Journal of Preventive Medicine and Public Health

  • 제54권5호
  • /
  • Pages.309-316
  • /
  • 2021
  • /
  • 1975-8375(pISSN)
  • /
  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지
DOI QR코드

DOI QR Code

The Effect of the Physical Factors of Parents and Children on Stunting at Birth Among Newborns in Indonesia

  • 투고 : 2021.03.05
  • 심사 : 2021.06.24
  • 발행 : 2021.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: This study examined stunting at birth and its associations with physical factors of parents and children in Indonesia. Methods: This study analyzed secondary data from the national cross-sectional Indonesian Basic Health Survey 2018, conducted across 34 provinces and 514 districts/cities. Birth length data were available for 756 newborns. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between the physical factors of parents and children and stunting at birth. Results: In total, 10.2% of children aged 0 months were stunted at birth (10.7% of males and 9.5% of females). Stunting at birth was associated with the mother's age at first pregnancy, parity, parents' heights, parents' ages, and gestational age. Children from mothers with short statures (height <145.0 cm) and fathers with short statures (height <161.9 cm) had an almost 6 times higher likelihood of being stunted at birth (adjusted odds ratio, 5.93; 95% confidence interval, 5.53 to 6.36). A higher maternal age at first pregnancy had a protective effect against stunting. However, other variables (firstborn child, preterm birth, and both parents' ages being <20 or >35 years) corresponded to a 2-fold higher likelihood of stunting at birth compared to the reference. Conclusions: These findings provide evidence that interventions to reduce stunting aimed at pregnant females should also consider the parents' stature, age, and parity, particularly if it is the first pregnancy and if the parents are short in stature or young. Robust programs to support pregnant females and monitor children's heights from birth will help prevent intergenerational stunting.

키워드

참고문헌

  1. United Nations Children's Fund (UNICEF). Improving child nutrition: the achievable imperative for global progress; 2013 [cited 2021 Mar 1]. Available from: https://data.unicef.org/resources/improving-child-nutrition-the-achievable-imperative-for-global-progress/.
  2. Solomons NW, Vossenaar M, Chomat AM, Doak CM, Koski KG, Scott ME. Stunting at birth: recognition of early-life linear growth failure in the western highlands of Guatemala. Public Health Nutr 2015;18(10):1737-1745. https://doi.org/10.1017/S136898001400264X
  3. Indonesian Ministry of Health. 2018 Indonesian Basic Health Research (RISKESDAS) survey. Jakarta: Lembaga Penerbit Balitbangkes; 2019, p. 423-427 (Indonesian).
  4. National Institute of Health Research and Development. Basic Health Survey in number. Jakarta: Lembaga Penerbit Balitbangkes; 2013, p. 319 (Indonesian).
  5. Titaley CR, Ariawan I, Hapsari D, Muasyaroh A, Dibley MJ. Determinants of the stunting of children under two years old in Indonesia: a multilevel analysis of the 2013 Indonesia Basic Health Survey. Nutrients 2019;11(5):1106. https://doi.org/10.3390/nu11051106
  6. World Health Organization. Global nutrition targets 2025: stunting policy brief; 2014 [cited 2019 Oct 3]. Available from: https://www.who.int/publications/i/item/WHO-NMH-NHD-14.3.
  7. 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. https://doi.org/10.1111/mcn.12617
  8. Barker DJ, Osmond C, Kajantie E, Eriksson JG. Growth and chronic disease: findings in the Helsinki Birth Cohort. Ann Hum Biol 2009;36(5):445-458. https://doi.org/10.1080/03014460902980295
  9. Perkins JM, Subramanian SV, Davey Smith G, Ozaltin E. Adult height, nutrition, and population health. Nutr Rev 2016;74(3): 149-165. https://doi.org/10.1093/nutrit/nuv105
  10. Martorell R, Zongrone A. Intergenerational influences on child growth and undernutrition. Paediatr Perinat Epidemiol 2012; 26 Suppl 1:302-314. https://doi.org/10.1111/j.1365-3016.2012.01298.x
  11. Pawlus B, Wisniewski A, Kubik P, Milde K, Gmyrek L, Pesko E. Birth body length, birth body weight and birth head circumference in neonates born in a single centre between 2011 and 2016. Ginekol Pol 2017;88(11):599-605. https://doi.org/10.5603/gp.a2017.0108
  12. Indonesian Ministry of Health. Handbook of essential neonatal heath service. Jakarta: Kementerian Kesehatan; 2010, p. 16 (Indonesian).
  13. World Health Organization. WHO child growth standards: training course on child growth assessment; 2008 [cited 2019 Oct 3]. Available from: https://www.who.int/childgrowth/training/module_c_interpreting_indicators.pdf.
  14. Khatun W, Rasheed S, Alam A, Huda TM, Dibley MJ. Assessing the intergenerational linkage between short maternal stature and under-five stunting and wasting in Bangladesh. Nutrients 2019;11(8):1818. https://doi.org/10.3390/nu11081818
  15. Candra A, Puruhita N, Susanto JC. Risk factors of stunting among 1-2 years old children in Semarang City. Media Med Indones 2011;45(3):206-212.
  16. Zhang Z. Model building strategy for logistic regression: purposeful selection. Ann Transl Med 2016;4(6):111. https://doi.org/10.21037/atm.2016.02.15
  17. Gonete AT, Kassahun B, Mekonnen EG, Takele WW. Stunting at birth and associated factors among newborns delivered at the University of Gondar Comprehensive Specialized Referral Hospital. PLoS One 2021;16(1):e0245528. https://doi.org/10.1371/journal.pone.0245528
  18. World Health Organization. Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice; 2015 [cited 2020 Aug 27]. Available from: https://apps.who.int/iris/handle/10665/249580.
  19. National Team for the Acceleration of Poverty Reduction. National strategy for acceleration of stunting prevention 2018-2024. Jakarta: Sekertariat Wakil Presiden Republik Indonesia; 2018, p. 42 (Indonesian).
  20. Finlay JE, Ozaltin E, Canning D. The association of maternal age with infant mortality, child anthropometric failure, diarrhoea and anaemia for first births: evidence from 55 low- and middle-income countries. BMJ Open 2011;1(2):e000226. https://doi.org/10.1136/bmjopen-2011-000226
  21. Ozaltin E, Hill K, Subramanian SV. Association of maternal stature with offspring mortality, underweight, and stunting in low- to middle-income countries. JAMA 2010;303(15):1507-1516. https://doi.org/10.1001/jama.2010.450
  22. Rowe DL, Derraik JG, Robinson E, Cutfield WS, Hofman PL. Preterm birth and the endocrine regulation of growth in childhood and adolescence. Clin Endocrinol (Oxf) 2011;75(5):661-665. https://doi.org/10.1111/j.1365-2265.2011.04116.x
  23. Addo OY, Stein AD, Fall CH, Gigante DP, Guntupalli AM, Horta BL, et al. Maternal height and child growth patterns. J Pediatr 2013;163(2):549-554. https://doi.org/10.1016/j.jpeds.2013.02.002
  24. Jelenkovic A, Yokoyama Y, Sund R, Hur YM, Harris JR, Brandt I, et al. Associations between birth size and later height from infancy through adulthood: an individual based pooled analysis of 28 twin cohorts participating in the CODATwins project. Early Hum Dev 2018;120:53-60. https://doi.org/10.1016/j.earlhumdev.2018.04.004
  25. Wills AK, Chinchwadkar MC, Joglekar CV, Natekar AS, Yajnik CS, Fall CH, et al. Maternal and paternal height and BMI and patterns of fetal growth: the Pune Maternal Nutrition Study. Early Hum Dev 2010;86(9):535-540. https://doi.org/10.1016/j.earlhumdev.2010.07.002
  26. Young MF, Nguyen PH, Gonzalez Casanova I, Addo OY, Tran LM, Nguyen S, et al. Role of maternal preconception nutrition on offspring growth and risk of stunting across the first 1000 days in Vietnam: a prospective cohort study. PLoS One 2018;13(8):e0203201. https://doi.org/10.1371/journal.pone.0203201
  27. Cavazos-Rehg PA, Krauss MJ, Spitznagel EL, Bommarito K, Madden T, Olsen MA, et al. Maternal age and risk of labor and delivery complications. Matern Child Health J 2015;19(6):1202-1211. https://doi.org/10.1007/s10995-014-1624-7
  28. Bray I, Gunnell D, Davey Smith G. Advanced paternal age: how old is too old? J Epidemiol Community Health 2006;60(10): 851-853. https://doi.org/10.1136/jech.2005.045179
  29. Desmond C, Casale D. Catch-up growth in stunted children: definitions and predictors. PLoS One 2017;12(12):e0189135. https://doi.org/10.1371/journal.pone.0189135