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Danchin, Margaret
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Nursing Public Health

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Weight faltering and its association with wasting and stunting in Indonesian infants Dinari, Rizka; Oktaria, Vicka; Julia, Madarina; Danchin, Margaret
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28058

Abstract

Purpose: To describe the prevalence of weight faltering, wasting, and stunting in infancy and explore their associations. Methods: This secondary analysis used a 2015-2017 birth-longitudinal cohort study in Yogyakarta, Indonesia. Mean Z-scores for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) were presented. Weight faltering, wasting, and stunting were assessed. Weight faltering refers to a deceleration in weight that crosses two major percentiles relative to the 2006 WHO Child Growth Standards, evaluated at 0-6 and 6-12 months. Wasting is defined as WLZ<-2 SD, while stunting is LAZ<-2 SD. The association between weight faltering and undernutrition at 6 and 12 months was explored using logistic regression. Results: This study included 294 of 422 participants from the original cohort study. The prevalence of wasting and stunting peaked at 7 months (13%, 6/45) and at 12 months (17%, 25/150), respectively. Weight faltering at 0-6 months (10%, 28/293) was higher than in 6-12 months (4%, 10/250). Bivariate analysis showed that weight faltering at 0-6 months was significantly associated with wasting at 6 months (OR 10.89, 95% CI 3.41-34.80, p-value<0.001) and at 12 months (OR 7.17, 95% CI 1.53-33.49, p-value=0.027), but not with stunting. Conclusion: The prevalence of weight faltering and wasting was higher at 6-7 months of life, whereas stunting was higher at 12 months. Despite showing no significant association with stunting, infants with weight faltering have a higher risk of wasting. Identification of weight faltering is essential to signal the need for further clinical investigation and to enable early intervention to prevent the onset of wasting.
Weight faltering and its association with wasting and stunting in Indonesian infants Dinari, Rizka; Oktaria, Vicka; Julia, Madarina; Danchin, Margaret
Berita Kedokteran Masyarakat Vol 42 No 02 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i02.28058

Abstract

Purpose: To describe the prevalence of weight faltering, wasting, and stunting in infancy and explore their associations. Methods: This secondary analysis used a 2015-2017 birth-longitudinal cohort study in Yogyakarta, Indonesia. Mean Z-scores for weight-for-age (WAZ), length-for-age (LAZ), and weight-for-length (WLZ) were presented. Weight faltering, wasting, and stunting were assessed. Weight faltering refers to a deceleration in weight that crosses two major percentiles relative to the 2006 WHO Child Growth Standards, evaluated at 0-6 and 6-12 months. Wasting is defined as WLZ<-2 SD, while stunting is LAZ<-2 SD. The association between weight faltering and undernutrition at 6 and 12 months was explored using logistic regression. Results: This study included 294 of 422 participants from the original cohort study. The prevalence of wasting and stunting peaked at 7 months (13%, 6/45) and at 12 months (17%, 25/150), respectively. Weight faltering at 0-6 months (10%, 28/293) was higher than in 6-12 months (4%, 10/250). Bivariate analysis showed that weight faltering at 0-6 months was significantly associated with wasting at 6 months (OR 10.89, 95% CI 3.41-34.80, p-value<0.001) and at 12 months (OR 7.17, 95% CI 1.53-33.49, p-value=0.027), but not with stunting. Conclusion: The prevalence of weight faltering and wasting was higher at 6-7 months of life, whereas stunting was higher at 12 months. Despite showing no significant association with stunting, infants with weight faltering have a higher risk of wasting. Identification of weight faltering is essential to signal the need for further clinical investigation and to enable early intervention to prevent the onset of wasting.
Co-Authors Dinari, Rizka Madarina Julia Vicka Oktaria