ABSTRACT
Objectives@#This study examined stunting at birth and its associations with physical factors of parents and children in Indonesia. @*Methods@#This study analyzed secondary data from the national cross-sectional Indonesian Basic Health Survey 2018, conducted across 34 provinces and 514 districts/cities. Birth length data were available for 756 newborns. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between the physical factors of parents and children and stunting at birth. @*Results@#In total, 10.2% of children aged 0 months were stunted at birth (10.7% of males and 9.5% of females). Stunting at birth was associated with the mother’s age at first pregnancy, parity, parents’ heights, parents’ ages, and gestational age. Children from mothers with short statures (height 35 years) corresponded to a 2-fold higher likelihood of stunting at birth compared to the reference. @*Conclusions@#These findings provide evidence that interventions to reduce stunting aimed at pregnant females should also consider the parents’ stature, age, and parity, particularly if it is the first pregnancy and if the parents are short in stature or young. Robust programs to support pregnant females and monitor children’s heights from birth will help prevent intergenerational stunting.
ABSTRACT
Objectives@#This study examined stunting at birth and its associations with physical factors of parents and children in Indonesia. @*Methods@#This study analyzed secondary data from the national cross-sectional Indonesian Basic Health Survey 2018, conducted across 34 provinces and 514 districts/cities. Birth length data were available for 756 newborns. Univariable, bivariable, and multivariable logistic regression analyses were performed to determine associations between the physical factors of parents and children and stunting at birth. @*Results@#In total, 10.2% of children aged 0 months were stunted at birth (10.7% of males and 9.5% of females). Stunting at birth was associated with the mother’s age at first pregnancy, parity, parents’ heights, parents’ ages, and gestational age. Children from mothers with short statures (height 35 years) corresponded to a 2-fold higher likelihood of stunting at birth compared to the reference. @*Conclusions@#These findings provide evidence that interventions to reduce stunting aimed at pregnant females should also consider the parents’ stature, age, and parity, particularly if it is the first pregnancy and if the parents are short in stature or young. Robust programs to support pregnant females and monitor children’s heights from birth will help prevent intergenerational stunting.
ABSTRACT
@#Introduction: Stunting has become one of the world’s most discussed health topics. Dietary diversity takes on an important role in increasing the nutrition fulfilment of young children aged 6–59 months for their optimal growth. This study aims to understand the association between dietary diversity and stunting in children aged 6–59 months old in Babakan Madang subdistrict, Bogor district of West Java, Indonesia. Methods: This study used a cross-sectional design and was conducted in May 2019 in Babakan Madang subdistrict. The subjects chosen for this study were 200 children aged 6–59 months, and they were selected using the probabilityproportional-to-size sampling technique. Individual dietary diversity was assessed by minimum dietary diversity with the consumption of four or more food groups out of the total seven groups. Data were analysed using descriptive statistics and chi-square test. Results: Poor dietary diversity was significantly related with stunting (p=0.023; OR=2.182; 95% CI: 1.152–4.134). In addition, age <2 years was a significant protective factor against stunting (p=0.011; OR=0.445; 95% CI: 0.246– 0.806). Conclusion: The risk of stunting in children can be reduced by providing a variety of foods in their diets, which includes at least four food groups a day. There is a need to increase awareness among the population about appropriate nutrition through dietary education.
ABSTRACT
@#Introduction: Nutritional status is an indicator of health status that can be determined using the Body Mass Index (BMI) (kg/m2). This study aimed to determine factors affecting the nutritional status of adults, pre-elderly, and elderly. Methods: This cross-sectional study used secondary data from 13,655 respondents aged 36– 66 years that were a part of the 2014 Indonesian Family Life Survey (IFLS). Food consumption patterns, physical activity, and socio-demographic data were used to assess nutritional status (BMI). Results: Consumption patterns of carbohydrates, protein, fat, vegetables, and fruits were significantly associated with mean BMI as an increase in consumption score led to an increase in mean BMI. Conversely, greater physical activity resulted in a decrease in mean BMI. Mean BMI among females was higher than that of males, irrespective of factors such as marital status, unemployment, presence of health insurance, or smoking. Sumatranese people had the highest mean BMI among the population, along with senior high school graduates and high-income earners. Both higher income and education levels led to higher mean BMI. Conclusion: Many factors were shown to affect nutritional status. The results imply that solving nutritional problems in order to improve quality of life will involve many factors, including socioeconomic variables, which are important for designing and evaluating health programmes.
ABSTRACT
@#Successful aging is a universal goal, but it is a challenge owing to declining physical, psychological, and social conditions that occur with increasing age. The aim of this study was to analyze risk factors and changes in successful aging among older individuals (≥ 60) in Indonesia. This longitudinal study (2000 to 2014) used data from the Indonesia Life Survey (IFLS). Successful aging was defined with physical, mental and social health based on the available questionnaire. The univariate analysis and chi-square- test was used in this study. Of the 801 individuals followed up, 588 (93.2%) were found to have unsuccessful aging and 43 (6.8%) older person showed a change from unsuccessful to successful aging. The proportion of older persons mental and social unhealthy were higher than physical. Factors significantly relating to unsuccessful aging included female sex (p < 0.001), living in rural areas (p < 0.05) or movement from rural to urban areas (p < 0.05), unemployed (p < 0.001), movement from employed to unemployed (p < 0.001), unmarried (p < 0.001) and underweight (p < 0.05). Older individuals who are not categorized as successful aging at the age of ≥ 60 years can still change for better success in aging at ≥ 74 years of age. Maintaining mental and social health of older individuals can be achieved through their empowerment by providing opportunities for social activity and work productivity in the community.
ABSTRACT
Introduction: The Basic Health Research of the Ministry of Health Indonesia in 2008 reported that the single most important cause of death was stroke, in both urban and rural populations. The risk factors underlying the cause of death are associated with hypertension, obesity and dyslipidemia. The purpose of thi s study was to determine the mean intake of trans fatty acids and its relation to dyslipidemia in a sample of Indonesian adults. Methods: A cross-sectional study was conducted on a total of 180 adult male and female respondents aged 35-60 years living in rural and urban areas of Depok city, West Java. Dietary intake was assessed by means of 24-hour recall and semi-quantitative FFQ. Results: The mean intake of trans fatty acids was 0.48% of total calories (urban 0.40% and rural 0.55%). The prevalence of dyslipidemia in the rural and urban subjects were 61.1% and 66.7%, respectively. There was a statistically significant relationship between trans fatty acids intake and hypercholesterolemia and hypertriglyceridemia. Conclusion: The intake of trans fatty acid among the Indonesian adults studied was half the recommended level. The high prevalence of dyslipidemia found indicates the need for intervention to reduce the rising incidence of cardiovascular diseases in Indonesia