Risk Factors for Short Stature Among Children Aged 0-24 Months in Surakarta

  • Steven Irving Faculty of Medicine, Sebelas Maret University, Surakarta-Indonesia
  • Bastomy Eka Rezkita Pediatric Department, Sebelas Maret University, Moewardi Hospital, Surakarta-Indonesia
  • Indah Sagitaisna Putri Faculty of Medicine, Sebelas Maret University, Surakarta-Indonesia
  • Hari Wahyu Nugroho Faculty of Medicine, Muhammadiyah Malang Univesity, Malang-Indonesia
  • Neny Ariyana Usman Faculty of Medicine, Muhammadiyah Malang Univesity, Malang-Indonesia
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Keywords: short stature, risk factors, perawakan pendek, faktor risiko

Abstract

AbstractThis study aims to to examine the risk factors of stunting children aged 0-24 months in Surakata in order to prevent stunting as early as possible. This research was an observational with a cross-sectional study design.  This research was conducted in several Integrated Health Post (Posyandu) under the guidance of Sangkrah Health Care, Nusukan Health Care, Pucang Sawit Health Care, Penumping Health Care, and Jayengan Health Care in September- October 2018. Sampling was conducted by by consecutive sampling method.  Baby’s body length was measured with an infantometer. Risk factors were obtained through interviews using questionares on mothers. Data analysis was conducted using SPSS version 23 with bivariate test (multiple logistic regression). The total correspondents were 139 samples with 128 samples met the inclusion and exclusion criteria. Bivariate analysis results showed a significant relationship between stunting and risk factors for low birth weight, premature baby, and short maternal height. Multivariate analysis showed that the short mother’s height factor was the most dominant factor influencing stunting. Short maternal stature (height<145cmm) is the most dominant factor influencing stunting in children aged 0-24 months in Surakarta City.

Keywords: short stature, risk factors

Abstrak—Penelitian ini bertujuan meneliti faktor risiko perawakan pendek pada anak usia 0-24 bulan di Kota Surakarta agar dapat mencegah terjadinya perawakan pendek sedini mungkin. Penelitian ini bersifat observasional dengan desain studi cross sectional. Penelitian ini dilakukan di beberapa Posyandu Balita Binaan Puskesmas Sangkrah, Puskesmas Nusukan, Puskesmas Pucang Sawit, Puskesmas Penumping, dan Puskesmas Jayengan pada bulan September – Oktober 2018. Pengambilan sampel dilakukan dengan metode consecutive sampling. Pengukuran panjang badan bayi dilakukan dengan infantometer. Faktor risiko didapatkan melalui wawancara menggunakan kuesioner pada ibu. Analisis data dilakukan menggunakan SPSS versi 23 dengan uji bivariat (uji Chi-Square dan uji Fisher-exact), dan uji multivariat (regresi logistik berganda). Total responden adalah 139 sampel dengan 128 sampel yang memenuhi kriteria inklusi dan eksklusi. Hasil Analisis Bivariat menunjukkan adanya hubungan yang signifikan secara statistik antara perawakan pendek dengan faktor risiko berat badan lahir rendah, umur kehamilan prematur, dan tinggi badan ibu pendek. Hasil Analisis Multivariat menunjukkan bahwa faktor tinggi badan ibu pendek menjadi faktor yang paling dominan mempengaruhi perawakan pendek. Tinggi badan ibu pendek (tinggi<145 cm) merupakan faktor yang paling dominan memengaruhi perawakan pendek pada anak usia 0-24 bulan di Kota Surakarta.

Kata kunci: perawakan pendek, faktor risiko

 

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References

World Health Organization (WHO). WHO Global Nutrition Targets 2025: Stunting policy brief. Geneva: WHO; 2014

Walker SP, Chang SM, Powell CA, Simonoff E, Grantham-McGregor SM. Early childhood stunting is associated with poor psychological functioning in late adolescence and the effects are reduced by psychosocial stimulation. J Nutr. 2007;137(11):2464-2469

Ministry of Health. Pocket book for monitoring nutritional status in 2017. Jakarta: Ministry of Health; 2017

Save the Children. Nutrition in the First 1,000 Days State of the World's Mothers 2012. London: Save the Children International; 2012

Danaei G, Andrews KG, Sudfeld CR, et al. Risk Factors for Childhood Stunting in 137 Developing Countries: A Comparative Risk Assessment Analysis at Global, Regional, and Country Levels. PLoS Med. 2016;13(11):e1002164

Utami NA, Rachmalina R, Irawati A, et al. Short birth length, low birth weight and short maternal stature are the dominant risks of stunting among children aged 0-23 months: Evidence from Bogor longitudinal study on child growth and development, Indonesia. Mall J Nutr. 24(1): 11-23, 2018

Rahayuh A, Yulidasari F, Putri AO, et al. Risk Factors Associated with Stunting in Children Aged 6-24 Months. PACK. 11 (2) (2016) xx-xx

Briend A, Khara T, Dolan C. Wasting and stunting—similarities and differences: policy and programmatic implications. Food Nutr Bull. 2015;36(1 Suppl):S15-S23

Arundito BW, Julia M, Nurani N, Prawirohartono EP. Upper arm fat and muscle in stunted and non-stunted children aged 0-24 months. PIs [Internet]. 5Jan.2018 [cited16Aug.2018];57(5):252-1.Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1572

Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12-23 months in Indonesia. BMC Nutrition. 2017;3(1):16

Avan BI, Raza SA, Kirkwood BR. An epidemiological study of urban and rural children in Pakistan: Examining the relationship between delayed psychomotor development, low birth weight and postnatal growth failure. Trans R Soc Trop Med Hyg. 2015;109(3)-189-19

Black RE, Allen LH, Bhutta ZA, et al. Maternal and child undernutrition: global and regional exposures and health consequences. Lancet. 2008;371(9607):243-260

Prawirohartono EP, Nurdiati DS, Hakimi M. Prognostic factors at birth for stunting at 24 months of age in rural Indonesia. Paediatr Indonesia. 2016;56:48-56

Beal T, Tumilowicz A, Sutrisna A, Izwardy D, Neufeld LM. A review of child stunting determinants in Indonesia. Matern Child Nutr. 2018;14(4):e12617

Anugraheni HS and Kartasurya MI. Risk Factors for Stunting in Children Aged 12-36 Months in Pati District, Pati Regency. Journal of Nutrition College. 2016;1(1):30-37

Simondon KB, Costes R, Delaunay V, Diallo A, Simondon F. Children's height, health and appetite influence mothers' weaning decisions in rural Senegal. Int J Epidemiol. 2001;30(3):476-481

Candra A, Puruhita N, Susanto JC. Risk Factors of Stunting among 1-2 Years Old Children in Semarang City. Indonesian Medical Media. 2011;45:206-212

Sinha B, Taneja S, Chowdhury R, et al. Low-birthweight infants born to short-stature mothers are at additional risk of stunting and poor growth velocity: Evidence from secondary data analyses. Matern Child Nutr. 2018;14(1):e12504

Felisbino-Mendes MS, Villamor E, Velasquez-Melendez G. Association of maternal and child nutritional status in Brazil: a population based cross-sectional study. PLoS One. 2014;9(1):e87476

Murray CJ, Vos T, Lozano R, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010 [published correction appears in Lancet. 2013 Feb 23;381(9867):628. AlMazroa, Mohammad A [added]; Memish, Ziad A[added]]. Lancet. 2012;380(9859):2197-2223.

Published
2023-11-02
How to Cite
Irving, S., Rezkita, B. E., Indah Sagitaisna Putri, Nugroho, H. W., & Neny Ariyana Usman. (2023). Risk Factors for Short Stature Among Children Aged 0-24 Months in Surakarta. Keluwih: Jurnal Kesehatan Dan Kedokteran, 4(1), 40-46. https://doi.org/10.24123/kesdok.V4i1.5313