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All Journal Journal of Epidemiology and Public Health
Jemmi Sastrawijayah
Masters Program in Public Health, Universitas Sebelas Maret
Public Health

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Meta-Analysis of the Effects of Sleep Duration, Exercise, and Family Income on Obesity in Children Hanifah Hanifah; Arddha Maha Pawitra Dwi Puspita Dewi; Arinda Mukti Yuhanani; Jemmi Sastrawijayah; Bhisma Murti; Siti Mar’atul Munawaroh
Journal of Epidemiology and Public Health Vol. 8 No. 3 (2023)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2023.08.03.06

Abstract

Background: Obesity is still one of the problems in Indonesia. The obesity problem has grown into an epidemic, with more than 4 million people dying each year. Factors causing obesity such as lifestyle, lack of physical activity, poor diet habits, low family income, sleep duration, and others. This study aims to estimate the effect of sleep duration, exercise, and family income on obesity in children. Subjects and Method: A systematic review and meta-analysis were conducted using PRISMA guidelines and the PICO model. Population= children of 2-18 years. Intervention= short sleep duration, exercise, and high family income. Comparison= long sleep duration, no exercise, and low family income. Outcome= Obesity. Articles were collected from databases such as Google Scholar, PubMed, Science Direct, and ResearchGate. The literature search used the keywords “family income" AND “exercise” AND "sleep duration" AND “obesity” AND “children” AND "cross-sectional". A total of 19 articles met the inclusion criteria for the meta-analysis, and subsequently were assessed using RevMan 5.4. Results: A meta-analysis of studies from Japan, Korea, Ethiopia, China, Morocco, Saudi Arabia, and Ghana showed that children with short sleep duration (aOR= 1.83; CI 95%= 1.22 to 2.73; p= o.003), children with high family income (aOR= 1.18; CI 95%= 1.03 to 1.36; p= 0.020) could increase the incidence of obesity, and those results were statistically significant. Exercise can reduce the incidence of obesity in children, but this risk of reduction was not statistically significant (aOR= 0.80; CI 95%= 0.59 to 1.09; p= 0.15o). Conclusion: Short sleep duration and high family income increase the incidence of obesity in children, and these results are statistically significant. Exercise decreases the incidence of obesity in children, but the risk of decline is not statistically significant. Keywords: family income, exercise, sleep duration, obesity, children Correspondence: Hanifah. Master’s Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: hanifah1611@gmail.com. Mobile: +6281226829788.
Effect Size Estimation of Child Stunting Determinants in Surakarta, Central Java Jemmi Sastrawijayah; Bhisma Murti; Burhannudin Ichsan
Journal of Epidemiology and Public Health Vol. 9 No. 1 (2024)
Publisher : Masters Program in Public Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/jepublichealth.2024.09.01.01

Abstract

Background: Child growth is one of the public health indicators in monitoring the nutritional and health status of a population. One of the nutritional problems that is of major concern is the prevalence of stunting in toddlers. Stunting is still a problem in the world. This study aims to analyze the reestimation of the magnitude of the determinant effect of stunting on children under five in the city of Surakarta, Central Java.Subjects and Method: This was a cross-sectional study conducted in Pajang and Sibela community health centers (Puskesmas) in Surakarta, Central Java. Total sample of 200 children under five was selected using fixed disease sampling, consisted of 50 stunted children and 150 normal children. The dependent variable was stunting. The independent variables were exclusive breastfeeding, maternal height, maternal history of illness, maternal age at pregnancy, maternal height, and family income. The data were collected using questionnaire and analyzed using a multiple logistic regression.Results: Maternal age ≥20 years (aOR= 0.19; 95% CI= 0.06 to 0.58; p=0.004), maternal height ≥160 cm (aOR= 0.30; 95% CI= 0.12 to 0.74; p= 0.009), and family income high (aOR= 0.29; 95% CI= 0.12 to 0.72; p=0.008) reduces the risk of stunting. Children under five who were not exclusively breastfed (aOR= 27.06; 95% CI= 8.13 to 90.05; p <0.001) and frequent illness in mothers (aOR= 12.69; 95% CI= 4.59 to 35.10; p<0.001) increases the risk of stunting.Conclusion: Maternal age ≥20 years, maternal height ≥160 cm, and family income high reduce the risk of stunting. Children under five who were not exclusively breastfed and frequent illness in mothers increase the risk of stunting. Keywords: stunting, maternal age, maternal height, income, breastfed, illness, children
Co-Authors Arddha Maha Pawitra Dwi Puspita Dewi Arinda Mukti Yuhanani Bhisma Murti Burhannudin Ichsan Hanifah Hanifah Siti Mar’atul Munawaroh