DOI: https://doi.org/10.14710/jpki.18.1.44-51

Determinants of Failure to Thrive among Children Aged 6-24 Months

*Shinta Utami  -  Program Studi Kebidanan, STIKES Sukabumi, Indonesia
Eka Fauzia Laila  -  Program Studi Kebidanan, STIKES Sukabumi, Indonesia
Open Access Copyright (c) 2022 Jurnal Promosi Kesehatan Indonesia

Citation Format:
Abstract

Background: Failure to thrive is still a common problem among children, especially in developing countries, and it is one of the risk factors for stunting. Factors that contribute to failure to thrive are medical conditions, nutrition, eating skills, and psychosocial characteristics. This study was conducted to determine the prevalence of growth failure in children and the factors that influence failure to thrive in children aged 6-24 months who live in the working area of Cisaat Health Center.

Method: This research uses a cross-sectional design to examine 125 respondents. The data were acquired from semi-quantitative food frequency questionnaires and were analyzed using logistic regression.

Results: The prevalence of failure to thrive was 38.4% (48 children). The results of the multivariate analysis showed that children's age influences failure to thrive. In this case, the age of 6-15 months is the most vulnerable period (OR=3.4; 1.46-8.04), low education of mothers (OR=6.52; 2.77-15.30), sub-standard family income (OR=3.6; 1.67-7.78), low energy intake (OR=5.08; 2.33-11.10), low iron intake (OR=4.14; 1.88-9.129), and low zinc intake (OR=4.07; 1.89-8.75). The most dominant factor for failure to thrive in children is the mother's education level. Health personnel should routinely detect the incidence of failure to thrive health personnel so that the problem of failure to thrive in children can be identified early.

Fulltext View|Download
Keywords: failure to thrive;determinants;risk factors;children;nutritional intake
Funding: Hibah Penelitian Dosen Pemula tahun 2021

Article Metrics:

Article Info
Section: Research Article
Language : EN
Recent articles
The Correlation of Health Literacy Related to Health-Promoting University towards Healthy Behavior Among The Academic Community Determinants of Failure to Thrive among Children Aged 6-24 Months The Effectiveness of Self-Management Book in Patients with Diabetes Mellitus More recent articles
Most cited articles
Analisis Faktor yang Berpengaruh dalam Swamedikasi Antibiotik pada Ibu Rumah Tangga di Kelurahan Kajen Kebupaten Pekalongan Non Disclosure Of HIV Positive Status Of Women To Their Partner : Implication For PMTCT Hubungan Radiasi Gelombang Elektromagnetik Dan Faktor Lain Dengan Keluhan Subyektif Pada Tenaga Kerja Industri Eletronik GE di Yogyakarta Perilaku Ibu Hamil Untuk Tes HIV di Kelurahan Bandarharjo dan Tanjung Mas Kota Semarang Praktik Inisiasi Menyusu Dini More cited articles
  1. IDAI. Rekomendasi Praktik Pemberian Makan Berbasis Bukti pada Bayi dan Batita di Indonesia untuk Mencegah Malnutrisi. UKK Nutr dan Penyakit Metab Ikat Dr Anak Indones [Internet]. 2015; Available from: http://www.idai.or.id/wp-content/uploads/2015/07/merged_document.pdf
  2. Stewart CP, Iannotti L, Dewey KG, Michaelsen KF, Onyango AW. Contextualizing complementary feeding in a broader framework for stunting prevention. Matern Child Nutr. 2013;9(S2):27–45
  3. Rahmanian V, Sarikhani Y, Rahmanian K, Mansoorian E, Zare M. Factors associated with failure to thrive among children aged 3 to 72 months in Jahrom, southern Iran. Shiraz E Med J. 2018;19(4):2–6
  4. Goh LH, How CH, Ng KH. Failure to thrive in babies and toddlers. Singapore Med J. 2016;57(6):287–91
  5. Yoo SD, Hwang EH, Lee YJ, Park JH. Clinical characteristics of failure to thrive in infant and toddler: Organic vs. Non-organic. Pediatr Gastroenterol Hepatol Nutr. 2013;16(4):261–8
  6. Rybak A. Organic and non-organic feeding disorders. Ann Nutr Metab. 2015;66:16–22
  7. Munjidah A, Rahayu E. Pengaruh Penerapan Feeding Rules Sebagai Upaya Mengatasi Kesulitan Makan Pada Anak (Picky Eater, Selective Eater Dan Small Eater). J Kesehat Masy. 2020;8(1):29–35
  8. Mazze N, Cory E, Gardner J, Alexanian-Farr M, Mutch C, Marcus S, et al. Biopsychosocial Factors in Children Referred With Failure to Thrive: Modern Characterization for Multidisciplinary Care. Glob Pediatr Heal. 2019;6:1–7
  9. Burford A, Alexander R, Lilly C. Malnutrition and Medical Neglect. J Child Adolesc Trauma. 2020;13(3):305–16
  10. Park SG, Choi HN, Yang HR, Yim JE. Effects of zinc supplementation on catch-up growth in children with failure to thrive. Nutr Res Pract. 2017;11(6):487–91
  11. Larson-Nath C, St Clair N, Goday P. Hospitalization for Failure to Thrive: A Prospective Descriptive Report. Clin Pediatr (Phila). 2018;57(2):212–9
  12. Franceschi R, Rizzardi C, Maines E, Liguori A, Soffiati M, Tornese G. Failure to thrive in infant and toddlers: a practical flowchart-based approach in a hospital setting. Ital J Pediatr. 2021;47(1):1–8
  13. Yang HR. How to approach feeding difficulties in young children. Korean J Pediatr. 2017;60(12):379–84
  14. Warren J. An update on complementary feeding. Nurs Child Young People. 2018;30(6):38–47
  15. Dwi Pratiwi T, Masrul M, Yerizel E. Hubungan Pola Asuh Ibu dengan Status Gizi Balita di Wilayah Kerja Puskesmas Belimbing Kota Padang. J Kesehat Andalas. 2016;5(3):661–5
  16. Demirchyan A, Petrosyan V, Sargsyan V, Hekimian K. Predictors of stunting among children ages 0 to 59 months in a rural region of Armenia. J Pediatr Gastroenterol Nutr. 2016;62(1):150–6
  17. Von Salmuth V, Brennan E, Kerac M, McGrath M, Frison S, Lelijveld N. Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews. PLoS One [Internet]. 2021;16(8 August):1–30. Available from: http://dx.doi.org/10.1371/journal.pone.0256188
  18. Homan GJ. Failure to thrive: A practical guide. Am Fam Physician. 2016;94(4):295–9
  19. Habibzadeh H, Jafarizadeh H, Didarloo A. Determinants of failure to thrive (FTT) among infants aged 6-24 months: A case-control study. J Prev Med Hyg. 2015;56(4):E180–6
  20. Marchand V. The toddler who is falling off the growth chart. Position statements and practice points. Canadian Paediatric Society. Paediatr Child Heal. 2012;17(8):447
  21. Nangia S, Tiwari S. Failure to thrive. Indian J Pediatr. 2013;80(7):585–9
  22. Hong J, Park S, Kang Y, Koh H, Kim S. Micronutrients are not deficient in children with non-organic failure to thrive. Pediatr Gastroenterol Hepatol Nutr. 2019;22(2):181–8
  23. Pearce J, Langley-Evans SC. The types of food introduced during complementary feeding and risk of childhood obesity: A systematic review. Int J Obes [Internet]. 2013;37(4):477–85. Available from: http://dx.doi.org/10.1038/ijo.2013.8
  24. Azmy U, Mundiastuti L. Konsumsi Zat Gizi pada Balita Stunting dan Non- Stunting di Kabupaten Bangkalan Nutrients Consumption of Stunted and Non-Stunted Children in Bangkalan. Amerta Nutr. 2018;292–8
  25. Putri RF, Sulastri D, Lestari Y. Faktor-Faktor yang Berhubungan dengan Status Gizi Anak Balita di Wilayah Kerja Puskesmas Nanggalo Padang. J Kesehat Andalas. 2015;4(1):254–61
  26. Selbuz S, Kırsac CT. Diagnostic Workup and Micronutrient Deficiencies in Children With Failure to Thrive Without Underlying Diseases. 2019;00(0)
  27. Goday PS, Huh SY, Silverman A, Lukens CT, Dodrill P, Cohen SS, et al. Pediatric Feeding Disorder: Consensus Definition and Conceptual Framework. J Pediatr Gastroenterol Nutr. 2019;68(1):124–9
  28. Livingstone C. Zinc: Physiology, deficiency, and parenteral nutrition. Nutr Clin Pract. 2015;30(3):371–82
  29. Atalay A, McCord M. Characteristics of failure to thrive in a referral population: Implications for treatment. Clin Pediatr (Phila). 2012;51(3):219–25

Last update:

  1. Acceptance of bite presentations and feeding behaviors of 8 to 12-month-old infants: A reflection of typical feeding development

    Amy L. Delaney, Ericka Diestler, Parama Sridevi, Arafat Mahmood, Sheikh Iqbal Ahamed. Physiology & Behavior, 276 , 2024. doi: 10.1016/j.physbeh.2024.114463

Last update: 2024-04-17 11:42:38

No citation recorded.