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Risk factor of growth faltering in infants aged 2-12 months

1Department of Pediatrics, Faculty of Medicine, Diponegoro University, Indonesia

2Department of Science Nutrition, Faculty of Medicine, Diponegoro University, Indonesia

3Department of Pediatrics, Faculty of Medicine, Diponegoro University, Indonesia

Received: 17 May 2021; Published: 22 Dec 2021.

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Abstract

Background: Growth faltering is a condition of growth disturbance that marked by slower growth velocity compared with previous growth chart. Growth faltering can cause effects in immune response, cognitive, & physical and psychomotor disturbance, behavioral disorder, learning problems, higher risk of infection and mortality.


Objectives: To analyze risk factor of growth faltering in infant aged 2-12 months.


Materials and Methods: A case control study was conducted in Public Health Center in Semarang city. Subject were infants aged 2 until 12 months with growth faltering. Variables were divided to exclusive breastfeeding, mother’s education, mother’s employment, social economic status, infection, mother’s nutrition and gestational age. Anthropometric and questionnaire data were obtained and analyzed among 116 infants. Statistic test used Chi square and multivariate analysis.


Results: Chi-square analysis showed that breastfeeding (p=0.016) and gender (p=0.04) had a significant relationship with growth faltering in infant 2-12 months. Under standard parent’s income (p=0.809), Acute Respiratory Tract Infection (ARTI) (p=0.377), diarrhea (p=0.243), mother’s nutrition (p=1.00), gestational age (p=0.77), low mother’s education (p=0.83) and working mother (p=0.26) didn’t have a significant relationship with growth faltering in infant aged 2-12 months. Multivariate analysis showed that gender (p=0.035) and breastfeeding (p=0.019) were the most influencing variable to growth faltering. In 2-6 group, breastfeeding pattern had significant relationship with growth faltering (p=0.77)


Conclusions: Breastfeeding and gender were risk factors of growth faltering in infant aged 2-12 months. Further research needed on how to prevent growth faltering in first 1000 days of life so it may avoid stunting in later life.

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Keywords: Risk; growth faltering; infants
Funding: Universitas Diponegoro under contract SP DIPA-042.01.2.400898

Article Metrics:

  1. Mcdonald EL, Bailie RS, Rumbold AR, Morris PS, Paterson BA. Preventing growth faltering among Australian Indigenous children: implications for policy and practice. Med J Aust. 2008;188(8)
  2. Cole SZ, Lanham JS. Failure to Thrive : An Update. Am Fam Physician. 2011;83(7):829–34
  3. Smith Z. Faltering growth in clinical paediatric dietetics. 2008. 556–65 p
  4. Kesehatan BP dan P. Riset Kesehatan Dasar 2013. 2013
  5. Semarang DKK. Profil Kesehatan Kota Semarang. Semarang; 2014
  6. Study C, Black MM. Evaluation and Treatment of Children with Failure-to-Thrive : An Interdisciplinary Perspective. JCOM. 1999;6(5):61–73
  7. Couzos S, Murray R. Failure to thrive. In: Aboriginal primary health care :An Evidence-based Approach. 3rd ed. South Melbourne: Oxford University Press; 2008. p. 265–97
  8. Kessler D, Dawson P. Failure to thrive and pediatric undernutrition: Historical and theoretical context. In: Kessler D, Dawson P, editors. Failure to Thrive and Pediatric Undernutrition : A Transdisciplinary Approach. Baltimore: Paul H. Brooks Publishing Co; 1999. p. 3–17
  9. Olsen EM, Skovgaard AM, Weile B, Petersen J. Risk factors for weight faltering in infancy according to age at onset. Paediatr Perinat Epidemiol. 2010;24(4):370–82
  10. Emond AM, Blair PS, Emmett PM, Drewett RF. Weight faltering in infancy and IQ levels at 8 years in the Avon Longitudinal Study of parents and children. Pediatrics. 2007;120(4):e1051-58
  11. Alderman H, Headey D. The timing of growth faltering has important implications for observational analyses of the underlying determinants of nutrition outcomes. PLoS One. 2018;13(4):1–16
  12. Victora CG, Onis M De, Hallal PC, Blössner M, Cesar A, Victora G. Worldwide Timing of Growth Faltering : Revisiting Implications for Interventions. Pediatrics. 2014;
  13. Arpadi S, Fawzy A, Aldrovandi GM, Kankasa C, Sinkala M, Mwiya M, et al. Growth faltering due to breastfeeding cessation in uninfected children born to HIV-infected mothers in Zambia. Am J Clin Nutr. 2009;344–53
  14. Villalpando S, Lo M. Community and International Nutrition Growth Faltering Is Prevented by Breast-Feeding in Underprivileged Infants from Mexico City. Community Int Nutr. 2000;(June 1999):546–52
  15. Amosu A, Oyewolw O, Amosu A, Ojo E. Growth faltering among exclusively breastfed infants in Ogun State , Nigeria. Biomed Res. 2010;21(3):311–3
  16. Haider R, Saha KK. Breastfeeding and infant growth outcomes in the context of intensive peer counselling support in two communities in Bangladesh. Int Breastfeed J [Internet]. 2016;1–10. Available from: http://dx.doi.org/10.1186/s13006-016-0077-6
  17. Bystrova K, Widström A, Matthiesen A, Ransjö-arvidson B, Welles-nyström B, Vorontsov I, et al. Early lactation performance in primiparous and multiparous women in relation to different maternity home practices . A randomised trial in St . Petersburg. Int Breastfeed J. 2007;14:1–14
  18. Iacovou M, Sevilla A. Infant feeding : the effects of scheduled vs . on-demand feeding on mothers ’ wellbeing and children ’ s cognitive development. Eur J Public Health. 2012;
  19. Hennart F, Brasseur J. Lysozyme, lactoferrin, and secretory Immunoglobulin A content in breast milk : influence of duration of lactation, nutrition status , prolactin status , and parity of mother. Am J Clin Nutr. 1991;50(4):32–9
  20. Laurie A N, CA L, MJ H, B L, KG D. Determinants of energy , protein , lipid , and lactose concentrations in human milk during the first 12 mo of lactation : the DARLING Study. Am J Clin Nutr. 1991;53:457–65
  21. Isam M, Ketbi A, Noman S Al, Ali A Al, Darwish E, Fahim M Al, et al. Knowledge , attitudes , and practices of breastfeeding among women visiting primary healthcare clinics on the island of Abu Dhabi , United
  22. Arab Emirates. Int Breastfeed J. 2018;1–14
  23. Akinyinka MR, Olatona FA. Breastfeeding Knowledge and Practices among Mothers of Children under 2 Years of Age Living in a Military Barrack in Southwest Nigeria. Int J MCH AIDS. 2016;5(1):1–13
  24. Sichuan R, Guldan GS, Fan H, Ma X, Ni Z, Xiang X, et al. Community and International Nutrition Culturally Appropriate Nutrition Education Improves Infant Feeding and. Community Int Nutr. 2000;(April 1999):1204–11
  25. Majamanda J, Maureen D, Munkhondia TM, Carrier J. The Effectiveness of Community-Based Nutrition Education on the Nutrition Status of Under-five Children in Developing Countries . A Systematic Review. Malawi Med J. 2014;26(December):115–8
  26. Shams B, Golshiri P, Saleki A, Isfagani MR, Najimi A. Comparison of growth and nutritional evolution stages in infants with working mothers and infants with housewife mothers in Isfahan. J Educ Health Promot. 2012;1(16)
  27. Wright C, Parkinson K, Drewett R. The influence of The influence of maternal socioeconomic and emotional factors on infant weight gain and weight faltering (failure to thrive): data from a prospective birth cohort. Arch Dis Child. 2006;312–7
  28. Kachi Y, Fujiwara T, Yamaoka Y, Kato T. Parental Socioeconomic Status and Weight Faltering in Infants in Japan. Front Pediatr. 2018;6(May):1–8
  29. Prentice A, Moore S, Fulford A. Growth faltering in low-income countries. Karger. 2013;106:90–9
  30. Assis AMO, Barreto ML, Santos LMP, Fiaccone R, Gomes S. Growth faltering in childhood related to diarrhea : a longitudinal community based study. Eur J Clin Nutr. 2005;(September 2014)
  31. Pan American World Health Organization. Guiding principles for complementary feeding of the breastfed child. 2001
  32. Qasem W, Fenton T, Friel J. Age of introduction of first complementary feeding for infants : a systematic review. BMC Pediatr [Internet]. 2015; Available from: http://dx.doi.org/10.1186/s12887-015-0409-5
  33. Zutavern A, Brockow I, Schaaf B, Berg A Von, Diez U. Eczema , Asthma , Allergic Rhinitis , and Food and Inhalant Sensitization at the Age of 6 Years : Results From the Prospective Birth Cohort Study LISA. Pediatrics. 2021

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