Factors Affecting Nutritional Status among Children Aged 12–23 Months

Tisnasari Hafsah, Lina Shabrina Qorib Sudaryo, Yovi Yoanita

Abstract


Background: In Indonesia about 18% of children, mostly in the first two years of life, are malnourished, causing a serious impact. Many factors are thought to affect nutritional status among young children. This study was conducted to determine factors affecting the nutritional status of children aged 12–23 months in West Java, Indonesia.

Methods: This cross-sectional study used secondary data obtained from a Basic Health Research (Riset Kesehatan Dasar, RISKESDAS) 2010, conducted by Badan Penelitian dan Pengembangan Kesehatan (BALITBANGKES) Ministry of Health Republic of Indonesia. All of the data among children aged 12–23 months in West Java province was obtained. Statistical relationships between predisposing factors and nutritional status i.e. weight for height were analyzed using the chi-square test.

Results: In total, 730 data were obtained, of which 567 data met the inclusion criteria. Malnutrition was detected in 101 (17.8%) children. There was a significant relationship (p=0.017, OR=2.6, 95% CI 1.1–5.8) between low birth weight and nutritional status. Nevertheless, no significant relationship was found between nutritional status and history of exclusive breastfeeding (p=0.629), complimentary feeding (p=0.949), vitamin A (p=0.209), infectious diseases (p=0.266), complete immunization status (p=0.420), and mother education level (p=0.251).

Conclusions: The low birth weight is the only significant factor associated with the nutritional status among children less than 2 years old; resulting in that low birth weight had a 2.6 higher chance of malnutrition in the early years. Other factors are unexpectedly not significant in this study. There is thus a need to improve the quality of programs, focusing on childbearing mothers, during antenatal control.


Keywords


Low birth weight, nutritional status, malnutrition, RISKESDAS 2010, West Java

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References


UNICEF. Why Early Childhood Development?. 2012 [downloaded in 16 April 2012]. Available at : http://www.unicef.org/earlychildhood/index_40748.html.

UNICEF. Early childhood : The Big Picture. 2012 [downloaded in 16 April 2012]. Available at : http://www.unicef.org/earlychildhood/index_bigpicture.html.

World Bank. A Strategy for Large-Scale Action. 2006. Washington DC2006 [downloaded in 16 April 2012]; Available at : http://siteresources.worldbank.org/NUTRITION/Resources/281846-1131636806329/NutritionStrategy.pdf.

Ashar T, Lubis Z, Aritonang E. Analisis Pola Asuh Makan dan Status Gizi Pada Bayi di Kelurahan PB Selayang Medan. Jurnal Penelitian Rekayasa. 2008;1(2):66.

Anwar K, Juffrie M, Julia M. Faktor risiko kejadian gizi buruk di Kabupaten Lombok Timur Propinsi Nusa Tenggara Barat [dissertation]. Semarang: Universitas Diponegoro; 2005.

Schaible UE, Stefan H. Malnutrition and infection: complex mechanisms and global impacts. PLoS Medicine. 2007;4(5):e115.

BALITBANGKES. Riset Kesehatan Dasar 2010. Jakarta: Badan Penelitian dan Pengembangan Kesehatan. 2010.

Hay WW, Lucas A, Heird WC, Ziegler E, Levin E, Grave GD, et al. Workshop Summary: Nutrition of the extremely low birth weight infant. Pediatrics. 1999;104(6):1360-8.

Ziegler EE. Protein in premature feeding. Nutrition (Burbank, Los Angeles County, Calif). 1994;10(1):69.

Rassin D. Essential and non-essential amino acids in neonatal nutrition. Protein Metabolism During Infancy New York. NY: Raven Press Ltd. 1994:183-95.

Kalhan SC, Denne SC. Energy consumption in infants with bronchopulmonary dysplasia. J Pediatr. 1990;116(4):662-4.

Wahlig TM, Gatto CW, Boros SJ, Mammel MC, Mills MM, Georgieff MK. Metabolic response of preterm infants to variable degrees of respiratory illness. J Pediatr. 1994;124(2):283-8.

Hack M, Schluchter M, Cartar L, Rahman M, Cuttler L, Borawski E. Growth of very low birth weight infants to age 20 years. Pediatrics. 2003;112(1):e30-e8.

Binkin NJ, Yip R, Fleshood L, Trowbridge FL. Birth weight and childhood growth. Pediatrics. 1988;82(6):828-34.

Hayakawa M, Okumura A, Hayakawa F, Kato Y, Ohshiro M, Tauchi N, et al. Nutritional state and growth and functional maturation of the brain in extremely low birth weight infants. Pediatrics. 2003;111(5):991-5.

Casey PH, Whiteside-Mansell L, Barrett K, Bradley RH, Gargus R. Impact of prenatal and/or postnatal growth problems in low birth weight preterm infants on school-age outcomes: an 8-year longitudinal evaluation. Pediatrics. 2006;118(3):1078-86.

Goldenberg RL, Culhane JF. Low birth weight in the United States. Am J Clin Nutr. 2007;85(2):584S-90S.

da Fonseca EB, Bittar RE, Carvalho M, Zugaib M. Prophylactic administration of progesterone by vaginal suppository to reduce the incidence of spontaneous preterm birth in women at increased risk: a randomized placebo-controlled double-blind study. Am J Obstet Gynecol. 2003;188(2):419.

Meis PJ, Klebanoff M, Thom E, Dombrowski MP, Sibai B, Moawad AH, et al. Prevention of recurrent preterm delivery by 17 alpha-hydroxyprogesterone caproate. N Engl J Med. 2003;348(24):2379-85.

Jones S, Carley S, Harrison M. An introduction to power and sample size estimation. Emerg Med J. 2003;20(5):453.




DOI: https://doi.org/10.15850/amj.v6n4.1698



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