Relationship Between Exclusive Breastfeeding, Zinc Adequacy Level, and Infection with Stunting Incidence in Toddlers
Background: Stunting is defined as a problem in growth and development caused by undernutrition, repeated infectious disease, and insufficient stimulation. Despite decrease in Indonesia's stunting prevalence had occurred, stunting remained as a serious nutritional issue and needed to be resolved.
Objectives: To determine the relationship between history of exclusive breastfeeding, zinc intake, and frequency of infectious disease with stunting incidence in toddlers
Methods: The study design used a case-control study with simple random sampling. Samples were 22 toddlers in each group in Gunung Tugel and Karang Anyar Village, Bantaran, Probolinggo, East Java. Data was obtained by questionnaire regarding exclusive breastfeeding history, zinc adequacy level, and frequency of infection. Toddlers' nutritional status data were collected by direct measurement. Data collected were analyzed with chi-square test.
Results: Exclusive breastfeeding history was found higher in control group (63,6%). Zinc deficiency was found higher in case group (81,8%). Less infection frequency was found higher in control group (95%). There was no relationship between exclusive breastfeeding history (p=0,226), zinc adequacy level (p=0,472) and stunting incidence in toddlers. There was a relationship between infectious disease frequency with stunting incidence in toddlers (p=0,004).
Conclusions: Toddlers with higher infection frequency have a higher stunting risk.
Achmadi, U. F. (2013) ‘Kesehatan Masyarakat Teori dan Aplikasinya', Jakarta: PT. Raja Grafindo Persada.
Adani, F. Y. and Nindya, T. S. (2017) ‘Perbedaan asupan energi, protein, zink, dan perkembangan pada balita stunting dan non stunting', Amerta Nutrition, 1(2), pp. 46–51.
Al-Anshori, H. and Nuryanto, N. (2013) ‘Faktor risiko kejadian stunting pada anak usia 12-24 bulan (Studi di Kecamatan Semarang Timur)'. Diponegoro University.
Balitbangkes RI (2019) Menggembirakan, Angka Stunting Turun 3,1% dalam Setahun, Berita Litbangkes. Available at: https://www.litbang.kemkes.go.id/menggembirakan-angka-stunting-turun-31-dalam-setahun/ (Accessed: 10 September 2022).
DeBoer, M. D. et al. (2017) ‘Systemic inflammation, growth factors, and linear growth in the setting of infection and malnutrition', Nutrition, 33, pp. 248–253. doi: https://doi.org/10.1016/j.nut.2016.06.013.
Dewi, N. T. and Widari, D. (2018) ‘Hubungan Berat Badan Lahir Rendah dan Penyakit Infeksi dengan Kejadian Stunting pada Baduta di Desa Maron Kidul Kecamatan Maron Kabupaten Probolinggo', Amerta Nutrition, 2(4), p. 373. doi: 10.20473/amnt.v2i4.2018.373-381.
Himawati, H. E. and Fitria, L. (2020) ‘Hubungan Infeksi Saluran Pernapasan Atas dengan Kejadian Stunting pada Anak Usia di Bawah 5 Tahun di Sampang', Jurnal Kesehatan Masyarakat Indonesia, 15, pp. 1–5.
Hindrawati, N. and Rusdiarti, R. (2018) ‘Gambaran Riwayat Pemberian ASI Eksklusif dengan Kejadian Stunting pada Anak Usia 6-24 Bulan di Desa Arjasa Kecamatan Arjasa Kabupaten Jember', Jurnal Kebidanan Akademi Kebidanan Jember, 2(1), pp. 1–7.
Kemenkes RI (2017) Hasil Pemantauan Status Gizi (PSG) Balita Tahun 2017, Buku Saku.
Kemenkes RI (2020) Situasi Stunting di Indonesia, Pusat Data dan Informasi Kemenkes RI. Available at: https://pusdatin.kemkes.go.id/resources/download/pusdatin/buletin/buletin-Situasi-Stunting-di-Indonesia_opt.pdf (Accessed: 13 September 2022).
Pramulya, I., Wijayanti, F. and Saparwati, M. (2021) ‘Hubungan Pemberian ASI Eksklusif dengan Kejadian Stunting Pada Balita Usia 24-60 Bulan', Jurnal Kesehatan Kusuma Husada, pp. 35–41.
Setiawan, E., Machmud, R. and Masrul, M. (2018) ‘Faktor-Faktor yang Berhubungan dengan Kejadian Stunting pada Anak Usia 24-59 Bulan di Wilayah Kerja Puskesmas Andalas Kecamatan Padang Timur Kota Padang Tahun 2018', Jurnal Kesehatan Andalas, 7(2), p. 275. doi: 10.25077/jka.v7.i2.p275-284.2018.
Sundari, E. and Nuryanto (2016) ‘Hubungan Asupan Protein, Seng, Zat Besi, Dan Riwayat Penyakit Infeksi Dengan Z-Score Tb/U Pada Balita', Jurnal Of Nutrition College, 5(4), pp. 520–529.
WHO (2020) Malnutrition. Available at: https://www.who.int/health-topics/malnutrition#tab=tab_1 (Accessed: 20 September 2022).
Wulandari, R. C. and Muniroh, L. (2020) ‘Hubungan Tingkat Kecukupan Gizi, Tingkat Pengetahuan Ibu, dan Tinggi Badan Orangtua dengan Stunting di Wilayah Kerja Puskesmas Tambak Wedi Surabaya', Amerta Nutrition, 4(2), p. 95. doi: 10.20473/amnt.v4i2.2020.95-102.
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