Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan

https://doi.org/10.22146/ijcn.18881

Darwin Nasution(1*), Detty Siti Nurdiati(2), Emy Huriyati(3)

(1) Dinas Kesehatan Provinsi Sumatera Utara
(2) Departemen Obstetri dan Ginekologi, Fakultas Kedokteran Universitas Gadjah Mada
(3) Program Studi Gizi Kesehatan, Fakultas Kedokteran Universitas Gadjah Mada
(*) Corresponding Author

Abstract


Background: Stunting is one of the main problems of malnutrition often found in under-five children. The impacts include a delay in child’s growth, low endurance, lack of intelligence and productivity. The direct factors that influence the incidence of stunting are low birth weight (LBW) while the indirect factors are socioeconomic factors such as maternal education, low family income and a large number of family members.

Objective: To analyze the relationship between LBW and the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.

Method: This was a case-control study. The subjects were children aged 6-24 months with a group of cases comprising stunted children based on the indicator of height/age with a cut-off < -2 SD Z-score and the control group comprising normal children. The number of subjects for the study was 242 with the under-five children’s mothers as the research respondents. The sample selection used non-probability sampling with a consecutive sampling method. The data were analyzed by Chi-Square and multiple logistic regression.

Results: The proportion of children 6-24 months who had low birth weight was 15.7 %. There was a significant relationship between LBW and the incidence of stunting in children aged 6-24 months (OR=5.60; 95%CI:2.27 to 15.70). There was a relationship between maternal height and the incidence of stunting in children aged 6-24 months (OR=2.14; 95%CI:1.08 to 4.33). Socioeconomic factors (maternal education, family income and a number of family members) did not have a significant relationship with the incidence of stunting.

Conclusion: LBW had a relationship with the incidence of stunting in children aged 6-24 months in Yogyakarta Municipality.


Keywords


stunting; low birth weight; children aged 6-24 months

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References

Kurniasih D, Hilmansyah H, Astuti M, Imam S. Sehat & bugar berkat gizi seimbang. Jakarta: Kompas Gramedia; 2010.

Umeta M, West CE, Verhoef H, Haidar J, Hautvast JG. Factors associated with stunting in infants aged 5–11 months in the Dodota-Sire District, rural Ethiopia. J Nutr 2003;133(4):1064-9.

Kemenkes RI. Riset kesehatan dasar (RISKESDAS) 2010. Jakarta: Badan Penelitian dan Pengembangan Kemenkes RI; 2010.

Proverawati A, Ismawati C. BBLR (berat badan lahir rendah). Yogyakarta: Nuha Medika; 2010.

Soetjiningsih. Tumbuh kembang anak. Jakarta: Buku Kedokteran EGC; 2012.

Dinkes Kota Yogyakarta. Profil kesehatan Kota Yogyakarta tahun 2012. Yogyakarta: Dinas Kesehatan Kota Yogyakarta; 2012.

Sudirman H. Stunting atau pendek: awal perubahan patologis atau adaptasi karena perubahan sosial ekonomi yang berkepanjangan? Media Penelitian dan Pengembangan Kesehatan 2008;18(1):33-42.

Schlesselman JJ, Stolle PD. Case control studies: design, conduct, analysis. New York: Oxford University Press; 1982.

Bove I, Miranda M, Campoy C, Uauy R, Napol M. Stunting, overweight and child development impairment go hand in hand as key problems of early infancy: Uruguayan case. Early Human Development 2012;88:747-51.

WHO. Child growth standards: length/height-for-age, weight-for-age, weight-for-lenght, weight for height snd body mass index-for-age: methods and develpoment. Geneva: Departement of Nutrition for Helath and Development; 2006.

UNICEF & WHO. Low birthweight. Genewa: United Nation Children’s Fund and World Health Organization; 2004.

Jahari AB. Median berat badan dan tinggi badan normal orang Indonesia berdasarkan data Riskesdas 2007 dan 2010. Jakarta: Widya Karya Nasional Pangan dan Gizi X – LIPI; 2012.

Sastroasmoro S, Ismael S. Dasar-dasar metodologi penelitian klinis. Jakarta: Sagung Seto; 2011.

Meadow R, Newell S. Lectures notes pediatrika. Jakarta: Penerbit Erlangga; 2005.

Atkinson SA, Simpson JR. Factors influencing body composition of premature infants at term-adjusted age. Ann N Y Acad Sci 2000;904:393-9.

Hien NN, Hoa NN. Nutritional status and determinants of malnutrition in children under three years of age in Nghean, Vietnam. Pak J Nutr 2009;8(7):958-64.

Fatmawati, Nuryati S. Gizi buruk dan masa depan bangsa. [series online] 2006 [cited 2013 Oktober 13]. Available from: URL: http://www.republika.co.id.html

Hardinsyah. Review faktor determinan keragaman konsumsi pangan (review on determinant factors of dietary diversity). Jurnal Gizi dan Pangan 2007;2(2):55-74.

Reyes H, Pérez-Cuevas R, Sandoval A, Castillo R, Santos JI, Doubova SV, Gutiérrez G. The family as a determinant of stunting in children living in conditions of extreme poverty: a case-control study. BMC Public Health 2004;4:57.

Anindita P. Hubungan tingkat pendidikan ibu, pendapatan keluarga, kecukupan protein & zinc dengan stunting (pendek) pada balita usia 6–35 bulan di Kecamatan Tembalang Kota Semarang. Jurnal Kesehatan Masyarakat 2012;1(2):617-26.

Menezes RCEd, Lira PICd, Leal VS, Oliveira JS, Santana SCdS, Sequeira LAdS, Rissin A, Filho MB. Determinants of stunting in children under five in Pernambuco, Northeastern Brazil. Rev Saúde Pública 2011;45(6):1079-87.

Wahdah S, Juffrie M, Huriyati E. Faktor risiko kejadian stunting pada anak umur 6-36 bulan di wilayah pedalaman Kecamatan Silat Hulu Kabupaten Kapuas Provinsi Kalimantan Barat [Tesis]. Yogyakarta: Program Pascasarjana, Universitas Gadjah Mada; 2011.

Adair LS, Guilkey DK. Age-specific determinants of stunting in Filipino children. J Nutr 1997;127(2):314-20.

Hizni A, Julia M, Gamayanti IL. Status stunted dan hubungannya dengan perkembangan anak balita di wilayah pesisir Pantai Utara kecamatan Lemahwunguk kota Cirebon. Jurnal Gizi Klinik Indonesia 2010;6(3):131-7.

Manary MJ, Salomons NW. Aspek kesehatan masyarakat pada gizi kurang. In: Gibney MJ, Margetts BM, Kearney JM, Arab L. Gizi kesehatan masyarakat. Jakarta: EGC; 2004.



DOI: https://doi.org/10.22146/ijcn.18881

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