ASI eksklusif dan berat lahir berpengaruh terhadap stunting pada balita 2-5 tahun di Kabupaten Pesawaran

https://doi.org/10.22146/ijcn.39086

Apri Sulistianingsih(1*), Rita Sari(2)

(1) Program Studi DIII Kebidanan STIKes Muhammadiyah Pringsewu
(2) Program Studi Ners STIKes Muhammadiyah Pringsewu
(*) Corresponding Author

Abstract


Background: Stunting cases in infants in Indonesia continue to be a maternal and child health problem. Stunting cases in Pesawaran District increase every year. Some of the factors that influence the incidence of stunting in children include the history of exclusive breastfeeding and low birth weight (LBW) babies.

Objective: This study aims to determine the effect of exclusive breastfeeding and birth weight on stunting in children 2-5 years cases in Pesawaran District.

Method: This research used observational analytics with a cross-sectional approach. This research was conducted in March-May 2017 in 12 Puskesmas on Pesawaran Lampung District. The number of samples was 385 samples. The variables studied in this study were the incidence of stunting, history of LBW and history of exclusive breastfeeding. Analysis and present data using the Chi-Square test and multiple logistic regression.

Results: Children with a history of LBW (OR=12.30; 95% CI:3.663-41.299) and exclusive breastfeeding history (OR=0.122; 95% CI:0.075-0.199) were significantly associated with the incidence of stunting. The multivariate analysis explained the history of exclusive breastfeeding with OR=0.108 (CI 95%: 0.065-0.180) and birth weight with OR=17.063 (CI 95%: 4.892-59.511).

Conclusion: Children with exclusively breastfeeding 9.3 times less risk for stunting than children non-exclusive breastfeeding or exclusive breastfeeding provides a protective effect against stunting in toddlers. Children with an LBW history had a risk of 17.063 times greater for stunting than children with normal birth weight.


Keywords


exclusive breastfeeding; LBW; stunting

Full Text:

PDF


References

  1. Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12 – 23 months in Indonesia. BMC Nutrition 2017;3:16. doi: 10.1186/s40795-017-0130-x
  2. Kemenkes RI. Riset Kesehatan Dasar. Jakarta: Kemenkes RI; 2013.
  3. Kemenkes RI. Hasil Pemantauan Status Gizi (psg) tahun 2017. Jakarta: Kemenkes RI; 2017.
  4. Kemenkes RI. Hasil Pemantauan Status Gizi (PSG) tahun 2016. Jakarta: Kemenkes RI; 2016.
  5. Kemenkes RI. Hasil Pemantauan Status Gizi (PSG) tahun 2015. Jakarta: Kemenkes RI; 2015.
  6. Prawirohartono E, Nurdiati D, Hakimi M. Prognostic factors at birth for stunting at 24 months of age in rural Indonesia. Paediatrica Indonesiana [series online] 2016 [cited 2 Aug 2016];56(1):48-6. Available from: URL: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/79
  7. Esfarjani F, Roustaee R, Mohammadi F, Esmaillzadeh A. Determinants of stunting in school-aged children of Tehran, Iran. Int J Prev Med 2013;4(2):173-9.
  8. Dinas Kesehatan Provinsi Lampung. Profil kesehatan Provinsi Lampung tahun 2017. Lampung: Dinas Kesehatan Provinsi Lampung; 2017.
  9. Cruz LMG, Azpeitia GG, Súarez DR, Rodríguez AS, Ferrer JFL, Serra-Majem L. Factors associated with stunting among children aged 0 to 59 months from the Central Region of Mozambique. Nutrient 2017;9(5). doi: 10.3390/nu9050491.
  10. Kumar A, Singh Vk. A study of exclusive breastfeeding and its impact on nutritional status of child in EAG States. J Stat Appl Pro 2015;4(3):435-45. doi: 10.12785/jsap/040311
  11. Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Fawzi WW, et al. Risk factors for childhood stunting in 137 developing countries: a comparative risk assessment analysis at global, regional, and country levels. PLoS Med. 2016;13(11):e1002164. doi: 10.1371/journal.pmed.1002164.
  12. Kemenkes RI. Buku kesehatan ibu dan anak. Jakarta: Kemenkes RI; 2015.
  13. Kemenkes RI. Demographic and health survey 2012. Jakarta: Kemenkes RI; 2012.
  14. Victora CG, Adair L, Fall C, Hallal PC, Martorell R, Maternal and Child Undernutrition Study Group, et al. Maternal and child undernutrition: consequences for adult health and human capital. Lancet 2008;371(9609):340-57. doi: 10.1016/S0140-6736(07)61692-4.
  15. Cobayashi F, Augusto RA, Lourenço BH, Muniz PT, Cardoso MA. Factors associated with stunting and overweight in Amazonian children: a population-based, cross-sectional study. Public Health Nutr 2014;17(3):551-60. doi: 10.1017/S1368980013000190
  16. Ali Z, Saaka M, Adams A, Kamwininaang SK, Abizari AA. The effect of maternal and child factors on stunting, wasting and underweight among preschool children In Northern Ghana. BMC Nutrition 2017;3:31. doi: 10.1186/s40795-017-0154-2
  17. Visser J. The effect of childhood stunting on adult life [Thesis]. [series online] 2016 [cited 2 Aug 2017]. Available from: URL: https://pdfs.semanticscholar.org/ca37/fa311e8752632244263515dcf027813560c7.pdf
  18. Horta Bl, Victora Cg. Short-term effects of breastfeeding: a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. World Heal Organ [series online] 2013;1–54. Available From: URL: https://www.who.int/maternal_child_adolescent/documents/breastfeeding_short_term_effects/en/
  19. Horta BL, Victoria CG, WHO. Long-term effects of breastfeeding: a systematic review. [series online] 2013 [cited 2 Aug 2017]. Available from: URL: https://apps.who.int/iris/handle/10665/79198
  20. Fenske N, Burns J, Hothorn T, Rehfuess Ea. Understanding child stunting in India: a comprehensive analysis of socio-economic, nutritional and environmental determinants using additive quantile regression. PLoS One 2013;8(11):e78692. doi: 10.1371/journal.pone.0078692
  21. Harttgen K, Klasen S, Vollmer S. Economic growth and child undernutrition in Africa. Population and Development Review 2013;39(3):397-412.



DOI: https://doi.org/10.22146/ijcn.39086

Article Metrics

Abstract views : 7639 | views : 9521

Refbacks

  • There are currently no refbacks.


Bookmark and Share


Copyright (c) 2018 Jurnal Gizi Klinik Indonesia

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Jurnal Gizi Klinik Indonesia (JGKI) Indexed by:
 
  

  free web stats View My Stats