The Role of Nutrients and MCV on Stunting: A Case Study on Indonesian Early Teenagers

Authors

  • Yunita Rakhmawati Department of Biology, Faculty of Mathematics and Natural Sciences, Universitas Negeri Malang, Malang, Indonesia
  • Siti Nur Fatimah Department of Public Health, Faculty of Medicine, Padjadjaran University, Bandung, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2022.9290

Keywords:

Stunting, Adolescent, MCV, Anemia, Teenager

Abstract

BACKGROUND: Many teenagers experience many nutritional problems, including anemia and stunting. The correlation between energy intake, protein, iron, and stunting with MCV levels in stunting adolescents in Jatinangor is not yet known.

AIM: This study aims to analyze the correlation of energy intake, protein, iron, and stunting and MCV levels in stunting adolescents in Jatinangor.

METHODS: This study was conducted with a cross-sectional design involving early adolescents aged 10-14 years in Jatinangor District as many as 41 people. Analysis of MCV levels was done by taking blood through veins. Stunting data were obtained based on WHO criteria with a value of z-score TB / U<- 2 SD and nutritional intake data including energy, protein, and iron obtained through 24-hour recall. To determine the intake of nutrients is done by interviewing with the method of 24 hours recall and FFQ. The data were analyzed with the Pearson Correlation Test.

RESULTS: The correlation between energy intake and MCV levels was p=0.022 (r=0.356). Furthermore, the correlation of protein intake and MCV levels was p=0.257, and iron intake with MCV levels was p=0.301. Eventually, the stunting correlation test to MCV levels was p=0.006 (r=0.419).

CONCLUSIONS: This study concludes that there is a correlation between energy intake and the value of the z-score TB / U index with MCV levels. There is no significant correlation between protein intake and iron intake with MCV levels in stunting adolescents in Jatinangor. There is a correlation between MCV and stunting levels, and there is no correlation between nutrient intake and stunting.

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References

World Health Organization. Global Nutrition Targets 2025: Stunting Policy Brief. Geneva: World Health Organization; 2014.

Wang X, Höjer B, Guo S, Luo S, Zhou W, Wang Y. Stunting and “overweight” in the WHO child growth standards malnutrition among children in a poor area of China. Public Health Nutr. 2009;12(1):1991-8. https://doi.org/10.1017/S1368980009990796 DOI: https://doi.org/10.1017/S1368980009990796

Johnson AR, Balasubramanya B, Jaimol Sr., Shaiby Sr., Gifty, Britto RD. Body image perception and nutritional status of adolescents in a school in rural South India. J Indian Assoc Child Adolesc Ment Health. 2015;11(4):260-78. DOI: https://doi.org/10.1177/0973134220150402

UNICEF. Improving Child Nutrition: The Achievable Imperative for Global Progress. New York: UNICEF; 2013. Available from: https://www.unicef.org/publications/index_68661.html [Last accessed on 2014 Aug 15].

Ministry of Health. Presentation of Basic Health Research Results. Ministry of Health; 2013.

Kemenkes RI. Basic Health Research. Kemenkes RI; 2018.

UNICEF, WHO. Joint Child Malnutrition Estimates. Vol. 24. New York: UNICEF; 2021. p. 51-78.

Wilson HJ, Dickinson F, Hoffman DJ, Griffiths PL, Bogin B, Varela-Silva MI. Fat free mass explains the relationship between stunting and energy expenditure in urban Mexican Maya children. Ann Hum Biol. 2012;39(5):432-9. https://doi.org/10.3109/03014460.2012.714403 PMid:23035655 DOI: https://doi.org/10.3109/03014460.2012.714403

Ekpo AJ, Jimmy EO. Dietary and haematological evaluation of adolescent females in Nigeria. Pak J Nutr. 2006;5(3):278-81. https://doi.org/10.3923/pjn.2006.278.281. DOI: https://doi.org/10.3923/pjn.2006.278.281

Whitney E, Rolfes SR. Understandin Nutrition. 15th ed. Boston: Cengage Learning; 2011.

Kabir Y, Shahjalal HM, Saleh F, Obaid W. Dietary pattern, nutritional status, anaemia and anaemia-related knowledge in urban adolescent college girls of Bangladesh. J Pak Med Assoc. 2010;60(8):633-8 PMid:20726192

Gat-Yablonski G, Phillip M. Nutritionally-induced catch-up growth. Nutrients. 2015;7(1):517-51. https://doi.org/10.3390/nu7010517 PMid:25594438 DOI: https://doi.org/10.3390/nu7010517

Mirmiran P, Mohammadi F, Sarbazi N, Allahverdian S, Azizi F. Gender differences in dietary intakes, anthropometrical measurements and biochemical indices in an urban adult population: The Tehran lipid and glucose study. Nutr Metab Cardiovasc Dis. 2003;13(2):64-72. https://doi.org/10.1016/s0939-4753(03)80020-0 PMid:12929618 DOI: https://doi.org/10.1016/S0939-4753(03)80020-0

Gropper SS, Smith JL, Groff JL. Advanced Nutrition and Human Metabolism. 5th ed. Belmont: Wadsworth; 2005.

Sari EM, Juffrie M, Nurani N, Sitaresmi MN. Protein, calcium and phosphorus in stunting and not stunting children aged 24-59 months. J Gizi Klin Indones. 2016;12(4):152. https://doi.org/10.22146/ijcn.23111 DOI: https://doi.org/10.22146/ijcn.23111

Krähenbühl JD, Schutz Y, Jéquier E. High fat versus high carbohydrate nutritional supplementation: A one year trial in stunted rural Gambian children. Eur J Clin Nutr. 1998;52(3):213- 22. https://doi.org/10.1038/sj.ejcn.1600542 PMid:9537308 DOI: https://doi.org/10.1038/sj.ejcn.1600542

Surmita G, Megawati SN, Fatimah, Rakhmawati Y. Body mass index and fat mass and adiponectin levels of adolescent short stature. Indones. J Hum Nutr. 2016;3(2):69-74. DOI: https://doi.org/10.21776/ub.ijhn.2016.003.002.2

Tworoger SS, Mantzoros C, Hankinson SE. Relationship of plasma adiponectin with sex hormone and insulin-like growth factor levels. Obesity (Silver Spring). 2007;15(9):2217-24. https://doi.org/10.1038/oby.2007.263 PMid:17890489 DOI: https://doi.org/10.1038/oby.2007.263

Iqbal MS, Rahman S, Haque MA, Ahmed Y, Faruque AS. Lower intakes of protein, carbohydrate, and energy areassociated with increased global DNA methylation in 2- to 3-year-old urban slum children in Bangladesh. Matern Child Nutr. 2019;15(3):e12815. https://doi.org/10.1111/mcn.12815 PMid:30903804 DOI: https://doi.org/10.1111/mcn.12815

Ibrahim SA, Samy MA, Matter MK, Saleh AO. Bone mineral density in Egyptian adolescents and adults with short stature: Results of a national survey. East Mediterr Heal J. 2011:17(8):687-93. https://doi.org/10.26719/2011.17.8.687 PMid:21977572 DOI: https://doi.org/10.26719/2011.17.8.687

Noprisanti N, Masrul M, Defrin D. The relationship of protein, calcium, phosfor, and magnesium with bone density in young women in state junior high school 5 Padang. J Kesehat Andalas. 2018;7(Suppl 3):29. https://doi.org/10.25077/jka.v7i0.867 DOI: https://doi.org/10.25077/jka.v7i0.867

Shafique S, Sellen DW, Lou W, Jalal CS, Jolly SP, Zlotkin SH. Mineral- and vitamin-enhanced micronutrient powder reduces stunting in full-term low-birth-weight infants receiving nutrition, health, and hygiene education: A 2 3 2 factorial, cluster-randomized trial in Bangladesh. Am J Clin Nutr. 2016;103(5):1357-69. https://doi.org/10.3945/ajcn.115.117770 PMid:27053383 DOI: https://doi.org/10.3945/ajcn.115.117770

Engle-Stone R, Ndjebayi AO, Nankap M, Killilea DW, Brown KH. Stunting prevalence,plasmazincconcentrations, and dietary zinc intakes in a nationally representative sample suggest a high risk of zinc deficiency among women and young children in Cameroon. J Nutr. 2014;144(3):382-91. https://doi.org/10.3945/jn.113.188383 PMid:24453129 DOI: https://doi.org/10.3945/jn.113.188383

Gibson RS, Manger MS, Krittaphol W, Pongcharoen T, Gowachirapant S, Bailey KB, et al. Does zinc deficiency play a role in stunting among primary school children in NE Thailand? Br J Nutr. 2007;97(1):167-75. https://doi.org/10.1017/S0007114507250445 PMid:17217573 DOI: https://doi.org/10.1017/S0007114507250445

Strobel M, Tinz J, Biesalski HK. The importance of β-carotene as a source of Vitamin A with special regard to pregnant and breastfeeding women. Euro J Nutr. 2007;46(Suppl 1):I1-20. https://doi.org/10.1007/s00394-007-1001-z PMid:17665093 DOI: https://doi.org/10.1007/s00394-007-1001-z

Ssentongo P, Ba DM, Ssentongo AE, Fronterre C, Whalen A, Yang Y, et al. Association of Vitamin A deficiency with early childhood stunting in Uganda: A populationbased cross-sectional study. PLoS One. 2020;15(5):e0233615. https://doi.org/10.1371/journal.pone.0233615 PMid:32470055 DOI: https://doi.org/10.1371/journal.pone.0233615

World Health Organization. Prevention of Iron Deficiency Anaemia in Adolescent. Geneva: World Health Organization; 2011.

Kaur IP, Kaur S. A comparison of nutritional profile and prevalence of anemia among rural girls and boys. J Exerc Sci Physiother. 2011;7(1):11. https://doi.org/10.18376//2011/v7i1/67618 DOI: https://doi.org/10.18376//2011/v7i1/67618

Barugahara EI, Kikafunda J, Gakenia WM. Prevalence and risk factors of nutritional anaemia. African J Food Agric Nutr Dev. 2013;13(3):7679-92. https://doi.org/10.18697/ajfand.58.11930 DOI: https://doi.org/10.18697/ajfand.58.11930

Öhlund I, Lind T, Hörnell A, Hernell O. Predictors of iron status in well-nourished 4-y-old children. Am J Clin Nutr. 2008;87(4):839- 45. https://doi.org/10.1093/ajcn/87.4.839 PMid:18400705 DOI: https://doi.org/10.1093/ajcn/87.4.839

Hurrell R, Egli I. Iron bioavailability and dietary reference values. Am J Clin Nutr. 2010;91(5):1461-7. https://doi.org/10.3945/ajcn.2010.28674F PMid:20200263 DOI: https://doi.org/10.3945/ajcn.2010.28674F

Maharani II, Hardinsyah, Sumantri B. Application of logistic regression in analysis of nutritional anemia factors in IPB new students. J Nutr Food. 2007;2(2):36-43. DOI: https://doi.org/10.25182/jgp.2007.2.2.36-43

Kurniawan YA, Muslimatun S, Achadi EL, Sastroamidjojo S. Nutritional status of adolescent girls in rural area of tanggerang district. Indian J Prev Soc Med. 2007;57(3):140-5.

Ayoya MA, Ngnie-Teta S, Séraphin MN, Mamadoultaibou A, Boldon E, Saint-Fleur JE, et al. Prevalence and risk factors of anemia among children 6-59 months old in Haiti. Anemia. 2013;2013:502968. https://doi.org/10.1155/2013/502968 PMid:23555053 DOI: https://doi.org/10.1155/2013/502968

Awasthi S, Verma T, Das R, Vir S. Anemia and undernutrition among preschool children in Uttar Pradesh, India. Indian Pediatr. 2003;40(10):985-90. PMid:14581738

Hillman R. Harrison’s Principle of Internal Medicine. 14th ed. New York: The McGraw-Hill Companies; 2013.

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Published

2022-05-21

How to Cite

1.
Rakhmawati Y, Fatimah SN. The Role of Nutrients and MCV on Stunting: A Case Study on Indonesian Early Teenagers. Open Access Maced J Med Sci [Internet]. 2022 May 21 [cited 2024 Mar. 28];10(E):1094-9. Available from: https://oamjms.eu/index.php/mjms/article/view/9290

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