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Evaluating socio-demographic, behavioral, and maternal factors in the dual burden of malnutrition among school-aged children in Batam, Indonesia Erda, Roza; Hamidi, Dachriyanus; Desmawati, Desmawati; Rasyid, Rosfita; Sarfika, Rika
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2049

Abstract

Malnutrition among school-aged children in urban-industrial settings presents a dual burden of undernutrition and overnutrition. The aim of this study was to examine factors influencing the nutritional status of elementary school children in Batam, Indonesia. A case-control study was conducted in Batam, focusing on children aged 6–12 years, with malnourished cases (undernutrition and overnutrition) and well-nourished controls, along with their mothers. Respondents were selected through stratified random sampling from public elementary schools. Inclusion criteria encompassed children enrolled in these schools, while exclusion criteria involved children with chronic health conditions. Data were collected via structured interviews utilizing validated questionnaires, anthropometric assessments (weight-for-age and height-for-age), and parent-reported socioeconomic, behavioral and family characteristics. Statistical analysis involved binary logistic regression to identify significant risk factors associated with malnutrition. A total of 188 children, including 94 malnourished cases (40 undernutrition and 54 overnutrition) and 94 well-nourished controls. The findings revealed significant differences between cases and controls in socioeconomic factors (pocket money (p=0.027), family income (p=0.042)), behavioral factors (sedentary activity (p=0.019), dietary habits (p=0.037)) and family factors (maternal BMI, p=0.011; maternal nutritional knowledge, p=0.004; parenting style, p=0.035). Dominant risk factors for malnutrition (undernutrition or overnutrition) included poor dietary habits (adjusted odds ratio (aOR): 0.451; 95%CI: 0.225–0.901; p=0.024), maternal obesity class II (aOR: 0.126; 95%CI: 0.030–0.535; p=0.005), and low maternal nutritional knowledge (aOR: 0.294; 95%CI: 0.124–0.696; p=0.005). Targeted family-centered interventions focusing on dietary practices and maternal education are therefore recommended to address this issue.
Analysis of Nutritional Problems using Focused Interviews Method in Elementary School Children (Later Childhood) in Batam City Erda, Roza; Hamidi, Dachriyanus; Desmawati, Desmawati; Rasyid, Rosfita
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.5777

Abstract

Optimal nutrition significantly impacts human health, particularly for primary school-aged children. Malnutrition manifests in various health issues, such as stunting, underweight, micronutrient deficiencies, and obesity. The prevalence of malnutrition among school-aged children in Indonesia, including Batam City, is rising yearly. This study aimed to analyse factors affecting the nutritional needs of elementary school children in Batam City. The study was conducted over one month and employed a qualitative approach. Participants included 39 respondents: 13 children, 11 parents, 5 peers, 5 teachers, and 5 school health centre officers, selected purposively. Data collection used open-ended responses through in-depth interviews. Findings revealed limited knowledge among children about balanced nutrition. All informants emphasized the importance of consuming diverse foods to meet nutritional needs, with children showing a positive attitude toward trying various foods. The respondents also highlighted the importance of avoiding impulsive snacking. Moreover, the study identified a positive relationship between physical activity and cognitive focus in learning, underscoring the need for regular physical activity. Programs addressing the specific nutritional challenges faced by children in Batam could enhance awareness and encourage healthy eating habits among elementary students.