Ketahanan pangan sebagai deteminan kejadian stunting pada anak usia 2-3 tahun di Kabupaten Ciamis-Jawa Barat

https://doi.org/10.22146/ijcn.37573

Dika Betaditya(1*), Madarina Julia(2), Fatma Zuhrotun Nisa(3)

(1) Program Studi Ilmu Gizi, Universitas Siliwangi, Tasikmalaya, Indonesia
(2) Departemen Ilmu Kesehatan Anak, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(3) Departemen Gizi dan Kesehatan, Fakultas Kedokteran, Kesehatan Masyarakat, dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


Determinant of stunting in children 2-3 aged years in Ciamis District West Java Province

Background: The prevalence of stunting in Indonesia is still high (at 37,2%), while in the province of West Java is at 35,8%. Household food security is one of the indirect causes of the nutritional problems. Aspects of food security in the form of food availability and access to food are related in a household that affects the aspect of the level of food consumption in every household or individual that is not being met.

Objective: The study aims to analyze whether household food security was the determinant of stunting in children aged 2-3 years in Ciamis Districts.

Methods: This was an observational study with a case-control design. Subjects in this research are households. Information from a total of 349 households, i.e. 168 had stunted and 181 without stunted children, were collected. Respondents consisted of mothers, fathers, and children aged 2-3 years in Ciamis District. Subjects were selected using quota sampling. Data were analyzed using t-test and logistic regression.

Results: Food availability, food access, energy, and protein consumption were not associated with stunting (p>0,05). There were significant differences between the average height (Z-score) of children based on the father's height, the mother's height, and the mother's education level (p<0,05). Breastfeeding, initial formula feeding, father's education level, and a large number of families were not associated with stunting (p> 0,05).

Conclusion: This study observed that household food security was not the determinant of stunting. After controlling for potential confounders, the children's heights were independently associated with parental heights and maternal education.


Keywords


household food security; parental heights; stunting in children aged 2-3 years

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References

  1. Balitbangkes RI. Riset kesehatan dasar (Riskesdas). Jakarta: Kementerian Kesehatan; 2013.
  2. Fuada N, Sri M, Tetjep H. Penentuan daerah rawan gizi berdasarkan analisis spasial. Media Litbangkes. 2012;2(1):18-29.
  3. Lee J, Must A. Economics and human biology socioeconomic disparities and the familial coexistence of child stunting and maternal overweight in Guatemala. Econ Hum Biol. 2012;10(3):232-41. doi: doi: 10.1016/j.ehb.2011.08.002
  4. Pramod Singh GC, Nair M, Grubesic RB, Connell FA. Factors associated with underweight and stunting among children in rural Terai of eastern Nepal. Asia Pac J Public Health. 2009;21(2):144-52. doi: 10.1177/1010539509332063
  5. Samuel FO. Pattern of stunting among under-five children in selected urban and rural communities in Oyo State, Nigeria. ICAN: Infant, Child, & Adolescent Nutrition. 2013;5(6):393-8. doi:10.1177/1941406413502526
  6. Krebs N., Hambidge K., Mazariegos M. (2011). Complementary feeding : a Global Network cluster randomized controlled trial, BMC Pediatrics, Vol. 11 No. 4:1-10. Krebs NF, Hambidge KM, Mazariegos M, Westcott J, Goco N, McClure E, et al. Complementary feeding study group.Ccomplementary feeding: a global network cluster randomized controlled trial. BMC Pediatr. 2011;11:4. doi: 10.1186/1471-2431-11-4
  7. Nord M, Parker L. Children and youth services review how adequately are food needs of children in low-income households being met ?. Children and Youth Services Review. 2010;32(9):1175-85. doi: 10.1016/j.childyouth.2010.03.005
  8. Rollet SR., Gray ES, Previl H, Forrester JE. Prevalence of malnutrition in children under five and school-age children in Milot Valley, Haiti. Public Health. 2014;128(12):1094-8. doi: 10.1016/j.puhe.2014.10.002
  9. Motbainor A, Worku A, Kumie A. Level and determinants of food insecurity in East and West Gojjam zones of Amhara Region, Ethiopia: a community based comparative cross-sectional study. BMC Public Health. 2016;16:503. doi: 10.1186/s12889-016-3186-7
  10. Ariani M, Ashari. Arah, kendala dan pentingnya diversifikasi konsumsi pangan di Indonesia. Forum Argo Ekonomi. 2004;2(21):99-112.
  11. Linder M. Biokimia nutrisi dan metabolisme dengan pemakaian secara klinis. Jakarta: UI-Press; 2010.
  12. Merten S, Haller T. Property rights, food security and child growth: dynamics of insecurity in the Kafue Flats of Zambia. Food Policy. 2008;33(5):434-43. doi: 10.1016/j.foodpol.2008.01.004
  13. Singh A, Upadhyay AK, Kumar K. Birth size, stunting and recovery from stunting in Andhra Pradesh, India: evidence from the young lives study. Matern Child Health J. 2017;21(3):492-508. doi: 10.1007/s10995-016-2132-8
  14. Sambasivarao S. Association of maternal height with child mortality, anthropometric failure, and Anemia in India. JAMA. 2023;18(9):1199-216.
  15. Addo OY, Stein AD, Fall CH, Gigante DP, Guntupalli AM, Consortium on Health Orientated Research in Transitional Societies (COHORTS) Group, et al. Maternal height and child growth patterns. J Pediatr. 2013;163(2):549-54. doi: 10.1016/j.jpeds.2013.02.002
  16. Currie J, Moretti E. Mother’s education and the intergenerational transmission of human capital: evidence from college openings. The Quarterly Journal of Economics. 2003;118(4):1495-532. doi: 10.1162/003355303322552856
  17. Semba RD, de Pee S, Sun K, Sari M, Akhter N, Bloem MW. Effect of parental formal education on risk of child stunting in Indonesia and Bangladesh: a cross-sectional study. Lancet. 2008;371(9609):322-8. doi: 10.1016/S0140-6736(08)60169-5
  18. Cameron N, Hawley NL. Should the UK use WHO growth charts. Pediatric and Child Health. 2010;20(4):151-6. doi: 10.1016/j.paed.2009.11.001
  19. Polo Martín P, Abellan JJ, Nájar Godoy MI, Álvarez de Laviada Mulero T. Tablas de crecimiento: impacto sobre la prevalencia de los trastornos nutritivos [Growth charts: Impact on the prevalence of nutritional disorders]. An Pediatr (Barc). 2015;82(5):325-37. doi: 10.1016/j.anpedi.2014.06.004



DOI: https://doi.org/10.22146/ijcn.37573

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