scholarly journals Anemia and Nutritional Status of Syrian Refugee Mothers and Their Children under Five Years in Greater Beirut, Lebanon

Author(s):  
Joana Abou-Rizk ◽  
Theresa Jeremias ◽  
Lara Nasreddine ◽  
Lamis Jomaa ◽  
Nahla Hwalla ◽  
...  

The objective was to assess the prevalence of anemia and nutritional status of mothers and children under five years among Syrian refugees in Lebanon and to identify nutritional deficiencies among pregnant, lactating, and non-pregnant non-lactating (NPNLM) mothers. A cross-sectional study was conducted among Syrian refugee mothers with children under five years in Greater Beirut, Lebanon (n = 433). Data on socio-economic status, maternal health, lifestyle characteristics, dietary intake, anthropometric measurements, and hemoglobin concentrations were collected. The prevalence of anemia was 21.7% among mothers and 30.5% among children. NPNLM with overweight/obesity and an at-risk waist circumference (WC) had 14.7-times and 10.9-times higher odds of anemia than mothers with normal WC and weight. Children of anemic mothers had 2.7-times and 4.4-times higher odds of total and mild anemia than those of non-anemic. Higher odds of mild anemia were found among children of lactating mothers than of NPNLM. A high percent energy intake of total fat and sugar was found among all mothers. Nutritional inadequacy was identified in higher proportions of lactating and pregnant mothers than NPNLM. Our findings highlighted the co-existence of overnutrition and anemia among Syrian refugee mothers and undernutrition among children from the same household. Culture-specific interventions are needed to support maternal nutrition, to ensure the health and wellbeing of their offspring.

2017 ◽  
Vol 1 (4) ◽  
pp. 379
Author(s):  
Santik Wijayanti ◽  
Triska Susila Nindya

 Background: Family conscious nutrition (Kadarzi) is an Indonesia government program that aims to address the nutrition problem. The family expected to be able to independently giving the best nutrition to improve health. Each Kadarzi indicator has an important role to resolve and prevent the occurrence of utrition problem as indicator of vitamin A supplementation is used to resolve vitamin A deficiency.  Nutrition problems can be seen by using nutritional status. Children under five years are age-prone to experiencenutritional problem such as underweight, stunting, and wasting. Objective: The purpose of this study was to analyze the relationship between the application of Kadarzi behavior with the nutritional status of children under five (WAZ, HAZ, and WHZ). Method: The research was an analytic obsevation research, using cross sectional design. The sample consist of 72 toddlers in Salakkembang Village, Kalidawir Subdistrict, Tulungagung Regency. The data were collected by using weight and height measurement, also Kadarzi bahavior questionnaire. The data were analyzed using Fisher Exact test. Result: The results of the study showed that there was a correlation between Kadarzi behavior with nutitional status of toddlers based on WAZ (p=0.010), and HAZ (p=0.000) but not with WHZ (p=0.368). Conclusion: The better apllication of Kadarzi behavior, the better the nutritional status of toddlers WAZ and HAZ. Mothers should apply Kadarzi behavior to prevent toddlers from nutritional problems. ABSTRAK Latar belakang: Keluarga Sadar Gizi (Kadarzi) merupakan program pemerintah Indonesia yang bertujuan mengatasi masalah gizi. Keluarga diharapkan dapat secara mandiri mewujudkan keadaan gizi yang sebaik-baiknya untuk meningkatkan kesehatan. Setiap indikator Kadarzi memiliki peran penting untuk mengatasi dan mencegah terjadinya masalah gizi seperti indikator pemberian suplemen vitamin A digunakan untuk mengatasi kekurangan vitamin A. Masalah gizi dapat dilihat salah satunya dengan menggunakan status gizi. Balita merupakan usia yang rawan mengalami masalah gizi seperti underweight, stunting, dan wasting.Tujuan: Tujuan dari penelitian ini adalah menganalisis hubungan antara penerapan perilaku Kadarzi dengan status gizi balita (BB/U, TB/U, dan BB/TB).Metode: Penelitian ini merupakan penelitian observasinol analitik, dengan desain penelitian cross sectional. Sampel terdiri dari 72 balita di Desa Salakkembang, Kecamatan Kalidawir, Kabupaten Tulungagung. Pengumpulan data menggunakan penimbangan berat badan, tinggi badan, dan kuesioner perilaku Kadarzi. Data dianalisis menggunakan Fisher Exact test. Hasil: Hasil dari penelitian menunjukkan terhadap hubungan antara perilaku Kadarzi dengan status gizi balita BB/U (p=0,010) dan TB/U (p=0,000) namun tidak dengan BB/TB (p=0,368).Kesimpulan: Semakin baik penerapan perilaku Kadarzi maka semakin baik status gizi balita BB/U dan TB/U. Ibu dan seluruh anggota keluarga seharusnya menerapkan perilaku Kadarzi agar balita terhindar dari masalah gizi.


2020 ◽  
Vol 4 (1) ◽  
pp. 58
Author(s):  
Arum Sekar Rahayuning Putri ◽  
Trias Mahmudiono

Background: One of the efforts made in overcoming malnutrition in the toddler age group is by implementing a Recovery Supplementary Feeding program.Objectives: The purpose of this study was to analyze the differences in nutritional status of children based on weight for height before and after the Supplementary Food Recovery and differences in nutritional status of children after Supplementary Food Recovery and when they had not received Supplementary Food Recovery in the Simomulyo Community Health Center work area.Methods: This study was observational study using case-control design. A total of 38 toddlers with history of obtaining Supplemental Feeding Recovery (PMT) Program in the working area of Simomulyo Health Center were randomly selected. Nutritional status of toddlers is obtained using anthropometric methods of body weight and height / body length. Statistically tested using t-test paired with a significance level of <0.05.Results: After not getting Supplemental Feeding Recovery, it was found that 2.6% of children under five severely wasting, 34.2% wasting, and 63.2% had normal nutritional status. There was a decrease in the percentage of infants with normal nutritional status compared to after completing PMT Recovery program from 68.4% to 63.2%. There were no significant differences in nutritional status of children before and after the program (p=0.585). There was no difference between the nutritional status of children under five after the program and when they had not received the program (p=0.430)Conclusions: There was no difference in nutritional status of children (weight-for-height) before and after Supplemental Feeding Recovery Program.ABSTRAK  Latar Belakang: Upaya yang dilakukan dalam mengatasi kekurangan gizi pada kelompok usia balita adalah program Pemberian Makanan Tambahan (PMT) Pemulihan.Tujuan: Penelitian ini dilakukan bertujuan untuk menganalisis adanya perbedaan pada status gizi balita berasarkan BB/TB sebelum dan setelah Pemberian Makanan Tambahan (PMT) Pemulihan serta perbedaan status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan di wilayah kerja Puskesmas Simomulyo.Metode: Penelitian ini adalah peneitian observasional dengan desain penelitan cross sectional. Lokasi penelitian adalah di wilayah kerja Puskemas Simomulyo, Surabaya. Sebanyak 38 balita dengan riwayat mendapat PMT Pemulihan dipilih secara acak menggunakan metode simple random sampling. Status gizi balita didapat menggunakan metode antropometri berat badan dan tinggi/panjang badan. Indeks BB/TB digunakan dalam penilaian status gizi dengan alasan sasaran utama PMT Pemulihan adalah balita dengan status gizi kurus.  Uji secara statistik dilakukan menggunakan uji t berpasangan dengan tingkat signifikansi <0,05.Hasil: Setelah 3 bulan mendapat PMT Pemulihan ada peningkatan persentase balita dengan status gizi normal dari 65,8% menjadi 68,4%. Setelah tidak mendapat PMT Pemulihan ada penurunan persentase balita dengan status gizi normal menjadi 63,2%. Tidak ada perbedaan yang bermakna status gizi balita berasarkan BB/TB sebelum dan setelah PMT Pemulihan (p=0,585). Tidak ada perbedaan pada status gizi dapat disebabkan oleh konsumsi PMT yang belum optimal. Begitu juga diketahui tidak ada perbedaan yang bermakana status gizi balita setelah PMT Pemulihan dan saat sudah tidak mendapat PMT Pemulihan (p=0,430).Kesimpulan: Tidak ada perbedaan pada status gizi balita dengan indeks antropometri BB/TB saat sebelum PMT Pemulihan dan setelah PMT Pemulihan.


Author(s):  
Zico Permadi ◽  
◽  
Maria Ekawati ◽  
Citra Ayu Aprilia ◽  
◽  
...  

ABSTRACT Background: Pneumonia is still causing the most deaths among children in developing countries. This disesase often occurs in children under 5 years of age. Nutritional status is a factor that is closely related to infectious diseases such as pneumonia. This study aimed to examine the correlation between nutritional status and pneumonia among 6-59 months years old in Tangerang, Banten. Subject and Methods: A cross-sectional study was conducted at Pakuhaji Community Health Center, Tangerang, Banten, from January to February 2018. A total of 29 children under five were enrolled in this study. The dependent variable was pneumonia. The independent variable was nutritional status. The data were collected from direct measurement of the children under five and questtioner. The data were analyzed by Chi-square. Results: As many as 16 children under five (55.17%) had pneumonia, 7 children under five (24.13%) were malnutrition, 3 children under five (10.34%) were short, and 5 children under five (7.24%) were thin. Nutritional status based on weight for age and weight for height had differences in nutritional status with the incidence of pneumonia among children under five, and they were statistically significant (p< 0.001). Conclusion: Nutritional status is associate with the incidence of pneumonia among 6-59 months years old (children under five) in Tangerang, Banten. Keywords: pneumonia incidence rate, pneumonia, nutritional status, chidren under five Correspondence: Citra Ayu Aprilia. Faculty of Medicine, Universitas Pembangunan Nasional Veteran Jakarta. Email: [email protected]. Mobile: +628122090545. DOI: https://doi.org/10.26911/the7thicph.03.13


2019 ◽  
Vol 5 (2) ◽  
pp. 66-74
Author(s):  
Tutik Hidayati

The problem of malnutrition in children under five is still a major health problem in the world, including Indonesia. Indonesia is a developing country that still faces considerable problems of malnutrition. Nutritional problems nationally are under-five and under-nutrition children under five. Poor nutritional status is a condition of the body experiencing nutritional deficiencies or below standard. Based on the nutritional status monitoring (PSG) survey in Probolinggo District, there was an increase in cases of malnutrition, obtained in the prevalence of non-compliance with the weight per year in 2017 of 9.44%, an increase compared to 2016, namely 8.65% under-five children under five. Toddlers are considered the biggest nutritional risk because patterns of poor feeding have an impact on growth and development. This causes the toddler age group to increase the risk of morbidity and mortality. Based on a preliminary study in April 2018, data was obtained that Probolinggo was ranked second in the area of ​​malnutrition in East Java. In 2017 there are 130 toddlers who experience malnutrition in the Kalibuntu Coast of Probolinggo Regency. The cause of malnutrition is due to the pattern and intake of toddlers' food which contains less nutrition.The purpose of this study was to analyze the effect of nutritional support programs on feeding patterns and nutritional status of the Kalibuntu Coastal Children in Probolinggo Regency. This research is an experimental study, namely by measuring the increase / comparison of feeding patterns and nutritional status before and after the nutrition companion program. The population in this study were all toddlers with malnutrition in the Kalibuntu Coast of 130 people in Probolinggo Regency. Sampling uses Total Sampling. Samples are all mothers who have underweight and malnourished children under the age of 130 people in the Kalibuntu Coast of Probolinggo Regency. Data collection using observation sheets and interviews. Analysis of univariate data using frequency distribution, bivariate analysis using Wilcoxon match paired test and multivariate analysis using multiple linear regression then drawn conclusions. The results of the Wilcoxon match paired test between nutritional companions on feeding patterns obtained a p value of 0,000 <α 0,05, so ha was accepted so that there was an effect of nutritional companion on feeding patterns. The value of Exp (B) in the logistic regression analysis of eating parenting has a value of 85.008, which means that parenting has a chance of 85,008 times to change. While the nutritional status variable in multiple logistic regression has an Exp (B) value of 3.663, from these results it can be explained that nutritional status has an opportunity to increase 3.663 times.


Author(s):  
Ai Nurasiah ◽  
Merisa Laora Heryanto ◽  
Ila Ayatilah

The coverage of visits to the integrated service post for boys and girls in the village of Nagarakembang in January 2019 was 26.82%, in February it was 42.54%, in March 81.16%. The purpose of this study was to describe the nutritional status of children under five based on the frequency of visits to integrated service posts in Nagarakembang Village, Cingambul District, Majalengka Regency. This type of research is descriptive with a cross sectional design. The sampling technique is total sampling with a sample of 85 toddlers aged 25-60 months The results showed that the toddlers who often visited the integrated service posts were 47.1%. The nutritional status of children under five was mostly normal, which was 82.4%. Respondents who frequently visited the integrated service posts were mostly with normal nutritional status, namely 31 toddlers. Conclusion: There are as many toddlers who do not visit the integrated service posts as children who visit the integrated service posts and on average have nutritional status. Suggestions for mothers of toddlers must be active in visiting integrated service posts so that they have knowledge about additional food for toddlers


2021 ◽  
Vol 10 (4) ◽  
pp. 335-342
Author(s):  
Ami Monika Sari ◽  
Demsa Simbolon ◽  
Tetes Wahyu

Background: The direct causes of nutritional status problems are infectious diseases and inadequate intake. The prevalence of infectious diseases can be caused by children not getting complete basic immunization and not getting exclusive breastfeeding. Objective: The study aims to determine the relationship between complete basic immunization and exclusive breastfeeding with the nutritional status of underfive children in Indonesia. Methods: This study uses secondary data from Primary health research of Indonesia (Riskesdas 2018). It is an analytical study using a cross sectional study design. The sample in this study is toddlers spread across 34 provinces of Indonesia. The sampling technique in this study is the total population. The independent variables were complete basic immunization coverage and exclusive breastfeeding coverage. The dependent variable is the prevalence of nutritional status based on the index of Weight by age, body length according to age and body weight by length.Results: The results of the analysis found that the complete basic immunization coverage for underfive children in Indonesia was 56.18%, exclusive breastfeeding coverage was 39.59%, and the prevalence of underweight and severely underweight children under five (WHZ) was 16.67%, the prevalence of short and very short toddlers short (WHZ 29.68% and the prevalence of malnutrition and very poor (HAZ)  12.44%. using correlation test and linear regression with a significance degree of p≤0.05. Complete basic immunization coverage was associated with the prevalence of very underweight and underweight (p=0.005), short and very short (p=0.043), very undernourished and undernourished (p=0.000). Conclusion: There is a significant relationship between complete basic immunization and the nutritional status of children under five in Indonesia. There is no significant relationship between exclusive breastfeeding and the nutritional status of children under five in Indonesia.Key words: Complete basic Immunization; Exclusive breastfeeding;  Nutritional status; Underfive years old


Author(s):  
Siti Helmyati ◽  
Setyo Utami Wisnusanti ◽  
Dominikus Raditya Atmaka

<p><strong>ABSTRAK</strong></p><p><em><strong>Latar belakang:</strong></em> Proporsi balita gizi lebih dan gizi kurang masih cukup tinggi di Indonesia. Penanggulangan masalah gizi sangat penting dilakukan karena memiliki dampak kesehatan jangka panjang. Penyelesaian masalah gizi buruk dan gizi lebih di Indonesia terkendala dengan kurangnya efektivitas program intervensi dan pola asuh yang diberikan orang tua kepada anak. Salah satu hal yang mempengaruhi keberhasilan penanggulangan masalah gizi adalah persepsi orang tua terhadap status gizi balita.</p><p><em><strong>Tujuan:</strong></em> Penelitian ini bertujuan untuk menilai persepsi orang tua terhadap status gizi balita yang dikelompokkan antara berat badan atau tinggi badan menurut umur.</p><p><em><strong>Metode:</strong></em> Penelitian menggunakan desain potonglintang dengan memberikan kuesioner penilaian persepsi kepada orangtua yang memiliki anak balita dan datang ke posyandu di 11 Padukuhan di Kecamatan Seyegan, DI Yogyakarta. Penelitian berfokus pada penilaian persepsi orang tua terhadap berat badan dan tinggi badan anak menurut umur dan apakah orang tua mengalami underestimasi atau overestimasi terhadap status gizi anak-anaknya.</p><p><strong><em>Hasil:</em></strong> Terdapat 89 responden yang bersedia mengikuti penelitian ini. Dari jumlah tersebut, 27 orang tua (30%) memiliki overestimasi bahwa anaknya gemuk atau normal, padahal apabila menurut kurva z-skor, anak tergolong kurus. Terdapat 10 orang tua (11,2%) underestimasi terhadap tinggi badan anak yang sebenarnya normal atau tinggi namun dianggap pendek. Sebaliknya, 5 orang tua (5,6%) mengalami overestimasi dengan menganggap tinggi badan anaknya normal atau tinggi padahal sebenarnya tergolong pendek menurut kurva z-skor.</p><p><em><strong>Kesimpulan:</strong></em> Masih terdapat kesalahan persepsi orang tua terhadap status gizi anaknya. Penelitian lebih lanjut diperlukan untuk mendalami faktor-faktor yang mempengaruhi persepsi dan bagaimana cara mengubahnya sehingga pola asuh orang tua dan penerimaan terhadap program perbaikan gizi menjadi lebih baik.</p><p><strong>KATA KUNCI:</strong> persepsi; berat badan; tinggi badan; balita; status gizi</p><p><strong><br /></strong></p><p><strong>ABSTRACT </strong></p><p><em><strong>Background:</strong></em> The proportion of over- and under-nutrition is still high in Indonesia. Overcoming the nutritional problems is important since it can lead to long term health impacts. However, there are some problems that inhibit the intervention program such as low effectiveness and inappropriate parenting. One thing that affects the success of the program is about parents’ perception of the nutritional status of their children.</p><p><em><strong>Objectives:</strong></em> The study aimed to identify the perception of the parents towards the nutritional status of their children, which is categorized as body weight and height to age.</p><p><em><strong>Methods:</strong></em> The research use cross-sectional design by giving the questionnaire to the parents who have children under-five and go to Posyandu in 11 villages in Seyegan, DI Yogyakarta. The study focused on the judgment of the parents towards the height and weight to the age of their children and whether the parents under- or overestimate the nutritional status of their children.</p><p><em><strong> Results:</strong> </em>There were 89 respondents following the study. From the number, there were 27 parents (30%) who overestimate their children by assuming the children to be overweight while according to z-score they was categorized as wasted. There were 10 parents (11.2%) who underestimate the height of their children by assuming that their children was stunted while they was not. On the other hand, 5 parents (5.6%) overestimate the height of their children by saying they had normal height while the fact they were stunted.</p><p><em><strong>Conclusion:</strong></em> There is still misperception among the parents about the nutritional status of their children. Further study is needed to identify what factors affecting the perception and how to change it so that the nutritional intervention program and parenting can be better.</p><p><strong>KEYWORDS:</strong> perception; body weight; body height; children under-five; nutritional status</p>


2020 ◽  
Vol 27 (10) ◽  
pp. 2122-2128
Author(s):  
Hassan Ali ◽  
Saadia Khan ◽  
Ibad Ali ◽  
Asad Abbas ◽  
Reema Arshad ◽  
...  

Objectives: Pakistan is facing double burden of malnutrition. The purpose of current study was to access the nutritional status by different anthropometric methods and common barriers that affect the nutritional status of children. Study Design: Cross Sectional study. Setting: Children Hospital & Institute of Child Health Multan, Pakistan. Period: From 1st March 2019 to 1ST January 2020. Material & Methods: The study contained of 405 children with 216 boys and 187 girls. The data was collected by trained nutritionist in OPD of Children Hospital & Institute of Child Health and data was analyzed by using SPSS version 21.0. Results: The study showed that malnutrition is caused by poor socioeconomic status and low education level of care giver. The data showed that 318 (78.51%) participants involved in this study were malnourished. Nutritional status mostly affected during first birthday (36.79%). In this study 50.12% participants belonged to poor nutritional status and 47.65% mother were uneducated. Conclusion: The mother education and good socioeconomic status can prevent children from malnutrition. Feeding practices and weaning starting time also play role in defining nutritional status of children. Children under five year of age are at very sensitive of age and more prone to diseases so well balance diet and mother feeding upto-2 years of age can prevent children from chronic diseases and improve nutritional status.


2012 ◽  
Vol 1 (1) ◽  
pp. 11-20
Author(s):  
Cahaya Asdhany ◽  
Apoina Kartini

ABSTRACTBackground: Children under five years of age are included  in group of nutrition’s susceptible. They are on growth and development cycle which need a huge nutrient. The aim of this study is to understand the relationship between mother’s participation levels in posyandu and nutritional status of children under five years of age.Method: Study of analitical observation with cross sectional was used. Subject was a mother in Cangkiran, having children aged between 12-59 month. Subject was taken with proportional stratified random sampling technique. Mother’s participation in posyandu was taken from health care staff’s data, protein and energy intake were taken from food recall 3x24 hours, and nutritional status of children under five years of age was compared with Z-score of WHO 2005. Data was analyzed using Rank-Spearman and partial correlation used SPSS for Windows 19.0 software.Result: Approximately 56,4% of subjects have active participation’s levels in posyandu. Much of the children under five years of age from those have 80,6% good nutritional status (WAZ), 67,7% normal (WHZ), 61,3% normal (HAZ), and 61,3% normal (BMIAZ). There is a relationship mother’s participation levels in posyandu with nutritional status children under five years of age based on WAZ            (p = 0,030 ;  r = 0,651) but not for WHZ (p = 0,998 ;  r = 0,000), HAZ (p = 0,163 ; r = 0,191), and BMIAZ (p = 0,689 ; r = -0,055). This realtionship is also controlled by sufficient levels of energy             (p = 0,047 ;  r = 0,639) and protein (p = 0,003 ; r = 0,823).Conclusion: Increased participation levels of  mother’s in posyandu enhances nutritional status of children under five years of age (based on WAZ). This case is also influenced by sufficient levels of energy and protein.Keyword: mother’s participation levels, posyandu, nutritional status, children under five years of age


2018 ◽  
pp. 233-242
Author(s):  
Kristiawan Prasetyo Agung Nugroho ◽  
Bagus P. S. Adi ◽  
Ria Angelina

ABSTRAK Kelompok usia yang sangat rentan terhadap masalah status gizi adalah kelompok anak usia 1–5 tahun. Status gizi pada balita berkaitan langsung dengan pola konsumsi dan penyakit infeksi. Penyakit infeksi terkait lingkungan dapat meliputi diare, Infeksi Saluran Pernapasan Atas (ISPA),dan pneumonia. Rendahnya status gizibalita dapat meningkatkan kejadian sakit pada balita. Tujuan penelitian ini adalah untuk mengetahui hubungan gizi terhadap kejadian penyakit pada balita usia 12-60 bulan Metode yang digunakan adalah pendekatan deskriptif dengan rancangan cross sectional study. Populasi penelitian yaitu seluruh balita di Desa Batur, Kecamatan Getasan, Kabupaten Semarang yang mengikuti penimbangan Posyandu Balita yang tersebar di 19 dusun. Teknik pengambilan sampel secara random sampling dengan responden penelitian adalah ibu yang memiliki balita berusia 12 – 60 bulan dengan status gizi kurang. Data didapat dari sumber sampel sebanyak 35 balita dengan status gizi kurang. Faktor-faktor yang mempengaruhi status gizi diantaranya umur ibu, pendidikan, pekerjaan, kebiasaan makan balita, dan lingkungan fisik rumah. Permasalahan Gizi kurang erat kaitannya dengan kejadian penyakit pada balita, namun kondisi badan panas (demam), batuk, dan pilek kerap dialami oleh balita yang menandai gejala ISPA. Kasus status gizi kurang pada balita di Desa Batur dikategorikan masih tinggi dilihat dari hasil penimbangan bulan september 2017 sebesar 10,29%.   Kata kunci: cross sectional study, random sampling, status gizi, ISPA, pneumonia     ABSTRACT The age groups that are particularly vulnerable to nutritional status are groups of children aged 1 - 5 years. The nutritional status of children under five is directly related to consumption pattern and infectious diseases. Illnesses related to environmental condition may include diarrhea, upper respiratory tract infections (ISPA), and pneumonia. The low nutritional status of children under five can increase the incidence of illness in toddlers. The purpose of this study was to determine the relationship of nutrition to disease incidence in children aged 12 - 60 months. The method used is descriptive approach with cross sectional study design. The research population is all children under five in Batur Village, Getasan Subdistrict, Semarang Regency which follow Balita Posyandu weighing spread in 19 hamlets.Sampling was done by random sampling with the respondents of the researchwere mothers who have children aged 12 - 60 months with less nutritional status. Data obtained from the sample source as many as 35 children under-five with less nutritional status. Factors that affect nutritional status include maternal age, education, occupation, toddler eating habits, and the physical environment of the house. Problems Nutrition is less closely related to the incidence of disease in toddlers, but the condition of fever, coughs, and colds are often experienced by toddlers that indicate symptoms of upper respiratory tract infections. Cases of underweight status of children under five in Batur village are still considered high in terms of weighing in September 2017 of 10.29%.   Keywords: cross sectional study, random sampling, nutritional status, ISPA,pneumonia


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