Current Intake and Infection Status were not Good Predictive Factors of Stunting among Children Aged 6-59 Months in Babakan Madang Sub-District, Bogor District, West Java, Indonesia

Ruth Desinta Purnamasari, Ratu Ayu Dewi Sartika, Trini Sudarti

Abstract


AbstractThis study aims to discover the prevalence of stunting and determine the associations between the history of pulmonary tuberculosis disease with the prevalence of stunting among children under five years of age (6-59 months) in Babakan Madang Sub-District, Bogor District 2019. This study uses a cross-sectional design with a quantitative approach. The sample in this research was 194 children under five obtained by cluster sampling. Data collection was conducted through May 2019. The data collection process includes anthropometric measurements using calibrated microtoise and digital length board, dietary assessment using 1 x 24-h food recall, and a self-administered questionnaire. Data analyses were performed using the chi-square test and independent t-test. The result of this study shows that 35.6% of children under five are being stunted (HAZ ≤ -2.00). The risk factor with a significant correlation with stunting is history of pulmonary tuberculosis disease (p-value 0.044), although careful interpretation is needed in this result due to the limited number of observed cases. However, this study recommends pulmonary tuberculosis disease prevention and improve nutritional education. Keywords: stunting, children under-five, pulmonary tuberculosis disease AbstrakPenelitian ini bertujuan untuk mengetahui besaran prevalensi stunting dan membuktikan hubungan antara riwayat penyakit TB paru serta faktor lainnya dengan kejadian stunting pada balita umur 6-59 bulan di Kecamatan Babakan Madang Kabupaten Bogor Tahun 2019. Penelitian ini menggunakan desain studi cross-sectional dengan pendekatan kuantitatif. Sampel pada penelitian ini berjumlah 194 balita yang didapat dengan cara cluster sampling. Pengambilan data dilakukan selama bulan Mei 2019. Proses pengambilan data meliputi pengukuran antropometri menggunakan microtoise dan digital length board yang telah divalidasi, wawancara food recall 1x 24 jam, dan pengisian kuesioner. Analisis data dilakukan dengan uji chi-square dan independent-t.  Hasil penelitian ini menunjukkan terdapat 35,6% balita stunting (Z-score PB/U atau TB/U ≤ -2,00). Faktor risiko yang memiliki hubungan signifikan dengan kejadian stunting adalah riwayat penyakit TB paru, meskipun hasil ini memerlukan kehati-hatian dalam interpretasi mengingat sangat terbatasnya jumlah kasus TB paru yang diobservasi. Meskipun demikian, studi ini merekomendasikan upaya pencegahan terhadap penyakit TB paru dan peningkatan edukasi gizi. Kata kunci:  stunting, balita, riwayat TB paru

Keywords


stunting, children under-five, pulmonary tuberculosis disease

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References


World Health Organization. Stunting in a nutshell [Internet]. WHO Int. 2015 [cited 26 June 2019]. Available from: https://www.who.int/tb/publications/global_report/en/

Carba, D, Tan, V, & Adair L. Early childhood length-for-age is associated with the work status of Filipino young adults. Economics and Human Biology; 2009;

Micklesfield L., Adair L., Hallal P., Sachdev H., Stein A., Dahly D., et al. 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. The Lancet; 2013.

Stein A., et al. Growth Patterns in Early Childhood and Final Attained Stature: Data from Five Birth Cohorts from Low-And Middle-Income Countries. Original Research Article J. Hum. Biol; 2010; 22: 353-359.

Kementerian Kesehatan RI. Laporan Hasil Data Riset Kesehatan Dasar (Riskesdas) Tahun 2018. Jakarta: Balitbang Kemenkes RI; 2018.

UNICEF, WHO, & World Bank Group. Joint Child Malnutrition Estimates 2018 edition. Washington DC: UNICEF-WHO; 2018.

Tim Nasional Percepatan Penanggulangan Kemiskinan. 100 Kabupaten/Kota Prioritas untuk Intervensi Anak Kerdil (Stunting). Jakarta: Sekretariat Wakil Presiden Republik Indonesia; 2017.

Katona, P. & Katona-Apte, J. The Interaction between Nutrition and Infection. Clinical Infectious Disease; 2008; 46:1582-1588.

Krawinkel, M.B. Interaction of Nutrition and Infections Globally: An Overview, Ann Nutr Metab 2012; 2012; 61(1): 39-45.

Nicolau I, Ling D, Tian L, Lienhardt C, Pai M. Research questions and priorities for tuberculosis: a survey of published systematic reviews and meta-analyses. PLoS One 2012; 7:e42479.

Nityananda Mandal, Parveen Kumar Anand, Subhash Gautam, Shritam Das & Tahziba Hussain. Diagnosis and treatment of paediatric tuberculosis: An insight review, Critical Reviews in Microbiology; 2017; 43:4, 466-480, DOI: 10.1080/1040841X.2016.1262813

Crofton J, Horne N, Miller F. Tuberkulosis Klinis. 2rd. ed. Muherman Harun. Penerjemah. Jakarta: Widya Medika; 2002.

Gupta KB, Gupta R, Atreja A, Verma M, Vishvkarma S. Tuberculosis and nutrition. Lung India. 2009.

Sumpter C, Chandramohan D. Systematic review and meta-analysis of the associations between indoor air pollution and tuberculosis. Trop Med Int Health 2013.

Yen YF, Yen MY, Lin YS, Lin YP, Shih HC, Li LH, et al. Smoking increases risk of recurrence after succesful anti-tuberculosis treatment: a population-based study. Int J Tuberc Lung Dis. 2014.

Lonnroth K, Williams BG, Stadlin S, Jaramillo E, Dye C. Alcohol use as a risk factor for tuberculosis – a systematic review. BMC Public Health. 2008.

Global Health Risk. Mortality and burden of disease attributable to selected major risks. [accessed on April 28, 2022]. Available from: http://www.who.int/healthinfo/global_burden_disease/GlobalHealthRisks_report_full.pdf

Anja R, James AS, Ben JM, Jennifer F. Preventing tuberculosis in children: A global health emergency. Paediatric Respiratory Reviews. 2020.

Madanijah S & Nina T. Hubungan Antara Status Gizi Masa Lalu Dan Partisipasi Ibu Dengan Kejadian Tuberkulosis Pada Murid Taman Kanak-Kanak. Jurnal Gizi dan Pangan. 2007 Maret ; 2(1) : 29-41.




DOI: http://dx.doi.org/10.7454/ijphn.v2i2.5387

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