Association of supplementary feeding with stunting among children in Kintamani, Bangli, Bali Province
DOI:
https://doi.org/10.53638/phpma.2017.v5.i2.p05Keywords:
case control, stunting, diet pattern, supplementary feedingAbstract
Background and purpose: The prevalence of stunting among under-five children in Indonesia and also in Bali is high. Studies on risk factors of stunting have been widely conducted in Indonesia, however association between stunting and diet pattern is still inconsistent. The aim of this study is to examine association of supplementary feeding pattern with stunting among children aged 1-3 years.
Methods: A case control study was conducted in Bangli District. A total of 48 cases and 48 controls were selected to participate in the study. Age and sex variables between cases and controls were matched. Cases and controls were selected using a systematic random sampling method from 26 health post registers in Kintamani I Public Health Centre between November and December 2016. Data were collected in March 2017 by interviewing the mother at the health post. Data were analysed using bivariate and multivariate analysis. A logictic regression was performed to calculate adjusted odd ratio (AOR).
Results: Cases and controls were comparable for age (p=0.773), sex (p=0.219), mother’s education (p=0.673) and history of infectious diseases (p=0.584). Cases and controls differed in several variables: frequency, variability and type of supplementary feeding (p=0.002, <0.001 and <0.001), family income (p=0.038), poor personal hygiene (p<0.001), environmental sanitation (p=0.022) and access to clean water (p<0.001). Our analysis showed that several variables were associated with stunting among children aged 1-3 years, which included lack of supplementary feeding variability (AOR=12.45; 95%CI: 2.25-69.71), poor personal hygiene (AOR=3.52; 95%CI: 1.03-12.03), and poor access to clean water (AOR=6.49; 95%CI: 1.61-26.19). Other variables included supplementary feeding initiation, frequency of supplementary feeding, consistency or type of supplementary feeding, sex, and family income were not associated with stunting among children aged 1-3 years.
Conclusions: Variability of supplementary feeding, personal hygiene, and access to clean water were all associated with stunting among children aged 1-3 years.
References
UNICEF/WHO/World Bank. Levels and trends in child malnutrition key finding. Washington DC: UNICEF/WHO/World Bank; 2017.
Global Nutrition. Action and accountability to accelerate the world’s progress on nutrition. Washington DC: Global Nutrition; 2014.
Ministry of Health of Indonesia. Riset Kesehatan Dasar (RISKESDAS) 2013 [The 2013 Basic Health Survey]. Jakarta: Ministry of Health of Indonesi; 2013.
Ministry of Health of Indonesia. Riset Kesehatan Dasar dalam angka 2013 Propinsi Bali [The 2013 Basic Health Survey in Number for Bali Province]. Jakarta: Ministry of Health of Indonesi; 2013.
Bangli District Health Office. Laporan bulanan program gizi tahun 2015 [The 2015 nutrition program monthly report]. Bangli: Bangli District Health Office; 2015.
Meilyasari F, Isnawati M. Faktor risiko kejadian stunting pada balita usia 12 bulan di Desa Purwokerto Kecamatan Patebon, Kabupaten Kendal [Risk factors of stunting among children aged 12 months in Purwokerto Village Patebon Subdistrict Kendal District]. Journal of Nutrition College Semarang. 2014; 3: 26–32.
Anugraheni HS. Faktor risiko kejadian stunting pada anak usia 12-36 bulan di Kecamatan Pati, Kabupaten Pati [Risk factors of stunting among children aged 12-36 months in Pati Subdistrict] (Undergraduate thesis). Semarang: Faculty of Medicine, Diponegoro University; 2012.
Najahah I, Adhi KT, Pinatih GI. Faktor risiko balita stunting usia 12-36 bulan di Puskesmas Dasan Agung, Mataram, Provinsi Nusa Tenggara Barat [Risk factors of stunting among children aged 12-36 months in Dasan Agung Community Health Centre, Mataram City, West Nusa Tenggara Province]. Public Health and Preventive Medicine Archive. 2013; 1(2).
Paudel R, Pradhan B, Rr W, et al. Risk factors for stunting among children : a community based case control study in Nepal. Kathmandu University Medical Journal. 2012; 39: 18–24.
Rah J, Akhter N, Semba R, et al. Low dietary diversity is a predictor of child stunting in Rural Bangladesh. European Journal of Clinical Nutrition. 2010; 64: 1393–1398.
Arimond M, Ruel MT. Community and international nutrition dietary diversity is associated with child nutritional status : evidence from 11 demographic and health surveys. Journal Nutrition. 2004; 134: 2579–2585.
Fewtrell M, Bronsky J, Campoy C, et al. Complementary feeding: a position paper by the european society for pediatric gastroenterology, hepatology, and nutrition (ESPGHAN) Committe on Nutrition. Journal Pediatric Gastroenterology Nutrition. 2017; 64: 119–132.
Sidiartha IGL, Widianto R. Pengenalan makanan padat dini dan lambat pada bayi merupakan risiko gagal tumbuh pada masa toddler [Early and late initiation of solid food for babies as risk factor of growth failure among toddler period]. OJS. 2016; 51: 176–181.
Umeta M, West CE, Verhoef H, et al. Community and international nutrition factors associated with stunting in infants aged 5 – 11 months in the Dodota-Sire District, Rural Ethiopia 1. Journal Nutrition. 2003; 1064–1069.
Widyawati, Febry F, Destriatania S. Analisis pemberian MPASI dengan status gizi pada anak usia 12-24 bulan di wilayah kerja Puskesmas Lesung Batu, Empat Lawang [Supplementary feeding and nutritional status among children aged 12-24 months in Lesung Batu Community Health Centre catchment areas, Empat Lawang]. Jurnal Ilmu Kesehatan Masyarakat. 2016; 7(2).
Larasati. Hubungan antara praktik pemberian makanan pendamping ASI (MPASI) dan penyakit infeksi kaitannya dengan status gizi pada bayi umur 6-12 bulan [Association between supplementary feeding practices, infections, and nutritional status among children aged 6-12 months] [thesis]. Semarang: University of Semarang; 2011.
Aditianti. Faktor determinan stunting pada anak usia 24–59 bulan di Indonesia [Determinants of stunting among children aged 24-59 months in Indonesia] [thesis]. Bogor: Bogor Agricultural University; 2010.
Rahmayana, Ibrahim IA, Damayanti DS. Hubungan asupan zat gizi dan penyakit infeksi dengan kejadian stunting anak usia 24-59 bulan Di Posyandu Asoka II Kelurahan Barombong Kecamatan Tamalate Kota Makassar [Association between stunting, nutrient intake and infections among children aged 24-59 months in Asoka II Health Post Barombong Village, Tamalate Subdistrict, Makasar City]. Public Health Science Journal. 2014; 6: 424–436.
Oktarina Z, Sudiarti T. Faktor risiko stunting pada balita 24-59 bulan Di Sumatera [Risk factors of stunting among children aged 24-59 months in Sumatera]. Journal Gizi dan Pangan. 2014; 8: 175–180.
Checkley W, Epstein LD, Gilman RH, et al. Effects of acute diarrhea on linear growth in peruvian children. American Journal of Epidemiology. 2003; 157: 166–175.
Taguri A El, Betilmal I, Mahmud SM, et al. Risk factors for stunting among under-fives in Libya. Public Health Nutrition. 2017; 12: 1141–1149.
Ibrahim IA, Faramita R. Hubungan faktor sosial ekonomi keluarga dengan kejadian stunting anak usia 24 - 59 bulan di wilayah kerja Puskesmas Barombong Kota Makassar Tahun 2014 [Association between social economic and stunting among children aged 24-59 months in Barombong Community Health Centre catchment areas Makasar City year 2014]. Public Health Science Journal. 2015; 7: 63–75.
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