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Household clean and healthy living behaviors and stunting severity among children under five in Indonesia: A cross-sectional study Maghfirah, Dhiyal; Safri, Mulya; Maharani, Cut R.; Yusuf, Sulaiman; Sofia, Sofia
Narra X Vol. 3 No. 3 (2025): December 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narrax.v3i3.232

Abstract

The prevalence of stunting among children under five in Indonesia reached 21.5% in 2023, underscoring a persistent public health challenge. Behavioral factors, including Clean and Healthy Living Behavior (CHLB), are known to influence health outcomes and may contribute to child growth. The aim of this study was to examine the association between household CHLB and stunting severity among children under five years of age. A cross-sectional study was conducted from September to October 2024 in the Sukajaya Primary Health Center area. Using a total sampling technique, 62 mothers of stunted children aged 0–59 months were recruited. Data were collected through direct interviews using structured questionnaires and anthropometric measurements of children’s height and weight. Statistical analysis included chi-square tests and multivariable logistic regression using SPSS version 23.0. The results showed that children with severe stunting were significantly younger than those with moderate stunting (26.9±14.9 months, p<0.001). Overall, household CHLB implementation was suboptimal; however, no statistically significant association was identified between the overall CHLB and stunting severity (p=0.091). Multivariable analysis identified child age (OR=0.916, p=0.001) based on weight-for-age z-scores (OR=0.298; p=0.019) as an independent predictor of stunting severity, whereas household CHLB was not significantly associated (p=0.132). In conclusion, stunting severity among children under five was primarily associated with child age and nutritional status rather than household CHLB implementation. These findings highlight the importance of early-life nutritional interventions to prevent progression to severe stunting.
Prevalence and associated factors of infantile colic in infants of mothers in medical residency program Muzal Kadim; Wira Febrisandi Irsan; Tjhin Wiguna; Dina Muktiarti; Sulaiman Yusuf; Ade Rachmat Yudianto; Yusri Dianne Jurnalis; Yudith Setiati Ermaya; Wahyu Damayanti; Andy Dharma; Christy Venada
Paediatrica Indonesiana Vol. 66 No. 1 (2026): January 2026
Publisher : Indonesian Pediatric Society

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Abstract

Background  Infantile colic, defined according to the Rome IV criteria as excessive crying in otherwise healthy infants without signs of illness or failure to thrive, could be linked to inadequate mother–infant bonding. The risk of infantile colic is increased in mothers with depression and insufficient family support. Infantile colic could lead to recurrent emergency department admissions, unnecessary treatments, and child abuse. Mothers in medical residency programs who often face long working hours, reduced bonding time with their infants, burnout, and depression, may be at an increased risk of having infants with colic. However, data on the prevalence and associated factors of infantile colic in infants of mothers in this specific population are lacking. Objective To determine the prevalence of infantile colic and its associated factors among infants of mothers participating in medical residency programs. Methods We conducted a cross-sectional study involving 67 infants of mothers in medical residency programs across seven centers in Java and Sumatra. We used the Indonesian-translated Parent Report Questionnaire for Children Aged 0-3 Years from the Rome Foundation to obtain information on infantile colic based on Rome IV criteria and the Indonesian version of the Mother-Infant Bonding Scale Questionnaire to assess the risk level of mother-infant bonding problems. An online questionnaire was distributed to subjects’ mothers via WhatsApp© application. Results  Of 67 subjects, 18 (26.8%) experienced infantile colic. High risk of mother–infant bonding problems, as indicated by elevated Mother-Infant Bonding Scale-Indonesian version (MIBS-I) scores, were significantly associated with infantile colic (OR 2.922; 95%CI 1.07 to 4.87; P=0.046). The type of nutrition, whether breast milk or a combination of formula and breast milk, did not significantly differ between infants with and without colic (OR 1.333; 95%CI 0.451 to 3.940; P=0.602). Conclusion Elevated MIBS-I scores, reflecting impaired mother–infant bonding, are ssociated with an increased risk of infantile colic in infants born to mothers in medical residency training programs.
Evaluating reticulocyte hemoglobin as a marker of iron depletion in pediatric patients in Banda Aceh Oktariany, Ayu Rezky; Haris, Syafruddin; Noviat, Heru; Yusuf, Sulaiman; Edward, Eka Destianti; Andid, Rusdi
AcTion: Aceh Nutrition Journal Vol 11, No 1 (2026): March
Publisher : Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/action.v11i1.2535

Abstract

Anemia in children remains a major public health problem worldwide and in Indonesia, where national data report a prevalence of 21.7% among children aged ≥1 year. Iron deficiency is the leading cause, with iron depletion representing the earliest subclinical stagewhich is often difficult to detect using conventional parameters. Reticulocyte hemoglobin (Ret-He) has been proposed as a marker of functional iron availability during erythropoiesis. This study aimed to evaluate the diagnostic performance of Ret-He in identifying iron depletion in pediatric patients. A cross-sectional analytical study was conducted at Dr. Zainoel Abidin General Hospital in Banda Aceh between July and September 2024. A total of 87 pediatric patients aged 1 month to 18 years were initially enrolled; after excluding subjects with anemia to focus on the iron depletion stage, 54 children were included in the final analysis. Iron depletion was identified in 12.6% of the subjects. Receiver operating characteristic (ROC) analysis showed an optimal Ret-He cut-off value of 29.5 pg, with an area under the curve (AUC) of 0.609, sensitivity of 70%, specificity of 63.6%, and a non-significant p-value (p = 0.398), indicating a limited diagnostic accuracy. Ret-He levels were significantly positively correlated with mean corpuscular volume (MCV) (r = 0.444; p = 0.001) and mean corpuscular hemoglobin (MCH) (r = 0.511; p < 0.001), but were not significantly associated with hemoglobin, ferritin, or transferrin saturation. In conclusion, Ret-He cannot be used as a standalone diagnostic marker of iron depletion in pediatric patients. However, its association with erythrocyte indices suggests that Ret-He may serve as a complementary parameter when interpreted alongside conventional iron status markers during the early evaluation of iron-related disorders.
Relationship Between Behavioral and Emotional Problems Using the Strengths and Difficulties Questionnaire (SDQ) and Academic and Sports Achievement Index Among Students at State Sports-Talented High School in Aceh Kuine, Mestika; Dimiati, Herlina; Thaib, T.M.; Andid, Rusdi; Yusuf, Sulaiman; Amna, Eka Yunita
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.866

Abstract

Adolescence represents a vulnerable developmental period characterized by rapid behavioral and emotional changes that significantly influence academic achievement and sports performance. The Strengths and Difficulties Questionnaire (SDQ) is a standardized screening instrument widely utilized to assess emotional symptoms, conduct problems, hyperactivity, peer relationship difficulties, and prosocial behavior in adolescents. This study aimed to investigate the relationship between behavioral and emotional problems measured by SDQ and academic and sports achievement indices among students at State Sports-Talented High School in Aceh. An observational analytical study with cross-sectional design was conducted involving 108 students aged 15-18 years. Data collection utilized SDQ self-report questionnaire, academic records, and sports achievement documentation. Statistical analysis employed Mann-Whitney test for academic achievement and Fisher's exact test for sports achievement with 95% confidence level. Total difficulties score demonstrated significant associations with academic achievement (p=0.035) and sports achievement (p=0.010). Emotional problems subscale showed significant correlations with both academic (p=0.007) and sports achievement (p=0.038). Conduct problems and peer relationship difficulties exhibited highly significant associations with sports achievement (p=0.001 and p<0.001 respectively). The findings indicated that 26.9% of participants reported abnormal total difficulties scores, suggesting a need for intervention. Behavioral and emotional problems significantly correlate with academic achievement and sports performance among talented sports students. These findings emphasize the importance of routine mental health screening using SDQ in sports-specialized schools to enable early identification and timely intervention