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Journal : smart medical journal

Correlation Of Cultural Beliefs and Chronic Energy Deficiency During Pregnancy with Stunting in Children Aged 0-24 Months in Jatipurno, Wonogiri Dewi, Annisa Puspa; Shabrina, Amalina; Aryoseto, Lukman
Smart Medical Journal Vol 7, No 2 (2024): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v7i2.89337

Abstract

Introduction: Stunting is a multifactorial issue that results in impaired growth and development in children. Maternal nutritional history, especially Chronic Energy Deficiency (CED), has an impact on child stunting. Infants with low birth weight are more likely to be stunted if their mothers have CED. The high rate of stunting in Jatipurno, Wonogiri is also influenced by culture beliefs in local community, which includes early supplemental feeding, dietary restrictions for pregnant mothers, and a high birth rate. This study aimed to see the correlation between CED during pregnancy and cultural beliefs (early complementary feeding, maternal food restrictions during pregnancy, and number of children) with stunting in children aged 0-24 months.Methods: This was an observational study with a retrospective case control approach. Purposive sampling based on the inclusion and exclusion criteria was used in this study. Subjects were children aged 0-24 months in Jatipurno, Wonogiri with normal and stunted nutritional status. Stunted children were allocated into case group (n=16) and normal children were allocated into control group (n=16). Statistical analysis performed with chi-square and multiple logistic regression using SPSS.Results: There was a significant relationship between CED during pregnancy with the incidence of stunting in children aged 0-24 months in the Jatipurno Health Center Working Area, with a p value of 0.008 (p<0.05) and OR value of 27.323.Conclusion: CED during pregnancy was a significant risk factor for stunting in children aged 0-24 months in Jatipurno, Wonogiri. There was no significant correlation between cultural beliefs (early complementary feeding, maternal food restrictions during pregnancy, and number of children) with stunting in children aged 0-24 months.
Low Birth Weight as Predictor of Underweight and Stunting Among Female Students Aged 6-9 Years: an Observational Study in Surakarta Shabrina, Amalina; Ayusari, Amelya Augusthina; Dewi, Yulia Lanti Retno; Wiboworini, Budiyanti; Sudarsono, Joko; Handayani, Sutartinah Sri; Rahayu, Dwi
Smart Medical Journal Vol 7, No 1 (2024): April
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v7i1.79718

Abstract

Introduction: Undernutrition remains a leading cause of premature mortality among children in developing countries. Previous studies discussed that the risk of undernutrition elevated with child’s age, stressing the need to address undernutrition in older children. Maternal factors also caused undernutrition through intergenerational transmission. However, data related to nutritional status of female children age >5 years in Indonesia are lacking. This study aimed to elucidate determinants associated with nutritional status among primary school girls in Surakarta.Methods: This was an observational, cross-sectional study. A total of 61 female students aged 6-9 years from Nur Hidayah Primary School Surakarta participated in this study. Data were collected through online questionnaire filled by parents who were directed to follow the procedures of anthropometric measurement at home. Z-score was calculated using WHO AnthroPlus software. Nutritional status of children was measured in weight-for-age and height-for-age. Statistical analyses were performed using Spearman’s correlation and backward linear regression. Variables with p<0.05 from the final model were considered as the determinants.Results: Among study participants, 4.9% were underweight and 9.9% were stunted. Our study found one common determinant of nutritional status by weight-for-age and height-for-age, namely birth weight (p=0.027 and p=0.011 respectively). Maternal height was, in particular, associated with nutritional status by height-for-age (p=0.001).Conclusion: Birth weight was significantly associated with nutritional status by weight-for-age and height-for-age, while maternal height was significantly correlated with only nutritional status by height-for-age. Nutrition programs for female students such as school lunch and multivitamin supplementation could be implemented to prevent the intergenerational effects of stunting and underweight.