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GANGGUAN PERTUMBUHAN DAN DEFISIT BERAT BADAN PADA BALITA DI PERKOTAAN DAN PEDESAAN Muljati, Sri; Hapsari, Dwi; Budiman, Basuki
GIZI INDONESIA Vol 28, No 2 (2005): September 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

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GROWTH FAILURE AND BODY WEIGHT DEFICIT OF UNDERFIVE CHILDREN IN URBAN AND RURAL AREASThe prevalence of malnutrition in Indonesia in 2003 is 19 percents; three percents of them are severe malnutrition. Study on the age beginning deviation of growth failure and the extent of the deficit in body weight of underfive children in Indonesia is scarce. We analysed 1694 records of children underfive year old from National Household Survey (SKRT) having complete data in weight, height and age. The study revealed that 42.9% children underfives suffered from growth failure, in which the magnitude was greater in rural than urban e.i. 53.8% and 46.2% respectively growth failure started. In the age 4 months, infant begins deficit his her body weight and the peak of the deficit is infant in six months e.i 21.05%. This analysis supports international finding that deviation in growth failure begin at 4 month for Indonesian children should be consideredKeywords: under five year children, growth

EFEK STATUS TIROKSINEMIA MATERNALTERHADAP TONUS DAN REFLEK BAYI: Studi kohor di daerah endemik deficiency iodium Budiman, Basuki
GIZI INDONESIA Vol 32, No 2 (2009): September 2009
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THE EFFECT MATERNAL THYROXINEMIA TO MUSCLE TONES AND REFLEXES OF THE NEW BORN: A Cohort study in endemic iodine deficiencyStudies have shown that iodine deficiency during pregnancy has adverse effects on braindevelopment of the new born and some period thereafter. However, study on the effect ofthyroxinemia during trimester II to muscle tones and primitive reflexes of the infant in human isscarce. The objective of the study is to determine the association of the thyroxinemia during secondtrimester of pregnancy on neuropsychomotor development of new born. Enrollment of participants,namely pregnant mothers start in trimester II and measured periodically every month until delivered.The mothers were examined their health. Neurological examination of new born was also conductedevery month until 24 months old. The study revealed that maternal thyroxinemia during trimester IIsignificantly associated with muscle tones and primitive reflexes of new born (OR: 5.61 (2,32-13.52)p=0,000), however maternal TSH, EIU and Hb did not show the relationship. The neonatal TSH andmaternal goiter showed the relationship significantly OR: 2,25 (1,12-4,56) p=0,025 and OR 2,84 (1,56-5,20) p=0,001 respectively, but not for reflex of leg abduction dan foot dorsilation of the new born.The effect seem to continue along with the increasing infant’s age.Keywords: maternal thyroxinemia, primitive reflex, TSH, UIE, Hb, Odd Ratio

DESAIN PENELITIAN SOUTH-EAST ASIAN NUTRITION SURVEY (SEANUTS) DI INDONESIA Sandjaja, nFN; Budiman, Basuki; Harahap, Heryudarini; Ernawati, Fitrah; Soekatri, Moesijanti; Widodo, Yekti; Sumedi, Edith; Sofia, Gustina; Effendi, Rustan; Syarief, Hidayat; Minarto, nFN
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

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South-East Asian Nutrition Survey (SEANUTS) merupakan multi-center study yang dilakukan di Indonesia, Malaysia, Thailand dan Vietnam yang diprakarsai oleh FrieslandCampina Belanda tahun 2011 untuk mengetahui besaran masalah gizi utama di masing-masing negara. SEANUTS merupakan studi komprehensif gizi yang mengumpulkan data antropometri gizi (berat, tinggi badan, tinggi duduk, lapisan lemak bawah kulit, lingkaran lengan atas, lebar lengan tangan, siku, lutut), biokimia gizi (vitamin A, D, Hb, ferritin, DHA), iodium urine, perkembangan mental/ kognitif dan motorik, aktivitas fisik, kualitas tulang, konsumsi makanan, dan morbiditas. Tulisan ini menjelaskan desain umum SEANUTS. Desain SEANUTS adalah studi potong lintang (cross-sectional). Sampel adalah anak umur 0,5-12,9 tahun sebanyak 7211 anak yang dipilih dengan metode two-stage randomized cluster sampling. Pengumpulan data dilakukan dengan wawancara, pengamatan, pengukuran, dan pemeriksaan sesuai dengan data yang dikumpulkan. Enumerator terlatih mengumpulkan data morbiditas, antropometri, aktivitas fisik, kualitas tulang, perkembangan mental dan kognisi, konsumsi makanan, urin. Pemeriksaan klinis oleh tenaga medis setempat, pengambilan darah oleh plebotomis. Tulisan-tulisan dalam nomor majalah ini berisi hasil deskriptif tentang besaran masalah gizi makro dan mikro di Indonesia, konsumsi makanan, aktivitas fisik, dan perkembangan mental, sedangkan tulisan ini menjelaskan desain umum SEANUTS

STATUS VITAMIN D TERKINI ANAK INDONESIA USIA 2,0-12,9 TAHUN Ernawati, Fitrah; Budiman, Basuki
GIZI INDONESIA Vol 38, No 1 (2015): Maret 2015
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Masalah kurang vitamin D merupakan masalah gizi terbaru yang menjadi perhatian saat ini. Berbagai studi di luar negeri, baik di negara sub-tropis maupun tropis, menunjukkan prevalensi yang cukup tinggi. Di Indonesia belum banyak laporan tentang status vitamin D pada anak dan kelompok lain. Studi ini bertujuan mengetahui status vitamin D pada anak umur 2,0-12,9 tahun di Indonesia dan faktor yang berperan. Analisis menggunakan data anak usia 2,0 – 12,9 tahun dari South East Asian Nutrition Survey (SEANUTS) yang dikumpulkan tahun 2011. Desain penelitian adalah potong lintang di 48 Kabupaten di Indonesia. Pengukuran kadar 25-hydroxyvitamin D [25(OH)D] menggunakan enzym immuno assay. Analisis data menggunakan ANOVA and korelasi. Hasil penelitian menunjukkan rerata kadar vitamin D anak umur 2,0-12,9 tahun 52.6 + 0,7 nmol/L. Prevalensi deficiency vitamin D (serum 25(OH)D < 25 nmol/L), insufficiecy (25-49 nmol/L), inadequate (50-74 nmol/L), dan desirable (> 75 nmol/L) berturut-turut 0%, 45,1%, 49,3%, dan 5,6%. Kadar vitamin D lebih tinggi pada anak lelaki (54,7±0,9 nmol/L) dibanding perempuan (49,9±1,0 nmol/L). Dijumpai hubungan positif antara lama melakukan aktifitas diluar rumah dengan kadar vitamin D (r=0,164, p=0,012). Kadar vitamin Dpada anak kelompok umur 2,0-2,9 tahun yaitu 54,0±2,3 nmol/l, sedangkan pada anak kelompok umur 9,0-12,9 tahun yaitu 50,3 ± 1,4 nmol/l. Kadar vitamin D anak yang tinggal di kota (52,5 nmol/l) tidak berbeda dengan anak yang tinggal di desa (52,6 nmol/l). Hasil penelitian menunjukkan bahwa status vitamin D pada anak usia sekolah perlu mendapat perhatian.ABSTRACT CURRENT STATUS OF VITAMIN D IN INDONESIAN CHILDREN 2,0-12,9 YEARS OLD Vitamin D deficiency is an emerging nutritional problem. Studies in subtropical and tropical countries have shown high prevalence of vitamin D deficiency. However, the vitamin D status of school children and other groups in indonesia is still underreported. The objective of this study is to assess vitamin D status and its associated factors in children aged 2.0-12.9 year. The data used for the analysis is secondary data of children 2.0-12.9 year old taken from the cross-sectional study of South East Asian Nutrition Survey (SEANUTS) conducted in 48 districts in 2011. Serum 25-hydroxyvitamin D [25(OH)D] level was measured using enzyme immuno assay. Statistical analysis of data used ANOVA and Correlation test. The results showed that the mean serum 25(OH)D was 52.6 + 0,7 nmol/L. The prevalence of vitamin D deficiency (serum 25(OH)D < 25 nmol/L), insufficiency (25-49 nmol/L), inadequate (50-74 nmol/L), and desirable (> 75 nmol/L) were 0%, 45.1per cent, 49.3per cent, dan 5.6per cent ,respectively. Vitamin D level in boys (54,0±2,3 nmol/L) was higher than in girls (49.9±1.0 nmol/L). There was an association between vitamin D levels with outdoors activity (r=0.164, p=0.012). Mean vitamin D level in children aged 2,0-2,9 years was 54.0±2.3 nmol/l, while in children aged 9.0-12.9 years was 50,3 ± 1,4 nmol/l. There was no significant difference of vitamin D level between urban children (52.5 nmol/L) and rural children (52.6 nmol/L). The study draws our attention to vitamin D status in children 2.0-12.9 years old..Keywords: vitamin D status, children aged 1,0-12,9 years, outdoors activity

NUTRITIONAL STATUS OF POOR FAMILIES IN NORTH JAKARTA ., Sandjaja; Soekatri, Moesijanti; Wibowo, Yulianti; Budiman, Basuki; ., Sudikno
GIZI INDONESIA Vol 33, No 2 (2010): September 2010
Publisher : PERSATUAN AHLI GIZI INDONESIA

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TATUS GIZI PADA KELUARGA MISKIN DI JAKARTA UTARADari berbagai masalah kekurangan zat gizi mikro di Indonesia, hanya kurang vitamin A (KVA), anemia khususnya akibat kurang zat besi, dan gangguan akibat kurang iodium (GAKI) saja yang sudah banyak diteliti. Prevalensi kekurangan zat gizi mikro tersebut masih tinggi sehingga menjadi masalah kesehatan masyarakat. Akan tetapi penelitian kekurangan zat gizi mikro yang lain masih terbatas. Selain itu kekurangan zat gizi mikro khususnya pada keluarga miskin masih belum banyak diteliti. Penelitian ini bertujuan mengetahui besaran masalah kekurangan zat gizi mikro di Jakarta Utara pada 300 keluarga miskin dan 100 keluarga hampir miskin di 4 kelurahan yang mempunyai anak balita. Semua anak balita menjadi sampel penelitian, sedangkan untuk kelompok umur lain yaitu anak usia sekolah, remaja, dan dewasa hanya diambil sub -sampel. Data yang dikumpulkan adalah konsumsi makanan dan darah vena untuk dianalisis kadar hemoglobin, serum ferritin, zat seng (zinc), dan asam folat, dan data morbiditas. Hasil penelitian menunjukkan konsumsi energi antara 1018 –1702 kkal dan protein antara 26.7– 44.3 gram per hari. Konsumsi energi dan protein masih defisit terutama pada kelompok remaja dan dewasa. Menurut sosial ekonomi, konsumsi tersebut lebih rendah pada keluarga miskin dibanding keluarga hampir miskin. Prevalensi anemia pada keluarga miskin terendah pada remaja laki-laki (5,1%) dan tertinggi pada remaja perempuan (37, 0%), sedangkan pada keluarga hampir miskin pada anak usia sekolah perempuan (13,3%) dan tertinggi pada wanita dewasa (27,8%). Prevalensi defisiensi besi pada keluarga miskin dan keluarga hampir miskin terendah pada dewasa laki-laki (0%) dan tertinggi pada remaja perempuan (37, 0%). Defisiensi zinc terendah pada anak usia sekolah laki-laki (14,6%) dan tertinggi pada anak sekolah laki-laki (30,8%) dan wanita dewasa (38,9%).Kata kunci: anemia, iron deficiency, zinc deficiency, poor family

GANGGUAN PERTUMBUHAN DAN PERKEMBANGAN PADA ANAK USIA 0,5-1,9 TAHUN TERKAIT DENGAN ASUPAN MAKANAN DAN PENGASUHAN YANG KURANG Harahap, Heryudarini; Budiman, Basuki; Widodo, Yekti
GIZI INDONESIA Vol 41, No 1 (2018): Maret 2018
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Growth and development of children affected by various risk factors include malnutrition, poverty, and a less stimulated home environment. The objective of this analysis was to calculate the proportion of growth and development disorder and to determine the association of food intake and care for children with children’s growth and development. Samples were 247 children aged of 0.5-1.9 years who participated in the South East Asian Nutrition Survey (SEANUTS) in 2011. Growth was assesed by height for age in Z-score of WHO standard. Development was measured using Denver II test. Children were divided into four groups: 1).normal height with normal development (NH-ND); 2).stunting with normal development (S-ND), 3).normal height with suspected underdevelopment (NH-SD), and 4).stunting with suspected underdevelopment (S-SD). Protein intake was divided into adequate (≥80% RDA) and inadequate (<80% RDA). Care for children was measured by the length of carrying them, categorized into ≤2 hours or >2 hours. Socio-economic status was categorized into low and high based on quintile. Age was categorized into 0.5–0.9 years and 1.0–1.9 years. Data analysis employed multi-nomial logistic regression. Proportions of NH-SD, S-ND, NH-SD and S-SD were 53.6%, 17.9%, 19.4%, and 9.1%, respectively. S-ND was associated with protein intake (OR=2.2;95%CI:1.1-4.6), aged 1.0–1.9 years (OR=6.9: 95%CI:2.2-22.1). NH-SD was associated with aged 1–1.9 years (OR=0.3; 95%CI:0.1-0.6). S-SD was associated with inadequate protein intake (OR=3.1; 95%CI:1.2-8.2), low SES and duration of carrying them more than 2 hours (OR=6.9; 95%CI:2.5-19.0). Protein intake, SES and care for children were risk factors for growth and development of children.ABSTRAKPertumbuhan dan perkembangan anak dipengaruhi oleh berbagai faktor risiko diantaranya kekurangan gizi, kemiskinan, dan lingkungan rumah yang kurang stimulasi. Tujuan analisis adalah mengetahui proporsi gangguan pertumbuhan dan perkembangan dan mempelajari asosiasi asupan makanan dan pengasuhan dengan pertumbuhan dan perkembangan anak. Sampel adalah 247 anak, berusia 0,5–1,9 tahun dari penelitian South East Asian Nutrition Study tahun 2011. Pertumbuhan dinilai melalui Z-skor tinggi badan (TB) menurut umur standar WHO. Perkembangan diukur menggunakan test Denver II. Anak dikelompokkan menjadi: 1).TB dan perkembangan normal (NH-ND), 2).stunting tetapi perkembangan normal (S-ND), 3).TB normal tetapi perkembangan terganggu (NH-SD), dan 4). stunting dan perkembangan terganggu (S-SD). Asupan protein dikelompokkan atas cukup (≥80% RDA) dan kurang (<80% RDA). Pengasuhan diukur dari lama anak digendong, dikelompokkan menjadi ≤2 jam atau >2 jam. Status sosial ekonomi dikategorikan menjadi rendah dan tinggi. Analisis yang digunakan adalah multi-nomial logistic regression. Proporsi NH-ND, S-ND, NH-SD dan S-SD berturut-turut adalah 53,6%, 17,9%, 19,4%, dan 9,1%. S-ND berhubungan dengan kurang asupan protein (OR=2,2;95%CI:1,1-4,6), umur 1–1,9 tahun (OR=6,9: 95%CI:2,2-22,1). NH-SD berhubungan dengan umur 1,0–1,9 tahun (OR=0,3; 95%CI:0,1-0,6). S-SD berhubungan dengan kurang asupan protein (OR=3,1; 95%CI:1,2-8,2), SES rendah dan anak digendong > 2 jam (OR=6,9; 95%CI:2,5-19,0). Asupan protein, sosial ekonomi status dan pengasuhan anak merupakan faktor risiko untuk terjadinya pertumbuhan dan hambatan perkembangan pada anak.Kata kunci: konsumsi makanan, pengasuhan anak, perkembangan anak, status gizi

PENGARUH PEMBERIAN GARAM BERIODIUM TERHADAP KADAR TIROKSIN PADA IBU USIA SUBUR DI DAERAH ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; -, Komari; -, Saidin
GIZI INDONESIA Vol 28, No 1 (2005): Maret 2005
Publisher : PERSATUAN AHLI GIZI INDONESIA

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THE EFFECT OF IODIZED SALT INTERVENTION ON THYROXINE OF CHILDBEARING AGE MOTHERS IN ENDEMIC IODINE DEFICIENCY AREAThe national evaluation on implementation of Iodized salt indicate an excess dietary intakes of iodine. It is a consequence of the correction of iodine deficiency. However there is no confirmation of the adverse effect to the excess in Indonesia. Our aim is to elaborate whether the excess of iodine consumption affect serum thyroxine. We supplied 50-ppm iodized salt to 82 mothers at childbearing age’s family every two weeks for three months. We suggest the mothers used the supplied iodized salt for family consumption only and not used the salt for any other purposes such as cattle feeding. Mother’s blood drawn before and after intervention. Urine iodine exretion (UIE) were collected from school age children of participant family. The study revealed that three month-iodized salt intervention increased median UIE by 18.4 % and serum thyroxine level by 36.5 %. The number of children being at risk for hyperthyroidism were constributed from normal and deficit range level at initial study by 62,5 % and 41.7 % respectively. The number of mothers being thyroxine excess were 22.2 and 22.7 % respectively. We conclude that the level of iodine consentration in salt at 50 ppm is high and suggest that consentration should be lowered.Keywords: EIU, at risk for hyperthyroidism, thyroid hormone excess.mother at child bearing age.

PERKEMBANGAN MENTAL BAYI DAN ANAK INDONESIA: HASIL SEANUTS INDONESIA Budiman, Basuki; Syarief, Nurmeida S; Soekatri, Moesijanti
GIZI INDONESIA Vol 36, No 2 (2013): September 2013
Publisher : PERSATUAN AHLI GIZI INDONESIA

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Status gizi ibu hamil mempunyai dampak perkembangan neuropsikologik pada bayi yang dilahirkan. Penyimpangan perkembangan (fisik dan mental) dapat diidentifikasi pada awal kehidupan. South East Asian Nutrition Survey (SEANUTS) adalah penelitian gizi klinik multi-center di empat negara pada bayi dan anak (0,5-12,9 tahun). Negara yang berpartisipasi adalah Indonesia, Malaysia, Thailand dan Vietnam. Data psikologi untuk mengetahui perkembangan mental anak, termasuk aspek yang dikumpulkan. Pengukuran perkembangan anak menggunakan metode Denver Development Screening Test (DDST). Desain penelitian telah dijelaskan oleh Sandjaja, dkk. dalam artikel yang dimuat pada jurnal ini. Hasil penelitian menunjukkan bahwa anak Indonesia berusia balita yang dideteksi mengalami penyimpangan perkembangan (all four) sebesar 21,6 persen. Secara rinci penyimpangan perkembangan motorik kasar sebesar 11,5 persen; kemandirian (personal-social), adaptif-motor halus dan bahasa masing-masing 14,5; 11,8; dan 15,8 persen. Proporsi penyimpangan perkembangan pada bayi (0,5-0,9 tahun) terdeteksi paling besar (45,8%) dan secara keseluruhan penyimpangan yang terjadi pada keterampilan berbahasa (bicara) dan perkembangan kemandirian. Secara agregat (pool), hubungan antara penyimpangan neuropsikologik (all four) dan postur tubuh tidak ditemukan. Namun demikian, pada kelompok umur 1,0-2,9 tahun, hubungan tersebut ditemukan, sebaliknya hubungan ini tidak ditemukan pada kelompok umur lain. Pola asuh yang tidak optimal (bahasa, kemandirian) merupakan faktor risiko penyimpangan negatif perkembangan anak.ABSTRACTMENTAL DEVELOPMENT OF INDONESIAN INFANTS AND CHILDREN: RESULTS OF SEANUTS INDONESIAMaternal nutrition during gestation has consequences on mental development of the offspring. The physical and mental disorders can be identified in early life. South East Asian Nutrition Survey (SEANUTS) is a multicenter nutrition study on children aged 0.5 to 12.9 years in which measurement of mental development is also included. The aim of this paper was to describe mental development of Indonesian children 0.5-5.9 years old. Denver Development Screening Test (DDST) was used to identify the deviation of development. Child’s height was measured to reflect posture. Detailed study design was described by Sandjaja, et al earlier in this issue. The results revealed that total suspected of late all four development was 21.6 percent, including 11.5, 14.5, 11.8, and 15.8 percent for gross-motor development, personal social, adaptation-fine motor, and language skill, respectively. Infants were the most often detected as severe suspected of late developments (45.8%), especially for language and personal social skill. Unadjusted data revealed that there were no associations found between neuropsychological deviation (all four) and posture. When it was adjusted, a significant difference was found only in 1.0-2.9 years old group. We concluded that parenting stimulation as be shown in language skill and personal-social were important risk factors. Keyword: mental development, DDST, posture, multi-center study

ANEMIA PADA IBU USIA 17-35 TAHUN DI DAERAH ‘REPLETE’ ENDEMIK DEFISIENSI IODIUM Budiman, Basuki; Dewi, Rosmala; Muljati, Sri
GIZI INDONESIA Vol 30, No 1 (2007): Maret 2007
Publisher : PERSATUAN AHLI GIZI INDONESIA

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ANEMIA OF CHILD BEARING AGE MOTHERS 17-35 YEARS OF AGE IN ENDEMIC IODINE ‘REPLETE’ AREAIron Deficiency Anemia (IDA) as well as Iodine Deficiency Disorder (IDD) both have adverseeffects on cognitive and neuropsychomotor, and adverse pregnant outcomes. Both iron andiodine have role on nuero development. Iron interact with iodine through the activity of thyroidperoxidase (TPO), an iron-dependent enzyme. IDA in iodine replete area (IRA) have not beenreported. Assesments IDA (Hb), free thyroxine (fT4), Thyrotropin hormone (TSH) of reproductivemothers 17-35 years of age were conducted in IRA and non-endemic deficiency iodine area(NEDIA). Casual iodine urin concentration (UIC) of school age children was also assesed toconfirm iodine endemicity of study area. Analysis of risk for anemia according to iodine status andcorrelation hemoglobin and thyrotropin were performed. The study area was confirmed to be nonendemic iodine deficiency (UIC criteria). Median EIU were 242 (24-880) µg/L in IRA and 211 (44-387) µg/L in NEDIA respectively. Proportion of EIU less than 100 µg/L in IRA were 5.0 % and inNEDIA 1.2 %. Proporsion of EIU greater than 300 µg/L were 29.6 dan 24.7 persen respectively.The results indicated that study areas were no longer endemic iodine deficiency and the peoplewhere they live consumed iodine tend to excess. These situation may effect on thyroid function asindicated by suppressed TSH and fT4 in normal range. Those two thyroid function parameterssignificantly different in the IRA and NEDIA. The everages serum concentration of TSH in thestudy area were 1,96(1,56-2,36) in IRA compared to 1,38 (1,09-1,67) mUI/L in NEDIA(p=0,23);while fT4 were 1,29 (1,14-1,44) and 0,98 (0,90-1,05) µg/dL respectively. Hemoglobin serumconcentration of mothers in those two area was not signicantly different; 12,45 (12,19-12,71) inIRA compared to 12,21 (11,96-12,46) mg/dL di NEDIA. Iron deficiency anemia was found 23,3 %in IRA and 35,7 % in NEDIA; however mothers in IRA have risk for anemia as big as mothers inNEDIA OR: 0,54(0,24-1,24). Analysis correlation (Spearman’s) between TSH and Hb providedcoefisient correlation Rho as much as 0.072 indicated very weak correlation between the twoparameters. There were no difference in proportion of hypothyroidism in the two study areas (OR:0,68 (0,207-2,25). Although the proportion of iron deficiensi anemia (IDA) in IRA much less thanthe proportion in NEDIA; there were no relationship between IDA and Iodine deficiency.Absorption of Fe in IRA may be more efficient than did in NEDIA. More studies are needed toconfirm this finding.Keywords: IDA, TSH, fT4, Hb, EIU, NEDIA, IRA

Risiko Underweight pada balita terakhir di Rumah Tangga Muljati, Sri; Budiman, Basuki
Jurnal Kedokteran YARSI Vol 16, No 2 (2008): MEI - AGUSTUS 2008
Publisher : Lembaga Penelitian Universitas YARSI

Household health survey and covering all 30 provinces had assessed child nutritional status(underweight) for age 1-59 months, with cut-off point <-2.00 SD. A total sample of 1714 children aged 1-59 months was included in the assessment. The objective of this study was to analyze child nutritional status and factors related to the status. The study revealed that the prevalence of underweight in Indonesia was higher than those of Malaysia or China.Multivariate analysis identified various factors that associated with the prevalence ofunderweight. Children aged 1-59 months with higher risk of underweight were those head offamily age, birth order of children and head of family education. Odd Ratio (OR=1.35), thosewhose head of family age <25 year and had education less than senior high school (OR=1.25),and birth order of children (OR=1.18). Strategies to improve nutritional status of childrenshould include accelerate nutrition intervention programs, improving carrying knowledge/practice for children and community development.

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