scholarly journals RISK FACTORS OF SHORT-FAT STATUS NUTRITION AMONG CHILDREN AGED 12-23 MONTHS IN INDONESIA

2021 ◽  
Vol 21 (1) ◽  
pp. 216-222
Author(s):  
Imtihanatun Najahah ◽  
Linda Meliati ◽  
Mutiara Rahmawati Suseno
Keyword(s):  
Risk Factors ◽  
Vitamin A ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Complementary Food ◽  
Nutrition Status ◽  
Micronutrient Deficiencies ◽  
Obesity Prevalence ◽  
Double Burden

Indonesia has a double burden, which is besides facing the problem of malnutrition and other micronutrient deficiencies, Indonesia also faced the problem of obesity. Prevalence of short-fat status nutrition in Indonesia amounted to 6.8% in 2013. This study aimed at determining the risk factors for short-fat status nutrition in children aged 12-23 months in Indonesia.The design of this study was a cross-sectional study using secondary data from basic health Research (RISKESDAS) 2013, with a sample size of 378,308 children aged 12-23 months. the dependent variable in this study is short-fat nutrition status and the independent variables are exclusive breastfeeding, complementary feeding, neonatal visit, immunization, and Giving of Vitamin A. Further analysis of the data in several steps include univariate, bivariate (chi -Square), and multivariate (logistic regression). Sample of this study is mostly male 204,030 (53.9%) with the nutritional status based on the combined height/age and weight/height is not shot-fat status nutrition 352450 (93.2%). Based on bivariate test results, four variables are to be the risk factors in this study, are not exclusive breastfeeding OR = 1.047, Complementary food OR = 1.136, immunization OR = 0.761, and vitamin A consumption OR = 0.601. While the neonatal care visits variable as the risk factor. Multivariate analysis showed that the most dominant variable is the provision of complementary food OR 1.158 (95% CI 1.127 to 1.189). From these results, it can be concluded that giving complementary feeding is the most responsible for the short-fat nutrition status in children aged 12-23 months. Prevention efforts need to through monitoring the nutritional status of children, especially monitoring the growth of body length or height by age as early as possible for early detection of nutritional problems in children, so that management can quickly prevent that case.

Inadequate management of complementary foods contributes to the risk of aflatoxin exposure and low nutrition status among children

2019 ◽  
Vol 12 (1) ◽  
pp. 67-76 ◽  
Author(s):  
N. Makori ◽  
A. Matemu ◽  
M. Kimanya ◽  
N. Kassim
Keyword(s):  
Young Children ◽  
Nutritional Status ◽  
Multivariate Logistic Regression Analysis ◽  
Dietary Exposure ◽  
Feeding Practices ◽  
Complementary Food ◽  
Nutrition Status ◽  
Complementary Foods ◽  
Cross Sectional ◽  
Infant And Young Children

Early exposure to aflatoxins through complementary food is linked to impaired growth in childhood. The current study assessed the household’s practices on management of complementary foods in relation to the risk of aflatoxin exposure and poor nutritional status among infant and young children in Tanzania. A cross-sectional study of complementary feeding practices, aflatoxin exposure and nutritional status was conducted to 101 infants and young children aged between 6-23 months in Dodoma region of Tanzania. The intake of complementary food was estimated by using repeated 24 h dietary recall. Flour used as complementary food was sampled from each of the 101 families and aflatoxins were analysed using high-performance liquid chromatography. A deterministic approach was used to estimate dietary exposure of aflatoxins in the complementary foods. Anthropometric measurements were taken and rates of stunting, underweight and wasting estimated according to the WHO standard procedures. Multivariate logistic regression analysis was used to assess the association between feeding practices and aflatoxin exposure or the growth performance among subjects. The average consumption of complementary flour was 118 g per child per day and 52% of the flours contained groundnuts. AFB1was detected in 42.5% of the flour and levels ranged from 0.3 to 2,128.0 μg/kg (mean 228.11±49.84 μg/kg). Dietary exposures of aflatoxin B1ranged from 0.1 to 23,172.81 ng/kg body weight per day (mean 1,337±392.5 ng/kg). Of the subjects, 40.4% (95% CI; 29.8; 50.9) were stunted and significant association was found between stunted growth and dietary exposure of AFB1(adjusted odd ratio (AOR)=5.9; 95% CI: 0.019-0.028). Early introduction of cereal-and groundnut-based complementary foods in Tanzania is associated with high risk of aflatoxin exposure and impaired growth in children. There is need to integrate aflatoxin management measures in the guidelines for Infant and Young Children Feeding of Tanzania.

scholarly journals The DIFFERENCES IN NUTRITIONAL STATUS OF INFANTS AGED 4-6 MONTHS WHO WERE EXCLUSIVELY BREASTFED AND THOSE WERE GIVEN NONEXCLUSIVE BREASTFEEDING : LITERATURE REVIEW

2021 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Frisna Dwika Maheni Maheni ◽  
Abdiana ◽  
Rafika Oktova
Keyword(s):  
Breast Milk ◽  
Literature Review ◽  
Nutritional Status ◽  
World Health Organization ◽  
Exclusive Breastfeeding ◽  
Complementary Food ◽  
World Health ◽  
Formula Milk ◽  
Working Mother ◽  
Health Organization

World Health Organization (WHO) recommends that babies remain given exclusive breast milk for the first six months of a baby's life. However, there were some obstacles that cause the mother to be unable to give exclusive breast milk to her baby. By the time the baby becoming 4 to 6 months, the opportunity to provided exclusive breast milk is reduced because of many factor such as working mother can be an obstacle to providing exclusive breast milk. Often for mothers prefer to provide formula milk or complementary food for their babies to make it simply.This literature review aims to determine the differences in nutritional status of infants who were exclusively breastfed and those who were not exclusively breastfed at the age of 4 to 6 months. This literature review is semi-quantitative using the narrative review method. The search for articles accessed from the PubMed, Google Scholar, and Science Direct database found 40 articles that met the criteria. There were differences in the nutritional status of infants who were exclusively breastfed and those who were given non-exclusive breastfeeding. Babies who were exclusively breastfed at the age of 4 to 6 months had a better nutritional status than babies who were given nonexclusive breastfeeding.

scholarly journals Inadequate Maternal Dietary Micronutrient Intake and Differences by Nutritional Status: Findings From Pregnant Women in the COVID-19 Era

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 239-239
Author(s):  
Maria Fernanda Mujica ◽  
Maria Luisa Garmendia ◽  
Camila Corvalan
Keyword(s):  
Vitamin D ◽  
Nutritional Status ◽  
Pregnant Women ◽  
Daily Intake ◽  
Obesity Prevalence ◽  
National Agency ◽  
Double Burden ◽  
Micronutrient Intake ◽  
Clinical Records ◽  
Iron And Calcium

Abstract Objectives COVID-19 pandemic increases the risk of an inadequate micronutrient intake and therefore, the risk of double burden of malnutrition in countries with high obesity prevalence. An adequate nutritional status, including micronutrient status is critical for pregnancy and offspring development; however, there is a lack of evidence regarding maternal dietary micronutrient intake and its relationship with BMI in the COVID-19 era. Henceforth, we sought to assess the adequacy of maternal dietary micronutrient intake and its relationship with BMI in pregnant women exposed to the COVID-19 pandemic. Methods This prospective cohort study included 810 Chilean pregnant women (>18 years) enrolled between March and October 2020 in Santiago, Chile. Maternal lifestyle, anthropometric and dietary intake (24-hr recall, n = 389) information was collected in the first trimester by telephonic interviews and from clinical records. Folate, calcium, iron, vitamins B-6, B-12 and D intake was estimated using the USDA nutrient database. Pre-pregnancy BMI was categorized according to the WHO criteria. Results Overall, 70% of women were classified as overweight or obese. Median (IQR) daily intake was 1.3 (0.8–1.8) mg for B-6, 2.5 (1.3–4.4) µg for B-12, 284 (187–408) µg for folate, 26 (7.2–86) IU for vitamin D, 639 (391–951) mg for calcium and 9.9 (6.9–13.7) mg for iron. Of all, <10% met the daily intake recommendation (RDA) for folate, vitamin D, iron, and calcium, while <25% and 50% met the recommendation for B-6 and B-12, respectively. B-6 intake was inversely correlated with BMI (ρ = −0.15, P < 0.05; Spearman correlation test). Furthermore, B-6, B-12, folate, iron, and calcium intake significantly differed by pre-pregnancy BMI categories (P < 0.05; KruskalWallis test), with obese and overweight women having a lower intake compared to normal or underweight women. Conclusions In this subgroup of Chilean pregnant women exposed to the COVID-19 pandemic, the inadequacy of micronutrient intake was highly prevalent, especially in women with excess weight; these results need to be confirmed with the complete sample and by including more detailed analyses of both diet and potential confounders but suggest a very concerning nutrition scenario emerging from the pandemic. Funding Sources Chilean National Agency for Investigation

scholarly journals A review of the emerging pandemic of obesity in preschool children in Egypt: Exclusive breastfeeding is protective

2021 ◽  
Vol 8 (8) ◽  
pp. 289-296
Author(s):  
Ayoub Al-Jawaldeh ◽  
Azza Abul-Fadl
Keyword(s):  
Risk Factors ◽  
Preschool Children ◽  
Food Intake ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Fruits And Vegetables ◽  
Formula Feeding ◽  
Formula Milk ◽  
Feeding Methods ◽  
Nutritional Status Of Children

Introduction: Early exclusive breastfeeding (EBF) without foods or formula milk (FM) is recommended for the first six months of life, for optimum growth and development. Aim: This study aims to review studies in Egypt on nutritional status of preschool children by type of feeding. Methods: A two staged study was done: First; research was obtained from the Egyptian university libraries consortium (www.eulc.edu) on overweight, obesity stunting, and wasting in preschool children. We filtered 18 thesis fitting the criteria of the study. Next, analysis was done to compare EBF versus FM. Results: Comparison of nutritional status of children aged 6–59 months among formula versus EBF was as follows: Overweight 5.4% versus 3.45%, obesity 13.8% versus 5.65%, stunting 21.6% versus 1.15%, and wasting 9.7% versus 0.85%, respectively. Obesity and overweight were higher in males, whereas stunting and wasting were higher in females irrespective of mode of feeding. Early and extended formula feeding, foods before 6 months of life, packed foods, canned drinks, and low activity are risk factors for obesity. Colostrum feeding, exclusive and longer duration of breastfeeding, healthy food intake, and fruits and vegetables are protective. Studies report that deficiency of micronutrients is common with obesity. Conclusions: Prolonged formula feeding and unhealthy food intake are risk factors for the emerging and growing problem of obesity. Policies and legislations are needed to encourage exclusive breastfeeding and control marketing of unhealthy foods.

scholarly journals The Nutrition-COVID-19 Interplay: a Review

2021 ◽  
Author(s):  
Janet Antwi ◽  
Bernard Appiah ◽  
Busayo Oluwakuse ◽  
Brenda A. Z. Abu
Keyword(s):  
Nutritional Status ◽  
Inflammatory Responses ◽  
Survival Rates ◽  
Nutrition Support ◽  
Lifestyle Behaviors ◽  
Micronutrient Deficiencies ◽  
Omega 3 ◽  
Double Burden ◽  
Nutritional Interventions ◽  
The Impact

Abstract Purpose of Review Nutritional status is affected by the COVID-19 pandemic, directly or indirectly. Even with the recent rollout of the coronavirus disease 2019 (COVID-19) vaccines and availability of medicines such as remdesivir, and monoclonal antibodies, host nutritional status is pivotal in the fight against the acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and outcomes. The purpose of this review is to discuss the effects of COVID-19-related lockdown on lifestyle behaviors, and the nutritional consequences, and the direct sequelae of the infection on nutrition including potential nutritional interventions. Recent Findings The COVID-19-related lockdown imposed radical changes in lifestyle behaviors with considerable short-term and long-term health and nutritional consequences including weight gain and obesity and increased cardiometabolic risk, consistently linked to worsened prognosis. The extent of the impact was dependent on food insecurity, overall stress and disordered eating, physical inactivity, and exposure to COVID-19-related nutrition information sources. COVID-19 could directly induce inflammatory responses and poor nutrient intake and absorption leading to undernutrition with micronutrient deficiencies, which impairs immune system function with subsequent amplified risk of infection and disease severity. Nutrition interventions through nutrition support, dietary supplementation, and home remedies such as use of zinc, selenium, vitamin D, and omega-3 fatty acids showed the most significant promise to mitigate the course of COVID-19 infection and improve survival rates. Summary The nutrition-COVID-19 relationship and related dietary changes mimic a vicious cycle of the double burden of malnutrition, both obesity and undernutrition with micronutrient deficiencies, which promote infection, disease progression, and potential death.

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

2020 ◽  
Author(s):  
Dinda Septiani Hardilla ◽  
◽  
Harsono Salimo ◽  
Eti Poncorini Pamungkasari ◽  
◽  
...  
Keyword(s):  
High School ◽  
Child Development ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Dietary Pattern ◽  
Maternal Education ◽  
Family Income ◽  
Senior High School ◽  
Nutrition Status ◽  
Essential Components

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

scholarly journals Review of Public Malnutrition in Mongolia: Determinants, Consequences, and Policy Analysis (P10-019-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Jorick Bater ◽  
Soninkhishig Tsolmon ◽  
Sabri Bromage ◽  
Sofia Khudyakov ◽  
Davaasambuu Ganmaa
Keyword(s):  
Food Systems ◽  
Respiratory Infections ◽  
National Policy ◽  
Nutrition Status ◽  
Initial Assessment ◽  
Future Research ◽  
Micronutrient Deficiencies ◽  
Double Burden ◽  
Rapid Urbanization ◽  
Agriculture And Food

Abstract Objectives Despite significant progress in addressing respiratory infections, diarrhea, and child mortality over the past 30 years, the estimated health burden of dietary imbalances in Mongolia ranks among the highest globally. We sought understand the burden of malnutrition in Mongolia by synthesizing available information on ecological determinants of nutrition status (agriculture and food supply), proximal determinants (diet and nutrition-related lifestyle factors), biochemical, functional, and anthropometric indictors of nutrition status, and nutrition programs and policies in order to guide future research and interventions. Methods We conducted a narrative review of malnutrition in Mongolia by searching numerous online databases for relevant research articles, survey reports, and statistics. We supported this review by searching Mongolian national policy documents and tabulating their inclusion of FAO key recommendations for improving nutrition through agriculture and food systems. Results Historic geographic and climatologic extremes, compounded by rapid urbanization, globalization of the food market, and increases in sedentary lifestyles in recent decades have contributed to a widespread and severe double burden of micronutrient deficiencies and metabolic disease in Mongolia. Despite continued governmental support for nutrition, program priorities have not been clearly defined and food security has generally been conflated with nutrition, resulting in a lack of effective nutrition-sensitive initiatives. Formidable challenges to programmatic action remain, especially in recruiting nutrition professionals and funding. Conclusions Broadly, future efforts should prioritize institutional capacity building, training and recruitment of nutrition personnel, and developing systems for collecting and applying nutrition and health surveillance data in Mongolia. An initial assessment of current and projected capacity requirements for promotion of cross-sector nutrition initiatives would be beneficial. Funding Sources None.

Effect of Early Complementary Feeding on Nutritional Status in Term Infants in Rural Nigeria

1997 ◽  
Vol 12 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Anita A. Davies-Adetugbo ◽  
K. Adetugbo
Keyword(s):  
Rural Communities ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Early Age ◽  
Growth Monitoring ◽  
Early Group ◽  
Term Infants ◽  
Rural Nigeria ◽  
Weight For Age

Breastfeeding is common in developing countries, but exclusive breastfeeding is rare, and complementary foods are introduced at an early age. The objective of the present study is to determine the effect of early complementary feeding on the nutritional status of infants. Weight-for-age (WA) indices have been determined for 82 infants 3 to 4 months old participating in a breastfeeding study. They included 42 that started complementary feeding early (before 2 months) and 40 that started later. Weight-for-age indices were significantly lower for the early group than the later group (t =3.00, p =0.004). The prevalence of underweight (WA SO scores below -2.0) was 7.5% in the later complementary feeding group and 28.6% in the early group (χ2 =4.76, p =0.0292). Severe underweight (WA SD scores below -3.0) prevalences were 0% and 14.3% respectively (p = 0.0259). Thus, poorer nutritional status was significantly associated with earlier complementary feeding. The results suggest that exclusive breastfeeding, (together with promotion of weaning education and growth monitoring) should be vigorously promoted in these rural communities.

scholarly journals Biological, Social, and Economic Risk Factors of Child Tuberculosis in Surakarta Central Java: A Multiple Logistic Regression

2020 ◽  
Author(s):  
Dyah Ayu Saputri ◽  
◽  
Yulia Lanti Retno Dewi ◽  
Bhisma Murti ◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Logistic Regression ◽  
Nutritional Status ◽  
Exclusive Breastfeeding ◽  
Family Income ◽  
Smoke Exposure ◽  
Multiple Logistic Regression ◽  
Central Java ◽  
History Of

ABSTRACT Background: Tuberculosis (TB) disease in children under 15 years (pediatric TB) is a public health problem of special significance because it is a marker for recent transmission of TB. This study aimed to analyze biological, social, and economic risk factors of child TB. Subjects and Method: A case control study was carried out at 25 villages in Surakarta, from August to September 2019. A sample of 200 chilren aged 0-18 years was selected by fixed disease sampling. The dependent variable was TB. The independent variables were birthweight, BCG immunization, exclusive breastfeeding, nutritional status, family income, smoke exposure, family history of TB. Data on TB cases were obtained from medical record. The other variables were collected by questionnaire. The data were analyzed by a multiple logistic regression. Results: The risk of TB increased with poor house sanitation (OR= 4.50; 95% CI= 1.18 to 17.12; p= 0.027), smoke exposure (OR= 4.13; 95% CI= 1.05 to 16.22; p= 0.042), and had history of TB (OR= 5.54; 95% CI= 1.49 to 20.61; p= 0.011). The risk of TB decreased with normal birthweight ≥2,500 g (OR= 0.18; 95% CI= 0.05 to 0.57; p= 0.003), BCG immunization (OR= 0.18; 95% CI= 0.06 to 0.58 p= 0.004), exclusive breastfeeding (OR= 0.11; 95% CI= 0.02 to 0.55; p= 0.006), good nutritional status (OR= 0.10; 95% CI= 0.02 to 0.48; p= 0.004), and family income ≥Rp1,802,700 (OR= 0.09; 95% CI= 0.02 to 0.36; p= 0.001). Conclusion: The risk of TB increases with poor house sanitation, smoke exposure, and had history of TB. The risk of TB decreases with normal birthweight ≥2,500 g, BCG immunization, exclusive breastfeeding, good nutritional status, and high family income. Keywords: Tuberkulosis, biological, sosial dan ekonomi. Correspondence: Dyah Ayu Saputri. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: [email protected]. Mobile: 081353236388. DOI: https://doi.org/10.26911/the7thicph.01.45

scholarly journals The Risk Factors of Obesity Among Elderly in Sintang, Indonesia

2021 ◽  
Vol 2 (2) ◽  
pp. 450-454
Author(s):  
Abil Rudi ◽  
Novin Yetiani
Keyword(s):  
Risk Factors ◽  
Food Intake ◽  
Older People ◽  
The Elderly ◽  
Obesity Prevalence ◽  
Double Burden ◽  
West Kalimantan ◽  
History Of ◽  
History Of Obesity ◽  
Index Problem

Body Mass Index problem is becoming a double burden in Indonesia, including among older people. Nowadays, the elderly face a high index of BMI due to some risk factors and it is leading to other non-communicable diseases. This research aimed to examine the correlation between some determinants and obesity among older people in Sintang Regency, West Kalimantan. 358 elderly aged 46 to 65 years participated in this study selected by the total sampling method. The independent variables in this study were knowledge, activity, food intake, sex, attitude, age, the history of obesity, and obesity breeds, type contraception, and the duration of sleep. The multivariate analysis was found that knowledge, activity, food intake, age, and duration of sleep were significantly associated with obesity among the elderly. The preventive and promotive approach is needed to treat the obesity prevalence.  

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