Determinants of Incident Stunting in Elementary School Children in Endemic Area Iodine Deficiency Disorders Enrekang Regency

Authors

  • Nur Abri Master of Public Health Program, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Saifuddin Sirajuddin Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Burhanuddin Bahar Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Nurhaedar Jafar Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Syamsiar S. Russeng Department of Occupational Safety and Health, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Zakaria Zakaria Department of Nutrition, Poltekkes Kemenkes Makassar, Makassar, Indonesia
  • Veni Hadju Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Abdul Salam Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia
  • Abdul Razak Thaha Department of Nutrition, Faculty of Public Health, Hasanuddin University, Makassar, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.8083

Keywords:

Determinants, Stunting, Elementary School Children, IDDs

Abstract

BACKGROUND: Stunting is a global health emergency, including in Indonesia. The prevalence of childhood stunting in 2019 in Enrekang amounted to 44.8%. Enrekang Regency is the area with the highest stunting and is an endemic area. Iodine Deficiency Disorder (IDD) is thought to be correlated with the incidence of stunting.

AIM: This study aims to identify the determinants of stunting in elementary school children in IDDs endemic areas in the Enrekang Regency.

METHODS: An observational analytic study with a cross-sectional approach. The subjects of this study were mothers and their children aged 6–12 years. 100 total samples were collected based on the purposive sampling method. Collecting data using a questionnaire, FFQ, iodine test kit, microtia, and palpation. Data analysis using chi-square and logistic regression.

RESULTS: The results showed that there was a relationship between maternal height (p = 0.020), diet (p = 0.049), PHBS practice (p = 0.012) on the incidence of stunting. While the use of iodized salt (p = 0.510) and palpation of the thyroid gland (p = 1000) were not associated with stunting. Lack of PHBS practices for children has a 6333-fold chance of experiencing stunting, while stunted mothers have a 5.583-fold chance of giving birth to stunting children.

CONCLUSIONS: There is a relationship between mother’s height, child’s diet, and PHBS practice with stunting. Analysis of determinants related to the incidence of stunting is very important so that it becomes input and empirical evidence to the regional governments in formulating policies to overcome the problem of stunting, which is the highest in South Sulawesi.

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References

Dey AK, Nath AB. Nutritional status of school going children (6-15 Years) in a Semi-Urban area of Cachar district, Assam. J Evol Med Dent Sci. 2017;6(54):4057-62. DOI: https://doi.org/10.14260/Jemds/2017/877

Metwally AM, El-Sonbaty MM, El Etreby LA, El-Din EMS, Hamid NA, Hussien HA, et al. Stunting and its determinants among governmental primary school children in Egypt: A school-based cross-sectional study. Open Access Maced J Med Sci. 2020;8(B):650-7. DOI: https://doi.org/10.3889/oamjms.2020.4757

Ponum M, Khan S, Hasan O, Mahmood MT, Abbas A, Iftikhar M, et al. Stunting diagnostic and awareness: Impact assessment study of sociodemographic factors of stunting among school-going children of Pakistan. BMC Pediatr. 2020;20(1):232. https://doi.org/10.1186/s12887-020-02139-0 PMid:32429876 DOI: https://doi.org/10.1186/s12887-020-02139-0

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):e12617. https://doi.org/10.1111/mcn.12617 PMid:29770565 DOI: https://doi.org/10.1111/mcn.12617

Mediani HS. Predictors of stunting among children under five year of age in indonesia: A scoping review. Glob J Health Sci. 2020;12(8):83. DOI: https://doi.org/10.5539/gjhs.v12n8p83

Mutiarasari D, Miranti M, Fitriana Y, Pakaya D, Sari P, Bohari B, et al. A determinant analysis of stunting prevalence on under 5-year-old children to establish stunting management policy. Open Access Maced J Med Sci. 2021;9(B):79-84. DOI: https://doi.org/10.3889/oamjms.2021.5622

Dewau R. Severe stunting and its associated factors among children aged 6-59 months in Ethiopia; multilevel ordinal logistic regression model. Ital J Pediatr. 2021;47(1):161. https://doi.org/10.1186/s13052-021-01110-8. PMid:34311750 DOI: https://doi.org/10.1186/s13052-021-01110-8

Amaha ND, Woldeamanuel BT. Maternal factors associated with moderate and severe stunting in Ethiopian children: Analysis of some environmental factors based on 2016 demographic health survey. Nutr J. 2021;20(1):18. https://doi.org/10.1186/s12937-021-00677-6 PMid:33639943 DOI: https://doi.org/10.1186/s12937-021-00677-6

Sari K, Sartika RA. The effect of the physical factors of parents and children on stunting at birth among newborns in Indonesia. J Prev Med Public Health. 2021;54(5):309-16. https://doi.org/10.3961/jpmph.21.120 PMid:34649393 DOI: https://doi.org/10.3961/jpmph.21.120

Hanum NH. Relationship between maternal height and a history of complementary feeding with the incidence of stunting in toddlers aged 24-59 months. Amerta Nutr. 2019;3(2):78-84. https://doi.org/10.20473/amnt.v3i2.2019.78-84 DOI: https://doi.org/10.20473/amnt.v3i2.2019.78-84

Julianti E, Elni E. Determinants of stunting in children aged 12-59 months. Nurse Med J Nurs. 2020;10(1):36-45. DOI: https://doi.org/10.14710/nmjn.v10i1.25770

Tafese Z, Alemayehu FR, Anato A, Berhan Y, Stoecker BJ. Child feeding practice and primary health care as major correlates of stunting and underweight among 6-to 23-month-old infants and young children in food-insecure households in Ethiopia. Curr Dev Nutr. 2020;4(9):nzaa137. https://doi.org/10.1093/cdn/nzaa137 PMid:32923922 DOI: https://doi.org/10.1093/cdn/nzaa137

Appiah CA, Mensah FO, Hayford FEA, Awuuh VA, Kpewou DE. Predictors of undernutrition and anemia among children aged 6-24 months in a low-resourced setting of Ghana: A baseline survey. J Health Res. 2021;35(1):27-37. DOI: https://doi.org/10.1108/JHR-05-2019-0095

Getaneh Z, Melku M, Geta M, Melak T, Hunegnaw MT. Prevalence and determinants of stunting and wasting among public primary school children in Gondar town, northwest, Ethiopia. BMC Pediatr. 2019;19(1):207. https://doi.org/10.1186/s12887-019-1572-x PMid:31238889 DOI: https://doi.org/10.1186/s12887-019-1572-x

Olmedo SI, Román MD, Berra S, Valeggia CR. Food intake and the significance of feeding in Qom children of Northern Argentina. Curr Dev Nutr. 2020;4(11):nzaa158. https://doi.org/10.1093/cdn/nzaa158 PMid:33215054 DOI: https://doi.org/10.1093/cdn/nzaa158

Kwami CS, Godfrey S, Gavilan H, Lakhanpaul M, Parikh P. Water, sanitation, and hygiene: Linkages with stunting in rural Ethiopia. Int J Environ Res Public Health. 2019;16(20):3793. https://doi.org/10.3390/ijerph16203793 PMid:31600942 DOI: https://doi.org/10.3390/ijerph16203793

Ariantjelangi L. Clean and healthy living behavior with the stunting events in children in Central Java, Indonesia. Syst Rev Pharm. 2020;11(12):127-33.

Hasanudin H, Djaafar T, Saharudin S, Bungawati A. Factors related to the incidence of stunting in nupabomba and Guntarano villages, Tanantovea district, Donggala regency. IOP Conf Ser. 2021;755(1):012035. DOI: https://doi.org/10.1088/1755-1315/755/1/012035

Ahmadi A, Sulistyorini L, Azizah R, Oktarizal H. Association between toilet availability and handwashing habits and the incidence of stunting in young children in Tanjung Pinang city, Indonesia. Malaysia J Med Health Sci. 2020;16(2):215-8.

Farebrother J, Naude CE, Nicol L, Sang Z, Yang Z, Jooste PL, et al. Effects of iodized salt and iodine supplements on prenatal and postnatal growth: A systematic review. Adv Nutr. 2018;9(3):219-37. DOI: https://doi.org/10.1093/advances/nmy009

Ershow AG, Skeaff SA, Merkel JM, Pehrsson PR. Development of databases on iodine in foods and dietary supplements. Nutrients. 2018;10(1):100. https://doi.org/10.3390/nu10010100 PMid:29342090 DOI: https://doi.org/10.3390/nu10010100

Li Z, Kim R, Vollmer S, Subramanian SV. Factors associated with child stunting, wasting, and underweight in 35 low-and middle-income countries. JAMA Netw Open. 2020;3(4):e203386. https://doi.org/10.1001/jamanetworkopen.2020.3386 PMid:32320037 DOI: https://doi.org/10.1001/jamanetworkopen.2020.3386

Elias E, Tsegaye W, Stoecker BJ, Gebreegziabher T. Excessive intake of iodine and low prevalence of goiter in school age children five years after implementation of national salt iodization in Shebedino woreda, Southern Ethiopia. BMC Public Health. 2021;21(1):165. https://doi.org/10.1186/s12889-021-10215-y PMid:33468112 DOI: https://doi.org/10.1186/s12889-021-10215-y

Appiah PK, Yanbom CT, Ayanore MA, Bapula A. Iodine content of salt use after years of universal iodization policy and knowledge on iodized salt among households in the Sissala east municipality in upper West Region Of Ghana. J Food Qual. 2020;2020:1-8. DOI: https://doi.org/10.1155/2020/9437365

Zimmermann MB, Andersson M. Global perspectives in endocrinology: Coverage of iodized salt programs and iodine status in 2020. Eur J Endocrinol. 2021;185(1):R13-21. https://doi.org/10.1530/EJE-21-0171 PMid:33989173 DOI: https://doi.org/10.1530/EJE-21-0171

WHO. Assessment of Iodine Deficiency Disorders and Monitoring Their Elimination. Geneva: WHO; 2014. p. 1-108.

Abebaw B, Oumer A. Determinants of iodine deficiency among school age children in Guraghe Zone, Southwest Ethiopia. Int J Public Health Sci. 2020;9(2):90-6. DOI: https://doi.org/10.11591/ijphs.v9i2.20387

Zeru AB, Muluneh MA, H Giorgis KK, Menalu MM, Tizazu MA. Iodine deficiency disorder and knowledge about benefit and food source of iodine among adolescent girls in the North Shewa Zone of Amhara region. J Nutr Metabol. 2021;2021:8892180. https://doi.org/10.1155/2021/8892180 PMid 33520308 DOI: https://doi.org/10.1155/2021/8892180

Zimmermann MB, Boelaert K. Iodine deficiency and thyroid disorders. Lancet Diabetes Endocrinol. 2015;3(4):286-95. https://doi.org/10.1016/S2213-8587(14)70225-6 PMid:25591468 DOI: https://doi.org/10.1016/S2213-8587(14)70225-6

Morales-Suárez-Varela M, Peraita-Costa I, Llopis-Morales A, Llopis-Gonzalez A. Assessment of dietary iodine intake in school age children: The cross-sectional ANIVA study. Nutrients. 2018;10(12):1884. https://doi.org/10.3390/nu10121884 PMid:3051388 DOI: https://doi.org/10.3390/nu10121884

Williams GR, Bassett JH. Thyroid diseases and bone health. J Endocrinol Invest. 2018;41(1):99-109. https://doi.org/10.1007/s40618-017-0753-4 PMid:28853052 DOI: https://doi.org/10.1007/s40618-017-0753-4

Bhattacharyya H, Nath CK, Pala S, Medhi GK, Chutia H. Iodine deficiency disorders in children in East Khasi Hills district of Meghalaya, India. Indian Pediatr. 2020;57(9):811-4. PMid:32999109 DOI: https://doi.org/10.1007/s13312-020-1959-7

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Published

2022-01-06

How to Cite

1.
Abri N, Sirajuddin S, Bahar B, Jafar N, Russeng SS, Zakaria Z, Hadju V, Salam A, Thaha AR. Determinants of Incident Stunting in Elementary School Children in Endemic Area Iodine Deficiency Disorders Enrekang Regency. Open Access Maced J Med Sci [Internet]. 2022 Jan. 6 [cited 2024 Nov. 23];10(E):161-7. Available from: https://oamjms.eu/index.php/mjms/article/view/8083

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Public Health Epidemiology

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