Correlation Between Brain-Derived Neurotrophic Factor Levels and Serum Iron Levels in Stunted Children Living in Malaria-Endemic Areas

Authors

  • Rostika Flora Public Health Science Study Program, Faculty of Public Health, Sriwijaya University, Palembang, Indonesia
  • Mohammad Zulkarnain Public Health Science, Faculty of Medicine, Sriwijaya University, Palembang, Indonesia
  • Nur Alam Fajar Public Health Science Study Program, Faculty of Public Health, Sriwijaya University, Palembang, Indonesia
  • Achmad Fickry Faisa Environmental Health Science Study Program, Faculty of Public Health, Sriwijaya University, Palembang, Indonesia
  • Nurlaily Nurlaily D-III in Nursing Study Program, Faculty of Mathematics and Natural Sciences, Bengkulu University, Bengkulu, Indonesia
  • Ikhsan Ikhsan D-III in Nursing Study Program, Faculty of Mathematics and Natural Sciences, Bengkulu University, Bengkulu, Indonesia
  • Samwilson Slamet D-III in Nursing Study Program, Faculty of Mathematics and Natural Sciences, Bengkulu University, Bengkulu, Indonesia
  • Risnawati Tanjung Environmental Health Study Program, Health Polytechnic of Medan, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2020.4090

Keywords:

Elementary schoolchildren, Stunting, Serum iron, Brain-derived neurotrophic factor

Abstract

BACKGROUND: Children who are living in malaria-endemic areas are highly vulnerable to malaria infections. The presence of malaria infection and low nutrient intake results in an increased incidence of stunting in children, especially those living in malaria-endemic areas. The stunting in children may reduce their cognitive functions.

AIM: This study aims to analyze the correlation between brain-derived neurotrophic factor (BDNF) levels and serum iron in stunted children living in malaria-endemic areas.

METHODS: The design of this research was a case–control study. The sample of this study was 60 elementary schoolchildren aged 9–12 years collected from five regencies in Bengkulu province. Among the samples, 30 of them were stunted and the remaining were non-stunted ones. The technique used to collect the samples was simple random sampling. Growth stunting was identified by calculating the Z-score of height-for-age (H/A). In addition, the whole blood of each research subject was drawn for the measurement of BDNF and serum iron levels. Serum BDNF level was measured using a method of enzyme-linked immunosorbent assay (ELISA), and serum iron level was measured using spectrophotometry. The characteristic data of the sample were collected from questionnaires. The obtained research data were then analyzed using the independent t-test and the Pearson correlation.

RESULTS: The levels of BDNF and serum iron in stunted children were lower than those in non-stunted ones (3.38 ± 1.05 vs. 4.16 ± 0.41 μg/dL and 31.57 ± 9.88 vs. 52.99 ± 12.60 μg/dL). There was a significant difference (p < 0.05) in the mean level of BDNF and serum iron levels between stunted children and non-stunted ones. The results of the Pearson analysis on BDNF and serum iron levels indicated p = 0.000 and r = 0.454.

CONCLUSION: There was a significant correlation between BDNF levels and serum iron levels in stunted children living in malaria-endemic areas.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Harijanto P. Tata Laksana Malaria untuk Indonesia. Jakarta: Buletin, Kementrian Kesehatan RI; 2011.

Peraturan Presiden Nomor 131 Tahun 2015 Tentang Penetapan Daerah Tertinggal Tahun 2015-2019; 2015. https://doi. org/10.31942/jqi.v10i2.2068

Semba RD, Pee S, Sun K, Sari M, Akhter N, Bloem MW, et al. Effect parental formal education on risk of child stunting in Indonesia and Bangladesh: A cross sectional study. Lancet. 2008;371(9609):322-8. https://doi.org/10.1016/ s0140-6736(08)60169-5

Pongou R, Ezzati M, Salomon JA. Household and community socioeconomic and environmental determinants of child nutritional status in Cameroon. BMC Public Heath. 2006;6:98. https://doi.org/10.1186/1471-2458-6-98 PMid:16618370

Agho, KE, Inder KJ, Bowe SJ, Jacobs J, Dibley MJ. Prevalence and risk factors for stunting and severe stunting among under-fi ves in North Maluku Province of Indonesia. BMC Pediatr. 2009;9:64. https://doi.org/10.1186/1471-2431-9-64 PMid:19818167

Zere E, McIntyre D. Inequities in under-five child malnutrition in South Africa. Asia Pasific J 2003;2:125-7.

Nokes C, Bosch C, Bundy DA. The Effects of Iron Deficiency Anemia on Mental and Motor Performance, Educational Achievement and Behavior in Children: An Annotated Bibliography. Washington, DC: Pearson; 1990.

Subedi L, Huang H, Pant A, Westgate PM, Bada HS, Bauer JA, et al. Plasma brain derived neurotrophic factor levels in newborn infants with neonatal abstinence syndrome. Front Pediatr. 2017;5:1-7. https://doi.org/10.3389/fped.2017.00238

World Health Organization. Childhood Stunting: Context, Causes and Consequences. Geneva: World Health Organization; 2010.

Akombi BJ, Agho KE, Hall JJ, Merom D, Astell-Burt T, Renzaho AM. Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatr. 2017;17(1):15. https://doi.org/10.1186/s12887-016-0770-z PMid:28086835

Damayanti RA, Muniroh L, Farapti F. Perbedaan tingkat kecukupan zat gizi dan riwayat pemberian ASI eksklusif pada balita stunting dan non stunting. Media Gizi Indones. 2016;11(1):61-9. https://doi.org/10.20473/mgi.v11i1.61-69

Petry N, Olofin I, Boy E, Angel MD, Rohner F. The effect of low dose iron and zinc intake on child micronutrient status and development during the first 1000 days of life: A systematic and meta-analysis. Nutrients. 2016;8:773. https://doi.org/10.3390/ nu8120773

Fretham S, Carlson ES, Georgieff MK. The role of iron in learning and memory. Adv Nutr. 2011;2(2):112-21.

Brunette KE, Tran PV, Wobken JD, Carlson ES, Georfieff MK. Gestational and neonatal iron deficiency alters apical dendrite structure of ca 1 pyramidal neurons in adult rat hippocampus. Dev Neurosci. 2010;32(3):238-48. https://doi. org/10.1159/000314341 PMid:20689287

Walker SP, Chang SM, Powell CA, McGregor SM. Effects of early childhood psychosocial stimulation and nutritional supplementation on cognition and education in growth stunted Jamaican children: Prospective cohort study. Lancet. 2005;366(9499):1804-7. https://doi.org/10.1016/ s0140-6736(05)67574-5 PMid:16298218

World Bank. Repositioning Nutrition as Central to Development, a Strategy for Large-Scale Action. Washington, DC: World Bank; 2006. https://doi.org/10.1596/978-0-8213-6399-7

Radlowski EC, Johnson RW. Perinatal iron deficiency and neurocognitive development. Front Hum Neurosci. 2013;7:585. https://doi.org/10.3389/fnhum.2013.00585 PMid:24065908

Estrada JA, Contreras I, Pliego-Rivero FB, Otero GA. Molecular mechanisms of cognitive impairment in iron deficiency: Alterations in brain-derived neurotrophic factor and insulin like growth factor expression and function in the central nervous system. Nutr Neurosci. 2014;17(5):193-206. https://doi.org/10. 1179/1476830513y.0000000084

Downloads

Published

2020-05-10

How to Cite

1.
Rostika Flora, Zulkarnain M, Fajar NA, Faisa AF, Nurlaily N, Ikhsan I, Slamet S, Tanjung R. Correlation Between Brain-Derived Neurotrophic Factor Levels and Serum Iron Levels in Stunted Children Living in Malaria-Endemic Areas. Open Access Maced J Med Sci [Internet]. 2020 May 10 [cited 2024 Apr. 23];8(E):318-21. Available from: https://oamjms.eu/index.php/mjms/article/view/4090

Issue

Section

Public Health Epidemiology

Categories

Most read articles by the same author(s)