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All Journal Media Gizi Kesmas INDONESIAN MIDWIFERY HEALTH AND SCIENCES JOURNAL
Fitriari, Tutfah Razzak
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Education Environmental Science Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences

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FAMILY-RELATED DETERMINANTS SHAPING EMOTIONAL BEHAVIOR IN CHILDREN Fitriari, Tutfah Razzak; Irwanto
Indonesian Midwifery and Health Sciences Journal Vol. 9 No. 2 (2025): Indonesian Midwifery and Health Sciences Journal, April 2025
Publisher : UNIVERSITAS AIRLANGGA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/imhsj.v9i2.2025.136-152

Abstract

Background: Emotional behavior in children is rarely addressed through early screening, despite its importance in child development. The family plays a central role; however, prior studies vary in the family aspects they examine, with some factors receiving more attention than others. This review aims to synthesize which family-related determinants are most frequently studied about children’s emotional behavior. Method: A literature search was conducted using the keywords “family” AND “child*” AND “emotional OR behavior” AND “internalizing OR externalizing,” limited to English-language, full-text, open-access articles published between 2020 and 2025. Databases included ScienceDirect, PubMed, and Google Scholar. The PICO framework guided the research question. A total of 1,449 articles were initially identified. Elicit (elicit.com) was used to assist the screening and selection process. After applying inclusion and exclusion criteria, seven articles were eligible for review. Result: The seven studies examined various family-related factors influencing children’s emotional and behavioral outcomes. Recurring themes included parenting style, family conflict, parenting stress, parental mental health, and family structure. Supportive parenting, consistent routines, and a positive emotional climate were associated with better emotional regulation, while harsh discipline, conflict, and poor parental mental health were linked to greater emotional and behavioral problems. Some studies identified mediating or moderating factors such as resilience, sleep quality, and neural responses, reflecting the complex interplay between family environments and child development. Conclusion: Children’s emotional and behavioral development is shaped by multiple interrelated family factors. Interventions should be multidimensional, addressing parenting practices, caregiver mental health, and household stability to support child well-being.  
Perbedaan Gizi pada Bayi: Membandingkan Profil Karbohidrat dan Lipid Antara Bayi dengan Status Gizi Normal dan Obesitas Puspitasari, Ria; Widjaja, Nur Aisiyah; Ardianah, Eva; Fitriari, Tutfah Razzak
Media Gizi Kesmas Vol 13 No 2 (2024): MEDIA GIZI KESMAS (DECEMBER 2024)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v13i2.2024.763-772

Abstract

Background: For supporting the infant’s growth and development, Human Milk (HM) is the most suitable nutritional source, especially during 6 months. Growth study showed different growth between breastfed infants and formula-fed infants, in which they are thinner compared to formula-fed infants, but some breastfed infants are overnutrition (overweight and obese). Objective: to investigate the macronutrient content of HM in exclusive breast-feeding infants aged under 12 months old. Methods: The study’s design was a case-control, conducted on 20 lactating mothers (residents and employee) in the pediatric departemen at Regional General Hospital Dr. Soetomo Surabaya in March–April 2018. HM of the infant with overnutrition was included in the Overnutrition (ON) group, and HM of the infant with normal nutrition was included in the Normal (N) group. To obtain the HM samples, the researchers recruited lactating mothers who participated in this study voluntarily. The lactating mothers must breastfeed their infants predominantly, and their infant’s age must be less than 12 months old. The macronutrients content in HM were measured using a Human Milk Analyzer (HMA) (MIRIS®, Uppsala, Sweden). Statistical analysis conducted was test of normality (Shapiro Wilk) and test of homogeneity followed by Mann Whitney U test and Fisher exact test with the level of significance <0.05. Results: We got 20 samples of HM from 20 lactating mothers, in which ten infants were determined as overnutrition (2 were categorized as overweight and 8 were obese) and grouped in ON, while 10 infants were normal and were grouped in the N group. It was found that the ON group had higher lipid content than the N group (4.33[2.0-6.8] vs. 2.40 [1.2-3.9] g, p=0.019). Protein content was almost similar in both groups (p=0.853), The ON group had lower carbohydrate content than (2.42 [1.5-3.7] g) than the N group (3.42 [2.1-4] g), p=0.004. The ON group had higher energy content (53.85 [31.20-76.20] kcal/ml) than the N group (39.90 [26.40-51.90] kcal/ml, p=0.065). Conclusion: The incidence of overnutrition during infancy is likely affected by high lipids content in HM than other macronutrients. The carbohydrate content was significantly low in overnutrition infants.
Co-Authors Ardianah, Eva IRWANTO Nur Aisiyah Widjaja, Nur Aisiyah Ria Puspitasari