Good parental feeding style reduces the risk of stunting among under-five children in Yogyakarta, Indonesia
DOI:
https://doi.org/10.53638/phpma.2020.v8.i2.p07Keywords:
family income, mother’s occupation, parenting feeding style, stunting, under-five childrenAbstract
Background and purpose: In Indonesia, many studies on thecauses of stunting in children have been conducted. However, still few have explored the parental feeding style in relation to stunting. The purpose of this study was to analyze the relationship between parental feeding style and stunting among under-five children in Kulon Progo District, Yogyakarta.
Methods: This study used a cross sectional design. This study involved 729 respondents who were the entire population of under-five children in Kulon Progo. Mothers were interviewed about the socio-demographic, economic and parental feeding style that mothers gave to their children using a structured questionnaire. Data were analyzed descriptively to identify the frequency distribution of each variable, hypothesis testing with chi square test and multivariable analysis with logistic regression at asignificance level of 5% were performed.
Results: Of the 729 under-five children analyzed, 37.6% werefound to be stunting. The proportion of poor parental feeding style was almost 50%. The finding of this study showed that mother’s occupation (AOR=2.13; 95%CI: 1.26 3.59), family income (AOR=3.56; 95%CI: 2.34-5.42) and parental feeding style (AOR=2.77; 95%CI: 1.97-3.91) have a significant relationship with stunting.
Conclusion: The prevalence of stunting is quite high in the study area. Parents with poor parental feeding style are predicted to increase the risk of stunting among under-five children. Familybased interventions that involve parenting styles in child feeding practices should be considered in reducing stunting among children.
References
World Health Organization. Physical Status: The Use and Intrepretation of Anthropometry [Internet]. Technical Report Series No. 854. Geneva: World Health Organization; 1995.
Chirande L, Charwe D, Mbwana H, Victor R, Kimboka S, Issaka AI, et al. Determinants of stunting and severe stunting among under-fives in Tanzania: Evidence from the 2010 cross-sectional household survey. BMC Pediatr. 2015;15(1):1–13.
Tiwari R, Ausman LM, Agho KE. Determinants of stunting and severe stunting among under-fives: Evidence from the 2011 Nepal Demographic and Health Survey. BMC Pediatr. 2014;14(239):1–15.
Geberselassie SB, Abebe SM, Melsew YA, Mutuku SM, Wassie MM. Prevalence of stunting and its associated factors among children 6-59 months of age in LiboKemekem district, Northwest Ethiopia; A community based cross sectional study. PLoS One. 2018;13(5):1–11.
Nshimyiryo A, Hedt-Gauthier B, Mutaganzwa C, Kirk CM, Beck K, Ndayisaba A, et al. Risk factors for stunting among children under five years: A cross-sectional populationbased study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health. 2019;19(1):1–10.
The Ministry of Health of The Republic of Indonesia. Hasil Utama Laporan Riskesdas 2018 [The main results of The 2018 Basic Health Research Report]. The Ministry of Health of The Republic of Indonesia. Jakarta; 2018.
World Health Organization. WHA Global Nutrition Targets 2025: Stunting Policy Brief. Geneva: World Health Organization. 2014.
Miller AC, Murray MB, Thomson DR, Arbour MC. How consistent are associations between stunting and child development? Evidence from a meta-analysis of associations between stunting and multidimensional child development in fifteen low- and middle-income countries. Public Health Nutr. 2016;19(8):1339–1347.
Hanum NL, Khomsan A. Pola asuh makan, perkembangan bahasa, dan kognitif anak balita stunted dan normal di Kelurahan Sumur Batu, Bantar Gebang Bekasi [Feeding practices, language and cognitive development among stunted and normal under-five children in Sumur Batu Village, Bantar Gebang Bekasi]. J Gizi dan Pangan. 2012;7(2):81.
Rothman M, Faber M, Covic N, Matsungo TM, Cockeran M, Kvalsvig JD, et al. Infant development at the age of 6 months in relation to feeding practices, iron status, and growth in a peri-urban community of South Africa. Nutrients. 2018;10(1):1–13.
Perignon M, Fiorentino M, Kuong K, Burja K, Parker M, Sisokhom S, et al. Stunting, poor iron status and parasite infection are significant risk factors for lower cognitive performance in Cambodian school-aged children. PLoS One. 2014;9(11).
Woldehanna T, Behrman JR, Araya MW. The effect of early childhood stunting on children’s cognitive achievements: Evidence from young lives Ethiopia. Ethiop J Heal Dev. 2017;31(2):75–84.
Casale D, Desmond C, Richter L. The association between stunting and psychosocial development among preschool children: A study using the South African Birth to Twenty cohort data. Child Care Health Dev. 2014;40(6):900–10.
Moschovis PP, Addo-Yobo EOD, Banajeh S, Chisaka N, Christiani DC, Hayden D, et al. Stunting is associated with poor outcomes in childhood pneumonia. Trop Med Int Heal. 2015;20(10):1320–1328.
Akombi BJ, Agho KE, Hall JJ, Wali N, Renzaho AMN, Merom D. Stunting, wasting and underweight in SubSaharan Africa: A systematic review. Int J Environ Res Public Health. 2017;14(8):1–18.
Mgongo M, Chotta NAS, Hashim TH, Uriyo JG, Damian DJ, Stray-Pedersen B, et al. Underweight, stunting and wasting among children in Kilimanjaro region, Tanzania; a population-based cross-sectional study. Int J Environ Res Public Health. 2017;14(5):1–12.
Nkurunziza S, Meessen B, Van geertruyden JP, Korachais C. Determinants of stunting and severe stunting among Burundian children aged 6-23 months: Evidence from a national cross-sectional household survey, 2014. BMC Pediatr. 2017;17(1):1–14.
Vaivada T, Akseer N, Akseer S, Somaskandan A, Stefopulos M, Bhutta ZA. Stunting in childhood: An overview of global burden, trends, determinants, and drivers of decline. Am J Clin Nutr. 2020;112(Suppl):777S-791S.
Jansen PW, Tharner A, Ende J Van Der, Wake M, Raat H, Hofman A, et al. Feeding practices and child weight: is the association bidirectional in preschool children? Am J Clin Nutr. 2014;100:1329–1336.
Adnan N, Muniandy ND. The relationship between mothers’ educational level and feeding practices among children in selected kindergartens in Selangor, Malaysia: A cross-sectional study. Asian Journal of Clinical Nutrition. 2012;4(2):39–52.
Shloim N, Edelson LR, Martin N, Hetherington MM. Parenting styles, feeding styles, feeding practices, andweight status in 4-12 year-old children: A systematic review of the literature. Front Psychol. 2015;6:1–20.
Niga DM, Purnomo W. Hubungan antara praktik pemberian makan, perawatan kesehatan, dan kebersihan anak dengan kejadian stunting pada anak usia 1-2 tahun di wilayah kerja Puskesmas Oebobo Kota Kupang [The association between feeding practices helath care and children’s hygiene with stunting among children aged 1-2 years in the area of Oebobo Public Health Center, Kupang City]. J Wiyata. 2016;3(2):151–155.
Tschann JM, Martinez SM, Penilla C, Gregorich SE, Pasch LA, de Groat CL, et al. Parental feeding practices and child weight status in Mexican American families: A longitudinal analysis. Int J Behav Nutr Phys Act. 2015;12(1):1–10.
Dranesia A, Wanda D, Hayati H. Pressure to eat is the most determinant factor of stunting in children under 5 years of age in Kerinci region, Indonesia. Enferm Clin. 2019;(xx):1–6.
Aramico B, Sudargo T, Susilo J. Hubungan sosial ekonomi, pola asuh, pola makan dengan stunting pada siswa sekolah dasar di Kecamatan Lut Tawar, Kabupaten Aceh Tengah [The association between socioeconomic status, caring and eating styles with stunting among elementary school students in Tut Tawar Sub-District, Aceh Tengah District]. J Gizi dan Diet Indones. 2016;1(3):121.
Birch LL, Fisher JO, Grimm-Thomas K, Markey CN, Sawyer R, Johnson SL. Confirmatory factor analysis of
the Child Feeding Questionnaire: A measure of parental attitudes, beliefs and practices about child feeding and obesity proneness. Appetite. 2001;36(3):201–210.
Wardle J, Sanderson S, Guthrie CA, Rapoport L, Plomin R. Parental feeding style and the intergenerational transmission of obesity risk. Obes Res. 2002;10(6):453–462.
World Health Organization. Reducing stunting in children. Equity considerations for achieving the Global Nutrition Targets 2025. Geneva: World Health Organization [Internet]; 2018. 40 p. Available from: https://apps.who.int/iris/bitstream/handle/10665/260202/9789241513647-eng.pdf?sequence=1.
Beal T, Le DT, Trinh TH, Burra DD, Huynh T, Duong TT, et al. Child stunting is associated with child, maternal, and environmental factors in Vietnam. Matern Child Nutr. 2019;15(4).
Darteh EKM, Acquah E, Kumi-Kyereme A. Correlates of stunting among children in Ghana. BMC Public Health 2014;14(1).
Wemakor A, Garti H, Azongo T, Garti H, Atosona A. Young maternal age is a risk factor for child undernutrition in Tamale Metropolis, Ghana. BMC Res Notes. 2018;11(1):1–5.
Balogun TB, Yakubu AM. Recent illness, feeding practices and father’s education as determinants of nutritional status among preschool children in a rural Nigerian community. J Trop Pediatr. 2015;61(2):92–99.
Soekatri MYE, Sandjaja S, Syauqy A. Stunting was associated with reported morbidity, parental education and socioeconomic status in 5–12-year-old Indonesian children. Int J Environ Res Public Health. 2020;17(17):1–9.
Alderman H, Headey DD. How Important is Parental Education for Child Nutrition?. World Dev. 2017;94:448–64.
Haile D, Azage M, Mola T, Rainey R. Exploring spatial variations and factors associated with childhood stunting in Ethiopia: spatial and multilevel analysis. BMC Pediatr. 2016;1–14.
Ikeda N, Irie Y, Shibuya K. Determinants of reduced child stunting in Cambodia: analysis of pooled data from three Demographic and Health Surveys. Bull World Health Organ. 2013;91(5):341–9.
Garcia S, Sarmiento OL, Forde I, Velasco T. Socioeconomic inequalities in malnutrition among children and adolescents in Colombia: The role of individual-, household- and community-level characteristics. Public Health Nutr. 2013;16(9):1703–1718.
Mahmudiono T, Nindya TS, Andrias DR, Megatsari H, Rosenkranz RR. Household food insecurity as a predictor of stunted children and overweight/obese mothers (SCOWT) in Urban Indonesia. Nutrients. 2018;10(5):1–16.
Santos Felisbino-Mendes M, Villamor E, VelasquezMelendez G. Association of maternal and child nutritional status in Brazil: A population based cross-sectional study. PLoS One. 2014;9(1):1–8.
Aitsi-Selmi A. Households with a stunted child and obese mother: Trends and child feeding practices in a middleincome country, 1992–2008. Matern Child Health J. 2015;19(6):1284–1291.
Negash C, Whiting SJ, Henry CJ, Belachew T, Hailemariam TG. Association between maternal and child nutritional status in Hula, rural Southern Ethiopia: A cross sectional study. PLoS One. 2015;10(11):1–8.
Silva D e., Valente A, Borges A, Dias C, Almeida F, Cruz JL, et al. Relationship between the mothers’ nutritional status with that of a child population from são Tomé principe, Africa. Rev Bras Saude Matern Infant. 2017;17(2):327–335.
Ma JQ, Zhou LL, Hu YQ, Liu SS, Sheng XY. Association between feeding practices and weight status in young children. BMC Pediatr. 2015;15(1):1–10.
Nasir Mohd MT, Norimah AK, Hazizi AS, Nurliyana AR, Loh SH, Suraya I. Child feeding practices, food habits,
anthropometric indicators and cognitive performance among preschoolers in Peninsular Malaysia. Appetite. 2012;58(2):525–530.
Hartono R, Ipa A, Sirajuddin, Amir A, Ishak SIZS. Feeding style for children aged 0-59 months of buginese ethnicity. Indian J Forensic Med Toxicol. 2020;14(3):1216–1220.
Kiefner-Burmeister A, Hoffmann D, Zbur S, MusherEizenman D. Implementation of parental feeding practices: Does parenting style matter?. Public Health Nutr. 2016;19(13):2410–2414.
Fisher JO, Serrano EL, Foster GD, Hart CN, Davey A, Bruton YP, et al. Efficacy of a food parenting intervention for mothers with low income to reduce preschooler’s solid fat and added sugar intakes: A randomized controlled trial. Int J Behav Nutr Phys Act. 2019;16(1):1–12.
Ban L, Guo S, Scherpbier RW, Wang X, Zhou H, Tata LJ. Child feeding and stunting prevalence in left-behind children: a descriptive analysis of data from a central and western Chinese population. Int J Public Health. 2017;62(1):143–151.
Abebe Z, Haki GD, Baye K. Child feeding style is associated with food intake and linear growth in rural Ethiopia. Appetite. 2017;116:132–138.
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