Risk Factors of Stunting in Children Aged 6–59 Months: A Case-Control Study in Horticulture Area

Prayudhy Yushananta; Mei Ahyanti; Yetti Anggraini

doi:10.3889/oamjms.2022.7768

Authors

Prayudhy Yushananta Department of Environmetal Health, Tanjungkarang Health Polytechnic, Lampung, Indonesia https://orcid.org/0000-0002-8171-0973
Mei Ahyanti Department of Environmetal Health, Tanjungkarang Health Polytechnic, Lampung, Indonesia
Yetti Anggraini Tanjungkarang Health Polytechnic, Lampung. Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.7768

Keywords:

Stunting, Birth length, LBW, Horticulture, Under-five

Abstract

BACKGROUND: Stunting is a critical public health problem in Indonesia because it affects cognitive and physical development and contributes to child mortality.

AIM: This study aims to identify risk factors for stunting in children aged 6–59 in the horticultural area.

METHODS: A casecontrol study was conducted to compare previous exposure between stunted children and non-stunted children. Measurements and interviews were conducted with 160 participants (120 controls and 40 cases), including mothers or caregivers. SPSS was used for χ2 statistical analysis, multiple logistic regression, and odds ratios.

RESULTS: The study identified four risk factors for stunting: children who were born short (adjusted odds ratio [AOR] = 17.57; 95% confident interval [CI]: 5.02–61.51), LBW (AOR = 4.35; 95% CI: 1.38–13.78), and got a low protein intake (AOR = 4.96; 95% CI: 1.22–20.26). Significantly, a relationship between stunting and access to sanitation was also found (AOR = 6.06; 95% CI: 1.25–29.35).

CONCLUSIONS: The risk factors for stunting in children aged 6–59 are related to nutrition during pregnancy and the child’s quality of food. Nutrition interventions should emphasize improving the nutritional status of pregnant women and children and women empowering to affect access to resources and allocations for children’s nutrition.

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References

Bomela NJ. Social, economic, health and environmental determinants of child nutritional status in three central Asian republics. Public Health Nutr. 2009;12(10):1871-7. https://doi.org/10.1017/S1368980009004790 PMid:19232149 DOI: https://doi.org/10.1017/S1368980009004790

World Health Organization. Guideline: Updates on the Management of Severe Acute Malnutrition. Geneva, Switzerland: World Health Organization; 2013. p. 1-115.

Imelda I, Rahman N, Nur R. Risk factors for stunting in children aged 2-5 years at biromaru health center. J Nutr Health. 2020;2(1):39-43. DOI: https://doi.org/10.22487/ghidza.v2i1.6

Rahman FD. The effect of feeding patterns on the incidence of stunting in toddlers. Indones J Health Sci. 2018;10(1):15-24.

Adedeji I, John C, Okolo S, Ebonyi A, Abdu H, Bashir M. Malnutrition and the intelligence quotient of primary school pupils in Jos, Nigeria. Br J Med Med Res. 2017;21(2):1-13. https://doi.org/10.9734/BJMMR/2017/32504 DOI: https://doi.org/10.9734/BJMMR/2017/32504

He P, Liu L, Salas JM, Guo C, Cheng Y, Chen G, et al. Prenatal malnutrition and adult cognitive impairment: A natural experiment from the 1959-1961 Chinese famine. Br J Nutr. 2018;120(2):198-203. https://doi.org/10.1017/S0007114518000958 PMid:29720288 DOI: https://doi.org/10.1017/S0007114518000958

Atmarita. Optimal nutritional intake to prevent stunting. Health Data Inf Bull. 2018;1:14-25.

Khan S, Zaheer S, Safdar NF. Determinants of stunting, underweight and wasting among children <5 years of age: Evidence from 2012-2013 Pakistan demographic and health survey. BMC Public Health. 2019;19(1):358. https://doi.org/10.1186/s12889-019-6688-2 PMid:30935382 DOI: https://doi.org/10.1186/s12889-019-6688-2

Karpati J, Neubourg C, Laillou A, Poirot E. Improving children’s nutritional status in Cambodia: Multidimensional poverty and early integrated interventions. Matern Child Nutr. 2020;16(Suppl 2):e12731. https://doi.org/10.1111/mcn.12731 PMid:32621576 DOI: https://doi.org/10.1111/mcn.12731

Kang Y, Aguayo VM, Campbell RK, Dzed L, Joshi V, Waid JL, et al. Nutritional status and risk factors for stunting in preschool children in Bhutan. Matern Child Nutr. 2018;14(Suppl 4):e12653. https://doi.org/10.1111/mcn.12653 PMid:30412341 DOI: https://doi.org/10.1111/mcn.12653

Semba RD, de Pee S, Sun K, Sari M, Akhter N, Bloem MW. Effect of 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 PMid:18294999 DOI: https://doi.org/10.1016/S0140-6736(08)60169-5

Ministry of Health Indonesia. Decree of the Minister of Health of the Republic of Indonesia Number 1995/Menkes/SK/ XII/2010 Concerning Anthropometric Standards for Assessing the Nutritional Status of Children. Ministry of Health Indonesia, 1995/Menkes/SK/XII/2010 Indonesia. Ministry of Health Indonesia; 2010.

Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Richter L, et al. Maternal and child undernutrition: Consequences for adult health and human capital. Lancet 2008;371(9609):340-57. https://doi.org/10.1016/S0140-6736(07)61692-4 PMid:18206223 DOI: https://doi.org/10.1016/S0140-6736(07)61692-4

Berkes J, Raikes A, Bouguen A, Filmer D. Joint roles of parenting and nutritional status for child development: Evidence from rural Cambodia. Dev Sci. 2019;22(5):e12874. https://doi.org/10.1111/desc.12874 PMid:31148355 DOI: https://doi.org/10.1111/desc.12874

Ministry of Health Indonesia. The Situation of Stunting in Indonesia. Health Data and Information Bulletin. Ministry of Health Indonesia. 2018;1: p. 6-18.

World Health Organization. Stunting Global and Regional Trends Jme-(unicef-who-wb). Geneva: World Health Organization; 2020. Available from: https://www.who.int/data/gho/data/ themes/topics/indicator-groups/indicator-group-details/GHO/gho-jme-global-and-regional-trends-stunting-jme-unicef-who-wb. [Last accessed on 2020 Dec 02].

Islam MS, Ullah AN, Mainali S, Imam MA, Hasan MI. Determinants of stunting during the first 1,000 days of life in Bangladesh: A review. Food Sci Nutr. 2020;8(9):4685-95. https://doi.org/10.1002/fsn3.1795 PMid:32994930 DOI: https://doi.org/10.1002/fsn3.1795

Yushananta P, Ahyanti M, Anggraini Y. Risk of pesticides on anaemia events in horticulture farmers. Int J Innov Creativ Change. 2020;13(2):30-40.

National Development Planning Agency. National Action Plan for Food and Nutrition 2011-2015; 2011. p. 1-86. Available from: https://www.bappenas.go.id/files/4613/5228/2360/ran-pg-2011-2015.pdf. [Last accessed on 2020 Dec 02].

Galler JR, Bryce C, Waber DP, Zichlin ML, Fitzmaurice GM, Eaglesfield D. Socioeconomic outcomes in adults malnourished in the first year of life: A 40-year study. Pediatrics. 2012;130(1):e1-7. https://doi.org/10.1542/peds.2012-0073 PMid:22732170 DOI: https://doi.org/10.1542/peds.2012-0073

Kusumawati E, Rahardjo S, Sari HP. Model for controlling risk factors for stunting in children under three years. Natl Public Health J. 2015;9(3):249. DOI: https://doi.org/10.21109/kesmas.v9i3.572

Azwar A. Trends in Nutrition Problems and Challenges in the Future. Ministry of Health; 2004. p. 1-16.

Waber DP, Bryce CP, Girard JM, Zichlin M, Fitzmaurice GM, Galler JR. Impaired IQ and academic skills in adults who experienced moderate to severe infantile malnutrition: A 40-year study. Nutr Neurosci. 2014;17(2):58-64. https://doi.org/10.1179/1476830513Y.0000000061 PMid:23484464 DOI: https://doi.org/10.1179/1476830513Y.0000000061

Kinshella ML, Moore SE, Elango R. The missing focus on women’s health in the First 1,000 Days approach to nutrition. Public Health Nutr. 2021;24(6):1526-30. https://doi.org/10.1017/S1368980020003894 PMid:33023698 DOI: https://doi.org/10.1017/S1368980020003894

World Health Organization. Childhood Stunting: Context, Causes and Consequences WHO Conceptual Framework. 9th ed. Geneva: World Health Organization; 2013.

Petit C, Chevrier C, Durand G, Monfort C, Rouget F, Garlantezec R, et al. Impact on fetal growth of prenatal exposure to pesticides due to agricultural activities: A prospective cohort study in Brittany, France. Environ Health. 2010;9(1):71. DOI: https://doi.org/10.1186/1476-069X-9-71

Pickering AJ, Ercumen A, Arnold BF, Kwong LH, Parvez SM, Alam M, et al. Fecal indicator bacteria along multiple environmental transmission pathways (water, Hands, food, soil, flies) and subsequent child diarrhea in Rural Bangladesh. Environ Sci Technol. 2018;52(14):7928-36. PMid:29902374 DOI: https://doi.org/10.1021/acs.est.8b00928