Failure of Exclusive Breastfeeding and Inadequate Frequency of Complementary Feeding as Predictors of Stunting

Giyawati Yulilania Okinarum

doi:10.26714/mki.4.3.2021.182-190

Failure of Exclusive Breastfeeding and Inadequate Frequency of Complementary Feeding as Predictors of Stunting

Giyawati Yulilania Okinarum^(1*)

(1) Universitas Respati Yogyakarta Quality Maternal and Newborn Care Research Alliance Yale School of Nursing
(*) Corresponding Author

Abstract

In Indonesia, stunting is still a chronic nutritional problem. Many factors influence the prevalence of stunting, including a history of exclusive breastfeeding and the frequency of complementary feeding. The purpose of this study is to determine how much of an impact the exclusive breastfeeding and frequency of complementary feeding has on stunting. This observational analytic study was conducted from July to September 2019 using a case control approach. Samples of 80 children aged 12-24 months, with details of toddlers case group (stunting) and control (normal) 40 each, with inclusion criteria of birth weight and normal gestational age in Yogyakarta. Stratified random sampling was used for sampling. Filling out questionnaires and conducting interviews were used to collect data on characteristics, breastfeeding, and early complementary feeding. Nutritional status is calculated using height/age. Multivariate analysis by multiple logistical regression test revealed statistically significant correlations between stunting and non-exclusive breastfeeding (adjusted OR for exclusive breastfeeding 5,17; 95% CI 1,87 to 14,31) as well as inadequate frequency of complementary feeding (adjusted OR 3,85; 95% CI 1,32 to 11,18). This value implies that exclusive breastfeeding and adequate frequency of complementary feeding are the most dominant protecting factors against stunting. In children aged 12-24 months, the histories of non-exclusive breastfeeding and inadequate frequency of complementary feeding are significantly correlated with stunting.

Keywords

exclusive breastfeeding; frequency of complementary feeding; stunting

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References

Djauhari T. Gizi dan 1000 HPK. Saintika Med. 2017;13(2).

Victora CG, Adair L, Fall C, Hallal PC, Martorel M, et al. Maternal Child Undernutrition consequences for adulth health and human capital. Lancet. 2008;7:340–57.

WHO. UNICEF-WHO-World Bank Joint Child Malnutrition Estimates. [Internet]. 2020. Available from: https://www.who.int/publications/i/item/jme-2020-edition

USAID. Multi-sectoral Nutrition Strategy 2014-2025 Technical Guidance Brief:Implementation Guidance for Ending Preventable Maternal and Child Death. 2014.

Infodatin. Situasi Balita Pendek. Jakarta; 2016.

Balitbankes. Riset Kesehatan Dasar 2018. Kementeian Kesehatan Republik Indonesia; 2018.

Dinas Kesehatan Sleman. Prevalensi stunting di Kabupaten Sleman. Kabupaten Sleman;2018.

Dinas Kesehatan Kota Yogyakarta. Prevalensi stunting di Kota Yogyakarta. Yogyakarta;2019.

Bupati Sleman. Peraturan Bupati Sleman Nomor 21 Tahun 2019 tentang Program Percepatan Penanggulangan Balita Stunting [Internet]. 2019. Available from: https://dinkes.slemankab.go.id/wp-content/uploads/2019/08/Perbup-Stunting-No-27-Tahun-2019.pdf

Hoddinott J. Adult consequences of growth failure in early childhood. Am J Clin Nutr. 2013;98(5):1170–8.

Hoddinott J. The economic rationale for investing in stunting reduction. Mat Child Nutr. 2013;9(suppl2):69–82.

Grantham-McGregor S. Developmental potential in the first 5 years for children in developing countries. Lancet. 2007;369(9555):60–70.

Carba DB. Early childhood length-for-age is associated with the work status of Filipino young adults. Econ Hum Biol. 2009;7(1):7–17.

Adair LS. Associations of linear growth and relative weight gain during early life with adult health and human capital in countries of low and middle income: findings from five birth cohort studies. Lancetancet. 2013;382(9891):525–34.

Prendergast AJ, Humphrey JH. The stunting syndrome in developing countries. Paediatr Int Child Health. 2014;34(4):250–65.

WHO. Global Strategy on Infant and Young Child Feeding. Switzerland; 2013.

Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeed J. 2012;7:12.

Rusmil VK, Prahastuti TO, Luftimas DE, Hafsah T. Exclusive and Non-Exclusive Breastfeeding among stunted and Normal 6–9 Month-Old-Children in Jatinangor Subdistrict, Indonesia. AMJ. 2019;6(1):35–41.

Ballard O, Morrow AL. Human milk composition: Nutrients and bioactive factors. Pediatr Clin North Am. 2013;60:49–74.

International Food Policy Research Institute. Global Nutrition Report 2014 : Actions and Accountability to Accelerate the World’s Progress on Nutrition. Washington (DC); 2014.

Countries M, Martorell R, Horta BL, Adair LS, Stein AD, et al. Weight Gain in the First Two Years of Life Is an Important Predictor of Schooling Outcomes in Pooled Analyses from Five Birth Cohorts. J Nutr. 2010;140(2):348–354.

Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB. Low birth weight was the most dominant predictor associated with stunting among children aged 12 – 23 months in Indonesia. 2017;1–6.

Bisai S. Growth pattern and prevalence of underweight, stunting and wasting among infants of Kolkata, West Bengal, India. J Biol Anthr. 2009;3(2).

Kramer MS. Socioeconomic disparities in pregnancy outcome: why do the poor fare so poorly? Paediatr Perinat Epidemiol. 2000;14:194–210.

Kuchenbecker J, Jordan I, Reinbott A, Herrmann J, Jeremias T, Kennedy G, dkk. Exclusive breastfeeding and its effect on growth of Malawian infants: results from a cross-sectional study. Paediatr Int Child Health. 2015;35(1):14-23.

Rahayu NS, Nadhiroh K. Faktor yang berhubungan dengan kejadian stunting pada balita. Media Gizi Indones. 2015;10(1):13–9.

Barir B, Murti B, Pamungkasari EP. The Associations between Exclusive Breastfeeding, Complementary Feeding, and the Risk of Stunting in Children Under Five Years of Age: A Path Analysis Evidence from Jombang East Java. J Matern Child Heal. 2019;4(6):486–98.

Lestari ED, Hasanah F, Nugroho NA. Correlation between non-exclusive breastfeeding and low birth weight to stunting in children. Paediatr Indones. 2018;58(3):123–7.

Uwiringiyimana V, Ocke MC, Amer S, Veldkamp A. Predictors of stunting with particular focus on complementary feeding practices: A cross-sectional study in the northern province of Rwanda. Nutrients. 2019;60:11–8.

WHO. WHO global nutrition targets 2025: Stunting policy brief. Geneva: WHO; 2014.

Rakotomanana H, Gates GE, Hildebrand D, Stoecker BJ. Situation and determinants of the infant and young child feeding (IYCF) indicators in Madagascar : Analysis of the 2009 demographic and health survey. BMC Public Health Journal. 2017; 17(812): 1–10. htt.

Udoh EE, Amodu OK. Complementary feeding practices among mothers and nutritional status of infants in Akpabuyo Area, Cross River State Nigeria. SpringerPlus. 2016; 5(2073):1-19. https:// doi.org/10.1186/s40064-016-3751-7.

Adriani M, Wirjatmadi B. The effect of adding zinc to vitamin A on IGF-1, bone age and lineargrowth in stunted children. J Trace Elem Med Biol. 2014;28(4):431–5.

Semba RD, Shardell M, Ashour FAS, Moaddel R, Trehan I, et al. Child stunting is associated with low circulating essential amino acids. Ebio Med. 2016;6:246–52.