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Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia
BACKGROUND: Childhood stunting remains the most challenging consequence of undernutrition because it is associated with suboptimal brain development and the subsequent increased risk of metabolic diseases and decreased earnings in adult life. The Sambas District in Indonesia has a high prevalence of...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279365/ https://www.ncbi.nlm.nih.gov/pubmed/34260622 http://dx.doi.org/10.1371/journal.pone.0254662 |
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author | Sartika, Arindah Nur Khoirunnisa, Meirina Meiyetriani, Eflita Ermayani, Evi Pramesthi, Indriya Laras Nur Ananda, Aziz Jati |
author_facet | Sartika, Arindah Nur Khoirunnisa, Meirina Meiyetriani, Eflita Ermayani, Evi Pramesthi, Indriya Laras Nur Ananda, Aziz Jati |
author_sort | Sartika, Arindah Nur |
collection | PubMed |
description | BACKGROUND: Childhood stunting remains the most challenging consequence of undernutrition because it is associated with suboptimal brain development and the subsequent increased risk of metabolic diseases and decreased earnings in adult life. The Sambas District in Indonesia has a high prevalence of stunting (28.4%), followed by underweight (25.5.%) and wasting (14.4%) among children, as well chronic energy deficiency (27%) and anemia (62%) among pregnant women. The present study sought to determine significant factors in childhood stunting with a focus on maternal and child nutrition and prenatal and postnatal determinants. METHODS: This prospective, repeat, cross-sectional study investigated factors associated with stunting among 559 infants age 0–11 months in Sambas District, Indonesia. Anthropometric measurements were performed by trained enumerators. Data from a 2016 survey of pregnant women and a 2017 survey on mothers and their children were used for postnatal data collection to quantify the prevalence of stunting at age 0–11 months. Using 20 potential predictors of stunting categorized by household characteristics, maternal characteristics, antenatal care services, and child characteristics, logistic regression analysis was conducted to assess the adjusted association between stunting and these factors. RESULTS: Of 559 children analyzed, 20.8% were stunted. In the model with low birth weight (LBW) as predictor for stunting, the odds of stunting increased significantly among children who weighed <2.500 g at birth; children who had diarrhea in the past 2 weeks and children who had incomplete basic immunization coverage as infants age 9–11 months. In model without LBW, the odds of stunting increased significantly among children who had preterm at birth, short maternal stature and children who had incomplete basic immunization coverage for 9–11 months infants. CONCLUSIONS: Postnatal factors—preterm birth, low birth weight, diarrhea and complete basic immunization coverage—were associated with infant stunting in Sambas District, Indonesia. The prenatal factors such as short maternal stature were significant in the multivariate model. Policy makers, especially in the government, should recommend measures focused on those prenatal and postnatal factors to prevent stunting in children and to avoid the sequelae of childhood stunting in adult life. |
format | Online Article Text |
id | pubmed-8279365 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-82793652021-07-31 Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia Sartika, Arindah Nur Khoirunnisa, Meirina Meiyetriani, Eflita Ermayani, Evi Pramesthi, Indriya Laras Nur Ananda, Aziz Jati PLoS One Research Article BACKGROUND: Childhood stunting remains the most challenging consequence of undernutrition because it is associated with suboptimal brain development and the subsequent increased risk of metabolic diseases and decreased earnings in adult life. The Sambas District in Indonesia has a high prevalence of stunting (28.4%), followed by underweight (25.5.%) and wasting (14.4%) among children, as well chronic energy deficiency (27%) and anemia (62%) among pregnant women. The present study sought to determine significant factors in childhood stunting with a focus on maternal and child nutrition and prenatal and postnatal determinants. METHODS: This prospective, repeat, cross-sectional study investigated factors associated with stunting among 559 infants age 0–11 months in Sambas District, Indonesia. Anthropometric measurements were performed by trained enumerators. Data from a 2016 survey of pregnant women and a 2017 survey on mothers and their children were used for postnatal data collection to quantify the prevalence of stunting at age 0–11 months. Using 20 potential predictors of stunting categorized by household characteristics, maternal characteristics, antenatal care services, and child characteristics, logistic regression analysis was conducted to assess the adjusted association between stunting and these factors. RESULTS: Of 559 children analyzed, 20.8% were stunted. In the model with low birth weight (LBW) as predictor for stunting, the odds of stunting increased significantly among children who weighed <2.500 g at birth; children who had diarrhea in the past 2 weeks and children who had incomplete basic immunization coverage as infants age 9–11 months. In model without LBW, the odds of stunting increased significantly among children who had preterm at birth, short maternal stature and children who had incomplete basic immunization coverage for 9–11 months infants. CONCLUSIONS: Postnatal factors—preterm birth, low birth weight, diarrhea and complete basic immunization coverage—were associated with infant stunting in Sambas District, Indonesia. The prenatal factors such as short maternal stature were significant in the multivariate model. Policy makers, especially in the government, should recommend measures focused on those prenatal and postnatal factors to prevent stunting in children and to avoid the sequelae of childhood stunting in adult life. Public Library of Science 2021-07-14 /pmc/articles/PMC8279365/ /pubmed/34260622 http://dx.doi.org/10.1371/journal.pone.0254662 Text en © 2021 Sartika et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Sartika, Arindah Nur Khoirunnisa, Meirina Meiyetriani, Eflita Ermayani, Evi Pramesthi, Indriya Laras Nur Ananda, Aziz Jati Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title | Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title_full | Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title_fullStr | Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title_full_unstemmed | Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title_short | Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia |
title_sort | prenatal and postnatal determinants of stunting at age 0–11 months: a cross-sectional study in indonesia |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8279365/ https://www.ncbi.nlm.nih.gov/pubmed/34260622 http://dx.doi.org/10.1371/journal.pone.0254662 |
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