Low Birth-Body Weight as Wasting Predictor over Children Aged 6-59 Months in Indonesia

  • Sri Nuryani Wahyuningrum Magelang Unit for Health Research and Development, Ministry of Health, Magelang, Indonesia
    (ID)
  • Ika Puspita Asturiningtyas Magelang Unit for Health Research and Development, Ministry of Health, Magelang, Indonesia
    (ID)
  • Slamet Riyanto Magelang Unit for Health Research and Development, Ministry of Health, Magelang, Indonesia
    (ID)
Keywords: children aged 6-59 months, low birth-body weight, riskesdas data, wasting in children, wasting predictor

Abstract

Approximately ten percent of children under five in Indonesia have suffered from wasting. Children with low birth body weight are considerably more at risk of suffering such disease. This current study aimed to analyze the relationship between low birth body weight and other risk factors of wasting among Indonesian children. This study utilized data from the 2018 Indonesian National Basic Health Research (Riskesdas). In total, 60,451 children aged 6-59 months were included. The data were analyzed using bivariate and logistic regressions. According to the data analysis, children with low birth-body weight had significantly higher odds of being wasted compared to children with normal birth-body weight (OR=1.5, 95%CI=1.3-1.8). In addition, boys and younger children (6-23 months) were 1.3 times more susceptible to wasting (OR=1.3, 95%CI=1.2-1.4). Unemployed fathers and mothers comprised of 1.3 and 1.1 times, respectively, to increase the risk of child wasting (OR=1.3, 95%CI=1-1.7; OR=1.1, 95%CI=1-1.2). Mothers with a low education level contributed to an increase in wasting prevalence 1.1 times (OR=1.1, 95%CI=1-1.2). Children who were lack of vitamin A supplements had a 1.2 times more chance of being wasted (OR=1.2, 95%CI=1.1-1.3). This research eventually suggested that low birth-body weight was the dominant factor in child wasting in Indonesia. Programs for improving the nutritional status of pregnant women and children with low birth-body weight should therefore be implemented intensively and comprehensively.

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References

Abbas, F., Kumar, R., Mahmood, T. & Somrongthong, R. (2021). Impact of children born with low birth-body weight on stunting and wasting in Sindh province of Pakistan: a propensity score matching approach. Scientific Reports, 11(1), 1–10. https://doi.org/10.1038/s41598-021-98924-7

Akombi, B. J., Agho, K. E., Hall, J. J., Wali, N., Renzaho, A. M. N. & Merom, D. (2017). Stunting, wasting and underweight in Sub-Saharan Africa: A systematic review. International Journal of Environmental Research and Public Health, 14(8), 1–18. https://doi.org/10.3390/ijerph14080863

Ali, Z., Saaka, M., Adams, A. G., Kamwininaang, S. K. & Abizari, A. R. (2017). The effect of maternal and child factors on stunting, wasting and underweight among preschool children in Northern Ghana. BMC Nutrition, 3(1), 1–13. https://doi.org/10.1186/s40795-017-0154-2

Das, S. & Gulshan, J. (2017). Different forms of malnutrition among under five children in Bangladesh: A cross sectional study on prevalence and determinants. BMC Nutrition, 3(1), 1–12. https://doi.org/10.1186/s40795-016-0122-2

de Medeiros, P. H. Q. S., Pinto, D. V., de Almeida, J. Z., Rêgo, J. M. C., Rodrigues, F. A. P., Lima, A. Â. M., Bolick, D. T., Guerrant, R. L. & Oriá, R. B. (2018). Modulation of intestinal immune and barrier functions by vitamin A: Implications for current understanding of malnutrition and enteric infections in children. Nutrients, 10(9), 1–14. https://doi.org/10.3390/nu10091128

Derso, T., Tariku, A., Biks, G. A. & Wassie, M. M. (2017). Stunting, wasting and associated factors among children aged 6-24 months in Dabat health and demographic surveillance system site: A community based cross-sectional study in Ethiopia. BMC Pediatrics, 17(1), 1–9. https://doi.org/10.1186/s12887-017-0848-2

Fernandes Dr., T. F. D. S., Andreto, L. M., Vieira, C. S. dos S., De Arruda, I. K. G. & Diniz, A. D. S. (2014). Serum retinol concentrations in mothers and newborns at delivery in a public maternity hospital in recife, Northeast Brazil. Journal of Health, Population and Nutrition, 32(1), 28–35. https://doi.org/10.3329/jhpn.v32i1.2465

Garenne, M., Myatt, M., Khara, T., Dolan, C. & Briend, A. (2019). Concurrent wasting and stunting among under-five children in Niakhar, Senegal. Maternal and Child Nutrition, 15(2), 1–8. https://doi.org/10.1111/mcn.12736

Ghosh, S. (2020). Factors responsible for childhood malnutrition: A review of the literature. In Current Research in Nutrition and Food Science (Vol. 8, Issue 2, pp. 360–370). Enviro Research Publishers. https://doi.org/10.12944/CRNFSJ.8.2.01

Ibama, A., Dozie, I., Abanob, O., Amadi, A., Nwufo, C., Ibe, S., Iwuoha, G., Oparaocha, E., Nwoke, E., Jaja, T. & Dennis, P. (2020). Low birth-body weight and its association with pattern and risk of acute respiratory infection among infants in rivers state, Nigeria: what can we do to Improving the situation? International Journal of Clinical and Medical Cases, 3(4), 1–7. https://doi.org/10.31021/ijcmc.20203145

Khan, S., Zaheer, S. & Safdar, N. F. (2019). Determinants of stunting, underweight and wasting among children. BMC Public Health, 19(358), 1–15. https://doi.org/https://doi.org/10.1186/s12889-019-6688-2

Khara, T. & Dolan, C. (2014). Technical Briefing Paper: The relationship between wasting and stunting, policy, programming and research implications. https://doi.org/10.1016/s0306-3747(96)90467-4

Mgongo, M., Chotta, N. A. S., Hashim, T. H., Uriyo, J. G., Damian, D. J., Stray-Pedersen, B., Msuya, S. E., Wandel, M. & Vangen, S. (2017). Underweight, stunting and wasting among children in Kilimanjaro region, Tanzania; a population-based cross-sectional study. International Journal of Environmental Research and Public Health, 14(5), 1–12. https://doi.org/10.3390/ijerph14050509

Ministry of Health of Indonesia. (2018). Nasional Report of 2018 Basic Health Research. Balitbangkes Publisher.

National Development Planning Agency of Indonesia. (2019). Health Sector Study: Nutritional Development in Indonesia. BAPPENAS.

Ntenda, P. A. M. (2019). Association of low birth-body weight with undernutrition in preschool-aged children in Malawi. Nutrition Journal, 18(1), 1–15. https://doi.org/10.1186/s12937-019-0477-8

Olofin, I., McDonald, C. M., Ezzati, M., Flaxman, S., Black, R. E., Fawzi, W. W., Caulfield, L. E., Danaei, G., Adair, L., Arifeen, S., Bhandari, N., Garenne, M., Kirkwood, B., Mølbak, K., Katz, J., Sommer, A., West, K. P. & Penny, M. E. (2013). Associations of suboptimal growth with all-cause and cause-specific mortality in children under five years: a pooled analysis of ten prospective studies. PLoS ONE, 8(5), 1–10. https://doi.org/10.1371/journal.pone.0064636

Olson, G., Weiner, S. J., Rouse, D. J., Reddy, U. M., Mercer, B. M., Varner, M. W., Leveno, K. J., Jay, D., Wapner, R. J., Ramin, S. M. & Malone, F. D. (2015). Relation between birth-body weight and weight and height at age two in children born preterm. Am J Perinatol, 32(6), 591–598. https://doi.org/10.1055/s-0035-1544947.Relation

Pinilla, J., Lopez-Valcarcel, B. G. & Urbanos-Garrido, R. M. (2017). Estimating direct effects of parental occupation on Spaniards’ health by birth cohort. BMC Public Health, 17(26), 1–9. https://doi.org/10.1186/s12889-016-3997-6

Rahman, M. S., Howlader, T., Masud, M. S. & Rahman, M. L. (2016). Association of low-birth-body weight with malnutrition in children under five years in Bangladesh: Do mother’s education, socio-economic status, and birth interval matter? PLoS ONE, 11(6), 1–16. https://doi.org/10.1371/journal.pone.0157814

Schaefer, R., Mayberry, A., Briend, A., Manary, M., Walker, P., Stobaugh, H., Hanson, K., McGrath, M. & Black, R. (2021). Relapse and regression to severe wasting in children under 5 years: A theoretical framework. Maternal and Child Nutrition, 17(2), 1–11. https://doi.org/10.1111/mcn.13107

Sigdel, A., Sapkota, H., Thapa, S., Bista, A. & Rana, A. (2020). Maternal risk factors for underweight among children under-five in a resource limited setting: A community based case control study. PLOS ONE, 15(5), e0233060. https://doi.org/10.1371/journal.pone.0233060

Ssentongo, P., Ba, D. M., Ssentongo, A. E., Fronterre, C., Whalen, A., Yang, Y., Ericson, J. E. & Chinchilli, V. M. (2020). Association of vitamin A deficiency with early childhood stunting in Uganda: A populationbased cross-sectional study. PLoS ONE, 15(5), 1–16. https://doi.org/10.1371/journal.pone.0233615

Tariku, A., Bikis, G. A., Woldie, H., Wassie, M. M. & Worku, A. G. (2017). Child wasting is a severe public health problem in the predominantly rural population of Ethiopia: A community based cross-sectional study. Archives of Public Health, 75(1), 1–9. https://doi.org/10.1186/s13690-017-0194-8

UNICEF & WHO. (2019). Low birthweight estimates. World Health Organization, 4(3), 3–9. https://www.unicef.org/reports/UNICEF-WHO-low-birthweight-estimates-2019

Wali, N., Agho, K. E. & Renzaho, A. M. N. (2021). Wasting and associated factors among children under 5 years in five south asian countries (2014–2018): Analysis of demographic health surveys. International Journal of Environmental Research and Public Health, 18(9). https://doi.org/10.3390/ijerph18094578

Wells, J. C. K., Davies, P. S. W., Fewtrell, M. S. & Cole, T. J. (2020). Body composition reference charts for UK infants and children aged 6 weeks to 5 years based on measurement of total body water by isotope dilution. European Journal of Clinical Nutrition, 74(1), 141–148. https://doi.org/10.1038/s41430-019-0409-x

World Health Organization (2020). Fact Sheets: Malnutrition. Fact Sheets: Malnutrition. https://www.who.int/news-room/fact-sheets/detail/malnutrition

Zoleko-Manego, R., Mischlinger, J., Dejon-Agobe, J. C., Basra, A., MacKanga, J. R., Diop, D. A., Adegnika, A. A., Agnandji, S. T., Lell, B., Kremsner, P. G., Matsiegui, P. B., Gonzalez, R., Menendez, C., Ramharter, M. & Mombo-Ngoma, G. (2021). Birth-body weight, growth, nutritional status and mortality of infants from Lambarene and Fougamou in Gabon in their first year of life. PLoS ONE, 16(2 February), 1–15. https://doi.org/10.1371/journal.pone.0246694

Published
2022-06-30
How to Cite
Wahyuningrum, S. N., Asturiningtyas, I. P., & Riyanto, S. (2022). Low Birth-Body Weight as Wasting Predictor over Children Aged 6-59 Months in Indonesia. Al-Sihah: The Public Health Science Journal, 14(1), 13-24. https://doi.org/10.24252/al-sihah.v14i1.26477
Section
Volume 14, Nomor 1, January-June 2022
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