Praktik pemberian makanan pendamping ASI (MP-ASI) bukan faktor risiko kejadian stunting pada anak usia 6-23 bulan

ABSTRACTBackground: Stunting reflects a process of failure to reach linear growth potential as a result of suboptimal health or nutrition conditions. One of causal factors of stunting is inadequate of quality and quantity of complementary foods.Objectives: To identify complementary feeding practices such as introduction age of complementary foods, dietary diversity, and meal frequency as risk factors of stunting among children aged 6-23 months in Sedayu Subdistrict, Bantul, Yogyakarta.Methods: Study design was case-control with ratio (1:1). The study used both quantitative methods as well as case control design and qualitative through interview. Cases were children aged 6-23 months who had length for age z-score <-2SD. Controls were children aged 6-23 months who had length for age z-score ≥-2SD who live adjacent to the case. Data were analyzed by using univariable (descriptive), bivariable (chi-square test), and multivariable analysis (multiple logistic regression).Results: The result of bivariate analysis showed that introduction age of complementary foods (OR=1.07), dietary diversity (OR=1.17), and meal frequency (OR=1.69) were not risk factors of stunting. However, compared with high dietary diversity score, low dietary diversity score (≤2, 3, 4 food groups) associated with increased odds of being stunted among children aged 6-23 months (OR=2.24, 95% CI:1.00-5.01, OR=1.82, 95% CI:0.96-3.45, OR=1.66, 95% CI:0.81-3.46 respectively). The result of multivariate analysis showed that mother’s height (OR=1.86) and story of low birth weight (OR=3.23) were risk factors of stunting.Conclusions: Complementary feeding practices such as age introduction of complementary foods, dietary diversity, and meal frequency were not risk factors of stunting among children aged 6-23 months. Mother’s height and story of low birth weight were risk factors of stunting among children aged 6-23 months.KEYWORDS: stunting, nutritional intake, nutritional status, complementary foods ABSTRAKLatar belakang: Stunting merefleksikan kegagalan proses mencapai potensi pertumbuhan linear sebagai akibat dari kondisi kesehatan dan gizi yang tidak optimal. Salah satu penyebab kejadian stunting adalah kuantitas dan kualitas MP-ASI yang rendah.Tujuan: Untuk mengidentifikasi risiko praktik pemberian MP-ASI seperti usia pengenalan MP-ASI, keragaman MP-ASI, dan frekuensi MP-ASI dengan kejadian stunting pada anak usia 6-23 bulan di Kecamatan Sedayu, Bantul, Yogyakarta.Metode: Rancangan penelitian ini adalah kasus-kontrol dengan perbandingan 1:1 dan menggunakan pendekatan kuantitatif-kualitatif model concurrent embedded. Kasus adalah anak usia 6-23 bulan yang memiliki skor-z PB/U <-2SD. Kontrol adalah anak usia 6-23 bulan yang memiliki skor-z PB/U ≥-2SD yang tinggal berdekatan dengan kelompok kasus. Analisis data menggunakan analisis univariat (deskriptif), bivariat (uji chi-square) dan multivariat (uji regresi logistik berganda).Hasil: Analisis bivariat menunjukkan usia pengenalan MP-ASI (OR=1,07), keragaman MP-ASI (OR=1,17), dan frekuensi pemberian MP-ASI (OR=1,69) bukan faktor risiko kejadian stunting (p>0,05). Skor keragaman MP-ASI yang lebih rendah (kelompok makanan ≤2, 3, 4) berhubungan dengan peningkatan risiko kejadian stunting berturut-turut OR=2,24, 95% CI:1,00-5,01; OR=1,82, 95% CI:0,96-3,45; OR=1,66, 95% CI:0,81-3,46. Analisis multivariat menunjukkan faktor risiko kejadian stunting adalah tinggi badan ibu (OR=1,86) dan riwayat berat badan lahir rendah (BBLR) (OR=3,23,).Kesimpulan: Praktik pemberian MP-ASI seperti usia pengenalan, keragaman, dan frekuensi pemberian MP-ASI bukan merupakan faktor risiko kejadian stunting pada anak usia 6-23 bulan. Faktor risiko kejadian stunting pada anak usia 6-23 bulan yang bermakna adalah tinggi badan ibu dan riwayat BBLR.KATA KUNCI: stunting, asupan makan, status gizi, MP-ASI

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Determinants and Current Level of Optimal Complementary Feeding Practices among Lactating Mothers of Children in Ambo Town, Oromia, Ethiopia

10.46619/fpns.2020.1-1004 ◽

2020 ◽

Vol 1 (1) ◽

pp. 31-50

Author(s):

Haile Abebe ◽

◽

Belay Assefa ◽

Keyword(s):

Complementary Feeding ◽

Dietary Diversity ◽

Feeding Practices ◽

Current Level ◽

Meal Frequency ◽

Maternal Knowledge ◽

Complementary Foods ◽

Chi Square ◽

Cross Sectional ◽

Chi Square Test

An appropriate diet is critical in the growth and development of children especially in the first two years of life. Poor complementary feeding of children aged 6 months - 23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Therefore, this study aimed to assess determinants and current level of optimal complementary feeding practices among mothers of children aged 6 months to 23 months in Ambo town, Oromia Region. The study used cross sectional study design and targeted 336 mothers with children 6 months - 23 months olds. Information from the respondents were collected using standard questionnaire. Data entry and analysis was done using SPSS version 21.0 windows statistical software. All (100%) the children 6 months - 8 months old had received solid, semi-solid/soft foods. The minimum meal frequency was attained by 88.3% (95% CI 84.3-91.4) whereas the minimum dietary diversity was attained by 17.9% (95% CI 14.1-22.5). The minimum acceptable diet was attained by 15.4% (95% CI 11.9-19.8). Maternal knowledge on: importance of breastfeeding (87.3%); age of introduction of complementary foods (85.4%) and correct meal frequency for age (74.5%) was high. On the contrary, knowledge on the importance of enriching complementary foods (34.5%) was low. Mothers who knew the importance of a diverse diet were likely (chi-square test; p=0.001) to feed their children on a diverse diet. On the other hand, mothers who knew the importance of enriching complementary foods were likely to feed their children on a minimum acceptable diet (chi-square test; p = 0.007) and maternal knowledge on enriching complementary foods (OR = 3.41, p = 0.040) were significant predictors of consumption of Vitamin A rich foods, minimum meal frequency and minimum acceptable diet, respectively. Behaviour change and communication involving all the stakeholders in infant and young child feeding should be emphasized. Messages on appropriate feeding practices should include importance of dietary diversity

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Prevalence, Risk Factors, and Short-Term Outcomes of Full-Term Low Birth Weight Infants Born at a Tertiary Academic Center: A Prospective Case–Control Study

American Journal of Perinatology ◽

10.1055/s-0040-1722599 ◽

2021 ◽

Author(s):

Heidi K. Al-Wassia ◽

Shahd K. Baarimah ◽

Asmaa H. Mohammedsaleh ◽

Manal O. Alsulami ◽

Ragad S. Abbas ◽

...

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Case Control Study ◽

Case Control ◽

Adverse Outcomes ◽

Chromosomal Anomalies ◽

Short Term ◽

Term Infants ◽

Control Study

Objective Low birth weight (LBW) infants (<2,500 g) continued to be a global health problem because of the associated short- and long-term adverse outcomes. The study aimed to determine the prevalence, risk factors, and short-term outcomes of term LBW infants Study Design A prospective and case–control study. All infants born consecutively from September 1, 2018 to August 31, 2019 were included. Cases, term LBW infants, were 1:1 matched to controls, appropriate for gestational age (AGA) term infants. Major congenital or chromosomal anomalies and multiple pregnancies were excluded. Results The prevalence of term LBW in the studied period was 4.8%. Mothers of term LBW infants had significantly lower body mass index (p = 0.05), gained less weight (p = 0.01), had a history of previous LBW (p = 0.01), and lower monthly income (p = 0.04) compared with mothers of term AGA infants even after adjustment for confounders. A nonsignificant higher number of term LBW infants needed NICU admission, while their need for phototherapy was deemed significant. Conclusion We identified nutritional and socioeconomic maternal factors that are significantly associated with LBW infants and should be targeted during antenatal visits to improve neonatal outcomes. Key Points

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Risk factors for low birth weight: Results from a case-control study in southern Spain

American Journal of Physical Anthropology ◽

10.1002/(sici)1096-8644(199804)105:4<419::aid-ajpa2>3.0.co;2-j ◽

1998 ◽

Vol 105 (4) ◽

pp. 419-424 ◽

Cited By ~ 11

Author(s):

Miguel Delgado-Rodríguez ◽

Rocío Pérez-Iglesias ◽

Montserrat Gómez-Olmedo ◽

Aurora Bueno-Cavanillas ◽

Ramón Gálvez-Vargas

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Case Control Study ◽

Case Control ◽

Southern Spain ◽

Control Study

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Determinants of inadequate complementary feeding practices among children aged 6–23 months in Ghana

Public Health Nutrition ◽

10.1017/s1368980014000834 ◽

2014 ◽

Vol 18 (4) ◽

pp. 669-678 ◽

Cited By ~ 30

Author(s):

Abukari I Issaka ◽

Kingsley E Agho ◽

Penelope Burns ◽

Andrew Page ◽

Michael J Dibley

Keyword(s):

Risk Factors ◽

Health Survey ◽

Complementary Feeding ◽

Dietary Diversity ◽

Feeding Practices ◽

Demographic And Health Survey ◽

Meal Frequency ◽

Factors Associated ◽

Minimum Dietary Diversity ◽

Breast Fed

AbstractObjectiveTo explore complementary feeding practices and identify potential risk factors associated with inadequate complementary feeding practices in Ghana by using the newly developed WHO infant feeding indicators and data from the nationally representative 2008 Ghana Demographic and Health Survey.DesignThe source of data for the analysis was the 2008 Ghana Demographic and Health Survey. Analysis of the factors associated with inadequate complementary feeding, using individual-, household- and community-level determinants, was done by performing multiple logistic regression modelling.SettingGhana.SubjectsChildren (n 822) aged 6–23 months.ResultsThe prevalence of the introduction of solid, semi-solid or soft foods among infants aged 6–8 months was 72·6 % (95 % CI 64·6 %, 79·3 %). The proportion of children aged 6–23 months who met the minimum meal frequency and dietary diversity for breast-fed and non-breast-fed children was 46·0 % (95 % CI 42·3 %, 49·9 %) and 51·4 % (95 % CI 47·4 %, 55·3 %) respectively and the prevalence of minimum acceptable diet for breast-fed children was 29·9 % (95 % CI 26·1 %, 34·1 %). Multivariate analysis revealed that children from the other administrative regions were less likely to meet minimum dietary diversity, meal frequency and acceptable diet than those from the Volta region. Household poverty, children whose mothers perceived their size to be smaller than average and children who were delivered at home were significantly less likely to meet the minimum dietary diversity requirement; and children whose mothers did not have any postnatal check-ups were significantly less likely to meet the requirement for minimum acceptable diet. Complementary feeding was significantly lower in infants from illiterate mothers (adjusted OR=3·55; 95 % CI 1·05, 12·02).ConclusionsThe prevalence of complementary feeding among children in Ghana is still below the WHO-recommended standard of 90 % coverage. Non-attendance of postnatal check-up by mothers, cultural beliefs and habits, household poverty, home delivery of babies and non-Christian mothers were the most important risk factors for inadequate complementary feeding practices. Therefore, nutrition educational interventions to improve complementary feeding practices should target these factors in order to achieve the fourth Millennium Development Goal.

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Association between Maternal Dietary Diversity and Low Birth Weight in Central India: A Case-Control Study

Journal of Nutrition and Metabolism ◽

10.1155/2021/6667608 ◽

2021 ◽

Vol 2021 ◽

pp. 1-8

Author(s):

Shantanu Sharma ◽

Sonali Maheshwari ◽

Sunil Mehra

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Case Control Study ◽

Dietary Diversity ◽

Central India ◽

Case Control ◽

Reproductive Age ◽

Stepwise Logistic Regression ◽

Maternal Undernutrition ◽

Control Study

Low birth weight (LBW) is one of the major public health challenges in India. LBW etiology is multifactorial and linked to multiple determinants, including maternal undernutrition and sociodemographic characteristics. The objective of the present endeavor was to assess how maternal dietary diversity and other sociodemographic factors among marginalized populations are associated with the incidence of LBW. The study was a part of the community-based intervention that aimed to improve maternal and child health in the Morena district of Madhya Pradesh, a state in central India. In this case-control study, cases were defined as mothers with an LBW child (<2500 grams) and controls as mothers without an LBW child. A quantitative survey was done with women of reproductive age, having at least one child aged 0–24 months. We calculated the dietary diversity based on the number of food groups consumed during pregnancy by women on a daily basis. Stepwise logistic regression models were built to test for associations between sociodemographic and dietary diversity variables and LBW incidence. There were 157 mothers with and 214 without an LBW child. Women’s diets mainly consisted of grains, such as wheat, rice, maize, and roots and tubers. Eggs and meat were consumed by less than 1% of the women. There were 20% lesser chances of an LBW child with increasing maternal dietary diversity scores (odds ratio: 0.79; 95% CI: 0.65, 0.96). The poor maternal diet quality during pregnancy may result in adverse birth outcomes with long-term consequences in a child.

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Maternal risk factors associated with low birth weight in Karachi: a case-control study

Eastern Mediterranean Health Journal ◽

10.26719/2007.13.6.1343 ◽

2007 ◽

Vol 13 (6) ◽

pp. 1343-1352 ◽

Cited By ~ 14

Author(s):

S.A. Rizvi ◽

J. Hatcher ◽

I. Jehan ◽

R. Qureshi

Keyword(s):

Risk Factors ◽

Birth Weight ◽

Low Birth Weight ◽

Case Control Study ◽

Case Control ◽

Maternal Risk Factors ◽

Maternal Risk ◽

Factors Associated ◽

Control Study

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HUBUNGAN BAYI BERAT BADAN LAHIR RENDAH DENGAN KEJADIAN ASFIKSIA NEONATORUM DI RSUD MALA KABUPATEN TALAUD

e-NERS ◽

10.35790/ens.v1i1.1775 ◽

2013 ◽

Vol 1 (1) ◽

Author(s):

Engrith Binilang ◽

Agnes Madianung ◽

Gresty Masi

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Data Retrieval ◽

Case Control ◽

P Value ◽

Chi Square ◽

Cross Sectional ◽

Hospital District ◽

Asphyxia Neonatorum ◽

Neonatal Asphyxia

Abstrak: BBLR adalah bayi yang lahir dengan berat badan kurang dari 2500 gram, yang bisa menyebabkan asfiksia neonatorum. Asfiksia neonatorum merupakan suatu kondisi bayi yang tidak dapat bernapas secara spontan dan teratur segera setelah lahir. Berdasarkan studi pendahuluan yang diakukan di RSUD Mala pada periode Januari sampai dengan November 2011 terdapat 70 bayi yang lahir dengan BBLR dan mengalami Asiksia Neonatorum. Tujuan penelitian ini adalah untuk mengetahui hubungan Bayi BBLR dengan Kejadian Asfiksia Neonatorum di RSUD Mala Kabupaten Talaud. Desain yang digunakan adalah cross sectional. Populasi adalah seluruh bayi yang lahir dengan BBLR pada periode Januari sampai November 2012 di RSUD Mala Kabupaten Talaud dengan teknik total sampling. Pengambilan data dilakukan dengan pengambilan data sekunder dari rekam medis bayi BBLR pada periode Januari sampai November 2012. Analisia data yang digunakan adalah Uji Chi Squre dengan computer. Hasil penelitian menunjukkan bahwa sebagian dari responden (48,6%) kejadian BBLR premature, sedangkan hasil penelitian tentang asfiksia neonatorum sebagian besar responden (71,4%) mengalami kejadian asfiksia neonatorum dan sebagian kecil (28,6%) tidak mengalami asfiksia neonatorum. Berdasarkan hasil uji statistic Chi square diperoleh nilai p 0,017, atau nilai p < α 0,05 sehingga kesimpulan dari penelitian ini ada hubungan bayi BBLR dengan kejadian asfiksia neonatorum di RSUD Mala Kabupaten Talaud. Hasil penelitian ini dapat digunakan sebagai masukan bagi peneliti selanjutnya agar meneliti dengan mencari faktor penyebab bayi BBLR Dismatur dan BBLR Prematur dengan secara langsung melakukan observasi atau menggunakan metode penelitian case control. Kata kunci: BBLR, Asfiksia Neonatorum. Abstract: BBLR infants are born weighing less than 2500 grams, which can cause asphyxia neonatorum. Asphyxia neonatorum is a condition in which the baby can not breathe spontaneously and regularly soon after birth. Based on preliminary studies that transactions are carried out in hospitals Mala in the period January to November 2011 there were 70 babies born with low birth weight and having Asphyxia Neonatorum. The purpose of this study was to determine the relationship with the incidence of LBW babies in hospitals Mala Asphyxia Neonatorum Talaud district. The design is cross sectional. Population is all children born with low birth weight in the period January to November 2012 in the Hospital District of Talaud Mala total sampling techniques. Data retrieval is done by collection of secondary data from the medical records of LBW infants in the period January to November 2012. Analysis data used is the Chi Squre the computer. The results showed that the majority of the respondents (48.6%) incidence of low birth weight premature, while the results of research on neonatal asphyxia majority of respondents (71.4%) had neonatal asphyxia events and a small portion (28.6%) had no asphyxia neonatorum. Based on the test results obtained by Chi square statistic p value 0.017, or p-value <α 0.05 so that the conclusions of this study no association with the incidence of LBW babies in hospital neonatal asphyxia Mala Talaud district. The results of this study can be used as input for further research in order to examine the causes of infant looking Dismatur LBW and preterm LBW by direct observation or using the case control study. Keywords: low birth weight, Asphyxia Neonatorum.

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