DOI: https://doi.org/10.14710/jgi.7.1.22-29

Keragaman pangan, pola asuh makan dan kejadian stunting pada balita usia 24-59 bulan

1Progam Studi Ilmu Gizi, Pascasarjana, Universitas Sebelas Maret, Indonesia

2Agribisnis, Fakultas Pertanian, Universitas Sebelas Maret, Indonesia

3Penyuluhan dan Komunikasi Pertanian, Fakultas Pertanian, Universitas Sebelas Maret, Indonesia

Received: 26 Aug 2018; Published: 30 Dec 2018.

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Abstract

Background: Stunting is a chronic nutritional problem that occurs due to lack of nutrient intake over a long period of time, causing growth disturbances which are marked by an appropriate height for age. The incidence of stunting in toddlers is influenced by the low access to food both in terms of quantity and quality. In addition, it is also influenced by the feeding parenting from the mother, particularly in the feeding practice of the children.
Objective: To determine the relationship between food diversity and feeding practice with the incidence of stunting in toddlers aged 24-59 months in Bayat Sub-district, Klaten Regency.
Method: The study design used was a cross-sectional study. The study was conducted in Bayat Sub-district, Klaten Regency, with a total subject of 100 toddlers aged 24-59 months. The simple random sampling technique was used for sampling. Birth weight and birth length data as seen from KMS book. The food diversity was measured using IDDS (Individual Dietary Diversity Score) questionnaire and feeding practise was obtained through interviews measured using structured questionnaire. The data was then analyzed using bivariate (chi square) and multivariate (logistic regression) analysis.
Results: This study showed that the 41% of toddlers aged 24-59 months are stunted. Chi square test showed that there were a relationship between birth length, feeding practice and food diversity with stunting (p ≤ 0.05). The result of multivariate analysis showed that there was a relationship between food diversity with stunting (p= 0,029, OR=3,213, 95% Cl: 1,123-9,189).
Conclusion: There is a relationship between birth length, feeding practice, and food diversity with stunting. The most dominant risk factor for stunting was food diversity.

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Keywords: Stunting; Food Diversity; Feeding Practice
Funding: Badan Ketahanan Pangan, Kementerian Pertanian

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Language : EN
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  1. UNICEF. Improving Child Nutrition: The Achievable Imperative for Global Progress. New York: United nations Plaza; 2013
  2. Kementerian Kesehatan. Riset Kesehatan Dasar (RISKESDAS) 2013. Jakarta: Kementerian Kesehatan RI; 2013
  3. Kementerian Kesehatan. Buku Saku Pemantauan Status Gizi Tahun 2017. Jakarta: Direktorat Jenderal Kesehatan Masyarakat, Kementerian Kesehatan; 2018
  4. Garcia Cruz LM, Gonzalez Azpeitia G, Reyes Suarez D, Rodriguez Santana A, Loro Ferrer JF, Serra-Majem L. Factors associated with stunting among children aged 0 to 59 months from the central region of Mozambique. Nutrients. 2017;9(5):1-16
  5. Hardianti R, Dieny FF, Wijayanti HS. Picky eating dan status gizi pada anak prasekolah. J Gizi Indones. 2018;6(2)
  6. Martianto D, Riyadi H, Ariefiani R. Pola Asuh Makan Pada Rumah Tangga Yang Tahan Dan Tidak Tahan Pangan Serta Kaitannya Dengan Status Gizi Anak Balita Di Kabupaten Banjarnegara. J Gizi dan Pangan. 2011;6(1):51-58
  7. Nabuasa, C.D, Juffrie, M, dan Huriyati E. Riwayat pola asuh, pola makan, asupan zat gizi berhubungan dengan stunting pada anak 24–59 bulan di Biboki Utara, Timor Tengah Utara, Nusa Tenggara Timur. J Gizi dan Diet Indones. 2013;1(3):31-43
  8. Baliwati Y farida, Briawan D, Melani V. Pengembangan Instrumen Penilaian Kualitas Konsumsi Pangan pada Rumah Tangga Miskin di Indonesia. Gizi Indones. 2015;38(1):63-71
  9. Kennedy G, Ballard T, Dop M. Guidelines for Measuring Household and Individual Dietary Diversity. Roma (IT): FAO; 2011
  10. Ochola S, Masibo PK iny. Dietary intake of schoolchildren and adolescents in developing countries. Ann Nutr Metab. 2014;64:24-40
  11. Labadarios D, Zandile June-Rose Mchiza NPS, Gericke G, Eleni Maria Winifred Maunder YDD, Paker W. Food security in South Africa: a review of national surveys. Bull World Health Organ. 2011;89:891-899
  12. Li Y, Lai J, He Y, et al. Lack of dietary diversity and dyslipidaemia among stunted overweight children: The 2002 China National Nutrition and Health Survey. Public Health Nutr. 2011;14(5):896-903
  13. Ey Chua EY, Zalilah MS, Ys Chin YS NS. Dietary diversity is associated with nutritional status of Orang Asli children in Krau Wildlife Reserve, Pahang. Malays J Nutr. 2012;18(1):1-13
  14. Mestuti K, Fitranti DY. Faktor Risiko Kejadian Overweight Pada Anak Stunting Usia Sekolah Dasar Di Semarang Timur. J Nutr Coll. 2014;3(1):134-141
  15. Dewey KG, Begum K. Long-term consequences of stunting in early life. Matern Child Nutr. 2011;7(SUPPL. 3):5-18
  16. M’Kaibi FK, Steyn NP, Ochola SA, Du Plessis L. The relationship between agricultural biodiversity, dietary diversity, household food security, and stunting of children in rural Kenya. Food Sci Nutr. 2017;5(2):243-254
  17. Ukegbu P, Ogu VO. Assessment of Dietary Diversity Score, Nutritional Status and Socio-demographic Characteristics of Under-5 Children in Some Rural Areas of Imo State, Nigeria. Malays J Nutr. 2017;23(3):425-435
  18. Wirawan N, Rahmawati W. Ketersediaan dan Keragaman Pangan serta Tingkat Ekonomi sebagai Prediktor Status Gizi Balita. Indones J Hum Nutr. 2016;3(1):80-90
  19. Paramashanti BA, Paratmanitya Y, Marsiswati. Individual dietary diversity is strongly associated with stunting in infants and young children. J Gizi Klin Indones. 2017;14(1):19-26
  20. Tim Nasional Penanggulangan Kemiskinan. 100 Kabupaten/ Kota Prioritas Untuk Intervensi Anak Kerdil (Stunting). Jakarta: Sekretariat Wakil Presiden RI; 2017
  21. Notoatmodjo S. Metodelogi Penelitian Kesehatan. Jakarta: Rineka Cipta; 2012
  22. World Health Organization. Nutrition Landscape Information System: Country Profile Indicator, Interpretation Guide. Geneva: World Health Organization; 2012
  23. Rukmana E, Briawan D, Ekayanti I. Faktor Risiko Stunting Pada Anak Usia 6-24 Bulan Di Kota Bogor. Media Kesehat Masy Indones. 2016;12(3):192-199
  24. Akombi BJ, Agho KE, Hall JJ, Merom D, Astell-Burt T, Renzaho AMN. Stunting and severe stunting among children under-5 years in Nigeria: A multilevel analysis. BMC Pediatr. 2017;17(1):1-16
  25. Vonaesch P, Tondeur L, Breurec S, et al. Factors associated with stunting in healthy children aged 5 years and less living in Bangui (RCA). PLoS One. 2017;12(8)
  26. M yalew B. Prevalence and Factors Associated with Stunting, Underweight and Wasting: A Community Based Cross Sectional Study among Children Age 6-59 Months at Lalibela Town, Northern Ethiopia. J Nutr Disord Ther. 2014;04(02)
  27. Fikadu T, Assegid S, Dube L. Factors associated with stunting among children of age 24 to 59 months in Meskan district, Gurage Zone, South Ethiopia: A case-control study. BMC Public Health. 2014;14(1):1-7
  28. Tessema, Belachew, Ersino. Feeding patterns and stunting during early childhood in rural communities of Sidama South Ethiopia. Pan Afr Med J. 2013;14:1-12
  29. Ahmadi D, Amarnani E, Sen A, Ebadi N, Cortbaoui P, Melgar-Quiñonez H. Determinants of child anthropometric indicators in Ethiopia. BMC Public Health. 2018;18(1):1-9
  30. Rosha BC, Hardinsyah H, Baliwati YF. Analisis Determinan Stunting Anak 0-23 Bulan Pada Daerah Miskin Di Jawa Tengah Dan Jawa Timur. Penelit Gizi dan Makanan. 2012;35(1):34-41
  31. Nasution D, Nurdiati DS, Huriyati E. Berat badan lahir rendah (BBLR) dengan kejadian stunting pada anak usia 6-24 bulan. J Gizi Klin Indones. 2014;11(1):31-37
  32. Aryastami NK, Shankar A, Kusumawardani N, Besral B, Jahari AB, Achadi E. Low birth weight was the most dominant predictor associated with stunting among children aged 12–23 months in Indonesia. BMC Nutr. 2017;3(1):16
  33. Rahayu A, Yulidasari F, Putri AO, Rahman F. Riwayat Berat Badan Lahir dengan Kejadian Stunting pada Anak Usia Bawah Dua Tahun. Kesmas Natl Public Heal J. 2015;10(2):67
  34. Ernawati F, Rosmalina Y, Permanasari Y. Pengaruh Asupan Protein ibu hamil dan panjang bayi lahir terhadap kejadian stunting pada anak usia 12 bulan di kabupaten bogor. Penelit Gizi dan Makanan. 2013;36(1):1-11
  35. Wellina WF, Kartasurya MI, Rahfilludin MZ. Faktor risiko stunting pada anak umur 12-24 bulan. J Gizi Indones. 2016;5(1):55-61
  36. Trimukti WY, Huang Y-W, Amini A. Affecting Factors of Stunting Incidences among Children Aged 12-59 Months in West Nusa Tenggara Province Indonesia. J Healthc Commun. 2017;2(4):45
  37. Aramico B, Sudargo T, Susilo J. Hubungan Sosial Ekonomi, Pola Asuh, Pola Makan dengan Stunting Pada Siswa Sekolah Dasar di Kecamatan Lut Tawar, Kabupaten Aceh Tengah. J Gizi dan Diet Indones. 2013;1(3):121-130
  38. Sari MRN, Ratnawati LY. Hubungan Pengetahuan Ibu tentang Pola Pemberian Makan dengan Status Gizi Balita di Wilayah Kerja Puskesmas Gapura Kabupaten Sumenep. Amerta Nutr. 2018:182-188
  39. Paramashanti BA, Hadi H, Gunawan IMA. Pemberian ASI eksklusif tidak berhubungan dengan stunting pada anak usia 6–23 bulan di Indonesia. J Gizi dan Diet Indones (Indonesian J Nutr Diet. 2016;3(3):162
  40. Zhao W, Yu K, Tan S, et al. Dietary diversity scores: An indicator of micronutrient inadequacy instead of obesity for Chinese children. BMC Public Health. 2017;17(1):1-11
  41. Dewi E, Nindya T. Hubungan Tingkat Kecukupan Zat Besi Dan Seng Dengan Kejadian Stunting Pada Balita 6-23 Bulan. Amerta Nutr. 2017;1(4):361
  42. Esfarjani F, Roustaee R, Mohammadi-nasrabadi F, Esmaillzadeh A. Major Dietary Patterns in Relation to Stunting among Children in Tehran , Iran. J Heal Popul Nutr. 2013;31(2):202-210

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