Contagion: Scientific Periodical Journal of Public Health and Coastal Health
Vol 8, No 3 (2026): Contagion

The Relationship between Nutritional Status and the Latency Period of Wave V of the BERA in Toddlers with Speech Disorders and Normal Hearing

Desri Luhonna (Resident of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia)
Dina Alia (Department of Otorhinolaryngology-Head and Neck Surgery, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia)
Azwar Ridwan (Department of Otorhinolaryngology-Head and Neck Surgery, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia)
Elvia Elvia (Department of Otorhinolaryngology-Head and Neck Surgery, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia)
Novina Rahmawati (Department of Otorhinolaryngology-Head and Neck Surgery, Dr. Zainoel Abidin Hospital, Banda Aceh, Indonesia)
Rachmad Suhanda (Department of Public Health, Faculty of Medicine, Syiah Kuala University, Banda Aceh, Indonesia)



Article Info

Publish Date
27 Sep 2026

Abstract

The causes of speech disorders in children are multifactorial, one of which is nutritional status that affects the maturation of the auditory nervous system. Brainstem Evoked Response Audiometry (BERA) examination is used for early detection of speech disorders in children, by assessing the speed of conduction of auditory nerve impulses, and is sensitive to neurological maturation disorders, changes in wave V latency indicate delays in the development of the central auditory pathway. Objective: To determine the relationship between nutritional status and wave V latency of BERA in toddlers with speech disorders and normal hearing. Methods: Retrospective study using medical record data sources on all children with speech disorders and normal hearing at the ENT-BKL Polyclinic of RSUDZA Banda Aceh for the period January 2024-October 2025. Results: There were 60 samples, 17 children with speech disorders and normal hearing experienced malnutrition, 3 children with undernutrition, 27 children with normal nutritional status 6 children with overweight, and 7 children with obesity. Poor nutritional status was dominated by boys, aged 24-35 months, a history of term birth and screen time of 2 hours per day. The latency period of wave V was prolonged in the right ear (7.58 ms ± 0.48 ms) and the left ear (7.43 ms ± 0.4 ms). There was a relationship between nutritional status and the latency period of wave V BERA in AD (p=0.000, r=-0.505) and AS (p=0.001, r=-0.409). Conclusion: Poor nutritional status was associated with prolonged BERA wave V latency among toddlers with speech disorders and normal hearing, suggesting delayed maturation od the auditory pathway. Keywords:  BERA, Latency Period, Nutritional Status, Speech Delay, Wave V

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Journal Info

Abbrev

contagion

Publisher

Subject

Health Professions Public Health

Description

Contagion: Scientific Periodical Journal of Public Health and Coastal Health, A Scientific Periodic Journal of Public Health published by the Public health Study Program of The Faculty of Public Health UINSU Medan. This Journal prioritiez the collaboration of lecturers and students with scope of the ...