Prenatal and postnatal determinants of stunting at age 0-11 months: A cross-sectional study in Indonesia.

<h4>Background</h4>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...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Arindah Nur Sartika, Meirina Khoirunnisa, Eflita Meiyetriani, Evi Ermayani, Indriya Laras Pramesthi, Aziz Jati Nur Ananda
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/23587d3dcc92458296d6368d591c712d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:23587d3dcc92458296d6368d591c712d
record_format	dspace
spelling	oai:doaj.org-article:23587d3dcc92458296d6368d591c712d2021-12-02T20:15:21ZPrenatal and postnatal determinants of stunting at age 0-11 months: A cross-sectional study in Indonesia.1932-620310.1371/journal.pone.0254662https://doaj.org/article/23587d3dcc92458296d6368d591c712d2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254662https://doaj.org/toc/1932-6203<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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.Arindah Nur SartikaMeirina KhoirunnisaEflita MeiyetrianiEvi ErmayaniIndriya Laras PramesthiAziz Jati Nur AnandaPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254662 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Arindah Nur Sartika Meirina Khoirunnisa Eflita Meiyetriani Evi Ermayani Indriya Laras Pramesthi Aziz Jati Nur Ananda Prenatal and postnatal determinants of stunting at age 0-11 months: A cross-sectional study in Indonesia.
description	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusions</h4>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	article
author	Arindah Nur Sartika Meirina Khoirunnisa Eflita Meiyetriani Evi Ermayani Indriya Laras Pramesthi Aziz Jati Nur Ananda
author_facet	Arindah Nur Sartika Meirina Khoirunnisa Eflita Meiyetriani Evi Ermayani Indriya Laras Pramesthi Aziz Jati Nur Ananda
author_sort	Arindah Nur Sartika
title	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_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_sort	prenatal and postnatal determinants of stunting at age 0-11 months: a cross-sectional study in indonesia.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/23587d3dcc92458296d6368d591c712d
work_keys_str_mv	AT arindahnursartika prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia AT meirinakhoirunnisa prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia AT eflitameiyetriani prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia AT eviermayani prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia AT indriyalaraspramesthi prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia AT azizjatinurananda prenatalandpostnataldeterminantsofstuntingatage011monthsacrosssectionalstudyinindonesia
_version_	1718374570759553024

Prenatal and postnatal determinants of stunting at age 0-11 months: A cross-sectional study in Indonesia.

Ejemplares similares