Effect of Low Birth Weight on the Risk of Pneumonia in Children Under Five: Meta-Analysis

Author(s):  
Putu Anggi Widia Karmany ◽  
◽  
Setyo Sri Rahardjo ◽  
Bhisma Murti ◽  
◽  
...  

ackground: Pneumonia remains the foremost cause of death from infectious diseases in children under five. Previous studies reported the association between low birth weight and pneumonia in children under five. The purpose of this meta-analysis study was to assess the effect of low birth weight on the risk of pneumonia in children under five. Subjects and Method: This was meta-analysis and systematic review. The study collected published articles from Google Scholar, PubMed, and Springer Link databases. Keywords used “birth weight” AND “pneumonia children under 5” OR “pneumonia” AND “case control”. The inclusion criteria were full text, using English language, and using case control study design. The study subject was children under five. Intervention was low birthweight with comparison normal birthweight. The study outcome was pneumonia. The data were analyzed using RevMan 5.3 program. Results: 6 studies from Nepal, Ethiopia, India, Tanzania, Brazil, and Egypt. This study reported that children with history of low birthweight had the risk of pneumonia 1.96 times than those with normal birthweight (aOR = 1.96; 95% CI= 0.99 to 3.86; p= 0.050). Conclusion: Low birthweight increases the risk of pneumonia in children under five. Keywords: pneumonia, low birth weight, children under five Correspondence: Putu Anggi Widia Karmany. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 087864306006

2016 ◽  
Vol 5 (2) ◽  
Author(s):  
Yulia Efni ◽  
Rizanda Machmud ◽  
Dian Pertiwi

AbstrakAda beberapa faktor risiko yang meningkatkan angka kejadian pneumonia di negara berkembang yaitu: kurangnya pemberian Air Susu Ibu (ASI) eksklusif, gizi buruk, polusi udara dalam ruangan, Bayi Berat Lahir Rendah (BBLR) dan kurangnya imunisasi campak. Tujuan penelitian ini adalah menentukan faktor risiko yang berhubungan dengan kejadian pneumonia pada balita di Kelurahan Air Tawar Barat, Kota Padang. Penelitian ini menggunakan desain case control study, sampel terdiri dari 27 case dan 27 control. Data dikumpulkan dengan wawancara terpimpin serta melihat data rekam medik dan dianalisis dengan uji chi-square. Hasil penelitian  mendapatkan balita pada kelompok kasus yang tidak mendapatkan ASI eksklusif (81,5%), paparan asap rokok (74,1%), riwayat bayi berat lahir rendah (3,7%), tidak mendapatkan imunisasi campak (40,7%) dan gizi kurang (25,9%). Hasil analisis bivariat menunjukkan terdapat hubungan yang bermakna antara status gizi dengan kejadian pneumonia (p=0,022; OR=9,1; 95%CI=1,034-80,089), sedangkan pemberian ASI eksklusif, paparan asap rokok, riwayat bayi berat lahir rendah dan imunisasi campak tidak terdapat hubungan yang bermakna terhadap pneumonia.Kata kunci: balita, faktor risiko, pneumonia AbstractPneumonia in developing countries are associated to the risk factors such as: lack of exclusive breastfeeding, malnutrition, indoor air pollution, low birth weight and lack of measles vaccinations. The objective of this study was to determine the risk factors associated on the occurrence of pneumonia among the children under five years of age in Air Tawar Barat district, Padang City. This study used case control study  to the 27 cases and 27 control. The data were collected by guided interview and the medical records, than was analyzed by chi-square.test. The results of this study obtanined in the group of cases based on the low exclusive breastfeeding rates (81.5%), exposure to cigarette smoke (74.1%), a history of low birth weight (3.7%), did not get measles vaccinations (40.7%) and malnutrition (25.9%). The result of bivariate analysis shows the significant relationship between nutritional status on the occurrence of pneumonia (p=0.022; OR=9.1; 95% CI=1.034-80.089). The exclusive breastfeeding, exposure to cigarette smoke, a history of low birth weight and measles vaccinations are not significantly related to the occurrence of pneumonia. Keywords: children under five years of age, risk factors, pneumonia


Author(s):  
Elma Yopiana ◽  
◽  
Bhisma Murti ◽  
Yulia Lanti Retno Dewi ◽  
◽  
...  

ABSTRACT Background: In both developed and developing countries, childhood obesity has reached epidemic levels. Obesity is associated with adverse health outcomes in children, including asthma and sleep apnea. The studies showed that breastfeeding is a protective factor of obesity in children. This study aimed to determine exclusive breastfeeding and prevention of obesity in children under five. Subjects and Method: This was a meta-analysis and systematic review conducted by search online published articles toward exclusive breastfeeding and obesity in children under five.Original studies published from 2003 to 2016 were obtained from PubMed, Science Direct, Springer Link, and Google Scholar databases. Keywords used “Children Under Five” AND “Breast Feeding” AND “non Breast Feeding” OR “Formula milk” OR “Infant Formula” AND “Obesity” OR “Body Mass Index”. The inclusion criteria were full text, in English language, using observational or cohort study design, and reporting adjusted odds ratio. The selected articles were analyzed using PRISMA guideline and Revman 5.3. Results: 6 studies from California, Massachusetts, China, German, Swedish, and Dutch, reported that exclusive breastfeeding was a protective factor of obesity in children under five (aOR= 0.95; 95% CI= 0.86 to 1.06; p= 0.360) with (I²= 82%, p= 0.001). Conclusion: Exclusive breastfeeding is a protective factor of obesity in children under five Keywords: obesity, exclusive breastfeeding, meta-analysis Correspondence: Elma Yopiana. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 083867060745. DOI: https://doi.org/10.26911/the7thicph.03.124


Author(s):  
Imam Setya Arifian ◽  
◽  
Vitri Widyaningsih ◽  
Hanung Prasetya ◽  
◽  
...  

ABSTRACT Background: Intrauterine exposure to tobacco smoke has been discerned as an important risk factor for low birth weight, small for gestational age, and preterm birth infants. The purpose of this study was to investigate the effect of active smokers in pregnant women on low birth weight. Subjects and Method: This was meta analysis and systematic review. The study was conducted by collecting published articles from Google Scholar, and PubMed databases, from year 2010 to 2020. Keywords used “Maternal Smoking” OR “Low Birth Weight” AND “cross sectional”. The study subject was pregnant women. Intervention was active tobacco smokers with comparison non-smokers. The study outcome was low birthweight. The collected articles were selected by PRISMA flow chart. The quantitative data were analyzed using Revman 5.3. Results: 4 studies from Brazil, East Ethiopia, Southern Ethiopia, Turkey, Taiwan, and Romania reported that active smokers in pregnant women increased the risk of low birthweight (aOR= 2.17; 95% CI= 1.05 to 4.51; p<0.001). Conclusion: Active smokers in pregnant women increase the risk of low birthweight. Keywords: active smokers, pregnant women, low birth weight Correspondence: Imam Setya Arifian. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 0852 5340 2793. DOI: https://doi.org/10.26911/the7thicph.03.132


2021 ◽  
Vol 7 (2) ◽  
pp. 141
Author(s):  
Kharis Faridan ◽  
Meitria Syahadatina Noor ◽  
Alfi Yasmina ◽  
Syamsul Arifin ◽  
Harapan Parlindungan Ringoringo

     Basic Health Research (2018) and National Socio-Economic Survey (2019) showed a high incidence of stunting in Indonesia. History of acute respiratory infection (ARI) and low birth weight (LBW) were studied as factors associated with stunting in under-five children. The research’s objective was to analyze the association between the history of ARI and LBW with the incidence of stunting in under-five children. This study was a meta-analysis. Literature searching was conducted in reputed and accredited journals in PubMed and Google Scholar, published between 2016-2020, analytic observational study design, contained OR/PR/RR with 95% confidence interval, written in English or Indonesian, and available in full-text. The meta-analysis was conducted with RevMan 5.4 application. We included 14 studies. Results showed there was a significant association between history of ARI and the incidence of stunting in under-five children, with pooled OR = 2.48 (95%CI = 1.82-3.40, p < 0.00001, I2 = 0%, p for heterogeneity = 0.66). This study showed there was a significant association between LBW and incidence of stunting, with pooled OR = 2.15 (95% CI = 1.58-2.93, p < 0.00001, I2 = 61%, p for heterogeneity = 0.005). The conclusions were there were significant associations between the history of ARI and LBW with the incidence of stunting in under-five children.


2020 ◽  
Vol 1 (2) ◽  
pp. 77-82
Author(s):  
Resty Ryadinency ◽  
Suwandi N ◽  
Try Ayu Patmawati

Stunting is a global problem, especially in Indonesia. The prevalence of stunting among children under five in Palopo city is quite high, namely 36.0%. Therefore, this study aims to determine the incidence of stunting and its determinant factors in children aged 12–59 months in Palopo city, South Sulawesi, Indonesia. This study used a case control design. The subjects of this study were mothers who have toddlers aged 12-59 months. sampling with purposive sampling. 200 samples were collected for analysis. Data analysis using odds ratios. The proportion of stunting among toddlers 12-59 months was higher in children under five with a history of normal birth weight (70.8%) and under five who had no history of infection (84.0%). Low family income for stunting toddlers (78.0%). The results of statistical tests showed that LBW (OR = 5.37), history of infection (OR = 2.53) and family income (OR = 6.30) were determinants of stunting. This study shows that the determinants of stunting incidence in children aged 12-59 months are low birth weight, infectious diseases and low family income.


2010 ◽  
Vol 50 (2) ◽  
pp. 86 ◽  
Author(s):  
Ekawaty L Haksari ◽  
Setya Wandita ◽  
Yustivani Yustivani

Background Low birth weight infants are ongoing problems sincethey are likely to have high risks of morbidity, mortality andfeeding problems. American Academy of Pediatrics recommendsbreastfeeding practice for infants with low birth weight, yet someproblems have occured.Objective To determine risk factors for non-optimal breastfeedingpractices in low birth weight infants.Methods In this historical cohort study we included mothers with6-month-old infants, single birth with weight of2000-2499 gramsand the pregnancy period of 2:: 34 weeks, and excluded motherswith infants who had a major congenital disorder, labioschizis,labiognatopalatoschizis, or history of admission in NICU. Datawere collected using standard longitudinal surveillance form forbreastfeeding mothers. Analyses were performed using chi-squaretest and logistic regression.Results The percentage of low birth weight infants breastfedoptimally were 42.7%. Working mothers presented the highestrisk for non-optimal breastfeeding. The onset of lactation formore than 6 hours was the second factor (81.8%). The resultsof multivariate logistic regression analysis showed that motherswho worked (RR 2.79; 95% CI 1.84 to 4.23) and onset lactationof more than 6 hours (RR 2.34; 95% CI 1.57 to 3.50) were therisk factors for non-optimal breastfeeding practices in low birthweight infants.Conclusion Mother's working status and onset of lactationfor more than 6 hours were the risk factors for non-optimalbreastfeeding in low birth weight infants.


2012 ◽  
Vol 52 (4) ◽  
pp. 229 ◽  
Author(s):  
Karolina Trigemayanti Tallo ◽  
I Kompyang Gede Suandi ◽  
Setya Wandita

Background Infants who are breastfed receive natural protectionagainst certain infections. Despite the known benefits of exclusivebreastfeeding, many Indonesian mothers choose to supplementwith formula. There have been few Indonesian studies on theeffect of exclusive breastfeeding in reducing acute respiratoryinfections in low birth weight infants in their first four monthsof life.Objective To investigate the effect of exclusive breastfeeding inreducing the incidence of acute respiratory infections in low birthweight infants during their first four months of life.Methods We conducted a prospective cohort study on low birthweight babies in Sanglah Hospital, Denpasar. The total numberof subjects was 181. The incidence of acute respiratory infectionsduring the first 4 months of life and the duration of breast feedingwere assessed by questionnaires. Data was analyzed Mth Chisquare and logistic regression tests.Results Infants who were exclusively breastfed for 4 months hada lower risk of acute respiratory infection than those who were notexclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; P􀁄O.OOI).After adjustment for gestational age, parity, maternal nutritionalstatus, family size, smoke exposure, and history of atopy, infantswho were exclusively breastfed still had a lower risk for acuterespiratory infection than those who were not exclusively breastfed(RR 0.06; 95% CI 0.03 to 0.13; P 􀁄 0.001)Conclusion Exclusive breastfeeding reduced the risk of acuterespiratory infection in low birth weight infants in the first fourmonths after birth. [Paediatr Indones. 2012;52:229,32].


2016 ◽  
Vol 5 (1) ◽  
pp. 55-61
Author(s):  
Wiwien Fitrie Wellina ◽  
Martha Irene Kartasurya ◽  
M. Zen Rahfiludin

Background : In 2013, the prevalence of stunting and severe stunting in Brebes reached 26.9 % and 16.8 %. These prevalences of stunting were higher than the stunting prevlence in Central Java Province (11.0%). This study aimed to determine risk factors of stunting among children aged 12-24 months in Brebes District.Methods: This research was conducted with a case-control design on 77 cases (stunting) and 77 controls (normal) in Brebes Subdistrict. Data on birth weight, birth length, infection history, pesticide exposure were obtained through interviews, using structured questionnaires. The analysis was conducted by calculating Odd Ratios and logistic regressions.Results : Multivariate results showed that the risk factors of stunting in children aged 12-24 months in Brebes  subdistrict were low energy adequacy levels (OR =7.71; 95%CI: 3.63-16.3; p=0.001), low protein adequacy levels (OR=7.65 ; 95%CI:3.67-15.9, p=0.001); low zinc adequacy levels (OR=8.78; 95%CI:3.53-21.5, p=0,001); low birth weight (OR=3.63; 95%CI:1.65-7.96; p=0.002) and high exposure to pesticides (OR=8.48; 95%CI:3.93-18.28; p=0,001). These three variables are contributing to stunting of 45 %. Low compliance of vitamin A capsule consumption, the frequencies of diarrhea respiratory infection were not the risk factors for stunting in this study.Conclusions: The risk factors of stunting among children aged 12-24 months were low energy adequacy levels, low protein adequacy levels, low zinc adequacy levels, low birth weight and high exposure to pesticides. The highest risk was the high pesticide exposure.


Author(s):  
Silvalia Rahma Pratiwi ◽  
◽  
Hanung Prasetya ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Low birth weight (LBW) has been used as an important public health indicator. LBW is one of the key drivers and indirect causes of neonatal death. It contributes to 60% to 80% of all neonatal deaths, annually. This study aimed to examine association between LBW and neonatal mortality using meta analysis. Subjects and Methods: This was meta-analysis and systematic review. Published articles in 2010-2020 were collected from Google Scholar, PubMed, Springer Link, Hindawi, Clinical Key, ProQuest databases. Keywords used “low birth weight” AND “mortality” OR “birth weight mortality” OR “neonatal death” AND “cross sectional” AND “adjusted odd ratio”. The inclusion criteria were full text, using cross-sectional study design, and reporting adjusted ratio. The data were analyzed by PRISMA flow chart and Revman 5.3. Results: 6 studies were met criteria. This study showed that low birth weight increased the risk of neonatal mortality (aOR= 2.23; 95% CI= 1.12 to 4.44; p= 0.02). Conclusion: Low birth weight increases the risk of neonatal mortality. Keywords: low birth weight, mortality, neonatal death Correspondence: Silvalia Rahma Pratiwi. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 082324820288. DOI: https://doi.org/10.26911/the7thicph.03.113


2019 ◽  
Vol 5 (2) ◽  
pp. 25-29
Author(s):  
Juminten Saimin ◽  
Ahmad Fahmi Nugraha ◽  
Asmarani Asmarani ◽  
Ashaeryanto Ashaeryanto

Background: Malnutrition is a public health problem, especially in developing countries. Malnutrition of children can affect brain development during growth and increase morbidity and mortality. Low birth weight (LBW) plays an important role in child morbidity and mortality. The prevalence of malnutrition in children under five years old and LBW in Indonesia are still high.Objective: This study aimed to assess the risk of LBW on the incidence of malnutrition in children under five years old in coastal areas.Method: This was an observational analytic study with case control approach. The study was conducted on 64 respondents in the coastal area of Kendari City, Southeast Sulawesi on November to December 2018. Case group (n=16) was children under five years old who experienced malnutrition in the working area of Abeli, Mata and Benu-Benua Health Center in October 2018. Control group (n=48) was taken by measuring body weight and then adjusted to the category and threshold of nutritional status based on the body weight index according to age. Sixteen respondents of case group were recruited using total sampling. Forty-eight respondents of control group were also recruited using purposive sampling with non-matching method according to the inclusion and exclusion criteria. The Odd Ratio (OR) statistical test was used with a 2x2 contingency table and a 95% confidence level with a significance level of α = 0.05.Results: The majority of respondents were 25-48 months old, and maternal age was mostly 36-45 years old in the case group (37.5%) and 26-35 years old in the control group (50.0%). The majority of maternal education level was junior high school in the case group (43.7%) and high school in the control group (47.9%). The statistical test results were obtained OR = 5.923 (CI=95%) with Lower Limit (1.724) and Upper Limit (20.346).  Conclusion: Infants with LBW had a 5 times higher risk for experiencing malnutrition in childhood in coastal areas. Therefore, knowledge of LBW and malnutrition is needed to improve public health status.


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