Analysis of maternal factors and food security with the incidence of stunting in children 0-59 months of age in Sungai Penuh City

Illiyin Tri Nashira* -  Program Studi Ilmu Gizi, Pascasarjana, Universitas Sebelas Maret, Surakarta, Jawa Tengah, Indonesia
Kusnandar Kusnandar -  Program Studi Agribisnis, Fakultas Pertanian, Universitas Sebelas Maret, Surakarta, Jawa Tengah, Indonesia
Ika Sumiyarsi Sukamto -  Program Studi Kebidanan, Fakultas Kedokteran, Universitas Sebelas Maret, Surakarta, Jawa Tengah, Indonesia

Supp. File(s): common.other common.other common.other common.other
The high incidence of stunting is the leading cause of death in children under five years of age worldwide. Sungai Penuh City is one of the urban areas in Indonesia that has experienced an increase in the prevalence of stunting. Stunting is caused by long-term nutritional deficiency in the mother due to inadequate food supply due to low household food security. Stunting can also occur because of the reproductive condition of the mother, who is not ready to conceive. This cross-sectional study aimed to analyze maternal factors and food security that have the greatest influence on the incidence of stunting in toddlers aged 0-59 months in Sungai Penuh City using data from the 2022 Indonesian Nutrition Status Survey conducted in August-September 2022. The sample consisted of 308 toddlers living in urban areas. Data were analyzed using descriptive non-parametric statistical tests with the chi-square test and Logistic Regression test. The results of this study prove that short maternal stature has a significant relationship with the incidence of stunting in toddlers (p<0,05), whereas chronic energy deficiency mothers, maternal age, and food security did not have a significant relationship with the incidence of stunting in toddlers in urban areas (p>0,05). Maternal short stature is an indicator of past chronic malnutrition and a major predictor of stunting in children under five

Supplement Files

Keywords : Food Security, Maternal Factors, Stunting, Toddlers

  1. Akpinar, C. V., & Teneler, A. A. (2022). Adolescent Motherhood and Negative Birth Outcomes, Stunting and Social Determinants: Secondary Analysis of Turkish National Data 2018. Mediterranean Health Journal, 1–13. https://doi.org/10.21203/rs.3.rs-1410546/v1
  2. Amaha, N. D., & Woldeamanuel, B. T. (2021). Maternal factors associated with moderate and severe stunting in Ethiopian children: analysis of some environmental factors based on 2016 demographic health survey. Nutrition Journal, 20(1), 1–9. https://doi.org/10.1186/s12937-021-00677-6
  3. Ameye, H., & De Weerdt, J. (2020). Child health across the rural–urban spectrum. World Development, 130, 104950. https://doi.org/10.1016/j.worlddev.2020.104950
  4. Asna, A. F., Ramadhanty, P. D., & Fadhilah, T. M. (2022). The Association between Household Food Security with Stunting Incidence in Children Aged 6-23 Months in Sukaluyu and Srikamulyan Village Karawang Regency. Icsdh 2021, 43–47. https://doi.org/10.5220/0010758300003235
  5. Astuti, F. D., Azka, A., & Rokhmayanti, R. (2022). Maternal age correlation of stunting in children: Systematics review. Journal of Maternal and Child Health, 7(4 SE-Articles), 448–479. https://thejmch.com/index.php/thejmch/article/view/817
  6. Berhe, K., Seid, O., Gebremariam, Y., Berhe, A., & Etsay, N. (2019). Risk factors of stunting (chronic undernutrition) of children aged 6 to 24 months in Mekelle City, Tigray Region, North Ethiopia: An unmatched case-control study. PLoS ONE, 14(6), 1–11. https://doi.org/10.1371/journal.pone.0217736
  7. Pendataan Keluarga Tahun 2021, (2021).
  8. Hasil Audit Kasus Stunting, (2023).
  9. Cousminer, D. L., & Freathy, R. M. (2020). Genetics of early growth traits. Human Molecular Genetics, 29(R1), R66–R72. https://doi.org/10.1093/hmg/ddaa149
  10. Dinas Kesehatan Kota Sungai Penuh. (2022). Laporan Tahunan KESGA dan Gizi Kota Sungai Penuh 2022.
  11. Dinas Kesehatan Provinsi Jambi. (2022). Profil Kesehatan Provinsi Jambi Tahun 2021.
  12. Eliati, Handayani, S., Heppy Nidia, W., Susanti, D., & Rahliadi, R. (2021). Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Balita Usia 3-5 Tahun di Kecamatan Badar Kabupaten Aceh Tenggara. Nasuwakes: Jurnal Ilmiah Kesehatan, 14(2), 123–135.
  13. Endah Tri Maulina, E., Radita Alma, L., & Nurrochmah, S. (2021). Relationship of Chronic Energy Deficiency, Birthweight and Exclusive Breastfeeding with Stunting in Kedungrejo Village, Pakis District, Malang. KnE Life Sciences, 2021(ISMoPHS 2020), 102–114. https://doi.org/10.18502/kls.v0i0.8872
  14. Fatemi, M. J., Fararouei, M., Moravej, H., & Dianatinasab, M. (2019). Stunting and its associated factors among 6-7-year-old children in southern Iran: A nested case-control study. Public Health Nutrition, 22(1), 55–62. https://doi.org/10.1017/S136898001800263X
  15. Fitriani, H., Achmad Setya, R., & Nurdiana, P. (2020). Risk Factors of Maternal Nutrition Status During Pregnancy to Stunting in Toddlers Aged 12-59 Months. Jurnal Keperawatan Padjadjaran, 8(2), 174–182. https://doi.org/10.24198/jkp.v8i2.1305
  16. Gebreayohanes, M., & Dessie, A. (2022). Prevalence of stunting and its associated factors among children 6–59 months of age in pastoralist community, Northeast Ethiopia: A community-based cross-sectional study. PLOS ONE, 17(2), e0256722. https://doi.org/10.1371/journal.pone.0256722
  17. Gudeta, H. T., Nagari, S. L., Dadi, D. G., Abdulahi, T., & Abose, S. (2023). Predictors of Stunting among 6-35 Months Old Children in Assosa Zone, Northwest Ethiopia: Unmatched Case-Control Study. Advances in Public Health, 2023. https://doi.org/10.1155/2023/3491977
  18. Harismayanti and Retni. (2019). Karakteristik Pekerjaan Responden Wiraswasta Petani Total Frekuensi Presentase. Zaitun Universitas Muhammadiyah Gorontalo, 7(2), 1–8.
  19. Jelenkovic, A., Yokoyama, Y., Sund, R., Hur, Y. M., Harris, J. R., Brandt, I., Nilsen, T. S., Ooki, S., Ullemar, V., Almqvist, C., Magnusson, P. K. E., Saudino, K. J., Stazi, M. A., Fagnani, C., Brescianini, S., Nelson, T. L., Whitfield, K. E., Knafo-Noam, A., Mankuta, D., … Silventoinen, K. (2018). 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 Human Development, 120, 53–60. https://doi.org/10.1016/j.earlhumdev.2018.04.004
  20. Kementerian Kesehatan RI. (2018). Lebih Dari 200 Penyakit Ditularkan Melalui Makanan. Direktorat Jendral Kesehatan Masyarakat. https://kesmas.kemkes.go.id/konten/133/0/092717-lebih-dari-200-penyakit- ditularkan-melalui- makanan
  21. Kementerian Kesehatan RI. (2021). Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2021. 1, 168. https://doi.org/10.36805/bi.v2i1.301
  22. Kementerian Kesehatan RI. (2022). Hasil Studi Status Gizi Indonesia (SSGI) Tingkat Nasional, Provinsi, dan Kabupaten/Kota Tahun 2022. In Kemenkes RI. https://www.litbang.kemkes.go.id/buku-saku-hasil-studi-status-gizi-indonesia-ssgi-tahun-2021/
  23. Kementerian Pertanian. (2022). Indeks Ketahanan Pangan 2022. Badan Ketahanan Pangan, 0(0), 0.
  24. Kementrian Kesehatan RI. (2020). Indikator Program Kesehatan Masyarakat Dalam RPJMN dan RENSTRA Kementrian Kesehatan 2020-2024. In Kementerian Kesehatan Republik Indonesia.
  25. Khairani, M. D., Tjahjono, K., Rosidi, A., Margawati, A., & Noer, E. R. (2023). Faktor determinan riwayat kehamilan dan kelahiran sebagai penyebab stunting. AcTion: Aceh Nutrition Journal, 8(1), 70. https://doi.org/10.30867/action.v8i1.793
  26. Khatun, W., Rasheed, S., Alam, A., Huda, T. M., & Dibley, M. J. (2019). Assessing the intergenerational linkage between short maternal stature and under-five stunting and wasting in Bangladesh. Nutrients, 11(8). https://doi.org/10.3390/nu11081818
  27. Kpewou, D. E., Poirot, E., Berger, J., Som, S. V., Laillou, A., Belayneh, S. N., & Wieringa, F. T. (2020). Maternal mid-upper arm circumference during pregnancy and linear growth among Cambodian infants during the first months of life. Maternal and Child Nutrition, 16(S2), 1–11. https://doi.org/10.1111/mcn.12951
  28. Küpers, L. K., Monnereau, C., Sharp, G. C., Yousefi, P., Salas, L. A., Ghantous, A., Page, C. M., Reese, S. E., Wilcox, A. J., Czamara, D., Starling, A. P., Novoloaca, A., Lent, S., Roy, R., Hoyo, C., Breton, C. V., Allard, C., Just, A. C., Bakulski, K. M., … Felix, J. F. (2019). Meta-analysis of epigenome-wide association studies in neonates reveals widespread differential DNA methylation associated with birthweight. Nature Communications, 10(1), 1–11. https://doi.org/10.1038/s41467-019-09671-3
  29. Laraia, B. A., Gamba, R., Saraiva, C., Dove, M. S., Marchi, K., & Braveman, P. (2022). Severe maternal hardships are associated with food insecurity among low-income/lower-income women during pregnancy: results from the 2012–2014 California maternal infant health assessment. BMC Pregnancy and Childbirth, 22(1), 1–10. https://doi.org/10.1186/s12884-022-04464-x
  30. Lewa, A. F., Kusika, S. Y., Muliani, Rahmawati, & Jannah, I. (2020). Risk factors of stunting events in child 6–23 months old in Biromaru Public Health Center Sigi. Enfermeria Clinica, 30, 131–135. https://doi.org/10.1016/j.enfcli.2019.10.056
  31. Lukwa, A. T., Siya, A., Zablon, K. N., Azam, J., & Alaba, O. (2020). Prevalence and Socioeconomic inequalities trends in child health comparing within and between group inequalities: Food insecurity and malnutrition in Zimbabwe. BMC Public Health, 1–11. https://doi.org/10.1186/s12889-020-09295-z
  32. Lye, C. W., Sivasampu, S., Mahmudiono, T., & Majid, H. A. (2023). A systematic review of the relationship between household food insecurity and childhood undernutrition. Journal of Public Health, 45(4), e677–e691. https://doi.org/10.1093/pubmed/fdad070
  33. Mbogori, T., & Muriuki, J. (2021). Demographic and Social-Economic Determinants of Malnutrition among Children (0-23 Months Old) in Kenya. International Journal of Child Health and Nutrition, 10(3), 80–87. https://doi.org/10.6000/1929-4247.2021.10.03.1
  34. Miele, M. J., Souza, R. T., Calderon, I. M., Feitosa, F. E., Leite, D. F., Rocha Filho, E. A., Vettorazzi, J., Mayrink, J., Fernandes, K. G., Vieira, M. C., Pacagnella, R. C., & Cecatti, J. G. (2021). Maternal nutrition status associated with pregnancy-related adverse outcomes. Nutrients, 13(7), 1–14. https://doi.org/10.3390/nu13072398
  35. Mohd Shukri, N. H., Wells, J., Eaton, S., Mukhtar, F., Petelin, A., Jenko-Pražnikar, Z., & Fewtrell, M. (2019). Randomized controlled trial investigating the effects of a breastfeeding relaxation intervention on maternal psychological state, breast milk outcomes, and infant behavior and growth. American Journal of Clinical Nutrition, 110(1), 121–130. https://doi.org/10.1093/ajcn/nqz033
  36. Mulaw, G. F., Adem, O. S., & Belachew, A. B. (2020). Determinants of Stunting among Children Aged 6-23 Months of Age in Pastoral Community, Afar Region, Ethiopia: Unmatched Case-Control Study. International Journal of Child Health and Nutrition, 9(4), 191–201. https://doi.org/10.6000/1929-4247.2020.09.04.6
  37. Odei Obeng Amoako, G. A., Karamagi, C. A. S., Nangendo, J., Okiring, J., Kiirya, Y., Aryeetey, R., Mupere, E., Myatt, M., Briend, A., Kalyango, J. N., & Wamani, H. (2021). Factors associated with concurrent wasting and stunting among children 6–59 months in Karamoja, Uganda. Maternal and Child Nutrition, 17(1), 1–15. https://doi.org/10.1111/mcn.13074
  38. Patriota, É. S. O., Abrantes, L. C. S., Figueiredo, A. C. M. G., Pizato, N., Buccini, G., & Gonçalves, V. S. S. (2024). Association between household food insecurity and stunting in children aged 0−59 months: Systematic review and meta-analysis of cohort studies. Maternal and Child Nutrition, 20(2), 1–15. https://doi.org/10.1111/mcn.13609
  39. Peraturan Presiden Republik Indonesia Nomor 72 Tentang Percepatan Penurunan Stunting, Peraturan Presiden Republik Indonesia 23 (2021).
  40. Piniliw, M. B., Africa, L. S., & Agne, J. P. (2021). Factors Associated with Stunting among 24–35-Month-Old Kalinga Indigenous Children in Pinukpuk, Kalinga, Philippines: A Case-Control Study. Jurnal Gizi Dan Pangan, 16(2), 81–90. https://doi.org/10.25182/jgp.2021.16.2.81-90
  41. Priawantiputri, W., Fahmida, U., & Utami (2021). Household Food Security and Nutritional Status Among Children Under Two Years Old in East Kolaka District, South East Empowerment, December, 14–16. http://conference.juriskes.com/index.php/IC/article/view/163
  42. Ruaida, N., & Soumokil, O. (2018). Hubungan Status Kek Ibu Hamil Dan Bblr Dengan Kejadian Stunting Pada Balita Di Puskesmas Tawiri Kota Ambon. Jurnal Kesehatan Terpadu (Integrated Health Journal), 9(2), 1–7. https://doi.org/10.32695/jkt.v2i9.12
  43. Santosa, A., Kep, S., Kep, M., Arif, E. N., Kep, S., Ghoni, D. A., & Kep, S. (2022). Effect of maternal and child factors on stunting: partial least squares structural equation modeling. Clinical and experimental pediatrics, 65(2), 90. Clin Exp Pediatr, 65(2), 90–97.
  44. Sari, K., & Sartika, R. A. D. (2021). The effect of the physical factors of parents and children on stunting at birth among newborns in indonesia. Journal of Preventive Medicine and Public Health, 54(5), 309–316. https://doi.org/10.3961/jpmph.21.120
  45. Sartika, A. N., Khoirunnisa, M., Meiyetriani, E., Ermayani, E., Pramesthi, I. L., & Nur Ananda, A. J. (2021). Prenatal and postnatal determinants of stunting at age 0–11 months: A cross-sectional study in Indonesia. PLoS ONE, 16(7 July), 1–14. https://doi.org/10.1371/journal.pone.0254662
  46. Sihite, N. W., & Tanziha, I. (2021). Faktor-faktor yang mempengaruhi ketahanan pangan rumah tangga di Kota Medan. AcTion: Aceh Nutrition Journal, 6(1), 15. https://doi.org/10.30867/action.v6i1.395
  47. Sinha, B., Taneja, S., Chowdhury, R., Mazumder, S., Rongsen-Chandola, T., Upadhyay, R. P., Martines, J., Bhandari, N., & Bhan, M. K. (2018). Low-birthweight infants born to short-stature mothers are at additional risk of stunting and poor growth velocity: Evidence from secondary data analyses. Maternal & Child Nutrition, 14(1). https://doi.org/10.1111/mcn.12504
  48. Soliman, A., De Sanctis, V., Alaaraj, N., Ahmed, S., Alyafei, F., Hamed, N., & Soliman, N. (2021). Early and long-term consequences of nutritional stunting: From childhood to adulthood. Acta Biomedica, 92(1), 1–12. https://doi.org/10.23750/abm.v92i1.11346
  49. Sridevi, M. (2018). Influence of Maternal Short Stature on the Stunting Levels of Infants and Toddlers: A Case Study of Urban Slums in Chennai. Review of Development and Change, 23(1), 151–180. https://doi.org/10.1177/0972266120180107
  50. Sserwanja, Q., Kamara, K., Mutisya, L. M., Musaba, M. W., & Ziaei, S. (2021). Rural and Urban Correlates of Stunting Among Under-Five Children in Sierra Leone: A 2019 Nationwide Cross-Sectional Survey. Nutrition and Metabolic Insights, 14. https://doi.org/10.1177/11786388211047056
  51. Sugianti, E., Buanasita, A., Hidayanti, H., & Putri, B. D. (2023). Analisis faktor ibu terhadap kejadian stunting pada balita usia 24-59 bulan di perkotaan. AcTion: Aceh Nutrition Journal, 8(1), 30. https://doi.org/10.30867/action.v8i1.616
  52. Taib, W. R. W., & Ismail, I. (2021). Evidence of stunting genes in Asian countries: A review. Meta Gene, 30(June), 100970. https://doi.org/10.1016/j.mgene.2021.100970
  53. Thurstans, S., Opondo, C., Seal, A., Wells, J., Khara, T., Dolan, C., Briend, A., Myatt, M., Garenne, M., Sear, R., & Kerac, M. (2020). Boys are more likely to be undernourished than girls: A systematic review and meta-analysis of sex differences in undernutrition. BMJ Global Health, 5(12), 1–17. https://doi.org/10.1136/bmjgh-2020-004030
  54. UNICEF et al. (2023). Levels and trends in child malnutrition in Bangladesh. Asia-Pacific Population Journal, 24(2), 51–78. https://doi.org/10.18356/6ef1e09a-en
  55. Utami, R. A., Setiawan, A., & Fitriyani, P. (2019). Identifying causal risk factors for stunting in children under five years of age in South Jakarta, Indonesia. Enfermeria Clinica, 29(xx), 606–611. https://doi.org/10.1016/j.enfcli.2019.04.093
  56. Peraturan Daerah Kota Sungai penuh Nomor 1 Tahun 2021 Tentang Penyelenggaraan Cadangan Pangan, (2021).
  57. Wardani, D. W. S. R., Wulandari, M., & Suharmanto, S. (2020). Hubungan Faktor Sosial Ekonomi dan Ketahanan Pangan terhadap Kejadian Stunting pada Balita. Jurnal Kesehatan, 11(2), 287. https://doi.org/10.26630/jk.v11i2.2230
  58. Wardani, E. K., Widiyastuti, N. E., Rofika, L. D., & Wirawati, W. A. (2020). Factors Affecting Stunting among Children Under Five Years of Age in Banyuwangi, East Java. 117–125. https://doi.org/10.26911/the7thicph.03.80
  59. Wells, J. C. K., Marphatia, A. A., Cortina-Borja, M., Manandhar, D. S., Reid, A. M., & Saville, N. M. (2022). Associations of maternal age at marriage and pregnancy with infant undernutrition: Evidence from first-time mothers in rural lowland Nepal. American Journal of Biological Anthropology, 178(4), 557–573. https://doi.org/10.1002/ajpa.24560
  60. Zhu, W., Zhu, S., Sunguya, B. F., & Huang, J. (2021). Urban–rural disparities in the magnitude and determinants of stunting among children under five in tanzania: Based on tanzania demographic and health surveys 1991–2016. International Journal of Environmental Research and Public Health, 18(10). https://doi.org/10.3390/ijerph18105184

Open Access Copyright (c) 2024 Illiyin Tri Nashira, Kusnandar, Ika Sumiyarsi Sukamto
Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

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/
E-mail: jurnal6121@gmail.com

e-issn: 2548-5741, p-issn: 2527-3310

All content is licensed under a: Creative Commons Attribution ShareAlike 4.0 International License

View My Stats

Get a feed by atom here, RRS2 here and OAI Links here