DIETARY DIVERSITY AND STUNTING AMONG 6-23 MONTHS CHILDREN: COMMUNITY CROSS-SECTIONAL STUDY IN EAST JAKARTA
DOI:
https://doi.org/10.31674/mjmr.2019.v03i03.003Abstract
The period from birth to two years of age is a “critical window” of opportunity for the promotion of optimal growth, health and behavioral development of children. Dietary diversity is an important immediate determinant of stunting children also feeding patterns combined with household food insecurity can lead to stunting children which is a major public health problem in developing countries like Indonesia.
A community based cross-sectional study that involved 120 participants from east Jakarta rural were conducted from February to March 2018. A consecutive sampling procedure was employed to select the required households. Multivariable logistic regression analyses were performed to compare stunting by feeding patterns and other characteristics.
The prevalence of child stunting in the current study Dietary diversity and child stunting 44 was 43,5%. Dietary diversity has association with stunting especially in the poorest economic status. Dietary education would be the most effective strategy to deliver messages about infant and young child feeding practices, especially on dietary diversity.
Keywords:
Dietary Diversity, Malnutrition, StuntingDownloads
References
Aguayo, V.M. & Menon, P. (2016). Stop Stunting: Improving Child Feeding, Women’s Nutrition and Household Sanitation in South Asia. Maternal & Child Nutrition, 12(Supple 1), pp 3-11
Ahmad, I., Maroof, M., Khalique, N. Khalil, S.& Urfi. (2018). Dietary Diversity and Stunting Among Infants and Young Children: A Cross-Sectional Study in Aligarh. Indian Journal of Community Medicine, (43)1 pp 34-36
Aiadeke, C., Levin,C.E., Maxwell, D.G., Armar-Klemesu, M., Ruel, MT.& Morris ,S.(2000) Urban Livelihoods and Food and Nutrition Security in Greater Accra, Ghana . Retrived from: https://www.who.int/nutrition/publications/WHO_multicountry_%20study_Ghana.pdf
Baron, J., Sävendahl, L., De Luca, F., Dauber, A., Phillip, M., Wit, J.M.& Nilsson, O. (2015). Short and Tall Stature: A New Paradigm Emerges. Nature Reviews Endocrinology, (11)12, pp 735-746
Beal, T., Tumilowicz, A., Sutrisna, A., Izwardy, D. & Neufeld, L.M. (2018). A Review of Child Stunting Determinants in Indonesia. Maternal & Child Nutrition, Pages 10
Begum, K. & Dewey, K. (2011). Long-Term Consequences of Stunting in Early Life. Maternal & Child Nutrition, (3)5, pp 5-18
Black, R.E., Victora, C.G., Walker, S.P., Bhutta, Z.A., Christian, P., de Onis, M., Ezzati, M., Grantham-McGregor, S., Katz, J., Martorell, R., Uauy, R. & Maternal and Child Nutrition Study Group. (2013). Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet, 382(9890), pp 427-451
Deborah, C., Lulu, C., Mbwana, H., Rose, V., Sabas, K., Issaka,A.I., Baines, S.K., Dibley, M.J.& Agho, K.E.(2015). Determinants of stunting and severe stunting among under-fives in Tanzania: evidence from the 2010 cross-sectional household survey. BMC Pediatrics, Pages 13
Demirchyan, A., Hekimian ,K., Petrosyan, V.& Sargsyan, V.(2016). Predictors of Stunting Among Children Ages 0 To 59 Months in a Rural Region of Armenia. Journal of Pediatric Gastroenterology and Nutrition, 62(1),pp 150–156.
Ey Chua, EY., Zalilah, M.S., Ys Chin, Y.S. & Norhasmah, S.(2012). Dietary Diversity is Associated with Nutritional Status of Orang Asli Children in Krau Wildlife Reserve, Pahang. Malaysian Journal of Nutrition, (18)1 ,pp 1-13.
Fanzo, J.& Reinhardt,K.(2014). Addressing Chronic Malnutrition Through Multi-Sectoral, Sustainable Approaches: A Review of Causes and Consequences. Frontiers in Nutrition, Pages 11
Foote, D., Paintal, K., Zarrelli, A. & Begin, F.(2013). Multisector action to promote nutrition security in five countries in Asia. Annals of Nutrition and Metabolism. Retrived from https://insights.ovid.com/annals-nutrition-metabolism/anumds/2013/09/001/multisector-action- promote-nutrition-security-five/2242/00000595
McDonald, C.M., McLean, J.,Talukdar,A., Lynd, L.D. & Green ,T.J. (2015). Household Food Insecurity and Dietary Diversity as Correlates of Maternal and Child Undernutrition in Rural Cambodia. European Journal of Clinical Nutrition, 69(2), pp 242-246
Melaku, Y.A., Gill, T.K., Taylor, A.W., Adams, R., Shi, Z.& Worku, A. (2018). Associations of Childhood, Maternal and Household Dietary Patterns With Childhood Stunting In Ethiopia: Proposing An Alternative And Plausible Dietary Analysis Method To Dietary Diversity Scores. Nutrition Journal. Pages 15
Ministry of Health Republic of Indonesia. (2018). Potret Sehat Indonesia dari Riskesdas 2018. Retrieved from: http://www.depkes.go.id/article/view/18110200003/potret-sehat-indonesia-dari- riskesdas-2018.html
Mushtaq, M.U., Gull, S., Khurshid, U., Shahid, U., Shad, M.A.& Siddiqui, A.M. (2011). Prevalence and Socio-Demographic Correlates of Stunting and Thinness among Pakistani Primary School Children. BMC Public Health, pages 11
Poos, M.I., Costello, R., Carlson-Newberry, S.J.& Institute of Medicine (US) Committee on Military Nutrition Research. (1999). The Role of Protein and Amino Acids in Sustaining and Enhancing Performance. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK224683/
Prendergast, A.J.& Humphrey, J.H. (2014) The Stunting Syndrome in Developing Countries.Paediatrics and International Child Health, 34(4), pp 250-265
Rosenkranz, R.R., Sumarmi, S.& Mahmudiono ,T.(2017). Household Dietary Diversity and Child Stunting In East Java, Indonesia. Asia Pacific Journal of Clinical Nutrition, 26(2) ,pp 317–325.
Sari, M., de Pee, S., Bloem, M.W., Sun, K., Thorne-Lyman, A.L., Moench-Pfanner, R., Akhter, N., Kraemer, K.& Semba, R.D. (2010). Higher Household Expenditure on Animal-Source and Nongrain Foods Lowers the Risk of Stunting among Children 0–59 Months Old in Indonesia: Implications of Rising Food Prices. The Journal of Nutrition, 140(1), pp 195S-200S
Seedhom, A.E., Mohamed, E.M.& Mahfouz, E.M. (2014). Determinants of stunting among preschool children, Minia, Egypt. International Public Health Forum, 1(2), pp 6-9
Sjarif, D.R., Yuliarti, K. & Iskandar, W. J. (2019). Daily Consumption of Growing-Up Milk Is Associated with Less Stunting Among Indonesian Toddlers. Medical Journal of Indonesia, (28)1, pp 70-76.
Sjarif, D.R., Yuliarti, K.& Iskandar, W.J. (2019). Daily Consumption of Growing-Up Milk Is Associated with Less Stunting Among Indonesian Toddlers. Medical Journal of Indonesia, 28(1),pp 70-76
Sutrisna ,A., Tumilowicz, A., Izwardy, D., Neufeld, L.M. & Beal, T.(2018). A Review of Child Stunting Determinants in Indonesia. Maternal and Child Nutrition, (14)4
UNICEF. (2014). Improving Child Nutrition: The Achievable Imperative for Global Progress. Retrieved from: https://www.unicef.org/publications/index_68661.html
Walker, S.P., Chang, S.M., Wright, A., Osmond, C. & Grantham-McGregor, S.M. (2015). Early Childhood Stunting is Associated with Lower Developmental Levels in the Subsequent Generation of Children. The Journal of Nutrition, (145)4, pp 823-828
Willey, B.A., Pettifor, J.M., Cameron, N., Griffiths, P.L. & Norris, S.A. (2009). Socio-Economic Predictors of Stunting in Preschool Children - A Population-Based Study from Johannesburg and Soweto. South African Medical Journal, (99)6, pp 450-466
World Bank Data Team.(2017). New country classifications by income level. Retrieved from: https://blogs.worldbank.org/opendata/new-country-classifications-income-level-2017-2018
World Health Organisation. (2019). Indicators for Assessing Infant and Young Child Feeding Practices.Retrivedfrom:https://www.who.int/maternal_child_adolescent/documents/978924159975 7/en/
World Population Review. (2019). World Population by Country. Retrieved from: http://worldpopulationreview.com/