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All Journal Media Kesehatan Masyarakat Indonesia AcTion: Aceh Nutrition Journal
Apoina Kartini
Department of Public Health Nutrition, Faculty of Public Health, Diponegoro University, Semarang
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Factors Associated with Coexisting Forms of Malnutrition (Stunting and Wasting) in Under-Five in Southeast Sulawesi Aisyah Nurul Hidayah; Suyatno Suyatno; Apoina Kartini
Media Kesehatan Masyarakat Indonesia Vol. 21 No. 4: DECEMBER 2025
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/mkmi.v21i4.45411

Abstract

The presence of more than one type of nutritional disorder in a person's body is called Coexisting Forms of Malnutrition (CFM). Children with CFM, such as those experiencing stunting, wasting, and underweight, 12.3 fold risk of death (CI=7.67-19.28) compared to healthy children. Southeast Sulawesi has the tenth highest prevalence of these cases. This study used secondary data based on the Indonesian Nutrition Status Survey (SSGI) 2022 with a cross-sectional design using complex sample analysis. The sample was children under five from Southeast Sulawesi Province, with a final sample size of 8,518 children analyzed. The median age of the sample was 32 months, most of them were male (50.5%), the median birth weight was 3,128.8 grams, and most of their nutritional intake was not diverse (92.1%). Bivariate analysis used chi-square, and multivariate analysis used logistic regression with a full model approach. 3.1% of children had CFM (stunting and wasting). Factors associated with this case based on bivariate analysis (p-value <0.05) were child age, sex, mother's education, mother's occupation, food security, sanitation, socioeconomic status, weight measurement, and vitamin A administration. Factors associated with this case based on multivariate analysis were child age 36-47 months (OR=4.027; 95% CI=1.838-8.825; p-value=0.001), male (OR=1.832; CI=1.324-2.536; p< 0.000), child with Low Birth Weight (LBW) (OR=3.061; CI=1.879-4.986; p<0.000), and poorest socioeconomic status (quintile 1) (OR=3.109; CI=1.641-5.890; p<0.001).
Determinants of malnutrion in children aged 6-36 months Linda Meliati; Mohammad Zen Rahfiludin; Apoina Kartini; Sutopo Patria Jati
AcTion: Aceh Nutrition Journal Vol 10, No 2 (2025): June
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.v10i2.2399

Abstract

Stunting in children increases their risk of mortality, cognitive impairment, motor development, and poor body function. This study aimed to examine the relationship between low birth weight, low birth length, sex, age, and weight growth status and the prevalence of stunting, underweight, and wasting in children aged 6–36 months in West Lombok Regency, Indonesia. Methods: A cross-sectional study was conducted between November 2023 and May 2024 with 544 children. Secondary data were obtained from two community health centers in the study area. Data analysis was performed using the Spearman correlation test and chi-square test. Results: Birth weight and length were significantly associated with nutritional status in children. Higher birth weight was positively correlated with a better weight-for-age Z-score (WAZ; p = 0,001), height-for-age Z-score (HAZ; p = 0,009), and weight-for-height Z-score (WHZ; p = 0,0001), indicating a strong influence on overall growth and nutritional outcomes. Similarly, a greater birth length was significantly associated with WAZ (p = 0,0001), HAZ (p = 0,002), and WHZ (p = 0,006). Age was also correlated with HAZ (p = 0,005) and incidence of stunting (p = 0,0001), suggesting an age-related cumulative effect on linear growth. Moreover, children with low birth weight had a significantly higher risk of stunting (p = 0,0007), whereas those with low birth length were more likely to be underweight (p = 0,050). In conclusion, LBW and LBL are significant risk factors for stunting, wasting, and underweight in children aged 6–36 months in West Lombok Regency.
Co-Authors Aisyah Nurul Hidayah Linda Meliati Mohammad Zen Rahfiludin Sutopo Patria Jati Suyatno Suyatno