NR, Zuiatna D. Kenaikan Berat Badan pada Pengguna KB Suntik 3 Bulan. J Bidan Komunitas. 2020;3(3):107–18.
Nursamsiyah N, Rohmah S. Gambaran Kenaikan Berat Badan Pada Akseptor Kb Suntik 3 Bulan Di Pmb Bidan Ambarwati Cilacap Tahun 2020. J Midwifery Public Heal. 2021;3(1):19.
Dewi NKEK, Wandia IM, Permatananda PANK. Type and Duration of Use of Hormonal Contraceptives as a Trigger for Maternal Weight Increase in Family Planning Acceptors in Bali: A Cohort Study. J Kesehat Metro Sai Wawai. 2023;16(2):109–16.
Arna A, Narmawan N, Saehu MS, Jasmin M. The Relationship between the Use of Hormonal Contraceptive Devices on Body Weight of Family Planning Acceptors. Klasics. 2022;2(02):20–3.
Kementrian Kesehatan. Profil Kesehatan Indonesia. Jakarta; 2023. 100 hal.
BKKBN. Pedoman Pelayanan Kontrasepsi dan Keluarga Berencana. In: Paper Knowledge Toward a Media History of Documents. 2021. hal. 49–58.
Badan Pusat Statistik Provinsi Sulawesi Selatan. Provinsi Sulawesi Selatan dalam Angka (Penyedia Data untuk Perencanaan Pembangunan). Makassar: Badan Pusat Statistik; 2020. 542 hal.
Aditiya Kusumaningtiyas Z, Tamtomo D, Murti B. Meta-Analysis the Effect of Hormonal Contraception on the Weight Gain and Hypertension in Women of Reproductive Age. J Matern Child Heal. 2022;7(6):699–710.
Yuningsih SS, Juliarni A, Indayani D, Erdha MY, Anggraini M. Comparison of the Effects of Injectable and Implant Progestin Contraceptive Agents on Weight Increase Based on Body Mass Index ( BMI ) in Family Planning Acceptors in District. 2024;10(12):10226–30.
Syahza A. Metodologi Penelitian. Pekanbaru: Unri Press; 2021.
Adolph R. Konsep Metodologi Penelitian. Jawa Tengah: Lakeisha; 2025. 1–255 hal.
Hannah E. Cabre SRM. The role of female sex hormones and oral combined contraceptives in metabolic adaptations. J Physiol. 2023;600(24):5215–45.
Widayati RS, Kartikasari D, Nurmayati W. Buku Konseling Kontrasepsi. In: 1. Jepara: Unisnu Press; 2021. hal. 2–14.
Khuzaiyah S. Menarche and Early Puberty: A Recent Review of the Causes of Early Puberty and Its Impact on Women’s Health. J Indones Med Assoc. 2024;74:4.
Kim, KristenPatel E et al. Hormonal Contraception and Mental Health in Youth: A Literature Review. J Am Acad Child Adolesc Psychiatry. 2023;10(62).
Citation M, San-Juan-Rodriguez, A., San-Juan-Rodriguez, A., Bes-Rastrollo, M., Bes-Rastrollo, M., Martínez-González, M. Á., Martin-Moreno, J. M., Rico-Campà, A., Rico-Campà, A., Gea, A., & Gea A. Oral contraceptives use and development of obesity in a Mediterranean cohort: the SUN (Seguimiento Universidad de Navarra) Project. Int J Obes. 2020;44(2):320–9.
Indraeni E, Wigati S, Retnaningrum ND, Yunita P. Literatur Review : Faktor Faktor yang Mempengaruhi Akseptor KB dalam Memilih Alat Kontrasepsi IUD. 2024;3(1):992–1002.
Metabolic P, Zagórski K, Kozik M, Skalska-dziobek N, Małagocka W, Chybowska K, et al. Metabolic Impacts of Oral Contraceptives : A Comprehensive Review of Current Evidence. Qual Sport. 2024;34:1–17.
Handayani R. Long term Depot Medroxy Progesterone Asetate (DMPA) Injectable Increase Changes in Lipid Profiles of DMPA Injection Contraceptive Acceptors. J Kesehat dr Soebandi. 2021;9(1):46–51.
Rahmadani DA, Hardianto G, Jayanti RD. Factors affecting weight gain among injectable contraceptive users in Indonesia : A Literature Review. World J Adv Res R. 2025;25(1).
Ye J, Chen Y, Yang H, Chen Q, Huang Y, Zhao J, et al. Weight Change Among Women Using Intramuscular Depot Medroxyprogesterone Acetate, a Copper Intrauterine Device, or a Levonorgestrel Implant for Contraception: Findings from a Randomised, Multicentre, Open-Label Trial. The Lancent Pschch. 2020;1–35.