Determinants of stunting in Samadua sub-district, South Aceh district

Rossi Aulia Pratiwi -  Departemen Gizi Masyarakat, Institut Pertanian Bogor, Indonesia
Ikeu Ekayanti* -  Departemen Gizi Masyarakat, Institut Pertanian Bogor, Indonesia
Eny Palupi -  Departemen Gizi Masyarakat, Institut Pertanian Bogor, Indonesia
DOI : 10.30867/action.v9i4.1865

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Stunting remains a major malnutrition problem in Indonesia, and is caused by chronic malnutrition and recurrent infections. In 2022, the SSGI reported that Aceh ranked fifth with a high prevalence of stunting (>30%). Malnutrition during the golden period (toddlers) can be corrected. This study analyzed the factors that influence stunting and the most dominant factors in children aged 6-24 months in the Samadua District, South Aceh Regency. This study was conducted using a cross-sectional design. Participants were 120 children under five years of age conducted in Samadua District by simple random sampling from November 2023 to January 2024. Data were collected through interviews, using questionnaires, anthropometric measurements, and recall. Statistical applications were used for data processing. Bivariate data analysis was performed using binary logistic regression test with p<0,25 criteria and multivariate analysis was continued using logistic regression test on influential variables in bivariate analysis and 95% confidence interval (CI). Conclusion: Risk factors affecting stunting in children aged 6-24 months in Samadua District, South Aceh Regency, were birth length (OR=13,000), birth weight (OR=15,400), maternal anemia history (OR=18, 000), ANC history (OR=20,429), ARI frequency (OR=7,500), protein adequacy (OR=5,910), fat  (OR = 7,083), calcium (OR = 6,081), iron (OR = 4,375), and zinc (OR = 5,500) intakes.

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Keywords : birth length, birth weight, stunting, frequency of ARI

  1. Acosta, A. M., De Burga, R. R., Chavez, C. B., Flores, J. T., Olotegui, M. P., Pinedo, S. R., Salas, M. S., Trigoso, D. R., Vasquez, A. O., Ahmed, I., Alam, D., Ali, A., Bhutta, Z. A., Qureshi, S., Rasheed, M., Soofi, S., Turab, A., Zaidi, A. K. M., Bodhidatta, L., … Svensen, E. (2017). Relationship between growth and illness, enteropathogens and dietary intakes in the first 2 years of life: Findings from the MAL-ED birth cohort study. BMJ Global Health, 2(4). https://doi.org/10.1136/bmjgh-2017-000370
  2. Akombi, B. J., Agho, K. E., Hall, J. J., Merom, D., Astell-Burt, T., & Renzaho, A. M. N. (2017). Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatrics, 17(1), 1–16. https://doi.org/10.1186/s12887-016-0770-z
  3. Al Rahmad, A. H. (2023). Scoping Review: The Role of Micronutrients (Fe, Zn, Iodine, Retinol, Folate) During Pregnancy. Jurnal Kesehatan Manarang, 9(1), 1–13. https://doi.org/https://doi.org/10.33490/jkm.v9i1.812
  4. Al Rahmad, A. H., Junaidi, J., Muliyani, N. S., & Emilda, E. (2023). The impact of integrating the ISO/IEC 25010 standard into the" PSG Balita" on the quality of the toddler nutritional status report data. AcTion: Aceh Nutrition Journal, 8(4), 653–659. https://doi.org/10.30867/action.v8i4.754
  5. Anshori, M., Fikawati, S., Lalu, & Sutrisna, B. (2020). Relationship Energy and Protein Intake with the Incidence of Stunting among Toddler Aged (25-60 Months) in Mangkung Village, District of Central Lombok. Indian Journal of Public Health Research & Development, 11(03), 1593. https://www.researchgate.net/publication/351022745
  6. Ardian, D., & Utami, E. D. (2018). Pengaruh karakteristik demografi terhadap kejadian (The Influence of Demographic Characteristics factors on the Incidence of Stunting in. 1–10.
  7. Armelia, W. (2014). Hubungan Tingkat Kecukupan Protein, Kalsium dan Zink dengan Pertumbuhan Linier Anak TK. https://repository.ipb.ac.id/handle/123456789/74136?show=full
  8. Azmy, U., & Mundiastuti, L. (2018). Konsumsi Zat Gizi pada Balita Stunting dan Non- Stunting di Kabupaten Bangkalan Nutrients Consumption of Stunted and Non-Stunted Children in Bangkalan. Amerta Nutrition, 292–298. https://doi.org/10.20473/amnt.v2.i3.2018.292-298
  9. Budiastutik, I., & Rahfiludin, M. Z. (2019). Faktor Risiko Stunting pada anak di Negara Berkembang. Amerta Nutrition, 3(3), 122–129. https://doi.org/10.2473/amnt.v3i3.2019.122-129
  10. Cakmak, I. (2009). Enrichment of fertilizers with zinc: An excellent investment for humanity and crop production in India. Journal of Trace Elements in Medicine and Biology, 23(4), 281–289. https://doi.org/10.1016/j.jtemb.2009.05.002
  11. Dewana, Z., Fikadu, T., Facha, W., & Mekonnen, N. (2017). Prevalence and Predictors of Stunting among Children of Age between 24 to 59 Months in Butajira Town and Surrounding District, Gurage Zone, Southern Ethiopia. Health Science Journal, 11(4). https://doi.org/10.21767/1791-809x.1000518
  12. Fikawati, S., Syafiq, A., Ririyanti, R. K., & Gemily, S. C. (2021). Energy and protein intakes are associated with stunting among preschool children in Central Jakarta, Indonesia: a case-control study. Malaysian Journal of Nutrition, 27(1), 81–91. https://doi.org/10.31246/MJN-2020-0074
  13. Huriah, T., Handayani, P., Sudyasih, T., & Susyanto, B. E. (2021). The determinant factors of stunting among children in urban slums area, Yogyakarta, Indonesia. Open Access Macedonian Journal of Medical Sciences, 9(T4), 1–5. https://doi.org/10.3889/oamjms.2021.5593
  14. Kusumawati, E., Rahardjo, S., & Sari, H. P. (2015). Model Pengendalian Faktor Risiko Stunting pada Anak Bawah Tiga Tahun. Kesmas: National Public Health Journal, 9(3), 249. https://doi.org/10.21109/kesmas.v9i3.572
  15. Lailatul, M., & Ni’mah., C. (2014). Hubungan Tingkat Pendidikan, Tingkat Pengetahuan dan Pola Asuh Ibu dengan Wasting dan Stunting pada Balita Keluarga Miskin. Media Gizi Indonesia, 10(2015), 84–90. https://doi.org/Vol. 10, No. 1 Januari–Juni 2015: hlm. 84–90 terdiri
  16. Lestari, R. I. (2016). Faktor Risiko Kejadian Stunted pada Anak Usia 7-24 Bulan di Desa Hargorejo, Kecamatan Kokap, Kabupaten Kulonprogo, Yogyakarta. Universitas Muhammadiyah Surakarta, 2–9.
  17. Mikhail, Y. H. A., Salem, W. Z. A., Sobhy, H. M., El-Sayed, H. H., Khairy, S. A., Salem, H. Y. H. A., & Samy, M. A. (2013). Effect of Nutritional Status on Growth Pattern of Stunted Preschool Children in Egypt. Academic Journal of Nutrition, 2(1), 1–09. https://doi.org/10.5829/idosi.ajn.2013.2.1.7466
  18. Ni’mah, K., & Nadhiroh, S. R. (2015). Faktor yang berhubungan dengan kejadian stunting pada balita (Digital Repository Universitas Jember). Media Gizi Indonesia, 10(1), 13–19.
  19. Nshimyiryo, A., Hedt-Gauthier, B., Mutaganzwa, C., Kirk, C. M., Beck, K., Ndayisaba, A., Mubiligi, J., Kateera, F., & El-Khatib, Z. (2019). Risk factors for stunting among children under five years: A cross-sectional population-based study in Rwanda using the 2015 Demographic and Health Survey. BMC Public Health, 19(1), 1–10. https://doi.org/10.1186/s12889-019-6504-z
  20. Peacock, M. (2010). Calcium metabolism in health and disease. Clinical Journal of the American Society of Nephrology, 5(SUPPL. 1), 23–30. https://doi.org/10.2215/CJN.05910809
  21. Rosmanindar, E. (2013). Asupan Protein Sebagai Faktor Dominan Terjadinya Stunting pada Anak 7-36 Bulan di Wilayah Puskesmas Pancoran Mas Kota Depok Tahun 2013. Tesis, 2013.
  22. Sari, I. Y., Ningtyias, F. W., & Rohmawati, N. (2016). Konsumsi Makanan dan Status Gizi Anak Balita (24 – 59 Bulan) di Desa Nelayan Puger Wetan Kecamatan Puger Kabupaten Jember. Artikel Ilmiah Hasil Penelitian Mahasiswa 2016, 1(1), 1–8.
  23. Sarma, H., Khan, J. R., Asaduzzaman, M., Uddin, F., Tarannum, S., Hasan, M. M., Rahman, A. S., & Ahmed, T. (2017). Factors Influencing the Prevalence of Stunting Among Children Aged Below Five Years in Bangladesh. Food and Nutrition Bulletin, 38(3), 291–301. https://doi.org/10.1177/0379572117710103
  24. SSGI. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022. 1–7.
  25. Sutrio, & Lupiana, M. (2019). Berat Badan dan Panjang Badan Lahir Meningkatkan Kejadian Stunting Body Weight and Birth Length of Toodlers is related with Stunting. Jurnal Kesehatan Metro Sai Wawai, 12(1), 21–29. https://ejurnal.poltekkes-tjk.ac.id/index.php/JKM
  26. TNP2K. (2017). 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting): Tim Nasional Percepatan Penanggulangan Kemiskinan. Jakarta, 2(c), 287.
  27. Victora, C. G., De Onis, M., Hallal, P. C., Blössner, M., & Shrimpton, R. (2010). Worldwide timing of growth faltering: Revisiting implications for interventions. Pediatrics, 125(3). https://doi.org/10.1542/peds.2009-1519
  28. WHO. (2014). Low birth weight. Jama, 287(2), 270. https://doi.org/10.1001/jama.287.2.270
  29. Wicaksono, F., & Harsanti, T. (2020). Determinants of stunted children in Indonesia: A multilevelanalysis at the individual, household, and community levels. Kesmas, 15(1), 48–53. https://doi.org/10.21109/kesmas.v15i1.2771
  30. Wicaksono, R. A., Arto, K. S., Mutiara, E., Deliana, M., Lubis, M., & Batubara, J. R. L. (2021). Risk factors of stunting in indonesian children aged 1 to 60 months. Paediatrica Indonesiana(Paediatrica Indonesiana), 61(1), 12–19. https://doi.org/10.14238/pi61.1.2021.12-9
  31. Widyaningsih, N. N., Kusnandar, K., & Anantanyu, S. (2018). Keragaman pangan, pola asuh makan dan kejadian stunting pada balita usia 24-59 bulan. Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition), 7(1), 22–29. https://doi.org/10.14710/jgi.7.1.22-29
  32. World Bank. (2021). Levels and trends in child malnutrition UNICEF / WHO / World Bank Group Joint Child Malnutrition Estimates Key findings of the 2021 edition. World Health Organization, 1–32. https://www.who.int/publications/i/item/9789240025257

Open Access Copyright (c) 2024 Rossi Aulia Pratiwi, Ikeu Ekayanti, Eny Palupi
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AcTion: Aceh Nutrition Journal
Published by: Department of Nutrition at the Health Polytechnic of Aceh, Ministry of Health.
Soekarno-Hatta Street, No. 168. Health Polytechnic of Aceh, Aceh Besar, 23352. Telp/Fax: 0651 46126 / 0651 46121.
Website: https://gizipoltekkesaceh.ac.id/
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