Relationship Of Nutritional Components In Toddlers Aged 25-59 Months To Stunting And Short Stature Incidents In Pragaan District, Sumenep Regency
DOI:
https://doi.org/10.22219/sm.Vol17.SMUMM1.15872Abstract
Stunting and short stature are height per-age <-2SD for specific age and gender. The process of stunting and short stature starts from the womb until the beginning of life. The direct cause of stunting is the lack of nutritional intake in the first 1000 days of life, which can inhibit height growth. Study aimed to investigate the association between the relationship of nutritional components in toddlers to stunting and short stature incidents in Pragaan District, Sumenep Regency. Observational analytic with a case-control approach, using the Purposive-Sampling method. The research sample consisted of 76 toddlers aged 25-59 months. The statistical analysis used was the chi-square test and logistic regression test. The result of chi-square test and logistic regression for stunting on nutrient intake variable ( p = 0.000, OR = 26,3, CI 95% (4,630-153,573), history of breastfeeding (p=0,000, OR=72,6,CI95% (7,63-690,78), iodized salt (p=0,000, OR=8,5,CI 95% (1,833-39,421), FE tablet (p=0,000,OR=37,00, CI 95%(3,762-363,91). The result of chi-square test and logistic regression for short stature on nutrient intake variable (p=0.001, OR=7,2,CI 95% (2,260-23,400), history of breast feeding (p=0,007, OR=4,500,CI 95% (1,210-16,742), iodized salt (p=0,007, OR=19,125, CI 95% (5,062-72,259), FE tablet (p=0,149). There is a relationship between nutritional components intakes such as breastfeeding history and iodine salt consumption with stunting and short stature in Pragaan District, Sumenep Regency.
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References
A. K. Yousafzai et al., “Effects of responsive stimulation and nutrition interventions on children‟s development and growth at age 4 years in a disadvantaged population in Pakistan: a longitudinal follow-up of a cluster-randomised factorial effectiveness trial,” The Lancet Global Health, vol. 4, no. 8, pp. e548–e558, 2016.
A. Samuel et al., “Effectiveness of a program intervention with reduced-iron multiple micronutrient powders on iron status, morbidity and growth in young children in Ethiopia,” Nutrients, vol. 10, no. 10, 2018.
Abeway, S., Gebremichael, B., Murugan, R., Assefa, M., & Adinew, Y. M. (2018). Stunting and its determinants among children aged 6-59 months in Northern Ethiopia: A cross-sectional study. Journal of Nutrition and Metabolism, 2018, 1078480. doi: 10.1155/2018/1078480
Aguayo VM, Nair R, Badgaiyan N, Krishna V. Determinants of stunting and poor linear growth in children under 2 years of age in India: An in-depth analysis of Maharashtra’s comprehensive nutrition survey. Matern Child Nutr. 2016;12:121–40.
Akombi, B. J. et al. Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatr. 17, 1–17 (2017).
Akombi, Blessing Jaka. Agho Kingsley E, Hall John J, MeromDafna, Astel- Burt Thomas, and Renzaho Andre M.N. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. Nigeria: BMC Pediatrics
Aryastami, N. K. et al. Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. BMC Nutr. 3, 16 (2017).
Aryastami NK, Tarigan I. Kajian Kebijakan dan Penanggulangan Masalah Gizi Stunting di Indonesia. Bul Penelit Kesehat [Internet]. 2017;45(4):233–40. Available from: http://ejournal.litbang.depkes.go.id/index.php/BPK/article/download/7465/5434
Atsu BK, Guure C, Laar AK. Determinants of overweight with concurrent stunting among Ghanaian children. BMC Pediatr. 2017;17(1):1–12.
Ban, L., Guo, S., Scherpbier, R. W., Wang, X., Zhou, H., & Tata, L. J. (2017). Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population. International Journal of Public Health, 62(1), 143-151. doi: 10.1007/s00038-016-0844-6
Batiro, B., Demissie, T., Halala, Y., & Anjulo, A. A. (2017). Determinants of stunting among children aged 6-59 months at Kindo Didaye woreda, Wolaita Zone, Southern Ethiopia: Unmatched case control study. PloS One, 12(12), e0189106. doi: 10.1371/journal.pone.0189106
Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):1–10.
Berhanu, G., Mekonnen, S. & Sisay, M. Prevalence of stunting and associated factors among preschool children: A community based comparative cross sectional study in Ethiopia. BMC Nutr. 4, 28 (2018).
Bogale, T. Y., Bala, E. T., Tadesse, M. & Asamoah, B. O. Prevalence and associated factors for stunting among 6–12 years old school age children from rural community of Humbo district, Southern Ethiopia. BMC Public Health 1–9 (2018). doi:10.1186/s12889-018-5561-z
Candra, A. Suplementasi mikronutrien dan penanggulangan malnutrisi pada anak usia di bawah lima tahun (balita). Jnh 5, 8 (2017).
D. Tosheno, Y. M. Adinew, T. Thangavel, and S. B. Workie, “Risk factors of underweight in children aged 6–59 months in Ethiopia,” Journal of Nutrition and Metabolism, vol. 2017, Article ID 6368746, 8 pages, 2017.View at: Publisher Site | Google Scholar
Das, J.K.; Salam, R.A.; Hadi, Y.B.; Sadiq Sheikh, S.; Bhutta, A.Z.; Weise Prinzo, Z.; Bhutta, Z.A. Preventive lipid-based nutrient supplements given with complementary foods to infants and young children 6 to 23 months of age for health, nutrition, and developmental outcomes. Cochrane Database
De-Regil, L.M.; Jefferds, M.E.D.; Pena-Rosas, J.P. Point-of-use fortification of foods with micronutrient powders containing iron in children of preschool and school-age. Cochrane Database Syst. Rev. 2017, 11, CD009666. [Google Scholar] [CrossRef] [PubMed]
Desyanti, &Nindya. (2017). Hubungan Riwayat PenyakitDiare dan PraktikHigienedenganKejadianStunting pada BalitaUsia 24-59 Bulan di Wilayah KerjaPuskesmasSimolawang, Surabaya. Research Study , 248.Syst. Rev. 2019, 5, CD012611. [Google Scholar] [CrossRef] [PubMed)
E. K. B. Desalegn, K. Fikre, and T. Bosha, “Stunting and its associated factors in under five years old children: the case of Hawassa University Technology villages, Southern Ethiopia,” Journal of Environmental Science, Toxicology and Food Technology, vol. 10, no. 11, pp. 25–31, 2016.View at: Google Scholar
Ek, A., Sorjonen, K., Eli, K., Lindberg, L., Nyman, J., Marcus, C., & Nowicka, P. (2016). Associations between parental concerns about preschoolers’ weight and eating and parental feeding practices: Results from analyses of the child eating habit questionnaire, the child feeding questionnaire, and the lifestyle behavior checklist. PLoS One, 11(1), 1-20. doi: 10.1371/journal.pone.0147257
E. Reifsnider, C. N. Shin, M. Todd, M. Jeong, M. Gallagher, and M. Moramarco, “How Did They Grow: An Intervention to Reduce Stunted Growth in Low-Income Mexican-American Children,” Research in Nursing and Health, vol. 39, no. 2, pp. 105–120, 2016.
Geberselassie, S. B., Abebe, S. M., Melsew, Y. A., Mutuku, S. M. & Wassie, M. M. Prevalence of stunting and its associated factors among children 6-59 months of age in Libo-Kemekem district, Northwest Ethiopia; A community based cross sectional study. PLoS One 13, 1–12 (2018).
Haile, Demwoz, AzageMmuluken, Mola Togegn and Rainey Rochelle. (, 2016). Exploring Spatial Variations and Factors Associated with Childhood Stunting in Ethiopia: Spatial and Multilevel Analysis. Ethiopia:BMC Pediatrics
Harjatmo, T. P. (2017). Penilaian Status Gizi. Jakarta: Pusat Pendidikan SumberDayaManusia Kesehatan.
Himaz, R. (2018). Stunting later in childhood and outcomes as a young adult: Evidence from India. World Development, 104, 344-357. doi: 10.1016/j.worlddev.2017.12.019
Hwalla N, Al Dhaheri AS, Radwan H, Alfawaz HA, Fouda MA, Al-Daghri NM, et al. The prevalence of micronutrient deficiencies and inadequacies in the middle east and approaches to interventions. Nutrients. 2017;9(3):1–29.
IDAI . (2017). PerawakanPendek pada Anak dan Remaja di Indonesia.Jakarta : Badan PenerbitIkatanDokter Anak Indonesia.
Illahi RK. Hubungan Pendapatan Keluarga, Berat Lahir, Dan Panjang Lahir Dengan Kejadian Stunting Balita 24-59 Bulan Di Bangkalan. J Manaj Kesehat Yayasan RSDr Soetomo [Internet]. 2017;3(1):1–7. Available from: http://jurnal.stikes-yrsds.ac.id/index.php/JMK/article/view/85/83
J. L. Roberts and A. D. Stein, “The Impact of Nutritional Interventions beyond the First 2 Years of Life on Linear Growth: A Systematic Review and Meta-Analysis.,” Advances in nutrition (Bethesda, Md.), vol. 8, no. 2, pp. 323–336, Mar. 2017.
Keats EC, Imdad A, Das JK, Bhutta ZA. Protocol : Efficacy and effectiveness of micronutrient supplementation and fortification interventions on the health and nutritional status of children under-five in low and middle-income countries : a systematic review. 2018;(August).
KEMENKES. (2018). Cegah Stunting denganPerbaikan Pola Makan, Pola Asuh dan Sanitasi. Jakarta: Biro Kementerian Kesehatan RI.
KEMENKES. (2016). Laporan Hasil Riset Kesehatan Dasar (Riskesdas). SituasiBalitaPendek , 1.
Kemenkes RI. (2017). BukuSakuPemantauan Status Gizi. Jakarta: DirektoratGizi Masyarakat.
Kemenkes RI. (2016). SituasiBalitaPendek. Jakarta Selatan: Pusat Data dan Informasi.
Kismul, H., Acharya, P., Mapatano, M. A., & Hatløy, A. (2017). Determinants of childhood stunting in the Democratic Republic of Congo: Further analysis of Demographic and Health Survey 2013-14. BMC Public Health, 18(1), 1-15. doi: 10.1186/s12889-017-4621-0
Koini, S. M., Ochola, S., & Oggada, I. A. (2019). Social-cultural factors and complementary feeding of children 6-23 months among the Maasai in Narok South Kenya. Journal of Health, 62, 170-177. doi: 10.7176/JHMN
Lestari, Dewi. (, 2018). Correlation Between Non-Exclusive Breastfeeding and Low Birth Weight to Stunting In Children. http://dx.doi.org/10.14238/pi58.3.2.2018.123.7
Minist Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. BMC Nutr [Internet]. 2017;3(1):16. Available from:http://bmcnutr.biomedcentral.com/articles/10.1186/s40795-017-0130-x
Ministry of Health Republic of Indonesia [MoHRI]. (2018). Pusat data dan informasi: Situasi balita pendek (Stunting) di Indonesia [Data and information center: Short toddler situation (Stunting) in Indonesia]. Buletin Jendela Data dan Informasi. Jakarta: Kementerian Kesehatan RI
N. Zhang, L. Bécares, T. Chandola. Patterns and determinants of double-burden of malnutrition among rural children: evidence from China. PLOS ONE, 11 (2016), pp. 1-20http://dx.doi.org/10.1371/journal.pone.0158119
Nshimyiryo, A. et al. Risk factors for stunting among children under five years : a cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. 1–10 (2019).
Nurmayasanti, Atin.(2019). Status SosialEkonomi dan KeberagamanPangan Pada Balita Stunting dan Non StuntingUsia 24-59 Bulan di Wilayah KrjaPuskesmasWilanganKabupatenNganjuk
Pang, W. W., Tan, P. T., Cai, S., Fok, D., Chua, M. C., Lim, S. B., ... & Gluckman, P. D. (2019). Nutrients or nursing? Understanding how breast milk feeding affects child cognition. European Journal of Nutrition, 59(2), 609-619. doi: 10.1007/s00394-019-01929-2
Paramashanti BA, Hadi H, Gunawan IMA. Pemberian ASI eksklusif tidak berhubungan dengan stunting pada anak usia 6–23 bulan di Indonesia. J Gizi dan Diet Indones (Indonesian J Nutr Diet [Internet]. 2016;3(3):162. Available from:http://ejournal.almaata.ac.id/index.php/IJND/article/view/312
Pertiwi D, Kusudaryati D, Muis SF, Widajanti L. Pengaruh suplementasi Zn terhadap perubahan indeks TB / U anak stunted usia 24-36 bulan. J Gizi Indones. 2017;5(2):98–104.
Pokhrel, K., Nanishi, K., Poudel, K. C., Pokhrel, K. G., Tiwari, K., & Jimba, M. (2016). Undernutrition among children aged 12-59 months and children in Nepal: maternal health services and their roles to prevent it. Maternal and Child Health Journal, 20(10), 2037-2049. doi: 10.1007/s10995-016-2023-z
Public Health Office of Bangka Belitung Islands Province (2017). Profil kesehatan Provinsi Kepulauan Bangka Belitung [Health profile of the Bangka Belitung Islands Province]. Pangkalpinang: Dinas Kesehatan Provinsi Kepulauan Bangka Belitung
Rahman, N., Napirah, M. R., Nadila, D., & Bohari. (2017). Determinants of stunting among children in urban families in Palu, Indonesia. Pakistan Journal of Nutrition, 16(10), 750-756. doi: 10.3923/pjn.2017.750.756
Rachmi CN, Agho KE, Li M, Baur LA. Stunting, underweight and overweight in children aged 2.0-4.9 years in Indonesia: Prevalence trends and associated risk factors. PLoS One [Internet]. 2016;11(5):1–18. Available from: http://dx.doi.org/10.1371/journal.pone.0154756
S. Hagos, D. Hailemariam, T. WoldeHanna, B. Lindtjørn.Spatial heterogeneity and risk factors for stunting among children under age five in Ethiopia: a Bayesian geo-statistical model.
PLOS ONE, 12 (2017), pp. 1-19http://dx.doi.org/10.1371/journal.pone.0170785
Saavedra, J. M., & Dattilo, A. M. (2016). Nutrition in the first 1000 days of life: Society’s greatest opportunity. Early nutrition and long-term health: Mechanisms, consequences, and opportunities. Oxford: Elsevier
Sarah, S. (2018). Advocacy for Improving Nutrition in The First 1000 Days to Support Childhood Development and Adult Health. American Academy of Pediatrics, 3.
Setiawan, E., Machmud, R., & Masrul, M. (2018). Faktor-faktor yang berhubungan dengan kejadian stunting pada anak usia 24-59 bulan di wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang tahun 2018 [Factors related to the incidence of stunting in children aged 24-59 months in the working area of Andalas Public Health Center, Padang Timur District, Padang City in 2018]. Jurnal Kesehatan Andalas, 7(2), 275-284
TNP2K. (2017). 100 Kabupaten/Kota PrioritasUntukIntervensi Anak Kerdil (Sunting ). Sekretariat Wakil PresidenRepublikIndonesia , 5.
Torlesse H, Cronin AA, Sebayang SK, Nandy R. Determinants of stunting in Indonesian children: Evidence from a cross-sectional survey indicate a prominent role for the water, sanitation and hygiene sector in stunting reduction. BMC Public Health [Internet]. 2016;16(1):1–11. Available from: http://dx.doi.org/10.1186/s12889-016-3339-8
United Nations Children’s Fund, the World Health Organization and World Bank Group (2017). Level and Trends in Child Malnutrition: UNICEF/WHO/World Bank Group Joint Child Malnutrition Estimates. Washington DC: United Nations Children’s Fund, the World Health Organization and World Bank Group
United Nations Children’s Fund. (2017). First 1000 days: The critical window to ensure that children survive and thrive. South Africa: United Nations Children’s Fund
Vir, Sheila.(, 2016). Improving Women's Nutrition Imperative for Rapid Reduction of Childhood Stunting In South Asia: Coupling of Nutrition Specific Interventions with Nutrition-Sensitive Measures Essential. Public Health Nutrition and Development Centre. New Delhi.
Wellina WF, Kartasurya MI, Rahfilludin MZ. Faktor risiko stunting pada anak umur 12-24 bulan. J Gizi Indones. 2016;5(1):55–61.
Williams, A. M., & Suchdev, P. S. (2017). Assessing and improving childhood nutrition and growth globally. Pediatric Clinics of North America, 64(4), 755-768. doi: 10.1016/j.pcl.2017.03.001
Zanello, G., Srinivasan, C. S., & Shankar, B. (2016). What explains Cambodia’s success in reducing child stunting-2000-2014? PLoS One, 11(9), 1-22. doi: 10.1371/journal.pone.0162668
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