Factors associated with stunting incidence in toddlers in Cibungbulang sub-district, Bogor
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20240882Keywords:
Stunting, Family income, Breastfeeding, Milk, Hand washing, Oral hygieneAbstract
Background: Stunting is a developmental disorder characterized by L/A or H/A index z-score ≤2 SD and contribute to various negative impacts until adulthood. The prevalence of stunting among toddlers in Bogor Regency reached 24.9 percent according to SSGI. This study aimed to determine relationships between family income, being breastfed and drinking other milks, eating habits, handwashing and oral hygiene habits with stunting incidence among toddlers in Cibungbulang sub-district.
Methods: The study used cross-sectional design with 307 samples selected through systematic randomization. Almost all data, except stunting, were collected through interview with respondents, while stunting was identified through height measurement.
Results: Most toddlers had family income under the minimum wage (81.4%), did not drink breast milk anymore (52,4%), consumed other milks (60.6%), ate independently (69.4%), washed their hands after using toilets (91.2%), and cleaned their mouths at least once a day (85%). A total of 35% toddlers were stunted. There were significant relationships between family income (p=0.001), drinking breast milk (p=0.000) and other milks (p=0.001), eating habits (p=0.001), handwashing (p=0.035) and oral hygiene habits (p=0.039) with stunting incidence in toddlers (p<0.05).
Conclusions: Family income, consumption of breast milk and other milks, eating habits, and handwashing and oral hygiene habits were associated with stunting in toddlers.
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References
Kementerian Kesehatan Republik Indonesia. Peraturan Menteri Kesehatan Republik Indonesia Nomor 2 Tahun 2020 tentang Standar Antropometri Anak. Vol. 2, Kementerian Kesehatan Republik Indonesia. Indonesia; 2020: 1-12.
Mustakim MRD, Irwanto, Irawan R, Irmawati M, Setyoboedi B. Impact of Stunting on Development of Children between 1-3 Years of Age. Ethiopian Journal of Health Science. 2022;32(3):569-78.
Rolfe EDL, França GVA De, Vianna CA, Gigante DP, Miranda JJ, Yudkin JS, et al. Associations of stunting in early childhood with cardiometabolic risk factors in adulthood. PLoS One. 2018;13(4):e0192196.
Muhammad HFL. Obesity as the Sequel of Childhood Stunting: Ghrelin and GHSR Gene Polymorphism Explained. Vol. 50, Acta medica Indonesiana. 2018.
UNICEF. UNICEF Conceptual Framework on Maternal and Child Nutrition. Nutrition and Child Development Section, Programme Group 3 United Nations Plaza New York, NY 10017, USA. 2021.
Sari N, Manjorang MY, Zakiyah, Randell M. Exclusive breastfeeding history risk factor associated with stunting of children aged 12-23 months. Kesmas. 2021;16(1):28-32.
Syeda B, Agho K, Wilson L, Maheshwari GK, Raza MQ. Relationship between breastfeeding duration and undernutrition conditions among children aged 0-3 Years in Pakistan. Int J Pediatr Adolesc Med. 2021;8(1):10-7.
Herber C, Bogler L, Subramanian SV, Vollmer S. Association between milk consumption and child growth for children aged 6-59 months. Sci Rep. 2020;10(1):6730.
Hanindita MH, Widjaja NA, Irawan R, Hidayat B. Comparison between baby led weaning and traditional spoon-feeding on iron status and growth in breastfed infants. Carpathian J Food Sci Tech. 2019;11(5):96-100.
Nabila Fasiha Firmania, Septriana D, Djojosugito A. Hubungan Tingkat Penghasilan Orangtua dengan Kejadian Stunting pada Balita usia 0-59 Bulan. Bandung Conference Series: Med Sci. 2023;3(1):24-59.
Saxton J, Rath S, Nair N, Gope R, Mahapatra R, Tripathy P, et al. Handwashing, sanitation and family planning practices are the strongest underlying determinants of child stunting in rural indigenous communities of Jharkhand and Odisha, Eastern India: a cross-sectional study. Matern Child Nutr. 2016;12(4):869-84.
Demirchyan A, Petrosyan V. Hand hygiene predicts stunting among rural children in Armenia. Eur J Public Health. 2017;27(suppl_3):ckx186.287.
Tanner L, Craig D, Holmes R, Catinella L, Moynihan P. Does Dental Caries Increase Risk of Undernutrition in Children? JDR Clin Trans Res. 2022;7(2):104-17.
WHO, UNICEF, World Bank Group. Levels and trends in child malnutrition: UNICEF/WHO/World Bank Group joint child malnutrition estimates: key findings of the 2023 edition. 2023. Available at: https://www.who.int/publications/i/item/9789240073791. Accessed on 01 February 2024.
Riset Kesehatan Dasar (RISKESDAS). Laporan Nasional Riskesdas 2018. Badan Penelitian dan Pengembangan Kesehatan Riset. 2019.
Kementerian Kesehatan RI. Laporan Provinsi Jawa Barat, Riskesdas 2018. Lembaga Penerbit Badan Penelitian dan Pengembangan Kesehatan. 2019.
Kementerian Kesehatan Republik Indonesia. Buku Saku: Hasil Survei Status Gizi Indonesia (SSGI) 2022. Kementerian Kesehatan Republik Indonesia. 2023.
Agustin L, Rahmawati D. Hubungan Pendapatan Keluarga dengan Kejadian Stunting. Indonesian Journal of Midwifery (IJM). 2021;4(1):30-4.
Hasbiah H, Widyarni A, Inayah HK. Hubungan Pengetahuan. Pendapatan Keluarga dan Pola Asuh Dengan Kejadian Stunting pada Balita di Wilayah Kerja Puskesmas Pekauman Kota Banjarmasin Tahun 2021. Jurnal kesehatan UNISKA. 2021.
Rahma IM, Mutalazimah M. Correlation between Family Income and Stunting among Toddlers in Indonesia: A Critical Review. In: Proceedings of the International Conference on Health and Well-Being (ICHWB 2021). 2022.
Louisa A. Langi RACT. Hubungan Pemberian Asi Terhadap Kejadian Stunting Pada Balita Usia 2-5 Tahun Di Puskesmas Manggar Baru, Balikpapan Periode Juli-Agustus 2019. Pro-Life. 2020;7.
Tello B, Rivadeneira MF, Moncayo AL, Buitrón J, Astudillo F, Estrella A, et al. Breastfeeding, feeding practices and stunting in indigenous Ecuadorians under 2 years of age. Int Breastfeed J. 2022;17(1):19.
Czosnykowska-Łukacka M, Orczyk-Pawiłowicz M, Broers B, Królak-Olejnik B. Lactoferrin in human milk of prolonged lactation. Nutrients. 2019;11(10):2350.
Lackey KA, Fehrenkamp BD, Pace RM, Williams JE, Meehan CL, McGuire MA, et al. Breastfeeding beyond 12 Months: Is There Evidence for Health Impacts? Annu Rev Nutr. 2021:41:283-308.
Stordal B. Breastfeeding reduces the risk of breast cancer: A call for action in high-income countries with low rates of breastfeeding. Vol. 12, Cancer Medicine; 2023.
Sjarif DR, Yuliarti K, Iskandar WJ. Daily consumption of growing-up milk is associated with less stunting among indonesian toddlers. Medical Journal of Indonesia. 2019;28(1):70-6.
World Health Organization. WHO Guideline for complementary feeding of infants and young children 6-23 months of age. 2023. Available at: https://www.who.int/publications/i/item/9789240081864. Accessed on 01 February 2024.
Badan Standardisasi Nasional. Susu kental manis SNI 2971:2011. [Jakarta]: Badan Standardisasi Nasional; 2011.
Korioth T. Added sugar in kids’ diets: How much is too much? Nutrition. 2019.
Townsend E, Pitchford NJ. Baby knows best? The impact of weaning style on food preferences and body mass index in early childhood in a case-controlled sample. BMJ Open. 2012;2(1): e000298.
Rowan H, Lee M, Brown A. Estimated energy and nutrient intake for infants following baby-led and traditional weaning approaches. J Human Nutrition Dietetics. 2022;35(2):325-36.
Hasanudin, Djaafar T, Saharudin, Bungawati A. Factors related to the incidence of stunting in Nupabomba and Guntarano Villages, Tanantovea District, Donggala Regency. In: IOP Conference Series: Earth Environmental Sci. 2021.
Randle J, Metcalfe J, Webb H, Luckett JCA, Nerlich B, Vaughan N, et al. Impact of an educational intervention upon the hand hygiene compliance of children. J Hospital Infection. 2013;85(3):220-5.
Putri TN, Indriyanti R, Setiawan AS. A descriptive study on oral hygiene practice and caries increment in children with growth stunting. Frontiers Oral Health. 2023;4:1236228.
Badruddin IA, Muthia K, Darwita RR, Setiawati F, Adiatman M, Maharani DA, et al. Relationship between Oral Health Status and Stunting in 5-Year-Old Children in Indonesia. J Int Dent Med Res. 2021;14(3):1039-43.
Abdat M, Usman S, Chairunas, Suhaila H. Relationship between stunting with dental and oral status in toddlers. J Dentomaxillofacial Sci. 2020;5(2):32-40.