THE Effects of Nutrition Status and Breastfeeding on Child Development Aged 3-6 Years: Evidence From Tanjung Jabung Timur, Jambi

Author(s):  
Dinda Septiani Hardilla ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Good nutrition and adequate stimulation for early learning are estimated as essential components for child development. The purpose of this study was to determine nutritional factors associated with child development aged 3-6 years. Subjects and Method: A cross sectional study was carried out at 25 preschools in Tanjung Jabung Timur, Jambi, Indonesia, from September to October 2019. A sample of 200 children aged 3-6 years was selected by stratified random sampling. The dependent variable was child development. The independent variables were child nutritional status, dietary pattern, exclusive breastfeeding, maternal education, maternal employment, and family income. Child development was measured by early childhood developmental screening. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: Child development improved with good nutritional status (b= 1.86; 95% CI= 0.54 to 3.19; p= 0.006), exclusive breastfeeding (b= 0.58; 95% CI= -0.67 to 1.84; p= 0.363), good dietary pattern (b= 1.55; 95% CI= 0.31 to 2.79; p= 0.014), maternal education ≥Senior high school (b= 2.27; 95% CI= 0.98 to 3.55; p= 0.001), and family income ≥Rp 2,840,000 (b= 1.84; 95% CI= 0.34 to 3.33; p= 0.016). Child development decreased with mother working outside the house (b= -1.31; 95% CI= -2.42 to -0.19; p=0.021). Conclusion: Child development improves with good nutritional status, exclusive breastfeeding, good dietary pattern, maternal education ≥Senior high school, and family income ≥Rp 2,840,000. Child development decreases with mother working outside the house Keywords: child development, nutritional status, exclusive breastfeeding Correspondence: Dinda Septiani Hardilla. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 082373568987 DOI: https://doi.org/10.26911/the7thicph.03.88

Author(s):  
Ajeng Ayu Titah Pujangkara ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  

ABSTRACT Background: Previous study reported that numerous nutritional-related interventions have been shown to improve health aspect for young children. However, social and economic factors also played an indirect role to their nutritional and health fulfillment. The purpose of this study was to examine biological and social-economic determinants of child development using path analysis model. Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was carried out at early childhood education programs (PAUD) in Wonokromo Sub-district, Surabaya, East Java. A sample of 200 children aged 2-5 years old from 25 PAUD was selected by simple random sampling. The dependent variable was child development. The independent variables were nutritional status, exclusive breastfeeding, number of children, family income, maternal education, and maternal employment status. The data were analyzed by path analysis. Results: Child developmental disorder directly increased with poor nutritional status (b= 0.95; 95% CI= 0.03 to 1.86; p= 0.041), low family income (b= 2.01; 95% CI= 1.13 to 2.90; p < 0.001), mothers working outside the home (b= 0.85; 95% CI= 0.07 to 1.63; p= 0.032), exclusive breastfeeding (b= 2.05; 95% CI= 1.23 to 2.86; p<0.001), and number of children ≥2 (b= 1.21; 95% CI= 0.20 to 2.23; p= 0.019). Child developmental disorders indirectly increased with maternal education. Conclusion: Child developmental disorder directly increases with poor nutritional status, low family income, mothers working outside the home, exclusive breastfeeding, and number of children ≥2. Child developmental disorder indirectly increases with maternal education. Keywords: child development, biological, social-economic determinants Correspondence: Ajeng Ayu Titah Pujangkara. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +628116119511. DOI: https://doi.org/10.26911/the7thicph.03.107


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Andy Muharry ◽  
Isti Kumalasari ◽  
Eka Rosmayanti Dewi

AbstrakBalita merupakan kelompok usia yang memerlukan asupan gizi yang cukup baik karena pada masa ini terjadi proses pertumbuhan dan perkembangan yang sangat pesat. Kekurangan gizi pada masa ini akan menyebabkan kegagalan pertumbuhan fisik dan perkembangan kecerdasan. Beberapa faktor yang terkait dengan status gizi balita yaitu kondisi sosial ekonomi, pendidikan ibu, jumlah anak dan pengetahuan ibu. Adapun prevalensi gizi kurang di wilayah kerja Puseksmas Nelayan lebih tinggi dari rata-rata prevalensi gizi kurang di Kota Cirebon yaitu sebesar 10,9%. Tujuan penelitian yaitu menganalisis faktor yang mempengaruhi status gizi balita usia 12-24 tahun. Penelitian ini menggunakan desain analitik dengan pendekatan cross sectional. Populasi adalah balita usia 12-24 bulan. Sampel berjumlah 93 orang diambil dengan teknik  proportional random sampling. Instrumen penelitian berupa lembar kuesioner. Analisis data dilakukan dengan analisis univariabel, bivariabel dan multivariabel. Hasil analisis dengan chi square didapatkan variabel yang hubungan dengan status gizi balita yaitu pengetahuan ibu (p=0,003; OR=3,68) pendapatan keluarga (p=0,003; OR=3,702). Faktor yang paling berpengaruh terhadap status gizi balita yaitu keaktifan posyandu. Pengetahuan ibu yang kurang tentang gizi balita, pendapatan keluarga yang rendah dan keaktifan posyandu yang tidak aktif merupakan faktor yang mempengaruhi status gizi balita usia 12-24 bulan. Ibu agar tetap aktif mebawa balita ke posyandu dan meningkatkan pengetahuan tentang gizi balita. Kata kunci: pengetahuan, pendapatan keluarga,  keaktifan posyandu, status gizi, balita AbstractToddlers are the age group that needs a good enough nutritional intake because there is a process of growth and development very rapidly. Malnutrition will lead to failure of physical growth and development of intelligence. Several factors related to the nutritional status of toddlers are socio-economic conditions, maternal education, number of children and mother's knowledge. The prevalence of less nutrition in the working area of Nelayan Public Health Centers is higher than the average prevalence of malnutrition in Cirebon City. The purpose of this research to analyze  factors that influence the nutritional status of toddlers. This research uses analytic design with cross sectional approach. The population is children aged 12-24 months. A sample of 93 people was taken with proportional random sampling technique. The research instrument is a questionnaire. Data were analized by univariable, bivariable and multivariable. The result showed that the correlation between nutrition status of toddler was maternal knowledge (p = 0,003; OR = 3,68), family income (p = 0,003; OR = 3,702). The most influential factor on the nutritional status of toddlers is the activeness of posyandu.  Mother to remain active to bring toddlers to posyandu and improve knowledge about child nutrition. Keywords: knowledge, family income, activeness of posyandu, nutritional status, toddler 


Author(s):  
Endang Palupi ◽  
◽  
Harsono Salimo ◽  
Bhisma Murti ◽  
◽  
...  

ABSTRACT Background: Rural children face higher mortality rates than their urban counterparts. Although the rural disadvantage in average child survival in developing countries is firmly established, its explanation is less clear. Several studies suggest that household-level factors appear to be important in explaining rural-urban differences in child mortality. This study aimed to examine the contextual effect of village and other determinants on infant mortality in Karanganyar, Central Java. Subjects and Method: A cross-sectional study was conducted in Karanganyar, Central Java, from February to May 2020. A sample of 200 infants aged 1 to 23 months was selected by fixed disease sampling. The dependent variable was infant mortality. The independent variables were exclusive breastfeeding, nutritional intake, immunization status, maternal education, family income, and contextual effect of village. The data were collected by questionnaire and analyzed by a multiple multilevel logistic regression run on Stata 13. Results: Infant mortality decreased with exclusive breastfeeding (b= -5.10; 95% CI= -9.60 to -0.59; p= 0.026), high family income (b= -5.96; 95% CI= – 9.91 to -2.02; p= 0.003), high maternal education (b= -4.09; 95% CI= -7.79 to -0.38; p= 0.030), and complete immunization (b= -4.67; 95% CI= -8.69 to -0.67; p= 0.022). Infant mortality increased with poor nutritional status (b= 4.99; 95% CI= 1.79 to 8.19; p= 0.002). Village had contextual effect on infant mortality with ICC= 32%. Conclusion: Infant mortality decreases with exclusive breastfeeding, high family income, high maternal education, and complete immunization. Infant mortality increases with poor nutritional status. Village has contextual effect on infant mortality. Keywords: infant mortality, contextual effect of village Correspondence: Endang Palupi. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: +6281331872723. DOI: https://doi.org/10.26911/the7thicph.03.114


2022 ◽  
Vol 3 (1) ◽  
pp. 74
Author(s):  
Siti Zaidar Lubis

Background: Stunting is condition a child's nutritional status that is not ideal which can Stunting is state of nutritional status children who are not ideal that can inhibit growth and development. Stunting events are influenced by various factors, namely birth length, exclusive breastfeeding history, family income, maternal education, maternal height nutrition knowledge, parity and parenting.Objective: Purpose this study is find the determinant stunting events in Alue Bilie Health Center of Nagan Raya Regency of Aceh Province.Method: The research design used is an observational comparative study with a case control approach. The population of this research is all mothers who have toddlers in Kuta Trieng Village. The number of samples is that all mothers have stunting toddlers as many as 42 people and toddlers who do not suffer from stunting as many as 42 people. Data was collected by interview using a questionnaire and anthropometric measurements of TB and age. Height using microtoise. Stunting was processed based on PMK no 2 of 2020. The data were analyzed using the Chi-Square test and Multiple Logistics Regression at a significance level of 95%.Results: Based on the results of the study found that there a relationship of exclusive breast milk history with stunting (ρ= 0.000), there a relationship of maternal nutritional knowledge with stunting (ρ= 0.000), there a income relationship with stunting (ρ= 0.024), there a relationship of maternal education with stunting (ρ= 0.034), exist parity relationship with stunting (ρ= 0.000), there a relationship of maternal height with stunting (ρ= 0.000) and there a parenting relationship with stunting (ρ= 0.003). Determinant factors that most affected stunting incidence were maternal height with an OR score of 24.8Conclusion: Factors that have a relationship with the incidence of stunting in toddlers in the work area of the Alue Bilie Health Center, Nagan Raya Regency, Aceh Province, namely the mother's education level, parity, exclusive breastfeeding, mother's level of knowledge, family income, mother's height and parenting patterns. The main determinant factors are parity, knowledge and maternal height.


2019 ◽  
Vol 5 (2) ◽  
pp. 101-105
Author(s):  
Rika Karmila ◽  
Winda Septiani

Dysmenorrhoea is pain when menstruation is felt in the lower part of the abdomen that comes from cramps in uterus. Dysmenorrhoea is divided into primary dysmenorrhoea and secondary dysmenorrhoea Based on early survey, that always there are students going to UKS every month and permission not to attend the learning process because they have dysmenorrhea, and most of the students prefer to go home because of unbearable pain. Based on interviews, from 15 female students, 26.67% of them have never experienced dysmenorrhoea. 73.77% said they had different menstrual pain complaints.This researchh purpose is to knowing correlation of nutrition status , physic activity, and knowledge toward incidents of dysmenorrhea on female students of YLPI Pekanbaru senior high school in 2018. This research type is qualitative analytic with cross sectional design. The sample in this reseach were XI and XII grade, totaling 143 peoples. Data collection was conducted by distributing questionnaires for variables of dysmenorrhea, physical activity and knowledge. Measuring height and weighing female students was conducted for nutritional status variables. The research result show that, there are meaningful correlation among nutritional status (Pvalue= 0,016) andPR (95% CI)= 5,600 (1,449-21,641), physical activity (P value = 0,003) andPR (95% CI)= 6,587 (2,000-21,695), knowledge (P value = 0,004)andPR (95% CI)= 6,000 (1,887-18,083) with incidents of dysmenorrhea on female students of YLPI Pekanbaru Senior High School in 2018.Suggestions for the school to form Youth Counseling Information Center in environment of YLPI Senior High School that is useful as a forum for giving or educating information such as adolescent health, especially regarding dysmenorrhoea


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Agung Dwi Laksono ◽  
Ratna Dwi Wulandari ◽  
Mursyidul Ibad ◽  
Ina Kusrini

Abstract Background Even though the Indonesian government have set regulations for maintaining exclusive breastfeeding practices, the coverage remains low. The study aims to analyze the effects of mother’s education level on the coverage of exclusive breastfeeding in Indonesia. Methods This study used data from the 2017 Nutrition Status Monitoring Survey. It covered data of 53,528 children under 5 years old (7–59 months) as the samples. Variables included exclusive breastfeeding status, mother’s education level, mother’s age, marital status, employment status, gender, residence, under five’s age and gender. A binary logistics regression was performed in the final test. Results Mothers who graduated from elementary school were 1.167 times more likely to perform exclusive breastfeeding compared to mothers who never attended schools. Additionally, those who graduated from junior high school had 1.203 times possibilities to give exclusive breastfeeding compared to mothers without educational records. While, mothers who graduated from high school were 1.177 times more likely to perform exclusive breastfeeding compared to those without educational records. Mothers who graduated from tertiary education had 1.203 times more possibilities to perform exclusive breastfeeding compared to mothers who were never enrolled to schools. Other variables also became affecting predictors on exclusive breastfeeding, such as mother’s age, mother’s employment status, child’s age, and residence. Conclusions The mother’s education level positively affects exclusive breastfeeding practice in Indonesia.


2020 ◽  
Vol 7 (2) ◽  
pp. 95
Author(s):  
Rini Hariani Ratih

ABSTRAK Data Riskesdas 2018 menunjukkan bahwa 25,7% remaja usia 13-15 tahun dan 26,9% remaja usia 16-18 tahun dengan status gizi pendek dan sangat pendek. Selain itu terdapat 8,7% remaja usia 13-15 tahun dan 8,1% remaja usia 16-18 tahun dengan kondisi kurus dan sangat kurus. Sedangkan prevalensi berat badan lebih dan obesitas sebesar 16,0% pada remaja usia 13-15 tahun dan 13,5% pada remaja usia 16-18 tahun. Data tersebut merepresentasikan kondisi gizi pada remaja di Indonesia yang harus diperbaiki. Berdasarkan baseline survey UNICEF pada tahun 2017, ditemukan adanya perubahan pola makan dan aktivitas fisik pada remaja. Gizi merupakan salah satu faktor utama penentu kualitas hidup dan sumber daya manusia. Tujuan penelitian Untuk mengetahui hubungan perilaku makan terhadap status gizi pada siswi SMAN 2 Tambang 2018. Penelitian ini mengunakan jenis kuantitatif analitik dengan desain cross sectional.  Populasi pada penelitian ini adalah seluruh siswa putri SMAN 2 Tambang dari kelas XI sebanyak 240 orang  dengan sampel sebanyak 71 orang. Hasil uji Chi Square didapatkan nilai p=0,01 (≤ 0,05. Ada hubungan yang signifikan perilaku makan dengan status gizi pada remaja putr di SMAN 2 Tambang.Kata Kunci : perilaku makan; status gizi;  remaja putri  RELATIONSHIP BETWEEN EATING BEHAVIOR WITH NUTRITIONAL STATUS IN FEMALE ADOLESCENT AT TAMBANG STATE SENIOR HIGH SCHOOL 2 ABSTRACT  According to the report of Indonesian Health Research in 2018 showed that 25.7% of adolescents aged 13-15 years and 26.9% of adolescents aged 16-18 years have a short and very short nutritional status. In addition, there were 8.7% adolescents aged 13-15 years and 8.1% adolescents aged 16-18 years with thin and very thin conditions. Meanwhile, the prevalence of overweight and obesity was 16.0% in adolescents aged 13-15 years and 13.5% in adolescents aged 16-18 years. Nutrition is one of the main factors determining the quality of life and human resources. Nutrients are chemicals found in food that the body needs to maintain health and immunity; adolescents are one of the groups that are prone to experiencing nutritional problems. The research objective was to determine the relationship between eating behavior and the nutritional status of students at SMAN 2 Tambang 2018. This research method used a quantitative analytic research type, with a cross sectional study design. The populations in this study were all 12 students of Tambang State Senior High School 2 from class XI totaling 240 students. The sample in this study was some of the 71 class students. The results of the Chi Square test showed that the value of p = 0.01 (≤ 0.05), this means that statistically there is a relationship between eating behavior and nutritional status in young girls. Keywords: eating behavior; nutritional status; female adolescent


2020 ◽  
Vol 8 (1) ◽  
pp. 51-70
Author(s):  
Islah Wahyuni

Background: The emergence of nutritional problems in toddlers is influenced by many interrelated factors. Directly influenced by some things, the toddler is not getting enough nutritious food balanced at the age of toddlers, the child does not get adequate nutritional care and children suffer from infectious diseases. Poverty is also one of the causes of malnutrition in regard to availability and consumption of family food. Less or worse nutritional problems and stunting are certainly required early detection attempts. Early detection of children's growth is an activity/examination to early find the existence of growth irregularities in infants The purpose of research: to do the growth factor: Nutrition Status, event Stunting in toddler  aged < 5 years in the work area Puskesmas Sidomulyo Pekanbaru. Research method: The sample used in this research is a toddler in Sidomulyo Puskesmas work area which amounted to 30 toddlers 12-59 months with Consencutive sampling technique. The study took place in December 2019.    Research instruments are digital weight scales, body length meters, Midline and questionnaires. Data analysis using the Rank Spearman. Research result: Classification of nutritional problems in infants based on the BB/U majority is BB less (underweight) 19 Reponden (63.3%). On a short (stunteed) majority, 14 respondents (46.7%), and based on the majority of the BB/TB of Good Nutrition (Normal) 17 respondents (56.7%). There are factors that affect the problem of nutritional status and stunting in children, from the knowledge aspect obtained by 16 respondents (53.3%)  Less knowledgeable, the majority of maternal education was 19 (63.3%), there were a history of 23-person disease infections (76.7%), and a low family income of 20 people (66.7%) and incomplete immunizations as much as 17 people (56.7%). There is a relationship factor of mother knowledge with the problem of nutrition (stunting) (0.00), there is a relationship factor mother education with the problem of nutrition (stunting) (0.00), there is a relationship factor family income with nutrition (stunting) (0.001), there is a relationship factor of infection history in infants with stunting problems (0.00), there is a relationship factor immunization history with the problem of the nutrient (stunting) (0.010). It is expected that the health workers further improve the counseling and education to the toddler mother in monitoring nutritional problems and growth of toddlers


Author(s):  
Livia Calorina ◽  
◽  
Hanung Prasetya ◽  
◽  

ABSTRACT Background: Children nowadays use gadgets intensively, which can lead to addiction. The frequency or intensity of the children in using gadgets may affect their development. This study aimed to examine the use of gadgets on child development in children aged 3-5 years. Subjects and Method: A cross sectional study was conducted in Melawi, East Kalimantan, Indonesia, from August to September 2019. A sample of 200 children 3-5 years old was selected by fixed exposure sampling. The dependent variable was child development. The independent variables were gadget use, maternal age, maternal education, maternal employment, family income, number of children, and type of family. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Children development aged 3-5 years increased with maternal age ≥20 years old (b= 0.73; 95% CI= 0.11 to 1.35; p= 0.020), maternal education ≥Senior high school (b= 0.71; 95% CI= 0.34 to 1.08; p<0.001), family income ≥Rp 2,288,000 (b= 0.85; 95% CI= 0.42 to 1.28; p<0.001), and nuclear family type (b= 0.57; 95% CI= 0.25 to 0.89; p= 0.001). Children development aged 3-5 years decreased with gadget use (b= -0.69; 95% CI= -0.98 to -0.40; p<0.001), employed mother (b= -0.75; 95% CI= -1.05 to -0.45; p <0.001), and number of children >2 (b= -1.13; 95% CI= -1.46 to -0.80; p<0.001). Conclusion: Perkembangan anak usia 3-5 tahun meningkat dipengaruhi oleh usia ibu, pendidikan ibu, pendapatan keluarga, dan tipe keluarga inti. Perkembangan anak usia 3-5 tahun menurun pada anak yang menggunakan gadget, pekerjaan ibu, dan jumlah anak. Keywords: gadget use, children aged 3-5 years Correspondence: Livia Calorina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: 081346595497 DOI: https://doi.org/10.26911/the7thicph.03.87


Author(s):  
Renidya Asyura Muttabi’ Deya Fa’ni ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Isna Qadrijati ◽  
◽  
...  

ABSTRACT Background: Complementary feeding practice is needed to be optimized to maximize children’s potential for growth and development. However, there are still many obstacles in provide complementary feeding practice. This study aimed to examine the determinants of complementary feeding practice. Subjects and Method: A cross sectional study was conducted in Gunungkidul, Yogyakarta, Indonesia, from October to November 2019. A sample of 200 mothers who had infants aged 6-24 months was selected by probability sampling. The dependent variable was complementary feeding practice. The independent variables were birthweight, child nutritional status, maternal knowledge toward complementary feeding, maternal education, and family income. The data were collected by infant weight scale, infantometer, and questionnaire. The data were analyzed by a multiple logistic regression run on Stata 13. Results: Complementary feeding practice increased with birthweight ≥2500 g (b= 2.67; 95% CI=0.59 to.89; p= 0.008), child nutritional status (WHZ) -2.0 to 2.0 SD (b= 2.72; 95% CI=o.75 to 4.61; p= 0.006), high maternal knowledge toward complementary feeding (b= 2.27; 95% CI= 0.27 to 3.79; p= 0.023), maternal education ≥Senior high school (b= 2.19; 95% CI= 0.23 to 4.25; p= 0.028), and family income ≥Rp 1,571,000 (b= 2.42; 95% CI= 0.39 to 3.77; p= 0.015). Conclusion: Complementary feeding practice increases with birthweight ≥2500 g, good child nutritional status, high maternal knowledge toward complementary feeding, high maternal education, and high family income. Keywords: complementary feeding, path analysis Correspondence: Renidya Asyura Muttabi’ Deya Fa’ni. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: +62 815 3934 0421. DOI: https://doi.org/10.26911/the7thicph.03.103


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