Purpose: To analyze risk factors and various nutrients associated with stunting among children aged 6-60 months. Methods: This is a case-control and cross-sectional study between 40 stunting cases and 40 controls. Data on possible risk factors associated with stunting were obtained through direct in...
Purpose: To analyze risk factors and various nutrients associated with stunting among children aged 6-60 months. Methods: This is a case-control and cross-sectional study between 40 stunting cases and 40 controls. Data on possible risk factors associated with stunting were obtained through direct interviews and using a questionnaire. Examination of vitamin D, zinc, albumin, and ferritin levels was performed on both groups. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (IBM Co., Armonk, NY, USA) to determine risk factors for stunting and to assess the relationship between nutritional levels and stunting. Results: The incidence of stunting was highest in children aged 12-36 months. Children with low weight and very low weight for age comprised of 55% and 22.5%, respectively, of the study participants. The highest mother's educational level was junior high school (40%). History of low birth weight (LBW) was more commonly observed in the stunting group than that in the control group (25.0% and 7.5%, respectively; p=0.034, odds ratio, 0.310 [95% confidence interval, 0.122-0.789]). Approximately 7.5% of cases had premature birth. Exclusive breast feeding was found to be not correlated with stunting. The mean zinc level in the stunting group was 34.17 ng/mL, which was different from that in the control group (50.83 ng/mL) (p=0.023). Blood ferritin, vitamin D, albumin, and calcium levels were not strongly correlated with stunting. Conclusion: LBW is the main risk factor contributing to stunting and is strongly associated with low zinc level.
Purpose: To analyze risk factors and various nutrients associated with stunting among children aged 6-60 months. Methods: This is a case-control and cross-sectional study between 40 stunting cases and 40 controls. Data on possible risk factors associated with stunting were obtained through direct interviews and using a questionnaire. Examination of vitamin D, zinc, albumin, and ferritin levels was performed on both groups. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (IBM Co., Armonk, NY, USA) to determine risk factors for stunting and to assess the relationship between nutritional levels and stunting. Results: The incidence of stunting was highest in children aged 12-36 months. Children with low weight and very low weight for age comprised of 55% and 22.5%, respectively, of the study participants. The highest mother's educational level was junior high school (40%). History of low birth weight (LBW) was more commonly observed in the stunting group than that in the control group (25.0% and 7.5%, respectively; p=0.034, odds ratio, 0.310 [95% confidence interval, 0.122-0.789]). Approximately 7.5% of cases had premature birth. Exclusive breast feeding was found to be not correlated with stunting. The mean zinc level in the stunting group was 34.17 ng/mL, which was different from that in the control group (50.83 ng/mL) (p=0.023). Blood ferritin, vitamin D, albumin, and calcium levels were not strongly correlated with stunting. Conclusion: LBW is the main risk factor contributing to stunting and is strongly associated with low zinc level.
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문제 정의
Stunted children have a higher risk of developing hypertension, diabetes, and obesity when they reach adulthood, with their average IQ 11 points lower than in children without stunting [4-6]. Therefore, this study aimed to identify the dangerous effects of stunting, which then can help establish the strategies for its treatment.
This analytical study aims to identify factors associated with stunting in children aged 6–59 months.
대상 데이터
A total of 80 children were recruited, consisting 40 children with stunting (stunting group) and 40 without stunting (control group). The mean height in the stunting group was 80.
This study reports several factors associated with stunting and various nutritional profiles among children aged 6–60 months in Makassar, Indonesia, at the South Sulawesi province.
데이터처리
Bivariate analysis was used to analyze the relationship between risk factors and stunting incidence using the Fisher's exact test.
이론/모형
Blood examination was performed to evaluate calcium, zinc, vitamin D, ferritin, and albumin levels at Hasanuddin University Medical Research Center laboratory in Faculty of Medicine in Hasanuddin University. Blood calcium level was measured using the cresol phthalein complex method. Zinc was measured using the zinc assay kit with quantitative chelometric method.
Chi-squared test, independent t-test, and Mann–Whitney test were used to determine the statistical significance.
Vitamin D was measured using the 25(OH) vitamin D enzyme-linked immunosorbent assay (ELISA) kit, colorimetric method. Ferritin was measured using human ferritin ELISA kit, colorimetric method. Albumin level was measured with ELISA.
Blood calcium level was measured using the cresol phthalein complex method. Zinc was measured using the zinc assay kit with quantitative chelometric method. Vitamin D was measured using the 25(OH) vitamin D enzyme-linked immunosorbent assay (ELISA) kit, colorimetric method.
성능/효과
023; however, multivariate analysis showed that the difference was no longer found remarkable. The interesting finding of this study is that both groups had calcium deficiency. This could provide a basis for further studies on calcium intake among children in Makassar.
후속연구
The interesting finding of this study is that both groups had calcium deficiency. This could provide a basis for further studies on calcium intake among children in Makassar. With regard to the ferritin result, its average level in the stunting and control groups was 45.
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