Exclusive and Non-Exclusive Breastfeeding among Stunted and Normal 6–9 Month-Old-Children in Jatinangor Subdistrict, Indonesia

Viramitha Kusnandi Rusmil, Tri Oktaviani Prahastuti, Dimas Erlangga Luftimas, Tisnasari Hafsah

Abstract


Background: Stunting has become a public health problem in Indonesia, with the prevalence of stunting is 37.2% nationally and 25.6% in West Java. One of the causes of stunting is malnutrition that may occur because of not giving exclusive breastfeeding on the first 1000 days of life (FDL). The purpose of this study was to determine whether there was difference between exclusive and non-exclusive breastfeeding among stunted and normal 6–9 month-old-children.

Methods: This study was conducted using a cross-sectional analytic study during August-October 2018 with consecutive sampling method. This study involved 110 pairs of mothers and children aged 6-9 months who resided in villages which were within the work area of Jatinangor Public Health Center. Nutritional status was determined based on length-for-age z score according to WHO. The type of breastfeeding was known based on the questionnaire. Data was analyzed by chi square test.

Result: There were 60 of 110 children (54.5%) who did not receive exclusive breastfeeding. The incidence of stunting in children was 12.7% (14 of 110), of whom 10 children had no exclusive breastfeeding (p>0.05).

Conclusions: Although the incidence of stunting is higher in non-exclusive breastfeeding group, there is no difference in the proportion of stunting in children aged 6–9 months between those who are exclusively breastfed and those who are not, however, exclusive breastfeeding is encouraged.


Keywords


Exclusive breastfeeding; nutritional status; stunting

Full Text:

PDF

References


de Onis M, Branca F. Childhood stunting: a global perspective. Matern Child Nutr. 2016;12 Suppl 1:12–26.

UNICEF. Malnutrition - UNICEF DATA [Internet]. 2017[cited 2019 March 7]Available from: https://data.unicef.org/topic/nutrition/malnutrition/

Kementerian Kesehatan RI. Riset Kesehatan Dasar 2013. Jakarta: Kementerian Kesehatan Republik Indonesa; 2013.

Dewey KG, Begum K. Long-term consequences of stunting in early life. Matern Child Nutr. 2011;7 Suppl 3:5–18.

WHO. Global nutrition targets 2025: stunting policy brief. Geneva: Department of Nutrition for Health and Development WHO; 2014.

Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014;34(4):250–65.

Cusick SE, Georgieff MK. The role of nutrition in brain development: the golden opportunity of the first 1000 days. J Pediatr. 2016;175:16–21.

WHO. Infant and young child feeding: model chapter for textbooks for medical students and allied health professionals. Geneva: WHO Press; 2009.

Kementerian Kesehatan Republik Indonesia. Situasi dan analisis ASI eksklusif. Jakarta: Kementerian Kesehatan Republik Indonesia; 2014.

Hidayah F. ASI eksklusif sebagai faktor risiko kejadian stunting pada anak usia 6-24 bulan di kota Yogyakarta [Thesis]. Universitas Gadjah Mada; 2013.

Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatr Indones. 2018;58(3):123–7.

Kuchenbecker J, Jordan I, Reinbott A, Herrmann J, Jeremias T, Kennedy G, et al. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Pediatr Int Child Health. 2015;35(1):14–23.

Dinas Kesehatan Provinsi Jawa Barat. Profil kesehatan provinsi Jawa Barat. Bandung: Dinas Kesehatan Provinsi Jawa Barat; 2016.

Rachmi CN, Agho KE, Li M, Baur LA. Stunting , underweight and overweight in children aged 2.0 – 4.9 years in Indonesia: prevalence trends and associated risk factors. PLoS One. 2016;11(5):e0154756.

Roche ML, Gyorkos TW, Blouin B, Marquis GS, Sarsoza J, Kuhnlein H V. Infant and young child feeding practices and stunting in two highland provinces in Ecuador. Matern Child Nutr. 2017;13(2).

Danaei G, Andrews KG, Sudfeld CR, Fink G, McCoy DC, Peet E, 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.

Walker SP, Wachs TD, Grantham-mcgregor S, Black MM, Nelson CA, Huff SL, et al. Inequality in early childhood : risk and protective factors for early child development. Lancet. 2011;378:1325–38.

Tessema M, Belachew T, Ersino G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan Afr Med J. 2013;14:75.

Martorell R, Zongrone A. Intergenerational influences on child growth and undernutrition. Pediatr Perinat Epidemiol. 2012;26 Suppl 1:302–14.




DOI: https://doi.org/10.15850/amj.v6n1.1598

Article Metrics

Abstract view : 2721 times
PDF - 1254 times



 This Journal indexed by

                  

          

 

Creative Commons License
AMJ is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

 


View My Stats